Rogue pharmacists fuel addiction

Joey Rovero's quest for pills ended at Pacifica Pharmacy.

It was the same for Naythan Kenney,

Matt Stavron and Joseph Gomez.

All four were patients of a Rowland Heights

physician who was a prolific prescriber of narcotic painkillers and other addictive drugs. To get their fix, they needed more than a piece of paper.

They needed a pharmacist willing to dispense the drugs, and at Pacifica they found one.

All four died of drug overdoses after filling prescriptions at the tiny pharmacy in Huntington Beach, court and coroners' records show.

Pacifica's owner, Thang Q. "Frank" Tran, sold pain medications in large quantities. Particularly popular with his customers were high-dose, 80-milligram tablets of OxyContin. Tran filled nearly twice as many of those prescriptions as did nearby Walgreens, CVS and Sav-On pharmacies combined, according to state records.

Many of his customers traveled long distances and paid cash. Rovero drove more than 350 miles from Arizona State University in Tempe to get his prescriptions in Rowland Heights and then 33 more miles to the pharmacy.

"I thought to myself, 'Why in the world would these kids go that much farther out of their way?' " said April Rovero, whose son was 21 when he died. "Someone must have told them to go there."

Pharmacists are supposed to be a last line of defense against misuse of prescription medications. By law, they are required to scrutinize prescriptions, size up customers and refuse to dispense a drug when they suspect the patient has no medical need for it.

Some, however, provide massive amounts of painkillers and anti-anxiety drugs to addicts and dealers with no questions asked, according to state records, regulators and law enforcement officials.

Rogue pharmacists are key enablers of drug abuse and an important source of supply for the illegal market.

State officials who license and oversee pharmacies are overmatched by the scale of the problem.

Prescription drug abuse has increased sharply over the last decade, fueling a doubling of drug fatalities nationwide.

California's 42,000 pharmacists filled 318 million prescriptions last year.

Those for OxyContin, Dilaudid and other potent painkillers have increased 52% over the last five years, according to a review of prescription data collected by the state. The total dosage dispensed by pharmacies has also grown: by nearly 50%, the data show.

The task of identifying careless or corrupt pharmacists and initiating disciplinary action falls to 37 investigators for the California Board of Pharmacy.

"We are struggling to keep up because there are more pharmacies, more licensees, more places to go," said Virginia Herold, the agency's executive director. "We work really hard. But there's a limit to what we can do."

The board has added investigators in recent years. Even so, "we do have some pharmacies that seem to be able to help deliver unconscionable quantities of drugs to patients," Herold said.

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Abuse Scandal at BBC Blamed on Chaos, Not Cover-Up

LONDON — A report into the sexual abuse crisis that has shaken the British Broadcasting Corporation was strongly critical on Wednesday of the editorial and management decisions that led to the cancellation of a broadcast last year that would have exposed decades of sexual abuse, some of it on BBC premises, by Jimmy Savile, who had been one of Britain’s best-known television personalities. Mr. Savile died at 84 in October 2011, weeks before the “Newsnight” program was scheduled to be aired.

The 200-page report by Nick Pollard, a former head of the Sky News channel who began his broadcast career as a BBC reporter, traced in detail what it described as “a chain of events that was to prove disastrous for the BBC.” Among other things, he blamed a “rigid management system” that had “proved completely incapable of dealing with” with the crisis that followed the program’s cancellation.

“The efforts to get to the truth behind the Savile story proved beyond the combined efforts of the senior management, legal department, corporate communications team and anyone else for well over a month” after the crisis broke, precipitated by a program earlier this year on ITV, Britain’s leading commercial broadcaster. “Leadership and organization seemed to be in short supply,” the report said.

The report was strongly critical of several news executives who were directly involved in the decision to cancel the Savile expose, including the “Newsnight” editor, Peter Rippon, and the two top executives in the BBC’s news division to whom he reported, Helen Boaden and Stephen Mitchell, all three of whom were suspended from their posts during the nine-week Pollard inquiry.

