West Side Rag
  • TOP NEWS
  • OPEN/CLOSED
  • FOOD
  • SCHOOLS
  • OUTDOORS
  • REAL ESTATE
  • ART & CULTURE
  • POLITICS
  • COLUMNS
  • CRIME
  • HISTORY
  • ABSURDITY
  • ABOUT US
    • OUR STORY
    • CONTRIBUTORS
    • CONTACT
    • ADVERTISE
    • GET WSR FREE IN YOUR INBOX
    • SEND US TIPS AND IDEAS
West Side Rag
No Result
View All Result
No Result
View All Result

Favorite WSR Stories

  • Construction Site For Future Tallest Building on the UWS Shut Down Due to Asbestos
  • Upper West Side Tragedy and Everyday Miracles
SUPPORT THE RAG
Get the neighborhood news that matters.
Sign up for our free newsletter

Ruthless Advice for Upper West Siders: All of the Answers With None of the Expertise

July 21, 2026 | 8:30 AM
in ABSURDITY, COLUMNS, NEWS
21

 

By Karen Bergreen and Cynthia Kaplan

Editor’s note: This month, Otis, a Welsh terrier, is filling in for Karen Bergreen, who is on hiatus.

There has been a lot of talk lately, mostly among your Ruthless Advisors on the telephone, about how truly horrible medical portals are. First, it’s nearly impossible to remember which portal which doctor is on, because either they keep switching portals or because the portal has a pompous, generic name like Oracle or Epic or Benchmark, or it has an incomprehensible, unspellable name like PrognoCIS or practicefusion or eClinicalworks. Second, you can be on one portal for more than two places. For example, there’s MyChart at Mt. Sinai and MyChart at Yale New Haven, yet the two MyCharts are separate and don’t talk to each other. What’s the point of that? Third and worst, you can be awaiting difficult news from a scan or blood test, and the results will appear on your portal—sometimes weeks before you are scheduled to talk to your doctor. Maybe it’s the weekend and the doctor’s office is closed. Perhaps you don’t understand what you are reading or worse, you do understand. What ever happened to breaking it to you gently? What fresh hell is this? We here at Ruthless encourage our readers to rant about health care portals in the comments. We actually feel a little better now that we have.

Dear Ruthless,

I’m 83 years old and my husband is 89. We are both, knock on wood, healthy and active. We walk a three-mile loop in the park almost every morning, go out at night, drive, and travel. My husband just asked me to consider having an open marriage. Did I say I’m 83 and he’s 89? It’s a little late, no? I don’t know what to tell the guy.

Signed,

Seriously?

Dear Seriously?

CINDY: I’m wondering, as you seem to be, how much damage he could actually do at this late date. And from the tone of your question, I’m also thinking you are neither threatened nor particularly angry. If that is the case, I’d pack him a lunch, wish him luck, and send him on his way, provided he reports back in detail. However, if you actually feel hurt or insulted, you must tell him so and ask him whether becoming a late-life Lothario is worth the pain he would be inflicting on you. You might also remind him that an open marriage is open on both ends.

OTIS: Very occasionally I hump some cutie-pie, but neither Cindy nor the cutie-pie seem pleased, so I try not to do that. But I do A LOT of sniffing with or without tail wagging, which no one seems to mind. What I’m saying is that maybe your guy just needs to get out and sniff a bit. As I’ve heard Cindy say to her husband: We’re married, not dead. What I think she must mean is they choose not to hump outside the marriage, but the frisson of a little consensual, no-contact sniffing might, you know, keep things lively.

Dear Ruthless,

How can I keep my daughter from letting her 9-year-old twins watch South Park, which is clearly written for older teens and adults?

