Men Get Osteoporosis, Too!

Main Line Rheumatology sees many patients with osteoporosis. At least 95% are women, yet statistics looking at people over age 65, find the ratio closer to 50%. Why is that? Most women see their gynecologist for a yearly exam, and those doctors are very good about ordering DEXA (bone density) scans. There is no equivalent for men! Perhaps primary care physicians and urologists should be cautioned that men are at risk for osteoporosis as their testosterone levels fall, just the same as estrogen plummets in women after menopause. Read this informative column by Jane E. Brodey, Personal Health columunist for the New York Times, since 1976.

https://www.nytimes.com/2016/10/04/well/live/men-get-osteoporosis-too.html?searchResultPosition=2

Philadelphia TOP DOCTORS 2019 Winners and Still Champions! 

CONGRATULATIONS! Philadelphia magazine awards Gary V. Gordon, MD, FACP, FACR and Thomas Harder, MD, Main Line Rheumatology, TOP DOCTORS 2019!

Main Line Rheumatology has offices at Lankenau Medical Center and Main Line Health Center, in Broomall. In addition to Dr. Gordon and Dr. Harder, our doctors, Amy Lundholm D.O. and Hyon Ju Park, MD, are both board certified in rheumatology and internal medicine. Call 610-896-8400 for an appointment. Follow us on Facebook, Instagram and Twitter.

mainlinerheumatology rheumatology philadelphiamagazine topdoctors2019 #drgaryvgordon garyvgordonmd thomashardermd winners

Food and Drug Administration Approves New Osteoporosis Drug That Restores Bone

https://www.nytimes.com/2019/04/09/health/osteoporosis-evenity-bone-amgen.html

The Food and Drug Administration on Tuesday approved an osteoporosis drug, romosozumab (brand name Evenity), that restores bone without breaking it down, according to the findings of two large clinical trials. This breakthrough represents the first new treatment approach in nearly two decades, developed by Amgen, in collaboration with the Belgian drug company UCB. Read more!

Any questions or to speak to one of our doctors, please call 610-896-8400

Lupus and Pregnancy, by Amy Lundholm, DO


Systemic Lupus Erythematosus (SLE)
or Lupus can be associated with gestational hypertension (maternal high blood pressure), preterm birth, intrauterine growth restriction and fetal death. Lupus patients may have abnormal placentation (attachment), which is a major contributor of many pregnancy complications due to reduction in maternal blood flow to the fetus. Despite potential risks, women with SLE can have healthy pregnancies. Women with SLE should have low disease activity for the 6 months prior to conception for the best chance of a successful, healthy pregnancy. The PROMISSE Study was a large multicenter prospective study of pregnant and postpartum SLE patients. The study showed that 26 % of patients had a flare (worsening) during pregnancy, and 24.4% had a flare in the postpartum period. Most of the flares were mild and infrequently required therapy.  Only 6.3% of the patients had severe flares during pregnancy and 1.7% had severe postpartum flares.

Data suggests that the drug, Plaquenil, used during pregnancy was associated with fewer preterm births and less intrauterine growth restriction. Findings also suggest that discontinuation of Plaquenil is associated with higher lupus disease activity during pregnancy.

For SLE patients not looking to conceive, IUDs are considered safe and effective. Other acceptable contraceptive options, when used appropriately, include condoms, progestin (only oral contraceptives) or depo-provera injections. Estrogen-containing contraceptives are contraindicated in the setting of active lupus, as they may flare the disease.

Main Line Rheumatology’s Amy L. Lundholm, DO, is board certified in both rheumatology and internal medicine. Dr. Lundholm holds current membership in the Pennsylvania Osteopathic Medical Association and the American College of Rheumatology. She was chosen as a rheumatology Top Doctor 2018 Main Line Today magazine. To read more about Dr. Lundholm, go to Our Staff.

