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Doctor refuses to order magnesium test for patient on PPIs

Columns

DEAR DR. ROACH: I recently read in your column that you test your patient’s magnesium levels when they have been on long-term proton-pump inhibitors (PPIs). When I asked my doctor to include this in his order for blood tests, I was told that the test isn’t accurate, and he wouldn’t order it. Is there a special magnesium test that I can request? When I looked it up on the internet, this is what I found: “Standard magnesium blood tests (serum) are generally not considered an accurate indicator of total body magnesium. While they can detect severe deficiency, they are unreliable ...

Who is monitoring the debt?

Columns

People of a certain age will recall a lyric from the Tennessee Ernie Ford song “Sixteen Tons”: “Another day older and deeper in debt.” I thought of that song as Secretary of War Pete Hegseth asked Congress to approve a $1.5 trillion budget for fiscal year 2027 to put the military on what he called a “wartime footing.” Hegseth says the Pentagon needs the money for more drones, munitions and modernized systems. Though President Trump has denied it, bragging that we have the strongest military in the world, it would appear that the Iran conflict has significantly depleted U.S ...

Dear Annie: Respect starts small

Columns

Dear Annie: I am the grandmother of two. My almost-3-year-old granddaughter told me she does not love her “Uncle Dave.” I asked her why and she said because he tickles her. Her parents, my son and his wife, push their kids to “give hugs” upon visiting and leaving friends and relatives. I mentioned this to my daughter-in-law, and she seemed to brush it off. I also texted my son and he replied, “k.” My granddaughter’s birthday party is coming up soon, and Uncle Dave will be there. I plan on being vigilant so that she won’t be subjected to being touched in a way she is ...

Lending advice on endometrial cancer and its treatments

Columns

DEAR DR. ROACH: Can you comment on endometrial cancer? I have stage IV, and I’m in my 50s. I remain concerned about inflammatory foods. I’ve now embraced a macrobiotic diet, and I feel great. — T.P. ANSWER: In North America, endometrial cancer is the most common gynecological cancer. Most women with endometrial cancer will see their doctor because of abnormal bleeding, usually years after menstruation has stopped. I still occasionally have patients who tell me that they are so glad their periods started again, but this is a serious concern that calls for an immediate ...

We lost one of the great grumps this week

Columns

In every school, work or personal gathering, you need at least one grump for the group to thrive. Grumps do the work that no one else will. When everyone else is being mercilessly upbeat, they swim against the tide and complain. The grump may follow your inane rules — but grudgingly, oh, boy, will it be grudgingly — but they never let them pass unremarked upon. Where other folks try to fit in, the grumps stand out, not because they want to, but because they must. Even in a children’s show like “Sesame Street,” you need an Oscar the Grouch to balance out what otherwise could ...

The young, violent political left

Columns

You have to be awfully smart to believe something this stupid. In a Manhattan Institute survey of Democratic voters, 46% said they believed it was definitely or probably true that “the assassination attempt against Donald Trump in July 2024 was orchestrated by his supporters to increase sympathy for him.” That’s a startlingly high number for a party whose members are increasingly drawn from the ranks of college graduates and those with graduate school degrees. And for a party whose articulate leaders are prone to dismissing Republican talking points as “conspiracy ...