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.

Blood pressures in right and left arms don't have to match, but shouldn't be too far off

December 1, 2017 - 1:22pm

DEAR DR. ROACH: At a routine follow-up at my doctor's office, the nurse took my blood pressure on my left arm, and it was 143/73. This seemed high, so I asked her to check it on my right arm. It was 104/62 on that arm. She said she had never seen anything like that. Is there a logical reason or explanation for this? -- L.B.

Is it possible that yoga routine lowered PSA levels?

November 28, 2017 - 8:19am

DEAR DR. ROACH: Five years ago, I added five to six minutes of easy yoga, mostly sitting exercises, to my daily exercise routine. My PSA has gone down to the 0.9-1.1 range, from 4.3. This is for someone who has had two prostate biopsies through the years. My doctor now says that the odds of me having prostate cancer are about 1,500 to 1.  A few others who have started doing the exercises also have seen their PSA number drop. -- B.C.L.

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

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       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).

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