Main Line Rheumatology Congratulates Lankenau Medical Center, Voted one of America’s 50 Best Hospitals

https://www.healthgrades.com/quality/americas-best-hospitals-for-2019

The doctors at Main Line Rheumatology are honored to be affiliated with Lankenau Medical Center as one of America’s 50 Best Hospitals™. Just announced, Lankenau received recognition in the top 1% of hospitals in the nation for consistently providing overall clinical excellence across a broad spectrum of conditions and procedures year over year. The premier distinction rewards hospitals that consistently exhibit exceptional, comprehensive quality care, and according to statistics, patients are more likely to have a successful treatment without major complications—and have a lower chance of dying—at America’s Best Hospitals.

FLU KILLS. People 65 Years and Older or With Suppressed Immune Systems MUST be Vaccinated!

Have you been vaccinated against getting the flu? If not, it is still not too late to get a flu shot! This week’s report from the PA Department of Health https://www.health.pa.gov/topics/disease/Flu/Pages/Flu.aspx states that flu is widespread in PA and The Centers for Disease Control and Prevention (CDC) can provide valuable information and updated PA flu activity at https://www.cdc.gov/flu/about/disease/65over.htm  

It has been recognized for many years that people 65 years and older are at greater risk of serious complications from the flu compared with young, healthy adults, because human immune defenses become weaker with age. People 65 years and older bear the greatest burden of severe flu disease. In recent years, it’s estimated that between about 70 and 90 percent of seasonal flu-related deaths have occurred in people 65 years and older.

If you are an adult with an immunosuppressed system (from recent sickness, chronic disease, medications or chemotherapy) you are at greater risk for flu and complications that could include bronchitis, pneumonia, ear infections, sinus infections, encephalitis, and pregnancy complications.

Flu viruses are very contagious and are spread from person to person when an infected person coughs or sneezes spreading virus-laden droplets up to three feet through the air. Flu also can be spread when droplets from a cough or sneeze are on hands, or land on objects like a doorknob, light switch, refrigerator door, bathroom or sink handles. If you touch an object and then touch your own or someone else’s mouth, nose or eyes before washing hands, the virus is spread.

You can pass the flu on to someone else both before you feel sick (no symptoms) and up to 5-7 days after becoming sick. If you suffer from a suppressed immune system (or autoimmune disease) you are far more susceptible to contracting the flu. See your rheumatologist or family doctor and get a flu shot.

Flu symptoms include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people may also have vomiting and diarrhea. People may be infected with the flu and have respiratory symptoms without a fever. Emergency signs of the flu include: difficulty breathing or shortness of breath, pain or pressure in the chest or abdomen, sudden dizziness, confusion, severe or persistent vomiting, flu-like symptoms that improve but then return with fever and worse cough.

In addition to getting the flu shot, people 65 years and older and the immunosupressed, should take the same everyday preventive actions CDC recommends of everyone, including covering coughs, washing hands often, and avoiding people who are sick.

Where can you get your flu shot today? Your doctor’s office, Urgent Care, pharmacy or drug store, clinics, health department, medical center and even some retail stores. For more information regarding flu vaccine availability for High Risk Individuals, please call 1-877-PA-HEALTH

The Contagious Measles Virus Outbreak is Now Sweeping the Nation. What Could This Mean For You?

https://www.cnn.com/2019/01/30/health/measles-outbreak-new-york-washington-update-bn/index.html

Since the beginning of January, nine states including Pennsylvania, have reported cases of measles, according to US Centers for Disease Control and Prevention and state health departments. Rheumatologists are medical professionals who worry about vulnerable and susceptible patients suffering autoimmune conditions. Measles virus droplets can remain in the air for several hours and the virus remains infectious on contaminated surfaces for up to two hours. Even one death – an elderly adult or an unvaccinated child is one too many! Vaccinations are a MUST for the young, elderly and those individuals who are immunosuppressed due to medications, chemotherapy, organ transplants, or certain diseases.

Risks include: Being unvaccinated. If you haven’t received the vaccine for measles, you’re much more likely to develop the disease. International travel. Traveling to countries where the measles vaccine is unpopular or less imposed may put you at greater risk for the virus exposed to unvaccinated populations.

Measles complications may include: ear infection, bronchitis, pneumonia, encephalitis and pregnancy complications.

If you feel sick or have a fever, dry cough, runny nose, sore throat, eye irritation/conjunctivitis symptoms or a skin rash made up of large, flat blotches, make an appointment to see your doctor, immediately.