True, but Irrelevant for Most Women

January 23, 2012 @ 4:07 am
posted by Dr Ginther

The New England Journal of Medicine has just published a study of DXA results.  The researchers have interpreted the results as a reason to stop testing women with DXA.  The study was only about DXA, and only about a special group of women who are unlike the vast majority of women.

DXA alone is a very poor way to test for “Clinical Osteoporosis” (High Risk of Fracture), especially in the women 67 and older who were the only ones studied.  Even worse, the question asked in the study was how quickly the DXA score changed in the few women of that age who still have good DXA scores.  That question is not even relevant to Fracture Risk.

First, my Aunt Henrietta Fell Really Hard when she tripped on a throw-rug.  Next, her Bifocals tricked her coming in from the porch.  Then, she slipped on the Ice that had All Melted Yesterday.  Despite taking enough Adora Premium Chocolates Calcium and enough Vitamin D supplements, she added Fragility Fractures of both wrists and a shoulder to her prominant Kyphosis (hump-back) from multiple Vertebral Crunch Fractures.

Enough was enough.  She decided to have no more fractures!  She started the Anabolic, Forteo (Teriparatide).  This is the one medication which primarily stimulates Osteoblast cells and will build new bone matrix.  She said: “I guess I can do a shot every day.”  But would it work?  Unintentionally she put it to the test!

Grandson “Sitting”

January 15, 2012 @ 6:24 pm
posted by Dr Ginther

My wife and I have just completed a week of “sitting” our 17 month old grandson, RJ.  Very little sitting was involved except when he climbed on a lap to read with one of us.  “Five Little Monkeys Jumping on the Bed” is his favorite.  Fitting!

His Pediatrician is managing his Bone Health with a diet high in Calcium and Vitamin D supplements (400 IU daily) as recommended by the American Academy of Pediatrics.  His mother carefully instructed us (her parents) on proper nutrition for a child.

Why Do I Keep Breaking?

January 12, 2012 @ 6:00 am
posted by Dr Ginther

A reader asked “Why do I keep breaking?”

If you do have more than one Fragility Fracture, you certainly need to find out why!  Every Fracture that you have increases the chance of another Fracture unless you find and correct the underlying problem.