david maloney is an oncology. leading a clinical trial that is evaluating t-cells that carry a tumor that represents an approach to the immunity. fred hutchins focus is -- just a few notes before i turn the floor over to our first speaker, dr. gilliland. turn your cell phone to mute or off any other noise making devices. once dr. maloney made his remarks, we will open it up to questions. when you are called on to pose a question, identify yourself by name and organization. dr. gilliland? >>> thank you very much david for that fantastic introduction. i think you covered most of my talking points. i am gary gilliland, the president and director of the fred hutch. my colleague, dr. david maloney and i are excited to be here for an important announcement. i'll start with what david alluded to, which is the fred hutch has been in existence for about 41 years. it's the place where bone marrow transplantation was invented by dr. don thomas. he went on to win the nobel prize for that work where patients with leukemias are

i had that experience when i was the senior vice president for global oncology at merck, with a drug that was another immunotherapy, the one that was used to treat president jimmy carter. and that drug was approved based on a randomized phase three trial, but on a phase one expansion study, the cause fda was supportive. we also are excited about dr. rick kessler's leadership in bringing together the device unit at the fda that is responsible for developing biomarker tests and diagnostics, as well as drug development. are putting those together under one oversight responsibility. that is another fantastic enabler. we also need resources to support the development of these new treatments. something wet is are ineffective -- are effective at competing with. we are grateful to senator cantwell merry and others who have -- senator cantwell murray and others who supported the benefit. we also rely on philanthropy and business development. i will complete my comments there and test the talk to my colleague, david maloney, to tell you more about the workings of the immunotherapy unit. david?

you can call (414)646-2662 or you can go to this website aurora .org/cardio -- oncology. thank you so much for being here we appreciate it. >>> still ahead celebrity chef shares tips for adding something would you say no to a lot more money? [excited scream] you just won a million dollars! no thanks. nice balloons, though! or no to more vacation days? janet, i'm giving you an extra week's vacation! oh, ah... nooo. what? no way. who says no to more? time warner cable's all about giving you more. like the most free hd channels and virtually unlimited movies call now. and don't forget the free tv app. get ultra-fast internet with secure home wifi to connect all your devices. saving on mobile data fees, helps big time. switch to time warner cable. for $89.99 a month you'll get free hd channels, 30 meg internet and unlimited calling to half the world. we can call aunt rose as much as we want now. switching is easy. get our exclusive 1-hour arrival window, a money-back guarantee with no contract to sign. plus get free installation, tv equiment and epix included. really? honest.

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christopher's hospital and that is where they visited with young oncology patients. the children received some flyers gears, brightening up their day. this visit by the way is part of the nhl hockey fight cancer campaign. >> nicely done. >> nicely done. >> thanks so much for watching "eyewitness news" at 6:00. "eyewitness news" returns at ten on our sister station cw philly. we will be right back here on cbs-3 at 11:00. we will be right back here on cbs-3 at 11:00. >>> up next, "cbs evening i alone can fix it! bomb the [bleep] out of 'em. i'd like to punch him in the face. i like people that weren't captured, okay? he's a mexican! she ate like a pig... i moved on her like a [bleep] i did not say that... i love war. yes, including with nukes. blood coming out of her... they're rapists... wrong. there has to be some form of punishment. such a nasty woman. i wanna be unpredictable. ...on 5th avenue and shoot somebody... she's a slob... i don't remember! and you can tell them to go [bleep] themselves! priorities usa action is responsible for the content of this advertisi

his brave fight, he as always thinking of others >> late one night, there was a baby crying on the oncology floor. he said, momma, will you take 3 that baby, so that baby not cry no more. and i figure, if a three-year- old knew what its meant to just give of their also. >> so jerry started daniel's caravan. >> it provide free transportation to kids with cancer and other life- threatening illnesses if they look transportation. >> kids like six-year-old janey and their dad helped them get to children's hospital in aurora to loveland. >> jerry has been a blessing from god from her picking them up, bringing them back and picking them up again for the last t she's very dedicated to these patients. she sits here sometimes waiting for them to finish their appointment. >> jerry has done this five day as week surviving on donations and a willingness to do this. >> we play with the children, and parents sometimes sleep in the back. >> i ssliced jerri jones here. >> we would like to nominate you as a 7 every daye hero. >> thank you. >> congratulations. >> thank you. >> good work. >> you can learn more