But it adopted a largely sparing tone in its review of the role played by the broadcaster’s former director general, Mark Thompson, who stepped down after eight years in the job in September and became president and chief executive officer of The New York Times Company last month.

The report’s criticism appeared to be aimed mainly at the broadcaster’s complex management systems, not on the actions — or absence of them — by Mr. Thompson and other top executives who presided over the BBC, its $6 billion annual budget and its 23,000 employees.

Mr. Thompson has said that he was not briefed about the “Newsnight” investigation before its cancellation, was not involved in canceling it, and did not know about the allegations of sexual abuse against Mr. Savile until the report about the cancellation appeared on ITV, a commercial competitor of the BBC.

The Pollard report, examining and quoting from testimony given by Mr. Thompson in London earlier this month, appeared not to directly challenge his account.

At one point, Mr. Pollard reviewed a sequence of events that involved a freelance reporter for The Sunday Times of London e-mailing questions to Mr. Thompson’s corporate address earlier this year seeking access under Britain’s freedom of information law to any communications involving the canceled Savile program between Mr. Thompson, Ms. Boaden and other BBC News executives — a point at which Mr. Thompson’s critics have said he should have learned about the allegations against Mr. Savile that were at the heart of the “Newsnight” investigation.

Mr. Thompson has said that the request was handled by members of his staff who had access to the e-mail account, and that he was not involved in the BBC’s rejection of the reporter’s request, which was referred by his staff to the BBC’s press office. Mr. Pollard accepted the explanation, saying in the report: “Mr. Thompson told me that he had no knowledge of this request. I accept this.”

The report described “a level of chaos and confusion” in the decisions that led to the program’s cancellation in November 2011, and in the events that followed, which culminated in the resignation last month of George Entwistle, who succeeded Mr. Thompson as the broadcaster’s director general in September. Mr. Entwistle quit after less than two months in the job amid the furor that erupted when “Newsnight” broadcast a program that wrongly identified a former politician, Alistair McAlpine, as a pedophile who abused boys at a children’s home in Wales in the 1970s and 1980s.

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What If Nothing or Nobody is to Blame for Lanza? Guns, Video Games, Autism or Authorities

What if there is nobody or nothing to blame for Adam Lanza‘s heinous acts? Other than Lanza, of course.

What if school security and the school psychiatrist kept an eye on Lanza since his freshman year? The Wall Street Journal has a compelling narrative about the red flags addressed.

What if he had a form of autism that has little or no link to violent behavior? Lanza may have had Asperger’s syndrome but, even so, that is not a cause.

What if it’s too simple to lay the massacre at the feet of the gun lobby? Reader Larry Kelly tweets that shaming Aspies “makes about as much sense at stigmatizing the NRA. Pick an enemy … any enemy. Let outrage and fear rule.”

What if Lanza wasn’t provoked by video games? David Axelrod, a close friend an adviser of President Obama, tweeted last night: “In NFL post-game: an ad for shoot ‘em up video game. All for curbing weapons of war. But shouldn’t we also quit marketing murder as a game.”

When I asked whether he was laying groundwork for a White House initiative, Axelrod said no: “Just one man’s observation.” A senior administration official, speaking on condition of anonytmmity, said today that Axelrod was not a stalking horse for Obama on this issue.

What if Lanza’s mother did everything she could, short of keeping her guns out her adult son’s reach? What if he wasn’t bullied?

What if there is nobody or nothing to blame? Would that make this inexplicable horror unbearable?

What if we didn’t rush to judgement? What if we didn’t waste our thoughts, prayers and actions on assigning blame for the sake of mere recrimination? What if we calmly and ruthlessly learned whatever lessons we can from the massacre — and prevented the next one?

A parting thought: What if it wasn’t one thing, but everything, that set off Lanza?

