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Posted inDr. Roach

How to treat RA in HIV-positive patient

DEAR DR. ROACH: I am 49 years old and fairly healthy. I’ve been HIV-positive for over 20 years and have diabetes. My HIV doctor told me that my rheumatoid factor was 112, and said to see a rheumatologist. He told me that the shot for arthritis isn’t good for me because my immune system is […]

Posted inDr. Roach

Do statins affect heart muscle?

DEAR DR ROACH: I have had coronary bypass surgery, and I take cholesterol medicine. I have significant muscular weakness from my medicine. If the medicine affects muscles, what about my heart muscle? My ejection fraction has started going down. — B.K. ANSWER: I can understand your concern. Statin drugs do occasionally cause muscle damage and, […]

Posted inDr. Roach

OK to use either arm to check blood pressure

DEAR DR. ROACH: Would you explain the proper method for taking blood pressure? One instruction I read says to use the left arm. However, another shows the health-care worker taking blood pressure in the left arm and patients using automatic cuffs on the right arm. The right subclavian artery comes off the ascending aorta closer […]