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tv   Sanjay Gupta MD  CNN  October 8, 2011 7:30am-8:00am EDT

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romney's ties with the mormon church may turn off voters. he even went as far to say that mormonism is a cult and romney is not a christian. police searching for a missing child. her parents are now coming under greater scrutiny. debra bradley says police told her she failed a voluntary lie detector test. investigators say the parents have stopped cooperating. i'll be back with you with more live news at the top of the hour. good morning. one thing i'm going to keep reminding you about is in medicine what you see not always what you get. catherine graves thought her husband was having an affair. she hired a private investigator. what she found is worse than she ever imagined. and we're also going to talk to a member from tlc. when she was a little girl, a doctor said she likely would not live to see 30. talk about wrong. and steve jobs, dead at age 56.
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sad news but he lived far longer than his doctors first expected. we'll tell you why. what we can all learn from this. first, the federal agency that told millions of women to delay getting mammograms is starting another tough argument. the u.s. preventative services task force says most men should not bother with screening for prostate cancer. they say the psa test does more harm potentially than good, that it barely reduces deaths and leads to a lot of unnecessary treatment and complications. now will is already some pushback. for example, the head of the prostate cancer foundation, a patient group, calls the new recommendation "a terrible mistake." the american neurological association says they are still working on their response. to help me sort it out for you, i'm with dr. christopher lega i legathitis. what will you tell your patients now if anything different based on what's just happened? >> i think first of all, i
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haven't received the official report or had the chance to review it in detail. but based on the availability information, the dilemma that we discussed in the clinic every day is actually reflected in this decision which suggests that there is harm and purely focused on the benefits of detecting cancer ignores the fact that many patients are exposed to the risk of overtreatment and its complications. i think the most accurate figure that exists on this is approximately 44 interventions need to be made in order for one patient to be saved. >> one thing besides getting a static number, a one number psa test, what also seems to matter is the trend. so, for example, if you have a number and then it goes up or jumps up significantly over a year or two, that's valuable information for doctors to know as well. should that continue? >> absolutely.
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and i think that's precisely where we're evolving to. so the two extremes of the argument, screen nobody or widely screen to everybody are clearly wrong. and then the more nuanced argument and that is to use this screen as a smoke detector to justify further investigation and reflect rather than automatically go psa, biopsy on one measurement and intervention is what's being -- what's evolving. >> it may evolve over the next few weeks. maybe we'll have you back on to talk about it again. thanks so much. >> wonderful. thank you. >> thank you. two months ago steve job announced he was leaving apple. this week he died. in 2003, he was diagnosed with what he called a rare type of pancreatic cancer. since then, he's been under the microscope. in 2004 he had surgery to remove the tumor.
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he came back to apple and he seemed healthy. but in 2009, his weight loss was striking and that year he also had a liver transplant. joining me now is dr. david kuby, a doctor that treats patients with pancreatic cancer. welcome back. i didn't know that we would be talking again so soon. we talked early august about steve jobs. he didn't have classic pancreatic cancer. it was referred to as a variant. what specifically did he have? >> the pancreas has two major functions. one helps with digestion. makes a fluid that gets into the intestines and that is what -- that is the cell type that the typical pancreatic cancer rises from. and so that's the disease that patrick swayze had. the type that steve jobs had came from a different cell type, the endocrine portion of the gland. that makes insulin and other hormones that get into the bloodstream. it's a less common disease.
