Which specialist should I seek treatment from for osteoporosis?

Posted by garnerchris @garnerchris, Sep 19 3:55am

Recently diagnosed with osteoporosis.

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I see an endocrinologist. You can often check their list of areas they focus on.

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My PCP referred me to a Rheumatologist. The practice also has an infusion center for IV and injectable meds which is convenient.

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I was seeing an endocrinologist and a rheumatologist. The rheumatologist made me mad with a flip comment about my bones, so I gravitated to the endocrinologist. He was less interested in me and didn’t have time for me. I took Dr. McCormick’s book with me-to give to him - and he didn’t even look at it. Or at me.
So, back to rheumatologist
who did look at the book and seemed interested. He kept it.
To be fair to the endocrinologist, I know that the senior partner just retired and the endocrinologist who I see is overwhelmed with diabetics.
So, it’s not just about what their specialty is, it’s about their level of competence, their degree of interest in the disease, how crowded their practice is.

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@susanfalcon52

I was seeing an endocrinologist and a rheumatologist. The rheumatologist made me mad with a flip comment about my bones, so I gravitated to the endocrinologist. He was less interested in me and didn’t have time for me. I took Dr. McCormick’s book with me-to give to him - and he didn’t even look at it. Or at me.
So, back to rheumatologist
who did look at the book and seemed interested. He kept it.
To be fair to the endocrinologist, I know that the senior partner just retired and the endocrinologist who I see is overwhelmed with diabetics.
So, it’s not just about what their specialty is, it’s about their level of competence, their degree of interest in the disease, how crowded their practice is.

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@susanfalcon52 doctors tend to dismiss McCormick's book since he is not an MD. To be fair, McCormick can be dismissive of doctors as well. It is unfortunate: I wish they could work together. It is often left to us to synthesize info we get from all directions!

ps Do you think the rheumatologist actually looked at it let alone read it? I am curious.

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@susanfalcon52

I was seeing an endocrinologist and a rheumatologist. The rheumatologist made me mad with a flip comment about my bones, so I gravitated to the endocrinologist. He was less interested in me and didn’t have time for me. I took Dr. McCormick’s book with me-to give to him - and he didn’t even look at it. Or at me.
So, back to rheumatologist
who did look at the book and seemed interested. He kept it.
To be fair to the endocrinologist, I know that the senior partner just retired and the endocrinologist who I see is overwhelmed with diabetics.
So, it’s not just about what their specialty is, it’s about their level of competence, their degree of interest in the disease, how crowded their practice is.

Jump to this post

I just saw a new endocrinologist because the one I've been seeing does not take insurance.
This new Dr (young) did not even look at me (old 69) . He hardly spoke to me. So back to the other Dr.
I didn't realize a rheumatologist could treat osteoporosis. That will be next on my list.

My latest dexa scan showed osteoporosis in my spine. Hips are still osteopenia. The BC drug I am on can contribute to bone loss. I go to oncologist next week to discuss.

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@flowergal

I just saw a new endocrinologist because the one I've been seeing does not take insurance.
This new Dr (young) did not even look at me (old 69) . He hardly spoke to me. So back to the other Dr.
I didn't realize a rheumatologist could treat osteoporosis. That will be next on my list.

My latest dexa scan showed osteoporosis in my spine. Hips are still osteopenia. The BC drug I am on can contribute to bone loss. I go to oncologist next week to discuss.

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@flowergal so your oncologist did not put you on a bone med?

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@windyshores

@flowergal so your oncologist did not put you on a bone med?

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Not yet. I see them next week to discuss.

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You can go see an bone specialist in the Arthritis dept or you can see an Endocrinologist who does bone work.

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@flowergal

Not yet. I see them next week to discuss.

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From my experience it will be Reclast or Zometa (both zoledronic acid) which protect bones during treatment for breast cancer and also may have some protective effect against recurrence.

Prolia and Xgeva are denosumab but I don't know anyone on that along with aromatase inhibitors.

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@windyshores

@susanfalcon52 doctors tend to dismiss McCormick's book since he is not an MD. To be fair, McCormick can be dismissive of doctors as well. It is unfortunate: I wish they could work together. It is often left to us to synthesize info we get from all directions!

ps Do you think the rheumatologist actually looked at it let alone read it? I am curious.

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windyshores,
I am guessing that the rheumatologist did look at the book later.
He perused it while I was there. Also, he does seem to have an inquiring mind.
I wish McCormick and doctors would collaborate, too. For the benefit of the patient.
If someone had told me 10,20,30 years ago that I would be receiving monthly injections of a new drug (Evenity) and then an infusion of another, slightly better understood drug (Reclast), I would have laughed derisively.

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