6A The Mining Journal
Saturday, Sunday, September 23-24, 2023
Good Advice
Dear Annie
Car Talk
Don’t blow a
gasket about
Husband won’t give up his female friends
ear Annie: I am
married to a man
who thinks it’s
over the last four years of
I told her that we were
our marriage, she spent no longer friends, that I
55% of my take-home would remain cordial in
earnings without my public but nothing else.
knowledge. For what, I Since then, she has acted
don’t know. This amount- like I’m invisible. When
D
OK to take other women
out to eat repeatedly, at
times, monthly. He pays
the tab for dinner. He
usually pays when we go
to dinner, too, but I am
required to pay half of
all the other bills. He says
these women make less
money than him, so he
should pay, but I make
much less than him, too.
He is a physician and
makes good money.
leaking antifreeze
ed to $155,000.
I spoke to her just to say
ear Car Talk:
I
She says it was spent on “hello,” she would turn
groceries, gas, gifts and her back to me. Both she
other living expenses, and her husband say “hel-
while our family checking lo” to my husband but
account shows those ex- pretend I’m not there. It’s
penses were drawn from awkward.
have a 2015 Hon-
da Fit that has been
losing antifreeze for about
two months. It started with
a very small amount, then
got much worse.
D
it. Another way to put it is
For the last two years,
My mechanic couldn’t
find a leak. But he did
find that cylinder no. 3 is
misfiring and making the
car sputter sometimes. My
mechanic thought it might
have a bad head gasket, so
I had it towed to the Hon-
da dealer.
The dealer says they
don’t see any issue with
the head gasket. They say
it might be a bad fuel in-
jector or burned valve,
which, of course, cost
$1,000 more. What would
you look for if it was
brought into your shop?
Thanks! -- Jaimee
First, I’d look at your
credit limit, Jaimee. Actu-
ally, I’d be thinking along
the same lines as your me-
chanic.
If you’re losing coolant
and it’s not leaking out, it
has to be burning up and
coming out the tailpipe.
That means it’s getting into
the cylinders somehow,
where it doesn’t belong.
What’s the most common
cause of coolant in the cyl-
inders? A blown head gas-
ket. The fact that one of your
cylinders is misfiring also
lends credence to the head
gasket theory. If enough
coolant is getting into cylin-
der no. 3, it could interfere
with combustion and create
a misfire. And the prob-
lem with the “fuel injector
or burnt valve” theory is it
doesn’t explain your coolant
loss. The head gasket theory
explains everything.
this: Combining our fam- I’ve not spoken to either
ily checking account and of them. We are around
her spending without my them often, as we have
knowledge, 90% of my mutual friends and inter-
ANNIE LANE
relationship with
I am not invited to any
a
a
of these dinners. He says 62-year-old man, but af- earnings were spent be- ests. Is my only response
he should be able to go ter a few months, he just fore a single bill was paid. ignoring them, too?
out with these friends be- wanted us to be compan- Is this plausible? Or does would like to shock them
cause they used to work ions. I was OK with that. some malfeasance seem out of their arrogant at-
together. He stays in con- This man has cataracts, probable? -- Baffled By titude. They really think
tact with them by text and I helped him with his Checking Account they’ve done nothing
and talking. He never online job applications so Dear Baffled: Good rid- wrong. -- Feeling Shut
has a conversation with that he could get back on dance. Consider yourself Out
I
RAY MAGLIOZZI
problem. We’d put a pres-
sure tester on your cooling
system and then get the en-
gine up to operating tem-
perature. Then we’d shut off
the car and pump the pres-
sure up as high as we could
get it, maybe double its
normal operating pressure
-- and hope the hoses don’t
blow. Then we’d let the car
sit overnight.
If there’s a puddle on the
floor in the morning, then
you do have an external
leak, and you can locate it,
fix it, then go back to look-
ing at other causes for the
misfire. But more likely,
during the night, coolant,
under pressure, is going to
seep into one or more of
your cylinders. And that’s
a sure sign of a head-gasket
failure -- at best. At worst,
it’s a cracked cylinder head.
But let’s not catastrophize,
Jaimee. A head gasket is ex-
pensive enough. So, start by
having a mechanic of your
choice do a really thorough,
overnight pressure test. I
suspect the answer is going
to come up “head gasket.”
