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Entries in Texas (20)

Monday
Feb182013

Texas Mom Delivers Quadruplets: Two Sets of Identical Twins

Gina Sunseri/ABC News(HOUSTON) -- A Texas couple trying to give their son a little sibling gave him four brothers instead, beating the odds to deliver quadruplets — two sets of identical twin boys conceived at the same time.

Tressa Montalvo, 36, gave birth to quadruplets Ace, Blaine, Cash and Dylan on Valentine ’s Day, according to a statement from The Woman’s Hospital of Texas in Houston. Ace and Blaine shared one placenta, while Cash and Dylan shared another.

“We tried to stick to the A-B-C-D theme when naming them,” Montalvo said in the statement. “We didn’t expect it, we were trying for just one and we were blessed with four.”

Montalvo and her husband, Manuel Montalvo Jr., 43, thought they were having twins until their doctor detected a third fetal heartbeat. They were then referred to a maternal fetal medicine specialist, Dr. Brian Kirshon, who found a fourth heartbeat.

“We couldn’t have been more surprised when Dr. Kirshon told us we were having four babies and that they were two sets of twins,” Manuel Montalvo said in the statement. “We were trying for one little brother or sister for our two-and-a-half year old son, Memphis.”

Roughly two percent of all pregnancies result in one set of identical twins, when a fertilized egg splits into two embryos. The odds of having two sets at the same time? Pretty slim, according to Dr. James Grifo, director of the NYU Fertility Center.

“The chance of this outcome is approximately one in 10,000,” Grifo said of two embryos splitting after IVF. “This could also occur in a natural conception, but the chance of that is much [rarer].”

The Montalvos’ pregnancy was all natural, according to Tressa Montalvo.

“No fertility drugs were used. We planned the pregnancy — I guess we just succeeded a little too much!”

Because identical twins can share an amniotic sac and a placenta, they’re at risk for becoming tangled in each others’ umbilical cords and twin-to-twin transfusion syndrome — a rare placental disease that results in one twin getting less blood than the other.

“Having multiples certainly adds risk to a pregnancy in and of itself,” said Dr. Kimberly Gesci, an obstetrician at UH Case Medical Center in Cleveland, Ohio. “One of the biggest risks is preterm delivery and growth restriction.”

The Montalvo brood was born by C-section at 31 weeks. The newborns weighed between 3 pounds, 15 ounces and 2 pounds, 15 ounces.

While extremely rare, delivering two sets of identical twins isn’t unheard of. In April, 2011, Miranda and Josh Crawford of Charlotte, N.C. gave birth to identical twin girls and identical twin boys after undergoing in-vitro fertilization. And in 2002, Christina Tetrick of Wichita, Kan. was pregnant with two sets of identical twin boys, just like the Montalvos.

But while the Montalvo house just got a lot more crowded, the mom and dad of five say they’re not done yet.

“We want a girl,” Manuel Montalvo said.

Copyright 2013 ABC News Radio

Sunday
Jan202013

Texas Woman's Legs, Fingers Amputated After Dog Bite

iStockphoto/Thinkstock(AUSTIN, Texas) -- A Texas woman is in the intensive care unit at an Austin hospital after doctors were forced to amputate her legs and fingers after a dog bite infected her with rare bacteria.

Robin Sullins, a dog lover and mother of four, was bitten while intervening in a scuffle between two family dogs on Christmas day, suffering minor cuts on her hand and leg. She was treated at a local emergency room after becoming violently ill, then transferred to University Medical Center Brackenridge on Dec. 28 as her condition rapidly deteriorated.

Capnocytophaga canimorsus, the bacteria that infected Sullins is found in the mouths of nearly a third of all healthy cats and dogs, and doctors say it is not normally dangerous.

But Sullins' case of the infection was so severe, doctors needed to amputate both of her legs below the knees, and all of her fingers except her thumb.

"What's clearly happened here is that the bacteria has gotten into the bloodstream," Dr. William Schaffner, infectious disease expert at Vanderbilt University Medical Center told ABC News. "Once into the blood stream it has created sepsis, a serious infection which has an effect on all the body’s regulatory and inflammatory mechanisms."

Schaffner said the sepsis caused the blood vessels in her legs and hands to close down and clot, necessitating the amputation. He also added that such a severe reaction is more common in people with an underlying illness or some sort of immune deficiency.

