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Fosamax sabbatical?
Fosamax sabbatical?
My doc thinks taking me off Fosamax for six months or a year to see
what happens is a good idea. This make sense? I did Fosamax for two
years minimal improvement. 52 year old male, idiopathic, pena in the
hip and slight OP in the spine. Thoughts?
My doc thinks taking me off Fosamax for six months or a year to see
what happens is a good idea. This make sense? I did Fosamax for two
years minimal improvement. 52 year old male, idiopathic, pena in the
hip and slight OP in the spine. Thoughts?
Re: Fosamax sabbatical?
garagecapital wrote:
> My doc thinks taking me off Fosamax for six months or a year to see
> what happens is a good idea. This make sense? I did Fosamax for two
> years minimal improvement. 52 year old male, idiopathic, pena in the
> hip and slight OP in the spine. Thoughts?
It depends upon what your rate of bone resorption is (your bone turnover
marker) without the Fosamax. Did this recommendation come from an
endocrinologist? If so, he/she ought to know.
Put it this way. If your rate of bone resorption is very high without
Fosamax, you need some kind of medication to slow it down or else your
bone density will end up deteriorating and you increase greatly your
risk of a fracture.
This is really the only way to tell. So ... my recommendation is if
he/she wants you to go off, your bone turnover should be monitored
closely ... perhaps first at 3-6 months after going off ... then perhaps
at 9-12 months after.
L.
garagecapital wrote:
> My doc thinks taking me off Fosamax for six months or a year to see
> what happens is a good idea. This make sense? I did Fosamax for two
> years minimal improvement. 52 year old male, idiopathic, pena in the
> hip and slight OP in the spine. Thoughts?
It depends upon what your rate of bone resorption is (your bone turnover
marker) without the Fosamax. Did this recommendation come from an
endocrinologist? If so, he/she ought to know.
Put it this way. If your rate of bone resorption is very high without
Fosamax, you need some kind of medication to slow it down or else your
bone density will end up deteriorating and you increase greatly your
risk of a fracture.
This is really the only way to tell. So ... my recommendation is if
he/she wants you to go off, your bone turnover should be monitored
closely ... perhaps first at 3-6 months after going off ... then perhaps
at 9-12 months after.
L.
Re: Fosamax sabbatical?
On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
> garagecapital wrote:
> > My doc thinks taking me off Fosamax for six months or a year to see
> > what happens is a good idea. This make sense? I did Fosamax for two
> > years minimal improvement. 52 year old male, idiopathic, pena in the
> > hip and slight OP in the spine. Thoughts?
>
> It depends upon what your rate of bone resorption is (your bone turnover
> marker) without the Fosamax. Did this recommendation come from an
> endocrinologist? If so, he/she ought to know.
>
> Put it this way. If your rate of bone resorption is very high without
> Fosamax, you need some kind of medication to slow it down or else your
> bone density will end up deteriorating and you increase greatly your
> risk of a fracture.
>
> This is really the only way to tell. So ... my recommendation is if
> he/she wants you to go off, your bone turnover should be monitored
> closely ... perhaps first at 3-6 months after going off ... then perhaps
> at 9-12 months after.
>
> L.
He will relook at 6-8 months. No one knows my bone absorbtion rate; he
is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
close to impossible 7-12 month waiting lists. I believe there are only
three within 50-60 miles. We're working on getting me one, but it will
be awhile. I had an endo here, who did all the work ruling out
secondary causes, but he came down with cancer and closed his practice
and his referral had a bastard front office staff and was 40 miles
away to boot. Sorry for the rant, just answering the question.
On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
> garagecapital wrote:
> > My doc thinks taking me off Fosamax for six months or a year to see
> > what happens is a good idea. This make sense? I did Fosamax for two
> > years minimal improvement. 52 year old male, idiopathic, pena in the
> > hip and slight OP in the spine. Thoughts?
>
> It depends upon what your rate of bone resorption is (your bone turnover
> marker) without the Fosamax. Did this recommendation come from an
> endocrinologist? If so, he/she ought to know.
>
> Put it this way. If your rate of bone resorption is very high without
> Fosamax, you need some kind of medication to slow it down or else your
> bone density will end up deteriorating and you increase greatly your
> risk of a fracture.