Signed,

G-Rated Grandma

Dear G-Rated,

CINDY: If your grandkids haven’t started watching it yet, you might recommend to your daughter that they begin with SpongeBob SquarePants, which is the G-rated gateway cartoon to South Park. The truth is, though, my kids watched South Park earlier than many of their peers and they loved it. As did we. Howling with laughter as a family is a core memory, as was (is) my son’s uncanny ability to quote long sequences of the show verbatim. We made it a condition that they never mistook permission to watch the show for permission to speak or behave inappropriately. In my humble opinion, South Park is an honest and often loving look at friendship and community.

OTIS: Step off, Grandma. Exposure to South Park cannot begin too early. It is the truth serum we need in this fraught moment. It insults no one because it spares no one. It is laugh-out-loud funny (well, not for me; I don’t laugh out loud), which makes it an ideal way to introduce your grandchildren to the world of politics, religions, and sociology without scarring them or boring them.

Dear Ruthless,

My wife has accused me of hoarding books in our modest Upper West Side abode. We have bookshelves in every room, and there are a few piles around on tables and chairs, mostly for current reading. I’ll admit it’s a lot. She’s demanding I cull. The problem is twofold. I don’t want to take the time to cull. Also, I don’t want to cull. I love my books, and that was abundantly clear when we met. How do I relay this without sounding inconsiderate?

Signed,

Book Hoarder

Dear Book,

OTIS: I don’t read much. But I do have too many toys in my toy basket, most of them torn and ravaged by time and me, and many, heartbreakingly, sans squeaker. Whether I keep them all or not is pretty much — if not entirely — out of my hands, and I suspect it’s out of yours.

CINDY: I, too, love books. I really don’t understand homes without them, even though I know people use Kindles and Nooks and phones now. There are, in fact, some books you’re going to have to pry from my cold, dead hands. Nevertheless, sigh, it is possible to accumulate more books that your home can hold. I’ve begun a very slow culling of my own, getting rid of books I don’t want to finish, or finished but didn’t like, or feel sure I’ll never crack. I donate them to my building’s shared book room or the local library. On a street near me, people sometimes leave books out on their stoops as an offering to neighbors, which I love. Your wife may have knowingly married you and your books, but, as Otis writes, you might consider which one of those two entities you most don’t want her to get rid of.

Dear Ruthless,

Is it cruel to dress a dog up? I see plenty of charming Instagram accounts where it looks like the dog is perfectly content in its various outfits, but I worry but it seems sort of antithetical to the idea of caring for an animal.

Signed,

Respect the Dog

Dear Respect,

CINDY: Dog videos on Instagram are my jam, and I’ve seen some cute ones with dogs in clothing, but it seems that a lot of the time those dogs in visors or overalls or pajamas look like they want to kill someone. I suppose I can understand a jaunty sweater in the fall or a winter puffer for skinny dogs who shiver in the cold. And I’m willing to give a special dispensation for Halloween. A couple of years ago we had Otis in a headband-like thing around his midsection with a knife handle on one side and the knife blade on the other, which made him look like he’d been stabbed, which some neighbors found apt. Anyhoo, I’m not a fan.

OTIS: You are right to worry about dogs not liking it. I’ve heard cats don’t mind, though.

Karen Bergreen and Cynthia Kaplan are the co-creators of The Ruthless Comedy Hour, a comedy variety show for grownups with brains. In its 11th year, it features top stand-up comedians (including this month’s guest columnist Cory Kahaney), musicians and celebrity interviews, and addresses social, political, and local concerns by making brutal fun of them. Bergreen is a veteran stand-up comedian and author of two acclaimed novels. Kaplan tours extensively with her comedy rock band, The Cynthia Kaplan Ordeal, and is the author of two just as acclaimed collections of humorous essays.

Otis is a 12-year-old Welsh terrier. He is a life-long Upper West Sider. In his neighborhood he is known by many and loved by few. 

Got a question in need of ruthless advice? Email Ruthless at info@westsiderag.com.

Read all Ruthless Advice columns here. 

Subscribe to West Side Rag’s FREE email newsletter here. And you can Support the Rag here.

