S. >>> COMING UP NEXT, A CLOSER LOOK AT PRESIDENT TRUMP'S PARDONING OF MORE THAN 1500 OF HIS SUPPORTERS, WHO PARTICIPATED IN THE JANUARY 6 INSURRECTION... ALSO TONIGHT: HOW BEST TO HELP THOSE WITH POOR LUNG HEALTH ON POOR AIR-QUALITY DAYS... AND, WE'LL HEAR ABOUT A NEW CANCER TREATMENT KNOWN AS "HOT CHEMOTHERAPY."

THOSE STORIES AND MORE, NEXT ON ARIZONA HORIZON.

GOOD EVENING, AND WELCOME TO ARIZONA HORIZON.

I'M TED SIMONS.

THE JUSTICE DEPARTMENT TODAY ORDERED U.S.

ATTORNEYS TO INVESTIGATE AND PROSECUTE ANY AND ALL LOCAL LAW ENFORCEMENT OFFICIALS AROUND THE COUNTRY IF THOSE OFFICIALS REFUSE TO ENFORCE THE TRUMP ADMINISTRATION'S NEW IMMIGRATION POLICIES.

THAT'S ACCORDING TO THE NEW YORK TIMES, WHICH REPORTS THAT THE DOJ ASSERTS THAT STATE AND LOCAL OFFICIALS ARE CONSTITUTIONALLY BOUND TO COOPERATE WITH THE JUSTICE DEPARTMENT AND THAT FAILURE TO DO SO COULD MEAN CRIMINAL PROSECUTION AND CIVIL PENALTIES.

OTHER HEADLINES: THOUSANDS OF ADDITIONAL ACTIVE-DUTY U.S.

TROOPS ARE BEING ORDERED TO THE SOUTHERN BORDER WITH MEXICO.

THE MOVE COMES TWO DAYS AFTER PRESIDENT TRUMP MANDATED THE U.S. MILITARY TO STEP UP ITS BORDER PRESENCE.

THE ADDITIONAL TROOPS ARE NOT AUTHORIZED FOR LAW ENFORCEMENT ACTIVITIES, BUT THE PRESIDENT SAYS HE'LL DECIDE IN 90 DAYS ON WHETHER OR NOT TO INVOKE THE INSURRECTION ACT AT THE BORDER, WHICH WOULD ALLOW THE USE OF ACTIVE DUTY TROOPS FOR DOMESTIC LAW ENFORCEMENT.

THE PRESIDENT TODAY ALSO THREATENED TO IMPOSE TARIFFS AND SANCTIONS ON RUSSIA IF RUSSIA DOESN'T MAKE A DEAL TO END THE WAR IN UKRAINE.

TRUMP ADDED THAT HE, QUOTE, "DIDN'T WANT TO HURT RUSSIA," OF NOTE, THERE'S NOT MUCH RUSSIAN TRADE TO TARIFF.

THE ENTIRE TRADE BETWEEN THE TWO COUNTRIES WAS JUST $3.4 BILLION LAST YEAR.

THAT COMPARES TO $700 BILLION BETWEEN THE U.S. AND CANADA.

JAMIE DIMON, THE HEAD OF JP MORGAN CHASE, SAID TODAY THAT THOSE WORRIED OVER PRESIDENT TRUMP'S THREATS TO IMPOSE TARIFFS ON ANY COUNTRY SHOULD QUOTE, "GET OVER IT."

DIMON TOLD CNBC THAT, QUOTE, "IF IT'S A LITTLE INFLATIONARY BUT GOOD FOR NATIONAL SECURITY SO BE IT."

DIMON WAS A NOTED CRITIC OF TARIFFS DURING THE FIRST TRUMP PRESIDENCY AND SUPPORTED KAMALA HARRIS DURING THE MOST RECENT PRESIDENTIAL CAMPAIGN.

MARICOPA COUNTY ATTORNEY RACHEL MITCHELL AND STATE REPRESENTATIVE MATT GRESS TODAY ANNOUNCED, QUOTE, "PRESTON'S LAW."

IT'S A BILL, SPONSORED BY GRESS, THAT CALLS FOR STRENGTHENING THE CRITERIA FOR AGGRAVATED ASSAULT CHARGES, INCLUDING ENHANCED PENALTIES FOR SO-CALLED TARGETING ASSAULTS INVOLVING TWO OR MORE ACCOMPLICES.

THE LAW IS NAMED AFTER 16-YEAR- OLD PRESTON LORD OF SAN TAN VALLEY, WHO WAS MURDERED BY A GANG OF EAST VALLEY TEENAGERS IN 2023.