. >> we notice that their program didn't meet needs of oncology patients and other things to help. >> they realized it wasn't just for patients, but all family members soe started to do family weekends. >> and the need continues to grow. there is a new pavilion with the help of generous donors. the experiences can be many come back every year. >> when i was 13, about to turn 14 i was diagnosed with leukemia. it's been a part of what shaped me into the woman i have become. i loved my time here and i love being able to get that back foo you know a family go to abc7news.com. >> so wonderful. so gratifying. >> the bai area is a great place to live. >> this picture from livermore this morning and spencer is back. >> you can see clouds are gathering now so notice rain is sweeping south and east. just going to be a wet mess across the bay area, but mid day, we'll see rainfall followed more storms. and sunday, raiders taking on panthers. and will be cloudy, cool, and into 4th quarter a chance of showers coming in sunday night. here is the accu-weather forecast. there is a forecast for everyth

those who knew the doctor the hematology oncology division chief at phoenix children's hospital say although he was a prominent figure in the medical field, he always made time for his patients. >> not often you meet a brilliant man who is constantly busy who would drop anything for any of his patients to help you. >> the doctor loved his work. his family and riding his motorcycle but above all the people who loved being a provider of hope. >> his optimism and his high hopes for everybody gave you so much hope. you walked away from him feeling better. about such a dark thing such as cancer. you walked away feeling like the next so many years was going to be so different. >>> now it was noted in the

to your point about oncology, we've had a revolution in immunology -- >> totally crowded. >> i agree with you. >> we're getting smarter about it. i think particularly there are some private companies coming public that you'll see interesting drugs. mid stage not late stage which is where you change the world. >> do you do medical devices, too? >> i do. >> what do you think about that space? >> we own a number of small -- they will probably be used as a source of funds going into the end of year because they have had such a fabulous return this year. in the long run they're not affected by obamacare so they should do better and the valuations aren't terrible. >> did i tee you up or what? >> that's the strategy i have had so far this year. i sold stryker yesterday. i still own tmo, perkin elmer i believe reports this week -- i'm not sure if you cover that or own it -- that's a name i think pki would do well. >> i agree. you have to think about long term. i think this quarter will be choppy for the stocks. valuation is good. no obamacare exposure or lack thereof. new product cycles almo

are you a surgeon, because you were cutting it u >> no, i'm not going to surgery, i'm going into oncology. >> that's the thing, most of us feel our doctors are really serious. do you think it's good for your patients to see the lighter, more fun side of you? >> i hope so. so far the feedback i've heard around the hospital ever since the video kind of got out has been pretty positive. people think it's fun and they like seeing that doctors still have fun on the side. >> do you belong to a troupe? i started a club when i was in college at the university of nebraska and since i moved to chicago in july, i've mostly been on my own. >> anyone else, doctors, nurses, reach out to you, i do the same thing? >> there's been quite a few on facebook, actually. >> talked about some of the reactions from the hospital. what about the world at large as the video is getting out there. >> seems it's been pretty positive so far. most people are surprised to see, i guess, like a doctor doing something like that, especially in the hospital. my fami excited it got public. >>> thanks for hanging out with >>> it

