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Re: OsteoporosisFrom: Arthur W. Curtis, Jr. (AWCurtis@massmed.org)Thu Feb 10 09:06:48 2005
MessageWhy was Fosamax started before she saw you? Was she worse (ie say -2.9 or something) and now getting better? Then Ca++ and exercise and follow up. If now worse, then ?estrogen if receptor neg, and consults. Arthur Curtis, MD FACOG (Retired) 2200 The Oaks Blvd Kissimmee, FL 34746-3886 (407) 944-1965 -------------------------------------------
------------------------------------------- ----- Original Message -----=20 ------------------------------------------- From: Braun, R. Daniel She is already on the Therapeutic dose of Fosamax. So the only things left are: Increase calcium, exercise, and an Internal Medicine Consult. Also discuss with her Onc regarding estrogen. If it has been more than 5 years and especially if E receptor negative, many people think there is no risk to estrogen. Dan Daniel Braun, MD From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod Darryl G MAJ 48 MDOS/SGOBO I haven't seen many postmenopausal women in the last 4 years, so I'm asking for some advice. I have a 58 yo G3P3 with history of breast cancer and endometrial cancer that has been taking fosamax 70mg/wk for her 'prevention of osteoporosis.' She has had a mastectomy and TVH/BSO in the past. This was the first I had seen her, so I ordered a bone density scan since she hadn't had one in several years. Her T score was -2.6. Obviously, she is not a candidate for estrogen therapy. Now that she is clearly osteoporotic, what other options do I have in her treatment? Thanks, Glen D. Glen Elrod, Maj USAF, MC Obstetrician/Gynecologist Maternal Child Flight 48 MDOS/SGOBO UNIT 5210 Box 23 APO, AE 09464 DSN (314) 226-8334 Comm 01638-52-8334
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