it took medications were willing to give medications a try. but recognize that they were imperfect and i was curious you know given that these are imperfect tools what are the ways that they've affected you it's a remarkable book and remarkable reporting droste the medication generation grows up hitler billboard thanks so much for being with us. thank you so much for having the pleasure to see this and other conversations with great minds go to our website conversations with great minds dot com. coming up after the break how do we stop alec from turning america into the wild wild west and are we really a nation filled with communists all that more and tonight's big picture rubble. is he. still. for the better.

george washington medical school, associate medical professor, georgetown medical school psychiatry, 20 years and currently medical answers,medicy television program, host 8 years and currently. author, 36 articles, four monographs and 204 pfessional prestations on alt attenon deficit disorder, depression, post traumatic stress disorder, psychopharmacology. hobbies, acting, singing, power walking. brian bowls doyle. >> on the words psychopharmacology, you say, ariel, the psycho pharmacologist is the new drug dealer, like a park avenue drug dealer. is that how people look upon psychopharmacology? >> that's what one of my sources said to me. that'sow she views it. i think that's how some people -- they've taken their attitude that they would have had once towards street drugs and transferred it on to prescription pills. >> you mean, they were taking marijuana in high school and then graduated to coke in college, and now they're into park avenue drugs, and they have a psychiatrist so they have a psycho pharmacologist? >> the girl you're speaking of, that's what she said. >> isn't that t

i want to do that for medical technologies.little renegade, but we've learned that if you don't make somebody uncomfortable in what you're doing, it's probably not that innovative to begin with. most of the doctors were ready to just give up on me, and they even bought a coffin. my mother froze everything. i was 18 years old before i had my first fresh bun. the invention that i came up with is the hot dog ez bun steamer. steam is the key to a great hot dog. i knew it was going to be a success. the invention was so simple that i knew i needed to protect it. my name is chris schutte and i got my patent, trademark and llc on legalzoom. [ shapiro ] we created legalzoom to help people start their business and launch their dreams. go to legalzoom today and make your business dream a reality. at legalzoom.com, we put the law on your side. mmmmmman: in the small townmake your business dream a reality. of elmira, new york, a boy was born into an all-american family. the odds of him achieving his dream in the fashion industry? 1 in 23 mi

there is applause on cedar street and medical office building. we are proposing to build -- to build parking lanes on post and then uvaness to improve public . we a coordinated the building facades to support and enhance pedestrian environment. and in this view of the hospital we're looking south on vaness. post street is to your right. the hospital is divided. we have placed the bed tower on the southern extreme of the site along gary to the rear of the slide. that arrangement provides a number of urban design and planning attributes. planning the tower along the south minimizes the amount of shade and shadow onto the surrounding buildings. we are casting a shadow on to ourselves. by pushing the building to the south, it allows the lower podium to be more efficient. we are actually one floor lower across the podium, which produces street walls on the majority of van ness and frankly -- franklin. these are actually lower than the existing buildings on the site today. this also improves the sideline, obviously from the neighbors to the north for t

it's worked so well that group health has embraced the medical home idea for all its medical centers. on the shores of puget sound, we found another useful model just north of seattle, in everett, washington. this town is slightly higher than the national average in family income, and just about average when it comes to the number of people who are uninsured. the evert clinic is owned by the doctors, but they don't have their own insurance company or hospital. this clinic treats about 250,000 patients. here in everett, the structure's completely different -- 300 docs in one big practice. but this place, too, is famous for controlling the cost of healthcare. at the heart of the operation, we found a cardiologist, dr. harold dash, who's the president of the clinic. doctor, the reason we're here is that experts at dartmouth say everett clinic is a model for high-quality care at reasonable cost. how do you do that? sometimes we're surprised at that because we're trying to do better. we think that our cost of care can be improved substantially. we have a goal to lower the cost of care to o

