that's the actual clinician. oh, really? yeah. having those access to services, easy access to services at the neighborhood base level has really been one of the keys to getting youngsters and families into behavioral health services that address that overexposure to trauma. i want to highlight that. on a neighborhood-based level, folks are coming together and really putting their minds together in terms of saying how can we get these individuals that are most impacted by violence into those services. i wanted to give examples. those are the outside of the box activities that we do to link them to those services without them knowing that it is happening at the time. it's not until afterwards that we have them reflect and going through the steps and doing the formal linkage that they figure out and say, hold on, that was the part of the strategy. community bark confuse and events, i got a chance to develop rapport with this individual not knowing you were setting me up to get into this service the whole time, right? we give a littl

sum are happy that i was doing it, especially the clinicians, the people who did research and thought it was a good question to ask and they had seen this in their own practice. the researchers were little more focused on what did the study say? we haven't had the studies and they were a little stumped. >> host: there are some study she pointed to, and i mean very few, strike only a few given how important topic this is. can you tell me about those? >> guest: i should distinguish between the social science researchers i was talking to an also and a working scientist. the scientists was not a question that was on their radar screen, but the social scientists scientist are a small group who i think they're doing some really fascinating and pioneering work. doing a formal version of what i do in the book which is to ask young people about the qualitative experience of taking medications and how that shaped their identity. it wasn't too hard to find them. they were extremely excited that i was exploring the topic and i was extremely excited that they were exploring the topic as it was gre

the clinicians were happy i was doing and it the people who did both research and also saw patients on a regular basis, thought it was good question to ask and they had indeed seen this in their own practice. the researchers were a little more focused on what did the studies say? we don't have these studies, and they were a little stumped. >> host: there are some studies -- strikingly few. can you tell me about those? >> guest: i should distinguish between the social science researchers and i was talking to and also the working scientists. so, the scientists, this was sort of not a question on their ray car screen but the social scientists, there's a small group of them who i think are doing some fascinating and pioneering work, doing a formal version of what i do in the book, which is to ask young people about the qualitative experience of taking medications and how it shaped their and shaped their identity, and it wasn't too hard to find them. they were extremely excited i was exploring this topic, and i was extremely excited they were exploring this topic because it was great to be

we will also be hiring three clinicians to work with this population. two individuals will be working at the adp community resource center. they will be coded with probation department to better coordinate care and to improve the communication between the department of public health and adp. just with regard to the cultural competency, the connection to institutes of higher learning, all of the staff that we hire for the realignment case management unit have to be certified by one of the three certification entities at city college of san francisco. so you have to have received or are in the process of receiving a community health workers certificate, mental health certificate, or a drug and alcohol substance-abuse cert. at his uniform across all factors. we also have two intern working with this population, which has proven to be highly effective. within the realignment case management unit, and within the behavioral health access center, we have the capability on-site, we have seven languages spoken. we are very proud of the fact that we are able to c

it, it makes an enormous amount of sense, because, as professionals, whether it's researchers or clinicians, we have the luxury of looking at the mental health or the substance use disorder, but the affected individual is one person wrestling with both at the same time, and both of these problems are dynamically associated, if you will, so that the improvement in one area will effect improvement or deterioration in the other area. the other thing i would add is that for people with both a mental health issue and a substance use disorder, as you said, in the past, they were treated kind of separately. this one. this one. there was kind of some argument about, well, which came first? we need to address the substance abuse issue before we can make headway on the mental health issue. on the flip side, the mental health practitioners would say, no, we need to address the depression or what have you before we can really make headway on the substance use. and i think what people are really beginning to understand, especially in the last decade, that they have to be treated at the same time and not

they are not clinicians for the most part and to the extent they are, they don't act in a clinician's role. they're there just to provide a neighbor to neighbor, human to human compassion for support. they give the person a place to express their grief. they help the survivors what is happening, what is happening next, what is happening in a day. they help make phone calls. they explain who the various public safety officials are. they can notify other family members of what is going on. they give them basic information on how to care for themselves, how to care for one another and give them referrals to other agencies as christoph mentioned. it offers a number of benefits for public safety personnel and to the city at large. it brings a calming presence, even for a natural death, if you're just a grandma dying of a heart attack, next to grandpa and the grandchildren can be a very high intensity incident and we bring the stress level do you. it brings good will between the city and the community, between the officials and the fire department and local communities. it gives officials c

our response as clinicians is sort of reactive that is when a patient has difficulty walking we first offer a cane and then a walker and then ultimately a wheelchair. when swallowing is too compromised so they can't take enough food by mouth and gets enough calories we place a feeding tube directly into the stomach. when breathing is compromised and a patient is uncomfortable we use noninvasive means, similar to what people use for sleep apnea to force, physically force more air into the lungs. and this works for a time, for a limited period of time. but at some point all patient its have to face the very difficult decision of whether or not to be placed on a respirationer, on a breathing machine for the rest of their lives. this is always a very painful decision for our patients and their families. it's a deeply personal decision that is informed by many factors including the stage of life a patient is finding themselves in, the cultural background, religious beliefs, financial means. all of these play a role. and our role as physicians is to introduce end of life issues earlly-- ear

