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tv   Sanjay Gupta MD  CNN  October 1, 2011 4:30am-5:00am PDT

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some of the pictures are incredible they have been taking up there. this work will continue for the next several weeks. we'll keep a close eye on them. for now thank you for being with us. i'll be back with you top of the hour for more live news. hey there and thanks for with being with us. i'm on location in los angeles. it's been ten years since anthrax by mail killed five people, terrified millions, and almost shut down the postal service. we still have lots of questions about this case and also the prime suspect. also, a surprise from hollywood. a comedy about cancer. i talk with seth rogan and will reiser, the writer. i'm outside the courthouse in los angeles where two years after the stunning death of michael jackson his doctor is now on trial for involuntary manslaughter. conrad murray was hired as jackson's private physician to get him ready for this big comeback tour. within weeks, though, the singer was dead. prosecutors say the cause was an overdose of a drug called propofol administered by murray. defense lawyers insist the doctor isn't to blame and say
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that jackson gave himself the fatal dose. >> it was dr. murray'scompetent that led to michael jackson's death on n 2009. >> michael jackson swallowed up to eight pills on his own without telling his doctor, without the permission from his doctor. and when dr. murray gave him the 25 milligrams and dr. murray left the room, michael jackson self-administered this dose, an additional dose of propofol, and it killed him. >> now watching the beginning of the trial you realize this whole thing may boil down to propofol and how michael jackson and conrad murray were using it. now when i first heard this, the whole thing sort of, frankly, struck me as bizarre. this is a drug used almost exclusively in the hospital to essentially induce general anesthesia for an operation. i decided a picture is worth a thousand words. take a look. so we are here inside the
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operating room with the chief of anesthesiology here, pro-foe follow is a medication he uses all the time. so this is it right over here? >> yes. >> it looks like milk of amnesia as they call it. >> are you okay? we have to monitor his ekg, we have to make sure he is breathing, see his sat urgs, that he is ventilating. >> that's all typical stuff. >> standard of care, yes. >> okay. so the propofol -- >> you're going to get a little sleepy. give me some good, deep breaths. >> take a lack at his eyes, how quickly -- >> deep breaths. doing great. may feel a little burning, okay? >> ten, nine, eight, seven, six, five, four, three, two, one.
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>> his eyes close. >> his eyes close and what else? >> i look up here, he's not breathing and my wonderful helper is going to help him breathe. >> all the breathing is is taking place with this bag and this mask. from that medication he wouldn't be able to breathe on his own without those things. there you can see the prel. he's going to stop breathing and will need a breathing tube. what's so attractive about this medication? >> it's basically a quick on and off. that may answer why people think this is something they could do at home. if it gets out of hand and there's no one to resuscitate you, no one can bring you back.
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>> that was pretty quick. you just gave him the medication -- >> five or ten minutes. >> he's gone from being completely awake to completely asle asleep. >> he's not breathing. i'm breathing for him. >> one thing that's worth pointing out, this is a hospital that uses the medication, thousands and thousands of times a year but they do use the medication in nonhospital settings like outpatient clinics. the doctors here will tell you they've never heard of it being used in a home. a little bit after sneak peek ins inside the operating room. lots of things to pay attention to. also prosecutors say murray failed to call 911 right away and, get this, a witness who is jackson's head of security described this -- murray was doing cpr with just one hand with jackson still lying on the bed. now, to me, some important things jumped out. these are basic, basic mistakes. for example, to do cpr correctly, you need to use both hands, to squat down over the person whose heart has stopped, get your arms straight and press hard and fast, straight down on
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the chest until help arrives. you call 911 first. to make it work you have to do this on a hard surface not something soft like a bed. the trial of dr. murray does continue on next week. another court case we've been following, a federal judge ordered jared loughner to undergo four more months of mental health treatment to make him fit to stand trial. now as you may remember loughner has been diagnosed with schizophrenia. but the judge said his condition hayes improved with treatment so far. also this week, health insurance costs are on 0 the rise yet again except even faster than usual and three times faster than inflation. the average annual premium for coverage to an employer is up to $15,073. that's an increase of 9% over last year. also marking ten years since the anthrax attacks. remember these? 500 interviews, 1,700 subpoenas and one very controversial suspect. we'll take you inside the
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investigation up next. the afternoon tour begins with more pain and more pills. the evening guests arrive. back to sore knees. back to more pills. the day is done but hang on... her doctor recommended aleve. just 2 pills can keep arthritis pain away all day with fewer pills than tylenol. this is lara who chose 2 aleve and fewer pills for a day free of pain. and get the all day pain relief of aleve in liquid gels.
