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.
Last week a patient lamented that according to TV and Radio, “just about everything is bad for me”. So we discussed that reporters are paid to get people to watch and listen. Nobody wants to hear that their mother was right when she said “Drink your Milk”. But everyone will listen to a report that “Calcium is Bad for you if you take Daily Supplements “. This is true ONLY IF you take enough daily supplements and enough additional Calcium in your food to total way over 1500 mg in a day, but that ruins the story.
We miss Paul Harvey. He always told “The Rest of the Story”.
Most cities in North-East Iowa tied or set records for the most days with Below Zero temperatures this winter. We are really ready for spring! Even yardwork picking up fallen sticks and branches is a Blue Zone experience.
Not all of the ice and snow drifts are gone yet. But the male birds are on solar time, and they are singing up a storm as they stake their claim to enough territory to sustain a family this summer.
My staff is watching the Decorah, IA, eagle-cam which shows the first chick has hatched. This is smart pair of birds. They built their nest a short flight from the Iowa Trout Hatchery. This is their seventh year of easy fishing.
Connecting with the natural world is always a Blue Zone. Spring is “green things springing from the dead earth”. Enjoy.
Jay Ginther, MD
If you have a Heart Attack or a Stroke (Brain Attack), you don’t say it was an accident. You check out your heart or blood pressure to see what is wrong that can be corrected. In this way, you decrease the risk of another heart attack or stroke.
If you have a Fracture after a fall, don’t say it was an accident. Check out your Bone Health to see what can be improved or corrected. In this way, you won’t have increased Fracture Risk the next time you fall. Anyone can fall, but not everyone fractures. A fall can be an accident, but a fracture is a Bone Attack – a warning to check your bone health.
In 7 years, I have never evaluated someone for bone health without finding at least one issue that can be improved. That included myself, when I was honest and actually evaluated my own situation.