>
> This is really the only way to tell. So ... my recommendation is if
> he/she wants you to go off, your bone turnover should be monitored
> closely ... perhaps first at 3-6 months after going off ... then perhaps
> at 9-12 months after.
>
> L.
He will relook at 6-8 months. No one knows my bone absorbtion rate; he
is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
close to impossible 7-12 month waiting lists. I believe there are only
three within 50-60 miles. We're working on getting me one, but it will
be awhile. I had an endo here, who did all the work ruling out
secondary causes, but he came down with cancer and closed his practice
and his referral had a bastard front office staff and was 40 miles
away to boot. Sorry for the rant, just answering the question.
Re: Fosamax sabbatical?
garagecapital wrote:
> On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
>
>>garagecapital wrote:
>>
>>>My doc thinks taking me off Fosamax for six months or a year to see
>>>what happens is a good idea. This make sense? I did Fosamax for two
>>>years minimal improvement. 52 year old male, idiopathic, pena in the
>>>hip and slight OP in the spine. Thoughts?
>>
>>It depends upon what your rate of bone resorption is (your bone turnover
>>marker) without the Fosamax. Did this recommendation come from an
>>endocrinologist? If so, he/she ought to know.
>>
>>Put it this way. If your rate of bone resorption is very high without
>>Fosamax, you need some kind of medication to slow it down or else your
>>bone density will end up deteriorating and you increase greatly your
>>risk of a fracture.
>>
>>This is really the only way to tell. So ... my recommendation is if
>>he/she wants you to go off, your bone turnover should be monitored
>>closely ... perhaps first at 3-6 months after going off ... then perhaps
>>at 9-12 months after.
>>
>>L.
>
>
> He will relook at 6-8 months. No one knows my bone absorbtion rate; he
> is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
> close to impossible 7-12 month waiting lists. I believe there are only
> three within 50-60 miles. We're working on getting me one, but it will
> be awhile. I had an endo here, who did all the work ruling out
> secondary causes, but he came down with cancer and closed his practice
> and his referral had a bastard front office staff and was 40 miles
> away to boot. Sorry for the rant, just answering the question.
OK, but you're gonna have to trust me ... a GP is just not equipped to
handle your situation. Just no way. So ... if I were you, I'd get a good
endo ... post haste. They exist down there, believe me. Call the endo
dept at Boca Raton Community Hospital or Delray Community Hospital.
Making these decisions without the proper data puts you at risk for
fractures ... and if those fractures occur in the wrong place (vertebra
e or femur), you'll regret not doing this asap. Those are not easy
things to fix.
Larry
garagecapital wrote:
> On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
>
>>garagecapital wrote:
>>
>>>My doc thinks taking me off Fosamax for six months or a year to see
>>>what happens is a good idea. This make sense? I did Fosamax for two
>>>years minimal improvement. 52 year old male, idiopathic, pena in the
>>>hip and slight OP in the spine. Thoughts?
>>
>>It depends upon what your rate of bone resorption is (your bone turnover
>>marker) without the Fosamax. Did this recommendation come from an
>>endocrinologist? If so, he/she ought to know.
>>
>>Put it this way. If your rate of bone resorption is very high without
>>Fosamax, you need some kind of medication to slow it down or else your
>>bone density will end up deteriorating and you increase greatly your
>>risk of a fracture.
>>
>>This is really the only way to tell. So ... my recommendation is if
>>he/she wants you to go off, your bone turnover should be monitored
>>closely ... perhaps first at 3-6 months after going off ... then perhaps
>>at 9-12 months after.
>>
>>L.
>
>
> He will relook at 6-8 months. No one knows my bone absorbtion rate; he
> is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
> close to impossible 7-12 month waiting lists. I believe there are only
> three within 50-60 miles. We're working on getting me one, but it will
> be awhile. I had an endo here, who did all the work ruling out
> secondary causes, but he came down with cancer and closed his practice
> and his referral had a bastard front office staff and was 40 miles
> away to boot. Sorry for the rant, just answering the question.
