tv Sanjay Gupta MD CNN August 26, 2012 4:30am-5:00am PDT
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who suffer from a sore mouth, consider new act sensitive. the soothing alcohol-free formula has maximum fluoride to rebuild enamel. new act sensitive. hello, thanks for being with us. today i'm going to tell you what you can learn from rosie o'donnell's heart attack. there are warning signs that she, like millions of women, overlook. also, the latest incredible effort out of diana nyad. swimming from cuba to key west. she fell short yet again. she's going to share the inside story of what really happened. first, politics and fertility treatment under the microscope. if you watched tv this week, just about every media outlet has been covering attempts to end abortion did you also know that some of those efforts may have major consequences for people looking into in vitro fertilization?
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paul ryan sponsored a bill last year h.r. 212, the sanctity of human life act its mn objective is to provide that human life shall be deemed to begin with fertilization. here the issue -- some fertility doctors say this could create complications in the way they carry out ivf, in vitro fertilization. they say they could end up charged with homicide if an embryo they create subsequently dies. now we invited both representative ryan and governor romney on the program to talk about this. they declined. they didn't want to answer these questions about whether or not this is a fair concern. i should also point out that governor romney has a personal stake in this whole issue. he has grandchildren, as well, who are, in fact, born through ivf. he said that he supported ivf in the past. back in january, during the primary debates, he stated that he believes life begins at conception. >> i was also a governor in a state where being pro-life was not easy. and i -- i battled hard. what came to my desk was a piece
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of legislation that said we're going to redefine when life begins. in our state we said life began at conception. the legislature wanted to change that to say, no, we're going to do it at implantation. i vetoed that. >> we really wanted to hear both sides of this. we invited on the gop doctors caucus the congressional pro-life caucus, and also the 53 other sponsors of the sanctity of human life act. for several days, we tried to reach out. they all either said no, thanks, no reply, it seems no one wants to talk on camera. they didn't even provide a statement. joining us now is one of the doctors who is concerned about this, lives in the real world. dr. daniel shapiro, medical director of the reproductive biology associates. thanks for joining us. >> thanks for having me. >> i was saying beforehand that every time this topic has come up, even in our unit at cnn, it's led to big discussions. people obviously have a lot to say. the bill -- i've read it, i know you have, as well -- it didn't specifically mention in vitro fertilization. it doesn't say it outlaws in vitro fertilization. that part is not true. what is your concern
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specifically? >> it biggest problem with -- these are all under category that we call personhood bills that basically establish that human life begins at conception. the problem with all of that is that in a typical in vitro cycle there's more than one embryo created. and if you're being safe and cautious, you only put one embryo, at most two, back into a patient at a time. so what happens to all the leftover embryos? many are frozen, and many of them are never used. so these bis basically would make us the guardians, potentially, of all of these embryos and would restrict how they could be handled. some of those restrictions would also make the ivf very inefficient for these patients because frankly the overwhelming majority of embryos created in our labs are not capable of actually making a whole baby. >> so from your perspective, say there was an initiative, and this passed and was part of law
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in this country, what could happen to you if something happened to one of the embryos, they didn't survive? >> at one extreme we could be accused of homicide. if you're -- negligent homicide because we're not taking adequate care of an embryo. at the more reasonable level, i think we could be -- considered negligent in general. but patients, we know from experience when these kinds of bills were introduced here in georgia, patients actually rose up in mass numbers to fight it because they understood -- even if they were people of faith, they understood that this interfered with their ability to family build. and that ivf is not an efficient process. and that part of the process is that certain embryos will not be used and will likely be discarded. >> what do you think will happen moving forward? we have a big election coming up. this is part of the platform we're talking about. >> well, these bills have been introduced in i think 30 something states. they've typically failed.
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in mississippi a few months ago, a bill like this went as a referendum. it looked like it was going to pass. when the medical community came in and educated a very conservative population, the people of mississippi overwhelmingly rejected a person hood bill. they basically said this is bad for our health care. we don't want to do this. >> so the end of ivf over your right shoulder. you don't foresee that happening? >> i don't think that's going to happen. i'm a little bit dismayed that the folks who are trying to find a wedge against roe v. wade are using this particular approach because it walks right over the backs of about one in eight american couples. that's how many people are infertile in this country. we're not talking about a small number of people. we're talking about hundreds of thousands of people who seek care in the united states for fertility concerns. and these bills interfere with their ability to get good care. >> i appreciate you educating us on this. obviously, again, as i said, it's a talker. a lot of people curious about this, have something to say.
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doctor, hopefully you'll join us again sometime. >> thank you very much for having me. next, the number-one killer of women in this country -- heart disease. we want you to know the symptoms, know the signs. it could save yourlife, perhaps the life of someone you love. stay with us. automatically filter just the right amount of light. so you see everything the way it's meant to be seen. maybe even a little better. vsp members can save on all authentic transitions lenses, including our new transitions vantage and transitions xtractive lenses. experience life well lit. ask which transitions adaptive lens is best for you. his morning starts with arthritis pain. and two pills. afternoon's overhaul starts with more pain. more pills. triple checking hydraulics. the evening brings more pain. so, back to more pills. almost done, when... hang on. stan's doctor recommended aleve. it can keep pain away all day with fewer pills than tylenol. this is rudy.
