tv Sanjay Gupta MD CNN July 29, 2012 7:30am-8:00am EDT
in school, he was socially engaged. and then suddenly it's as if something snapped and something suddenly happened. in fact, it probably was an insidious and slow descent into psychosis if that's what's going on in this case. >> you know, part of the reason i think i ask, i think people are interested is because based on that since it is a slower descent, as you say, it seems that there's places where intervention could take place. and warning signs may have been noticed. again, no one's casting blame here on anybody or anyone, but i mean, there specific warning signs that you tell people to be concerned about? >> yeah. absolutely. but let me emphasize something that you're touching on that i think is vitally important. the first treatment that people get when they develop schizophrenia, bipolar disorder, chronic, psychotic illnesses, if that's what we're talking about here, typically it's seven years after the onset of the first symptoms. duration of the first treatment, according to the nih studies,
seven years. we've got a lot of time to identify the warning signs. the warning signs are things like we're hearing about in the case of mr. holmes. sudden change in functioning, withdrawal, becoming isolated. sometimes that can be confused for depression. the easiest wave to find out is to engage the person, talk to them, ask about the change in their behavior, spending a lot of time alone. how you're feeling. are you feeling sad or blue? >> it's interesting because i think that that particular issue had a lot of people wondering this week. many people with mental illness may not recognize that they themselves have it and refuse offers of help. i mean, how do you -- how hard should an average person push? say it's a family member, for example. what is someone to do? >> i'll speak first personally. as a family member, i had a brother, high brother henry, had schizophrenia. his illness emerged very, very slowly. i was 21, he was 28. he had actually been ill since the age the 24. and i thought his problem was he was lazy, he was -- giving up on life, he was immature.
in fact, he was exhibiting what are called the common negative symptoms of schizophrenia. for example, when i looked at mr. holmes at his arraignment, i saw what we would call flat affect, where he doesn't express much emotion. people are wondering about medication. my first thought was, are we seeing a negative symptom of schizophrenia. they recognize the way they sound and know that other people won't understand that they have a special role in the world, they have special powers, they're batman's nemesis -- i have no idea if that's what went through mr. holmes' mind in this case. but that's the kind of thing that's really common. >> that's fascinating that they have the self-awareness to recognize, you're suggesting, how they might sound. is there a pitfall -- people are scared to talk to folks who they think potentially might be dangerous or, you know, maybe they just don't take the time. is there a pitfall to avoid when talking to someone that you're concerned about? >> yes. don't give your opinion. >> that's interesting. >> that's the biggest mistake
people make. we give our opinion. when somebody says things like, you know, i don't really want to talk about this, but i think the cia has got us under surveillance. you know, my eyes and other people's eyes get wide. at least what i used to do. and we try to reassure the person. instead, pardon the expression, but i learned, frankly, to shut up and listen. you don't have to agree with the person. you shouldn't lie and agree with the person. just don't jump to looking incredulous or doubtful or judging what they're telling you. and what you'll find is they'll open up. and it's really vitally important that people who are experiencing these psychotic symptoms have someone they can open up to. otherwise, they're alone with their delusions. if they're having voices, they're alone with their hallucinations and whatever those hallucinations and delusions are telling them reality is and what they should do. >> people don't think about it as concretely, i think, as you've put it. i think it's, again, a very important message to hear.
hope to have you back. you know, these are tough topics to talk about. i think important to a lot of families. hopefully listening to you today. javier amador, thank you very much. >> thank you. coming up, a girl who says plastic surgery was the only way to stop the bullies at school. we talk to her in the operating room. see and judge yourself. restore strengthat fors for up to 90% less breakage in three washes. for strong, healthy hair with life, new aveeno nourish+ strengthen.
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>> i used to be very talkative when i was a little kid. and now i'm just shy and -- i'd rather not talk to anyone. i'm anti-social now. >> children viciously bullied for their physical appearance. for 14-year-old nadia isle, the bullying started in first grade. >> there was this girl, she came up to me and said, you have the biggest ears i've ever seen. i'm like, well -- it just -- speechless. because i didn't think about it until she said that. >> she's heard dumbo, elephant ears, and much, much worse. seven years of torment. so with drawn, still so hard to talk about. what is the -- do you remember the worst sort of taunting or teasing or -- you know, whatever -- do you remember a day where that happened? >> it happened a lot -- well, it happened so many times that it kind of all blends together that i kind of don't remember.
