A Blue Zone Whirlwind hit our house. Grammy Ann & Papa Jay barely survived. Grandson RJ stayed with us for a week. He is a 2 1/2 year old whirlwind, constantly busy, constantly wanting an adult to participate in his adventures. Constantly asking – why? why? why?
He “watched” Mary Poppins so he could dance like Bert (Dick van Dyke) in the chimney-sweeps on the rooftops scene, “play that again”. His volume control has only “louder” for a setting.
“Men are from Mars”, so March is a good time to think about men, the overlooked minority in osteoporosis. The American Journal of Men’s Health has published a study of osteoporosis screening rates for men over age 70. The results are discouraging.
Osteoporosis screening at age 70 for men with no identified risk factors, and earlier for those with known risk factors, has been recommended by the National Osteoporosis Foundation (NOF) and Medicare since 2008. 25 % of persons known to have osteoporosis are men. Yet we still perceive osteoporosis to be women only . We ignore the male minority.
What setting is most successful at evaluating Osteoporosis and initiating therapy? Fracture Clinics are the winner again in a new study published in Osteoporosis International. That is why I spent 2 days this past week in North Dakota teaching docs, nurse practitioners, physician assistants, nurses, and administrators how to set up osteoporosis centers in fracture clinics.
Fracture clinics have a huge advantage. Patients and their families understand the urgency. Fracture clinics deal only with fractures. Diabetes, heart disease, cancer history, etc. do not steal part of visit time and focus. So why do few fracture clinics offer osteoporosis evaluation and treatment?
Obesity is becoming a BIG issue in the US and around the world. Countries which struggled to find enough food only decades ago now have growing numbers of overweight and obese citizens. Along with increased weight, we are seing huge increases in diabetes, high blood pressure, stroke, and heart disease. Who or what is to blame?
Sugar is one obvious suspect. About 80% of all prepared foods in the US contain sugar, high fructose corn-syrup, and other calorie rich sweeteners. Some health policy activists are pushing for government regulation of sugar as a toxic and addictive substance – like tobacco and alcohol.