"Both of her legs had turned black below the knees," Robin's mother Carol Wilson told ABC News. "Her body was literally dying, her extremities were dying, it's like a horror movie -- I can't put it into words."

Robin's family is rallying to her side during this difficult time.

"Everybody is devastated, we are probably more devastated than she even is because she's got the spirit," Wilson said. "Everybody is standing by her. She has not been by herself for one minute."

"We feel very confident that not only will she walk again with prosthesis, but she is going to make the most of what she has."

Dr. Kristen Mondy, who is treating Sullins, said the prognosis for her recovery is fair.

"She is still in a tremendous amount of pain, she is still on dialysis, and I think she is potentially facing some more surgeries on her extremities. The prognosis is still favorable for her kidney function to recover," Mondy said.

Mondy also said that usually with amputations, it normally takes weeks to months before the amputated area is sufficiently healed to support prosthesis.

The family has started a website, www.robinsullins.com for Sullins to raise money to cover her medical expenses and update the public on her progress. Wilson also said her daughter wanted to raise awareness for bite treatments.

"She says, 'I don't want it to happen to anybody else.' She wants the word out that if you do get a bite of any kind -- go to the doctor, get an antibiotic, get it checked out," Wilson said.

There are also precautions pet owners can take to help guard against a potential bacterial infection from a bite.

"Do daily oral care, get an animal toothbrush or edible toothbrush, followed by a regular professional cleaning as needed," said Marty Becker, a veterinarian at North Idaho Animal Hospital. "Most people let their pets lick and kiss them. By taking better care of a pet’s oral health you are taking care of the human's health by extension."

Copyright 2013 ABC News Radio

Thursday
Jan102013

Texas Planned Parenthood Defunding Hits Patients, Clinics

Mark Wilson/Getty Images(HOUSTON) -- Rachel Landon says she doesn't make much money as an actor, but she's been able to get birth control, gynecological exams and other health screenings at her local Planned Parenthood in Houston as part of the Women's Health Program, which provides care for low-income women.

Now, though, she'll either have to leave the program or find a new doctor because Texas no longer wants to allow tax dollars to go toward clinics affiliated with abortion providers or advocates.

"These people trying to shut this down never met me, never met any of these other women," Landon, 29, told ABC News.

She said that since it's difficult to find a doctor she trusts, she stuck with Planned Parenthood after starting to go there in college.

"Losing that not only hurts me financially, but it hurts me as a Texan on a personal level," Landon said.

Planned Parenthood will face a judge on Friday in Texas, trying to overturn a massive defunding of the family planning nonprofit in the state.  They say they're not the only ones suffering.  Women like Landon are left scrambling for new doctors, and even non-Planned Parenthood clinics find themselves at a crossroads.

When Texas Gov. Rick Perry announced his "Initiatives to Protect Life" on Dec. 11 in Houston, he said there was a difference between women's health and protecting the rights of abortion providers.  He said state legislators were obligated to make every day of the upcoming 140-day session count toward protecting Texas' "most vulnerable citizens."

"The ideal world is a world without abortion," Perry said, calling for the Supreme Court's decision in Roe v. Wade to be overturned.  "Until then, however, we will continue to pass laws to ensure abortions are as rare as possible under existing law."

From 2007 through 2012, the Women's Health Program got 90 percent of its funding from Medicare, but that all changed when state lawmakers decided to exclude Planned Parenthood and other clinics affiliated with abortion advocacy.

Federal officials decided the state rule was illegal because it interfered with a woman's right to choose her own doctor.  They gave Texans a choice: allow Planned Parenthood to be part of the Women's Health Program or lose federal funding.  In response, Texas launched a new Women's Health Program that only uses state funds and excludes Planned Parenthood.  The changes went into effect on Jan. 1.

"The ignorance, I think, that is so rampant among the legislative community is mind boggling," said Regina Rogoff, the Executive Director of the People's Community Clinic, an independent family planning provider in Austin.

Planned Parenthood performed 333,964 abortions in 2011, amounting to 3 percent of the services the organization offered nationwide that year, according to its annual report, which was released on Jan. 4.  During the year, it reported it served about 4.5 million people for sexually transmitted disease testing and treatments, 3.4 million people for contraception services, 1.3 million for cancer screening and prevention, and 1.2 million women for pregnancy tests and prenatal care.

