DEAR DR. ROACH: I’m a 75-year-old man who is quite active in many sports, including tennis. About six weeks ago, I developed pain in the outside of my elbow, which the internet tells me is lateral epicondylitis. I’ve never had an injury, including fractures, that is so persistent. I seem to be no closer to […]
Dr. Roach
Long COVID symptoms need not put off vaccination
DEAR DR. ROACH: Is it safe for an unvaccinated person experiencing long-term symptoms after a COVID-19 infection to get the vaccination, or must they wait until the typical 90-day period for symptoms to diminish or disappear? — P.M. ANSWER: In general, people can expect to have symptoms of acute COVID-19 infection for up to four […]
Beta blocker is a standard treatment for chest pain
DEAR DR. ROACH: My sister recently had chest pain during exercise and now she is on metoprolol, but the cardiologist hasn’t explained to her the reason for the medication. What could she be on the medicine for? — M.D. ANSWER: There are many reasons for chest pain. It happens both within the heart and in […]
Can Chantix help smoker quit safely the second time around
DEAR DR. ROACH: I am a 68-year-old female smoker in good health aside from having osteoporosis. I am addicted to smoking and have tried everything available to quit without any success. I tried taking Chantix 15 years ago and became suicidal. At that time, my late husband and I decided we would quit together using […]
Nurse’s doom and gloom spring from kernal of truth about fracture risk
DEAR DR. ROACH: I am a 73-year-old woman. I recently fell in my house doing housework and surprisingly broke my left hip. Before the fracture I was in excellent health and extremely active. I walked daily, went to the gym and did both weight resistance and aerobic workouts. I am on no other medications other […]
Reader shocked to find that EKG is no longer part of physical
DEAR DR. ROACH: It has been almost a year now that I had my physical with my general doctor, and I’m mulling over whether to return to her for this year’s physical. I am a 73-year-old man with usually unremarkable physical exams except for low HDL. I have a history of paroxysmal atrial fibrillation, with […]
Fasting no longer strictly required for glucose or cholesterol
DEAR DR. ROACH: My nurse practitioner just ordered blood tests, including blood sugar and cholesterol. He said I didn’t need to fast for either of them, but to inform the lab that I wasn’t fasting. This surprised me, since I’ve been fasting for years for these tests. I asked him if I could have coffee, […]
Is berberine beneficial for blood sugar control?
DEAR DR. ROACH: I would like your advice on the supplement berberine. My husband is a Type 2 diabetic, and he recently read an article about the benefits of berberine for lowering blood sugar. It’s supposedly better than cinnamon, which he is currently taking. — A.H. ANSWER: A few years ago, cinnamon was very popular […]
Is it safe to switch vaccines for your covid booster?
DEAR DR. ROACH: I’m 71 and have had both Moderna COVID-19 vaccination shots. When I called my doctor to inquire about a Moderna booster, I was told one was not available now but that I could take the Pfizer booster. Can you confirm this? I’m a little wary of taking another type of booster shot. […]
Sensitivity and specificity: taking the measure of at-home tests
DEAR DR. ROACH: How reliable are home COVID-19 tests? I’ve read one article that said that if you tested negative you could be certain that you did not have COVID-19, but if you tested positive there was a significant chance of a false positive. Another article said exactly the opposite. What are the facts? — […]