DEAR DR. ROACH: I’m a 74-year-old female who smoked a pack a day for 40-plus years, having quit smoking about 18 years ago. As a precaution, I asked my primary doctor to order a screening CT scan, knowing that I’m a candidate for lung cancer. The results showed a 3-mm nodule in one lung, and […]
Dr. Roach
Smoking, symptoms biggest factors in COPD prognosis
DEAR DR. ROACH: I was diagnosed with COPD a year and a half ago and have several questions. I seem to be unable to get answers from my pulmonary doctor, as he is always busy and doesn’t have a lot of time to spend with me. How fast does COPD progress? I’m 78 years old, […]
CPAP can help with sleep apnea
DEAR DR. ROACH: How are sleep apnea, sighing and heart failure related? Recently, I was told that I have severe sleep apnea and that I must use a CPAP machine. I have noticed that during the day I frequently take a spontaneous deep breath. Is that sleep apnea while awake? I have coronary heart disease […]
The battle for weight loss continues
DEAR DR. ROACH: I am looking for advice on diet pills. I have tried everything. I eat well, go to the gym and walk, but my meniscus problem limits my walking speed. Since menopause, I have gained 30 pounds. I am sure there is something out there that will kick-start my metabolism. I am so […]
Chest CT can’t stand in for screening mammogram
DEAR DR. DONOHUE: I am due to have a mammogram in July, but around the same time I am supposed to have a chest CT as a follow-up to my chondrosarcoma cancer. I have a CT every other year, and an X-ray on the opposite years of both my affected arm and my lungs. Does […]
Gluten- and grain-free foods not a marketing gimmick
DEAR DR. ROACH: I have no health issues, but I’m a cheapskate. I see products labeled as “grain-free” or as “gluten-free,” but they always cost more than the regular product. Are there any health benefits to using these, or are they marketing gimmicks? — L.C. ANSWER: They are not marketing gimmicks at all. People with […]
There are more than two types of diabetes
DEAR DR. ROACH: Last year, at 57, I was diagnosed with Type 1 LADA diabetes. Initially I was put on insulin to get my blood sugar within the normal range. Then I was just on metformin until the “honeymoon period” was over. My endocrinologist is great. I now am back on insulin (six units at […]
Cologuard test is worth the risk of a false positive
DEAR DR. ROACH: I am a 77-year-old man in good health. At my recent annual physical exam, my physician ordered a Cologuard kit to be sent to me to screen for colorectal disease. I have never had symptoms of disease or problems with any part of my gastrointestinal tract. I had two colonoscopies at different […]
Diet is a powerful tool for improving overall health
DEAR DR. ROACH: I have a strong history of premature heart disease in my family, and I have been having some unpleasant side effects of blood pressure medicine. I decided to try a completely plant-based diet: grains, vegetables, legumes, fruit, seeds and nuts. After about a month on the new diet, my total cholesterol dropped […]
Balance risk against benefit with estrogen cream
DEAR DR. ROACH: In a recent column, you addressed the costs of vaginal Premarin but did not mention the risks associated with stroke and dementia. Do you consider these risks to be of importance? I am wary of using Premarin, although I suffer from vaginal atrophy. — J.S.B. ANSWER: Hormone replacement, given orally or by […]