many fast food restaurants and food that promotes heart disease and die beat and hy diabetes and hypertension. when you have higher poverty rates, you really can't focus on wellness. you end up focusing on just survival. and we know our poverty rates going up and our need for food especially in children is going up. so what kind of food do you think these children are accessing who do not have adequate food in their homes? so there's a whole lot of reasons why we're going to see even more obesity in the next few years. >> before bevell, you practice in prince george's county which has some of the state's highest obesity rates. how many of your patients think about their weight and their eyes and the connection there? >> you know, not enough. and the eyes can manifest problems with obesity by diabetes. there could be problems with diabetes, and that leads to r retinopathy which can lead to blandness. my patients don't think about that. what i try and get the patients to understand is that we can effect the change ourselves. you don't always have to wait for the doctor. and if you eat healthful

folks with belly fat are more likely to develop hypertension than people who tend to store their fates. researchers in texas say one type of fat located behind the abdominal cavity had the strongest connection to hypertension. >> and the risk for hypertension is nearly six times higher for obese kids than children who have normal weight. shows the higher the child's body mass index, the greater risk is for high blood pressure. now researchers say any amount of weight loss could help kids reduce that risk. >> all right, restaurant health violators beware. let me tell you something, there are many people watching right now and investigative reporter, derek is coming up next. >> cook up the perfect sli foster gets a local nutritionist to >>> all right, get ready to sell sail for that perfect pasta bowl. the pasta boat claims to cook up this italian staple to perfection each time without the pot. >> does it get those strands just right? in tonight's try it, lesli solicited the help of a local nutritionist to get the story. >> most times pasta gets a bad rap. but in this story, you're goi

she died of what we call hypertensive heart disease, an enlargement of the heart, generally because ofd pressure. she's also an obese woman and that certainly would have played a role on her underlying heart disease. >> final diagnosis hypertensive heart disease. 510 grams. >> and then there are the occasional cases that may never be resolved. toxicology on charles krueger jr. yields unexpected results. >> he has no evidence of acute alcohol intoxication. and that was concerning for me. most of the time alcoholics who fall and sustain fatal injuries are intoxicated at the time of the injury. >> police work uncovered information that the man had had a seizure one day before his death and was treated at a local hospital and released. perhaps the next day he had another one, causing him to lose his balance and fall down the stairs. is it really possible to fall with that much force without being pushed? dr. spitz says there's no way to know with any degree of certainty. the east pointe police investigation failed to turn up evidence of foul play and found no additional information on the

the positive thing, and you'll be happy about this, it's hypertension is on the water.s not long before the platform is put to the test by 11.5-foot female tiger shark. >> since the shark is dorsal finish up, tissue samples are taken first and then blood is drawn. it will provide a wealth of information, the kind scientists used to only get by sacrificing the shark. >> in the past if you wanted to know what a shark is eating, you cut it open and look in its stomach. now we use fin clips and their blood to learn what they're eating. >> the shark is flipped over and carolyn begins her ultrasound. >> she's pregnant. >> we got a pregnant one. >> inside this big bloated tiger sharks. it's really exciting, the first female that is pregnant. we need to understand their breeding behaviors, they're doing the surgery to implant the transmitter to get precise details. >> because she's pregnant she's fitted with a second device to track her moments beyond tiger beach. >> the satellite tags are bolting to the fins that have no nerves, no cartilage. we're using medical grade titanium

add a few more pills for add a few more pills for hypertension, diabetes, hypertension, diabetes, asthma, then add one or two or three then add one or two or three precipitations for precipitations for narcotics, narcotics, what happens if a vet adds some what happens if a vet adds some over the counter medications or over the counter medications or if he drinks alcohol? if he drinks alcohol? >> suicide and accidental >> suicide and accidental overdose among veterans and overdose among veterans and active service members is twice active service members is twice as high as the national average. as high as the national average. leading some to question whether leading some to question whether the drugs are treating mental the drugs are treating mental illness and pain or making the illness and pain or making the problem worse. problem worse. so how effective are these so how effective are these precipitation drugs at treating precipitation drugs at treating what ale also our veterans? what ale also our veterans? >> producer is here >> producer is here monitoring monitoring our social media

heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses.hen 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 effective >> good afternoon, everybody. thank you, everyone for being here and i want to thank

add a few more pills for hypertension, diabetes, asthma, then add one or two or three precipitations narcotics, what happens if a vet adds some over the counter medications or if he drinks alcohol? >> suicide and accidental overdose among veterans and active service members is twice as high as the national average. leading some to question whether the drugs are treating mental illness and pain or making the problem worse. so how effective are these precipitation drugs at treating what ale also our veterans? >> producer is here monitoring our social media. we know about the relationship between precipitation drugs and suicide or accidental overdose. >> speak big relationships, we had a lot of online comments from family members of veterans. >> we did. >> how this is affecting and destroying their lives, as an active duty spouse, i can tell you it's not only the veterans that struggle, the family struggles every single day. here is jen, also a spouse my husband has ptsd. takes eight pills daily. he's a zombie, can't leave the house, this is a problem. jeremy who is a vet says, look, so

. >> it ranks ten in overall rates of hypertension and diabetes.o, we're seeing the disease burden really take hold in delaware. >> reporter: report also found obesity rates were high's monk african americans and latin os and people between the age of 45 and 64. and while a third of the nation's children are still overweight, rates are beginning to slow down. >> we are seeing bright spots across the country and philadelphia is really leading the way. we know that philadelphia, has seen a 4.7 percent reduction in child obesity rates. >> reporter: school programs that encourage healthy eating and activities get some credit along with the growing availability of produce in neighborhood grocery stores. >> more than 600 food outlets across philadelphia now have fresh foods available. >> reporter: obesity report also said that people who are poor, and live in the south or more than likely to struggle with their weight. you might wand shore did well in this report? where are the skinny people? colorado had lowest rate of obesity in the country. report tho

there are unconfirmed south korean reports that he's suffering from gout, diabetes and hypertension. >>> and tomorrow a special event televised by nbc news, "the global citizen festival" from new york central park. among the performers jay-z, carrie underwood and alicia keyes. the cause here is enormous, nothing short of the elimination of global poverty by 2030. >> it's about showing and telling first that there is ways that we can start changing -- being the change we want to see. and that we as young people are the most powerful voices that there will ever be. and let's not sell ourselves short. >> alicia keyes just one of the performers. the concert will be seen here on nbc tomorrow night 9:00 eastern time. another break. and when we come back, a night to remember. one final incredible moment to cap off a storied career. incred cap off a storied career. [ female announcer ] we lowered her fever. you raise her spirits. we tackled your shoulder pain. you make him rookie of the year. we took care of your cold symptoms. you take him on an adventure. tylenol® has been the number 1 doc

the study is published in the american journal of hypertension.our hearing. new research find a strong connection between eating two or more servings of fish per week in a decrease to hearing loss. they analyze data from a study that followed 65,000 women over two decades. the report higher consumption of fish was linked to less 3 loss matter what kind of fish bait. >> every now and then we get a lunch break that you cannot beat. >> you are good. we are making a roasted beet salad today. don't just visit new york. visit tripadvisor new york. with millions of reviews, tripadvisor makes any destination better. e.mereh x ta.at we are making one of my favorites a roasted beet salad. she is the chef and owner of the social table that offers p y low style cooking sauces. is all about everybody getting around and cooking together. meeting new people and learning some great recipes. it is all about the interaction between people and food and relaxing in the kitchen. we want people to remember is about having a good time with food and friends. >> that is w

scientists say obesity related hypertension and diabetes increase the risk. >>> certain types of peanuts are more likely to trigger allergies than others. mice were given different types of peanuts and scientists say the immune response was greatest with dry roasted peanuts, followed by raw, boiled and fried peanuts. scientists believe the high temperatures used in dry roosting causes a chemical change that could create the reaction. it is a lot more popular now than it used to be. >> i never heard of them. >> now you hear about it all the time. all right. let's get a check of the forecast right now. >> storm team 4 meteorologist tom kierein. i hate to say good-bye to summer but fall is here. or right around the corner, i should say. >> time marchs on. there is another view looking towards the west. there is tinnily town to the why the. way off to the horizon is bethesda. reagan national is at 68. most of the recently will be in the low to mid-60s through 8:00. by noon, only near 70. the much of a warming. midafternoon, mid-70s, lots of sunshine. a blustery breeze north and west between

