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Witness Chelsea Shea testified during a preliminary hearing that she had drinks with Palmer at a bar on April 4, 2016, and agreed to go back to his room at the Chadwick Hotel on A Street. She and Palmer were having sex when Haynes arrived with a man named Anthony Kern, Shea testified. 285

While the details of Alyssa's case are extraordinary -- the Grandma Betty trick, the escape from the hospital with police on their heels -- the core of her story is not uncommon in many ways, according to patient advocates.Dr. Julia Hallisy, founder of the Empowered Patient Coalition, says families often tell her that a hospital won't allow their loved one to transfer to another facility. Often, they're afraid to say anything publicly or on social media."You sound like a crazy person -- that your family member was held hostage in an American hospital," she said. "People can't believe that would happen. It's like the stuff of a science fiction story."Kristen Spyker said it happened to her family.When Spyker's son was born with a rare heart defect, she says she told doctors at the Ohio hospital where he was born that she wanted him to have a surgical repair at a hospital with a larger pediatric heart program.She said the heart surgeon at the first hospital refused to send her son's medical records to other hospitals. She also says a surgeon resisted her efforts to transfer her newborn son to another hospital to get a second opinion on what surgery he should have for a rare heart defect."The surgeon said, 'This is my patient. This is my show. I'm the boss, and I say what happens,' " she said.She said a social worker, accompanied by hospital security guards, then came into her son's hospital room and said she was worried that Spyker had postpartum depression that was affecting her ability to make decisions for her son's care.Spyker said the hospital discharged her son only after she threatened legal action.Her son then had a successful procedure at another hospital -- a different procedure than the one recommended by the first doctor.When she told her story on Facebook, Spyker said, other parents shared similar stories."It was parent after parent after parent saying 'this happened to us,'" she said. "They had been so embarrassed to talk about it, but they felt freer when I said it happened to us."Spyker was one of several people who spoke with Alyssa's parents last year while their daughter was at Mayo.In a statement to CNN, the American Hospital Association addressed conflicts between families and hospitals."Communication between physicians and patients is extremely important in working to identify the best treatment," said Dr. Jay Bhatt, senior vice president and chief medical officer of the organization. "Each patient is unique. It is for this reason that the majority of hospitals have patient advocates on staff to help patients and families navigate the care process. Hospitals recognize that patients are critical members of any care team and many are employing new strategies to ensure their voice and perspective is heard and accounted for."When hospitals and families get into intense conflict, Hallisy, a dentist who practices in San Francisco, says human emotions can run amok. She says she saw it happen when her daughter, Katherine, was being treated for cancer."People think that doctors are immune to petty disagreements, but they're human beings, and sometimes ego and primitive emotions take over," she said.She said that in Alyssa's case, she wonders whether a sensitive hospital staffer, perhaps a social worker, could have prevented the situation from becoming as contentious as it did.She thinks back to her daughter, who died at age 10. She remembers the sadness and fear of having a very sick child, as well as the stress of taking care of her two other children and keeping her dental practice afloat while her daughter was in and out of the hospital.She thinks about how Alyssa was near death and how her parents had five younger children 130 miles away, as well as farms and a family business to run."They were under incredible stress," Hallisy said. "They'd almost lost a child, and they had other responsibilities, too. You would think that someone at Mayo would be trained to see that." 3956

Workers at General Dynamics NASSCO in Barrio Logan cut the first piece of steel Friday on what will become the USNS Harvey Milk. The fleet replenishment oiler will be the second of six vessels in the John Lewis class to be named in honor of American civil rights leaders.Milk served as a Navy dive instructor in San Diego in the 1950s and went on to become the first openly gay politician in California. 403

While an AR-15-style rifle is a semi-automatic design, keep in mind that a gun does not have to be a rifle to be semi-automatic. Many handguns also are semi-automatics, as are numerous models of hunting rifles and shotguns. The killer in the 2007 Virginia Tech shootings killed 32 people with two semi-automatic handguns. 321

Zach Smith was fired on July 23 after he was served a civil protection order on behalf of Courtney Smith. The order, which was signed July 20, is effective until 2023 and prohibits Zach Smith from going within 500 feet of his ex-wife.In a July 23 Facebook post, college football reporter Brett McMurphy detailed a series of domestic violence allegations against Smith dating back to 2009 and 2015.Courtney Smith spoke recently to Stadium sports network, outlining accusations that Zach Smith on various occasions threw her against a wall, picked her up by her neck, and took a golf club to her car and broke her windshield after a recruiting dinner.This came on top of emotional, verbal and psychological abuse, as well as attempts to financially drain her, she told the network. The abuse began in 2009, while he was an assistant to Meyer at the University of Florida, she said.Courtney Smith said she made Meyer's wife, Shelley, aware of the alleged abuse and Shelley Meyer said she would speak to her husband, but Courtney Smith did not follow up to find out whether Urban Meyer had been informed."In 2015, I came forward with it. I told Shelley. I sent her some pictures. I spoke to her on the phone," Courtney Smith told Stadium.Zach Smith, grandson of the Hall of Fame former Ohio State head coach Earle Bruce, and his wife moved to the Columbus area in 2012, and "everything went out of control," Courtney Smith told Stadium. She felt the pressure of his job forced him into a toxic lifestyle, and he became abusive when questioned, she said.Courtney Smith separated from him in 2015 after eight years of marriage, but she said the abuse did not end. In the 2015 incident, Zach Smith came to her house wanting to take their son, but it wasn't his parenting night. She told him no, she recalled."When I stood up to him, he didn't like it. He took me and shoved me up against the wall with his hands around my neck -- something he did very often. My daughter was clinging to my leg," she told Stadium.She called police after he left with their son, but Zach Smith was never charged, she said. "I don't know what happened," she added. 2138