the state department. putting iran on notice, is this trump's new red line? >> hi, erin. definitely being presented as a hard line on iran. maybe somewhat blurry one at this point. but the white house is saying that it is dedicated to holding iran accountable after this latest missile launch. and it is considering a whole range of options in a response and, yes, that does include a military one. >> a tough line on iran at the white house today. >> as to have day, we are officially putting iran on notice. >> reporter: national security adviser michael flynn offering a cryptic warning after iran tested another ballistic missile sunday. >> the obama administration failed to respond adequately to tehran's malign actions including weapons transfers, support for terrorism, and other violations of international norms. >> reporter: the new administration making its clear it believes the missile launch violated a u.n. resolution. flynn's comments today follow
its missile program. but prior tests have gone down with no more response than statements of condemnation. experts say the missile tests while provocative do not violate the nuclear deal. the u.s. and o five other countries helped negotiate. >> sml say that tre are those in iran who are actually trying themselves to undermine or sabotage the nuclear agreement that we reach with iran. they're trying to take provocative actions to get us to respond and get us to pull out of the agreement. >> reporter: president trump on the campaign trail talked about getting tough on iran but not necessarily ripping up the nuclear deal. >> it's a horrible agreement. i will make that agreement so tough and if they break it they will have hell to pay. >> here at the state department, they're not using the same language at the white house as the white house is at this point. keep in mind secretary of state rex tillerson was just confirmed today. they're not saying definitively that this missile launch violated the u.n. resolution. they're saying things like it was a defiance of it. it was inconsistent it with. it was provocative and not
completely clear right now what are the options that white house is talking about. erin? >> all right, thank you so much, michelle. and out front now, the top democrat on the foreign relations committee. senator, this front and center for you tonight now. i know you voted against president obama's iran deal. i was a carefully considered decision. you wrote he will consequently about why you chose no. to date trump administration saying the missile test was provocative. they're putting iran on notice s that right move? >> well, i think the trump administration needs to work with congress. there is strong support in congress to make sure that iran understand thez cannot violate ballistic missile obligations without a consequence. we can toughen sanctions. there are other things we can do. can work with allies in regards to the violations of ballistic missile obligations. they also are financing terrorism. you need to be mindful of how we can go after them for those 5:00 test. they have human rights violations. so we understand in addition to
the nuclear program, there are other issues. and congress is willing to work with the administration in a responsible way with our international partners to isolate iran on the activities. >> i know among your frustrations is once the sanctions dam was unleashed, when the deal happened, it's pretty hard to plug that if not impossible. you heard donald trump saying he'll sob tough on iran. if they break that deal, there will be hell to pay. do you think they should try to oipt back up? is that even a possibility on your horizon? >> we don't need to open up the nuclear agreement. we can deal with ballistic missile violations. there is a series of actions that we can take that can effect iran's ability to obtain weapons. so we can do. that working with our international partners. so there are steps we can take that can respond to what iran is doing. and we need to do that. >> so today you voted against rex tillerson as secretary of state. bees to be formally sworn in by the president. he was confirmed. do you trust him to get iran
right? this is now going to be on his desk. >> mr. tillerson is now or shortly will be the secretary of state. we want to work with him. he will be our chief diplomat. i will do everything in my power to make sure that he promotes americans' values, stand up to rush yachlt russia's activities have been very much against our interests. and we need to make sure they understand that we're going to be as tough with russia as the president just said with iran. >> now you have been out outspoken about donald trump's travel ban. one of the first moves he made since coming into the office along with the wall. you met with john kelly about your concerns. what did he tell you? >> well, he told us it was a rough beginning and that they are committed to keeping america safe. and we're committed to keeping america safe. this executive order does just the opposite. it isolates america from other countries around the world. it compromises america's leadership on the refugee issue.
it promotes the anti-american rhetoric that can be used by recruiters for terrorist organizations. so what we heard yesterday was that they're committed to the policy. we believe the only thing we can do right now, what we should do, is repeal this executive order. it's offensive. it's not what america stands for. we don't impose bans on people based upon their religion. >> did he talk to you about how long the ban would last? whether more countries would be added? anything about their intent? >> i think the administration's made it clear that they intend to keep this ban in place. i think congress needs to speak and say no. this is unamerican. it's not keeping us safe. it's just the opposite. it makes us more at risk. refugees had not caused problems in our country. they're properly vetted. so i think it's now up to congress to take action to reverse what the president has done. >> before we go, judge gorsuch, some colleagues are threatening a filibuster. you called republicans' actions
in your word reckless. the big challenge for you, of course, is this. should democrats now be equally as reckless? or should they give gore susuch fair and speedy hearing? >> we need to carry out our constitutional responsibilities. we do understand that republicans in the senate, what they did to president obama was outrageous. but they did to the office of the presidency and not considering a supreme court appointment in a ten month period. we're suspicious thou process will play out with judge gorsuch. so we're careful to make sure we have adequate time that, we can understand all of his judicial philosophy that, we can see whether, in fact, he is mainstream or not. there is a lot of cases he was involved in that give many of us heart burn. we're asking a the love tough questions. we're not going to rush this. >> but you're not holding it up or support a filibuster or anything like that, right? >> i must tell you, it depends on how the process unfolds.
