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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
In a letter to House Democrats, Speaker Nancy Pelosi signaled Friday that she is prepared to send articles of impeachment against President Donald Trump to the Senate."I have asked Judiciary Committee Chairman Jerry Nadler to be prepared to bring to the Floor next week a resolution to appoint managers and transmit articles of impeachment to the Senate," 368
If you want to get your dog’s nails trimmed or hair cut, get in line because you may have to wait a while.“We are backed up about a thousand dogs,” said Brad Taylor owner of Urban Dogg Uptown, a pet supply and grooming shopTaylor says because his business wasn’t considered essential, he had to close his doors for seven weeks which forced him to furlough 80% of his staff.“It was hard,” Taylor said. “We were very concerned about our staff. It’s taken a long time to assemble the grooming and retail staff here.”With restrictions recently lifted, Urban Dogg is back in business just in time for shave down season.“I wish I had been the first person to call because I had to wait another two weeks to get in,” said pet owner Sara who added she hasn’t groomed her dog Scotch since COVID-19 concerns hit in mid-March. That’s a timeline Taylor says could have caused major health hazards.“We had situations where dog’s nails were growing into their pads,” he said. “We had dogs that were severely matted and struggled to performing bodily functions properly.”With many dogs requiring extra attention, Taylor has now added a recovery condition surcharge.“We are taking extra time here on each dog,” he said. “It also helps our groomers.”Taylor says there’s been such an increase for these services that Urban Dogg is now looking to add extra groomers. He says workers can make a lot of money.“Full-time groomers make anywhere between ,000 to ,000 a year,” he said.Taylor calls dog grooming an important trade while many customers are happy to get their dogs cleaned up.“I’m really glad to get back and be able to give my business and my dog feels a lot better,” Sara said. Urban Dogg is working to get caught up and hopefully serve everyone by end of June. 1775
Katelynn Hudson started working at a fast-casual restaurant when she was 18 years old. It was her income as she tried to get herself through school, but minimum wage was not enough for her daily needs.“I was not able to afford food for myself," she says. "I could not pay my rent, I couldn’t pay bus fare. It was very difficult, and if I couldn’t provide for myself. I wouldn’t be able to provide for a family."Hudson now has a 2-and-a-half-year-old son, and she says she wouldn’t be able to support him if it wasn’t for a recent change in her pay. Illegal Pete’s in Denver, Colorado has raised its minimum wage from to within the past three and a half years, transforming that minimum wage into a living wage.“It covers lodging, food, paid time off, education, savings, basically the ability to pay one job and plan for the future,” Illegal Pete’s owner Pete Turner said.However, it doesn’t come without a cost. “The biggest challenge is an immediate hit to your expense line, to your payroll line,” Turner said.Turner says the last time he raised employee pay it cost him about million. However, he sees it as an investment. The idea is to create a productive work environment, where people are more committed to the customer and the company. Pete says he’s saving money by not having excessive employee turnover.“The rule of thumb for losing a front-line worker and then having to rehire and retrain is like ,500 to ,500 an employee,” he says.Growing in store count and store volume with workers who stay, Turner says his decision to raise minimum wage has been worth it so far. But he does admit it hasn’t been easy. And for some small business owners, the idea while appealing, seems unrealistic.“Everyone, I think, can agree that the minimum wage [needs] to be higher," says business owner Erika Righter. "However, in order for that to work, people need to then prioritize shopping locally."Righter is the founder of Hope Tank in Denver. Everything the store sells is connected to a local grassroots organization, giving Righter a lot of experience with small businesses.She says she would love to pay her workers more, but she thinks there’s a disconnect between the priorities of community and the way people spend their dollars.“I think you can’t shop Amazon all the time, and want the minimum wage raised,” she says.According to Righter, many local businesses pay their employees before themselves. She says there simply isn’t enough profit to pay them more, making an increase in minimum wage a bit of a concern.“As the owner, I struggle to stay above water financially myself,” Righter says.Robel Worku works for Colorado People’s Alliance, an organization that fights for justice in economic issues.“I think the argument is that if those costs go up, it’s harder to keep their doors open,” Worku said.Worku says COPA was recently able to help get a Colorado bill passed that gives authority to local governments to increase minimum wages.“The federal minimum wage has stayed stagnant at around .25 for the past 10 or so years, and even beyond that hasn’t raised much within the past few decades,” Worku said.Numbers from the U.S. Department of Labor show there was a steady increase in minimum wage from 2007 to 2009, raising it by a .40, but there hasn’t been a raise since. And before that, the last raise was 10 years prior in 1997. Worku says his organization believes everyone should be afforded the right to earn a livable wage, which is around per hour in Denver, Colorado. However, he understands that number changes from city to city, making it difficult to assess a specific amount for the federal minimum wage.“I don’t know if there’s like a gold-standard number in mind, but one of the reasons we’re excited about the local wage option legislation is that it allows local governments to make those decisions for themselves,” Worku said.So far, Worku says places that have raised minimum wage like Seattle and Chicago have seen an economic boost in the local economy. “So for instance, if you run a restaurant or a bar, you rely on folks having a disposable income to be able to come spend,” he explained. For Hudson, having a disposable income is a new comfort in her life. She says she’s very happy she can provide for her son and that money isn’t a giant cause of stress anymore.“This is the first time in my life I have seen stability, and that’s really amazing for me to think of,” Hudson said. 4457
ocally because she says we don't know enough about health effects. Some studies claim 5G transmissions can contribute to a variety of health problems, and a number of cities are attempting to stop the towers and slow the rollout."As a registered nurse, I am very much about informed consent," Krinsky said, "which is the right to choose, the right to decline." But she says community residents were never given an option when it came to the towers.How do you know if 5G is coming?Here's telltale sign your community is about get 5G towers: You'll see white PVC tubes, typically with an orange cap, popping out of the ground. These pipes contain fiber lines that then connect all the 5G towers as they have to be connected with fiber line to reach their promised high speeds.The 5G towers that follow are much smaller than typical cell towers.Verizon corporate spokesman David Weissmann confirms that the small black tubular towers are new, small cellular Verizon towers, installed to "ease network congestion" and help with video streaming in areas with weaker service. He says they currently broadcast 4G LTE but can be converted to 5G in the future, whenever 5G service arrives. The Federal Communications Commission and Federal Aviation Administration say there are no proven links between 5G cell service and health effects and local residents have no reason to fear these new towers.As always, don't waste your money.__________________________Don't Waste Your Money" is a registered trademark of Scripps Media, Inc. ("Scripps"). 2689