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The Voice Crowns Cassadee Pope!

TV Watch

By Julia Haskins

12/18/2012 at 11:20 PM EST

Cassadee Pope (Blake Shelton, inset)

Tyler Golden/NBC (2)

Cassadee Pope is the new winner of The Voice!

After several powerful performances the night before, the top three singers – Nicholas David (of Team Cee Lo) and Terry McDermott and Pope (of Blake Shelton's team) – faced the music on Tuesday during the final results show of season 3.

Pope thanked her fans who supported her throughout the competition. She was joined onstage by McDermott, who was the runner-up, and David, who came in third place.

It was a night of music as Rihanna, newly engaged Kelly Clarkson, Bruno Mars and the Killers celebrated with the finalists by displaying their talents.

Season 4 of The Voice premieres March 25, 2013, with Shakira and Usher stepping in to take over for Christina Aguilera and Cee Lo Green.

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Experts: Kids are resilient in coping with trauma

WASHINGTON (AP) — They might not want to talk about the gunshots or the screams. But their toys might start getting into imaginary shootouts.

Last week's school shooting in Connecticut raises the question: What will be the psychological fallout for the children who survived?

For people of any age, regaining a sense of security after surviving violence can take a long time. They're at risk for lingering anxiety, depression, post-traumatic stress disorder.

But after the grief and fear fades, psychiatrists say most of Newtown's young survivors probably will cope without long-term emotional problems.

"Kids do tend to be highly resilient," said Dr. Matthew Biel, chief of child and adolescent psychiatry at MedStar Georgetown University Hospital.

And one way that younger children try to make sense of trauma is through play. Youngsters may pull out action figures or stuffed animals and re-enact what they witnessed, perhaps multiple times.

"That's the way they gain mastery over a situation that's overwhelming," Biel explained, saying it becomes a concern only if the child is clearly distressed while playing.

Nor is it unusual for children to chase each other playing cops-and-robbers, but now parents might see some also pretending they're dead, added Dr. Melissa Brymer of the UCLA-Duke National Center for Child Traumatic Stress.

Among the challenges will be spotting which children are struggling enough that they may need professional help.

Newtown's tragedy is particularly heart-wrenching because of what such young children grappled with — like the six first-graders who apparently had to run past their teacher's body to escape to safety.

There's little scientific research specifically on PTSD, post-traumatic stress disorder, in children exposed to a burst of violence, and even less to tell if a younger child will have a harder time healing than an older one.

Overall, scientists say studies of natural disasters and wars suggest most children eventually recover from traumatic experiences while a smaller proportion develop long-term disorders such as PTSD. Brymer says in her studies of school shootings, that fraction can range from 10 percent to a quarter of survivors, depending on what they actually experienced. A broader 2007 study found 13 percent of U.S. children exposed to different types of trauma reported some symptoms of PTSD, although less than 1 percent had enough for an official diagnosis.

Violence isn't all that rare in childhood. In many parts of the world — and in inner-city neighborhoods in the U.S., too — children witness it repeatedly. They don't become inured to it, Biel said, and more exposure means a greater chance of lasting psychological harm.

In Newtown, most at risk for longer-term problems are those who saw someone killed, said Dr. Carol North of the University of Texas Southwestern Medical Center, who has researched survivors of mass shootings.

Friday's shootings were mostly in two classrooms of Sandy Hook Elementary School, which has about 450 students through fourth-grade.

But those who weren't as close to the danger may be at extra risk, too, if this wasn't their first trauma or they already had problems such as anxiety disorders that increase their vulnerability, she said.

Right after a traumatic event, it's normal to have nightmares or trouble sleeping, to stick close to loved ones, and to be nervous or moody, Biel said.

To help, parents will have to follow their child's lead. Grilling a child about a traumatic experience isn't good, he stressed. Some children will ask a lot of questions, seeking reassurance, he said. Others will be quiet, thinking about the experience and maybe drawing or writing about it, or acting it out at playtime. Younger children may regress, becoming clingy or having tantrums.

