Wednesday, September 4, 2024
The Mining Journal 5A
Good Advice
Dear Annie
Repairing relationships so I can see my grandkids
ear Annie: I’m
hurt and angry.
My son and
Hurt people hurt people,
and your son is hurting.
Your daughter-in-law was
afraid and hurting when her since sophomore year,
husband lost his job. There it does get easier and
is a lot of fear and hurt less stressful. My go-to
going on. Instead of talking response when people ask ANYTHING; stand your
about those feelings, people why I don’t use social me- ground firmly on what
are just saying mean and dia is simply, “It was hor- you believe in. If you
hurtful things to each other. rible for my mental health don’t, it can lead you
It really gets you nowhere. and always seemed to down a road you don’t
Try to keep the dialog open make life harder for me,” want to go down.
with your son and daugh-
ter-in-law about how you
feel. Make “I” statements
instead of “you” state-
ments.
For instance, it is OK to
say, “I feel tired and hurt,
and I have a lot of love to
give to both of you and the
children.” It is not OK to
say, “You did this wrong”
or, “You were mean when
Snapchat’s” question, your people. High school
and as a rising senior who can be difficult, but as
No. 5: And last but not
least, don’t stress too
much.
No matter how hard
things get, there’s one
quote I live by: “It’ll all
be OK in the end; if it’s
not OK, then it’s not the
end.”
D
hasn’t used social media
someone who’s almost
done, here’s some advice:
No. 1: Don’t let people
peer pressure you into
daughter-in-law will not
let me see my grandchil-
dren. It has been five
years since I last saw
them.
This all started after
I had a fight with my
daughter-in-law when my
son lost his job. She de-
manded that I help him fi-
nancially, but my finances
were such that I could not
afford to do so. At that
time, she said some very
mean things about my
son. I got angry and stuck
up for my son. Well, that
Good luck in high
school; I believe in you!
--Advice From A High
and most people take that
as a reasonable answer.
I won’t go into the full
details, but social media,
ESPECIALLY Snapchat,
got me into some trouble
when I was younger, and
I really don’t think it’s as
great of a platform as it’s
hyped up to be.
No. 2: You don’t have to School Senior
be friends with everyone.
It’s all right to dislike
people.
No. 3: Don’t put popu-
larity above academics.
No. 4: Don’t dismiss red
flags in ANY relationship,
whether it be a friend
or a partner. Don’t ever
ignore red flags because
Dear High School Senior:
You are wise beyond your
years. Thank you for your
letter. I hope it helps others
in similar situations.
ANNIE LANE
10 years ago.
I have only seen my
grandchildren two times
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
did not go over well. They in the past five years -- at
both asked me to leave my daughter’s wedding
their home, which they and my mom’s funeral.
shared with my daughter- I’m getting older, 69, and
Besides, anyone who
pressures you for not hav- you love someone. If that
in-law’s parents.
miss seeing my grandchil- talking about my son.”
ing Snapchat probably
doesn’t have the greatest
intentions. Stay safe and
off Snapchat; you’ll find
person doesn’t appreciate
you for you, it’s easier
to cut things off earlier
rather than later.
Now my son says that
I ruined his life when I
divorced his father over
dren grow up. -- Tired
and Hurt
Dear Tired and Hurt:
Good luck.
Dear Annie: I saw your
response to “Stuck on
To Your Good Health
PUBLIC NOTICE
Asymptomatic patient with
lymphocytosis unlikely to die soon
Date:
Permit No.:
September 4, 2024
MIG080000
Permit Category: NPDES General Permit – Groundwater Cleanup
Wastewater
EAR DR. ROACH:
I’m 71 years old.
In 2021, lymphocy-
depends on many factors.
Most CLL found now
is due to routine blood
testing that reveal high
white blood cell counts.
When a person has no
symptoms and, like you,
no enlarged spleen or
lymph nodes, they are in a
favorable prognosis group.
If a person does have
D
The Department of Environment, Great Lakes, and Energy (EGLE), Water
Resources Division (WRD), proposes to reissue a general permit for
discharges of groundwater cleanup wastewater. The applicability of this
permit shall be limited to wastewater discharges that are of this type and
that meet the criteria established in this permit. This permit is expected
to apply to multiple discharges of this type throughout the state of
Michigan. Discharges that may cause or contribute to a violation of water
quality standards are not authorized by this permit.
tosis was found during
my pre-op workup for
breast cancer. I had a
successful lumpectomy
and radiation, and I am
on a five-year course of
anastrozole.
