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Patient winds up with aspiration pneumonia after an adenoma

Columns

DEAR DR. ROACH: I was 47 when my first colonoscopy found a villous adenoma, and during the past 21 years, I’ve had eight or nine more without problems. But this week, I had another and wound up with aspiration pneumonia, despite having followed the prep instructions to the letter. I know my stomach was empty. How could this happen, and what can be done to prevent it from happening again? A friend suggested that it might have been “water brash,” which is associated with gastroesophageal reflux disease (GERD). Would they let me take an acid-suppression drug before the next ...

Our savings matter, but this bipartisan push misses the mark

Columns

President Donald Trump and Congress want to help you increase your savings. And you should. At the household level, saving is the foundation of financial security and the seed capital for a better retirement. At the economy-wide level, savings fund investment that expands the capital stock, raises wages and grows the economy. A society that does not save is a society slowly consuming its future. So, any politician who wants to help Americans save more deserves at least a hearing. What should such a politician propose? The first thing to do is remove all government-made barriers to ...

Dear Annie: To go or not to go

Columns

Dear Annie: My dad is turning 73 next month, and my mom is throwing this big party for him. She is begging me to come, but my parents live across the country — a six-hour plane ride. I work full time and have two kids under 5. My family only takes a trip like this once or twice a year, and if I’m really honest with myself, I don’t want to spend it on this family party. At the same time, I know they’ll be disappointed if I say no. I feel guilty but also spread thin. How do I decide? — Torn Daughter Dear Torn Daughter: There’s no perfect answer, only the one you can live ...

The quiet man

Columns

Thomas Tull is walking along the old wooden brick floor of what began as the Pittsburgh Reduction Company and later became Alcoa, a place where researchers and manufacturers created a hub of foundational aluminum manufacturing for nearly a century. In truth, this was the center of innovation and manufacturing in America. And after lying dormant for decades, Tull took his vision for remaking and rethinking U.S. manufacturing from an idea and ethos into reality two years ago. For exactly 80 years, the people who stood along these wooden floors fueled America’s leadership and ...

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 ...