a medical was called to the scene, where the medic determined that mr.ray was now in cardiacer arrest and was critically and severely injured. he was rushed to the university of maryland shock trauma where he underwent surgery. the manner of death deemed a homicide by the maryland state medical examiner is believed to be the result of a fatal injury that occurred while mr. gray was unrestrained by a seat belt in the custody of the baltimore police department wagon. all events occurred in baltimore city state of maryland. while each of these officers are presumed innocent until proven guilty, we have brought the following charges officer goodison is being charged with second degree depraved heart murder involunteer manslaughter second degree negligent assault, manslaughter by vehicle by means of gross negligence manslaughter by means of criminal negligence misconduct in office for failure to secure prisoner failure to render aid, officer william porter is being charged with involunteer manslaughter assault in the second degree, misconduct in office lieute

within one hour i believe any of person requiring medical cannabis has easy and rapid access to meet their requirement the city of san mateo has band it and american people article in the sf weekly said the medical cannabis owners are looking to open up in narrows neighborhoods with ease access to san mateo county i don't believe this has anything positive to our neighborhood more do i believe putting it there serves our community. >> thank you. next speaker. >> my name is grace i want to share my first experience for a second-hand marijuana when i was waking in my neighborhood i said hey, what's this smell so this was interesting i must say it might effect the journeying generation but after that i felt this kind of smelly was walking down hey, there must be something wrong i said my freehand told me to is marijuana so this is a second-hand smell that make me dizzy so i would say that's not good for anyone okay. thank you. >> thank you. >> hello, i'm 83 year-olds year-old since i feel this is so important i have to come so my - i oppose to mcd in any remain integrity i'll thinking t

values but only for the medical only. >> (speaking foreign language.) >> marijuana make medical value so let they do it in the hospital setting or clinical setting not the residential district speeding i oppose the marijuana sell it in the regular business district it has to be containment in the medical facility thank you. >> hi good evening commissioner, i rise to speak for san francisco chinese club myself and on above the numerous members of the sunset destructed district our concern establishment of commercial marijuana dispensaries opium and cocaine was described for medical benefits we've learned of the pot even say they're calling it medical marijuana, however, mature or immature our understanding the medical marijuana it is our experience of opium and cocaine are significant to amongst teenagers to allow the dispensaries to come into our n

issues of the quality of medical care were raised and addressed by medical professionals. today, chiefs of staff report to a clinical specialist at the centers. in more recent times, there's also been a strong movement to eliminate the need even to have a physician in the role of undersecretary of health. i ask, would it be wise or even possible to run the defense department without generals and admirals in leadership positions? we are not saying that there is no role for nonphysicians in the administration of hospitals or medical care. we are saying, however, that medical judgment should be base on years of education and patient care. physicians are being loaded with with additional duties more appropriate. such as typing, follow-up calls, patient perception and preparation. similarly, it's not cost saving nor efficient to have physicians routinely escort them from waiting rooms to exam rooms and having them help the patients get undressed. there's a growing trend to add nonphysicians and a growing concern that a veteran may never be seen or treated by a physician while i

a medic was finally called to the scene where upon arrival the medic determined that mr.ray was now in cardiac arrest and was critically and severely injured. mr. gray was rushed to the university of maryland shock trauma where he underwent surgery. on april 19th, 2015 mr. gray succumbed to his injuries and was pronounced dead. the manner of death deemed a homicide by the maryland state medical examiner is believed to be the result of a fatal injury that occurred while mr. gray was unrestrained by a seat belt in the custody of the baltimore police department wagon. all events occurred in baltimore city state of maryland. while each of these officers are presumed innocent until proven guilty we have brought the following charges. officer caesar goodsen is being charged with second-degree depraved heart murder involuntary manslaughter, second-degree negligent assault, manslaughter by vehicle by means of gross negligence manslaughter by vehicle by means of criminal negligence, misconduct in office for failure to secure a prisoner failure to render aid. officer william porter

