DEAR DR. ROACH: When I was diagnosed with hemochromatosis, my doctor explained that a ferritin level of 380 ng/mL was too high. I am a male and would like to know if I need to continue getting phlebotomies. After several phlebotomies in three to four months, my level was 122 ng/mL. Currently, I have a […]
Dr. Roach
AI-assisted device produces after-visit summaries full of errors
DEAR DR. ROACH: My primary care physician has been using an AI-assisted device during our office visits that transcribes and records our visits. I receive an after-visit summary a few days later that contains minor errors at the least, but they’re often blatant errors. For example, one problem was listed as “vasomotor symptoms due to […]
Couple wonders which vaccinations are necessary for their trip
DEAR DR. ROACH: My husband and I booked a cruise for March with stops in Singapore; Vietnam; Hong Kong; Taipei, Taiwan; and Japan. We are healthy 67 year-old Nevada residents with no medical problems. I’ve checked with my personal physician, our travel agent, and several websites, including the Centers for Disease Control and local health […]
Rapid heart rate persists for over a decade without evaluation
DEAR DR. ROACH: I’m a 75-year-old woman who, for at least 10 years now, has been experiencing a rapid heart rate. My blood pressure, however, remains normal. In fact, doctors are usually surprised at how good my blood pressure is since I am borderline obese and slightly diabetic. During this past physical, my doctor did […]
Understanding the dangers of untreated sleep apnea
DEAR DR. ROACH: Would you please address the dangers of untreated sleep apnea? Also, what do people do when they are unable to tolerate a CPAP (continuous positive airway pressure) machine? I know that surgery is an option, but most times, it can be unsuccessful. — Anon. ANSWER: Obstructive sleep apnea (OSA) is very common […]
Double-check for drug interactions when taking new medicines
DEAR DR. ROACH: My wife was recently discharged after a lengthy hospital stay with multiple diagnoses. Most of her issues were treated medically and resulted in six new medications from four different medical disciplines, in addition to three other medications that were prescribed pre-hospitalization. Finding drug interactions was fairly easy online, and the hospital’s discharge […]
A case of muscle spasms solely occurs on the weekends
DEAR DR. ROACH: I’ve had muscle spasms and cramping in my lower legs and feet for quite some time. It almost always happens when I’m laying in bed and in the early morning hours. If I stand up and walk around, it stops, but if I lay back down, it usually starts up again. I […]
Woman wonders what is the best way to treat a hiatal hernia
DEAR DR. ROACH: I am a 74-year-old woman who is active and healthy. I recently had an endoscopy, and the findings were a hiatal hernia of about 5 centimeters with some inflammation. I have been having almost daily acid reflux episodes. The gastroenterologist put me on a regimen of 40 mg of omeprazole for six […]
Long-term use of high-dose gabapentin causes great concern
DEAR DR. ROACH: Am I a doomed man? When I was 25, I survived a battle with testicular cancer. The good news is that 45 years later, after two kids and three grandkids, I’m in good health. The only medicine I take is gabapentin for peripheral neuropathy that was caused by the chemotherapy drugs I […]
Blood pressure level fluctuates after getting off all medications
DEAR DR. ROACH: I am 89 and in good health. For six months, my systolic blood pressure was 113 mm Hg. Then, 10 days ago, it dropped to 88 mm Hg for a week. For today and the past week, it’s been 187/93 mm Hg. I was on a blood pressure medication, but my doctor […]