Friday, May 27, 2022
8A The Mining Journal
Good advice
Dear Annie
Boyfriend keeps me at arm’s length from his family
ear Annie: I am a
recovering alcoholic
with almost three
volved me in his family and the family front.
we have been together for Dear Annie: Your read-
seven years. He has met my ers seem to have a variety
time for summer reading
lists.
***
and Slighted
Dear Conflicted and
Slighted: Your parent is
D
years of sobriety.
I have a wonderful
family and my kids but is
very private about his own
family. I know his friends,
but I have never been in-
troduced to his dad, and
I’m not allowed to come
around his house when his
dad is there.
of problems. Because of
my career path, I’ve read a 18 months, my aging par-
Dear Annie: For the past lucky to have you! Older
people are sometimes un-
aware of their newfound lim-
itations, so it is possible that
your parent has every inten-
boyfriend with whom I
spend many enjoyable
hours. Occasionally, he is
asked to join his friends for
a drink. On several occa-
sions, he has told them that
he doesn’t drink out of re-
spect for me, adding, “You
know ...” and looking di-
rectly at me. His friends all
respond with a conspirato-
rial nod.
I’ve told him quite often
that this embarrasses me,
both for mentioning it and
for having told his friends!
What is the proper re-
sponse in this situation,
aside from bursting into
tears from shame (which I
actually did once)?! —
Sober and Embarrassed
Dear Sober and Embar-
rassed: Congratulations!
Three years of sobriety is a
huge accomplishment, and
lot of problem-solving and
self-help books over the
years. They all have good
ideas.
However, there are two
that sit high above the
ent has been accepting
(and sometimes volunteer-
ing for) tasks that he/she
cannot complete alone. Be- tion of completing the pro-
cause we share a home, I
am forced to help and of-
ten do most of the work. I
am not given a choice as if
I am a child.
The slighting behavior
has become more frequent
and when coupled with a
ject alone but then comes to
you for help when he or she
hits a roadblock.
It’s really taking a toll on heap. Both are written by
me, and I feel I am not
good enough. Any advice?
— Feeling Shut-In
Dear Feeling Shut-In: Per-
haps the issue here lies not
with you but with your
boyfriend and his father. Is
the same person, Dale
Carnegie. The books are
“How to Stop Worrying
and Start Living” and
“How to Win Friends and
Influence People.” I know
they would help a lot of
The next time this hap-
pens, gently explain to your
parent that you don’t have
time for last-minute tasks. If
he or she anticipates needing
ANNIE LANE
you should be proud.
Give your boyfriend some
alternatives to use when
asked for a drink: “Thanks,
but I’m not drinking at the
stressful job, it is extremely your help, it must be negoti-
frustrating. I expressed my ated prior to accepting the
concerns to my parent, but project.
their relationship healthy and your readers because they
close, or strained and com-
plicated? Seeing he has in-
moment,” or, “How about we troduced you to his friends,
solve actual problems.
They were written years
ago, but I’m sure they can
still be found in libraries
and bookstores. I highly
nothing changed.
EDITOR’S NOTE: How Can I
Forgive My Cheating Partner?” is
out now! Annie Lane's second an-
thology — featuring favorite
columns on marriage, infidelity,
communication and reconciliation
-- is available as a paperback and
spublishing.com for more informa-
tion. Send your questions for An-
nie Lane to
I pay at least half of the
household expenses and
plan to move soon. It is
likely my parent will move
with me. I want to continue
supporting him/her finan-
cially, but the disregard
must stop. What is the
grab lunch instead?” He
probably feels awkward de-
clining and doesn’t want to
come across as rude.
Dear Annie: I wanted to
ask this question to see
what others think.
I’d venture to say he wants
you involved in his life.
When it comes to his family, recommend them. —
he might not know how to.
Talk with your boyfriend
about how you’re feeling.
After seven years together,
it’s time to break the ice on
Bookworm
Dear Bookworm: Thank
you for these recommenda-
tions. They’re two very pop- right thing to do? Thanks
ular titles, indeed, and just in in advance. — Conflicted
My boyfriend hasn’t in-
To Your Good Health
When it comes to starting a statin, it’s not all in the numbers
EAR DR. ROACH: I
have a question for
er developed diabetes and
had a heart attack at 66.