. >> we notice that their program didn't meet needs of oncology patients help. >> they realized it wasn't just for patients, but all family members so we started to do family weekends. >> and the need continues to grow. there is a new pavilion with the help of generous donors. the experiences back every year. >> when i was 13, about to turn 14 i was diagnosed with leukemia. it's been a part of what shaped me into the woman i have become. i loved my time here and i love being able to get that back foo you know a family go to abc7news.com. >> so wonderful. so gratifying. >> the bai area is a great place to live. >> this picture from livermore this morning and spencer is back. >> you can see clouds are gathering now and so is sweeping south and east. just going to be a wet mess across the bay area, but mid day, we'll see rainfall followed by more storms. and sunday, raiders taking on panthers. and will be cloudy, cool, and into 4th quarter a chance of showers coming in sunday night. here is the accu-weather forecast. there is a forecast for everything. >> in sports, could cougars of washingt

we're excited about the doctor's leadership in bringing together in oncology at least, in the deviceunit at fda responsible for developing biomarker tests and diagnostics and drug development and put that on one oversight responsibility. that is another fantastic enabler. we also need resources to the support of development of these new treatments. nih budget is something we're very effective competing with. we're grateful to senator cantwell and murray and others who provided for increase in nih budget. but we rely on sources including philanthropy and business development. i conclude my comment there and pass the baton to my colleague david maloney to tell you about inner-workings of the immunotherapy unit. david? >> gary, thank you. pleasure to be here and named the medical director of the bezos family immunotherapy clinic. this is a unique effort we taken in seattle based on encouraging activity we've seen with immunotherapy. there are many things encompassed in immunotherapy and focus we're having here is really on cellular immunotherapy. there are three basic types of approache

americans ability to get the lifesaving drugs they need from insulin to he listen to this heartbreaking oncology doctor inpatient. >> i was talking to a patient no needs a drug that can over her some significant benefit but she was making real decisions about well do i fay a the lot best belle or do i get this met indication. hard of january oncologist is enough we vicinity be making it harder to face more intials you the more expensive drugs. which takes us back to our friend john munn. scratcher if you don't like the job blake the joel writer. he wanted to find out the price of the generic drug he's been moving suddenly spike. traditionally drug points caught to research and development big tparplts but there is big farmer we're talking about. we found big surgeries in prices correlated with their advertising and marking guns. our trend chon didn't like that. research and development we spent billions for this. you to you wave this from another company all you're reboring it at a very mall seep cost hundreds of% farm suit call journalist et congress can grill them all think way the is companie

those who knew the doctor the hematology oncology division chief at phoenix children's hospital say although he was a prominent figure in the medical field, he always made time for his patients. >> not often you meet a brilliant man who is constantly busy who would drop anything for any of his patients to help you. >> the doctor loved his work. his family and riding his motorcycle but above all the people who loved being a provider of hope. >> his optimism and his high hopes for everybody gave you so much hope. you walked away from him feeling better. about such a dark thing such as cancer. you walked away feeling like the next so many years was going to be so different. >>> now it was noted in the lopez fled the country to avoid arrest. he will appear before a judge later this month. >>> thank you for that update tonight. the man accused of killing a show low police officer is dead. 36-year-old daniel erickson was accused of shooting and killing officer darren reid. they caught up with erickson in a cabin where he h himself with a 15-year-old girl. there was a seven hour standoff but ericks

the finings appear in the journal jama oncology. >>> all right.s here to talk about sports. >> iain brett brown is going to be down the lose see yesterday coach in sixers history. that's problem. the organize has done him a disservice and i'm going to tell ♪ >>> sean bell takes on brett brown's three plus seasons of futility in philadelphia. his commentary in 15 seconds. ♪ >>> boat brown is now the all all-time losing coach in 76ers history much it's not his fall. it's not fair to him. he's now lost 20 sick games and only has 18% winning percentage in just three seasons and some change brown has been given nothing to work with and this franchise has really let him down. the team has tanked thee consecutive at no point given had the tools to actually win. michael carter williams wins the rookie of the year you train him. cannon starts to show progress you let him go. guys continue to get hurt before they play game. they haven't won a game in the month of november in three years. they are on 44 game losing streak in the month of october and november

