DEAR DR. ROACH: I am a 24-year-old woman. My mother had ductal carcinoma in situ in her mid-40s, successfully treated with surgery and radiation. One of my paternal aunts survived a malignant breast cancer. Am I considered high risk for breast cancer? I know my mom’s cancer increases my risk, but does DCIS increase the […]
Dr. Roach
How to avoid a daily dose of food-drug interaction
DEAR DR. ROACH: I’ve been taking levothyroxine for 30 years. I take my daily dosage at about 4 a.m. and eat breakfast at 6:30, more or less. I usually have the same breakfast: rolled oats with some flax meal, blueberries, pea milk and half a banana. I just read an article in the newspaper that […]
When should COVID infection be blamed for heart block?
DEAR DR. ROACH: Is COVID-19 infection a cause of heart block? I recently had a complete heart block, tested positive in the ER for COVID-19 (symptomless and post-vaccine), and was fitted with a permanent pacemaker. I’m 63, female, in good health except for a luckily nonsevere, 10-year diagnosis of Sjogren’s syndrome. My cardiologist doesn’t think […]
You can still do weight-bearing exercise at home indoors
DEAR DR. ROACH: I am a healthy 79-year-old female who recently underwent a right total knee arthroplasty. In a routine post-operative X-ray there was indication of early osteopenia in my long bones. I live in Montana and walk regularly during the summer months, but during winter it is more difficult. I have an exercise bike […]
CHEK2 is one of many breast cancer genetic mutations
DEAR DR. ROACH: I am a healthy 63-year-old woman. My 29-year-old niece was just diagnosed with metastatic breast cancer. She discovered that she carries a mutation of her CHEK2 gene. Her father, who is my brother, also has the gene. Should I get tested for the gene and should my children be tested? What can […]
A straight answer on what constitutes excessive NSAID use
DEAR DR. ROACH: I am an active 72-year-old male in good health. I do, however, suffer from arthritis in my left ankle, the result of a broken bone while playing football in high school. When the pain flares, I take an Aleve, and it provides quick and nearly total relief. I have read that the […]
What’s worse: allergy symptoms or allergy med side effects
DEAR DR. ROACH: I suffer from frequent allergic sneezing and coughing. Every day I seem to sneeze and sniffle. A daily Zyrtec controls the symptoms, but I am reluctant to take it daily as I understand it is an anticholinergic and continual use can have cognitive effects and cause other issues. I also have friends […]
What’s worse: allergy symptoms or allergy med side effects?
DEAR DR. ROACH: I suffer from frequent allergic sneezing and coughing. Every day I seem to sneeze and sniffle. A daily Zyrtec controls the symptoms, but I am reluctant to take it daily as I understand it is an anticholinergic and continual use can have cognitive effects and cause other issues. I also have friends […]
Cinnamon supplement appears to effect glucose reading
DEAR DR. ROACH: I have had slightly elevated glucose levels (104-109) for several years. I found a dietary supplement of cinnamon, vitamin D and chromium. I took the directed amount for a period of time and had a glucose test of 61. I don’t know if it was a fluke or not. A recent A1C […]
Some medicines can make blood sugar control harder
DEAR DR. ROACH: I have been prediabetic for around 13 years and had been able to keep it that way though diet and exercise — no medications for it. But the real issue now is that I have developed congestive heart failure, which probably sounds worse than it really is. However, the medications I have […]