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April 1st, 2008
02:44 PM ET

John McCain's health

By Dr. Sanjay Gupta
Chief Medical Correspondent

Tonight, we are going to air a piece about Sen. John McCain's health. Truth is, it has been hard to get many details about the man, as his staff has not released his medical records since 2000. We know, as I'm sure you do by now, that if he wins, he will be the oldest president ever elected. He would be 2 years and 165 days older than Ronald Reagan was at the time of his inauguration. Though, I must admit, I love that his 96-year-old mother has occasionally been on the trail with him. He is making the point that he has good genes.

You have probably also heard McCain has malignant melanoma. Our research shows that if elected, he would not be the first president to have cancer. Grover Cleveland had cancer in his jaw. Reagan had both colon cancer and skin cancer, a less serious basal cell carcinoma, on his nose.  From what we have gathered, McCain has Stage IIA melanoma, which carries an average 10-year survival rate of 66 percent. Dermatologists say McCain's odds are better because the odds improve the longer you go without a recurrence.

If you see the pictures of his face, you will no doubt see a scar running down the left side and persistent puffiness of his left cheek. This is from the aggressive operation he had to remove the cancer as well as the lymph nodes in the area, as well as part of his parotid gland. When we show those pictures to independent doctors, some have told us an operation of that magnitude would’ve been done only for a much more serious and aggressive cancer than IIA melanoma. Other doctors disagree, saying McCain's aggressive operation may have been done out of an abundance of caution, where doctors removed more lymph nodes and other tissue than is normally done, because he is, well, John McCain.

Tonight, we will "show" you exactly what the senator had done and why. And, based on everything we know now, we will closely examine and dissect his health. But, the larger question I discussed with my staff today: Is this really important? How important is the health of  McCain or any of the candidates for that matter? Should the medical records be more forthcoming?

Programming Note: Watch Dr. Gupta’s report on Senator John McCain’s health on Anderson Cooper at 10 p.m. ET

Editor's Note: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.


April 1st, 2008
08:37 AM ET

Navigating Emma's autism

By Phil Riley
CNN Senior Writer

My cellphone rings and I know it's bad news.

Only 8 a.m., but the school nurse needs me to take Emma home.

She's biting and scratching herself, and it's taking two adults to restrain her.

I can't ask Emma why she's so upset. She can't tell me.

ALT TEXT

Emma Riley and her family have been struggling with autism

Emma is 11 years old. She has suffered from autism for a decade. Her family has, too.

It started in the 1990s, still the dark ages for autism.

The pediatrician said not to worry about Emma's development.

The psychologist who diagnosed her said to my wife and me, "Read this book."

It confused and scared us even more.

We've come a long way since then.

So has Emma.

She's more affectionate toward her family, more tolerant of changes in routine.

But challenges continue.

My wife and I've had to fight to get Emma in classrooms where we hoped she would thrive.

It's not always worked out.

Just like social interactions.

Typical kids don't want to hang out with a girl who doesn't share their interests or can't have a conversation.

No going out to a restaurant or church as a family.

Spouses spelling each other is good. Less time together as a couple, not good.

Guilt when you're not there for her brother.

Sleep deprivation.

But what most concerns my wife and me is this: How will Emma get along when she's an adult... or when we are no longer physically able to care for her... or after we're dead?

Recently I took our 14-year-old son, Conor, to a school admissions interview.

Later, he told me they had talked about Emma and he had said, "I've had to help watch out for her."

And Conor was asked how he felt about that.

His answer: "You learn to serve others and not just yourself."

Editor's Note: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation. 

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Filed under: Autism

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About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.

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