Osteoporosis Prevention and Treatment By Holly Scott, CRNP
Breaking a bone is often the first sign of osteoporosis. Approximately one in two women, and up to one in four men age 50 and older will break a bone due to osteoporosis. Osteoporosis causes bone to become brittle and weak, which allows them to fracture with relatively low impact. We typically refer to an osteoporotic fracture as a fragility fracture. There are no clear physical signs of osteoporosis and you won’t feel your bones weakening. This is why it is referred to as a silent disease. Since Osteoporosis is a disease that can be prevented and treated, an early diagnosis can make
a difference. How is osteoporosis diagnosed? In the absence of a fragility fracture, a DEXA scan is the only test to diagnose osteoporosis. Guidelines for ordering DEXA scans vary from organization to organization, but in general postmenopausal women with risk factors for osteoporosis, and any woman over age 65 should obtain a DEXA scan. Recommendations for men rely on risk factors from age 50 to 69, or any man over age 70. Talking with your healthcare provider can help determine your risk factors for osteoporosis, as well as your risk for falls and fractures. Osteoporotic treatment doesn’t
have to wait until you break a bone. Even one fracture is too many. Fracture prevention is a large reason why we treat low bone density (osteopenia and osteoporosis). So, don’t wait until you break a bone to get treated. Be proactive with your bone health. It is never too late to take steps to protect your bones and prevent fractures. Holly Scott is a Nurse Practitioner with Alabama Bone and Joint Clinic. She is certified by the National Osteoporosis Foundation as a Fracture Liaison Service Coordinator. For more information on osteoporosis, fracture prevention and how our office can help, visit our website at www. alabamaboneandjoint.com or
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Two Procedures for Weight Loss By John L. Mathews II, DMD, MD, FACS
As 2020 approaches and people begin to contemplate their New Year’s resolutions, weight loss is often at the top of the list. There are two excellent options available for dramatic weight loss: the gastric bypass procedure and gastric sleeve procedure. Both procedures have been performed thousands of times, and their outcomes have been studied and their risk and benefits evaluated. While the American Diabetes Association has accepted the gastric bypass as the recommended treatment for the obese patient with type 2 diabetes, both procedures are extremely safe when compared to other commonly performed operations. The overall 30-day mortality rate is less than the laparoscopic gallbladder removal. Studies have shown weight loss at 18 months to be 60 to 70 percent with resolution of comorbidities to include hypertension, type 2 diabetes and sleep apnea approximately 60 to 80 percent of the time. Robotic gastric bypass and robotic sleeve gastrectomy are replacing laparoscopy and open procedures. The robot provides a stable platform with improved illumination and visualization. Improved instrumentation also facilitates the procedure, making it shorter with less movement of tissues. Sleeve gastrectomy typically can be performed in less than an hour and the gastric bypass in just over an hour, using the robotic approach, with typically an overnight stay in the hospital. Both procedures are usually covered by insurance, to include Medicare. John L. Mathews II, DMD, MD, FACS is a general surgeon who is Director of Bariatrics and Medical Staff President at Princeton Baptist Medical Center.
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