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Health

Discovering ITP after low blood platelet count

DEAR DR. ROACH: What can you tell me about the cause and treatment of immune thrombocytopenia purpura (ITP)? I am a 71-year-old male, and after lab results showed a low blood platelet count, I underwent a spleen and liver scan as well as a bone marrow biopsy. They all showed normal function, ...

Is laparoscopic surgery right for hernias?

DEAR DR. ROACH: I am a 70-year-old male with a large inguinal hernia on the right side. I have consulted two different surgeons, and both surgeons recommend taking care of the condition at the earliest convenience. The surgeon who specializes in robotic surgery recommends laparoscopic surgery ...

Investigating whether vaccine side effects are underreported

DEAR DR. ROACH: You recently posted a couple of articles about the respiratory syncytial virus (RSV) vaccine and the benefits versus the risks. I know the risks are based on data. But I wonder how many people have severe reactions to the vaccine, and it doesn’t get reported because they ...

Benign breast mass should not increase breast cancer risk

DEAR DR. ROACH: I had my first mammogram and was found to have a lesion. The mammographer said that I should follow up in six months with another mammogram and sonogram, but I have a grandmother who died of breast cancer. So, instead of waiting, I underwent a biopsy that showed a ...

Ketones not necessary to benefit from fasting

DEAR DR. ROACH: I am a 50-year-old overweight woman (5 feet, 6 inches tall at 240 pounds). So far, I am not diabetic, but my A1C has been creeping upward. In an effort to control my weight and reap the benefits of fasting, I have been engaging in 36-hour fasts. Although I have lost about 1 ...

What’s known about Parsonage-Turner syndrome

DEAR DR. ROACH: What is known about Parsonage-Turner syndrome? One of my brothers has severe shoulder pain. He had an MRI done and was told that it may be Parsonage-Turner syndrome. Can this be related to COVID? He has been recommended to a neurologist, but they probably won’t be able to ...