if you look up dual disorder, for example, in medical term-you'll see hypertension and diabetes. so most people have multiple conditions, and it does make things more difficult, but not impossible. we have very good treatments. we have good ways of arresting symptoms. but, as alexandre said, recovery is much more than simply not using drugs. and i-i really want to emphasize for people who might be watching this and saying "oh, i don't know, i can't imagine giving up my drugs." you know, i think james is probably the expert at this table, but the untold secret is that recovery is a very attractive, happy way of life. that's what sustains it. it's that quality of life. abstinence is a cardinal feature. but abstinence by itself is not going to do it. and like you said- james, go ahead. if i may add to that, that abstinence alone, you're correct, does not do it-that just like the attraction to using drugs was being around people who used drugs. that was part of it right there. and so once we choose to come out of the box and say "i don't want to use it anymore, but what do i do?" it'

>> strokes haveecreased in incidence along with the decrease in hypertension and heart disease but it is still the third biggest killer in the united states. there is more talk about stroke. >> there is more treatment for it, too. >> why are they talking about it? >> because they can prevent it. talking about stroke is a preventive thing we have for heart attacks and now we have one for stroke. yotry to diagnose it early. sometimes you can treatt very early. >> third biggest killer? >> something like. that >> . >> have you heard of a sound stroke? >> yes. it -- >> have you heard of a silent stroke? >> it means somebody doesn't really know. >> it is eye sent. >> they do a cat scan or mri and see signs that there was death of brain tissue. >> how bad? >> it depends. you have a thing where somebody has, like, dementia, which is dementias are a big $10 word for senility. >> can a silent stroke be a big stroke? >> no >> silent by definition means it's unobserved? >> that's right. it doesn't show up clinically. >> it doesn't show up clinically or behaviorally? >> well, it will show up behav

heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum

heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effecti >> welcome to "culture wire." on this episode, we visit with one of the arts commissi

but such a similar thing can be said for diabetes, for hypertension, cholesterol, for cardiovascular conditions, for almost any medical condition where medication is employed. the medication plays a critical role in the treatment of the disease, but you need other things to help address the condition when you see that, in terms of adherence, compliance, and a healthy lifestyle. well jane, recently we have heard in the news that there is a higher incidence of deaths attributed to methadone. is that the full picture? no. what is actually happening is that in the past few years there has been a shift for pain patients with intractable pain from other drugs to methadone. and they're being prescribed for the most part to 5- and 10-milligram pills which are not used in narcotic treatment programs. and we've seen a large increase in the amount of these pills that are going to market that are being prescribed and being used. but if the patient doesn't understand the dangers of using the pills, using it inappropriately, if the doctor's not prescribing it correctly then there can be serious ad

heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you

so hypertension, diabetes, if you're injection drug user, you may have abscesses that need to be treatedntion hiv. we want to make sure that a person who is hiv-positive is hooked up with ryan white, they can get on medication. the sooner you're on medication, the better off you are. but that does mean that, indeed, those services are available and that the caseworker or case manager is able to recognize that. so it's physical health, it's mental health, and it's substance use disorder, full spectrum. when we come back, we're going to continue to talk about, now, the treatment of homeless individuals with co-occurring conditions and with addiction problems. we'll be right back. it's important to be familiar with the proper terminology surrounding addiction and recovery. one of the terms you want to be familiar with is, co-occurring disorder. co-occurring disorders are when an individual suffers from both a substance use and mental health disorder. such as an anxiety, depression, or other mood disorders. for more information on this and other recovery jargon, visit the recovery month webs

if it was diabetes or hypertension, they wouldn't be ashamed. and we have to make it such that we can get to that level, which will take some time, i think. and, indeed, thank you for mentioning recovery month once again, because recovery month is celebrated every september, and we hope that all of our audience really gets engaged and really gets involved. it is a very worthwhile endeavor, and we want you to be part of it. thank you for being with us. great program. for a copy of this program or other programs in the road to recovery series, call samhsa at 1-800-662-help or order online at recoverymonth.gov and click multimedia. every september, national alcohol and drug addiction recovery month provides an opportunity for communities like yours to raise awareness of alcohol and drug use disorders and highlight the effectiveness of treatment. in order to help you plan events and activities in commemoration of this year's recovery month observance, the free recovery month kit offers ideas, materials, and tools for planning, organizing, and realiz

if it was diabetes or hypertension, they wouldn't be ashamed. and we have to make it such that we can get to

