Cook County Medical Examiner Dr. Ponni Arunkumar told commissioners Wednesday that deaths from multiple gunshot wounds and the growing opioid crisis were a stressor on her office, and that the county was gaining a national reputation for the deaths. The Bureau of Administration, which oversees close to a dozen departments, held court for the entire morning at budget hearings. Questions from commissioners largely focused on the cost of those deaths, as well as the county’s position bargaining with unions.