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Posts Tagged ‘Hip Fracture’

Care About Dad on Father’s Day

June 21, 2020 @ 6:37 am
posted by Dr Ginther

Fathers Day is a time to remember your Dad.  Those young enough and fortunate enough to have a living Dad today should take time to connect and honor him, even if the best available is waving through a window or using Zoom.  Even if he is gone, take time to remember the good times and what he got right.  Repeat those yourself.

Wish your Dad a fulfilling and healthy life.  Avoid unnecessary problems, like fractures.  One in four men over 50 will have osteoporosis and unnecessary fractures unless they are treated for their osteoporosis.  Most fractures are a major inconvenience.  The majority of hip fractures in men over 70 result in complications leading to death or nursing home.

Detect osteoporosis early to start treatment to prevent fractures.  In many cases the only treatment necessary is improved nutrition and lifestyle.

Start with a Complete Bone Health Evaluation.  That includes DXA/VFA, blood tests, focused history and physical, and focused consultation.

We find major and minor nutritional issues.  We help Dad correct them with enough calcium, vitamin D3, protein, other vitamins and minerals.

Improved lifestyle can improve diabetes, high blood pressure, strength, balance, and overall enjoyment of life.

Really care for your Dad by helping him to a happier, healthier life.  Help him Take Control of his future.

Jay Ginther, MD

Bone Health Care During the New Normal

June 8, 2020 @ 6:22 am
posted by Dr Ginther

We previously discussed Drive Thru Injections of Prolia and Evenity.  If requested, our staff will give your scheduled injection while you remain in your car in our parking lot.

We wear masks and we ask our patients to do the same.  You must answer the required questions before proceeding.  We have hand sanitizer at the front desk and in each room.  We sanitize surfaces and pens between patients.

If you see our receptionist with her mask off while talking on the phone, please stand back.  Unfortunately, masks and telephones do not play well together.

We sanitize our DXA machine between patients.  We can often safely put off repeat DXA/VFA patients for 6 months or even a year if they are well established and have been stable with no changes in treatment.

New DXA/VFA patients and those with changes in medical regimens should have their studies done as scheduled.  Outpatient blood tests are slower than before because of social distancing, masks, and sanitizing surfaces between patients.

Consultations and lab follow-ups can be done by telemedicine for most insurances in Iowa.  However, each insurance company has its own (changing) rules and limits on how long they will pay for telemedicine.  Computer sites which are approved for telemedicine charge for use.  You need a computer or cell phone compatible with the approved site.

We are all waiting for a vaccine.  But, for many persons, a hip fracture carries a higher risk of death than Covid-19.  Pay attention to your bone health.  Avoid a hip fracture.

Jay Ginther, MD

If you fracture, your risk of a second fracture within a year is 3 to 5 times as great!  If that first or second fracture is a hip, you have a 25% chance of dying and a 25% chance of spending the rest of your life in a nursing home.  Scary.

Sometimes nutrition and lifestyle changes are enough.  Often medications are needed to effect real improvement.  The anabolic medications Teriparatide (Forteo), Abaloparatide (Tymlos), and Romosozumab (Evenity) not only prevent further fractures by increasing bone mass, but also speed healing.  The antiresorptive medications decrease fracture risk by preventing bone loss.

The NOF video at https://vimeo.com/267839997 discusses the likelihood of benefit in relation to the very small risk of harm from antiresorptive medications.

Understand the relative risks of taking a medication compared to the relative risks involved in not taking a medication.

Jay Ginther, MD

The numbers are scary if anyone actually pays attention.  Every year about 75,000 Americans die of complications of a hip fracture.  Another 75,000 wind up in a nursing home for the rest of their life.  Most of the remaining 150,000 need a walker or cane to walk across a room.  And this goes on year after year.

We spend over $50Billion every year treating patients for 2 million fractures due to osteoporosis.  We only test or treat about 1/5th of the patients with fractures.

NOF offers http://www.nof.org/wp-content/uploads/NOF_infographic_Osteoporosis-by-the-Numbers.pdf

50% of second fractures could have been prevented with treatment, sometimes simply correcting diet and lifestyle.

Protect yourself and older loved ones.  Get a complete bone health evaluation.

Jay Ginther, MD