there are nonaddictive medications approved for this use but are the medications widely available and how well do they work? the diversion for illicit nonmedical use is how the opiate addiction can be spread. where is the call to modernize existing treatment system tone sure the right patient gets the right treatment at the right time? why aren't we hearing about expanding access to nonnarcotic treatments? these are all incredibly important tools and we want to make sure hhs talks more about these. last week dr. wesley clark the former director of samsa center and who oversaw the growth over the last decade declared before the american society of addiction medicine that many practices have become pill mills where doctors and dealers were increasingly indistinguishable laboratory fraud prevailed. the problem is not with upineprine, however. and this is what we need to discuss. i consider this as a bridge to cross over in the recovery process. as i said, it's not a final destination. we seek to lay out a recovery that is an option. for cancer, diabetes, aids, we want people to be free o

need that medical cannabis in the terryville district there are many patient that can't get places and minimum of delivery and, yes delivery services don't go all over the city for this place to open up it will be a great honor and it would be a great hope to people like me cancer patient people that suffer chronic pain and this is the form they get their relieve they don't want to be be hard medication like vindicate deny and things like that. >> thank you. your time is up. >> thank you. >> good evening. i'm susan a designation dispensary is one that is difficult to grow take into account specific conditions for patients that need relieve but also who want to learn from the knowledgeable patient staffs staff about the appropriate conditions for instance our running veterans were treated with cannabis in many countries those who need care may not be the most vocal but this is not an election this is about health care for all different months of care for people of different conditions that is a net if? an election if a group could vote they'll win this is not the process not the person

, a prescription sedative, is an intravenous medication administered by medical professionals. too much propofol can cause death within seconds. investigators asked that michelle's toxicology tests be screened specifically for propofol. >> it's highly unusual. we wouldn't typically see propofol in our drug screen. so we've never detected it in other cases. >> as expected, tests were positive for propofol. >> i can't say with specificity how much drug she got. >> but one thing was clear, the dose was lethal. to the medical examiner, it all started to make sense. whoever it was used a pediatric-sized needle to make the tiny puncture wound in michelle's left arm, since there was virtually no hemorrhaging. the medical examiner believed that this was the work of a medical professional, most likely someone who worked in a hospital and probably someone michelle knew. >> whoever had injected michelle herndon was someone that, for whatever the reasons were, she had trusted enough to offer that person her left arm. >> she would not have been able to administer the dose and then clean up

our proposed primary care on haven has 6 primary care providers in a family medication and pedestrian asterisks we provide x rays and mammograph and labs that have one-stop shop care not have to go elsewhere to receive those are services and we'll plan on bringing in specialists depending on what the patient needs are we'll have expanded hours and welcome drop in and open on weekends we accept more or most private and pun health care plans and medi-cal and medicare patients are welcome you've heard on the recital spates our institute they include the eco friendly pursuits for mind, body, and spirit we'll have jewelry and body care pursuits that tie san francisco health products that is important with our painter we have a institute with heath and healing products the muni and 49 lines and bart stalgsz makes it easily assessable by public transportation in 2013, the department of public health published a master plan and they identified van ness and the 20th street neighborhood as a mel underserved area that was one the criteria when we were looking for where we wanted to put a clinic

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issues of the quality of medical care were raised and addressed by medical professionals. today chiefs of staff report to a clinical specialist at the centers. in more recent times there's also been a strong movement to eliminate the need even to have a physician in the role of undersecretary of held. i ask would it be wise or even possible to run the defense department without generals and admirals in leadership positions? we are not saying that there is no role for nonphysicians in the administration of hospitals or medical care. we are saying, however, that medical judgment should be base d on years of education and patient care. physicians are being loaded withed a the igswith ed a with additional duties more appropriate. such as typing, follow-up calls and preparation. similarly, it's not cost saving nor efficient to have physicians routinely escort them from waiting rooms to exam rooms and having them help the patients get undressed. there's a growing trend to add nonphysicians and a growing concern that a veteran may never be seen or treated by a physician while in

