Breaking News

Opinion

Following the Supreme Court’s ruling on skill games, legislature needs to act now to modernize PA’s charitable gaming law

Columns

The Veterans of Foreign Wars (VFW) Department of Pennsylvania, with a membership of nearly 60,000 combat veterans encompassing more than 400 posts in the Commonwealth, is a vibrant and vital member of our local communities. We provide safe havens for our Veteran population — venues for active-duty, honorably discharged, and retired military personnel to congregate, socialize, and bond — while also assisting our veterans with accessing critical support in the local communities and vital federal benefits. Beyond supporting our combat veterans, individual VFW Posts across Pennsylvania ...

Dear Annie: Courtesy is required in shared spaces

Columns

Dear Annie: I go to the same nail salon every few weeks, and lately I’ve noticed something that is driving me crazy. Almost every time I’m there, someone is talking loudly on their cellphone, watching videos without headphones or having a FaceTime conversation while the rest of us are trying to relax. At my last appointment, the woman next to me spent nearly the entire hour on speakerphone discussing everything from her marriage to her daughter’s problems at school. The nail technicians seemed uncomfortable, but no one said anything. I didn’t want to be rude or too ...

Cardiac patient’s thirst runs rampant in the evenings

Columns

DEAR DR. ROACH: I’m 74 years old, and I was diagnosed with congestive heart failure with a recent ejection fraction of 25%. My cardiologist has me taking empagliflozin (Jardiance) and furosemide (Lasix) daily. With moderate cardio exercise therapy every other day and two diuretics daily, my thirst runs rampant during the evenings, and I find myself drinking fluids to compensate. Am I nullifying the intended purpose of the diuretics? — D.P. ANSWER: The main purpose of diuretics is to remove excess salt and water from the body. However, we all need some salt and water, so the ...

What a Stalin biography tells us about our time

Columns

History illuminates the present. I’ve been reading Stephen Kotkin’s widely and justly praised multivolume biography of Joseph Stalin and have encountered many passages that illuminate the present. I learned, for example, that Stalin met the exiled Vladimir Lenin more than a decade before the October 1917 revolution, and that by the early 1920s until his death in 1924, Lenin was in failing health, confined to an estate with “a staff, including the worker-cook Spiridon Putin,” Russian President Vladimir Putin’s grandfather. That provides an interesting context for Vladimir ...

Pneumonia patient most likely has a Legionella infection

Columns

DEAR DR. ROACH: I was recently admitted to the hospital with pneumonia in both lungs. Given the recent outbreak of Legionella where I live, I was concerned whether I might have had this instead. They did do some tests in the hospital to try to find out. — R.C. ANSWER: I looked at the labs that you sent me, and several of them are consistent with Legionella. You had a very high C-reactive protein level, a relatively low procalcitonin level, pneumonia in both lungs, low blood sodium, and a relatively low heart rate. All of these suggest Legionella rather than pneumococcal pneumonia ...

Dear Annie: How to declutter without starting a war

Columns

Dear Annie: I am desperate to declutter our house, but my husband has a very hard time letting go of anything. Our closets are overflowing, the garage is packed, and we have boxes of things we haven’t opened in years. There are old tools, clothes that no longer fit, broken electronics, stacks of paperwork and even things from hobbies he hasn’t touched in decades. Every time I suggest donating or throwing something away, he finds a reason we might need it someday. I’m not trying to get rid of everything or make our home look like a showroom. I just want to be able to open a closet ...