Tag Archives: Johns Hopkins Hospital

New Book on Osteopeania

If you’re concerned about bone loss,

you have probably heard about osteopeania.

 

Particularly if your drugs include AIs (aromatase inhibitors).

When I was put on these drugs, my Oncologist arranged for me to have Bone Density or DEXA scans – and sure enough, one day told me I had Osteoporosis.

And that was that – apart from some woolly advice to “take exercise”.

But, luckily with help from European hospitals and rehab. centres, I was given the right exercise, and now have reduced down to Osteopeania:  known as Osteopeania in Britain, Osteopenia in North America.

Still sounds serious—but is it?

Yes – but better than Osteoporosis, and something we all need to know about, because if we do we can INSIST on being prescribed suitable exercise – easily provided at any major NHS hospital, if they have the will.

And Johns Hopkins has come up with a book to help us find out more.

The Johns Hopkins Metabolic Bone Center at the noted American research centre has just published a book giving the background on this disease.

And provides expert advice to help you prevent bone loss.

What You Should Know About Osteopenia

Osteopenia refers to bone density values that are low, but still above the bone density value that is deemed to be osteoporosis — the bone-thinning disease that each year results in 1.5 million fractures.

You may have heard that osteopenia is “pre-osteoporosis” — a precursor to osteoporosis. So if you’re among the estimated 34 million Americans — many of them women in early middle age — with bone density defined as osteopenia, it’s understandable that you’re wondering what steps you should take to restore and maintain bone health.

Should you be tested for osteopenia? And if so, what should that testing entail? How good an indicator is a bone density score for your risk of developing osteoporosis and suffering a serious fracture? Should everyone with low bone density be treated to ward off osteoporosis? If not, who needs treatment and who can skip it?

These are just a few of the issues about bone loss — and specifically about osteopenia — that are addressed by the researchers at Johns Hopkins.

One of those involved is Deborah Sellmeyer, M.D., an associate professor of medicine at the Johns Hopkins University School of Medicine and an internationally recognized expert on osteoporosis and other metabolic bone diseases.

Dr. Sellmeyer is ideally positioned to help you understand and manage your condition and to avoid further bone loss. Medical Director of The Johns Hopkins Metabolic Bone Center, Dr. Sellmeyer is currently conducting research on the role of nutrition and environmental factors in bone health.

The information in What You Should Know About Osteopenia is so crucial that this special report is available immediately as a PDF download. Just click the order button below and in a few moments your report will be delivered to your email address. It’s that simple!
The book tells:

  • Are you at risk of a fracture because of low bone density?
    If so, what can you do to reduce your risk as much as possible?
  • You’ll learn about healthy bone development … the process of bone turnover … the factors that increase your chances of developing osteoporosis … the most effective non-drug measures to prevent or reduce bone loss … and much more.

It explains:

* The process of bone remodeling as old bone is broken down and new bone is formed.
* Risk factors for loss of bone density.
* The role of family history in determining susceptibility to osteoporosis.
* Key medical causes of bone loss.
* How proton pump inhibitors like Prilosec may contribute to fracture risk.

And answers important questions about assessing your bone health:

* What’s the best technique for measuring bone density?
* How does dual-energy x-ray absorptiometry (DXA) work?
* Why is DXA so valuable in diagnosing osteoporosis?
* What’s the relationship between menopause and bone loss?
* Should men undergo BMD testing?
* How are BMD scores quantified?
* Why is it important to have your bone scans done at the same place and one the same machine?
* What’s the relationship between a person’s T-score and risk of fractures?
* What is the new web-based tool known as FRAX—and how is it helpful?

Bone Loss Is NOT an Inevitable Part of the Aging Process

In What You Should Know About Osteopenia, Dr. Sellmeyer explains why osteopenia is not a disease — why it’s important to focus on fracture risk — and how to build bone strength with exercise, including weight-bearing aerobic exercise, resistance training, and balance exercises. And she provides nutritional strategies for maintaining strong bones, including the very latest recommendations for your daily intake of calcium and vitamin D — the two most essential nutrients for bone health.

