Does Your T-Score Really Matter? Rethinking Bone Health with Dr. Andy Bush

Is a single number determining your treatment plan? For many women, the T-score from a DEXA scan becomes the full story of their bone health. But what if that story is incomplete—or even misleading?

In this episode, I sit down with orthopedic surgeon Dr. Andy Bush, who has shifted his focus from fixing fractures to preventing them. Together, we dive into the flaws of the traditional DEXA scan, why your T-score might not reflect your actual fracture risk, and the power of a better diagnostic: REMS (Radiofrequency Echographic Multi-Spectrometry).

If you’ve ever been told you have osteoporosis — or felt confused and fearful about your scan results—this is the episode for you.

🔑 What You’ll Learn:

• Why T-scores alone are not reliable predictors of fracture risk
  
  
• What the DEXA scan actually measures (and why it’s incomplete)
  
  
• How REMS technology assesses bone strength and quality
  
  
• The difference between density and structure in bone health
  
  
• Why 50% of fractures happen in women without osteoporosis
  
  
• What a fragility score tells you that a T-score doesn’t
  
  
• What to ask your doctor if you’re getting a DEXA scan
  
  
• The role of TBS (Trabecular Bone Score) and how it adds context
  
  
  

👤 About Dr. Andy Bush:

Dr. Andy Bush is a board-certified orthopedic surgeon based in North Carolina who transitioned his practice from surgical fracture treatment to preventative bone health care. He is a pioneer in the use of REMS scanning in the U.S. and specializes in assessing structural bone strength and fragility risk in women.

📌 Subscribe & Share:

If you found this episode helpful, please rate, review, and subscribe!

Share it with a friend who’s navigating a new osteoporosis diagnosis or wants real answers about bone health.

🔗 More resources & support at www.debirobinson.com

Take Charge of Your Bone Health — Join Our Live Webinar

Break Through the Bone Health Confusion: A Deep Dive with an Orthopedic Surgeon

Webinar: Bone Medications & Hormones — What You Need to Know
Thursday, July 17, 2025 | Live on Zoom
$97 (Replay included for all who register)

In this important session, you’ll learn:

• How the most common osteoporosis medications work in your body
• Risks, side effects, and long-term considerations of bone drugs
• Whether you truly need medication or have other options
• How to discuss your choices confidently with your doctor (includes printable scripts)
• What BHRT (bio-identical hormone replacement therapy) is and how it impacts bones, mood, and aging
• Who is a good candidate for BHRT, and who should proceed with caution
• Types of BHRT and how they’re administered
• Your personal questions answered live by Dr. Andy Bush, orthopedic surgeon

Spots are limited. Don’t miss this chance to get clarity and confidence about your bone health.

Register Now