the finings appear in the journal jama oncology. >>> all right.s here to talk about sports. >> iain brett brown is going to be down the lose see yesterday coach in sixers history. that's problem. the organize has done him a disservice and i'm going to tell you about it next in the sports commentary. ♪ //www.evertz.com>[a5df] have you done anything out of the ordinary recently? we bought a new washer and dryer from the home improvement store. i'm afraid you're suffering from fobo. fobo? fobo. fobo... fear of better options. cure fobo with black friday savings now at hhgregg. get up to 40% off storewide. plus 24-months special financing. and free delivery. all with our low price guarantee. appliances. electronics. furniture. hhgregg fios is not cable. we're wired differently. that means incredibly fast 150 g internet for the holidays. in the 3.7 seconds it takes we're wired differently. gary watson to beat the local sled jump record, fly, gary, fly. ...his friend can download 13 versions of the perfect song... ...his sister can live stream it... ...

christopher's hospital, and that is where they visited with young oncology patients and, of course, they brought gifts. children receiving gear from the orange and black. this visit is part of the nhl's hockey fights cancer campaign, flyers, by the way, are back tonight at home with the detroit red wings. flyers doing some good, in the community, of course. >> so what do you think, cleveland, chicago. >> i will flip a coin. >> no. >> i will go cubs then. >> i really want the cubs. >> 108 years. >> cleveland just won with the cavilers. >> yes good give chicago. >> it does president matter really. >> well, we all know it doesn't get much better than game seven in sports but can you guess how many people are willing to pay for tonight's game in cleveland? >> a lot. >> we will tell you. >> plus we have more on the second day of septaes a strike, hi jan. >> hi rahel. negotiations are set to start backup in the sheraton in center city philadelphia later on today. i'm reporting live here and coming up we will look at where negotiations stand this morning, and how septa is now planning for a ele

stories that are interesting and exciting and new products on the diabetes side and inflammation side, oncologyre to this story is an alzheimer's. yes, it will take a little time to recover that a lot a catalyst and products that can get people interested and some people do not want to be involved because they knew and they may look at the stock again. here.-- sam: sam regarding theews company will be the diabetes drug and its potential fda expanded label. what is your stance on that? panel,cil, a very close what you think -- how do think it will play out? vamil divan: it was a close vote. we think they will get information into the label. such as a formal indication or adding the data on the back of the label so that representatives can talk about with physicians. secondk it is likely the approach because the vote was close. there are still question of how they got it. we think it will be more likely in the label and data that the representatives will talk about and not the kind you can lead a television ad or something to consumer with saying in dramatically lowers harder test. help thehould

the study published in the journal of america oncology showing breast reconstruction provided benefits expected to provide for body image and age did not significantly affect complications. >> cash uses will get more cashews is going to go up 22%. space. >> halloween at white house, the 80s hit had the president and first lady moving on the dance but are you gonna bring fiup that stock again? well you need to think about selling some of it. my dad gave me those shares, you know. he ran that company. i get it. but you know i think you own too much. gotta manage your risk. and you've gotta switch to decaf. an honest opinion, even if you disagree. with 13,000 financial advisors, it's how edward jones makes sense of investing. eat up, buddy. you'll get it this time. yeah ok not too quick don't let go until i say so. i got you... start strong with the lasting energy of 100% you're doing it! whole grain quaker oats. and off you go. >> here's the seven things you need to know. jessica? >> breaking news from the live desk. five people are dead. a school bus and commuter bus crashes in baltimor

she brought a $10,000 check to the director of the thoracic oncology there. the riseman family has a -- arizaman family has a special connection to the cancer center. >>> the mbta has put out a survey to measure demand. right now the t is in talks to provide late night and overnight service to select routes. this comes less than a year after late night rail service was cancelled due to a lack of ridership. we provided a link for you on our website just go to fox25boston.com. >>> some new information tonight about virus when someone contracts the disease their chance of dying is only 4%. straight ahead at 10:00, the length of time they say it takes for a person's chance of dying to suddenly more than triple that. >>> but first a toxic several local wells and some several local wells and some are worried it's afoot and light-hearted i take to the open road. healthy, free, the world before me, the long brown path before me leading wherever i choose. the east and the west are mine. the north and the south are mine. >> some people are blaming a chemical found in d

