If it's 2 o'clock news comes from that Hatfield and the news on 5 Live 8 people are being killed in one New York police are calling a terrorist attack and in sport Manchester United are on the verge of the Champions League knock out stages but Chelsea slip up. This is b.b.c. 5 Live 8 people are dead and 11 others seriously injured after a truck was driven onto a cycle path in New York a suspect was shot sent arrested by police who are describing the incident in Manhattan as terrorism Kareena was there and spoke to a local station c.b.s. T.v. I thought it the people on the highway not even look around and I felt sorry I don't know what you. Think a ripe old metal can after one of those Erica you know we are no way but he would definitely be in the net so we need you we everyone started shooting shooting and. We ran across. A police source says a note was found in the truck that referred to the Islamic state group a paint ball gun and pellet gun were recovered from the scene the New York City police commissioner is James O'Neill this is a tragedy of the greatest magnitude for many people for many families here in New York City and beyond today want to command a response or n.y.p.d. Officer there was on post near the location who stop the carnage moments after it began the work of the 1st responders including the fire department the u.s. Personnel show you help save additional lives Well the suspect is believed to be an immigrant who came to the u.s. Into the town and was living in Florida President Trump says he's ordered Homeland Security to step up what he calls America's already extreme vetting program. A burglar is sentenced later for the murder of a former Royal Navy officer in Manchester Ryan Givens who's 29 broke into Mike someone's home and children stole his car and drove over him his Detective Chief Inspector Louis Hughes Mike was a hero who just came into contact with a man who was exactly as it was coward. Givens left my client for his life on his own driveway as he drove away with his car he then activated police and asked Mike's family were left picking up the pieces of their shattered lives Givens couldn't even do the decent thing and handed self over to the place Labor is to use a debate in parliament later to try to force the government to publish its assessment of the impact Bracks it will have on 58 different sectors of the economy ministers have repeatedly refused to release information saying it could undermine the U.K.'s negotiating position. A charity claims male infertility care can be insensitive and one sided fertility network e cases it survey suggests men looking for help to become fathers often feel ignored with the main focus in clinics on the female partner lawyers for Google Facebook and Twitter have been defending themselves to u.s. Census investigating whether Russia use social media to try to influence the 2016 presidential election the firms have promised to tighten advertising policies and guidelines and Hastings pier has been named Britain's best new building has taken the sterling prize for architecture the pier was rebuilt have to be destroyed by a fire in 2010 the lead architect is Alex to recap this project really did define collaboration you can't do interesting projects special projects without a special client and I would say hosting spirit charity are amongst the most special even eccentric clients you would ever meet. That's going to spawn I would joke Chelsea missed the chance to progress to the knockout stages of the Champions League after a 3 no thrashing at Roma and so Neo-Con taze men going behind after just 39 seconds from a now lead group c. By a point but a win against Karabakh in 3 weeks' time will see Chelsea go through no such problems for Manchester United though a 2 no victory at home to Benfica leaves them on the verge of reaching the last 16 but Celtic's 21 defeat against by new nick ends their hopes of getting out of group b. Sunderland have parted company with manager Simon Grayson following their 3 all draw with Bolton in the Championship would have gone top of the table with a 2 no win at Norwich elsewhere hips up to 3rd in the Scottish Premiership with a 3 no victory at Kilmarnock you can catch up on all of the results on the b.b.c. Sport website a new world boxing champion Katie Taylor says she'll defend her w.b. a Lightweight title on the 15th of December in England the 31 year old wasn't expected to fight again until next year that's after sustaining a mind. In some states when I for an hour he Sanchez this is b.b.c. 5 live on digital online the smartphone and stop at a look at the weather dry with there is a plan to 1st of most places becoming clear later we can expect some phone patches and also some light winds with Evan Osnos of 10 in London and Manchester and 14 in and perhaps get moved from b.b.c. 5 Live we find delightful accounts sound as the b.b.c. Now has a weekly podcast dedicated to m.m.a. The m.m.a. Show will feature news interviews in the goings on in the fastest growing sport in the world you can join myself next fight at an Audi along with journalist Nick Pete and a range of voices from the sea as we focus on everything that catches our eye from the u.f.c. To the British domestic sea solidified life in your heart countdown get more from b.b.c. 5 Live. On am and f.m. a U.k. On digital and online I'm Roger Sharpe and we're up all night while there is a development today in the what we're probably Kevin Spacey to develop a Kevin Spacey thing and it would now appear that Netflix is not going to go ahead with the production of house of cards House of Cards production has been suspended for the time being according to Netflix the reaction to an accusation by a man who was 14 tied her sister to space it behaved improperly to her at a party. All over Britain has 5 past 25 calorie gardens west of Warm Springs Georgia all day the crowds and summer come to swim in the lake walk in the gardens or in a great hall full of thousands of free flying butterflies 5 prostate and Meridian Alabama the birthplace of Jimmy Rogers the man they call a father of country music from 1928 until his death from t.v. 5 years later Rogers was the best selling recording artist in the world by posix and closing time at the Tucson Mountain Park northwest of Tucson Arizona the old suit Tucson studios live on the glory days of Weston's more than 300 were filmed here 5 past 5 in Sitka Alaska an 867 the Russian governor stood on Castle Hill and concluded the sale of Alaska to the United States news comes from c.b.s. . C.b.s. News I'm Dave Baron a truck in lower Manhattan drove onto a bike path this afternoon in what officials call an act of terror he know of 8 innocent people who have lost their lives and over a dozen more injured and New York Mayor Bill de Blasio c.b.s. Investigative