OK, but you're gonna have to trust me ... a GP is just not equipped to
handle your situation. Just no way. So ... if I were you, I'd get a good
endo ... post haste. They exist down there, believe me. Call the endo
dept at Boca Raton Community Hospital or Delray Community Hospital.
Making these decisions without the proper data puts you at risk for
fractures ... and if those fractures occur in the wrong place (vertebra
e or femur), you'll regret not doing this asap. Those are not easy
things to fix.
Larry
Re: Fosamax sabbatical?
On Dec 20, 4:32 pm, Larry <la...@nospam . net > wrote:
> garagecapital wrote:
> > On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
>
> >>garagecapital wrote:
>
> >>>My doc thinks taking me off Fosamax for six months or a year to see
> >>>what happens is a good idea. This make sense? I did Fosamax for two
> >>>years minimal improvement. 52 year old male, idiopathic, pena in the
> >>>hip and slight OP in the spine. Thoughts?
>
> >>It depends upon what your rate of bone resorption is (your bone turnover=
> >>marker) without the Fosamax. Did this recommendation come from an
> >>endocrinologist? If so, he/she ought to know.
>
> >>Put it this way. If your rate of bone resorption is very high without
> >>Fosamax, you need some kind of medication to slow it down or else your
> >>bone density will end up deteriorating and you increase greatly your
> >>risk of a fracture.
>
> >>This is really the only way to tell. So ... my recommendation is if
> >>he/she wants you to go off, your bone turnover should be monitored
> >>closely ... perhaps first at 3-6 months after going off ... then perhaps=
> >>at 9-12 months after.
>
> >>L.
>
> > He will relook at 6-8 months. No one knows my bone absorbtion rate; he
> > is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
> > close to impossible 7-12 month waiting lists. I believe there are only
> > three within 50-60 miles. We're working on getting me one, but it will
> > be awhile. I had an endo here, who did all the work ruling out
> > secondary causes, but he came down with cancer and closed his practice
> > and his referral had a bastard front office staff and was 40 miles
> > away to boot. Sorry for the rant, just answering the question.
>
> OK, but you're gonna have to trust me ... a GP is just not equipped to
> handle your situation. Just no way. So ... if I were you, I'd get a good
> endo ... post haste. They exist down there, believe me. Call the endo
> dept at Boca Raton Community Hospital or Delray Community Hospital.
> Making these decisions without the proper data puts you at risk for
> fractures ... and if those fractures occur in the wrong place (vertebra
> e or femur), you'll regret not doing this asap. Those are not easy
> things to fix.
>
> Larry
Try calling Boca Raton General or Delray Community and getting a
referral for an endo, and if you get a name, cal them to see how many
months or years it will be before they can see you -- if they are
taking new patients. As for travel, I will be out of the country for
several months and may opt to have this researched further abroad.
On Dec 20, 4:32 pm, Larry <la...@nospam . net > wrote:
> garagecapital wrote:
> > On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
>
> >>garagecapital wrote:
>
> >>>My doc thinks taking me off Fosamax for six months or a year to see
> >>>what happens is a good idea. This make sense? I did Fosamax for two
> >>>years minimal improvement. 52 year old male, idiopathic, pena in the
> >>>hip and slight OP in the spine. Thoughts?
>
> >>It depends upon what your rate of bone resorption is (your bone turnover=
> >>marker) without the Fosamax. Did this recommendation come from an
> >>endocrinologist? If so, he/she ought to know.
>
> >>Put it this way. If your rate of bone resorption is very high without
> >>Fosamax, you need some kind of medication to slow it down or else your
> >>bone density will end up deteriorating and you increase greatly your
> >>risk of a fracture.
>
> >>This is really the only way to tell. So ... my recommendation is if
> >>he/she wants you to go off, your bone turnover should be monitored
> >>closely ... perhaps first at 3-6 months after going off ... then perhaps=
> >>at 9-12 months after.
>
> >>L.
>
> > He will relook at 6-8 months. No one knows my bone absorbtion rate; he
> > is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
> > close to impossible 7-12 month waiting lists. I believe there are only
> > three within 50-60 miles. We're working on getting me one, but it will
> > be awhile. I had an endo here, who did all the work ruling out
> > secondary causes, but he came down with cancer and closed his practice
> > and his referral had a bastard front office staff and was 40 miles
> > away to boot. Sorry for the rant, just answering the question.
