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Re: Bone DensityFrom: Larry Kincheloe (lkinchel@icnet.net)Sat Nov 30 22:44:26 1996
>I have ordered the density scans in my patients with risk factors ( thyroid >disease, long term steroid users, etc.) and have found serial measurements >helpful in following the aggressive CO-management of their disease with the >internist/ rheumatologist. I was suprised that patients' are not often >advised about general preventive measures (HRT, calcium, and exercise) by >specialists treating them for KNOWN osteoporosis. > >I have also had patients demand testing who do not have risk factors other >than menopause and sedentary lifestyle who have suprised me with moderate >osteoporosis. The rheumatologists have been recommending dual agents like >Fosamax AND calcitonin, without mentioning estrogen or calcium >supplementation in their consultations...any comments? > Any comments. Well, that is a leading question for this discussion group:) I'm sure that rheumatologists have drug reps on a weekly/daily basis touting the marvels of these very expensive drugs while the ERT drug reps probably are more likely to show up on our door steps. Some folks think that anything that is new must be better. The cutting edge and all that stuff. Dr. Larry Kincheloe (Kinch) lkinchel@ icnet.net
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