AND ONE MORE HEADLINE: ANOTHER FAST-MOVING FIRE NEAR LOS ANGELES IS FORCING EVACUATIONS.

THIS ONE IS IN THE MOUNTAINS NORTH OF L.A.

IT'S CALLED "THE HUGHES FIRE."

IT BROKE OUT THIS MORNING AND QUICKLY BURNED THROUGH HUNDREDS OF ACRES OF TREES AND BRUSH.

19,000 SUPREME BEEN EVACUATED.

RED FLAG WARNINGS ARE IN EFFECT FOR THE ENTIRE REGION THROUGH TOMORROW.

FALLOUT CONTINUES OVER PRESIDENT TRUMP'S BLANKET PARDONS OF MORE THAN 1500 PEOPLE CHARGED AND/OR CONVICTED FOR THEIR ACTIONS IN THE RIOT ON THE U.S. CAPITOL FOUR YEARS AGO.

FOR A LEGAL PERSPECTIVE ON WHAT THE PRESIDENT DID AND WHAT IT MEANS, WE WELCOME FORMER U.S. ATTORNEY PAUL CHARLTON, HE'S NOW WITH THE LAW FIRM DENTONS.

GOOD TO SEE YOU AGAIN.

THANKS FOR JOINING US.

>> THANKS FOR HAVING ME, TED.

>> WHAT EXACTLY DID THE D.O.T.

WITH THESE PARDONS, FROM A LEGAL PERSPECTIVE?

>> HE HAS THIS EXTRAORDINARY POWER THAT THE U.S. SUPREME COURT HAS SAID IS PART OF THE CORE POWERS THAT THE PRESIDENT OF THE UNITED STATES HAS, AND HE CAN PARDON INDIVIDUALS WHO HAVE COMMITTED FEDERAL OFFENSES.

SO IN THIS INSTANCE, MORE THAN 1500 INDIVIDUALS WHO WERE INVOLVED IN THE INSURRECTION, THE INVASION OF OUR CAPITOL ON JANUARY 6th, HAVE BEEN PARDON FOR THE OFFENSES THAT THEY WERE CONVICTED OF OR HAVE ALREADY PLED GUILTY TO.

>> BLANKET PARDON MEANS WHAT?

>> THAT MEANS YOU CAN STILL VOTED.

IT MEANS YOU CAN CARRY A FIREARM.

IT MEANS ALL OF THOSE LEGAL RAMIFICATIONS THAT MIGHT OTHERWISE ATTACH TO SOMEBODY CONVICTED OF OF A FELON NO LONGER ATTACHED TO THESE INDIVIDUALS.

IT MEANS IF YOU WERE SERVING A PERIOD OF TIME OF INCARCERATION, YOU'RE LET FREE AND NO LONGER INCARCERATED.

ARE YOU IN A VERY REAL WAY FORGIVEN OF THOSE OFFENSES THAT YOU'VE COMMITTED.

>> COMPARE TO COMMUTATIONS, WHAT ARE WE TALK BEING THERE?

>> COMMUTATION IS A LITTLE DIFFERENT IN THE SENSE THAT IT MEANS ARE YOU SEEING A REDUCTION IN YOUR SENTENCE.

IF YOU WERE TOLD YOU WERE GOING TO HAVE TO DO 10 YEARS IN PRISON AND YOU ONLY HAVE TO SERVE ONE YEAR BECAUSE YOU RECEIVED YOUR COMMUTATION TODAY, THAT SENTENCE MEANS YOU'VE BEEN REDUCED AND LET FREE, BUT DOESN'T MEAN YOU'VE BEEN PARDONED FOR THE OFFENSE THAT YOU COMMITTED.

>> AND THAT MEANS YOUR CIVIL RIGHTS AREN'T ENTIRELY RESTORED?

>> THAT'S RIGHT.

YOU STILL HAVE THE FELONY CONVICTION.

YOU STILL HAVE ALL OF THOSE INHIBITIONS, THOSE THINGS YOU CAN NO LONGER DO, LIKE VOTE.

>> AND THESE, AGAIN, THESE PARDONS, THESE COMMUTATIONS, MANY OF THESE INVOLVE VIOLENT OFFENSES.

I MEAN, IS A DISHES CONSPIRACY, WHAT DOES THAT SEEN IN.

>> PARDONS AND THE CONTROVERSIES THAT ATTACH TO PARDONS HAVE BEEN SOMETHING WE'VE LIVED WITH FOR MANY YEARS.

IN FACT, GEORGE WASHINGTON PARDONED INDIVIDUALS WHO ARE INVOLVED IN THE WHISKEY REBELLION, GOING BACK TO THE EARLY 1700S.

