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.

Chronic fatigue syndrome has a new name, possibly a new test

April 23, 2018 - 9:38am

 DEAR DR. ROACH: For two years, I have had symptoms of chronic fatigue syndrome. Like many of my fellow sufferers, I continually feel bad, but no test can confirm my diagnosis.
       Because of this and other factors, I am looking at "psychosomatic illness" as a cause. CFS would lend itself to such a diagnosis. Any information you could offer would be appreciated. -- R.S.

New treatment for kidney disease still has hurdles to jump

April 19, 2018 - 10:12am

   DEAR DR. ROACH: I recently read an article released by the Broad Institute that claims a breakthrough in the treatment of progressive kidney disease. It states that experiments with rats have resulted in the stoppage of disease progression, and in some cases, reversal. It further states that human trials are the next step. Do you have any additional information on this important news? -- E.L.

Complex male anatomy can lead to urinary infection in some men

April 17, 2018 - 9:06am

       DEAR DR. ROACH: I am 79 years old and have had three separate incidences of epididymitis -- not the same side, but all responding to Cipro. Why do old guys get these infections? -- D.M.
       ANSWER: Male genitourinary anatomy is complex. Here's an overview:
       Sperm are made in the testes. The epididymis is a structure in the male testicle, sitting on top of each testis. Its job is to carry sperm from the testis through the vas deferens and ejaculatory ducts into the urethra.

What is the real message from Epstein-Barr antibodies?

April 16, 2018 - 10:47am

 DEAR DR. ROACH: After decades of feeling fatigued, I started working with a naturopathic doctor. She ordered a saliva test for my total cortisol output, which was normal at 27. She also ordered a full thyroid panel (also normal) and a test for Epstein-Barr virus antibodies. My levels are: EBV IgM is less than 36, and EBV Nuclear Antigen, IgG is greater than 600 (high). She suggested that my DHEA was low, and put me on a 10 mg-per-day DHEA supplement.

Alcohol-induced cirrhosis doesn't preclude a liver transplant

April 12, 2018 - 10:46am

DEAR DR. ROACH: My 52-year-old sister was diagnosed with cirrhosis of the liver due to alcohol. She has significant financial resources and gold-standard health care. Her liver has failed to bounce back. This month, she was placed on a liver-transplant list. How long can my sister live with alcoholic liver cirrhosis while awaiting a liver transplant? If she complies with transplant protocol (no alcohol, no salt, counseling, etc.), how likely is it that any alcoholic receives a liver donation? The doctors say her MELD score is 25. Could her liver recover so that she won't need a transplant?

Complex male anatomy can lead to urinary infection in some men

April 10, 2018 - 10:17am

       DEAR DR. ROACH: I am 79 years old and have had three separate incidences of epididymitis -- not the same side, but all responding to Cipro. Why do old guys get these infections? -- D.M.
       ANSWER: Male genitourinary anatomy is complex. Here's an overview:
       Sperm are made in the testes. The epididymis is a structure in the male testicle, sitting on top of each testis. Its job is to carry sperm from the testis through the vas deferens and ejaculatory ducts into the urethra.

Cough syrup likely a factor in longtime alcoholic's dementia

April 6, 2018 - 10:54am

DEAR DR. ROACH: My 60-year-old husband is a longtime alcoholic. He is also bipolar. His current drug of choice is cough syrup. He drinks a bottle a day or more of generic cough syrup without alcohol. At age 59, he was diagnosed with early dementia, which I attribute to the cough syrup abuse, as he doesn't have the other risk factors of age or family history. When he has abstained while in in-patient rehabs, his memory and cognition show marked improvement. He also takes daily thyroxine, lithium, duloxetine, high-dose gabapentin, trazodone, naproxen and famotidine.

The many factors in considering vaccinations

April 5, 2018 - 9:39am

       DEAR DR. ROACH: How many people must buy the three-part series of HPV vaccine for about $500 to prevent one case of cancer? You easily can find the facts if you bother to check. I am not saying that there are no benefits to the HPV vaccine or that it isn't safe. I am saying that all claims about medicines should be checked; otherwise, we are just believing blindly in an educated elite, just like religion.

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