DEAR DR. ROACH: A very healthy male friend in his upper 50s has to make a decision whether to accept or decline his very aggressive urologist’s decision to do a biopsy of his prostate. It seems that the only thing prompting this decision is a recent prostate-specific antigen (PSA) reading of 4 ng/mL, which has […]
Dr. Roach
Iron still isn’t being absorbed properly amid iron infusions
DEAR DR. ROACH: I was prescribed iron for a low iron level due to “microcytic anemia.” I couldn’t tolerate oral iron because of constipation and hemorrhoids, so my doctor prescribed iron infusions. But I had an allergic reaction, and I continue to have sore places all over my body. I am not in great pain, […]
Supplements and a precancer scan wrack up large bills
DEAR DR. ROACH: I’m 65 and in good health. I’m only on a low-dose cholesterol medication and a blood pressure medication. I also have laryngopharyngeal (LPR) reflux. I went to a functional doctor and was sold $350 worth of supplements to do a 21-day cleanse/clean-eating/vegan-type diet. She said I would then need to go get […]
Pathologists can determine if cancer is due to outside exposure
DEAR DR. ROACH: I recently lost a brother to non-small cell carcinoma in his lungs. He was 82 years old. He was a heavy smoker in his younger years, but quit smoking 31 years ago. He worked many years in the construction trade as a union carpenter and also worked with roofing materials. He had […]
Debilitating menstrual pain might be due to endometriosis
DEAR DR. ROACH: I’m a woman who had terrible experiences with menstruation. I’ve probably seen two dozen different gynecologists, and I complained to every one of them about my painful periods and …. nothing. Not even a painkiller was prescribed. Most of them seemed to think debilitating pain is part of being female. This pain […]
Statins are still beneficial, even with good cholesterol levels
DEAR DR. ROACH: I’m 80 years old. My doctor ordered a fasting blood test, which showed that my LDL cholesterol is 119 mg/dL; my HDL is 68 mg/dL; my cholesterol/HDL ratio is 3-to-1; my total cholesterol is 208 mg/dL; and my triglyceride level is 104 mg/dL. A recent CT scan of my neck that was […]
The cause behind a case of CMML seems to be unknown
DEAR DR. ROACH: My husband recently passed away one week after his 80th birthday. According to his death certificate, he died of lung cancer (not a surprise) and chronic myelomonocytic leukemia (CMML), which was a total surprise. He was always a very healthy and vital man; he never had surgery or other medical problems. He […]
Continuous glucose monitor can be used to track diet, exercise
DEAR DR. ROACH: I am a 66-year-old male who has been exercising regularly and eating much better these past few years after my doctor warned me that I was prediabetic. Still, after initial success, my A1C levels have been creeping upward again. I’ve hit 5.8% and now 5.9% during these past two years. I’ve been […]
Muscle aches and joint pain occur after starting more meds
DEAR DR. ROACH: I am a 65-year-old man. In May 2023, I had a major heart attack. Three stents were installed. I have been doing well since the heart attack, except I now get bone and joint pain and aches. I have lost 85 pounds. My blood pressure is very good now, as is my […]
Eating chocolate before bed oddly helps with nightly urination
DEAR DR ROACH: I am a 75-year-old male who has had benign prostatic hyperplasia (BPH) for about 20 years and have taken tamsulosin during this time. I have always had to urinate at least once per night and up to three to four times per night periodically. Two weeks ago, I had a chocolate craving […]