Face Off: Bone Health Management

POINT: Internists should be in charge of bone health.
Douglas W. Lundy, MD, FACS

In taking the “internist” side of this argument, I must admit to being somewhat conflicted. Although I firmly believe that orthopaedic surgeons should be more involved in the bone health of our patients, I can see that internal medicine physicians are more focused on a daily basis on the issues that often lead to poor bone health and the treatment of those conditions.

Clearly, chasing down metabolic labs and acting on the results of these values is more along the daily tasks of the internal medicine physician. The internist is the expert in understanding the interplay of disease processes, medicines, and lab values.

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