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RICHMOND, Va. (AP) — By the time drug enforcement agents swooped into his small medical office in Martinsville, Virginia, in 2017, Dr. Joel Smithers had prescribed about a half a million doses of highly addictive opioids in two years.Patients from five states drove hundreds of miles to see him, spending up to 16 hours on the road to get prescriptions for oxycodone and other powerful painkillers."He's done great damage and contributed ... to the overall problem in the heartland of the opioid crisis," said Christopher Dziedzic, a supervisory special agent for the Drug Enforcement Administration who oversaw the investigation into Smithers.In the past two decades, opioids have killed about 400,000 Americans, ripped families apart and left communities — many in Appalachia — grappling with ballooning costs of social services like law enforcement, foster care and drug rehab.Smithers, a 36-year-old married father of five, is facing the possibility of life in prison after being convicted in May of more than 800 counts of illegally prescribing drugs, including the oxycodone and oxymorphone that caused the death of a West Virginia woman. When he is sentenced Wednesday, the best Smithers can hope for is a mandatory minimum of 20 years.Authorities say that, instead of running a legitimate medical practice, Smithers headed an interstate drug distribution ring that contributed to the opioid abuse epidemic in West Virginia, Kentucky, Ohio, Tennessee and Virginia.In court filings and at trial, they described an office that lacked basic medical supplies, a receptionist who lived out of a back room during the work week, and patients who slept outside and urinated in the parking lot.At trial, one woman who described herself as an addict compared Smithers' practice to pill mills she frequented in Florida."I went and got medication without — I mean, without any kind of physical exam or bringing medical records, anything like that," the woman testified.A receptionist testified that patients would wait up to 12 hours to see Smithers, who sometimes kept his office open past midnight. Smithers did not accept insurance and took in close to 0,000 in cash and credit card payments over two years."People only went there for one reason, and that was just to get pain medication that they (could) abuse themselves or sell it for profit," Dziedzic said.The opioid crisis has been decades in the making and has been fueled by a mix of prescription and street drugs.From 2000 to 2010, annual deaths linked to prescription opioids increased nearly fourfold. By the 2010s, with more crackdowns on pill mills and more restrictive guidelines on prescriptions, the number of prescriptions declined. Then people with addictions turned to even deadlier opioids. But the number of deaths tied to prescription opioids didn't begin to decline until last year, according to data from the U.S. Centers for Disease Control and Prevention.Martinsville, where Smithers set up shop, has been particularly hard hit.A city of about 14,000 near Virginia's southern border, Martinsville once was a thriving furniture and textile manufacturing center that billed itself as the "Sweatshirt Capital of the World." But when factories began closing in the 1990s, thousands of jobs were lost. Between 2006 and 2012, the city had the nation's third-highest number of opioid pills received per capita, according to an Associated Press analysis of federal data.Andrew Kolodny, a Brandeis University doctor who has long been critical of opioids, said that in recent years, doctors became less comfortable writing lots of opioid prescriptions and many big prescribers retired. That opened an opportunity for others."If you're one of the guys still doing this," he said, "you're going to have tons of patients knocking down your door."During his trial, Smithers testified that after he moved to Virginia, he found himself flooded with patients from other states who said many nearby pain clinics had been shut down. Smithers said he reluctantly began treating these patients, with the goal of weaning them off high doses of immediate-release drugs.He acknowledged during testimony that he sometimes wrote and mailed prescriptions for patients he had not examined but insisted that he had spoken to them over the phone.Once, he met a woman in the parking lot of a Starbucks, she handed him 0 and he gave her a prescription for fentanyl, an opioid pain reliever that is 50 to 100 times more potent than morphine.When area pharmacists started refusing to fill prescriptions written by Smithers, he directed patients to far-flung pharmacies, including two in West Virginia. Prosecutors say Smithers also used some patients to distribute drugs to other patients. Four people were indicted in Kentucky on conspiracy charges.At his trial, Smithers portrayed himself as a caring doctor who was deceived by some patients."I learned several lessons the hard way about trusting people that I should not have trusted," he said.Smithers' lawyer told the judge he had been diagnosed with depression and anxiety. Family members said through a spokesperson that they believe his decisions were influenced by personal stress, and emotional and mental strain.Even before he opened his Martinsville practice in August 2015, Smithers had raised suspicions. West Virginia authorities approached him in June 2015 about a complaint with his practice there, but when they returned the next day with a subpoena, they found his office cleaned out and a dumpster filled with shredded papers and untested urine samples.Some of Smithers' patients have remained fiercely loyal to him, insisting their severe chronic pain was eased by the powerful painkillers he prescribed.Lennie Hartshorn Jr., the father of the West Virginia woman who died two days after taking drugs Smithers prescribed, testified for the defense.Hartshorn said his daughter, Heather Hartshorn, told someone "she would rather be dead than in pain all the time." According to a form Heather Hartshorn filled out when she went to see Smithers, she had chronic pain in her lower back, legs, hips and neck from a severe car accident and a fall.When asked by Smithers' lawyer if he blames Smithers for anything, Lennie Hartshorn said he does not.Smithers has been denied bond while he awaits sentencing. His attorney did not respond to inquiries from AP. Smithers has said he plans to appeal.____Associated Press reporters Geoff Mulvihill and Riin Aljas contributed to this story. 6501

