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How to access older medical records after switching providers

Columns

DEAR DR. ROACH: I’ve decided that it’s time for me to find a new primary care doctor. My biggest concern is access to my medical records. I currently have access to a patient portal to request doctor appointments or prescription renewals and review test results. Since the health care providers in my area use different portals, I need to know if I’ll have access to my past records. More importantly, will my new physician have access to my CAT scans, doctor’s notes, and other information that I’m not privy to through the patient portal? In the past, I know I could request that ...

Dear Annie: Cornered by my sister’s constant invitations

Columns

Dear Annie: I moved to northern Florida over a year ago to help care for my parents. My sister has lived in southern Florida for many years, and for as long as I can remember, nearly every conversation with her includes the same question: “When are you coming down?” Before I moved here, she asked it constantly. Once, she and her husband picked me up from the airport, and before we had even left the curb, she asked, laughing, “When are you coming down again?” She knows it irritates me, but she does it anyway. Now that I live in the same state, nothing has changed. It is still, ...

Why Trump couldn’t bring Iran to heel

Columns

Iran, a second-rate power in a state of economic collapse, just fought the U.S. to a standstill in a major military conflict. The disappointing outcome has echoes of Vietnam, Iraq and Afghanistan, in that a major world power hasn’t been able to impose its will on a militarily inferior foe. The problem comes when we run into an enemy that has a high threshold for pain and is determined to outlast us, while we make what we hope will be a time-limited commitment, seek to avoid escalations that carry unpredictable risks and operate from a tenuous base of domestic political support in ...

A president who is never too busy to celebrate himself — at our expense

Columns

What does it mean to be an American in 2026? Two distinctly and significantly different visions showed themselves in recent days. On the South Side of Chicago, there was the long-awaited opening of the Obama Presidential Center. In the presence of three past presidents and an assembly of dignitaries and music stars, former President Barack Obama saluted “American values we can all share,” and he expressed his faith that Americans “are looking for fairness and common sense and mutual respect, that deep in our gut we want to find a way to turn towards each other again, not further ...

How certain ‘sleep’ medications affect sleep quality and stages

Columns

DEAR DR. ROACH: I have occasional difficulty when going to sleep and/or getting back to sleep. I have tried Ambien, trazodone, clonazepam and Lunesta. All have their pros and cons. My question regards sleep quality. I know there are several stages of sleep that we should go through and that the brain cleans out junk during sleep. Do these sleep aids still allow a person to go through the needed sleep stages and also allow the brain to clean itself? Are any of these meds better or worse than the others for occasional use? — S.H. ANSWER: How much time we spend in the different stages ...

‘Tumor seeding’ very rarely occurs during biopsies

Columns

DEAR DR. ROACH: I read your recent column on prostate biopsies. I’m no doctor, but I’d advise against them. My boyfriend got a biopsy in 2012, which I believe caused his cancer to spread beyond his prostate into his bones. He died three years later in 2015. Think about this: A needle is inserted to extract cells so that they can be tested. When the needle is pulled out with its open end, and cancer is present, cells in the needle can then come out of the open end, causing cancer to spread throughout the prostate. It may be rare, but this is documented (tumor seeding). — ...