"It seems very skewed, the idea that every woman going in there is getting an abortion," Landon said.  "That's not what it's about at all."

Rogoff's clinic has not been cut from the state-funded Women's Health Program, but she said she's not sure it will continue to participate because Texas has targeted any organization that might refer a patient to an abortion provider.

"The idea the state is putting a gag order on what physicians can say to a patient is just offensive," she said.  "We are sorely tempted to entirely withdraw from this program to avoid giving the appearance that we support it."

But abandoning patients in need would be terrible, Rogoff said, calling her clinic's predicament a "conundrum."  Her clinic already lost $526,000 in 2011 because Texas redistributed federal Title X family planning funds, she said.

Planned Parenthood has said that 48,000 of the 110,000 patients in the Women's Health Program used its clinics.  A survey released Tuesday by the Texas Health and Human Services Commission, in contrast, found that Planned Parenthood served 80,127 women in fiscal 2012, but concluded that the state now has enough eligible providers to serve 147,512 patients and can therefore handle the influx.

Patients displaced by the Planned Parenthood and abortion-affiliated clinic bans can go to TexasWomensHealth.org to find Women's Health Program-eligible clinics.

"We believe the state misrepresented the level of provider participation," Rogoff said.  "They say they have these thousands of providers [to take on the displaced Planned Parenthood patients], but we're listed six times, and we're not taking new patients except for a limited number of teens."

A search for services in ZIP code 78722, part of Austin, yielded four entries for the "Peoples Community Clinic" at a few different addresses plus two more entries at the same address for individual doctors there.  But the clinic is just one organization, and it's at capacity, Rogoff said.

The Texas Department of Health and Human Services is aware that the website has some redundancies, but its internal system tracks providers by a single provider number, said spokeswoman Linda Edwards Gockel.  The Women's Health Program has 3,500 providers with unique ID numbers, she said.

Copyright 2013 ABC News Radio

Thursday
Dec062012

Texas Tot Heads Home After 850 Days in Hospital

iStockphoto/Thinkstock(FORT WORTH, Texas) -- Christmas came early for an Abilene, Texas, family whose 2-year-old daughter is home Thursday after spending her entire young life being treated at a Fort Worth hospital.

Adalynn Willett was born with her intestines and liver outside her body.  The toddler went home for the first time this week after spending 850 days in Cook Children's Medical Center.

"She is very excited to be home," says her father, Bryan Willett.  "She is full of joy."

Her trip home was a long journey in the making.  

Over two years ago, Adalynn was born with a birth defect in her belly wall.  All of her intestines and her liver were outside of her body.  The condition is known as omphalocele, and doctors discovered it when Adalynn was still a fetus.

After her birth, her parents thought the hospital stay would only be about three months.  Twenty-eight surgeries and countless hours of physical therapy later, the young girl walked out of the hospital, the only home she had ever known.

Hospital staff had become her extended family and the sense of pride in her condition is evident.

"The fact that we were able to manage it so that she is going home for Christmas is nice," says Adalynn's attending physician, Dr. Nancy Dambro.

And, after spending almost every day with the young child, Dambro notes the trip home is not bittersweet.

"You'd think it is, but it is not," she says, adding, "Her job is not to be here every day being cute and smiling at me and cheering me up on my rounds.  Her job is to go home and become a productive human being."

Omphalocele is extremely rare.  Each year, about 1 out of every 5,386 babies born in the United States is born with the abdominal abnormality, according to the Centers for Disease Control.  

Adalynn's condition posed an even bigger challenge for the more than half a dozen physicians and medical staff at Cook Children's because, unlike most cases of omphalocele, her entire intestinal system was outside her body.  Known as giant omphalocele, such occurrence happens in only 1 out of every 10,000 babies born in the U.S.

Copyright 2012 ABC News Radio

Saturday
Aug112012

West Nile Virus Outbreak: Planes Spraying in Dallas County After 8 Deaths

Stockbyte/Thinkstock(DALLAS) -- Facing the worst outbreak of West Nile virus in the nation this year, Dallas County is conducting aerial sprays Saturday to try to contain the mosquitoes that carry the disease.

Eight people have died after contracting the illness and more than 120 cases have been reported in Dallas County, according to the Texas Department of Health and Human Services.

Officials in the county, which encompasses the metropolitan area of Dallas and Fort Worth, authorized the aerial sprays on Friday after meeting with state health officials and experts from the Centers for Disease Control and Prevention. It was the first time in nearly five decades aerial sprays were approved.

