that i got sick. that was more in this new discovery phase of my son learning who's mother really is because from 6 to 9 i wasn't while, i wasn't myself. >> heart health, lives in the balance coming up in just a little bit. up first, we're all over the news of the day, the clock ticking to out wednesday all rain meant in the georgia case that could provide crucial information for donald trump and his 18 codefendants. we're on the ground in florida after the presidents tour of hard-hit areas, a tour that had one notable absence. and on this labor day weekend we're gonna get an update on the sag strike from the chief negotiator from the actors union. that's ahead as well. we want to begin this hour though with former president donald trump was scheduled to be a rain in georgia this week. he's already said that he will not be showing up in person for wednesdays out arraignment. he has pled not guilty along with 11 of the codefendants. even though trump won't be there, he will get to see the proceedings as they happen since it will be televised.

let's bring in barbara mcquade along with greg bluestein, msnbc political contributor for the atlanta journal-constitution. and author of flood, how georgia turned purple and broke the monopoly on republican power. greg, if you will, start us off. i mentioned the former president will be showing up. the arraignment will still go forward. what can we expect? >> in georgia defendants have the right to waive their arraignments. it's no surprise that at least a dozen of the co-defendants -- have already done so. that means they're gonna be bypassing with a packed courtroom, tv cameras rolling, they're bypassing logistics. it's not a huge surprise. what happens now as it ramps up the next phase of litigation. which is already underway. there's defendants who are trying to speed up trial, others that are trying to slow the trial down. there are these five that are trying to remove the case to the federal court. what we know now is that donald

trump and his litigation strategy revolves around an effort to slow everything down. we can expect to continue to see donald trump and his litigation team slow things down. others may be trying to speed up the trial. >> greg, what do you make of this arraignment and of course the trial, whenever that will happen it will be televised, how will that change the game? >> it could change everything. this is expected to be the most watched trial of the century here in georgia. that's why this case, the efforts to move it to federal court are gonna be even more important. we expect it's moved to federal court which could end up -- a handful of the defendants. either way, we don't expect the federal court to allow tv cameras and live streams into the federal courtroom. which means that that's why fani willis wants this on our home court territory. a, it means that proceedings

will be televised. be, it means the jury probably picked out of fulton county rather than a marauder swath of metro atlanta. that there is a more politically diverse jury pool than you have in fulton county -- 70% of the. >> barbara, when we talk about this trial being televised. how does that play in to the defense is computations and how everything plays out, and also when thinking about their own client and how he acts oftentimes and says things. i think back to i believe it was 1995 or 1996, when the oj simpson verdict came out. that whole thing was televised. i remember oj trying on the globe. i have that distinctly in my brain. and how engrossed people were. will there be ramifications to this trial being televised? >> absolutely. televised trial proceedings

have come a long way since the 1990s, when people accuse some of the lawyers, the clients of playing to the cameras that judge lance ito didn't understand the need to rein people in. in georgia, a place that has had cameras in the courtroom, they've learned to adapt to that. we saw in the derek chauvin case that trial could proceed -- despite cameras in the courtroom. if you're representing someone who's a high-profile defendant like donald trump, what rudy giuliani. i could see why you might want to avoid cameras in the courtroom. it will display to the public all of the gory details of the evidence in this case. it makes it difficult for them to control the narrative, to use the information vacuum to talk about what they believe the evidence showed. instead the public's gonna see with their own eyes with the evidence shows. in a case like this for the great risk of disinformation, cameras in the courtroom can be a great public service. >> on the one hand you have the former president delaying the trial for as long as possible,

possibly pass the 2024 election. you have folks asking for a speedy trial, donald trump wanting to sever his case, delay it. you have sydney powell asking for a speedy trial, john chesebro scheduled for october 23rd for his trial day. what's the motivation for wanting to get a speedy trial for instance for sydney powell and chesebro? >> it's pretty rare really that in defending asserts the right to a speedy trial and western paucity. one reason might be to try and catch the prosecution flat-footed. we saw ted stephens successfully defend his case that way. although he was convicted at trial the case unravel later because of discovery mistakes the prosecutors made in their case to get the case ready for trial. utors that's one thing. i think there's also a possibility that they're wanting to do a preview for donald trump and the other defendants. if they have their trials first than everyone else gets to see