Before second grade, their brains also are at a developmental stage some refer to as magical thinking, when it's difficult to distinguish reality and fantasy. Parents may have to help them understand that a friend who died isn't in pain or lonely but also isn't coming back, Brymer said.

When problem behaviors or signs of distress continue for several weeks, Brymer says it's time for an evaluation by a counselor or pediatrician.

Besides a supportive family, what helps? North advises getting children back into routines, together with their friends, and easing them back into a school setting. Studies of survivors of the Sept. 11 terrorist attacks found "the power of the support of the people who went through it with you is huge," she said.

Children as young as first-graders can benefit from cognitive-behavioral therapy, Georgetown's Biel said. They can calm themselves with breathing techniques. They also can learn to identify and label their feelings — anger, frustration, worry — and how to balance, say, a worried thought with a brave one.

Finally, avoid watching TV coverage of the shooting, as children may think it's happening all over again, Biel added. He found that children who watched the 9/11 clips of planes hitting the World Trade Center thought they were seeing dozens of separate attacks.

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EDITOR'S NOTE — Lauran Neergaard covers health and medical issues for The Associated Press in Washington.

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Jury awards $6.9 million to boy molested by L.A. Unified teacher

A jury has awarded $6.9 million to a 14-year-old boy who was molested by a Los Angeles Unified School District teacher when he was a fifth-grade student.

The judgment, among the largest ever awarded in a district molestation case, comes at a time when L.A. Unified faces close to 200 pending molestation and lewd conduct claims arising from another teacher's alleged conduct at Miramonte Elementary School.

Tuesday's jury award stems from acts committed by Forrest Stobbe, a veteran teacher at Queen Anne Place Elementary School in the Mid-Wilshire area. In September 2011, Stobbe pleaded no contest to two counts of a lewd act on a child and to continuous sexual abuse of a child younger than 14. He is currently serving a 16-year sentence in prison.

The case turned on how much responsibility the school system bore, and whether district employees should have recognized warning signs that Stobbe posed a threat to the boy. Attorneys for the school system insisted that district staff acted in a professional and appropriate manner and could not have known what Stobbe was doing.

Stobbe molested the boy beginning in October 2008, when the 10-year-old was his student, and continued to abuse him through the following July, when he was arrested.

Early in the school year, Stobbe befriended the boy, earning his trust, then began to molest him in his classroom in episodes that became more brazen and invasive. He also gave the boy numerous gifts.

Stobbe also ingratiated himself with the victim's family, buying the boy season passes to amusement parks, where he would take the boy, then molest him before dropping him off at home.

The family appreciated the teacher's interest so much that the boy's father asked his son if Stobbe should become his godfather. It was then that the boy told his father of the abuse, the father testified.

The evidence against Stobbe included a jar of petroleum jelly in his school desk that tested positive for the boy's DNA. The boy told police that Stobbe used the jelly as a lubricant for sex acts.

The plaintiffs argued that there were abundant warning signs that should have alerted Stobbe's supervisors.

More than two years before his arrest, Stobbe was observed alone with a girl in his car. He allegedly told the principal that he had parental permission to give the student a ride, but that was never verified. He also had private lunches with students in his classroom, which was against school rules.

In another incident, an angry student pushed Stobbe down a flight of stairs, injuring the teacher. The student later declined to talk to police, who consider him another possible victim.

In November 2008, a girl in Stobbe's class complained that the teacher was making her feel uncomfortable. Stobbe, she said, was stroking her hair, putting it into a ponytail and had once touched her buttocks.

Principal Mary Ann Hall testified that she called the police department, which advised her to handle the matter on her own — a claim the Los Angeles Police Department disputes. If police had been alerted to allegations of such contact, the department would have launched an investigation, said Det. Moses Castillo, who supervised the investigation after Stobbe's arrest.

