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Texas Judge Fines New York Doctor and Orders Her to Stop Sending Abortion Pills to Texas

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Texas Judge Fines New York Doctor and Orders Her to Stop Sending Abortion Pills to Texas

In a case that could have major implications for abortion access in the United States, a Texas judge on Thursday ordered a New York doctor to stop prescribing and sending abortion pills to patients in Texas and to pay a penalty of more than $100,000 for providing the medication to one woman.

The case is widely expected to reach the Supreme Court and become a pivotal test in the escalating battle between states that ban abortion and states that support abortion rights. It essentially pits Texas, which has a near-total abortion ban, against New York, which has a “telemedicine abortion shield law” intended to protect abortion providers who send medications to patients in other states.

These shield laws have become a key abortion rights strategy since the Supreme Court overturned the national right to abortion in 2022. The laws, enacted in eight states so far, stipulate that officials and agencies will not cooperate with civil suits, prosecutions or other legal actions filed against health care providers who prescribe and send abortion medication to patients in other states.

Such laws represent a stark departure from typical interstate practices of extraditing, honoring subpoenas and sharing information. Under telemedicine abortion shield laws, which have been in use since summer 2023, health care providers in states where abortion is legal have been sending more than 10,000 abortion pills per month to patients in states with abortion bans or restrictions.

The Texas lawsuit was filed in December by the Texas attorney general, Ken Paxton, against Dr. Margaret Daley Carpenter of New Paltz, N.Y., who works with telemedicine abortion organizations to provide pills to patients across the country. The suit alleges that Dr. Carpenter, who is not licensed in Texas, supplied abortion pills to a woman in Texas.

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The order signed on Thursday by Judge Bryan Gantt of Collin County District Court said that Dr. Carpenter “is permanently enjoined from prescribing abortion-inducing drugs to Texas residents.” Violating an injunction can result in a contempt order from a judge, which could carry additional financial penalties or a jail sentence. The judge also ordered a $100,000 fine and about $13,000 in attorneys’ fees and court costs plus interest.

With New York’s shield law prohibiting cooperation with out-of-state legal actions, Dr. Carpenter and her lawyers did not respond to the Texas suit or appear in court on Wednesday for a hearing before the judge.

The 40-minute session in the court north of Dallas was notably quiet and sedate for an issue of such controversy and national significance.

Two lawyers for the attorney general’s office asked the judge to issue a default judgment in their favor, essentially a ruling against a defendant who has not shown up or provided any response.

The attorney general’s lawyers argued in court filings that because Dr. Carpenter did not respond within a certain period of time, Texas law deems that “defendant by her non-answer has admitted all of the plaintiffs’ allegations of fact establishing liability.”

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The defense table was empty. About 30 minutes into the hearing, Judge Gantt said, “I noticed she is not here.” He asked the attorney general’s lawyers if they had heard from Dr. Carpenter that morning.

When they said no, the judge asked the bailiff to “call the hall” and announce Dr. Carpenter’s name in the corridor outside the courtroom. Less than a minute later, the bailiff returned and said, “Your honor, I called Margaret Daley Carpenter three times with no response.”

Texas was the first state with an abortion ban to initiate legal action against abortion providers in states with shield laws. But other states with abortion bans are expected to follow suit.

In January, the first criminal charges against a shield-law abortion provider were filed. In that case, a state grand jury in Louisiana issued a criminal indictment, also against Dr. Carpenter, accusing her of violating Louisiana’s near-total abortion ban by sending pills to that state.

On Thursday, Louisiana’s governor, Jeff Landry, said he had signed a warrant seeking to extradite Dr. Carpenter to his state to stand trial. New York’s governor, Kathy Hochul, responded by citing the state’s shield law and saying, “I will not be signing an extradition order that came from the governor of Louisiana, not now, not ever.”

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The Texas and Louisiana cases are each expected to lead to court battles with the state of New York.

New York’s refusal could lead Louisiana to ask the federal courts to order extradition, experts said. The potential outcome is unclear, but Mary Ziegler, a law professor and abortion expert at the University of California, Davis, said there was legal precedent for extradition not being required for defendants who were not in the state where the alleged crime was committed and did not flee from that state.