. >> reporter: this man is clinical professor of radiology and radiation oncology at uc davis school of medicine. >> it's a line in a sand or a guide post that says, when we get to these levels we should think about whether we want to take additional action, maybe substitute drinking water or whatever. >> reporter: dr. bushberg says the proposed increases, while substantial. still only mean small amounts of radiation would be allowed in drinking water. he says the proposals remain below current occupational hazard levels for employees working at nuclear sites. >> if you look at the numbers side by side they look like, oh, my god, this is a huge increase. but it's not. they're not changing the drinking water standard. this is for a response to a radiological emergency that would not be intended to go on for an extended period of time. >> reporter: the epa says the levels are safe since the agency has a better understanding of radiation contamination based on current science. an epa spokes woman said the paings are to guide planning decisions by local and state officials and are not in

>> caller: i'm calling about oncology which got a lot of hype back in august because of the fda. it had a strong dip after its less than spectacular lab results. i just want to know is there anything i should be waiting for. i think celgene is fine. i think merck with that yield is good. that's the way i would go. brian in california, brian. >> caller: booyah, jim. greetings from gray eagle, california. >> oh, man, did he say eagles? >> caller: gray eagle, california. what are your thoughts on buying rai. >> too late. we're done. i say ka-ching, ka-ching. jeff. >> caller: jim, how are you doing? i'm doing well. i've recovered. what's up? >> caller: twilio, buy, sell, or hold? >> i think it's come down a lot. you can buy a little bit but it's still room for it to climb. and that, ladies and gentlemen, is the conclusion of the lightning round! >> announcer: the lightning round is sponsored by td ameritrade. foot support can mean pain. the dr. scholl's kiosk maps your feet and recommends our custom fit orthotic to stabilize your foundation and relieve lower-back, knee or foot pain f

whether it's orthopedic surgery, oncology, neurovascular, cardiology. and we believe technology. again, partnership with health care systems we can make these complex procedures simple. we heard dr. venter in talk building 4d echo. some outside the u.s. and some in the u.s. you're familiar with taver. now try cuspid valve repair, my troe valve repair and replacement. all the procedures are complex. although great advancements in the field. minimally invasive. they're sill still complex. there's an opportunity to improve outcomes and procedural time. for the first time we are crossing the chasm and partnering with your institutions and medical device companies to work on making these complex procedures simple. you saw dr. venter in talk about cardiac ct. we're working on solutions the ensure that you have the right pre-procedure planning to ensure optimal device placement. in the procedure itself to optimize intraprocedure guidance. all of these require imaging. but we have to work with clinicians and medical device companies to better understand what's important, what's needed, w

. >> we have a pension to like these speculative oncology stocks but let's not forget that drug stocksht now are being sacrificed on the altar of the cyclicals. and that, ladies and gentlemen, is the conclusion of the lightning round! [ buzzer ] >> announcer: the lightning round is sponsored by td ameritrade. >>> we are going to begin to do what we do best in cramerica, talk about companies again. >> i'm going to get this right. norbert dis -- dis -- >> accenture, acn. don't type it in. it always comes out can because that type stuff that happens. >> anyway, my staff is so good. make they feel good. one of them is on vacation driving me crazy. heather. she's got some weird one of those reply lines. she's like i'm having a great time in this country, don't bother me. mine just says i'm not available. >> 75% analytical, 25% director, 100% entertainer. mobile trading so that i can take my trading platform wherever i go. you know that thinkorswim seamlessly syncs across all your devices, right? oh, so my custom studies will go with me? anywhere you want to go! the market's hot! sync your p

