Archive for the ‘Healthcare Professionals’ Category

Iowa Bone Club – Friday 19 May 2017

May 12, 2017 @ 8:37 pm
posted by Dr Ginther

Friday 19 May 2017, 0900 to 1400 is the Spring 2017 Iowa Bone Club Meeting.

Holiday Inn West Glenn, 6075 Mills Civic Pkwy, West Des Moines, IA.

Information about bone health for all providers, nurses, DXA techs, and pre-authorization ninjas.  It should be worth attending.

Contact mthompson@iowaortho.com for further info.

Jay Ginther, MD

 

“Treat to Target” and “Use VFA” in 2017

April 23, 2017 @ 8:50 pm
posted by Dr Ginther

Clinical Osteoporosis 2017, NOF and ISCD joint meeting had a different emphasis this year.  Fracture Risk, rather than Bone Mineral Density (BMD) is now the key metric.  Several speakers emphasizd the importance of VFA in making the diagnosis of Clinical Osteoporosis.  This is something I have presented in poster exhibits 2015, 2016 and 2017.  I am now mainstream!

“Treat to Target” was the big new message this year.  We should set a target of decreased Fracture Risk for each patient and alter treatment until we reach it.  This has been routine for years in diabetes, hypertension, cholesterol, etc.  This is recognition that Osteoporosis is a chronic disease that we can control, but never cure, just like many others.

Take Control Naturally is the necessary first step, as I have outlined over the last few months.  This is often sufficient for prevention and in mild disease.

Advanced Osteoporosis, especially after fragility fractures, or vertebral compression fractures seen on VFA, is usually beyond nutrition and exercise only.  This will usually require medications to significantly reduce fracture risk.

The huge change is the recommendation to use an Anabolic medication first, to markedly reduce fracture risk, when BMD is very low or multiple fractures have already occured.  Then follow up with an Antiresorptive to maintain a low fracture risk.  Traditionally Medicare and other insurances have demanded we try Antiresorptives first to maintain bone as it is, even when multiple fractures have proven the bone to NOT be good enough at curent BMD.

We are entering a new age of Fracture Prevention!!

Jay Ginther, MD

NOF & ISCD at “Clinical Osteoporosis 2017”

April 17, 2017 @ 5:24 pm
posted by Dr Ginther

The National Osteoporosis Foundation (NOF) and the International Society for Clinical Densitometry (ISCD) are meeting together later this week.  This will be my 10th attendance at each group.  They are both always interesting.

I will be presenting a new research project this year – “Vertebral Compression Deformities in Patients with Normal Bone Mineral Density”.

This is a further study of the 79 patients with Normal BMD by DXA alone, who were changed to Clinical Osteoporosis because of vertebral compression fractures found on VFA from last year’s study of 1259 consecutive patients with first-time VFA at our facility.

I look forward to seeing what else is new this year.

Jay Ginther, MD

Orthopedic Surgeons At NOF !!!

May 29, 2015 @ 10:08 pm
posted by Dr Ginther

Orthopedic Surgeons treat fractures.  Now Orthopods are joining the fight to Prevent Fractures.

At the National Osteoporosis Foundation (NOF) 2015 meeting, Orthopedic Surgeons were the most numerous specialty among docs (MD and DO) .  This is huge!  In 2007 we were above 1% for the first time.  Now we are 17%.  What has happened?

Orthopods can easily identify persons with bone health issues, because a fracture is the clearest clue that there may be a bone health problem.  Often patients see orthopedics for a fracture and do not see their regular primary care doc until their next annual check-up.

The idea that bone health (including osteoporosis) could and should be identified and treated in an orthopedic office was very unusual when I started in 2007.  It is still not common, but it is spreading rapidly.  We have directly helped a dozen other offices start treating bone health.

The latest trend is for Nurse Practitioners (NPs) and Physician Assistants (PAs) to do most of the bone health assessment and treatment within an orthopedic, or other, office.  That was evident at the meeting.  Over 1/3 of the attendees were NPs or PAs – many of them working in orthopedic offices.

Family Medicine docs, NPs, and PAs also attended in record numbers.  This is a growing trend.  Proactively addressing bone health, before a fracture, is taking its rightful place in primary care.

Orthopedic, Family Medicine, and Geriatric practices are increasingly offering bone health evaluation and treatment.

Take Control of Your Bone Health.  Get a Complete Bone Health Evaluation.

Jay Ginther, MD