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Gabapentin’s benefit to sleep outweighs risks in woman’s case

DEAR DR. ROACH: I’m a 70 year old woman in good health, other than osteopenia and digestive problems that plague many seniors. I went through a sleep study and was found to have somewhat severe periodic limb movement. I do wake up frequently, always use the bathroom, and can be awake for a while before going back to sleep. I was prescribed 100 mg of gabapentin, which does help. But I worry about dementia since the frequency and length of time of taking gabapentin determines the risk. My watch does indicate a longer, deeper sleep when I take it, but there’s a trade-off. Do I get the ...

Forget the rainbow, let’s taste the vinegar

My mind wanders, and sometimes I just follow behind it, seeing where it goes. Driving to the gym recently, I debated bringing in my water bottle before remembering there was a water fountain inside. I started thinking about the person who designed the fountain itself, about the mechanics of the water arcing upward at exactly the right angle, about the pressure required to make it work and the decision to replace the old metal push button by the spout with a broad bar easier to press. Someone had to solve those problems so the rest of us could take a drink without giving it a second ...

The truth about Trump’s birthday bash

In light of my recent Substack post about Trump’s plans for a Trump rally on the mall to celebrate the start of America’s 250th birthday festivities — designed, in his words, for “patriots” and promising to be “wild” — several of you wanted to know more about how it’s being planned and paid for. This year’s 250th anniversary events, commemorating America’s founders’ refusal to be bound by a tyrant, were supposed to be planned by a nonpartisan, nonprofit group created by Congress in 2016 via a bipartisan congressional caucus of more than 350 members. That ...

Dear Annie: Sister-in-law dishing out insults at dinner

Dear Annie: My sister-in-law has turned every family gathering into a courtroom, and somehow I am always the defendant. For years, I have hosted holidays, birthdays and Sunday dinners because I genuinely love having family together. I cook, clean, set the table and try to make everyone feel welcome. But my sister-in-law has a habit of correcting me in front of everyone. If the turkey is dry, she announces it. If I forget someone’s favorite side dish, she sighs dramatically. If my children are noisy, she says, “Well, in our house, we had rules.” If I buy a dessert instead of ...

Man feels as if a death sentence hangs over him due to MGUS

DEAR DR. ROACH: After a routine blood test raised suspicions, my husband was diagnosed with monoclonal gammopathy of undetermined significance (MGUS). At first, we thought this wasn’t a big deal, but further tests indicate that he’s in the “high risk” category, although he doesn’t have symptoms. The hematologist/oncologist has indicated that he has a 50% chance of developing a blood cancer called multiple myeloma in 20 years. My husband is very upset and feels that a death sentence is hanging over him. The oncologist says he has to be monitored every three months. I’ve ...

Artificial intelligence: A modern Tower of Babel?

On May 25, Pope Leo XIV released his first encyclical, “Magnifica Humanitas: On Safeguarding the Human Person in the Time of Artificial Intelligence.” This pastoral letter has been much anticipated by the Catholic Church, and immediate news headlines expressed intrigue that the pope addressed the moral dilemma of AI and compared it to the story of the Tower of Babel in Genesis. He also discussed Nehemiah, the cupbearer to Persian King Artaxerxes I during the 5th century B.C. In a detailed breakdown of the pope’s central points in “Magnifica Humanitas,” Our Sunday Visitor ...