patients new and she hopes to go back to school to become a nurse regard, and eventually work in oncologyth young cancer patients. i'm stephanie stahl, cbs-3 "eyewitness news". >>> and the next half an hour of cbs-3 "eyewitness news" honoring our veterans philadelphia takes time to solute men and women who for the to keep us free. >>> and it can be a season of surprising dangers for your dog and cat, and in this morning's pet the project, carroll erickson with the pennsylvania spca will tell you all about them. >> good morning everyone. nice tart to the day. it will be a beautiful finish to the weekend but will it the stay nice? we will that have voting forecast in eyewitness weather. 5pmz zi0z y25pmy yi0y >>> and good morning. i'm rahel solomon it is sunday november 6th. lets get out to justin drabick on the cbs-3 sky deck and it looks like a nice end to the weekend. >> beautiful conditions. yesterday was perfect. temperatures above average in the mid 60's. sun has been up for about an hour now and back into standard time and temperatures in the bad this time of the year and morning. yes

it works in areas such as oncology and degenerative drugs plus autoimmune and inflammatory diseases asell. third-quarter adjusted coming in with a beat. 676 billion euros. we do expect more details from this earning statement. usually, there is a lot more color in this. anna: let us take a moment to ceo.viewers that merck's let us talk about where we are on a number of asset classes that have changed tact. particularly around the dollar. let us remind ourselves of how wrong we were. this was the average forecast for the donald trump victory. everybody thought the dollar would collapse at the time of the u.s. election if donald trump was the winner and that has not been the case. yousef: gains on the u.s. bloomberg dollar index. this is how they were forecasting before the election. they were called out. they were wrong in predicting that. what willme think -- happen to the inflation expectations in the u.s.? how will this mess up plans in december for the fmoc? a question worth asking. let us check the risk radar to see where we are on risk asset classes. the 10 year yield is down a li

next-generation cancer drugs, particularly after the public setbacks in the bristol-myers competing oncology formulation opdivo. merck rocketed up 6% today on the election results but even after this move, it's only 16.5 times next year's earnings estimates. solid 2.7% dividend yield. that is too cheap. >> buy, buy, buy. >> how about pfizer, pfe? here's a stock that's facing terribly negative sentiment in recent months, but i think the mp with huge free cash flow. granted, pfizer soared 7% today, but the stock is still five points off its highs. it's trading at just 12.3 times next year's earnings estimates. i regard that as very cheap, especially again considering the 3.7% yield. third, i've been a fan of celgene investors circle right back to the biotech today, causing it to spike up close to 11%. it's now not my cup of tea up so high. but even at these levels, celgene is down more than 20 points from its peak in july of 2015, and some of these declines company. part of it may be because investors got used to celgene beating the numbers every time it reported. but in late 2015, early 2016,

these speculative oncology stocks, but let's not forget that drug stocks right now are being sacrificed on the altar of the cyclicals. and that, ladies and gentlemen, is the conclusion of the lightning round! [ buzzer ] >> announcer: the lightning round is sponsored by td ameritrade. >>> we are going to begin to do what we do best in cramerica, >> i'm going to get this right. norbert dis -- dis -- >> accenture, acn. don't type it in. it always comes out "can" because that type stuff that happens. >> anyway, my staff is so good. make they feel good. one of them is on vacation driving me crazy. heather. she's got some weird one of those reply lines. she's like, i'm having a great time in this country, don't bother me. mine just says i'm not available. >> you're 75% analytical, 25% director, 100% entertainer. around here, i'm lucky to get through a shift without a disaster. heads up! you know what, don't worry about it. my bargain detergent couldn't keep up. it was mostly water. i'm not about to pay for it in my detergent. tide. number one rated. it's got to be tide ?? ?? that's fun. ?? it

