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Michele Gray Ankrim, CNM, DNP is a nurse in Issaquah, WA specializing in obstetrics & gynecology and midwifery. Michele Gray Ankrim, CNM, DNP is affiliated with Swedish Medical Center and Providence.
Cryotherapy
Cryotherapy is the targeted use of extreme cold to destroy unhealthy or unwanted tissue. The doctor applies the cold on the skin or injects it through a needle to reach the inside of the body, where it freezes away the problem tissue. Cryotherapy is often used to remove minor skin problems such as warts or skin tags, and it is also used to treat some small tumors.
To achieve the cold temperatures needed for cryotherapy, liquid nitrogen or argon gas is passed through a tube, which becomes cold enough to freeze cells on contact. Alternatively, liquid nitrogen can be swabbed directly onto the skin or via a spray, which applies only a specific, small amount to the skin at a time.
Because the area treated is typically very small, cryotherapy is not usually painful. There may be a sensation of cold and possibly some slight discomfort. Cryotherapy is very fast and can easily be performed in a doctor's office. It also doesn't require stitches, because there is no cutting involved. These benefits make cryotherapy a good choice for many issues, including:
Depending on the procedure, it usually takes three to four weeks to heal after cryotherapy. If it was done internally, patients may feel sore or have a small amount of swelling the first day afterwards. If cryotherapy was performed on the skin, patients will have a scab where their tissue was removed. Keep it clean and dry so it can heal.
Hysteroscopy
A hysteroscopy is a diagnostic procedure performed to examine the inside of the uterus. A thin tube with a camera and light at the end, called a hysteroscope, is inserted through the vagina. It allows the physician to view the cervix and uterine walls. Sometimes, gas or liquid is used to expand the uterus and allow a better view. If necessary, tiny instruments can also be passed through the tube and used for certain procedures, such as taking a biopsy or removing a polyp.
Hysteroscopy is often done to figure out the cause of abnormal menstrual bleeding. However, it can also be used to:
If surgery is necessary, hysteroscopy is often used along with laparoscopy, a kind of surgery performed through small incisions in the abdomen. Tiny tools are passed through the incisions, and the hysteroscope guides the doctors while surgery is performed.
Pessary
A pessary is a device that is inserted into the vagina to relieve symptoms associated with mild to moderate pelvic organ prolapse, a condition in which the womb, bladder, or rectum bulges into the vaginal canal. This device is made of either rubber or plastic and is a safe, nonsurgical way to provide support for prolapsed organs.
Pessaries come in different shapes and sizes, and finding the right one can take some trial and error. Before a pessary fitting, patients will be examined and evaluated based on prolapse-related symptoms they may be experiencing, which may include discomfort, urine leakage when sneezing or coughing, and trouble keeping tampons in.
The following tips can help guide the process of finding the right fit:
The device should be kept clean to avoid issues like vaginal odor, discharge, or irritation. To clean a pessary, it must be taken out and washed with soap and water. Healthcare providers will instruct patients on how to remove and reinsert the device. If patients are unable to do this on their own, they will need to get it done at the doctor's office at least once every two months.
She is certified by the American Midwifery Certification Board, Midwifery and has a state license in Washington.
Board Certification: American Midwifery Certification Board, Midwifery
Licensed In: Washington
Michele Gray Ankrim, CNM, DNP is associated with these hospitals and organizations:
Michele Gray Ankrim, CNM, DNP appears to accept the following insurance providers: Aetna PPO, Humana PPO, CIGNA PPO, Wellcare Medicare (HMO), Medicare Advantage, Humana Medicare Advantage, Interplan PPO, TriWest, United Healthcare, TRICARE, Medicaid, Humana, Cigna, United Healthcare Medicaid, OptumHealth Behavioral Solutions (United Behavioral Health), United Healthcare PPO, Providence, Humana HMO, First Health, Kaiser Permanente, Aetna Medicare PPO, Carelon PPO, Ambetter Cascade Select, Ambetter Cascade Care, Premera, Evernorth PPO, Seven Corners, First Choice PPO and Regence BlueShield of Washington PPO.
According to our sources, Michele Gray Ankrim, CNM, DNP accepts the following insurance providers:
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Ms. Michele Ankrim's areas of specialization are midwifery and obstetrics & gynecology; she sees patients in Issaquah, WA. These areas are among her clinical interests: colposcopy, cryotherapy, and cystocele (bladder prolapse). Her professional affiliations include Providence and Swedish Medical Center. HealthSmart, Coventry, and CIGNA Plans are among the insurance carriers that Ms. Ankrim honors. Ms. Ankrim welcomes new patients at her office inIssaquah, WA as reported by Swedish Medical Center.
