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Posted inDr. Roach

Primary care doctors coordinate care

DEAR DR. ROACH: Would you please explain the medical purpose of a primary care doctor? My expensive insurance permits me to go wherever and to whomever I wish. However, I am told invariably that the doctor I wish to see will not see me unless my primary doctor refers me. Do those physicians get a […]

Posted inDr. Roach

Estrogen and colitis meet menopause

DEAR DR. ROACH: I suffered from ischemic colitis in September 2011, and was hospitalized for five days but did not require surgery. I came home from the hospital and started having hot flashes a week later, accompanied by tingly arms and neck, palpitations, nausea and sweating. I had been taking estrogen regularly (for 10 years) […]

Posted inDr. Roach

There is much that can be done for GERD

DEAR DR. ROACH: I have evidently gotten acid reflux from using verapamil for many years. I understand that calcium channel blockers can cause this over time. I had my blood pressure medicine changed three months ago, but this problem just doesn’t go away. Since I get very nauseated taking H2 blockers and proton pump inhibitors, […]