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Mar 12, 2013
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and the famed cleveland clinic coming to a town near you? first on fox business, cleveland clinic ceo on how the platinum standard in healthcare is teaming up with hospital chain community health systems. countdown to the closing bell starts right now. liz: good afternoon everybody. i'm liz claman. it is the last hour of trading. and you know what? we are seeing something we haven't seen on the screen in more than a week. a lot of red. not deep, deep red, but defin e definitely red. earlier this morning up 31 points, best levels of the session, the dow started to pull back and you can see the s&p has followed down a third of a percent. all-time high level we're looking at is 1565, 15 points away from that right now. the nasdaq is lower by 16 points or half percent. tech stocks are really among the day's worst performers. they are led by apple, jeffries cutting its price target on apple to $420 a share from $500, a little late on that. 500 was in the rearview mirror a while back. that stock is down $8. delays with the iphone 5-s in production
and the famed cleveland clinic coming to a town near you? first on fox business, cleveland clinic ceo on how the platinum standard in healthcare is teaming up with hospital chain community health systems. countdown to the closing bell starts right now. liz: good afternoon everybody. i'm liz claman. it is the last hour of trading. and you know what? we are seeing something we haven't seen on the screen in more than a week. a lot of red. not deep, deep red, but defin e definitely red. earlier...
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Mar 17, 2013
03/13
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joining me is the chairman of cardiology at the cleveland clinic and dr.arshall, president of the society for interventional and geography in intervention. thank you for joining us. from a patient perspective, from a physician perspective, you want to make sure that people are being educated correctly. let me start with you. you say there's a lot of yvonnes out there, the patient that we just met. a lot of unnecessary stents, you say they don't prevent heart attacks. they don't lengthen life. >> the problem is if you have stable chest pain, we have very good studies that show getting a stent will not prevent a heart attack and will not make you live longer. these are techniques that should be used to relieve symptoms. and some people even that are getting stents don't even have symptoms. they have a blockage that's not causing symptoms and yet they're actually having a procedure. >> are a lot of these stents unnecessary? >> i don't believe so. actually, about 70% of all angioplasty and stent procedures in this country are done in people actively having hea
joining me is the chairman of cardiology at the cleveland clinic and dr.arshall, president of the society for interventional and geography in intervention. thank you for joining us. from a patient perspective, from a physician perspective, you want to make sure that people are being educated correctly. let me start with you. you say there's a lot of yvonnes out there, the patient that we just met. a lot of unnecessary stents, you say they don't prevent heart attacks. they don't lengthen life....
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Mar 10, 2013
03/13
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only then did she end up at the cleveland clinic where they got her blood pressure and cholesterol under in an effort to try and avert surgery. >> i can't tell you how shocked we were when we saw her the first time because here was a young woman whose diabetes was not well controlled, her cholesterol was never well controlled and her high blood pressure was never well controlled. if someone had talked to her, i think someone had really teased out her chest pain and shortness of breath, i think many of her procedures would not have been necessary. >> earlier i spoke with the chairman of cardiology at the cleveland clinic. he's featured in the film and jeffrey marshal, a leading cardiologist whose specialty is implanting stents. >> doctor, let me start with you. you say there's a lot of yvonnes out there, the patient that we just meant. a lot of unnecessary stents. >> if you have stable chest pain, we have very good studies dating back a number of years that show getting a stent will not prevent a heart attack and will not make you live longer. these are techniques that should be used to r
only then did she end up at the cleveland clinic where they got her blood pressure and cholesterol under in an effort to try and avert surgery. >> i can't tell you how shocked we were when we saw her the first time because here was a young woman whose diabetes was not well controlled, her cholesterol was never well controlled and her high blood pressure was never well controlled. if someone had talked to her, i think someone had really teased out her chest pain and shortness of breath, i...
