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THE MALDEN ADVOCATE–Friday, August 4, 2023 Page 19 ~ Legal Notice ~ INVITATION FOR REQUEST FOR PROPOSALS CITY OF MALDEN - OFFICE OF THE CONTROLLER The City of Malden invites sealed price, and non-priced proposals, in accordance with M.G.L. c.30B, §6, from Vendors for: RACIAL EQUITY COMMISSION AUDIT Contract Documents will be available by email request at purchasing@cityofmalden.org after: Monday, August 7, 2023 at 10:00 A.M. Following the deadline for proposals, all proposals received within the time specified will be reviewed by the RFP Committee, and an award will be made to the most advantageous proposer for services. Proposals will be received until Monday August, 28th by 10:00 A.M. at the Office of the Controller, 215 Pleasant Street 2nd Floor, Malden MA 02148. Proposals will not be accepted nor may submitted proposals be corrected, modified or withdrawn after the deadline for proposals. All bids are subject to the provisions of M.G.L. Chapter 30B §6. All City of Malden bids are available by request. Addenda’s will be sent to the contact information provided. It is the sole responsibility of the contractor requesting these bids to ensure they have received any and all addenda prior to the bid opening. The City will reject any and all proposals in accordance with the above referenced General Laws. In addition, the City reserves the right to waive minor informalities in any or all bids or to reject any or all bids (in whole or in part) if it be in the public interest to do so. In the event that any person wishes to attend a bid opening or pre-bid meeting, accessible and reasonable accommodations will be provided to persons requiring assistance. If you need reasonable accommodation, please contact the city of Malden’s ADA Coordinator, Maria Luise, at least two business days in advance of the meeting: 781-397-7000, Ext. 2005 or mluise@cityofmalden.org. CITY OF MALDEN Office of the Controller August 04, 2023 INSPECTIONAL SERVICES 215 Pleasant Street, Room 330 Malden, Massachusetts 02148 (781) 397-7000 ext. 2044 City of Malden Massachusetts MALDEN PLANNING BOARD PUBLIC HEARING The Malden Planning Board will hold a public hearing in the Herbert L. Jackson Council Chamber, Malden City Hall, 215 Pleasant Street, Malden, MA at 7:00 P.M. on Monday, August 14, 2023 on the petition of 204 Main Malden LLC (Permit Application # CMID 045711-2022) seeking a special permit under Title 12, Chapter 12, Section 030 and Title 12, Chapter 12, Section 300 of the Code of the City of Malden, to allow multifamily residential dwelling use, up to three stories inclusive, of property in the Neighborhood Business zoning district, and an Inclusionary Development, namely, to construct a building with three stories and a total of thirty-three (33) dwelling units, including four (4) Affordable Housing Units, at the property known as and numbered, 204 Main Street, Malden and by City Assessor’s Parcel ID# 064 309 925. Petition and plans are available for public review in City Hall, Inspectional Services Department, Room 330, 215 Pleasant Street, Malden, MA and on the City website under Permit Application # CMID -045711-2022 at https://maldenma-energovweb.tylerhost.net/apps/ SelfService#/home By: Diane M. Chuha Clerk July 28, August 4, 2023 aavvyvy S avy avvy S oiorenniioor nior by Jim Miller The Hidden Danger of Untreated Heartburn Dear Savvy Senior, Is regular heartburn or acid refl ux anything to worry about? I eat a lot of Rolaids throughout the day to help manage it, but it’s gotten worse with age and it keeps me up at night too. What can you tell me? Belching Bob Dear Bob, Almost everyone experiences heartburn or acid refl ux from time to time, but frequent episodes can signal a much more serious problem. It’s estimated that more than 60 million Americans experience heartburn at least once a month, with around 15 million people who suff er from it daily. Heartburn symptoms show up in a variety of ways – as a burning pain behind the breastbone, indigestion, or a sour or burning taste in the back of the throat. Other symptoms may include chest pain, excessing belching, a long-term cough, sore throat or hoarseness. If you’re plagued by heartburn two or more times a week, and it’s not responding well to over-the-counter antacids you need to see your doctor, who may refer you to a gastroenterologist. Frequent bouts may mean you have gastroesophageal refl ux disease, or GERDs, which can severely irritate and damage the lining of your esophagus, putting you at risk of Barrett’s esophagus and esophageal cancer if it’s not treated. Lifestyle Adjustments Depending on the frequency and severity of your heartburn, there are a number of lifestyle adjustments you can make that can help provide relief and avoid a more serious problem down the road, such as: • Avoid trigger foods: Some foods can trigger heartburn symptoms like citrus fruits, tomatoes, fatty foods, chocolate, garlic, onions, spicy foods, mints, alcohol, coff ee and sodas. You should keep a food diary to track which foods cause you the most problems and avoid them. • Eat smaller, slower and earlier: Smaller portions at mealtime and eating slower can help reduce heartburn symptoms. You should also wait at least three hours after eating before lying down or going to bed. • Lose weight: Having excess weight around the midsection puts pressure on the abdomen, pushing up the stomach and causing acid to back up into the esophagus. • Quit smoking: Smoking can increase stomach acid and weaken the valve that prevents acid from entering the esophagus. • Sleep elevated: To help keep the acid down while sleeping, get a wedge-shaped pillow to prop yourself up a few inches. If that’s not enough, try elevating the head of your bed six to eight inches by placing blocks under the bedposts or insert a wedge between your mattress and box spring. Wedges are available at drugstores and medical supply stores. Sleeping on the left side may also help keep the acid down. Treatment Options If the lifestyle adjustments don’t solve the problem, or if antacids (Tums, Rolaids, Maalox, Mylanta or Alka-Seltzer) aren’t doing the trick, there are a variety of over the counter (OTC) and prescription medications that can help, including: H-2 Blockers: Available as both OTC and prescription strength, these drugs (Pepcid, Tagamet, Axid and Zantac) reduce how much acid your stomach makes but may not be strong enough for serious symptoms. Proton-Pump Inhibitors (PPI): If you have frequent and severe heartburn symptoms PPIs are long-acting prescription medications that block acid production and allow time for damaged esophageal tissue to heal. They include Nexium, Prevacid, Prilosec, Zegerid, Protonix, Aciphex and Dexilant. Prevacid, Nexium, Prilosec and Zegerid are also available OTC. But be aware that long-term use of PPIs can increase your risk for osteoporosis and chronic kidney disease. If the medications aren’t enough, there are also surgical procedures that can tighten or strengthen the lower esophageal sphincter so gastric fl uids can’t wash back up into the esophagus. Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

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