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in general sh has a better prognosis but it still can be lethal. >> and they talk about pancreatic cancer, the one that patrick swayze had, one year survival is 20%. five-year survival in the single digits. terrible prognosis. what about for this endroe kroc type? >> half of the people diagnosed will have disease that has spread to a different site by the time they're diagnosed. on the flip side, people can still do well for quite a while as mr. jobs did even though did he have this disease. and that is evident by the fact that he had a liver transplant. >> right. obviously, you were not his treating physician. you didn't speak to doctors. what do patients experience? do you have any idea what his life might have been like? >> it's not one cancer. everybody has the same course. it can be found very early. it can have no symptoms. or it can be very symptomatic. in his case, it's, like you
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said, i wasn't one of his treating physicians, it's hard to know what he was experiencing. some people have symptoms by chemical set produced by the tumor that can be controlled with medication. and other people are symptom free. so he, obviously, was doing well. >> do you use any apple devices in the hospital? >> i am a mac guy. i have a mac at home. i use an iphone which i depend on tremendously. >> it's amazing the consumer electronics and what he did. one time i got to speak to him, he talked about how excited he was about the medical applications of ipads and all the other devices. so i'm sad as a lot of people said. thank you for coming back to talk about it. a good chance to educate people about this disease as well. cancer figured in the announcementst nobel prize for medicine this weekend. it went to three scientists whose treatment stimulate the immune system. one is a vaccine against prostate cancer. one of the scientists had
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pancreatic cancer, we were just talking about that. a different type though than steve jobs had. he used his own therapy. in a twist, he died three days before the prize announcement. the nobel prize is only supposed to go to living recipients. in his case, they bent the rules. coming up, find out what this woman is doing, what she is experiencing for the very first time. something most of us take for granted. that's next. at bayer, we're re-inventing aspirin for pain relief.
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or if, while on enbrel, you experience persistent fever, bruising, bleeding, or paleness. get back to the things that matter most. good job girls. ask your rheumatologist if enbrel is right for you. i want you to imagine what it might be like if you couldn't hear the sounds around you, things we take for granted. you couldn't hear music or the birds outside, you couldn't hear the voices of your parents or even your children. now take a look at this. this video on youtube has been seen by more than six million people. the woman here, her name is sarah. she was born almost completely deaf. but she just got this new device, a new hearing aid that's implanted just inside her head. it's remarkable. you're watching her turn it on and hear for the first time.
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>> i want to hear myself cry. >> to understand just how this works, it's a remarkable video. i want to show you an animation that shows how the ear is supposed to work. you see the sound waves going in from the external ear to the middle ear. there is the eardrum vibrating back and forth. it is taking the vibrations and amplifying the sound through the bones and that snail like structure basically then trans mitting all of these vibrations, trying to make sense of it in some way and then trans mmittin it via that yellow structure which is the nerve. in sarah's ear, the sound wave vibrations don't prompt the nerve cells. so the new implant has a sound processor. it is about an inch and a half long and uses the natural ee r eardrum as a microphone. so it is still using your own ear. the processor inside the ear basically cleans out that background noise and sends sarah's brain a clear signal so
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she can really hear. again, amazing to watch someone regain a sense really for the first time. i should point out that most insurance companies won't cover this. the device, the procedure, it's expensive, about $30,000. medical technology is one factor driving up the cost of seeing a doctor. and last year's health care law is supposed to push these costs down. it's very controversial. but there are states that want to do even more. like vermont and montana. this week montana's governor said he wants montana to set up its own health system like the one they have in canada. a sort of government-run health care. vermont is already building a system where the state will cover medical care for every citizen. the inspiration they say for this is a flood of stories from patients who just can't pay their bills. >> here was the latest bills, a couple days ago to the mail box, hospital bill. hospital bill. already gone to collections.
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medical bill. >> 42-year-old heather, this is almost a daily ritual. >> they're unopened because i now just put them if piles unopened because just talking about it i get emotional. if i open them and get reminded every time how much money i owe, it sets me back and then i don't do what i need to do to take care of myself for that day. >> in february of 2008, heather was diagnosed with ms. and ran up more than $80,000 in medical bills. bills her insurance company wouldn't cover. >> i'm less and less capable of taking care of myself physically let alone fighting phone calls, letters, appeals, lawyers. i'm not taking it laying down even though all i want to do is lay down. all i want is the luxury to just be sick. >> after hearing stories like heathers, the state of vermont took a radical step.