Condolences.
them when I am present. his feet because his room- fortunate to be rid of her. It
Dear Feeling Shut Out:
He has the notifications mate bailed out on him. does sound like she might She sounds like a toxic
turned off on his phone so He stayed with me five have been taking money for person and not a friend to
it doesn’t show who is tex- days a week so he would a separate account or spend- anyone. Believe it or not,
ting him. He gets angry if have an easy commute to ing it on things you didn’t the saddest part about her is
I even look in his direction and from work. I put up know about. I am sorry that how much she must dislike
when he gets a text mes- with his verbal abuse for you had to go through that, herself that she has to bad-
sage. He keeps his phone months. I fed him and but now is the time for a mouth others and make lists
and computers locked. I washed his clothes week- new beginning. The best re- of people’s negative traits.
do not have access to the ly, and he did compensate venge is living well.
phone bill. me for it. But when he Take some time to heal a much happier person if
Your ex-friend would be
He says I am being got a new girlfriend, the from your divorce and try she took note of the posi-
jealous when I get up- compensation got small- to focus on things that make tive qualities of others. She
set. I don’t believe many er. Eventually, I ended you happy. You sound like is not likely to change, but
wives would allow their the friendship. Was it a wonderful person, and I you can make yourself a
husbands to go out alone right for me to? -- Fed-up have no doubt that you will happier person by not sink-
with other females. This Friend
is destroying our mar- Dear Fed-up: Yes, of ates you and does not take of good things about her.
riage. Am I overreacting? course. Not all friendships advantage of your trust and Only once, I promise. But
-- Brokenhearted are meant to go the dis- kindness. after recognizing her posi-
Dear Brokenhearted: You tance. It sounds like this Dear Annie: My hus- tive qualities, see if there is
find someone who appreci- ing to her level. Make a list
are not overreacting. Any- man took advantage of your band and I were best a shift in the way she treats
thing that makes you un- kindness and generosity, friends with another cou- you. Whether or not she
comfortable should warrant which real friends don’t do. ple, but the wife was dif- changes her attitude, my
an open, honest conversa- By ending this relationship, ficult to be friends with. guess is that you will not
tion with your husband at you honored yourself and She criticized many peo- bothered by her any longer.
the very least. Instead, he is your inner peace, which is ple, some of whom were
EDITOR’S NOTE: “Ask Me Any-
thing: A Year of Advice From
Dear Annie” is out now! Annie
Lane’s debut book -- featuring fa-
vorite columns on love, friendship,
family and etiquette -- is available
as a paperback and e-book. Visit
com for more information. Send
your questions for Annie Lane to
gaslighting you, maintaining always the right decision.
inappropriate relationships Dear Annie: My wife
our mutual friends.
It was uncomfortable to
with other women and de- left me a little over a year be around her at times,
flecting any responsibility in ago. She handled all the but we had so many com-
how it makes you feel -- and finances and was a stay- mon interests that I over-
saying the problem is that at-home mom while
I
looked a lot of the nega-
EDITOR’S NOTE: Got a question
about cars? Email to Car Talk by
visiting the Car Talk website at
you are being jealous. Un- worked to earn money. tives. Apparently, she had
believable. Couples therapy After six months of coun- kept a mental list of the
would be an excellent place seling and her refusing to things she disliked about
to explore the potential for budge, it was evident the me, and when we had our
So, what I’d do is look
repairing the destruction his marriage was over.
behavior is causing. Upon review of my fi- cited all of my transgres-
Dear Annie: I was in nances, I discovered that sions against her.
final falling out, she re-
Department of Licensing and Regulatory Affairs
Bureau of Professional Licensing
NOTICE OF PUBLIC HEARING
October 16, 2023
9:00 a.m.
Location: 611 W. Ottawa Street, UL-3
Lansing, Michigan
The hearing is held to receive public comments on the following administrative rules:
Nursing – General Rules (MOAHR #2022-36 LR)
Authority: MCL 333.16145; MCL 333.16148; MCL 333.16174; MCL 333.16178; MCL 333.16181; MCL 333.16182; MCL 333.16186;
MCL 333.16201; MCL 333.16204; MCL 333.16205; MCL 333.16215; MCL 333.16287; MCL 333.17210; MCL 333.17213; MCL
333.17241; Executive Reorganization Order No. 1991-9, MCL 338.3501; Executive Reorganization Order No. 1996-2, MCL 445.2001;
Executive Reorganization Order No. 2003-1, MCL 445.2011, and Executive Reorganization Order No. 2011-4, MCL 445.2030.
