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tv   Nightline  ABC  November 11, 2009 11:35pm-12:05am EST

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tonight on "nightline," critical care. our cameras are inside one hospital to see just how fast the h1n1 swine flu can turn deadly as two healthy adults suddenly find themselves in the fight of their lives. the "twilight" zone. the vampires, the heorine, and the town that diehard fans have turned into a tourist mecca. and then, put a ring on it. but what about him? why the man-gagement ring is in,
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and it tonight's "sign of the times." >> announcer: from the global resources of abc news, with terry moran, martin bashir and cynthia mcfadden in new york city, this is "nightline," november 11th, 2009. good evening. we begin tonight with the battle against swine flu and grim confirmation today from federal health officials that the actual number of h1n1 fatalities in the u.s. stands at 4,000. now, that's more than three times the original estimate, as fatalities linked to swine flu complications are now included in the count. and as americans continue to wait for the vaccine, it's become painfully clear that this is a deadly virus that strikes at even the healthiest, as chris bury now reports. >> reporter: here, on one hospital floor in cleveland, the
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h1n1 virus is showing just how random, powerful and destructive it can be, even for healthy adults in the prime of their lives. >> never want to see anybody like this, but whatever i got to do. >> reporter: in room 13 of surgical intensive care, at the university hospital case medical center, 44-year-old walter savitts depends on a machine for every breath. his wife, margaret, constantly at his side. >> now, instead of five antibiotics, we have four. >> reporter: nearly three weeks ago he came down with what seemed like an ordinary case of the flu. he had been in excellent health until that thursday morning. >> just a fever, small cough, not a big thing. >> reporter: but during the next week, his condition deteriorated rapidly. >> by saturday night he couldn't breathe. he was having a really hard time. and by 2:00 a.m. monday morning
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he was in full respiratory fa failu failure. >> reporter: 34-year-old robert bradbury floats in and out of consciousness next door. >> really nice to see you again. >> reporter: except for asthma that last flared up six years ago, he, too, had been healthy and strong. >> we're young people. young, healthy people, athletic and, you know, he plays volleyball, we're out, you know, we walk a lot. he's a nonsmoker. all the things that they tell you, you know, do. >> reporter: just over three weeks ago, after a night of celebrating with his wife and colleagues, the ohio restaurant manager fell asleep at work. >> i guess he laid down at work and never got up again. >> reporter: that tuesday morning, co-workers took him to the local emergency room. >> they said that i should go, and they dragged me, they picked me up, led me in. >> reporter: robert arrived so deathly ill he was rushed to case medical center for more advanced treatment.
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both men were air lifted here from smaller hospitals. they arrived in critical condition, barely able to breathe. what is the single-most striking thing about this illness? >> i think it's the rapidity how patients get sick, and they succumb very quickly. >> reporter: dr. aree blitz treated both walter and robert. the night robert arrived, his vital organs were failing. >> he developed four things at once. he had h1n1 flu, he developed a big pulmonary embolism, a clot sent much to the lung, he had a heart attack and stroke. >> reporter: was he on the verge of dying? >> i quoted his family that he had a 1% chance of living. >> reporter: 1%? >> one of the surgeons came out and gave me his wedding ring which was terrible, to say the least. >> reporter: walter wasn't doing much better.