Residents near three areas that are scheduled to be sprayed were advised to avoid contact with the insecticide by staying indoors or traveling with their car windows closed until the spray is no longer visible.

The Dallas County Medical Society had lobbied for an aerial spraying plan after the outbreak reached "historic levels" and urged the Dallas County Health and Human Services department to "act quickly to reduce the risks of additional infection among the area's residents."

The increased number of cases in Texas this year were attributed to the extreme heat and recent rain, according to the Texas Department of Health and Human Services.

There is no vaccine for the virus, which causes symptoms including high fevers, headaches and disorientation.

Since the first case of West Nile Virus was reported in the United States in 1999, more than 30,000 people have come down with the disease, according to the CDC.

Copyright 2012 ABC News Radio

Friday
Jun152012

Texas Toddler Loses Voice to Save Her Life

ABC News(DALLAS) -- Intent on capturing her 3-year-old daughter in one final, bittersweet moment, Amber Thomas pressed record on her camera.  The sounds of laughter filled the hospital room.

"Her laugh is the most beautiful sound.  She has a really funny sense of humor," Thomas said, recalling the week before her daughter's surgery.  "I had to sit there and stare at her and know I wasn't going to hear her next week."

Emily Thomas was about to undergo a life-saving surgery, a permanent tracheotomy.  The procedure would enable her to breathe, but would put a hole in her neck and render her unable to communicate vocally for the rest of her life.

For Amber Thomas, it was the only choice.  But it also meant silencing one of the only sounds her daughter could make.

Emily's communication has been limited ever since she had a stroke at 10 days old, but her mother said they always found a way to talk.  It was through those laughs, or the noises she'd shout during Dora The Explorer, or the sounds she'd make rough-housing with her brothers, ages 4 and 2.

But two weeks ago, the little girl from Tyler, Texas, caught a common cold and nearly suffocated.

She was airlifted to the Children's Medical Center in Dallas where Amber Thomas and doctors watched over the toddler, trying to help her regain her health before she underwent a permanent tracheotomy.

On Tuesday, Emily had her last laugh. Doctors created a hole in Emily's throat and inserted a tube leading directly to her trachea.

Although she has had a few setbacks in recovery, Emily began to breathe on her own on Thursday and was taken off a ventilator.

Thomas said it's been gut wrenching to see her daughter cry now silent tears.

"You don't hear it and that really upsets me," she said.  "I feel like I can't leave the room.  Now you have to be staring at her to know."

Recovery will continue to be an uphill battle, as will adjusting to life without Amber's laugh, but Thomas knows her daughter will continue to bring joy to the family.

"Anyone who works with her tells me her disability stops with her body," she said. "She isn't afraid of anything.  She's the most positive person I know and that helps all of us."

Copyright 2012 ABC News Radio

Tuesday
Jun122012

Texas Teen Loses Over 150 Pounds with Controversial Gastric Bypass

Courtesy of Nick Preto(NEW YORK) -- A year ago, Nick Preto, a 16-year-old from Baytown, Texas, weighed an astounding 403 pounds.  He was about to enter his senior year in high school and was plagued with potentially life-threatening health problems.

ABC's Nightline asked Preto and his mother, Toni Preto, if they could follow him as he underwent a highly controversial surgery for teenagers: gastric bypass.

Over the course of the past year, Preto has gone on a remarkable weight-loss journey, losing 150 pounds and changing the way he lives his life.  But it has not been easy.

Last June, before the surgery, Preto took Nightline on a tour of the fast food joints he regularly visited.  He was routinely consuming 7,000 calories a day -- three times the recommended total for an adult man -- and knew he had to make changes.

"It's senior year, you know, you want to date the homecoming queen.  You want to have the cutest girl," he said at the time.  "I guess just because I've been bigger, nothing has really happened with ... the ladies."

But Preto's doctors told him if he didn't lose the weight, the ladies were going to be the least of his problems.  The teenager was careening towards an early death.  He was already a pre-diabetic and suffering from sleep apnea, liver damage and joint pains.  So he decided to get some radical help through gastric bypass surgery.

Preto's surgeon, Dr. Mary Brandt, was hesitant about doing such a major and irreversible operation on a teenager.

