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We're talking about plumbing, right? At the end of the day, we're not sending a rocket to the moon here, we just need money and action, Castellanos said, adding that San Diegans should contact their elected officials and urge them to call for a change. 252

Well, sometimes you’re the hammer and sometimes you’re the nail! The Tom Blake trail (one of my faves) came up and tried to KO my ass today. Took quite the blow to the noggin’ so swung by the Aspen Valley Hospital (great facility!) to get my head checked. For the 46 yrs prior to today I completely would have blown off getting checked. Not now. Small world story - a few weeks back I posted a pic of @ghincapie, @mikekloser, and myself. Credit photo to “some dude at top of buttermilk”. Well, that ‘dude’ turned out to be @ajaxrider - the ER doc on duty today! Charlie, thanks for looking after me.A post shared by Lance Armstrong (@lancearmstrong) on Aug 8, 2018 at 1:27pm PDT 679

Vice President Joe Biden will once again take the center of the stage in Detroit tonight, surrounded by two candidates who have been harsh critics of Biden's handling of race issues. Where are all of the candidates?The top 20 Democrats based off polling and fundraising were invited to one of two debates, the first taking place last night. Last night's round featured the two top candidates vying for support from the liberal wing of the party - Sens. Bernie Sanders and Elizabeth Warren. To qualify for the debates, candidates had to fulfill one of two criteria: either get 65,000 donors to their campaigns, with at least 200 donors in 20 different states, or obtain at least 1% in three polls recognized as legitimate by the Democratic National Committee.Differences from last month's debateWhile there will be 20 Democrats on the stage -- 10 each night -- one Democrat has since dropped out of the race. Rep. Eric Swalwell of California ended his bid for the presidency earlier this month. His spot on the debate stage has since been filled by Montana Gov. Steve Bullock, who participated in last night's debate.With this debate being aired on CNN, there will be a different set of moderators. Don Lemon, Dana Bash and Jake Tapper will conduct the debate.Unlike last month’s Miami debate, CNN has told the candidates that there will be no “show of hands or one-word, down-the-line questions.”Also different, CNN has threatened to reduce the time of candidates who are constantly interrupting.What is the sameCandidates will be given 60 seconds to answer and 30 seconds for follow ups. The requirements to qualify for the debate also remained the same, and was based off of polling and fundraising criteria.Time, time timeIf last night's debate was any indication, Biden and Harris should get the most talk time. According to a tracker by the Washington Post, Warren and Sanders talked the most, with more than 17 minutes of talk time. Mayor Pete Buttigieg came in third with 14.4 minutes. All other candidates fell between 8.8 and 10.9 minutes. Warren and Sanders have been competing for second in the polling.Biden back as frontrunnerBiden’s lead took a bit of a hit in the days following the last debate thanks to a contentious confrontation from Sen. Kamala Harris. Harris’ emotional rebuke of Biden’s stance on public school busing in the 70s was easily the most memorable moment of the night.It also seemed to have, at least temporarily, cut into Biden’s lead. Polls from CNN and Quinnipiac University had Biden’s polling as low as 22 percent. Harris, for her part, saw her numbers increase to above 10 percent. Biden has seen his polling number return to near 30 percent. Harris, however, has continued to poll above 10 percent, indicating that she perhaps draw some support from some of the other candidates.Biden and Harris are the two center-stage candidates for tonight's debate.But Harris might not be Biden’s biggest concern on Wednesday. Sen. Cory Booker and Biden have been involved in a spat in recent days over criminal justice reform. Booker called Biden “an architect of mass incarceration.” This is over Biden’s support for the 1994 Crime Bill.Here are the candidates: 3192

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

We are writing to you today in response to an article that was published by the Wall Street Journal, which alleges specific instances of inappropriate workplace behavior and a challenging environment. This was tough to read. This is not the culture we envision for Under Armour. 278