In the civil case, Texas is considered likely to file a petition in a state court in New York to try to collect the financial penalty. If New York were to cite its shield law to argue against the Texas penalty, as expected, the case could transform into a battle in federal court or the Supreme Court over whether the shield law is constitutional in allowing one state to refuse to cooperate with another state’s legal actions.

Dr. Carpenter has not been reachable for comment about either the Texas or Louisiana case. The Abortion Coalition for Telemedicine, an organization she co-founded, has issued statements in response to the cases. “Shield laws are essential in safeguarding and enabling abortion care regardless of a patient’s ZIP code or ability to pay,” the coalition has said. “They are fundamental to ensuring everyone can access reproductive health care as a human right.”

The Texas lawsuit accuses Dr. Carpenter of providing a 20-year-old woman with the two medications used in a standard abortion regimen, mifepristone and misoprostol. Typically used up through 12 weeks into pregnancy, mifepristone blocks a hormone needed for pregnancies to develop, and misoprostol, taken 24 to 48 hours later, causes contractions similar to a miscarriage.

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According to a complaint filed by the Texas attorney general’s office, the woman, who had been nine weeks pregnant, asked the “biological father of her unborn child” to take her to the emergency room in July “because of hemorrhage or severe bleeding.” In court on Wednesday, Ernest C. Garcia, chief of the administrative law division in the attorney general’s office, said that at the hospital, the woman’s partner “ended up finding out that she had been pregnant” and that “he then started to suspect that maybe she had not been truthful about it.”

When the man returned to the house, he found the medications and realized that they had been taken to induce an abortion, Mr. Garcia said, adding “that individual then filed a complaint with the Texas Attorney General’s Office.”

The Texas case is an example of an increasing pattern in states with abortion bans: men reporting to the authorities that their female partners had abortions. There have been other such cases in Texas, and John Seago, the president of Texas Right to Life, said in an interview that, in the coming weeks, several men plan to file suits for wrongful death against doctors, organizations or people who assisted in arranging abortions for the men’s female partners.

Emily Cochrane contributed reporting.

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Always running late? The real cost to your relationships may surprise you

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Always running late? The real cost to your relationships may surprise you

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Chronic lateness is known to be a common annoyance, often leading to strain within relationships, experts have confirmed.

And for some people who struggle to be on time, the reasons may go far beyond poor planning.

Psychotherapist and author Jonathan Alpert told Fox News Digital that chronic lateness often stems from a combination of psychological patterns and neurobiological factors that people may not realize are influencing them.

ALWAYS RUNNING LATE? A MENTAL HEALTH CONDITION COULD BE TO BLAME, EXPERTS SAY

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“For some people, it’s personality-driven. They’re distractible, optimistic about how long things take, or simply not tuned into the impact on others,” the New York-based expert said.

For others, the issue stems from neurobiological differences that affect how the brain manages time.

Chronic lateness may not stem from poor planning, but from psychological and neurobiological factors. (iStock)

That can make it harder to estimate how long tasks take or to transition from one activity to the next, leading to chronic lateness, according to Alpert.

Impact on relationships

In addition to disrupting schedules, chronic lateness may also strain relationships and create tension.

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“Lateness erodes trust. Over time, it sends the message that someone else’s time is less important, even if that’s not the intent,” Alpert noted.

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Lateness can also become an issue in the workplace, where repeated delays can undermine teamwork and harm a person’s reputation.

These patterns are common among people with ADHD, who often experience what is known as “time blindness,” making it difficult to recognize how quickly minutes pass or how long tasks truly take.

“Adding 10 to 15 minutes of buffer between activities reduces the frantic rushing that leads to chronic lateness.”

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ADHD is strongly associated with executive-function difficulties, which are the skills needed to stay organized, plan ahead and focus on essential details, according to the Attention Deficit Disorder Association. 

When these abilities are weaker, it becomes more challenging to gauge time, follow a schedule and meet deadlines, which can impact personal and professional relationships, experts agree.

