They should know that people are so nervous and frightened of having another fracture that they, that they should treat them very carefully. And I notice that lots of medical people, even the people who do the scans, think you’re going to get up from the bed like this. When you’ve got osteoporosis you can’t. You have to roll over and do it in a sort of special way. And lots of them don’t realise that. I mean, you know, some say, Oh, you can get u and think you’re going to get up. So they’ve got to realise that you have to, to get up from a lying position in a very special way and that people with osteoporosis are very frightened of fracturing again. I’m always, I’m talking about in the beginning, but even now I wouldn’t dream of getting up s-, s-, just from lying prone like that. It has to always be that position, you know, to do it and do it very carefully. That, that people will be a lot slower, you know. You see I, I realise how, how painfully slow, I’m really careful even now when I sit down in places, because it’s sort of habit really as much as anything. And, and, as I say, that I think is the important thing, to find out how the patient can get up herself, his or herself and not try and, not try and help them to do anything. Let them do it in their own time. But that really is the most important thing I think. Because I was terribly frightened of fracturing again. That was my biggest fear for so long.

So patients should, could do without that pressure of

Yes, they do, they’ve got to do things in their own time. Especially, do stress that bit about getting up from the lying position, the lying-down position that they have to roll over and get up carefully. I, I could demonstrate it, but you know what I mean. I think I’m explaining it all right. But people, people don’t realise that. Nurses don’t. I’m surprised. You know, they, they think you can just get up and that’s it.

When you look at when do you put on bone density, you know, bone density is the biggest risk for fracture. You put on bone density between the age of sixteen and thirty. In girls the fastest growth is something like fourteen to sixteen. In boys it’s something like sixteen to eighteen. How come there’s no public policy for calcium supplement at that time of life? it’s exactly the time of life when they’re not drinking their milk because they’re drinking Pepsi. Or worse, booze. And I there’s no public, I’ve not heard anything here or in Canada or in France that says, you know, let’s focus on that as a real prevention.

I think if we were seriously interested in prevention of chronic diseases just as though we look at obesity in children. If we say, Well that causes health problems in late life. It might help with diabetes or it might help with cardiac disease. There may be other conditions as well but osteoporosis well known to be to bone density, original bone density. And when do you get that? You get that in your teenage years and then probably peaks when you’re around thirty of something like that. There’s no targeting for that population and I don’t think they’re educated at all. I mean they don’t they’re no not young osteoporotics but young people who are not osteoporotic and they need they. And we give them mumps vaccine why can’t give them calcium supplement? I there’s no reason why not or even just improve school lunches so that they have a little calcium anywhere on that tray would be good.