After reviewing my
prior complete blood
counts, lymphocytosis
was found leading back
to 2018. It was thought
to be due to an infection,
so no other tests were
done at the time. I have
now had a flow cytome-
try done, with findings
of the IGHV mutation.
I received a “favorable
prognosis.” But there
was no definitive diagno-
sis of chronic lymphocyt-
ic leukemia (CLL) by my
oncologist. As he states, I
have “not converted” and
have no symptoms of fa-
tigue, an enlarged spleen,
or enlarged lymph nodes.
I find myself waiting
symptoms, it isn’t as good
of a prognosis. Leukemia
cells “crowd out” the other
healthy cells in the bone
marrow, leading to anemia
and thrombocytopenia,
which are also less-favor-
able prognoses.
People who have gene
mutations in the IGHV re-
gion receive a surprisingly
improved prognosis com-
pared to people who do
not have mutations. These
genetic mutations are
always looked for, since
they affect the choice of
chemotherapy, if needed.
For you, you have had
lymphocytosis for at least
five years and have not
progressed to CLL. You
have no risk factors due
to symptoms, and you
haven’t told me about low
platelets or red blood cells.
Even if you were diag-
nosed with CLL today, you
would be more than 90%
likely to have at least a 10-
year lifespan. You seem
to be in the 30% or so of
people with CLL who have
a benign course for 10-20
years. Drive carefully,
eat well, and get all your
vaccines, since you are not
likely to die from CLL.
In order to constitute a valid authorization to discharge at a specific
facility, this permit must be complemented by a Certificate of Coverage
(COC) issued by EGLE.
DR. KEITH ROACH, MD
count exceeds 4,000, it’s
considered “lymphocyto-
sis.”
The draft permit includes the following modifications to the
previously issued permit: Permit language has been revised to
incorporate updated references and terminology. The following new
conditions have been added to the draft permit: Continuous Monitoring
and Total Maximum Daily Load. Influent and intermediate stage
monitoring and reporting, and final effluent monitoring and limits
for Tetrachloroethylene have been added under Part I.A.13. Influent
and intermediate stage monitoring and reporting, and final effluent
monitoring and limits for Trichloroethylene and its degradation products
1,1-Dichloroethene, Trans-1,2-Dichloroethene, Cis-1,2-Dichloroethene,
and Vinyl Chloride have been added under Part I.A.14. Influent and
intermediate stage monitoring and reporting, and final effluent
monitoring and limits for 1,1,1-Trichloroethane and its degradation
product 1,1-Dichloroethane have been added under Part I.A.15.
Influent and intermediate stage monitoring and reporting, and final
effluent monitoring and limits for Perfluorooctanoic Acid (PFOA) and
Perfluorooctane Sulfonate (PFOS), Perfluorobutanesulfonic Acid (PFBS),
Perfluorononanoic Acid (PFNA), and Perfluorohexanesulphonic Acid
(PFHxS) have been added under Part I.A.16. The final effluent limitations
and monitoring for Total Phosphorus in Part I.A.10. have been updated.
Tank Rotation and/or Media Replacement reporting has been added
under Part I.A.1. and Air Stripper Cleaning reporting has been added
under Part I.A.2.
There are two major
classes of lymphocytes: B
cells and T cells. While it
is true that a high lympho-
cyte count can be due to
infections, it sounds like
yours wasn’t recognized as
persistent. With lymphocy-
tosis having been present
for five years, there is a
concern for a primary bone
marrow disease, the most
common of which is CLL.
With CLL, there is a count
of 5,000 or more B cells
by definition. Since you
have lymphocytosis, but
not CLL, you must have at
least 4,000 lymphocytes
but less than 5,000 B
cells.
The word “leukemia”
literally means too many
white cells in the blood,
but leukemias are a large
and diverse group of
blood cancers. It’s a scary
word, but CLL is highly
variable. Fifty percent of
people with CLL will live
more than 10 years from
the time of diagnosis, and
some will live 30 or more
years before dying, often
of something unrelated to
leukemia.
for the other shoe to
drop, and I’m having a
difficult time enjoying
the breast cancer surviv-
al I am so grateful for.
Any information you can
provide about whether
CLL is inevitable in pa-
tients with lymphocytosis
is very much appreciat-
ed. Also, please comment
on the expected quality/
length of life if CLL is
diagnosed, including the
need for chemotherapy.
