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tv   Sanjay Gupta MD  CNN  April 6, 2013 1:30pm-2:00pm PDT

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says bieber's representatives have been in touch trying to get the necessary paper work. personally i think the best thing justin bieber could do for himself and for the monkey is to say all right, it was not smart of my friends to give me the animal, and i just don't have the time for it. now i want to do something good for the animal and get it to a good institution where it can live with other monkeys, the head says. but for now, malley remains in quarantine, clinging to the teddy bear the shelter says was given to him by justin bieber. >> good luck to the monkey there. that's going to do it for me. stay with us for "sanjay gupta md." thanks for joining us. could everyone benefit from going gluten-free? we've got some answers ahead. the final four -- we all cringed when kevin ware went down on the court. i'm going to show you exactly
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what surgeons did to fix his leg. plus, one thing you can start today that will lower your kids' risk of futurer heart disease. but first, on friday, a federal judge allowed the plan b pill. previously it was prescription only if you were under 17. plan b is called emergency contraception and the cdc says one in nine women age 15 to 44 have used it. to joining me to talk more about this is my friend and colleague elizabeth cohen. you've been following this story for some time. the news is interesting because the judge said there was no real reason that it shouldn't be sold over the counter. what are you hearing from your doctor sources? >> right. the judge called it capricious and i think doctors would agree. what he basically said was look, the fda is charged with deciding whether a drug is safe and effective, and if it's safe and effective for 17 and older, it's also safe and effective for 17 and younger. he said the medical data is
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clear. it works the same in a woman's body. therefore his reasoning was it should be available over the counter to anyone at any age. >> but there are things that are safe and effective that still require prescription. >> that's true, but he's saying if you're not going to require a prescription for 17 and older, why are you requiring a prescription for younger than that? the obama administration said because they were worried the younger girls wouldn't really understand how to take it. >> we'll talk more about the impact on this. i want to introduce you to a woman named brooke mackie joining us from new york. thanks for joining us. you've obviously been following this story, i'm sure, because this is so personally relevant to you. you told us when you were a young teenager you needed plan b but couldn't get it. can you explain what was going on? >> sure. although i would like to say that i've been following the events in this case because i'm part of a group called national women's liberation that's been fighting for ten years to get the morning after pill over the counter, i am personally
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impacted because as a teenager i did need the morning after pill. i was someone who had unprotected sex. i wasn't able to ask my mom because i personally couldn't go to my parent and say that i needed to get the morning after pill. for most teenagers, i would think for all teenagers, that the only way to get access to a doctor, to get access to a prescription is to go with yor parent and access their health insurance. and so rather than go to my mom and ask to go to the doctor, because i had just had sex, i took all of her birth control pills and used them as a morning after pill. although as an adult, i also needed the morning after pill and still faced the requirement of having to show an i.d., find a pharmacy that's open, and a pharmacist who will give it to
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me. >> these are tough conversations. elizabeth and i are going to talk about it in a second. i have three daughters and she has four daughters. we think about this. i know you advocate for the plan b to be available with no limitations. but what do you think now that a little bit of time has passed, the parents' point of view is in all of this? >> restricting people who can be pregnant, that that line of a woman or a young girl who doesn't have control over her body, who can't make a very basic decision on whether or not she will have a child. that that is something that each woman, each girl should be able to decide on her own. >> what are the health concerns? so we're talking about any woman of childbearing age. we're talking potentially pretty young girls here. are there any particular health concerns? >> there are no particular health concerns for young girls versus older girls. there aren't very many side effects to these pills. it's usually something like a head ache or dizziness or
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nausea. not major side effects. you're taking this usually within 24 hours of having sex. it's not like when you think about an abortion many months later. it's very different. >> and obviously the critics say this is an abortion pill. you've heard that terminology thrown around. how does it work in the body? >> it works mainly by telling the ovary, hey, don't release an egg, which is how a birth control pill works. this is basically a high powered birth control pill. it can also keep egg and sperm away from each other. it can also in some instances keep a fertilized egg from implanting into a woman's uterine wall. and that's the one that people get upset about. some people consider that aborti abortion. >> because the egg has already been fertilized at that point. >> correct. >> you're a thoughtful person and you're a parent and i have three daughters myself. what do you think about -- i was talking to brooke about the parental notification. the psychological impact of having the child be talking to
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the parents about this. it's an uncomfortable situation. i don't want to have it with my daughters. what do you think? >> i talk to my teenage girls -- two of my girls are teenagers -- about sex. i told them i want you to come to me and your father and talk to us. i think that's the conversation you need to have. if my daughter, god forbid, were to have to go out and take this drug at the age of 15, the drug itself wouldn't really bother me. i don't think it's going to hurt her. but the fact that she needed it, that's what would bother me. i think the conversation we should be having is how do we keep 15-year-olds from having sex in the first place. >> elizabeth, thanks. i think about this quite a bit. thank you. you might have heard this. a type of food that's getting a bad rap from a lot of people is gluten. but is a gluten-free diet really a cure-all for many of your ailments or is this just a fad?