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in may, governor peter shomlin set up a law it is called single payer. >> if we have one payer with one set of rules, one set of regulations and one reimbur reimburseme reimbursement, the costs will go down significantly. i think most primary care physicians are onboard with the single payer because of that. >> some doctors like this orthopedic surgeons are worried that the government will cut costs. >> there are a number of specialty physicians whose practices might be in financial jeopardy right now and looking to the future and saying well, gee, can i even afford to stay in business and should i be looking elsewhere? looking, perhaps, to leave the state? >> if his fears come true and doctors do leave vermont, heather could be left in bigger trouble. hard to believe considering her situation now.
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>> having to have my retired parents go back to work part time to make ends meet because of my situation is really difficult. >> as much as we talk about the policy changes in washington, there are real stories, obviously, behind all those numbers. we'll keep bringing them you to. coming up, a woman hires a private investigator to check on her husband and turns her world upside down in a way she never expected. [ male announcer ] it's a fact:
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catherine graves hired a private investigator because she thought her husband was having an affair. talk about misconceptions. there was no affair. in fact, he had a fatal brain tumor. recently we heard about the struggle of steve jobs. you know, sometimes the fight is just as hard, even harder on the family. here's catherine graves who writes about it in "checking out," it's a look at what goes on in your mind. >> you've been together for a decade. and something just seemed to be different. it wasn't anything real specific. what were you seeing? >> his behavior had become pathetic. and less motivated to do things. and definitely less interested
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in me and spending time with me. >> as his wife, what was -- what came to your mind? what were you thinking? >> i was thinking that he was having an affair. and at that point we had been to marriage counseling. and the counsellor, i think, ku kind of concurred with the idea that he was having an affair or other engagements. you know, maybe not just one. >> did you ever, at this point, suspect health problems? >> no way. >> wasn't something that came to mind. >> wasn't even on the radar. >> it got worse, despite the counsel, right? to the point that you were very suspicious of him? >> yes. >> what did you do? >> i hired a private investigator which was probably a month before he got diagnosed. and i was convinced. and our accountant also was convinced there was something financially going on. money was unaccounted for. it was missing from the business. and we thought maybe gambling, maybe drugs, you know, maybe drugs were the reason for the huge change in his personality.
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so i hired someone to follow him around to figure out what was going on. so we had never been so disconnected before. >> did that person ever give you a report? >> she phoned me the day i was leaving the hospital from his surgery. and she started to go foo detail about how, you hasn't really mo and i just told her what had happened. and she just was, you know -- obviously had never heard that one before. a reason for someone hiring a private investigator. she's like, well, that's a first. so -- hopefully the last, too. but, yeah. so -- so we went to the emergency room and got the cat scan. and i do remember walking into the emergency room, and he looked at me as if he knew that he should know who i am. but i don't think he was sure how. >> oh. >> and so that was pretty heartbreaking. and then i was, you know, really scared. and then we went into a little room and ten minutes later dr. sander came in, the emergency room doctor, and said you have a
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giant tumor in your brain. and john started laughing. and i, of course, fell apart. >> it must have been so -- such a time of conflicted feelings for you. it's terrible news. but it was also an explanation. >> exactly. exactly. and there was definitely a sense of at least this wasn't about me. and, you know -- because for over a year, i just -- it was a horrible feeling, thinking that my husband wasn't in love with me anymore. and at least i knew it had nothing to do with me. but, you know, flash forward ten seconds later to but he has a giant tumor in his brain and what does that mean? >> you said this, but this happened so fast. >> and this sounds terrible to say, but i'll be the one to say it. you know, when someone is suffering like that and you've been taking care of them and you're not taking care of yourself, it takes a toll. and you finally just want it to end. and so when it finally ended, it was almost euphoric in that i had some freedom. i mean i hadn't left the house for almost six months. so i think that was part of the
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reason i kind of went a little off the deep end. >> you're right. it is hard for people to say. but i think probably more people share that sentiment than they would ever admit to. >> i think so. >> what should people take away from your experience? who may find themselves in that situation, maybe not a spouse. i have a lot of friends of mine who are caring for their parents now. and it is -- their entire lives, it's what they do. >> uh-huh. >> what do you tell them? >> i tell people that they need to take time for themselves, no matter what. because john did not want me to leave the house. and he did not want anyone to come in and take care of him. so i wish i would have found a way, you know, and been a little selfish. and left the house and done some things with friends -- stayed connected to people. you know, instead of just becoming a hermit. that's one thing i would highly recommend. >> to have some attachments to your own life. >> yeah. you have to maintain that for sanity, i think. >> what about now? do you still think about him a lot? i mean -- your emotional state?
