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Doctor insights on: Osteoporosis Patient Information

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Where to find information on patient safety for elders?

Where to find information on patient safety for elders?

Internet: While the internet has its drawbacks, it also has its advantages. If you can be more specific about what you mean buy "patient safety" it can help refine the search. I do suggest looking at www.Mercola.Com as a beginning place for information and expand out. Most states have a council on aging so the dept of health website may also have some useful information. ...Read more

Dr. PHILIP WALLER
1,580 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more


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Should estrogen therapy be given to patient with senile osteoporosis ?

Should estrogen therapy be given to patient with senile osteoporosis ?

Not typically: Estrogen therapy is no longer the treatment of choice for post menopausal osteoporosis, due to an increased risk for cardiovascular events. Estrogen-like medications called serms can be used. The major class of medication for osteoporosis are bisphosphonates such as fosamax, actonel, boniva (ibandronate). However, short term estrogen treatment can be consider for severe postmenopausal symptoms. ...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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Why's intravenous therapy given to mi patients?

Why's intravenous therapy given to mi patients?

To break up clots: Intravenous therapy in acute mi often is a drug to break up clots. Also IV access is needed if needed to help resuscitate a patient with acute mi, by giving fluid for low blood pressure and rhythm drugs for arrhythmias. ...Read more

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Interested in information on stem cell treatment for congestive heart failure?

Interested in information on stem cell treatment for congestive heart failure?

Be careful: This is an experimental treatment that is showing a lot of future promise. The overall efficacy and side effects are still being evaluated That being said there are a LOT of quacks out there selling this as a treatment to hopeless patients for a huge amount of money. Don't blow your life savings on one of these overseas clinics, it will be a waste of time/money and dangerous. ...Read more

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Any hopeful information regarding infantile spasms treatments?

Any hopeful information regarding infantile spasms treatments?

Infantile spasm: Yes, infantile spasm is one of epilepsy syndromes that represent in infancy, it can be symptomatic due to brain structural abnormalities or metabolic disorders, or without a definite etiology. Generally the first line of treatment is acth which is a kind of steriod that is given by im inj., the success rate is app. 65-70%, other treatments include vigabatrin and other seizure medicines. ...Read more

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Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?

Can a md. Deny medicare-paid hospice end-stage dementia patient  physical therapy  if patient's family requests it to maintain movement with new law?

Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read more

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Where can I find information on clinical trials for alzheimer's disease?

Where can I find information on clinical trials for alzheimer's disease?

Several web sites: Clinicaltrials.Gov , the alzheimers disease website has a research link where you can find clinical trials. Also if there is medical school near you, check the web site for research or call the school and ask for the officeof research. They should be able to direct you to the correct department that is running the study. ...Read more

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Information on the natural timeline for an older person with parkinson's?

Information on the natural timeline for an older person with parkinson's?

Sequences : Initially, tremors at rest, mild slowing of function, or minimal walking problems present, and these sxs will respond to Dopamine agonists for about 2 yrs. For the next 5-7 yrs, pts do well on l-dopa, but later on, combination therapies are vital and even deep brain stimulation may be used. These phases proceed over 10-15 yrs, but do vary from pt to pt. ...Read more

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Brittle bone disease ..Advice any treatment?

Brittle bone disease ..Advice any treatment?

Symptom relief: There is no cure since it is a genetic disease, but regular weight-bearing exercise to prevent bone loss, a diet rich in calcium and vitamin d, and sometimes even vitamin supplements will help. Bisphosphonates are a group of drungs that can increase bone density, but they have side effects. ...Read more

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Would like more information on renal transplants?

Would like more information on renal transplants?

Transplant: Kidney transplant is the best option for most patients when their kidney function has progessed to end stage renal disease (less than 15% function). This results in improvement in renal function, BP and clinical status. The big drawback is that you are on life long immunosupression. ...Read more

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Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read more

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Any information on preventingendometrial cancer ?

Any information on preventingendometrial cancer ?

General measures: Endometrial cancer is commoner in women with obesity, diabetes, hypertension, infertility and excessive estrogen. Other factors are genetic. The general preventive measures, such maintaining a healthy weight, exercise to reduce risk of diabetes, avoiding use of tobacco and alcohol in excess should help. ...Read more

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Can parenteral amiboacid be given post dialysis to a CKD patient?

Can parenteral amiboacid be given post dialysis to a CKD patient?

