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The ongoing feud between the National Rifle Association and the medical community continues in wake of a shooting at a Chicago hospital Monday.A recent article published earlier this month by physicians called gun violence a public health crisis and called for tougher gun laws. In response, the NRA tweeted that doctors should “stay in their lane.”The NRA’s response received backlash, with doctors across the U.S. and abroad expressing their disdain using the hashtag #ThisisMyLane, often with graphic images giving a glimpse into emergency rooms after treating victims of gun violence.Monday, gun violence became personal for doctors and nurses at Mercy Hospital in Chicago after a shooter entered, killing an ER doctor, a pharmacy resident and a Chicago Police Officer.Now, another group of doctors are pushing back against the NRA. In an editorial published by the Annals of Internal Medicine, doctors say they won’t be silenced in using what they learn to better care for their patients.“The NRA does not believe firearm-related injury and its prevention is within the purview of physicians. We could not disagree more,” read the editorial in part.The NRA has accused doctors of pushing a gun control agenda. 1222

The head of United States Customs and Border Protection said border agents "prevented a dangerous situation getting worse" when they fired tear gas at a group of migrants who rushed the US-Mexico border Sunday.CBP Commissioner Kevin McAleenan told reporters Monday that as many as 1,000 people that were part of a migrant caravan traveling through Central America and Mexico sought to enter the US illegally.He said that according to CBP's initial report, 69 people were apprehended entering the US. McAleenan said he was not aware of any successful illegal entries by caravan members into the US."[CBP] effectively managed an extremely dangerous situation involving over 1,000 individuals who sought to enter the US unlawfully in large groups. They did so safely and without any reported serious injuries on either side of the border," McAleenan said.Sunday's incident marked an escalation of tensions that have been mounting since groups of Central American migrants began arriving in Tijuana a few weeks ago on their journey to attempt to gain entry to the US. The incident began with a march to the border that organizers said would be peaceful. In response, CBP deployed additional personnel to San Ysidro, California, on Sunday in expectation of demonstrations on both sides of the border.McAleenan said individuals breached the border fence to the east of San Ysidro and some went west and sought to enter through the Tijuana River channel. He described "assaultive behavior" by some migrants in both locations. Border Patrol agents countered using "less lethal devices," which included tear gas and "other projectiles," but not rubber bullets. He said CBP does not have rubber bullets in its inventory on the border.McAleenan said, per protocol, the decision to fire was made by agents on the scene using their professional judgment, and also per protocol the incident will be reviewed. He also described CBP as having responded with use of force to primarily adult males throwing rocks.However, video of the scene also showed a cloud of tear gas that sent people running and screaming, including families with young children.Four agents were hit with rocks, but because of their protective gear they were not seriously injured, McAleenan said.Sunday's melee closed one of the world's busiest international crossings, San Ysidro Port of Entry, near San Diego, to vehicle and pedestrian traffic for several hours. By Sunday afternoon, CBP reopened crossing lanes in both directions to pedestrians and vehicles.On the other side of the border in Mexico, Tijuana police had arrested 39 people by Sunday night, the agency said on Facebook. 2651

The no-frills grocery chain Aldi is shedding its dowdy image as it goes a bit more upscale to compete with Whole Foods, Kroger, Publix, Safeway, and other chains.The German grocer plans to spend more than billion remodeling 1,300 US stores and adding hundreds of new ones, as it aims to become the nation's third-largest grocer.But is it staying true to its roots as a deep-discount grocery store? And does it still have the huge price advantage?Stores going upscaleWhen the doors open at the newly redesigned stores, shoppers told us they were not disappointed. Inside the new stores, they found a more upscale look: new signage, and lots more fresh produce in the enlarged store.Karen McKenzie said she and her baby girl loved it."They have much lower prices than the grocery store," she said, "especially when you are struggling to feed a family, and you've got to save wherever you can."Taking on Whole FoodsTen years ago, Aldi was just another bare-bones discount grocery store, with a limited selection of fresh fare.But now it's made a huge move into produce, especially organics, and the chain says its prices will rival anyone."We have a better product offering and expanded product range, and it's a much cleaner and nicer environment," regional manager Ryan Harmon said.What about prices, which is really the main reason shoppers visit Aldi?We compared Aldi's organic and conventional produce with Whole Foods', and found Aldi's price advantages haven't changed. 1504

