Posts Tagged ‘Bone Health’

Teaching Nurse Practitioners

April 11, 2014 @ 6:48 am
posted by Dr Ginther

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.

You Need The Rest Of The Story

April 7, 2014 @ 10:50 pm
posted by Dr Ginther

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”.

Not an Accident – It was a Bone Attack

March 27, 2014 @ 6:12 pm
posted by Dr Ginther

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.

The International Society for Clinical Densitometry (ISCD) met last week.  Our society has been dedicated to properly evaluating DXA to determine Bone Mineral Density (BMD) and t-score.  Now ISCD is taking the next step.

The recurring theme at the 2014 ISCD joint meeting with the International Osteoporosis Foundation (IOF) was that DXA, BMD, and t-score are only tools to reach the real goal.  The real goal is Preventing Fractures.  DXA, BMD, and t-score alone do not get us to that goal.  As health care providers, we can best prevent fractures by evaluating the reasons for Fracture Risk, and correcting those issues.