Dr. Daniel Ngui
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.
Dr Daniel Ngui 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.
Patients often ask physicians: what is the best medication for osteoporosis?
Our answers as providers are the best medication for osteoporosis is one that someone takes on a regular basis. Studies show that if you’re not taking medications at least 50 percent of the time, the fracture risk is no different than not taking the medication at all.
There are some contributing factors to non-adherence in terms of therapy. It is often higher risk of having a non-adherent patient when patients have side effects to medications.
They are dissatisfied with medications when they have unaddressed concerns, fears about medications or when they have a very complicated regimen or routine that is necessary when taking medications. Patients who have lots of medical conditions, lots of medications are polypharmacy, are often patients who have challenges with being adherent to treatment.
Doctors understand that taking medications on a regular basis can be very challenging and a fact of life. Simply speaking to your doctor, getting advice can be really important as a first step to reducing the risk of complications from osteoporosis.
Your doctor will sit down with you and they’ll often offer you with a visit with clinical pharmacist or a team member to ask you about ways to maximize adherence. They’ll ask you about how you take your medications, when you take your medications.
They’ll offer you different options that can maximize adherence such as medications given once a month, once every six months and perhaps every year. The doctor will ask you about your preference of taking an oral medication or having an injectable medication in your arm or perhaps an intravenous medication.
Your doctor will try to reduce the risk of painful fractures, reduce the risk of being admitted to a long term care facility, and reduce the risk of death by ensuring you have the ideal adherence to your osteoporotic medications.
Finally, it’s important that you as a patient talk to your doctor about ways to improve your adherence. Ideas that your doctor offers you will be different websites where you can gain more information, patient reminder programs and adherent programs that will support you and remind you with text messaging, emails, and perhaps even phone call access.
All these types of techniques can help maximize adherence and therefore reduce the dangerous fractures related to osteoporosis.
Local Practitioners: Family Doctor