AND FORMER PRESIDENT CARTER PARDONED ALL OF THOSE INDIVIDUALS WHO AVOIDED THE DRAFT.

THEY SAY THERE ARE SOME 200,000 PEOPLE.

SO PARDONS HAVE BEEN SOMETHING THAT HAVE HAD CONTROVERSY ATTACHED TO THEM FOR A LONG PERIOD OF TIME.

WHAT MAKES THESE PARDONS SO MUCH DIFFERENT SO MUCH MORE STARK IN THE REALITY OF MOST AMERICANS, IS THAT WE WITNESSED THESE SOUGHTS.

WE SAW THESE ASSAULTS ON TV.

YOU CAN GO BACK AND LOOK AT ANY NUMBER OF THE PARDONS THAT THE PRESIDENT HAS GRANTED INDIVIDUALS, INCLUDING MORE RECENTLY, PRESIDENT BIDEN, AND IT'S SOMETHING WE DIDN'T WITNESS, MOST OF THE CRIMES FOR WHICH PEOPLE WERE PARDONED OR GRANTED CLEMENCY.

BUT IF YOU WATCH THESE POLICE OFFICERS, FOR EXAMPLE, BEATEN, ALMOST KILLED IN FRONT OF OUR EYES ON TELEVISION, IT MAKES THOSE PARDONS THE KIND OF GRACE, THE KIND OF FORGIVENESS THAT UNDERLIES A PARDON MUCH MORE DIFFICULT TO ACCEPT, AND FOR THAT REASON, I THINK MUCH MORE CONTROVERSIAL.

>> BEATING POLICE OFFICERS, DESTROYING FEDERAL PROPERTY, AND THERE'S THE SACREDNESS TO THE U.S. CAPITOL THERE, AND IT WAS VIOLATED.

>> PRECISELY, AND IT WAS AN ATTEMPT IN A VERY REAL WAY TO STOP THE PEACEFUL TRANSFER OF POWER, SOMETHING OUR COUNTRY HAS, AS A CORNERSTONE OF ITS VERY EXISTENCE, FOR OVER 200 YEARS.

>> THE PRESIDENT ALSO WANTS D.C. FEDERAL COURT TO DISMISS PENDING CHARGES WITH PREJUDICE.

EXPLAIN.

>> SO IF YOU HAVE A CHARGE THAT IS PENDING BUT YOU HAVEN'T EITHER PLED GUILTY OR HAVEN'T BEEN FOUND GUILTY, THE PRESIDENT IS ORDERING FEDERAL PROSECUTORS TO DISMISS THE CASE AND DISMISS THE CASE WITH PREJUDICE WHICH IS A LEGAL TERM WHICH TEENS IN CAN NO LONGER BE BROUGHT AGAIN, ARE YOU ESSENTIALLY RECEIVING A PARDON, WHICH MEANS THAT YOU'RE NOT GOING TO BE PROSECUTED FOR THE OFFENSES FOR WHICH YOU'VE BEEN ACCUSED.

>> AND AGAIN, 60% OF THESE CASES THAT WE'RE TALKING ABOUT INVOLVE VIOLENT ATTACKS AGAINST POLICE OFFICERS, THE PRESIDENT CALLS THE CHARGES AND CONVICTIONS A, QUOTE, GRAVE NATIONAL INJUSTICE.

THESE PEOPLE CAN NEVER BE PROSECUTED FOR THIS AGAIN, CAN THEY?

>> THEY CAN'T.

AND WHAT IS UNUSUAL ABOUT THIS IS UNTIL RECENTLY, THE VICE-PRESIDENT DIDN'T SEE IT EXACTLY THAT WAY.

THE VICE-PRESIDENT SAID, MR. VANCE, THAT WE OUGHT NOT TO BE PARDONING INDIVIDUALS WHO ARE INVOLVED IN ASSAULTS ON POLICE OFFICERS.

THERE ARE PEOPLE WITHIN THE SENATE, REPUBLICANS WITHIN THE SENATE WHO DISAGREE WITH THIS, AS WELL, THOUGH MANY HAVE NOT SPOKEN OUT, SOME HAVE.

AND MOST AMERICANS, IF YOU LOOK AT POLLS, WILL SAY ASSAULTING POLICE OFFICERS AND DOING SO ON TELEVISION IN A WAY THAT WE CAN ALL WITNESS SUSPECT THE CRIME OF KIND OF CRIME FOR WHICH INDIVIDUALS ARE DESERVING A PARDON.

>> CAN THE CONVICTIONS, WHICH HAVE BEEN PARDONED, BE USED?