pain is part of every medical condition, almost of every medical condition. representative: thank you very much. i would like to ask you, my state, state of indiana, recently passed a law allowing physicians to prescribe the naloxone to parents and others and friends giving them greater access to the reversal heroin drug. would you speak as to what's known about the impact of those naloxone programs and whether you have concerns about whether naloxone might encourage more risk taking because i met with law enforcement who said they had given people naloxone, saved their lives, and a couple weeks later saved their life again with naloxone. and so i am somewhat concerned. i want to absolutely save lives and we must, but yet -- and we know there aren't enough treatments, this is a huge problem, but might that encourage an addict if they knew their mom, dad or friend had the save right there, can you talk to us about these naloxone programs? dr. frank: sure. so to your first question obviously naloxone distribution by people who have the potential to win this and

kalika could not put his medical service there and that was not true either. what is true in area is that the code is very clear that you cannot have a medical service as an original use in any building except if you are replacing an office, a professional office and service and on the ground floor. now, no medical office is accepted or allowed in this building or any other building in this neighborhood on the second, third or fourth floors. it is not allowed at all, it is illegal. you are allowed on the ground floor and below, dr. kalika bought a ground floor he bought it and below that and tried to put his office and he was stopped. the grief we have here from the neighborhood, we have strict zoning laws that you try to keep, if you have strict zoning laws you want to keep, dr. gar n*et who's leading this particular effort has two offices on the second and third floor on the buildings she lives in, why [inaudible] they have singled him out for whatever reason, i don't know, but he will be with your help the only second orthodontist in this neighborhood and w

>> so we don't dictate to drug courts what medication.that actually should be a decision between the treatment provider and the patient. i think our work here was just to make sure there worn categoricical classifications for drug courts not to offer the medical assisted therapies. and if someone was on a recommended course of treatment, that they not have to get off the medication to do that. we actually don't dictate what medications courts use to be able to do that. i think like any treatment you want to have an arsenal of medications. >> dr. frank, could you respond to the vivitrol question, too? did you hear that? i'm just wondering if that is an option for states as a diversion to using vivitrol, that could be be part of what kobe microphone, please. >> i think that we are trying to have the full armor available to the treating providers, trying not to get between the provider and the patient as long as there's the opportunity to offer the most -- the richest menu of evidence-based treatments that are available. >> a follow-up? >> m

in addition to medication adherence and medication management let me just mention that you know we've done a lot of things we sort of knew we had to go anyway that 4 year effort has put a speciality on for us a small population and yet it has been our keg for the innovation creativity but i do have to give ucsf credit in its clinics they've going up and down done heavy lifting findings of the years and have all their patients certified this is an enormous amount of work and building on that we very narrative teams within those clinics with highly trained let me use lingo here r s p smart people not licensed but who are very highly trained and integrated with the clinics and the patients love them so i can't be more tickled than that with our hillside practices we've wrapped services around the practices but now have patient and advisors and pharmacy i was and case martin luthern king, jr. we're dogging those around quality and experience so we're happy with that coming up we feel pretty good we struggled around behavorial health, i you know it is a campfire out to open tim it has come

doctors have an obligation to take medical records just like they do in-person medical practice, and if i was a patient, you're the doctor in another state and one of these compacts and i felt that there was a problem, i would explain it and then people would look at your records just like they do in any medical board case and have to make a decision. might be a hard one to make but then you'd have a framework because you would be licensed in your state and my state and the process will play itself out. >> i think the thing with compacts everybody has to remember, you're only as strong as how many staters actually part of the compact. so when there's a licensure compact, great idea, simple process. your license in one compact state you're deemed to be licensed in the other compact states. some exceptions apply. the problem is if you look at the map of your compact, a lot of biggest states are not so you're with the situation least populace states are part of the compact and others aren't, and the states that decided to be part of the physician licensure compact, states like -- i thin