the playbook sees how the case went down and in many ways there are sacrificial lambs by going first of indeed they go first. >> sorry, didn't mean to cut you off. who cuts off barbacoa. are they coordinating chesebro's team along with trump's team in seeing who goes first, saying all take one for the team here? >> i don't know. it's a possibility. if they do happen to go first of the strategic advantage for the defendants who go later. it's one possibility. >> barbara mcquade, thank you. greg bluestein, thank you as well. our special, heart health lives in the balance is coming up. but first, as we mark labor day weekend negotiations and the strike in hollywood are nowhere near the finish line. in fact an additional strike may be on the horizon. we're back in 60 seconds with the chief negotiator for sag-aftra. ♪ ♪ ♪ fashion moves fast. setting trends is our business.

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>> heim jimmy fallon, i'm stephen colbert, -- >> when you said to me you met me jimmy but you met jimmy, jimmy. >> i always miño. >> seth meyers, who do you mean? >> i mean john oliver. >> that's five of us together for maybe an hour a day. >> strike force five is the name of the podcast, subscribe to it now. >> there we see the biggest names in late night tv coming up with a creative way to help out their staff have been on strike now for four months. all proceeds from that podcast will go directly to supporting them since they haven't had a paycheck since may. as things stand today on this labor day weekend, both sides are far from reaching agreement, both the rioters and screen actors guild remained firm in their demands for an equitable way to make a living. as the strikes press on to the fall tv series there's hope that this increased pressure on the studios can finally lead to a break for sometime soon.

joining me now is the national executive director of the sag-aftra union, duncan crabtree ireland. duncan, thank you for joining. as we appreciate it. the alliance of motion pictures and -- negotiating the companies haven't come to the table with sag members since july. where do things stand right now? >> yeah, it's been 52 days today since our strike began. we haven't had any outreach from the companies looking to come back to the table been saying every day that we want to be back at the table, we're always wanting to be back at the table. i'm glad they've been -- doesn't seem to have too much so -- i hope that the companies will renew their commitment as we move past labor day to get back in the room and make a fair deal that can bring the strikes to a close. >> i'm glad you brought up the rioters galled, they were offered what they've called a quote unquote, comprehensive package. still falling short of what the rioters want.

what was your reaction to that proposal? >> it wasn't a comprehensive package. there was one major new development which was an agreement on the part of the companies to sell transparency as it relates to the successive projects on streaming. which is a step for but it's one small piece of the overall picture. and it doesn't actually address the key issues that are there. i think when the -- characterize it as a comprehensive package designed to make a deal. it's not accurate at all. >> this could expand beyond where it is right now. i want to talk to you from reporting from the l.a. times, as early as next week, sag after members can strike against video game companies as well. spreading the movement even further throughout the entertainment industry. what do you make of that? >> well, absolutely. we are in the midst now -- campaign with our members for the video game contract, we call it the interactive agreement.

it's all the major in video game companies, and the interesting thing it's the same issues that companies are trying to hold increases down so that members wages don't keep up with inflation. those companies are trying to avoid making reasonable restrictions on the use of a.i., video games. it's gonna be a bigger issue with video games. the issues on the table -- it's not a coincidence that these maga companies in both streaming and foam, and in video games are trying to use the same playbook against our members. it's not gonna work. >> the l.a. times piece pointed out this distinct difference between the strike from 15 years ago, versus the strike that's happening now, saying unlike the previous strike 15 years ago, the wga thus far has benefited from cohesion within its ranks. reinforced by aggressive use of social media to amplify its message and discourage dissent. how have both the wga and sag-aftra managed to say so

strong this time around? >> i don't think it's an accurate statement, i think there's tremendous unity on the part of our members because when you actually look at what we're fighting for. our members down strong behind the principles. that's we had a 98% vote on our strike authorization for the streaming and studio contract. that's organic. that's members of the grassroots level stepping up and saying, this is what we need. he has, there's more social media now. there's a lot more access to communications that aren't controlled by the company, the news outlets that are controlled by these companies. but the bottom line is this is a grassroots movement of members, the rioters guild ad and s.a.g. aftra saying we need to be treated fairly and respectively. >> the start of this conversation off with footage with light night host jimmy fallon, jimmy camel, and the like, trying to raise money for their staff because they haven't gotten a paycheck in sometime. how are your members surviving

