Thanksgiving 2014

November 27, 2014 @ 8:47 am
posted by Dr Ginther

Today we are thankful for what we have.  We take time to cherish family and friends.

We tune out the frantic dash of Black Friday Sales.  We reflect on the human values that make life worth living.

We and our world are far from perfect.  But we do have more material wealth than ever before.  We have greater opportunity for advancement than ever before.  The Pursuit of Happiness is available to all.  Catching up with Happiness is as elusive as ever.

Read “The Blue Zones” and “Thrive” by Dan Buettner.  (Use the link to the right.)  Incorporate the traits he observed in those living longer, happier lives.

Pause.  Contemplate.  Realize how blessed we are compared to any time in history.  Give Thanks.

Jay Ginther, MD

How Hard Is It To Manage Bone Density?

November 23, 2014 @ 7:57 pm
posted by Dr Ginther

Wrong Question!  What you should be managing is Fracture Risk.  If you only look at Bone Mineral Density (BMD), you miss the chance to decrease Fracture Risk in the overwhelming majority of people.

85% of the women who Fracture have a DXA score of “osteopenia” or even “normal”.  Keeping their bone density at “only osteopenia” does them no favor.  So how can you manage Fracture Risk?

Blue Zone Weekend

November 18, 2014 @ 10:14 pm
posted by Dr Ginther

“Babysitting” grandkids RJ and Gwen is a Blue Zone.  They grow and change every time we see them. 

RJ zoomed all around the 8 level climbing and sliding set-up at the Rec Center.  Gwen has now mastered the little kids section.  We ran them ragged.  They ran us ragged.

The 4 hour drive each way is well worth it.  We are already missing them until next time.

Family is a Blue Zone.

Jay Ginther, MD

Pharma Medical Liaison

November 14, 2014 @ 5:43 pm
posted by Dr Ginther

Our Amgen Medical Liaison met with us this week.  Her job is to supply information which has been published or presented at major meetings.  She meets only with practitioners (MD, NP in our case) and cannot market any medications.

This is good.  For the first time in 5 years, I missed ASBMR (American Society for Bone & Mineral Research).  She was able to show us several studies presented at that meeting that were most helpful.

NP Katie and I, like most practitioners, always approach scientific papers with a critical eye.  The studies answered several questions.  They also raised further questions.  Perhaps those answers will come next year.

Legislators pass rules and regs to keep medical practitioners away from information supplied by persons employed by Pharma.  They fail to understand the value of critcally evaluating new scientific data.  Detailed information about each available medication is needed if we are to find the best osteoporosis medication for each patient each time.

No single osteoporosis medication is right for everyone all the time.  Every osteoporosis medication is the best choice for someone at some time.  There are times when no medication is the best choice.

The more information Katie and I have about medications, the smarter we are when helping to choose what is best for each individual.  No one can go to all meetings or read all published studies.  A Pharma Medical Liaison helps gather relevant information.

YOU too can gather information before and after you visit your doc.  Use the left column to find blogs about topics that interest you.  You can Take Control.

Jay Ginther, MD