medical education is really important and medical education comes formally through continuing medicaleducation credit. it also comes another waste listening to your patients and reading some of the nonspecific medical literature. i want to address the medical education as part of the board exam for the american academy of cannot avoid medicine is really excellent. as far as listening to your patients, i wrote a recommendation for a medical history out of this day, out of this country and i watched and medicaid for multiple sclerosis. he had two types of pain. one went away immediately with the first inhalation, the second changed in character. that is learning from your patient. the third is her mother's versus. well pointed out that medical cannabis is really just an excuse to get on the recreational side. i think it is the exact other way around that many of the so-called illegal users because we don't have that are self-medicating. let's go down with the industry of the drug pushers, the drug importers, those who poisoned cannabis with pesticides just to sell it and have claimed ca

what she needed was medication to treat that, but she also needed some medical attention to address this problem. it can be a serious problem. and so here we are in a clinic with a woman who has no health insurance, and we came to the clinic with samples that day, but we ran out of the samples, so we weren't able to give her medication to treat her. her high blood pressure was very high, and she was unaware of it. so here we are with this woman who has preventable health problems, fibroids, high blood pressure, and we were left with what can we do for you? it was a stark realization of how this played out. so that was sort of the rural setting. and later in medical school i rotated at an inner city emergency room, this was down in atlanta, and you saw patients with the same sorts of problems that were treatable and preventable but, you know, not kind of being able to get the care they needed. it really all came to me one day when we rode out on an ambulance out to this housing project. it was in atlanta, but it was -- it was, it felt like you went to this really rural part of town and th

in medical school i was diagnosed with high blood pressure.so i'm 23, 24-years-old thinking i'm on top of the world, former athlete and i get struck with this diagnosis. the doctors were concerned that i get early signs of kidney problems. was pretty significant. the book throughout the story to tell you how i progress through that and to challenge that and changing my diet and the way that i lived and how hard that was and how there was a huge cultural peace to that from the background i came from and the struggle i dealt with in assimilating this other world so i think that is an important issue that i talk about but that is a big piece of help that we can do as individuals as well. so the goal is to educate people because they don't know about the problems. one of the things that we have seen in the early interactions with people that the press they are never aware there was this issue of problems in the community so it surprises me that i see it over and over again. so it is really educating people and so the other piece is to inspire able

the medical examiner was able to determine that by adding to the medics kit it longer eedle,thorax nud connecticut a better chance to quickly reinflate a lung and let the soldier get to the next higher level trauma treatment center. we had on display the models of the pneumothorax needle, and that is based on the data of all of the lives lost. the medical museum is home to one of the world largest collections of microscopes. it was started in the 1880's. collectingout examples of representative technology of the time. it included this microscope by robert cook, a member of the real society, who used a to observe a cell for the first time. this gives us a chance to talk about the history of science and why this one device helps change the nation -- the nature of the world around us. chance toves us a reflect on science in general. i am here commemorating the history of the army medical museum and what we know today as the national museum of medicine. on display here are a range of artifacts that tell interesting stories from different eras of the museum's history. especially of interest

that are cme -continuing med-- medical education. they have to be -- certified programs that are not um-- they're not biased. they're academically based. >> but they're paid for by the pharmaceutical companies? >> well, you get grants. yeah. i mean, y-- they get grants, yes, that's true. >> you understand the appearance of-- >> i understand. >> -going to a lecture by someone who's essentially getting money from the pharmaceutical company talking about here's how you manage pain. here's one of the tools: opioids. >> opioids is a tool. they-- opioids are a tool for the treatment of chronic pain. there's nothing wrong with using opioids appropriately, for people in chronic pain. >> but a government study released last year concluded that there's little evidence that using opioids long-term is effective for treating chronic pain. >> when you talk about putting somebody on a highly addictive drug, on a drug that's essentially a heroin pill, and they're taking it on a daily basis, just about anybody can wind up getting addicted to it. so w

