DEAR DR. ROACH: Are medical advances going backward? If not, why are so many people dying in their 50s and 60s? Just look at the obituaries. By now, we all should be living into our 80s and 90s. What’s your take on this subject? — R.S. ANSWER: Medicine has made incremental benefits on many fronts. […]
Dr. Roach
Optimistic news on COVID vaccine: drop in asymptomatic cases
DEAR DR. ROACH: Can you get long COVID from symptomless post-vaccine infection? — L.B. ANSWER: “Long COVID” refers to long-term symptoms following an infection with the novel coronavirus. These symptoms, which may persist for months (at least), include fatigue, difficulty concentrating often called “brain fog,” persistent loss of smell or taste, headache, chest discomfort and […]
When and how long to treat a tick bite to prevent Lyme disease
DEAR DR. ROACH: Two days ago, I was bitten by a tick, which drew blood. Yesterday I was given just two 100-mg doxycycline caps to be taken together with a meal and instructions to “continue the observation of any symptoms.” It does not seem sufficient to me. Last year, when I was bitten, I received […]
Violent nighttime movement likely REM sleep disorder
DEAR DR. ROACH: I am very concerned about an issue with my husband that is getting worse quickly. He is 76 years old, has some heart problems and has had artery and heart surgery and pulmonary problems primarily caused by toxic exposures to pesticides in the past. The situation is that at night, after we […]
Find source of iron shortage before resuming blood donations
DEAR DR. ROACH: A year ago, I was diagnosed with iron deficiency anemia. A colonoscopy found no problems. An endoscopy found a small raw spot on my stomach lining; it was not bleeding. My iron count was 7. Two months earlier it was 102. I was told to take an iron supplement twice a day. […]
The difference between vaccination and variolation
DEAR DR. ROACH: I recently watched a TV program about vaccines. I’ve always thought that vaccines dated to Jenner and his cowpox vaccine. The program pointed out that before Jenner started experimenting, some countries (the program mentioned Africa, India and China) had a tradition of cutting the arm of a healthy person and then smearing […]
Weighing osteopenia treatment against periodontal disease
DEAR DR. ROACH: I am an 80-year-old female in good health except for a diagnosis of osteopenia. My primary care doctor has prescribed medication for my osteopenia. I have periodontal disease and have been advised by my periodontal specialist not to take medication for osteopenia due to deterioration of the jawbone. I think I am […]
Noncancerous mass in middle ear requires surgery to remove
DEAR DR. ROACH: I have recently been diagnosed with a cholesteatoma in one ear, which has resulted in significant hearing loss. How common is this condition? I have been advised that surgery is my only treatment option. They anticipate the more extensive surgery requiring “drilling a hole in my head” versus going through the ear […]
Technique, setting matter when taking blood pressure reading
DEAR DR. ROACH: During my annual wellness visits to the doctor, my blood pressure is always taken. But it is done differently depending on the person taking it. How many times should the pump be used, and does it make a difference in the reading? My readings are coming out hugely different. This last reading […]
HTLV infection is rare in North America
DEAR DR. ROACH: I recently donated blood to our local blood bank, which I have done many times in the past. Three weeks later, I received a letter stating that my blood was not accepted, and would never be accepted, due to being reactive to HTLV-1 and -2. I had my blood rechecked and all […]