as a medical student where it was a knock. rate about disability whereas it is now routinely. so i think that there. may be a worry. about opening up pandora's box and i think there's no question that the medical military command structure is subordinate to the commander of the line command so i don't think that you know certain generals of the me or navy or air force. you know speak out of turn i think they're there they have a clear. obligation to their superiors as far as the army is concerned not sure about the navy or the air force but far as the army is concerned they've moved to what's called combat teams brigade combat teams and within their brigade combat team you'll have a brigade surgeon and i forgave certain commute kathlyn or major well the battalion commanders of the ten a colonel for brigade commander as a colonel all out rank the brigade surgeon brigade surgeon and will make recommendations to the tieing commander or brigade commander but that's all the our recommendations are brigade commander doesn't have to follow the recommendations or the battalion command

medical canada's. the department recommends that you take d.r. and disapproved the c.d. this concludes my presentation and i am available for questions. vice president wu: thank you. project sponsor? >> good evening. my name is daniel. a little bit about myself -- i am an attorney, a small-business owner in san francisco. i am also a patient and proud supporter of the medicinal marijuana community. and the values that this community shares on behalf of san francisco. san francisco has a very proud history of supporting civil rights. san francisco's politicians and the community have identified san francisco as a sanctuary city, ensuring safe access to cannabis on behalf of those individuals who have recommendations and required it. providing safe access to medicine is critical to the well-being of our san francisco community members, especially as we know that san francisco has one of the largest per-capita prevalence of people living with hiv. 471 jessie st. is a phenomenal resource for san francisco.

visits no link was made between this medication and this medic symptoms even when he was diagnosed with some form of anxiety there was no mention of larry's potentially causing or exacerbating the problem. military medicine does nothing with wonderfully well i mean they get people off the battlefield very very quickly you know if you get your legs blown off god forbid in iraq and your wonderful job one of the things that military medicine is i think many critics would agree on is they are just bad at side effects whether it's lariam side effects or the anthrax shot side effects it is just not information that gets out in the field is not emphasized it's not something that people are me aware of and it's a it's a it's a real problem because a lot of these soldiers are totally full of drugs and vaccines and they have problems and some of the problems are deadly. remember when you join the military you give up certain rights and certain rights that you give up as sort of free choice you are required to follow your community orders and that's what the military is based upon and that's why w

the medical office building shares that with the hospital. the same coloration and components are used. punched windows are used throughout. the new plaza will provide access, but to the hospital and the doorways. it is full of bounce, seatings, the louvre -- new landscapes and a multipurpose room. the public staircase goes uphill to the south to connect 27 st. in the second major doorway -- and the second major door way that provides access to emergency services. the hospital and medical office building we believe will support a dramatically improved public realm. we believe these five buildings answer the challenge given to us. we think it will be great additions to the city. these buildings will provide the highest quality of health care, complement the neighborhood and be built to last. i would like to introduce dr. costed kirsch. >> good afternoon. my name is dr. ed kirsch, and i am a cardiologists and chief of staff. i represent the 350 positions on the active medical staff at the hospital. they in turn it care for about 300,000 residen

i am the medical director at northeast medical services and we wholeheartedly support the rebuild of cpmc. we serve over 55,000 patients through a san francisco bay area with seven clinics. close to 60% of our patients are uninsured, low-income, and have minimal english proficiency. cpmc has been a good neighbor and friend to our low income, underinsured patients. cpmc has collaborated on many projects over the last 14 years and our patients have received generous charity care from this partnership. for instance, cpmc provide specialty care and hospital care to 25,000 of our patients, half of which are in any healthy [unintelligible] program. many received eye benefits. 5000 newborns are delivered annually. we partner with cpmc to eliminate infections tand offer free hepatitis b testing. a patient received life-saving surgery. he had a tear in one of his major arteries. he is well and alive. in conclusion, cpmc has been a great friend and neighbor to our low-income and uninsured patients. rebuilding would bring a world class institution closer to our community. on behalf of northeast