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>> reporter: a solemn day for the new commander in chief making his first trip to dover, delaware, to meet with the family of william ryan owens who was killed over the weekend in yemen. president trump called owen's family tuesday, the white house said, to recognize his sacrifice and years of dedicated service to his country. >> he went back, deployed 12 times because he loved his country and he believed in the mission. and knowing that we killed an estimated 14 aqap members and that we gathered an unbelievable amount of intelligence that will prevent the potential deaths or attacks on american soil is something that i think most service members understand that
that's why they join the service. >> reporter: white house press shawn spicer clarified an issue and said in a successful raid against al qaeda, brave use forces were instrumental in killing an estimated 14 aqap members and capturing important intelligence. today's spicer sought to qualify the definition of success. >> it's hard to ever say something was successful when you lose a life. you never want to call something a success 100% when someone is hurt or killed. >> reporter: it was the first covert operation under president trump. cnn learned planning for the operation began months ago during the obama administration. but for operational reasons, including the schedule of moonless nights needed to obscure the approaching missions, it couldn't be done before obama left office. president trump authorized the mission fairly quickly. in order for an operation like this to be planned as thoroughly as you need to plan it, you often create a cell of
contrarians who are poking holes in every one of your steps along the way. >> reporter: the team ran in trouble with drones overhead the whole time, navy seals working together with uae special ops approached the sight with the special ops team was spotted and a fire fight ensued. the terrorists took cover in a nearby building. an air strike was called in against the building. officials say 13 civilians were killed in the raiding including an will 8-year-old. her father was the u.s. born cleric that direct add tacks against the u.s. and killed in a u.s. drone strike in 2011. three u.s. service members were wounded and navy seal owens was killed. ospreys were launched to retreat the wounded. one made a hard landing due technical problems. the aircraft was deliberately destroyed by the u.s. defense secretary james mattis left a dinner saturday evening to address the mission that was fraught with risks. >> those things will happen in
operations like this. to there is a clearly ary is assess ment. you mitigate the risk as best you can. there will often be casualties. that's just the nature of this business. >> reporter: still, administration officials stress u.s. commanders were able to gather computer hard drives that may provide crucial details on terrorist operations. and the white house kept this visit under wraps in private for much of the day at the request of ryan owen's family and out rev inspe of respect for the family, there were no pictures. and the last few minutes, president trum dp comment on his visit to dover. he called it very sad and very beautiful during the swearing in ceremony for rex tillerson. >> thank you very much, jim acosta. as jim said, the president arrived back at the white house from his visit to dover air force base with the owens family. you see him there get off marine one. and as jim said, he said it was a very sad, very beautiful visit
with mr. owens' family. john mcchoir, former navy seal who you just heard from and the former "new york times" reporter, best-selling author. the latest book "the prisoner" just hit bookshelves this week, yesterday in, fact. let me just start with you, alex. the raid was a success. of course, he is getting a lot of criticism for using that word because an american lost their lives and civilians that lost their lives as well. is the criticism warranted? >> i don't think we know what they got. it seems tactically they ran into serious problems they were not expecting. and one thing we were talking about is why they went in with ospreys which are loud and, you know, the special forces have silence blackhawks. i don't know fit was a tactical decision because of distance. you know, they're it in the middle of the desert. >> and the approach would have been heard using the much louder aircraft. general marks? >> yeah, i was going to sashgs
i'm not going to second-guess any decision that was made by a combat anlt commander or the commander on the ground who has the responsibility to execute this mission as to what type of aircraft or what type of personal protection the detailed planning for every one of the missions is exhaustive and they go through scenarios upon scenarios to ensure they get it right. guess what, war has costs. and things will go wrong. >> so, john, one of the things when alex said it depends, you know, we don't know what they got. obviously this is the second major read in yemen in two years putting u.s. lives on the line. they go in, they have something very special. something very significant. do you have any sense of what intense jens we can be talking about? >> first, my heart goes out to the familiar live the fallen and the wounded. i'll tell you, he put his brothers first. but the intelligence locations
and any movements, anything can help us get an edge on the war on terror. >> alex, what you are learning in your reporting as to why, you know, we do know they were planning for this for a long time. something happened they did not expect. >> they're not going to have strategic surprise. these people know that we want them. >> right. >> and they know that we're targeting them. so the best thing is a tactical surprise. and why they didn't have that, i suspect there is a lot of smart people asking that question right now. in tampa, you know nshgts pentagon. >> and trying to understand. general marks, here's what we know. 40 people were killed. 14 of them at least were al qaeda fighters. 13 of them were civilians. six of those children. 7 of them women and, of course, the navy seal. we know they spent weeks doing this. planning this raid. how could all these civilians have ended up in the line of fire? >> well, you know, erin, that's what will be uncovered over the
course of the next couple of days through a very, very thorough after action review on every aspect of this operation from planning, execution wit withdraw, et cetera. the thing to realize is decisions -- the decision point for execution is a certain time line associated it with based on how fast it takes to get to the objective, how much time you have on the objective, what are you trying achieve? and then how do you get away from that? and while you're en route, intelligence is updated. you have amazing capabilities. so that the men and women that are about to execute this operation of getting vet latest so they get a better sense so that they hopefully can overpower the objective, be as deadly and as accurate and precise as they k how civilians in the collateral damage assess ment always goes to what is on the objective that we don't want in the object sniff those assessments take place. the arrive afl civilians on the
objective was identified once they got in contact. i can tell you, if they had known that in advance that, would have been an abort mission. they would have tried to clear that away. >> john, let me give you a chance. if they had known that in advance, right, they would not have gone ahead with this mission. forget whether these were the children of al qaeda or whatever. they were children. >> well, just like the general said, there is so much detail planning that goes into the type of missions. and that's because thing dozen go wrong. and good intelligence saves lives is not going to fall in our l.a. we need to risk our lives to go in and protect our country. but had we had intelligence like this we probably would have aborted. >> does this chase him, donald trump? >> no, absolutely not. as we can see, donald trump has his opinions and he does not change them in response to a sing ale attack going wrong. in my books, it's easy. but in the real world, it's hard. >> and, of course, do you write
about a lot of these things happening as you reported on them over the years. thank you so much. all three of you. and next, go nuclear. that's what trump is telling troenz do about his supreme court pick. we're live on capitol hill to nice. plus, fashion faux pas. jon stewart sounds off on tru trump's presidential style. >> the president sets men's fashion and this is -- i saw the inauguration. super long tie. dead animal on head, boom. the future of business in new york state is already in motion. companies across the state are growing the economy, with the help of the lowest taxes in decades, a talented workforce, and world-class innovations. like in plattsburgh, where the most advanced transportation is already en route. and in corning, where the future is materializing. let us help grow your company's tomorrow - today at esd.ny.gov adios, honey, hasta la vista, baby.
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ladies and gentlemen. the president of the united states. >> thank you very much. just returned from an amazing visit with a great, great family at dover. very sad, very beautiful. ryan a great man. tillerson, i first want to congratulate you and your entire family and it is that an incredible honor. you bring the unique skills and deep, deep insights and i got to see it firsthand into foreign
diplomacy, our nation needs to foster stability and security in a world too often trapped and right now it's trapped. in violence and in war. you understand that the job of our diplomats and the mission of the state department is to serve the interests of the united states of america to make our nation safer, our country more prosperous, and our people much more secure. and that mission you also understand the importance of strengthening our alliances and forming new alliances to enhance our strategic interests and the safety of our people. your whole life has prepared you for this moment. and you really have had a tremendous life heading up one of the great companies of the world and doing it
magnificently, absolutely magnificently. i can say this is a man that is respected all over the world before you even begins. but now he's beginning his big, big and most important journey. this is where you were meant to be right here today at this cross roads in history. it's time to bring a clear eyed focus to foreign affairs, to take a fresh look at the world around us, and to seek new solutions grounded in very ancient truths. these truths include the fact that nations have a right to protect their interests, that all people have a right to freely pursue their own destiny, and that all of us are better off when we act in concert and not in conflict. and there's rarely been conflict
like we have today in the world. very sad. i'm excited for you. i'm excited for your family. and perhaps most importantly, i'm excited for our great country. though you inherit enormous challenges in the middle east and around the world, i do believe we can achieve piece and stability -- peace and stability in the very, very troubled times. may god bless new this journey and may god bless our very, very special and great country. thank you very much. mike, can you do the honors. thank you. [ inaudible ] >> please place your right hand
on the bible. and repeat after me. i rex tillerson do solemnly swear -- >> i rex tillerson do solemnly swear, that i will support and defend the constitution of the united states. >> that i will support and defend the constitution of the united states. >> against all enemies foreign and domestic. zbh against all enemies foreign and domestic. >> that i will bear truth and allegiance to the same. >> and i will bear truth and allegiance to the same. >> i take this obligation freely. >> without any meantal reservation. >> without any meantal reservation or purpose or evasion and i will well and faithfully discharge the duties zbl -- >> discharge the duties. >> the office upon which i'm about to enter. >> the office upon which i'm about to enter. >> so help me god. >> so help me god.
