DEAR DR. ROACH: In one of your recent columns a writer had Type 2 diabetes with an A1C level usually no higher than 6.2% controlled with oral medication. You said that level is so well-controlled that you wondered if the person needed the medication, and that many experts would reduce or eliminate medication in a 66-year-old with that A1C. ...Read more
DEAR DR. ROACH: Many of my friends assert that the use of essential oils "supports" their immune system and reduces their risk of getting sick. They diffuse them into the air at home, add them to water or tea and apply them to the soles of their feet. Are there studies to back up these claims? -- K.M.
ANSWER: There are studies that show that, ...Read more
DEAR DR. ROACH: Our 44-year-old daughter had an event called VAD, vertebral artery dissection -- a tear in an inner artery -- which has turned her life upside down. She was very fortunate to have been seen by an emergency room doctor who had heard of VAD and immediately put her on aspirin and Plavix to try to prevent a stroke. The pain was a ...Read more
DEAR DR. ROACH: I am a 78-year-old man with severe COPD who is on oxygen 24/7. I use a portable oxygen generator when I need to go to the store or for medical appointments. Does the oxygen protect me from getting virus or flu germs, or is it more likely I will inhale them with the air and deliver it to me in my oxygen? I go out seldom and try to...Read more
DEAR DR. ROACH: The last time I saw my urologist, I asked him to check my testosterone level because it hadn't been checked in a couple of years. His nurse notified me that it was low and that I should make an appointment with one of his colleagues that specializes in treatment for that. When I saw that doctor, he prescribed generic Cialis for ...Read more
DEAR DR. ROACH: In a prior column, you discussed an enlarged prostate, or BPH. How does one know if they have BPH or overactive bladder? I wake up three times a night to urinate. I tried Flomax for three weeks, but it did not work. Tamsulosin plus finasteride seems risky, having two drugs in one's system. Why not just get surgery to reduce the ...Read more
DEAR DR. ROACH: Many seniors, like myself, have received pneumonia shots within the past five years. Since the flu and coronavirus can result in a form of pneumonia in a severe case, would these shots be helpful to prevent or treat this virus even slightly? If seniors are most vulnerable, then maybe those who may not have received these shots ...Read more
DEAR DR. ROACH: I just read your column about Fosamax and wondered what you thought about Evista (raloxifene). I have been on it for 13 or 14 years because both my sisters have had breast cancer and I have osteopenia. Is this something that can be taken indefinitely, or do I need to stop? My gynecologist says to keep taking it, but I wonder what...Read more
DEAR DR. ROACH: Would you please speak about the proper way to wean off of Paxil? I have been taking 20 mg daily. To wean off, I took 10 mg alternating with 20 mg every other day for one week, then 10 mg daily for four days, then stopped. After three days, I developed dizziness, nausea, fatigue, tinnitus and intermittent "brain zaps." I felt ...Read more
DEAR DR. ROACH: My 18-year-old daughter has had digestive problems on and off for a few years now. Her appendix was removed in March 2015. She had brutal abdominal pain, but the ultrasound scan didn't show anything wrong with her appendix. Summer 2018, she started having bad digestion problems. She could hardly hold anything in. The food came ...Read more
DEAR DR. ROACH: I am a 69-year-old male in good health. In 2017, I experienced a pulmonary embolism in my left lung. Following that episode, my cardiologist put me on a statin regimen of 40 mg Lipitor. This was to get my LDL numbers down to 60 or lower in order to counteract a buildup of plaque in arteries after an angiogram revealed less than ...Read more
DEAR DR. ROACH: I became short of breath walking upstairs or during mild exercise, like walking a short distance. My stress test was normal, heart normal and blood pressure good. My doctor has ordered a coronary calcium score. Should I be concerned about the amount of radiation in this CT scan? -- P.M.
ANSWER: A coronary calcium score is ...Read more
DEAR DR. ROACH: I will never willingly get a vaccine for anything. I have been sick only once in my life, and it was from a vaccination that I received in the seventh grade. I am now 80. Besides my bad experience, I do not get vaccinations because I do not know what they are. Also, I do not know the difference between a virus, a germ and ...Read more
DEAR DR. ROACH: I'm a 56-year-old-female with very high lipoprotein(a) and am wondering if I should be as concerned about it as I am. I became aware of it in 2018) after I was tested as part of an executive-type physical. After almost two years of looking for a doctor to take my concern seriously, I was tested again. I also had a carotid ...Read more
DEAR DR. ROACH: Recently, a well-respected consumer organization ran an article asserting that hundreds of thousands of people die every year just from eating deli meat! The problem is supposedly that the nitrates and/or nitrites in the meat combine to make nitrosamines, which are supposedly carcinogenic.
Just what evidence is there that ...Read more
DEAR DR. ROACH: My doctor started me on Wellbutrin 150 mg XL for depression, but I have had terrible insomnia. She said it would get better in two to four weeks, but I am having severe anxiety due to not sleeping. Do you have any suggestions? -- N.M.N.
ANSWER: Bupropion (Wellbutrin) is an antidepression medicine in another kind of class from ...Read more
DEAR DR. ROACH: At the end of January, I had my yearly physical, and my doctor recommended that I start taking a statin drug. I am a female, 71 years old and take no prescription drugs now. At the end of the physical the doctor told me that I am "very healthy."
My cholesterol is 212 with an HDL of 39. My blood pressure is 106/60. I chose to ...Read more
DEAR DR. ROACH: I read your recent column on the value of the shingles vaccination. In 1991, I had a mastectomy and, as a precautionary measure, I had my other breast removed in 1994, with all lymph nodes removed in both arms. After my surgeries my instructions were never to have blood taken, blood pressure or injections in either arm. I ...Read more
DEAR DR. ROACH: My wife had a laparotomy several months ago, and she lost the hearing in her right ear, possibly from an antibiotic given (intravenous vancomycin). She has had four steroid injections into the right ear, to no avail. She now has to be fitted with a hearing aid. What is the likelihood of her hearing ever coming back, and why did ...Read more
DEAR DR. ROACH: Our excellent insurance allows for a yearly wellness visit at no cost. My regular copay is a very reasonable $10. So, the cost is not the real issue. For the past few years, after my visit, I have received a bill for $10, with the explanation that while the wellness visit was free, I was being charged for a regular visit also. ...Read more