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.

Is peanut butter a possible cure for insomnia?

August 20, 2018 - 10:12am

DEAR DR. ROACH: Several years ago, I attended a presentation about insomnia. A registered nurse discussed how, in her career as a nursing home nurse, she had many residents with insomnia. She stated that she had amazing success with these residents. The snack they gave residents was crackers and cheese or peanut butter crackers. I was skeptical at first, then one night at 2 a.m., on my fourth night of insomnia, I tried eating 2 teaspoons of peanut butter. Bingo! I slept. Whenever my insomnia occurs, I eat 2 teaspoons of peanut butter, and in less than 15 minutes I'm sleeping.

Why the long wait for a doctor appointment?

August 9, 2018 - 8:48am

  DEAR DR. ROACH: I was seeing my primary care physician every six months for about five years. We had mutual respect, and I enjoyed seeing him. Then, I got diagnosed with breast cancer and had to see other doctors for a long time. Meanwhile, the spinal stenosis my primary care physician had diagnosed was becoming untenable and ruining my quality of life. Even though I am still seeing cancer doctors, I called my primary care physician to make an appointment to discuss the spinal stenosis situation with him.

Risk of aneurysm rupture based on size

August 8, 2018 - 2:57pm

  DEAR DR. ROACH: My boyfriend recently was diagnosed with an aneurysm. The report says the abdominal aorta is 3.02 cm in largest dimension and recommends screening every six months. Do we need to see a cardiologist for a second opinion? Is there medication to help? -- B.S.
       ANSWER: The aorta is the largest blood vessel in the body. It comes directly off the left ventricle of the heart and supplies blood to the entire body. It may become enlarged either in the chest (a thoracic aneurysm) or in the abdomen.

Better to prepare for a repeat of Shingrix reaction

July 31, 2018 - 11:47am

DEAR DR. ROACH: I received the first dose of Shingrix this week and had pretty severe side effects, though in the range of what can be expected: high fever (101.5), intense shivering, a severe headache and 12 hours of extreme fatigue. The entire reaction began 11 hours after the shot and ended 18 hours after that. I am 61 and in excellent health, taking only 25 mcg of levothyroxine daily.
       I have a few questions that I hope you can answer. I've tried looking at the clinical trial results for Shingrix, but I am not qualified to understand the information as presented.