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Thread: Steroids and Osteoporosis

  1. #21
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    Quote Originally Posted by annekat View Post
    Unfortunately, I don't have what I'd call a specialist office... the pulmy who treats me wouldn't even refer me to an eye doc for my double vision, told me to have the PA do it. It's very straight and narrow with him and I'm expected to take care of any peripheral details. So I don't think he'd find me a new PCP; besides, I need to replace him, too, preferably with a rheumy, who as you say, might end up overseeing my WG care. My ENT referred me to an eye doc and is the best bet right now for helping me find a rheumy; I'm not so sure about the PCP issue, but I could ask. Possibly a new WG-savvy rheumy would be the one to ask about that. Thanks for your ideas, they help me sort things out.
    Due to the variety of health issues we are likely to have we also are likely to deal with a higher number of medical specialists than many other people. I think it is helpful to try clarify in your own mind what you expect from each health care professional and to share that with them. I expect my internist who I see for general things to handle most of my prescription renewals and to advise me about what general evaluations and procedures I may need. My endocrinologist to handle any diabetic supplies and A1C lab work, my eye doctor to handle eye drops, my rheumatologist to prescribe my maintenance drugs for Wegs and to order my monthly labs to monitor my condition, my Weg expert and other specialists to consult and offer recommendations to my other doctors who will prescribe and order any procedures I need in their opinion but some times things get blurred or messed up. I have had to at times ask my ophthalmologist to order some extra lab work when I feared I might be having an increase in inflammation or an infection as I was seeing her that day, and to ask my internist to order some diabetic equipment when my regular endo moved away with no warning.

    At any appointment I tell the doctor my expectations and desires for our meeting and ask if they have any other topics or issues we need to look at during my appointment. That way they know if my issues have been adequately addressed. And also at end of each visit we discuss when I wish to return and when they think I should return to see them again. I also ask at the beginning if they have received lab results or reports from other specialists i have seen in the interim since our last visit. It takes some work and organization on my part but helps reduce confusion and frustration for both of us so I now view my health care team as being appropriately responsive to my needs.

    I didn't do this as well before my diagnosis of Wegs and was too passive in accepting their lack of helpful answers to my concerns. And it almost killed me so I am now a lot more insistent on getting my concerns addressed so I feel comfortable with the answers and recommendations. I feel I have too do this to safeguard my health and life since my doctors have told me I am unlikely to survive another attack of Wegs as serious as the one that finally resulted in my diagnosis of Wegs. Too much complacency can kill us so we need to be own advocate, or else get a good advocate to help us deal with our health care systems. We should all have a back up one in place in case we are too ill to advocate for our self too.
    Last edited by drz; 06-03-2014 at 05:01 AM.
    Knowledge is power! Wisdom is using it to make good decisions!

  2. #22
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    Nicely put. You are an experienced weggie!
    I am a strong person, but every now and then I also need someone to take my hand & say everything will be alright....

  3. #23
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    Hi, I was diagnosed with ostioparosis due to the pred. Doctor has put me on 1 alendronic tablet a week and I take a daily vit D tablet. So far no change but due another scan in November.
    Mike
    If you can't be positive be optomistic.

  4. #24
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    Very good point about having someone lined up to advocate for us in case we're ever not well enough. I've been meaning to jot down or discuss some things with my hubby because there's so much to know... I have a lot of it on my medicalert record but it would be good for him to know more details as well.
    Just when the caterpillar thought the world was over, she became a butterfly.
    - English proverb.

