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:
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.