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Re: Bone density mafia From: charlie chambers (cchamber@ic.owatonna.mn.us) Fri Nov 29 15:52:32 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: pauleun@MEM.po.com: "Business question" Previous message: Garry E. Siegel: "Re: Bone density mafia" >Nevertheless, I find utility in densitometry in those women (they're not >sick, so they are not really patients, according to the drivel here) who, >despite life style changes including exercise and calcium, are not on ERT >and are at risk. Typically, these are thin white women with hunched over >mothers and family histories of breast cancer who will not consider the >benefits of ERT over the theoretical risk of breast cancer on ERT. Am I >missing the boat with that thinking? > >Garry E. Siegel, M.D. >Roswell, Ga. I have certainly heard the argument that ordering densitometry can give further persuasion to the patient to initiate the therapy. However, at the point that osteoporosis can be demonstrated, no therapy to date can replace that which is already lost. Further, it seems odd that we need to have an objective test in order to prove to the patient our therapy has beneficence. I can't think of too many other situations where one would order a fairly pricey test in order to convince the patient of the benefit of therapy. I certainly respect a patient's right to refuse any therapy I should suggest, but it seems odd to order a test to help me convince a patient to consider a therapeutic option. -- ############################################################################## Charlie Chambers " No matter where you go... cchamber@ic.owatonna.mn.us there you are" Owatonna Clinic, P.A. (507) 451-1120 ############################################################################ Next message: pauleun@MEM.po.com: "Business question" Previous message: Garry E. Siegel: "Re: Bone density mafia"

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