I am on no other medica- there is no clear association
tion, and my blood pres-
sure is good. Do you agree
with my doctor? How
risky is it if I don’t take
the statin? — M.I.C.
Answer: Statin drugs like
rosuvastatin (Crestor) cer-
tainly do lower cholesterol,
and they do reduce the risk
of a heart attack or stroke.
Most experts believe that
statins exert benefit both
through reduction of LDL
cholesterol and through oth-
they are predisposed to get-
ting diabetes. However,
your whole picture, the ben-
efit of a statin at this time for
you is negligible. So even a
be strong.
Most importantly of all,
nearly everyone can im-
prove their risk of getting
heart disease by improving
their lifestyle. Having a
healthy body weight and
avoiding dietary trans-satu-
rated fat is a good start, but
there are many dietary
habits that reduce heart dis-
ease risk (and many other
D
your column. What
is the number of LDL
cholesterol that would ne-
cessitate taking statins? I
am an active 51-year-old
female and weigh 126
between Parkinson’s disease small risk of side effects is-
and statin use — in fact,
some studies have shown a
decreased risk of developing number that makes a statin
Parkinson’s disease among
statin users.
The benefit of a statin de-
pends on how high the un-
derlying risk is for the per-
son. Although your LDL
and total cholesterol num-
bers are high, you are a 51-
year-old woman, with a
good blood pressure and a
n’t worth it.
There isn’t a single LDL
necessary. But very high
LDL numbers require a dif-
ferent conversation. The de-
cision depends on how
much a person wants to
avoid a heart attack and how risks as well). Regular exer-
much they want to avoid
taking medications. While
there is no magic number for
10-year risk that says when
a person should take a statin,
a 10-year risk of 7.5% is a
level that many physicians
use to recommend a statin
drug for their patients at
pounds at 5 feet, 2 inches
tall. I eat a healthy diet
and avoid trans fat. My to-
tal cholesterol is 260, LDL
is 173 and HDL is 67. I
have had high LDL since I
was a teenager. My blood
pressure is 123/77. My
general practitioner pre-
scribed a low-dose statin
(Crestor 5 mg). My cardi-
ologist said that statins will
lower my cholesterol but
that it does not ensure I
will be protected from a
heart attack or stroke.
cise is as important as a
healthy diet.
EDITOR’S NOTE: Dr. Roach
regrets that he is unable to answer
individual letters, but will incorpo-
rate them in the column whenever
possible. Readers may email ques-
tions to
KEITH ROACH, M.D.
I do not want to take the
statin. I have two close rel-
atives who took statins.
One suffered from Parkin-
son’s without a family his-
tory of the disease. Anoth-
er pathways, not yet precise- high HDL, so your risk of a
ly identified. However, like
all medications, they have a
risk of side effects.
Diabetes has been shown
to develop more quickly in a saw your high LDL number
person taking a statin drug if and got nervous. But given
heart attack, stroke or death
from cardiovascular disease
is only 1.4% in the next 10
years. I suspect your doctor
ToYourGoodHealth@med.cornell.e
du or send mail to 628 Virginia
Dr., Orlando, FL 32803.
risk. When risk over 10%,
the recommendation should
Department of Licensing and Regulatory Affairs
Bureau of Professional Licensing
There is a
NOTICE OF PUBLIC HEARING
June 17, 2022
9:00 a.m.
better way...