financially right now? >> it's hard. it's hard for our members, hard for the writers guild members, and hard for crew members and everyone else that depends on this industry. a lot of money has been raised to help provide grants for people's emergency financial assistance. but nothing is as good as being back to work and being able to pursue your career. but i want to remind everyone the reason that that happen is that these companies won't come to the table and make a fair deal. we've been ready to make a deal since july 12th. and we very much want to. it needs to be a fair deal for our members. the studios, streamers, need to step up. they should also make some donations to those emergency funds since they reported their saving a lot of money on paying peoples wages, maybe they should help take care of some of the impact that their actions have caused in the industry. >> duncan crabtree-ireland, thank you, we should mention that comcast apart -- parent company nbcuniversal is one of the entertainment companies represented by the

alliance of motion picture and television producers. still ahead, after a no-show with president biden in florida. rhonda sentences back outs became a hurricane recovery efforts. and coming up, heart health special. dealing with life after pericarditis. what the road to recovery could look like. >> mommy's first run. i have people accompanying me. are you guys ready? you're ready? >> mom, are you still sick? >> no, i'm getting better. >> here we go! >> here we go! ...to not only enhance the fan experience, but to advance how the game is played. now's the time to see what america's largest 5g network can do for your business. my frequent heartburn had me taking antacid after antacid all day long but with prilosec otc just one pill a day blocks heartburn for a full 24 hours. for one and done heartburn relief, prilosec otc. one pill a day, 24 hours, zero heartburn.

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investigation and the event zone remains closed. the day after president biden has visited florida and survey the damage left by hurricane idalia, cleanup and recovery efforts are continuing. smaller cities and towns along the gulf coast taking the brunt of the storm with dozens of buildings including homes and businesses heavily damaged or destroyed. other low lying areas facing severe flooding as well. i want to get right to nbc's -- in the town of horse to be. good to talk to you. talk us through the president's visit yesterday, how it was received. and the ongoing cleanup efforts. >> yasmin i should also add to the conditions here the heat, all of this is happening under the floor that heat with the homes in this community without power. you can imagine what that is a. like president biden came to florida yesterday and landed in gainesville and took an aerial tour of the affected area. decided to visit life. this is a larger community that

already has a lot of the main affected areas cleaned up. so it is much easier for the president to visit that area. he did meet with publican senator rick scott which is a good thing because this shows bipartisanship. biden is looking for congress to exclude the extra money that -- needs. governor ron desantis was here. he was giving away food and talking to members of the community. today we arrived at horseshoe beach and the damage here. the damage was completely destroyed. most of the pieces of these peers in the roof of that area are in the water. there is a pickup truck that has been there for days. the priority is to restore power and work on services and clean up the homes. there is a home about the block away from a couple that we met who recently bought that house. that was going to be their retirement home. they are just purchased all the furniture when the storm hit. this is part of the conversation that we had with them. >> we had an idea of what we

might find. but nothing like this. it looks like a war zone. somebody has texted me and said, your office is still there but it is off the foundation. there was enough water in the house is actually covered the inside windows. so you can imagine how much water would've been there. >> your heart just goes out for your neighbor. i am fortunate to have something i can do with that. but there are so many who don't. it is hard to look at. still three days later it's still hard to look. at i mean, it could be hard for a long time. >> we heard from two different residents there but you can see what they're going through. i want to show you the streets here, yasmin. because this type of traffic is a good sign. this means that the roads have been cleared. the first day we came in it was so difficult to drive down this roadway because we had power lines and debris. but now, we are getting all of

this traffic and trucks that have the trailers that are being used to pick the trash which is one of the biggest problems. so this is good. this means that the large vehicles can come in to continue with that recovery process. yasmin. >> >> we are thankful for that. the cleanup is continuing their, certainly amidst all the destruction after hurricane adalja. thank you. up next heart life and lives in the balance. join me as we share these stories of -- and i want to speak to two women about their personal battles with the condition including legendary basketball hall of famer dawn staley. as well as two of the top medical experts in the field. about the causes and the risk factors in the treatments as well. you won't want to miss it right after a very quick break. after a very quick break ...to not only enhance the fan experience, but to advance how the game is played. now's the time to see what america's largest 5g network can do for your business.

