濮阳东方医院割包皮非常便宜濮阳东方妇科医院做人流很不错,濮阳东方医院男科割包皮收费标准,濮阳东方医院看阳痿口碑很好放心,濮阳东方男科专业吗,濮阳东方医院男科治疗阳痿技术值得信任,濮阳东方妇科评价比较高,濮阳东方医院看妇科病好么

SACRAMENTO, Calif. (AP) — California Gov. Gavin Newsom nominated the first openly gay Black man to the state Supreme Court.Newsom nominated Martin Jenkins to the court on Monday. The 66-year-old would be the third Black person to serve on the court if he is confirmed by the Commission on Judicial Appointments.Jenkins would replace Justice Ming W. Chin, who retired at the end of August.Jenkins is a former federal civil rights attorney who prosecuted cross burnings and police misconduct cases under President Ronald Reagan.He was appointed by Republicans and Democrats to four different judgeships. 609

SACRAMENTO, Calif. (AP) — The California Senate will investigate a California utility's process for cutting off power to more than 2 million people to prevent wildfires.In a memo to the Senate Democratic Caucus on Thursday, Senate President Pro Tempore Toni Atkins asked the Senate Energy, Utilities, and Communications Committee to "begin investigating and reviewing options to address the serious deficiencies" with PG&E's current process of shutting off power to prevent wildfires.Atkins said an oversight hearing will be scheduled in the next few weeks.Last week, dry conditions and dangerous winds prompted PG&E to cut power to more than 700,000 customers to prevent its equipment from sparking wildfires.Gov. Gavin Newsom and other leaders said the outage lasted too long. Newsom has urged the utility to give rebates to affected customers and businesses. 877

SACRAMENTO, Calif. (AP) — Democratic Gov. Jerry Brown helped his party become dominant in California politics during his eight years leading the nation's most populous state, and less than a month before leaving office, he is predicting it will be difficult for his successor to control Democrats' hunger for more spending and rules.The leader of California Democrats has kept lawmakers in check by limiting spending on social programs in favor of saving it to protect against a future economic downtown. He sometimes butted heads with legislative leaders, warning spending too much now could hurt taxpayers or require budget cuts later.Democrats hold all statewide offices and expanded their supermajority in the Legislature last month, allowing them to approve tax hikes and virtually any law without Republican support."I'd say we're in for contentious times and for too many rules, too many constricting mandates and probably too much spending," Brown told The Associated Press in an interview Tuesday.He said Gov.-elect Gavin Newsom may have a hard time keeping fellow Democrats in check because "he's got to please some of these groups enough of the time to still be viable as a political leader."In the interview, Brown, 80, called for more blunt discussions about the danger of wildfires to force officials and residents to act, pushed back against critics who say he's too friendly to oil companies, and chided world leaders for failing to tackle climate change with urgency.He leaves office Jan. 7 after wrapping up a record four terms, first from 1975 to 1983 and again since 2011.The governor's comments on Democratic priorities reflect the more frugal attitude he brought to Sacramento. He entered office with a billion deficit and leaves a nearly billion rainy day fund and a surplus.Brown, however, has backed his own expensive plans. He used Democratic majorities to pass a controversial gas tax increase for road maintenance and has steadfastly defended a billion project to build a high-speed rail line between Los Angeles and San Francisco that's seen repeated delays and cost overruns.While he warned against overspending, he said he expected dissonant voices among the Democratic majority — a result of what he called the party's greater diversity of people and ideas. Republicans, he said, hold a "slavish adherence" to a limited agenda and President Donald Trump.Brown is leaving office on the heels of the deadliest U.S. wildfire in a century. Flames tore through the town of Paradise last month, killing at least 86 people and destroying 14,000 homes. He's blamed climate change for more destructive blazes in recent years and warned things will worsen.The governor called the need to limit building in areas at high risk for wildfires "obvious" but said it's "politically painful" to implement when people want to rebuild their homes and developers see opportunities.People who choose to live in high-risk areas need to plan escape routes, build cellars and manage vegetation, he said. And the state must provide more information about the true danger of wildfires, he said."I don't think governments lay out for people the stark warning: You may die in this particular environment," Brown said.Wildfires offer Brown an opportunity to call for swifter action against climate change, which is making California drier and more prone to flames. He's urged action beyond California, working with the U.N., creating a global coalition to reduce climate emissions and holding meetings in China and Russia.He's working on a climate-focused partnership between the University of California system and Tsinghau University in Beijing he can dive in to when he leaves office, he said. His spokesman Evan Westrup declined to provide more details.Critics say Brown has a blind spot when it comes to oil because he keeps allowing drilling permits and new wells. Brown scoffs at the claims, saying the state's overall oil production has dropped steadily since the 1980s. He says simply stopping it won't halt demand. He's pushed to make electric vehicles more accessible and worked to improve public transit."The problem is burning oil, consuming it," he said. "The only way you stop that is electric cars, land use so you don't have to travel so far and other forms of reducing carbon emissions."He said climate change advocates still must be careful to not overplay their hand. He pointed to a planned fuel tax in France that led to violent protests. French President Emmanuel Macron early this month backed down on the tax, which critics said would hurt the working class.Brown said Macron didn't add enough rebates or tax credits to cushion the blow for low-income people."You have to get the right idea, you have to be careful and nuanced and then you have to be very skillful in the execution, and you can fail in many different ways," Brown said.In a common theme, he ended the interview with a global wake-up call."The threat of nuclear annihilation and climate change on a permanent basis looms, and therefore it is time for new leaders to rise up and make the case and mobilize the people for what needs to be done," he said. "What needs to be done is unprecedented, and therein lies the dilemma." 5238

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 Gov. Gavin Newsom and the Democratic-controlled state Legislature agreed on a budget deal that would to cover the state's estimated .3 billion budget deficit.Newsom and legislative leaders announced the agreement Monday. No details were immediately available about what's in the agreement.But in a joint statement, Newsom and the leaders of the Senate and Assembly say the agreement protects core services including education, health care and the social safety net.The full statement:“The COVID-19 global pandemic has caused a sudden and dramatic change in our nation’s and state’s economic outlook – and has had a cascading effect on our state budget. California was better positioned for this sudden change than at almost any time in its history, building out record reserves following years of responsible budgeting. Even still, the size and scope of the pandemic and the accompanying economic crisis have been unprecedented – leaving California to make hard choices and figure out how to sustain critical services with much less.“In the face of these challenges, we have agreed on a budget that is balanced, responsible and protects core services – education, health care, social safety net and emergency preparedness and response. This budget also invests in California small businesses harmed by the pandemic.“This agreement reflects our shared commitment to supporting schools, and is built on a foundation of equity – allocating billions of dollars for students most affected by learning loss and continuing our state’s leadership toward reforming the criminal justice system.“To be clear, this budget required some tough decisions and more work remains ahead. But they were necessary steps for keeping California on firm fiscal footing while we continue to meet the COVID-19 challenge, protect vital services and our most vulnerable communities, and build a strong fiscal bridge to a safe, speedy economic resurgence. Californians are doing their part – now it’s imperative for our federal partners to pass a responsible and comprehensive relief plan so states and local communities can continue to keep Americans safe while leading our national economic recovery.”California's revenue has tanked during the coronavirus pandemic as a statewide stay-at-home order forced many businesses to close and caused millions of people to lose their jobs. 2402