Archive for April, 2014
Tomorrow I am at the 2014 National Osteoporosis Foundation meeting. Actually the name “National Prevent Fractures Organization” would better explain our goals. We don’t care about Osteoporosis as much as we care about Preventing Fractures.
DXA and T-score test results of “osteoporosis” only identify about 15% of the persons who will fracture. How can we identify those persons with “osteopenia” who will fracture? We use FRAX and Vertebral Fracture Assessment (VFA). My Poster # 18 tomorrow and Friday documents how adding VFA to DXA identifies additional persons at high risk for Fractures.
3 1/2 year old grandson RJ and 10 month old granddaughter Gwen were here for a whirlwind visit of less than 2 full days. In the case of RJ, whirlwind is a proper description. Saturday morning he hunted plastic Easter eggs, afternoon he spent at the Phelps Youth Pavilion, played baseball and soccer with his uncle, and in the evening he dyed real eggs. Gwen is more sedate, learning to walk while hanging on. Sunday they watched and listened to Grammy and Papa in the choir.
Grandkids are a blue zone.
Jay Ginther, MD
If you want to learn a lot about bone health, there is a book for you: “The Complete Book of Bone Health”.
Diane L Schneider, MD is a former associate professor specializing in bone health and osteoporosis prevention. She is unusual among doctors. She addresses all aspects of bone health in language that regular people can understand.
Katie Bries, ARNP, taught the Bone Health section for the Nurse Practitioner students at Allen College this year. She did a great job covering the basics. Unfortunately, she had time only for the basics. This is true in teaching NPs everywhere. It is true of all aspects of medicine when teaching MDs, DOs, PAs, and all others. There is only time for the basics.
Any Healthcare Provider who wants to fully master a subject must take “Electives” for additional training in the field they plan to focus on in practice. With MDs and DOs there are formal “Residencies” lasting 3 or more years after graduation. NP and PA students take “Clinicals” in various fields before, and sometimes after, graduation. Cedar Valley Bone Health has hosted clinicals for local and out-of-state Providers.