Updates on Women's Health

May 24, 2017
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What is an INTERVAL cancer?
An INTERVAL cancer is a cancer that occurs and shows up SOONER that the planned TIME INTERVAL for screening.  Remember the purpose of screening is to identify serious disease before it produces signs or symptoms that the person would notice...(lump, bump, pain, unusual bleeding, change in bodily functions, etc).  It simply means that the detectability and growth rate of the individual's cancer outpaced the next planned screening date and was found later that desired.
What to do?
Easy!  Simply shorten the time interval for screening to look more closely and sooner.  That's part of our COMPREHENSIVE plan to find small cancers as early as possible thereby improving cure rates and saving lives.  With the newest research and state-of-the-art technology, we can individualize and tailor a screening plan and timing interval to OUTPACE the cancer before signs or symptoms occur.  
Put TIME in YOUR favor.  So if you or your loved one ever acquires cancer, you have the best chance for cure with the simplest form of treatment.

It's all about EARLY DETECTION and it's about TIME.  

To your health!

I am delighted to see a continued focus in prior and new research on the value of ultrasound screening for the EARLY detection of breast and ovarian cancer.

1)  BREAST CANCER EARLY DETECTION:  Simple and proper risk assessment, proper self-breast exam, experienced physician breast examination, mammography and in-office physician performed ultrasound is our best strategy for detecting early stage, node-negative breast cancers.  This, in turn, gives us our best chance of saving the breast and long-term cure with minimal therapies required.  Breast density continues to be studied as an independent risk factor for breast cancer and one of the several indications for performing an ultrasound.  I will soon attend a 3-day international conference on this subject at UCSF.

2)  OVARIAN CANCER EARLY DETECTION:  Continued results of the largest US clinical trial (University of Kentucky) and also the recent extension of the UK (England) Collaborative Trial of 202,638 women confirms a significant reduction in mortality and improved quality of life with the use of screening trans-vaginal ultrasound and CA-125 blood testing.  This technique works well and is cost-effective when performed in-office using hi-resolution equipment with accurate interpretation.  This eliminates the potential for false-positive results and unnecessary interventions. 

We continue to expand our screening services and are excited about how simple, accurate and cost-effective this approach is for saving lives.  Stay tuned!

To Your Health...
Dr. A.

December 28, 2016
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My practice of 36 plus years is now expanding our outreach for breast and ovarian cancer screening. Review of all of our best research confirms that EARLY DETECTION IS OUR BEST PROTECTION. To say this another way…AN OUNCE OF PREVENTION IS WORTH A POUND OF CURE!

We are ramping up this segment of our practice to be the best center in northern California for breast and ovarian health and early detection of benign, pre-cancer and cancer conditions. Risk assessment, and ultrasound imaging are the two key components missing in most annual visits done elsewhere. They are simply performing other important tasks.

Yet we want to stand in the gap and provide what is wanted and needed for breast and ovarian health in an evidence-based, simple, accurate and cost-effective way.

Tell a friend.

Dr. A.

With the Presidential Election just over, many are asking:


Of course, it is too early to predict with any accuracy the survivability, modification or repeal of ObamaCare.  So, in the mean time a few pointers may help.

Don’t panic.

Realize that health insurance is fundamentally designed for major medical care just as home and auto insurance covers fire, theft and collision and does not cover important maintenance items.

Perhaps it is best to for us as consumers to shop and choose our best value in wellness, preventive care and early detection of disease through proper and effective screening strategies.  With high deductible plans becoming more numerous, it would follow that we must budget for this part of our care separately. 

Though we are all thankful for our life saving facilities, partner with your physician team to help enhance your overall health thereby minimizing your risk of illness, injury and your need for the Emergency Room and/or Hospital.

Stay tuned---this topic will stay very interesting!

To your health…

Dr. Armstrong

October 21, 2016
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I want to address the so-called patient-physician relationship.  Since before Hippocrates, patients and physicians have strived to craft an ethical, practical and useful relationship not just in concept but in true reality.  So what is this entity and how can it serve you?

It starts with mutual trust.  A trust that is open, honest and constructive.  This relationship is very confidential, especially given the nature of gynecology for women's health and urology for men and women.  We strive to keep it that way.  There are many forces that threaten and distract this relationship including government, insurance companies, electronic health records and different expert panels that disagree with each other in an effort to 'cook book' your care...just to name a few. 

I want to live up to a higher standard...one that takes the best of the old school and the new and always includes experienced clinical judgment and shared decision making.  It's combining high-technology with active listening and health planning.  You are the centerpiece, advocate and coordinator of your own health care.  This in turn saves morbidity, mortality and cost. 

Thanks for being a part of and standing for this exciting movement in healthcare.  American healthcare is the best in the world and we can continue to make it better.  Please share your thoughts.

John T. Armstrong Jr. MD MS


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