producer Pat Melton police said that this vehicle was a rented home depot truck and it entered the light that when street a few blocks from the World Trade Center memorial to destry and bicyclists were hit this man was right there I walk down this road all the time and it's usually just for fun and nice breeze and this is not what it's meant to be this is a travesty that rented truck continued on for about 4 blocks and struck a school bus 2 children and 2 adults on board were hurt New York Police Commissioner James O'Neil a 29 year old male exited the vehicle brandishing 2 handguns. A uniformed police officer side to the 1st precinct. Confronted the subject and shot him in the abdomen the subject was wounded and transported to a local hospital a paint ball gun and a pellet gun were recovered at the scene law enforcement says the suspect is an immigrant from Uzbekistan who reportedly came to the u.s. In 2010 c.b.s. News national security analyst Fran Townsend what they're trying to understand pretty quickly is what was the motivation until they know that they've had this a terrorism investigation because you can't rule that out President Trump has tweeted calling the attacker a deranged person again 8 people dead at least a dozen others have been injured from this attack this afternoon on a bike path in New York City in d.c. Representatives from social media companies appeared before the Senate Judiciary Committee Facebook general counsel Collin stretch says 29000000 users got content from what turned out to be a Russian troll farm people share these posts spreading them still further many of these ads and posts are inflammatory some are downright offensive. And much of it will be particularly painful to communities that engaged with this content believing it to be authentic 126000000 users may have shared those posts at the sentencing hearing in North Carolina's Fort Bragg defense lawyers are presenting testimony from those who traded and the preferred Army Sergeant Bowe Bergdahl after he was released in a controversial prisoner swap after spending 5 years in captivity 2 military agents testified Bergdahl was quote All gold wide of intelligence and helped the military better understand insurgents and how they imprison the enemy Bergdahl former squad leader described him as a good efficient soldier who quote wanted to go out and get bad guys Jim chrysalis c.b.s. News on Wall Street today the Dow gained 28 points and closed at 23377 The Nasdaq rose 28 and the s. And p. Gained 2 this is c.b.s. News this series is now on hold I'm very much. Production on the t.v. Drama House of Cards stopped until further notice announcement from Netflix and its production partner m.r.c. Network officials are saying they want time to review the current situation and address any concerns of the cast and crew that's a reference to backlash following response by one of the show's stars Kevin Spacey to a sexual misconduct allegation and the timing of his coming out as gay Netflix says its earlier decision to end the show after 6 seasons is not linked to the controversy going on c.b.s. News it's been a wild World Series and tonight the Houston Astros have a chance to capture their 1st title ever it's Game 6 tonight in l.a. With Houston up 3 games to 2 Justin Verlander pitches for the Astros he's been superb Rich Hill was impressive in his 1st series performance and he'll be on the mound for the Dodgers I'm Dave Barrett c.b.s. News. Well we begin with familiar music and Peter Bowser's here in Los Angeles to discuss the uncertain future of the remaining production of House of Cards for Peter hello again Rod How you doing there nice nice to have you with us well I'm not actually tell you what is going to I tell you what Robbie for we talk about House of Cards just the final item in the news bulletin there of the Dodgers stadium the outcome yet which is going on right now and from my office window here I could see that the lights downtown a lot of attention a lot of earlier in the day when it was light a lot of planes and choppers hovering overhead this is a big night in Los Angeles it started on a serious note and justifiably so a couple of hours ago there's a moment of silence at Dodger Stadium for the victims of the New York attack and there are enhanced security measures we're told in force the mare Eric Garcetti said that given what had happened in New York they were being even more careful than usual more eagle eyed as he put it so it was a solemn start to game 6 of the World Series the Houston Astros have just heard on the verge of their 1st World Series title currently leading $32.00 against the Los Angeles Dodgers It is a very cool evening very cold evening here in Los Angeles is got quite a wintry feel to it which it is probably good news for the players thinking back a couple of weeks ago feels lot longer it's only a couple of weeks ago the 1st game in the World Series when it was about 20 degrees Celsius warmer the current score Houston a leading one nil Well thank you well I hope you'll keep part updating us because how else will we ever know but let's let's start now about about Netflix and Kevin Spacey and the there are sort of drawn out are going to. Netflix over house of cards yes what's the latest Well as you said a 2nd or so ago that they have now announced that house of cards in the wake of. The accusations Kevin Spacey essential indefinitely been put on hold Netflix and Media Rights Capital which is the production company Netflix being the distributor have decided to suspend production until further notice they say to give us time to review the current situation and to address any concerns of the cast crew it really is the latest fallout from the news that 1st started coming out on Sunday that Kevin Spacey is accused of behaving inappropriately with a Broadway actor Anthony rop who was 14 at the time well wrote I'm joined by Jeannie Wolff long time Hollywood journalist to talk about this and perhaps some of the other repercussions from the Harvey Weinstein a Furby course all of this is connected in a way you have known Kevin Spacey for a long time haven't you I have indeed I've known Kevin Spacey and Harvey Weinstein for a long time Kevin Spacey the accusation of. This actor who's on strike trick about him was something that happened when over 30 years ago and the actor said he's told the story to his family told the story to friends but he kept it in and seed all these years and now as people are coming out and admitting. Mostly women admitting that they suffered abuse or harassment he felt that it was time for him to do that it's very difficult to digest this 1st of all Kevin Spacey in my opinion handled the his reply very very badly. This young actor comes out with a very emotional statement of how it's pained him all these