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.

BP meds affect bleeding from kidney stone

September 25, 2017 - 9:24am

DEAR DR. ROACH: I have been urinating blood for several weeks. An X-ray revealed a kidney stone; however, I am in no pain at all. The stone is said to be between my kidney and bladder. I take blood pressure medicine and an aspirin a day. The problem is this: If I don't take my medications, the bleeding stops, then when I do take them, the bleeding starts back up again. I don't have heart disease. -- C.L.

Face touching or pinching associated with multiple causes

September 23, 2017 - 7:00am

 DEAR DR. ROACH: I have a grandson who pinches his face. He just graduated from high school and did very well. He will be going to college in the fall. He does not like to be around people, and when I ask him where or what would he like to go or do, he says nowhere. He does play a lot of games on his phone and TV. I have watched him and am very concerned. He does it several times a day, even when he plays his games. -- D.F.

Fahr disease is a rare brain condition

September 22, 2017 - 7:55am

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.

Doctors are well positioned to screen for domestic violence

September 21, 2017 - 7:00am

DEAR DR. ROACH: Having recently changed doctors (due to a move), I filled out a new-patient intake. It had this question: "Do you feel safe in your home?" It seemed like a question that might evoke a response for a lot of possible issues that could make a person feel unsafe. I'm pleased to know that my new doctor cares about the safety of her patients, but what if a patient is not ready to divulge an unsafe situation, such as domestic violence? -- G.G.B.

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.

Pages