In article <[log in to unmask]>, Mary Hawking
<[log in to unmask]> writes
>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..
Calcichew d3 I would suggest.
>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
--
Dr Gillian Braunold
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