梅州3个月做打胎一般多少钱梅州做无痛的人流总价格,梅州鼻梁整形价格,梅州衣原体阴道炎的症状,梅州无痛人流 什么时间做,梅州保宫人流总价格,梅州怎样才能治好阴道炎,梅州怀孕多久能做超导可视流产手术

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

SACRAMENTO, Calif. (AP) — California's economy has surpassed that of the United Kingdom to become the world's fifth largest, according to new federal data made public Friday.California's gross domestic product rose by 7 billion from 2016 to 2017, surpassing .7 trillion, the data said. Meanwhile, the UK's economic output slightly shrunk over that time when measured in U.S. dollars, due in part to exchange rate fluctuations.California's economic juggernaut is concentrated in coastal metropolises around San Francisco, San Jose, Los Angeles and San Diego.RELATED: California is #1 for fun in the nation"The non-coastal areas of CA have not generated nearly as much economic growth as the coastal areas," Lee Ohanian, an economics professor at University of California, Los Angeles and director of UCLA's Ettinger Family Program in Macroeconomic Research said in an email.The data demonstrate the sheer immensity of California's economy, home to nearly 40 million people, a thriving technology sector in Silicon Valley, the world's entertainment capital in Hollywood and the nation's salad bowl in the Central Valley agricultural heartland. It also reflects a substantial turnaround since the Great Recession.All economic sectors except agriculture contributed to California's higher GDP, said Irena Asmundson, chief economist at the California Department of Finance. Financial services and real estate led the pack at billion in growth, followed by the information sector, which includes many technology companies, at billion. Manufacturing was up billion.RELATED: California sues over plan to scrap car emission standardsCalifornia last had the world's fifth largest economy in 2002 but fell as low as 10th in 2012 following the Great Recession. Since then, the largest U.S. state has added 2 million jobs and grown its GDP by 0 billion.California's economic output is now surpassed only by the total GDP of the United States, China, Japan and Germany. The state has 12 percent of the U.S. population but contributed 16 percent of the country's job growth between 2012 and 2017. Its share of the national economy also grew from 12.8 percent to 14.2 percent over that five-year period, according to state economists.California's strong economic performance relative to other industrialized economies is driven by worker productivity, said Ohanian.The United Kingdom has 25 million more people than California but now has a smaller GDP, he said.The state calculates California's economic ranking as if it were a country by comparing state-level GDP from the Bureau of Economic Analysis at the U.S. Department of Commerce with global data from the International Monetary Fund. 2719

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

RICHMOND, Va. (AP) — A federal appeals court ruled Friday the Trump administration acted in an "arbitrary and capricious" manner when it sought to end an Obama-era program that shields young immigrants from deportation.A three-judge panel of the 4th U.S. Circuit Court of Appeals ruled 2 to 1 that the Trump administration violated federal law when it tried to end the Deferred Action for Childhood Arrivals program without adequately explaining why. The ruling overturns a lower court ruling a judge in Maryland made last year, which Trump had previously praised via Twitter.Friday's ruling will not have any immediate effect as other federal courts have already ordered that DACA be kept in place.The 4th Circuit ruling said the Department of Homeland Security did not "adequately account" for how ending DACA program would affect the hundreds of thousands of young people who "structured their lives" around the program."We recognize the struggle is not over and there are more battles to fight in the Supreme Court on this road to justice, but our families are emboldened by knowing that they are on the right side of history," said Gustavo Torres, executive director of Casa de Maryland, the lead plaintiff in the case.Trump and his Justice Department have argued that the Obama administration acted unlawfully when it implemented DACA. The Justice Department declined to comment.Preserving DACA is a top Democratic priority, but discussions between Trump and Democrats on the issue have gone nowhere.Trump's latest immigration plan, unveiled Thursday, does not address what to do about the hundreds of thousands of young immigrants brought to the U.S. as children. White House press secretary Sarah Sanders told reporters that "every single time that we have put forward or anyone else has put forward any type of immigration plan that has included DACA it's failed."DACA's fate could be decided by the Supreme Court, which is weighing the Trump administration's appeals of other federal court rulings.The justices have set no date to take action.If the high court decides it wants to hear the appeals, arguments would not take place before the fall. That means a decision is not expected until 2020, which could come in the thick of next year's presidential contest.___Associated Press writer Mark Sherman in Washington contributed to this report. 2362

SACRAMENTO, Calif. (AP) — California lawmakers are preparing to return to work after an extended summer recess because of the coronavirus. Lawmakers return to Sacramento on Monday and have about five weeks to pass bills. Assembly Speaker Anthony Rendon said many lawmakers want Gov. Gavin Newsom to call them back for a special session to give them more time to pass tough bills. Lawmakers are considering proposals that would prevent landlords from evicting tenants unable to pay their rent during the pandemic and making COVID-19 infections eligible for workers' compensation claims. They are also weighing bills about police brutality and health care. 662