LET'S SAY I WAS CONVICTED OF SADICIOUS CONSPIRACY, WHATEVER, AND I WAS SENTENCED TO 10 YEARS, WHATEVER, I'M NOW PARDONED.

I GO OUT AND ROB A CIRCLE K OR SOMETHING.

CAN THAT ACTION, THOSE ACTIVITY ITS BE USED AS A MITIGATING FACTOR IN FUTURE PROSECUTION?

>> IT'S A GREAT QUESTION.

IT WOULD PROBABLY BE -- AND YOU'LL LOVE THIS LAURALEE, IT WOULD PROBABLY DEPEND ON WHAT KIND OF A CRIME IT IS.

BUT YOU'LL REMEMBER EVEN HERE IN ARIZONA WE'VE HAD OUR OWN PARDONS FROM FORMER PRESIDENT TRUMP WHEN HE WAS THE FORMER PRESIDENT, PREVIOUS PRESIDENT.

FOR EXAMPLE, PILE RECEIVED, RESIDENCYIA RECEIVED A PARDON FROM THE PRESIDENT OF THE UNITED STATES.

THERE HAVE BEEN ONE-OFF EVENTS AND PARDONS THAT HAVE TAKEN PLACE, AGAIN, FOR CRIMES WE MAY NOT HAVE WITNESSED.

THESE ARE CRIMES BY THE HUNDREDS AND MORE THAN 1,000 THAT AMERICANS WITNESSED ON TELEVISION.

>> SO AS YOU MENTIONED AT THE START OF THIS, THERE IS PRECEDENT FOR THIS.

WHAT HAPPENED THIS WEEK DOESN'T NECESSARILY DEFY PRECEDENT OR SET PRECEDENT?

>> IN THE SENSE THAT HE IS GRANTING AND HAS GRANTED THOUSANDS OF PARDONS, THAT'S CORRECT.

AS I SAY, JIMMY CARTER, BY SOME NUMBER, 200,000 INDIVIDUALS WHO EVADED THE DRAFT.

FORMER PRESIDENT BIDEN GRANTED MORE THAN 1,000 PARDONS OR ACTS OF CLEMENCY TO INDIVIDUALS WHO COMMITTED NON-VIOLENT DRUG OFFENSES AND TO MEMBERS OF HIS FAMILY.

SO ALL THAT IS SOMETHING.

THERE'S CONTROVERSY ON BOTH SIDES OF THE AISLE THAT RELATE TO BOTH OF THOSE PRECEDENTS.

THIS IS SOMEHOW PROFOUNDLY DIFFERENT, THOUGH.

>> YOU MENTIONED BIDEN'S PRE-EMPTIVE PARDONS, WHAT DO YOU MAKE OF THOSE AND AGAIN WHAT KIND OF STANDARD DOES THAT SET?

>> IT'S INTERESTING BECAUSE IT -- THERE'S A DISCONCERTING ASPECT OF IT WHEREVER YOU ARE ON THE POLITICAL SPECTRUM, AND IT'S THIS.

IF YOU HAVEN'T BEEN CHARGED WITH A CRIME, IF YOU HAVEN'T COMMITTED A CRIME, AND YOU RECEIVE A PARDON, THERE IS A CONCERN THAT GOING FORWARD THIS WILL BECOME A KIND OF PRACTICE.

SUNNY COMING PRESIDENTS WILL GRANT BROAD PARDONS FOR EVENTS OR FACTS THAT HAVE OCCURRED IN THE RUN-UP TO THE ELECTION.

ALL FEDERAL OFFENSES, REMEMBER, THESE CAN ONLY BE FEDERAL OFFENSES, STATE PROSECUTORS ARE FREE TO DO WHAT THEY WISH, REGARDLESS OF WHAT KIND OF PARDON ONE RECEIVES.

BUT THERE'S A CONCERN THAT THERE WILL BE A GREATER DEGREE OF ACCEPTANCE AMONG INCOMING PRESIDENTS TO PARDON PEOPLE BY THE THOUSANDS FOR EVENTS THAT MAY NEVER HAVE BEEN CHARGED AS A CRIME, AND IN FACT, FOR EVENTS WHICH PEOPLE WILL SAY, I NEVER DID COMMIT A CRIME, BUT I'LL WELCOME THIS PARDON IN THE EVENT THAT SOMEONE CAN LOOK AT THIS DIFFERENTLY AND POLITICALLY AND SEEK TO CHARGE ME WITH A CRIME.

>> WOW, VERY INTERESTING.

