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Part whistle-blower book, part bone health bible, Dr. Lani’s No-Nonsense Bone Health Guide is the first consumer book to expose the shocking difficulty of getting an accurate bone density reading and the serious risks of long-term use of osteoporosis medications, which are often prescribed based on inaccurate readings. In addition to this vital information about bone density testing, Dr. Lani Simpson cuts through the confusion and inaccuracies surrounding osteoporosis and explains what readers can do now to build and maintain healthy bones for life. Dr. Simpson shares her well-rounded, whole-body approach to bone health, including discussions of digestive health, diet, supplements, exercise, and how aging affects the bones. Readers learn surprising facts about what foods and medicines might hurt bone health and which ones will help build strong bones. Also included is a thorough discussion of calcium supplementation and how to do it right. Dr. Lani’s No-Nonsense Bone Health Guide is the key to long, healthy, fracture-free golden years.
- Sales Rank: #974082 in Books
- Published on: 2016-01-05
- Original language: English
- Number of items: 1
- Dimensions: 8.50" h x .81" w x 5.51" l, 1.18 pounds
- Binding: Hardcover
- 336 pages
Review
"Dr. Lani's No-Nonsense Bone Health Guide is loaded with solid and practical information that will have you standing strong and tall for a lifetime. I highly recommend it." ―Christiane Northrup, MD, author of Women's Bodies, Women's Wisdom
About the Author
Dr. Lani Simpson is a chiropractic doctor and a Certified Clinical (bone) Densitometrist (CCD). She has been an expert in women’s health care for 25 years, treating thousands of patients with a multidisciplinary and holistic approach to health. She cofounded the East Bay Menopause and PMS Center and the Osteoporosis Diagnostic Center in Berkeley, CA, where she lives. She is an expert in bone density, osteoporosis, and menopause and aging, and gives continuing education seminars to health professionals about these issues.
Excerpt. © Reprinted by permission. All rights reserved.
Chapter 2: Bone Density Screening — Right Test, Wrong Results?
If your car’s fuel gauge is off, the worst that might happen is you’d run out of gas and need a tow ― or a battery charge, if the car’s electric. But if the tools used to gauge your health malfunction, the consequences are much more serious. Unfortunately, when it comes to evaluating fracture risk, bone density testing procedures can be off the mark. And that can result in your getting the wrong diagnosis, the wrong treatment plan, or unnecessary medications.
Consider what happened to Ellen, a woman in her sixties who’d had several bone density tests over the years because of concerns about osteoporosis.
Positioning Error Leads to Prescription for Fosamax: Ellen’s Story
Ellen called me from her home on the East Coast after a mutual friend recommended she ask me to assess her latest bone density test. Just listening to her story over the phone, I could tell that something was not right regarding the reported findings of her test. The most recent exam showed that Ellen had lost 7 percent of the bone density in her hip since her previous test a year earlier, but her spine remained unchanged. The discrepancy raised a red flag for me. As a densitometrist, I know that it is highly unusual to see such an extreme loss in the hip, especially within one year.
My suspicions were confirmed when I sorted through the stack of paperwork Ellen sent and after I reviewed each of her bone density scans. Comparing the two most recent tests, I could tell that the first technician had failed to position Ellen’s hip properly (using a fifteen- to twenty-degree internal rotation), while in the second test the hip was properly positioned.
Why does hip rotation matter during a bone density test? If the hip is incorrectly positioned, errors in density readings of up to 10 percent can occur. That can make the difference in whether or not a doctor recommends medication, as bone loss is a trigger for prescribing drugs. It could also make the difference in whether or not a person is diagnosed with osteoporosis. In Ellen’s case, the mistake led to an erroneous report of a 7 percent bone loss, which, understandably, made her very upset.
What’s worse, none of it should have happened. In Ellen’s first bone density test, the technologist’s failure to properly rotate her hip should have been caught and corrected before the report was made ― if not by the technologist then by the reporting doctor handling the test. Then, for Ellen’s second test, the technologist did rotate her hip correctly, but failed to note the error from the previous test. This is the mistake that resulted in the report of an apparent 7 percent bone loss in Ellen’s hip. Compounding the problem, the doctor who wrote the report on the second test results did not catch the mistake either. If the test results were truly showing such a significant change in her bone density, Ellen’s own physician should have ordered lab tests to investigate the problem further, but that did not happen; instead, she was prescribed Fosamax, a drug for treating osteoporosis. Believing that the reports were accurate, most medical doctors would likely have done what Ellen’s physician did, which was to recommend medications solely on the basis of apparent bone loss.
