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.

Nickel allergy doesn't nix knee replacement surgery

September 20, 2017 - 7:00am

DEAR DR. ROACH: My wife is in dire need of knee replacements (arthritis, and bone on bone) but she is allergic to nickel, which is found to some degree in all metals -- including titanium -- used in replacements. Is there any solution to this problem? -- R.B.

ANSWER: Nickel allergy varies in severity, and a lot of people have it. Not everyone diagnosed with a nickel allergy really has a nickel allergy.

There is more than one approach to atrial fibrillation

September 19, 2017 - 7:00am

DEAR DR. ROACH: I am trying to decide if it would be beneficial for me to get a second opinion about atrial fibrillation treatment.

I was diagnosed in May after my doctor discovered that I was in atrial fibrillation while taking my blood pressure and heart rate at a routine appointment. I was given Xarelto in the emergency room and cardio-converted with flecainide. I was sent home with a prescription for Xarelto to be taken daily, and instructions to return to the ER if I felt dizzy or had fluttering, pounding, pressure or pain in my chest.

Fahr disease is a rare brain condition

September 15, 2017 - 7:00am

DEAR DR. ROACH: What can you tell me about Fahr disease? I had an MRI, and I read the term on the report and was concerned because I hadn't been told about it. I asked my provider about it, and he told me that it usually is diagnosed when someone is young. I am soon to be 80 years old. His advice was that if it had not shown up before now, it will not now that I am older. -- B.P.

What is the trick to setting an A1C goal for diabetes treatment?

September 14, 2017 - 7:00am

DEAR DR. ROACH: My elderly sister, 73, has Type 2 diabetes, and is taking 500 mg of metformin twice a day.

After two years on metformin, her fasting glucose level is only 125 mg/dl and A1C only 6.8 percent. If she continues taking medication, will her fasting glucose level ever get to around 85 mg/dl and her A1C get to 5 percent? She wants to be in the normal ranges.

In your opinion, is the goal of drug therapy, like metformin, only the control of diabetes? If so, then how can she reach her goals of 85 mg/dl and A1C of 5 percent? -- R.I.

Is low body temperature a cause for concern?

September 13, 2017 - 7:00am

DEAR DR. ROACH: I am an 85-year-old female with an often low body temperature. I feel very warm, like I have a fever, but when I take my temperature it can be as low as 95 or 96. This has happened several times.

I've heard that a low temp is just the same as a high fever. I take numerous medications, including for my thyroid, which my doctor has had trouble regulating. What do you think? Could this be related? My normal body temp seems to run about 97. -- D.C.

Epilepsy can result from measles complication

September 12, 2017 - 7:00am

DEAR DR. ROACH: When I was young, I had mumps and chickenpox, and one type of measles (German measles?) when I was 16, and the other when I was about 18. I had three grand mal seizures within 12 months after the second round of measles. I was told that the seizures were a result of the second bout of measles. I have been on anti-seizure medication ever since with no problems. There is no history of epilepsy in my family that I am aware of.

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