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.

Andrea Mohin/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.”

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Doctor who admitted dealing drugs to get his license back

A West Hollywood psychiatrist who pleaded guilty to felony drug dealing after pills he prescribed turned up for sale on Craigslist will be able to get his medical license back in a year under an agreement announced Friday by the Medical Board of California.

The sanction, though harsh by board standards, allows Nathan Kuemmerle, 40, a former methamphetamine user, to treat patients again as soon as next February.

As a result of the criminal charges, Kuemmerle had lost his privilege to prescribe controlled substances and must apply to the U.S. Drug Enforcement Administration if he wants it restored. Kuemmerle agreed to undergo random drug testing, enroll in a physician ethics class and seek psychological counseling, among other conditions.

Kuemmerle was featured in a Dec. 30 Times report on the state's failure to use its vast prescription drug database to identify reckless prescribing by physicians.

In 2009, Kuemmerle was the state's most prolific prescriber of Adderall, a widely abused stimulant, records show. His prescribing drew scrutiny only after Redondo Beach narcotics detectives arrested a suspected drug dealer peddling Adderall pills on Craigslist. The suspect identified Kuemmerle as the source of the prescriptions.

Two months later, a second suspected drug dealer arrested in Arizona also pointed authorities to Kuemmerle. When drug agents checked the state's prescription drug database, known as CURES, they discovered that in 2009 Kuemmerle prescribed nearly four times as many of the highest-dose Adderall pills as the No. 2 doctor on the list, records show. Additionally, records show, he was the state's No. 2 prescriber of the most highly controlled narcotic painkillers.

Kuemmerle was arrested and pleaded guilty in 2011 to drug dealing and was sentenced to three years' probation.

Federal agents had alleged that Kuemmerle was selling prescriptions to people he had never seen, much less examined, records show. Kuemmerle wrote an average of 15 prescriptions per day for controlled substances over a four-year period, a figure a medical expert described as "remarkably high," records show.

Narcotics detectives said they were amazed that Kuemmerle was able to prescribe so many drugs undetected for so long, even though state authorities had access to a database that collected a record every time a pharmacy dispensed one.

Kuemmerle could not be reached for comment.

The types of drugs Kuemmerle prescribed are fueling an epidemic of overdose deaths that has drawn the attention of drug enforcement agencies, lawmakers and medical authorities. The response has largely focused on illicit sources of prescription drugs, such as pharmacy robberies and teens stealing from home medicine cabinets.

But a Times investigation of more than 3,700 prescription drug deaths in Southern California found that nearly half of the decedents had a doctor's prescription for one or more of the medications that caused or contributed to their deaths.

The U.S. Centers for Disease Control and Prevention has urged states to mine prescription drug monitoring databases to identify and stop reckless prescribers. At least six states do so. California does not.

lisa.girion@latimes.com

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Twitter Hacked; Company Says 250K Users May Have Been Affected

Following a string of revelations this week from several media companies who announced they had been recently hacked, Twitter announced on Friday that it had also been the target of a sophisticated attack.

The company wrote in a blog post ironically titled “Keeping our users secure” that it detected unusual patterns this week that led it to identify attempts to access user data.

“We discovered one live attack and were able to shut it down in process moments later,” wrote Bob Lord, Twitter’s director of information security. “However, our investigation has thus far indicated that the attackers may have had access to limited user information — usernames, email addresses, session tokens and encrypted/salted versions of passwords — for approximately 250,000 users.”

As a result, the company said it had reset passwords and revoked session tokens for the accounts suspected of being affected. The company also sent an e-mail to affected users informing them that their old password was no longer valid and that they would need to create a new one.

The email, forwarded to Wired by one reader who received one, reads:

“Twitter believes that your account may have been compromised by a website or service not associated with Twitter,” it reads. “We’ve reset your password to prevent others from accessing your account.”

The email also warns users to “Avoid using websites or services that promise to get you lots of followers. These sites have been known to send spam updates and damage user accounts.”

Lord did not explain how the attackers got in and accessed the data, but said that he did not believe Twitter was the only company targeted.

