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.

Females experience thinning hair, too

February 6, 2018 - 7:38am

       DEAR DR. ROACH: After a diagnosis of low thyroid levels, my formerly long, thick hair has thinned out. I'd say 50 to 60 percent over the years since menopause (I am 78). It is especially thin from the front to the middle of my head. All I have found to help my hair look presentable and fuller is a product to increase hair volume, which just clings to the hair, giving it fullness and shine. It's been a lifesaver as far as appearance goes.

Yes, there is a 'virtual colonoscopy'

February 5, 2018 - 9:06am

       DEAR DR. ROACH: I had a Cologuard test and was told that there is blood in my stool. My doctor tried to do a colonoscopy, but told me he was unable to complete it due to my colon being very twisted. He sent me to the hospital for a "virtual colonoscopy." He assured me that it was not invasive and that I would only get dye in my vein. The hospital he sent me to does not perform this test, and also told me that there is no test on the colon that is not invasive. Is this really true? If so, what was my doctor talking about? -- C.L.

Erratic heart rate episode may be atrial fibrillation

February 2, 2018 - 9:54am

  DEAR DR. ROACH: A couple weeks ago, I had a sudden fast heartbeat with a very irregular and erratic pulse (approximately 150-161) for about six hours, along with a very low blood pressure, ranging from 74/59 to 79/52. I first felt a strange thumping in my neck area. I am treated for high blood pressure with amlodipine, losartan and HCTZ. My BP usually is in the normal range, and I have never had an episode like this. I called my doctor's office a day later, and he ordered a Holter monitor (I will have it tomorrow).

Hemp oil for arthritis treatment bears further investigation

January 31, 2018 - 9:20am

       DEAR DR. ROACH: I have severe pain from osteoarthritis. I am able to get some relief with one tablet of 5/325 Norco a day. My doctor is trying to wean me off Norco, and some days I can manage with a half-tablet. To help control my pain, I have been using hemp oil with the Norco. I take up to three tablets a day. Hemp oil seems to be a new trend in combating severe arthritis pain. Would you please comment on this? -- E.B.

Previous spinal surgery may have link to current headaches

January 24, 2018 - 8:18am

       DEAR DR. ROACH: For several months now, I have been experiencing intermittent headaches, with an extra "shot" of intense pain in the top, front of my head and forehead whenever I sneeze, cough, clear my throat or bend over. I thought it might be my sinuses, but when my ENT ordered a CT scan, it turned out to be negative. He suggested that I go to my orthopedic doctor, who performed a laminectomy on my back in 2013.

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