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Bellevue." and dr. brian russell. dr. russell, you believe it's a free-will situation, mostly on the substaps abuse? >> yes. here's why the disease label doesn't work. three reasons. it's an insult to people with breast cancer. it doesn't help addicts because when you absolve someone of personal responsibility for starting a problem, you simultaneously disempower to stop the problem. and third, it doesn't distinguish between desire and behavior. if you want to call the desire to keep doing something that is destroying you a mental illness, then fine. but it doesn't force anyone to pick up a su...

Bellevue." and dr. brian russell. dr. russell, you believe it's a free-will situation, mostly on the substaps abuse? >> yes. here's why the disease label doesn't work. three reasons. it's an insult to people with breast cancer. it doesn't help addicts because when you absolve someone of personal responsibility for starting a problem, you simultaneously disempower to stop the problem. and third, it doesn't distinguish between desire and behavior. if you want to call the desire to keep doing something that is destroying you a mental illness, then fine. but it doesn't force anyone to pick up a su...

When they are done too early and they are a wonderful surgical procedure but you want to do them for the right cases in the right patients, and, using the proper size of joint, and, also, base your selection of joint use on the activity level of that person. there is a big difference between someone who is very active and in their younger years versus someone in their 60s and 70s and will not put much stress on the joint. >> gregg: i love the show and tem. you have knees there. >> over the last decade, knee replacements have more than doubled and 45 to 65 year category tripled in number. and i...

Disease process? >> well, these results are important is that they provide some new avenues to try to explore what makes this disease get started, why do you get it in old age. why are some people affected more than others. why is it faster in some people than others. it turns out there's one or two ideas out there and these teams sort of give you and entree into other ways to figure out what's going on in the brain when somebody becomes demented. there's not a clear answer. what there are is research directions. >> that's good a positive direction. i want to put into context what we're talkin...

That we can go back and take a look at. and, again, generate jobs, put people to work, clean up the environment. so all of us can move forward. and for me, i think it's ridiculous if we would just take a look at this and if will is any association with all of this contamination and a disease process, why we wouldn't want to fix with that to ease that health care burden in the future. so i'm hopeful that through continuing to did o my work, we will all collectively decide that this is an issue that we need to work on together for better results for us all. >> what was the experience like writin...