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Dear Dr. Roach: I have a question regarding medical providers. In the past, when I have made an appointment to see my physician, I have seen the physician. Lately, when I make an appointment to see my physician, I am seen by a physician assistant.

Dear Dr. Roach: I am a woman in my mid-20s, am not overweight and never have been. I have two children. Ever since about age 13, I have had this swishing sound in my stomach.

Dear Dr. Roach: Can you explain what sundown syndrome is? My mother is 96 and has been diagnosed with it, but said they could do nothing about it. Is there some medication for this type of syndrome? She says she sleeps well. P.S.

Several weeks ago, I wrote that something happened that I thought would never happen.

Dear Dr. Roach: My thyroid gland was removed due to cancer in 2007. Since then, there have been continuous prescription changes while trying to find an effective dose.

Dear Dr. Roach: Recent blood tests have left me perplexed. My hemoglobin, hematocrit and MCV were slightly high.

HONOLULU 鈥� As the Zika outbreak takes hold in Latin America, researchers thousands of miles away in Hawaii are using data to figure out where it might spread next.

Dear Dr. Roach: My mother is in her mid-60s and was diagnosed with osteoarthritis of the thumb last year. She is in good health.

Hippocrates, the father of medicine, may be rolling over in his grave. Why? He preached: 鈥淔irst, do no harm.鈥� I recently read a report in the Journal of Molecular Medicine called Death by Medicine.

Dear Dr. Roach: I hope you will offer your opinion on my experience with opiate medication. My wife is now on a combination of morphine pills to address chronic shoulder pain resulting from a fall.