>> nadia was just 10-years-old had she asked her mom for surgery to pin her ears back, known as an otoplasty. she wanted them to stick out less all in an effort to stop the bullying. it's been a sort of dark place for you for some time it sounds like. >> yeah, it's been very depressing. >> her mom, desperate to help, turned to the internet and stumbled across the little baby face foundation. the nonprofit organization offers free plastic surgery for children like nadia who are bullied because of their physical appearance and can't afford an operation. there may be people, nadia, who say, look, you don't need to do this. this is -- this is just who you are, it's the way you were born. people should love people for who they are. what do you say to those lake-effect snow. >> i say that they're right, but it will never stop. they'll keep going, get worse and worse. >> the foundation flew nadia and her mother from georgia to new york city for an all-expense-paid trip to this
hospital. >> this will be our target ear. then i'll match it up -- match the other ear, which is not as lateralized as this ear. >> in her application, nadia had asked to have her ears pinned back. dr. thomas romo with the little baby face foundation recommended she change more than just her ears. >> i love thin chins, but i don't want them as pointy as that chin. we talked about that, didn't we? >> uh-huh. >> we looked at picture of different people. >> uh-huh. >> yeah. and their chins come off just a little more square. so that's exactly what we're going to do, too. >> and there was more. >> when i looked up inside her, the whole septum is going this way. as the septum, so goes the nose. >> she never talked about the nose or chin before -- >> she did not because she didn't recognize that. >> dr. romo says with her ears pinned back her nose and asymmetrical chin would be more
pronounced. he said all three surgeries combine read necessary to balance out nadia's features. so any last thoughts as we're going into the o.r. here? >> nervous. excited. >> in some ways this has been seven years in the making for nadia. she just went under. but she tells me she's been dreaming about this day for some time. and now it's all happening for her. what dr. romo is doing is an otoplasty. a reduction rhineplasty, reducing the size of the nose and mentoplayoffsy on the chin. what might surprise people is 42% of otoplasties on the ears are done on people under the age of 18. this four-hour operation would normally come with a price tag of about $40,000. for nadia, it's free. here in the operating room, when you see what's happening here behind me, gives you a good idea of how significant bullying can
be. kids become depressed, anxious. in nadia's case, she told me it changed her entire personality. surgery alone won't wipe away the pain from years of all that bullying. nadia's mom hopes counseling will be the final step in the healing process. 72 hours post op. nadia is still swollen. cautiously optimistic as dr. romo removes the bandages and she sees her new self for the first time. >> i look beautiful. exactly what i wanted. i love it. >> i get a little -- i get goosebumps a little bit. nadia joins us in studio. so good to see you. you look beautiful. and you look happy. how are you feeling? >> i feel a lot better emotionally and physically because i can now breathe better. and i feel better about myself. >> i want to put up a picture of
you, and i want you to comment on this -- the split screen before and after the operation. i want you to tell me what you see when you look at those images before and after. >> before i -- i see my ears and my nose and chin. >> you really focus on your ears in the before -- >> yeah. and on the after, i don't see so much problem with the ears. and now i can finally see actually -- see how beautiful my eyes are. >> you do have beautiful eyes. you're a beautiful -- and you were beautiful before, as well. this is something we talked about, are you glad that you had the operation? do you have any regrets whatsoever? >> huh-uh. no regrets. glad i got it done. >> your mom said and you echoed this, as well. that obviously the surgery is one part of this. that doesn't alone erase the years of bullying that you endured you're going to go through counseling, as well. have you started that? >> not yet, but i'm looking forward to starting. >> you're going to see a lot of
the same kids, right, that you'd been going to school with for some time. you will see them again in the fall. what's that going to be like for you? >> it's going to be nervous at first. i think i can pull it through and that they'll realize that what they have done. and they'll stop. >> you know, there's a lot of parents probably watching who, you know, may worry about their own kids. like i worry about mine. your mom worried about you. what would you say to parents out there after all that you've been through now? >> just give your children a lot of love and affection. tell them that they're beautiful every single day. >> and well -- that's really good advice. you know, i think a lot of parents will do that. i try and tell my daughters that every night. funny that you mention that particular thing. it's good to see you. like i said, you look great. you look happy. i'm so delighted for you. >> thank you. >> thank you for joining us. still ahead, they're calling her the female michael phelps. the next big thing. missy franklin, up for seven gold medals in london. stay with us.
