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tv   Sanjay Gupta MD  CNN  May 4, 2014 4:30am-5:01am PDT

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that accent come from? >> i don't know but i said i don't really know what he sounds like, do you, other than what we heard on tapes. >> only from that recording. we just tweeted out those prom pictures so go find those. we'll see you back here at the top of the hour. >> "sanjay gupta md" starts now. today i want to talk about one of the most ethical things. should we use the tools of our trade, years of our training and skills not to prolong life or improve life but to end it, to put people to death? this question came into sharp focus this week in oklahoma. there were two lethal injections planned, two murderers the same night, but the first one didn't go as planned. so they called off the second one. i ask again, should these medications commonly used in hospitals to prolong life also be used to kill? it's a demme ma, no matter how you feel about the death penalty. the goal of capital punishment is to remove a criminal from
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society. it is not supposed to be torture or cruel or unusual punishment. that appears to be exactly what happened. >> he was struggling to talk, those were the words we got out. man, i'm not, and something is wrong. >> they may be the last words spoken by oklahoma inmate clayton lockett, uttered during his botched execution. what happened is his vein gave out during the least infection, prompting authorities to quickly halt the procedure. drugs weren't getting to blood but rather soft tissues. >> it was my decision to stop the execution. >> the first drug in that legal injection cocktail is supposed to render a person senseless and sedate. witnesses say lockett was still conscious seven minutes after the first injection. at 16 minutes, he seemingly tried to get up and talk. it was then the prison officials closed the blinds, shutting out the media gathered to witness. >> we didn't know what was happening on the other side of the blind. we didn't know if he was still
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dying or they were still pumping drugs in him. >> 43 minutes after the first injection, lockett died. >> inmate suffered what appears to be a massive heart attack and passed away. >> that botched execution prompted a stay on another execution scheduled for later that day. and quickly sparked controversy across the nation. here with me now dr. joel zivet, an anesthesiologist at emery university, a colleague of mine. he has studied and written about the death penalty and how it is carried out. welcome to the program. >> thanks for having me. >> this is one of the philosophically sticky areas. i am curious, you have written you don't think this can be done humanely and that it's a propagation of fiction to suggest that legal injections are a humane process. what did you mean by this propagation of fiction? >> people ask me and physicians, when they see these, why can't this be made better. what's the problem here. i was struggling for an analogy.
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maybe the way to think about this is it is a bit like asking a lifeguard how can you help someone drown better. they move their arms and legs around, it doesn't look good. can you please advise us. so whenever we get engaged in these sorts of conversations how can you make lethal injection better and is it botched, even that i find to be an odd sort of question. >> from what we know about some of the medications, based on data, in the operating room where you put patients to sleep, there's a medication given first in this case, midazolam, which is supposed to make someone sort of senseless, right? not only are they not aware of surroundings, but if they were to be aroused after, they wouldn't remember it. it causes amnesia. if that's given, based on your experience, would the patient have any knowledge of the p paralytic and the other medications given to stop the heart? >> you're talking about a patient now. if you talk about a patient,
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that's different than an inmate who is not a patient. >> in terms of what the drugs do to the body. >> what midazolam will do, it can create amnesia. what's interesting about midazolam, when i give a patient midazolam, i can have a conversation with them after giving it to them, and afterwards, say we go ahead and conduct an anesthetic, later on i ask them do you recall the conversation we had, they will say no. not completely, but it can create that kind of amnesia. they still experience it in the moment. so the advantage of midazolam in an anesthetic, it is amnesia in the moment. but afterwards that's the point, and i can't ask an executed person, the amnesia they would have is useless to them, isn't it. >> that's a fascinating point. the idea that someone could still experience other things, despite being under the influence of that medication is a really important point. as you point out, we don't have
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the opportunity to go back and revault. you suggest in a usa today editorial, firing squad, guillotine, something like that. are you being facetious or honest? >> my view of the death penalty the rightness of wrongness is not at issue. i will tell you that lethal injection won't work. it won't work. even if it looks like it works, it won't. it won't satisfy the question of cruelty. so if states choose to execute, how they choose to execute is their business, but they can't use medicine to do it. that's my position. >> is it the least sort of cruel, least, you know, most humane? >> to my view it is no less cruel than any other method per se. >> firing squad? >> the only reason why lethal injection appears to be less cruel is because of how it appears, and it appears like that because of paralyzing drugs, for example, where they just don't move around, and maybe there's no spilling of blood or there's no sounds. you know, it is really like i think as i've said, this is
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honestly a little bit of theater is the appearance of being here. the curtain goes up, the curtain goes down, it feels very unseemly. >> as a first year medical student, it is like we have these conversations, it is always been philosophically sticky. i think many people in the medical profession share your concerns about this. there's nothing ideal about this at all. i appreciate your perspective. >> thank you very much. next, we're going to shift gears to the neuro science of happiness. and an unlikely champion, and someone i have gotten to know well, goldie hawn, is bringing it to the classroom. we'll explain. let me get this straight... [ female voice ] yes?