i am not saying they only want access to hiv treatment, we also want access to hypertension treatment, high blood pressure treatment, because we are getting old, and we have high blood pressure. so there are those expectations. secondly, if you think about it then, the structure of systems, the institutional capacity to deliver is absolutely fundamental, and health systems and creating that is not just simply the nike expression just do it. we can learn a lot. we can learn a lot about how to weelop infectious disease so can appropriately respond to epidemics and also change things in the context of lifestyles and chronic diseases, but we have to learn much more systematically and be able to support those countries in moving in that isection, so i think that part of what we need to move forward. there was a doctoral student who lived through sars. are the people responding? how are they thinking and responding today? well, itd you say? >> would be so much similar to tim's. i really think there is a universal aspiration for health, and everybody yearns for it. when youte remarkable have

scientists say obesity related hypertension and diabetes also increased the risk. >>> you set a new recordf you live in virginia, according to the department of alcoholic beverage control. the commonwealth sold a record amount of alcohol this past year between july 2013 and this june. it sold about $800 million of the stuff. the most popular drink, jack daniels. >>> well, everybody wants to have a beautiful smile. for women what you see is not always the most important indication of a healthy mouth. the doctor joins us to explain. we're focusing on women today because of pregnancy, birth control pills and some medications that cause some oral health problems. is that right? >> yes, these are contributing to a confluence of elements that affect the oral health particularly for women. >> give us an example of how pregnancy can affect a woman's oral health. >> pregnancy gingivitis, it sort of mimics -- close to birth control observations in the clinic in the decade or so. it's just a presentation of swollen gums. during pregnancy, the tooth surface can become demineralized and there's a chang

apparently your mother was having some hypertension or some high blood pressure and heart problems thismorning and can't be here today. i don't know if she went to the hospital or what the circumstances are, but i talked to your sister and your sister supposedly is coming although she was supposed to be here at 8:30 and she's not here yet. so it's now about noon. so that's the update on things. is there something you want me to tell your sister if i talk to her again because she's supposed to call me back in a few minutes. >> tell her to pick my mom up. i'll let her know, but hang tight for a little while longer and we'll see if your mother or your sister can be here and we'll get to court, okay? >> come on, guys. be on your best behavior. if you don't act right in court the judge won't trust your behavior in society, okay? one on the right side and one on the left side. >> your sister's here. >> raise your right hand, please. do you swear or affirm that the testimony given today is the truth and nothing, but the truth so help you god? >> yes. >> please be seated. >> mr. rock, do you ha

scientists say obesity related hypertension and diabetes increase the risk. >>> certain types of peanuts are more likely to trigger allergies than others. mice were given different types of peanuts and scientists say the immune response was greatest with dry roasted peanuts, followed by raw, boiled and fried peanuts. scientists believe the high temperatures used in dry roosting causes a chemical changes that could create the reaction. >> they will have to find out if this can help them for the people who have these allergies. >> i think you can expect it to continue because peanut allergies are so prevalent now. >> exactly. >> time to get a check of weather and traffic on the 1s. >> here's storm team 4 meteorologist tom kierein. are we feeling like that? >> i just tweeted this and put this image. live view from our tower camera. on twitter and facebook you can see it too. exquisite crescent moon. beautiful morning under way. hour by hour as the day progresses. 67 at reagan national. near 60 in the suburbs. low to mid-60s between now and 8:00. a little bit of a breeze later this morning a

