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Health Care

Lots of Vitamin D Fits Into a Small Pill

Thursday, April 24, 2014

Dear Dr. Roach: I have a question about vitamin D-3 pills. How does 400 mg fit into such a tiny pill? I also thought you needed sunlight to make vitamin D. — A.S. Answer: Four hundred mg is very small. Most of the tablet isn’t even vitamin D — it’s starch and other materials to hold the tablet together. The skin does make vitamin D-3 from precursors in the presence …

How Fast Is Too Fast for Heart Rate?

Tuesday, April 22, 2014

Dear Dr. Roach: I am an 86-year-old male in good health. I take a 40-mg simvastatin and a 150-mcg levothyroxine. I exercise three times a week — one hour with weights and one hour of aerobics (elliptical and treadmill). On the treadmill, I go from a speed of 3.5 for 25 seconds to 6.0 for 25 seconds. My heart rate goes from 89 …

To Your Good Health: Help For Persistent Carpal Tunnel Syndrome

Sunday, April 20, 2014

Dear Dr. Roach: In August 2013, I had surgery on my right wrist for carpal tunnel syndrome. The numbness in my fingers has not changed. Now I’m faced with the same problem in my left hand. I’m going to forget surgery, seeing as it wasn’t successful in my right hand. I decided to go to an acupuncturist for laser treatments. I also had …

At the Hospitals: March 30, 2014

Sunday, March 30, 2014

Dartmouth-Hitchcock Medical Center Honored for Design Innovation Lebanon — Dartmouth-Hitchcock Medical Center is one of two recipients of The American College of Healthcare Architects’ inaugural Legacy Project Awards. The award, the first of its kind, celebrates design innovation …

To Your Good Health: Depression Can Play Role In Making Health Choices

Sunday, March 30, 2014

Dear Dr. Roach: As a psychiatrist, please allow me to offer the benefit of my expertise regarding the 90-year-old man who refused potentially life-saving surgery for bladder cancer. While it is certainly the patient’s decision, it was not clear from the letter whether his doctors had considered the …

Acid and the Reheated Cup of Coffee: Stomach Can Handle It

Friday, March 28, 2014

Dear Dr. Roach: My wife continually tells me that I should not drink reheated coffee because it concentrates the acid in coffee and is bad for me. I never drink more than one cup per day, and I always use a non-dairy creamer and Splenda. I have researched …

Wait for the Studies Before Trying Weight-Loss Supplement

Wednesday, March 26, 2014

Dear Dr. Roach: I am currently 100 pounds overweight, and I saw a doctor on television promoting the use of Garcinia cambogia for weight loss. I am 65 years old and, because of cancer, I underwent a radical nephrectomy and have only one kidney. I suffer from neuropathy …

Blood ‘Factor’ and Clotting

Tuesday, March 25, 2014

Dear Dr. Roach: I am 80 years old and just had a stroke. I was put on Coumadin. I also had a miscarriage at age 30 with severe hemorrhaging. I think I needed a transfusion. They told me I have a “factor” in my blood. I would like …

When Alzheimer’s Comes Early

Monday, March 24, 2014

Sacramento, Calif . ­— Tracy Broshar knew that something was amiss by the fall of 2012. Her longtime partner, Jennifer Small, was only 49 then, but increasingly she was losing track of the details she used to be …

At the Hospitals: March 23, 2014

Sunday, March 23, 2014

Anesthesiologist Returns To Mt. Ascutney Hospital Windsor — Dr. Peter Rauert, a board-certified anesthesiologist and specialist in pain management, has returned to Mt. Ascutney Hospital and Health Center. Rauert, who first joined the hospital in 2009, served as …

To Your Good Health: It Takes Time to Recover From Concussions

Sunday, March 23, 2014

Dear Dr. Roach: Four months ago, I was in an automobile accident and suffered severe injuries — a collapsed lung, broken ribs, broken lumbar spine, broken/damaged teeth and mild traumatic brain injury. My recovery has gone quite well, except for the brain injury. I am a 53-year-old female …

DHMC Receives $10 Million Gift for End-of-Life Care Center

Friday, March 21, 2014

Lebanon — With an anonymous gift of $10 million, Dartmouth-Hitchcock Medical Center plans to expand its palliative and hospice care program with a 12-bed center near the hospital campus. The run-up to the project, which officials expect to cost $20.5 million by the time the center opens in …

Target Heart Rate Is a Guide, and Not a Hard and Fast Rule for Exercise

Tuesday, March 18, 2014

Dear Dr. Roach: I’m 54 years old, 5 feet, 1 inch tall and weigh 110 pounds. I’m not medicated and I do go for a yearly physical with my M.D. I exercise regularly and have done so for most of my adult life. When I ride my bike …