the medical examiner was able to determine that by adding to the medic's kit a longer pneumothorax needle, connecticut -- the medic had a better chance to quickly reinflate a lung and let the soldier get to the next higher level trauma treatment center. we had on display the models of the pneumothorax needle, and that is based on the data of all of the lives lost. the medical museum is home to largesthe world's collections of microscopes. it started out collecting examples of representative technology of the time. it included this microscope by robert cook, a member of the royal society who used a , microscope to observe a cell for the first time. this gives us a chance to talk about the history of science and why it is important to recognize this one device helps change the of observation of the natural world around us. it stands as one of the oldest objects in the collection but also gives us a chance to reflect on the importance of science in general. finally, we are here at the exhibit commemorating the history of the army medical museum and what we know today as the national museum o

if medical professionals have a medical obligation to relieve human suffering, they should be prohibited from imposing human suffering before birth. in its most recent abortion decisions the supreme court acknowledged that certain ethical and moral concerns can justify a specific abortion prohibition. the prevention of intentional pain and suffering, the very core of one of the primary ends of medicine certainly qualifies and justifies the policy in this bill. turning to the law the eighth amendment of the u.s. constitution prohibits cruel and unusual punishment. federal courts across the country are considering whether the drugs used in legal injection caused extreme for unnecessary pain and, therefore, violate the eighth amendment. some have said that it does. at the infliction of pain can make executing the guilty unconstitutional, i believe that the infliction of pain should make aborting the innocent the legal. look at the civil side of the law. juries award multimillion dollars verdict against medical physicians and facilities for failing to relieve pain in their patients. one arti

they had to be very well versed in medical technology, medical terminology, the medical procedures, anatomy and so forth. >> how did you all come up with the 21st century technology to walk into these places, to be able to record the conversations in a way you felt was reliable? >> it's as simple as a google search and a credit card. the equipment was high-quality law enforcement type equipment. it's not going to fail at the critical moment. ♪ ♪ >> with everything in place, the infiltration proceeded more smoothly than expected. >> it was definitely surprising to myself and to some of the other investigators on the team that, when our investigators basically said two things to planned parenthood representatives, number one, you know, we love abortion, we think what you do is great, you know, thank you, and number two, we want to harvest your baby parts and sell them and pay you money in exchange for that, those two statements were like the magic words that got us in the door. and planned parenthood was happy to welcome one more biotech company to the table to harvest and sell baby parts. >>

she's a urologist and she's the chief medical officer for this mission.t's her first on the comfort. is it always positive? cultural differences? like the americans are coming here to save us feelings or sentiments at all? >> it seems to vary country to country. it really depends on where we are and what their sentiment towards americans are and what their sentiment personally is about health care. >> and how about with the local medical officials, those interactions? because you're not just taking care of patients, you're often helping train doctors. not just in terms of procedures, but also follow-up. >> absolutely. and we're partnering with them, so that does involve close coordination. so with the surgery screening, close coordination, not just with the ministry of health, but also with kingston public hospital and we do enable that post-operative care to be seamlessly integrated back into the host nation health care. this is a wonderful venue we have here. large space. cooled space, which is good for the patient comfort as well as ours. good morning.

visas for medical workers dried up.hat had been an orderly process, taking less than three months, suddenly fell into limbo. for much of the summer, no visas at all were issued. >> i think that there was political pressure from a side that wanted the programme to be taken away. it was what the cuban government wanted. >> this nurse said the u.s. embassy sent an email rejecting explanation. >> across the border with the idea that it will happen quickly. i'm in a limbo here, a migratory limbo. >> frustrated the cubans staged a process. this bass one of the leaders. why the protests. what were they going to accomplish with the process. >> we wanted to call attention to the community. the government of the united states, to give us an answer for the situation. following the protests, for influential lobbies in the u.s., some were issued. a little more than a week after protests. rodriguez received an email from the u.s. embassy, he saved it on his phone and was told to come to the u.s. embassy for his visa. his visa is one

a book was written about medical brigades. >> they live in the community. they go to the furthest corner. they live in the slums as well and the cities and live with the patients are. cuban doctors provide disaster relief. when ebola ravaged west africa. cuba sent more than 200 medical workers to join in the fight. the work was praised and the u.s. secretary of state john kerry. for all the prays the u.s. government tried to disrupt the cuban programme since 2006. u.s. documents offering the right to live and work in the united states are offered to cuban nurses or doctors or professionals who are working or studying abroad under direction. it's called the cuban meld call parole programme. critics say it's the effect. >> cubans worked in the surgical center in venezuela. >> translation: it was in our minds before leaving cuba. the idea is to get to the united states this way. rodriguez knew about the programme. his brother-in-law used it a year ago to get to los angeles. >> it's designed to destroy cuba's medical diplomacy. that was one thing. the other is

