Well: Warning Too Late for Some Babies

Six weeks after Jack Mahoney was born prematurely on Feb. 3, 2011, the neonatal staff at WakeMed Hospital in Raleigh, N.C., noticed that his heart rate slowed slightly when he ate. They figured he was having difficulty feeding, and they added a thickener to help.

When Jack was discharged, his parents were given the thickener, SimplyThick, to mix into his formula. Two weeks later, Jack was back in the hospital, with a swollen belly and in inconsolable pain. By then, most of his small intestine had stopped working. He died soon after, at 66 days old.

A month later, the Food and Drug Administration issued a caution that SimplyThick should not be fed to premature infants because it may cause necrotizing enterocolitis, or NEC, a life-threatening condition that damages intestinal tissue.


Catherine Saint Louis speaks about using SimplyThick in premature infants.



Experts do not know how the product may be linked to the condition, but Jack is not the only child to die after receiving SimplyThick. An F.D.A. investigation of 84 cases, published in The Journal of Pediatrics in 2012, found a “distinct illness pattern” in 22 instances that suggested a possible link between SimplyThick and NEC. Seven deaths were cited; 14 infants required surgery.

Last September, after more adverse events were reported, the F.D.A. warned that the thickener should not be given to any infants. But the fact that SimplyThick was widely used at all in neonatal intensive care units has spawned a spate of lawsuits and raised questions about regulatory oversight of food additives for infants.

SimplyThick is made from xanthan gum, a widely-used food additive on the F.D.A.’s list of substances “generally recognized as safe.” SimplyThick is classified as a food and the F.D.A. did not assess it for safety.

John Holahan, president of SimplyThick, which is based in St. Louis, acknowledged that the company marketed the product to speech language pathologists who in turn recommended it to infants. The patent touted its effectiveness in breast milk.

However, Mr. Holahan said, “There was no need to conduct studies, as the use of thickeners overall was already well established. In addition, the safety of xanthan gum was already well established.”

Since 2001, SimplyThick has been widely used by adults with swallowing difficulties. A liquid thickened to about the consistency of honey allows the drinker more time to close his airway and prevent aspiration.

Doctors in newborn intensive care units often ask non-physician colleagues like speech pathologists to determine whether an infant has a swallowing problem. And those auxiliary feeding specialists often recommended SimplyThick for neonates with swallowing troubles or acid reflux.

The thickener became popular because it was easy to mix, could be used with breast milk, and maintained its consistency, unlike alternatives like rice cereal.

“It was word of mouth, then neonatologists got used to using it. It became adopted,” said Dr. Steven Abrams, a neonatologist at Texas Children’s Hospital in Houston. “At any given time, several babies in our nursery — and in any neonatal unit — would be on it.”

But in early 2011, Dr. Benson Silverman, the director of the F.D.A.’s infant formula section, was alerted to an online forum where doctors had reported 15 cases of NEC among infants given SimplyThick. The agency issued its first warning about its use in babies that May. “We can only do something with the information we are provided with,” he said. “If information is not provided, how would we know?”

Most infants who took SimplyThick did not fall ill, and NEC is not uncommon in premature infants. But most who develop NEC do so while still in the hospital. Some premature infants given SimplyThick developed NEC later than usual, a few after they went home, a pattern the F.D.A. found unusually worrisome.

Even now it is not known how the thickener might have contributed to the infant deaths. One possibility is that xanthan gum itself is not suitable for the fragile digestive systems of newborns. The intestines of premature babies are “much more likely to have bacterial overgrowth” than adults’, said Dr. Jeffrey Pietz, the chief of newborn medicine at Children’s Hospital Central California in Madera.

“You try not to put anything in a baby’s intestine that’s not natural.” If you do, he added, “you’ve got to have a good reason.”

A second possibility is that batches of the thickener were contaminated with harmful bacteria. In late May 2011, the F.D.A. inspected the plants that make SimplyThick and found violations at one in Stone Mountain, Ga., including a failure to “thermally process” the product to destroy bacteria of a “public health significance.”

The company, Thermo Pac, voluntarily withdrew certain batches. But it appears some children may have ingested potentially contaminated batches.