enormously long hours, tirelessly helping me and guiding me through the confirmation process and to them i will always be eternally grateful for the sacrifice they made of their time and effort this past weeks. i've also received over the last month so many messages, letters, phone calls of best wishes and encouragement, prayers from family, friends, and colleagues who know me well. but i've also received an enormous outpouring of wonderful messages from people all over the country whom i do not know. words of encourage ment and their prayers. and it's their message that's are going to really stand in steadfast reminder to me as i enter the responsibilities of secretary of state. as i serve this president, i serve their interests and will always represent the interests of all of the american people at all times. and again, mr. president, thank you for this extraordinary
opportunity.
thank you, everybody. great honor. >> thank you guys. >> rex tillerson now the secretary of state as you saw sworn in by mike pence, commenting donald trump returning from dover air force base. the body of a slain navy seal came back from the yemen raid and speaking somber and subdued as the swearing in happened. i want to bring in "the washington post" political reporter abby philip and mark preston as we were sitting here together watching we all noticed donald trump, yes, he was reading. he read very carefully from the prepared remarks. but he was clearly somber, subdued. zbh right. and literally had to par take in what has got to be the hardest thing to dozen a commander in
chief. we often say like he's the president of the united states, leader of the free world, commander in chief. well today he had to take that responsibility to a place that nobody wants to go. he actually have got to give him props that he would get on marine one, that he would get to andrews air force base and greet the family and there be for when this navy seal's body returns. >> you know, we have seen these moments where he is sober. that first meeting with president obama in the oval office. you saw he was very different. i think we saw another moment like that today where the weight of the office was obviously on his shoulders. z >> and did he read from the remarks. they were prepared. he stwuk them. there were a couple traditional asides. it's sad as one of them. but all leave ti aside, i was very serious what he had to say. and one thing he said stood out to me. i'm curious what you thought about it.
he said when introducing prechl tillerson, it is a time as a nation we act in concert, not no conflict. >> that's very interesting that he would say that considering the environment in washington this week in particular and in just the 13 days since he's been sworn in. you know, i think the president views the world as being something that needs to be kind of revamped and rethought. and he wants the united states to look inward and what is interesting about rex tillerson's job as secretary of state is that he has to put in place a foreign policy that actually is a little bit of a departure from what past secretaries of state have done. trump wants him to help disentangle the world from conflict so that he can refocus inward on some of the domestic problems whether they're political or economic. and so that's very challenging. i think trump understands the gravity of the job that tillerson is n and also, you know, president obama mentioned
when he was on his way out that there are moments in this job that remind you of how hard it s i think trump had one of those moments today. >> he had one of those moments as he was about to swear in his secretary of state. i did think it was significant that he read from the prepared remarks and that they included that act in concert, not conflict uk read too much into it? but a nod to i understand. that's not how people perceive me or my goals to be, but i'm going to come out here and say this. >> leadership comes from the top and leadership needs to come from him. when president obama came in 2000, he ran in 2008 and came in as president, he talked about bringing hope and change. he certainly wasn't successful in changing washington. donald trump said the same thing. i'm going to change washington. it's been a very divisive first couple weeks of the presidency. a lot of that divisiveness is coming from 1600 pennsylvania avenue. >> very tough ten days. in the past 24 hours, a different story. >> a big difference.
and i would say what we saw today is very much like what we saw yesterday. this was -- he had a good day yesterday. the supreme court announce ment went very, very well. it was scripted. he stayed on message. you know what? he got a lot of good reviews for it. and one thing we know about donald trump, he watches television. and he is sensitive. i think he understood and we saw it today obviously was a very different situation that the mood of yesterday, we saw today. >> right. >> the demeanor. >> all of you staying with me. because next, donald trump, president urging republicans to go nuclear to defend his supreme court pick, announced, of course, just last night. we're live on capitol hill. plus white house sources tell cnn trump is angry with the roll youst the traff rollout of his travel ban. so who will pay the price? that means you can take a universe of data - in your case literally - and turn it into medical discoveries, diagnostic breakthroughs...
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60 votes now required to break a democratic filibuster. >> reporter: as donald trump's choice for the supreme court made the rounds on capitol hill, senate democrats were struggling with this key question. how hard should they fight the selection? of judge neil gorsuch to serve on the high court. trump warning that his party may try to cut out democrats altogether. urging senate majority leader mitch mcconnell to allow just 51 republicans to confirm gorsuch rather than the 60 votes required now. >> i would say if you can, mitch, go nuclear. because that would be a absolute shame if a man of this quality was caught up in the web. >> reporter: democrats are firing back. >> that's enormously unhelpful. that's a threat. >> reporter: but feinstein
declined to say if she would back a filibuster. >> do you think democrats should filibuster this nomination? >> i'm not there yet. i can't say. >> reporter: liberal democrats are still fuming at senate republicans for refusing to even have a hearing, for former president obama's supreme court nominee garland and they believe gorsuch is too conservative for the job. >> yes, i'm going to -- i personally going to fight as hard as i can in order to block this confirmation of neil gorsuch to the supreme court of the united states. >> reporter: yet other democrats say since trump is not affecting the ideological balance of the court, they should save their firepower and the filibuster for the next fight when trump may replace a more liberal justice. senator joe mansion bluntly issuing this warning to his party. >> if we're ever going to be back into the majority, they're going to have to learn to work with moderates if not they're
going to be in this super minority. >> reporter: the white house is hoping to win over mansion and nine other democrats who are up for re-election in states trump won including missouri senator clair mckas kel. >> i want to listen and learn. but no way we should give up the 60 vote margin which is the filibuster. >> reporter: the battle comes as tensions turn to rage over trump's cabinet. with republicans taking an unprecedented step to change the rules in advance two of trump's cabinet nominees. after democrats boycotted a committee vote on tom price's nomination to have health and human services and the treasury department. jeff sessions is a step closer to becoming attorney general but only after a divisive vote in committee. >> we have an important job to do here and requires that each and every one of us understands the nominee's record accurately.
it's not our job to shade his record. >> and, erin, to night two republican senators say they'll get to vens betsy devos' to be education secretary. and that's going to require vice president mike pence to come to the senate and break a tie to ensure this nomination gets confirmed. it's a sign that no matter how controversial the nominees may be, they're going to eventually get their job if republicans stay largely united. >> all right. thank you. and my panel is back with me. let me start with you. senator collins voting against defe devos. she is going to get approved. those are very significant statement thez have now made to this president and to this administration. >> right. these two senators are the first people to go against one of his nominees. and my understanding is that this was -- they liked her.
