pain. but then how about the physiological pain for which we don't know the source? irritable bowel syndrome, fiber myalgia and back pain. we don't know the source. how do we educate, how do we educate our doctors? to understand this. and to make -- as they say, the right type of assessment and diagnosis. so i look forward to the testimony of our expert witnesses who approach the issue of chronic pain from a variety of perspectives, all with the goal of addressing this often neglected public health issue. this is a public health issue. and what it costs this country, both in terms of dollars, but in terms of lost productively and loss of quality of life. so i thank you all for being here today and i look forward certainly to your testimony. we'll have two panels. on our first panel we'll hear from dr. lawrence thaiback from the national institutes of health. he serves as the director of the national institute and coleads the pain consortium. thank you for your service at nih and your statement will be made a part of the record in its entirety. if you could sum it up s

the pain went away. about three years after that, in the mid-90s again i got back pain so bad i was in los angeles. i was in a hotel room. i had to go to the bathroom. i had to crawl to get to the bathroom. i came back here, had another mri. wow, still have a bulging disc, but there is this hole down there whirl your nerves go through. that's by laymen terms i am putting it. they said maybe you need to have that thing opened up or something like that. well, i thought about that for a while. and my back pain went away after a while it went away. but every time it would come, i could barely sit, i could barely stand, daily news. i even had a chiropractor, and to my office so i could even get on the airplane. actually it worked. higher per week worked. maybe feel better anyway long enough to get on the airplane. and then in 2004 had another episode and it was really bad and i remember is that a national convention up in boston. i could barely move. in fact i curtailed my duties there. i came back and that wa

scope of the problems in pain management are truly daunting, and the limitations and knowledge and education of pain health care professionals are glaring. medical community must actively engage in the necessary cultural transformation to reduce pain suffering of americans and work collaboratively to do so with public and private sectors. thank you very much for listening to me. >> thank you, dr. pizzo. did i pronounce that right? >> yes, you did. thank you. >> thanks, dr. pizzo. dr. maixner, welcome. please proceed. >> thank you, mr. chairman. let me just start by thanking the chairman for indulging these testimonies. it's truly an honor for me. i'm born in southeast iowa. and so to be testifying before an iowa senator is truly an honor for me. but more so for representing the pain research community and the patients who suffer from a hidden epidemic. so let me start my formal statement. it's truly a tribute to our political system that the voices of many as well as a few can be heard and acted upon. today i would like to further detail several of the points made in the imo report

pain. to better delineate the demographic groups and special populations who are impacted by pain. to identify the scientific tools and technologies that are at our disposal today and that might be used for both research, care, education, and treatment. and to discuss better ways of developing new approaches to research and pain through public and private partnerships. we are fortunate to have an outstanding committee of 19 individuals representing virtually all professional disciplines, from science and medicine to law and ethics, nursing, and clinical practitioners. and we worked over a seven-month period to produce the report that stands before you. and in doing so, we reviewed the literature. we held a number of public workshops and meetings. we reviewed testimony from over 2,000 individuals. we commissioned a report to help us assess the impact of pain. and we concluded that relieving acute and chronic pain is a significantly overlooked problem in the united states. we were guided by a series of overarching principles as we began our work. the first is pain management is a mora

pain. and that's the important thing to bear in mind. >> dr. pizzo, in looking over this relieving pain in all of america, and looking at some of the different approaches that were taken, i don't see that being researched that much. now maybe i just don't understand it all that well. but i don't see that kind of approach being researched. that so or not so? >> the approach meaning the emotional basis for pain? >> not emotions not being affected by pain. >> right. >> but the emotions -- and emotions is the word i don't like, but the unconscious mind, something going on deep inside is causing certain physiological reactions in your body that are painful. >> i think our view of the research needs around pain are actually quite broad and not defined by any boundary. and my comments really are not too pit one approach against the other, not to say that emotions are good or bad or physiologic pain more important tla than that manifest, but rather in our society today there is a degree of stereotyping that does take place inadvertently and that does ha

when i think about prevention in the area of pain. it's educating not just the doctors and residencies, but people. when they come through