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his lungs were so badly damaged, the surgeon told us, it was as if they'd been turn to pieces. both men were beyond the help of ventilators, so doctors performed emergency surgery. >> generally what we do is, i put this device in through a big vein in the neck and it sits like this. it goes across the right side of the heart and into one of the big veins draining the power part of the body. we're able to take the blood out of the body and return it, two chambers in here, out one and in the other. >> reporter: the procedure is call called eck-mo. the device is hooked up to a machine that performs like a lung. it's become a vital tool in saving critical ill flu patients. why did you start doing this with h1n1 patients? the patients we performed it on, they were dying. they were all on death's doorstep. would have not survived no matter what. these patients would not be
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around today without that technology. >> reporter: the technology is needed in about a third of the most serious h1n1 cases, when ventilators are not enough. at first, the patients must be induced into a coma to let the body rest as the lungs recover. >> i have to run now. pressure's pretty low. i want to change the dressing on the hand. get this cleaned up. >> reporter: the patients require round the clock nursing care. >> pressure got low. >> reporter: in walter's case, the nurse is an ex-marine. >> tomorrow, the tubing needs be changed. i've never seen an influx of patients like this year. >> reporter: the flu is straining the hospital staff. as many as 20% of the nurses here have been out sick. in october, the emergency room here, like many others, was flooded with infected children. now, the hospital is seeing an
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increase in adults. most recover quickly. but in about 1%, doctors estimate, h1n1 attacks the lungs so viciously that vital organs are robbed of oxygen. >> almost every patient that we've put on artificial support has not only had failed lungs, livers, kidneys and even strokes and heart attacks. >> reporter: walter is fortunate that only his lungs were damaged, but nine days after his surgery, he remains in a coma, unable to breathe on his own. >> it gets hard. some dames you just want to cry and cry. i got to keep telling myself that he's doing well and it could have been a lot worse. >> reporter: what's walter's prognosis? >> i would say he's fairly good. probably got a 75% chance of making it through and i consider that good. >> reporter: you mean surviving? >> yes. i think when he came in without having eck-mo, he would have died within 24 hours. >> in room 14, robert bradbury emerged from a deep, induced slumber.
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>> he made real eye contact. >> reporter: two weeks after doctors told his wife his chances were only 1 in 100. >> and he, like, slid over in the bed and put his head against my head and that was the day that i knew that he was going to be okay. >> reporter: not entirely. kidney failure has left her husband on dialysis, but he is grateful to be alive. you think they saved your life? >> i know they did. i guarantee they saved my life here. if it wasn't for them, i wouldn't be here right now. that's for sure. >> reporter: to the savitts family in the room next door, his case is an inspiration. >> pretty slim chance of survival there. wasn't really supposed to make it. i guess if you never believed in god, now --
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>> reporter: on monday night, robert, his wife and mother, prepared for his move out of surgical intensive care to another ward in the hospital. must be a great relief. >> oh, it is. it is. huge relief. >> reporter: that night, in room 13, walter salve visits suffered a set back. attempts to wean him off mechanical breathing were falters in one room, a man fighting for his survival. in the other one, on the way to recovery, both struck down by a fast and furious rye us have that works in ways so random, no one fully understands. i'm chris bury for "nightline" at case medical center in cleveland. >> and we extend our similympato these families. our thanes to chris bury. and when we come back, we switch gears to an entertainment phenomenon, as we visit the hometown of "twilight" and talk to its breakout stars. (announcer) approximately two out of three people
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being treated for depression still have unresolved symptoms. if your antidepressant alone isn't enough, talk to your doctor. one option he may consider is adding abilify. abilify is approved to treat depression in adults when added to an antidepressant. call your doctor if your depression worsens or you have unusual changes in mood, behavior, or thoughts of suicide. antidepressants can increase these in children, teens and young adults. elderly dementia patients taking abilify have an increased risk of death or stroke. call your doctor if you have high fever, stiff muscles and confusion on abilify, as these may be signs of a life-threatening reaction. or uncontrollable muscle movements, as these could become permanent. high blood sugar has been reported with abilify and medicines like it. in some cases, extreme high blood sugar can lead to coma or death. other risks include dizziness upon standing, decreases in white blood cells, which can be serious, seizures, impaired judgment or motor skills, or trouble swallowing.
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talk to your doctor about the risks and benefits of adding abilify.
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vampires are a bloody success, lilt rally. the "twilight" book series has sold more than 70 million cop pips to date and spawned a hit film. and that's likely to be two, as the "if you moon" sequel is released. so, we asked neal karlinsky to go inside the "twilight" obsession. >> reporter: you don't have to be into teenage vampire love stories to understand the opening of the latest film, "new moon," is going to be huge. "twilight" is the story of bella and her forbidden love affair with a teenage vampire named edward. >> kiss me. >> reporter: for actor robert pattinson, it's been a life changing role. even going to the store has become fodder for the tabloids.