The pandemic has made addiction exponentially worse. Doctors are worried that those who are suffering aren't getting the treatment and help they need, especially as people turn their focus to Covid-19.Ashlynn, 25, is two years "clean." "I love being a mom. It's my favorite thing ever and I love that I’m in recovery,” she said.It's been two years since she walked away from a life that was spiraling out of control and heading for an extremely dark place. “I went through stages of functioning addict, thief, manipulator, prostitute, the person that relapses, the person that overdoses, you name it I went through it,” Ashlynn explains. Her journey with mental illness started when she was a teenager. She was in and out of mental institutions and eventually, rehab. “It wasn’t that I wanted to party, it was just that I didn’t want to feel anything at all because I felt so terrible. I didn’t want any of those feelings,” she recalls.It wasn't that she didn't try to break away, it was that she couldn't. She relapsed. A lot. And then she was confronted with one of those life moments in which she realized that her life could go one way or another. “I remember being in a hospital and thinking, 'I don’t want to die a statistic. I’m more than a statistic. I don’t want to die a statistic.' And I got arrested and that helped me get my life together because I don’t really want to go to jail,” Ashlynn said.She made milestones for herself. And eventually, became the person she is today, after finding what doctors call "medication assisted treatment," balanced with support groups and counseling. The first step though, says Dr. Adam Rubinstein, is making that call for help.“My concern is that because we’re all so focused on Covid-19 and it is so scary, patients with opioid use disorder who were already moving in the shadows may be even more marginalized,” Dr. Rubinstein said.Dr. Rubinstein works in both internal and addiction medicine. “We take care of people who have a disorder that hijacks their brain, people that are compulsively using a substance and can’t stop on their own," he said. The behaviors, he says, bring negative consequences. But those who suffer from the disease of addiction can't stop, and end up using so as to not suffer withdrawal.“They think they’ll die when they’re in withdrawal and will do anything they can to get out of it. Which means using that drug of choice again,” he said. The disease of addiction doesn't stop even in a global health crisis. The death rate from opioid overdoses is rising.“The second problem is that Covid-19 brings unemployment, financial problems, isolation and depression. Third, is our healthcare system is now less accessible,” Dr. Rubinstein explained.When we asked how the problem is addressed during a pandemic, Dr. Rubinstein said, “there is no one answer because addiction requires customization based on the provider and the patient deciding what is most effective.”As for Ashlynn, she wants people to know there's hope. And a way out. “I don’t regret what I went through, though, because it brought me to where I am today. I’m a different person than I was before I started using,” she said.It's never too early and never too late to start the road to recovery, Ashlynn says. For those who are ready to take the first step towards a new life, doctors recommend visiting www.samhsa.org and rethinkopioidaddiction.com 3400

The mayor of Austin, Texas, has apologized after reports revealed that he delivered an address urging his constituents to stay home to prevent the spread of COVID-19 while he was vacationing in Mexico."I regret this travel," Austin Mayor Steve Adler, a Democrat, said in a statement, according to The Austin American-Statesman. "My fear is that this travel, even having happened during a safer period, could be used by some as justification for risky behavior. In hindsight, and even though it violated no order, it set a bad example for which I apologize."According to the American-Statesman and KVUE-TV in Austin, Adler took the trip after he hosted a small outdoor wedding ceremony for his daughter in early November. Both outlets report that there were about 20 guests at the wedding — more than the recommended guidelines of a limit of 10 per gathering that was in effect at the time.Following the ceremony, KVUE reports that Adler and eight family members boarded a private jet and traveled to Cabo San Lucas for a resort vacation. One day into that trip, on Nov. 9, Adler urged Austinites to stay at home."We need to stay home if you can," Adler said in that video, according to the American-Stateman. "This is not the time to relax. We are going to be looking really closely. ... We may have to close things down if we are not careful."Adler told the American-Statesman that he consulted with public health officials before hosting the wedding and that all 20 guests were required to undergo rapid COVID-19 tests before attending. He also said that masks were distributed during the reception guests "probably" did not wear them for the duration of the reception.KVUE adds that some of the guests traveled by plane to attend the wedding, including the Seattle-based wedding photographer.Adler isn't the only politician who has failed to heed his own warnings against travel. Last week, Denver Mayor Michael Hancock, a Democrat, traveled by plane to Mississippi to celebrate Thanksgiving with his family, despite repeated requests to his constituents not to travel for the holiday. 2096

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