although it was just one of the many medical breakthroughs in recent times it did little to advance the reputation of medicine and health care and russian foreign experts described as quality is poor and many russians prefer getting treated soberly. hello thank you for coming to our show let's start with this they say that it isn't car accidents now they're aids nor any diseases that are the leading cause of death worldwide but it's still hard diseases that claim more lives than anything else is that still correct. there and yes that is definitely true and i reach over fifty percent of welfare officer caught by cardiovascular diseases and what is tragic is that a fairly large share of fatal cases is caused by sawed in cardiac arrest over three and a half million people die of sudden cardiac arrest worldwide every year in russia alone it claims two hundred fifty thousand lives a years assuming we health a person can die within an hour without exhibiting any symptoms at the time prior to their death. what can we ask who recently hosted the sixty six international congress of the european

>> it's what medical examiners like dr.n, the consequences of human nature at its worst. >> end of dictation. thank you. humans can be quite creative in the ways they can think to hurt each other and in the ways they can actually end up causing the death of someone else

the toddler is brought to the kentucky medical examiner's office. deputy medical examiner dr.opsy. >> once we've done that, then we begin with the interior. >> a forensic pathologist with five years of experience, he's the only man among the five medical examiners in this office. he needs to determine the cause of death. autopsies won't show whether a victim was pushed into the water or fell in. but it's standard practice to look for signs of foul play that may have occurred before the victim was found in the water. >> ready? the working diagnosis was drowning. there are no real tests for drowning. i can't send blood to the lab and it come back and something be high or low and that's an indication of drowning. so drowning is basically a diagnosis of exclusion. >> as part of her training, a medical student observes the autopsy. >> just because we do an autopsy doesn't mean you can't have an open casket. which is always a big concern with families. in a case like this, this child would obviously be able to have had an open casket visitation. all the incisions we make will be cov

i think that the education component for the medical community is important. chairwoman talked about what needs to happen with short-term prescriptions. our e.r. docs need standards for how much should they prescribe if someone shows up at the e.r., they ought it to do mandatory checks. the problem for us in law enforcement and in kentucky, and i can't speak to other states, but in kentucky we have a battle with our medical community in that the casper system, it is housed over in a cabinet with health and family services. they have the data. they observe the trends that are problematic. they are supposed to take actions against licenses if they spot trends and report them to law enforcement if necessary. until this issue received scrutiny in the last couple of months, in my first four years as attorney general i didn't have a single law enforcement referral from the board of medical licensinlicensing. so the doctors if they're going to be prescribing -- there are different standards for an oncologist than a podiatrist but the doctors prescribing have an oblig

she calls it "the global medical relief fund."ef sounds really big. >> it's big in the sense that we reach out to the world, but it's small in that it's really me. >> maybe you should call it "one little lady in staten island." >> [laughs] >> she runs global medical relief out of her home with a computer and a phone. >> my office is my former walk-in closet, and i added a window, and it works. and i speak to the world right out of my walk-in closet. >> the 112 children that you've helped so far... >> mm-hmm? >> come from where? >> bosnia, el salvador, liberia, niger, sierra leone, iraq, china, indonesia, pakistan, haiti. did i say nepal? >> how do you keep it running? >> on a prayer. [laughs] [ticking] >> coming up, the personal cost of caring. >> how often do you run into people who say, "look, those kids are from overseas, and we'd rather donate our money to kids here in the united states"? >> often. >> it's a big problem for you? >> i've gotten hate mail. >> oh, hate mail? >> yeah. >> that's ahead when 60 minutes on cnbc return

