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 is available directly for readers to leave feedback or ask questions of Dr. Roach.

Could second-hand marijuana trigger a drug-test fail?

January 30, 2019 - 10:01am

         DEAR DR. ROACH: My son is studying aviation maintenance, and the instructors tell the students to expect random urine tests for drugs when they are employed. Drinking alcohol is fine, but using marijuana and other drugs are cause for losing your license and thus your career. Recently we were walking around Boston for a day and we smelled pot frequently. Recreational and medical marijuana are legal in Massachusetts. He asked if one could fail a urine test by inhaling secondhand pot smoke.

Men with enlarged prostate have options for daily meds

January 28, 2019 - 9:43am

DEAR DR. ROACH: I have an enlarged prostate. My urologist has recommended that I take 5 mg of finasteride daily for this. I'm hesitant to take this medication because of potential side effects, particularly the sexual side effects that can go along with it. What is your opinion of this medication? Also, my urologist says that Flomax would not be appropriate for me since my blood pressure is on the low side. Taking Flomax with low blood pressure evidently would cause me to feel tired much of the time, according to him. Do you agree with that? -- R.K.

How many IBS remedies are too many?

January 22, 2019 - 9:29am

DEAR DR. ROACH: I have dealt with irritable bowel syndrome for over 40 years. I have had less cramping and loose stools when I quit drinking milk. However, now over the past few years I have had mild constipation and very frequent bloating. I take dicyclomine, 10 mg, before meals and bedtime, that helps a little with spasms. When bloating is more constant, I take Phazyme, Tums and Pepto-Bismol, along with 150-mg ranitidine, which helps a little. I am concerned that I am taking too many types of pills to control it.

Estimates of blood loss are not always accurate

January 18, 2019 - 9:37am

DEAR DR. ROACH: Here's something I've wondered about for a long time: Years ago, I was told that I lost 5 pints of blood in childbirth. How did they come up with that number? Obviously, they weren't scooping up blood off the floor to measure it! -- L.K.
         ANSWER: During surgery, there is always some blood loss, but 5 pints of blood is a great deal of blood loss, being about half the amount of total blood volume of an adult.

Lower-leg swelling may be due to venous insufficiency

January 17, 2019 - 10:18am

 DEAR DR. ROACH: I am an 84-year-old man in reasonably good health. I have taken blood pressure medicine for about 30 years. For the past six months, I have been taking trospium tablets to treat frequent urination. I have prostate cancer treated with radioactive seeds, not surgery. About two months ago, I began noticing swelling in my lower legs and feet. Do you have any advice on how to reduce or eliminate the swelling? -- H.S.