Tuesday, June 28, 2016

My Doctor's Response to Research on Dexa Scans

My doctor’s response to information on the lack of value for dexa scans is a model for good medicine.

I sent her these three links to studies of bone fractures and bone density:

http://www.nejm.org/doi/pdf/10.1056/NEJM199503233321202  bone brittleness in white women

http://press.endocrine.org/doi/full/10.1210/jc.2004-1568 bone fracture in women without osteoporosis

http://www.bmj.com/content/315/7102/221 -- bone density and risk of hip fracture in men and women

Here is her response:

Dear Lois,
Thank you so much for all the information you’ve sent!  It confirms what I’ve suspected and I’ll be sharing it with my colleagues.  I appreciate the detective work you’ve done – I am lucky to learn from patients like you.
Sincerely,
Katherine

Thursday, June 16, 2016

Acting Mature

I recently read an article claiming that choosing to act mature was far more useful than self-inquiry. It first that seemed like a disconnect.
The more I thought about it, the more I remembered that the thing I like about "enlightened" or "wise" people is how mature they are. They don't anger easily.
And what is it that I find when I do self-inquiry?  I find all the things that bug me, all the things that prove I'm not mature.
So, choosing to act mature seems like a logical first step to becoming mature.
If practicing maturity brings the results I want, then that is a step towards outgrowing the immature responses that don't get the results I want.
And if it doesn't, I don't see any negatives. Acting immature doesn't work, so why not try acting mature?

Tuesday, June 7, 2016

Perils of Tooth Brushing

On my recent visit to my dentist, I had a worn out filling that had to be replaced.  No new decay. No gum disease. Very little for the hygienist to scrape off my teeth.
My only problem was that the cold water being squirted into my mouth hurt.
I asked the hygienist about it.
She told me that the same tooth brushing and flossing that keeps my mouth disease free damages the gums. Quite simply, the gums are worn down at the base of the teeth and now the cold water can land on exposed roots.
She gave me a tube of temperature sensitive toothpaste. The instructions are to brush my teeth and floss them as I usually do at night, and then smear this paste on them and let it sit all night. She claims in a few months, my teeth won’t be cold sensitive any more, but I have to do this for the rest of my life. Or there is surgery, that will temporarily build up the gums, but brushing will wear them down again.

One more problem with growing old.