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Doctor insights on: Geriatricians Osteoporosis

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Osteopenia, osteoporosis or brittle bone disease--differences?

Osteopenia, osteoporosis or brittle bone disease--differences?

Genetic or not: Brittle bone disease is an inherited disorder of bone that is called osteogenesis imperfecta. Osteopenia and osteoporosis are disease of the bone where there is decrease density of the bone. This is associated with age, hormonal change, medications, smoking and other issues. Basically the bone cells are out of balance and take away more bone than they replace. ...Read more

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Dr. Douglas Fronzaglia
404 doctors shared insights

Geriatrics (Definition)

Geriatrics or geriatric medicine is a speciality that focuses on health care of elderly people. It aims to promote health by preventing and treating diseases and ...Read more


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Are strontium ranelate and strontium citrate recognised, beneficial treatments for severe osteoporosis?

Are strontium ranelate and strontium citrate recognised, beneficial treatments for severe osteoporosis?

Not approved: These two therapies are under investigation, but have not yet been approved in the us. ...Read more

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Mental health issues with geriatric ladies==are they common?

Mental health issues with geriatric ladies==are they common?

Depends: Seriously, the variation is not so much age as it is the underlying resiliency. We are all individuals, avoid grouping. ...Read more

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Does taking glucosamine chondroitin help to fortify bone density in elderly people?

Does taking glucosamine chondroitin help to fortify bone density in elderly people?

No: This product is supposed to "loosen your joints" but it will not do anything to your bone density. Calcium and vitamin d are some supplements that can help with your bone. ...Read more

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Why are individuals who have severe physical disabilities (non weight bearing) more prone to osteoporosis or osteopenia?

Why are individuals who have severe physical disabilities (non weight bearing) more prone to osteoporosis or osteopenia?

If don't use it ....: Lack of force applied to bone over time causes loss of mass and strength: simular to muscle. ...Read more

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Is there any programs aimed at elders to rehabilitate dementia, Alzheimer's etc?

Is there any programs aimed at elders to rehabilitate dementia, Alzheimer's etc?

Few: There are some programs that claim that they can improve cognitive function of persons with dementia but they have not been proven to be effective. ...Read more

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Are glucosamine & chondroitin supplements effective for elderly people who suffers from spinal stenosis? And for runners?

Are glucosamine & chondroitin supplements effective for elderly people who suffers from spinal stenosis? And for runners?

Minimal benefits!: Do not expect a miracle. Minor benefits may occur, but go with conventional therapy. But the only downside is a modest increase in blood sugar with these supplements! the spinal stenosis is mechanical and will not be improved! ...Read more

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Is ramelteon recommended for elderly people with vascular dementia?

Is ramelteon recommended for elderly people with vascular dementia?

Yes: It is an excellent choice for elderly people with or without vascular dementia who have sleep onset insomnia. It does not have the high fall risks associated with the other sedative hypnotics. It also can strengthen the circaidian rhythm that is weakened in dementia patients. ...Read more

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How do people with osteogenesis imperfecta (a.K.A, brittle bones) deal with their sexual needs?

How do people with osteogenesis imperfecta (a.K.A, brittle bones) deal with their sexual needs?

Not usually a proble: Generally, people with this condition carry out normal lives with regards to daily activities. ...Read more

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Is cognistar 60 injection helpful in alzeimers /stress dementia?

Is cognistar 60 injection helpful in alzeimers /stress dementia?

I have never Used it: But to my knowledge there are not enough studies to indicate it's effectiveness. ...Read more

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Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patient safety in elderly populations; how do nurses communicate with the Alzheimer's folks?

Patience/compassion: It is hard to watch a viable adult dwindle in to memory loss as with alzheimer's. Most people who communicate with them have patience, understanding, and can read body language and facial cues. Caregivers remember what these patients liked and how to help them and communicate that to nurses. Art, music, and old pictures reach the long term memories of these patients and that helps. ...Read more

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How do c-spine fractures affect people with osteoporosis?

How do c-spine fractures affect people with osteoporosis?

Osteoporosis: The reduction in calcium with osteoporosis increases the risk for fractures in all parts of the spine. Osteoporosis also increases the complexity of surgical repair by requiring the inclusion of more levels to spread the load and may also require cement to augment the pedicle screws. Healing time for the fracture or surgical fusion can also be much longer. ...Read more

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How to integrate dementia patients in long-term care community?

How to integrate dementia patients in long-term care community?

Assess and adapt: Anyone entering a long-term care situation has individual preferences and needs ( food, activities, interests, etc). Which must be assessed on admission. What physical capabilities and limitations does s/he have -- and what's been meaningful to him/her before? What adaptations can the unit make so that s/he can participate and have emotional needs met? Staff must consider all these things. ...Read more

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Can evista (raloxifene) be taken with strontium for osteoporosis?

Can evista (raloxifene) be taken with strontium for osteoporosis?

No due to blood clot: Both Evista (raloxifene) and strontium alone can cause blood clots. The combination has the risk of increasing the risk of blood clots even more. Blood clots can be fatal. There is no good data on the combination, so it's not recommended. ...Read more

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Is strontium citrate good for osteoporosis?

Is strontium citrate good for osteoporosis?

Bone strength: Cannot say that this works better than other proven supplements. No good studies to indicate that supplements have positive bone effects. ...Read more

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Are older antidepressants better for depression in Parkinson's disease?

Are older antidepressants better for depression in Parkinson's disease?

Nortriptyline: Nortriptyline which is a tricyclic antidepressant has been shown to be helpful for depression in those with parkinson's disease. Also paroxetine has some evidence for treating depression in parkinson's. In general antidepressants that work on norepinephrine and Dopamine seem to help more. Antidepressants that affect serotonin can worsen movement symptoms common in pd such as restless legs. ...Read more

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Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema , family history, paternal taking Forteo to strengthen bones. ??ideas?

Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema , family history, paternal taking Forteo to strengthen bones. ??ideas?

For one: You probably should remove the hardware. Increased uptake is informing you there is bone activity. You don't state on what phase. This could indicate a fracture or infection.... The doctor should have a clinical suspicion of what he is looking for. If removing the hardware a bone biopsy can be performed if suspecting infection. ...Read more

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Can cerefolin nac cause more confusion in older adults with dementia disorders ?

Can cerefolin nac cause more confusion in older adults with dementia  disorders  ?

Unlikely: Cerefolin is more like a vitamin so it is unlikely to cause confusion. When one has dementia, confusion can come and go. That being said, if there is an increase in confusion shortly after taking it and this doesn't happen at other times and continues to happen with use perhaps there is something specific about the person and the formulation that doesn't agree. ...Read more

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Dr. PHILIP WALLER
1,579 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more