Osteopenia, Femur breaks and Fosamax user

Posted by butch24350 @butch24350, Dec 11, 2019

I have osteopenia but suffered a right femur break, with IM Nailing in September 2018 ….51 weeks later, in late August 2018, I had to have the surgery re-done due to delayed union from wrong size Nail. After that surgery it was discovered I had a stress fracture in my left femur. In November I had IM Nailing in the left leg. I was a long term user of Fosamax.
I had a Dexa scan in July, which indicated the diagnosis is still osteopenia. My surgeon wants me to go to an endocrinologist, which I’m having trouble finding. Any one else have similar situation happened and what did you do?

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@butch24350 That sounds unusual to have two fractures when the DEXA only shows osteopenia. I had a fracture which led me to have a DEXA and I do have osteoporosis.
I have seen an endocrinologist. I have been told that both endocrinologists and rheumatologists deal with osteoporosis. Why are you having trouble finding one? Do you live in a somewhat remote area? I found quite a few so then had to decide which one I should go to.
JK

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I assume you've found one by now, since it's been years since your comment! But for other people coming along . . . If you're having trouble finding an endocrinologist in your area, I'm thinking you might want to try a *video* meeting with one outside your area. I don't know if doctors are typically ok with that, but it's just a thought if you haven't thought of it yet. I'll be having my first endocrinologist visit ever in October (she's booked out that far!) and it will be a video visit. She's in my area, though. I think it might be more accepted lately (2022) because of continuing Covid precautions.

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I have a question about diabetes, type 2. My general practitioner said I could take Januvis instead of Tradjenta because Tradjenta is so expensive. I have had very good results with Tradjenta. Does anyone have comments about their experience with Januvia. Thank you.

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@catluvr999

I assume you've found one by now, since it's been years since your comment! But for other people coming along . . . If you're having trouble finding an endocrinologist in your area, I'm thinking you might want to try a *video* meeting with one outside your area. I don't know if doctors are typically ok with that, but it's just a thought if you haven't thought of it yet. I'll be having my first endocrinologist visit ever in October (she's booked out that far!) and it will be a video visit. She's in my area, though. I think it might be more accepted lately (2022) because of continuing Covid precautions.

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Good idea. Also, if you can get a referral from your PCP, that can expedite matters. My PCP was fine with my requesting referral to an endocrinologist to consult about osteopenia 'just in case' it becomes osteoporosis. It's really important to look at all the drug choices as it can be important to plan a long-term care plan. And, if you start with certain drugs, others can later be less effective or preclude some options that you would like to consider. So considering a treatment plan before it's seriously needed can provide some apprrciated peace of mind. And you can change it if better drug options come on the market. And this gives you time to 'interview' a specialist before you actually need one and hopefully find a great doctor on the first try…

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