BEFORE YOU GO, I'VE GOTTA ASK YOU ABOUT TODAY, THE IDEA, THE JUSTICE DEPARTMENT SAYING THAT IF YOU'RE A LOCAL OFFICIAL AND YOU DEFY PRESIDENT TRUMP'S ORDERS OR WHATEVER THEY ARE, REGARDING IMMIGRATION, WE'RE COMING AFTER YOU.

WHAT DO YOU MAKE THAT?

>> THAT SOUNDS LIKE A VERY DIFFICULT THING TO PUT INTO EXECUTION, TO TRULY FORCE FEDERAL PROSECUTORS TO DO, TO CHARGE STATE AND LOCAL OFFICIALS WITH CRIMES.

IT SOUNDS LIKE A VERY POLITIC THING TO SAY.

I KNOW THERE IS A CERTAIN ELEMENT OF THE POPULATION THAT WOULD LIKE TO HEAR THAT SORT OF THING, BUT TO CHARGE LOCAL OFFICIALS FOR NOT DOING SOMETHING IS A VERY DIFFICULT THING FOR A PROSECUTOR TO DO.

TO CHARGE SOMEBODY FOR OBSTRUCTING AN INVESTIGATION, THAT'S A WHOLE OTHER KETTLE OF FISH.

BUT THE STATEMENT THAT WE'RE GOING TO GO AFTER, STATE AND LOCAL PROSECUTORS OR OTHERS WHO AREN'T ENFORCING FEDERAL LAW, SOUNDS LIKE A DIFFICULT MANDATE TO ENFORCE.

>> AND WE WON'T EVEN GET INTO THE IDEA OF FEDERAL OFFICIALS HAVING TO RAT OUT OTHER FEDERAL OFFICIALS IF THEY DON'T GO AFTER DEI PRINCIPLES.

MAYBE THAT'S FOR THE NEXT TIME WHEN YOU STOP BY?

>> I'D BE GLAD TO COME BACK.

THANKS, TED.

>> GOOD TO HAVE YOU.

>> THANKS FOR HAVING ME.

THE AMERICAN LUNG ASSOCIATION RANKS PHOENIX AS THE 5TH MOST POLLUTED CITY IN THE COUNTRY.

THE ORGANIZATION IS TEAMING UP WITH THE MARICOPA COUNTY MEDICAL SOCIETY TO HELP EDUCATE RESIDENTS ON HOW TO BETTER HANDLE AIR-QUALITY CONCERNS.

JOINING US NOW IS DESIRE'E HARDGE, CEO AND EXECUTIVE DIRECTOR OF MARICOPA COUNTY MEDICAL SOCIETY.

GOOD TO HAVE YOU HERE.

>> THANK YOU, TED.

>> SO YOU'RE TEAMING UP WITH THE AMERICAN LUNG ASSOCIATION.

SOUNDS LIKE AN INFORMATIONAL CAMPAIGN.

>> IT IS.

WELL, IT'S TWO.

IT'S BEING PROACTIVE WHEN IT COMES TO AIR QUALITY HERE IN ARIZONA, AS YOU MENTIONED, FIFTH LARGEST IN THE NATION.

BUT ALSO WHEN IT COMES TO AWARENESS AND BRINGING THAT AWARENESS TO THE PATIENTS.

I MEAN, AS ONE OF ARIZONA'S LARGEST ORGANIZATIONS SOCIETY -- ASSOCIATION IN ARIZONA SINCE 1892, WE WANT TO ENSURE THAT WE WORK WITH A LOT OF VARIOUS ORGANIZATIONS INCLUDING THE ALA WHEN IT COMES TO PATIENT TO PHYSICIAN RATIO AND THE AWARENESS FACTOR SURROUNDING AIR QUALITY.

>> SO THIS IS AN AWARENESS TO HELP CARE PROVIDERS AND PATIENTS.

IS THIS -- LIKE, WE HAVE A LOUSY AIR DAY.

IS THAT WHEN YOU GO INTO ACTION?

>> WELL, SO THE PHYSICIAN WILL -- THEY CAN -- WE'RE GETTING READY TO LAUNCH ON OUR WEBSITE.

THEY CAN SIGN UP THROUGH A PORTAL.

AND FROM THAT PORTAL THEY WILL GET MATERIAL TO HANDED OUT TO THEIR PATIENT TO MAKE THEM MORE INFORMED IN REGARDS TO THE AIR QUALITY AROUND THEIR LIVING ENVIRONMENT.

>> YEAH, GET THAT COMMUNICATION GOING ON BAD AIR DAYS.

EMPOWERING PATIENTS TOO HERE, CORRECT?

>> ABSOLUTELY.

THAT'S ONE THING, IT'S A KEY TO BE YOUR OWN ADVOCATE, RIGHT.