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Mar 11, 2013
03/13
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the chairman of card yalg at the cleveland clinic. also, dr.effrey marshall, his specialty is implanting stents and president of the society for an yog rah if i and intervention. from a patient perspective, you want to make sure people are being educated correctly. let me start with you, you say there's a lot of yvonnes out there, the patient we just met. a lot of unnecessary stents? they don't prevent heart attacks, they don't lengthen life. >> if you have stable chest pain, we have very good studies dating back a number of years that show that getting a stint will not prevent a heart attack, and will not make you live longer. these are techniques that should be used to relieve symptoms. and some people even that are getting stents don't have symptoms. they have a blockage that's not causing symptoms and yet they're actually having a procedure. >> a lot of these stents are unnecessary? >> i don't believe so. about 70% of all angioplasty and stent procedures in this country are done in people actively having heart attacks, large heart attacks o
the chairman of card yalg at the cleveland clinic. also, dr.effrey marshall, his specialty is implanting stents and president of the society for an yog rah if i and intervention. from a patient perspective, you want to make sure people are being educated correctly. let me start with you, you say there's a lot of yvonnes out there, the patient we just met. a lot of unnecessary stents? they don't prevent heart attacks, they don't lengthen life. >> if you have stable chest pain, we have very...
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Mar 17, 2013
03/13
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the head doctor at cleveland clinic says stents do little to prevent a heart attack and many physicians them in to make more money. special tubing if an attached deflated balloon is threaded up to the coronary arteries around the heart. balloon is inflated to widen the blocked areas and the small wire cage is the actual stent. expands the artery to hold it open and allow the blood to flow. joining me is the chairman of cardiology at the stooefclevela clinic and dr. jeffrey marshall, president of the society for interventional and geography in intervention. thank you for joining us. from a patient perspective, from a physician perspective, you want to make sure that people are being educated correctly. let me start with you. you say there's a lot of yvonnes out there, the patient that we just met. a lot of unnecessary stents, you say they don't prevent heart attacks. they don't lengthen life. >> the problem is if you have stable chest pain, we have very good studies that show getting a stent will not prevent a heart attack and will not make you live longer. these are techniques that shou
the head doctor at cleveland clinic says stents do little to prevent a heart attack and many physicians them in to make more money. special tubing if an attached deflated balloon is threaded up to the coronary arteries around the heart. balloon is inflated to widen the blocked areas and the small wire cage is the actual stent. expands the artery to hold it open and allow the blood to flow. joining me is the chairman of cardiology at the stooefclevela clinic and dr. jeffrey marshall, president...
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Mar 21, 2013
03/13
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CNBC
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> cleveland clinic.. sorry, you come in for an interview, clearly you're overweight. we're not hiring you. is that discriminatory? >> well, it doesn't end there. >> don't they have the right to choose who makele up their employee population? wait. let me finish the rest of that. when it comes to -- >> gender, class, age. >> weight, smoking, lifestyle choices. now they can. >> that's where the line is. i agree you can't be discriminatory, but you can be selective. >> now you guys are on the same side? against me? what the hell happened here? >> that's the result of obamacare. meme has been calling for this. she wants more. >> she wants discriminatory! >> she wants more government intrusiveness. >> what are we even talking about? employers. they should have the right to decide they're not going to take that on. and employees, it's part of the interview process. and if we expect someone to pick up the tab -- >> weigh yourself on google so they can sell the data to the maker of oreos. >> if i can make a fina
> cleveland clinic.. sorry, you come in for an interview, clearly you're overweight. we're not hiring you. is that discriminatory? >> well, it doesn't end there. >> don't they have the right to choose who makele up their employee population? wait. let me finish the rest of that. when it comes to -- >> gender, class, age. >> weight, smoking, lifestyle choices. now they can. >> that's where the line is. i agree you can't be discriminatory, but you can be...
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Mar 1, 2013
03/13
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the cost of ivf really varies across the country, but at the cleveland clinic, the use of this embryoscope is just part of doing normal business now and it's pretty amazing. >> science is blinding. >> it is cool. >> dr. nancy snyderman, thank you, as always. >>> we're back in a moment with the unlikely pair who scored front-row seats to the big game today. >>> there have been two poignant images over the past 24 hours, both involving children. first the grandson of general norman schwarzkopf saluting. as his grandfather, the four-star general who commanded the first invasion of iraq was laid to rest today at the cemetery of the u.s. military academy west point. the other image came from yesterday's unveiling of the statue of rosa parks. young relative of rosa parks reaching out to touch the president who gave an emotional speech on the life and times and impact of the civil rights icon. >>> a member of do little's raiders has died. tom griffin was b-25 navigator on the daring bombing raid on mainland japan during world war ii. of the 80 men who volunteered to fly, now only four survive. to
the cost of ivf really varies across the country, but at the cleveland clinic, the use of this embryoscope is just part of doing normal business now and it's pretty amazing. >> science is blinding. >> it is cool. >> dr. nancy snyderman, thank you, as always. >>> we're back in a moment with the unlikely pair who scored front-row seats to the big game today. >>> there have been two poignant images over the past 24 hours, both involving children. first the...
