DEAR DR ROACH: I’m 60 years old now. I never had chicken pox as a child but was tested as an adult, and I do have the antibodies. I’ve been on a standard dose of acyclovir for 15 years after I had a severe neurological reaction to a potential but unconfirmed herpes simplex infection. My […]
Dr. Roach
Provider suddenly refuses to renew a prescription of raloxifene
DEAR DR. ROACH: I am an 85-year-old woman in relatively good health. I had been taking raloxifene for approximately 45 years. My doctor at the time said that since I had a complete hysterectomy, I should be on it for the rest of my life to help prevent breast cancer and osteoporosis. My bone density […]
Urologists disagree on finasteride for an enlarged prostate
DEAR DR. ROACH: I was diagnosed with an enlarged prostate two months ago. I thought it was another kidney stone I needed to pass, but I had a totally blocked urethra. I was sent home from the emergency room with a two-week catheter. My urologist prescribed 5 mg of finasteride and alfuzosin. I spend winters […]
The use of DMSO isn’t recommended based on potential harm
DEAR DR. ROACH: I’m interested in consuming dimethylsulfoxide (DMSO). I’ve read it will destroy the root of cancer and hasten the healing of broken bones, ligaments and strained muscles. My question is whether it is OK to consume the suggested amount of DMSO? My aortic valve was replaced with a mechanical valve three years ago. […]
Man continues to use nicotine gum after quitting smoking
DEAR DR. ROACH: I have a good friend who is almost 77 years old. He was a heavy smoker until about 14 years ago. He decided to quit smoking and used nicotine gum to help with this process. It’s my understanding that nicotine gum should only be used for a fairly short period of time […]
Expecting mom wants grandmother to get vaccinated ASAP
DEAR DR. ROACH: My daughter-in-law and son are expecting their first baby in late January. I am a 65-year-old healthy, fit woman. I walk daily and do yoga. Other than perhaps my age, I have no medical risk factors. She is requesting that I received the respiratory syncytial virus (RSV) vaccine. I do not see […]
Why so many meds include warnings of suicidal thoughts
DEAR DR. ROACH: It seems that many of the medications I see advertised on television carry a warning about “thoughts of suicide.” Can you explain why so many diverse drugs share this same side effect? — W.S. ANSWER: Unfortunately, suicide is a too-common cause of death that many people are uncomfortable talking about. However, it […]
Embolization provides great benefit to man with heart failure
DEAR DR. ROACH: My husband is 73 and was diagnosed with heart failure and a severely dilated left ventricle. At the time, he was pumping 10 liters per minute. He had a proBNP natriuretic peptide level over 10,000 and an ejection fraction of 39%. Later, he was found to have an abdominal arteriovenous malformation (AVM). […]
Probiotics may help restore good bacteria in the gut
DEAR DR. ROACH: You recently wrote that you do not recommend probiotics in healthy people. I am a 78-year-old male who, three years ago, underwent an esophagectomy to remove my esophagus and part of my stomach because of cancer. I was put on 30 mg of pantoprazole, which was later increased to 40 mg. I’ve […]
Epidural injections could provide relief for back and butt pain
DEAR DR. ROACH: I am a 75-year-old male and have had pain in my buttocks down to my outside thigh muscles. My primary care doctor ordered an MRI of the lower back and referred me to an orthopedic doctor who specializes in back issues. The doctor diagnosed my condition as lumbar spondylosis based on disc […]