Ron Bielanski is passionate about working with his hands. But COVID-19 threw a wrench at how he made his living as a construction worker.“My boss, at the time I just got hired, told me I can’t make you come here,” Ron Bielanski recalled. “It’s voluntary at this point.”After leaving his job in construction, Bielanski worked as a handyman. But soon, the opportunities dwindled. Prior to the pandemic, he received three to four job offers a week. Now, maybe four calls a month.“That has gone away completely. There is no one calling me for estimates,” Bielanski said. “The only phone calls I am getting are people in emergency situations.”This jack of all trades says clients are reluctant to hire repair experts because of the current pandemic and social distancing guidelines.Experts recommend the following for those seeking handiwork:Household members and service providers should wear masksLimit interaction with repair workersDisinfect the area that may have been touched during a projectHousehold members with health issues should leave while the project is being completed 1087

Robert Pate’s time in prison changed him. Now, he runs a program and a podcast to help those who are completing their sentences.“We help inmates who come out of prison. We help them get jobs, we help them discover self-identity,” he said.Pate, 46, served 11 years for selling drugs.“Prison was life-changing in the fact that you're stripped from all of your, anything you’ve had in the world,” he said. “You get a chance to see yourself for who you really are.”So, he started the Image program and accompanying podcast, all to help with re-entry. “I started the program in prison,” he said. “After being released from prison, trying to get a job and cope with the everyday ways of life that when it comes to voting they’re lost. They have no clue as to what this stuff is really about.”Iowa recently became the last state in the U.S. to pave a path to vote for felons who have completed their sentence, with exceptions.“The NAACP estimates about 40,000 people…are now eligible to vote in the state of Iowa,” said Betty C. Andrews, president of the Iowa-Nebraska NAACP. “This is an issue that the NAACP has had at the forefront for a number of years.”Andrews was in attendance when Iowa Gov. Kim Reynolds signed Executive Order Number 7 in August, officially making a path for felons who have completed their sentence to register to vote.“Being one of the last states, quite frankly the last state, was very embarrassing for us in the advocacy community,” she said. “According to Executive Order Number 7, you are eligible to vote if you are not incarcerated off parole or off probation. You do not have to pay restitution, fines, or fees in order to vote.”She said estimates show about 2,500 Iowans with felony backgrounds registered to vote in August. Just having the ability to do so, Andrews said, is important.“They have to pay taxes, they have to follow the laws, they have to do what is required in terms of citizenship. But they are not allowed to have a voice in that, so being able to have that voice is monumental for people,” she said.“Unfortunately, I’ve never actually voted. Never really saw the importance of voting at a young age,” Pate said. “I grew up in Des Moines, Iowa, played basketball, played basketball in college.”Now that Pate has the right, he helps those in his program, like Bert Knapp and Wayne Byrd, figure the process out.“I’m 55...I never did vote in my life,” Byrd said. “If I can’t vote, I mean, I feel different. I feel like I’m part of the world. That’s what it means to me.”While Knapp is still on parole, he echoes the same feeling. “It gives me the ability to make a difference. There’s no point in complaining about who is in office if I'm not going to take a step and do what I can,” he said.But because this right came via executive order, Andrews warns it can also be taken away.“The next governor could come in and revoke this executive order,” she said. It’s happened before in Iowa’s history, and that would sever the path put in place. That means no felons being released from prison could register in the future.For now, they take it one day at a time, spending the remaining days before the election getting the world out to everyone that they should exercise their right to vote.“Everyone who is in society, and is a productive citizen in society, should be able to vote,” Pate said. “I’m happy to be able to have the privilege to vote.” 3397

SACRAMENTO, Calif. (AP and KGTV) — A bill that would end California's bail system and replace it with a risk assessment system is headed to Gov. Jerry Brown's desk. State Senate approved the bill with a vote of 26-12 Tuesday afternoon. If signed into law, it would make California the first state to completely end bail for suspects waiting for trial. Senators who support the bill say it would end a system that discriminates against low income people. Those in opposition argue that the measure would make communities less safe. If signed into law, the plan calls for the release of most suspects arrested for nonviolent misdemeanors within 12 hours. Those accused of serious, violent felonies wouldn't be released before their trials. Courts and California's Judicial Council would have discretion to determine whether or not to release other suspects based on the likelihood they will return to court and the danger they pose to the public.   999

RICHMOND, Va. – Virginia Governor Ralph Northam and First Lady Pamela Northam have tested positive for COVID-19.On Wednesday they were notified that a member of the Governor’s official residence staff, who works closely within the couple’s living quarters had developed symptoms and had tested positive for COVID-19.The Governor and First Lady received PCR nasal swab tests Thursday afternoon and both tested positive for COVID-19, the governor’s office said.They added that Governor Northam is experiencing no symptoms and First Lady Pamela Northam is experiencing mild symptoms.The release said the Governor and First Lady will isolate for the next 10 days and evaluate their symptoms.The Governor will fulfill his duties from the Executive Mansion.“As I’ve been reminding Virginians throughout this crisis, COVID-19 is very real and very contagious,” said Governor Northam. “The safety and health of our staff and close contacts is of utmost importance to Pam and me, and we are working closely with the Department of Health to ensure that everyone is well taken care of. We are grateful for your thoughts and support, but the best thing you can do for us—and most importantly, for your fellow Virginians—is to take this seriously.”The Governor and First Lady are working closely with VDH and the Richmond Heath Department to trace their close contacts.This story originally reported on WTKR.com. 1408