The day starts early: arriving at the office, reviewing the schedule, preparing. This one is recovering from a fracture, talking about the limitations and safety concerns now. One referred by her doctor because of family history. Imaging and lab reports to meticulously review in between the patients. DEXA scores to review and explain with them. Messages to return. Seven out of ten of them have broken a bone and been sent here—a fraction of those that would benefit from the hope that management and treatment would give.