areas along the transparent window areas and patient friendly design based on a team care delivery of medical survivors services this will think assessable to current regulations with that i'd like to introduce dr. barrierer. >> handicap everyone we're really excited for before you and talk with you about the opportunity to bring health care into this area and i'd like to start by telling you a little bit about sutter pacific medical foundation that can be it there you go. >> and what we would like to achieve with having a clinic in this area sutter pacific medical foundations is part of the sutter health network and our function consists of doctors and clinicians that provide direct career neutron an ambulancey are office space south setting we have clinics and decreases in san francisco and mri county we use electronic records to patient can move seam thely to spreadsheet care in the event they need to be in a hospital the hospital is on the electronic medical records to make it easier for patients the suitor foundation has been recognized throughout california and even nationally for our p

medical workers are struggling to contain any outbreaks. correspondent visited one remote medical team and sent this report. >> reporter: around the village, locals line up to get treated by a team of doctors. this is the first medical team in the village since the earthquake struck on saturday destroying most of the houses here. this woman and her daughters have been suffering from stomach cramps. >> translator: we water is smelly, but we have to drink it. >> reporter: many patients have diarrhea and have been vomiting. this two year old has a skin infection, behind him this two year old stairs on. >> translator: he has bad diarrhea. our house is too dangerous to go back to. >> army doctors from bangladesh have come to help out. >> one week or more this support will be continued. the long time to prevent disease like diarrhea and stomach diseases. >> reporter: the collapse of the existing health system is what concerns medical officers working in the field. the army has been coordinating all of the international medical teams which have co

. >> hi, i'm paul in 2011 ordinance defined medical cannabis dispensaries as an institutional care use this is an active use whatever supervisor david chiu intention was medical cannabis dispensaries have never needed an conditional use authorization until supervisor tang emergency interim zonally legislation was passed i believe that the board of supervisors and this commission were mislead but it is a cu so here we go there are passionate and vocal people passionate they were told what they were grouping up the fears they were brought but u up don't apply to this project we have been in touch with doctors and scientists concerning the medical benefits of gus cannabis that itblast will a reliable source and some other dispensaries occasionally sunshine have some things not consisted with the supply we've developed relationship with culture varieties for the sake of the patient and not the money this should make a designation for patients that needs those specialized medications not only in the sunset this should increase foot traffic to help the loophole businesses most business owner

side and in the pharmacy side in the medical side those are drugs that are provided in the hospital or maybe provided in if an outpatient setting but to the pharmacy benefits this is not what ear talking about significantly about today because those trends will show up in our medical claims experience what wear looking at it what you're going to see as a pharmacy experience going forward. >> one of the things in 2012 speciality drugs represent 25 percent of the pharmacy accept and it is growing at a sustainable rate matt haney that is going to continue to grow at 20 percent clip-on the near future according to the united health care this could represent by 2012 up to 9.9 percent of the national trend that's significant historically a hospital or hospital in patient costs have been a large portion as we're talking about the aco they're not here that's the outpatient side you want to see growing and growing at a small clip because it didn't cost as much, if you will, as hospitalization but to have a speciality drug to grow above and beyond is acquit alarming and so i'll talk about the

-- medically informed choices? family and loved ones being told what approaches have high failure rates before choosing an approach to treatment? frankly, this is not a decision that should be taken lightly. getting ineffective treatment may not only be financially costly but it may result in a fatal relapse. finally, mr. chairman, recent testimony, including some i saw in the written statements for today, raises important questions about whether taxpayer dollars should fund certain approaches for combating this opioid epidemic over others. this is an issue i've been talking about week after week. we all agree we need the most effective treatment. and our experts agree that this treatment needs to be a broad menu of options that is different from patient to patient. so we might not have a silver bullet to cure opioid addiction at this point but we know what treatment works better than others. evidence tells us and all of the experts agree, that for most patients, a combination of medication-assisted treatment and b