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i'm yasmin vossoughian and welcome to the msnbc special, heart health, lives in the balance. in the half hour ahead i want to take an in-depth journey into the crisis of pericarditis. it is an issue that is literally close to my heart. in december of 2022 i was diagnosed with pericarditis after contracting a virus called sackey from my son. i had severe chest pains when we breathe. and also shooting pains up and down my left arm and into my neck. i was hospitalized with a pair accordion fusion around my heart which was subsequently jade. after being discharged

undeveloped myocarditis after a flutter sensation in my heart. it was really minute five more days when they adjust my medication unmonitored me. since i've been a recovery for six months unable to exercise at all. i have been taking a cocktail of medications. hydros -- three times a day. medications to protect my heart from blood pressure and heartbreak. in early july i had a cardiac mri and was given the all clear and have had a gradual return to normalcy. >> mommy's first run and i have got people accompanying me. are you guys ready? are you ready? >> mom, are you still sick? >> no, i'm getting better. here we go. >> kids always keeping it real there but the threat is always. lingering the pericarditis might return. for some it is a lifelong struggle. pericarditis affects 28 of every 100,000 people every year.

most people survive and go back to living normal lives but it can significantly impact how you live those lives. as i am finding it firsthand, the emotional in the physical scars that leaves behind. i want to use my story to help others. in just a couple minutes i'll be joined by two prominent experts in this field. dr. alan cline and dr. martin winter. talking about the causes the symptoms and the treatments for pericarditis. i want to start with the personal. exploring heart health, lives in the balance. and we have two pretty amazing women to get things started. both in this fight with. me jon sale, a basketball hall of famer olympic gold medalist head coach or college basketball south carolina game cox. also carroll and, divine a second grade teacher and mother of two. welcome to you, both guys. dawn, i want to start with your story. first it was 2016 summer olympics in rio and you were the assistant coach of team usa. and you started having symptoms.

what happened? >> what happened was it took me by surprise because as an athlete you are used to certain pains and the orthopedic area. this was actually my heart. and it was a different pain so i immediately sought out our team doctor to see what was going on. and he really didn't tell me anything besides giving me some tylenol. and actually tylenol calmed down. but then i had another episode. in rio. and i just handle it with tylenol. but when i got home i had one more episode and i ended up going to the emergency room and basically like can't tell you anything besides you probably need to see a cardiologist. so i want to see a cardiologist and he basically said, you have a classic case of pericarditis. and i was, like what is

pericarditis? obviously you do your research. and the one thing i did read up on google is, you don't die from it. so if i don't die from it, i can pretty much handle it. then you go into this mode of being your own advocate. he told me i had a classic case of pericarditis. i want to see and find out who is the best in treating pericarditis and obviously dr. allen kline was that person. and i immediately went to see him and he put me on the right track to be where i am today. sitting here without any episodes for the past three years. thank god. >> that's. amazing we will talk to dr. cline in a moment. caroline, take us back. you are having similar symptoms, right? you are having pain a fever and fatigue, and what else? what was going on? >> it started for me except number 2020. at that point it was still the height of covid so if you

things like shortness of breath and chest pain and fever. there were some people that thought that i likely had covid. no home tests at the time were available. so i try to rest at home and after about a week of that i realize that i needed to get more care. i actually started getting a bit of nausea. went back to the urgent care. they sent me right to the emergency room and at that point was the first time i had ever heard of pericarditis. so that it was a long journey of finding out why the pericarditis was there. was auto immune? did i have some sort of condition like lupus or mixed connective tissue disease that needed some help? or was it idiopathic where they don't know where it came from? and after about six months of recurring flares, i had about five, i decided like bundling to become my own advocate and reach out for support. i found the global pericarditis support group on facebook and that is how i found dr. cline. and i said, let me call the best and see if he can take me. >> the crazy thing to me about

this whole thing is how there is not much you can really do about it except wait. and i quote that you put out there really stuck with me as a runner. you said, as an athlete you get injured and you think you can fight through it and you know that your body can heal itself. but pericarditis is different. you can't will yourself to get better. what was the process like for you? because you have to be so stagnant to get better. >> the process was very frustrating. you are used to getting injured and you seek treatment and then you follow the rules and then you get better. but with pericarditis you have to medicate. you have to arrest. and dr. cline will say basically sit down and have a coffee. and we are in the middle of our season. it's actually the season where we're gonna win our national championship. so he is, like sit down and i'm