years and how we could barely look at Kevin Spacey in that he never talked to him about it then Kevin Spacey says well I'm paraphrasing I. I don't remember but if it happened the way this young man is describing it was drunken behavior I'm very ashamed and then he uses this same statement to come out and declare that he is now living as a gay man now for years Kevin Spacey has proclaimed leave me alone I'm an actor I want my privacy at the same time Kevin who is a brilliant genius of an actor amazing on the screen has teased the public and teased his audience about being gay or keeping the secret or even the character he plays on House of Cards is implied to be or more than implied to be bisexual so Kevin wasn't Kevin Spacey joking about his sexuality at the time as well as you know kind of teasing about it but mildly and he's is always kidded about it and resented when other people were guessing the thing that has so many people angry besides the fact that this accusation could be true is that Kevin chose this moment to come out to declare that he was gay at a time when it looks like he's trying to divert it wends attention you know I'll give him what they want I'll give him what they will want me to say that I'm gay and the gay community. At the top of their lungs is say 18 a minute you can't conflate a possible mistake you made with being gay What does this mean about the rest of us and what does this mean about people who've come out years and years ago when there was a cost to it when it helped the gay community when it could have hurt them and now you come out Kevin you come out to use this as some sort of defense it was taken very badly and it should have been it was very poorly advised and I can only imagine now that he's feeling the repercussions well that you do know him do you think it was a deliberate attempt to conflate these 2 think it was just as you say badly advised he didn't think about you know Kevin is very very smart and sharp and I can imagine that part of him thought she this is only an accusation a long time ago nothing really happened I'm I'm guessing now just from I'm not his best friend but guessing what goes through someone's mind but the 1st in the close to your mind is panic because we are at a time now because of. The clarity behavior by Harvey Weinstein and a bunch of women and sort of a general feeling in Hollywood that this is the way they do business abusing people and abusing their power we're at a time when they want to death those people they're people are are making their decisions based on emotion but at the same time there are clearly victims here openly there are clearly victims here and we have to be careful of like with what everyone is calling this narrative always carries with it a bunch of frayed it's a bunch of you know sayings that develop Don't blame the victims you have to understand the victims but the victims for the most part never told anyone in some cases took financial settlements and now are feeling. That they must tell what happened to them and are feeling ashamed and embarrassed and confused by themselves why they didn't come out at a time when they could have protected other people so it's very very conflicting emotions as a community there were rumors Look I know Harvey Weinstein for a long time but I journalist people act wonderful around me no one's going to act up around me I got to know put my tape recorder in the other and I certainly knew that Harvey Weinstein's a crude tough dealing guy also a genius at picking and promoting movies I like many other people had no idea that he was a serial predator that his sexual encounters that he sometimes even bragged about were aggressive and violent and harmful to the people and in some ways ugly and crude and not it there's not a sexy romantic story in any of this it's all violent imposing your will. Going against someone's wishes knowing because after all this time it's been going on for years and years knowing that you're doing something wrong knowing this is the way you get your sexual thrills by abusing someone by exerting your power to me and to many people it's terrifying it's shameful it's still a thing but it's also frightening when you have. Brought here very nice to have you with us. I was thinking about the reaction of some people in Hollywood not desperately searching my memory to to think who was the the male star who said oh come on this is the oldest story this is this is the casting coach I think he. Obviously were were completely wrong weren't comes to the way that Harvey Weinstein has behaved never in it when when the story 1st broke no one had any idea just how ugly and. Seemingly how terrible it was these these various titles are going to be you know this wasn't someone flirting and giving him time and bracelets the casting House of course gets our attention because it seems more exciting and you envision the glamorous part of it there's nothing glamorous about any of the stories I've heard but let's remember the casting couch goes on in offices and factories and you know even at war so that people being abused by men men and women wouldn't we now know because of their power and in Hollywood it isn't just power it's their connection to this unbelievable dream maybe I'll get a part maybe this maybe this will be my break it is a passionate dream that sometimes very hard to describe and you can begin to understand how someone would be confused or bewildered or caught up in the idea of what this is my break and not realizing Ok so I go out and kiss a guy whatever and not realize that they are going to end up in some cases raped not not a Hollywood term that any of us want to see used to get ahead and and has this gone on for years yes in Hollywood yes across the world may be may be you know in great cost with getting on but do we need to be more aware absolutely So if anything comes out of this I keep hearing people say oh this is going to change everything everyone's come out now and it's the me too. People are telling their stories and they're coming clean Well 1st of all the stories are detailed and embarrassing and 2nd of all the people who are reading some of these me to articles are saying Please Lord don't they don't mention my name because I don't want to get caught. And I'm heard about the history of reporting the sort of thing because our recent kind of Franco's book I think Hollywood Babylon. Books like certain to be sort of tell all books where the biggest scandals in Hollywood with the biggest scandals in Hollywood now I can't easily recall look we're discussing but what I can tell you is the biggest scandals are usually told with a matter of distance and a matter of time so when we hear about the glamorous Oh movie stars it's usually you know connected with. Either something ugly