medications were available. during the hhs presentation there was talk about the large manufacturers, if there were problems getting medications, that the federal government could facilitate that. but it is a great point. it's something locally we are working on with our pharmaceutical group because it is a big concern if we do lose supply how do we replenish that. san francisco does not have a lot of storage space so we are not able to store medications to a great extent in the area. >> i was just going to echo, our capability does come with its own internal pharmaceutical supply, although it is limited and so that would be important for us to understand what the resupply process would be as we move forward on that. so we can certainly hit the ground running, but then we would need some sort shortly thereafter. >> mine is a two-part question. we've seen in ismat turkey in 1999 a number of walking wounded that will immediately overwhelm the medical response community and then how do you disallow them immediate h

national medical center at bethesda. pretty challenging the cultures that exist there, you have cultures that exist here, you are speaking about cultural differences between the military and its hierarchy of command and control and the civilian command and control and figuring out the two greatest things you need in the chaos of disaster. no. 1, communications. no. 2, who's in charge. i dealt with a lot of cultural issues when i was combining the army and the navy medical forces between walter reed and bethesda. america's army is an amazingly heroic army. they have occupied valley forge , tokyo, berlin, danang and now it occupies bethesda, maryland, but we're working through that. how do we break those cultural barriers, how do we figure out supporting supporters, how do we do that before the next capacity goes on? so what have we done, what capabilities do we bring, where do we use them and how will they be playing a role here in the event of the most likely nightmare scenarios for this area? i grew up in the bay area,

it was about my medical attention that allowed me to move forward. because i had - too years ago later my viral load is undid he technically. i'm thinking about trying to doing all that by myself is like a 5 hundred pound weight prergz down on me. if i don't get those services i'm in trouble. 60 percent of my friends including me have a greater success and my story is not over i've still got a lot of things to do. please continue to invest in our health too. thank you >> thank you very much. next speaker >> i'm juan and i've been living with hiv since 2003. i was gainfully employed before this. i started to use drugs and eventually i lost my jobs. then 2007 i find a case manager and find a social community. but because of my drug use i - my doctor said that i needed to be treated for my drug addiction. so in 2011 things got worse i asked my staff manager to help me going get into rehab. i was able to get on hiv medication and i've been clean for over two years and my t cell counts have increased dramatically. san francisco's safety net saved me when

the same thing is happening in the medical exchange program. we have gone from a show and tell basically of this is what we have to offer, to this year of actual demonstration of that in a more austere environment and we tried to fit that in, how does it fit in with what we're doing in san francisco and the bay area with medical planning. so yesterday we had an opportunity to go out and see a shock trauma platoon set up on ocean beach, had them running demonstrations and asking questions of the doctors and nurses there. we also saw a landing craft on the beach. yes, it can bring a tractor, it can bring personnel, it can also evacuate patients. it can also bring resources that we otherwise wouldn't be able to get into the city. general spies has said it many times, they have the ability to go around, over, i think through was one of those as well, any of the obstacles we find in our way. that's a resource we in san francisco really have to capitalize on. as i look at all these things, frankly i just was talking to somebody this morning, this is

i want to focus on primary medical care. if we lose a portion of the ryan white services we scant continue and this will effect qualify. san francisco lead the way in saying that all people should be on treatment regardless of their cdc contact. so at our clinic with 3 thousand patients we're able to prescribe medication and 82 percent of those patients are libel to pass hiv on. without ryan white or restoring those funds we won't be able to do that. and rapid assess engaging people at the time they first get a diagnosis is key to getting people on that undedeckably assess. i'm afraid that will change our care and we ask for your support >> thank you very much. next speaker >> good afternoon i'm a community member and a student the san francisco university. i have been a person who has received treatment. i came here about 11 years ago this year serves that are affordable access to health care, affordable health care to testing and i think those services are really important for community members and for a vulnerable populat