like no i have to go go go. i do believe my process was a lot longer because i did not take the time that is needed for you to heal. and when you are an athlete you just -- you are in that mode of fighting through it. and i know i fought through but it probably could've been a lot easier had i taken lead time off. but we can't afford to leave the things that we really love and are passionate about. i probably 15 players and if i took the year off -- >> their depending on you. >> they're depending on me. and i had to depend on my doctors. dr. cline and the doctors at the cardiologist that i had in columbia and south carolina. they both did a great job. forming this team and this team allowed me to continue doing what i am doing. while monitoring me. and also allowed me to have the space.

because carolina i don't know how you did it but you would support if your husband. i didn't have that. i actually didn't want that so i was able to deal with it in just ride it out like an athlete. >> how did you tell yourself to settle down? how did you finally get through to yourself to say i need to rest? if i'm going to survive this thing and get better? >> the episodes kept me out. they would actually white me out. i would try to go to practice now would be sitting in a chair leaned over for almost the entire practice. i missed some shoes around because i just could not function. and then i'm just like i have to do what the doctors are telling me to do. i have to -- you have to be able to pivot and do the exact same things that you tell your athletes to do. that you tell your kids to do. if something is not right and you have to act and i had to act and just from that i wanted to get off medicine.

so you would hear to what the doctors are saying. to get off medicinal quicker. >> she is getting into some of the emotional scars you have to deal with. and that you develop after having pericarditis. i know you are a mom as well of two young kids. and you said to me off camera, they never knew you as the person you were. they've only seen you -- your nine year old now saw u.s. somebody was been dealing with this disease. why has that been like? how is it than to get through this moment in your life having those two young children in being a teacher to young kids as well? >> as far as my children are concerned i think my nine year old who was six of the time that i got sick, i think we're kind of in this new discovery phase of my son learning who his mother really is. because from the ages of 6 to 9 i was not well. i was not myself. and also with the mental and emotional piece, a lot of my identity as a teacher being

there for the kids. and to actually have to walk away may hear from my students, i get chills just talking about it. i was worried about them. but my kids need a mom and my husband needs a wife and eventually those students will be there for me when i am ready to get back to them. >> i kept telling myself, this is going to pass. this will eventually pass and i will eventually get better. there was an insight. and we're gonna be talking about some of the treatments coming up as well, the both of you have been through old -- along with my treatment as. well thank you for sticking with, me thank you guys for sharing your story with. me we're gonna get more of it coming up. two of the top medical experts in the field and joining me with all you need to know about pericarditis. from what symptoms to watch out for two it factors can put you in a high-risk. and the impact it can have on your future. something former hockey star -- had to face not too long after having open heart surgery. >> the surgery itself went really well.

they replaced a piece of my aorta and valve. unfortunately i caught some inflammation around my heart and that just made it too difficult to come back and play. but i was in such a good place. od place antacid all day long but with prilosec otc just one pill a day blocks heartburn for a full 24 hours. for one and done heartburn relief, prilosec otc. one pill a day, 24 hours, zero heartburn. (ella) fashion moves fast. setting trends is our business. relief, prilosec otc. we need to scale with customer demand... ...in real time. (jen) so we partner with verizon to take our operations to the next level. (marquis) with a custom private 5g network. (ella) with verizon business, we get more control of production, efficiencies, and greater agility. (marquis) so our customers get what they want, when they want it. (jen) it's not just a network. it's enterprise intelligence. (vo) learn more. it's your vision, it's your verizon.

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we want to start. here an estimated 28 people per 100,000. they get pericarditis every year. and it is most likely to impact men between the ages of 16 and 65. but let's take a step back. you might have heard of myocarditis. that is a similar type of inflammation of the heart however there are different places. myocarditis is aimed at your heart muscles whereas pericarditis happens in the lining around your heart. demonstrated there on your screen. and when it comes to pericarditis the condition can take many different forms. from acute to chronic and much more. but as far as recurrent pericarditis or cases that flare back up, that actually occurs more frequently in women. so what causes the serious heart conditions to begin with? up to 90% of cases do not actually know. however we do know various infections from viral bacteria and even -- can cause pericarditis. not to mention autoimmune diseases and injuries to the