including murder or something that had to do with them getting ahead and those stories as well as sticky it's a word we're sort of romanticized in glamorize this is something that has harmed people that they've held in for ever look I can hardly think of woman you probably can't either who maybe doesn't have such an extreme story but most most people most young boys most young women will have a story where they at least got close to something like this and when you do it's bewildering it's confusing and we've all been taught to blame ourselves so there's a great deal of shame and fear of your reputation attached with disclosing this and in the case of somebody with power and with access to the press there's fear that your reputation that who they're going to believe me or some famous actor some powerhouse. You serve some man with millions of dollars in a reputation and so a lot of times people just slink away thinking well it isn't worth it I don't have the money for a lawyer I don't have I got to pay my mortgage and I certainly won't be able to do that if I can't work and if my reputation is dragged down by somebody with that power we started by mentioning the fact that production on the House of Cards has been put on hold indefinitely and yesterday about 24 hours ago we have the announcement that the the next series will be the last it will be ended and I understand that that decision was made many months ago that season 6 will be the final say so it was pretty well known that season 6 was the last it was it wasn't officially announced this right interesting thing it wasn't officially announced until 24 hours after the accusations were made against Kevin Spacey so they announced then you could you could either say positively or negatively that yes it's been picked up one more time there will be more or more series but it will be the last but they were filming in in Baltimore right where in the middle of production they were in the middle of production and the net is like Sara Lee going to make it was I mean every flicks Representatives flew to Baltimore they were very thoughtful about this flew to Baltimore to meet with the cast and try to look people who could lose their jobs and it isn't just the behind the scenes people or the other actors some of which have contracts it's you know the little luncheonette that was selling lunches to the set it's all a lot of people hairdressers and suppliers and in every case whether we talk about any of these abuse victims nobody wins the fallout from this goes way wide and way down that's my train of thought in terms of the fallout because this is has been a great series and in terms of people binge watching television it really was quite quite groundbreaking and certainly put Netflix on the map in terms of this this kind of television. So what I'm thinking a little Leave aside the Kevin Spacey allegations for those farms of this show who wanted to see a great conclusion do you think it will actually ever be completed what do you think I think they're what I think they're waiting look at Kevin Spacey hasn't been declared guilty of anything but everybody is very careful not to distance himself from somebody with these accusations the Old Vic theatre today set up a tip line for people who may have observed or worked with Kevin Spacey or saw anything during his administration when he ran the Old Vic Theatre that to me is pretty wild they've withdrawn an International Emmy that he was going to get now. What if Kevin Spacey is guilty of this it's vile it's it's child it's pedophilia on the other hand right now people are fearful. There's no evidence this guy is telling his story as are now literally hundreds of people telling a story so people are scared what does it take you to be famous enough and someone raises their hand and says you know he touched me got me he acted inappropriately with me and and. I was certainly not defending a lot of stars who feel entitled a lot of powerful men and women who feel entitled and use their money and their power and their influence on the other hand some of those people are really scared because somebody who has something against you could just suddenly raise their hand what we have to be careful of is that we don't let people get away with abuse we also have to be careful that we don't begin to form a society that makes lists that point fingers that decides who is guilty on the basis of a great press story we have to be we have to be very careful that we guard victims and that some of those victims don't become the accused which is why this is such a complicated story because there are emotions running hard on absolutely all sides and as you say so many the collateral damage is huge especially in this town of Hollywood for the reasons that you explained with House of Commons collateral damage while you have a young daughter who you want to go in the movie business who's got a chance to get a a part on the show how much do you take her aside and say Honey be careful what people talk to be careful how they do we want to warn everybody do we want to quit kidding around and office you know you know telling someone they look pretty today or well what a great dress or well you look at what we have to be careful that we don't. Become. You know what is it the Salem Witch Trial where it where everybody who's even accused all of a sudden has a guilty mark and we don't and we have to be careful that we don't warn away people with how it on all these talent shows or trying you know to make it in Hollywood that we don't warn them and jury you know again of snakes. In the Salem Witch Trials tonight. It's hard we don't care if it's all or when it's a Dodgers game let's talk about what's really important to talk here which Houston one l.a. Dodgers 2 right now oh well. The Dodgers I'm very objective about this I just. Good to have you with us today thank you so much for your time oh it's a very troubling time for all of us and I just want to keep our heads. It's half past 2. Pretty easy for anyone this is b.b.c. 5 Live the business news comes in May have healed good morning a driver in New York has deliberately run down and killed at least 8 people in what officials say was an act of terrorism it is believed to be a 29 year old immigrant from his back ystem President Trump says he's ordered officials to step up the vetting of foreigners traveling to the u.s. The 1st secretary of state Damian Green has been referred to the country's most senior civil servants following an allegation of inappropriate behavior towards a woman he strongly denies the claim made in the times the Ministry of Defense has been accused of wasting millions of pounds because there aren't enough spare parts for war ships and submarines the National Audit Office found $800.00 times last year when