one of the things they're focused on is the oncooling sidsid -- oncology side. what do they want to do exactly with that cash? should it be more on the innovative side or go over to the generic side? they're saying on the innovative side. that's where the right place is to be, which means are they going to do any kind of smaller acquisitions of some sort? maybe even bigger. that could be a possibly. plenty of cash on the balance sheets. there's a lot of reasons that i like what i see in terms of pipeline and the cash position right now. >> they tell me, steph, you're bailing on -- on the downgrade? >> no. i started selling it last week. i think it's been a great stock. it's up 10% year-to-date. it's trading at 17 times forward estimates. they are about to embark, it sounds like, on a big acquisition, which would applaud. however, don't know the price or the -- i think there are other places in health care, other pharmaceutical stocks, other biotech stocks that are much cheaper and have gotten hammered. they upgrade alexion. that one i do agree with. the stock is

david maloney is an oncology. leading a clinical trial that is

sees certain drugs capable of driving durable growth in oncology. pfizer bought motivation for $14 billion which specializes in prostate cancer. we don't know how that will be integrated but analysts are bullish. >> six buck pop. beleaguered pfizer investors would like to see 36 again. your second stock is two stocks in one. neighbors and precision drilling, he said, buy from a hold. they can't tell folks the land driller stocks look dirt cheap on a few different metrics, but they add they have seen enough cycles to know that coming off a cyclical trough land drillers like two companies tend to trade on a combo of asset values and rate of change on that basis, tph, oil based research firm sees land drillers like neighbors and precision drilling moving higher over the next 12 months, neither stock getting a bump today, probably because oil is down 4%. >> and tack, apple on the move, ubs report by analyst steve milanovich says there is downside risk to current estimates for iphone sales but they see moderate growth sales in the long-term. analyst see

whether its orthopedic surgery, oncology, neurovascular, cardiology.d we believe technology and begin partnership with health care systems we can make these complex procedure simple. i'll give you one example. we heard the doctor talk about this or erase talk about 40 ago but this more complex heart procedures that are not available to some outside and some in the u.s. you are very familiar with -- tricuspid valve repair. left atrial appendage closure. michael powell prepare and replaced them. all these procedures are complex although great advancements in the field, right, and minimally invasive, they're still complex, they're still a cost burden. there's an opportunity to improve outcomes. there's an opportunity to improve procedural types of the first time we are crossing the chasm as an organization and getting into the therapy business. were parting with clinicians. clinicians and many other is patients and medical device companies to work on making these comments procedures simple. a lot of it is focused on pre-procedure plenty. you saw the docto

whether it's orthopedic surgery, oncology, neurovascular, cardiology. and we believe technology. again, partnership with health care systems we can make these complex procedures simple. we heard dr. venter in talk building 4d echo. some outside the u.s. and some in the u.s. you're familiar with taver. now try cuspid valve repair, my troe valve repair and replacement. all the procedures are complex. although great advancements in the field. minimally invasive. there is still a cost burden. there's an opportunity to improve outcomes and procedural time. for the first time we are crossing the chasm and partnering with your institutions and medical device companies to work on making these complex procedures simple. you saw dr. venter in talk about cardiac ct. we're working on solutions the ensure that you have the right pre-procedure planning to ensure optimal device placement. in the procedure itself to optimize interprocedure guidance. all of these require imaging. but we have to work with clinicians and medical device companies to better understand what's important, what's needed,

within the va system veterans access those services oncology, surgery, neurology and are still closelyollowed by a specialized care team because of the interdisciplinary framework that's unique to va. that's why you cannot separate them. specialized services should demand tertiary services be driven completely to the private sector. so with this busy slide in front of you, we'll turn to the discussion on the attributes that make va health care unique based on my 14-year experience as a user of their health care, that's my focus here today. the e