cassels professor of public health at the cornell university medical college. he writes the obligation of physicians to relieve human suffering stretches back into antiquity. he calls the leave of ciphering quote one of the primary ends of medicine unquote. the clinical guidelines for pain published by the -- states that the ethical obligation to manage pain and relieve the patient's suffering is at the core of the health care professionals commitment unquote. the american academy of pain medicine has publicized an ethics chapter or charter i guess i would say which outlines how physicians must implement both the ethical imperative to provide relief from pain and unquote. as medical professionals have the fundamental obligation to relieve human suffering they should be prohibited from imposing human suffering before birth. in its most recent abortion decision supreme court acknowledges certain ethical and moral concerns justify a specific abortion prohibition. the prevention of an intentional pain and suffering, the very core one of the primary ends of medicine

handed out and 800 people have taken the medication. last year the most so far, just over 100 people, ended their life using the right-to-die legislation. so while a lot of people are talking about this, it's interesting to note that even in states like oregon which has had this on the books now for almost two decades, still a very, very small portion of people are taking this choice. >> "america tonight's" adam may. >>> next we update the attempt to save more students from sex crimes on campus. >>> later on call, the emergency worker who delivers a surprise with every crisis. how about "america tonight's" website now, jaws, getting down and dirty with a shark for sport or science? at aljazeera.com/americatonight. >> saints and sinners. friends in holy places. >> this murder links the mafia and the church. >> tracking the mob from the dark shadows to the gates of the vatican. >> there's even a mobster who's managed to take the place of the priest. >> what happens when the church stands up to the mob? as the pope visits the u.s., we take

in fact, at least one medical school professor says, it's indisputable that unborn babies can react to painful stimuli as early as eight weeks after conception. dr. maureen kennedy who got her ph.d. said that at this time just as other human beings war at other parts. they found that it is responsible to draw full pain. and a pain, it may result to stimuli is indisputable. it is responsible for the most primitive pain is in place by eight weeks. and thalymus is in for pain starts around eight weeks and received by 12 weeks. and it is also the stronger the pain is, she reports. this is for this reason that many doctors use anesthesia when operating on late-term doctors in utero. these babies do better and recover faster if anesthesia is used in utero surgery. and it is in utero women are able to hear as the fifth month and find the month's voice soothing. and while in womb, the voice is better recovered as found. ands this it tells us that the likely sound soothes the baby. and it is tools, and so it is to save women remember that five years ago a woman talked into the borist clinic and

the medical care is not available. he has a special talent. he sings. and he remembers almost everything he has heard, including the songs of heart break on sinjar mountain. sinjar my homeland they hurt you, where is your mother, your sister, your brother. at the refugee towers, the children find diversion from the bleak surroundings. not just a kite, but a favourite soccer team. from the roof, they lift their spirits with it, high above the reality of life and refugee towers >>> young people still looking for a reason to hope. that is "america tonight". tell us what you think at aljazeera.com/americatonight. talk to us on twitter and facebook and come back. we'll have more of "america tonight" tomorrow. >> rough treatment for refugees as they try to make their way through the hungary/macedonia border. hello. this is al jazeera live from doha. also ahead, the u.s. condemns a lengthy prison sentence ended down to venezuela's opposition leader. voting under way in singapore in what's expected to be the tightest election in decades. the u.n. votes to allow

we need to come in and give you medication. >> nope, not taking no medication. you ain't coming in. >> are you going to cuff up? >> no. >> are you going to take your medication? >> nope. >> i'm captain cobbs. i'm the operations captain. i'm going to give you one more opportunity to comply with staff instructions. i want you to take the coverings down, turn around and submit to mechanical restraints. >> do what you gotta do. >> okay. i'm telling you now, this is your last option. >> listen up, he has a mattress. so therefore i want you to go ahead with the barricade removal device. >> the extraction team prepares to disperse pepper spray into the cell using a cannon-like device that will also ram the mattress away from the door. >> this is block commander. cuff up. >> after a final warning, the team takes action. >> cuff up! >> with other prisoners egging on the inmate, the team sprays a second round of gas and continues demanding that he cuff up. meanwhile, camera operator mike elwell begins to feel the effects of the pepper spray himself. >> i was standing next

