Where to have REMS scan
Has anyone had a REMS scan at the USF Health Diabetes and Endocrinology Center in Tampa? I am trying to find a place that has these scans close to Tallahassee, Florida . DEXA shows severe osteoporosis in spine, femoral neck and left hip (didn't scan the right). Reading different studies cause me to question the complete picture given by a DEXA.
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Did your insurance pay for your REMS test. I've been paying $275 each time.
So far my insurance has paid. But I have straight Medicare with a supplement. Not sure if that is why. If you get a referral to USF Endocrinology and Diabetes Center and they are in your network, I would think it would be covered. But you would need to check with your insurance to be sure.
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2 ReactionsI see the name “Fowler” in your post…..my maiden name is Fowler…..my father’s family is from TN originally! ☺️
Fowler is my husband's name. He says his family is from "all over". Thanks for your posting about USF. I called there and learned I had to be referred.
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1 ReactionAnyone in Southern Minnesota around Mankato had a REM ? Wondering where and if accurate?
@drsuefowler Quick clarification for anyone reading: REMS and DEXA are expected to disagree. DEXA over-reads after age 50 because osteoarthritis, aortic calcification, and old vertebral compressions inflate the T-score — that's documented in every ISCD position statement. REMS (FDA-cleared, Echolight) measures bone quality on top of density and its Fragility Score has been validated as a better predictor of actual fractures (Diez-Perez et al., Bone 2019). So a "worse" REMS isn't the machine being wrong — it's usually DEXA being falsely reassuring.
I've been a client of this practice since day one — back as ScreenMyBones / Strength Lab, now Halle (gethalle com) — and the current service includes REMS with serial-scan comparison, sarcopenia testing (which most U.S. providers ignore despite muscle being a major fracture predictor), and a personalized plan. They also collaborate with Dr. Doug Lucas and Dr. Vonda Wright. My experience has been consistently excellent.
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1 ReactionDEXA said my back was "normal". However, I have substantial spine damage and neurologist advised the DEXA was unreliable and reflected better bone values than exist. He was quite correct. Had a REMs scan that reads lumbar: values were a range of -3.1 thru -3.3 for L1 thru L4. No readings available for cervical or thoracic which apparently cannot be read with REMs. My wrist had a DEXA reading of -3.3. I have disc herniations C1 thru T1 up and down my spine and yet DEXA could not provide a reliable reading. I just had an MRI that revealed a prior fracture in C1-C2. Needs surgery. Hips were bilaterally replaced years ago. So much for relying on DEXA. Awaiting a CT scan.
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