Wrong Question! What you should be managing is Fracture Risk. If you only look at Bone Mineral Density (BMD), you miss the chance to decrease Fracture Risk in the overwhelming majority of people.
85% of the women who Fracture have a DXA score of “osteopenia” or even “normal”. Keeping their bone density at “only osteopenia” does them no favor. So how can you manage Fracture Risk?
“Babysitting” grandkids RJ and Gwen is a Blue Zone. They grow and change every time we see them.
RJ zoomed all around the 8 level climbing and sliding set-up at the Rec Center. Gwen has now mastered the little kids section. We ran them ragged. They ran us ragged.
The 4 hour drive each way is well worth it. We are already missing them until next time.
Family is a Blue Zone.
Jay Ginther, MD
Our Amgen Medical Liaison met with us this week. Her job is to supply information which has been published or presented at major meetings. She meets only with practitioners (MD, NP in our case) and cannot market any medications.
This is good. For the first time in 5 years, I missed ASBMR (American Society for Bone & Mineral Research). She was able to show us several studies presented at that meeting that were most helpful.
NP Katie and I, like most practitioners, always approach scientific papers with a critical eye. The studies answered several questions. They also raised further questions. Perhaps those answers will come next year.
Legislators pass rules and regs to keep medical practitioners away from information supplied by persons employed by Pharma. They fail to understand the value of critcally evaluating new scientific data. Detailed information about each available medication is needed if we are to find the best osteoporosis medication for each patient each time.
No single osteoporosis medication is right for everyone all the time. Every osteoporosis medication is the best choice for someone at some time. There are times when no medication is the best choice.
The more information Katie and I have about medications, the smarter we are when helping to choose what is best for each individual. No one can go to all meetings or read all published studies. A Pharma Medical Liaison helps gather relevant information.
YOU too can gather information before and after you visit your doc. Use the left column to find blogs about topics that interest you. You can Take Control.
Jay Ginther, MD
On Veterans Day we should thank those who have served our country.
Serving in the military is always a sacrifice. Military service, especially combat, forever changes a person. Some changes are positive. Too often there is damage – physical or psychological.
Our veterans have given part of themselves for our country. Sometimes a large part, or even all. So have their families. We owe our veterans and their families our thanks, whether or not we agree with the particular military actions that our politicians required of them.
We are obligated to meet their needs in a timely manner. The housecleaning at the Veterans Administration is long overdue. These are fellow human beings, injured by what we asked them to do.
Thank you for your service. We promise to do better in showing our thanks.
Jay Ginther, MD