they sprekt respect herd but th simply didn't feel she knew enough about education. and those hearings were very rocky. she had -- she had a lot of problems. and in the end their phones were ringing off the hook. they looked at it seriously and they decided they wouldn't go. every republican i spoke to today said she'll make it through. but there is a little bit of concern that the fact that these two senators did this, that maybe -- i stress maybe -- someone else might flip over. >> then, of course, she doesn't. >> right. >> it would be stunning after all this and all these delays and shenanigans and things people despise about washington that are going on all day long that he's going to get all the nominees through. after all of the complaining. >> and how amazing was it a few moments ago we see rex tillerson who got four democrats to vote for him.
yet, betsy devos is unable to get through unless the vice president has to goup and vote on her behalf. i do think it shows this, that donald trump didn't think deeply enough about whoe wa he wanted put into that department of education slot which is extremely important. there is a lot of money that goes into that department that has incredible amount of control with local school boards. >> the sense i heard was that they didn't feel she was well prepared and that people didn't -- she wasn't helped to prepare. but the secretary of education ends up being the one. it is really stunning. >> it is extremely stunning. and now we get to the issue of the nuclear option. the supreme court neil gorsuch. we had ben carton on the air earlier and refused to answer the question whether he would support a filibuster or not. i think man is incredibly qualified. yes, what happened to garland was not good. but do you think we're going to see a heated fight or will
democrats do the right thing and say let's just put someone who is qualified for the job. this is who it is? >> i think there regardless. i think the democratic sbas where republicans were in 200 w49 obama came n they want their party to fight. and you'll see, i think, a vast majority of democrats doing. that but given the nominee, given the person who gorsuch is and the fact that he is viewed as a reasonable juryist, he is ruled as largely in the line -- in line with scalia which does not shift the court dra matly to the -- dramatically to the right, i think we'll see democrats coming over and say give this guy a chance. at least give him a chance for a vote. and, you know, we may not get to the place where mitch mcconnell has to go nuclear. because they may be able to get to 60 without that -- without going that far. we don't know yet. and there are some indications that, you know, the usual suspects, the mansions of the world, the folks in red states
are going to give him a chance. zbh all right. let's hope. so because such a small things working add up to big things over time. thanks to awe. next, white house source telling cnn the president is upset with the way the travel ban has been handled s a power struggle brewing? as a control enthusiast, i'm all-business when i travel... even when i travel... for leisure. so i go national, where i can choose any available upgrade in the aisle - without starting any conversations- -or paying any upcharges. what can i say? control suits me. go national. go like a pro.
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tell the doctor about any conditions; including heart, lung, bladder, kidney or liver problems, seizures, stomach ulcers, or procedures with anesthesia. serious side effects may occur, including muscle problems if given anesthesia; slow heartbeat, fainting, more stomach acid which may lead to ulcers and bleeding; nausea, vomiting, difficulty urinating, seizures, and worsening of lung problems. most common side effects are headache, diarrhea, dizziness, loss of appetite, and bruising. (woman 2 vo) i don't know what tomorrow will bring but i'm doing what i can. (avo) ask about namzaric today. opioid-induced constipation. prescription opioids helped my chronic back pain, but backed me up big time. had to talk to my doctor. she said movantik may help me go more often. don't take movantik if you have or had a bowel blockage. serious side effects include opioid withdrawal, severe stomach pain, severe diarrhea, and stomach or intestinal tears. tell your doctor about side effects and medicines you take. movantik may interact with them causing side effects. have your movantik moment. talk to your doctor about opioid-induced constipation.
across capitol hill. >> we are a nation of immigrants and we must -- >> a stark contrast to the clumsy way team trump managed the president's executive order on travel restrictions. sources tell cnn the president has expressed anger to aides at the way that was handled. the fallout still sullying the new administration, high profile gop criticism still coming in. >> i think this was unnecessarily confusing and the way that was rolled out. and they deserve to give more clarity to the american people on a big decision like this. >> cnn has learned that white house is taking steps to try to avoid such confusion even the appearance of incompetence in the future. chief of staff rins priebus will take more control of functions like executive orders. it is authority priebus already technically had but was not able to fully exert given that power is splinlterred among several strong players from trump's son-in-law to counsellor to the
president steve bannen. one senior administration officials blames the sloppy rollout to irrational exuberance of trump aides eager to keep campaign promises but lacking experience to get it done right. trump aides say one of the biggest system failures was with fundamental communication, preparing not just the agency's who execute travel restrictions but are allies and advocates with talking points on how to defend it. message strategy is usually the job of white house communications director. but team trump doesn't really have one. press secretary shawn spicer does double duty. to remedy that, cnn is told that trump senior adviser kellyanne conway will take on more of the communications responsibilities. trump aides insist they're trying to course correct. organize the white house more traditionally or at least as traditional as possible with a press who himself often guides message for better or worse on twitter. >> dana bash is joining me now.
the chief strategist as you reported, plays major role in the drafting. now that they're trying to play cleanup here, what does that mean for his role? >> it is hard to imagine that his role is really going to be diminished. he has been very close with the president and, frankly, i am told even priebus, the chief of staff and the president's son-in-law, they're all still working together. and more importantly, the idea that steve bannen is going to sort of somehow walk away into the sunset is not going to happen any time soon. and what people have told me since the campaign, erin, is that the president, then candidate, really saw and sees steve bannon as an equal. i don't see that happen or changing. >> there is something people were saying that, i remember someone close to us saying
they're similar in age and experience. there was just sort of a peer for how he saw steve bannon as opposed to others. but you have some reporting there. that he's going to be taking more control. >> that's right. he's going to try. and that's what i sort of tried to lay out that it's not as if he didn't have that authority. he is the white house chief of staff. that is the job to make sure the trains run on time, the gatekeeper for the president. but also make sure when the president does something major like an executive order that it's thought through on all levels from the perspective of priebus, the good news is that this experience has made it more clear to the people around the praen president and the president himself that you need somebody responsible for that so this
a construct or cost index for tots. so you want to go in. or have a nice me or a good night's sleep but you can't because you're suffering from heartburn then you came to the right place for three reasons first this is a clinic in the from building in berlin second i'm going to meet dr mark johnson and third this is in good shape. if. you look at. no one has to suffer from heartburn for a long time we have great medications and surgical options with good long term results. it's nice to have gastric acid it helps tiger.