“This attack was not the work of amateurs, and we do not believe it was an isolated incident,” he wrote. “The attackers were extremely sophisticated, and we believe other companies and organizations have also been recently similarly attacked. For that reason we felt that it was important to publicize this attack while we still gather information, and we are helping government and federal law enforcement in their effort to find and prosecute these attackers to make the Internet safer for all users.”

Twitter recently began bulking up its security team with a number of high-profile hires. In 2011 noted white hat hacker and security pro Moxie Marlinspike joined Twitter after the company acquired his mobile encryption firm Whisper Systems. Last September, Marlinspike helped bring on board fellow noted white hat hacker and researcher Charlie Miller.

Just two weeks ago, however, Marlinspike announced that he was leaving Twitter.

Twitter’s hack announcement Friday comes in a week crowded with announcements about media companies that have been hacked. On Thursday, the New York Times revealed that hackers, who had been inside its network for at least four months, had succeeded to steal the usernames and passwords of all of its employees in an apparent attempt to identify sources and gather other intelligence about stories related to the family of China’s prime minister.

The hackers breached the network sometime around Sept. 13 and stole the corporate passwords for every Times employee, using them to gain access to the personal computers of 53 employees, according to the report.

The hackers also broke into the email account of the newspaper’s Shanghai bureau chief, David Barboza, who conducted the investigation, as well as the email account of Jim Yardley, the paper’s South Asia bureau chief in India, who had previously worked out of Beijing.

The Times report indicated that the attack was part of a wave of attacks that appeared to come from China and were targeted against western media outlets.

The day after the Times announcement a report surfaced that the Wall Street Journal had also been hacked, followed the next day by a report that the Washington Post had also been targeted.

Update 9 pm PST: To add text of email sent to users affected by the breach.

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Former New York mayor Ed Koch moved to hospital intensive care

NEW YORK (Reuters) – Former New York City Mayor Ed Koch was moved to a hospital intensive care unit on Thursday, his spokesman said, in a sign that his health could be deteriorating.

Koch spokesman George Arzt said the 88-year-old politician, who earned a reputation for being as outspoken as he is colorful, was being moved so his cardiologist could better monitor his condition. Koch has been treated at New York-Presbyterian Hospital on and off since January 19.

Koch was re-admitted to the hospital on Monday after complaining of shortness of breath. He was unable to attend Tuesday’s premier of “Koch,” a documentary about his turbulent three terms as mayor, at the Museum of Modern Art.

In New York‘s City Hall from 1978 to 1989, Koch – with his trademark phrase “How’m I Doing?” – was seen as the personification of New York City.

“I don’t think there was anybody who had more fun being mayor as Ed Koch,” City Council Speaker Christine Quinn, who is in the race to be the city’s next mayor, said while walking the premier’s red carpet.

Koch was credited with helping to restore confidence in the city at a time when it stood at the brink of financial ruin. Under his leadership, New York City regained its fiscal footing and underwent a construction boom.

His time in office was also marked by corruption among his political allies, racial tensions, a rise in cases of AIDS and HIV, and an increase in homelessness and the crime rate.

(Reporting by Edith Honan; Editing by Ellen Wulfhorst)

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Ferrol Sams, Doctor Turned Novelist, Dies at 90

Ferrol Sams, a country doctor who started writing fiction in his late 50s and went on to win critical praise and a devoted readership for his humorous and perceptive novels and stories that drew on his medical practice and his rural Southern roots, died on Tuesday at his home in Lafayette, Ga. He was 90.

The cause, said his son Ferrol Sams III, also a doctor, was that he was “slap wore out.”

“He lived a full life,” his son said. “He didn’t leave anything in the tank.”

Dr. Sams grew up on a farm in the rural Piedmont area of Georgia, seven mud-road miles from the nearest town. He was a boy during the Depression; books meant escape and discovery. He read “Robinson Crusoe,” then Mark Twain and Charles Dickens. One of his English professors at Mercer University, in Macon, suggested he consider a career in writing, but he chose another route to examining the human condition: medical school.

When he was 58 — after he had served in World War II, started a medical practice with his wife, raised his four children and stopped devoting so much of his mornings to preparing lessons for Sunday school at the Methodist church — he began writing “Run With the Horsemen,” a novel based on his youth. It was published in 1982.

“In the beginning was the land,” the book begins. “Shortly thereafter was the father.”