Share this article:
SUPPORT THE RAG
Leave a comment

Please limit comments to 150 words and keep them civil and relevant to the article at hand. Comments are closed after six days. Our primary goal is to create a safe and respectful space where a broad spectrum of voices can be heard. We welcome diverse viewpoints and encourage readers to engage critically with one another’s ideas, but never at the expense of civility. Disagreement is expected—even encouraged—but it must be expressed with care and consideration. Comments that take cheap shots, escalate conflict, or veer into ideological warfare detract from the constructive spirit we aim to cultivate. A detailed statement on comments and WSR policy can be read here.

guest

guest

This site uses Akismet to reduce spam. Learn how your comment data is processed.

21 Comments
Marcia Epstein
Marcia Epstein
22 days ago

I hate the portals. I am terrified of looking at results I don’t understand. I think they should be banned.

4
Reply
Robin Rice
Robin Rice
22 days ago

In addition to those horrible onlike medical portals (which I gave up on), there is this new thing of having an AI voice answer calls to medical offices. AAARRRGGGHHH!

6
Reply
Manhattan parent
Manhattan parent
22 days ago
Reply to  Robin Rice

Second that. It only wastes your time and adds no value whatsoever.

3
Reply
Ruthless’ Biggest Fan
Ruthless’ Biggest Fan
22 days ago

Amen and praise South Park! Thanks for this column and Otis’ added wisdom wit and insight. Gotta ask, is he a lefty or righty when he puts pen to page??

3
Reply
Edge of UWS
Edge of UWS
22 days ago

Not me having a frisson, learning a new word from a dog on a Tuesday. Thanks Otis!

1
Reply
RCP
RCP
22 days ago

Humping? Sniffing? What does the family pet have to say about this kind of “human” behavior?

As for the 83-year-old posing the question, be open-minded, but tell hubby to be sure to use condoms. Don’t want any STD’s spoiling or soiling the homestead.

3
Reply
Sal Bando
Sal Bando
22 days ago
Reply to  RCP

I would bet that the reason he wants an open marriage is that he doesn’t have the opportunity with his wife like he used to. If they stopped having sex then what does it matter.

1
Reply
Susan
Susan
22 days ago

Always a great way to start off a Tuesday.

2
Reply
Judd
Judd
22 days ago

I like the portals. I like getting my results ASAP and then I throw them out at google and get an interpretation in a split second. Then I take it from there and am ready when (and if) I decide to talk with the doctor.

5
Reply
Barbara E. Morgan
Barbara E. Morgan
21 days ago
Reply to  Judd

Six years ago, I found out I had cancer via a test result on a portal, prior to the doctor calling me and letting me know. Needless to say, I was shocked and appalled. Fortunately, when I complained, the clinic referred me to an excellent medical team, and I remain cancer free now. However, I’ve NEVER set foot in the clinic again.

3
Reply
Famous Original UWS Dad
Famous Original UWS Dad
22 days ago

I completely agree with all the listed complaints about the medical portals!

3
Reply
Sal Bando
Sal Bando
22 days ago

I would ask LW1 when was the last time you had sex with your husband? That’s a very relevant bit of information here. If she stopped wanting to years ago and he’s still a healthy guy who hasn’t given that up, then you need to consider it carefully and maybe say OK.

1
Reply
Carmella Ombrella
Carmella Ombrella
21 days ago
Reply to  Sal Bando

Nobody asked you. Why is the sex life of an elderly couple your business?

0
Reply
Peter
Peter
21 days ago
Reply to  Carmella Ombrella

It’s everyone’s business now – she chose to share it…

We are all fascinated now and can’t wait for the sequel (what did she tell him), the next stage (will he, won’t he) and the denouement…

3
Reply
Sal Bando
Sal Bando
21 days ago
Reply to  Carmella Ombrella

Because the letter is published in the WSR advice column?