expect. too much gastric as it is not good because it can cause heartburn. there are medications thing inserted but recent studies suggest that they might be dangerous. for twelve years peter schmeichel has been suffering from heartburn also known as acid reflux after eating he often experiences acidic belching in a burning esophagus he also suffers from an irregular heartbeat it's all a source of stress. in that whenever i eat something i'm just worried that it will start back up with loose on there so i don't really have a big appetite anymore like a gruesome up it didn't seem is. to reduce the symptoms he started taking medication called proton pump inhibitors or p.p.i. used they suppress stomach acid production by blocking certain enzyme but he soon found himself battling with side effects. after a few days i started feeling really on what i had diarrhea and stomach aches and my
digestion just wasn't working anymore. these are common side effects according to dr christophe. some of the people taking p.p.i. c c's don't really need them. in his opinion stomach acid is part of a healthy digestive tract it helps digest nutrients and inhibiting its production should only be done if absolutely necessary but do it in tutors finished as is food for this patient and i'd recommend taking the medication for six or maybe eight weeks medicament then weaning himself off slowly not stopping abruptly. and then we'll see how far the stomach has recovered and the body as a whole maybe he wouldn't need any more medication event without anybody coming to map out the digestive side effects suffered by peter and not the only problems that
p.p.i. is my cause recent reports suggest that they could increase the risk of more serious conditions like heart attacks or dementia. dr vulcan shep is an expert in the field. he thinks patients shouldn't worry about taking p.p.i. . he says the evidence against them is insufficient. to say. taking proton pump inhibitors is very very safe compared to all the other drugs used in medicine. of the air is some indication that there might be an issue. and he must cut there is no evidence that would make us withdraw the medication from patients who need it and that just wouldn't make any sense victor. if you were happy. and some patients do desperately need it. stephanie batman suffered a painful narrowing of the esophagus it had to be dilated and since then she's had
to take medication. if she doesn't the stomach acid rises up through the esophagus and causes inflammation. yes i prefer to relieve the inflammation with medication now maybe rather than to think maybe i'll get dementia or in a few years time. whatever other side effects there are demands of a mad dash to a need that seems less important to me right now. what matters is that i have a cure now moment yet sed now that in. studies have revealed one dangerous side effect the risk of infection from clostridium difficile a bacterial species also known as c. diff with reduced stomach acid the microbe can spread more easily through the digestive tract so desmond's are content with
a patient comes to the clinic with clostridium difficile colliders which is a life threatening diarrhea condition that's an indication to check the proton pump inhibitors very thoroughly and have possible discontinue the medication as many coming up is it via. peter deco stop taking p.p.i. is two months ago he'd rather not expose himself to the risks. then the mungiki that is if you're desperate it does say on the package leaflet that you can take the tablets as a one off but it would be better if i didn't have to take them at all it missed him . stephanie batman doesn't have that option she'll probably have to take proton pump inhibitors for the rest of her life. when i was a medical student i had a surgical professor who told me it was medications are medications from hell
because they can make you impotent and we doctors should stick to surgery this is why i'm here in the operating room of the healers clinic in new from being in berlin meeting head of department for surgery guns and thanks for having me today how critical should we be concerning this medication we are facing huge discussion about complications of the of these medications like this or a malfunction. however the evidence is very low and if the indication for these tablets is good it can be given regularly let's talk a little bit about heartburn why so many people suffer from heartburn is caused by the west and last. for example obesity smoking drinking alcohol or eating a lot a huge amount in the evening and i know many many patients who suffer from heart
burn sometimes and i think many of us do suffer from it too so when do you need to see you doctrine is it dangerous it's not dangerous immediately you don't need to go to the doctor directly most of the cases it's probably enough to change your lifestyle and sometimes it's also a good idea to take these kind of made a comment for short period of time like fourteen days for example and do you have to be concerned. both say that this is a tumor developing out of this harbor like cancer. the risk of developing cancer due to. is very low it's approximately four out of ten thousand people but if the macos of the years of focus changes its habits like developing a so-called barrett's recalls are the risk of developing cancer is much more higher therefore you have to go to doctor have
a gastroscopy and in this case is the risk of developing cancer is about one point zero point one percent per year very low. so it's totally safe to do some self medications and to go for some of the counter drugs first yes it's possible to do so if medication. be aware that you only take these medications for a short period of time what are the problems if you take it for a longer period of time if the indication is good and confirmed by a medical doctor you can take these medicaments lifelong and some patients wanted to discontinue the medications and take a problem afterwards so is it a problem to stop those medications it's not a problem gastric acid really cures and b. is a such item is really a cures these pro these patients benefit probably from an operation speaking about surgery when those medications don't help anymore then a small intervention could be very helpful. since dr feeds an ultra thin tube
through his nose and down into his throat this tiny sensors will determine whether his a softer guess still functions properly when he swallows. it turns out that the muscle valve leading into the stomach has become slack. my despite my esophagus have suffered a lot of damage when i was sleeping on my back or standing i'm a tiler by trade which means working on my knees or sitting i experienced severe heartburn and belching it was really bad a team of experts germany's your highness vai's ling clinic discuss what course of action to take until recently gastro softened geale reflux disease had been underestimated and is even linked to a higher risk of cancer a third of people in europe in north america suffer from reflux in many cases prescribing a pill is not effective hoover hansen's doctors recommended surgery the aim is to
implant a pacemaker that stimulates the muscle valve that closes the bottom of the esophagus these are the big advantages this esophageal pacemaker is that the wires implanted in the muscles are extremely thin. it builds up an electrical field that exercises the muscle and makes it stronger as a result the food being digested can no longer rise up or it's like. in the case of nina back maya the doctors chose a new solution placing a chain with magnetic beads around the esophagus the chain reinforces the muscle value in similar style to a rubber band in the process restoring the balance natural function the surgery takes just twenty minutes. and that had just finished what's changed for me is that i'm finally rid of heart after twenty five years it had always been a burden i don't see developed
a chronic cough and was constantly clearing my throat because of the feeling of pressure. right after waking up post surgery i noticed that permanent feeling of constriction was completely gone and i've had no heartburn since that day. so i can talk to. nina back my are can now indulge in a bit of coffee and cake treats that used to be a major problem due to reflux minimally invasive solutions now offer patients genuine hope for the future. so returning chips to medications with this is a fickle pacemaker and consisting of detaining and beats so what do you think of those interventions. we should be careful in using this kind of new techniques because there is no evidence and no long term results concerning this techniques. are long term results for other kinds of surgeries like these from duplications. i do think. this operation is the standard procedure in patients after
topics: Stomach acid blockers - Opportunity or risk?; Heartburn - Expert interview; Surgery for heartburn; Acupressure - Fast relief for everyday complaints;...
worked up quickly and she takes a lot of issues and stress on board. strength of this is that's what i think the cause was. in china like you pressure is used widely to treat all manner of symptoms they can be applied at any time and anywhere with a few exceptions in mind in the case of an acute infection with fever or if you have a skin disease or burns on your skin then you can't use actually pressure how. come on. this patient has been suffering for years from a different problem or meet. your message have chosen i had recurring headaches and really that migraines. there were lots of weekends where i had nonstop headaches from friday to sunday. that began in the week but that happened often. a message.