In The New York Times Book Review, the novelist Robert Miner wrote, “Mr. Sams’s approach to his hero’s experiences is nicely signaled in these two opening sentences.”

He added: “I couldn’t help associating the gentility, good-humored common sense and pace of this novel with my image of a country doctor spinning yarns. The writing is elegant, reflective and amused. Mr. Sams is a storyteller sure of his audience, in no particular hurry, and gifted with perfect timing.”

Dr. Sams modeled the lead character in “Run With the Horsemen,” Porter Osborne Jr., on himself, and featured him in two more novels, “The Whisper of the River” and “When All the World Was Young,” which followed him into World War II.

Dr. Sams also wrote thinly disguised stories about his life as a physician. In “Epiphany,” he captures the friendship that develops between a literary-minded doctor frustrated by bureaucracy and a patient angry over past racism and injustice.

Ferrol Sams Jr. was born Sept. 26, 1922, in Woolsey, Ga. He received a bachelor’s degree from Mercer in 1942 and his medical degree from Emory University in 1949. In his addition to his namesake, survivors include his wife, Dr. Helen Fletcher Sams; his sons Jim and Fletcher; a daughter, Ellen Nichol; eight grandchildren; and nine great-grandchildren.

Some critics tired of what they called the “folksiness” in Dr. Sams’s books. But he did not write for the critics, he said. In an interview with the Georgia Writers Hall of Fame, Dr. Sams was asked what audience he wrote for. Himself, he said.

“If you lose your sense of awe, or if you lose your sense of the ridiculous, you’ve fallen into a terrible pit,” he added. “The only thing that’s worse is never to have had either.”

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Media Decoder Blog: In Wake of Restructuring, NBC News President Quits

8:30 p.m. | Updated

The longest-serving president of any of the three network news divisions, Steve Capus of NBC News, stepped down from his position on Friday, six months after Comcast restructured its news units in a way that diminished his authority.

Pat Fili-Krushel, chairwoman of the NBCUniversal News Group, said in a brief telephone interview on Friday that she would “cast a wide net” while searching for a successor to Mr. Capus. In the interim, the leaders of the news division will report directly to her.

Ms. Fili-Krushel became Mr. Capus’s boss last July when Steve Burke, the chief executive of NBCUniversal, consolidated all of NBC’s news units — NBC News, the cable news channels MSNBC and CNBC, and its stake in the Weather Channel — under a new umbrella, the NBCUniversal News Group. Mr. Burke asked Ms. Fili-Krushel, one of his most trusted lieutenants, to run it, while keeping Mr. Capus and the heads of the other units in place.

Ms. Fili-Krushel worked early in her career at HBO and Lifetime. A veteran of the Walt Disney Company, where she helped program ABC, and  Time Warner, where she was an administrator, she is by her own admission not a journalist.  But now she is, by default, the highest-ranking woman in the American television news industry — not just at the moment, but in the history of the medium. The heads of the news divisions at ABC and CBS are men, as are the heads of the Fox News Channel, CNN, and Bloomberg.

Ms. Fili-Krushel has kept a low public profile, but has been a forceful presence behind the scenes, recently moving from her office on the 51st floor of 30 Rockefeller Center, near Mr. Burke’s, to a new one on the third floor, where NBC News is based. On Friday, she said she had spent her first six months “learning, listening and getting to know the players here.” She called the News Group an “unbelievably strong organization.”

Though Mr. Capus’s exit saddened many at NBC News on Friday, it came as little surprise. He had previously reported directly to Mr. Burke, but after the restructuring he reported to Ms. Fili-Krushel, and he made no secret of his unhappiness with the change. His contract had a clause that allowed him to leave in the event that he no longer reported to Mr. Burke, according to two people with direct knowledge of the arrangement at NBC, and he decided to exercise that right after months of contemplation. The people insisted on anonymity because they were not authorized by the network to speak publicly.

Mr. Capus told Ms. Fili-Krushel of his intent to leave last Friday. It is likely that he would have left sooner, but a series of major news stories kept him busy late last year — including Hurricane Sandy, the presidential election and the school shooting in Newtown, Conn. Mr. Capus also oversaw the network’s response to the kidnapping of Richard Engel and an NBC News crew in Syria last month.