look, almost a trillion dollars spent on hypertension, obesity, heart disease, diabetes and all we havetake a run in central park, or take a walk, a hike, do yoga, your choice, a trillion dollars we can make a difference. >> most of our health care system is based on intervention rather than prevention before they ever get to that point, when i ski numbers, 80% of our health care in this country go to chronic disease, which apart from genetics can pretty much be changed with lifestyle and personal choices. why aren't we talking about that? why aren't we focused on that. >> that's a burden as you say and we have to be focused on prevention, we have to be focused on empowering each of us as citizens, to discover what we need, how to access it and how to integrate it in our lives and reduce that burden overall. >> if there's a big message that america needs to focus on and not just health care reform, where does that focus on? >> any time i challenge with these issues of policy and procedure, i close my eyes and i focus and i say what's best for the patient? start with patient ken trick ap

if she was older than 35 when she gave birth or had obesity related hypertension or diabetes. experts say iron is crucial to early brain development, especially to develop pathways associated with autism but they say more studies are needed. >>> and new research suggests dry roasted peanuts are more likely to trigger an allergy than raw, boiled, or dry peanuts. mice had a higher immune to peanuts compared to those exposed to proteins from raw peanuts. high temps cause chemical changes. >>> and a scary scene on a florida beach. a teen gets bitten by a shark. you'll hear him talk about his encounter coming up. >>> we'll tell what you may have played a role in the death of a student at rutgers. >>> this is nbc 10 news. >> and just about 11:30. we're checking out our top stories right now. investigators are trying to figure out what led to a deadly tour bus crash yesterday in newcastle county. two women were killed in the accident which happened along route one in bear, delaware. nearly 50 others were hurt. the passengers were sart of a sightseeing group traveling from washington

this was especially true in women who were older than 35 or who had obesity-related hypertension or diabetes. in fact, those women who had low iron were five times more likely to have a child with autism. experts say iron is crucial to early brain development especially to specific pathways associated with autism. the researchers say they need to study it more. >>> well, premature babies kept in a single family room in the intensive care unit have better outcomes than open bay environment. that study published says infants in a single room weighed more when they were discharged and required fewer medical procedures and also had lower stress levels and less pain according to the study. that's become a single room, allows mothers to be more involved with their babies and leads to more developmental support. >> that will get your clock going. >> i don't know, what is clock referring to? >> biological clock. babies. >>> there's a cool way to get rid of stubborn fat and it's government approved. >> sharon lawson spoke to the doctor about how this thing works. >> battling the bulge. it's a struggl

apparently your mother was having some hypertension or high blood pressure, some heart problem this is and can't be here today. i don't know if she went to the hospital or what the circumstances are, but i talked to your sister, and your sister supposedly is coming, although she was supposed to be here at 8:30 and she's not here yet. it's now about noon. so that's the update on things. >> i need to get out. >> is there something you want me to tell your sister when i talk to her again? she's supposed to call me back in a few minutes. >> tell her she needs to bring my mom up here. i need my mom up here. >> i'll let her know. hang tight here for a little while longer an we'll see if either your mother or sister can get here then we can get to court, okay? ♪ >> come on, man. >> come on, guys. be on your best behavior. if you don't act nice in court nobody is going to trust you to behave in society, okay? stay on the left. left side here. your sister's here. >> raise your right hand and answer out loud, please. do you swear or affirm that the testimony given today is the truth and nothing

under part two, hypertensive heart disease. under manner, natural. you. >> dr. corey is confident she knows the cause of death. >> certainly, the man had significant natural disease. very significant heart disease. his heart weighed more than twice normal. he certainly has enough natural disease to account for his death. and although this was considered a sudden, unexpected death, and that's why he came in to be examined here, once we get in there, we really see that he had a lot of chronic problems. i'm sure he did not feel very well during the last few weeks of his life. >> circumstantial evidence may have pointed to foul play, but it turns out, john whitehouse died of natural causes. as for the missing money and medication, seasoned coroner dr. ron holmes has his own theory. >> the front door was never locked. he had prostitutes in all the time. everybody in the neighborhood knew he had money the first part of the month. and then two or three days later, all the money's gone. looks to me like somebody came in to see if they could beg, borrow or st

