and liberia we were able to carry on research for antipsychotics. we get 19 countries using this treatment for antipsychotics in the region and the highest burden of a bola. so it is very much important for us as a country to find a lasting solution. the lasting solution for my public health background is immunization, the gold standard for prevention. immunization has immunization has made us in the world to eradicate smallpox. my professor and myself were in close discussion. he led the global efforts to eradicate smallpox in the world and in the who global effort at hopkins. in a word we were -- he was one of my professors. this was another. and we eradicated smallpox because of vaccination. today polio is also on the verge of eradication. we have three countries in the world that still have an active till -- active polio transmission. nigeria is one of those. nigeria is doing very well now. pakistan, somalia. there were a few years to eradicate polio, and this is because of vaccinations. in our program we have nine different antigens. and the re

of those, approximately 700 patients are currently being administered antipsychotic medications. the way that the process works is that the physician will be out on the unit, see a patient, write an order. that order is inputted into the computer by a pharmacy technician. it's then reviewed by a pharmacist for any types of drug-drug interaction, drug-food interactions, allergies. once they feel that the order is appropriate, it is validated. we do approximately 270 new orders on a daily basis through that. once the orders are validated, they become part of the patient profile and then it is downloaded to the machine and then the machine dispenses the medication. >> each one of these machines costs approximately $180,000 and holds 248 different kinds of medication. they are called automated medication dispensing systems, and what they do is to spit out a prescribed dose of medication into these individual packets for the patients. without them, the job of dispensing medication at atascadero would be virtually impossible. as it is, each time a canister becomes empty, a technician w

and found a near empty bottle of whiskeys items used to smoking pot and prescriptions for$ an antipsychotic killings but the trial is in other words ends around whether or not he was insane when he gunned down both men at the shooting range. will carr is live outside the courthouse in texas. i understand, will, the defendant's uncle is on the stand right now? >> reporter: that's right, jon. routh's uncle is on the stand and he said that after the sheeting, routh came to his house and said quote, i'm driving a dead man's truck. referring to the truck he had stolen from chris kyle after the truck. this comes after detectives were on the stand today and said they found those prescription medications, the antipsychotic drugs, inside of routh's house. now, that was after a week that he had spent in a mental institution a week beforegé the shooting, i should say. his family, routh's family says that he has been diagnosed as possibly harmful to people but according to the family he was given medication and then released. taya kyle showed up this morning after an emotional week. she testified on we

but for these antipsychotics and pain medications these things you have to be weaned off.this situation. and if it's no at temperature drug -- not on the drug formulary somebody should hand them a card and say go to your local pharmacy and get the drug. >> we're losing 22 veterans a day to suicide. in the active duty we lost 132 young men and women in combat in 2013. we lost almost four times as many to suicide. so your efforts on this are life-changing. and i would like to then follow up with a question. as we transition from dod to va for a number of our young men and women. obviously there are electronic health challenges. what do you think is this next largest challenge we have to tackle and knock out? >> senator donnelly, thank you very much for the question. we spend a lot of time talking about the dod collaboration and what that really means, what ekt effect it has on the healthcare for veterans. i'm going to ask commissioner boyar to speak to the specifics of that questions before. when you look at recommendation eight we're asking that the committee has authority

put on this drug issue for antipsychotics and pain medications these things you have to be weaned off. we should not put our men in -- and women in this situation. and if it's no at temperature drug -- not on the drug formulary somebody should hand them a card and say go to your local pharmacy and get the drug. >> we're losing 22 veterans a day to suicide. in the active duty we lost 132 young men and women in combat in 2013. were lost 475 to suicide. we lost almost four times as many to suicide. so your efforts on this are life-changing. and i would like to then follow up with a question. as we transition from dod to va for a number of our young men and women. obviously, there are electronic health challenges. what do you think is this next largest challenge we have to tackle and knock out? >> senator donnelly, thank you very much for the question. we spend a lot of time talking about the dod collaboration and what that really means, what ekt -- effect it has on the healthcare for veterans. i'm going to ask commissioner boyar to speak to the specifics of that questions before. >> when