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gwyneth paltrow, miley cyrus, they've gone gluten-free. even oprah tried giving up gluten for a cleansing diet. gluten is a protein that's found in wheat and other grains, in foods like pasta and bread. >> if you are gluten intolerant, you end up spending half of your dinner looking for gluten-free items on the menu. >> gluten-free foods and diet books, they are now part of a $6 billion industry. but is the fuss worth it? dr. larry sperling wanted to know. >> to my knowledge, unless you have true gluten sensitivity, there's nothing magical about a gluten-free diet. >> one point to make clear, gluten-free is essential for people with celiac disease. even a microscopic amount can cause real problems. >> celiac is inflammation of the
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intestines. so it can produce intestine-like symptoms, upset stomach, diarrhea. >> long-term, it can also lead to osteoporosis and cancer. it can be identified through a blood test. but not so with gluten sensitivity. and here's where it gets complicated. some doctors say in people who are just sensitive, gluten can trigger head aches, auto immune systems and a host of other chronic problems. about 6% of the population may have this sensitivity. but some doctors, like this doctor suspects it may be much more common. joining me now, a renowned cardiologist. a new book out, called "the south beach diet gluten solution." thanks for joining us. you're one of my favorite guests. you've happied me with my own health and i really appreciate that. this particular book, you say the thing about gluten-free diets may be a trend, but there's something to it as well
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for most people. >> yeah, number one, it's real. we think it's affecting the majority of women in this country. so it is the real deal. >> you say just try it, basically is what i took away, and see how you feel. >> first you have to make sure you don't have celiac disease. if you get a little gluten, you're in trouble. but the majority of people will test negative for celiac disease. for gluten sensitivity, there's no test. so you just have to get off gluten for a while. >> so if you're having troubles and they're pretty significant, you probably should get tested and a blood test is pretty accurate? >> yes. if you have celiac, you have to be very strict about gluten.
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if not, you have to be gluten away. everybody will have a different threshold for how much gluten they can tolerate. people can tolerate a little milk in their coffee, but they have an ice cream sundae they're up all night. there's a similar spectrum of gluten problems. our book helps you find where you fall. a lot of people fall someplace -- >> is there a period of time when you know bush dawes i imagine there's a lot of people out there who just have some symptoms -- how long before they know it's a problem? >> things like reflux, energy focus, you'll often know in just a few days. our program recommends being gluten-free for a month. fairly strict the first month. it's easy to be gluten-free for a month. it's very hard to be gluten-free your whole life. and then once you know it's affecting you, then you can add back whole grains gradually and see what your threshold is.
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>> find your sweet spot. thanks for joining us. it's always interesting and i think it's so actionable, the things that you talk about as well, dr. arthur agatston. >> great to be back with you. >> good luck with the book. >> thanks. up next, we're exploring to what happens to your food after you gulp it down. mary roach will join us. i've been going around the country asking people to try on these amazing depend silhouette briefs. oh, it's cheryl burke! who's this guy? security. cheryl, hi! i know you don't need one but would you try on the depend silhouette for charity? right now? under this? why not? for charity? now's the perfect time, cause with soft fabric and waistband, the best protection looks, fits and feels just like underwear.
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my next guest has been called america's funniest science writer. pretty good moniker. mary roach. she's written about the science of sex and the curious science of life of the void. her latest book out this week is "gulp: adventures on the elementary canal". it's one of those words i always had written. how did you decide on this topic? >> okay, i'm going to tell you this. i was talking with a reader who happened to be a
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gastrointerologist. he says -- he goes, think of it. nobody appreciates their digestive tract. the human anus, this is a rim of muscle, the nerve that can discredi discriminate between solid, liquid, and gas and selectively decide what to let go. he was like no one appreciates their parts, okay? it's pretty miraculous. >> maybe you don't want to talk about it. you said people like what they eat rather than eat what they like. what does that mean? >> that has to do with the fact that we talk about if someone's a picky eater and trying to change people's eating habits, if you get somebody to just eat it a few times, they'll say they like it. there's a study about women in this -- women's college who, they ask them do you like evaporated milk? and only 15% said they liked it. they fed it to them 16 times and they asked them, do you like evaporated milk?
