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Reader inquires about a new product for inflammatory arthritis

DEAR DR. ROACH: I was really interested in reading your recent columns on rheumatoid arthritis (RA) and other inflammatory arthritic conditions. I’ve taken most medications that you mentioned in your column. However, there’s a product called PS372424 that’s been in research since 2014, yet no medical rheumatology departments have even involved patients in taking it. This is a nontoxic alternative to all the medications that are given to children and adults for inflammatory arthritic diseases. I’m in the United Kingdom, but I’d be really interested to hear what our American ...

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

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

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

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

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 ...