chest. i want to turn now to our experts to talk more about this. dr. martin lowe winter, university of -- cardiologist as well. thank you for joining us on this. dr. cline, let me start with you. 90% of cases are and your path, a wheel really know why but it happens anyway. why is that? why is there so much known about this? >> most say this idiopathic. it is probably a viral ideology. virus would be the cause. doesn't matter which. bars could be a cold virus or a flu or covid infection. that virus attacks the lining of the heart. and could affect the muscle of the heart as well. so it is the bulk of the cases we have seen. another leading causes after cardiac procedures or surgeries. that is a leading cause. electoral physiological procedures are open heart surgery. that could be another cause. >> what is some of the symptoms, dr. liu winter? we just heard from caroline and -- symptoms that day and i have

experienced is. well what are some of the most common symptoms that you have seen? >> by far the most common symptom is chest pain and discomfort. and one of the important things that you have to do when you suspect pericarditis is make sure it is not a heart attack. masquerading as -- matrix is not pericarditis masquerading as a heart attack. that is very important. other symptoms are shortness of breath and sometimes dizziness. even painting. the pain itself has certain specific characteristics that we look for. and that sort of put us on the road towards diagnosing pericarditis. the pain is worse with inspiration, with breathing breathing. and it is almost always worse when patients it forward. sorry. when they were climb. it gets worse when you lie down. >> it is interesting. i was misdiagnosed, dr. cline. they have versions of the stories as. well misdiagnosed or not diagnosed at all. why does that happen? so often, it seems, in the

medical community. and also what are the diagnostics for pericarditis? if something is walking into the office for us these types of symptoms and they don't know what is going on? >> i think there is a big educational gap for patients and for physicians. when you walk into the are they track your heart attack and if you don't have a heart attack when it gets a little sketchy. the criteria would be two and four criteria. you need this classic florida contest. take a deep breath and it hurts. often you have a lot of food around the heart. >> i want to draw a little bit on what you said earlier about covid as well. because we do know and there have been cases of pericarditis that have developed from covid. from the virus itself. and then we also know of cases obviously in which people have developed myocarditis after getting the vaccine. talk about that and the pluses and minuses. >> currently we are seeing four types of patients. people that have covid and they

come in and that virus could attack anywhere including the heart and cause mild pericarditis. there are other patients with covid and they don't find anything. they have a long haul type syndrome. same with the vaccine. after the second booster in a young man usually 19 year old man with a lot of testosterone, they can actually have a reaction to the booster. >> i mentioned some numbers their doctor alone that they are more common amongst man. but recurring pericarditis seems to be more common amongst women. why is that and when does pericarditis go from acute or a one stop shop to recurrent? >> let me do the second part first. generally we treat the initial episode with sort of conventional drugs and -- culture scene. and most of the time it goes away. but the recurrence, we call it a recurrence if you have 4 to 6 weeks without any symptoms.

after that initial treatment. and if you have another recurrence, that is your current number one, most patients who have one recurrence ultimately do okay. or at least a good number of them. but once you are beyond one recurrence that is really where the problem is and those people are going to have, you can tell at that point that you're in for a bit of a long haul trying to treat these folks. why do women have more recurrent pericarditis is a mystery. basically. despite the fact that more men have an initial episode. and so i don't think anyone knows why. one possibility which i think dr. cline and i have discussed is that women are smarter than mitt. we all know that. but >> we know that, yes. >> and they do more research. they are less inclined to try to tough it out. whereas man have got to do

that. >> we will talk much more about this along with the treatments as both of you got into a little bit there after the break. the path after pericarditis. we will explore the different treatments including a new drug showing promising early results. plus, what recovery looks like for someone like myself who runs, and how it could therefore for every person out there. just hoping for some return to normalcy. we'll be right back. k. so they can stop the spread of wildfires. now's the time to see what america's largest 5g network can do for your business. ♪ (man)s the time to see that looks really high. (woman) it is high. whenever you are ready. (man) are there any snakes? (woman) nope. (man) are you sure? here we go! (vo) it's time to push your limits. (man) okay. (woman) you're doing great!