The parents of Jaden Santos, a preemie who died of NEC while on SimplyThick, still have unused packets of recalled lots, according to their lawyer, Joe Taraska.

The authors of the F.D.A. report theorized that the infants’ intestinal membranes could have been damaged by bacteria breaking down the xanthan gum into too many toxic byproducts.

Dr. Qing Yang, a neonatologist at Wake Forest University, is a co-author of a case series in the Journal of Perinatology about three premature infants who took SimplyThick, developed NEC and were treated. The paper speculates that NEC was “most likely caused by the stimulation of the immature gut by xanthan gum.”

Dr. Yang said she only belatedly realized “there’s a lack of data” on xanthan gum’s use in preemies. “The lesson I learned is not to be totally dependent on the speech pathologist.”

Julie Mueller’s daughter Addison was born full-term and given SimplyThick after a swallow test showed she was at risk of choking. It was recommended by a speech pathologist at the hospital.

Less than a month later, Addison was dead with multiple holes in her small intestine. “It was a nightmare,” said Ms. Mueller, who has filed a lawsuit against SimplyThick. “I was astounded how a hospital and manufacturer was gearing this toward newborns when they never had to prove it would be safe for them. Basically we just did a research trial for the manufacturer.”

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Deficit hits 5-year low, but cuts drag economy









WASHINGTON -- The federal deficit will drop to less than $1 trillion for the first time in five years, but massive spending cuts that have improved the budget outlook are also slowing the economy, according to a report released Tuesday by the Congressional Budget office.


The nonpartisan arbiter of federal budgets said the combination of new tax revenue from the "fiscal cliff" deal as well as looming cuts that kick in March 1 will push the deficit down to $845 billion for fiscal 2013. Deficits have topped $1 trillion in recent years.


The projections will fuel the coming budget debates, which started Tuesday as President Obama was calling on Congress to steer around the coming budget cuts.





The budget office said the cuts will contribute to an economy that lags in 2013. The unemployment rate likely will remain above 7.5% through the year. It predicted that the gross domestic product will be well below its potential, growing by just 1.4%, more than half a percentage point slower than would happen if the spending cuts were averted.


At the same time, the nation's debt load is expected to fluctuate but ultimately rise to record levels this decade, largely because of increased spending on healthcare and the federal safety net for older Americans with the aging of the baby boom population.


Additionally, the outlook shows how difficult it will be for House Republicans to accomplish their goal of balancing the budget in 10 years with potentially deep austerity measures.


Even though revenue is rising and spending is decreasing, the overall budget outlook remains stark. By the end of the decade, public debt is set to rise to 77% of GDP, a decade of highs on par with debt levels in World War II.


"The projected path of the federal budget remains a significant concern," the CBO wrote.


Follow Politics Now on Twitter and Facebook


Lisa.mascaro@latimes.com


Twitter: @LisaMascaroinDC





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Defendant's teen lover: She forced me to help attack her ex









Sandra Rogers convinced her 17-year-old lover to help her in the 2003 sledgehammer attack of her ex-husband and his new wife by threatening to tell his 14-year-old girlfriend – her daughter – about their affair, the now-26-year-old man testified Monday at Rogers’ trial in Lake County.

Jonathan McMeekin testified that the woman he referred to as “Sandy” allowed him to move into her home – and sleep in the same bed as her daughter Robin – when Robin was 13. He said Sandra Rogers bought him gifts including football cleats; let him use her car, though he didn’t have a license; took him out to dinner; and bought him marijuana.

“She would cook for me, clean, do my laundry, give me lunch money, those kinds of things,” McMeekin said. “She told me that I owed her.”

Nearly a decade after he pleaded guilty to attempted murder for his part in the near-fatal attack in Lincolnshire, Jonathan McMeekin was on the stand Monday as a witness against Rogers, now 56. Rogers had also pleaded guilty in 2004 to the attack the previous year, but she was allowed to retract her guilty plea and stand trial in the case.

Authorities assert that McMeekin and Rogers drove together to her ex-husband's home in the middle of the night on May 19, 2003, broke in and surprised the couple in bed. Rogers struck both of them over the head multiple times with a sledgehammer, nearly killing the couple, prosecutors say.