>
> OK, but you're gonna have to trust me ... a GP is just not equipped to
> handle your situation. Just no way. So ... if I were you, I'd get a good
> endo ... post haste. They exist down there, believe me. Call the endo
> dept at Boca Raton Community Hospital or Delray Community Hospital.
> Making these decisions without the proper data puts you at risk for
> fractures ... and if those fractures occur in the wrong place (vertebra
> e or femur), you'll regret not doing this asap. Those are not easy
> things to fix.
>
> Larry
Try calling Boca Raton General or Delray Community and getting a
referral for an endo, and if you get a name, cal them to see how many
months or years it will be before they can see you -- if they are
taking new patients. As for travel, I will be out of the country for
several months and may opt to have this researched further abroad.
Re: Fosamax sabbatical?
garagecapital wrote:
> On Dec 20, 4:32 pm, Larry <la...@nospam . net > wrote:
>
>>garagecapital wrote:
>>
>>>On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
>>
>>>>garagecapital wrote:
>>
>>>>>My doc thinks taking me off Fosamax for six months or a year to see
>>>>>what happens is a good idea. This make sense? I did Fosamax for two
>>>>>years minimal improvement. 52 year old male, idiopathic, pena in the
>>>>>hip and slight OP in the spine. Thoughts?
>>
>>>>It depends upon what your rate of bone resorption is (your bone turnover
>>>>marker) without the Fosamax. Did this recommendation come from an
>>>>endocrinologist? If so, he/she ought to know.
>>
>>>>Put it this way. If your rate of bone resorption is very high without
>>>>Fosamax, you need some kind of medication to slow it down or else your
>>>>bone density will end up deteriorating and you increase greatly your
>>>>risk of a fracture.
>>
>>>>This is really the only way to tell. So ... my recommendation is if
>>>>he/she wants you to go off, your bone turnover should be monitored
>>>>closely ... perhaps first at 3-6 months after going off ... then perhaps
>>>>at 9-12 months after.
>>
>>>>L.
>>
>>>He will relook at 6-8 months. No one knows my bone absorbtion rate; he
>>>is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
>>>close to impossible 7-12 month waiting lists. I believe there are only
>>>three within 50-60 miles. We're working on getting me one, but it will
>>>be awhile. I had an endo here, who did all the work ruling out
>>>secondary causes, but he came down with cancer and closed his practice
>>>and his referral had a bastard front office staff and was 40 miles
>>>away to boot. Sorry for the rant, just answering the question.
>>
>>OK, but you're gonna have to trust me ... a GP is just not equipped to
>>handle your situation. Just no way. So ... if I were you, I'd get a good
>>endo ... post haste. They exist down there, believe me. Call the endo
>>dept at Boca Raton Community Hospital or Delray Community Hospital.
>>Making these decisions without the proper data puts you at risk for
>>fractures ... and if those fractures occur in the wrong place (vertebra
>>e or femur), you'll regret not doing this asap. Those are not easy
>>things to fix.
>>
>>Larry
>
>
> Try calling Boca Raton General or Delray Community and getting a
> referral for an endo, and if you get a name, cal them to see how many
> months or years it will be before they can see you -- if they are
> taking new patients. As for travel, I will be out of the country for
> several months and may opt to have this researched further abroad.
Suit yourself. Maybe it will be easier outside the country. There are
many other fine hospitals in the greater Palm Beach/Broward County area.
In fact, I believe there is a branch of the Cleveland Clinic if I'm
not mistaken. Perhaps ask your GP for a referral.
Good luck.
Larry
garagecapital wrote:
> On Dec 20, 4:32 pm, Larry <la...@nospam . net > wrote:
>
>>garagecapital wrote:
>>
>>>On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
>>
>>>>garagecapital wrote:
>>
>>>>>My doc thinks taking me off Fosamax for six months or a year to see
>>>>>what happens is a good idea. This make sense? I did Fosamax for two
>>>>>years minimal improvement. 52 year old male, idiopathic, pena in the
>>>>>hip and slight OP in the spine. Thoughts?
