Transcripts For CNNW Sanjay Gupta MD 20120526 : comparemela.

Transcripts For CNNW Sanjay Gupta MD 20120526



what happened after that? >> sefrbl yecertainly years ago slight rise in psa from screening, and then i had more testing and had a slight rise in my psa, and the yourologist wand to do another biopacy, and i got extremely sick, even though i had antibiotics, i got a severe bacterial invection. my blood pressure went low, and i was hospitalized for four days in houston. >> you're okay now? that's all resolved? >> i'm fine. i had a heart rhythm problem afterwards as well, but now everything is fine. i don't have proskatate cancer. >> dr. miller, you hear a story like that, there are lots of different cases, but what do you think as a your alurologist whe hear something like this? he got harmed from going to the biopsy, the heart problem. how big a concern is that? >> i'm very concerned. i sympathize with dr. stark's position, his perspective on it, and i'm happy he's fully recovered and doesn't have prostate cancer, but that's a complication of the biopsy. what the task force has put forward is that would be a result, these types of complications are a result of the psa blood testing which is a complication of the biopsy. >> what do you tell your patients at the beginning of the process. someone says, i want to get a psa test. how do you talk them through? >> the first thing i tell them is what it's for, to screen for prostate cancer. it isn't to diagnose prostate cancer. the psa blood test can vary depending on the patient's situation, old, young, what their risk factors are for proskate cancer will be one factor in terms of my recommending a biopsy subsequently. >> doctor, your begz on this, you have written about this and talked about it quite a bit, and the american cancer society supports the new guidelines. what do you think the role of psa tests are? it sounds like people want to abolish it where. >> we need to move screening into the patient/physician relationship where physicians look at the patients and say these are the known harms, the benefits, there are a lot of harms but there may be benefits. do you want to get screened? and let the patient decide. >> look, i'm a doctor, and i would have a hard time answering that question. how is sapatient supposed to make thatdition? >> the most important thing is there's so much you could get a prostate screen without plaining to people that there are harms out there. >> what would you say to them? let's say i'm getting a test in your office. i know you're not a urologist. what would you tell me? >> i do practice general internal medicine. i think there is a point in time where the patient can legitimately say, doc, i can't make a decision. can you help mero make a decision for me. i think the doc should weigh the patient's concerns, weigh the patient's risk factors, also inform the patient that we don't rhey have good studies to show this saves lives. >> i disagree. there are several studies that say -- there's been a 40% reduction since the advent of psa. >> i heard you say, look, if you have symptoms, you should get te tested. what are symptoms? >> any urinary problemser it's reasonable to do the test there. >> most people develop that. >> it may be reasonable to to the tests. >> i don't mean to keep interrupting you. if you say the symptoms and most men are developing them, aren't you just testing them late? >> not necessarily. there are studies that say that's not the case. >> i bring it up because again, the conversations men have, they say i'm going to develop the symptoms which would lead to psa testing. you're saying wait until i'm more advanced in age and that could potentially be letting cancer run amuck. how does it effect your practice? >> may i respond to the symptom question? i disagree, i think patients that have symptoms need to be evaluated for many reasons, including a psa test, but number one, prostate cancer often is not curable once you have symptoms from the prostate cancer. >> keep in mind, all of us agee, i think you'll agree with this, men who are over the age of 50 especially should know the known harms associated with psa screening and treatment. it's really not the screen. it's the treatment associated with the screen that causes the harms. along with the potential benefits. >> dr. stark, you've been listening to this conversation. look, would you do it again? given all that you know now and that you have heard? >> i teach residents students, and when a person without significant risk factors is screened with any kind of test, a positive result is much more likely to be a false positive, and if that false positive leads to an invasive treatment or procedure being done, it can lead to consequences. unfortunately in my case, those consequences occurred. >> i'm glad you're doing well. i hope we tried to make this a little clearer for people. it's confusing. but it's fun to dive into these issues every now and then. thanks for joining us. coming up, what do do when a child's school is making him or her sick. we'll explain. grill master brett gallaway. he's serving his guests walmart choice premium steak. but they don't know it yet. they will. it's a steakover! the steak is excellent. very tender... melts in your mouth... so delicious... tonight you're eating walmart steak. what? it's good steak. two thumbs up. look, i ate all of mine. it matches any good steak house if not better. walmart choice premium steak in the black package... it's 100% money back guaranteed. try it for your memorial day barbeque. can't remember the last time i took aspirin. i don't think aspirin's for body pain. aspirin is just old school. people have doubts about taking aspirin for pain. but they haven't experienced extra strength bayer advanced aspirin. in fact, in a recent survey, 92% of people who tried it said they would buy it again. what's different? it has micro-particles. enters the bloodstream fast