Location: G. Mennen Williams Building Auditorium
525 W. Ottawa Street, Lansing, Michigan
The hearing is held to receive public comments on the following administrative rules:
Genetic Counseling – General Rules (MOAHR #2021-043 LR)
Authority:ꢀꢀ0&/ꢀꢃꢃꢃꢂꢄꢅꢄꢆꢇꢁꢀꢃꢃꢃꢂꢄꢅꢄꢆꢈꢁꢀꢃꢃꢃꢂꢄꢅꢉꢈꢊꢁꢀꢃꢃꢃꢂꢄꢊꢋꢌꢄꢁꢀꢃꢃꢃꢂꢄꢊꢋꢌꢉꢁꢀDQGꢀꢃꢃꢃꢂꢄꢊꢋꢌꢅꢁꢀDQGꢀ([HFXWLYHꢀ5HRUJDQL]DWLRQꢀ1RVꢂꢀꢄꢌꢌꢄꢍꢌꢁꢀ
ꢄꢌꢌꢅꢍꢉꢁꢀꢉꢋꢋꢃꢍꢄꢀDQGꢀꢉꢋꢄꢄꢍꢆꢁꢀ0&/ꢀꢃꢃꢈꢂꢃꢇꢋꢄꢁꢀꢆꢆꢇꢂꢉꢋꢋꢄꢁꢀꢆꢆꢇꢂꢉꢋꢄꢄꢁꢀDQGꢀꢆꢆꢇꢂꢉꢋꢃꢋꢂ
Overview: The proposed revisions to the rules include a date of promulgation for completion of the training on identifying victims of human
WUDI¿FNLQJꢁꢀDꢀQHZꢀUXOHꢀVHWWLQJꢀIRUWKꢀWKHꢀUHTXLUHPHQWVꢀIRUꢀOLFHQVXUHꢀE\ꢀHQGRUVHPHQWꢁꢀUHYLVLRQVꢀWRꢀWKHꢀUHTXLUHPHQWVꢀIRUꢀYHUL¿FDWLRQꢀRIꢀOLFHQVHVꢀ
KHOGꢀLQꢀRWKHUꢀMXULVGLFWLRQVꢁꢀFODUL¿FDWLRQꢀWKDWꢀDꢀWHPSRUDU\ꢍOLFHQVHGꢀJHQHWLFꢀFRXQVHORUꢀPD\ꢀUHQHZꢀWKHꢀWHPSRUDU\ꢀOLFHQVHꢀIRXUꢀWLPHVꢁꢀDQGꢀDꢀ
requirement that a licensee shall report to the department a change in active candidate status no later than 30 days after the change occurs.
Medicine (MOAHR #2021-044 LR)
Authority:ꢀ0&/ꢀꢃꢃꢃꢂꢄꢅꢄꢆꢇꢁꢀꢃꢃꢃꢂꢄꢅꢄꢆꢈꢁꢀꢃꢃꢃꢂꢄꢅꢄꢊꢆꢁꢀꢃꢃꢃꢂꢄꢅꢉꢋꢆꢁꢀꢃꢃꢃꢂꢄꢅꢉꢄꢇꢁꢀꢃꢃꢃꢂꢄꢅꢉꢈꢊꢁꢀꢃꢃꢃꢂꢄꢊꢋꢃꢄꢁꢀꢃꢃꢃꢂꢄꢊꢋꢃꢃꢁꢀꢃꢃꢃꢂꢄꢊꢋꢆꢈꢁꢀDQGꢀꢃꢃꢃꢂꢄꢊꢋꢊꢅꢁꢀ
DQGꢀ([HFXWLYHꢀ5HRUJDQL]DWLRQꢀ1RVꢂꢀꢄꢌꢌꢄꢍꢌꢁꢀꢄꢌꢌꢅꢍꢉꢁꢀꢉꢋꢋꢃꢍꢄꢀDQGꢀꢉꢋꢄꢄꢍꢆꢁꢀ0&/ꢀꢃꢃꢈꢂꢃꢇꢋꢄꢁꢀꢆꢆꢇꢂꢉꢋꢋꢄꢁꢀꢆꢆꢇꢂꢉꢋꢄꢄꢁꢀDQGꢀꢆꢆꢇꢂꢉꢋꢃꢋꢂ
