Health & Spirit

Quitting smoking has a host of benefits

Health / Keith Roach /

DEAR DR. ROACH: My husband is a smoker. I have begged him to quit, but he won't. He sleeps sitting up, with his legs hanging, because he has trouble breathing. This way of sleeping causes his feet and ankles to swell. His doctor ordered diuretics and urged him to quit smoking. He also recommended that he sleep in a bed, with his legs elevated --...Read more

The dawn phenomenon in diabetes control

Health / Keith Roach /

DEAR DR. ROACH: I hope you can shed some light on an issue that I have not seen you address: the dawn phenomenon. I am having trouble controlling my diabetes. I am 67 years old, and my mother was a "brittle" Type 2 diabetic who ultimately needed insulin twice a day. I have been on glipizide (10 mg) for three months now; before that, I was on 5 ...Read more

Gut health basics: How and when to take probiotics

Health / Keith Roach /

DEAR DR. ROACH: With the current focus on gut health, I have been hearing a lot about probiotic supplements. Who should take them? Does the number of bacteria matter more than the types listed on the container? Does one take them daily, for a brief time period, or for extended time periods? -- K.V.S.

ANSWER: Probiotics are healthy bacteria in ...Read more

M. marinum bacteria exposure comes via water

Health / Keith Roach /

DEAR DR. ROACH: I read your recent column about "flesh-eating bacteria." Is it in any way related to Mycobacterium marinum?

My son is having multiple surgeries due to this, which was finally and correctly diagnosed after many weeks. It came on slowly over months, and has caused his hand to swell up greatly. He remembered that he did get a cut ...Read more

The nocebo effect: Evil twin brother of the placebo effect

Health / Keith Roach /

DEAR DR. ROACH: Over the past year, I have taken three different statins, all with disastrous side effects. I am currently getting a month off before my doctor tries another one. I have talked to everyone I know or meet about these drugs. My decidedly unscientific survey results are that about a third of the people take them without problems, a ...Read more

Doctors have an ethical obligation to put their patients first

Health / Keith Roach /

DEAR DR. ROACH: I was shocked recently when I read an article from a reputable source implying that sooner rather than later (and maybe already), doctors who have a patient who could be treated successfully only with massive doses of antibiotics would be required to allow the patient to die rather than run the risk of creating a generation of ...Read more

Low iron level indicates iron loss or lack of absorption

Health / Keith Roach /

DEAR DR. ROACH: My daughter's iron level has been dangerously low for several years. One measurement was as low as 5, but mostly it is between 9 and 15. She took iron pills, which affected her in many other ways.

She was given one iron injection, which affected her negatively. She refused the second one. She has been on an antidepressant and an...Read more

Clonazepam not the best treatment for anxiety and OCD

Health / Keith Roach /

DEAR DR. ROACH: I am a 58-year-old woman with a long medical history of anxiety. In 2007, my doctor prescribed me clonazepam 0.5 mg to take as needed for anxiety attacks and OCD, from which I constantly suffer. I have been off and on this medication until now. From late October 2017 to January 2018, I went off it for a while. Then I began having...Read more

Embarrassing fecal incontinence? You're not alone

Health / Keith Roach /

DEAR DR. ROACH: I hope you can help elderly folks (like myself, age 83) who have a very embarrassing situation wherein their stool seeps out of them. The problem is only noted when I sit down and find that my underwear sticks to me. The problem appears to happen anytime, and sometimes AFTER a bowel movement. -- R.C.

ANSWER: Fecal incontinence ...Read more

Phantom itch is an international mystery

Health / Keith Roach /

DEAR DR. ROACH: Two years ago, I spent a month in Havana, Cuba, to study Spanish. We were staying in a good hotel. Without warning, one morning they started the pest control, spraying the rooms with DDT. The substance was confirmed by our group leader. Our clothing and belongings stayed in the rooms, and we were told to stay out for three to ...Read more

Strategies for facing tough blood pressure

Health / Keith Roach /

DEAR DR. ROACH: My whole family has heart problems. I'm 74 years old. My blood pressure has been high lately. Today it's 143/79. Some days 139/73. It's always different, but still high.