tell your doctor about all your medical conditions and medications, and ask if your heart is healthy enough for sexual activity. do not take cialis if you take nitrates for chest pain, as this may cause an unsafe drop in blood pressure. do not drink alcohol in excess with cialis. side effects may include headache, upset stomach, delayed backache or muscle ache. to avoid long-term injury, seek immediate medical help for an erection lasting more than four hours. if you have any sudden decrease or loss in hearing or vision, or if you have any allergic reactions such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing, stop taking cialis and get medical help right away. ask your doctor about cialis for daily use and a 30-tablet free trial. >>> last week this story got my attention, i think in part because i have kids. two mom launched an online petition calling on kraft to remove two ingredients from the popular mac & cheese. a few hundred thousand people signed on to this campaign. >> we found out kraft is using two ingredients in the u.s. versi

we change medical practice and we change medical education. the heart disease program has been by far the hardest thing i've ever done in my entire life. most insurance companies will follow medicare's lead, so i realize that medicare is the rosetta stone. if we get medicare to cover it then everyone else will cover it. and if everyone covers it then it becomes a standard of care. now that medicare is going to cover the heart disease program, the next step will be type 2 diabetes. half of americans will be diabetic or pre-diabetic in the next ten years. half. if we can prevent that and even reverse it, that's how we're going to make true health care, not just sick care available at a time when the medical system is so badly broken. >>> i've never looked after a healthy person. and maybe it would be easier to take care of people and keep them from getting sick before they actually did get sick. >>> if we really can begin to change from paying for volume, paying for how much you do to paying for outcomes, paying for how well you do, how well the

tell your doctor about all your medical conditions and medications, and ask if your heart is healthy enough for sexual activity. do not take cialis if you take nitrates for chest pain, as this may cause an unsafe drop in blood pressure. do not drink alcohol in excess with cialis. side effects may include headache, upset stomach, delayed backache or muscle ache. to avoid long-term injury, seek immediate medical help for an erection lasting more than four hours. if you have any sudden decrease or loss in hearing or vision, or if you have any allergic reactions such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing, stop taking cialis and get medical help right away. ask your doctor about cialis for daily use and a 30-tablet free trial. >> eric: it's time for "sunday housecall". joining us this morning is dr. marc siegel, associate professor of medicine at nyu and author of the inner pulse, unlocking the secret code of sickness and health. >> jamie: he's not alone. dr. david samadi is here, the advicvicechairman of the departf urology at cedar

i was so dependent on my pain medication. this -- medications i was on. you understand?tions i was on. when you are injured, they feed you, feed you, feed you all this stuff. it's addictive. it is so addictive. i would rather be shot again than go through withdrawals. coming off that medicine. to have to go through this. >> as we pushed medical innovation to the leading edge of the battlefield and we can save their life, we have guys with horrific injuries and they are getting narcotics for a longer period of time, they are at risk to develop dependency and that's what we are trying to avoid. they established the pain management task force to look at alternatives to narcotics. . >> very large randomized trials at multiple centers that demonstrated that accupuncture works so we started a study during the air e vacs to walter reid and other medical centers in the united states. >> the question was can we relieve their pain and reduce the medications they are on so by the time they get back, they are not snowed under. >> welcome to germany. you are headed home and you are e

tell your doctor about all your medical conditions and medications, and ask if your heart is healthy enough for sexual activity. do not take cialis if you take nitrates for chest pain as this may cause an unsafe drop in blood pressure. do not drink alcohol in excess with cialis. side effects may include headache, upset stomach, delayed backache or muscle ache. to avoid long-term injury, seek immediate medical help for an erection lasting more than four hours. if you have any sudden decrease or loss in hearing or vision or if you have any allergic reactions such as rash, hives, swelling of the lips tongue or throat or difficulty breathing or swallowing, stop taking cialis and get medical help right away. ask your doctor about cialis for daily use and a 30-tablet free trial. w >> pelley: cardinals at the vatican will soon gather to elect a new pope for the world's 1.2 billion catholics including 75 million here in the united states. many of whom appear eager for change. in a cbs news/"new york times" poll out tonight, 71% of american catholics told us the next pope should favor artific