scientists say obesity related hypertension and diabetes also increased the risk. >>> it's where they have gone to battle addiction, to recover from abusive relationships, and at times just to get off the streets. but after 35 years, rachel's center, a shelter for homeless women in northwest washington, will close its doors for the final time next week. news4's zachary kiesch explains why. >> i am grateful for rachel because they have done enough for me. >> reporter: rachel's women center has been supporting homeless women since 1979. regina allen is one of them. >> i had both. i had a breakup and i had addiction. >> reporter: for many this brownstone on 11th street in northwest d.c. is the only home they know. but after 35 years, they announced last week they'll close at the end of the month. >> that's our number one concern, is where are these women going to go if these doors close. these women to be an extension of anyone's family. >> reporter: packed did you feel backs at the door reflect the transient community they serve. sheila cain used to be one of them. >> i didn't know that

i am not saying they only want access to hiv treatment, we also want access to hypertension treatment, high blood pressure treatment, because we are getting old, and we have high blood pressure. so there are those expectations. secondly, if you think about it then, the structure of systems, the institutional capacity to deliver is absolutely fundamental, and health systems and creating that is not just simply the nike expression just do it. we can learn a lot. we can learn a lot about how to weelop infectious disease so can appropriately respond to epidemics and also change things in the context of lifestyles and chronic diseases, but we have to learn much more systematically and be able to support those countries in moving in that isection, so i think that part of what we need to move forward. there was a doctoral student who lived through sars. are the people responding? how are they thinking and responding today? well, itd you say? >> would be so much similar to tim's. i really think there is a universal aspiration for health, and everybody yearns for it. when youte remarkable have

you could convert met static breast cancer into a chronic manageable disease like diabetes, like hypertension. that's the hope. >> and linda hurtada reporting from tampa. >>> coming up, a high-tech repo man. how your car can be remotely turned off if you're late an your payments. >> it's a pretty good incentive to pay on time. but is it fair and safe? all that next on "world news now." ♪ >>> i saw your shoulders moving there. dr. dre. >> that's music. that's what i need in the morning. >> now we figured it out. >>> the ultimate symbol of freedom, the car. nothing like hopping in and going for a ride. there's a new system to stop people from driving off with your car. >> lenders are using the device shutting off the engine if you are late on your car payments. gio benitez with more. >> reporter: forget the repo man driving off with cars on the big screen. now new technology is taking his place. small devices like these are being installed in more than a million cars across the country. allowing lenders and dealerships to remotely disable your car when you're late an a payment. dealership owner

about half of all americans today suffer from one or more chronic diseases whether it is hypertension or diabetes and asthma. our hot pharmacists are doing a terrific job helping those health.o better -- our pharmacists are doing a terrific job helping those people onto better health. >> cvs has been an american-centered company. >> would purchase a pharmacy chain about 15 months ago in brazil. it was our first entry overseas. we said we didn't have the experience operating international and we wanted to understand and gain the learning. it has been a year and it's been a terrific experience so far. there is more to come on our international plans. chief rivals, walgreens, has come under a lot of criticism for confounding expectations i comes to tax policy. they had an opportunity to do an inversion and chose not to and the stock has been hammered. if anybody can use an inversion, it's cvs. of pay a corporate tax rate 39%. what is your position on inversion? needr position is we comprehensive corporate tax reform and have been talking about that for the last several years. we will con

the agency says that's setting them up for hypertension and stroke. 40% of sodium comes from ten foodshicken nuggets. an estimated 1 in 6 american children already has high bloop. >>> many children needing to be hospitalized after having trouble broetding. the start of the school year is making it easier to infect other kids. what kind of rye rugs is this? >> it's called an intro virus. it's very common. it can affect the respiratory tract like a common cold but if the kids is small, having small breathing airways, and there's wheezing. >> you look at the outbreak in mid-august and seems like the cases keep piling up. how is it spread? >> through the air simph on surfaces. kids are touching each other adults even do it above the face, neck. watch your hands. we talked about singing "happy birthday" twice. kids spread thing togs each other, that's what they do. >> "the wall street journal" says couples on different sleep schedules can expect marital conflict. those with in-sync couples have more sex. >> so much for abstinence makes the heart grow fonder. >> if you want more sex, you sho