parts had to be swapped from one vessel or helicopter to another. And production on the Netflix series House of Cards has been suspended following sexual assault allegations against Kevin Spacey Let's get support now would Joe Curry Chelsea's night started badly and got aggressively worse coffee look at the check oh it's like a guide to pleasure sure I was sorry I was yes Telsey going behind to write him off to just 39 seconds and it didn't get any better from there as they were beating the 3 men away to miss the chance to the grass to the knockout stages of the Champions League Bremen Ali group c. By a point but it's a win against Karabakh in 3 weeks' time we'll see Chelsea go through no such problems for Manchester United there were 2 no victory at home to Benfica leaves them on the verge of reaching the last 16 this one was watched by a senior football reporter in that Manchester United were far from fluent and at times were fortunate Masiello how to 14th minute penalty save by Spiller while the higher shortly afterwards pulled off a flying save to keep out on Silva as on the stroke of half time a low budget shot hit the post but rebounded and off the luckless goalkeeper to hair again kept out on Silva as well as sloppy by a mistake letting him an f. Who hit the post a 2nd penalty 12 minutes from time sailed a 4th successive Champions League win Blent order to take it rather than a car coup and phatic but the United display far from it south takes 200 feet against Bon Munich and their hopes of getting out a group bait manager Brendan Rodgers says it's plenty to take from the match despite the result the level of people who call to prove something was very prevalent. In India because that was a problem conceded to me those are obviously the slow food but overall of the protein the medical team has developed the level. Ok it's important to watch something positive from Sunderland have parted company with money. Yes Simon Grayson after the 3 old rule with Bolton the 22nd in the Championship Grayson had been in charge at the Stadium of Light for just 15 games keep ya boss in Holloway says he wasn't given enough time as after 16 minutes at a game finishing you know football is going to realize you know you can't move mile into you can't change people want to own for is 18 months you know I was the suddenly going to change that a football club is big is Sunderland is you liken it to a a huge ship he's not only go pull it off the ball but he's got to get a flowing again and that enough time to do that it's really not really in my opinion in Holloway was speaking off to his side keep ya beat Sheffield United one nil United now slipped to 3rd in the table wolves have gone top with a 2 no win at nor age elsewhere Hibs are up to 3rd in the Scottish Premiership with a 3 no victory at Kilmarnock you can catch up on all the results on the b.b.c. Sport website and app a new world boxing champion Katie Taylor says she'll defend the w.b. a Lightweight title on the 15th of December in England the 31 year old wasn't expected to fight again until next year after sustaining a mind a cut in such states when I 1st saw his Sanchez b.c. So it's a stop sign with a place called Round one this is what sort of this is going to continue not to represent no chances for revenge and survival of the place to take city and. Keep your eyes on the prize get the 1st round don't these read this when it stays on the f.a. Cup on the b.b.c. a United versus m.k. Dons Friday night from 730 on b.b.c. 2 for the full is the much commentaries b.b.c. Dug out of u.k. Last f.a. Cup across the u.k. This is b.b.c. 5 Ok night with Russia. Well I believe it's the end of the 6th in the Dodgers Astro's game the Dodgers need to win the to stay alive but more of that later 1st of all Peter boys in Los Angeles has a doctor in the hard news. What was it Doc to discover if they live to 24 hours a day late. Because of the need to know how much would you be willing to reveal I'm scared that I mean get they need for how I am in my way I feel like I'm trapped but Nick when you buy it you wanted would they be shocked by what they find name please explain to her. In the language that she understands how to manage a condition it's not acceptable. Most G.P.'s only get about 10 minutes with each patient doctor wrong chatted she wants to try a different approach. All the time of my conversation when I'm seeing problems as a lifestyle problems I don't need help I need a lifestyle change. A lifestyle change well are you imagining what would happen if Peter's guest came into your house I'm sure you are Peter tell us more or less and the doctor is in the house for the next 25 minutes Dr I'm going to g. Is visiting l.a. And it's going to be to pop into serious That's hardly peace if you are in a bit of a mission aren't you not only to change our attitudes about health care in the u.k. But this is a global mission for you. Yeah absolutely I was very lucky to have the opportunity to make those documentaries for b.b.c. One and you know what what sort of makes me happy and what really I'm getting back from the public when I sort of talk around the country is that a lot of people didn't really realize the impact that our lifestyles can have on various different health conditions I think you know we choose or we know about things that type 2 diabetes and obesity but there's a whole range of different conditions that had been under specialists under doctors already for many years and despite that these patients were still struggling and they did a whole multitude of things but a big part of why I did it was change their lifestyles or help them understand what things in their lifestyle might be contributing and by making those changes in the majority and got significantly better and for you a big thing is lifestyle over pills that were all or maybe not all of us but a lot of people are simply over medicated I think there's no question as a society where overmedicate said look I'm not anti pills at all I think pharmaceutical drugs can be lifesaving for many patients there's no question about that but I think over prescribing drugs and I think there's many factors that play into that but I think the health care system the n.h.s. The way it's currently set up sickly in general practice with our 10 minutes appointments are often get compressed even less and that it really lends itself to this pill solution and I don't think it's in patient's best interest a lot of attention here of course in the states to people's addictions to painkillers to the whole opioid crisis that the president highlighted last week is that that is a global issue isn't it is not necessarily something that only affecting Americans it's a huge problem in the u.k. Absolutely and I don't have a sister stick for the u.k. But I know and