florida has become the pain killer capital of the u.s. of all the oxycodone dispensed by doctors in the whole country, 85 percent of it comes from florida. with the abundance in pills, the state is seeing new types of tourism. people who travel from all over the u.s. just to visit a doctor. and they're returning home with hundreds if not thousands of potent pills. but unlike trafficking illicit drugs, transporting pills can be as easy as buying a plane ticket on what's known as the oxycontin express. so we're taking a low cost flight from fort lauderdale to huntington, west virginia. this flight has been called the oxy express because it's the flight that people from the tri-state area, kentucky, ohio and west virginia take to come here down to florida to buy prescription drugs and take them back to their home states. to get a sense of how far florida's pill pipeline stretches, we're heading to the heart of appalachia to greenup kentucky, population 1200. ♪ this is greenup county, so1, sheriff keith cooper, i'm making a phone call to a fe

when i think about prevention in the area of pain. it's educating not just the doctors and residencies, but people. when they come through school, that they are knowledgeable about pain and what causes pain and how you deal with them. they become more knowledgeable and their own systems and how different things effect them. we will not always be thinking that we can do whatever we want. but, there's a lot here, i mean, we have to do more research in this area. but it has to be broad. and i will continue to say that this whole area of mind body, cannot be just a foot note. it has to be part of the whole search that we are doing on how to relief so many people that have real pain. real pain. not in your head. it's in your body. where it comes from we don't know yet. but, it's -- that is the one thing that i've learned from the doctor, this is real physical pain. it's not in your head, it's real physical pain. so, i thank you all very much. this was an enlightening session. i look forward to working with you on the committee itself in the

living with the pain of moderate to severe rheumatoid arthritis... could mean living with joint damage. help stop the damage before it stops you with humira. for many adults with moderate to severe ra, humira's proven to help relieve pain and stop joint damage. humira can lower your ability to fight infections, including tuberculosis. serious, sometimes fatal events can occur, such as infections, lymphoma, or other types of cancer, blood, liver, and nervous system problems, serious allergic reactions and new or worsening heart failure. before starting humira, your doctor should test you for tb. ask your doctor if you live or have been to a region where certain fungal infections are common. tell your doctor if you have had tb hepatitis b, are prone to infections, or have symptoms such as fever fatigue, cough, or sores. you should not start humira if you have any kind of infection. ask your rheumatologist how you can defend against and help stop further joint damage with humira. wgn news @ 9 new high-speed train service comes to chicago union station. h

to say the pain is going to be evenly divided and by all accounts the pain was evenlydivided. the administration made it a point of saying that even within the strategy, the defensive industrial base is part of the national defensive infrastructure. within this budget how many decisions were made that were constructed by industrial-based considerations. >> let me go back to the pain being widely shared. the goal of this budget was to follow from the strategy and the strategy wasn't across the board. i mean, we made a conscious decision to, for example, cut back on ground forces a good deal more than other forces because it was consistent with the strategies. so we really didn't try to share the pain, we tried to be consistent with the strategy. on industrial base, our goal here is to keep the skills we think we will need in the future, not necessarily particular companies. as we're reviewing issues like ship building, as we're reviewing issues like a next generation bomber, yes, i think we were thinking what skills and how do we maintain them. we tried not to say which

the year. i can't do that. >> with no! no!, painr pocket, so it's... >> good stuff. [laughs] love it. >> yeah, i got talked into doing the laser hair removal with my girlfriend, and i paid thousands of dollars because i thought i would never have to shave or wax my bikini line again, and they said that it was "a bit painful." well, that was not true. they have, it's like a gun, it's a laser gun that they pass over your skin, and they say it's like rubber bands-- it's not like rubber bands. it's so, so painful. so, about halfway through, the results weren't very good, i was very disappointed by them and they said, "well, it's because you're so blond." well, i wish i would've known that from the beginning. >> well, hello? >> so, i finished, you know, i finished it, but it all grew back, i was super disappointed, and i went back to shaving, but not anymore. i've gone to the no! no! and it is... i have great results with this and the hair is not growing back as fast and it's... >> no hair, no pain. >> i wish i had found no! no! years ag