that is available to treat a particular disease, whether we are talking about high cholesterol or hypertension or diabetes and the list goes on. i think that we all believe and substantiate the fact that christian medication is very effective from a cost-benefit point of view and then in keeping someone on the drug to prevent a heart attack, i think the average cost of a heart attack today's 30,000 dollars. and so we remember that example that we used. for every dollar invested in keeping a diabetic adherence to their prescription regimen, there is a 3-dollar return in terms of reducing overall health care costs than we were very excited about, less than two years ago, the congressional budget office that actually came up and scored the fact that keeping people at your into their medications will reduce overall health care costs. so we will work diligently and we were work tirelessly to make sure that our patience and our clients and every one of the stakeholders across the delivery system understands the role that prescription therapy and prescription adherence plays not just in keeping peopl

most private facilities if this guy had come in the emergency room like this you would have had hypertensiond-60's chest pain, you cannot wave of more red flag than that. what to see it? they control his blood pressure and send them out and are really, really lucky. the case 31, a man with an elevated psa -- i have little sensitivity to that. it is worrisome when you're a veteran. it looks to me like he just sort of got ignored. would he have died? i think that you can say. what i would like to do is have these criteria are have this looked at by the chief of medicine or some other outside source to see if they draw the same conclusion. i certainly do not draw the same conclusion as you did. you're right. you can't absolutely say that this veteran missing disappointment or whenever. but it is the culture that i see polygamous one appointment, that probably did not cause her death. i doubt that, but the culture, i just don't understand it or you do not follow up, people are dropped through the cracks, ct scans reordered, nobody gives a follow-up. and dr. samuel foote, want to stop, but i want

in turn the leading cause of chronic kidney disease in this country are diabetes and secondly hypertension. so if one can effectively mitigate or prevent people from developing diabetes which is our effort, then in turn what could prevent the complications associated with diabetes such as chronic kidney disease. we have really a host of efforts underway to see whether in fact one can first identify people at high-risk for developing chronic kidney disease. again bear genetics associated with this. people with kidney disease runs in families. we want to make sure that people who have a family history or a history of high blood pressure or diabetes are aware of that so they can go to their doctors to be tested because if one is found to have early kidney disease one can introduce therapies that can gradually slow down the rate at which it progresses to end-stage renal disease requiring a kidney transplant or dialysis. we are currently involved in a number of studies to understand what it is about the kidney that could potentially lead to this damage either acutely or chronically and whether

most private facilities, if this guy had come in the emergency room --e this, he would have had hypertension, mid-60's, chest pain -- you cannot wave a bigger red flag. what does this guy get? they control his blood pressure and send him out. they are really lucky. case 31, a man with an elevated psa. i am sensitive to that. i have had one before. it is worrying when you are a veteran with an elevated psa. it looks like this veteran got ignored for a while. would he have died? i think you can say, and what i would like to do is have this looked at by the institute of medicine, some other outside source to see if they draw the same conclusion because i don't draw the same conclusions you did. you are right. you can't absolutely say this veteran, that missing this appointment or whatever, but it is the culture i see. you miss one appointment, that probably did not cause her death. i got that. the culture, i don't understand it. you don't follow up. people are dropped through the cracks. ct stands reordered, nobody gets a follow-up. i want you to comment. you have been a political director for

in turn, the leading cause of chronic kidney disease in the country are diabetes and secondly hypertension. if one can effectively mitigate or prevent people from developing diabetes, which is our effort, then in turn, one could prevent complications associated with diabetes, such as chronic kidney disease. we have a host of efforts underway to see whether, in fact, one can first identify people at high risk for developing chronic kidney disease, again, there are genetics associated with this. people with kidney disease, it runs in families. we want to make sure people who have a family history or a history of high pressure and diabetes, are aware of that, so they can go to their doctors to be tested. because if one has been found to have early kidney disease, one can introduce therapy that can gradually slow down the rate it progresses to in stage disease, requiring a kidney put chet -- a kidney transplant or dialysis. currently, we are involved in a number of studies to understand what it is about the kidney that could potentially lead to the damage, either acutely or chronically. and wh

