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We're bringing very stiff consequences, said Stephens. "We've brought two manslaughter charges because those dealers knew that their supply was deadly. All drugs are dangerous, but they knew their particular supply was laced with fentanyl." 241

What’s an FHA buyer to do? Here are three options:Priced out? Look at FHA-approved condosIf an FHA-approved single-family house would push your budget past its breaking point, consider making your starter home a condo.As of October 2019, borrowers can get FHA loans for individual condo units without having to worry about whether the entire complex is FHA approved. John Graff, CEO of Los Angeles-based Ashby & Graff Real Estate, said via email that this change should increase the inventory of 500

We extend our deepest sympathies to family and friends of Alliant student Sara Saadat, university officials said in a statement after learning of her death aboard the flight. "It appears that Sarah was visiting family in Iran and was on her way back to San Diego to begin our spring 2020 term in our PsyD in Clinical Psychology program. We know that the entire Alliant community is affected when tragedy strikes any one of us, and we are here to provide support during these trying times." 489

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

We are truly saddened by the loss of Brewster. The health, safety and well-being of the pets in our care is our top priority, and we immediately launched an internal investigation to better understand what led to this tragic accident. We have high standards of care in place and are actively gathering more information to determine any policy or procedural violations. We welcome all dogs, regardless of their breed, into our grooming salons provided they are well-behaved. We will remain in close contact with Brewster’s pet parent as we learn more. 560

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