DEAR DR. ROACH: I read your recent column about a person who had knee pain after a knee replacement. I am a retired orthopedic surgeon who performed on over 10,000 total joints of the hip, knee and shoulder in my 47 years of active surgical practice. A well-done total knee replacement does not give the […]
Dr. Roach
Steatotic liver disease can be treated with weight loss, exercise
DEAR DR. ROACH: I had right upper abdominal pain, and my doctor suspected gallbladder problems. The abdominal ultrasound showed that my gallbladder was normal, and the HIDA scan showed normal gallbladder function. But the ultrasound reported “hepatic steatosis,” aka fatty liver disease. My labs were all normal, including an ALT test of 19. My doctor […]
Apple cider vinegar is a surprising help for blood in urine
DEAR DR. ROACH: Recently, I had anal cancer and was treated with chemo and radiation. The radiation burned my insides, severely damaging most of my internal organs. One of the aftereffects was occasional blood and small clots in my urine. A few months ago, both the frequency and the amount of blood, especially the clots, […]
Doctor oddly recommends less liquid to avoid kidney disease
DEAR DR. ROACH: I am a 79-year-old woman who weighs 123 pounds and exercises with Zumba, yoga and cardio drumming. I feel well and have plenty of energy, friends, support and family. I have been on a low-salt eating program to treat Meniere’s disease for 25 years. My blood pressure is 115/69 mm Hg. My […]
Lisping could potentially be the first symptom of ALS
DEAR DR. ROACH: My mother-in-law died at age 73 from amyotrophic lateral sclerosis (ALS). There was no family history of the disease. My sister-in-law, age 72, is now experiencing occasional problems with lisping. Could this be the first sign of her developing familial ALS? She is in great physical condition otherwise, and she has no […]
What are the causes behind mobility problems?
DEAR DR. ROACH: I’m 79 and can move around without any problem. However, it seems that many people — some younger than I am — have mobility problems. I wonder what causes this problem: lack of exercise, genes, weight, etc.? I walk five days a week, and my weight is normal. — E.G. ANSWER: Be […]
Distinguishing between types of therapy for severe depression
DEAR DR. ROACH: I am an ex-medical/surgical nurse. I have a daughter-in-law who was treated for depression with magnetic therapy. My psychiatric exposure in the 1950s was with electroshock therapy and insulin shock therapy. Can you explain how the new magnetic therapy works for depression, compared with the other two treatments? P.S. Is electroshock therapy […]
Meds can help identify the cause behind cough with mucus
DEAR DR. ROACH: I am an 103-year-old woman with a medical problem that I hope you can help me with. I cough up a lot of mucus every day, which is clear with no discoloration. The cough can start at anytime, but it is more prevalent at night. The mucus starts with the cough and […]
Herpes symptoms usually appear four days after exposure
DEAR DR. ROACH: I have a question regarding the transmission rate of herpes simplex virus (HSV-1). I had a sexual encounter with exposure to HSV-1. Despite being careful, there was some contact. I explained my fear of contracting HSV-1, and my partner admitted that they had the virus but had been on antiviral medication for […]
Ten days is sufficient enough to stop isolation after mild COVID
DEAR DR. ROACH: My husband and I both came down with COVID. We had all of the usual symptoms and have since recovered. We have been in isolation and are even wearing masks around the house to keep our (so far) uninfected son safe. However, after 15 days for me and 17 days for my […]