  5. #25
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    Hi Stephen, I have been on pred. for 24 years. Inbetween flares, I stay on 5 mg. If I stop completely, I flare. Therefore I had my last Dexa scan 3 yrs ago, and was told I was borderline, like you. So a year ago, I was with a friend from Church to watch him and his son ride dirt bikes. He asked me to sit on his bike while he helped his son with his helmet. So I was sitting on it wishing I knew how to ride, and like a kid, revving up the bike a little, vroom, vroom, and then I vroomed too much and it took off with me, I did a wheelie which made my hand turn the handle more and it went faster! Finally, I just let go and tried to jump off, and the bike fell on me! LOL!!!!! (If you knew half the goofy things I have done, you would be laughing too!) Well, my friend was terrified, got the bike off me, and assessed my damages. Other than a couple of bloody shins, my wrist hurt. I went to the Dr. the next day and of ALL the bones in your hand, I broke the tiniest, and most difficult one to heal. The dr did the surg and wired it togather. Thankfully it healed. She scolded me, because I had already been to her because of a broken wrist she put a plate and screws in. And Hip shots for pain caused by the beginnings of osteoporosis, She has X-rayed my a few times to see if my back is beginning to have little cracks, when my back was hurting really bad one time. So I am VERY careful when I do things in the yard, I am careful when I play football with my pre-teen nephews, (sometimes I run FROM the ball) So Don't get real discouraged, just take your calcium +D, which I take too, eat REAL food with calcium, which is better than the vitamin. Im not sure about your weight loss, I wish I would lose some weight, (actually I have, but I stopped eating processed sugar and all bread and lost 20 lbs. YAY!!) But Im wondering if your weight loss could be from worry? The decrease of your pred is the best thing. Hopefully you can do well on the lesser dosage. Stephen, My biggest worry is that I will just accidentally fall and break a hip. I am truly terrified of that. But I don't think mine or your bones are that brittle yet. Just Keep on Living, just know that this would happen to us anyway without wegeners and pred. Just we got it earlier. You may not be able to OVERDO exercise, but you can still do it. In fact, it actually helps osteoporosis slow down, and your bones become stronger. I sure hope you wont let this worry you too much. I am 48 and am just careful, and don't get on dirt bikes anymore. HeeHee........Nice to meet you! Take care, and I hope you can stop worrying. Its not good for wegeners!! :-)
    Life is a Gift~ Lilly

  6. #26
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    I was able to reverse some of my mom's osteopenia prior to being treated for vasculitis because she has been on a steroid inhaler for years.
    I had her eat 7 prunes per day for a few months.
    I don't think her kidneys can handle this now, but I use boron instead because that seems to be the component that helps the bones, as well as adding D3, Magnesium and Calcium.
    Here is a study showing how 10 prunes per day reverses osteoporosis, however, I don't know if this still works when someone is on prednisone.
    No bones about it: Eating dried plums helps prevent fractures and osteoporosis, study suggests -- ScienceDaily

  7. #27
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    This thread was definitely enlightening! I'll definitely buy some prunes soon.

    I had no idea that getting a bone density scan was an option--I'm seeing my rheumatologist tomorrow and will ask him about it then. I do know that. My blood calcium levels are high.

    I've been taking calcium + vitamin d since I was diagnosed 3 months ago (recommended to combat the effects of prednisone). At my last appointment, my rheumatologist recommended getting an infusion of reclast to help prevent osteoporosis. He also offered the option of a once-a-day pill, but recommended the reclast infusion since its effects last for a year. I'm not too keen on infusions, but his advice has been great so far. I'll get that infusion in a week or so.

    Does anyone have experience with reclast?

  8. #28
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    The dried prunes thing caught my eye, too. My mom used to buy them for snacks for us when I was a kid. They weren't bad to munch on. It's got me thinking I should look for them in the store, though I don't remember seeing them anywhere for a long time; then again, I haven't really looked.
    Anne, dx'ed April 2011

  9. #29
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    I like plums but I hate prunes..I wonder if that makes a difference when you eat them ? And wounldn't that cause one to have diaherra, eating that many prunes a day all the time ?
    Life isn't about how you survive the storm, but how to dance in the rain !

  10. #30
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    Quote Originally Posted by Debra C View Post
    I like plums but I hate prunes..I wonder if that makes a difference when you eat them ? And wounldn't that cause one to have diaherra, eating that many prunes a day all the time ?
    Yeah, I wondered about that, too. I don't think we ate a lot of them at a time when I was a kid. I saw them in the store, today, in Target's grocery section. Didn't buy any because I'm watching pennies at the moment, but Target has their own house brand of prunes. I would go easy on them and see what happens.
    Anne, dx'ed April 2011

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