the medical administrators, medical command found a way to do that in 1950. then couples started there in the market and -- one more thing about the medical clintonesque of its it was a successful. what i mean by successful? it was a voluntary process. when you look at an action appears almost all doctors were going through it and they were being employed at the hospitals that was adjusted for them. that match is producing a suggestion. you have been matched to the following hospital. the hospital has been match with the following students. please exchange signed contracts and go ahead. 95% of jobs were being built. the students were where they're supposed to be in july. and couples started to appear they were not there in july. they were somewhere else. the medical match try to accommodate interface didn't ever couples who needed to jobs. the 1970s are culturally a very long time ago, and the way the medical community try to facilitate couples to up the match each other its first the couple had to be certified as a legitimate couple. then the couple had to d

if you need medical help, among the papal crowds. >> i carry the same medications, ekg, advanced airway supplies, that the ambulance carries. >> reporter: but unlike an ambulance, the motorcycle medical unit cuts through, and around grid lock gatherings, easily. >> motorcycle, i can ride on sidewalks, i can basically get off street. >> don't to have wait to get to the hospital, we will bring hospital with the physician and medicine ape skills to you. >> this is cardiac monitor, can do defibrillation, pacing. >> reporter: cheltenham ambulance personnel who bout the bike in 2,000 to answer calls and choked highway construction zones, now are working with narberth ambulance crews who are first responders at saint charles seminary where the pope will be staying. >> it cuts the times when you call for help to when you get help. >> reporter: based on their past experience motorcycle medics say they expect that anyone calling for medical help here in montgomery county might be a bit surprised. to see it coming up, roaring on two wheels. >> the big question is where will you put the patient. i

a medical mistake. done by someone with no medical training.details on the little boy whose eye was glued shut. a crew of first responders. going the extra mile to help someone facing an emergency. >> reporter :and the 49ers implement a fashion change. plus of the giants chase for a playoff spot reaches critical mass >> diane : i will let you know when a cool down at his in your forecast >> pam :stay tuned for inside edition with deborah norville. see it, after the news. see it, after the news. yeah, we know that feeling.. you're so blblted d u'vevetartrt aring sweatpants ...everywhere. when it finally happens, it's always the worst possible time. and when you'r're nished, , u realiziz you've been in there for a very, very long time. being irregular is the worst. get more fiber with chocolatey, chewy fiber one bars. feeling good can taste great. hey! let me help with that. oh, thank you! ♪ introducing the one-and-only volkswagen golf sportwagen. the sportier utility vehicle. >> pam :san francisco has already earned the title of the most expensi

staff after the medical staff office valid day the medical licenses and training and letters of reference and service chief can request them to not go through the several month process for the people by conventional and it fournt we're granting about 92 percent temporary privileges so that's higher than any other health care organizations we want to tighten this up so that's what those balling changes the first action allows the criminal committee and medevac to hold a vote or business that is route wouldn't necessarily be limited but a necessary piece in order to get in time down the second is changes on the granting of the temporary privileges so temporary privileges can be granted to applicants that have clean packet it is defined as completed credentials are verified and not practice sites or missing in the packet it's clean to share with the credible committee and credible committee holds an e-mail approval for a vote and approve at which point if there is privileges needed before the jc c needs the chief of the medical staff can grant the temporary privileges that this tightens up,

many prescription pain medications belong to the same class of drugs as heroin. in fact, four in five heroin users started out by misusing prescription drugs. and over the course of just one year, between 2013 and 2014, we saw a 33% increase in the number of heroin users. all of this takes a terrible toll on too many families, in too many communities, all across the country big and small, urban and rural. it strains law enforcement and treatment programs. it costs all of us in so many different ways. that's why, four years ago, my administration unveiled a prescription drug abuse prevention plan. we've been partnering with communities to combat overdoses, and we're seeing some promising results. that's why the budget i put forward this year would build on those efforts. it would make critical investments in things like drug monitoring programs, equipping more first responders to save more lives, and expanding medication-assisted treatment programs including in our prisons. in fact, getting smarter about how we address substance use disorders is a vital part of re