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mindfulness is something that a lot of people talk about in the context of religion. other people think of it as the science of de-stressing. it is a popular topic. at the world economic forum. arianna huffington wrote a book about it. insurance companies like aetna practice it. goldie hawn is bringing it to schools all over the world. one breath through the nose. feel it go all the way through your body. >> on any given day. >> hold it and release it. >> at any given time, at the this elementary, you can find students taking a brain break. a cornerstone of mind up. a program dedicated to bringing mindfulness into the classroom.
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>> we are not worried about anything because we are just focused on breathing. >> this is one of thousands of schools that adopted mind up over the past ten years. mind up founder and creator, actress goldie hawn, believes when children better understand how their brains work, they can better handle their emotions. >> we felt teaching them about their brain and how that would work and how they actually know that a brain is plastic and you can move it by thinking about things long enough that they would feel more optimistic. and then realizing an ability to be optimistic opens the brain up and children can learn better. >> mind up classes integrate learning about different parts of the brain into their lessons. >> we need to learn about our brains. amygdala passes information to the prefrontal cortex. >> as a neuro scientist myself, i was intrigued by all of this.
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i decided to meet hawn and the principal to see how it works. >> the idea of weaving it through the students' day, that was important to you. >> i want it woven into the tapestry of their day. >> today we're going to practice just slowing down. >> it is even present when they eat. >> we're going to eat a little bitty raisin, you're not going to do anything but hold it in your hand and really look at it. examine it and feel it. >> what do you think a child will take away from that? >> that's activating the brain, calming the brain down, but keeping it in a single point focus. then they learn how to eat. they learn how to savor, how their taste buds are alive, they learn about how the body works. >> when you taste, what are you using? >> your tongue. >> and are you going to be eating dirt and rocks? >> no. >> what are you going to eat?
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>> food. >> and why? >> because when you eat, it makes you have energy, and when you have energy, it makes your blood flow, and when your blood flows, you can think better. >> let's take a moment now and enjoy. >> they are forced to slow down and focus when they eat. hardly anybody, adults or children, does that any more. >> do you think you would eat as much if you ate it the way you just did? >> instead of just putting it in your mouth and just like eating it, you're like savoring it and making good use out of it. >> how do you describe mindfulness? >> mindfulness is very simple really. it's the ability to focus but it also allows you to live in the moment. you feel like a child. your eyes actually can look like a child because you're seeing things you've never seen before. >> it sounds really good.
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who doesn't want that, right? >> i think that a lot of people don't know how because it is a technique. >> goldie hawn says she was always a happy person growing up, but she hit a roadblock herself when she stumbled into stardom. >> life at 21, suddenly you're a star overnight, i mean, it is not easy. i was a dancer five minutes ago, now where am i. so i went to the areas i needed to continue to develop. >> 13 years ago after 9/11, she saw children undergoing undue amounts of stress. >> i thought what am i going to do. just me. but i have to do something for children so they can basically handle this very troubled world. >> after hearing about school shooting after school shooting, this all became urgent. >> when i see kids killing other kids and i see them killing themselves, which i still can't tolerate because it still makes me weep, it is not acceptable in the united states of america. we're better than that.
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>> hawn decided to collaborate with neuro scientists, gave a ted talk about how we can achieve happiness through science. >> they learn about their brains. they're learning also how to quiet their mind, because stress blocks learning. >> the principal credits mind up with helping her school achieve the highest scores in reading, writing and math last year. more importantly, she sees it building the character of students. >> so i think it is a great way to build some good character skills to help kids not choose to bully and to help kids who are bullying to help them be better people. >> in a world of bottom lines, some schools are going to balk at the initial $5,000 training, but hawn is passionate about it, that mind up is not a luxury. >> how do you convince this is a priority? >> what are we doing about their stress factors, movement, energy, joy, excitement, games? this builds neurons.
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firing neurons in the brain that create a healthy brain. you cannot take these things away from our children. >> mind up is one of a handful of mindfulness programs in schools across the country. some studies found they promote lasting reduction in depression, hyperactivity and adhd symptoms. jumping on the exercise wagon after an injury or operation and doing it better than before. we have something for you. and later, check this out. what is that? that's our medical mystery still ahead. ? 1 in 3 people will get shingles in their lifetime. guess which one i was. if yand you're talking toevere rheuyour rheumatologistike me, about a biologic... this is humira. this is humira helping to relieve my pain. this is humira helping me lay the groundwork.
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this is humira helping to protect my joints from further damage. doctors have been prescribing humira for ten years. humira works by targeting and helping to block a specific source of inflammation that contributes to ra symptoms. humira is proven to help relieve pain and stop further joint damage in many adults. humira can lower your ability to fight infections, including tuberculosis. serious, sometimes fatal events, such as infections, lymphoma, or other types of cancer, have happened. blood, liver and nervous system problems, serious allergic reactions, and new or worsening heart failure have occurred. before starting humira, your doctor should test you for tb. ask your doctor if you live in or have been to a region where certain fungal infections are common. tell your doctor if you have had tb, hepatitis b, are prone to infections, or have symptoms such as fever, fatigue, cough, or sores. you should not start humira if you have any kind of infection. take the next step. talk to your doctor. this is humira at work.