cocaine was described for medical benefits we've learned of the pot even say they're calling it medical marijuana, however, mature or immature our understanding the medical marijuana it is our experience of opium and cocaine are significant to amongst teenagers to allow the dispensaries to come into our neighborhood allows the drugs to profit from it it didn't make sense to - >> sorry ma'am your time is up>> thank you. next speaker, please. >> thank you >> (speaking foreign language.) >> thank you. your time is up. >> sir your time is up. >> okay. okay. okay thank you, thank you >> next speaker. >> hi ladies and gentlemen i want to say i don't like marijuana store over on area area i smell marijuana i feel headache so i think that marijuana is bad for health so no more mcd thank you. >> thank you. >> thank you. next speaker, please. >> >> hi, i'm i - i'm sorry. ma'am, into the microphone. >> i'm a long time resident on sunset i strongly oppose this dispensary thank you thank you, thank you. >> thank you. next speaker, please. >> okay. somebody. >> if we could get a flow of people speaki

medics should have been called they weren't. looking less away from an accident and more towards a homicide. that does not constitute a crime. homicide is at an. then the crimes had to come in during the criminal investigation. >> jayne, we have to go to break. thank you for joining us tonight and thanks for your extraordinary interview of that other passenger in the van who got in in the last five minutes. we've been so busy with the over breaking news of this hour that we haven't gotten to that yet. thank you very much for joining us. >> thanks laurns. >> we'll be right back. may need. plus it supports physical energy with b vitamins. one a day 50+ so i'm having birthday brunch with my family. when my husband hands me a present. a galaxy s6! so i call my mom. i have verizon! i don't. she couldn't really hear me. i tell her how much she means to me. but she thinks i said she was always mean to me. i could hear how happy she was. now she definitely loves my sister more. vo: mother's day is almost here. now get 200 dollars or mor

from albany medical college. finally colonel neal woollen, dmv mss ph.d is director biosecurity that u.s. army medical research institute of infectious diseases. this is one arm acronym i do not, usamriid. dedicate that right? all right. a biological defense laboratory that is part of u.s. army medical research and material command. during his first tour of duty at usamriid to participate in ebola outbreak investigations inside your and the thai force of the ivory coast as was and the outbreak investigations into studies in the northwest territories of canada and montana for anthrax plague and other diseases. in 2010 he returned to usamriid reserve in his current position but also completing senior service college at the army war college. he received his doctorate in veterinary medicine in 1985 and a doctorate infantry pathology in 1989 both from kansas state university. he received a master's degree in strategic studies in 2012 from the u.s. army war college. mr. spencer, the floor is yours. >> thank you. >> fir

, you know, [inaudible] my agent confirmed it was medical. the office was -- the use of the space said office on all of the last three uses permits so this is one -- >> sorry but your time is up. >> i have a question for you. >> yes? >> what about -- commented that the application for the permit, you weren't really forthcoming with respect to what you put down. >> this was a very unfortunate comment because when art gallery moved out, they sent me an e-mail in november that they can no longer afford the rent the december rent, they have not paid, they opened up another space on hills budgerigar, i said you can stay month to month i want to be a good landlord, as soon as they moved out, they moved out way before 31st of december like the neighbor said, i moved in my office and did the billing and collections and within -- to apply for dental office, so since then, i signed another lease so my administrative office -- >>backer >> i'm talking about the document >> in december when the gallery told me they were going to move out, i opened a corpo

. >> the planning code and the planning code has an exemption for medical services not defined within the planning code. >> maybe it provides an option. >> right. >> it is in the planning code i don't - >> okay. >> it is used in the planning code what to what. >> it the planning code and the did you want code on this issue? it is >> so a conditional use permit is required in the event of a new chiropractic office or something of that nature wants 0 go into business and has massage you need a conditional use permit for a massage. >> i think what the confusion might be with the exemption for the dpw permit so there are two exemptions one a hospital host or other health care provider providing the services. >> it also states qualified health care provider under distinction two as defined. >> i think that language might be taken out with a new version it says of barer or cosmetologist for instance a massage of our face not considered a massage for a dpw permit for . >> so i guess when the commission heard the legislation the last meeting i think it was under the understanding that on page

