Bone health and falls

 I don't think a lot about fractures or bone health--until--a friend falls after stepping on a stone or sidewalk irregularity, or my friend Cindy fractures her thigh after taking the same med I do for osteoporosis, or Karen a woman I met at the gym fractures her foot playing pickleball, or Jim's wife falls over the leaf blower in their garage, or I fall in the shower.

That last fall happened a week ago, Christmas Eve morning.  I fell in the shower.  It wasn't the usual slip on the soap or not having a grab bar.  I had the brilliant idea that in order to protect the paint on the bathroom walls when I use hair spray, I'd spray my hair inside the shower stall where it could be washed off.  So, I was completely dressed, except for shoes--I was wearing light slippers.  My hair (which is thinning) was just the way I wanted it. I picked up the container and stepped inside the shower, which was still damp. It was a little awkward, but I could see the mirror and sprayed my hair.  Then as I stepped out--holding on to the door and the other hand on the opening with 2 fingers while holding the spray--the slipper stuck briefly on the floor of the shower.  That was enough for me to lose my balance and I went down. As I knelt there with my right knee on the slightly raised marble frame and the other pressed against the glass, I had to struggle to get up. My legs are weak but my arms are fairly strong--even so it was a long haul to get upright. A few bruises, but no sprains or fractures.  Whew!

Four other bad falls come to mind.  In the 1990s (I was in my 50s) I was walking briskly down the hall in the old Sisson building of the Veterinary College at Ohio State where I was the librarian. I didn't know that one of the labs on the second floor had a leaking faucet, and water had run under the door and into the hall.  The halls were not well lit, and as I hit that water (in those days I wore high heels to work), my legs flew out and I went splat landing on my back with one leg forward and one back.  It knocked the breath out of me, momentarily paralyzing me. The halls were empty--nothing to use to pull myself up and no one to help--so I just waited to catch my breath and then gradually using the walls for support and grabbing the doorknob to the lab stood up. Nothing broken, but I was so sore I could hardly move.  I recall looking into filing for Worker's Comp, but it was way too complicated, and I never followed through.

Then after I retired and we were spending the summers at our lake house on Lake Erie, I fell down the last four stairs in the basement carrying a laundry basket--probably in 2007.  I seem to remember the date because I wore the bruises to a class reunion. I was alone in the house (the last time I ever went to the basement without someone in the house). Again, nothing broken.  I crawled up the stairs, and into one of the bedrooms to lie down.  I eased off my shoes and my jeans.  I had bruises from knees to toes, and the shoestrings of my athletic shoes had left bruise marks on my feet in a crisscross pattern.

Also at Lakeside was my last bicycle ride when I was 70.  I was leaving a morning meeting at the hotel on Third Street, Fountain Inn, got on my bicycle (a no-speed from 1968), wobbled a bit, and fell--into a stop sign at Third and Maple, about 15 ft from where I got on it! The stop sign made a loud noise as I hit it--Boing, Boing. And people came running from their cottages to help the old lady on the ground. I lived just two blocks so someone (don't remember who) walked me home, wheeling the bike which I never rode again.

But the worst fall of my life wasn't actually my fall, but when my horse fell on me! It was probably 1952 so I was 12 years old, and had owned the horse only a few days. The bit was too tight (I figured out later) and the horse kept backing up, then started to rear, I began to slip off the back, but the horse lost his footing and fell--on top of me.  That REALLY hurt. The horse strolled away, and my mom came running out of the house. Nothing was broken, and I lay around for a few days, and today each time I get a back spasm I blame my horse.

Falls in the elderly statistics by CDC are all over the place and don't make a lot of sense.  Illinois elderly seem to be less likely to fall than Ohioans.  Whites more than minorities, women more than men, but the death rate for men is higher than for women. Of course, the statistics don't reflect the falls that are never reported--like mine--because I didn't get medical help.  Even so, 14,000,000 for people over 65 is nothing to be sneezed at.  The age adjusted fall death rated increased by 41% from 55.3 per 100,000 older adults in 2012 to 78.0 per 100,000 older adults in 2021. I personally attribute that to the fitness craze--people are taking more chances and think they are 40 instead of 80.

Ladders are really dangerous. According to the CDC each year in the U.S., more than 500,000 people are treated and about 300 people die from ladder-related injuries. The estimated annual cost of ladder injuries in the U.S. is $24 billion, including work loss, medical, legal, liability, and pain and suffering expenses.

It’s National Ladder Safety Month | Blogs | CDC

Nonfatal and Fatal Falls Among Adults Aged ≥65 Years — United States, 2020–2021 | MMWR (cdc.gov)

Hip Fracture Overview - StatPearls - NCBI Bookshelf (nih.gov)

Falls and Fall Prevention in Older Adults - StatPearls - NCBI Bookshelf (nih.gov)

The risk of falls among the aging population: A systematic review and meta-analysis - PMC (nih.gov)

Lifestyle Approaches to Promote Bone Health - Bone Health and Osteoporosis - NCBI Bookshelf (nih.gov)

Nutritional Supplements and Skeletal Health - PubMed (nih.gov)

Vitamin K as a Powerful Micronutrient in Aging and Age-Related Diseases: Pros and Cons from Clinical Studies - PMC (nih.gov)

Please look out for bikers

“Drivers overtaking bike riders are the biggest cause of death among cyclists, says a study released Tuesday by the National Transportation Safety Board. Bike safety is a growing problem that appears to be getting more worrisome, and, the board reported, “current available data likely underestimate the level of bicycling activity in the United States.” In 2017, 806 cyclists died in crashes with motor vehicles, which it found “was comparable to the deaths resulting from railroad or marine accidents and more than twice the number of deaths resulting from aviation accidents in the same year.” Last year, the death toll jumped to 857, its highest since 1990. The NTSB report, its most comprehensive look at bicycle safety in 47 years, comes as both Republicans and Democrats in Congress are pushing hard to provide more funding for what they see as a growing problem."

