DEAR DR. ROACH: I’m 72, and I have had arthritis for three years: two years in both knees, one year in my right hip and the base of my spine. I am 5’3″ and weigh 221 pounds, with a body mass index (BMI) of 39. I lost 23 pounds from January to June. What is […]
Dr. Roach
Showering at night doesn’t increase stroke risk in seniors
DEAR DR. ROACH: I’m a senior, and I shower in the evenings, regardless of what time I go to sleep. There are times I shower after midnight as well. I was told that showering late, and then going to sleep isn’t good for seniors because it overstimulates the body and is not conducive to good […]
Recognizing the difference between current strains of viruses
DEAR DR. ROACH: Are the current strains of COVID and monkeypox similar to the AIDS virus? I’m confused about the manner of spreading it and where these strains came from. — Z.B. ANSWER: SARS-CoV-2 (the virus that causes COVID-19), monkeypox virus, and HIV (the virus that causes HIV infection and, ultimately, AIDS) are all viruses, […]
Prostate medication incites sexual side effects within men
DEAR DR. ROACH: I have been taking tamsulosin and finasteride for prostate issues — nothing major, just the usual middle-of-the-night urges and frequent urination. Could these medications contribute to my new concerns of erectile dysfunction (ED), changes in ejaculation and/or my occasional bout with kidney stones? My urologist has suggested Viagra for the ED, but […]
Narrow angle glaucoma calls for an immediate laser iridotomy
DEAR DR. ROACH: My eye doctor told me I’m in danger of an “acute attack” of narrow angle glaucoma and that I need iridotomy in both eyes right away. He also said this may be related to my headaches. I wanted to get a sense of whether to go ahead with it pretty quickly or […]
Excess connective tissue leads to outward skin conditions
DEAR DR. ROACH: In my 40s, I developed lumps in the palm of my hands. I was diagnosed with Dupuytren’s contracture and underwent hand surgery to correct the condition. I also noticed similar lumps in the arches of my feet, which cause no pain, so I’ve not sought treatment for my feet. Now in my […]
Length of dual anti-platelet therapy depends on risk factors
DEAR DR. ROACH: I had a surprise heart attack two months ago. (I have no family history of heart attack, and my blood pressure and cholesterol numbers were good.) My right coronary artery was 100% blocked, and a drug-eluting stent was inserted. Thankfully, there was no heart damage, and other arteries are fine. I am […]
Testosterone injections most likely led to a very severe stroke
DEAR DR. ROACH: My 75-year-old husband was frustrated with not being able to retain an erection. He talked to his doctor about it, and she prescribed 200 mg of testosterone cypionate, which he would inject into his bottom once a week. He did this for four months, and then had a severe bilateral stroke (as […]
High-intensity focused ultrasound not yet standard for cancer
DEAR DR. ROACH: I have prostate cancer. My PSA levels were as high as 48, and I’m taking medication to lower the numbers to 40. My urologist has recommended a high-intensity focused ultrasound after reviewing my MRI and biopsy results. Apparently, the cancer has not spread beyond the prostate. I was told that this procedure […]
First drink of alcohol incites face flushing and anxiety
DEAR DR. ROACH: I am a 76-year-old man in excellent health. I don’t take any medication, except for simvastatin for over 15 years. My cholesterol is now below 200. But, a problem started about eight months ago. When sitting with friends, I’ll have my first drink of beer. Within a minute, my face gets bright […]