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Patient with BPH needs biopsy to be performed on prostate

Columns

DEAR DR. ROACH: I am 68 years old and have an enlarged prostate and benign prostatic hyperplasia (BPH). I’ve been taking tamsulosin for about seven years. My PSA level has slowly creeped up and was recently measured at 4.5 ng/mL. My doctor did a 4Kscore test, and it was rather high at 49%, indicating a higher potential for aggressive prostate cancer. The digital rectacl exam (DRE) was normal. An MRI came out low, at PI-RADS score of 2. My doctor indicated that there has been limited research on correlations between a relatively low PSA level and a high 4Kscore. A biopsy isn’t ideal ...

Dear Annie: Shoplifting in front of kids

Columns

Dear Annie: My son and his wife have been married for 11 years, and my daughter-in-law, age 31, has struggled with alcoholism, depression and anxiety for the past six years. She’s also attempted suicide a few times in the past three years. She is under the care of a psychiatrist. But who knows whether she is telling him the truth? She also is a shoplifter. My two young granddaughters know that their mother does this. I’ve spoken with my granddaughters about this, as has my son, and they both know it is wrong and have asked their mother to stop. She shoplifted again yesterday while ...

Public parks aren’t development opportunities. A historic park serves as a warning

Columns

I thought the University of Louisville had listened. Two years ago, the university hosted public meetings about the prospect of developing Stansbury Park, a historic Olmsted-designed park at the edge of campus. The community pushed back, and the idea seemed to disappear. Then, in August, U of L President Gerry Bradley listed Stansbury Park development among his fiscal year 2027 priorities. So here we are again, asking the question: Shouldn’t the community have input when it comes to the fate of a public park? Let’s be clear. The university does not own this park, but its ...

An argument for hydrogen

Letters to the editor

John E. Haines Renovo America proved a hydrogen car worked dependably over 50 years ago, when it drove one around on the moon. There are many advantages to a hydrogen vehicle. First of all it gets zero emissions. Another advantage is that it only takes 4.5 minutes to refuel. And driving a hydrogen car is actually safer then gasoline. Another advantage is that the fuel can be much cheaper, when production is scaled up. Currently CSX is building a fleet of hydrogen fueled locomotives at their Huntington, W.V. shop. What they do is remove the diesel engine and install a hydrogen ...

Dear Annie: Doing the work but still a work in progress

Columns

Dear Annie: A lot of things improved when I got sober five years ago. I left a toxic job and started my own business, where I’ve made some good friends. I improved my relationship with my kids, now 7 and 9, so much that I became the preferred parent. I’m even healthier thanks to a new dog who loves walking and comes almost everywhere with me. The two areas that haven’t improved are my relationship with my wife and with my parents and siblings. The way they treated me was the reason I drank. That’s not an excuse, but I don’t think it was fair to be treated so poorly, either. ...

Data centers or no data centers?

Letters to the editor

Craig Seasholtz Avis Are data centers good or bad for Pennsylvanians? Recent political ads attacking Stacy Garrity over her support for data-center development invite voters to view the issue in simple, partisan terms. But the question deserves more than campaign rhetoric. Pennsylvanians should weigh both the consequences of building data centers and the consequences of refusing to build them. Consider how often you use email, cloud storage, search engines, social media, video calls, online banking, streaming services, smartphone apps or GPS navigation. Data centers support ...