the detective then indicated that he found prescriptions for routh including antipsychotic drugs. throughout the morning routh took copious notes for the most part he hasn't shown much emotion throughout the course of the trial. on the other side, this has been a very emotional couple of days for taya kyle. she showed up for court this morning after testifying wednesday and seeing gruesome pictures of her dead husband yesterday. so far she has not issued a statement to the media since the start of the trial. some of her very close friends have taken to twitter and are asking for the country's thoughts and prayers. gretchen? >> so what have we learned about that exact moment that routh shot both of these men? >> reporter: well, late yesterday afternoon, the medical examiner presented some very gruesome pictures and then presented autopsy pictures. we learned that routh shot chris kyle six times. he shot him in the face the shoulder, the arm and the side. evidently he thought littlefield seven times in the back and at the top of his head and the back of his head. and after the shoot

in terms of the antidepressants or antipsychotics, let the experts make that decision with where the formulary should be blended. with regard to large capital products -- projects, never again should we have the scenario whereby we struggle trying to get the timelines for the building of an army hospital . that should not ever occur to us again. with regard to the specifics of your question, what do you really anticipate, the biggie that will happen next, it really is this challenge as the country moves to set the standard for electronic health records. we have the scenario whereby you are responsive with regard to the v.a. and the scheduling debacle. we said we will move to this choice program. senator mccain, as you talked about, we will have this increase of more non-ba -- non- v.a. care. when you were in the veterans affairs committee, we were spending about $400 million for non-v.a.a care. today, it is only going up. dod has a contract to create their own new version of the electronic health records. v.a. is doing the evolution of this and they want to make sure, as they moved t

he is taking antipsychotic medication and under staff supervision, he agreed to tell us his story. >>as anti-sociable. i didn't want to be around nobody. i didn't want nobody around me. i wanted to be by myself. everything made my angry. i would take a lot of it out of myself and then i would feel better. i was cutting myself up every day, every day, every day. so they ended up putting me in the shu for hurting myself. and then my time was up in the shu and then they put me back into the general population, and then i'm going right downhill all over again. >> after moving back and forth between the shu and general population, joe was eventually diagnosed as bipolar and moved to the residential treatment unit, or rtu. through counseling and medication, the rtu's ultimate goal is to integrate these inmates into general population. dennis profitt is one of the psychologists who works in the unit. >> the rtu program is set up on a three-phase system. the initial phase is set up to receive offenders who generally have been isolated from other offenders because of having been living in segr

this notion of eight or nine different antipsychotic medications and then that video -- let's look atmpelling video that that jury will see. at times he's agitated. at times sleepy. but this notion that he recognizes that somehow he's insane, that he's feeling paranoid, that he's feeling schizophrenic, in my mind, that creates real questions for the defense about that insanity defense because typically -- i'm not a psychiatrist but i spoke to one yesterday. typically that kind of self-recognition i feel paranoid, i feel schizophrenic, i don't know whether i'm insane is not usually typical of someone who cannot recognize right from wrong. he appears to be recognizing right from wrong, problems in his life on that day. >> as we look at that video right there weren't there also stories that he was high on weed and he was drunk as well? that looks like a guy who was drunk. >> alcohol, weed is not an excuse for murder. it's not recognized under texas law. that is not a defense. insanity is defense. knowing right from wrong. that's what the jury will be making a determination about and they

we also learned routh had an antipsychotic drug after he spent time in a mental institution a week before the shooting. then late yesterday, we heard from a police officer who said he heard routh comment months after the shooting inside of a jail and evidently he said that routh said the reason that he shot both men is because they did not talk to him on the ride to the range. that was the last thing that the jury heard heading into the weekend. they have all weekend to think of that comment before the trial resumes on monday. >>> coming up on the legal panel they will weigh in on the testimony so far and what routh's defense must do to convince the jury that he was temporarily insane at the time of the shooting. >>> pope francis welcomes 20 new cardinals from around the world to the vatican. his message to them about the new role in the leadership of the catholic church coming up. >>> and with the supreme court weighing in on obamacare, one lawmaker is telling republicans not to get caught off guard. what they will do or need to do if the court rules against the health care law. lassic g