2
Reply
Maura L
Maura L
21 days ago

Your response to the octagenerian couple is dismissive and ageist. They may have a very satisfying sex life. Instead of being trite and glib—and having Otis respond—do you ever offer kind and genuine advice without going for what you think is funny?

1
Reply
Jane
Jane
21 days ago
Reply to  Maura L

This blog might be too edgy for you.

2
Reply
Barbara E. Morgan
Barbara E. Morgan
21 days ago
Reply to  Maura L

In case you missed it, it’s a “tongue in cheek” advice column. That is, it’s primarily a humor column. Reread the title! Also, I find Otis’s responses very helpful.

6
Reply
Jan
Jan
21 days ago

Ages ago I got my DEXA report and saw I had osteoporosis. Thank God I heard in advance b/c when the ob/gyn called she was hysterical and screamed into the phone YOU ARE AT HIGH RISK OF SPONTANEOUS FRACTURE OF THE SPINE! Had I not gotten the info in advance, I would have had a heart attack. I didn’t take the drugs. I know how to take care of myself and am fine.

1
Reply
Eli Jacobson
Eli Jacobson
21 days ago

I happen to like the hospital portals.

Regarding the Epic portal which is used by virtually all the NY hospitals (most call it MyChart, but NYP Connect, and MyNorthwell are also Epic MyChart), there is a setting that allows you to see information from other hospitals which use Epic when you are logged in to one.

Click on “Link My Accounts” in the main menu, and select which others you want to see.

2
Reply
Martin
Martin
17 days ago

If I call Mount Sinai to refill my prescription, I get a message saying I must use MyChart “for fastest results.” How fast is that? Anywhere between one week and never. A monthly drama for me, will I get more medication before I run out. I now just stop by one of their centers and make the refill request in person. It still doesn’t always happen promptly, but at least I get to talk to a person who shows concern.

0
Reply

YOU MIGHT LIKE...

Upscale Lucia Pizza Aims to Become Upper West Side Staple After Upcoming Opening
NEWS

Upscale Lucia Pizza Aims to Become Upper West Side Staple After Upcoming Opening

August 12, 2026 | 12:25 PM
Man Robbed in Riverside Park by Teens Flashing Gun and Knife:  NYPD
CRIME

Man Robbed on the Upper West Side by Duo on Moped: Police

August 12, 2026 | 11:02 AM
Previous Post

Manhattan Real Estate Report: The Market’s ‘Looking’ Up

Next Post

Central Park Hosts Biggest FIFA World Cup Final Watch Party in the World

this week's events image
Next Post
Central Park Hosts Biggest FIFA World Cup Final Watch Party in the World

Central Park Hosts Biggest FIFA World Cup Final Watch Party in the World

UPDATE: 36-Year-Old Upper West Side Pizzeria Appears to Permanently Close

UPDATE: 36-Year-Old Upper West Side Pizzeria Appears to Permanently Close

Openings & Closings: The Little Apple Toy Shoppe; Cassidy’s Dog Spa; Corcoran; Mount Sinai ObGyn

  • ABOUT US
  • CONTACT US
  • NEWSLETTER
  • WSR MERCH!
  • ADVERTISE
  • EVENTS
  • PRIVACY POLICY
  • TERMS OF USE
  • SITE MAP
Site design by RLDGROUP

© 2026 West Side Rag | All rights reserved.

No Result
View All Result
  • TOP NEWS
  • THIS WEEK’S EVENTS
  • OPEN/CLOSED
  • FOOD
  • SCHOOLS
  • OUTDOORS
  • REAL ESTATE
  • ART & CULTURE
  • POLITICS
  • COLUMNS
  • CRIME
  • HISTORY
  • ABSURDITY
  • ABOUT
    • OUR STORY
    • CONTRIBUTORS
    • CONTACT US
    • GET WSR FREE IN YOUR INBOX
    • SEND US TIPS AND IDEAS
  • WSR SHOP

© 2026 West Side Rag | All rights reserved.