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INDIANAPOLIS — Just to get home, families living in an Indianapolis neighborhood had to contend with large holes in an alley that were filled with water. After several complaints to the city went unanswered, one woman took matters into her own hands."They were huge. They looked like lakes. Like a little lake in the alley," Jannifer Denise said.Denise said driving down the alley just off Keystone Avenue has been hazardous for years. The alley is the only way to access her father's home, so she called the Mayor's Action Center. Her complaint has been open since 2015."The lady was like, 'I understand, they just aren't fixing the alleys right now,'" Denise said.However, matters became more urgent this summer after her father had a stroke and was diagnosed with dementia. He now requires home care."Getting help sounds great. But I panicked when they said they were going to send people out to the house and I thought how are they going to get to him?" Denise said.She hired a company and paid 0 to have stones installed on the alley."My dad said it's the city's responsibility. I said, 'It's their responsibility, but it's my problem. I have to make sure you are taken care of so I have to have someone come out and fill it,'" Denise said.The company hired to do the work is upset because they feel Denise shouldn't have to pay to get the work done."We sent out somebody and he called me and said, 'Oh, yeah. This is terrible. One load of stone will not be enough for this. The holes are so big the cars are sinking in,'" Anne McCurdy, a dispatcher with Brookfield Sand and Gravel, said.McCurdy has taken a special interest in the situation. She even called the Mayor's Action Center because she was worried Denise will have the same issue in two years."I just hope somebody can take the initiative and fix the problem," McCurdy said. "I don't think she should have to pay for it. If the city could step up, that would be awesome. Would be nice to take care of the gentleman."The Mayor's Action Center said they have more than 2,300 open cases for potholes in alleys, but it could include duplicate calls for the same chuckhole.Ben Easley, a spokesman for the Department of Public Works, said it is now DPW's current direction to prioritize addressing requests over street rehabilitation projects. However, he said more funding for transportation infrastructure maintenance would allow them to get a place to better address alleys in the future.Easley said they do not receive gas tax revenue for non-name streets like alleys, so only larger thoroughfares and residential streets are considered when allocating funding to Marion County. Since alleys are less traveled, he said streets with higher traffic volumes must remain the priority.Easley also said the Street Maintenance Team, which was introduced this year, specializes in fixing residential streets that would likely not be addressed with large infrastructure rehabilitation contracts."With the addition of the Street Maintenance Team, it is indeed possible that DPW will get to a point where we might be able to prioritize alley improvements. However, repairs to city streets with higher traffic volumes must remain the priority," Easley said. 3224

LAS VEGAS — Five artificial turf fields are on tap to be replaced in the Clark County School District in Nevada in the wake of an investigation that 166

It has been 50 years since Neil Armstrong so famously uttered the first words from the surface of the moon — “One small step for man, one giant leap for mankind.”As part of the 189

In an effort to focus on his health, John Crist has made the decision to postpone his 2020 tour dates. We are sorry for the inconvenience & any confusion this might have caused. Thank you for your understanding & continued support of John.Questions: support@premierproductions.com 301

Imagine knowing you have pancreatic cancer and your doctor is unwilling to tell you how bad it is because they’re uncomfortable.That’s the situation Dr. Ron Naito, a now-retired physician, found himself in this past August.“It’s never an easy task to tell someone they have a terminal illness. How can it be?” Naito says, sitting on a couch in his home in Portland, Oregon. “I mean it brings your own mortality into the picture for one thing.”Naito has stage 4 pancreatic cancer, and as a doctor himself, he knows full well what that means. It can mean a person only has months to live.“Of all the major cancers, the one with most dire of all prognoses is probably pancreatic,” Naito explains. “Particularly what I have, which is stage 4. And I don’t think he felt comfortable telling me or discussing it.”Not only was one specialist unwilling to discuss the severity of his illness, but Naito found out about the size of his tumor from a second specialist in a less than optimal way, as well. He overheard the doctor talking to a medical student just outside his open exam room door.“They were walking this way and they said, ‘5 centimeters.’ He told the medical student. Then, they were walking the other way,” he recalls. “And I heard the words, ‘very bad,’ and I knew it was me, obviously. I know that pancreatic cancer if they exceed 3 centimeters, it’s a negative sign.”The doctor never did talk to him face to face about the precise size of his tumor.Naito says he didn’t think it was “very professional,” but even so, he has no anger toward his doctors. Instead he says it highlights how easy it is for a doctor to be careless.“They’re not uncaring. It’s just that they don’t have any experience or training. Nobody’s there to guide them,” Naito says. “And there’s no book on this. I mean you can’t go to the medical school library and check out a book on how can you deliver a dire diagnosis to patients. That book does not exist. I don’t think.”That’s why Naito not only choosing to speak out in the months he has left--despite his weakness--but it’s also why he’s given Oregon Health and Science University’s Center for Ethics in Healthcare a grant so people like Dr. Katie Stowers can teach the next generation how to better deliver news to someone who’s dying.“Unfortunately, Dr. Naito’s experience is not an anomaly,” Stowers says.Stowers is the inaugural “Ronald Naito Director of Serious Illness Education” at OHSU. Medical students under Stowers’ guidance must now pass a unique final exam, delivering grim news in mock scenarios.“It’s not that doctors don’t want to do better. It’s not that doctors are bad or inhumane, it’s that they just haven’t been taught how to do this the right way,” Stowers says.Naito, who has outlived his prognosis but estimates he may only have about six months left, says doing it the right way all comes down to one thing.“When you’re talking to your patient that has terminal illness, you have to realize your doctor and patient roles become a little bit blurred,” he says, fighting back tear. “Because, basically, you’re just two souls. You’re two human beings meeting at a very deep level. You’re in charge with giving this other person the most devastating news they will receive in their lifetime potentially.”It’s a very crucial moment, Naito says. 3314