what do they do with existing clients and existing paper medical records? >> what we have are the ongoing user groups and training, so training is something that we found that we really had to invest quite heavily on. we have a training center that is set up at our behavioral health offices at 1380 howard street. we kind of offer ongoing training as, number one, there is attributing of the staff, so they're always bringing new staff, but also as they get more proficient utilizing the electronic record, the folks need to be trained to take more advantage of it. so will is quite a lot of feature function that just out of the gate, not everyone uses, but as they mature in the use of it, we have kind of an ongoing training on different levels to make that open to the providers. supervisor kim: but i imagine that these clinics would have to dedicate some resources to just having staff members go through existing paper and transferring them to electronic as well? >> i couldn't hear the question? supervisor kim: i imagine that clinics have to dedicate staff resour

we are here to show our support for the new medical center. we feel this project will do much for the past -- we feel this project will do much. we want to ensure that our concerns are considered. as we make plans for the destruction of the facility. we're pleased to report we have reached consensus on a number of critical issues including noise and vibration monitoring, construction hours and parking. all men to make life easier not only for our residents but for the surrounding community as well. we look forward to having the new hospital completed and for california pacific medical center to be our neighbor. >> good afternoon. i represent thae [unintelligibl] the commercial footprint of this building [unintelligible] 40% of that space is leased to two medical tenants. they often use sensitive medical equipment as part part of providing care. tharoor discussions, -- through our discussions, cpmc has worked with us. insuring as little disruption as possible. this measure includes noise and vibration monitoring, mitigation measures and parking

screamed for a medic in between. scream for a medic, medic. lo and behold, here comes another medic. some blond-haired kid. i didn't get his name. only partial of it. i told general moore, it's like nall, n-a-l-l. which is probably part of his name. i did years of research. couldn't find the name. blond-haired kid, slight build. he came up, took care of that. we drug him back. i don't remember if i helped load him up on this kid or what. so he took him out. i'm on the gun. we're still under attack. >> are you seeing the enemy coming at you? >> yep. this particular -- here's a story. let me think if -- i was going to say something about that right there. i forgot that one thought already. >> when you took the gun over and you're calling for the medic? >> yeah. there was something there, i was going to say with a medic -- it's just -- >> did he say something to you? did you communicate or -- >> no. this second medic, we prayed -- we had like a minute to pray. russell's laying there. he's a mess. so he's there and we're looking at this. russell's

. 7.5 to 1 at the medical office building. it would update the sud map to show the news that district. at st. luke's and cathedral, and several general plan amendments proposed. covered on april 5. moving on to the conditional use authorization conditions before you today, at st. luke's, there's several conditional use authorizations required. to allow pdu, exceptions, off- street parking, and to allow a deviation from the bulk limits bid up at cathedral hill, there are several conditional use authorizations required, including those to allow medical center, to demolish five dwelling units, and to allow wind speeds greater than 11 miles per hour as a and sidewalk locations. to allow deviations in the bulk limits begun to modify the three to one net new requirement within the van ness sud. at the davis campus, there are two key cu's required. modification to the existing pud, and to allow exceptions to the rear yard requirements. for the project to be fully implemented, the planning commission must first, under item one, as pre

and her medication. the exelon patch -- it releases medication continuously for twenty-four hours. she uses one exelon patch daily for the treatment of mild to moderate alzheimer's symptoms. [ female announcer ] it cannot change the course of the disease. hospitalization and rarely death have been reported in patients who wore more than one patch at a time. the most common side effects of exelon patch are nausea, vomiting, and diarrhea. the likelihood and severity of these side effects may increase as the dose increases. patients may experience loss of appetite or weight. patients who weigh less than 110 pounds may experience more side effects. people at risk for stomach ulcers who take certain other medicines should talk to their doctor because serious stomach problems such as bleeding may worsen. people with certain heart conditions may experience slow heart rate. [ woman ] whenever i needed her, she was there for me. now i'm here for her. [ female announcer ] ask the doctor about your loved one trying the exelon patch. visit exelonpatch.com to learn more. >>> now to our consumer

