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Young malnourished man experiences constant intestinal pain

DEAR DR. ROACH: My son, who is 28, has always had issues with his gut. Almost everything passes through his intestines quickly. He frequently sees undigested vegetables in his stool. He had intestinal pain and underwent upper and lower GI scopes because the doctor suspected Crohn’s or inflammatory bowel disease. But he found nothing other than inflammation in his stomach, for which he ordered Protonix; this helped with the pain. His BMI is below 18 and has always been this way. He says that if he eats healthy, it makes his gut worse, and if he eats fast food or other non-healthy ...

Birthright citizenship is not just for immigrants

Now that we’ve completed our celebration of America’s 250th birthday, it’s time to prepare for the 300th — the tricentennial. I will not live to see it, but I hope the nation will. At least, I hope a certain kind of America will celebrate its 300th year — one that has regained its moral equilibrium and turned its back resoundingly on illiberalism in all its ugly forms. If the United States does not reverse its current retreat from the principles and traditions that ennobled it, if it becomes the kind of predatory, grubby and aggressive nation that Donald Trump champions, or ...

How Pennsylvania towns are protecting themselves from the noise, heat and utility costs of massive data centers

Pennsylvania has become a hot spot for data center proposals and public backlash about where to build them. I’m a law professor and executive director of Penn State’s Center for Energy Law and Policy. I’m also a native of Archbald, a borough of 7,500 residents in the Lackawanna Valley in northeastern Pennsylvania. My hometown has drawn national attention because of proposals for multiple data centers that would cover 14% of its area. Because of my professional and personal interest in data centers, I have been researching local responses to data center proposals across ...

The future of gorillas depends on zoos working together

Two Western lowland gorillas just arrived at Louisville Zoo’s Gorilla Forest from Zoo Knoxville in Knoxville, Tennessee. Obi and Andi are half-sisters and will hopefully create Louisville’s next family group with 29-year-old male gorilla, Kicho. Their arrival piqued my curiosity about how zoos coordinate for breeding purposes as part of the Association of Zoos and Aquariums Species Survival Plan Program. The Louisville Zoo once again welcomed me in to spend time with Steve Taylor, their assistant director of conservation. The zoo’s Gorilla Forest opened in 2002 and is considered ...

Dear Annie: Holding the office together alone

Dear Annie: I work in a small office where our boss is almost never there. She comes in late, leaves early, works from home whenever she feels like it and is often “unavailable” when problems come up. Meanwhile, the rest of us are expected to answer clients, meet deadlines, handle emergencies and keep everything running. The frustrating part is that she still takes credit when things go well. When something goes wrong, however, she wants to know why “the team” dropped the ball. Last week, we had an upset client waiting on a decision only she could make. She finally showed up at ...

Explaining the significance of Z- and T-scores in DEXA scans

DEAR DR. ROACH: I’m a woman of 54 with somewhat limited mobility due to back pain. Perhaps for this reason, my primary care physician ordered a DEXA scan in 2023 and again in 2026. I was alarmed when the recent scan showed osteopenia in five of the six areas that were tested. I thought the 2023 scan was normal, but when I revisited it, I saw that I had osteopenia then as well. But in the 2023 report, they had only looked for a Z-score of less than -2 as an indicator of a problem, whereas in 2026 they used the T-score. Had I realized that I had osteopenia three years ago, I’d have ...