Overview: The proposed revisions to the rules clarify the meaning of terms used in the set; update accreditation standards; incorporate recent
OHJLVODWLYHꢀFKDQJHVꢀWKDWꢀDOORZꢀOLFHQVXUHꢀE\ꢀHQGRUVHPHQWꢀIRUꢀLQGLYLGXDOVꢀOLFHQVHGꢀLQꢀDQRWKHUꢀVWDWHꢀRUꢀDꢀSURYLQFHꢀRIꢀ&DQDGDꢁꢀLQFOXGLQJꢀDOORZLQJꢀ
3DUWꢀ,ꢀRIꢀWKHꢀ0HGLFDOꢀ&RXQFLOꢀRIꢀ&DQDGDꢀ4XDOLI\LQJꢀ([DPLQDWLRQꢀꢎ0&&4(ꢏꢀWRꢀIXQFWLRQꢀDVꢀDꢀVXEVWLWXWHꢀIRUꢀSDVVLQJꢀDOOꢀVWHSVꢀRIꢀWKHꢀ860/(ꢐꢀ
UHYLVHꢀWKHꢀUHTXLUHPHQWVꢀIRUꢀYHUL¿FDWLRQꢀRIꢀOLFHQVHVꢀKHOGꢀLQꢀRWKHUꢀMXULVGLFWLRQVꢐꢀꢀFODULI\ꢀWKDWꢀIRUHLJQꢀDSSOLFDQWVꢀIRUꢀHGXFDWLRQDOꢀOLPLWHGꢀOLFHQVHVꢀ
PXVWꢀSDVVꢀVWHSꢀꢄꢀDQGꢀVWHSꢀꢉꢀFOLQLFDOꢀNQRZOHGJHꢀꢎ&.ꢏꢀRIꢀWKHꢀ860/(ꢐꢀFKDQJHꢀWKHꢀWKUHHꢍDWWHPSWꢀOLPLWDWLRQꢀWRꢀWKHꢀ860/(ꢀDQGꢀIROORZVꢀWKHꢀꢆꢀ
DWWHPSWꢀSROLF\ꢀWKDWꢀWKHꢀ)HGHUDWLRQꢀRIꢀ6WDWHꢀ0HGLFDOꢀ%RDUGVꢀDOORZVꢀRQꢀWKHꢀ860/(ꢐꢀFODULI\ꢀWKDWꢀDSSOLFDQWVꢀIRUꢀDꢀFOLQLFDOꢀDFDGHPLFꢀOLFHQVHꢀPXVWꢀ
HLWKHUꢀVKRZꢀSURRIꢀRIꢀJUDGXDWLRQꢀIURPꢀDꢀPHGLFDOꢀVFKRROꢀWKDWꢀVDWLV¿HVꢀWKHꢀUHTXLUHPHQWVꢀRIꢀ5ꢀꢃꢃꢈꢂꢉꢆꢉꢄꢎꢄꢏꢀRUꢀSURYLGHꢀDꢀFHUWL¿FDWLRQꢀIURPꢀWKHꢀ
(&)0*ꢀWKDWꢀWKHꢀDSSOLFDQWꢀJUDGXDWHGꢀIURPꢀDꢀPHGLFDOꢀVFKRROꢀOLVWHGꢀLQꢀWKHꢀ:RUOGꢀ'LUHFWRU\ꢀRIꢀ0HGLFDOꢀ6FKRROVꢀDQGꢀUHFHLYHGꢀSDVVLQJꢀVFRUHVꢀRQꢀ
VWHSꢀꢄꢀDQGꢀVWHSꢀꢉꢀ&.ꢀRIꢀWKHꢀ860/(ꢐꢀDOORZꢀSURRIꢀRIꢀOLFHQVXUHꢀLQꢀDQRWKHUꢀSURYLQFHꢀRIꢀ&DQDGDꢀDVꢀDꢀSDWKZD\ꢀWRꢀUHOLFHQVXUHꢐꢀDQGꢀUHPRYHꢀFHUWDLQꢀ
activities for achieving continuing education credit, as they no longer apply.