Yes: Yes, Amino Acids can be given on dialysis. Unfortunately medicare will not cover it. Usually it is reserved for patient's with a low albumin. There is not good data about improving outcomes other than Albumin levels. ...Read more

Dr. Liawaty Ho Dr. Ho
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We have a patient suffering from secondary myelofibrosis requiring bone marrow transplant. Donor is refusing on accounts of side effects ?

Dr. Liawaty Ho Dr. Ho
1 doctor agreed:
We have a patient  suffering from secondary myelofibrosis requiring bone marrow transplant. Donor is refusing on accounts of side effects ?

What is the question: Can you rephrase your question? What kind of side effects that the donor is afraid of. Perhaps, better understanding and communication about the procedure, the possible aes to the donor and answering the question will help the donor understand the situation. However, if the donor does not want to help- then nobody can force the donor. Other option is to use mud (matched unrelated donor) or cord blood.. Meanwhile, jakafi (ruxolitinib) can be considered for symptoms relief. ...Read more

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Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more

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Please explain how warfarin contributes to arterial calcification, despite great lipid profile, in patient who has taken drug for 27 years.

Please explain how warfarin contributes to arterial calcification, despite great lipid profile, in patient who has taken drug for 27 years.

Some articles: I hope these studies help: http://goo.Gl/vnjyg http://goo.Gl/xwwh3 http://goo.Gl/yymu8 there are others, but i hope these help. Would be difficult to explain in this limited space. ...Read more

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Can we give dipyrone 2 tablet daily to patient who has kidney problems>?

Can we give dipyrone 2 tablet daily to patient who has kidney problems>?

I wouldnt: No sense in using a drug that has been banned in most countries because of possible links with agranulocytosis. Regardless of their kidney problems. ...Read more

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What is your take on use of biphosphonates for osteoporosis. How do you manage a patient in an alternative way once osteoporosis has developed.?

What is your take on use of biphosphonates for osteoporosis. How do you manage a patient in an alternative way once osteoporosis has developed.?

Bisphosphonates OK.: First must exclude secondary causes of osteoporosis. If primary i usually treat with adequate ca and vit d intake. Bisphophonates for a few years. Consider other agents and further testing if progressive. ...Read more

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How is aquatic therapy good for osteoporosis patients?

How is aquatic therapy good for osteoporosis patients?

Yes it is good: Once osteopenia or osteoporosis has been identified through a bone density test, referral to physical therapy for appropriate exercise should be part of a therapeutic plan. That could inculd aquatic therapy. ...Read more

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How we can treat patient with osteoporosis if blood calcium is normal ?

How we can treat patient with osteoporosis if blood calcium is normal ?

Multiple possibiliti: There are now multiple ways and effective treatments for osteoporosis and it depends upon your individual situation. You need a good evaluation from a quality physician. Your serum calcium level is of no significance. If this is for you (a male) at your age, it would be unusual and should receive special expertise. ...Read more

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Does RA patients have osteoporosis?What is the difference between RA and osteoporosis?

Does RA patients have osteoporosis?What is the difference between RA and osteoporosis?

See below: Ra is an autoimmune disease where your immune system attacks your joints and other organ systems. Osteoporosis is where your bones lose calcium, vit d and become brittle. Osteoporosis can occur in RA as a result of the inflammation contributing to bone lose and the medications used to treat ra. ...Read more

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What medical issues could preclude a patient from being a candidate to use forteo for osteoporosis?

Cost vs medical: Forteo is indicated for severe osteoporosis or for patients who failed bisphosponate therapy. However, it is contraindicated in patient with history of bone cancer, Paget disease, hypercalcemia or previous treatment with skeletal radiation. It is also very expensive. ...Read more

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Is skimmed milk or whole milk better for an osteoporosis patient?

Is skimmed milk or whole milk better for an osteoporosis patient?

Skim milk always: Hi. Skim milk is always better. The calcium concentration in skim milk is higher than it is in whole milk, and milk fat can increase the risk of atherosclerosis. Stick with skim milk. As an aside, are really a 22 yo male? If so, osteoporosis is distinctly abnormal in you, and you need an evaluation by an endocrinologist experienced in metabolic disorders of bone. ...Read more

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What to do if I'm a patient suffering from osteoporosis. I read in newspaper that bisphosphonate is effective but is it som?

What to do if I'm a patient suffering from osteoporosis. I read in newspaper that bisphosphonate is effective but is it som?

Partially effective: Biphosphonates usually prevent further osteoporosis but do not build new bone like PTH like drugs (Forteo) but you also need calcium and vit D as well as good nutrition and exercise to increase bone strength. So just bisphosphonates by themselves are not the cure all ...Read more

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Why is protein rich food not allowed to osteoporosis patients?