Rogers’ lawyers have attempted to show that the it was Robin Rogers who participated in the attack with McMeekin, not her mother. They have cited statements that Robin Rogers made about wanting to kill her father; she denied that those comments were serious, and prosecutors chalked them up to harmless teenage rebellion.


In his testimony, McMeekin said Sandra Rogers had her own motives: She was distraught over her ex-husband regaining custody of their two daughters, and child support payments had stopped, McMeekin said Monday. Also, Sandra Rogers told McMeekin she feared she was going to be arrested because she allowed her daughter to continue to see McMeekin against her father’s wishes, he testified.


McMeekin said he smoked pot and drank eight to 12 beers before Rogers told her of his plan.





“She started talking about how she didn’t want to be arrested the next day,” he said. “She started talking about Rick, how she wanted to kill him. She said if I didn’t go with her, she would tell Robin that we had sex together.”


McMeekin testified that, after the pair arrived at her ex-husband Rick Rogers’ townhome that night, Sandra Rogers pulled out two ski masks from behind the seat, McMeekin said. She also pulled out a sledgehammer and tried to hand it to McMeekin, but he refused to take it, he said.


McMeekin took the stand Monday dressed in a navy blue prison jumpsuit, his legs shackled. He had initially told police that he acted alone and, after giving a detailed statement, led police to a river near the beaten couple's home, where a hammer and bloody clothing belonging to McMeekin were found. Several months later, McMeekin told police that Sandra Rogers orchestrated the attack and wielded the hammer.


Also taking the stand Monday was Rick Rogers’ wife Angela Gloria, who said she remembered going to bed at about 9:30 or 10 p.m. on the night of the attack. The next thing the now-46-year-old woman remembered is waking up in a hospital and talking to her priest.


“I called myself Peanuthead,” said Gloria, who still has visible scars on her face from the attack. “I had an indent on the side of my head. I looked like Frankenstein.”


Gloria’s speech is labored and halting, and she said her short-term memory is damaged. She had to re-learn how to walk, she said.


McMeekin is expected to continue testifying Tuesday.






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Ed Koch remembered as quintessential New York City mayor






NEW YORK (Reuters) – Former New York City Mayor Ed Koch was memorialized on Monday as an in-your-face, wisecracking leader who helped transform the city from a symbol of urban decay to the vital, glittering metropolis it is today.


As Koch’s casket was led out of Temple Emanu-El, a soaring Fifth Ave. synagogue opposite Central Park, an organ played Frank Sinatra’s “New York, New York” while mourners including former U.S. President Bill Clinton and a who’s who of New York politics stood and applauded.






Koch died on Friday at the age of 88 in Manhattan — the only place other than heaven he could imagine living, as he was known to say.


“I come today with the love and condolences of 8.4 million New Yorkers who really are grieving with you at this moment,” said the city’s current mayor, Michael Bloomberg.


Speakers joked about the famously attention-loving Koch’s obsession with stage-managing his passing. His grave-stone, complete with an epitaph and a bench bearing Koch’s name, has been ready since 2008, and his friends said he had been planning the funeral for years.


“We started talking about his death in the ’80s,” said his former chief of staff Diane Coffey.


As mayor from 1978 to 1989, Koch, with his trademark phrase “How’m I Doin?”, was a natural showman and tireless promoter of both himself and the city. He helped repair the city’s finances as it teetered on the edge of bankruptcy, and later led a building renaissance that would see 200,000 units of affordable housing erected or rehabilitated in some of the city’s most crime-infested areas.


He could also be a divisive figure. His determination to shut Sydenham, a poorly-performing Harlem hospital that was one of the only city hospitals employing black doctors, angered black New Yorkers. And AIDS activists said he was too slow to react to the epidemic that ravaged the city’s gay population in the 1980s.


Tall, nearly bald and speaking with a high-pitched voice, Koch was an unmistakable presence. He was famously argumentative, and rarely walked away from verbal jousting.


His friend James Gill remembered Koch’s response to someone who had written a letter criticizing the former mayor.