her confused and she would take more. >> so what was carol like when she was on all this medication? >> she was withdrawn. she didn't leave this room much at all. she spent much of her time in pajamas. didn't leave the house for anything. >> after repeated trips to the er for taking too many pills, carol's family finally convinced her to get treatment for addiction. >> and two weeks into that program, she was managing her pain on tylenol. nothing else. and she was happy. that was the neat thing. she was happy. she was in control of her life. >> but that didn't last long. soon they were back at lifetree, meeting with her pain doctor. >> we were ushered into a room, and he informed me that a chronic pain sufferer could not be an addict. >> this was dr. webster. >> yes. then he told me that he was her physician. and that he would prescribe what he felt was appropriate. period. and from there, it went downhill, the result of which is she died. >> i'm not gonna respond to any of my former patients. there would be a hipaa violation, and i think it would be unethical for me to talk about it

you can see a photo as well of my medical records. my medical records state, born alive during saline abortion, 6:00 a.m. ah. victory. thankfully the abortionist was not at work yet. had he been there he would have ended my life with strangulation, stuuffocation, o leaving me there to die. instead a nurse called an ambulance. and i was rushed to a hospital. doctors did not expect me to live. i did. i was later diagnosed with cerebral palsy which was caused by a lack of oxygen to my brain while surviving an abortion. i was never supposed to hold up my head and walk. i do. and cerebral palsy, ladies and gentlemen, is a tremendous gift to me. i was eventually placed in foster care and later adopted. and hear me clearly, i forgive my biological mother. within the first year after my birth i was used as an expert witness in a case where an abortionist had been caught strangling a child to death after being born alive. margaret sanger, the founder of planned parenthood, said the following. the most merciful thing a large family does to one

care and proper medical treatment medication i can go down there and tell you what it's like to watch your son die. >> it's amazing that a 9/11 responder has to worry now that the bill is going to get passed. if it doesn't get passed, they're going to die. i'm one of them. you got to die. >>> in the days then weeks after the attack, almost everyone i spoke with near the site covered coughs in their conversations. trade center cough. tc cough many called it. people who couldn't get straight answers from the city or the u.s. environmental protection agency worried about the air. many moved away from lower manhattan and now we're counting the human costs in terrible illness and premature death. i began by asking her whether simply put the federal government had taken the necessary steps to protect the people of lower manhattan both the residents and the enormous daytime workforce. >> there's no question that 9/11 was a terrible terrorist attack on our people. and the toxins that became part of the air was probably the worst anyone has ever breathed. it was pulverized glass, cement, very

huge news for medical community and for patients out this. this was on the cover of "new york times" and "wall street journal" which is extremely rare to see this on the front cover. spent clinical trial was basically looked at about 9,300 people out there. they divide them into two groups, a group with a blood pressure of 140 versus a group of patients with a blood pressure of 120, and when they found out if your magic number is 120 which is a systolic number where the heart contracts when it's lower, you would have 25% lower risk of death which is extremely significant, and 30% lower risk of heart attack and stroke and cardio vascular disease, tremendous findings to the point that they stopped the clinical trial one year earlier. their paper is going to be published towards the end of the year so there's still more to be seen, but the big question is when we talk about older population, is lower blood pressure necessarily always better because we see more falls, we see dizziness and we see dementia and we see kids any disease, and perhaps,

heart medication or thyroid medication or painkillers.hings that people need their prescriptions for, and if those go up 5,000%, there's going to be a lot of people aren't going to get the medication they need. this is a serious question relating to how the practices of pricing and it must be said that in this particular case, it was just a change in the ownership of the drug company. this wasn't a company that invested all kinds of money that needed to get back. no, hey -- they changed the ownership and come out with price increases. deirdre: our duty is to our shareholders and speaking from the point of view of a ceo of a few drug companies that we know, more or less i'm paraphrasing what they said for efficacy sake. this is a 60+-year-old formula so it's hard to tell what the financial motivation even the ceo said we're not make money on this drug anyway? >> you know what's going to happen? each company is going to kill the goose that laid the golden eggs. they're going to look at the price controls if they don't effectively discipline