“It has been a privilege to have spent two decades here, but it is now time to head in a new direction,” he wrote in an e-mail to staff members on Friday afternoon.

Mr. Capus guided NBC through a revolutionary time in news-gathering and distribution. He maintained the news division’s profitability, managed tensions between NBC News and its increasingly liberal cable channel MSNBC, and fostered new business ventures like an in-house production company and an annual education summit. Last year, he unwound an old deal with Microsoft to give the news division complete control over its Web site, now named NBCNews.com, for the first time.

Ms. Fili-Krushel wrote in a separate e-mail to staff members that “NBC News is America’s leading source of television news and Steve has been a big part of that success.”

NBC News is the producer of the most popular evening newscast in the country. But its single biggest source of profits, the morning show “Today,” fell to second place last year, behind ABC’s “Good Morning America,” for the first time since the 1990s. The decline caused widespread anxiety inside the news division and speculation that Mr. Capus would be relieved of his duties.

Inside NBC, both Mr. Capus and the executive producer of “Today,” Jim Bell, received much of the blame for the botched removal of Ann Curry from “Today” last June, which worsened the show’s already tenuous position in the ratings. Ms. Fili-Krushel was put in charge just a few weeks later.

Mr. Bell was replaced at “Today” last fall and is now the executive producer for NBC Olympics. Savannah Guthrie is now the co-host of “Today,” and Ms. Curry is a national and international correspondent for the network, but is rarely seen. Mr. Capus’s exit was seen by some at the network as the last shoe that had to drop.

In his e-mail to staff members, Mr. Capus called it an “extremely difficult decision to walk away,” noting that he started at NBC as a producer 20 years ago this month. He did not make any mention of what he would do next. “Journalism is, indeed, a noble calling, and I have much I hope to accomplish in the next phase of my career,” he wrote.

“Today” continues to lose to ABC’s “Good Morning America” among total viewers, but lately it has won a few weeks in the 25- to 54-year-old demographic that advertisers covet.

“NBC Nightly News” has more successfully fended off ABC’s “World News,” despite an aggressive push by ABC. Mr. Capus said, “NBC News has grown in all key metrics — from ratings and reputation to profitability.”

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Cardinal Mahony relieved of duties over handling of abuse

In a move unprecedented in the American Catholic Church, Los Angeles Archbishop Jose Gomez announced Thursday that he had relieved his predecessor, Cardinal Roger M. Mahony, of all public duties over his mishandling of clergy sex abuse of children decades ago.

Gomez also said that Auxiliary Bishop Thomas J. Curry, who worked with Mahony to conceal abusers from police in the 1980s, had resigned his post as a regional bishop in Santa Barbara.

The announcement came as the church posted on its website tens of thousands of pages of previously secret personnel files for 122 priests accused of molesting children.

"I find these files to be brutal and painful reading. The behavior described in these files is terribly sad and evil," Gomez wrote in a letter addressed to "My brothers and sisters in Christ."

The release of the records and the rebuke of the two central figures in L.A.'s molestation scandal signaled a clear desire by Gomez to define the sexual abuse crisis as a problem of a different era — and a different archbishop.

"I cannot undo the failings of the past that we find in these pages. Reading these files, reflecting on the wounds that were caused has been the saddest experience I've had since becoming your Archbishop in 2011," Gomez wrote.

The public censure of Mahony, whose quarter-century at the helm of America's largest archdiocese made him one of the most powerful men in the Catholic Church, was unparalleled, experts said.

"This is very unusual and shows really how seriously they're taking this. To tell a cardinal he can't do confirmations, can't do things in public, that's extraordinary," said the Rev. Thomas Reese, a Jesuit priest and Georgetown University fellow.

An archdiocese spokesman, Tod Tamberg, said that beyond canceling his confirmation schedule, Mahony's day-to-day life as a retired priest would be largely unchanged. He resides at a North Hollywood parish, and Tamberg said he would remain a "priest in good standing." He can continue to celebrate Mass and will be eligible to vote for pope until he turns 80 two years from now, Tamberg said.

The move further stained the legacy of Mahony, a tireless advocate for Latinos and undocumented immigrants whose reputation has been marred over the last decade by revelations about his treatment of sex abuse allegations.