I've seen it and family members actually that how quickly people can . Take You know what we think it is or what patients often feel are simple pain killers and before you know a few months in they're addicted and they're almost dependent on those painkillers to function and actually piece in the 1st series of docs in the house we had there was a patient who had a 30 year history of back pain and he was dependent to function on these opioid painkillers and sleeping pills and actually he started getting some of them on the black markets because he was that desperate and you know in in 4 to 6 we got him out that pain and got him off everything and that was proven on you know your interest actually demonstrate that So I think clearly having a doctor in your house is not a solution that we can roll out across the n.h.s. To fix this global health care crisis but what I think it does do is it just shows what might be possible when yes we get more time but also we take a different approach in this approach is about looking at the root cause of a problem rather than simply looking at the symptom and I know it's probably difficult to generalize but when you did get to spend more than 10 minutes with people you actually stayed in their homes what was the the main thing was your main observation about people's lifestyle is if it's possible to to focus on one thing what do we all generally getting wrong yeah he said it's it's tricky to answer that because it obviously depends on the condition but if I take a step back by and large I would say. I can give you yes it would be easy for me said diet right be very very easy but what I expected you to say they were all eating bad stuff yet if you force me to say one thing. And we've been doing this interview a few years back I would have said diet but actually my viewpoint on that has evolved somewhat and I think that stress and this constant information overload this underslept society when we always got to do this we're never done there's always another email to send where we were dictated so many 1st to social media and technology I think these things having negative consequences on our health and actually driving a lot of the poor lifestyle behaviors on the back of it so look can I sort of prove see that stress is the key player No I think it's 4 key things that I think all of us can look at and these are the 4 areas I look at in my own life I look at my patients' lives and I ask everyone to say hey look at these 4 things in your own life and see if one of these needs a bit more work but something else and it's food it's movement it's sleep and it's relaxation so the whole stress piece and I found it a very simple way deceptively simple actually a simple way of actually looking at actually way can I start making last hour changes for some people I see you know the times pretty good you know I've got some patients with type 2 diabetes whose diet is pretty good they come and see me but I can't get their blood sugar any better and often I've seen that stress is the play and when you tackle their stress levels the blood sugar starts come down because the body is connected right we change one thing we change everything so diet is a big problem no question but you know we're sleeping about an hour less than maybe 3040 years ago that is significant so much happens when we're asleep so for some people you know if all they do for a week is say Ok I'm going to I'm going to go and try to get about half an hour early just for one week. As almost a challenge to themselves it is remarkable the difference that makes the food choices are often better the mood is often better clearly energy is better so here's the problem this just sounds quite obvious right so yes I sleep more I'm going to more energy but why are we not doing it so I think what it comes down to is doctors Pari sizing this information recognizing that a lot of what we're seeing are downstream consequences of us getting these for lifestyle factors out of sync so I think we should be prioritizing that and I never have told a patient what to do in my career because I don't think it's my job to tell them what to do my job is to empower them with information in a language that they understand then I hope that they will try something and see if they feel better because ultimately the only way you or any of my patients is going to make a change long term is if you feel that there is some benefit from doing that so my job is to help someone see often within a few days often within a week how much such change could affect them I think it's up to them. Hello Dr challenges rod here it's really good to have you with us however Ben if you ever been tempted to do one of your shows in the hold of somebody who works night shift. Well that's a that's a fantastic question and I don't get to choose what the families in the show or which families I end up going to see or even their conditions it's really I just knock on that door for the 1st time and then I have to deal with whatever is that but I think you have a volunteer here actually we were you when you raise a very good point you know shift work and I appreciate that I'm in l.a. At the moment so you're in the u.k. So here are audiences in the u.k. It gets even more interesting than that but the point being that awful lot of people listening to this saying I wish I could get more sleep you know but I'm so used to the horrible regime you know of 5 or 6 years from 9 till you know 4 or 3 in the afternoon or even 2 you know it's all over Yeah look shiftwork is absolutely. You know problematic for the health of certain people and I think we have to recognize that the way our society functions in the 21st century is we rely on shift work for for our modern lifestyle so I don't think that's going away any time soon so the question then becomes is what can we do to mitigate the effects off that and again I look at health as almost you know I think we all got our own personal threshold so you know below that threshold we can deal with multiple insults on our body then we can just about cope but if we have enough of those in cells and it takes us above our threshold so if people are in the slat I think you can maximize the other 3 pillars what I call pillars so you know let's say you are shift work and you can't sleep as you were you can do a lot by improving your diet improving your movement improving your stress levels and it doesn't outdo the fact that you're not sleeping but it helps so I really feel that you know if one of those pillars is not doing so well you can try and mitigate some of it by improving some of the other pillars if you are shift work here. Maybe we're going to have to help educate shift workers how to really dial in and optimize their diets but but you've mentioned shift work in sleep