tv Sanjay Gupta MD CNN May 12, 2012 4:30pm-5:00pm EDT
that's going to deit for me. sanjay gupta md is next. we continue at the top of the hour with don lemon. >> the race is on. if you saw somebody collapse in front of you today, no heart beat, would you know what to do? would you be able to do it? >> plus, the name game. this could be a pivotal time in the world of mental health. the dsm, so called psych bible, gets an overhaul. it could mean big changes for doctors and patients alike. first, a look under the microscope. >> i don't want to be fat for the rest of my life. >> i've got diabetes. >> sleep apnia. >> high blood pressure. >> everything is hurting now. >> you saw a clip there from the weight of the nation. a four-part film from our sister network, hbo. all of us are under the microscope this morning. our habits, our behavior, our country. this film was part of an
unprecedented push by doctors and government health officials. in part what is driving this this week, we have new numbers, a projection by the year 2030, 42% of the u.s. population will be obese. not just overweight, but obese. now, in some sort of twisted way, this could count as good news. the last prediction four years ago was 51% of us would be obese. none of this is so remotely good enough. here to talk about it from hbo, john hoffman. >> you have covered a lot of ground. it's four hours, as we mentioned. at the end of the day, a lot of people say look, it's calories in and calres out. is that true? do you believe that? or is it possible that some calories treat our bodies differently than others? >> i'm not going to speculate about whether carbohydrates in refined form or complex form ultimately are more fattening than others.
but we are eatingway too much. maybe 300 calories more per person than we were eating 30 years go. so the enexorable wait gain that is happening across this country really has to be recognized that a large part is being driven by overconsumption. we're not moving enough. but i'm convinced that the experts who say that we can't exercise our way out of this problem have a point. that the overconsumption going on is really what is driving the largest part of the epidemic. >> the context is simple. you can go out and run a few miles and burn a couple hunderate calories. it's not enough to counterbalance what people eat. i asked the previous question because i think there is a lot of the sienls emerging saying we thought we were doing the right thing. we were eating low-fat, low triglycerides. started calling sugary foods
health foods and look what happened. this may be difficult to watch. but it makes a point. take a look. >> this is a heart from a 26-year-old woman of normal size, height, and weight, who died of a noncardiac cause. her cardiovascular system is entirely normal. in contrast, we have a heart from another individual, this case, a male who is in his 50s, he was weighed 500 pounds and he was 5'9" in height. his bmi was calculated to be 70. over 30 is obese. >> this is really dramatically different from a normal h al he. >> in medical school, it was always the images that stuck with me as a student at that time. what did you think the first time you saw that? >> i was there. and it was shocking to see that. and even more shocking were the aortas of the people and to see in the 26-year-old healthy woman, there were the beginning signs of fatty deposited, and what we learned from the heart
study is those fatty deposits can start at the age of 5. it's a grim look at what is happening inside of us that we're just not aware of when we're eating the wrong foods. and sugary foods are driving a lot of this. >> it's mystifying to people, and there's a lot of blame, like you said, you exercise more, eat less, and that is part of it, for sure, but it's more complicated with that simple explanation as well. i wish you the best of luck with this. a lot of people will be watching. i had a chance to watch it thanks to you, but parts one and two will be on monday night, followed by parts three and four tuesday night at 8:00. you can logon to the weight weightofthenation. >> i'm going to share one proven piece of advice on controlling your weight. you can do this while actually eating more. we want to hear this and start doing it today. also, i want to shear this with you. my coworkers and i are trying to do our part, in our spare time, we picked up shovels, got dirty,
we planted a vegetable garden up the block from where we are, and our plan is to share it with the local food bank. coming up, doctors changing the definition of illness. this is a pivotal time in medicine. could you lose senchss, even insurance coverage. the evolution of mental health is next. my name is robin.