private facilities it is guided come in the emergency room like this, he would have had a cast hypertension mid-sixties and chest pain, you can't wave a more red flags than that. what does this guy get? a control of blood pressure and sent them out. they are just really, really lucky. case 31, a man with an elevated psa. i have a little sensitivity. i've had one elevated before. it's a little worrisome. it looks to me like this that are just sort of got ignored for a while. would he have died and you can't say -- what i would like to do is to have these criteria or have this look or have this looked advocacy of medicine are some of the outside source to see if they draw the same conclusion. i surve sort of don't draw the e conclusions that you did. you're right, you can't absently say that this veteran, just missing disappointment or whatever, it's the culture that i see. you miss one opponent, that probably didn't cause your death. i got fat, but the culture, i just don't understand it. you don't follow up. people drop through the cracks, ct scans we ordered. nobody gets a follow up on the

they're looking for reflects the needs of one sixth of the united states, and terrible diabetes, hypertensionher maladies, that particularly inflict our community, but also the clinical trials themselves very rarely include latinos. how does that affect the way diseases are attack ed the way drugs are developed, and the way health care is delivered. >> first i want to start by saying good morning to everybody and thanking the hispanic caucus for having this event. i think it's an important panel. the topic for latinos is a question we ask ourselves when we look at clinical trial research. at doctors hospital of renaissance we serve a largely hispanic community. we represent a growing populace like all of hispanic america around the nation and we are very proud to also reflect pat's comments on the age. we deliver almost 800, and a record growing to 900 babies a month at our one hospital alone. so we are quickly showing the ages as actually we're getting younger not older. but when we looked at clinical trials in america where hispanics were we were a little bit disappointed with what was happ

most private facilities if this guy had come in the emergency room like this he would have had a hypertension mid-60s and chest pain, you can't wave redder flag than that. and what does this guy get? they control his blood pressure and send him out. an they're just really, really lucky. case 31, a man with an elevate psa. i have a little sensitivity to that. i've had one elevated before. it's a little worrisome when you're a veteran with an elevated psa. it looks to me like this veteran got sort of ignore for a while. would he have died? i think you can say. and what i would like to do is have these criteria or have this looked at by the institute of medicine or some other outside source to see if they draw the same conclusion, because i certainly don't draw the same conclusions that you did. you're right, you can't absolutely say that this veteran -- this -- missing this appointment or whatever, but it's the culture that i see. i mean, right, you miss one appointment, that probably didn't cause your death. i got that. but the culture, nobody follows up. ct scans are missed. dr. foote, i want

in turn, the leading cause of chronic kidnedisease in the country are diabetes and secondly hypertension. if one can effectively mitigate or prevent people from developing diabetes, which is our effort, then in turn, one could prevent complications associated with diabetes, such as chronic kidney disease. we have a host of efforts underway to see whether, in fact, one can first identify people at high risk for developing chronic kidney disease, again, there are genetics associated with this. people with kidney disease, it runs in families. we want to make sure people who have a family history or a history of high pressure and diabetes, are aware of that, so they can go to their doctors to be tested. because if one has been found to have early kidney disease, one can introduce therapy that can gradually slow down the rate it progresses to in stage disease, requiring a kidney put chet -- a kidney transplant or dialysis. currently, we are involved in a number of studies to understand what it is about the kidney that could potentially lead to the damage, either acutely or chronically. and wh

is available to treat that particular disease whether we are talking about high cholesterol or hypertension or diabetes and the list goes on. and thewe all believe studies substantiate the fact that prescription medication is very effective for my cost-benefit point of view. anding someone on a state stati9n - the average cost of a heart attack is $30,000. for every one dollar invested in keeping a diabetic adherent to their prescription regimen, there is a three dollar return in terms of reducing overall health care costs. we were excited a little less than two years ago, the congressional budget office actually came out and scored the fact that keeping people at here into their medications will reduce overall health care costs. we will work diligently at work tirelessly to make sure that our patients and clients and every one of the stakeholders across the health care delivery system understands the role that prescription therapy and prescription adherence plays not just in keeping people healthier but at the same time, reducing overall health care costs. says that heioner or she believes