Before Gomez's announcement, Mahony had weathered three grand jury investigations and numerous calls for his resignation. He stayed in office until the Vatican's mandatory retirement age of 75. No criminal charges have been filed against Mahony or anyone in the church hierarchy.

Terrence McKiernan, president of bishopaccountability.org, said that in a religious institution that values saving face and protecting its own, Gomez's decision to publicly criticize an elder statesman of the church and his top aide was striking.

"Even when Cardinal [Bernard] Law was removed in Boston, which was arguably for the same offenses, this kind of gesture was not made," he said.

Law left office in 2002 amid mounting outrage over his transfer of pedophile priests from parish to parish, but the church presented his departure as of his own accord and he was later given a highly coveted Vatican job in Rome.

Bishop Thomas J. O'Brien of Phoenix relinquished some of his authority in a deal with prosecutors to avoid criminal charges for his handling of abuse cases, but he kept his title and many of his duties. A Kansas City bishop convicted last year of failing to report child abuse retained his position.

The Rev. Thomas Doyle, a canon lawyer and Dominican priest who has testified across the nation as an expert witness in clergy sex abuse cases, said the Vatican would have "absolutely" been consulted on a decision of this magnitude.

"This is momentous, there is no question," he said. "For something like this to happen to a cardinal.... The way they treat cardinals is as if they're one step below God."

Gomez's decision capped a two-week period in which the publication of 25-year-old files fueled a new round of condemnation of the L.A. archdiocese. The files of 14 clerics accused of abuse became public in a court case last Monday. They laid out in Mahony and Curry's own words how the church hierarchy had plotted to keep law enforcement from learning that children had been molested at the hands of priests.

To stave off investigations, Mahony and Curry gave priests they knew had abused children out-of-state assignments and kept them from seeing therapists who might alert authorities.

Mahony and Curry both issued apologies, with the cardinal saying he had not realized the extent of harm done to children until he met with victims during civil litigation. "I am sorry," he said.

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How a Boat-Plane Hybrid Shattered the Sound Barrier of Sailing

Seen from across Walvis Bay, the windswept patch of Atlantic Ocean known as Speed Spot is barely more than a sparkle of whitecaps against a long, low sandbar. As we get closer to what is one of the world’s most perfect speed-sailing areas, I scan the shore. It’s featureless save for two small shelters. We motor our zodiac toward the remote beach until we have to kill the outboard and tilt it up to spare the prop. The five of us jump overboard into the waist-deep water, following our guide, Paul Larsen, who is wading toward the shore. The wind howls in our faces, blowing so much sand that it runs down the beach in rivulets, like rain across a windshield. We climb up on the beach, jellyfish at our feet as thick as paving stones. “This is it. This is the Bonneville Salt Flats of speed sailing!” Larsen shouts, gesturing to the water just off the sandbar. The flying sand sticks to our teeth, turning the insides of our mouths to 600-grit with every word. “We’ll have to shovel out the timing hut,” Larsen says, peering into the primitive shelter he built years ago and pointing out animal tracks inside. “Jackal,” he concludes.

There is a shipping port on the far side of the bay, but over here the landscape is so desolate, so extreme, that we could be on an alien planet—Frank Herbert’s Arrakis, George Lucas’ Tatooine. In fact, we are in Namibia, a roughly Texas-sized country at the southwest corner of the African continent. Walvis Bay is one of the Atlantic’s great natural harbors, but it’s surrounded by emptiness: 31,000 square miles of desert. The dunes march right into the sea, setting up an elemental cycle that repeats itself nearly every day of the antipodal summer. Mornings break as clear and sunny as a Baywatch shoot, but in the afternoon, near-gale-force winds descend on the bay. The desert heat meeting the cool Benguela Current coming up from the Cape of Good Hope creates a powerful natural wind machine. It arrives like clockwork, steady and relentless. “No ruffles,” Larsen says, feeling the wind with his hand. The featureless landscape—no vegetation, no terrain, no fences, no buildings apart from the shelters—makes for perfectly organized air. “Attached flow,” he calls it, using the jargon of an aerodynamicist evaluating a successful wind-tunnel test.