TO ENSURE THAT THE PATIENT IS NOT ONLY ADVOCATING FOR HIM OR HERSELF WHEN IT COMES TO PERHAPS COPD OR ASTHMA OR OTHER RESPIRATORY ILLNESSES THAT THEY MAY HAVE OR FINDING THAT WITHIN THEIR NEIGHBORHOOD OR WITHIN THEIR FAMILY HISTORY TO BE PROACTIVE ABOUT NOT HAVING THAT WITHIN THEIR OWN LIFESTYLE.

>> AND PROMOTING POLICIES, AS YOU MENTIONED, TO PROTECT LUNG HEALTH.

IS IS THERE EQUIPMENT INVOLVED, MONITORING DEVICE?

>> THERE IS.

IT'S A SMALL CYLINDER CALLED THE PURPLE AIR SENSOR.

AND IT'S REALLY SIMPLE AND EASY.

YOU HOOK IT UP TO, SAY, YOUR DOOR OR A WALL, AND IT STARTS TO COLLECT DATA.

AS LONG AS HAVE YOU WI-FI AND A LITTLE APP, IT WILL COLLECT THE DATA AND SEND IT BACK TO THE ALA. >> WHAT KIND OF DATA?

IS IT JUST PARTICULATES OR -- >> IT IS, YES, WITH THE ENVIRONMENT, AS LONG AS THERE'S NO RESTRICTION.

>> AND PHOENIX OBVIOUSLY -- WE KNOW WHAT'S GOING ON HERE.

WE'VE HAD A LOT OF PROBLEMS WITH AIR QUALITY.

IS THERE ANY IMPROVEMENT OVER THE YEARS?

IS IT STABILIZING?

DOES IT JUST KEEP GETTING WORSE BECAUSE MORE PEOPLE ARE HERE AND MORE DUST IS GETTING -- WHAT'S HAPPENING?

>> FROM WHAT WE KNOW, FROM THE ALA, IT IS INCREASING, AND THAT IS BECAUSE WE ARE HAVING MORE INDIVIDUALS COME, YOU KNOW, TO OUR BEAUTIFUL STATE AND, SO WITH THAT COMES MORE POLLUTANTS.

SO WE NEED TO BE ABLE TO GET IN FRONT OF IT AND NOT BEHIND IT.

>> AND OZONE POLLUTION IS PARTICULARLY ROUGH BECAUSE YOU CAN'T REALLY SEE THAT ALL THAT WELL, CAN YOU?

>> EXACTLY.

EXACTLY.

AND VEHICLE EMISSIONS.

THERE'S MANY FACTORS THAT PLAY INTO WHY WE HAVE SUCH A HIGH INTAKE OF POLLUTANTS.

>> SO FOR FOLKS THAT YOU WANT TO MAKE SURE THEY'RE AWARE IT'S A BAD DAY OUT THERE, YOU WANT TO GET THE INFORMATION THROUGHOUT AND GET IT THERE QUICKLY.

WITH WHAT CONDITIONS, WHAT CONDITIONS SPECIFICALLY ARE YOU FOCUSED ON?

>> WHAT DO YOU MEAN BY WHAT CONDITIONS?

>> LIKE PEOPLE WITH EMPHYSEMA IS THIS PEOPLE WITH OTHER LUNG DISEASE?

>> IT'S A GENERAL MESSAGE FOR THE ENTIRE STATE OF ARIZONA.

>> YEAH.

>> BUT PARTICULARLY, YOU KNOW, INDIVIDUALS THAT HAVE THE HIGHER RISK OF HAVING COPD.

ANY SORT OF RESPIRATORY ILLNESS.

>> IS IT UNUSUAL FOR THE MARICOPA COUNTY MEDICAL SOCIETY TO ALIGN ITSELF WITH THE AMERICAN LUNG ASSOCIATION OR ANY OTHER GROUP LIKE THIS?

>> IT IS.

IT IS.

WE ARE NOT A HUMAN HEALTH SERVICE ORGANIZATION, SO THIS IS ONE OF OUR FIRST STEPS IN SUPPORTING AN ORGANIZATION AND THEIR CAMPAIGN AS IT PERTAINS TO HUMAN HEALTH SERVICES.

>> YEAH, WHAT DOES THE MARICOPA COUNTY MEDICAL SOCIETY DO?

>> SO WE, OF COURSE, AS YOU MAY OR MAY NOT KNOW.

I BELIEVE YOU KNOW, TED.

I WAS JUST HERE LAST YEAR.

>> I KNOW, I KNOW.

>> BUT IN MARICOPA COUNTY WE ARE A PHYSICIAN-LED ASSOCIATION.