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lives in the balance. i want to wrap up with a focus on the treatment of pericarditis when it comes to recurrent cases there is promising new research and biologic drugs. some people even calling it a game-changer and how we treat this condition. i want to bring everyone back in for this conversation. dr. low, winter let me start with. you talking about the classic treatment, which is the treatment i have been, on high dose veteran and cultures-ing as well, talk about that. >> a bit of history, 40 years ago if you came to me i would have said, we'll take some ibuprofen and go away and that is it. i can't do anything else for you. so the standard initial treatment for a first episode of pericarditis is a combination of a -- most commonly it is ibuprofen. so that plus a drug called -- which has been around for ever and that combination generally will control an initial episode and has been mentioned for most

people that is it. however for patients who are more difficult especially when they began to have multiple recurrences, sometimes colchicine and -- will not control things and then the usual next step has been in the past the usual next step is the addition of prednisone, and cortical steroids. that gets it to a mess because it is very difficult to manage this patience as they go up and down with recurrences and sometimes prednisone can actually encourage recurrences. so it is going down that path, it is a problem. that's why these newer biologics have been such a big contribution. >> but doctor, i want you to jump in here. we have this breakthrough treatment with both of these women have been on. these are both biologic drugs. which our relationship in the game when it comes to the treatment of pericarditis. talk to me about this and how

it is actually working within hours of the -- systems. >> i was fortunate to lead the study called the -- trial which is about a biologic receptor blocker, but -- and other drugs are game-changers. there is a paradigm sniffed a doctor mentioned going with structures and then steroids. but now we are bypassing the steroids and going right to these biologics. so my two patients over here have been on biologics. and that has been a game-changer. it allows you to wean off the stories which have tremendous side effects. all resent osteoporosis. >> talk about restrictions. those were hard for me in my recovery but you really could not get your heart rate over 100 in order to heal. where are we on exercise right now, especially with these biologics? >> yasmin, the biggest thing in the office with patience is

about too much exercise. we know that exercise is a -- managing the lining in go for the run faster in the line a heart. so you have to let things heal. guidelines out there recommend between one and three months you should start -- i have been very conservative telling patients to walk their dog, keep their heart rate and let things heal. gradually taper your medicines and then -- >> unless you have a puppy running around in which case your heart rate is definitely getting over 100. dawn, that must have been difficult for you. it was hard for me must have a difficult for you to have that exercise restriction. how did you manage that psychologically? >> i tested it. you get your heart rate up to 100. but that part was really really difficult. but again, i wanted to heal. i wanted to be over so i could connect the days of being able to exercise.

so i just accept it up. >> meditation? yoga? >> yoga. breathing. meditation. i didn't do it until the end of my pericarditis. look at my third year, that is when i started to doing the yoga because i never thought about, it but it came to me somebody introduced me to it. and i really think that it expedited the symptoms and my healing. >> what is your message, carolan, for folks who might be watching this and, saying oh my gosh do i have this? how do we get through this? is there a light at the end of the tunnel? >> i think for me the message to point out there is trust yourself and become your own best advocates. because you don't want to get it fast you want to get it right. so finding the right care and not giving up until you feel in your intuition that you are on the right path. >> thank you guys for sharing your story. i know it is hard to be person

like this on national television. obviously is incredibly important to you. how does change or life and changed my life i want to make sure that other people are not misdiagnosed or treated wrongly as we were. so thank you guys for sharing your expertise with this situation. i will have a lot of folks out there. i know it will so thank you for that. and thank you for watching this heart health special. my hope is that you will take this information to heart figuratively and literally. and in the moment you start feeling like something is off that you will not hesitate and you'll get checked out in a listen to your gut and you'll advocate for yourself as these ladies at these tables, the smartest woman out here, no. for more information, check out the pericarditis alliance. that wraps up for. me i am yasmin vossoughian. >> greetings, everyone. you are watching simone. today we are taking a look at the fight in georgia to protect

fulton county d.a. fani willis. a group of lawyers want a judge to block a law that could make way for republicans to remove duly elected prosecutors. we are talking to jill hague who is leading the charge. plus it is full steam ahead for republican presidential primary contenders. we are digging into some of the outlandish things that the candidates are telling voters. even doubling down on their incendiary rhetoric. will this strategy chip away at trump's expanding lead in the polls? we'll see how that works. and it is time for the doctor to make a house. call covid-19 seems to be on the rise again. should we be masking up? two current covid vaccines work against the latest variant? is this our new normal? answers to all of your covid questions this hour. i am bud -- and i have something to say.