that's the first effort in the oncology center of excellence. but i also think that exactly how far the matrix goes is a matter of discussion. it may be quite different in different fields. we have something like 6000 diseases so we can't have 6000 centers of excellence. we have to think about how to group things and also i have learned a lot about the fact that at least my agreement with a number of leaders i'm talking with, as rick said, while there may be a reason to have cohesion around the clinical portion of it, what other things relevant to the disease and the risk-benefit trade-offs that people with different diseases are willing to make? devices are very iterative. their engineering, fundamentally different than drug. our florida biologics our summer in the middle because there's lot of tweaking the can and does go on with biologics. that gives you some idea of the thinking, and the question is if you were thinking 20, 25 is too far away, thinking in five years, how far would you go in this sphere and i would've very according to clinic

there's -- complex procedures are on the rise, whether it's orthopedic surgery, oncology, neurovascular, cardiology and we believe technology and, again, partnership with health care systems we can make these complex procedures simple. i'll give you one example. we heard the doctor talk about this earlier when he was talking about 4d echo but there's more complex heart procedures that are now available, some outside the u.s. and some in, you are familiar thewittheaver,cuspid mitral valve replacement. left atrial appendage occlusion. they're minimally invasive but they're complex and a cost burden, there's an opportunity to improve outcomes and procedural times and for the first time we're crossing the chasm as an organization and getting into the therapy businesses. we're partnering with clinicians in your institutions and medical device companies to work on making these procedures simple. a lot of it is focused on pre-procedure planning. you saw doctor talk about cardiac ct. we're working on advanced cardiac ct solutions to ensure you have the right pre-procedure planning to ensure opt

system, veterans access those other services such as oncology, surgery, urology, neurology, and are still closely followed by a specialized care team because of the interdisciplinary framework that is unique to v.a. that's why you cannot separate them. specialized services should demand tertiary services be driven completely to the private sector. so with this busy slide in front of you we'll turn to the discussion of the attributes that make v.a. care unique based on my 14 years of experience as a user of that care that's our focus today. the slide lays out all the characteristics of tertiary and specialized care that most who opine on the topic likely do not know. here's a bit of education, i'd like to draw your attention to a few starting with the ones in the red boxes. did you know, enrolled veterans who sake emergency medical care in the private sector do not have to pay the expenses for them provided a request to cover unauthorized medical expenses is timely provided. it's not so in the private sector. eligible veterans who have medical appointments are reimbursed for their mileage

within the va system veterans access those services oncology, surgery, neurology and are still closely followed by a specialized care team because of the interdisciplinary framework that's unique to va. that's why you cannot separate them. specialized services should demand tertiary services be driven completely to the private sector. so with this busy slide in front of you, we'll turn to the discussion on the attributes that make va health care unique based on my 14-year experience as a user of their health care, that's my focus here today. the slide lays out the characteristics of tertiary and specialized care that most who opine on the topic likely do not know. here's a bit of education, i'd like to draw your attention to a few, starting with the ones in the red boxes. did you know. veterans who seek emergency medical care in the private sether do not have to pay the expenses for them provided a request to cover unauthorized medical expenses is timely provided. it's not so in the private sector. eligible veterans who have medical appointments are reimbursed for their mileage and tra

. >> well, when you are making drugs or tools for oncology or neuroscience, you start with molecules. need things that are going to work making the drug. we are known for a high quality protein that creates an antibody. they are about using antibodies in therapy. we are known for that. we have 40,000 products we make. they go in researchers hands for this discovery. it may or may not end up in a drug. it does end up every day in researchers hands. it's a pick and shovel kind of business. >> what do you buy when you make an acquisition, what do you buy? >> it could be instruments. we have been buying a lot of instrument businesses and full solutions. so, use the juice that we make and complete solution for the researcher. thr there are processes like a western blot. >> why is that better? >> because the quality is more, when you buy an antibody, you don't know if it is going to work. it is a tough business. getting that to work in a special way that we intended is very hit and miss. having a process with the instrument that is tuned in ahead of time makes it -- >> dare i ask, do politi