>>darya: the pain at the pump is getting worse. the average price of gasoline is up 185. the national average is at $3.69. rising crude oil prices is the main factor driving the increase. we are tracking bay area gas prices. will tran is joining us from burlingame will look >>will: a lot of people are not even filling up their tanks, they're doing what they can just to get to work because the pain at the pump is so much higher than it was last week. on average we're paying 265 more for gas. on average $4.33. last week $4.70. ♪ ♪ twinkle toes i think i found a soul ♪ ♪ to make me happily ever after ♪ ♪ i say i love you and i'll say it more ♪ ♪ my one and only ♪ oh i can't lose ♪ so don't stop doing what you do ♪ ♪ have i paid my dues just to be with you ♪ ♪ don't stop doing what you do ♪ >>james: a man wanted in the murder of a fellow hell's angels now behind bars. police say steve ruiz was found in fremont. he is the suspect in the killing or another slain hell's angel member. he was considered armed and dangerous but police say he was taken into custody without any incid

helps getting the pain to fade. the press conference included a strong endorser of flacco. he says he doesn't understand the harsh criticism. >> i'm looking at these trends in -- and a logical business man would say that we're making progress and so i don't know if i have a message for that 10% of the fans with that, i just don't have an answer for them. i just don't, i'm sorry. >> running back set to become a free agent now that his contract has expired. the new england patriots, the team that beat the ravens holding their first super bowl work out in indianapolis today. gronkowski still didn't practice. a wild night of college basketball. maryland at miami. second half, coach mark argued and got two technical fouls and ejected from the game and turks turks -- turps trailed. maryland forces overtime. they played double overtime and miami now here in the second. jones will bring it down the lane and the hurricanes keep winless on the road. maryland home against north carolina on saturday. proindoor soccer at the aren

stand, don't you dare give up ♪ ♪ you just stand, stand up through the rain ♪ ♪ stand up through the painr life ♪ ♪ after you've gone through the pain ♪ ♪ yeah, yeah, yeah, you prayed and cried ♪ ♪ you prayed and cried and prayed and cried ♪ ♪ you prayed and cried and prayed and cried ♪ ♪ prayed and cried, but what you've got to do is ♪ ♪ just stand, stand, don't you dare let go ♪ ♪ don't you lose the faith ♪ throughout all the hurt, throughout all of the pain, oh ♪ ♪ hold on again ♪ after you've done all you can ♪ ♪ i wish i had some worshippers here today that would give god praise ♪ ♪ sometimes lord it gets a little too heavy to bear ♪ ♪ god promised to give us strength in the midnight hour ♪ ♪ in the midnight hour ♪ we don't know what god does, what god does ♪ ♪ but everything god does, he does it well ♪ ♪ do i have a witness here ♪ and you pray and cry, pray, c cry, square your shoulders, hold your head up high ♪ ♪ after you've done all you can, you just stand ♪ ♪ when you get up tomorrow, you just stand ♪ ♪ don't let go at the home of your salvation ♪ ♪ you just stand ♪ hallelujah >

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i don't like the pain in my neck and my back. d all that started there. >> it sounded like a stake hitting the concrete from about two-stories up. and i'll never forget that sound. >> reporter: manual austin's son witnessed the first punch, and then defended his dad. >> if i wasn't there, these guys wouldn't have stopped. >> reporter: our analysis of police records and reports show dozens of other examples of violence at venues in the bay area. at the oakland coliseum, fans at raider games last season received 87 police citations. there were 144 arrests, and 448 ejections. at at&t park, police records show for the 2011 giants season, three assaults, 124 fans booked, and 559 ejections. >> what normally leads to trouble is somebody that has had a little too much alcohol. >> reporter: in san jose, police reports show an assault with a deadly weapon at a san jose state football game last year. at hp pavilion, records show nine assaults at sharks games. >> in watching the media across the nation, we're seeing other fan violence at othe

it does not look like the pain at the gas pump will be easing anytime soon. prices have soared 18 cents in the past month. mostly due to tension in the middle east. experts predict that prices could reach $5 per gallon by memorial day. >> one person was hurt in a house fire in takoma park in the 7600 block of maple avenue. we don't know the victim's condition. firefighters are still looking into what exactly caused the fire. some good samaritans being credited with helping prevent a potential tragedy in temple hills. neighbors helped to rescue a wheelchair-bound man from a burning home on blog street -- on belmont street. two people hospitalized with non-life-threatening injuries. four others were treated at the scene. no word on what sparked the fire. >> now to whitney houston, the singer was laid to rest yesterday, day after the celebration of life. >> ♪ it's a long way to happeeaven ♪ >> she was buried next to her father john huston. >> everyone is waving and i know you will raise the roof like no one else has ever done before. >> on saturday her ex-husban

