DEAR DR. ROACH: My wife’s handicap parking placard expired, and she asked her primary care physician to fill out a renewal application. The new placard was received, followed by a letter from the DMV instructing my wife to return her license within 10 days because a medical professional had deemed it unsafe for her to […]
Dr. Roach
High total cholesterol with normal LDL needn’t cause worry
DEAR DR. ROACH: My husband and I recently achieved the near impossible task of becoming attached to a family doctor! After many years without getting tested, our first order of business was a complete blood panel test, which — to our horror — showed that we both have high cholesterol. Our results are almost identical […]
Long-term treatment for continuous panic attacks is necessary
DEAR DR. ROACH: What causes a sudden feeling of being nervous and having your chest beat hard and restless? One time, I ran to the hospital because I thought I was having a heart attack, but all test results came back normal, including my electrocardiogram, hormone level, potassium, complete blood count, cholesterol, uric acid, liver, […]
Case of dementia erases past trauma from memory
DEAR DR. ROACH: My brother-in-law (age 78) recently developed dementia. Everything after the age of about 20 is gone for him, and he lives in the past, though he does still connect with my sister. For some time now, he has taken a psychopharmaceutical (Zoloft) for PTSD, stemming from earlier experiences. My question is, what […]
Pap smear returns with unsatisfactory results
DEAR DR. ROACH: I am a 59-year-old female in good health, except for my rheumatoid arthritis, which is controlled with a prescription of methotrexate. My question pertains to Pap smears. My OB-GYN says that guidelines indicate Pap smears are to be done every three years, unless there is a complication. My most recent one, last […]
Pap smear returns with unsatisfactory results
DEAR DR. ROACH: I am a 59-year-old female in good health, except for my rheumatoid arthritis, which is controlled with a prescription of methotrexate. My question pertains to Pap smears. My OB-GYN says that guidelines indicate Pap smears are to be done every three years, unless there is a complication. My most recent one, last […]
Praluent injections significantly decrease LDL level
DEAR DR. ROACH: I am a 66-year-old male diagnosed about 15 years ago with mild coronary artery disease, with some blockages in my peripheral arteries. I was taking the maximum recommended dosage of pravastatin to maintain a low cholesterol, but I experienced complete ruptures of both Achilles tendons. These incidences occurred five years apart, but […]
Praluent injections significantly decrease LDL level
DEAR DR. ROACH: I am a 66-year-old male diagnosed about 15 years ago with mild coronary artery disease, with some blockages in my peripheral arteries. I was taking the maximum recommended dosage of pravastatin to maintain a low cholesterol, but I experienced complete ruptures of both Achilles tendons. These incidences occurred five years apart, but […]
Left anterior fascicular block diagnosis causes alarm
DEAR DR. ROACH: I am a 66-year-old woman who recently had an ECG prior to my knee surgery. The interpretation I received stated that I had an abnormal ECG with a “left anterior fascicular block.” Needless to say, this alarmed me. I saw a nurse practitioner who stated: “Don’t be concerned by the language; your […]
Prostate cancer med greatly decreases libido in men
DEAR DR. ROACH: My romantic partner of one year (a 51-year-old male) is being treated for prostate cancer with Eligard. He received a second injection two months ago. I am satisfied with our level of sexual intimacy, even though it has not included penetration. He is frustrated that his sexual desire has decreased. This is […]