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Those with sleep apnea might need to urinate more than others

DEAR DR. ROACH: I’m writing regarding the recent column that mentioned frequent nighttime urination. I had a similar problem and awakened several times to urinate each night. About a year ago, I started using a CPAP for sleep apnea. Immediately after starting to use the CPAP, my nighttime urination frequency decreased. It’d range from sleeping completely through the night to waking up twice, with an average of waking up once per night. Building off a prior column, my hypothesis was that better sleep led to a more stable production of the natural diuretic that the body makes at ...

Twilight’s last gleaming

There is a point in the decline of republics when the problem is no longer that government breaks its own laws. Governments will always behave unlawfully. The deeper problem comes when the constitutional machinery designed to prevent those acts stops functioning — when spending becomes detached from arithmetic, presidential power becomes detached from law and Congress and the courts become detached from the Constitution. That’s where America is today. The fiscal warning could hardly be clearer. The government’s debt has now passed $40 trillion. The Congressional Budget Office ...

The Jeffries-Kushner meeting reveals more than either party will admit

Private meetings in Washington often speak more loudly than public speeches. The recent meeting between House Minority Leader Hakeem Jeffries and Jared Kushner, President Donald Trump’s son-in-law and influential outside adviser, is one of those moments. The two New Yorkers reportedly discussed immigration, housing, affordability and possible areas of cooperation. Kushner also reportedly suggested that Jeffries meet with White House Chief of Staff Susie Wiles. Neither man has portrayed the conversation as a formal negotiation, but its timing less than three months before the midterm ...

Dear Annie: Stop putting life on hold

Dear Annie: I have been married for 45 years to a man who has never wanted much adventure in his life. His idea of a big night out is taking a short drive, finding a supper club, eating dinner and coming straight home so he can settle into his recliner. For years, I begged him to travel with me. I wanted to see new places, experience different cultures and make memories together. But whenever I pushed the issue, he would become angry or threaten to leave. I always backed down because I was afraid of losing my marriage. Looking back, I wish I had called his bluff and gone anyway. He ...

Woman weighs peritoneal dialysis against hemodialysis

DEAR DR. ROACH: My daughter, age 44, has had chronic kidney disease since she was 10 years old. She had a renal transplant at 23, then another at 32. The second graft started gradually failing a year back. In January, she was diagnosed with ovarian cancer. This past month, she had a total hysterectomy, along with the removal of malignant tumors and nodules. She has since been on hemodialysis without any output of urine. What are the possibilities with peritoneal dialysis? Will this enable her to have a near-normal life? — R.S. ANSWER: Peritoneal dialysis uses the immense lining of ...

Applause, Applause!

Each Saturday, The Express community newspaper highlights people, groups and activities our readers deem worthy of applause. A big THANK YOU to Mike Neff and his friend Carl for helping two damsels in distress last week when we locked ourselves out of our car at Calico Creek in Mill Hall. Thinking Mike would be able to recommend a local locksmith, we placed a call to Mike’s wife Lori, who relayed our situation to her husband. Not only did Mike and Carl drop everything and come to our rescue, but they wouldn’t take a dime for their efforts. Thank you Mike and Carl! You saved ...