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Archive for May, 2011

HyperParaThyroidism Part 2

May 12, 2011 @ 6:00 am
posted by Dr Ginther

Primary Hyperparathyroidism is much less common but much easier to explain.  We will deal with that first.

Primary Hyperparathyroidism is usually due to an enlargement of one of the 4 parathyroid glands.  This enlargement of the gland is benign (not malignant).  The problem is that it produces too much parathyroid hormone (PTH). 

HyperParaThyroidism Part 1

May 9, 2011 @ 6:00 am
posted by Dr Ginther

Hyperparathyroidism is found in a surprising number of patients by testing for PTH level. 

Primary Hyperparathyroidism remains rare.  We have found 3 cases in 4 years.  However, we are finding Secondary Hyperparathyroidism virtually every week.  Last week we found 3 in one day.

Osteoporosis Screening by Heel Ultrasound

May 7, 2011 @ 8:00 am
posted by Dr Ginther

Today we are offering free Osteoporosis Screening at a Health Fair.  We are using Heel Ultrasound.  This is good, but not as accurate a test as hip and spine DXA in predicting Osteoporosis and Fracture.  Why is this a good idea?  There are several reasons.

Reclast is the version of Zolendronate used for Osteoporosis treatment.  I do not do cancer treatment, so I will not discuss Zometa here other than to say that it is used successfully to slow or stop the spread of metastatic cancer which has spread to bone.  All warnings about Reclast apply to Zometa.

Reclast is given once a year by a 20-30 minute long infusion.  You need to be lying down for the infusion.  You need to be monitored for a full hour.  This needs to be done at an infusion center.