"I really didn't think it was a good idea," she said.  "I mean, metabolically changing someone who's a growing adolescent to me, made no sense.  But this is the first generation that's not going to outlive their parents.  That's the scariest thing to me."

The procedure, which completely rewired Preto's digestive system and reduced his stomach from the size of a small toaster oven to the size of an egg, took about two hours.  The first weeks after surgery were tough for Preto as he adjusted to eating tiny portions.

Seven weeks later, his weight was down from 403 pounds to 315 pounds.  But Preto told Nightline anchor Cynthia McFadden that changing his diet was difficult.  Not only was he frequently vomiting, the whole process had been an emotional roller coaster.

But despite the tough road, Preto was determined to keep going, and said he intended to lose 100 pounds in the next six months.

Nightline reconnected with Preto a few weeks ago after the six months was up for the big weigh-in.  When he stepped on the scale, he had dropped another 70 pounds, which was not quite the 100-pound goal he had set for himself, but still an impressive achievement, weighing a total of 247 pounds.  A year ago, his waist was 60 inches.  Today, it's 34.

But more important than the number on the scale was the joy in Preto's eyes as he stepped out to attend his senior prom with his new girlfriend, Jordan.  Not only was he healthier, he was happier too.

Copyright 2012 ABC News Radio

Saturday
May052012

Quinn the Dog Swims for Cancer Cure

(DALLAS) -- It’s not easy to upstage Olympic medalists at their own sport, but Quinn the dog is getting ready to do just that in his second year as the “unofficial mascot” of Swim Across America in Dallas.

The 160-pound Leonberger, who is a natural in the water, has a lofty goal this year — to raise $10,000. Proceeds from the June 9 event will benefit the Innovative Clinical Trials Center at Baylor University’s Charles A. Sammons Cancer Center, where Quinn also works as a therapy dog, primarily with cancer patients.

Quinn and his handler, Peggy Walker, met a group of Olympians who were promoting Dallas’ inaugural Swim Across America at a hospital event.

“I said, ‘Leonbergers are great swimmers and they asked if Quinn would like to be in the function,” Walker said.

That day, the gentle giant, who has webbed feet that help him swim, posed with an Olympic medal around his neck. Walker was sold on the idea of raising money for the people Quinn comforts at his day job.

Although Quinn’s fundraising page wasn’t set up until a week before the event, he still managed to raise $4,000 from people he had touched in the community and Leonberger lovers.

During the swim, which has half-mile, one-mile and two-mile options, Quinn cheered on the participants from the dock before he took his own dip in Lake Ray Hubbard in front of an adoring crowd.

There’s no doubt Quinn could doggie paddle with great endurance, but organizers like to keep their star participant close to the shore.

“He’s a fairly competitive swimmer, so we don’t want him to get too far out in the lake,” said Jeanne Cunningham, co-chair of Swim Across America.

This year, Cunningham said younger participants may be invited to “get in and splash around with Quinn.”

Last year the event raised $360,000, and Quinn’s handler said she has no doubt her dog will do his part again.

“He’s there to bring smiles,” Walker said. “There’s something about Leonbergers that’s very, very appealing.”

Copyright 2012 ABC News Radio

Thursday
Mar012012

Undercover Grandma Catches Medicare Fraud on Tape

ABC News(MCALLEN, Texas) -- In the wake of an ABC News undercover investigation, federal authorities in Texas are investigating how an active 82-year-old grandmother was diagnosed as homebound, with a range of ailments that she did not have, including Type 2 diabetes, opening the door to potentially tens of thousands of dollars in Medicare payments for home health care, supplies and equipment she did not need.

A hidden camera recorded the undercover grandmother's visit to a doctor in McAllen, Texas, where she told the doctor and nurses she exercised regularly and, other than some hypertension and arthritis, was in excellent health.

"I've really enjoyed good health all my life, God's been good to me," the doctor was told by Doris Ace, the grandmother of ABC News producer Megan Chuchmach.

Yet the official certification sent to Medicare for home health care services indicates she was homebound and suffered from two internal infections, incontinence and needs "assistance in all activities, unable to safely leave home, severe sob" -- an abbreviation for shortness of breath.

Ace had specifically told the doctor and her nurses she did not suffer from incontinence or shortness of breath.

On a patient referral form for home health care service, signed by the doctor, our undercover grandmother was also wrongly diagnosed with type 2 diabetes, even though she was not given a blood test which doctors say is the only way to authoritatively diagnose diabetes.

