6A The Mining Journal
Friday, May 3, 2024
Good Advice
Dear Annie
Daughter seeks support, not judgment, from mother
ear Annie: My
mother, who
is now 62, has
Dear Struggling for In-
dependence: It’s clear you
value both your indepen-
respect and understanding
is a two-way street, and it’s glance at her and tell she
OK to take the space you is ready to jump into the
else is talking, you can
the group. Have a private
conversation with her,
expressing your apprecia-
D
always been a domi-
dence and your relationship need to foster that.
conversation and say how tion for her kindness and
nant personality, keen
on having things go her
way. I’m 34, an indepen-
dent graphic designer,
and I pride myself on
being self-sufficient
and creative. But every
time I share aspects of
my life with her -- be it
career choices, romantic
partners or even smaller
decisions like adopting a
pet -- she critiques them,
often unsolicitedly, mak-
ing me second-guess my
with your mother. Express-
ing your need for support
rather than criticism is not
only reasonable but nec-
essary for a healthy adult
relationship.
Dear Annie: My friends
the same thing happened
to her or her daughter.
It’s exhausting.
Other than that, she is
a wonderful person. She
would give you the shirt
off her back and do any-
thing for anybody. She is
funny, kind and loving,
and because of this, we
humor, but also share how
the group feels over-
and I are a group of four
women who have known
each other since elemen-
tary school. We recon-
nected at a high school
reunion and became very
close. We are all retired
and travel, have lunch
dates, and spend the
whelmed by her domi-
nance in conversations. A
friendship that’s endured
as long as this one has can
handle tough topics. Just
remind her that you’re all
coming from a good place,
and that, by confronting
It might be time for a
gentle but firm conver-
sation. Let her know that
while you appreciate her
desire to help, what you
need most from her is trust
in your judgment. Setting
boundaries is important;
you might decide to limit
what personal details you
share if her responses con-
tinue to be unsupportive.
nights together several
times a year. There is
one friend in the group
who will not stop talking.
She monopolizes every
conversation and often
tells the same story over
and over again. Most of
have silently endured. We this together head-on, your
are planning a cruise next friendship will hopefully
ANNIE LANE
year and no one wants
to room with her. We all
hate confrontation and
know she will be extreme-
ly hurt if we say some-
thing. Please help. What
do we do? -- Exhausted
Dear Exhausted: It
only strengthen and grow.
dodge the inevitable crit-
icism. I understand she
EDITOR’S NOTE: “Ask Me Any-
thing: A Year of Advice From Dear
Annie” is out now! Annie Lane’s
debut book -- featuring favorite
columns on love, friendship, fam-
ily and etiquette -- is available as
a paperback and e-book. Visit
com for more information. Send
your questions for Annie Lane to
decisions. Her disapprov- might be doing this out
al, which is always veiled
as concern, is making me
not want to be around
her.
I’m starting to avoid
sharing any personal
news with her at all to
of love, but it feels more
controlling than caring.
How can I communicate
my need for support
This isn’t to create distance her stories are about her
but to protect the relation- daughter and grandchil-
ship you cherish with her.
without her judgment?
dren. She does this in per- sounds like your friend
son and during telephone doesn’t realize how her
calls. When someone behavior is impacting
-- Struggling for Indepen- Remember, building a re-
dence lationship based on mutual
To Your Good Health
Red light treatments for neuropathy don’t show much benefit
EAR DR. ROACH:
I have neuropathy
in my left foot. It
benefit while others do (which I was expecting),
not. Even the two different all of which were favor-
showing evidence that
both electroconvulsive
therapy and transcranial
magnetic stimulation
may work by restoring
normal levels of cortical
inhibition in the frontal
lobes. The induced sei-
zure activity relating to
the treatment is respon-
sible for the benefits seen available for everyone.
through these therapies.
It may be possible to
achieve the same benefits
with less-invasive treat-
ments.
with severe depression,
having new options for
therapy would be very
welcome, as the medi-
cations we have are not
remotely 100% effective.
In addition, psychologi-
cal therapy, which is also
very useful but seldom
a complete cure, is not
D
reviews came to different
conclusions. What is clear
is that there is a strong
placebo response with this
treatment. People who
got a “sham” treatment
(with a red light device
that looked like the active
device but did not provide
the same type of infrared
light energy) still noted
able (which I was not
expecting). Although
feels very hot on the
bottom. My neurologist
thinks it is from my
there have been highly
negative portrayals of
this treatment in movies
and books, many people
who actually underwent
the treatment, as well as
their family members
and caregivers, wrote me
to say that their experi-
sugar level, but I got my
A1C down from 6.2%
to 5.6% and do not have
neuropathy in my right
foot. A friend said that he
has had some relief with
red light treatment, but
he experiences tingling
in his feet. Does red
light have an effect with
burning sensations? Are
there any other options
to consider for relief?
-- M.B.
EDITOR’S NOTE: Readers may
email questions to ToYourGood-
Health@med.cornell.edu or re-
quest an order form of available
health newsletters or mail ques-
tions to P.O. Box 536475, Orlan-
do, FL 32853-6475.
improvement in symptoms. ence was “amazing.”