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Mar 9, 2013
03/13
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then she ended up at the cleveland clinic where doctors got her cholesterol and blood pressure underontrol and they say counseling and diet and exercise helped yvonne lose 20 pounds to try and avert more surgery. >> i can't tell you how shocked we were when we saw her the first time. because here was a young woman whose diabetes was not well controlled, her cholesterol was never well controlled and her high blood pressure was never well controlled. if someone had talked to her, i think someone had really -- teased out her chest pain and shortness of breath, many of her stents would not have been necessary. >> earlier i spoke with dr. steven nicen, featured in the film. and also with dr. jeffrey marshal, a leading cardiologist whose specialty is implanting stents. >> doctor, let me start with you. you say there is a lot of yvonnes out there, the patient we just met. a lot of unnecessary stents. you say they don't prevent heart attacks, they don't lengthen life. >> the problem is, if you have stable chest pain, we have very good studies dating back a number of years that show that gett
then she ended up at the cleveland clinic where doctors got her cholesterol and blood pressure underontrol and they say counseling and diet and exercise helped yvonne lose 20 pounds to try and avert more surgery. >> i can't tell you how shocked we were when we saw her the first time. because here was a young woman whose diabetes was not well controlled, her cholesterol was never well controlled and her high blood pressure was never well controlled. if someone had talked to her, i think...
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Mar 11, 2013
03/13
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they did not tell the fda, and they did not tell patients. >> cleveland clinic cardiologist dr. to do his own review. >> now, the leading cause of death in diabetes is heart disease. 70% of all the deaths in diabetes are due to heart disease. having a diabetes drug that increases the risk of heart attack by nearly one-third is a [ male announcer] surprise -- you're having triplets. [ babies crying ] surprise -- your house was built on an ancient burial ground. [ ghosts moaning ] surprise -- your car needs a new transmission. [ coyote howls ] how about no more surprises? now you can get all the online trading tools you need without any surprise fees. ♪ it's not rocket science. it's just common sense. from td ameritrade. >>> if your civilian health care system is smoldering and we see it's going to catch on fire and burn pretty soon and is going to be unsustainable because of the costs, the military system is already on fire. it is a burning platform and they see this. the costs are going through the roof, and the ability to help these service members and their families recover an
they did not tell the fda, and they did not tell patients. >> cleveland clinic cardiologist dr. to do his own review. >> now, the leading cause of death in diabetes is heart disease. 70% of all the deaths in diabetes are due to heart disease. having a diabetes drug that increases the risk of heart attack by nearly one-third is a [ male announcer] surprise -- you're having triplets. [ babies crying ] surprise -- your house was built on an ancient burial ground. [ ghosts moaning ]...
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Mar 11, 2013
03/13
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they did not tell the fda, and they did not tell patients. >> cleveland clinic cardiologist dr.ided to do his own review. >> now, the leading cause of death in diabetes is heart disease, 70% of all the deaths in diabetes are heart disease. having a diabetes drug that increases the risk of heart attack by nearly one-third is a numbers from the public. >> fda advisory committee started hearing evidence on whether avandia should be pulled off the market altogether. >> there's litigation involved and company set aside 6 billion dollar for lawsuits. the documents are coming out. the independent safety officials at the fda estimate somewhere between 50 and 200,000 deaths or heart attacks due to the drug. we're not talking about handful of people. this drug was the number selling diabetes drug in the world in 2006. it's tearable tragedy for patients. >> there's the assumption that people who run government, elected officials, members of congress, but it's not true in many cases. the power lies with corporations and corporate interests and the lobbyists that they buy. >> good morning, f
they did not tell the fda, and they did not tell patients. >> cleveland clinic cardiologist dr.ided to do his own review. >> now, the leading cause of death in diabetes is heart disease, 70% of all the deaths in diabetes are heart disease. having a diabetes drug that increases the risk of heart attack by nearly one-third is a numbers from the public. >> fda advisory committee started hearing evidence on whether avandia should be pulled off the market altogether. >>...