Overview: The proposed rules include the following changes:
General Provisions and Licensure: updates to comply with current drafting standards; clarification of the process for licensure
verification; recognition of a nursing education program accredited by the Canadian Association of Schools of Nursing; allowing another
state board of nursing to attest that an unaccredited closed program, in that state, was in good standing when the program closed;
requiring an applicant to pass the NCLEX within 1 year of obtaining a skills competency evaluation; omitting the curriculum review of
an endorsement applicant who has been licensed for 5 years without discipline; and easing the licensure requirements for Canadian
applicants for endorsement.
Nursing Education Programs: clarification of the self-study content requirements; clarification that a program may not enroll students
until all site visit deficiencies have been rectified; clarification of reporting requirements and the content of major program changes and
requests for seat increases; provision of a process to handle programs that lose accreditation; adoption of the most recent standards
of the International Nursing Association for Clinical Simulation and Learning; and updates to the rules regarding board evaluation of a
program and the action the board can take following a program evaluation.
Nurse Specialty Certification: the portfolio option for the clinical nurse specialist will be omitted as this option to obtain licensure has
sunset.
Continuing Education: requiring renewal applicants, who also apply for a controlled substance license, to complete a one-time
training in opioids and other controlled substance awareness. Petitions for a waiver of continuing education must be submitted at least
30 days before the last regularly scheduled board meeting before the license expires.
Nurse Scholarship: Removal of the restriction prohibiting a student who has a full scholarship from another source from participation.
Pharmacy – Controlled Substances (MOAHR #2022-6 LR)
Authority: MCL 333.7106, MCL 333.7109, MCL 333.7203, MCL 333.7216, MCL 333.7301, MCL 333.7303, MCL 333.7303a, MCL
333.7321, MCL 333.7333, MCL 333.17754 and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1, and 2011-4, MCL
338.3501, 445.2001, 445.2011, and 445.2030.
Overview: The proposed rules will be modified as follows:
For schedules, the proposed changes adopt the federal schedule subject to drugs scheduled by the state after January 6, 2022, and
the rules promulgated by the Michigan Board of Pharmacy; remove Brorphine and Gabapentin as exceptions to the federal schedule;
remove Pentazocine from Schedule 5 to Schedule 4; provide an exception to the federal scheduling for isomers, Salvia Divorum,
Salvinorum A, Synthetic Cannabinoids, and Synthetic Cathinones.
For controlled substances licensure, the proposed changes require a designated prescriber to have a controlled substance license for
a health facility if substances are stored there without an on-site pharmacy or an automated device stocked by a pharmacy and provide
an exception to licensure for an emergency kit that contains controlled substances.
For records, the proposed rules permit an electronic duplicate of the original paper prescription, which will become the original
prescription, 2 years from the last dispensing date; require a pharmacy that holds an additional license for an automated dispensing
system, that dispenses controlled substances, to store inventories and schedule order forms at the licensed location of the automated
device; and clarify that if a controlled substance is dispensed from an automated device, documentation maintained on-site in the
pharmacy must include the automated device’s manufacture’s name, model number, and the name and address of the facility where
the automated device is located.
For controlled substance prescriptions, the proposed changes clarify that a paper prescription is not required to have preprinted num-
bers representing the quantity next to a box or line; require that the professional designation for the prescribing practitioner be stored
electronically; allow a prescriber to seek waiver of electronic prescription transmission requirements if the prescriber can attest that he
or she intends, within 12 months, to not regularly practice their licensed profession for financial gain or as a means of livelihood; and
clarify that the prescriber must deliver to the dispensing pharmacist a written prescription postmarked within 7 days after the date the
prescription was dispensed, or electronically transmit the prescription under R 338.3162a.
For controlled substance distributions, the proposed changes require a licensee to provide written notification to the department 15
days before controlled substances are transferred.
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 publica-
tion until 5:00 p.m. on October 16, 2023, 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:
Nursing
Pharmacy – Controlled Substances
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
People with disabilities requiring additional accommodations (such as materials in alternative format) to participate in the meeting,
Please call (517) 241-7500 or email BPL-BoardSupport@michigan.gov with any questions related to the hearing.