Osteopathic Medicine and Surgery (MOAHR #2021-054 LR)
Authority:ꢀꢀ0&/ꢀꢃꢃꢃꢂꢄꢅꢄꢆꢇꢁꢀꢃꢃꢃꢂꢄꢅꢄꢆꢈꢁꢀꢃꢃꢃꢂꢄꢅꢄꢊꢆꢁꢀꢃꢃꢃꢂꢄꢅꢉꢋꢆꢁꢀꢃꢃꢃꢂꢄꢅꢉꢄꢇꢁꢀꢃꢃꢃꢂꢄꢅꢉꢈꢊꢁꢀꢃꢃꢃꢂꢄꢊꢇꢃꢄꢁꢀꢃꢃꢃꢂꢄꢊꢇꢃꢃꢁꢀDQGꢀꢃꢃꢃꢂꢄꢊꢇꢆꢈꢁꢀDQGꢀ
([HFXWLYHꢀ5HRUJDQL]DWLRQꢀ1RVꢂꢀꢄꢌꢌꢄꢍꢌꢁ
ꢄꢌꢌꢅꢍꢉꢁꢀꢉꢋꢋꢃꢍꢄꢀDQGꢀꢉꢋꢄꢄꢍꢆꢁꢀ0&/ꢀꢃꢃꢈꢂꢃꢇꢋꢄꢁꢀꢆꢆꢇꢂꢉꢋꢋꢄꢁꢀꢆꢆꢇꢂꢉꢋꢄꢄꢁꢀDQGꢀꢆꢆꢇꢂꢉꢋꢃꢋꢂ
Overview: The proposed revisions to the rules provide updates to accreditation standards; incorporate recent legislative changes that allow
OLFHQVXUHꢀE\ꢀHQGRUVHPHQWꢀIRUꢀLQGLYLGXDOVꢀOLFHQVHGꢀLQꢀDQRWKHUꢀVWDWHꢀRUꢀDꢀSURYLQFHꢀRIꢀ&DQDGDꢐꢀꢀUHYLVHꢀWKHꢀUHTXLUHPHQWVꢀIRUꢀYHUL¿FDWLRQꢀRIꢀOLFHQVHVꢀ
KHOGꢀLQꢀRWKHUꢀMXULVGLFWLRQVꢐꢀFODULI\ꢀWKDWꢀDꢀWHPSRUDU\ꢀHOLJLELOLW\ꢀSDWKZD\ꢀDSSURYHGꢀE\ꢀWKHꢀ1%20(ꢀZLOOꢀIXQFWLRQꢀDVꢀDꢀVXEVWLWXWHꢀIRUꢀSDVVLQJꢀ
WKHꢀ&20/(;ꢍ86$ꢀ/HYHOꢀꢉꢍ3HUIRUPDQFHꢀ(YDOXDWLRQꢀꢎ/HYHOꢀꢉꢍ3(ꢏꢐꢀDOORZꢀSURRIꢀRIꢀOLFHQVXUHꢀLQꢀDQRWKHUꢀSURYLQFHꢀRIꢀ&DQDGDꢀDVꢀDꢀSDWKZD\ꢀWRꢀ
relicensure; and remove certain activities for achieving continuing education credit, as they no longer apply.
7KHꢀUXOHVꢀZLOOꢀWDNHꢀHIIHFWꢀLPPHGLDWHO\ꢀXSRQꢀ¿OLQJꢀZLWKꢀWKHꢀ6HFUHWDU\ꢀRIꢀ6WDWHꢁꢀXQOHVVꢀVSHFL¿HGꢀRWKHUZLVHꢀLQꢀWKHꢀUXOHVꢂꢀꢀ&RPPHQWVꢀRQꢀWKHꢀSURSRVHGꢀUXOHVꢀ
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 17, 2022,
at the following address or e-mail address:
Got something you really
want to sell? Put it in front of
the faces of thousands of
readers everyday in the
Classifieds.
Department of Licensing and Regulatory Affairs
ꢀ
%XUHDXꢀRIꢀ3URIHVVLRQDOꢀ/LFHQVLQJ±ꢀ%RDUGVꢀDQGꢀ&RPPLWWHHVꢀ6HFWLRQꢀ
P.O. Box 30670
Lansing, MI 48909-8170
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:
Call today to place your ad!
Genetic Counseling
Medicine
Osteopathic Medicine and Surgery
To allow for broad public attendance and participation, including for persons with disabilities, members of the public may access this meeting by both
ZHEꢀDQGꢀSKRQHꢀDQGꢀSURYLGHꢀHLWKHUꢀRUDOꢀRUꢀZULWWHQꢀFRPPHQWVꢂꢀꢀ&ORVHGꢀFDSWLRQLQJꢀZLOOꢀEHꢀSURYLGHGꢁꢀZKHQꢀDYDLODEOHꢂꢀꢀ0HPEHUVꢀRIꢀWKHꢀSXEOLFꢀZKRꢀDUHꢀ
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
249 W. Washington St.
Marquette
People with disabilities requiring additional accommodations (such as materials in alternative format) to participate in the meeting, or those that have
228-2500