and actually in the last series we had someone like this and there's actually quite a lot of steps that someone who is working shifts can take to try and sleep when they get home if they have that luxury and it's a lot of it's to do with lights and or exposure to light so we know that technology and blue light from devices can actually change our hormone levels and this is very significant because if we look at it another way if we found a drug that would change our hormone levels are we quite excited about it would be we'd be preaching about how powerful that drug is but but how we expose ourselves to lights can also influence our home and levels So typically if we were in the daytime and we want to fall asleep in the evening the darker it is in the lead up to bad the more melatonin will release which is the hormone that helps us sleep but you can also manipulate that for shift workers so. You know if somebody finishes working at 7 in the morning. Then you know minimizing their exposure to lights on their way home and when they get home can be very beneficial in helping them sleep and so you know but these things the reason I said than done and I'm thinking Ok so you're on the on the tube heading home after your night shift obviously in that you might be quite dark but you're walking down the street the sun is coming up it's easier said than done to minimize light in your life between finishing work and going to bed for the day I actually saw you and said wear dark glasses you know yet what this is exactly is going to say look I recognize it's difficult you know for all of us making decent lifestyle changes in the face of what we cope with these days in the in the face of this food environment it's challenging but I'm saying we should educate people so they understand 1st of all what they can do now I recognize it's hard to get dark glasses songs safe to do so can be incredibly helpful some people in the evening will wear glasses so that will block out the blue light from that devices and you can flip that So if you're a night shift worker could you wear those when you get home so you're minimizing that blue light to your body and the lights which is going to help you get into the state where you need to sleep you know so there are several things you can do and they are shown to be being very affects you can change the way you eat at night to you know encourage that sleep when you get home so there's several things you can do. But I just don't think we talk about them that much other than that that that well then I think shift work is actually need a good living guide you know just specifically for that one thing that be incredibly helpful were not because Yes anecdotally I think people who really know this from working with so many colleagues over the years but the people who make a success of it are more concerned about their physical fitness and they really do go way to go swimming or go running or go to the gym or something on a fairly regular basis. But what you just said there is really it really sort of solidifies what I've saying about these thresholds and about you know if one area is. Being neglected is one area is not as ultimate as we would like that we cannot see why some of the other areas in our life started to sort of mitigate that and I absolutely think that's the case and look I remember as a junior adults we said Do runs of 7 nights. I have incredibly difficult you know a I find it difficult to sleep during the day and I certainly wasn't applying the principles I know now I wish I knew these principles back then but by day 3 By day 4 I'd feel quite quite depressed you know pretty pretty I feel pretty grim before I went on my night shift again. And clearly it's just not the way we've evolved as humans but we need strategies to cope because that's where our modern lives modernized among the 1st and right you mentioned going to the gym just now I understand that you believe that actually going to the gym is not necessarily always the best thing to do for people and actually these days too much emphasis can be put on that kind of exercise look I'm about trying to remove the obstacles to people to get healthier so I think we've outsourced our idea of movement as a culture that basically only happens in the gym so if we do you may see us as we get to the gym we do our sort of half hour or 40 minute workout and then we leave and that's kind of on movement done we have to think about it so the next gym session and I think we're looking at it the wrong way I think for can answer seems I enjoy going to the gym but for most of us to actually do what we need to do with off with our physical health we don't need to go switching We don't need to spend the money on a gym we can do a lot of it at home simple things that using technology I think I don't know if that's an activity tracker on your wrist base that I can see or not this is the latest up watch Yeah Ok but you know I am a bit addicted to this kind of thing yet but you know I find them incredibly helpful for some patients to say hey look you know this whole 10000 steps a day. Idea I would be like it because I feel it's very measurable it's very tractable for people and you don't need a gym to do that you know and I think actually as a base level we should all be aiming to get something like 10000 steps a day I don't mean we. You'd look at that as oh maybe one or 2 days a week that is basically what we should be doing and I think this whole idea of movements is really I think it's just the concept that we have these days so I was in London a couple of weeks ago and I was on the tube and I actually took a photo of this and posted it on my social media because I don't remember a couple and again I don't I'm not being critical about this but I was at a cheap station and there was escalators and there was stairs and I took the stats and those are top of the house I look back and both escalators were rampant jumpin full and for 10 minutes I watched and not a single person got the stairs now I was in as a society it's remarkable that we you know for the 1st time we're the evolution of history we can outsource our movements you know we can we can choose not to move to get from a to b. And you know I think on one level we've always as humans wanted the easy way we've always looked for that that's probably been part of that part of the reason we've evolved to be you know to where we are today but I think in this modern world that is now harming us. Actually I notice at the bottom here there was a sign next to the elevator. I think what it said of something about you know consider taking the stairs it's healthy I thought that's that's such a nice simple way that we can start to encourage movements and I was actually I spoke to a company about their company wellbeing a few