and rushes relief to the site of pain. visit fastreliefchallenge.com today for a special trial offer. you know, i keep an eye out for stories about health dangers in the environment around us. i was displayed to learn that schools could potentially be a danger spot. one school in three has air quality that is so bad by epa standards that it can literally make children sick. some fed up parents didn't wait for summer vacation. they said their kids are staying home until things get better. in picturesque winston, connecticut, a 250-year-old new england town, a typical school day at hinsdale, elmmentry, but one fourth grader won't be there this morning or any morning. >> now if you look at him, do you think he's going to be frie friendly? >> matthew's mother is home schooling her son this year. >> when he was out of school, he was well. when when he was in school, he became ill. last year was by far his worst year. he missed more than 50 days of school. >> mold at hins dale, she says, was making her son sick. >> this bag represents most of the medications matthew was on last year. he was given zith romicin. when he left school, he left all of this behind him. he needs all of this. this is garbage. >> alexandria's parents pulled her from hinsdale this fall after a persistent cough wouldn't go away. that was a tough decision because her father paul was on the school board at the time. >> she was put on a nebulizer, steroids, and another medication. since she has been at parochial school, she hasn't been on any of it. >> the school district spent $16,000 this fall to get rid of the mold, and they're trying to decide whether to close the school temporarily to replace a leaky roof and make other repairs. lo lonely about 20% to 30% of the population is susceptible to indoor problems like mold and dust, but for those who are, the symptoms get increasingly worse. so many students were getting sick with risperatory problems that officials decided to tear down mckinley elementary and start from scratch. the school was riddled with mold. >> i started to get sick the second year when they pult me in the basement classroom. >> mckinley special ed teacher joellen lawson taught for 23 years before she became permanently disabled with a serious lung condition called chronic obstructive pulmonary disease. >> there are three levels, mild, modera moderate, and severe. because i lost 50% of my lung capacity, i'm considered modera moderate. i have also never had a pain free day since then because i have chronic pain, muscle spasms. >> you can see another source of pain for joellen if you ask her if she misses teaching. >> i'm sorry, that's a really loaded question for someone who has been forced to leave their profession when they didn't want to. i'm sorry. >> if you think connecticut is somehow unique, consider this. a 2010 survey of school nurses nationally found 40% knew of children and staff sickened by their school environment. and not all school districts have the money to fix the problem. here at southern middle school in redding, pennsylvania, concerns about air quality closed the basement gym. and mold is visible in the computer labs. >> we see some colonies. there's probably two orthirty-tothree kinds of mold there. >> take a look upstairs. >> when it rains heavily, the water rains into the room. we take the buckets and trash cans and we collect the water. >> it's raining outside. and inside. >> a teacher shot this video. >> what about mold? one of the residual effects to the water would be mold. certainly. >> drew miles is acting superintendent of redding schools. he's seen the video and he says there's no money to replace the roof. >> buildings continue to deteriorate, and we only have a small amount of dollars to spread to do just the minimal things like new roofing. >> there are some people who would say this would never happen in my school. >> lily of the national education association which is the largest teacher's union agreed to meet me in redding, pennsylvania. >> how big of a problem do you think indoor air quality is to a student's health. >> >> right now, the last estimates said about a third of our school, about a third of our schools have some kind of problem that causes respiratory problems in children. >> that's remarkable. >> it's horrific. it's horrific. >> would you send your kid to the school? >> to this school inwould i send my child to this school? for the quality of education that i believe that these teachers can provide and the principal will demand, yes. from a facility's standpoint, if i had another option, i would exercise it. >> you're the superintendent. people are going to be surprised because i mean, you're the guy who they're going to say, look, make it the school you want to send your own kid to. you can't do that. >> i can't with the financial means that i have now. >> i will tell you, the acting superintendent you saw was fired this spring after the story first aired on cnn. just this month, the school board said they're laying off more than 10% of the teachers in redding. no mention of repairs to the school. if you want to look for signs of trouble in your child's school, poor air quality in particular, one red flag is mold as you saw there. you might see it specifically staining the ceiling. also look for thick dust on the lockers and on the floor, and cars and buses idling inside. they can get in through vents and doors. if you see these types of thi things, sound the alarm. after the break, we'll take on flesh eating bacteria. a party? [ music plays, record skips ] hi, i'm new ensure clear. clear, huh? my nutritional standards are high. i'm not juice or fancy water, i'm different. i've got nine grams of protein. twist my lid. that's three times more than me! twenty-one vitamins and minerals and zero fat! hmmm. you'll bring a lot to the party. [ all ] yay! [ female announcer ] new ensure clear. nine grams protein. zero fat. twenty-one vitamins