Larsen is originally from Australia, but he searched the world for years to find this spot, a perfect natural runway to test a sailboat so radical that it is more at home in an airplane hangar than in any harbor—a futuristic craft that, if he can make it work, will not only capture the outright world speed-sailing record but also open up a new, no-limit era in sailing. “A hundred knots, maybe?” Larsen speculates from inside one of the huts, looking through a sandblasted window at the watery speed-sailing course just beyond the beach. The current record is just over 50.

Floating behind the zodiac is the boat that has brought Larsen to Speed Spot for the tenth time in as many years in pursuit of sailing’s speed record: the Vestas SailRocket Mark 2. Its aeronautical DNA is obvious at a glance. There’s a rigid carbon-fiber “wing” that functions as a sail, an ultra-streamlined 40-foot-long “fuselage,” and even something like landing gear—three pod-shaped floats that keep the wing and fuselage above the chop. Yet what looks at first glance like a water-striding sailplane is, on closer inspection, pure crazytown. For one thing, its wing is inclined at a 30-degree angle to the water and is nowhere near the fuselage. Instead, it’s mounted on the end of a 30-foot-long beam. The pole is, in a sense, an odd sort of mast—except that it runs horizontally. On the opposite side of the boat is a bladelike carbon-fiber fin. Technically this is the keel, or as Larsen calls it, the foil. SailRocket’s foil sprouts from the side of its fuselage, then turns to cut 3 feet down into the water. Critical to any sailboat, a keel keeps a boat from blowing over—or, in this case, from flying away.

“She’s 50 percent plane, 50 percent boat,” Larsen explains. Indeed, if SailRocket were dropped from a great height, it would glide down rather than fall. Larsen designed in aerodynamic stability as a safety measure. “If for some reason she lost the keel at speed,” Larsen explains, “than she really would be a plane, wouldn’t she?” The prototype version of SailRocket, Mark 1, actually did take off into the air, and Larsen survived what may be the most spectacular crash in sailing history.

It was 2008 and he was at Speed Spot putting the Mark 1 through its paces when a gust got under the boat and launched it clear into the sky. The half-plane/half-boat hit an altitude of between 40 and 50 feet while cartwheeling through a flip—before crash-landing upside down and backward. “It just kept going up and up,” Larsen said at the time, “then it hit bloody hard on my head.”

Larsen is confident enough about the stability of his revised design, the Mark 2, that he included a passenger cockpit behind the driver’s seat. It’s never held a passenger, however. “I haven’t installed the seat yet,” Larsen says, “but I’m going to have to test it out sooner or later …” He cocks an eyebrow in my direction. “Would that be good for your story?”

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Appeals judges: Anti-paparazzi law appears legal

LOS ANGELES (AP) — An appeals panel says California’s anti-paparazzi statute appears to be constitutional based on a brief filed by prosecutors.

A preliminary statement by three judges in Los Angeles requires a judge who dismissed charges aimed at a paparazzo who authorities say was driving recklessly to review his order. The judge may stick to his ruling, which would trigger a full appeal, or he could schedule further arguments on the case against freelance photographer Paul Raef.

Raef was the first person charged under the new law after a high-speed chase involving Justin Bieber last year.

Superior Court Judge Thomas Rubinson dismissed two charges in November, ruling the law is too broad and is unconstitutional.

Raef’s attorney David S. Kestenbaum says he is asking Rubinson to stand by his ruling and allow a full appeal.

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During Trial, New Details Emerge on DuPuy Hip

When Johnson & Johnson announced the appointment in 2011 of an executive to head the troubled orthopedics division whose badly flawed artificial hip had been recalled, the company billed the move as a fresh start.

But that same executive, it turns out, had supervised the implant’s introduction in the United States and had been told by a top company consultant three years before the device was recalled that it was faulty.

In addition, the executive also held a senior marketing position at a time when Johnson & Johnson decided not to tell officials outside the United States that American regulators had refused to allow sale of a version of the artificial hip in this country.

The details about the involvement of the executive, Andrew Ekdahl, with the all-metal hip implant emerged Wednesday in Los Angeles Superior Court during the trial of a patient lawsuit against the DePuy Orthopaedics division of Johnson & Johnson. More than 10,000 lawsuits have been filed against DePuy in connection with the device — the Articular Surface Replacement, or A.S.R. — and the Los Angeles case is the first to go to trial.