Any decision about whether to take prescription medication for bone loss is an individual decision you should make with your doctor. But you’ll learn about the medications available for osteoporosis, including a new drug, denosumab (Prolia), that has been shown to reduce spine and hip fractures in postmenopausal women with a high risk for fracture. And Dr. Sellmeyer explains the latest thinking on hormone therapy, or HT, for preventing bone loss.

Johns Hopkins was recently ranked #1 of America’s Best Hospitals by U.S. News & World Report.  Since its founding in 1889, The Johns Hopkins Hospital has led the way transferring the discoveries made in the laboratory to the administration of effective patient care.

Purchase price $24.95.

http://webapps.jhu.edu/jhuniverse/research/

More info:  http://www.johnshopkinshealthalerts.com/alerts/osteoporosis/osteopenia-explained_5750-1.html

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Being Internet-savvy helps when dealing with cancer

Doctors admit that those who understand and research their cancer treatment, often recover better and more quickly.

As a patient, I found that using the Internet sensibly, I was able to work out more effective treatment and find which cancer centres could give me better advice.  When all my UK hospital could offer to deal with skin lesions caused by tamoxifen, was to tell me “it’s your age”, and no advice given at all;  thanks to the Internet I found that La Roche Posay in France deals with around 8,OOO cases similar or worse than mine every year, so went there.  Thanks to their advice and prescriptions, I was able to stay on the drug;  and my skin cleared up almost immediately. And they told me my lesions were certainly NOT due to age!

If you read stories on this website, many of them concern research being carried out at US cancer hospitals and research centres.  Recently US News has published their annual list of top cancer hospitals, and highlights the fact that all the top ones have excellent research facilities, and produce patient-friendly websites that are easy for lay people to understand.

So if you have a problem or query, it is worthwhile going onto a US website for more information.  Some of the addresses are mentioned in the Contacts pages, but otherwise Google the name of the hospital for the contact.  Don’t be frightened – their websites are written in remarkably clear English – and generally very easy to understand, explaining even the most complex problem in a way that comes over as sensible and informative.

Here is list of top 2O, together with ranking allocated by US News – don’t pay too much attention to these rankings  – all the centres in the top 2O are worth looking at.  If you have a rare cancer, there are 9OO listed in their list, all of which have received plaudits:

University of Texas M.D. Anderson Cancer Center, Houston
62.4%     100.0
2
Memorial Sloan-Kettering Cancer Center, New York
58.9%     94.1
3
Johns Hopkins Hospital, Baltimore
30.6%     62.6
4
Mayo Clinic, Rochester, Minn.
27.8%     59.6
5
Dana-Farber Cancer Institute, Boston
28.2%     48.6
6
University of Washington Medical Center, Seattle
18.7%     47.7
7
Massachusetts General Hospital, Boston
14.2%     43.8
8
University of California, San Francisco Medical Center
11.7%     40.4
9
Duke University Medical Center, Durham, N.C.
10.3%     38.3
10
Stanford Hospital and Clinics, Stanford, Calif.
12.6%     37.2
11
Ronald Reagan UCLA Medical Center, Los Angeles
7.0%     36.7
12
Cleveland Clinic
7.6%     35.7
13
Vanderbilt University Medical Center, Nashville
5.6%     34.1
14
Hospital of the University of Pennsylvania, Philadelphia
5.1%     33.7
15
Brigham and Women’s Hospital, Boston
5.4%     31.6
16
Moffitt Cancer Center
4.2%     31.0
17
University of Chicago Medical Center
3.5%     30.6
18
Ohio State University James Cancer Hospital, Columbus
2.3%     30.4
19
University of Michigan Hospitals and Health Centers, Ann Arbor
4.2%     30.3
20
Fox Chase Cancer Center, Philadelphia
6.1%     30.1

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