Several years ago researchers discovered that women with breast cancer had much lower blood levels of Vitamin D than women without breast cancer. Another study showed that, among women being treated for breast cancer, those with low Vitamin D levels were only half as likely to survive. Patients with other cancers show similar patterns.
Now we have a study which points out that this does not prove that low Vitamin D causes cancer. True. The new theory is that cancer causes low Vitamin D levels. However, there is no proof of that either, and I find it hard to believe. What does this all mean?
I sympathize with my relatives and former neighbors in New Jersey, Connecticut, and especially New York City. Record lows, record low wind chills, and record snowfalls are not fun, especially in the city. In Iowa temperatures have fallen to the minus 20s and wind chills have reached minus 45 over the last 2 days. But we still have nature to enjoy.
The bird feeders outside our breakfast-dining area windows have been nature central. Raspberry colored house finches, black and white chickadees, blue jays, red-bellied woodpeckers, slate colored juncos, goldfinches, downey woodpeckers, cardinals, and nuthatches all need extra calories in this cold.
DXA identifies only 15% of persons with increased Fracture Risk. Are you in the other 85%? To find out, you should get a Complete Bone Health Evaluation. And that is…….
First and foremost, it is an entire office visit devoted to bone health. That gives you and your doc enough time to fully discuss bone health issues. Next there is the full panel of tests: DXA, VFA, CBC, CMP, TSH, PTH, and 25-hydroxy Vit D level. Finally, there is FRAX.
Cedar Valley Bone Health Institute of Iowa is growing. Added staff and increased hours accomodates increased numbers of patients. New programs will roll out in early 2014. BoneDocBlog.com now exceeds 250 posts over 3 years.
Adding Nurse Practitioner Katie has expanded our hours to full days. Working together we can see more than twice as many patients. She is covering most of our return visits and doing lots of patient teaching.
Medical Assistant Kim joined in October. She has quickly learned the details of DXA and VFA. Kim also completes most of our patient intake and deals with pre-authorizations.
Receptionist Shari is managing scheduling, initial patient intake, and the ever increasing electronic “paperwork”. She is the familiar face to our established patients.
I have finally found an aspect of our mandated Electronic Medical Records that I like. We now print detailed Patient Instructions along with a Clinical Summary to give to each patient before they leave the office.
More about our new programs as they roll out over the next few weeks.
Let us assist you on the road to better Bone Health.
Jay Ginther, MD