“You are entitled to your opinion of me and I am entitled to my opinion of you,” Koch replied. “My opinion of you is that you are a fool.”


His nephews and grand-nephew and grand-niece remembered Koch, who never married, as devoted “Uncle Eddie” – eager to hear what they thought of his appearances on talk shows but also happy join his 11-year-old grand-niece for a manicure.


Clinton read from a stack of letters Koch had sent him over the years and said Koch had “a big brain, but he had an even bigger heart.”


Koch remained relevant in politics long after 1989, when he lost the Democratic nomination to David Dinkins for what would have been a record fourth term as mayor. But when asked if he would run for office again, he liked to say, “The people threw me out and the people must be punished.”


His endorsement was coveted by candidates decades after he left office. And his unwavering and loud support of Israel made Koch “one of the most influential and important American Zionists,” said former Ambassador Ido Aharoni.


At Monday’s memorial, Bloomberg noted the synagogue Koch had chosen for the funeral stood just a few blocks from the midtown bridge that had been renamed to honor him. Last year, the city released a video of Koch standing at the bridge’s entrance ramp, calling out to approaching cars: “Welcome to my bridge! Welcome to my bridge!”


“No mayor, I think, has ever embodied the spirit of New York City like he did. And I don’t think anyone ever will,” Bloomberg said. “Tough and loud, brash and irreverent, full of humor and chutzpah – he was our city’s quintessential mayor.”


(Reporting By Edith Honan; Editing by Paul Thomasch and Alden Bentley)


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Well: Expressing the Inexpressible

When Kyle Potvin learned she had breast cancer at the age of 41, she tracked the details of her illness and treatment in a journal. But when it came to grappling with issues of mortality, fear and hope, she found that her best outlet was poetry.

How I feared chemo, afraid
It would change me.
It did.
Something dissolved inside me.
Tears began a slow drip;
I cried at the news story
Of a lost boy found in the woods …
At the surprising beauty
Of a bright leaf falling
Like the last strand of hair from my head

Ms. Potvin, now 47 and living in Derry, N.H., recently published “Sound Travels on Water” (Finishing Line Press), a collection of poems about her experience with cancer. And she has organized the Prickly Pear Poetry Project, a series of workshops for cancer patients.

“The creative process can be really healing,” Ms. Potvin said in an interview. “Loss, mortality and even hopefulness were on my mind, and I found that through writing poetry I was able to express some of those concepts in a way that helped me process what I was thinking.”

In April, the National Association for Poetry Therapy, whose members include both medical doctors and therapists, is to hold a conference in Chicago with sessions on using poetry to manage pain and to help adolescents cope with bullying. And this spring, Tasora Books will publish “The Cancer Poetry Project 2,” an anthology of poems written by patients and their loved ones.

Dr. Rafael Campo, an associate professor of medicine at Harvard, says he uses poetry in his practice, offering therapy groups and including poems with the medical forms and educational materials he gives his patients.

“It’s always striking to me how they want to talk about the poems the next time we meet and not the other stuff I give them,” he said. “It’s such a visceral mode of expression. When our bodies betray us in such a profound way, it can be all the more powerful for patients to really use the rhythms of poetry to make sense of what is happening in their bodies.”

On return visits, Dr. Campo’s patients often begin by discussing a poem he gave them — for example, “At the Cancer Clinic,” by Ted Kooser, from his collection “Delights & Shadows” (Copper Canyon Press, 2004), about a nurse holding the door for a slow-moving patient.

How patient she is in the crisp white sails
of her clothes. The sick woman
peers from under her funny knit cap
to watch each foot swing scuffing forward
and take its turn under her weight.
There is no restlessness or impatience
or anger anywhere in sight. Grace
fills the clean mold of this moment
and all the shuffling magazines grow still.

In Ms. Potvin’s case, poems related to her illness were often spurred by mundane moments, like seeing a neighbor out for a nightly walk. Here is “Tumor”:

My neighbor walks
For miles each night.
A mantra drives her, I imagine
As my boys’ chant did
The summer of my own illness:
“Push, Mommy, push.”
Urging me to wind my sore feet
Winch-like on a rented bike
To inch us home.
I couldn’t stop;
Couldn’t leave us
Miles from the end.