not only heck decided to have acupuncture treatments to relieve her intense headaches but because she would otherwise have to make the trip to the doctor every time she was given the option of treating herself with acupressure she can now stimulate the points on her own whether at work or at home. is finished and so how do i find the points how do i recognize them when the press down with your firm and you feel a large depression. generally each point is massaged for between one and three minutes although very gently in the case of severe symptoms for chronic sometimes you can apply a little more pressure. to stronger mattresses i did notice that things got better and that the intensity of the headings has decreased i can't say i don't get any headaches but they have decreased. sufyan from it's definitely improved and i now feel longer and deeper and i fall asleep quicker. there's
a clock now when i leave ascension i mediately feel that my condition is going to be really good that day. acupressure is helping patients around the world to alleviate pain and improve their wellbeing. always humans are so proud of our erect gait but it also has its disadvantages like headache stomach ache back pain and even writes all this can be caused by a vessel which gets washed by a erect posture and this syndrome is called not trick a syndrome nutcrackers as we know them but there's also a health complication named after them nutcracker syndrome but what is it exactly. something psychological that when a person is really close to you want to make them open up. that i predicted before i can't quite remember but i've definitely come across it before in the sense that i don't know what the syndrome is but i do know what
a nutcracker is all of us needs. to impeach is a twenty six year old student a few years ago she developed a stomach ache which kept getting worse sitting for any length of time was agony and cycling became torture us she suffers from endometriosis a condition that causes the tissue that normally lines the uterus to grow outside it. so she presumed that was to blame. and that it was the first i thought endometriosis must be the cool since it's a chronic illness so i didn't think much of it but after three years i went to my local endometriosis clinic and they realize that the problem must lie elsewhere. the doctors found that the endometriosis couldn't be affecting the areas where sabrina was experiencing pain that made them suspect nutcracker syndrome. nutcracker syndrome describes what happens when the renal vein coming from the left
kidney becomes compressed by the sapir you're missing here it harder and the aorta . just. it can affect both men and women the condition stops blood flowing normally through the vein this can lead to it flowing backwards into the pelvis via the ovarian or testicular vein this disrupt circulation and can cause varicose veins the exact cause isn't known. to shits actually fine fortunately there are no typical symptoms of nutcrackers syndrome some women experience chronic pain some people find blood in their urine which is called him a tour. nut cracker syndrome isn't especially well known within the medical community either there's a guy in a logical exam won't reveal anything untoward and only very experienced professionals can identify varicose veins in the pelvis. of
we don't yet know how prevalent not cracker sent wrong as our guess is that it's high because the symptoms aren't always obvious and doctors don't always think of it. they would be good if more medical personnel considered not cracker syndrome as a potential cause of chronic pain. but varicose veins showing up on an ultrasound isn't enough for a diagnosis. an m.r.i. scan unable doctors to identify the angle and positioning of the relevant veins and arteries they also examine the blood flow for signs of renal compression and these images reveal the presence and severity of any varicose veins in the pelvic area. used in certain cases of nutcracker syndrome surgery is an option. it's generally performed by a radiologist the patient is put under local anaesthetic the surgeon dilates the renal vein and inserts
a stent which keeps the vessel open. this kind of intervention isn't suitable for everyone. that's how fond i said about standing by the like the treatment is suitable for patients who meet certain criteria chronic lower abdominal pain a compressed renal nerve and a back flow of blood identified on an m.r.i. it's found that the success rate is high patients are generally relieved of their symptoms within a few days. after the stent is inserted the patient needs to take blood thinners to prevent clonic in the stent. sabrina had the operation a year and a half ago and will soon be able to stop taking medication. she no longer has any problems working out for her the minor surgery was a major success. see the next week and then let's all try to stay in good shape.
motherly and fifteen minutes on. they make a commitment. they find. they conspire. africa on the a. story for both people different shaping the nation plug on the continent the t.w. multimedia series for africa. dot com africa on the move. to run once and consulate if you see it now a major power in the middle east. to runs once continues to grow. economically and above all militarily. doesn't keep some of the country's opponents who have their doubts iran from going to see the super power
source aug fifth on d w.
topics: Stomach acid blockers - Opportunity or risk?; Heartburn - Expert interview; Surgery for heartburn; Acupressure - Fast relief for everyday complaints;...
a cool school or have a nice me or a good night's sleep but you can't because you're suffering from heartburn then you came to the right place for three reasons first this is seriously nick a me from being in berlin the second i'm going to meet dr mark johnson and third this is in good shape. good luck and i hope. no one has to suffer from heartburn for a long time we have great medications and surgical options was good long term results. it's nice to have a strict facet it helps to i just did expect. too much gastric as it is not good because the pain cause heart. berthe. there are medications to answer it but recent
studies suggest that they might be dangerous. for twelve years peter schmeichel has been suffering from heartburn also known as acid reflux after eating he often experiences acidic belching in a burning esophagus he also suffers from an irregular heartbeat it's all a source of stress. whenever i eat something i'm just worried that it will start back up. and so i don't really have a big appetite anymore it was an upbeat it made some instant. to reduce the symptoms he started taking medication called proton pump inhibitors p.p.r. yes they suppress them like acid production by blocking certain enzyme but he soon found himself battling with side effects. after a few days i started feeling really on while i had diarrhea and stomach aches and my digestion just wasn't working anymore. these are common side
serious conditions like heart attacks or dementia. dr vulcan shep is an expert in the field. he thinks patients shouldn't worry about taking p.p.i. . he says the evidence against them is insufficient. decision. taking proton pump inhibitors is very very safe compared to all the other drugs used in medicine. of the there is some indication that there might be an issue. and he was the quote there is no evidence that would make us withdraw the medication from patients who need it and that just wouldn't make any sense vic to me than is obvious. and some patients do desperately need it. stephanie batman suffered a painful narrowing of the esophagus it had to be dilated and since then she's had to take medication. if she doesn't the stomach acid rises up through the esophagus
and causes inflammation. yet i prefer to relieve the inflammation with medication now rather than to think maybe i'll get dementia or in a few years time. whatever other side effects there are demands of a mad dash to a need that seems less important to me right now is for me. what matters is that i have a cure now moment yet sed now that in. studies have revealed one dangerous side effects the risk of infection from clostridium difficile a bacterial species also known as c. diff with reduced stomach acid the microbe can spread more easily through the digestive tract to desmond's are content with a patient comes to the clinic with clostridium difficile colliders which is
a life threatening diarrhea condition that's an indication to check the proton pump inhibitors very thoroughly and of possible discontinue the medication me to come into up does it via. peter stop taking p.p.i. is two months ago he'd rather not expose himself to the risks. that is if you're desperate it does say on the package leaflet that you can take the tablets as a one off but it would be better if i didn't have to take them at all in the misdemeanor. stephanie batman doesn't have that option she'll probably have to take proton pump inhibitors for the rest of her life. when i was a medical student i had a surgical professor who told me if those medications are medications from hell because they can make you impotent and we doctors should stick to surgery this is
why i'm here in the operating room of the. he'll use clinic even from being in doolin and meeting the head of the department for surgery begins and thanks for having me today how critical should we be concerning this medication we are facing a huge discussion about complications of the of these medications like this or function. however the evidence is very low and if the indication for these tablets is good it can be given regularly let's talk a little bit about heartburn why so many people suffer from heartburn is caused by the west and last. for example obesity smoking drinking alcohol or eating a lot a huge amount in the evening and i know many many patients who suffer from heart burn sometimes and i think many of us do suffer from it too so when do you need to