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it was ten years ago when americans were in the grip of terror, not just from the september 11th attacks but also from a series of anthrax letters mailed to news organizations and capitol hill. remember this? it ended up killing five people. after years of twists and turns in 2008 investigators had their sights set on the government
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scientist named bruce ivins. he was never charged because he killed himself as this case heated up. that left this whole taste of controversy, something cnn takes a look at in a special "cnn presents" which premieres this weekend. joe? sanjay, one of of the things we take a look at is how federal investigators came up with the name of a suspect in the anthrax attacks. it was not easy. in the first few months of the attack they didn't have much to go on at all and they were casting a very wide net. what we do is zero in on one very important lead that they got in the early days of the investigation which, frankly, took them years to fully track down. check this out. when the anthrax letters hit in october 2001, nancy hagewood is an up-and-coming sign ittist in seattle specializing in hiv. a few months after the attack, january 2002, the fbi e-mailed the american society of micro
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buyology's members. fbi profilers believe it is very likely that one or more of you know this individual. >> in my mind, it was as though something clicked. >> who did you think of? >> bruce ivins. >> bruce ivins. a scientist at the research institute for infection diseases, ft. dietrich, maryland. they study biological weapons to develop protective vaccines. ivins is an expert on anthrax. in fact, he is supposedly helping federal agents. >> in january of 2002 bruce ivins was in the thick of it. >> what the feds do not see is the hidden side of bruce ivins, e-mails where he says, i am being eaten alive by paranoid delusional thoughts. >> bruce ivins has led a double
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life. >> psychiatrists will later describe ivins as a secretive, paranoid and rage-filled man. >> he was a guy who had a definite dark side to him that no one else knew about. >> i met bruce in chapel hill, north carolina. >> it was the mid-'70s. nancy haigwood was a graduate student. bruce ivins was there, too. ivins asked incessantly about haigwood's sorority kappa kappa gamma. he seemed obsessed. >> every time i talked to him he would mention it. finally i said, bruce, that's enough. >> as their careers took shape over the years, ivins kept in touch. shortly after the anthrax attacks, he e-mailed these photos of himself with what he called the now infamous strain of anthrax. >> he wanted his former colleagues and friends to know that he was doing important
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work. >> one detail stands out. >> he said he was work iing in e containment lab, and he wasn't wearing gloves. and that is a bio safety hazard. we don't ever do that. and what that is is, to me, a sign. i'm immune. >> turns out there were a lot of things that didn't look right but it took federal authorities a long time to put together all the pieces and, to this day, some people say they're still not sure the investigators got the right man. sanjay? >> fascinating report, joe johns. i'll tell you one of the people who still isn't convinced is lori garrett, a pulitzer prize winning journalist who writes about infection diseases and took a close look at this particular case. do you believe what the final investigation showed? >> i think that the case against bruce ivins is essentially circumstantial. i'm not sure any of it would have held up in a court of law
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if, for no other reason, than the fbi never had chain of custody of the actual anthrax evidence and bruce ivins had possession of the evidence for quite a bit of the time. any lawyer could get that tossed right out of court. >> it's called "death by mail: the anthrax letters" this sunday night at 8:00 and 11:00 p.m. on this week. diana nyad attempted to swim from cuba to key west without a shark cage. in the end her nemesis proved to be much smaller. there's no way to counter toxic jelly fish that brought intense pain and partial paralysis is. nyad was forced to abandon her record attempt 92 miles into the swim. nyad says she will not attempt the swim again. she said that before, though. all of this got me thinking, what kind of fuel does it take to power the body for such an extreme feat, extreme nutrition in this week's boost to life.