bythe first video released ,he center for medical progress the senior director of medical services a plan. describe the fact of intent of having an important role in the abortion method. "the federal abortion ban is a law and laws are up to interpretation." there are some people who interpreted as intent, so if i say and a one i do not intend to do this, what ultimate we happens doesn't matter. i did not intend to do sunday one so i am complying with the law. i ask you to questions. do you believe the doctor's reliance on intent represents a valid legal approach. and what would change if we had unborn child -- the unborn child protection act on the books of the moment? >> i think she was referring to the issue of arsenal birth abortion and it is been -- partial-birth abortion and it is been from the pro-abortion side that the law is only violated if you intend at the very beginning birth partially delivered of a live child and in killing the child in the completing the delivery. that is the process you intended at the beginning. however the law does not work like that. the intent app

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professionals who do not provide medically appropriate and reasonable medical care for a born alive infant. >> i think our law already protects born alive infants -- >> you are not going to answer the question -- >> i ams a i answering your que. >> if a child is born at five months -- >> five months, okay. >> and the child is born alive should that child then be afforded protection after they are born aleve? >> yes. >> not if it's five minutes earlier before they move down the birth canal they're not afford eed correct? >> i'm sorry? >> if they are five months -- >> if they are a viable fetus. >> you said they should be protected if they are born alive. if you changed your mind. >> i didn't change my mind. if it is born alive and you have a viable fetus and they deserve protection and they are afforded protection, they were already protected. >> if they're not viable, they're not protectable. >> if they're not viable they will not survive and so whether you have a federal law to call 911 or not, i don't think will protect them. >> well, how do you know it's viable without medical pr

. >> medications are being cut. supplies being cut. positions are not being there. >> reporter: armor delayed the treatment for their son. gleason came to the nassau county jail with a condition. his parents intend to sue armor claiming staff waited eight hours to get him to the hospital where he was pronounced dead. >> armor needs to be held accountable. >> reporter: gleason's dad says nassau county should follow new york city's lead. despite the deaths behind bars, when armor's contract came up, the county sheriff failed to get bids from other medical companies. it's a move the district attorney has questioned. >> the legislature was left with renewing a contract or having no health care provider in jail. that's a situation that we shouldn't be in. it's problematic when contracts aren't bid out. >> reporter: acting district attorney madeleine is now looking into whether the county's deal with armor violates contracting rules. that's part of an unrelated review initiated in april. >> we're allotted a certain amount

alfonso guzman/ beneficiario medical 18:27:00 "el medical es como un seguro de vida que uno tiene es enfermar" 18:27:18"pero si no tienes medical de donde? , y hay clinicas que no teatienden!" desafortunamente no todos los que solicitaron los beneficios del medical antes del 2015 han corrido con la misma suerte. la seÑora frances rivera demando al estado luego de que su hijo muriera por embolia pulmonar mientras esperaba durante 7 meses la aprobacion de su solicitud.. shoshana krieger / abogada 11:25:18 "2 months later .." 2 meses despues de que su hijo fallecio, rivera finalmente recibio por correo la aprobacion del medical para l , pero ya era demasiado tarde!" dicen sus abogados.. el caso fue llevado hasta los tribunales y recientemente una corte ordeno que quienes esperen mas de 45 dias por la aprobacion de los servicios de medical deberan recibir atencion medica temporal provista por el estado. el departamento de servicios de salud nos dice que los esfuerzos colectivos de agencias locales han logrado resolver las solicitudes pendientes del 2014, ademas.. take fs "ahora, mas del

not medically indicated was alarming. would you make sure you get back to us on that? >> absolutely. >> oig recommended an edit to reject prescriptions written by providers. what have they done to implement that recommendation? >> it's my understanding the sponsors are required to be monitoring excluded providers and making sure that the payments don't go to them and when we did look we did find cms did accept records from the sponsors that included excluded providers, and we appreciate the steps that have been taken but there are needs for further steps and stronger controls be put in place. >> i am out of time. >> let me extend that previous line of questioning, which is we're talking about the oig report on medicare part d, integrity and the report notes, quote, cms relies on planned sponsors to be the first line of defense against fraud, waste and i pwaous in part d. can you comment on the role first line of defense against fraud, waste and abuse, and what do they use and what can be done? >> i think the role of part