Karin Miller, 48, of Minneapolis, turned to poetry 15 years ago when her husband developed testicular cancer at the same time she was pregnant with their first child.

Her husband has since recovered, and Ms. Miller has reviewed thousands of poems by cancer patients and their loved ones to create the “Cancer Poetry Project” anthologies. One poem is “Hymn to a Lost Breast,” by Bonnie Maurer.

Oh let it fly
let it fling
let it flip like a pancake in the air
let it sing: what is the song
of one breast flapping?

Another is “Barn Wish” by Kim Knedler Hewett.

I sit where you can’t see me
Listening to the rustle of papers and pills in the other room,
Wondering if you can hear them.
Let’s go back to the barn, I whisper.
Let’s turn on the TV and watch the Bengals lose.
Let’s eat Bill’s Doughnuts and drink Pepsi.
Anything but this.

Ms. Miller has asked many of her poets to explain why they find poetry healing. “They say it’s the thing that lets them get to the core of how they are feeling,” she said. “It’s the simplicity of poetry, the bare bones of it, that helps them deal with their fears.”


Have you written a poem about cancer? Please share them with us in the comments section below.
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S&P says US to sue over ratings









Standard & Poor's on Monday said it expects to be the target of a U.S. Department of Justice civil lawsuit over its ratings of mortgage bonds prior to the recent financial crisis.

The lawsuit against the McGraw-Hill Cos unit focuses on its ratings in 2007 of various U.S. collateralized debt obligations (CDO), S&P said.

It would be the first federal enforcement action against a credit rating agency over alleged illegal behavior tied to the financial crisis.

"A DOJ lawsuit would be entirely without factual or legal merit," S&P said in a statement. "The DOJ would be wrong in contending that S&P ratings were motivated by commercial considerations and not issued in good faith."

The Justice Department was not immediately available for comment.

Several state attorneys general are expected to join the case, The Wall Street Journal said, citing people familiar with the matter. The expected charges follow the breakdown of talks between the department and S&P, the newspaper said, citing the people.

In afternoon trading, McGraw-Hill shares were down $2.39, or 4.1 percent, at $55.95.

S&P and its main rivals, Moody's Corp's Moody's Investors Service and Fimalac SA's Fitch Ratings, have long faced criticism from investors, politicians and regulators for assigning high ratings to thousands of subprime and other mortgage securities that quickly turned sour.

The rating agencies are paid by issuers for ratings, a standard industry practice that has nonetheless raised concern about potential conflicts of interest.

In January 2011, the Financial Crisis Inquiry Commission called the agencies "essential cogs in the wheel of financial destruction" and "key enablers of the financial meltdown."

McGraw-Hill had acknowledged last July that the Justice Department and SEC were probing potential violations by S&P tied to its ratings of structured products, and that it was in talks to try to avert a lawsuit.

The New York-based company had previously disclosed an SEC probe into its ratings of a $1.6 billion CDO known as Delphinus CDO 2007-1. It was not immediately clear whether that CDO is a focus of the potential lawsuits.

Last July, Mizuho Financial Group Inc agreed to a $127.5 million settlement to resolve SEC allegations that a U.S. unit obtained false credit ratings for Delphinus.

In a variety of lawsuits brought by investors, S&P has maintained that its ratings constitute opinions protected by the 1st Amendment to the U.S. Constitution.

Last August, a Manhattan federal judge refused to dismiss one such case, brought by Abu Dhabi Commercial Bank, King County in Washington state, and other investors against S&P, Moody's and Morgan Stanley over losses in Cheyne, a structured investment vehicle.

Cheyne went bankrupt in August 2007. A trial is scheduled to begin on May 6, court records show.

In its statement, S&P said it "deeply regrets" how its CDO ratings failed to anticipate the fast-deteriorating mortgage market conditions, and that it has since spent $400 million to help bolster the quality of its ratings.