>> it ferried some of them were happy i was doing it especially the clinicians were happy i was doing it and the people who had the research and also saw a patient on a regular basis thought that it was a good question to ask and they had indeed seen this in their own practice. the researchers were more focused on what did the studies say well we don't have these studies and they were a little stumped. >> host: there are some studies he pointed to. very few, strikingly few given how important a topic this is. can you tell me about those? >> guest: i can distinguish between the social science researchers i was talking to and also working scientists. so the waterboarding scientist this wasn't a question on their radar screen that the social science says there is a small group of them who i think are doing some really fascinating and pioneering work doing a formal version of what i did in the book which is to ask young people about the qualitative experience of taking medication and what has shaped them and their identity and wasn't hard to find them. they were excited that i was explori

now, that is talking as a clinician, there is no research to back this up yet. >> reporter: that's right. there is no conclusive scientific research proving any benefit from a glunt free diet. dr. peter green of columbia university is one of 9 world's expects in celiac disease. he spent a decade studying the body. there there benefits for a person who does not is a celiac disease to adopt a gluten free diet. >> reporter: not only that, but it might be bad for to you cut out gluten. many say that going gluten free can be dangerous. i see famous people telling me this is a helpful way to eat. it sounds healthy. >> yeah -- well, a gluten free diet is not entirely healthy. often, it lacks fiber. and the manufacturers of wheat flour fortify wheat flour with vitamins and minitalls. >> reporter: so many scoff at the research of workers and doctors. >> why wouldn't i believe my patients telling me these things? i'm not surprised to hear athletes are doing better when they are an off gluten. >> reporter: the debate will continue. but for dana vollmer and others, it's settled. gluten free is golde

we have other public apologized that i think are worth celebrating, increasingly clinicians, whether they are a physician, a dents test, a nurse or a pharmacist may want to have multiple degrees. we have a program with uc hastings, so you can have a j.d. along with your clinical to do anything from intellectual property to policy to the regulatory environment. we collaborate with berkeley on joint degrees that allow you to have a public health degree as well as your clinical degree. so increasingly, this specialization and the wish of our students to make an impact above and beyond clinical care, research and teaching, increasingly into policy or at a private institution. some of our folks will become ceos or venture capitalists or intellectual property lawyers. and it's all good. but it will not be possible to do it as one institution. >> speaking of the future, i mean what advice would you give? i mean the future or the present is very stressful for the system. we talked about the city of resources and the need to be creative now more than ever and other institutions having challen

we've poured tremendous resources into this fight -- thousands of more counselors and more clinicians, more care and more treatment. and we've made it easier for veterans with ptsd to qualify for va benefits. but after a decade of war, it's now an epidemic. we're losing more troops to suicide -- one every single day -- than we are in combat. according to some estimates, about 18 veterans are taking their lives each day -- more every year than all the troops killed in iraq and afghanistan combined. that's a tragedy. it's heartbreaking. it should not be happening in the united states of america. so when i hear about servicemembers and veterans who had the courage to seek help but didn't get it, who died waiting, that's an outrage. and i've told secretary panetta, chairman dempsey and secretary shinseki we've got to do better. this has to be all hands on deck. so our message to everyone who's ever worn the uniform -- if you're hurting, it's not a sign of weakness to seek help, it's a sign of strength. and when you do, we'll be there and do more to help -- including more counselors and cl

now, that is talking as a clinician, there is no research to back this up yet. >> reporter: that's right. there is no conclusive scientific research proving any benefit at all in a gluten-free diet for the vast majority of people. dr. peter green of columbia university is one of the world experts in celiac disease. he's spent a career freeding and studying the impact of gluten on the human body. are there benefits for a person who doesn't have celiac disease in adopting a gluten-free diet? >> not that i'm aware of. >> reporter: not only that, but there's no guarantee of weight loss and it might be bad for you to cut out all gluten. many doctors who are familiar with the duty say going gluten-free can be dangerous. i see famous people telling me it's a healthful way to eat. it sounds healthy. what's wrong? >> yeah -- well, a gluten free diet is not entirely healthy. often, it lacks fiber. and the manufacturers of wheat flour fortify wheat flour with vitamins and minerals. >> reporter: this doctor and so many other scoff at the concerns of researchers and skeptical doctors. >> i've been do

achieve better health out, if they were cared for at one of the other local cpmc facilities were clinicians who specialize in those services and have a high degree of experience practice. this project balance is too important stakes. maintaining st. luke's as a community hospital and resources and insuring that same six patients have access to high-quality specialty care a few miles away -- and that st. luke's patients have access to high-quality specialty care a few miles away. they felt that the right bed size needed to be based on demand spurred by making st. luke's and into all parts of cpmc, we do not have to worry about being financially viable its own. the final provision related to st. luke's that i would like to highlight relates to the new medical office building project requires cpmc to entitle a new office building as part of the process. it would require that the process of the new medical office building began within four years of opening the new st. luke's hospital. it sets forth preconditions that requires cpmc to submit a medical office building to the board of directors wi