Once I was able to guide Ellen in getting an accurate bone density reading, we discovered that her bone was stable ― meaning no active loss of bone. Additional lab tests verified this finding. To date, she has been able to maintain her bone stability by following a bone-healthy nutrition and exercise program that includes appropriate nutritional supplements ― and currently she has no need for osteoporosis medications.
I wish I could tell you that Ellen’s case is unusual. But it’s not. I see similar bone density testing errors over and over when consulting with my patients. These problems are common knowledge among those trained in densitometry. We all know that preventable mistakes are being made. Why does this happen?
Most helpful customer reviews
154 of 159 people found the following review helpful.
Good but not great
By Ellen Jackson
Let me be clear--this book is informative and useful. But I do have a couple of reservations.
1. The book is extremely repetitious. The author tends to make certain points over and over again e.g. DXA results can be unreliable. Perhaps it's understandable inasmuch as Dr. Lani advises readers to go straight to the chapters of most interest to them. So maybe she wants to make sure that all readers get the most important information. Still, it's a bit wearying when you're trying to read the book all the way through.
2. I don't have the time, nor the energy, nor the financial resources to pursue every piece of Dr. Lani's advice. (I'd have to quit my job and devote all day every day to this project.) Her detailed, extremely time-consuming, all encompassing suggestions range from getting private lab tests to buying a vibration machine and/or a trampoline, working with a personal trainer, and exploring a variety of supplements, foods, and exercises including yoga, core training, strength training, etc. etc. Her basic advice seems to be to try everything and find out what works for you. I was hoping she'd target the best of all those things instead of presenting the reader with a smorgasbord.
3. Dr. Lani says that there are no miracles and, no matter what any one person does, bone will not regenerate. She says that there were other explanations for all the claims of those kind she examined. I appreciate her honesty in this regard. But actually, my endocrinologist verified my remission from osteoporosis and called the change "miraculous." I was tested on the same machine by the same person over a period of years. During this time I changed my eating habits and began to exercise. Gradually (documented by test results) my osteoporosis stopped getting worse and then reversed. What happened exactly? I'm not sure. My periodontal disease went away at the same time. I did many of the things Dr. Lani suggests, and some others she doesn't mention. My improved health could have been a result of everything I did or only one thing or none of them. It's possible my results wouldn't apply to others or that my screenings weren't accurate (although, I have to add that I feel that there's been a huge difference).
I'm not holding myself up as a model or mentor for anyone else. There are just too many variables. However, my guess is that turning osteoporosis around doesn't have to be as complicated as Dr. Lani makes it out to be. (There are places in this world where people simply don't get osteoporosis.) There's still much we don't know. But get rid of most processed foods, eat more fruits and vegetables and probiotics, jump, run, and climb stairs. Don't give up. It takes awhile.
60 of 66 people found the following review helpful.
Best Osteoporosis Book I've Read - Dr. Diane Gross
By Diane M. Gross
I’m 69 and I have osteoporosis. I’ve read lots of books on the subject, but Dr. Simpson’s No-Nonsense Bone Health Guide offers the most comprehensive coverage of bone health I’ve come across. The book is just loaded with well-documented information. The best part is that Dr. Simpson’s integrative approach looks at all the factors that impact the bones – not just at DXA scores. She considers multiple variables e.g. health disorders, medications, nutrition, GI issues, hormone balancing, and exercise. She teaches us how bones grow and osteoporosis develops. She shows us how bone density tests actually work (or don’t) and gives us tools to evaluate our own fracture risks. And her treatment recommendations are not limited to medications and calcium. She considers the individual and recommends alternative as well as traditional therapies based on careful analysis of a patient’s health history and lifestyle choices.
As a retired college English teacher, I especially appreciated Dr. Simpson’s well-organized, clear, and concise writing. Her book is easy to read and understand. Her conversational style makes her advice feel personal. The reader can sense that she cares about her patients and loves her field. She offers real hope that there is a lot the osteoporosis patient can do to improve bone health and quality of life.
Dr. Diane Gross
44 of 49 people found the following review helpful.
Practical, Balanced, and Deeply Informative
By Kathy Kenny
This is the book on osteoporosis that I've been waiting for! As a former board member of the Foundation for Osteoporosis Research and Education (FORE), I've tried to stay informed about prevention, treatment, medications over the past 10 years. Much has changed, and yet, when faced with decisions about my own osteoporosis treatment, I had more questions than answers. Dr. Lani's book offers those answers, and much, much more. Written in an easy to digest style, her deep understanding of the field is evident on every page. In addition to demystifying bone science, she also provides straightforward, balanced guidance for designing an integrated treatment plan that includes nutrition, exercise and lifestyle changes to increase your chances of living fracture-free for the rest of your life.
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