i was so dependent on my pain medication. this -- medications i was on. do you understand?how many medications i was on. when you're injured they feed you, feed you, feed you all this stuff. it's addictive. it is so addictive. i'd rather be shot again than go through withdraws of coming off that medicine. no soldier should have to go through this. >> as we've pushed medical innovation and capability to the leading edge of the battlefield where we can save their life, and we've got some guys who have have some horrific injuries and getting narcotics for longer periods of type and at risk for dependency, and that is what we are trying to avoid. the army sergeant general directed that we establish the pain management task force to take a look at alternatives to narcotics. >> there's very large randomized trials done at multiple centers that demonstrated acupuncture works, so we put together a study to see if we can actually insert this simple acupuncture technique during the aerovacs of wounded soldiers to walter reed and other medical centers in the united states. the questio

prescription medications to improve concentration. a new warning out there which drives home this point, you should only do this with medical supervision, what does that mean for your kids in school and you, as well. >>> a father with a dilemma was his son dangerous or just misunderstood. his son was facing 60 years in prison. let's get started. >>> first up, though, an update on a boy that has become a friend of mine. his name is usef a painful reminder. part of my reporting at cnn is to remind you and to tell you that in wars, families and children suffer and he is one of them. the story that led him to me is this unbelievable tragedy. they came to his home, put kerosene and set him on fire. six years later his story isn't so much about the cruelty, but strength and resilience and also the pursuit of happiness. >> this is our classroom. i sit in that seat over there. >> reporter: what a typical american 10-year-old kid he has become. >> reporter: this was yusef, just 5 years old. he was attacked by masked men in front of his home in

medical groups are fighting each other. hospitals by medical groups. and on and on. everyone is trying to put themselves in a position to receive this value-oriented event in two makers of the organizational capacity you have to have. for instance, to prevent post-soviet nations. second, i.t. is necessary and under dr. blumenthal's leadership, we taken great strides to make sure the industry as no more than five or 10 years behind most american industries. the kind of changes we talk about can't be achieved without a digital medical records were busy quite quickly in that direction. thirdly, i do want to pay a special shout out to the safety net where problems particularly challenged. the public hospitals are probably the only places where value payment is enshrined in law and they will need particular support and help to get over the notion that moving to value-based payment is inevitably bad for them. i played to not only support the goals of cpr, but the 20% is actually achievable. as a catalyst's energy applied a system which went tickets going continues on its o

and tonight on big medical bills.s paula faris, to see what she could do. ♪ at last >> reporter: joyce ann huston has been a musician her entire life. even has her own wall of fame. just last night she was on stage, but today, she's paying for it. like millions of americans, joyce has a chronic medical condition. hers is lupus. she preps her body for days before performing. her music is her only escape, and it's how she pays the bills. she still owes $25,000 from her original diagnosis, and new bills from her ongoing care are mounting. financially, where are you right now? >> in the hole. i could end up losing my house. >> reporter: what joyce and millions of others didn't realize is that over half of the nation's hospitals -- the nonprofits -- have money that they're required to give back to the community often through what's called patient assistance programs. health care advocate michelle katz says it's hidden money that too many people don't know about. >> reporter: i don't think most people know. >> but they're r

on pain medication?and i don't mean to suggest that they do, but that's part of the question. >> well, i will make a brief comment and then i will ask if anybody else here. the tremendous physical stress that they undergo, marching with 80-pound packs, et cetera. when you look at the complaints that returning veterans have, musculoskeletal are far and away the leaders. 45% of people returning to this country after deployment complained about neck, arm, shoulder, back pain, et cetera. that's the only thing that i personally can testify to. i would ask -- if anyone else? >> i think these are the sorts of questions that we need to ask if you want to really move from jason okay, here's the diagnosed, here's the treatment. i think we need understand some of those underlying mechanisms that are going on that influence both the physical and mental health functioning. and so one of the examples i'll give is when we think about the ideology of ptsd. so why do some people develop ptsd and some people don't? one of