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Mar 17, 2013
03/13
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and they did not tell patients. >> cleveland clinic cardiologist dr.is own review. >> now, the leading cause of death in diabetes is heart disease. 70% of all the deaths in diabetes are heart disease. having a diabetes drug that increases the risk of heart attack by nearly 1/3 is a public health catastrophe. and the company didn't tell anybody. >> a senate investigation accuses the food and drug administration of ignoring research. >> finally, the fda put severe restrictions on the drug. >> did you have, you know, a lot of money at stake here. >> glaxosmithkline worked very hard to keep these numbers from the public. >> an fda advisory committee started hearing evidence on whether avandia is so unsafe it should be pulled off the market altogether. >> there's litigation involved, and the company set aside $6 billion to settle lawsuits. the documents are coming out in these court suits. it looks worse and worse. the independent safety officials at the fda estimate somewhere between 50,000 and 200,000 deaths or heart attacks due to the drug. we're not tal
and they did not tell patients. >> cleveland clinic cardiologist dr.is own review. >> now, the leading cause of death in diabetes is heart disease. 70% of all the deaths in diabetes are heart disease. having a diabetes drug that increases the risk of heart attack by nearly 1/3 is a public health catastrophe. and the company didn't tell anybody. >> a senate investigation accuses the food and drug administration of ignoring research. >> finally, the fda put severe...
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Mar 16, 2013
03/13
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kotri from the cleveland clinic, thanks for joining us. appreciate it. >> thank you. >> we don't have the details about this. he had h a serious infection in his 20s and had part of a lung removed. this is your area of expertise. what did you think when you heard that? how common was this at the time? >> when i heard how long ago it was and when i think about how wonderful he looked on the balcony and how inspiring he was, i thought what a role model not just as a healer in his role as the new pope francis, but also from the fact that someone who persevered from illnessed and had surgery and it didn't cripple him. that was encouraging. >> most people don't realize that you are born with excess lung capacity. the body is resilient and redundant. most people use 30 to 40%. it's not like your heart where the whole muscle is crucial. you can remove a portion or maybe a whole lung without hurting the ability to breathe. pope francis, this hasn't slowed him down. he's also 76 years old and missing part of a lung. >> right. what would you advise
kotri from the cleveland clinic, thanks for joining us. appreciate it. >> thank you. >> we don't have the details about this. he had h a serious infection in his 20s and had part of a lung removed. this is your area of expertise. what did you think when you heard that? how common was this at the time? >> when i heard how long ago it was and when i think about how wonderful he looked on the balcony and how inspiring he was, i thought what a role model not just as a healer in...
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Mar 11, 2013
03/13
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when people watch the film, they're left with the impression that yvonne finally came to the cleveland clinic and things were great for her after that.lp that's not the whole story.e1 she ended up having another ope1 heart operation, another bypass operation.fá i think that's an important point.q 5iuju)yt( the impression i thiw6$u(áhp little misleading there, don't you think? >> we can't prevent disease inr1 everybody, but we have to try. she had all of those stents before she had the risk factors controlled. that's not good medicin.v urp+e physicians that prevention comed qfá >> you and i both t(know, it's hard to changefáq the habits of lifestyle, toxd getxd peopleçó to exercise regularly, those are hard things to get people to do, and we need to be better at it. is when they have one of these 1 catastrophic kind of things like a heart attack.xd >> in the spirit of educating ç1 people out there, i have cardiac disease in my family, who should reá%jt+háhat's having a heart attack should get a stent. it's the best treatment and it saves lives, period, everybody agrees on that.fá people that h
when people watch the film, they're left with the impression that yvonne finally came to the cleveland clinic and things were great for her after that.lp that's not the whole story.e1 she ended up having another ope1 heart operation, another bypass operation.fá i think that's an important point.q 5iuju)yt( the impression i thiw6$u(áhp little misleading there, don't you think? >> we can't prevent disease inr1 everybody, but we have to try. she had all of those stents before she had the...
