The Clinton Herald, Clinton, Iowa

Food & Health

October 30, 2013

Warm knee after surgery could indicate infection

DEAR DR. ROACH: This year, I had a partial knee replacement on my right knee. Everything went fine; I have full mobility and I am almost pain-free. However, my right knee is warm to the touch, so I went to the doctor who did the surgery, and he said I have cellulitis and prescribed 10 days of antibiotics. After taking them, my knee was still warm, and he prescribed 10 more days of ciprofloxacin. It is still warm. He wants me to take 10 more days of ciprofloxacin. Shouldn’t this almost month of antibiotics have cured me by now? In your opinion, is this the correct course of action, knowing what you know? — W.B.

ANSWER: A partial knee replacement involves putting a prosthesis inside the joint, on one side. Anytime there is a foreign body in a joint, there is a risk of infection. The signs of infection include redness, warmth, swelling and pain, but they don’t all have to be present, and inflammation after surgery without infection sometimes can cause these symptoms.

Infection inside a knee can be very difficult to cure. Sometimes, the knee hardware has to be taken out completely and antibiotics given by vein for up to six weeks. I hope you don’t have that. I talked to a colleague who specializes in infectious disease, who was surprised by using the same antibiotic over again. I would recommend a consultation with an infectious disease specialist, who can provide better information on whether the knee could be infected. The surgeon may want to take a fluid sample from the knee.

DEAR DR. ROACH: My family and I took a seven-day cruise more than six weeks ago. I still am feeling like I am on the ship -- all day, it feels as though I am walking on a swinging bridge. I did not even notice the movement while on the ship, nor did I get sick. I did not take any motion-sickness medicine while on the cruise. No one else in my family is having this problem. I am a 50-year-old female.

Text Only
Food & Health
  • To sleep well, you may need to adjust what you eat and when

    Sleep.  Oh, to sleep.  A good night's sleep is often a struggle for more than half of American adults.  And for occasional insomnia, there are good reasons to avoid using medications, whether over-the-counter or prescription.

    April 16, 2014

  • Doctors to rate cost effectiveness of expensive cancer drugs

    The world's largest organization of cancer doctors plans to rate the cost effectiveness of expensive oncology drugs, and will urge physicians to use the ratings to discuss the costs with their patients.

    April 16, 2014

  • Low blood-sugar levels make for grousing spouses

    Husbands and wives reported being most unhappy with their spouses when their blood-sugar levels were lowest, usually at night, according to research released this week in the Proceedings of the National Academy of Sciences. Missing a meal, dieting or just being hungry may be the reason, researchers said.

    April 16, 2014

  • Allergies are the real midlife crisis

    One of the biggest mysteries is why the disease comes and goes, and then comes and goes again. People tend to experience intense allergies between the ages of 5 and 16, then get a couple of decades off before the symptoms return in the 30s, only to diminish around retirement age.

    April 15, 2014

  • 4-15-14 Asparagus photo Make asparagus the center of your plate Asparagus has been a delicious symbol of spring since at least as far back as the Greeks, who called it asparagos -- literally, "to spring up." But however it is spelled, it makes me happy. Most grocers sell asparagus in a range of sizes, from thin a

    April 15, 2014 1 Photo

  • Floating stools not alarming DEAR DR. ROACH: I have read that whether stools float or sink could be an indication of one's health, even to the point of being an early sign of pancreatic cancer. Isn't it just about density and gas -- that is, doesn't most food we eat float in wat

    April 15, 2014

  • E-Cigarettes target youth with festivals, lawmakers say

    The findings, in a survey released Monday by members of Congress, should prod U.S. regulators to curb the industry, the lawmakers said. While e-cigarettes currently are unregulated, the Food and Drug Administration is working on a plan that would extend its tobacco oversight to the products.

    April 14, 2014

  • 4 years after spill, questions on long-term health

    When a BP oil well began gushing crude into the Gulf of Mexico four years ago, fisherman George Barisich used his boat to help clean up the millions of gallons that spewed in what would become the worst offshore spill in U.S. history.

    Like so many Gulf Coast residents who pitched in after the April 20, 2010, explosion of the Deepwater Horizon rig, Barisich was motivated by a desire to help and a need to make money — the oil had destroyed his livelihood.

    April 11, 2014

  • Clearing up protein numbers DEAR DR. ROACH: I am a healthy 57-year-old woman, relatively fit and active. Ten years ago, during a routine wellness exam, my bloodwork indicated an elevated CRP of 10. In the next decade, it has gradually increased and seems to dance around 15 or 1

    April 11, 2014

  • Boston doctors can now prescribe you a bike

    The City of Boston this week is rolling out a new program that's whimsically known as "Prescribe-a-Bike." Part medicine, part welfare, the initiative allows doctors at Boston Medical Center to write "prescriptions" for low-income patients to get yearlong memberships to Hubway, the city's bike-share system, for only $5.

    April 10, 2014

Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.