DEAR DR. ROACH: I’m an 80-year-old male who learned from a much younger male about the tremendous improvement he’s had in his life since undergoing a TURP (transurethral resection of the prostate) procedure. I hadn’t know he was having a problem and had been through the drug routine that was providing him with limited improvement. […]
Dr. Roach
Price of medication for atrial fibrillation starts to climb
DEAR DR. ROACH: My husband is taking Eliquis for atrial fibrillation (AFib). The cost is going up, and there is no generic brand for Eliquis. Looking at drug websites, I have found other drugs that are anticoagulants: Xarelto, heparin and warfarin are a few. Is there a generic brand you would recommend that we can […]
Cancerous tumor in salivary glands could be cured surgically
DEAR DR. ROACH: My husband has a tumor in the right sinus of his face, and the biopsy results show that it is cancer of the salivary glands (adenoid cystic carcinoma). The oral surgeon says it will continue to grow and cause discomfort, and wants to remove part of his jaw and teeth to do […]
Ten-year fracture risk determines need for osteoporosis meds
DEAR DR. ROACH: I am 77 and have been diagnosed with osteoporosis. I am taking Fosamax and taking all the steps recommended for strengthening bones. But I have two questions: First, is it possible to avoid a fracture without taking medication. Second, is it necessary to avoid coffee completely? I am confused about both questions, […]
Condition of anorgasmia cannot be resolved by Viagra
DEAR DR. ROACH: I’ve been seeing a man — he’s 75, and I’m 77. He uses the blue pill; however, he can’t orgasm. I don’t want him to feel insecure if I were to ask him questions, so could you explain his problem to me? — Anon. ANSWER: The “blue pill,” Viagra (sildenafil), is a […]
Steroid dosage taken to relieve pain is safe, but not indefinitely
DEAR DR. ROACH: I need your opinion. I was diagnosed with metastatic lung cancer almost two years ago. I have had chemo treatments (Keytruda, carboplatin and Alimta) for over one year. My most recent PET and CT scans of my lungs were all stable, with no change. My oncologist says that I do not have […]
Diabetes patient persists on hospice care without medication
DEAR DR. ROACH: My dad has been on hospice care for several months now. He had an untreated wound infection that was not responding to meds, so he went on hospice. Also, his wife died, and he lost the will to live after that. His sugars are well into the 400s. He is on pain […]
CAR T cell therapy could be effective for autoimmune diseases
DEAR DR. ROACH: I have several family members with autoimmune diseases. I read about a study from Germany where people with lupus were treated with CAR T cells, which proved effective. Will this treatment be available for other autoimmune diseases? — R.C. ANSWER: The immune system has two major components: antibody-producing cells (B cells) and […]
Follow-up colonoscopy necessary after a result of eight polyps
DEAR DR. ROACH: I am a 73-year-old male. This year, I had a colonoscopy. They found some small polyps and one larger polyp. All polyps tested negative for cancer. I have had two previous colonoscopies in the past 10 years. Polyps were found in each one. My gastroenterologist said I should have another colonoscopy in […]
Navigating the necessity of losing weight, according to BMI
DEAR DR. ROACH: I was confused by your column the other day, as well as the response regarding weight loss to a writer who is losing height due to aging and/or osteoporosis. Would it be possible to please obtain more information about why it’s not necessary to lose weight unless someone is in the morbidly […]