Archive for November, 2014
“But, I don’t want to get fat” was the constant refrain of a patient who consistantly lost weight, lost muscle mass, and fractured again. Despite urging bordering on harassment, from her friends, she avoided meats and other proteins, most vegetables, fiber, and starches. She often found room for desserts.
Her muscles were so weak that she had trouble rising from a chair. Her walk had become a slow shuffle. Her skin became tissue-paper thin. Her Body Mass Index (BMI) had fallen far into the danger zone of below 19. It is possible to be Too Thin. Persons with a BMI below 19 are at increased Fracture Risk, and increased Risk of Death From All Causes.
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
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?
“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