dr. evans, you may commen commence. [inaudible] although my testimony today is quite personal, i also represent the professional society for long-term care physicians whose mission is to improve the quality of care for seniors. my personal story is this, i'm a doctor specializes in the care of frail elders. i practiced mostly in nursing homes and other long-term care settings where physicians are frequently absent. i do use antipsychotic drugs to treat a small number of patients with long-standing schizophrenia or bipolar disorder. i do not prescribe antipsychotic drugs for treatment of agitation or other behaviors in patients with dementia. the entire leadership of knowledge is the use of these medicines with patients and things only as a last resort and only when all else has been tried and failed, which is rare. i and other like-minded doctors face tremendous pressure in all care settings to prescribe medication to make infuse patients behave. most of the time of this equates to chemically r

dr. evans, you are you using antipsychotics as patients for dementia is a last resort when all the other interventions have been tried and failed. your experience in behavioral intervention failed. what is your estimate of how commonly antipsychotics would be used if health care professionals were trained in how to effectively and efficiently deploy a range of behavioral interventions? >> as was mentioned earlier, in so many words if all you have is a hammer everything looks like a nail. that is a problem that we are dealing with now. as i mentioned in my testimony i don't use these drugs to treat behavior. these drugs study after study have shown are ineffective in treating behavior and i believe that if the appropriate steps were taken or even if they weren't taken the use of these medications could be reduced to pretty close to zero. in a variety of settings. that being said, because only a small proportion of these medications happen in nursing-home is it may not have a huge impact you are

and now, dr. evans, you may commence. >> good afternoon and thank you, mr. chairman -- [inaudible] although my testimony today is quite personal, i also represent the professional society for long-term care physicians whose mission is to improve the quality of care for seniors. my personal story is this: i'm a doctor who specializes in the care of frail elders. i practice mostly in nursing homes and other long-term care settings where physicians are frequently absent. i do use antipsychotic drugs to treat a small number of patients with longstanding schizophrenia or bipolar disorder. i do not prescribe antipsychotic drugs for treatment of agitation or other behaviors in patients with dementia. we acknowledge the use of these medicines in patients with dementia only as a lost resort and only when all else has been tried and failed which is rare. i and other like-minded doctors face tremendous pressure in all care settings to prescribe medication to make confused patients behave. most of the time this equates to chemically restraining the patient. this pressur

dr. oz that the apple juice given to millions of kids ever day contains arsenic. 10% of the juices tested had arsenic levels higher than what is allowed in water by the fda. laura evans spoke with dr. oz about the new findings. >> i'm not surprise the by the findings were there were other groups, smaller groups, that had been looking at arsenic levels in apples and juice and finding it to be elevated as well. the fda updated its own data that included having levels about 10% above. this is just the last of the series of studies that have supported the argument that we need to get serious about what we need to do. the issue is not the short-term problems. that is what the fda has been looking at. it is the longer term issues of cancer, developmental delays, issues that acould you over many years of exposure. when you take that into account, you have to revisit how much we are allowed to have in our community. >> given what you are just saying now and the report that now concurs with the findings, will you go back again to the fda to ask for them to take another look into taking action on this? >> we've been talking to the fda continually since the show aired. we had s

laura evans spoke with dr.about these latest findings. >> well, i'm not surprised by these findings. there were other groups, smaller groups, maybe louder than us that have been looking at arsenic levels in apple juice and found them to be elevated as well. last week the fda had released its own data they'd been collecting for a few years with arsenic levels again above what we allow in drinking water. this is the last in a series of studies that have supported the argue about we need to get serious about what arsenic can do. if i could make a point, it's not the short-term problems, that's what the fda has been looking at, it's the long-term issues of cancer, developmental delays, diabetes, heart disease that accrue over many years of exposure and we take that into account, you really have to revisit how much we're allowed to tolerate in our communities. the goal would be zero. can't get there, but let's get close to it. >> so, dr. oz, given what you're just saying now and the report that now concurs with your