Hall, who has since retired, testified that she properly notified her supervisors. Attorneys for the family asserted that Hall either failed to do so, or that her supervisors failed to act on the information.

In the end, the panel of six men and six women found that L.A. Unified was 30% responsible for total damages, which they calculated at $23 million. The other 70% of the liability was assigned to Forrest Stobbe, but attorneys said they had no plans to collect from the imprisoned former educator.

Responding to the verdict, a district spokesman emphasized the district's commitment to the safety of children.

"We take our duty to protect our students seriously and are continually looking for ways that we can strengthen our screening and reporting processes to ensure that no child is ever hurt in this way," general counsel David Holmquist said. "Although we can't change what happened in this case, we remain committed to doing everything in our power to promote healing and improve trust with those impacted."

Issues in the Stobbe case — alleged lack of oversight, missed warning signs — could come into play with the Miramonte cases.

There, parents questioned teacher Mark Berndt's propensity for taking pictures of students, an issue that administrators did not pursue. Photos later emerged of blindfolded students allegedly being spoon-fed Berndt's semen, among other alleged wrongdoings.

Berndt has pleaded not guilty to 23 counts of lewd conduct.

Damage claims — the precursor to a lawsuit — have been filed by 126 students and 63 parents. There are also six lawsuits on behalf of 37 students and one involving 11 parents.

"Some of the same issues in the Miramonte case are highlighted here," said attorney Don Beck of the San Diego firm Estey & Bomberger, which represented the family of the victim in the Stobbe case. "The same lack of monitoring teachers, the same lack of supervision that allowed these events to happen."

howard.blume@latimes.com

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India Ink: Outrage in Delhi After Latest Gang-Rape Case

The recent rape of a young woman on a moving bus by a group of men in Delhi sparked outrage across India on Tuesday, triggering protests in Parliament and on the streets of the capital, and calls for the death penalty for perpetrators.

”A terrible, terrible atrocity has happened,” Renuka Chowdhury, a member of Parliament, said during a raucous session in the upper house. ”I am not going to allow this incident to become another statistic.”

Sushma Swaraj, the leader of the opposition, demanded that the death penalty be applied to rapists. ”She will live her whole life as a living corpse if she survives,” Ms. Swaraj said of the woman. ”Why should there not be the death penalty in such a case?”

The woman, 23, boarded a chartered school bus with a male friend in Munirka, a south Delhi neighborhood, on Sunday evening. While on the bus, which they were led to believe by the driver was a public bus, she was raped by at least two men, according to the police. When the woman’s friend tried to defend her, he was beaten with an iron rod. The two were than stripped of their clothing and thrown off the bus onto a highway.

Delhi police commissioner Neeraj Kumar said in a news conference on Tuesday that the men on the bus had been on a “joyride” when they picked up the victims. “The idea was to have fun,” he said. The police plan to ask the courts to ”fast track” the case, he said, and prosecutors will seek the maximum sentence of life imprisonment.

The woman is being treated for her injuries at Safdarjung Hospital in Delhi, where she reportedly regained consciousness on Tuesday after multiple surgeries, local news media reported. Four men, including the bus driver, have been arrested based on evidence from nearby surveillance cameras, the police said.

Across Delhi, women’s groups and students organized protests to demand better security, at one point shutting a highway that runs around the city. Several hundred protesters gathered around the police station where the complaint was filed, holding placards and chanting slogans.

”This is an expression of our horror and anger and discontent at how things are,” said Komal, a doctoral student at Jawaharlal Nehru University who only gave her first name. ”The government has to take responsibility.”

She said she takes the same bus route as the victim, and often feels unsafe traveling in Delhi. Being sexually harassed is an ”everyday experience,” she said, adding that women are constantly followed by men and groped on public transport.