The information about the depth of Mr. Ekdahl’s involvement with the implant may raise questions about DePuy’s ability to put the A.S.R. episode behind it.

Asked in an e-mail why the company had promoted Mr. Ekdahl, a DePuy spokeswoman, Lorie Gawreluk, said the company “seeks the most accomplished and competent people for the job.”

On Wednesday, portions of Mr. Ekdahl’s videotaped testimony were shown to jurors in the Los Angeles case. Other top DePuy marketing executives who played roles in the A.S.R. development are expected to testify in coming days. Mr. Ekdahl, when pressed in the taped questioning on whether DePuy had recalled the A.S.R. because it was unsafe, repeatedly responded that the company had recalled it “because it did not meet the clinical standards we wanted in the marketplace.”

Before the device’s recall in mid-2010, Mr. Ekdahl and those executives all publicly asserted that the device was performing extremely well. But internal documents that have become public as a result of litigation conflict with such statements.

In late 2008, for example, a surgeon who served as one of DePuy’s top consultants told Mr. Ekdahl and two other DePuy marketing officials that he was concerned about the cup component of the A.S.R. and believed it should be “redesigned.” At the time, DePuy was aggressively promoting the device in the United States as a breakthrough and it was being implanted into thousands of patients.

“My thoughts would be that DePuy should at least de-emphasize the A.S.R. cup while the clinical results are studied,” that consultant, Dr. William Griffin, wrote.

A spokesman for Dr. Griffin said he was not available for comment.

The A.S.R., whose cup and ball components were both made of metal, was first sold by DePuy in 2003 outside the United States for use in an alternative hip replacement procedure called resurfacing. Two years later, DePuy started selling another version of the A.S.R. for use here in standard hip replacement that used the same cup component as the resurfacing device. Only the standard A.S.R. was sold in the United States; both versions were sold outside the country.

Before the device recall in mid-2010, about 93,000 patients worldwide received an A.S.R., about a third of them in this country. Internal DePuy projections estimate that it will fail in 40 percent of those patients within five years; a rate eight times higher than for many other hip devices.

Mr. Ekdahl testified via tape Wednesday that he had been placed in charge of the 2005 introduction of the standard version of the A.S.R. in this country. Within three years, he and other DePuy executives were receiving reports that the device was failing prematurely at higher than expected rates, apparently because of problems related to the cup’s design, documents disclosed during the trial indicate.

Along with other DePuy executives, he also participated in a meeting that resulted in a proposal to redesign the A.S.R. cup. But that plan was dropped, apparently because sales of the implant had not justified the expense, DePuy documents indicate.

In the face of growing complaints from surgeons about the A.S.R., DePuy officials maintained that the problems were related to how surgeons were implanting the cup, not from any design flaw. But in early 2009, a DePuy executive wrote to Mr. Ekdahl and other marketing officials that the early failures of the A.S.R. resurfacing device and the A.S.R. traditional implant, known as the XL, were most likely design-related.

“The issue seen with A.S.R. and XL today, over five years post-launch, are most likely linked to the inherent design of the product and that is something we should recognize,” that executive, Raphael Pascaud wrote in March 2009.

Last year, The New York Times reported that DePuy executives decided in 2009 to phase out the A.S.R. and sell existing inventories weeks after the Food and Drug Administration asked the company for more safety data about the implant.

The F.D.A. also told the company at that time that it was rejecting its efforts to sell the resurfacing version of the device in the United States because of concerns about “high concentration of metal ions” in the blood of patients who received it.

DePuy never disclosed the F.D.A. ruling to regulators in other countries where it was still marketing the resurfacing version of the implant.

During a part of that period, Mr. Ekdahl was overseeing sales in Europe and other regions for DePuy. When The Times article appeared last year, he issued a statement, saying that any implication that the F.D.A. had determined there were safety issues with the A.S.R. was “simply untrue.” “This was purely a business decision,” Mr. Ekdahl stated at that time.

This article has been revised to reflect the following correction:

Correction: February 1, 2013

A headline on Thursday about a patient lawsuit against DePuy Orthopaedics, a unit of Johnson & Johnson, misstated the start of the trial in some copies. It began last week, not on Wednesday.

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