Para que a primeira fratura seja a última The first fracture will be the last

Yes, you can.

I live far away … Can I do the lab tests near my house?

Some patients arrive "ready" and do the medication already in the first query. The tests required are fracture (s) and spine x-rays, bone densitometry, determination of blood calcium, 25OH Vitamin D, PTH,urinary calcium and creatinine clearance. Eventually some other test are necessary and ordered.

THE REASON FOR YOUR REFERRAL TO PREVREFRAT WAS BECAUSE YOU HAD A FRACTURE BY LOW TRAUMA. THAT IS, A TRAUMA THAT, UNDER NORMAL CONDITIONS, WOULD NOT BE ENOUGH TO CAUSE A FRACTURE.

THE FRACTURE OCCURRED BECAUSE YOUR BONES WERE (OR STILL ARE) WEAKENED. THE MOST COMMON CAUSE OF THIS WEAKENESS IS A DISEASE CALLED OSTEOPOROSIS, ALTHOUGH OTHER CAUSES ARE ALSO POSSIBLE.

THE WORST THING IS THAT AFTER A BREAK LIKE THIS OTHERS CAN HAPPEN.

ESPECIALLY THE MOST SERIOUS OF ALL, WHICH IS THE FRACTURE OF NECK OF FEMUR. IT IS CONSIDERED THE MOST SERIOUS BECAUSE IT REQUIRES MAJOR SURGERY AND HAS A HIGH MORTALITY RATE, AND IN MOST CASES LEAVES SEQUELS THAT WILL DECISIVELY AFFECT YOUR LIFE QUALITY.

THE CORRECT DIAGNOSIS OF THE CAUSE OF THIS BONE WEAKENING AND AN APPROPRIATE TREATMENT CAN STOP THIS UNDESIRABLE SEQUENCE OF FRACTURES.

THAT IS WHAT WE ARE DOING AT PREVREFRAT.

WHY DOES MY DOCTOR REFER ME ?

Welcome to PrevRefrat

 

THE FIRST STEP IS A BRIEF INTERVIEW TO CHECK IF YOUR CASE FITS TO THE PROGRAM.

THE NEXT STEP IS YOUR REGISTRATION IN THE PROGRAM, COLLECTING DATA ON

YOUR MEDICAL HISTORY, LIFESTYLE HABITS AND THE FRACTURE YOU HAD.

AFTER THIS, IT WILL BE MADE SOME X-RAY AND A BONE DENSITOMETRY,

THAT IS THE TEST FOR DIAGNOSING OSTEOPOROSIS.

IT WILL BE DELIVERED YOUR MEDICAL RECORDS, CONTAINING ALL INFORMATION

REGARDING YOUR TREATMENT.

YOU WILL BE ASKED FOR SOME BLOOD AND URINE TESTS, AVAILABLE AT THE

HOSPITAL DE IPANEMA AND OTHER PUBLIC HOSPITALS.

YOUR DOCTOR WILL GIVE YOU PROPER GUIDANCE HOW TO DO THESE TESTS.

A NEW APPOINTMENT IS SCHEDULED (ABOUT 4 WEEKS AFTER).

 

 

TODAY IS MY FIRST CONSULTATION. WHAT IS GOING TO HAPPEN?

MY SECOND APPOINTMENT. WHAT NOW?

 

WELL, NOW WE HAVE THE DATA NEEDED FOR YOUR DIAGNOSIS AND WE CAN START THE TREATMENT.

IF NECESSARY, IT WILL BE MADE ON THE PREMISES OF THIS HOSPITAL, A SPECIFIC MEDICATION ONCE A YEAR.

THIS IS THE MEDICATION THAT WILL PROTECT YOU AGAINST NEW FRACTURES.

YOUR DOCTOR WILL EXPLAIN IN DETAILS HOW THIS MEDICATION WORKS AND ANY DOUBTS WILL BE SOLVED.

VITAMIN D AND CALCIUM SHOULD BE PRESCRIBED.

THESE MEDICINES HAVE AN AFFORDABLE COST.

IT WILL BE PROVIDED A DVD WITH EXERCISES TO DO AT HOME.

YOUR NEXT APPOINTMENT WILL BE SCHEDULED ( ABOUT 3 MONTHS AFTER).

AFTER THAT, APPOINTMENTS AND TESTS REVALUATION WILL BE SCHEDULED BY THE DOCTOR.

 

If the doctor sends me to PrevRefrat with all tests ready the process can be sped up?

 

Besides to osteoporosis and fractures, I also have some problems at spine and knees. In PrevRefrat can I treat this as well?

Unfortunately it is not possible. The only treatment that we do is to prevent new fractures. Any other treatment (including fracture) is in charge of the doctor who referred you.

 

If needed, we can pass to our Orthopedics Outpatient Department.

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