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Mar 30, 2013
03/13
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we've seen the cleveland clinic not want to hire smokers and they said they shouldn't be really hiringyou are seeing the companies do this and the cost is passed on to all of us. we may not like to hear it, but the airline industry is a weight and freight business and we are precious cargo but that's how they make their money so i think the total cost of a passenger, you plus your luggage, is manage to look at and possibly paying a premium over a certain threshold. >> i can't imagine a world that you have a scale coming into your job interview or for your airline flight. >> i don't know that they can't care because they do things that make our lives miserable but i can't imagine that our large airlines are going to force people to get on a scale. >> they want someone to do it first and take the heat. >> car insurance, you way more car insurance if you have a history of accidents or if you drive a kind of car that may be something that their studies show is more likely to be involved in an accident. could they do that? could health insurance companies do it about our bodies? >> they are
we've seen the cleveland clinic not want to hire smokers and they said they shouldn't be really hiringyou are seeing the companies do this and the cost is passed on to all of us. we may not like to hear it, but the airline industry is a weight and freight business and we are precious cargo but that's how they make their money so i think the total cost of a passenger, you plus your luggage, is manage to look at and possibly paying a premium over a certain threshold. >> i can't imagine a...
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Mar 17, 2013
03/13
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people watch the film and they are left with the impression that yvonne finally came to the cleveland clinicsterol and the weight under control and things were great for her after that. but that is not the whole story. she ended up having another open heart operation, and bypass operation. i think that is an important point, because it does not always work. the impression that was a little bit misleading there, don't you think, dr. nissen? >> well, i do. we can't prevent disease in everybody, but the problem with yvonne's case is that she had all of the stents before the risk factors were controlled. it is not good medicine and we have to teach the young physicians that prevention comes first. >> you and i both know that it is hard to change the habits and lifestyle to get people to eat differently and to lose weight, and to exercise regularly, and those are hard things to get people the do and we need to be better at it, but one of the best times to do it is when they have a catastrophic things like a heart attack. >> in is the spirit of educating people out there, and i have cardiac diseas
people watch the film and they are left with the impression that yvonne finally came to the cleveland clinicsterol and the weight under control and things were great for her after that. but that is not the whole story. she ended up having another open heart operation, and bypass operation. i think that is an important point, because it does not always work. the impression that was a little bit misleading there, don't you think, dr. nissen? >> well, i do. we can't prevent disease in...
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Mar 25, 2013
03/13
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have video from the cleveland clinic news service.rs found paish jents a different breath print than healthy people. new signeddings could help improve treatment autos many get admitted to the hospital frequently. they get back in the hospital. so this is to identify when has heart failure, who has not? it's important to be able to manage them appropriately. >> researchers believe breath can reveal information about health in addition to heart failure. the study can be found in journal of american college of cardiology. cdc conducted a national survey of 1300 mothers, 40% said they gave babies solid food before four months old. doctors recommend waiting until a baby is six months old when developing proper gut bacteria. >> johnson and johnson recalled a specific glucose meter. johnson and johnson says instead of providing a high level, it simply turns off. the company worries users can delay treatment. one person has been injured. johnson and johnson will send a new meter to anyone with the model but says users should call their docto
have video from the cleveland clinic news service.rs found paish jents a different breath print than healthy people. new signeddings could help improve treatment autos many get admitted to the hospital frequently. they get back in the hospital. so this is to identify when has heart failure, who has not? it's important to be able to manage them appropriately. >> researchers believe breath can reveal information about health in addition to heart failure. the study can be found in journal of...
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Mar 8, 2013
03/13
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when people watch the film they're left with the impression that yvonne finally came to the cleveland clinicder control. and things were great. but that's not the whole story. she ended up having another bypass operation. that's an important point. it doesn't always work. i mean, the impression, i think, was misleading there. don't you think? >> i do. we can't prevention disease in everybody. but we have to try. she had all the stints before she had the risk factors controlled. that's not good medicine. we have to teach young physicians that prevention comes first. >> who should absolutely get a stint? >> so anybody that is having a heart attack should get a stintd. it's the best treatment and it saves lives. period. everybody agrees on that. the next group of people are people who have tried and are failing. there are a lot of people like that. >> and you can see escape fire in the entirety followed immediately by the rest of my discussion on rescuing the american health care system. that's sunday night at 8:00 p.m. eastern here on cnn. >> and the battle over sugary drinks in new york is me
when people watch the film they're left with the impression that yvonne finally came to the cleveland clinicder control. and things were great. but that's not the whole story. she ended up having another bypass operation. that's an important point. it doesn't always work. i mean, the impression, i think, was misleading there. don't you think? >> i do. we can't prevention disease in everybody. but we have to try. she had all the stints before she had the risk factors controlled. that's not...