AGAIN, WE'VE BEEN AROUND SINCE 1892, OVER 132 YEARS.

WE DO EVERYTHING FROM POLICY AND ADVOCACY TO FACILITATING, HELPING WITH CONTINUED MEDICAL EDUCATION AS WELL AS NETWORKING AND ENSURING THAT OUR PHYSICIANS, WHETHER YOU'RE IN PHOENIX OR WHETHER YOU'RE IN CHANDLER AND MESA AND BUCKEYE, THAT YOU HAVE THE SUPPORT AND RESOURCES THAT YOU NEED, NOT ONLY AS A PHYSICIAN, BUT AS AN INDIVIDUAL SO THAT YOU CAN, YOU KNOW, PROCEED WITH YOUR -- >> YEAH, AND AS WE MENTIONED BEFORE, THIS IS NOT JUST FOR PATIENTS.

THIS IS FOR PROVIDERS, AS WELL, GETTING THAT INFORMATION OUT THERE, AND THAT'S WHERE YOU GUYS REALLY STEP IN.

>> ABSOLUTELY.

WITH THIS PARTICULAR OBJECTIVE, WE'RE LOOKING TO OF COURSE FOR A COMMUNITY MONITORING, FOR EDUCATION AND RESEARCH AS WELL AS MORE IMPORTANTLY THE HEALTH AWARENESS ASPECT OF IT.

SO THAT, TO YOUR POINT, PHYSICIANS AND PATIENTS ARE WELL AWARE OR AWARE AS CAN BE OF THE SURROUNDING POLLUTANTS WITHIN THEIR ENVIRONMENT.

>> BEST OF LUCK ON THIS, AND WE APPRECIATE YOU SHARING THE INFORMATION, DESIREE HARDGE, FROM THE MARICOPA COUNTY MEDICAL SOCIETY.

NOW I KNOW TWICE WHAT YOU GUYS.

>> YEAH.

THANK YOU.

>> THANK YOU FOR JOINING US.

THANK YOU.

AN NEW SURGICAL PROCEDURE KNOWN AS "HOT CHEMOTHERAPY" IS HELPING TREAT PATIENTS WITH CERTAIN CANCERS IN THE ABDOMEN.

DR. RAJESH RAMANATHAN, IS ONE OF TWO ONCOLOGISTS AT BANNER MD ANDERSON CANCER CENTER WHO PERFORM THIS OPERATION.

DOCTOR, GOOD TO HAVE YOU HERE.

THANKS FOR JOINING US.

>> THANK YOU, TED.

THANK YOU FOR THE OPPORTUNITY.

>> YOU BETCHA.

THIS IS CALLED "HOT CHEMOTHERAPY."

WHY IS IT CALLED THAT.

>> IT'S PART OF A LARGER ACRONYM, HEATED -- IT'S A PROCEDURE THAT'S BEEN AROUND FOR SEVERAL YEARS, BUT IT'S A PROCEDURE TO WHERE WE HAVE MORE AND MORE DATA, THAT IT CAN REALLY HELP A SELECT GROUP OF PATIENTS THAT HAVE VERY ADVANCED STAGES OF CANCER WITHIN THEIR ABDOMINAL CAVITY.

>> WHY IS IT ABDOMINAL CANCER AND NOT OTHER CANCERS?

>> SURE.

OUR ABDOMINAL COMPARTMENT IS LIKE A CONTAINER THAT HOLDS CERTAIN ORGANS.

AND SOMETIMES CANCER CELLS CAN CONTAMINATE THAT WHOLE ABDOMINAL CAVITY, AND JUST THE REGULAR CHEMOTHERAPY THAT ONE MIGHT GET THROUGH THEIR BLOOD, IT DOESN'T DO AS EFFECTIVE AS A JOB AS POSSIBLE IN THE ABDOMINAL CAVITY.

SO THIS IS USUALLY DONE IN CONJUNCTION WITH THAT IV CHEMOTHERAPY TO TRY TO REALLY CLEAR UP THE CANCER AND THE CANCER CELLS IN THE ABDOMINAL CAVITY.

>> AND THAT'S WHERE HOT CHEMOTHERAPY COMES IN.

IT'S A TWO-STEP PROCEDURE, CORRECT?

>> EXACTLY.

>> DESCRIBE IT FOR US.

>> SURE.

THIS IS REALLY FOR PATIENTS THAT MIGHT HAVE A COLON CANCER, STOMACH CANCER, OVARY CANCER OR APPENDIX CANCER THAT ARE UP TOURS INSIDE THEIR ABDOMINAL CAVITY AND SPREAD THE CANCER CELLS AROUND.

