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dr. sanjay gupta has this important report.of the footage you will see is difficult to watch. >> i have been addicted to opiates since i was 17. my grandmother gave me my first percocet. i had a headache, and she told me that would help. >> if there was a last refuge of people insulated from the opioid epidemic, it was pregnant women. but even they are no longer immune. for them, the risk of opioid addiction has quadrupled over the last 15 years. what do you think when you hear that? >> i believe it because i did it. >> reporter: rachel solman grew up here in eastern tennessee, a part of the country hard hit by the opioid epidemic. two years ago she had a miscarriage, her doctor says due to her opioid addiction. so when rachel found out she was pregnant again, she was terrified. how worried were you? >> i was very worried. i thought my body was not going to be able to carry it. >> reporter: it's hard to overstate the risks of being pregnant while addicted to oipt opioids. a possibility a baby could be born in absence withdrawal

dr. sanjay gupta has more. >> i have been addictsed to oep i can't tells since he was 17.me a percocet. i had a headache, she head it would help. >> if there was a last refuge of people impacted it was pregnant women, for them the risk of opioid addiction quadrupled over the last 15 years. >> what do you thing when you hear that? >> i believe it because i did it. >> rachel solomon grew up in eastern tennessee, a part of the country hard hit by the opioid epidemic. two years ago had a michigan carriage r r a miscarriage. when she found out she was pregnant again, she was terrified. >> reporter: how worried were you about the baby? >> i thought my body would not be able to carry it. >> reporter: it's hard to overstate the risks of being pregnant while addicted to opioid, miscarriage, still birth, the possibility of i baby would be born in nas. this is tough to watch. the uncontrollable crying, unstoppable tremors. this distinctive scream. >> essentially coming off opioids like an adult would except babies just born. >> that's correct. >> reporter: for dr. greg towers this wa

dr. sanjay gupta, thank you for shining a light.thank you. >>> ahead for us, a violent and deadly weekend in chicago. more than five dozen shootings in three days. we will update you. add the activia 2 week probiotic challenge to your healthy routine and see how activia yogurt with its billions of live and active probiotics may help support your digestive health so you can take on your day. start the activia probiotic challenge today. it works or it's free! ahoy! gotcha! ah! nooooo... noooooo... nooooo... quick, the quicker picker upper! bounty picks up messes quicker and is 2x more absorbent than the leading ordinary brand. ahoy! (laughing) bounty, the quicker picker upper. let your perfect drive come together during the final days of the lincoln summer invitation event get 0% apr on select 2018 lincoln models plus one thousand dollars bonus cash. the first survivor of alzis out there.ase and the alzheimer's association is going to make it happen. but we won't get there without you. join the fight with the alzheimer's association.

dr. sanjay gupta, met a couple of them. >>> i have been addicted to opiates since i was 17.ocet. i had a headache, and she told me that would help. >> reporter: if there was a last refuge of people inslated from the opioid epidemic, it was pregnant women. even they are no longer immune. for them, the risk of opioid addicts has quadrupled -- opioid addiction has quadrupled. what do you think when you hear that? >> i believe it because i did that. >> reporter: rachel solomon grew up in tennessee, a part of the country hard hit by the epidemic. two years ago she had a miscarriage. the doctors say due to her opioid addiction. when rachel found out she was pregnant again, she was terrified. how worried were you about the baby? >> i was very worried, but i just thought that my body was not going to be able to carry it. >> reporter: it's hard to overstate the risks of being pregnant while addicted to opioids -- miscarriage, stillbirth, and the possibility of a baby would essentially be born into a crisis of withdrawal known as neo-natal abstinence syndrome, nas. this is tough watch

dr. sanjay gupta for more on the next stage for senator mccain.anjay, just essentially from a medical perspective, explain what this means for senator mccain that he decided to forgo further treatment for his aggressive form of brain cancer. >> well, it's obviously -- it's tough news. we know that he has been dealing with this since last summer, since july of last year. he had an operation at that time. he has been undergoing therapy. typically, that's chemotherapy and radiation. it can be tough. it can be very hard to go through this therapy. the goal is to try and combat the cancer cells in the brain. what it sounds like has happened is that at some point -- always you are making a risk/benefit analysis. how much benefit am i getting for this given the toll that this therapy is taking on my body? it sounds like where he says, the risk is no longer outweighing the benefit. it's tough. it's a tough thing, this type of tumor, as you know, as a lot of people who have been following senator mccain's story know, the average survival is 14 months. righ

dr. sanjay gupta joins me now. cnn's chief medical correspondent.orters who actually were permitted to review the medical records running for president in 2008 and a practicing neuro surgeon and deal with patients with these types of cancer. this is such a difficult decision and such a difficult conversation to have for the patient and the family about when is it time to stop treatment and so much of this goes back to quality of life, sanjay. >> yeah. there's no question about it. i think in some of these conversations happened almost since the time of diagnosis, erica. that is diagnosis for senator mccain in july of last year, 13 months now since he was diagnosed. he had an operation, you remember, because there was a blood collection just above his eyebrow on the left eyebrow and they weren't sure what caused that blood collection. when they removed it, that's when they found the tumor. but really, at that time, you know, you sort of -- once you have the diagnosis, you say here's the various options, the likelihood of them having a significant imp