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Mar 28, 2013
03/13
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lars svenson performed open heart surgery on jeff green just a few miles from that arena at the cleveland clinic> the tournament darlings are of course, the florida gulf coast eagles. they got a hero sendoff. they left fort myers and headed to texas. they play 10:00 p.m. friday night. the eagles are the of course the first 16th seed to make it to swede 16. you got ohio state on the sister network, cbs. syracuse/indiana, la salle/wichita state. >>> and the zen master, phil jackson is now on twitter. and well, his first and only tweet, i'm calling it a work of art. look at that bad boy. 11-chance, colon, misspelling, it's like a tweet of errors. this is the best part, carol. he sends out his tweet. his only one yesterday. and he still manages to pick up over 100,000 followers. phil jackson, he was typing with his elbows, but he's still got it. >> well, he has fans. he doesn't need to spell. >> that's the ultimate twitterbomb. >> jeff carter, many thanks. the next hour of "cnn newsroom" after a break. [ lane ] are you growing old waiting for your wrinkle cream to work? neutrogena® rapid wrinkle rep
lars svenson performed open heart surgery on jeff green just a few miles from that arena at the cleveland clinic> the tournament darlings are of course, the florida gulf coast eagles. they got a hero sendoff. they left fort myers and headed to texas. they play 10:00 p.m. friday night. the eagles are the of course the first 16th seed to make it to swede 16. you got ohio state on the sister network, cbs. syracuse/indiana, la salle/wichita state. >>> and the zen master, phil jackson is...
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Mar 28, 2013
03/13
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simpson, performed open heart surgery on jeff green just a few miles away from the arena at the cleveland clinicy third seed florida friday night at cowboys stadium. the eagles are the first 15 seed to make it to the sweet 16. tonight you've got some games. marquette and miami, arizona/ohio state on cbs. syracuse and indiana. and night cap, lasalle and wichita state also on cbs. >>> now, one of the top stories in the lineup that bleachreport.com jackson is now on twitter. first and only tweet, a work of hart. check it out. it's supposed to say 11 championship rings but it's like 11 champ semicolon, we don't know if he was throwing the rings at the keyboard or maybe it's that darn iphone. that darn iphone! >> he's got big fingers. >> the best part about that, guys, he sends out that interesting tweet, but still manages to pick up almost 200,000 followers. how about that? phil jackson. >> nice to be phil jackson. you know, you don't have to spell to do the triangle offense, apparently. >> or win 11 rings. >>> if you're just waking up, "starting point" is next with this developing story. take a loo
simpson, performed open heart surgery on jeff green just a few miles away from the arena at the cleveland clinicy third seed florida friday night at cowboys stadium. the eagles are the first 15 seed to make it to the sweet 16. tonight you've got some games. marquette and miami, arizona/ohio state on cbs. syracuse and indiana. and night cap, lasalle and wichita state also on cbs. >>> now, one of the top stories in the lineup that bleachreport.com jackson is now on twitter. first and...
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Mar 4, 2013
03/13
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what i would like to do is get the heads of the cleveland clinic, and kaiser, and the mayo clinic, andf tell them they've got a couple of months to do it, to lay out a plan where we can get to 15% of gdp as a sustainable cost of health care. or why we can't do it. but, this is a tapeworm of the american economy and obama care or anything that the government has to do with it reflects that underlying trend. but the real problem is the overall cost of health care. >> you say that. i mean andrew brought one of those back from africa and i don't even like to hear -- >> tape worm? >> yeah. anyway, we got to go again. we'll be back with much more from the oracle of omaha. before we head to break, take a look at u.s. equity futures down about 24 points on the dow. i remember the day my doctor said i had diabetes. there's a lot i had to do... watch my diet. stay active. start insulin... today, i learned there's something i don't have to do anymore. my doctor said that with novolog® flexpen, i don't have to use a syringe and a vial or carry a cooler. flexpen® comes prefilled with fast-acting in
what i would like to do is get the heads of the cleveland clinic, and kaiser, and the mayo clinic, andf tell them they've got a couple of months to do it, to lay out a plan where we can get to 15% of gdp as a sustainable cost of health care. or why we can't do it. but, this is a tapeworm of the american economy and obama care or anything that the government has to do with it reflects that underlying trend. but the real problem is the overall cost of health care. >> you say that. i mean...