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gray's seriously deteriorating medical condition no medical assistance was rendered or summons for mr. gray at that time, by any officer. after completing the north avenue arrest and loading the additional prisoner, into the opposite side of the wagon containing mr. gray, officer goodson then proceeded to the western district police station where, contrary to the bpd general order he again failed to restrain mr. gray in the wagon for at least the fifth time. at the western district police station, the defendant arrested at north avenue was escorted and secured inside of the police station prior to attending to mr. gray. by the time officer zachary novak, sergeant white and an unnamed officer attempted to remove mr. gray, he was not breathing at all. the medic determined mr. gray was now in card adarrest and critically and severely injured. mr. gray was rushed to the university of maryland shock trauma where he underwent surgery. on april 19th, 2015, mr. gray succumbed to his injuries and was pronounced dead. the manner of homicide is believed to be the result of a fatal injury that oc

gray if he need add medic, at which time mr. gray indicated, at least twice, that he was in need of a medic. >> reporter: mosby says the officers did not call a medic, and once again failed to seat belt gray. the van's driver decided to move on. at this fourth stop donte allen put on the other side of a metal partition. >> the only thing i heard, little banging. i thought someone was over there banging his head or something. >> reporter: modesby says gray was once again neglected. >> sargent alicia white, officer porter and officer goodson observed mr. gray unresponsive on the floor of the wagon. >> reporter: but it wasn't until 25 minutes later when the van reached the police station that a medic was called. at that point, she says gray was in cardiac arrest and not breathing. the medical examiner and prosecutor concluded gray's death was a homicide. >> mr. gray suffered a severe and critical neck injury as a result of being handcuffed shackled by his feet and unrestrained inside of the bpd wagon. >> all six officers are facing

sometimes it medications. doctors need to think outside the box more. had a patient with low sodium. i said you're drinking too much water. you can dilute your sodium. >> repeat that. >> if you drink a lot of water, and just plain water, and you drink glass after glass after glass, you can end up with low sodium from that alone. that's called poly genic poly dipsia. >> how do you know if you have low sodium? >> your doctor has to test you. before you can feel fatigued and get nauseous and vomiting and have muscle aches and the most important thing, by the way, it happens very quickly. you can get seizures. >> there is a possibility of drinking too much water that you would dilute your sodium levels. so what do you drink instead and do you use electrolytes or what do you do to stay hydrated? >> i think what this patient has is -- he has controlled high blood pressure. i'm assuming he's probably taking some blood pressure, and one of the diuretics is the one you can use a lot of salt and that can be one of the reasons why this patient has low salt. what s

it is a way for families to assist medical research and avoid cremation fees. unbeknownst to linda, her husband's body was about to become a lucrative industry, the trade in cadaver parts, a single body can bring in as much as $10,000. linda eventually received tom's ashes in a modest wooden box. what specifically did you think would happen when he donated his body to science? >> i thought that after he was picked up, they would take him to their facility and see who was looking for a certain thing, and okay, we'll send him here. that's what i thought. i didn't think his head here, we'll sell his arm here, and his skin here. i did not think that would happen. now i look at the box. it may as well be empty. i have no faith that their tom's ashes. >> reporter: you don't think it's tom's ashes? >> no. >> reporter: linda's alarm began when she saw a clip on the news. biological research center, the company that took tom's body, was under fbi investigation linked to raids in detroit and phoenix. it was not the first time the industry faced scrutiny. the fbi and loca

a medic was finally called to the scene where upon arrival the medic determined that mr. gray was now in cardiac arrest and was critically and severely injured. >> reporter: gray died a week later. the most serious charges were leveled against officer goodson the driver of the van. >> officer goodson in a grossly negligent manner chose to respond to the 1600 block of west north avenue with mr. gray still unsecured by a seat belt in the wagon without rendering to or summoning medical assistance for mr. gray. >> reporter: attorney michael davey is representing one of the officers but spoke today for all six. he says they did nothing wrong. >> we believe that the actions taken today by the state's attorney are an egregious rush to judgment, and we have grave concerns about the fairness, and integrity of the prosecution of our officers. >> reporter: mosby ended her speech with a plea for peace. >> last but certainly not least to the youth of this city, i will seek justice on your behalf. this is a moment. this is your moment. let's ensure that we have peaceful and productive