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okay. here -- nobody move! i'm getting a dustpan. >> mom? i think you're having a heart attack. >> honey, do i look like the type of person who has a heart attack? >> that was a clip from the very funny short film called "just a little heart attack." starring and directed by elizabeth banks, produced for the american heart association. part of their go red for women campaign. it struck a chord because a lot of people paying attention to this issue in part because rosie o'donnell's announcement that e at age 50 suffered a nearly fades heart attack earlier -- fatal heart attack earlier this month. she posted a poem on her blog. it reads in part, "my l.a.d.," left an tear year descending artery on the heart, "was 90% blocked. they call this heart attack a widow maker. i'm lucky to be here. know the symptoms, ladies.
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listen to the voice inside the one we call so easily to ignore. call 911." she didn't visit the emergency room or call her cardiologist until the next day. not all women are so lucky. we beat the drum on this issue a lot. dr. suzanne stein bomb is a cardiologist at lenox hill hospital in new york city and has been involved in beating the drum on this, as well. thanks for joining us. one of the things rosie on, dodge talked about was that she -- o'donnell talked about was that she missed the signs. it seems that everyone knows the symptoms for a heart attack in men. with women it can be different. how do you educate your patients about this? >> well, what i say is it's not necessarily that typical hollywood heart attack of a man clutching his chest. in fact, in women, the signs are often more subtle. there could be shortness of breath, nausea, vomiting, back pain, jaw pain, and in fact rosie wasn't sure it was her
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heart because ift wasn't in tha location. i tell my women patients, if are you doing daily activities and suddenly it becomes more difficult, suddenly you feel like you can't do the same things, whether due to shortness of breath or flulike symptoms, you must consider that it might be your heart. >> so that's an important point. if you have this new symptoms -- in rosie's case she talked about the fact that she felt clammy, her skin felt clammy, she was nauseated. if it comes on suddenly, seems to be a red flag. how do you know when it's serious enough to call 911? a lot of people think that's a big step to simply make that phone call. >> i think there is such a thing as women's intuition. really when i talk to my patients and like rosie said, she had a feeling it was her heart. if you really have a sense that you cannot breathe, that the pain is getting worse, i would
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rather you call and be wrong than not call and have a heart attack. >> let me show you, doctor, how that exact issue played out in that short film. take a look. >> okay. 911. [ ringing ] >> hi, sorry to bother you. i think i might be having a little heart attack. nothing early, just nausea, tightening of the jaw, dizziness, titleness of breath, muscle pain, achiness, terrible pressure in my chest. really? they can be here in how long? two minutes? can you make it ten? >> she literally started that with, sorry to bother you, as she's calling 911. almost fear of embarrassment. does that clip ring true? i mean, the american heart association to your point says only half of women say they would call 911 if they
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experience heart attack symptoms. but they also go on to say that more than 3/4 would call 911 if it was somebody else having a heart attack. what -- why is that? >> it's amazing. as women we tend to put ourselves last. we don't want to put anyone out, don't want to be wrong. we're afraid we're going to make people take care of us. it's not going to be our hearts. in one study when the women were asked why wouldn't you call 911, they said they would do the dishes in the sink first. you know, there are so many reasons why a woman might not call, but women tend to put themselves last. and like you say, they'll do it for someone else before they would do it for themselves. >> i know. and you know, it's amazing because women typically are the health care drivers in families. but they sometimes forget about it for themselves. if you've called 911, what should you do next? are the things you can be doing at home even in the few minutes while you're waiting? >> i think rosie did exactly what every woman should know
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about. take two aspirin, pop into your mouth, and chew them. call 911, and if you're wrong, it doesn't matter. you might just save yourself. you might save your life. >> again, very important advice. and you take that aspirin so you can make your blood a little thinner. you chew it so it absorbs more quickly. hopefully people are listening and this will make a difference. dr. steinbaum, thank you very much for joining us. >> thank you very much for having me. endurance swimmer diana nyad's dream was cut short again, 30 years in the making. we'll talk about what went right, what went wrong on her fourth and probably final attempt to swim from cuba to key west. stay with us. mix of energies. that's why we're supplying natural gas to generate cleaner electricity... that has around 50% fewer co2 emissions than coal. and it's also why, with our partner in brazil, shell is producing ethanol - a biofuel made from renewable sugarcane.