defaults and the real issue here is the burden of debt is so enormous that human beings can't bear the pain of paying it off so one of the ways in which a default can occur well you can do the argentine style will just never pay back and you don't have to do a stereotype or you can do it the greeks are doing which is will pay him back but a little later and a little less that's the haircut option we're going to see a lot of that in europe the third is austerity the state defaults on you the citizen makes you pay more taxes makes you work harder makes you retire later all that stuff doesn't pick up your rubbish anymore the fourth option is inflation and that's what the u.k. is doing and i would argue that's how the u.s. is going to get involved on its debt ultimately and then the last option is devaluation which you may or may not be able to do depending on the situation but the point is a stair it is only one way of achieving a default and so it is correct you have to think where does the burden of pain fall on the citizens depending on each of these choices and that is a political decision

the money. >> congratulations. 34 degrees on tv hill. more pain at the pump. rising gas prices could help the save some money. >> as silent sweep. if the mets a: the top three if the mets a: the top three honors -- the film that took you know what's exciting, graduation. when i look up into my student's faces, i see pride. you know, i have done something worthwhile. when i earned my doctorate through university of phoenix, that pride, that was on my face. i am jocelyn taylor, i am committed to making a difference in peoples lives and i am a phoenix. >> now traffic pulse 11 and insta-weather plus together. >> good morning. sarah caldwell checking on your morning commute. right now the rows are cooperating. no incidents. speeds around 62 in the outer loop north side in the parkville region. 64 on the west side. so far so good on eastbound 70. on southbound 83, 53 miles per hour. this is 95 and mountain road. we're problem free at the moment. pretty light volume around the area. this is greenspring in the northwest corner of the beltway. traffic is very light tow

government agencies are feeling the pain at the pump. now many are taking the lead to cut fuel costs and clean up the environment. fox 5's matt acklin has more on the new initiatives. >> reporter: it's not every day you see the mayor of d.c. driving himself. much less driving a snowplow. but today, mayor gray wanted to show off the city's ten new alternative fuel vehicles, which include street sweepers and trash trucks. >> not only lower emissions, but somewhere between $600 and $1,000 a year in fuel costs to operate these vehicles. >> that's even better news as gas prices rise at the pump. these days many folks are starting to look for other ways to power their vehicles. >> nothing turns people off more than extremely high gas prices. >> john townsend says last time fuel surged, demand for hybrids and electric cars surged as well. >> once gas prices began to recede, we go back to our old ways and driving styles. and jump back into the suv. jump back into the pickup. >> local governments in our area are taking the lead when it comes to f

not the economic pain was -- the economic pain was cushioned by the u.s.s.r. the soviet union fell and the subsidies dried up. even then, in cuba struggled on. the loss of their trade partner has hurt. when cuba and rolls their finest cigars, the world's biggest economy will not buy them. 13 million were sent to the u.s. before. >> some days, it is impossible to continue with this blockade against the cuban people. when they're ready, we will supply them to the american market. >> things have relaxed a little under president obama. more american tourists are getting licenses to visit, but it is still difficult. >> i think it is a shame. i wish it were opened up. there should be free passage back and forth. >> there is still no hint that will happen soon, so the cuban people go on living around the embargo. >> now to a venture that is not for people with a fear of heights. an austrian man is planning to perform the high sky dive by jumping to the edge of the earth's atmosphere. our science correspondent has the details. >> this man will fall further than anyone

problem and i'll give you my sovereignty but will the public actually comply will they agree to accept the pain of this austerity and will they agree to submit the most important sovereign aspect which is your school your pledges to technocrats in brussels that are not answerable to your population through a means of managing to get going to me there's nothing and that's i might's i might be provocative here but that's all it is the best if you can even imagine a moment at the front. population decline one of the toughest problems facing russia in the long term but the disturbing trend can be reversed according to the country's prime minister and his latest campaign article in his bid to return to the presidential seat what amir putin put forward plans for so sure a poor reform he will significantly improve the demographic situation propose measures include better welfare for families with many children smarter immigration policies including the repatriation of russians living abroad the article entitled building justice also focuses on salary hikes for teachers and doctors as well as making ho