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>> escaping. to be sneaky about it. but i mean, in general people don't know where you are staying, i mean, it's generally fine. walk with a limp and stuff and kind of go, when you're walking down the street and you'll be okay. >> reporter: the series of books and movies has become an international phenomenon, earns hundreds of millimeters of dollars and spawning hordes of fans who follow every inch of the storyline. >> i'm not scared of me. >> reporter: kris ten stewart played bella, the teenage obsessed with the ultimate bad boy. >> i still trip out every time i see a group of, like, 2,000 screaming girls. you can't deny that energy. >> reporter: but the movie has created another star you may be less familiar with. the very northwest corner of the country, wheral trees grow through the mist and rainfall makes for a constant soundtrack to a slower way of life. a town called forks has just
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entered the twilight zone. >> under near constant cover of clouds and rain there's a small towned named forks. >> reporter: what are your thoughts about forks, washington? >> i've never been there. i'd love to. >> reporter: the story takes place in forks, noun as one of the rainiest places in america, with an average rainfall of 10 to 12 feet a year. a statistic they tell you as soon as you walk in the front door at the chamber of commerce. took a phone call, and this is true, saying i was going to come camping there, but i hear you have a vampire problem. >> reporter: marsha says the town resolved around two things before "way "twilight," loggin rain. in the next story, jacob comes
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in as aer wi er witer wit er we. >> i like that he's warm and hot. >> reporter: warm and hot? come on. >> reporte 67,000 tourists in a town with close to zero tourist industry until now. today from the gas station to the motels, even the local key maker is selling goods. and then, this strange item at the hardware store. >> we have people from scotland, china, japan. >> reporter: and they want to put on -- >> they want to put on bella's vest. >> reporter: the vest is small time. meet annett route, queen of the twi-hards. >> i picked up and moved my family here and i gave up a job i held for 18 years, stepped out in something i knew nothing about, just took a big leap of faith because i loved it.
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>> reporter: she bet her entire life on "twilight," setting up detailed stores that sell everything from fangs to jewelry. and she's launched the first forks "twilight" tour though competitors are hot on her heels. >> this is the cullen house. going to the high school next. >> reporter: the tour takes the fans around town to the high school and police station. >> i've been waiting a long time to come, and it's everything i looked forward to. >> reporter: laura came here all the way from ohio, a cross-country flight followed by a four-hour drive. what do your friends and family think? >> my family thinks i'm crazy, and my friends are very upset i'm here. they're jealous. they wish they could be with me. >> reporter: julia is proud of her obsession. she was anxious to take a picture at the town's high school where edward and bella
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fell in love. how many times have you read the books? >> a few. >> reporter: janet is wearing a lab coat modeled after one of the characters and loving it. >> actually, my niece got me into the books. >> reporter: how old is she? >> 13. >> reporter: at the hospital, they now have a marking spot for one of the characters. there's a replica of bella's old red pickup in town. nearby, in la push, along the spectacular shoreline featured in the story, we met three twi-hards not on the tour, but here all the way from austria. what are your friends and family going to say when you've been to forks, the place where the story happens? >> going to be so jealous. i need to bring some stuff from here. >> reporter: most of the locations are made up, because even though the story is set here, the movie wasn't filmed in forks. is it strange having people come
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to your house and take pictures? >> it is pretty weird, but it's wonderful. >> reporter: and, it's trasicily changed the reality of life in forks. is the tourism keeping this town going right now? >> it is our biggest industry at the moment. we've got vampires. >> reporter: and the craze just keeps getting bigger. bigger, too, for the man who is the vampire and says contrary to what the tab loipds will tell you, he's not really a prisoner to his own fame. >> i don't think there are very many other series where everyone, every single comment that i see on things is always about concern for, like, my well being and stuff. >> reporter: it's not that bad? >> it's not that bad, no. >> reporter: life's okay. >> it's still all right. >> reporter: all right, it seems, for just about everything this wildly popular story touches. >> no, edward, don't. >> reporter: and the saga is far from over. i'm neal karlinsky for "nightline" in forks,
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washington. >> life as a vampire heart throb. our thanks to neal karlinsky. when we come back, you know all about her engagement ring. bull what about a man-gagement ring? announcer: what's your cialis moment? when she gives me that look. when at last we're alone. when we both decide. announcer: today, guys with erectile dysfunction can be ready with another dosing option from cialis. cialis for daily use is a clinically proven low-dose tablet you take every day, so you can be ready anytime the moment is right. so relax and take your time. tell your doctor about your medical condition and all medications and ask if you're healthy enough for sexual activity. don't take cialis if you take nitrates for chest pain, as this may cause an unsafe drop in blood pressure. don't drink alcohol in excess with cialis. side effects may include headache, upset stomach, delayed backache or muscle ache. to avoid long term injury seek immediate medical help for an erection lasting more than 4 hours. if you have any sudden decrease or loss in hearing or vision
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stop taking cialis and call your doctor right away. announcer: today, you have options: cialis for daily use or 36-hour cialis. ask your doctor if cialis is right for you, so when the moment is right, you can be ready. no matter what life throws at you, you can take the heat. until it turns into... heartburn. good thing you've got what it takes to beat that heat, too. zantac. it's strong, just one pill can knock out the burn. it's fast, the speed you need for heartburn relief. and it lasts, up to 12 hours. so let them turn up the heat. you can stop that heartburn cold. (sssssssss!!!) zantac.