>>
>>>>It depends upon what your rate of bone resorption is (your bone turnover
>>>>marker) without the Fosamax. Did this recommendation come from an
>>>>endocrinologist? If so, he/she ought to know.
>>
>>>>Put it this way. If your rate of bone resorption is very high without
>>>>Fosamax, you need some kind of medication to slow it down or else your
>>>>bone density will end up deteriorating and you increase greatly your
>>>>risk of a fracture.
>>
>>>>This is really the only way to tell. So ... my recommendation is if
>>>>he/she wants you to go off, your bone turnover should be monitored
>>>>closely ... perhaps first at 3-6 months after going off ... then perhaps
>>>>at 9-12 months after.
>>
>>>>L.
>>
>>>He will relook at 6-8 months. No one knows my bone absorbtion rate; he
>>>is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
>>>close to impossible 7-12 month waiting lists. I believe there are only
>>>three within 50-60 miles. We're working on getting me one, but it will
>>>be awhile. I had an endo here, who did all the work ruling out
>>>secondary causes, but he came down with cancer and closed his practice
>>>and his referral had a bastard front office staff and was 40 miles
>>>away to boot. Sorry for the rant, just answering the question.
>>
>>OK, but you're gonna have to trust me ... a GP is just not equipped to
>>handle your situation. Just no way. So ... if I were you, I'd get a good
>>endo ... post haste. They exist down there, believe me. Call the endo
>>dept at Boca Raton Community Hospital or Delray Community Hospital.
>>Making these decisions without the proper data puts you at risk for
>>fractures ... and if those fractures occur in the wrong place (vertebra
>>e or femur), you'll regret not doing this asap. Those are not easy
>>things to fix.
>>
>>Larry
>
>
> Try calling Boca Raton General or Delray Community and getting a
> referral for an endo, and if you get a name, cal them to see how many
> months or years it will be before they can see you -- if they are
> taking new patients. As for travel, I will be out of the country for
> several months and may opt to have this researched further abroad.
Suit yourself. Maybe it will be easier outside the country. There are
many other fine hospitals in the greater Palm Beach/Broward County area.
In fact, I believe there is a branch of the Cleveland Clinic if I'm
not mistaken. Perhaps ask your GP for a referral.
Good luck.
Larry
Re: Fosamax sabbatical?
On Dec 21, 8:54 am, Larry <la...@nospam . net > wrote:
> garagecapital wrote:
> > On Dec 20, 4:32 pm, Larry <la...@nospam . net > wrote:
>
> >>garagecapital wrote:
>
> >>>On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
>
> >>>>garagecapital wrote:
>
> >>>>>My doc thinks taking me off Fosamax for six months or a year to see
> >>>>>what happens is a good idea. This make sense? I did Fosamax for two
> >>>>>years minimal improvement. 52 year old male, idiopathic, pena in the
> >>>>>hip and slight OP in the spine. Thoughts?
>
> >>>>It depends upon what your rate of bone resorption is (your bone turnov=
er
> >>>>marker) without the Fosamax. Did this recommendation come from an
> >>>>endocrinologist? If so, he/she ought to know.
>
> >>>>Put it this way. If your rate of bone resorption is very high without
> >>>>Fosamax, you need some kind of medication to slow it down or else your=
> >>>>bone density will end up deteriorating and you increase greatly your
> >>>>risk of a fracture.
>
> >>>>This is really the only way to tell. So ... my recommendation is if
> >>>>he/she wants you to go off, your bone turnover should be monitored
> >>>>closely ... perhaps first at 3-6 months after going off ... then perha=
ps
> >>>>at 9-12 months after.
>
> >>>>L.
>
> >>>He will relook at 6-8 months. No one knows my bone absorbtion rate; he
> >>>is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
> >>>close to impossible 7-12 month waiting lists. I believe there are only
> >>>three within 50-60 miles. We're working on getting me one, but it will
> >>>be awhile. I had an endo here, who did all the work ruling out
> >>>secondary causes, but he came down with cancer and closed his practice
> >>>and his referral had a bastard front office staff and was 40 miles
> >>>away to boot. Sorry for the rant, just answering the question.
