Featured Speaker Physiotherapy Now

Dr. Daniel Ngui

Family Doctor, Vancouver, BC
Dr. Daniel Ngui, BSc (P.T), MD, CFPC, FCFP, Family Physician, discusses osteoporosis diagnosis.

BIO: Physiotherapy Now

Dr. Daniel Ngui graduated from UBC School of Physiotherapy (94), UBC Medical school (98) and St. Paul’s Hospital Family Medicine (00). He is a CCFP and is a fellow (FCFP) of the College of Family Physicians of Canada. He is affiliated with both Vancouver Hospital and St. Paul’s Hospital. He is also a clinical associate professor with the department of Family Medicine, UBC. Dr. Ngui has been working since 2000 in team-based community clinics for over a decade.

He is involved in teaching nurse practitioner students, international medical graduates and family medicine residents as well as developing and providing continuing medical education programs and conferences at the local and national level. He is currently a Board member of the Vancouver Divisions of Family Practice. As chair of the membership committee, and committee member for a GP for Me attachment working group, he is committed to primary care.

He has been a previous Board of Directors for both the British Columbia College of Family Physicians and Society of General Practitioners of B.C. His research interests are in Clinical Practice Guideline adoption and knowledge translation. He is taking on the role of clinic lead at FSM to help the evolution of a highly effective, compassionate and comprehensive team focusing on health promotion, chronic disease prevention and improved primary care access and hopes that FSM family practice team will serve the community for decades.

( Dr. Daniel Ngui, Family Doctor, Vancouver, BC ) is in good standing with the College of Physicians and Surgeons.

Diagnosing Osteoporosis

When you see your physician, often times they’ll sit down with you, and get a complete history about your risk factors for developing osteoporosis.

It can be age, family history, medications, home morbid conditions, and anything else that can affect your fracture risk. The next step that will occur is that your physician will do a complete exam, looking for evidence of a fracture, such as height loss, or even changes in your shape and posture.

Finally, your physician may decide that a bone density is the right thing to do for you to determine what your true risk of having a fracture is. Once all that information is gathered, it’s important to sit down once again with your physician, who may order some blood tests, talk to you about the different therapies that we have for preventing osteoporotic fractures.

Treatment includes diet, and exercise, and speaking to a dietitian or nutritionist is vitally important. Also treatment will include exercise in which physiotherapists, exercise trainers, or even osteoporosis prevention programs can help you understand.

Finally, sitting down one-on-one with your doctor can give you some idea of the different medication options that are available if appropriate for you. The major advantage of speaking to your family physician about the treatment of osteoporosis is they know you. They know you over time, and they know about your medical conditions.

They can guide you as to the best different types of therapies that will reduce your risk of fracture, or any benefits appropriate. The different therapies that we have available to us include pill format, intravenous format, injectable format, and which one is dependent upon your individual situation, and your individual doctor.

Furthermore, there are many new guidelines that have come out recently guiding physician as to the best therapies to reduce your own risk for fracture in the future.

It’s important if you have any questions or any concerns, that you make an appointment to speak to your physician or your local expert. Treatments vary according to patient as well as physician, so once again, make an appointment and speak to your physician.

Presenter: Dr. Daniel Ngui, Family Doctor, Vancouver, BC

Local Practitioners: Family Doctor

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