instead of feeling like a victim of diabetes or a victim of hypertension or a victim of asthma, people would learn and could learn to take control of their health condition and learn what they could do to improve and maintain their health. i cannot tell you the number of times i have heard clinicians' tell me about an individual who called them ecstatic because their hemoglobin blood sugar level for diabetes was now the lowest ever. they were thrilled and they were doing it. they were testing their blood sugar every single day. in many ways, this has allowed clinician's to be cared rivers but also to be cheerleaders, cheering the individual and a group of patients because the user group patients with diabetic and hypertension. that is life altering for a person on the receiving end of the care. this is also fundamentally life altering for the clinician's to give care. this health disparities collaborative have been the biggest boosters for clinician's that felt like they were at the bottom of the cycle. all they could do was reactive to respond and not be overwhelmed. instead now, it i

instead of feeling like a victim of diabetes or a victim of hypertension or a victim of asthma, people would learn and could learn to take control of their health condition and learn what they could do to improve and maintain their health. i cannot tell you the number of times i have heard clinicians' tell me about an individual who called them ecstatic because their hemoglobin blood sugar level for diabetes was now the lowest ever. they were thrilled and they were doing it. they were testing their blood sugar every single day. in many ways, this has allowed clinician's to be cared rivers but also to be cheerleaders, cheering the individual and a group of patients because the user group patients with diabetic and hypertension. that is life altering for a person on the receiving end of the care. this is also fundamentally life altering for the clinician's to give care. this health disparities collaborative have been the biggest boosters for clinician's that felt like they were at the bottom of the cycle. all they could do was reactive to respond and not be overwhelmed. instead now, it i

at the university of warwick found women that sleep five hours or less are more likely to have hypertensionhave to stop calling your numbers. >> over here it's not blinking. i'm sorry. >> it's actually women. we have better peripheral vision. >> see, i would have missed it. is it. >> let's do it. >> who gets over a breakup faster, men or women? >> men. >> women. >> kathie lee, women. >> are you kidding me? >> men are not in touch with the limbic system, so it takes them a while to process it. >> they just bounce to the next one. >> they do. >> they look like they do. >> they seem like they do. >> when it comes to talking feisty in the bedroom, who is more chatty? >> women. >> exactly. >> that's too easy. women. men will get more -- >> you know my reputation, baby. >> there you go. that's the answer. >> who gives shorter responses? >> men. >> absolutely. the reason why? men are only thinking language with half the brain. >> we know what they're using with the other half. >> okay. who has a bigger brain? >> women. >> of course. >> the answer is actually men. they have bigger brain, but whethe

it relieves the hypertension. but one glass is really tricky.er and one and a half of hard alcohol. that's it. if you want to do more than that, you could skip the next day. one glass per 24 hours. >> one serving a day. >> good for heart disease. >> don't go crazy. >> also in the list you have measuring your waist. the rotunda of your body. >> apple shapes are less healthy than pears. if you are looking for health look at your waist. 35 is optimal for women. less than 37 you reduce your risk of heart disease. get it down through exercise, diet, whatever you can do. maybe skip the trans-fats. eat more calcium. these things are known to lower waist circumference. >> and fiber helps? >> the more fiber the better. most people get 15 grams. if you can get 34 grams through whole grains and vegetables you can eat more and weigh less. 6% of your calories don't get absorbed at that level. >> eat more, weigh less. i'm sold. >> whole grains and -- >> and keep an eye on blood pressure. >> you need to get it checked. anything over 120/80 you have prehyperten

christie was diagnosed with primary pulmonary hypertension at 27 and it affects the lungs and your lifeto teach. she stopped focusing on what you couldn't do, right, and started focusing on what you could do. she's developed this wonderful elementary school writing contest, and so david and i did something very different this time. ladies, when you come on thursday -- we'll tell bu it on thursday. how do you feel about win sng. >> oh, my god. you have no idea. i didn't expect it. i'm thrilled. >> is this christie or becky? >> this is christie. >> hi. how are you? we're so excited to have both of you. i think it's cool when a best friend writes in for another friend. >> you can tell she has really impacted her friend's life. >> we can't wait to see you on thursday. the special song and the whole we'll roll out the red carpet. we look forward. >> it will be very different. we'll tell you about it as soon as we're able. we have too much to talk about. >> we have to do our favorite things. >> i had a chance to read two books. "same kind of different as me" fabulous by ron hall and denver mo