we know about the pain of that and how about the pain of this. are 26 million americans that suffer from migraines. on a regular basis. if you have, doctors, any new ideas of treatment on this, i know we're all ears. docs? >> the first point is, this is genetic. it runs in families. those 30 million, most of them if you ask them they'll tell you they have a sister, mother, brother with migraines, they are chronic and often under diagnosed and a most common kind of headache and people say that is a sinus headache and a tension headache. most of the time it is migraine. and the first treatment for migraine is to change your lifestyle. in other words, you have to sleep more, exercise more, watch your diet. all -- many kinds of alcohol can bring on migraines. wine can. beer can. chocolate can. now, you will love this: lifestyle changes, also, coffee. helps migraines. riboflavin helps migraines and co-enzyme q-10, we talked about on the show, before migraines and before you go to the medications we can talk about there are natural things you can do. >

. ♪ don't you lose control or lose the faith. ♪ throughout all of the hurts. ♪ throughout all of the painoes. note but everything that god does he does it well, do i have a witness here? note and you pray and cry pray and cry. ♪ pray hold your head up high. ♪ after all you are done all you can, you just stand . ♪ when you get up to tomorrow. ♪ you just stand. ♪ don't let go the salvation. note you just stand. hallelujah. ♪ after you've done all you can. after you've done all you can. just stand. brother mcclerkin. we thank you . for being here . and giving us what we asked for. your song means a lot to cissy. and then a great deal to whitney. and we do thank you. and love you. so now ask tiler, -- tyler perry to come special givis wors of expression. [applause] god bless you. the houston family, i know this grief. it was pat who introduced me to whitney a while back and we sat in a restaurant in atlanta just the two of us and sat there talking an hour and half four years ago . she was telling me about her life and surprised how candid and open and revealing she was. she was talking about

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or not the greek economy is going to be able to start growing its way out of what at the moment is an extremely painful resex. recession. austerity does not lead to growth. at the moment, with all of the restructuring that is a core part of this debt program and companies in greece are going to be facing a period of extreme uncertainty for at least next year or two. >> thank you so much for your insights. >> just to reiterate that breaking news in the eurozone, finance ministers have agreed, it seems to a 130 billion euro second bailout package. a revamped bailout for greece's economy. that news broke around an hour or so ago. what we are waiting for is a press conference. we're hoping to see euro group leaders, the finance ministers have been locked in these 12 hours of talks. i think we can see the scene there live in brussels. people are beginning to peter in and take their seats. i think we're a way off from hearing an official announcement there but we will, of course, keep an eye on that for you. let's get more reaction from,000 news. -- from this news. welcome to bbc news. thank you for joining

the south. who is in its track? >>> pain at the economy. something else, tonight we'll learn of thousands of new job, we'll tell you where. >>> secret strain revealed. could unlocking a code of bird flu put us in greater danger? >>> and the actress and her battle. >> you don't like me, bond? you don't like my methods. >>> judy dench reveals he's going blind. her daughter reads her lines from the script and hope for millions fighting the same disease. >>> good evening saturday night. great to have you with us. that home town search so moved by the teenager with the god-given voice was p moved today. this time saying good-bye a week after her death. outside of new hope baptist church her fans paying tribute as the hearse arrived. so many paying tribute. . and for the first time. kevin costner, who revealed a singer or star who worried would she be good enough. linsey davis is in new york tonight. >> reporter: those expecting a funeral for whitney it houston got a celebration instead. >> everybody sing -- ♪ jesus loves me >> reporter: in music

. >>> make the painful turn to the other news of the day and huge and much-needed win in politics, republican front runner mitt romney on two fronts. we got results this evening from voters of caucuses in maine, mitt romney the winner, 39% of the vote, ron paul a close second with 36% and before that, romney was given a crucial endorsement from a huge group of conservative voters he'd been working so desperately to convince he's one of them. that group gathered, signaling he's their guy, winning their straw poll with 38%, topping rick santorum and newt gingrich. tonight "your voice, your vote" david kerley leads us off with this report from washington. >> reporter: mitt romney bolted into maine. trying to get back on a winning track. he bolted into maine, trying to get back on a winning track. all of the sudden, there were town hall meetings. >> portland is excited. thank you. >> reporter: and this morning -- >> i got to go -- >> reporter: a sprint to caucuses around the state. >> i want to ask for your help. >> reporter: romney still trying to convince republicans he's severely conservative.