medical compliance and reporting. medical facilities, and what happens is when we have a delay, a cr, the rest of the budget where i.t. resides, he has his authorization to start building facilities and standing them up. then we have to wait as sometimes happens or more than sometimes a delay until the i.t. budget gets released. so that now it can catch up to him and then in a case last year i think the budget cr lasted until april. so pretty significant period. we're a bit off stride here and i'm trying to figure out how we can get this together. and link up the authorities you provide along with the budget to do his budget and get him the tools that allow him to see patients. there's no separation between medical i.t. and medicine today. it's all one treatment discussion. >> well, i just want to let us -- let us know how we can help you be more effective in the i.t. area and i think the charge murray and ranking members will help on this too. i think it's really important in this day and age. and just -- >> can i ju

clark makes a very good point that medications therapy is covered by e ada. on the other hand, i think there's a big need out there for education. because if you're in a drug-tested environment, you're going to come back with a weird drug test, something they're not used to; it's not going to look like a clean drug test. so there may be a need for some education on to employers to explain to them that this person is not using drugs, they're taking medication to assist with their therapy and that this is okay. the other thing i think is important is that it's not just illicit drugs but the illegal use of drugs. so if you're using somebody else's prescriptions, that's not legal and that's not protected by the ada. very good point-it's prescription misuse. okay, john, i want to go to you on the issue of availability. are there enough services that are made available to individuals with a disability for substance abuse and mental illnesses? well, the short answer to your question is no, no, no. in the course of our involvement as the national association on alcoh

not only do they know how to run a hospital, but they have good medical skills as well. just last year, a year ago, easter i

pretty strongly about this and we're waiting for the right kind of partner to come along and the medical museum aspect of it and, of course, clara barton contributed significantly to the medical efforts during the american civil war. so, she's a natural part of our museum already, and we're very enthusiastic about being able to tell people more about her and use the space to help us do that. this is the space that she would have lived in. if you look up at the ceiling, you can see where each of these support beams are, you can see this beam across here with the holes in it. those were the original walls for the boarding rooms, and so this room would have been room number six, and when you cross here, it would be room number nine, and as you cross the other post, you're in room number 11, had is where chara divided up her space and used half for storage and half for her own personal space. so, it's right behind that wall. originally the wall went all the way across, and the door over here was the original door and she had another door added on on the other side. so, this space, of course,

it may be a result of over-medication. over-medication, or what we sometimes call polypharmacy, is one of the biggest health issues for the elderly. it's been estimated now, that about 1/3 of all hospital admissions for the elderly are somehow related to medication problems. that's a horrifying figure, but on the other hand, it means that we should be preventing about 30% of the hospital admissions for the seniors if we get a better understanding of these medication issues. dr. lipson: one may find that using that little bit less potent medication which has less side effects may be much better for a senior than using the big gun which also causes big side effects. problems with declining health, or increasing disability can make it difficult for the elderly to manage on their own. about 1 in 5 elderly people need help from another person in performing daily living activities. assisted living can be something as simple as helping people with their medicines, and providing transportation to their doctor's appointments. it ca

s oversight of medical devices. later on sunday morning. >> reporter: patti smith first made her name in the rock music world four decades ago. in the years since she's crossed paths with many of the leading pop culture figures of our time. this morning she talks about it all with our anthony mason. ♪ >> reporter: patti smith wanted to be a poet and an artist. but she became one of the most influential performers of the rock era. >> there was some kind of presumptive bravado that told me that i could do this. >> reporter: patti smith on life, love, and art. later this sunday morning. >> isn't it wonderful when some things don't change? >> osgood: the lucky one is a new film that stars the young, talented actor zac efron in a very different sort of role than we've seen him in before. with tracy smith this morning, we'll pay him a visit. ♪ break right, break left >> reporter: disney's high school musical turned zac efron into a star. and scores of girls... but please don't call him a heart throb. what do you think of