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BlackBerry shares jump after Bernstein upgrades stock






TORONTO (Reuters) – Shares of BlackBerry rose more than 8 percent in on Monday after Bernstein Research said it was upgrading the stock to “outperform” after last week’s launch of the company’s new line of BlackBerry 10 smartphones.


The brokerage firm, which has not had an “outperform” rating on the stock for more than three years, also lifted its price target to $ 22 from $ 12, saying it has grown much more confident about the success of the smartphones, powered by the new BlackBerry 10 operating system.






Shares of BlackBerry, which is in the process of changing its legal name from Research In Motion, rose 8.9 percent to $ 14.18 in early Nasdaq trading. BlackBerry’s Toronto-listed shares were up 9.1 percent at C$ 14.21 at 10:30 EST.


The stock began trading under the “BBRY” symbol on Nasdaq on Monday and under the “BB” symbol on the Toronto Stock Exchange. The stock used to trade as “RIMM” on the Nasdaq and “RIM” on the TSX.


“We upgrade BlackBerry to outperform today as we believe BB 10 is set for a strong launch,” Bernstein analyst Pierre Ferragu said in a note to clients. “Even if the long-term prospects for the platform are very uncertain, we believe all is in place for BlackBerry 10 to enjoy a great debut.”


BlackBerry, a one-time pioneer in the smartphone industry, has ceded market share in recent years to the likes of Apple’s iPhone, Samsung’s Galaxy line and a slew of devices powered by Google Inc’s market-leading Android operating system.


In a make-or-break move to regain market share and return to profit, BlackBerry introduced its new line of smartphones to much fanfare on Wednesday. However, its stock fell more than 10 percent following the launch as investors were disappointed that the new smartphones will only go on sale in mid-March in the crucial U.S. market.


“The strength of this launch is overlooked by investors, creating strong opportunity to buy BlackBerry,” said Ferragu, adding that he expects strong initial corporate demand for the new devices.


“We believe BlackBerry should trade in the $ 20-$ 25 range once a decent launch for Blackberry 10 and a stabilized trajectory for fiscal year 2014 are priced in,” he said.


BlackBerry unveiled both a touch-screen device and a physical-keyboard device last week. While the traditional keyboard model only goes on sale in April, the touch-screen device is already on sale in the United Kingdom and hits store shelves in Canada this week.


Waterloo, Ontario-based BlackBerry said the U.S. launch was delayed until mid-March because U.S. wireless carriers have a longer testing phase than carriers in other countries. The devices, which are set to retail for C$ 599 ($ 600) in Canada, are currently attracting bids of more than $ 1,000 each on auction site ebay.com.


(Reporting by Euan Rocha; Editing by Lisa Von Ahn; and Peter Galloway)


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Police: 3 men face charges in slaying of Aurora woman









Three suburban men have been charged with the slaying of an 18-year-old Aurora woman whose beaten and burned body was found Saturday morning in a wooded area, police said Sunday night.


The last homicide in Aurora occurred 400 days ago, in 2011, city spokesman Dan Ferrelli said.


Aurora residents Juan Garnica Jr., 18, of the 400 block of East Ashland Avenue;  Enrique Prado, 19, of the 400 block of Jefferson Street; and Jose Becerra, 20, of the 0-99 block of Seaton Creek Drive in Oswego, have been charged with the murder of Abigail Villalpando, 18, of the 1900 block of Lilac Lane in Aurora, according to a statement from Aurora police.





Garnica was charged with two counts of first degree murder and one count of arson, Prado with single counts of arson and concealment of a homicide, and Becerra with one count of concealment of a homicide, according to the statement.


They are all scheduled for Monday morning video bond calls in front of a Kane County Judge.


Villalpando’s body, which was burned beyond recognition, was discovered by a Kane County Sheriff’s Department K-9 in a wooded area just inside the village of Montgomery near the intersection of Fifth Street and Wabansia Avenue at around 9 a.m. Saturday, the statement read.


Confirmation of her identity was made through dental records at an autopsy conducted Sunday at the Kane County Coroner’s Office.


The preliminary cause of Villalpando’s death at a Sunday autopsy was determined to be blunt force trauma to the head, according to the statement.  