to medical apps?l be, what apps will they define as medical devices is the big issue. is it going to be something like measuring your heart rate. is it going to be something really more than, like an implantable device that sends a signal to your smartphone this that would be more obviously a medical device. we don't know the answers. those will come out with the fda those are up in the air as we speak. senate is trying to have hearings to sway the outcome. david: there are taxes and sort of taxes. a regulation is sort of a tax. you have to spend money. fda will start regulating medical apps. >> which is cost and expense. david: it is a definite cost and expense. is there any way that can be modified by public pressure. >> it is the easiest approval plat form now. so it's not multiyears like a coronary extent or something like that. it is still 60, 70 days, several thousand dollars which is a lot for some developer in san francisco. i don't think they can get much easier. david: we have to leave it at

the person agrees not to refuse medication. they come in to check in with the judge on a regular basis and attorney is provided to represent this patient in all proceedings. if they feel at some point they don't need the program, they have the right to ask to leave. we have them participating in this program. >> thank you very much. let's continue this discussion. let's go to gary sigh. you have studied this issue from a personal standpoint and you have a family member with mental health issues. as you explained to me in the e-mail, one of the problems here is people with certain mental health problems may not even beware of their condition. give us a sense of what you mean by that? >> yeah. there have been some studies looking at individuals with bipolar disorders as well as skwiz schizophrenia. 40-60 percent have systems of lacking awareness. what this means is basically there is damage to certain pathways of the brain responsible for self reflection and self awareness. this has been shown in neurology for individuals after t

my son signed in medical release. -- my son signed a medical release so the doctors could talk to us. we did not know this because the doctors were not talking to us. we found out after he was deceived. read the medical records. we found out he signed a release. the doctors still would not talk to us. the way the law is written, it is still up to the doctor whether he chooses to talk to you or not. the other question i have announced that no one can seem to answer is, if a patient signs a release, cancels it, and reinstates it, and cancels it, does there have to be a paper trail on that? i cannot seem to find that. there does not seem to be a rule on how that works. how do we know if doctors can talk to a patient? if they signed to a release and verbally cancel it, who would know? none of that is documented in the medical records. >> i wanted to let members know something interesting. four states and the district of columbia have claimed the privacy rule is preventing them from putting records into a national criminal database. rhode island has submitted zero. montana, three. mississi

o.k., does he have any medical problems?he has a bad heart and, and, uh... uh... he has high blood pressure but i don't know what medication he's on. brewster 77, we'll be there in about 3 to 5 minutes. that's our eta, that will be our estimated time of arrival. hold on, dad. ( siren wailing ) up here! o.k., it's my dad. o.k. man: kevin? yes. how you doing? o.k., that's dan. i'm fitz, all right. how long ago did this start, kevin? uh... like 10 minutes. it's really weak. kevin, you said your dad was on medication. yeah. but you didn't know what it was? no. why don't you find his meds and bring them to me, o.k.? o.k., they're here. just go slow. take your time, take your time. i'm going to put him on a mask. it's my dad. ( breathing shallowly ) ( machine beeps ) ( machine beeps ) doctor: your father has had a serious heart attack. we can't tell how bad it is at this point but he's alive and alert. now, can you tell me anything about his medical history? uh... well, his health hasn't been very good for years. he's been taking

medical genome? -- about your medical future? >> i was worried about the alzheimer's diseases. where we have a pretty impressive ability to make predictions based on one a gene, apoe. i was reluctant at first about whether i even wanted to know that one. right now, if you are high risk for alzheimer's, there is nothing we can do. i eventually decided to look, and it was ok. i had reduced risks of some other things. i was glad about that. all of those things could be misleading because we are still scratching the surface of understanding heredity. what i can see now is a small fraction of what is there. cancer. and prostate cancer. the numbers, you probably have them, but i think from reading, more men get prostate cancer than women get breast cancer. >> that is true. >> why do we not see pink ribbons for prostate cancer, and we see all of this attention on breast cancer? there are no marches, almost nothing on prostate cancer. >> there is a bit. the prostate cancer foundation that very much promoted. prostate cancer is generally a disease of older men. prostate cancer also is l