The overall diagnosis of the undercover grandmother's health could have provided the justification for what could be tens of thousand dollars a year worth of unneeded treatment and medical supplies and equipment, federal investigators said in an interview to be broadcast Thursday night on ABC News' World News with Diane Sawyer and Nightline.

"That's fraud," said Tim Menke, senior adviser for investigations in the Inspector General's office at the Department of Health and Human Services.

"Our Medicare system is an honor system," said Menke after viewing the files and the ABC News undercover tape of the doctor's office visit.  "And there's not much honor left in the system when you see things like that."

McAllen is considered a hotbed of Medicare fraud by the Inspector General's office, which has already brought cases against a number of doctors and health care agencies and has many others under investigation.

"The fraud indicators are off the charts," said Menke of McAllen and surrounding towns in the Rio Grande Valley.  "We have ten of the top physicians who have billed nearly $200 million in one specialty last year alone."

Nationwide, the Inspector General's office estimates that $60 billion dollars of taxpayer money is lost to unchecked Medicare fraud every year.

"We've seen it in Miami, Detroit and now in McAllen and it's very, very common," he said.

"They're lying in order to steal from you and me and the taxpayers," he added.

The McAllen doctor, Dr. Padmini Bhadriraju, declined to comment to ABC News, but denied any wrongdoing through her lawyer.

The lawyer, John Rivas, said the doctor acknowledged an "error" in the diabetes diagnosis for ABC News' undercover grandmother on the patient referral form, but said, "this section was filled out by someone other than Dr. Bhadriraju," even though he confirmed the doctor did fill out the majority of the form and signed it in her handwriting.

Her signature served as certification that "my clinical findings support that this patient is homebound."

The doctor's lawyer said neither the doctor nor others in her office knew who filled in the incorrect diabetes diagnosis.

Rivas also said the doctor played no role in the official certification form sent to Medicare, although records show she billed Medicare for the review of the form and its plan of care.

"The records provided by ABC News do not support any allegations of fraud.  It would be irresponsible journalism to air a story on Medicare/Medicaid fraud using this referral as an example when there is clearly no evidence of fraud," he added in a letter to ABC News.

ABC News ended the undercover investigation before any medical supplies or equipment could be billed to Medicare based on the false diagnosis. 

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Copyright 2012 ABC News Radio

Friday
Oct212011

Texas Prisons Cut Lunch to Save Money

Comstock/Thinkstock(HUNTSVILLE, Texas) -- Texas prisons are scaling back meals on weekends to cut costs -- a move that could leave inmate blood sugar levels low and tempers high.

Thirty-six prisons are cutting lunches on Saturdays and Sundays, forcing some 23,000 inmates to cram three-meals-worth of calories into an early breakfast and dinner, the New York Times reported. The cutbacks are part of a broader effort to save $2.8 million in food-related expenses, but some nutritionists are crying foul.

“With fewer meals, it’s difficult to get enough nutrients,” said Keith Ayoob, director of the Rose R. Kennedy Center Nutrition Clinic at Albert Einstein College of Medicine in New York City. “It’s likely to negatively affect mood in people who are used to having regular meals.”

The prisons usually serve “brunch” between 5 and 7 a.m. and then dinner from 4 to 6:30 p.m. In between, inmates will be able to buy chips and other snacks from prison commissaries, the Times reported.

“Going from 7 a.m. to 4 p.m. without an authorized meal is too long,” said Ayoob, adding that inmates should be bridging the nutrition gap with healthy snacks like fruits, vegetables, whole grains and nuts -- not chips.

Hunger can lead to fatigue, headaches and general crankiness -- symptoms that could be problematic in the close quarters of state prisons.

But prison officials said the plan won’t impact inmates’ physical or mental well-being.

“Extensive consultation with T.D.C.J.’s [Texas Department of Criminal Justice's] health services department and system dietitians prior to implementation of this plan have allowed us to avoid any medical issues,” Michelle Lyons, spokeswoman for the Texas Department of Criminal Justice, told the Times in a statement.

It’s unclear whether inmates will get bigger, more energy-dense meals at breakfast and dinner to compensate for the cuts.

“If they can, I’d recommend they eat a large breakfast and make every calorie count nutritionally,” said Ayoob.

Copyright 2011 ABC News Radio







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