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as one expert put it, diane is in a race against her own body, to finish the swim before she physically can't move at all. in the water she burns about 700 calories an hour and her swim lasted more than 40 hours. she refuels once every hour with sports drinks, gels, powders, energy bars, and her favorite, peanut butter. she also drinks about 40 ounces of water per hour to stay hydrated. but even that doesn't quite keep up with her energy needs. eventually diana's body turns to burning fat and finally protein, the very building blocks of the muscles that keep her swimming. during her last swim, she lost almost 16 pounds. [ male announcer ] it's a fact:
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let's take some time now for a look at a truly extraordinary individual. eight years ago sheila's hands and feet were amputated after a bout with meningitis. she lived with pros thetics until a year ago when she had a chance to undergo a hand transplant which changed her life. imagine having to learn how to use someone else's hands as your own. >> pinch. pinch. >> that's the reality for sheila, the first woman in the united states to undergo a double hand transplant. >> i just remember being rushed to the hospital and that's it. >> adve th to's hands and feet were amputated after she contract add bacterial infect n infection. >> they were so lifeless and so black. >> she got prosthetics for her hands and feet but the possibility of a future hand transplant was always on her
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mind. when the opportunity came from the university of pittsburgh medical center, she went for it. >> i'm amazed by my own progress. i have no expectations. >> it's been a year since she got her new hands and already advento has hit several milestones, she can feel temperature, pain, various textures. it's the result of a lot of hard work. she undergoes six hours of physical therapy five days a week. >> for me to finally feel these things again, my hair, my face, or even my jeans, it's something big for me. >> advento says her ultimate goal is to live as independent a life as possible. >> this is actually my very first painting. >> she draws, she paints, she drives, she puts on makeup, finds her way around the kitchen, even clips her nails. >> i'm not able to pinch the nail clipper that well. i was able to figure out how i would do this myself. that was my other way of my othf figuring out how to be
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independent. >> reporter: the last eight years have been difficult, but she's overcome so much by believing it all happened for a reason. no matter how painful she tries to always be positive. >> i don't give myself much of a choice but to keep going, despite of what obstacles i encounter in my life. >> amazing to see her use though hands that way, and what she's able to do. one note about her. in addition to her physical therapy, she continues to work and hoping to display her artwork at a local gallery soon. wish you all the best. it's true what they say. laughter really is the best medicine. seth rogen, will reiser, join me to talk about their new movie called "50/50" right after the break. our 4 new rich & hearty soups really have people talking... [ guy ] ring, ring. progresso... i love your new loaded potato with bacon. that's what we like to hear. ring, ring. progresso... ...switch our phone service?
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wa kind of cancer? >> some rare kind of cancer. >> what's it called. >> schwanoma -- >> what's -- >> that means tumor basically. >> what are your odds? >> i looked it up. it's like 50/50. but that's, like, the internet. so-doctor. >> you're watching a clip from the movie "50/50" a new movie opening up this weekend as a guy diagnosed with cancer. hard to believe, but it's a funny movie as a seriously devastating topic and all inspired by real life. i recently sat down with seth rogen who stars and produced the movie and his good friend inspired 20 write the most after fighting his own battle with a rare sarcoma. >> reporter: let me start with you. how are you doing? >> i'm great. six years in remission. >> maybe you can answer this question bp how long does remission last?
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does it just last until you die of something else? >> reporter: all based and studies. the chance ever something coming back after a certain point is so statistically insignificant? >> so you're always in remission? >> reporter: well, certain cancers they'll say, with seven years, your chance of occurrence is -- >> i think it's ten years. i got four more years and then i'm out of remission. >> then you're out of remission. >> reporter: you should. you produced the movie. but you will to pitch it. people say, how do you do comedy with cancer? >> we knewwasn't an easy pitch. so will wrote the script before we even attempted to make it. we had a completed script of pretty much the movie we wanted to make. i think you know, we're not making fun of cancer. we're making fun of how people behave in that situation, and that's something that i think we're good at. is taking situations and showing the funny side of how people might realistically act in those
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situations. >> and our favorite movie, the ones that deal with really dramatic situations but find the comedy in them. had i was sick, actually, people would come up to me and their impression of what having cancer was like was based off of movies they had seen which are really overdramatic and really sad, in which the person has a great epiphany and the next day die, and that just wasn't what our experience was like. >> reporter: a lot of it is about your relationship. had you known someone who had cancer? had you dealt with this ever in your life before? >> no. i had never dealt with anything remotely serious, really, honestly. it's when i realized everything i knew about this kind of thing was from movies, and it was instantly so different from any movie i'd seen, and i think that's honestly one of the reasons we wanted to do it, is that it was the first time i'd ever experienced something like
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