tell your doctor about your medical conditions and medications, especially insulin, corticosteroids,r medicines to decrease blood clotting. so...what do men do when a number's too low? turn it up! [ male announcer ] in a clinical study, over 80% of treated men had their t levels restored to normal. talk to your doctor about all your symptoms. get the blood tests. change your number. turn it up. androgel 1.62%. shaq 1, pain 0. [ male announcer ] new icy hot advanced patch with 50% more medicine. pain over. ♪ they just wanna they just wanna they just wanna ♪ ♪ girls girls just wanna have fun ♪ >> she has sold more than 50 million albums and had some of the greatest hits of the '80s including "girls want to have fun," "time after time," and "true colors." grammy winner cyndi lauper is joining me now. she's graciously allowed me to announce she's turning 60 in june. congratulations. >> really? >> really. >> wow. i have been a little busy. i haven't thought about it. >> the issue with age in general is a lot of folks aren't happy with their age, but they don't realize they can change how

emergency medical personnel has never assisted or never goes to that living center. but tonight local police say they want to know if that cry for help was handled properly. the 911 call came in here. this bakersfield dispatch center. 87-year-old lorraine bayliss collapsed inside the senior independent living center. >> we need to get cpr started. that's not enough. >> okay. >> we can't do cpr. >> the caller refuses to perform cpr. management at glenwood gardens says it's against company policy. >> our practice is to immediately call emergency medical personnel for assistance and to wait with the individual needing attention until such personnel arrives. that is the protocol we followed. >> this woman is not breathing enough, she's going to die if we don't get this started. do you understand? >> i understand. >> okay. >> i am a nurse. but i cannot have our other senior citizens who don't know cpr -- >> i will instruct them -- >> i am in a dining room. >> i will instruct them. is there anyone there -- >> for dr. kevin donovan of georgetown university medical center, t

this will truly integrate the medical staff of st. luke's hospital into cpmc and it will assure us that we will be able to recruit doctors to come to st. luke's hospital in the future. i applaud you for all the work you've done and thank you. >> thanks. next speaker. >>> good evening. my name is karen makely and i've been a pediatrician at st. luke's for 14 years. i'm happy to return here today representing the st. luke's medical staff and my pediatric colleagues throughout the cpmc system to endorse this new development agreement. throughout the years we've experienced dramatic changes in our neighborhood. our patient demographics and our available resources. one thing, however, has remained constant. it's the dedication of physicians, nurses and our employees to provide patients with the highest quality medical care available. this has endured since the hospital first opened its doors 100 years ago, more than 100 years ago. just as so many of our patients are living day to day and check to check, working for a better tomorrow for th

in the and secretary board of medical journalism. and then before you get them together, you say well, the paper -- and, it is the end. i can tell you that -- what that? [laughter] [inaudible] [laughter] it is a hard line. i have tried a joke. [laughter] so years after this, the regulations have been put into place. five years later, we finally discovered that it has been ludicrously and widely ignored. published in the top five journals. that is just the papers that were published. academic journalists themselves have a whole bunch of complex interests. they connect cultural things as well. so that will bump up the impact factor of that journal that is derived by the number of citations a get. and it's not even often a full-time job being an academic journal editor. and they pay lots of money for reprints, but when they posted review is published in an academic medical journal, drug company sales representatives by reprints of these for five or 10 or $20 a pop. and they say, they give those to doctors in order to encourage them use

tell your doctor about all your medical conditions and medications, and ask if your heart is healthyr sexual activity. do not take cialis if you take nitrates for chest pain, as this may cause an unsafe drop in blood pressure. do not drink alcohol in excess with cialis. side effects may include headache, upset stomach, delayed backache or muscle ache. to avoid long-term injury, seek immediate medical help for an erection lasting more than four hours. if you have any sudden decrease or loss in hearing or vision, or if you have any allergic reactions such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swallowing, stop taking cialis and get medical help right away. ask your doctor about cialis for daily use and a 30-tablet free trial. >>> well, this number is shocking. traumatic brain injury has affected nearly 20% of the veterans of the iraq and afghanistan wars. the usual cause is explosions. the injuries can be mild but for many the damage is permanent. sergeant vaughan was injured in 2005. he suffered a severe brain injury and it's been a long roa

