Osteoporosis Management is Life Long with Dr. Stuart Silverman
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- čas přidán 3. 11. 2022
- Dr. Silverman offers a 20 minute talk on the most important lifestyle choices to make, when faced with a diagnosis of Osteoporosis. He offers insight as to when it's advisable to seek out taking medication. He comments on varied medication choices. He then takes 25 minutes of Q&A from the group. This is a very animated, clear and helpful talk that you'll refer to more than once.
More on Dr. Stuart Silverman:
Dr. Stuart Silverman, MD FACP FACR (Fellows of the American College of Physicians, and Rheumatology) is a Clinical Professor of Medicine, at both the Cedars-Sinai Medical Center and the UCLA School of Medicine. He is also the Medical Director of the Osteoporosis Medical Center in L.A., a nonprofit research and public care center which began in 1986. The Mission of the center includes measuring quality of life in patients with fibromyalgia and osteoporosis, in understanding patient adherence to therapies, understanding dysautonomia in fibromyalgia, the epidemiology of osteoporosis, and treating pain symptoms caused by arthritis.
Dr. Silverman received his M.D. at John Hopkins University, MD and did his Internship and Residence at the Boston Medical Center at Boston University, where he also did a Fellowship in Rheumatology.
He has a broad background in osteoporosis, with specific training in health outcomes and as a principal leader in multiple clinical trials. His research encompasses the epidemiology of osteoporosis, prevention and treatment of both postmenopausal, glucocorticoid induced osteoporosis and osteoporosis in males. He developed current guidelines in glucocorticoid induced osteoporosis.
Dr. Silverman was part of an international group which developed the globally used fracture risk assessment algorithm, or FRAX which estimates the 10-year risk of major osteoporotic fracture and hip fracture. I may have cited many other studies which he led, or participates/participated in, as his credentials are extensive. He is a member of the ASBMR Science Policy Committee, the IOF as well as the BHOF, among many other professional organizations.
Thank you Dr. Silverman for such an educational program. It is just the expertise I needed. As a nurse/patient, I was struggling to decide the best course of action, and you provided so much important, evidence-based (and experience based advice . I'd love to have you as my physician. Thank you!
How do you have a life long mgmt process on drugs you can only take for a few years?
All bisphosphonates deplete the body of coenzyme Q and can cause severe muscle and joint pain . I had severe bilateral quadriceps pain after my second round of Reclast. Once i found out why i was having the pain I needed 300mg mg of coenzyme Q to resolve the symptoms. Remember your nutrition needs to be goodfor these drugs to work. Need calcium, vitamin D vitamin k2, magnesium and boron. Good luck everyone.
When you add visual aids to show risk of fracture, I am hoping for an additional set of visuals: Can you add a side-by side "number to treat" vs "number to harm" graphic for each of the medications? I can imagine you having either a side-by-side or toggle-capable overlay visual showing dots representing how many treated people it would take for that med to help vs harm (minor or perhaps only major side effects) that person.
are you talking about potential side effects that may result as the 'harm' category? I haven't seen a document like that, but if I do, I'll post it. We do offer a guide for online resources in our group, OsteoBoston. If you're interested please email to osteoboston@gmail.com
This is the "OsteoBoston Guide to Online Resources", if you are interested to take a look. drive.google.com/file/d/1_38xfeFFlzOI2Ln6vK4a9W9AgGxoQRQB/view
This is very helpful. Trying to understand the relevance of the assorted studies was confusing for me.
Please incorporate better subtitle translations and Zoom quality with your guests. This is all dense information and it’s hard to understand your guests many of the times.
I live in ct and am having a problem finding a doctor that specializes in osteoporosis without drugs!
Can I clarify? If I have a FRAX score on my DEXA report, am I correct in understanding that the BMD has been taken into account? Thanks for an informative talk.
yes, to my understanding, Kate that is correct. I am a layperson, but that is my understanding. A FRAX score you can do yourself when you know your DEXA score: www.sheffield.ac.uk/FRAX/tool.aspx?country=9
Can't find a doc in san antonio that knows about osteoporosis!
I am surprised that he didn't mention patients' ages and their physical conditions. Isn't that an important issue??
yes, but he was speaking in a general sense. Good point though, El
Do you take patients virtually? Texas
I’m in Texas also, Ft. Worth. Someone mentioned support groups but I’ve not seen that in any other comments. It would be great to be able to get with people and discuss good diet and exercise programs. I find all of this information overwhelming and confusing.
He does (I'm in Europe). I had a virtual appt with him recently and I'd say it was definitely worth it 😀
1/2 cup of green veggies equals 300 mg calcium?
Sorry, no need calcium. Try good magnesium, Vit. d3 and carnivor diet, nutrition 😢