DEAR DR. ROACH: I will be starting a new job that requires regular, but random, drug testing. I have never used drugs, so that is not a problem. But I am wondering how long alcohol can be detected in the urine. — M.M. ANSWER: Alcohol can be found in the urine in small amounts as […]
Dr. Roach
Doctor changed diabetes meds to avoid too-low blood sugar
DEAR DR. ROACH: I have a question about medications. I’m a soon to be 77 female. I have had Type 2 diabetes since about age 53. I am still on medication — metformin, glipizide and Actos. I previously was on glyburide and was doing well with an A1C around 7.1% or 7.2%. Then my doctor […]
Facial fillers and COVID-19 vaccine reactions
DEAR DR. ROACH: Will I have a reaction to the new COVID-19 vaccine because I have an implanted stimulator? I heard that people with face fillers had reactions since it was foreign items in the body. I also have had back surgeries and hip replacement. I’m a 72-year-old female with diabetes. I’m soon able to […]
Pernicious anemia comes from lack of intrinsic factor
DEAR DR. ROACH: I have had pernicious anemia for about eight years and must have an injection of vitamin B-12 every three weeks to stay alive. I am also a diabetic for over 10 years, with my A1C remaining in the 6.1-6.5 range over that time. My daily glucose level reading is very sensitive, almost […]
Placebo response may be at work on reader’s leg cramps
DEAR DR. ROACH: I was a bit surprised that in your response to a question about coping with nighttime leg cramps some time ago, you made no mention of vitamin E. I was troubled with these painful cramps increasingly often and tried both calcium and magnesium supplements without evident improvement. I then saw mention of […]
Breakfast bread induces half-day snoozefest
DEAR DR. ROACH: Why do I feel sleepy for almost half the day whenever I have bread for breakfast? This only happens when I take bread. I’m an 18-year-old female. — A.B. ANSWER: There are several reasons. Bread is made up mostly of starch, which in turn is composed of long strands of sugar molecules […]
A high cholesterol reading despite healthy habits needs review
DEAR DR. ROACH: I am a 52-year-old female. During my annual exam this year, my fasting cholesterol came back at 217. I usually come in around 170-180. I am not overweight, do not smoke, eat well (not lot of fatty foods) and exercise on a daily basis by walking 1.5-2 miles. In the note given […]
What is proper treatment for mild case of COVID-19?
DEAR DR. ROACH: With cases rising and all the information about COVID-19 out there, I have yet to read what should we be doing for people who have only a mild case. I know of three people in their late to mid-20s who all tested positive and only had sinus issues and one had a […]
Excessive parathyroid hormone raises blood calcium level
DEAR DR. ROACH: I am an 88-year-old man in quite good health. I spend at least 30 hours a week doing yard work. I have had high blood calcium for many years, usually around 10.7. I take pravastatin and triamterene/HCTZ. My doctor has been a little concerned and has been monitoring it. She sent me […]
Incorrect vaccine administration can cause bursa injury
DEAR DR. ROACH: Two years ago, I received the high-dose flu vaccine at my doctor’s office. It resulted in a severe case of SIRVA bursitis in my shoulder. I suffered for three months, taking Tylenol after getting two shots of steroid from my orthopedic surgeon and physical therapy. Since then I have been afraid to […]