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now 51% say yeah, i do. so whatever is in front of you, if you eat it enough, you tend to like it. if you can get somebody to try something -- >> culturally foods are so different as well. i guess that would explain in part why some foods are so palatable versus other cultures. >> well, up until the age of about 2, you can get kids to try almost anything. there was a psychologist who did this wonderful study where he presented babies with a number of very off putting things like a cracker with ketchup, or fish eggs. and one was fake dog doo. and up through the age of two years, you could get the kids to try pretty much everything. the dog doo, it wasn't real, it was made with peanut butter, the smell came from cheese and they made this whole concoction. but the kids were like yeah, i'll try that. >> people always ask me this. i'll get your take on it. the stomach itself, you have all
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this digest iive acid. why doesn't it digest itself? >> my understanding is in fact it does, but it also is very good at rebuilding its own lining. so you have a new lining every three days or so. >> sloughing off. >> yeah. because the acid does do its job even on your own stomach, because you would think you can eat tripe and you eat other stomach and digest it, why don't you digest your own? >> did your diet change while writing this book or afterward? >> i'm careful with hot dogs. >> i really enjoy you and i enjoy your books very much. i'm honored that you would join us. >> thank you so much. coming up, it is final four weekend. one of my favorite weekends. i'm going to show you exactly how surgeons repaired the pretty shocking broken leg of louisville basketball guard kevin ware. stay with us. it's been pretty tough since jack passed away.
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we are back with sgmd. kevin ware broke his lower right leg in two places this week. his shinbone broke through the skin. it was too gruesome to really show again on television, but you get the idea of what happened. you can see the looks on his teammates' faces and really everyone else nearby. it was a pretty unusual injury. it appears that he jumped significantly horizontally and vertically and he landed in an awkward position. let me show you specifically what we're talking about here. look at the lower bones over here. this is the knee, the ankle. this is the tibia bone, and the fibula. and both of these bones specifically were broken as a result of that jump. i'll show you an x-ray now. this is sort of illustrated -- this isn't his x-ray
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specifically. but keep in mind the picture you just saw and you see the fracture here and another fracture down here. this is the skin and you can see the bone coming through the skin there. when that happens, there's a big risk of infection as well and one of the keys is you've got to operate, but you've got to do it even more quickly because of that risk of infection. let me show you something here. to reset a break like the one you see there, they put in a metal rod. the inside of the bone is more hollow. it has some space in there, so they're able to thread this through the top of bone and reconnect the two pieces. eventually the hope is that they heal back or fuse back together. this is a pretty rare thing and it's a gruesome injury really, but they do say that kevin ware -- this wasn't a career-ender for him. although a season-ender for sure. from college to the pros, you might think being a professional athlete and also having multiple sclerosis, that
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those two things would be mutually exclusive. but just last month, chris wright, he broke that barrier when he got a call from the dallas mavericks of the nba and he stuck with the team for ten days. with less than three minutes left in the game against the atlanta hawks, dallas mavericks point guard chris wright is in the game. playing in the nba has been his lifelong dream. but it almost didn't come true. >> while i was shooting, my whole right leg went numb. my right foot went numb. it went all the way up the right side of my body. >> last year, wright was diagnosed with multiple sclerosis, ms, a disease that damages the protective covering of nerve cells in the brain and the spinal cord. it's a disease he had never heard of. >> i didn't know what it was. i was just being positive about it. once i found out, i still was being positive. like okay, i just have to do what i have to do to maintain my life. >> doctors told wright he would never play basketball again.
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but he responded well to treatment. and less than three months after his diagnosis, wright was back on the court. he made history when he signed a ten-day contract with the dallas mavericks. becoming the first person with ms to play in the nba. while it may have only been a short stint, wright believes this won't be the last time he'll play in the nba. >> everything happens for a reason. and everything you go through definitely -- it's not a coincidence. it happened during ms awareness. so, you know, everything kind of fell into place. >> monthly treatments are keeping his ms from progressing, and he's not shying away from his diagnosis. wright says he's proud to be the face of ms. still ahead, how to not be duped by product packaging when you visit the grocery store. stay with us. hey! did you know that honey nut cheerios has oats that can help lower cholesterol? and it tastes good?
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when it comes to sodium, we simply eat too much, on average about four grams per day as an adult, when we really need about half that, about two grams per day. there's a study that came out that said if you get down to two grams a day, we could potentially save about 150,000 lives a year, simply from that one thing. frozen foods, they're going to have a lot of sodium in there for lots of different reasons, but mainly because sodium is a good preservative. that's why it's in there. but also canned foods. a lot of parents, again like me, they go to canned foods.
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the problem is you get about 950 grams, almost a gram of sodium, just for something like this. far too much for an adult and far too much for most kids as well. cereal is also an important food choice for many homes. read those labels again. one thing about reading labels, try and find foods like this that have less than five ingredients. that's really going to help. when it comes to that sodium again, one thing that we do in our house, we never leave crackers or cookies sitting out. we'll pour a little bit out, and it's important to find salt substitutes as well. if you find a substitute like this, no salt, for example, or just some flavorings, you can both cut down on your sodium, increase your potassium and possibly solve a lot of those problems. now, all those shopping tips are especially important for your kids, because too much sodium can hurt them the most and it's not just the salt shaker on the table. it can be a lot of processed,

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