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Watts will go next to a regional diagnostic center in Denver for an evaluation and it will then be up to the Colorado Department of Corrections to decide if Watts will be house in Colorado or moved out of state, Rourke said. Rourke said the DOC was “an exceedingly professional organization that will see to his safety and will place him in a prison where they feel is most appropriate for him.”Rourke also said that the Rzucek family has kept investigators and prosecutors going throughout the case and called it “an honor” to work with them.He said that he would be seeking restitution for the Rzuceks from what assets Chris Watts does have and said there would likely be ongoing costs to pay for counseling and therapy costs for Shanann’s family, in addition to the burials and funerals.The family also filed a civil lawsuit Monday to try and keep Chris Watts from benefiting from the story or the case in the future, the family’s attorney and the court confirmed Friday afternoon.Rourke acknowledged there would still be a long road ahead for the family, but he said their work with him and police has been second-to-none.“The thing that I will tell you gets us up and gets us moving every day is that family over there,” Rourke said of the Rzuceks. “They were great to work with under awful circumstances. … It’s been tough. Thank you to Frank, Sandy and Frankie for all you have participated in, all you’ve been subjected to. It’s been an honor.” 1452

We're raising the walls, having buildings that are 35-45 feet high and separating it from the rest of the park, said Storer. "That makes it feel like you're in the experience." 176

Walkers this year began their journey at the fairgrounds at 6:30 a.m. and will continue to Torrey Pines State Beach, La Jolla Cove, Kellogg Park and through Bird Rock before spending Friday night at Crown Point Shores on Mission Bay. 233

Unfortunately, this can still happen anywhere. And while the answer isn’t to run and hide, rather we to be ever more vigilant and if you see something unusual please report it immediately. May the memory of those so tragically take from their loved ones today be for a blessing.Jewish Federation of Metropolitan Detroit 319

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