Frequent tardiness in a work setting can throw off group efforts and leave others with a negative impression of the employee. (iStock)

Underlying patterns

Anxiety, avoidance and perfectionism are patterns that Alpert most often sees in people who tend to run late, he noted.

“Many chronically late individuals don’t intend to be disrespectful. They’re overwhelmed, anxious or trying to squeeze too much into too little time,” he said.

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These emotional patterns often show up in different ways. For some, anxiety can make it difficult to begin even simple tasks, pushing everything behind schedule before the day has even started, according to Alpert.

For others, the struggle happens in the in-between moments. Shifting from one activity to another can feel surprisingly uncomfortable, so they linger longer than intended and lose time without noticing.

Anxiety is a major factor behind why some people have trouble being on time, according to experts. (iStock)

Others may get caught up in the details, as perfectionism keeps them adjusting or “fixing one more thing” as the minutes slip away, Alpert said.

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Another major factor, the expert shared, is that many people simply misjudge how long tasks take. Their internal sense of time is often inaccurate, which leads them to assume they can fit far more into a day than is realistically possible.

‘Time audit’

Alpert often recommends that his clients perform a simple “time audit,” where they track how long they think a routine task will take and then time it in real life. This can help them rebuild a more accurate internal clock, he said.

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“Adding 10 to 15 minutes of buffer between activities reduces the frantic rushing that leads to chronic lateness,” he said.

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Many people with ADHD have a difficult time recognizing how quickly minutes pass or how long tasks truly take. (iStock)

Despite the challenges lateness can create, Alpert said people don’t have to be stuck with these habits forever. With the right support and consistent strategies, meaningful change is possible.

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“Strong routines, alarms, checklists and accurate time estimates compensate for traits that don’t naturally disappear,” he added.

People who find that lateness is affecting their everyday life and relationships may benefit from discussing their concerns with a healthcare provider or mental health professional.

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Holiday heart attacks rise as doctors share hidden triggers, prevention tips

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Holiday heart attacks rise as doctors share hidden triggers, prevention tips

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The holidays are known to be a source of stress, between traveling, preparing for family gatherings and indulging in lots of food and drinks.

The uptick of activity can actually put a strain on the heart, a phenomenon known as “holiday heart syndrome.”

Cardiothoracic surgeon Dr. Jeremy London addressed this elevated risk in a recent Instagram post, sharing how heart attacks consistently rise around the holidays.

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“Every year, like clockwork, we see a spike in heart attacks around Christmas and New Year’s,” the South Carolina-based surgeon said. “In fact, Christmas Eve is the highest-risk day of the year.”

This is due to a shift in behavior, specifically drinking and eating too much, moving less and being stressed out, according to London. “Emotional stress, financial stress, the increased pace of the holidays, increased obligations,” he listed.

Cold weather also causes vasoconstriction (narrowing of blood vessels), according to London, which increases the risk of plaque rupture and the potential for heart attack.

CUTTING OUT ALCOHOL AND MEDICATING SOONER COULD PREVENT ‘SILENT KILLER,’ EXPERTS SAY

Dr. Glenn Hirsch, chief of the division of cardiology at National Jewish Health in New York, noted in an interview with Fox News Digital that holiday heart syndrome typically refers to the onset of an abnormal heart rhythm, or atrial fibrillation.

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This can happen after an episode of binge-drinking alcohol, Hirsch said, which can be exacerbated by holiday celebrations.

Binge-drinking at any time can drive atrial fibrillation, a cardiologist cautioned. (iStock)

“It’s often a combination of overdoing the alcohol intake along with high salt intake and large meals that can trigger it,” he said. “Adding travel, stress and less sleep, and it lowers the threshold to go into that rhythm.”

The biggest risk related to atrial fibrillation, according to Hirsch, is stroke and other complications from blood clots. Untreated atrial fibrillation can lead to heart failure after a long period of time.

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“The risk of atrial fibrillation increases with age, but also underlying cardiovascular disease risk factors increase the risk, such as high blood pressure, obesity, diabetes, sleep apnea and chronic kidney disease,” he added.