Why is protein rich food not allowed to osteoporosis patients?

Protein and bone: Bone is complex. It has a collagen matrix, which is composed of protein. This matrix actively calcifies. The osteoid that results actively undergoes calcification and calcium release. This process is pH sensitive. Animal meats are acidic. The acids they contain are buffered quickly after we eat them. Bone is a huge buffer; acid buffering by bone inhibits calcification and causes calcium release. ...Read more

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What patients with postmenopausal osteoporosis are at high risk (not all of them, right)?

Brittle bones: Unfortunately, dexa, the standard way to diagnose osteoporosis can only tell the density of bone per volume, not he quality of the bone. Additional risk factors are propensity for falling, smoking, high coffee and carbonated drink intake and poor diet in general. ...Read more

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Should estrogen therapy be given to patient with senile osteoporosis ?

Not typically: Estrogen therapy is no longer the treatment of choice for post menopausal osteoporosis, due to an increased risk for cardiovascular events. Estrogen-like medications called serms can be used. The major class of medication for osteoporosis are bisphosphonates such as fosamax, actonel, boniva (ibandronate). However, short term estrogen treatment can be consider for severe postmenopausal symptoms. ...Read more

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Can you tell me if throughout a physical examination, a patient has been diagnosed with osteoporosis, hypertension, and hirsutism. th?

Can you tell me if throughout a physical examination, a patient has been diagnosed with osteoporosis, hypertension, and hirsutism. th?

Possible.: Hirsutism is the excessive hairiness on women in those parts of the body where terminal hair does not normally occur or is minimal and can be seen on a physical. Hypertension is measured with a blood pressure cuff, usually 2 or more elevated blood pressures. Osteoporosis is trickier, but could be diagnosed with a thorough history and physical, without DEXA scan. ...Read more

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What could be causes of stabbing chest pain with deep breaths? Patient is 86, with MDS, emphysema, & osteoporosis. started after vertebrate surgery.

Chest pains: Stabbing or shooting chest pains with deep breaths are often caused by pinched intercostal nerves which run between 2 ribs. They can also occur with rib fractures or bruises, pleurisy, pulmonary blood clots or pneumonia. A spot xray or bone scan would spot a rib fracture which could occur in this patient with osteoporosis and COPD. ...Read more

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Could an ortho consultant surgeon know from x rays or CT if patient with a fracture had osteoporosis?

Could an ortho consultant surgeon know from x rays or CT if patient with a fracture had osteoporosis?

Yes: The x ray could show significant demineralization that could lead the radiologist or orthopedic surgeon to suggest osteoporosis . However confirmatory bone mineral density scan with a t score of less than -2.5 per who standard is required to confirm the diagnosis. ...Read more

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How do I treat osteoporosis?

How do I treat osteoporosis?

Exercise,diet &supps: Exercise has been shown to improve bone density. A healthy diet is essential- avoid sweets, sodas, lots of meat, coffee- these acidify your body & leach calcium from your bones! many supps proven to help- vit d & k most important, also calcium, magnesium, boron, strontium.The drugs don't work well & have side effects! see http://www.Drdach.Com/wst_page6.Html & http://doctorklaper.Com/answers05.Html. ...Read more

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How is osteoporosis tested for?

Dexa scan: There are a mber of ways to check for osteoporosis. A simple x-ray alone is not adequate because it can be over it under penetrated to make the bone appear more or less dense than it is. A deca scan is by far the most common test for osteoporosis. In this test, the bone density of you spine, hip, and wrist is compared to normal bone and an age matched control. ...Read more

Amanda Xi Dr. Xi
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Can you please define osteoporosis?

Amanda Xi Dr. Xi
9 doctors agreed:
Can you please define osteoporosis?

Disease: Osteoporosis is a disease where the affected person has low bone mass and deterioration of the bones. This results in fragile bones and and increase in susceptibility to fractures and broken bones. Risk factors: gender (female) and age (post-menopausal). Excercise and calcium supplementation... In children (fortified milk) and young ladies are important, life-long preventive measures. ...Read more

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How can I get osteoporosis earlier?

Several: Several factors increase your risk for osteoporosis and subsequent fracture at an early age: premature menopause, certain medications (pronged steroids, excessive thyroid supplementation, aromatase inhibitors), certain medical conditions (hyperparathyroidism, celiac sprue, rheumatoid arthritis), excessive alcohol use, smoking, eating disorders, and physical inactivity. ...Read more

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