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Unfortunately, it will be visible only from northeast Asia and the North Pacific, as it will happen around 8:42 p.m. ET in the United States. 142

When it comes to methadone treatment for opioid addiction, both the American College of Obstetricians and Gynecologists?and the Academy of Breastfeeding Medicine include it in their guidelines as a safe and encouraged form of medical-assisted treatment for pregnant and nursing women."Babies exposed to opioids ... in utero are at risk for developing neonatal abstinence syndrome, a condition resulting from the newborn going through withdrawal once exposure to the opioids is stopped. An opioid-using mother is secreting small amount of the opioid in her breast milk, which the baby then ingests," Lysouvakon said.The amount babies take in is usually undetectable or very small, he explained."All of the guidelines support breastfeeding for mothers who are in treatment programs and not taking other illicit or non-medically indicated drugs," said Dr. Walter Kraft, an expert in the treatment of neonatal abstinence syndrome at the Thomas Jefferson University Hospital. "There may be other reasons why breast feeding may not be right, such as taking other prescribed medications which are not safe for the baby."Some of the benefits of breastfeeding infants at risk of withdrawal from opioids is not just the methadone in the breast milk but the skin-to-skin contact between baby and mom, which comforts and soothes the baby," said Kraft.And although recreational drug use is?not encouraged during breastfeeding, Kraft said there may be situations in which a mother may breastfeed while on medically prescribed stimulants,"if there is compelling reason to do so for the health and well being of the mother," he said.For example, amphetamines can be prescribed for narcolepsy, and methamphetamine can be used to treat?ADHD and obesity.For those mothers who do use amphetamines recreationally, there is very limited data. One study?advises to wait 48 hours after using before nursing."Healthy mom generally equals happy baby," Kraft said.'Narratives of blame'?Experts said the details of Jones' case are key to understanding what happened: How were the toxicology tests performed? Were the results confirmed in follow-up testing? Was Jones tested for the same substances to corroborate her as a source of the drugs in R.J.'s blood? What levels of drugs were found in R.J.'s blood? Was Jones prescribed any stimulants?Substance abuse is a clinical condition, said Dr. Amina White, a bioethicist and an obstetrician-gynecologist at the University of North Carolina, Chapel Hill."It requires clinical intervention. It would be highly problematic to charge someone with criminal wrongdoing who is in fact seeking or in need of or already undergoing treatment for a substance use disorder," White said. "One would hope that the response to this very unfortunate case would be: What can we do to better support someone like her?" she said.Lynn Paltrow, an attorney and founder and executive director of National Advocates for Pregnant Women, said criminal charges like those facing Jones are part of the larger war on drugs narrative. Paltrow worries about the public health ramifications that can follow from charges like this and ultimately discourage women from breastfeeding, and hospitals from following the scientific evidence."They have far more to do with political expediency and popular narratives of blame than anything about science," she said. 3389

Unlike some, Myers welcomed Trump's visit Tuesday to his synagogue, though he had no plans to meet with the President, he told CNN."The President of the United States is always welcome," the rabbi said Monday. "I'm a citizen. He's my president. He is certainly welcome."That sentiment, though, prompted a swift backlash, including emails that "contain hate," Myers said Tuesday morning."It just continues in this vicious cycle: Hate, promulgating more hate, promulgating more hate," he told CNN. "And that's just not the solution. We need to be better than this. We can be better than this."First lady Melania Trump will join the President, White House press secretary Sarah Sanders said. Ivanka Trump and Jared Kushner will accompany them, CNN has learned.The President is expected to visit the University of Pittsburgh Medical Center, which treated some of the shooting victims, in the late afternoon, UPMC spokesman Paul Wood said.Trump wants to travel to Pittsburgh to show support, Sanders said, though his visit has been criticized in some circles.Jewish activists in Pittsburgh told the President in an open letter that his words and policies over the past three years "have emboldened a growing white nationalist movement," and that he is not welcome until he "fully (denounces) white nationalism."Peduto, the mayor, and Allegheny County Executive Rich Fitzgerald, both Democrats, have indicated they will not meet with the Republican President during his visit.Peduto told CNN's Anderson Cooper on Monday that he would rather Trump visit after the victims' funerals."I do believe that it would be best to put the attention on the families this week and, if he were to visit, choose a different time to be able to do it," Peduto said. "Our focus as a city will be on the families and the outreach they will need this week and the support they'll need to get through it."Asked Tuesday whether Peduto would appear with Trump, spokesman Tim McNulty said: "No. His (Peduto's) focus is on the families.Fitzgerald said that although he wouldn't meet Tuesday with Trump, "if the President wishes to come next week, or the next, that's something we can look at."Former Tree of Life Rabbi Chuck Diamond also would rather have the President visit later, he told CNN's Don Lemon."I would just ask the President please, please, if it's not too late, put it off a week," Diamond said. "Any president that would come in, any president would be a distraction."And President Trump, he's so divisive and there's such strong feelings on all sides, it will be a distraction," he said. "And that upsets me the most because the focus has to be on the victims and has to be on comforting the family and also the city. The city needs time to grieve." 2735

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UPDATE (Oct. 26, 2018 - 12 p.m.): A judge set a hearing date of Jan. 4, 2019, to further discuss potential living arrangements for Alvin Quarles, known as the "Bolder than Most" rapist. 185