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big changes coming to the psychiatrist's hand book. this is alphay dedpienifining w and isn't a mental disorder. the has big implications for what is a disorder and who get treatment. the final revised handbook comes out and that's 19 years after the last update. a pretty big thing in medicine, and the question a lot of people are asking is how does it impact us? joining me from washington to talk about this is dr. sally fatel. welcome back to the show. >> thank you very much. >> the one thing i hear more than ever is there's a label for everything. too many labels, too many treatments of the result. just from the 30,000 foot level, the changes that are happening with the guidebook, is that going to make the perceived problem worse? >> it is true that every year it's been -- every time it's been revised as it was first
issued in 1952, we're now going into the fifth issue, it does get bigger and bigger, but basically, when it does enlarge, when diagnosis proliferate, it's not that we're discovering new illnesses, it's that we're categorizing them differently. >> the perception for people outside of the world of medicine is look, something is driving this. more people who are quote/unquote sick, taking medicines. you're troubled by another changing fact, this would take kids at risk of developing mental illness, at risk of developing and label them as e prepsychotic. we could get help for kids who need it sooner, which i guess would be a good thing, but what do you think of that? >> well, that was a very troubling recommendation, and again, the apa has recognized that the risks of prematurely
labeling someone with what would be a prodromal kind of -- in other words, maybe a young tienjer or a younger person on their way to developing skits ofrin yeah, truthfully, that would be a constructive thing if we knew for a fact this was the early phases and we could intervene and that person would go on to develop a full-blown syndrome, but there are no data to suggest the fact that that's the case. only a small minority of children with a certain symptom profile where they're a little bizarre, they nay have a rich fantasy life, go on to have a psychotic illness in adulthood. only a small percentager so it's risky to diagnose them this ear early, and they have dropped that. >> on the other hand, asperger's syndrome will no longer being a diagnosis. many will be diagnosed on being
the autism spectrum. you have a child with a diagnosis of asperinger's. what happens? >> there's controversy over whether or not the new diagnostic category will exclude them. there's been several research times working on this. one from yale found that in fact under the new criteria, some high functioning children with asperinger's will be left out. there's another series of studies reported in the times that suggests that all of the people currently diagnosed would still remain under the umbrella of spectrum. but if they're wrong and if the yale folks are right, it's that some of them will be excluded, then their services are at risk. now, the sluz, of course, is to try, if we could, is to separate, to uncouple the need for services from actually having a specific diagnosis, and just base the need for services on the function and the requirements of a specific
people are afraid of using the devices and don't know where to find them. >> defibrillator, that's right. >> we're trying to locate and map out aeds throughout the city of philadelphia. >> jenn wynn is a student. >> when people have heart attacks, they can take this out and help save their lives. >> bill and jen are on a mission to find as many automatic defib ritt rlters as possible. searching high and low. >> we're on a scavenger hunt looking for aeds. >> they were neck and neck for the lead with just two weeks left. the concept can a brain child of an emergency fusition at the university of pennsylvania hospital. >> my heart map. >> why not engage the public and use social networking to get people excited about helping to solve a public health challenge?
>> it's part race, part detective work, part scavenger hunt. gyms, museums, train stations, anywhere to find portable life saving machines. it takes asking around, like when jen went to the philadelphia museum of work, she was told the devices were held by security. >> they have a number of security staff who are well trained in first aid, cpr, aed. >> some of the smaharder ones a in smaller businesses where they did knoept they had one or they were locked in a place where people couldn't access them. >> they said the two biggest reasons people don't use aeds are lack of knowledge and fear of doing something wrong. in fact, the machine is quite simple. it literally talks you through every step. >> begin by exposing patient's bare chest and torso. >> it starts talking to you. you put the pads on the chest, and you can't harm someone. you can tell whether or not you need a shock. >> do you have one here.
>> it's a real taump titian, but there's teamwork, too. all of the aeds found will be entered into a database so anyone with an app or a computer can find them again. more than 300 people took part in the contest, and i can tell you the winners. jennifer wynn is going to share the top prize, not with bill roper, it turns out was close, but with jack crichton, an athletic director at a local high school. he and jennifer, just to give you context, found more than 400 of these aeds. as a prize, they're going to receive a little over $9,000. it's worth familiarizing yourself. >> coming up, sharing life lessons. >> lesson number six, graduates, do one thing every day that scares you. and in the process, become the action hero of your own life. >> that was me delivering the commencement address at my alma mater at the university of michigan. go blue. up next, more advice from a
man who means a lot to me and a lot of other doctors as well. our doctor was great, but with so many tough decisions i felt lost. unitedhealthcare offered us a specially trained rn who helped us weigh and understand all our options. for me cancer was as scary as a fastball is to some of these kids. but my coach had hit that pitch before. turning data into useful answers. we're 78,000 people looking out for 70 million americans. that's health in numbers. unitedhealthcare.