i am a clinician in the hospital and i work in ethiopia and uganda. >> dr. chris olson was somebody that i met at a conference once. he's the type of technologist that can put together incubator out of car parts. >> am i taking one or two? >> hopefully two. >> great. what we're doing today is talking about how we solve problems to deliver health care to the world's most vulnerable people. >> maybe at this stage just getting a little bit more conservative and not doing 30 at a time but maybe doing 15. >> so jose's an integral part what have we're all trying to do together. >> then we have to use a much smaller space. >> there is not one single entity that is taking an idea, and then going to prototype and really working with end users and making sure it is the right device. >> chris is great because in the same way that i no longer am afraid to ask dumb questions about medicine, he's no longer afraid to ask silly questions about engineering an design. so in that back and forth we often come up with really good ideas. >> the guys already have all of the sensor

but i think as an adjunct for a cline significance's practice and people who clinician's practice they will be useful tools. >> video sharing may be a important way to treat bbpv. the video shouldn't replace a visit to your doctor first. >>> news time 4:49. around the nation this morning, police in anaheim california shot and killed a man during a foot chase. the community wants answers. they are upset police used lethal force. one witness captured video of the shooting on cell phone and says an aves. anaheim officer wanted to pay for the toot -- says an anaheim officer wanted to pay for the footage. >> they wanted -- they asked me daughter how much money she wants for the video and i told my daughter don't talk to them. >> the orange county register reports police spokesman says he was not sure if the allegations were true and that the department will look into it. anaheim residents are upset at officers and they stayed on the street in hours after they were throwing bottles and rocks. >>> a huge jet is back where it belongs. the c-17 made a surprise landing at the wrong airport. peop

having the crn and community front line workers there is great, but with the absence of trained clinicians, it is not as and tactful. another solution the staff came up with was 4 dph to issue an rfp for organization working directly with those impacted with ptsd. a lot of times, nonprofits like us are not funded at a high level. as a result, we do not have the capacity to have a mfw on staff. if we were able to access mental health services for a long term period, it would be impeccable in the long run. they also said, in 2002, supervisor avalos, there was a boxing program at one of the gyms. we know that boxing is something of a pre -- antidote for dealing with anger or other problems with young people. we encourage you to see if there is any way to bring the program back or access the old equipment. lastly, perpetrators of violence are also victims of violence. as we look into that, when we are talking about doing trauma work that is so necessary, we need to look at going into our jails and prisons and hospitals to make sure the cycle of violence does not continue and we can have a long

. >> a key part of the health bill is that clinical change must be led by clinicians and hastens. -- patients. the majority of consultants have said they have no confidence in the proposed change -- the vast majority of the public share that lack of caen -- confidence. do they have to listen to them? >> i confirm that. changes should go ahead. that is how health service should operate. the health secretary will be making an announcement shortly. the good news, if you look across the service, inpatient and out -- outpatient waiting times are down. we have the best performance for patients waiting longer than 18 weeks to be treated. rates of infection are down. the of service is doing well. >> they have been carrying out investigations led by declines into allegations of several banks, including rbs, had been giving invest -- and permission to financial markets. does the prime minister back that investigation? will they backed the need for a full, independent, judge-led inquiry? >> there are two important things. we should allow all of the investigative authorities to carry out their i

clinician free liquid intake should be free liquor store charges free range month free list.

hundreds of scientists and engineers and professional clinicians of different kinds and other technologists have contributed to it, and i represent them to a large extent is because i am the oldest, and certainly not because i am the smartest. so, i want to talk about your plastic brain. you have a very valuable asset inside your skull, of course, and that is your brain. it is very valuable, especially because it is plastic. i want to tell you what that means a tell you about the signs that shows us that that plasticity is actually result could again drive improvements in our abilities or, alas, it can take us backward into in a negative direction. i want to talk about what controls living in a positive or negative direction, because you sure do want to go in a positive direction. finally, want to talk about how we try to use this science with technology to help you sustain your brain health. i will give you advice about other things you can undo, whether your problem is a disability or you have that comment disability that applies to every one of us, you're simply having another birthday,

some of them were happy i was doing it especially the clinicians were happy i was doing it coming and the people who i think did those research and also saw patients on a regular basis thought that there was a good question to ask and they had indeed seen this in their own practice. the researchers were a little more focused on on what the studies say while we don't have these studies and they were a little stumped. is there were some stories you pointed to very strikingly few given how important topic this is. can you tell me what does exist? >> i should extinguish between the social science research right is talking to and also the working scientists. so the scientist this was a sort of what a question that was on their radar screen. there was a small bird of them who i think are doing some really fascinating pioneering work. during a formal version of what i did in the book which is to ask young people about the quality experience of taking medications and how it has shaved them and their identity and it wasn't too hard to find them they were extremely excited that i was exploring