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.

What's new in herpes treatments?

November 24, 2017 - 8:24am

       DEAR DR. ROACH: I am wondering about oral herpes. Have there been any advances made for treating or preventing oral herpes? I know about and use Abreva, but is there anything that works better? -- L.P.
       ANSWER: Herpes simplex virus type one is the cause of oral herpes, usually called "cold sores" or "fever blisters." These often start as a clear fluid-filled blister on the lips or in the mouth. Many people carry the virus, and some people experience periodic outbreaks of these painful lesions.

What are options when colonoscopy prep is too much to bear?

November 23, 2017 - 9:07am

       ---
       DEAR DR. ROACH: I am a 72-year-old male in good health. I've had a couple of colonoscopies (the first one found some adenomas), but the required cleansing prep with harsh laxatives has become increasingly difficult for my body to take. I only got halfway into the last prep before becoming so sick that I had to discontinue the cleansing and cancel the colonoscopy.

Bicuspid aortic valve has only two leaflets

November 21, 2017 - 8:11am

DEAR DR. ROACH: I was diagnosed with a bicuspid aortic valve at age 54 (I'm now 62). I see a general cardiologist annually for an echocardiogram and an EKG, and have had one transesophageal echocardiogram. However, he has never ordered a CT or MRI to thoroughly check my aorta. I've read that BAV patients may have a connective tissue disorder, resulting in aortic problems (aneurysm, dissection).

Blockage in intestinal blood vessel causes pain when eating

November 15, 2017 - 8:57am

DEAR DR. ROACH: My wife, age 65, has been suffering from abdominal pain for over a year. The pain comes within minutes of eating a meal. She was diagnosed with abdominal angina, and had a stent placed to open the vessel that showed blockage. We were told that she'd get immediate relief if successful, but she did not get relief. We contacted the surgeon for a follow-up appointment, which we weren't given. Instead, she was told to give it time and to be seen in six months, when he'd be "happy to do it again" if there was still a problem.

Destruction of part of adrenal gland influences cortisone levels

November 10, 2017 - 9:00am

DEAR DR. ROACH: Our 37-year-old daughter has Addison's disease. We have had some difficulty trying to regulate her electrolytes and her blood pressure, which is always low, sometimes extremely so. She has known about it for 10 years now. What can one do besides try to stay hydrated to keep the pressure up? Last evening, her blood pressure was 95/58 with a pulse of 88. She is on steroids for life. -- L.M.

Pages