graduation season as you know. about 18,000 new doctors are entering the real world this spring. in case you're curious about this, new applications for medical school are on the rise. with all that's happening in medicine, many young people still want to be doctors. i applaud them. you're going to learn what they don't know already, they need to read one book in particular. it's a look at young doctors learning tough lessons about their profession. i have my copy called the house of god. it's like a cult classic. it's a satirical novel authored by samuel shem. doctor decides to write a novel. this is something i think about a lot. something close to my heart. for people who have not read the house of god, and might not be
in the medical profession, what do you tell people what this book is about? >> this book is about a group of guys, young idelistach young doctors going through a year that disappoints them, and they're seeing ways that medicine should not be practices and it's doing things to them that are not good. and each of them through the course of this horror gets isolated from each other. and each of them gets isolated from their authentic experience of the system itself. a catch-22. you're starting to think i'm crazy for thinking this is crazy. >> it's so consuming. it's very hard for them to get a context. you brought a little bit. >> this is a true story. one of the interns called the runlt. he was having a heart time. he took out a pill box, put it on his hamburger and swallowed it down. i sked what it was.
he said, valium. i'm writing orders for it for all of my patients. >> what, you're putting all of them on valium, too? they're all very nuvs having me as their doctor. >> after the others had left, he had a confession to make. in the middle of all of this trouble, the guy comes into emergency, and i couldn't handle it. i offered him $5 if he would go home. he took it and left. dr true story. >> how much of this was autobiographic autobiographical? >> as you know, fixz is weird. people ask me who the greatest character in the book is, the fat man. and i say, well, there really wasn't a fat man. it was, you know, it was mostly actually me. i started to act like that. but on the other hand, the narrator, the narrator in the book is also me. >> you spent a significant amount of time 6 then writing a lot of other books. i read another one called "the spirit of the place." >> good for you. >> about a primary care doctor
who was in some ways coerced into coming back to the town where he grew up. >> a novelist is in a great position. if you can't do it in real life, you can do it in fiction. >> you can play out your life. >> your worst and best fantasies. i grew up in a small town in new york state, hudson, new york. it wasn't too pleasant an experience in some ways. there was one guy in the town who was absolutely essential to my development all the way up until i left for college. he was one of these old roly polo cigarette smoking general practitioner doctors. i always wanted to go back to that town and join him in practice. i thought, what a wonderful thing that would be. i didn't get to do it because i turned out to be a writer and a doctor. but i thought, i'll do it in my imagination. nis is imagined autobiography. a lot of the characters in the book, and he's a central book that the book is based on. >> dr. steven bergmann.
coming up, something you really want to hear. a lot of people are interested in this. a proven way to eat more and also weigh less. first, let me give you a story this weekend about healing after a teenager's unthinkable accident. >> circle left. >> riding horses has been her passion since she was 4 years old. first lessons, then shows. even worked as a barn. two years ago, all that came to a screeching halt for 16-year-old krystal. >> i was getting a shower. i felt muscle cramps in my bid mack. >> she got out, got dressed. >> i felt a sharp explosion of pain. >> by the time she arrived at the hospital, she couldn't walk, the cause, a ruptures disk in her spine. >> they told me where y am a bruised spinal cord and was a paraplegic from the waist down. >> she had a narrowing of the
spinal canal that encased the spinal cord. after surgery, she was transferred to the international center for spinal cord energy in baltimore. >> it is very, very, very intensive therapy for at least two hours twice a day every day. >> she pushed herself hard. determined to walk again. and get back on a horse. >> all i wanted, to get back to my normal life. i didn't want to sit and mope. >> uokay? >> yep. >> seven months after leaving kennedy krueger, she was competing in horse shows again. horse back riding mimics the natural movement of the limbs and helps with flexibility, balance, muscle strength. it enhanlsed the exercises she was doing at the hospital and at home. doctors call her recovery remarkable. she's regained movement in her hips and knees and sensation has returned to her legs. for now, she can walk up to 300 feet with the help of leg braces and a walker. >> eventually, i do want to walk
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simply eating that. or you could do something like this. this sort of makes the point. cut the hamburger in half and slowly add all this food in here, a big salad with lots of vegetables, a big portion of watermelon. the total of this, 400 calories and a guaranteed full stomach as well. if the only thing you change in your life right now, you're thinking about making a change. the only thing you do is this, reduce each meal by about 200 calories which you did, you would louis about a pound a week, and you would still feel full. got a brusy week coming up. next weekend, coming to you from hawaii. we're training with our lucky seven triathletes. we're going to bring you advice on great safe workouts and everything you need to keep in shape. follow