weeks ago and I actually said to them so guys look at the simple thing you can do is you you will work on the 6th floor do you think it's possible that from tomorrow morning you could all potentially think about getting the stairs and they were like Yeah Ok You know I think it's pretty reasonable and you know for weeks on I went back to see them 80 percent of them were taking the stairs every day and before it was almost 100 percent taken the elevators every day and it's just a small. Thing that doesn't require them to join the gym all it requires is the thought being put there and enough of them motivating each other and now that company well being has been changed and I think if we can do that across the country these little hacks we can put into our own everyday lives and there's should be less focus on going to the gym and more focus on what can we do day in day out in our everyday lives I'm just looking at so you just reminded me of something in our she has managed to find them because if you take the stairs in this building there are more signs and that there are other more pointed and when one of them says burn calories not electricity to encourage people to run of the stairs another one says you can use the stairs because you are at the office or you should use the stairs because you ate the office cake. Turn into excess Now go eat that donut having got to the 15th floor so this building actually has a lot of fun with encouraging people to use this stuff there was actually a study in Scotland a few years back which did a similar thing and I think. It was you know it was in a company office they actually put a sign at the bottom of the staircase and next to the lift and it really said you know how much you reduce your risk of cardiovascular disease if you were to take the stairs and how many calories you would burn and they had cameras and they observed and it made a significant difference to how many people chose to take the stairs and I think it's a really lovely way it's not talking down to people it's not telling people what to do because frankly nobody wants to be told what to do it's just like gently encouraging saying hey you know when I think I think this sort of behavior does become addictive particularly if someone else is doing it with you but you know if you're used to taking a lift every day I think you are going to take the lift every day. Sink it back to your. Discussion about technology with Peter and there's there's fit or whatever it is. Where does this go I mean we've got in a home assistant you know helping us choose our music you know like thank. You card obviously be in every house in the country but is there a place for you in your view of you know the evolution of medicine absolutely I think technology is going to completely revolutionize the way medicine is is delivered not only the way it's practiced the way is delivered because we can now do things and track things in a way that we never have been able to do before and you know piece when I was talking a little bit off off air how you know all the data that we can get now from you know our phones and our watches and if we can if there's a way that we can pool all of that data together we can really start to understand what factors in our lifestyle are impacting our health Yeah I think. You know we still in the u.k. It's still a very traditional model of health care where you feign up and you try to get through on the phone to your doctor and if you manage to get through you get a can you make an appointment and it may be where you have to take half a day off work to get to the doctors and I think you know maybe within a few years maybe 510 years or maybe the last that kind of things going to be obsolete well that the technology exists now to essentially have an avatar of a doctor who that's been preprogrammed with the answers to all the obvious questions perhaps that avatar can deliver them in a better way than an exhausted doctor at the end of the day who might just let something slip that they've forgotten about but a computerized response for those I mean you must as a doctor get the same questions every day for certain people and that there is a stock answer to those questions in other words we can use data we can use computer technology to actually streamline the process and maybe take some of the pressure off us as a human doctor to allow you to focus on the more complicated things Yeah absolutely and I think that's one of the problems with the n.h.s. At the moments and probably most health care systems in the western world is that the DOTs are seeing everything at seeing a lot of this a lifestyle driven illness as well and frankly there are many health care professionals out there who to a health care system actually are much cheaper than hiring a daughter who can do a lot of that lifestyle work whether it's a health coach that actually interacts with you via your mobile device there's all kinds of novel ways that I think we're going to be able to take pressure off the health care systems to allow doctors do what they're best at doing and allow other professions to do what they're best at doing and I think technology is going to play a key part in that is just going to about a minute left tell us about the for political arm for health plan is there a book. I've just finished watching it comes out in January I'm very excited about it because for me it's the 1st book that I've seen that really takes this 360 degree approach to health and says look at ain't just diet does the key facts about look there's movement does this with Luxation and good health is a combination of these 4 things and it's really it's not prescriptive it's very open ended so if you're vegetarian you can apply if you like eating meat you can apply it no matter what your viewpoint is you can you know you get something out of it and really I think we've become too reduction ist with the way we view health food has become all about fats and carbs and frankly good health as you know food is more than fats and carbs and good health is more than food. Well. Wise and happy thoughts thank you so much for being our guest thank you for having me. Many thanks for the thought it was a pleasure thank you. For news and. Then anyone else this is received by 3 or 400 b.b.c. News comes from the news on 5 Live a terror attack in New York kills 8 and seriously in his 11 more and in sport Manchester United are on the verge of the Champions League knock out stages but Chelsea slip up. Next is b.b.c. 5 Live. 8 people are dead in what police are treating as a terrorist attack in New York 11 others were seriously hurt when a truck hit them on a cycle path in lower Manhattan a 29 year old man was shot and then arrested the suspect has reported to be an immigrant who came to the us in 2.