dr. gupta. sanjayns the patient and patient's family and doctors make collectively to decide to stop treatment. but it's a conversation that's probably happening almost since the time of diagnosis. senator mccain was diagnosed back in july of last year. so it's been some 13 months since the diagnosis of his glioblastoma or gbm. this is aggressive brain cancer, the type of brain cancer that starts in the brain as opposed to starting somewhere else in the byrd and spreading to the brain. and i can tell you, i started my training in neurosurgery 25 years ago. we haven't made much progress overall in terms of being able to increase vifl from this tumor. it's a very aggressive tumor. almost from the beginning the conversations are, what are the treatment options? and how likely are they to benefit me? and at some point you sort of get to the point where you say, look, maybe the treatment options aren't actually working or maybe just too toxic for my byrd to tolerate anymore and my tumor continues to grow. a

dr. sanjay gupta for more.here are reasons why there are limits on how much is emitted into the air. what does this mean for the average american. >> and the united states is known for clean air. you go places around the world and you often can't count on big cities having clean air. people think about greenhouse gases and climate change and weather-related events. the public health community, you're talking about particulates. air pollution is small particulates that you can't see, they're about one-thirtieth the sides of a hair. we know what that does to the body now, the impact that it can have on the body particularly to people who have underlying illness, specifically heart and lung disease. those are people who will be the most adversely impacted by this no non-fatal heart attacks as well. these are the things that are of concern when you have more pollution and let me tell you the numbers in terms of the numbers of people affected. 1500 to 3600 premature deaths annually. decreasing those deaths would hav

dr. sanjay gupta has been following one mother's hardship as she's been trying to get dialysis.joins me now. obviously we would think yes, of course, undocumented immigrants don't have health insurance but i never before thought about what do people with chronic illness do in terms of getting treatment? >> exactly. a lot of people haven't considered this. even people within the medical profession. a group of doctors, a out of denver flagged this issue to give us insight into what happens when someone has a chronic disease, gets health care but it's very late. in order to understand what's going on here, you're going to need to suspend disbelief. lucia is dying, her lungs drowning in fluid, her electrolytes are fluctuating wildly and her heart is precariously close to shutting down. this 51-year-old mother and undocumented immigrant has end-stage renal disease, full on kidney failure. >> the function of the kidneys is to filter blood of excess toxins and fluid. when both kidneys stop working, people will live 10 to 14 days so to continue living you need a process to filter blood

dr. sanjay gupta has his medical penalties and whether it helps america's battle with addiction. >>> wellhe justice department to file lawsuits against the makers of opioids that contributed to the nation's opioid crisis. this is one of many efforts they are taking to battle addiction. we are talking about the ways america is combating this crisis. >> so doctors in several states, michigan, tennessee, florida, they're limiting opoised due to the cdc restriction, but that could have a harmful effect for people that need it, are they not? >> that's the real balance. i saw the recommendations, they were recommendation, first of all, there is no doctor that says doctors can provide things. if you look at the first page, they say it's for chronic pain outside of active care, outside of palliative care, outside of end of life care. certain people they realize will have a demand, yeah, this is the balance, there are people that really need these medications. >> how badly do they depend on them? >> if somebody has been dependent on pain and taking them long term, at that pont they need them it wo

dr. sanjay gupta. >>> and good evening. i'm

dr. sanjay gupta has one mother's story. >> in order to really understand what's going on here you're goingend disbelief. lucia is dying. her lungs drowning in fluid. her electrolytes fluctuating which would willy and heart precariously close to shutting done. this 51-year-old mother has end stage renal decease. full on kidney failure. >> the function of the kidney is to bilt filter blood of toxins and fluid. people on average live 10 to 14 days when kidneys stop working. to continue living you need a process to filter blood, which is a dialysis machine. >> for most that treats the. . but here is the thing lucia is allowed treatment only when she essentially arrives at death's door. the emergency medical treatment act of 1986 says hospitals in the united states must care for anyone with a medical emergency, regardless of the citizenship or ability to pay. but they are not obligated to prevent that emergency from happening in the first place. >> what is happening inside the body. >> for these patients, because they only come in once a week instead of the three times per week excess fluid sta

dr. sanjay gupta explains straight ahead. r you thing.re we shrink the biggest names in entertainment so we can fit them into our unlimited wireless plan. who's first? no. this isn't permanent, right? ask him. [terry squeals.] get unlimited data, live tv, and your choice of an extra on us. more for your thing. that's our thing. visit att.com if you have moderate to thsevere rheumatoid arthritis, month after month, the clock is ticking on irreversible joint damage. ongoing pain and stiffness are signs of joint erosion. humira can help stop the clock. prescribed for 15 years, humira targets and blocks a source of inflammation that contributes to joint pain and irreversible damage. humira can lower your ability to fight infections, including tuberculosis. serious, sometimes fatal infections and cancers, including lymphoma, have happened; as have blood, liver, and nervous system problems, serious allergic reactions, and new or worsening heart failure. before treatment, get tested for tb. tell your doctor if you've been to areas where certain

