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Issue 2 - Summer - Providence Washington - Providence Health ...

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These<br />

b<br />

nes<br />

ARE MADE FOR<br />

WALKING<br />

Osteoporosis<br />

is preventable<br />

in many<br />

cases. Know<br />

the signs and<br />

treatment<br />

options, and<br />

take these<br />

steps at all<br />

ages to keep<br />

your bones<br />

healthy and<br />

strong for life<br />

At a rest stop along I-84,<br />

Genevieve Crandall stepped out of the<br />

car. It was summer 2011, and the Florida<br />

resident was enjoying her vacation—<br />

which included celebrating her grandson’s<br />

graduation in Spokane and taking<br />

a trip with her daughter to Portland to<br />

watch a tennis tournament.<br />

In an instant, the independent lifestyle<br />

she had enjoyed for 86 years was<br />

swept away. “A gust of wind picked my<br />

mother up and threw her 10 feet backward,<br />

breaking her left hip, pelvis and<br />

wrist,” recalls Stephanie Pappas Butler.<br />

At a nearby hospital, surgeons did a<br />

partial hip replacement and set her<br />

wrist. She returned to Spokane with her<br />

daughter and began physical therapy.<br />

But her pain increased. Butler took<br />

her mother to see Carla Smith, MD, a<br />

surgeon with <strong>Providence</strong> Orthopedic<br />

Specialties and the principle investigator<br />

on two bone studies at <strong>Providence</strong><br />

Medical Research Center. Dr. Smith<br />

discovered that when Crandall fell, she<br />

had also broken her right hip and had<br />

multiple fractures to her pelvis. With<br />

adjustments in her daily therapy program,<br />

however, she began to recover.<br />

Indication of Osteoporosis<br />

Before Crandall was strong enough to<br />

return to Florida, she fell again, this<br />

time from a standing position. She was<br />

rushed to Sacred Heart Medical Center<br />

& Children’s Hospital, where Dr. Smith<br />

performed surgery to repair her broken<br />

right hip.<br />

“<strong>Health</strong>y bones are strong,” says Dr.<br />

Smith. “So when Genevieve fell from<br />

a standing position and broke her hip,<br />

there was strong indication of osteoporosis,<br />

a disease that makes bones fragile<br />

and likely to break.”<br />

Crandall is not alone. According to<br />

the American Academy of Orthopaedic<br />

Surgeons (AAOS), osteoporosis and its<br />

precursor—low bone density (referred<br />

to as osteopenia)—occur in more than<br />

44 million people in the U.S. The AAOS<br />

says that fragility fractures have become<br />

nearly epidemic among older Americans<br />

with more than 2 million fractures<br />

occurring each year—“more than heart<br />

attacks, strokes and newly diagnosed<br />

breast cancer combined.”<br />

Like so many who have experienced<br />

hip fractures, Crandall’s broken bones<br />

resulted in a dramatic change in lifestyle.<br />

Always adventuresome and independent,<br />

the avid golfer and onetime<br />

cast member of the 1944 Betty Grable<br />

film Pin Up Girl found herself in need<br />

of assisted living and daily help from<br />

her daughter.<br />

Osteoporosis is not curable, but if<br />

properly diagnosed it is treatable. And<br />

that’s the catch. “Osteoporosis is silent,<br />

14 ● <strong>Summer</strong> 2012 Heart Beat

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