tell your doctor about your medical conditions and medications, especially insulin, corticosteroids, or medicines to decrease blood clotting. so...what do men do when a number's too low? turn it up! [ male announcer ] in a clinical study, over 80% of treated men had their t levels restored to normal. talk to your doctor about all your symptoms. get the blood tests. change your number. turn it up. androgel 1.62%. helps provide many with, chaday and night reliefn it up. of heartburn symptoms caused by acid reflux disease. there is risk of bone fracture, and low magnesium levels. side effects may include headache, abdominal pain, and diarrhea. call your doctor right away if you have persistent diarrhea. other serious stomach conditions may exist. don't take nexium if you take clopidogrel. ask your doctor if nexium is right for you. find out how you may be able to get nexium for just $18 a month at purplepill.com >>> and it is great tonight to welcome back a special member of our abc family, barbara walters, who was back on "the view" this morning. and tonight, she has a very personal co

sometimes i wouldn't get my medications renewed. i take medication for high blood pressure.nd my doctor could always tell when i didn't take them, and he said, "oh, no. you can't do that. no, no." >> you're living on unemployment right now? >> yes. >> what about the next mortgage payment? >> i'm gonna pray. that's the best i can do. i'm gonna pray that i find a job. >> when you think of it, her neighbors' home values are being propped up by linda bizzelle's fragile grip on the american dream. we found a lot of people spending their last dollar to keep their homes and therefore save their neighborhood. gina bruno owes $50,000 more than her home is worth, and her dream house has turned into a money pit. >> the gas line needed to be replaced. the sewer line needed to be replaced. the plumbing was bad. the roof was leaking. >> do you have any savings? >> no. no. no. >> so you're living paycheck to paycheck? >> absolutely. >> writing checks to the contractors and to the bank. >> yep. i used to go out with friends and have dinner, and i just-- i don't do any of those things anymor

tell your doctor about all medical conditions and medications.t use if you have prostate or breast cancer. serious side effects could include increased risk of prostate cancer; worsening prostate symptoms; decreased sperm count; ankle, feet, or body swelling; enlarged or painful breasts; problems breathing while sleeping; and blood clots in the legs. common side effects include skin redness or irritation where applied, increased red blood cell count, headache, diarrhea, vomiting, and increase in psa. see your doctor, and for a 30-day free trial, go to axiron.com. >>> and finally, tonight, from us, that mystery along the california coastline. the sea pups washing ashore so hungry and so weak. tonight, there is a giant effort under way to nurse them back to life. abc's clayton sandell was there, as one of the calls came in late today. >> hello? marine rescue. >> reporter: in 27 years, saving sea creatures big and small, peter wallerstein is seeing something he's never seen before. >> they do look so cute. but they have a bite ten-times greater than

tell your doctor about all your medical conditions and medications, and ask if your heart is healthyugh for sexual activity. do not take cialis if you take nitrates for chest pain, as this may cause an unsafe drop in blood pressure. do not drink alcohol in excess with cialis. side effects may include headache, upset stomach, delayed backache or muscle ache. to avoid long-term injury, seek immediate medical help for an erection lasting more than four hours. if you have any sudden decrease or loss in hearing or vision or if you have any allergic reactions such as rash hives, swelling of the lips, tongue or throat or difficulty breathing or swallowing, stop taking cialis and get medical help right away. ask your doctor about cialis for daily use and a 30-tablet free trial. i you're suffering from constipation, miralax or metamucil may take days to work. for faster relief, try dulcolac laxative tablets. dulcolac provides gentle relief overnight unlike miralax and metamucil that can take up to 3 days. do you think the moon is really made of cheese? [ crisp crunches ] [ rumbling ] [ crisp