see you doctrine is it dangerous it's not dangerous immediately you don't need to go to the doctor directly in most of the cases it's probably enough to change your lifestyle and sometimes it's also a good idea to take these kind of may become and for short periods of time like fourteen days for example and do you have to be concerned about say that this is a tumor developing out of the cancer. the risk of developing cancer due to. very low it's approximately four out of ten thousand people but if the mood of the years of those changes habits like developing a so-called barrett's recalls are the risk of developing cancer is much more higher therefore you have to go to doctor have a gastroscopy and in this case is the risk of developing cancer is about one point
. point one percent per year very low with them so it's totally safe to do some self medications and to go for some over the counter drugs first yes it's possible to do so with medication. be aware that you only take these medications for a short period of time what are the problems if you take it for a longer period of time if the indication is good and confirmed by a medical doctor you can take these medications lifelong some patients wanted to discontinue the medications and they have problems afterwards so is it a problem to stop those medications it's a it's not a problem for gastric acid cures and b. as a franchise has really cures these protests these patients benefit probably from an operation speaking about surgery when those medications don't help any more then a small intervention could be very helpful. since dr feeds an ultra thin tube through his nose and down into his throat this tiny sensors will determine whether
his a soffit is still functions properly when he swallows. it turns out that the muscle valve leading into the stomach has become slack. my despise the work of my esophagus had suffered a lot of damage when i was sleeping on my back or standing ready i'm a tiler by trade which means working on my knees or sitting like that i experienced severe heartburn and belching it was really bad a team of experts germany's your hottest days ling clinic discuss what course of action to take until recently gastroesophageal reflux disease had been underestimated and is even linked to a higher risk of cancer a third of people in europe in north america suffer from reflux in many cases prescribing a pill is not effective. hoover hansen's doctors recommended surgery the aim is to implant a pacemaker that stimulates the muscle valve that closes the bottom of the esophagus
these are the big advantages this is suffered your pacemaker is that's the wires implanted in the muscles are extremely thin. it builds up an electrical field that exercises the muscle and makes it stronger as a result the food being digested can no longer rise up or it's like. in the case of nina back maya the doctors chose a new solution placing a chain with magnetic beads around the esophagus the chain reinforces the muscle value in similar style to a rubber band in the process restoring the balance natural function the surgery takes just twenty minutes. for and that had to finish what's changed for me is that i'm finally rid of heart after twenty five years it had always been a burden but i don't see developed a chronic cough and was constantly clearing my throat because of the feeling of pressure. right after waking up post-surgery i noticed that permanent feeling of
constriction was completely gone and i've had no heartburn since that day when i can talk to. nina back my are can now indulge in a bit of coffee and cake treats that used to be a major problem due to reflux minimally invasive solutions now offer patients genuine hope for the future. so returning ships to medications this is difficult pacemaker and consisting of containing beats so what do you think of those interventions. we should be careful in using this kind of new techniques because there is no evidence and no long term results concerning this techniques but there are long term results for other kinds of surgeries like these full duplications. do you think. this operation is the standard procedure in patients after having medical treatment what we do is copy procedure
this procedure. has two steps we are just removing the years off or goes into the up common we are closing the gap of the diaphragm and we're placing. placation of the fullness of the stomach around the goes so you taking the stomach into pulling it down and replacing it into the afternoon here is one cause of reflux. is her nya in through the doctors of the other for girls and what we know is that the us should be in the optimum which. to reduce the risk of said reflux so if this intervention only helpful in patients with hiatus hernia this is the primary indication for this kind of operation however some patients suffer from ongoing heartburn and large volume reflux and
these patients can also be treated by operation and what are the results. the results are good what we see is that in ongoing studies we have. primary. success of ninety percent. recurrence of heartburn in only ten percent in ten years so if i don't want to take any medication and i don't want to go for surgery is there anything i can do for prevention here prevent to get will be don't smoke drink only if you are call and don't eat in the late evening but i do have some patients who are quite slim and they don't drink any alcohol at all but they still do have. one additional cost for this problem is family history of heart so also young patients without obesity can have this disease but what role does stress play in
the development of heartburn or stress play with no main role in developing the heart the main cause is obesity and food intake thanks to answer all my questions well i don't know what you're doing i'm still here in the operating room but wait i know what you're doing because he watches the show but after the show you can take some time and simply all your questions. on our coming show we'll be looking at facial connective tissue that encloses muscles and internal organs type things that can be a root cause of pain so how can the problem be treated if you have questions send them to in good shape that d.w. dot com write things back in the subject line we look forward to hearing from you. what do you think give us three thousand years do you think that surgery will still look the same like it does today i doubt it but on the other hand there are some
healing methods which are quite good old take asian pressure for instance. it looks like a back massage and feels like one feels like a massage. in terms of the hand techniques it's a bit similar in. in fact stephanie moore hunter is being treated with an ancient healing method acupressure in order to relieve her of a frustrating and debilitating problem. traditionally been suffering from extreme sleep disorder for quite a while first ten years at least and i needed a really long time to fall asleep and i also work up a loss she's been trying out acupressure for two months now it includes a range of different techniques. compressing massaging pinching stroking. the aim is to stimulate over three hundred fifty points on the body the same points used in acupuncture according to traditional chinese
medicine the body is crisscrossed with a network of invisible pathways called meridian lines and these meridians serve as a channel through which vital energy or chief flows if that flow is interrupted the body reacts with symptoms and then you can place your index finger and middle finger on it and you can feel a slight depression when you press down and. this is not. stimulating the right point aims to loosen up the blockage causing the symptoms enabling the cheek to continue flowing. at the point regardless of whether we press the point or insert a needle the result is a local inflammatory process. that in turn increases the blood flow which relieves the blockage that thanks to the body's own healing power. but. i can hike have to. dr forward hemas says acupressure can help
compliment a conventional medical treatments although he doesn't believe it can replace them. i see limits with acupressure and acupuncture where the underlying sickness has not been properly diagnosed. and patients should definitely have had diagnostic checks to rule out other more serious underlying illnesses. and then if they are ruled out these methods are appropriate. dr g. hung jiang studied medicine and china and germany she sent stephanie for a blood test sent ultrasound scans to try to pinpoint the root of her sleep disorder but the results were ok i. just think hundred of us might might be connected to my kids they used to keep me awake vitally often we did not want days mrs more and dad is the type of person who tends to get worked up quickly and she takes a lot of issues and stress on board. strengths of this in the that's what i think
the cause was. in china i.q. pressure is used widely to treat all manner of symptoms they can be applied at any time and anywhere with a few exceptions in mind caught in the case of an acute infection with fever or if you have a skin disease or burns on your skin then you can't use acupressure at. this patient has been suffering for years from a different problem or. i get message cuffs nansen on i had recurring headaches and really bad migraines after there were lots of weekends where i had nonstop headaches from friday to sunday. be gone in the week but that happened often a message. natalie heck decided to have acupuncture treatments to relieve her