Villalpando had been reported missing by a family member at around 2:30 a.m. Friday after she failed to show up for work at Denny’s Restaurant on Thursday afternoon. Her empty car, a 2003 Nissan Altima, was found fully engulfed in flames underneath the High Street Bridge over the Burlington Northern Rail Road Tracks on the City’s near east side at about 10:40 a.m. Friday, the statement said.  


Villalpando was last seen by the family member who had reported her missing Thursday afternoon at around 1 p.m., when she left her home for her job at the eatery, 4330 Fox Valley Center Dr., according to the statement.


A Denny’s employee called Villalpando’s home at around 5 p.m., saying she never showed up for work. 


During the investigation into her disappearance, detectives learned she went to visit Garnica and Prado, both of whom she knew, at Prado’s home shortly after leaving her home, according to the statement.


During that meeting Garnica allegedly hit Villalpando several times in the head with a hammer after Prado left the room.  It is not clear why Garnica started beating the victim. He then stuffed the girl’s body into a tote-type container and hid it in Prado’s garage, according to the statement.


During the overnight hours on Thursday, Garnica allegedly drove Villalpando’s vehicle to the area where it was found torched, the statement read.


At around 9 a.m. Friday morning, he met Prado, and the two went to a downtown gas station and filled a gas can with gasoline.  After dropping off Garnica at the scene where he parked the vehicle, Prado returned to his home, the statement said.


Garnica set the vehicle on fire and ran back to Prado’s house. He then burned Villalpando’s body in a barrel in the backyard and enlisted Becerra’s help in dumping the body at the location where it was found, according to the statement.  


Police have recovered several pieces of evidence but cannot elaborate further.


Garnica and Prado showed up at the police department for questioning at around 3 p.m. Friday, and were taken into custody. Becerra was taken into custody Saturday afternoon at his home, the statement said.


At around 5:30 p.m. Sunday, the Kane County State’s Attorney authorized the charges.


Detectives have not established a motive. 


rsobol@tribune.com






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Keys sings national anthem on piano at Super Bowl






Alicia Keys performed a lounge-y, piano-tinged — and live — version of the national anthem ahead of the Super Bowl on Sunday.


The Grammy-winning singer played the piano as she sang “The Star Spangled Banner” in a long red dress with her eyes shut. Her publicist said the performance was live, days after halftime performer Beyonce admitted singing along to a prerecorded track at the Inauguration.






Keys’ version was soft and featured additional lyrics: She added “living in the home” before belting “home of the brave” as she finished the song.


Before Keys hit the field, Jennifer Hudson performed “America the Beautiful” with the 26-member Sandy Hook Elementary School chorus, a performance that had some players on the sideline on the verge of tears.


The students wore green ribbons on their shirts in honor of the 20 first-graders and six adults who were killed in a Dec. 14 shooting rampage at the school in Newton, Conn.


The students began the song softly before Hudson, whose mother, brother and 7-year-old nephew were shot to death five years ago, jumped in with her gospel-flavored vocals. She stood still in black and white as the students moved to the left and right, singing background.


Keys and Hudson warmed up the field for Beyonce, who is set to perform at the half-time show.


___


Follow Mesfin Fekadu on Twitter at http://twitter.com/MusicMesfin


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Concerns About A.D.H.D. Practices and Amphetamine Addiction


Before his addiction, Richard Fee was a popular college class president and aspiring medical student. "You keep giving Adderall to my son, you're going to kill him," said Rick Fee, Richard's father, to one of his son's doctors.







VIRGINIA BEACH — Every morning on her way to work, Kathy Fee holds her breath as she drives past the squat brick building that houses Dominion Psychiatric Associates.










Matt Eich for The New York Times

MENTAL HEALTH CLINIC Dominion Psychiatric Associates in Virginia Beach, where Richard Fee was treated by Dr. Waldo M. Ellison. After observing Richard and hearing his complaints about concentration, Dr. Ellison diagnosed attention deficit hyperactivity disorder and prescribed the stimulant Adderall.