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an injury can really put a dent in your workout routine. what about trying to rebound after an operation? people do this every day. our fit nation athlete jami jamil natu is recovering from abdominal surgery to remove the last remnants of testicular cancer. we decided to send him to work out with our good friend and sports medicine expert, dr. jordan metzel. >> i will show you exercises to do a few times a week. the ars first one is a simple squat. spread your feet wider than shoulder width. but your arms here. keep your chest up like me. you're going to squat below the knees. get lower if you can, good man. with this one, watch me first. i am going to come down, do an easy jump and come right back down. the benefit of these is that you're both strengthening your muscles and starting to strengthen the heart.
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give me five more, see what happens to your heart and breathing as you start to go. number two exercise i am going to give you is an isometric. we introduce an exercise, the plank, great to exercise core muscles in the front and back of the spine. >> okay. >> get right into plank position like this. what's happening is the muscles in front and back of the spine are being worked, even though they're not moving. can you feel that? >> oh, yeah. >> watch me. you turn this way, give me 30 seconds like this. try this, face this way, see what that is like. there you go. maybe a minute forward and 30 seconds on each side. you can do these every day. all right?
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and finally, talk about exercising muscles around the chest. there's nothing as good as a pushup with a little rotation. for this one, let's kind of face this way. the classic pushup, down to the ground, back up. let's put in a rotation in this. if you get better, you can start using weights, too. i am going to have you rotate left, push up, rotate right. push up. we are going to strengthen the whole body. again, it is not strength training or cardio, we can do those together. if you do that a few times a week, we're going to get you ready for the race. you're going to be great. >> thank you. >> my pleasure. >> some pretty good tips there. also no excuses. if you can do this after an abdominal operation, you can get up today and do something, anything. also if you're looking for an all natural no pill prescription for better health and longer life, pick up jordan's book. called "the exercise cure." you know, another person who didn't let an injury slow her down, painter natalie irish. she has this art that will put a smile on your face. for as long as she can remember,
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natalie irish has been passionate about art. but when she was diagnosed with type one diabetes at age 18, even that became a struggle for her. >> i can't keep my eyes open. i can't focus on my art classes >> her blood sugar was seven times higher than normal. doctors were surprised she hadn't lapsed into a diabetic coma. >> everything changed. my priorities, the way i ate and lived my life. just starting from scratch. >> not long after, something else changed, too. her style of art. >> i put on my red lipstick, and blotted it on a piece of tissue, saw the lip print. i was like i can paint with that. >> that's right. she paints with her lips. >> this is just a different paint brush. >> natalie creates masterpieces. she says some of them sell for thousands of dollars and she's using that attention to help raise awareness about type one diabetes. her biggest message, fix the
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physical but don't forget the mental. >> every day is different. you have good days and bad days, but it is not, you know -- >> i don't know how she makes those amazing paintings. good luck, nationally. natalie. up next, we have a medical mystery. what this picture shows and why it is so dangerous. stay with us. okay, listen up! i'm re-workin' the menu.
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what is this place? where are we? this is where we bring together reliably fast internet and the best in entertainment. we call it the x1 entertainment operating system. it looks like the future! we must have encountered a temporal vortex. further analytics are necessary. beam us up. ♪ that's my phone. hey. [ female announcer ] the x1 entertainment operating system. only from xfinity. tv and internet together like never before. got my eye on medical mysteries this week.
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this is a disease killing about a third of people that get infected. more than two dozen new cases this week. it is called mers. not a sexy name. m-e-r-s. in all the cases, more than 300 total, are linked to the middle east, mostly saudi arabia. mers is short for middle east respiratory syndrome. it is a virus that causes fever, shortness of breath, often pneumonia. on friday, the cdc recorded the first patient in the united states, a health care worker that flew from saudi arabia through london to chicago, and then rode a bus to indiana. they do say the general public in the united states isn't at risk. >> but we think it is important for the public to know if they have traveled to the arabian peninsula and developed respiratory symptoms with fever within two weeks after returning home, they should see their provider and let their doctor or nurse know about their travel history. >> the outbreak started in 2012,
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and a big question has been where did it come from. now you're looking at a prime suspect, a one humped camel. this week scientists say they found a live mers virus in two of these animals. it is a strain that's identical to what's been found in people. >> now, the camel finding indicates that cam else are a very likely source of human infection. >> they say nearly three-quarters of the camels have antibodies to the mers virus, meaning they have been exposed. we still don't know how it spread and who is most at risk. do you have to touch the camel or a spot where the camel has been? what about camel milk and meat? >> sufficient to say that some practices, such as eating raw camel meat, or drinking raw camel milk are almost certainly unsafe. >> it is not just camels. doctors and nurses caught it from patients. family members caught it from each other. they're working for ways to keep
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people safe for the pilgrimage in october. we are going to stay on top of the story. stay connected at cnn.com. keep the conversation going on twitter. i want to hear from you. @dsanjaygupta. good morning, everybody. i'm christi paul. so glad to see you on this sunday. >> victor bracwell. this is "new day" sunday. -- captions by vitac -- www.vitac.com they hit everybody last night, joe biden, the 47%, the cattle

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