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Carolyn Riester OConnor - Osteoporosis For Dummies

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Facts and advice to help people understand and prevent osteoporosis

There are an estimated 55 million Americans over the age of 50 who have low bone mass. This easy-to-understand guide helps readers assess their risk and find a practical approach to the diagnosis, treatment, and prevention of osteoporosis. It covers bone density tests and a wide range of treatment options for osteoporosis-from hormone replacement therapy and acupuncture to calcium-rich foods, supplements, and exercise-and offers pointers on preventing broken hips and other common fractures.

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Osteoporosis For Dummies by Carolyn Riester OConnor MD and Sharon Perkins RN - photo 1
Osteoporosis For Dummies

by Carolyn Riester OConnor, MD and Sharon Perkins, RN

Osteoporosis For Dummies Published by Wiley Publishing Inc 111 River St - photo 2

Osteoporosis For Dummies

Published by
Wiley Publishing, Inc.
111 River St.
Hoboken, NJ 07030-5774
www.wiley.com

Copyright 2005 by Wiley Publishing, Inc., Indianapolis, Indiana

Published by Wiley Publishing, Inc., Indianapolis, Indiana

Published simultaneously in Canada

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600. Requests to the Publisher for permission should be addressed to the Legal Department, Wiley Publishing, Inc., 10475 Crosspoint Blvd., Indianapolis, IN 46256, 317-572-3447, fax 317-572-4355, or online at http://www.wiley.com/go/permissions.

Trademarks: Wiley, the Wiley Publishing logo, For Dummies, the Dummies Man logo, A Reference for the Rest of Us!, The Dummies Way, Dummies Daily, The Fun and Easy Way, Dummies.com and related trade dress are trademarks or registered trademarks of John Wiley & Sons, Inc. and/or its affiliates in the United States and other countries, and may not be used without written permission. All other trademarks are the property of their respective owners. Wiley Publishing, Inc., is not associated with any product or vendor mentioned in this book.

Limit of Liability/Disclaimer of Warranty: The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation warranties of fitness for a particular purpose. No warranty may be created or extended by sales or promotional materials. The advice and strategies contained herein may not be suitable for every situation. This work is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional services. If professional assistance is required, the services of a competent professional person should be sought. Neither the publisher nor the author shall be liable for damages arising herefrom. The fact that an organization or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read.

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Library of Congress Control Number: 2005923787

ISBN-13: 978-0-7645-7621-8

ISBN-10: 0-7645-7621-6

Manufactured in the United States of America

10 9 8 7 6 5 4 3 2 1

1B/RW/QW/QV/IN

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About the Authors

Carolyn OConnor graduated cum laude from Yale College with a bachelor of science degree in chemistry. She then traveled to Manhattan to attend Columbia College of Physicians and Surgeons. After medical school, she did her postgraduate training in internal medicine at The New York Hospital Cornell Medical School. Her fellowship training in rheumatology was at Boston University Medical Center. Currently, she is chief of rheumatology and associate professor of medicine at Drexel University College of Medicine in Philadelphia. One of her major interests is metabolic bone disease. Her division of rheumatology runs the bone density program at Drexel.

She has two children; one has majored in philosophy and the other is studying mechanical engineering. Her outside interests include growing roses and struggling with the New York Times Crossword.

Sharon Perkins has been a registered nurse for almost 20 years, and currently works for a group of retinal doctors. Since she started treating an older population with macular degeneration, she sees way more osteoporosis than she wishes she did. She has five children and two daughters-in-law, two grandchildren, and a husband who recently retired from 20-plus years of flying airplanes and is currently hanging around the house.

Dedications

I dedicate this book to my many patients who trust in my advice. Truly, from listening to them and caring for them, I have learned more about osteoporosis than from reading any textbook.

Carolyn R. OConnor, MD

For my granddaughter Emma, in hopes that osteoporosis will be fully preventable in her future.

Sharon Perkins

Authors' Acknowledgments

Many thanks to the following people:

*Antonio J Reginato, MD (in memoriam) friend and mentor, who taught me about metabolic bone disease and showed me my first case of osteomalacia 20 years ago

*Gerald F. Falasca, MD, who taught me how to read my first bone density reading

*Norman A. Johanson, MD, Chief of Orthopedic Surgery, Drexel University College of Medicine, who contributed invaluable comments to Chapter 13

*Susan Ott, MD, who supplied pathologic slides of bone disorders

Carolyn R. OConnor, MD

One of my earliest memories is of my great grandmother, who my younger sister called the grandma with the broken arm. Id just met my family history of osteoporosis, although I didnt know it at the time.

Years down the road, my children remembered their great grandmother, daughter of my great grandma, who had fallen and broken her hip. Pictures show the inches she lost as she aged as evidence of vertebral compression fractures.

Osteoporosis runs in my family, but we never really put a name to it or did much about it. But because of the problems my relatives had, I was always aware of aging as being dangerous for your bones, and for that, I thank them.

I also have to thank my sister, Sue, for telling me Id hate writing a book on osteoporosis, because bones are boring. She knows I love a challenge.

Thanks to all the rest of my family and my friends for occasionally remembering that I was writing a book and asking me how it was going. Sometimes I needed a chance to vent!

For all the people behind the scenes at Wiley Publishing, especially Kathy Cox, who never loses faith in me, thank you.

Dr. OConnor and I both thank our acquisitions editor, Mikal Belicove, for the chance to write this book, as well as our marvelous project editor, Natalie Harris, copy editor, Chad Sievers, and technical editor, Deborah Kado. And once again, Kathryn Born has done a wonderful job on illustrations.

Sharon Perkins

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