-- E.B.
ANSWER: “Lymphocy-
tosis” is a condition where
the body’s lymphocyte
count is increased. There
are two big categories of
white blood cells: lympho-
cytes and granulocytes.
When the lymphocyte
Since the last reissuance several sections of the permit have been
restructured to provide clarification within the general permit: Influent
and intermediate stage monitoring and reporting, and final effluent
monitoring and limits for BETX have been moved from Part I.A.1., Part
I.A.2, Part I.A.3., and Part I.A.4., to Part I.A.5; final effluent monitoring and
limitations for Polynuclear Aromatic Hydrocarbons (PAHs) have been
moved from Part I.A.2., Part I.A.3., and Part I.A.4., to Part I.A.6.; final effluent
monitoring and limitations for Total Lead have been moved from Part
I.A.1., Part I.A.2., Part I.A.3., and Part I.A.4. to Part I.A.12.
EDITOR’S NOTE: Readers may
email questions to ToYourGood-
quest an order form of available
health newsletters or mail ques-
tions to P.O. Box 536475, Orlan-
do, FL 32853-6475.
The prognosis for CLL
Department of Licensing and Regulatory Affairs
Public Service Commission
Administrative Rules for Electrical Supply and Communication Lines
and Associated Equipment Rule Set 2023-51 LR
Copies of the Public Notice, Fact Sheet, Basis for Decision Memo, and draft
gov/ncore/ (select ‘Public Notice Search,’enter the permit number into the
search field, and then click ‘Search’), or at a WRD District Office, locations
gov/-/Media/Project/Websites/EGLE/Documents/Programs/WRD/About-
Us/District-Offices.pdf.
NOTICE OF PUBLIC HEARING
Wednesday, September 18, 2024
01:00 PM
Lake Michigan Hearing Room
7109 West Saginaw Highway, Lansing, MI 48917
The Department of Licensing and Regulatory Affairs will hold a public hearing
to receive public comments on proposed changes to the Electrical Supply and
Communication Lines and Associated Equipment rule set.
Persons wishing to submit comments on the draft permit should do
select ‘Public Notice Search,’search for this public notice by entering
the permit number into the search field, click ‘Search,’click ‘View,’click
‘Add Comment,’enter information into the fields, and then click ‘Submit.’
Comments or objections to the draft permit received by October 3,
2024, will be considered in the final decision to issue the permit, as will
comments made at a public hearing should one be requested and held by
the Department on the draft permit.
The proposed rule changes in this matter propose to amend Mich Admin Code,
R 460.813, within the Commission’s rules governing Electrical Supply and
Communication Lines and Associated Equipment, to update the rule to adopt by
reference the most current version of the National Electrical Safety Code, being
the 2023 edition.
By authority conferred on the public service commission by section 7 of 1909 PA
106, MCL 460.557; sections 4 and 6 of 1939 PA 3, MCL 460.4 and 460.6; and
section 5 of 1919 PA 419, MCL 460.55.
The proposed rules will take effect immediately after filing with the Secretary
of State. The proposed rules are published on the State of Michigan's website
Copies of these proposed rules may also be obtained by mail or electronic mail at
the following email address: LARA-MPSC-Edockets@michigan.gov.
Comments on these proposed rules may be made at the hearing, by mail, or by
electronic mail at the following addresses until 10/2/2024 at 05:00PM.
Any person may request the Department to hold a public hearing on
the draft permit. The request should include specific reasons for the
request, indicating which portions of the draft permit constitute the
need for a hearing. If submitted comments indicate significant public
interest in the draft permit or if useful information may be produced,
the Department may, at its discretion, hold a public hearing on the draft
permit. If a public hearing is scheduled, public notice of the hearing will
be provided at least 30 days in advance. Inquiries should be directed to
Hannah Schroeder-Larkins, Permits Section, WRD, EGLE, P.O. Box 30458,
Lansing, Michigan 48909-7958; telephone: 517-245-2090; or email:
Michigan Public Service Commission, Executive Secretary
P.O. Box 30221, Lansing, MI 48909
The public hearing will be conducted in compliance with the 1990 Americans with
Disabilities Act. If the hearing is held at a physical location, the building will be
accessible with handicap parking available. Anyone needing assistance to take
part in the hearing due to disability may call (517) 284-8090 to make arrangements.
