Updates on Women's Health

Posts for category: Health

May 16, 2016
Category: Health
Tags: Untagged

Dear Loyal Patient:

I would like to update you on our practice style and tell you about our renewed commitment to accommodate your referrals to our practice.

We have set aside SAME and NEXT DAY appointment slots for urgent matters for you and your referrals.  With a recent redesign of our schedule, we have the TIME to do the best care up front with even greater access to prompt scheduling.  This is essentially CONCIERGE style care WITHOUT the additional membership fee.

Most of us have insurance plans with high deductible out of pocket costs.  It is ever so important to seek the best value in health care (quality and access) with the least cost.  So as patient and physician how do we accomplish this and reduce the need for costly Emergency Departments and hospitalizations?  The answer…rapid access.

As you may know, I have focused my practice for the last several years on Women’s Health, Gynecology and pregnancy to 12 weeks. We continue to LISTEN to your health needs and concerns by focusing on wellness, prevention of disease and early detection through:

  1. Breast, Uterine, and Ovarian Cancer Screening with comfortable hi-definition ultrasound.
  2. Comfortable colposcopy to evaluate the cervix for ASCUS, CIN pap results, and + HPV rather than ‘wait and wonder’ about these important conditions.
  3. At-the-visit interpretation and clinical correlation (what to do with the results and findings).
  4. PMS, peri-menopause and menopause care… Safely and Effectively.
  5. Osteoporosis prevention and treatment.
  6. Non-surgical management of Urinary Incontinence.
  7. Full-service Gynecologic Surgery.
  8. In Office Cryo-ablation treatment for Heavy Periods.
  9. Fees for service that are 1/10th the cost of hospital and imaging center rates.

Extra TIME is spent for question and answer and coordinating your women’s health needs ‘holistically’.  Our average visit is ONE HOUR for a new and 45 minutes for an established patient.  You have after hours cell phone access to Dr. Armstrong for urgent matters.

Thanks again for your trust and let us know of any other ways we can serve you, your friends and family.  HAPPY SPRING TIME!

Dr. Armstrong and Staff    (707) 257-4317

By John T. Armstrong, Jr.
November 12, 2015
Category: Health
Tags: pap smear   woman's health   medical  

Recent news releases may have created some confusion about pap smear testing...when to start and at what time interval to repeat.   For example, going from starting pap testing at age 18 years or sexual activity which ever comes first to age 21 and then every 2 to 3 years apart.Also, the newer protocols place more emphasis on the HPV virus than the cytology reading of the pap.

I am very concerned that the new recommendations are too lax and will miss the diagnosis of cervical and vaginal dysplasia (pre-cancer) therefore increasing the risk of a patient incurring invasive cervical cancer.  About 4500 women die of cervical cancer in one year in the US and 99% of these are totally preventable with proper Pap and colposcopy screening if we use the more tried and proven protocols.  With the newer recommendations, many more will have their fertility compromised based on later stage diagnoses.

Our approach is to individualize the risk for each person based on age, symptoms, # of sexual partners, prior pap results, HPV status and colposcopy findings and make recommendations based on the benefits of early detection and what makes sense.  Then we can have a conversation, answer questions and have the woman herself make the best decision for her care.

JTA