. >>> and the pay at the pump -- pain at the pump shows no sign of going up. the experts say they were using less gas and supply is not a problem, what is driving the high prices? tom fit gerald is looking into one of the -- tom fitzgerald is talking about the causes. probably talking about the speculators again. >> reporter: this is tied into the price of crude oil and what it's done to gas prices in our area and look at this. the aaa fuel price finder finds that d.c. paid $3.83 a gallon, maryland is paying $3.64 and in maryland, $3.58. you're tempted to vent your frustration on the local gas station owner, experts say they may have little to do with this. if you're look for blame over the high gas prices, goings and oil fields might be easy targets. wall street might be the real culprit. >> it is gambling. >> reporter: he said the hidden force fueling the pain at the pump is wagering on wall street. >> most people don't understand anything about oil speculation. >> reporter: every day, traders buy and sell what are called futures in the oil markets. they're

but it turns out the pain of the pump is not spread equally. how much you pay depends a lot on where you live. abc's dan harris explains why. >> reporter: when it comes to breathing in the noxious fumes of overpriced gas, we are not living in the united states. california is the red zone. a big, angry blotch of high prices. over $4 a gallon pretty much throughout the state tonight. one of the most expensive gas station in america? the mobile station on south hacienda boulevard in l.a. in the northeast, an unhappy orange. average prices between $3.60 and $3.93. the vast underbelly of the country in yellow. between $3.38 and $3.71. but look at this big pasture of green there in the middle, where prices are all the way down to $3.16 and lower. home to the cheapest gas in america? u pump it in ft. collins, colorado. just $2.64 a gallon. prices always vary from state-to-state. but this is unusual. >> no. this is not normal. >> reporter: why? because the refineries on the coasts are buying more expensive crude from places like saudi arabia and nigeri

living with the pain of moderate to severe rheumatoid arthritis... ...could mean living with joint damagelp stop the damage before it stops you... ...with humira. for many adults with moderate to severe ra,... ...humira's proven to help relieve pain and stop joint damage. humira can lower your ability to fight infections, including tuberculosis. serious, sometimes fatal events can occur, such as infections, lymphoma, or other types of cancer, blood, liver, and nervous system problems,... ...serious allergic reactions, and new or worsening heart failure. before starting humira, your doctor should test you for tb. ask your doctor if you live or have been to a region where certain fungal infections are common. tell your doctor if you have had tb, hepatitis b, are prone to infections, or have symptoms such as fever, fatigue, cough, or sores. you should not start humira if you have any kind of infection. ask your rheumatologist how you can defend against... ...and help stop further joint damage with humira. >>> here's a look at today's forecast for some cities around the country. washington, d

we came for the pain. >> ai-yi-yi! >> stand up, stand up. >> ow, ow, ow! ahh. >> oh, my god. >> feet up. >> reporter: specifically, the soul-destroying slog called "the jungle marathon." an ultramarathon. 149 torturous miles every seven days. once a year, some of the world's most elite athletes pay thousands of dollars -- >> got my number. >> reporter: to suffer through mind-bending agony in this jungle paradise. >> come on, guys. start! >> reporter: shirley thompson runs the event. a veteran of multiple ultras herself -- good luck. >> reporter: she's got the build of a hummingbird but the mentality of a drill sergeant. >> your penalty if you're late for the start. wow, you look pretty. >> reporter: a perfect place for former beauty keeps. >> even color coordinated. >> of course. >> reporter: we arrive on day one where we meet dr. julie goldstein, a former miss florida, and current veterinarian. running this race in memory of her dog strider for whom she created the wag strong foundation. for folks like julie, the marathon begins long before the starting gu