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>> just in the last six months, nine months, maybe, i've started to remember some really good, happy times. which i think for some reason i had just -- those weren't coming to me. you know, all i would think about is kind of the negative. the end. you know, the end of his life. but now i just remember how happy we were, and that we had some great times. and he was just a super funny guy. and i was always laughing. and so it's really nice. >> a lot of important lessons in there for people who are caring for their loved ones and trying to care for themselves at the same time. so -- >> yeah, that's the key. right. >> appreciate it. thank you. >> thank you. and coming up, a superstar singer who fooled her doctors and beat the odds not once, but twice. t-boz of tlc. tor prescribed lipitor, i won't go without it for my high cholesterol and my risk of heart attack. why kid myself? diet and exercise weren't lowering my cholesterol enough.
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now i'm eating healthier, exercising more, taking lipitor. numbers don't lie. my cholesterol's stayed down. lipitor is fda approved to reduce the risk of heart attack and stroke in patients who have heart disease or risk factors for heart disease. it's backed by over 19 years of research. [ female announcer ] lipitor is not for everyone, including people with liver problems and women who are nursing, pregnant or may become pregnant. you need simple blood tests to check for liver problems. tell your doctor if you are taking other medications, or if you have any muscle pain or weakness. this may be a sign of a rare but serious side effect. [ man ] still love that wind in my face! talk to your doctor. don't kid yourself about the risk of heart attack and stroke. if lipitor's been working for you, stay with it. lipitor may be available for as little as $4 a month with the lipitor co-pay card. terms and conditions apply. learn more at lipitorforyou.com.
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you know, it's amazing, but it's been almost 20 years since atlanta and then the world first heard about tlc. they were crazy, they were sexy, they were cool. all of that. lisa lopez, as you may know, died in a car crash in 2002. but row san da-thomas and ty on watkins, t-boz sang in "american idol" this year. now watkins has something to share. we have been talking about medical misimpressions all morning. here is another. when she was a child, her doctor said she might not live to see 30. here's why. ♪ don't go chasing waterfalls long before she became famous of t-boz of the hip-hop group tlc, tionne watkins knew she wanted to be a performer. >> i always had the same dream
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and always saw myself in baggy pants running from the left side of the stage bending to the right, shaking someone's hands and a whole bunch of people were screaming for me. >> success didn't come easily, because t-boz has a chronic illness. she suffers from sickle cell anemia, an incurable blood disorder that leaves people exhausted and in pain. >> doctors didn't give me a very happy ending. you won't live past 30, you'll be disabled your whole life, you'll never have kids. and i was looking around the room like i don't know who he is talking to, because that's not my story. >> that's a lot for anybody to go through. but you were dealing with this as a young child. >> yes. >> and at the same time, you were having these grand dreams. >> yes. >> sounds like you turned it around in some way. >> yeah, i think it had to do a lot with my mother, too. because she never made me feel different. >> then, just five years ago, after having achieved so much success, her life was turned upside down. >> i started having headaches. but they were so frequent,
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something was wrong. my doctor called, but his voice sounded funny. and i said, "you're going to say something like i have a brain tumor or something, right?" and he got quiet. >> while the tumor was noncancerous, her doctor said surgery was not an option because of sickle cell disease. he suggested therapy, but that could have put her career and quality of life at risk. so t-boz found a surgeon who successfully took the tumor out. it sounds like you're one of these people who thinks of something, visualizes it, and makes it happen. >> i go for it. >> t-boz is back in the studio these days working on a solo album. she is also using her celebrity to encourage people to become bone marrow donors. >> what i'm trying to do is get more african-americans to step up. >> now, african-americans are especially vulnerable to sickle cell, like t-boz. there is a fascinating reason behind this. the gene developed in people living in central africa, because it makes it harder for malaria

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