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well, the olympics finally getting under way in london. one big story you may not know is missy franklin. pay attention to the name. her hometown is miles away from the shooting in colorado. she told us how she first heard the news on cnn. >> i texted my mom right away, and she was up even though it was 3:00 a.m. there, and she
immediately got on the news and sending me constant update dates. it was absolutely horrible and you have to wonder why these things happen in the world. >> well, it is a lot to process for anyone, but especially franklin who has so much going on. but she is going to be racing for gold in seven events is no typical teenager. >> she loves the backstroke, i'm telling you. >> missy frap clin at 2 years old. and at 5, winning her first freestyle race. >> first race. >> i am here at the junior olympics. >> go, missy, go, go, go. >> reporter: now at age 17, she is the second youngest person on the u.s. olympic team, and her backstroke and freestyle are what got her there. >> i made the team which is the most exciting thing i can
imagine. i'm going to be an olympian for the rest of my life. >> at 6'1", she towers over the rest of the competition and her physique is ideal for swimming fast. she has a wingspan of 6'4" and shoulders are one and a half inches wide. and she has poweriful ankles that keep her going fast through the water. she may be on the verge of worldwide fame. but up until now her coach and f family have taken pains to be a normal kid, and sometimes that is shopping in between meets. >> there is not a lot of coaches who would say to take time off to go shopping, or go to prom. >> reporter: she is confident beyond her years. >> i love music and i love dancing.
>> here is missy franklin. >> reporter: but don't mistake fun for lackf focus. in the pool, franklin is all about doing what it takes to hit that wall first. >> i want to have an absolute blast while i'm there, and i know i will. if i give 110% and leave everything that i have in that pool, then i am going to be proud of myself. >> the female michael phelps they are saying, but i am so excited to watch her, missy franklin. good luck out there. next you will meet another olympic swimmer, our own who has made a comeback from cancer. sometimes, i feel like it's me against my hair. [ female announcer ] weak, damaged hair needs new aveeno nourish+ strengthen. active naturals wheat formulas restore strength for up to 90% less breakage in three washes. for strong, healthy hair with life, new aveeno nourish+ strengthen.
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life is full of unexpected challenges but the story of one olympic swimmer reminded me that even if the odds are against you, you have a chance to build yourself up. >> this time four years ago was stressful to say the least, and i mean, that is putting it lightly. >> eric shanteau's quest to become a plan has been anything but ordinary. >> i wanted to be make the olympic team. >> two four years ago he made the team for beijing, but then he was diagnosed with testicular cancer and his doctors pushed
for immediate treatment. >> the first reaction was anger as i prepared for the biggest meet of my life. >> his treatment was postponed until after his race. >> how are you feeling? >> good. >> are the drugs kicking in? >> a little bit. >> i was will theret for his operation at emory hospital in 2008. so eric is prepped for surgery and waiting all day and it is 7:10 p.m., and for a long time he has been waiting for the operation, and two months really, and arguably, the most challenging competition of his career and more difficult than any olympic competition. he is finally getting the tumor removed. after the surge u ri he didn't believe he would get another shot at olympic gold, but eric was gone. he made the 2012 u.s. olympic team, and he will race in the men's 100 meter breaststroke and the cancer is gone. >> and this time i'm walking around the deck a little bit
lighter. i don't have that cancer cloud hanging over my head, and i don't have the weight of that on my shoulders. you know, i decided to stick with the olympic theme for chasing life today. i'm in my early 3440s and belie it or not i learned how to swim, and believe it or not i learned how by watching how-to videos online. and swimming offers something that no other workout does. because in the water the, you are automatically lighter. and when you are in water waist high, your body bears only half the impact. and the thing about swimming, low stress workout that burns a lot of calories in a short amount of time. in a general rule, you will burn 100 calories in every ten
minutes of freestyle swimming which is twice what you would burn in on a brisk walk. you can stay connected to me with cnn.com/sanjay. time now to get a check of the top stories in the "cnn newsroom." -- captions by vitac -- www.vitac.com from cnn world headquarters atlanta, this is cnn sunday morning. trying to make a comeback from the embarrassing first run. not an olympic athlete, but mitt romney's international tour. plus, a stunning victory and surprising defeat. a tale of two american swimmers in last night's must-see 400 meter race. and the suspect in the aurora shooting in court tomorrow. he could face more than 100 charges. a veteran colorado pros prosecutor explains why. good morning, everyone. i'm randi kay.
we start with mitt romney's eventful visit to israel. he went to the western wall after he sat down with leaders like benjamin netanyahu and shimon peres. and jim acosta has been traveling with mitt romney, and he joins us by phone. mitt romney is due to give an address today and what do you believe that the focus will be on, jim? >> well, he is expected to say in remarks later today that the islamic republic facing an inevitable war with the west, and potentially israel if it does not give up the quest for nuclear weapons, and i can tell you that the republican contender wrapped up a visit to the western wall which is to be the jewish faith's most sacred sight. he was