To Your Good Health

By: Dr. Keith Roach

To Your Good Health

Dr. Roach answers reader questions on disease, public health and sports medicine. 5TW

An informative and educational column on infectious diseases, public health and sports medicine by Dr. Keith Roach, a highly respected physician at Weill Cornell Medical College and New York Presbyterian Hospital.

[dr-keith-roach-with-bkg6-307x360] Dr. Keith Roach graduated from the University of California, Berkeley, with a degree in molecular biology. He earned his M.D. at the University of Chicago, and did his internship and medicine residency training there.

In 2000, Dr. Roach moved to New York, joining the faculty at Weill Cornell Medical College and New York Presbyterian Hospital as an Associate Attending Physician and Associate Professor of Clinical Medicine. He has won every major teaching award offered by that institution. He also served as program director for the primary care internal medicine training program.

The focus of his research is in the prevention of disease with rational use of screening technology and with tools that empower people to make lifestyle choices that improve not only their health but their life expectancy. Dr. Roach also serves as Chief Medical Officer for Enforcer eCoaching, a company dedicated to giving individuals specific daily coaching on improving diet, smoking cessation, weight loss and exercise.

Dr. Roach lives in Larchmont, N.Y. with his wife, Dr. Victoria Muggia, M.D. (a specialist in infectious disease), and their three teenagers, David, Hannah and Jonathan. Dr. Roach is a competitive triathlete.

The email address [email protected] is available directly for readers to leave feedback or ask questions of Dr. Roach.

Measles rates low in U.S., but worldwide, it's still deadly

July 21, 2017 - 1:20am

DEAR DR. ROACH: My mother had the measles. She also had mumps and German measles. She stayed home for a few days, used up a box of tissues and went back to school a week later. But some doctors quickly learned that if they didn't pretend that these viruses were deadly, they wouldn't make any money. Anyone fearful of these viruses is a product of brainwashing. How many people in this country have died of measles this year? ZERO. But many had measles. So what did we learn? Measles is not deadly. -- M.F.D.

Compartment syndrome is an emergency situation

July 17, 2017 - 10:49pm

DEAR DR. ROACH: Two months ago, my husband fell down a flight of stairs and fractured six ribs and a vertebra in his neck. He is 65 years old and was in good health before this accident. He was hospitalized in a level 1 trauma center and was doing well until 10 days after the accident, when his abdomen became very swollen. He was rushed to the emergency room and was diagnosed with abdominal compartment syndrome; he needed emergency surgery to address the swelling of his major organs.

Long-term prednisone use comes with risks

July 17, 2017 - 9:50am

 DEAR DR. ROACH: I am 76 years old and have been on 10 mg prednisone daily for four years. I have Wegener's granulomatosis. I understand that prednisone is a "miracle" drug in many ways, but nevertheless I am growing more and more fearful of its long-term consequences. I am considering asking my doctor to ease me off this drug. Is it too much to hope that my body's natural cortisone will kick in after four years on prednisone?

With A1C edging up, reader may have to give up desserts

July 12, 2017 - 10:48pm

DEAR DR. ROACH: As a 67-year-old male in good health, should I be concerned about a (fasting) A1C of 5.9 percent? This is the first time I have had this test run. I am 5 feet, 4 inches tall and weigh 122 pounds. I do two hours of strenuous aerobic exercise at least five days each week. There is no diabetes in my family. My physician says I should "avoid sweets, desserts and starch in my diet." I am a vegetarian with minimal dairy consumption; I don't smoke or drink; and I don't care to give up one of life's pleasures. I don't overdo sweets, but I do enjoy them.

Pulmonary embolus is a clot that travels to the lungs

July 11, 2017 - 10:30pm

DEAR DR. ROACH: A colleague of mine recently had a pulmonary embolus at age 45. She is otherwise healthy. What must she be concerned about? -- N.R.

ANSWER: A pulmonary embolus is a blood clot that travels to the lung. Although they can originate in any large vein, they most commonly come from the deep veins of the pelvis and thighs. The clots can break off with or without physical activity, and they usually travel through the right side of the heart into the lungs.

Drug-eluting stent makes knee surgery a no-go for now

July 10, 2017 - 10:38pm

DEAR DR. ROACH: I need an objective opinion. I'm an active 75-year-old male who had two drug-eluting stents placed in my heart approximately seven months ago. I have noticed no difference. I have low blood pressure and feel just fine. As a result of the stents, I have been taking 90 mg of Brilinta twice a day since the procedure. Recently, an old injury to my knee flared up, creating a great deal of pain and discomfort. It has not gone away as it usually does.

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