>
> >>OK, but you're gonna have to trust me ... a GP is just not equipped to
> >>handle your situation. Just no way. So ... if I were you, I'd get a good=
> >>endo ... post haste. They exist down there, believe me. Call the endo
> >>dept at Boca Raton Community Hospital or Delray Community Hospital.
> >>Making these decisions without the proper data puts you at risk for
> >>fractures ... and if those fractures occur in the wrong place (vertebra
> >>e or femur), you'll regret not doing this asap. Those are not easy
> >>things to fix.
>
> >>Larry
>
> > Try calling Boca Raton General or Delray Community and getting a
> > referral for an endo, and if you get a name, cal them to see how many
> > months or years it will be before they can see you -- if they are
> > taking new patients. As for travel, I will be out of the country for
> > several months and may opt to have this researched further abroad.
>
> Suit yourself. Maybe it will be easier outside the country. There are
> many other fine hospitals in the greater Palm Beach/Broward County area.
> In fact, I believe there is a branch of the Cleveland Clinic if I'm
> not mistaken. Perhaps ask your GP for a referral.
>
> Good luck.
>
> Larry
My GP -- and my wife's GP -- have repeated the same unfortunate
problem of a severe shortage of endocrinologists in South Florida; I
believe there have been news stories written about it. There are
different types of doctor shortages in various parts of the country,
the endo shortage is striking here, for reasons that no one is
positive about. I think there are two in PB and Broward counties
serving 2-3 million people. I'm hoping to do better in Sydney,
Australia, where Is pend a lot of time.
On Dec 21, 8:54 am, Larry <la...@nospam . net > wrote:
> garagecapital wrote:
> > On Dec 20, 4:32 pm, Larry <la...@nospam . net > wrote:
>
> >>garagecapital wrote:
>
> >>>On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
>
> >>>>garagecapital wrote:
>
> >>>>>My doc thinks taking me off Fosamax for six months or a year to see
> >>>>>what happens is a good idea. This make sense? I did Fosamax for two
> >>>>>years minimal improvement. 52 year old male, idiopathic, pena in the
> >>>>>hip and slight OP in the spine. Thoughts?
>
> >>>>It depends upon what your rate of bone resorption is (your bone turnov=
er
> >>>>marker) without the Fosamax. Did this recommendation come from an
> >>>>endocrinologist? If so, he/she ought to know.
>
> >>>>Put it this way. If your rate of bone resorption is very high without
> >>>>Fosamax, you need some kind of medication to slow it down or else your=
> >>>>bone density will end up deteriorating and you increase greatly your
> >>>>risk of a fracture.
>
> >>>>This is really the only way to tell. So ... my recommendation is if
> >>>>he/she wants you to go off, your bone turnover should be monitored
> >>>>closely ... perhaps first at 3-6 months after going off ... then perha=
ps
> >>>>at 9-12 months after.
>
> >>>>L.
>
> >>>He will relook at 6-8 months. No one knows my bone absorbtion rate; he
> >>>is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
> >>>close to impossible 7-12 month waiting lists. I believe there are only
> >>>three within 50-60 miles. We're working on getting me one, but it will
> >>>be awhile. I had an endo here, who did all the work ruling out
> >>>secondary causes, but he came down with cancer and closed his practice
> >>>and his referral had a bastard front office staff and was 40 miles
> >>>away to boot. Sorry for the rant, just answering the question.
>
> >>OK, but you're gonna have to trust me ... a GP is just not equipped to
> >>handle your situation. Just no way. So ... if I were you, I'd get a good=
> >>endo ... post haste. They exist down there, believe me. Call the endo
> >>dept at Boca Raton Community Hospital or Delray Community Hospital.
> >>Making these decisions without the proper data puts you at risk for
> >>fractures ... and if those fractures occur in the wrong place (vertebra
> >>e or femur), you'll regret not doing this asap. Those are not easy
> >>things to fix.
>
> >>Larry
>
> > Try calling Boca Raton General or Delray Community and getting a
> > referral for an endo, and if you get a name, cal them to see how many
> > months or years it will be before they can see you -- if they are
> > taking new patients. As for travel, I will be out of the country for
> > several months and may opt to have this researched further abroad.