In the best-done studies,
the difference between the
sugar levels does not make actual red-light device and
One of my readers
DR. KEITH ROACH, MD
also alerted me to new
research at University
of California San Diego,
As a clinician who
treats many patients
the condition go away,
although it does help slow
progression.
Medication for diabetic
neuropathy is pretty effec-
the red light bulb wasn’t
significant.
Department of Licensing and Regulatory Affairs
Bureau of Professional Licensing
Being a conservative
doctor, I won’t recom-
mend this therapy unless
ANSWER: The most
classic neuropathy in
people with diabetes is
a symmetrical polyneu-
ropathy, which usually
affects both feet and may
later affect both hands.
(It’s possible you have
this, and it just started on
one side for some reason.)
tive at treating the pain and there is clear evidence of
burning, but not as good benefit from future studies.
for numbness and tingling. I will note that multiple
NOTICE OF PUBLIC HEARING
June 4, 2024
9:00 a.m.
Red light treatment, also
called monochromatic in-
frared energy, is provided
burns have been reported,
and government bodies
have determined that red
Location: 611 W. Ottawa Street, UL-5
Lansing, Michigan
by LEDs rather than lasers. light treatment is not a
In theory, the light can
reasonable and necessary
treatment for diabetic or
nondiabetic neuropathy.
DR. ROACH WRITES:
The hearing is held to receive public comments on the following administrative rules:
There are many other types stimulate blood flow and
Architects – General Rules
(MOAHR #2023-047 LR)
of neuropathies, nearly
all of which are more
common in people with
diabetes. Unfortunately,
once diabetic neuropathy
has started, controlling
reduce inflammation.
There have been many
studies and two meta-anal- A recent column on
yses of published studies, electroconvulsive thera-
and the results are mixed, py for severe depression
with some studies showing generated many letters
Authority: MCL 339.308, 339.205, and 339.2009, and Executive Reorganization
Nos. 1991-9,1996-2, 2003-1 and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030.
Overview: The proposed rules include revisions to follow current drafting standards and
adoption of the latest version of the model rules of conduct.
Osteopathic Medicine and Surgery – General Rules
(MOAHR #2023-036 LR)
Authority: MCL 333.16145, 333.16148, 333.16174, 333.16201, 333.16204, 333.16215,
333.16287, 333.17531, 333.17533, and 333.17548, and Executive Reorganization Nos. 1991-9,
1996-2, 2003-1 and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030.
Overview: The proposed rules include: revisions to follow current drafting standards; removal of
the prohibition on delegation of a drug or device individually, in combination, or in succession, for
a woman known to be pregnant with the intention of causing either a miscarriage or fetal death;
updates to accreditation standards; edits to decrease the number of allowed attempts to pass any
level of the COMLEX-USA from six attempts to four attempts; removal of the requirement that an
applicant shall successfully pass all steps of the COMLEX-USA within seven years after the date
the applicant first passed a step of the COMLEX-USA; clarification of the period in which a licens-
ee must request a waiver of continuing education; clarification that a licensee who completes
implicit bias training under R 338.7004 may also use that training toward fulfillment of continuing
education requirements; and allowance of non-Accreditation Council for Continuing Medical Ed-
ucation (ACCME) accredited providers engaging in joint providership with ACCME accredited
providers to qualify as acceptable providers of continuing education.
Professional Surveyors – General Rules
(MOAHR #2023-049 LR)
Authority: MCL 339.308, 339.205, and 339.2009, and Executive Reorganization Nos. 1991-9,
1996-2, 2003-1 and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030.
Overview: The proposed rules include revisions to follow current drafting standards; edits to the
continuing education requirements for relicensure so it will be the same as the requirements for
renewal to ensure licensees are completing the same continuing education requirements under
either set of circumstances, and elimination of R 339.17403 (3) as it is redundant.
The rules will take effect immediately upon filing with the Secretary of State, unless specified
otherwise in the rules. Comments on the proposed rules may be presented in person at the public
hearing. Written comments will also be accepted from date of publication until
5:00 p.m. on June 4, 2024, at the following address or e-mail address:
Department of Licensing and Regulatory Affairs
Bureau of Professional Licensing– Boards and Committees Section
P.O. Box 30670
Lansing, MI 48909-8170
Attention: Departmental Specialist Email: BPL-BoardSupport@michigan.gov
A copy of the proposed rules may be obtained by contacting Board Support at (517) 241-7500 or
the email address noted above. Electronic copies also may be obtained at the following link:
Architects – General Rules
Osteopathic Medicine and Surgery – General Rules
Professional Surveyors – General Rules
To allow for broad public attendance and participation, including for persons with disabilities,
members of the public may access this meeting by both web and phone and provide either oral or
written comments. Closed captioning will be provided, when available. Members of the public who
are speech or hearing impaired may also attend and participate in this meeting by dialing 7-1-1
and using the Michigan Relay service. More information about this service may be found at https://
People with disabilities requiring additional accommodations (such as materials in alternative for-
mat) to participate in the meeting, or those that have questions should contact the department at
BPLBoardSupport@ michigan.gov.
Please call (517) 241-7500 or email BPL-BoardSupport@michigan.gov with any questions
related to the hearing.