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ouncer: "nig >> announcer: "nightline" continues from new york city with martin bashir. >> for a perspective groom, it is the jewel in the crown of his romantic endeavors. the perfect ring for his bride to be. but in this age of equality, shouldn't there be some bling for the boys? well, enter the man-gagement ring. and for t.j. winnick, it is a "sign of the times." >> reporter: meet jennifer and jarret. they're in love, and they're on a mission. >> how can we help you today? >> reporter: they're on the lookout for the perfect engagement ring. >> we like something brushed metal. >> reporter: but this show and tell isn't for jennifer. it's for jarret. >> all the girls want everyone to know their guy is taken.
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and there's no better way than to see a ring on his finger. >> this is very nice. >> reporter: hold on. you mean he wants to wear it? >> this is very nice. >> reporter: jarret popped the question this past new year's after picking out a beautiful diamond for his college sweetheart jennifer. and it got him thinking. >> not fair she gets diamonds. >> exactly. should get at least one. >> reporter: laugh all you want. jarrett's not alone. more and more games are wearing what some are calling a man-gagement ring. >> i think people are really just open to looking for new ways to commemorate their relationship, to celebrate their love and showing it earlier on before the big day. >> reporter: when it comes to a marriage proposal, the ring has always been the thing. just ask beyonce. ♪ if you like it you should have put a ring on it ♪ >> reporter: in many european countries before tying the knot, couples exchanged matching gold bands. now the male engagement ring has taken hold in the u.s. >> it's having its moment.
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>> reporter: these little guys have a style all their own. they're made of rugged materials like steel and rubber. isn't this really a marketing ploy to sell more merchandise? >> no, i wouldn't say that. if you think about it, a woman wearing an engagement ring on her finger, north of a year often times. a guy is engaged during that same time and walks into the bars as a free man. >> reporter: it's catching on with the a-list, as well. that is serious bling. >> serious bling. that's your puff daddy ring. >> reporter: i tried on a proto type of the $15,000 ring that jennifer hudson used to propose to her boyfriend. hard to forget you are engaged with this on. >> this is the reminder. >> reporter: and then there was this more modest ring that retames for about 400 bucks. it's stainless steel and has some diamonds. we tag aid long as jarret and jennifer visited three different stores. and if you thought shopping for
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a ring with a guy would be easier, guess again. >> what kind of metal is that? too skinny. >> reporter: not all couples are in love with the idea. >> the ones that would say they felt like the ring shouldn't be something that's just for the bride. >> reporter: people joked with y you? >> a couple people just asked me what i was thinking. wedding day is pretty much game over, but now, it almost feels like if you put the ring on earlier your game is over even sooner. >> reporter: officially it won't be game over. jar rement's words, not mine, until next summer. of course, not every guy will embrace the man-gagement ring, even if he can't put his finger on exactly why. for "nightline," i'm t.j. winnick in new york. >> call me a traditionalist, i don't think that's for me. when we come back, one of ft. hood's heroes speaks out. but first, here's jimmy kimmel with what's coming up next on abc. >> thanks, martin. tonight on the show, dominic
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