but i think the real issue is not that they are unnecessary, it is that they are preenter haveble, and too off we fail at preventing. ard cooing to the cdc over 200,000 deaths from heart diseases are prevented each year, we need to act on that and speaking on a preventable tragedy, hear a story, lisa mentioned you had receive add spinal fusion, was unnecessary, before that you were very healthy, how do you think your poor and what happened to you could have been prevented? >> well, i went to a hand doctor. i didn't two have a back pain, i didn't have a neck pain. and the hand doctor i thought i had carpet tunnel pause i had no feeling in my right index finger and thunderstorm. so this hand doctor said to me without doing any calling -- sending me to a neurology, to do nerve toasting which would have confirmed that i have this, he said he did an mri, and he said will you go to up to dr. [bleep] because i don't think you have carpal tunnel because that's the irony. go in with problems with my hand, and the next thick i know is dr. [bleep] is telling me that if you don't get this done, yo