>
> Suit yourself. Maybe it will be easier outside the country. There are
> many other fine hospitals in the greater Palm Beach/Broward County area.
> In fact, I believe there is a branch of the Cleveland Clinic if I'm
> not mistaken. Perhaps ask your GP for a referral.
>
> Good luck.
>
> Larry
My GP -- and my wife's GP -- have repeated the same unfortunate
problem of a severe shortage of endocrinologists in South Florida; I
believe there have been news stories written about it. There are
different types of doctor shortages in various parts of the country,
the endo shortage is striking here, for reasons that no one is
positive about. I think there are two in PB and Broward counties
serving 2-3 million people. I'm hoping to do better in Sydney,
Australia, where Is pend a lot of time.
Re: Fosamax sabbatical?
garagecapital wrote:
> On Dec 21, 8:54 am, Larry <la...@nospam . net > wrote:
>
>>garagecapital wrote:
>>
>>>On Dec 20, 4:32 pm, Larry <la...@nospam . net > wrote:
>>
>>>>garagecapital wrote:
>>
>>>>>On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
>>
>>>>>>garagecapital wrote:
>>
>>>>>>>My doc thinks taking me off Fosamax for six months or a year to see
>>>>>>>what happens is a good idea. This make sense? I did Fosamax for two
>>>>>>>years minimal improvement. 52 year old male, idiopathic, pena in the
>>>>>>>hip and slight OP in the spine. Thoughts?
>>
>>>>>>It depends upon what your rate of bone resorption is (your bone turnover
>>>>>>marker) without the Fosamax. Did this recommendation come from an
>>>>>>endocrinologist? If so, he/she ought to know.
>>
>>>>>>Put it this way. If your rate of bone resorption is very high without
>>>>>>Fosamax, you need some kind of medication to slow it down or else your
>>>>>>bone density will end up deteriorating and you increase greatly your
>>>>>>risk of a fracture.
>>
>>>>>>This is really the only way to tell. So ... my recommendation is if
>>>>>>he/she wants you to go off, your bone turnover should be monitored
>>>>>>closely ... perhaps first at 3-6 months after going off ... then perhaps
>>>>>>at 9-12 months after.
>>
>>>>>>L.
>>
>>>>>He will relook at 6-8 months. No one knows my bone absorbtion rate; he
>>>>>is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
>>>>>close to impossible 7-12 month waiting lists. I believe there are only
>>>>>three within 50-60 miles. We're working on getting me one, but it will
>>>>>be awhile. I had an endo here, who did all the work ruling out
>>>>>secondary causes, but he came down with cancer and closed his practice
>>>>>and his referral had a bastard front office staff and was 40 miles
>>>>>away to boot. Sorry for the rant, just answering the question.
>>
>>>>OK, but you're gonna have to trust me ... a GP is just not equipped to
>>>>handle your situation. Just no way. So ... if I were you, I'd get a good
>>>>endo ... post haste. They exist down there, believe me. Call the endo
>>>>dept at Boca Raton Community Hospital or Delray Community Hospital.
>>>>Making these decisions without the proper data puts you at risk for
>>>>fractures ... and if those fractures occur in the wrong place (vertebra
>>>>e or femur), you'll regret not doing this asap. Those are not easy
>>>>things to fix.
>>
>>>>Larry
>>
>>>Try calling Boca Raton General or Delray Community and getting a
>>>referral for an endo, and if you get a name, cal them to see how many
>>>months or years it will be before they can see you -- if they are
>>>taking new patients. As for travel, I will be out of the country for
>>>several months and may opt to have this researched further abroad.
>>
>>Suit yourself. Maybe it will be easier outside the country. There are
>>many other fine hospitals in the greater Palm Beach/Broward County area.
>> In fact, I believe there is a branch of the Cleveland Clinic if I'm
>>not mistaken. Perhaps ask your GP for a referral.
>>
>>Good luck.
>>
>>Larry
>
>
> My GP -- and my wife's GP -- have repeated the same unfortunate
> problem of a severe shortage of endocrinologists in South Florida; I
> believe there have been news stories written about it. There are
> different types of doctor shortages in various parts of the country,
> the endo shortage is striking here, for reasons that no one is
> positive about. I think there are two in PB and Broward counties
> serving 2-3 million people. I'm hoping to do better in Sydney,
> Australia, where Is pend a lot of time.
