Recently I had a patient whose spine had lost 10% of its Bone Mineral Density (BMD) since her last DXA. She has lost height in the last year. She has 3 new Vertebral Compression Fractures on her VFA. At 61 she is literally falling apart. She has severe osteoporosis. Her medical history form tells why.
She does not consume milk, or yogurt, or cheese, or calcium fortified orange juice or any veggies with Calcium in them. She will not take Calcium pills or even Calcium -rich Adora Premium Chocolates. She simply cannot have good bone health without some source of Calcium. She had me stymied……..until she admitted she liked Gummies!
I have been on the road with presentations in South Dakota and Southern Illinois recently. SD is state # 10 for me. I teach health care providers about the role for the Anabolic, Teriparatide (Forteo), in the treatment of specific patients. However, I also present a very important message about ALL patients.
A fracture, ANY FRACTURE, means that the patient deserves a Bone Health Evaluation. A fall from a standing height or other minor trauma is obviously a possible Fragility Fracture. But even a fracture during sports deserves at least a check of Calcium in diet and supplements, and a blood test for Vitamin D level.
Today is Veterans Day in the USA. It is a day when we remember those who lost their lives in the service of our country. It is a day when we remember and thank all those who have served our country.
In Waterloo – Cedar Falls, IA we presented a musical tribute to Veterans and country. Many vets and their families attended. The theme was United We Sing. We celebrated the spirit of our country, which is still combining the strengths and dreams of people from around the world.
As we enjoy great freedom and prosperity, we paused today to thank those whose sacrifices have made it possible. Thank you for serving.
Jay Ginther, MD
On the 94th anniversary of the armistice ending the “war to end all wars”. 11th hour, 11th day, 11th month in 1918.
How can we make Bone Health patient education more effective? An entire office visit only about bone health / osteoporosis prevention and treatment, is an effective start. This I have done since 2007. Now national leaders are looking for the next step. The answer surprised me.
In 2012, presenters at National Osteoporosis Foundation (NOF), International Society for Clinical Densitometry (ISCD), and American Society for Bone and Mineral Research (ASBMR) have said the same thing: Spend less time on each visit, but increase the number of visits. Studies are showing that this works.