a mysterious medical emergency. passengers held on board tweeting out pictures, as medical teams and the cdc move in. >>> terror threat. new intelligence and a new warning. as the anniversary of osama bin laden's death draws near. why this master bomb maker has officials so worried. >>> health scare. ann romney confides that multiple sclerosis recently left her weak and struggling to talk on the campaign trail. >>> and no fair? this smiling fan grabs a foul ball. but what about the little boy who thought he had it? >> oh, my god. they can't give it to the kid? >> all america weighing in on this one tonight. >>> good evening. as we come on the air, we have breaking news out of chicago. a delta flight from detroit landed at midway airport there and was immediately quarantined. passengers held on board. but in relief, they have now been released. and it was all because of a mysterious medical emergency on board, reportedly involving a passenger from africa and a rash. a medical team swarmed the tarmac. passengers tweet

and a panel of national medical experts is trying to spread the word.e is not always better safe than sorry. >> it turns out that's not true. that many of these tests and treatments have side effects, have risks to patients and are not necessary. >> nine organizations representing some 375,000 specialists are pinpointing overuse tests and procedures, such as ekgs and stress tests and imaging for headaches. >> they also can expose you to things that make the doctor think they need to have another test and another intervention, yet another intervention. >> it's a shocking amount. estimates are that as much as 30% of the health care performed doesn't contribute to people's health. >> some worry this is a cutback to cut back on care. >> it becomes a concern when the government starts to use that information in ways that instead limit patient choice. >> but consumer choice says this is about empowering patients. >> they need to know both sides and we think when they know all of the information, they will be able to be just as involved in these decisions as a

it is important that san franciscans who need medical cannabis have safe access to it. there are oncology patients, hiv/aids patients, and people with debilitating pain that use this to treat their conditions. the public advisor continues to advise me that use to treat pain and ease and of life suffering. since 1996, when proposition 215 passed, the state of california and our city have reaffirmed our support for legitimate medicinal use for people with serious illnesses. anyway, that is why i made the motion. and thank you. commissioner antonini: this is a discretionary review and we have to find extraordinary and unusual circumstances. i think there are and i will tell you why. this is not something that we have not done in the past, not just with medical marijuana dispensaries but other types of the establishment. many years ago, when i was first on the commission, the commission took d.r. and disapprove a starbucks because of neighborhood opposition. this was at a time when there was no legislation that required c.u. 44 miller retail but rather a discretionary revie

- to medical services. i think given a lot of discussion in recent years about the impact of funding the nonrecurring maintenance and the effect it was having on va facilities, the committee should certainly be interested in looking into that as well. >> on behalf of the disabled american veterans and as co-author of the independent members to offer our views and recommendations regarding the fiscal budget for 2013 as it relates to veteran's benefits administration. as you know, we're now in our third year of bbas latest efforts to turn the outdated manual system into a computer system. those the only way to get the back lookings under control. in collaboration with bso stake holders, we urge this committee to provide con stand and direct oversight for -- perhaps the most important initiative is the benefits management system or bbms which is scheduled to begin it's rollout nationally in june of this year, with final completion in late 2013. so as bba works to deplete, defect and deploy. it's absolutely cru

of medications every month at the nursing facility.y of them go unused >> winning medication order is changed or if president goes, or if they pass away we have this medication that we cannot use any more >> legally it cannot be given to another patient or sent back to the pharmacies of a need to pay to have perfectly good medication professionally incinerated >> is very sad. one report came out of stanford university that showed we're destroying about $100 million worth of usable medicine every year >> so she and other is made an on-line system that allows health facilities to donate and used medicines to county operated pharmacies which in turn handed out to the uninsured for free >> by the end of 2011 we had helped redistribute more than 30,000 pills. she says it is an approximate value that would have otherwise been destroyed now goes to those who could not otherwise afford it. a big bonus for facilities like this one >> because we're not paying to have the medications destroyed >> individual consumers cannot purchase the recycled