In message <001801bd7151$743ebc00$5ee7869f@jomag>, Joseph Gallagher
<[log in to unmask]> writes
>Is it accepted practice now that patients on long term steroids should have
>Didronel PMO or similar agents ? In other words in 1998 ,if you have
>patients on long term steroids and not on anti bone loss agents how would a
>group of your peers judge your care. Jez that last sentence gives me the
>creeps.
I've taken to getting a DEXA scan - one (male) patient had a forearm
bone densitometry T=-6 (*not* a typing error!)
Next problem is, *whose* responsibility? *I* didn't put him on long term
steroids.. and I haven't noticed many hospital consultants ordering bone
densitometry!
Does it have to be etidronate or alendronate? If the patient can't
tolerate either, where would you go.. in the absence of documented
osteoporosis or osteopenia?
Mary
Mary Hawking Kingsbury Court Surgery Church Street Dunstable LU5 4RS
tel:01582 663218 (surgery)fax:01582 476488 (surgery)
Member of British Healthcare Internet Association
Dunstable and Houghton Regis Locality Commisssioning Pilot
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