Fair enough. You might want to try this group though if you haven't already:
* w w w .metabolic-institute . com /
Larry
garagecapital wrote:
> On Dec 21, 8:54 am, Larry <la...@nospam . net > wrote:
>
>>garagecapital wrote:
>>
>>>On Dec 20, 4:32 pm, Larry <la...@nospam . net > wrote:
>>
>>>>garagecapital wrote:
>>
>>>>>On Dec 20, 10:57 am, Larry <la...@nospam . net > wrote:
>>
>>>>>>garagecapital wrote:
>>
>>>>>>>My doc thinks taking me off Fosamax for six months or a year to see
>>>>>>>what happens is a good idea. This make sense? I did Fosamax for two
>>>>>>>years minimal improvement. 52 year old male, idiopathic, pena in the
>>>>>>>hip and slight OP in the spine. Thoughts?
>>
>>>>>>It depends upon what your rate of bone resorption is (your bone turnover
>>>>>>marker) without the Fosamax. Did this recommendation come from an
>>>>>>endocrinologist? If so, he/she ought to know.
>>
>>>>>>Put it this way. If your rate of bone resorption is very high without
>>>>>>Fosamax, you need some kind of medication to slow it down or else your
>>>>>>bone density will end up deteriorating and you increase greatly your
>>>>>>risk of a fracture.
>>
>>>>>>This is really the only way to tell. So ... my recommendation is if
>>>>>>he/she wants you to go off, your bone turnover should be monitored
>>>>>>closely ... perhaps first at 3-6 months after going off ... then perhaps
>>>>>>at 9-12 months after.
>>
>>>>>>L.
>>
>>>>>He will relook at 6-8 months. No one knows my bone absorbtion rate; he
>>>>>is a GP. Getting an endocrinologist in the Boca Raton, Fl., area is
>>>>>close to impossible 7-12 month waiting lists. I believe there are only
>>>>>three within 50-60 miles. We're working on getting me one, but it will
>>>>>be awhile. I had an endo here, who did all the work ruling out
>>>>>secondary causes, but he came down with cancer and closed his practice
>>>>>and his referral had a bastard front office staff and was 40 miles
>>>>>away to boot. Sorry for the rant, just answering the question.
>>
>>>>OK, but you're gonna have to trust me ... a GP is just not equipped to
>>>>handle your situation. Just no way. So ... if I were you, I'd get a good
>>>>endo ... post haste. They exist down there, believe me. Call the endo
>>>>dept at Boca Raton Community Hospital or Delray Community Hospital.
>>>>Making these decisions without the proper data puts you at risk for
>>>>fractures ... and if those fractures occur in the wrong place (vertebra
>>>>e or femur), you'll regret not doing this asap. Those are not easy
>>>>things to fix.
>>
>>>>Larry
>>
>>>Try calling Boca Raton General or Delray Community and getting a
>>>referral for an endo, and if you get a name, cal them to see how many
>>>months or years it will be before they can see you -- if they are
>>>taking new patients. As for travel, I will be out of the country for
>>>several months and may opt to have this researched further abroad.
>>
>>Suit yourself. Maybe it will be easier outside the country. There are
>>many other fine hospitals in the greater Palm Beach/Broward County area.
>> In fact, I believe there is a branch of the Cleveland Clinic if I'm
>>not mistaken. Perhaps ask your GP for a referral.
>>
>>Good luck.
>>
>>Larry
>
>
> My GP -- and my wife's GP -- have repeated the same unfortunate
> problem of a severe shortage of endocrinologists in South Florida; I
> believe there have been news stories written about it. There are
> different types of doctor shortages in various parts of the country,
> the endo shortage is striking here, for reasons that no one is
> positive about. I think there are two in PB and Broward counties
> serving 2-3 million people. I'm hoping to do better in Sydney,
> Australia, where Is pend a lot of time.
Fair enough. You might want to try this group though if you haven't already:
* w w w .metabolic-institute . com /
Larry