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every once in a while you meet someone who fundamentally changes your view of the world around you. for me, diana nyad is one of those people. at 60 years old, she decided to take on a challenge that seemed nearly impossible for someone half her age. she didn't complete the swim. her fourth attempt from cuba to key west. i can't help but think that the journey was far more important than the destination. 103 miles lay between havana, cuba, and key west, florida. the current is swift. and this ocean is home to nearly a dozen varieties of shark and jellyfish. boating is tough. swimming it nearly impossible. one woman, marathon swimmer diana nyad, set her sights on that goal over 30 years ago. in 1978, she swam 41 miles from
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cuba. a year later, she made it 89 miles from the bahamas to florida. a world record. and then she quit swimming. >> i thought to myself, i will never swim to florida, a world record, and then she quit swimming. >> i i thought to myself, i will never swim another stroke in my life. >> that is until she turned 60. >> i was driving in my car last year telling myself, yu better get with the life lessons and you better seize the day and looking at the cars in the rear-view mirror and i caught a sight of my eyes r a second and i thought, but wait a second, maybe i could go back. >> reporter: she got back in the water slowly at first and then put herself through the first big test. >> i did a 6 1/2 hour swim and that is the day i knew that this summer, i'm going from cuba to florida. >> she swam for hours ready to take on what she called the extreme dream, but delayeded cuban visas and bad weather
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forced her to put it on hold. 2011, she got her shot. on august 7th, a ceremonial bugle performance. and she was off. but the rest didn't go as planned. an aching shoulder. an asthma attack. >> i'm just dead. i'm dead. >> she got out of the water after 29 hours. >> where we going to be? cuba. >> reporter: a few months later a different scene, september 24th, she dove back in for attempt 23, and this time, it was stings from the jelly fish and they took her out after a day of swimming. >> never in my life have i had pain like that. >> reporter: but she could not let the dream ago. in july 24th, she jumped in again, and attempt number four,
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and the swim went well, but jelly fish stings again and this time a special suit. thunderstorms knocked heifer off course and after 42 hours of swimming and 63 hours after leaving cuba, a storm so dangerous that the lightning could have killed her. by sunrise on day four, diana came out of the water for the last time. i called diana as she rested on the boat heading back to key west. hey, it is sanjay. >> sanjay, how are you? >> i'm doing all right, diana. >> physically i was ready and the team was ready in every possible aspect, but it is a huge swatch of mother nature right here and so many variables, i don't know, sanjay, maybe somebody will make it across one day and i wish them luck, but it is going to be a pretty tough set of circumstances to put together in one stretch of three days. >> reporter: this time it seems that the extreme dream is over for good.
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surrounded by her team of divers and handlers, diana did a ceremonial walk up on the florida shores a picturesque end to a remarkable journey. it looks like it was really her last shot, but as we have seen, you never know what the future might hold especially when it comes to diana nyad. i am happy to call her a friend. if you are watching, good luck. and one thing you need to stick into your suitcase whenever you travel. day men's 50+. ntgomery and abigail higgins had... day men's 50+. ...a tree that bore the most rare and magical fruit. which provided for their every financial need. and then, in one blinding blink of an eye, their tree had given its last. but with their raymond james financial advisor, they had prepared for even the unthinkable. and they danced. see what a raymond james advisor can do for you.
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well, today, we have a made in america success story. as a child ralph brawn was told he would not live past his teen years and he defied the odds as you might guess and the company he start ed ed in his hometown has clients all over the world. each day, you will find ralph brawn at the headquarters of the company he founded in the 197 0s, the brawn corporation. he has clients around the globe, but such a successful future seemed unlikely when he was diagnosed with muscular distr dystrophy in 1946. >> my parents were told that i would not live past my teens. >> reporter: he grew up in rural indiana, and he says back then, there were no sidewalks. people like brawn were not welcomed. >> disabled people were looked at in the '40s and early '50s and whatever as most of the time they should be just sitting in a closet somewhere.
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>> reporter: his way of becoming successful was borne out of necessary. by that time, braun was unable to walk and he needed to be able to get to and from work. so he tapped the love of engineering and cobbled together random parts and created a scooter so he could get on the road. the year was 1963. >> the three-wheel scooters that you see today in the supermarkets and wherever were not -- there was not any such thing. and soy built the first one, a four-wheeler, which i call frankenstein, and i brought the -- built the second one, a three-wheeler which was the bride of. >> reporter: and today the company manufactures several thousand wheelchair and vehicle lifts and braun is widening the lives of people just like him all over the world. chasing life today, keeping you safe away from home. you know, i travel quite a bit and sometimes goi i go to coun
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where i don't speak the language and i am a doctor and i want to offer that to you as well. i caught this guidebook called the visual medical translator and it is a book made by a company called quick point. you open it up and literally point to what is bothering you, and we made an example over here and take a look at that you go to the hospital and trying to explain that you had a peanut allergy, and over here is the allergy section and this is what someone might look like that is suffering from allergies and specifically to the peanuts, and that would be hard to convey without a guidebook. and look at somewhere with a bite and it looks like this, and even point to specifically what caused the bite, maybe a spider bite or you can point to that or earlier in the show, one of the biggest killers anywhere in the united states is heart disease
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