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Archive for the ‘Healthcare Professionals’ Category

Iowa Bone Club Fall Meeting

October 22, 2017 @ 7:38 pm
posted by Dr Ginther

Iowa Bone Club met for the third time this past Friday, 20 October.  Ritu Munjal, MD was the program chair and hosted the meeting at PCI in Cedar Rapids.

Great program for those attending.  Guest CME topic was hypophosphatasia, which can be a cause of poor bone and increased fracture risk.  Low alkaline phosphatase and elevated B6 are the key labs.  The condition can be made worse by bisphosphonates, and probably other antiresorptives.

Spring 2018 meeting will be Friday 1 June in Spirit Lake.

Jay Ginther, MD

Treat to Target #1 – Which Target?

June 19, 2017 @ 6:30 pm
posted by Dr Ginther

Treat to Target has been standard for chronic diseases like high blood pressure and diabetes for decades.  These are chronic diseases, more common as we get older, that we can control with diet, exercise, and eventually medication.  We cannot cure them.

Bone health joins the Treat to Target club in 2017.  Increased Fracture Risk (Clinical Osteoporosis) is a chronic disease, more common as we get older, that we can control with diet, exercise, and eventually medication.  We cannot cure Increased Fracture Risk, so treatment of some sort is necessary “forever”.

What is our target?  Traditionally it has been maintaining the T-score found at the first assessment.   This does not necessarily make sense, especially if there already are fractures.  The target should be NO NEW FRACTURES.  This is a game changer.

This means that we are aiming for a Bone Mineral Density T-score higher than -2.5 in someone who has not yet fractured.  How we get there requires a new approach to medications, once we have reached the limits of Take Control Naturally detailed in previous posts.

This also means we need to check the VFA for previous Vertebral Compression Fractures, most of which go un-noticed, mistaken for pulled muscles.  (I did that a few years back.)


Jay Ginther, MD

The Bone Health Guidelines are Changing

June 11, 2017 @ 4:58 pm
posted by Dr Ginther

University of Wisconsin hosts biennially the Bare Bones of Osteoporosis Care Symposium.  This year the Wisconsin Bone Club followed the symposium.

Felicia Cosman, MD from Helen Hayes in New York was the guest speaker at both.  She expanded on the new thoughts and guidelines presented at NOF in April.  These were a complete change of approach from just a few years ago.

Treat to Target.  Anabolics first to build bone and then preserve with Antiresorptives.  Reconsider VFA for all first time DXA evaluations.

More detail about these in the weeks to come.

Jay Ginther, MD


Iowa Bone Club Spring 2017 Meeting

May 20, 2017 @ 8:21 pm
posted by Dr Ginther

The second meeting of the Iowa Bone Club was a great success.  Hats off to Dudley Phipps, PA, of Iowa Ortho for organizing a great meeting, and to his staff for the work necessary to make it happen.  Thanks to Lilly for assisting in bringing Robert Lindsey, MD, from Helen Hayes Osteoporosis Research Center to be our featured speaker. Thanks to Amgen and Radius for their support as well.

We had over two dozen bone health providers and staff gathered in Des Moines yesterday.  We came from Burlington, Cedar Rapids and Waterloo in the east, from Spirit Lake and Omaha in the west, and many from the center of the state.  Eight outstanding speakers!

We will be meeting in Cedar Rapids in the fall, and Spirit Lake next spring, dates to be announced.

Jay Ginther, MD

President, Iowa Bone Club