dr. sanjay gupta has been following one woman's battle in particular.ok at this. >> reporter: in order to really understand what's going on here, you're going to need to suspend disbelief. lucia is dying, her lungs drowning in fluid. her electrolytes are fluctuating wildly and her heart is precariously close to shutting down. this 51-year-old mother and undocumented immigrant has renal disease, full on kidney failure. >> the function of the kidneys is to filter blood of excess toxins and excess fluid. when both kidneys stop working, people on average will live anywhere from 10 to 14 days. and so, to continue living, you need some process to filter blood, which is a dialysis machine. >> reporter: for most people, that treats the problem. but here's the thing, lucia is allowed treatment only when she essentially arrives at death's door. the emergency medical treatment act of 1986 says hospitals in the united states must care for anyone with a medical emergency, regardless of their citizenship or ability to pay, but they are not obligated to prevent that e

dr. sanjay gupta. the reaction has been pouring in. what are you hearing?n really judge a man's character in his place in life by what his enemies say to him. what we've seen today is an outpouring of support. enemies, someone such as mitch mcconnell. he was a republican leader who john mccain clashed with all the time. he tweeted out today, we are so fortunate to call him our friend and colleague. john, sirn i d cindy, and the e mccain family are in our prayers. mitt romney, who he ran against in 2008, said, no man this century better exemplifies honor, patriotism, service, sacrifice, and country first than senator john mccain. i'm blessed and humbled by our friendship. wolf, we are really starting to see an outpouring of support for senator john mccain, someone who not only served in the united states senate and congress, but honorably. i emphasize that word, honorably during the vietnam wort. >> more than five years as a p.o.w. in vietnam. i've known him for at least 30 years. i can testify exactly what you're saying. a very, very decent, wonderful perso

dr. sanjay gupta, "inside politics" own john king, and cnn's meave restin. john, i'll start with you. a sad day for the mccain family and really the country. >> nia, i never thought i'd speak this sentence. john mccain is giving up the fight. but that's what he's doing today. dr. gupta can get into the medical reasons. in the family statement, they talk about how he's fought this. he's had several seizures along the way, including a bad one last friday, i'm told. he has decided with their consultation that it is time to stop trying to fight it with medical treatment. that is a big deal if you know the life and history of john mccain. he's an american hero. he's been a republican politician through several iterations of the republican party. through all of that, he's been a fighter and survivor. you look at how he was tortured and imprisoned in vietnam. if you look at his crustiness, and i say that as a high compliment, as a challenger to george bush in the republican primary, running for president himself in 2008, as a voice before he was sidelined by this horrible disease against thi

dr. sanjay gupta. senator mccain chose you to break the story of his illness last july.nd treatment? >> well, i'm sure it was a very difficult decision. and you are sort of having these decisions all along when you are getting this sort of treatment. you may remember initially they thought he had this blood collection only, that was above his left eye. behind his eyebrow. and they found the tumor at that point when they were taking out the blood collection. that was july of last year. after that, you know, it is the question of chemotherapy, radiation, constantly sort of doing in some ways you know the analysis, is the risk of the therapy and the toll that that therapy takes on the body worth it, is it doing its job. and at some point you say, you know, you get to the point where you say the risks are no longer worth it. and i think that that is what has happened now. i think over the past couple weeks i've heard from people that he had a seizure last week, he's had some tee decline and i'm sure that is part of the decision as well. it is not an easy decision, usually do

dr. sanjay gupta and chief political analyst dana bash.ing from your sources about the senator? >> well, as you mentioned his family has said that he is no longer going to have medical treatment. that is under way, and has been at least all day. and what that means is they're trying to make him as comfortable as possible. look, it is no secret, and dr. gupta can tell you this and has since we broke the news on this very program a year ago july that senator mccain has this horrible, horrible brain cancer, that this would be the thing that finally catches up to him, finally reminds us all that john mccain who survived 5 1/2 years being tortured in isolation in a north vietnamese prison is a mere mortal. and it's hard for even those close to him to grapple with that. i talked to some of his colleagues today who like all of us who have known this day is coming, are finding it kind of shocking that the end appears to be near. >> list took his words from last fall you're reminded john mccain doesn't feel cheated. he feels so appreciative for the

dr. sanjay gupta has one mother's story. >> reporter: in order to really understand what's going on here,g. her lungs drowning in fluid. her electrolytes are fluctuating wildly. and her heart is precariously close to shutting down. this 51-year-old mother and undocumented immigrant has end stage renal disease. full-on kidney failure. >> the function of the kidneys is to filter blood of excess toxins and excess fluid. when both kidneys stop working, people on average will live anywhere from 10 to 14 days. and so to continue living, you need some process to filter blood, which is a dialysis machine. >> reporter: for most people that treated the problem. but here's the thing. lucia is allowed treatment only when she essentially arrives at death's door. the emergency medical treatment act of 1986 says hospitals in the united states must care for anyone with a medical emergency, regardless of their citizenship or ability to pay. but they're not obligated to prevent that emergency from happening in the first place. what is happening inside the body? >> for these patients, because they only come