and minerals. in blueberry/pomegranate and peach. refreshing nutrition in charge! the swab measures the amount of the service. >> what they're doing is looking for the spot in our office that is most contaminated with unwanted bacteria. you're going to see what they found in a few minutes. first, something more serious. something that has a horror movie sounding name, flesh eating bacteria. there's no evidence there are more cases than usual this year. but there's a lot more attention. also, there are different types. some rare like the one that attack eed amy copeland in georgia. other are caused by common bacteria that get into a more susceptible person and then they eat through fat and muscle tissue. you get extreme inflammation, swelling, pain, fever. i suggest if you have a cut and the pain seems greater than it should for the size of the cut or if the pain is growing rapidly or looks worse, don't ignore it, get it checked out. any infection should be treated and some as we have seen now, are devastating. >> anyone who has had an infection like that faces a long road back. you might find some inspiration here. a young man, no different than most graduates, is worried about finding a job. if you think that's tough for him, consider his journey. in 2004, his family couldn't have been more proud. because he was coming to america to purdue university to complete his degree in computer engineering. just a month from graduation, however, his life changed forever. his neighbor two floors behind intentionally set a fire with his wife and child still inside. >> by the time my roommate and i woke up, the whole apartment was on fire. >> he and his roommate tried to escape. but they couldn't. >> my roommate collapsed in front of me. and i started running down the stairs. >> ron only made it down a few steps before he collapsed. a fireman found him still alive, but on the way to the hospital, he could hear paramedics talking about how badly he had been burned. >> at that moment, i was thinking about my family, what i had come here for, to get a good education, and now this guy is saying that i don't have a chance to survive. and i passed out and then i woke up in university of chicago burn unit after four months of induced coma. >> he had burns over 95% of his body. so far, he's had 54 operations. but he didn't give up. and he credits three people for his survival. >> my father, my mother, and my occupational therapist, shannon hendricks. >> he said his father saved every hard earned penny so he could get an education. >> my mother kept on telling me, have the faith and keep your eyes on the goal. >> then there's shannon whom he calls his guardian angel. he said she's gone way beyond the duties as an optional therapist, making it her mission to help any way she could. >> she would take me to church every sunday. i think that was the only thing that kept me from going crazy because as a 22-year-old, i was living in a nursing home, and it was really, really depressing. >> his biggest accomplishment so far, getting his mba. he recently graduated with the highest honors. >> i'm still happy that i can live an independent live, and i have gotten my mba and hopefully i'll get a job soon and have a good life. >> a lot of people rooting for him as well. next, we're looking for the most germ-ridden spots in anybody's office. we'll show you. so who ordered the cereal that can help lower cholesterol and who ordered the yummy cereal? yummy. [ woman ] lower cholesterol. [ man 2 ] yummy. i got that wrong didn't i? 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[ male announcer ] you plant. you mow. you grow. you dream. meet the new definition of durability: the john deere select series. with endless possibilities, what will you create? ♪ dreaming of great savings? get them during our green tag event. visit johndeere.com/greentag for details. yeah! >> they're pretty pumped up there, the lucky seven. they finished their practice triathlon. something they never thought they would do. the that's the last day before welift hawaii. what a week it was. now the chasing life tip for today. >> so our chasing life today is avoiding a hidden hazard. the company kimberly clark put out this report, the office kitchen and break room are felthy with bacteria. they tested 5,000 break rooms and found the worst spots with refrigerator doors, microwave handsals and sink faucets. after hearing a report like this, i had to ask, what about ours? >> the swab actually measured the amount of it on the surface. it's bacteria, mold, yeast, animal and vegetable cells. >> 296 on the refrigerator handle. >> 475 for the microwave, which is what we kind of expect. the reading on the meter will tell you how much contamination there is on the surface. anything over 300 is considered pretty contaminated. goodness, my. 1396. >> 72. >> bathrooms are actually cleaner than common spaces like a break room because you know the bathroom is dirty and you're paying much more attention to getting it clean. >> i'm definitely going to change some things for sure. really opens your eyes when you hear a report like this. we talked to independent experts who said what they found there didn't surprise them. to stay healthy, as you might imagine, has more power now, the best thing you can do is wash your hands and do it a lot. if you don't have access to soap and water, use hand sanitizer, and try to clean up the break room. that's wraps it up. you can follow me at cnn.com/sanjay or on twitter. tyke to get you a check of the top stories in the cnn newsroom. >> massacre in syria. those are bodies under those white sheets, nearly 100 of them. many of them children. far from home, debris from last year's tsunami in japan is washing ashore in alaska. and it's raising fears of contamination and radiation. >> and an amazing sight that's if you're far away. one woman was a little too cl

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