”This is not about sexuality, it’s about power and violence,” said Anupama Ramakrishnan, 33, who is studying sociology at Delhi University, blaming what she called ”a deeply held sense of patriarchy.”

India’s upper house of Parliament was adjourned briefly Tuesday afternoon after lawmakers traded shouts over the issue. Lawmakers later called for better safety for women in Delhi, which attracts a large number of female students and professionals.

Delhi is notorious in India for its high rate of crime against women. Nearly six hundred rapes were reported in Delhi last year, according to the National Crime Records Bureau, more than Mumbai, Chennai and Bangalore combined.

Some of India’s most prominent activists and social commentators took to Twitter to voice their opinion. ”Security in mobility for a woman is the first right she needs to be guaranteed,” said Kiran Bedi, a social activist and former police officer. ”Failure to ensure this is clear failure of governance.”

The outrage in Delhi was accompanied by an outpouring of suggestions for how rapes could be curbed in newspapers, press conferences and in social media. These include better training for the police, the establishment of fast track courts to ensure speedy justice and more stringent rape laws. A conviction of rape currently carries a minimum sentence of two years.

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$35 Raspberry Pi computer gets its own app store

Title Post: $35 Raspberry Pi computer gets its own app store
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A Very Royal Christmas (but Not Really)

William and Kate's doppelgängers show how the expectant parents might spend their holiday

Credit: Alison Jackson/REX USA

Updated: Friday Dec 14, 2012 | 03:30 PM EST

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Experts: No link between Asperger's, violence

NEW YORK (AP) — While an official has said that the 20-year-old gunman in the Connecticut school shooting had Asperger's syndrome, experts say there is no connection between the disorder and violence.

Asperger's is a mild form of autism often characterized by social awkwardness.

"There really is no clear association between Asperger's and violent behavior," said psychologist Elizabeth Laugeson, an assistant clinical professor at the University of California, Los Angeles.

Little is known about Adam Lanza, identified by police as the shooter in the Friday massacre at a Newtown, Conn., elementary school. He fatally shot his mother before going to the school and killing 20 young children, six adults and himself, authorities said.

A law enforcement official, speaking on condition of anonymity because the person was not authorized to discuss the unfolding investigation, said Lanza had been diagnosed with Asperger's.

High school classmates and others have described him as bright but painfully shy, anxious and a loner. Those kinds of symptoms are consistent with Asperger's, said psychologist Eric Butter of Nationwide Children's Hospital in Columbus, Ohio, who treats autism, including Asperger's, but has no knowledge of Lanza's case.

Research suggests people with autism do have a higher rate of aggressive behavior — outbursts, shoving or pushing or angry shouting — than the general population, he said.

"But we are not talking about the kind of planned and intentional type of violence we have seen at Newtown," he said in an email.

"These types of tragedies have occurred at the hands of individuals with many different types of personalities and psychological profiles," he added.

Autism is a developmental disorder that can range from mild to severe. Asperger's generally is thought of as a mild form. Both autism and Asperger's can be characterized by poor social skills, repetitive behavior or interests and problems communicating. Unlike classic autism, Asperger's does not typically involve delays in mental development or speech.

Experts say those with autism and related disorders are sometimes diagnosed with other mental health problems, such as depression, anxiety, bipolar disorder or obsessive-compulsive disorder.

"I think it's far more likely that what happened may have more to do with some other kind of mental health condition like depression or anxiety rather than Asperger's," Laugeson said.

She said those with Asperger's tend to focus on rules and be very law-abiding.

"There's something more to this," she said. "We just don't know what that is yet."

After much debate, the term Asperger's is being dropped from the diagnostic manual used by the nation's psychiatrists. In changes approved earlier this month, Asperger's will be incorporated under the umbrella term "autism spectrum disorder" for all the ranges of autism.

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AP Writer Matt Apuzzo contributed to this report.

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Online:

Asperger's information: http://1.usa.gov/3tGSp5

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