intense headaches but because she would otherwise have to make the trip to the doctor every time she was given the option of treating herself with acupressure she can now stimulate the points on her own whether at work or at home. is finished and so how do i find the points how do i recognize them. pressed down with your firm and you feel a large depression. generally each point is massaged for between one and three minutes although very gently in the case of severe symptoms for chronic symptoms you can apply a little more pressure. to stronger mattresses i did notice that things got better and the intensity of the headaches has decreased i can say i don't get any headaches but they have decreased. sufyan from it's definitely improved i now feel longer and deeper and i fall asleep quicker. there's a clock now when i leave a session i mediately feel that my condition is going to be really good that's day . acupressure is helping patients around the world to alleviate pain and improve
their wellbeing. always humans are so proud of our erect gait but it also has its disadvantages like headache stomach ache back pain and even riots all this can be caused by a vessel which gets washed by or erect posture and this syndrome is called africa syndrome nutcrackers as we know them but there's also a health complication named after them nutcracker syndrome but what is it exactly for something psychological when a person is really close to you want to make them open up. my friend said before i can't quite remember but i've definitely come across it before. i don't know what the syndrome is but i do know what a nut cracker is all of us needs. is
a twenty six year old student a few years ago she developed a stomach ache which kept getting worse sitting for any length of time was agony and cycling became torture us she suffers from endometriosis a condition that causes the tissue that normally lines the uterus to grow outside it. so she presumed that was to blame. and that it was the first i thought endometriosis must be the cool since it's a chronic illness so i didn't think much of it but after three years i went to my local endometriosis clinic and they realize that the problem lies lie elsewhere. the doctors found that the endometriosis couldn't be affecting the areas where sabrina was experiencing pain that made them suspect nutcracker syndrome. nutcracker syndrome describes what happens when the renal vein coming from the left kidney becomes compressed by the superior messenger rick harder and the aorta. just
as it can affect both men and women the condition stops blood flowing normally through the vein this can lead to it flowing backwards into the pelvis via the ovarian or testicular vein this disrupt circulation and can cause varicose veins the exact cause isn't known. to shits actually unfortunately there are no typical symptoms of nutcracker syndrome some women experience chronic pain some people find blood in their urine which is called humor turia. nutcracker syndrome isn't especially well known within the medical community either there's a guy in a logical exam won't reveal anything untoward and only very experienced professionals can identify varicose veins in the pelvis. of we don't yet know how prevalent not cracker sent wrong as our guess is that it's high
because the symptoms aren't always obvious and doctors don't always think of it. it would be good if more medical personnel considered not cracker syndrome as a potential cause of chronic pain. but varicose veins showing up on an ultrasound isn't enough for a diagnosis. an m.r.i. scan unable doctors to identify the angle and positioning of the relevant veins and arteries they also examine the blood flow for signs of renal compression and these images reveal the presence and severity of any varicose veins in the pelvic area. used in certain cases of nutcracker syndrome surgery is an option. it's generally performed by a radiologist the patient is put under local anaesthetic the surgeon dilates the renal vein and inserts a stent which keeps the vessel open. this kind of intervention isn't suitable for
everyone. that's how fond i said about standing but i think the treatment is suitable for patients who meet certain criteria chronic lower abdominal pain a compressed renal nerve and a back flow of blood identified on an m.r.i. it's fine if the success rate is high patients are generally relieved of their symptoms within a few days. after the stent is inserted the patient needs to take blood thinners to prevent clotting in the stent. sabrina had the operation a year and a half ago and will soon be able to stop taking medication. she no longer has any problems working out for her the minor surgery was a major success. see the next three and then let's all try to stay in good shape.
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standing showing nato it's a military prepared to be a member of the alliance. >> yeah. that tweet might have begin a lot of nato members heart burn but certainly this is a leader who is very desperate. thank you. now to a cnn exclusive and the other major headline so far of this nato summit. knewer than 24 hours ago turkey agreed to back sweden in its bid to join the military alliance after the president of turkey opposed the move for more than a year crying multiple reason as. this stunned many. i asked sweden's prime minister about it moments ago. here is part of our conversation. >> this is a historic moment. what does this mean for sweden? >> you're right. we were not aligned for 200 years. and obviously all within a close
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and i think it is an impossible recipe. i believe we're going to rise up as republicans and put donald trump in the rearview mirror. >> i know you're optimistic but we have to go. if we do see a trump versus biden redo, who will you beat for. >> donald trump is not going to beat joe biden and joe biden laz not done anything to earn my vote. anyone that wants to talk about my heart burn. i have a 12-year-old son who has been a republican that is longer than donald trump. >> i hear you have a son studying political science watching and listening to you as well. >> thank you very much. >> thank you. and a cnn investigation has found that in the world of horse racing some of the best trainers who rake in millions, have violated rules designed to keep animals safe. that is next. a paradise for parents. lomita feed, current caretaker anand owner. we did not know anything about the employeeee retention credi.
this winning coalition. that is the trickiest line for any of the candidates to walk, how you bridge those two divides if the party. >> and i think, molly, you made a good point. it is a real question. i mean, is policy going to win the day here for ron desantis? >> and if it does matter, you do hear from heart burn from the donor collar and establishment republicans about how right wing his agenda is in florida. having been re-elected last november, he used that as a mandate to push even more right-wing legislation and so a lot of republicans are looking at his electability argument and saying is that true if he's further out on abortion than even trump is. is that going to be something that sells to the american public when and if he gets that nomination. so even on policy, it could be a tr tricky case for him to make. >> and especially around blgs americans as well. and coming up, republican lawmakers shake up abortion
spending under control. so you immediately raise the debt ceiling, and then you also have to take carol of the fiscal sanity that is the spending problem. and again, while also making sure that the united states handles our external threats abroad. all of that is important. if the leader of the free world can't show up when the message is america is going to lead, we are in a really, really tough spot. >> ainsley: we are hearing experts say we have to fix this before june 1st. that's about two weeks away we are hearing janet yellen saying that how do you feel about that? is that accurate? >> i think that's what the experts are saying. why kick the canal all the way down the road and make everybody have heart burn until then. >> ainsley: they always do that. >> they always do that but kevin mccarthy had this wrapped up and the two men could have been negotiating all along. this trip, let me emphasize. australians how important this is for them. all of the planning and cost they put in into putting hospitable to the president.
right before last year's midterm elections. congressional correspondent aishah hasnie tells us where things stand tonight. >> there will be political consequences. >> an on news warning from vermont senator bernie sanders to his caucus over a fight to raise the federal minimum wage to $17 per hour over a five-year period. >> this is not a radical idea. >> the bill has little chance of reaching 60 votes to overcome a g.o.p. filibuster. especially after seven democrats and one independent rejected sanders' previous attempt at a $15 wage to a covid relief package before the midterms. including then democrat kyrsten sinema who caused an uproar with a thumbs down and curtsy to vote no. >> ms. sinema? ms. sinema, no. >> calling another vote could create heart burn for leader chuck schumer who wants to protect vulnerable senators like sinema, jon tester and joe manchin who all faced tough