I take 20 mg of lisinopril twice a day. Now I am taking 10 mg of amlodipine also. My doctor says there's nothing else he can do for me. I am 5 feet 3 inches ...Read more

Overboard sun protection might put vitamin D level at risk

Health / Keith Roach /

DEAR DR. ROACH: I walk outside almost every day for at least an hour. I cover myself from head to toe -- long pants and long sleeves, with the backs of my hands covered and a wide-brimmed hat with a bandanna covering my neck and lower chin. With sunglasses on, ready to go, my husband jokes that I look like I am going to rob a bank! But after ...Read more

Mysterious powder no longer a treatment for asthma

Health / Keith Roach /

DEAR DR. ROACH: Back in the early 1930s, I had asthma. My dad had asthma all his life. When either of us had an attack, my dad would use a powder called Green Mountain Powder. He would set fire to some of the powder, and we would inhale the smoke. It worked very well.

You could buy it in powder form and cigarettes, over the counter. Then later ...Read more

Prednisone can have powerful side effects

Health / Keith Roach /

DEAR DR. ROACH: An 80-year-old was mistakenly prescribed prednisone, 40 mg, for six months and is now being weaned off over four weeks. While on the prednisone, she had some symptoms that I think are side effects, including sleeping all day, no energy, losing weight (30 pounds over six months without trying), hair falling out, thinning skin, ...Read more

How much vitamin D is too much?

Health / Keith Roach /

DEAR DR. ROACH: I recently had a blood and urine checkup. Most everything was within normal range (doing well), except that I am low on vitamin D, at 24. The doctor recommended supplements, but said to be careful not to overdo. How much is too much? Is one a week OK? -- Y.C.

ANSWER: There are several ways to replace vitamin D, but the most ...Read more

Changes in heart's shape can lead to abnormal heart rhythms

Health / Keith Roach /

DEAR DR. ROACH: My husband had pacemaker surgery in December following a diagnosis of hypertrophic cardiomyopathy. Three weeks later, he developed edema in his lower legs. He was treated by his doctor with a diuretic. At his six-week pacemaker checkup, we brought it up to the cardiac physician assistant that the swelling was still there and that...Read more

Continuous glucose monitor meant to monitor low blood sugar

Health / Keith Roach /

DEAR DR. ROACH: I am a 71-year-old Type 2 diabetic woman, but I find the glucose monitoring systems requiring blood samples so painful to use that I don't test. At present, I get along by taking a 500-mg metformin tablet three times a day and having bloodwork done about twice a year. My last fasting glucose test result (1/19/18) was 134 mg/dL, ...Read more

Shingles vaccine protocol

Health / Keith Roach /

DEAR DR. ROACH: I am an 84-year-old female. Luckily for me, I have never been ill with chickenpox, measles or mumps. My family doctor thought that I should still get the shingles vaccine, even though a blood test proved that, indeed, I'd never had chickenpox. So I did. I read in the paper that there is a new shingles vaccine available and that ...Read more

ED injections are not a first-line treatment

Health / Keith Roach /

DEAR DR. ROACH: Do Trimix injections work for erectile dysfunction, and are they safe? -- M.B.

ANSWER: Erectile dysfunction is a common problem in men, especially as they get older. It may be a clue to serious disease of blood vessels, but also can represent low testosterone or other abnormal hormone levels, neurological issues or problems with...Read more

A scan too many: How much is too much radiation?

Health / Keith Roach /

DEAR DR. ROACH: A year ago, I had surgery for bladder cancer, and had a small stroke and pulmonary clot. During this past year, I've had five CT scans, three chest X-rays and a couple of other scans to diagnose the stroke and clot. I also had some kind of scan in radiology to put in and then take out an IV blood filter. I am having another CT ...Read more


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