Call me crazy, but I don't expect Congress to solve this--they are much too busy trying to undo the election of 2016. However, why not lessen the hype on bicycles being a healthy lifestyle exercise and answer to fossil fuel global warming? Let's crack down on drivers using their cell phones--we lived nicely for years without talking on phones while driving. You might just save some bikers from death or injury.

I've looked at the report, https://www.ntsb.gov/…/Documen…/2019-DCA18SS002-abstract.pdf and unfortunately, it only includes the number of deaths, not the increase in bicyclists sharing the roads (if there is such a figure which would give the real story). Doesn't include the age of the bikers--is this like the huge increase in number of falls among the elderly--the boomers are taking more chances? Is there really any evidence that ripping up streets to create narrowing spaces for cars with bike lanes is actually decreasing accidents, or does it just encourage more bikers who eventually merge on to more dangerous roadways which have no protected lanes? That's what I think about when I see numbers, without rates, without percentage.

If accidents go up 2x, but the number of bikers has also gone up by 4x, then that needs to be included in the report before suggesting legislation and expensive regulations. Also, if it took 30 years to get to the 1990 number, then what has changed? Cell phones and age of riders trying to be "woke" is still my guess.

September 11

We all know what September 11 means, that scary day in 2001. It was sitting in my office of our home watching TV, and saw the second plane and listened to the amazing TV staff on duty that day.  But in 1988, 30 years ago, there were millions of people who'd been led to believe that September 11-13 (give or take), Jesus was coming back to rapture the church. (And it was the month we settled our mortgage and bought our home in Lakeside which we've been enjoying for 30 years and since we’re not in the group that believes in the rapture we had pretty much ignored the warnings.)  A retired NASA engineer, Edgar Whisenant, wrote 2 books predicting Jesus would return--he sold 4.5 million copies, and enterprising promoters were selling trips to the Holy Land with a beautiful view of the Eastern Gate and Temple Mount. And they ignored, or explained away, Matthew 25:13.

I fell on the treadmill at the gym, Lifetime Fitness, yesterday. I wasn't injured, just hurt my pride. Another woman, also in her 70s, a cute little brunette, stopped and jumped off her machine, and rushed over to stop mine so I could get off. Otherwise, I might still be dangling. If I hadn't been going there 6x a week, I wouldn't have had the strength to hang on; on the other hand, if I hadn't been going 6x a week, I wouldn't have even been on the darn thing!

Misleading us on military deaths

Perhaps you've seen it. The e-mail that's circulating comparing the number of military deaths during the Clinton years compared to the Bush years. Pitch it. Someone in the process of forwarding, or just having an agenda of his own, has reworked the numbers. Lowered the Bush years numbers and increased the Clinton years numbers. Look at the Congressional Research Service link for the original document, American War and Military Operations Casualties:
Lists and Statistics. However, it is still surprising, and our media continue to mislead us. Table 4 and Table 5 gives the numbers of U.S. Active Duty Military Deaths, 1980-2006 (as of Nov 22, 2007, and these numbers are constantly revised based on new information if the cause of death was unclear).

The numbers are startling. Military deaths have been much higher during non-conflict, non-war years, like comparing 2001-2006 (Bush) with 1981-1986 (Reagan). Deaths were much, much higher in the 80s and the military was also larger. It's the cause of death--homicide, suicide, accidents, and illnesses that bumps up the deaths of yesterday's U.S. military, whether Carter, Reagan or Clinton were Presidents. I was shocked looking at these tables. Homicide was almost halved during the Reagan years, but is still much lower now. Remember all the suicide stories we've been treated to during the dinner hour? 269 in 1986 and 192 in 2006. In 1985, deaths from accidents were 1476, and in 2005 deaths from accidents were 644. Another table I looked at showed the amputation ratio per injury, and that was way down.

What this report shows is a military that's safer, healthier, better cared for, better trained and more highly motivated to defend their country and support their Commander in Chief. It also shows that our news sources, and both presidential campaigns, continue to paint this war with a brush dipped in careless abandon and wild hyperbole. Even so, read the real document, and ignore the stats in the e-mail.

HT to Murray who pointed me to this interesting document.

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Deer season opens today

November 26 is the first day of deer hunting season in Ohio, when approximately 400,000 hunters will kill about 120,000 deer. It will contribute $266 million to the state's economy. Toledo Blade story. Deer contribute to their own demise too--the does live twice as long as the bucks, who get in fights and kill each other (it's a guy thing). More deer are killed in accidents with fences than are taken legally by hunters, and feral dogs kill many thousands. Deer vehicle collision (DVC) will also take a lot of lives, some of them human. Three years ago I wrote about seeing 13 dead deer on the interstate medium between the west side of Columbus and the first exit at Richmond, Indiana. The 13th we saw killed by the semi truck in front of us. It was just awful. I've seen the figure half a million a year, but haven't seen the source of the statistic. Doug at Coffee Swirls writes about hitting a deer in Iowa, which has one of the highest DVC rates, with a repair estimate of $4800.

1747 Women who have abortions

are more likely to die within 12 months than women giving birth? And a violent death (suicide, homicide, accident)? I wish I knew more about statistics, ratio and risk after reading this report based on statistical data from Finland. Finland has liberal abortion laws and socialized medicine, but not the privacy laws that the U.S. has which has prevented this study being done here. (But if you want to study equine orthopedics [horse bones] which would cause pain to horses, Finnish vets come here due to their animal welfare laws.) Even non-pregnant women were more likely to die than women who carried to term or miscarried. It's an amazing story. Have to think about that. About how much God wants his little ones to live.