It was there that her son, Richard, visited a doctor and received prescriptions for Adderall, an amphetamine-based medication for attention deficit hyperactivity disorder. It was in the parking lot that she insisted to Richard that he did not have A.D.H.D., not as a child and not now as a 24-year-old college graduate, and that he was getting dangerously addicted to the medication. It was inside the building that her husband, Rick, implored Richard’s doctor to stop prescribing him Adderall, warning, “You’re going to kill him.”


It was where, after becoming violently delusional and spending a week in a psychiatric hospital in 2011, Richard met with his doctor and received prescriptions for 90 more days of Adderall. He hanged himself in his bedroom closet two weeks after they expired.


The story of Richard Fee, an athletic, personable college class president and aspiring medical student, highlights widespread failings in the system through which five million Americans take medication for A.D.H.D., doctors and other experts said.


Medications like Adderall can markedly improve the lives of children and others with the disorder. But the tunnel-like focus the medicines provide has led growing numbers of teenagers and young adults to fake symptoms to obtain steady prescriptions for highly addictive medications that carry serious psychological dangers. These efforts are facilitated by a segment of doctors who skip established diagnostic procedures, renew prescriptions reflexively and spend too little time with patients to accurately monitor side effects.


Richard Fee’s experience included it all. Conversations with friends and family members and a review of detailed medical records depict an intelligent and articulate young man lying to doctor after doctor, physicians issuing hasty diagnoses, and psychiatrists continuing to prescribe medication — even increasing dosages — despite evidence of his growing addiction and psychiatric breakdown.


Very few people who misuse stimulants devolve into psychotic or suicidal addicts. But even one of Richard’s own physicians, Dr. Charles Parker, characterized his case as a virtual textbook for ways that A.D.H.D. practices can fail patients, particularly young adults. “We have a significant travesty being done in this country with how the diagnosis is being made and the meds are being administered,” said Dr. Parker, a psychiatrist in Virginia Beach. “I think it’s an abnegation of trust. The public needs to say this is totally unacceptable and walk out.”


Young adults are by far the fastest-growing segment of people taking A.D.H.D medications. Nearly 14 million monthly prescriptions for the condition were written for Americans ages 20 to 39 in 2011, two and a half times the 5.6 million just four years before, according to the data company I.M.S. Health. While this rise is generally attributed to the maturing of adolescents who have A.D.H.D. into young adults — combined with a greater recognition of adult A.D.H.D. in general — many experts caution that savvy college graduates, freed of parental oversight, can legally and easily obtain stimulant prescriptions from obliging doctors.


“Any step along the way, someone could have helped him — they were just handing out drugs,” said Richard’s father. Emphasizing that he had no intention of bringing legal action against any of the doctors involved, Mr. Fee said: “People have to know that kids are out there getting these drugs and getting addicted to them. And doctors are helping them do it.”


“...when he was in elementary school he fidgeted, daydreamed and got A’s. he has been an A-B student until mid college when he became scattered and he wandered while reading He never had to study. Presently without medication, his mind thinks most of the time, he procrastinated, he multitasks not finishing in a timely manner.”


Dr. Waldo M. Ellison


Richard Fee initial evaluation


Feb. 5, 2010


Richard began acting strangely soon after moving back home in late 2009, his parents said. He stayed up for days at a time, went from gregarious to grumpy and back, and scrawled compulsively in notebooks. His father, while trying to add Richard to his health insurance policy, learned that he was taking Vyvanse for A.D.H.D.


Richard explained to him that he had been having trouble concentrating while studying for medical school entrance exams the previous year and that he had seen a doctor and received a diagnosis. His father reacted with surprise. Richard had never shown any A.D.H.D. symptoms his entire life, from nursery school through high school, when he was awarded a full academic scholarship to Greensboro College in North Carolina. Mr. Fee also expressed concerns about the safety of his son’s taking daily amphetamines for a condition he might not have.


“The doctor wouldn’t give me anything that’s bad for me,” Mr. Fee recalled his son saying that day. “I’m not buying it on the street corner.”


This article has been revised to reflect the following correction:

Correction: February 3, 2013

An earlier version of a quote appearing with the home page presentation of this article misspelled the name of a medication. It is Adderall, not Aderall.



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