Christmas Eve is the “highest risk day of the year” for heart attacks, according to one cardiologist. (iStock)

Preventing a holiday heart event

Holiday heart syndrome is preventable, as Hirsch reminds people that “moderation is key” when celebrating.

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The expert recommends avoiding binge-drinking, overeating (especially salty foods) and dehydration, while managing stress levels and prioritizing adequate sleep.

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“Don’t forget to exercise,” he added. “Even getting in at least 5,000 to 10,000 steps during the holiday can help lower risk, [while] also burning some of the additional calories we are often consuming around the holidays.”

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London agreed, stating in his video that “movement is medicine” and encouraging people to get out and move every day.

The various stresses of the holidays can have physical consequences on the body, doctors warn. (iStock)

It’s also important to stay on schedule with any prescribed medications, London emphasized. He encourages setting reminder alerts, even during the holiday break.

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“Prioritize sleep and mindfulness,” he added. “Take care of yourself during this stressful time.”

London also warned that many people delay having certain health concerns checked out until after the holidays, further worsening these conditions.

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“Don’t ignore your symptoms,” he advised. “If you don’t feel right, respond.”

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‘Aggressive’ new flu variant sweeps globe as doctors warn of severe symptoms

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‘Aggressive’ new flu variant sweeps globe as doctors warn of severe symptoms

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Flu season is among us, and a new strain has emerged as a major threat.

Influenza A H3N2, or the subclade K variant, has been detected as the culprit in rising global cases, including in the U.S.

In an interview with Fox News Digital, Dr. Neil Maniar, professor of public health practice at Boston’s Northeastern University, shared details on the early severity of this emerging strain.

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“It’s becoming evident that this is a pretty severe variant of the flu,” he said. “Certainly in other parts of the world where this variant has been prevalent, it’s caused some severe illness, and we’re seeing an aggressive flu season already.”

Influenza A H3N2, or the subclade K variant, has been detected as the culprit in rising global cases. (iStock)

The variant seems to differ from prior strains of the flu, with heightened versions of typical symptoms like fever, chills, headache, fatigue, cough, sore throat and runny nose.

Subclade K is the “perfect storm” for an aggressive flu season, Maniar suggested, as vaccination rates overall are down and this year’s flu vaccine does not address this specific strain.

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“The vaccine is very important to get, but because it’s not perfectly aligned with this variant, I think that’s also contributing to some degree to the severity of cases we’re seeing,” he said. “We’re going in [to this flu season] with lower vaccination rates and a variant that in itself seems to be more aggressive.”

“There’s a lot of concern that this could be a particularly difficult flu season, both in terms of the total number of cases [and] the severity of those cases.”

Staying indoors during the colder months increases the risk of exposure to winter illness. (iStock)

Because subclade K is “quite different” from prior variants, Maniar said there is less natural immunity at the community level, further increasing the risk of spread and severity.

Those who are unvaccinated are also at risk of experiencing more severe symptoms, as well as a higher risk of hospitalization, the doctor emphasized.

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In addition to getting vaccinated, the doctor recommends washing hands frequently and properly. While the flu can spread via airborne transmission, a variety of other illnesses, like norovirus, can stick to surfaces for up to two weeks, he added.

The holiday season also boosts the risk of infection, as gatherings, large events, and packed planes, trains and buses can expose people to others who are sick.

The flu vaccine can help to prevent hospitalization and reduce severe symptoms, doctors agree. (iStock)

Those who are not feeling well or exhibiting symptoms should “please stay home,” Maniar advised — “especially if you think you are in that contagious period of the flu or any of these other illnesses that we’re seeing … whether it’s norovirus or COVID or RSV.”

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“If you’re not feeling well, stay home. That’s a great way to recover faster and to ensure that you’re not going to get others around you sick.”

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For those who are unsure of their health status or diagnosis, Maniar recommends seeing a healthcare provider to get tested. Some providers may be able to prescribe medication to reduce the severity and duration of the illness.

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“It’s important that everyone stays vigilant and tries to take care of themselves and their families,” he added.

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