TYPICALLY WE SEE THESE PATIENTS AFTER THEY'VE BEEN THROUGH SOME CHEMOTHERAPY ALREADY.

GOT PARTS THAT YOU REFERRED TO, THE FIRST PART INVOLVES REMOVING ANY OF THE CANCER THAT WE CAN SEE OR FEEL.

AND THEN THE EL CHEMOTHERAPY IS THERE TO REALLY TREAT THOSE FLOATING CANCER CELLS THAT AREN'T VISIBLE TO THE NAKED EYE, TO TRY TO PREVENT THEM FROM COMING BACK AGAIN IN THE FUTURE.

>> SO CORRECT ME IF I'M WRONG, HEATED CHEMO DRUGS, THEY'RE APPLIED DIRECT FULLY THERE?

>> CORRECT, EXACTLY.

THERE'S SOME SPECIALIZED CHEMOTHERAPY DRUGS ARE ARE HEATED AT A HIGHER TEMPERATURE, BECAUSE THEN THEY WORK BETTER, AND WE'VE PUT THAT DIRECTLY INTO A PERSON'S ABDOMEN AND LET IT CIRCULATE THERE FOR USUALLY AN HOUR TO AN HOUR AND A HALF TO TRY TO MAXIMIZE HOW MANY OF THE CANCER CELLS QUESTION KILL AND ELIMINATE.

>> AND I WOULD IMAGINE THE LINING OF THAT CAVITY IS WHERE YOU REALLY FOCUS.

>> EXACTLY.

IT'S THE LINING OF THE CAVITY AND THE LINING OF THE ORGANS WITHIN THE CAVITY SO THAT IF THOSE PESKY CANCER CELLS ARE ATTACHED TO ANYTHING, WE CAN HOPEFULLY KILL THEM.

>> AND AGAIN, EXPLAIN WHY THIS WOULD BE A BETTER OPTION THAN TRADITIONAL METHODS.

>> IT'S USUALLY A CONJUNCTIVE OPTION, MEANING THAT'S NOT USUALLY IV CHEMOTHERAPY OR SURGERY, BUT IT'S JUST GIVING PATIENTS THE OPPORTUNITY TO BE CONSIDERED FOR THIS IN ADDITION TO IV CHEMOTHERAPY.

AND IT'S IMPORTANT TO ALSO REMEMBER THAT THIS IS AN EXPERIMENTAL -- THIS ISN'T EXPERIMENTAL.

THIS HAS BEEN AROUND FOR MANY YEARS.

BUT THE ONE NEAT THING THAT WE HAVE TO OFFER OUR PATIENTS NOW PHOENIX IS THIS ADDITIONAL THERAPEUTIC OPTION, SO THAT FOR THESE POOR INDIVIDUALS THAT HAVE THIS DIFFICULT CANCER, THEY NOW HAVE ONE MORE TOOL IN THEIR TOOL BOX THAT WE CAN USE TO FIGHT THEIR CANCER.

>> IF IT'S USED IN CONJUNCTION, DOES THAT MEAN THAT MORE CHEMOTHERAPY, MORE CHEMO OR DRUGS CAN BE APPLIED?

>> IN GENERAL, YES.

THE JOB OF THIS IS TO ESSENTIALLY TRY TO BRING THE CANCER BURDEN BACK DOWN SO THAT THEY CAN CONTINUE TO GET MORE CHEMOTHERAPY IN THE FUTURE.

AND ULTIMATELY, HAVE A MUCH LONGER LIFE, DESPITE HAVING A VERY ADVANCED STAGE OF CANCER.

>> HOW DO YOU KNOW IF YOU'RE A CANDIDATE FOR THIS?

>> YOU'VE GOTTA COME AND SEE ONE OF THE PHYSICIANS THAT TRANSFORM TO GET EVALUATED.

LIKE YOU MENTION AT BANNER MD ANDERSEN, WE HAVE TWO PHYSICIANS ACROSS TWO DIFFERENT PARTS OF THE CITY.

SO BANNER MD ANDERSEN HAS FOUR TOTAL FACILITIES LOCATED IN FOUR PARTS OF PHOENIX, AND AT ANY OF OUR LOCATIONS WE'D BE HAPPY TO SEE A PATIENT TO SEE IF THEY'RE A CANDIDATE FOR THIS GREAT PROCEDURE.

>> FROM YOUR ANGLE, FROM YOUR PERSPECTIVE, HOW DO YOU KNOW THAT THIS PERSON WHO CAME IN, THAT'S A CANDIDATE?

>> THAT'S A GREAT QUESTION.

SO THE WAY I THINK ABOUT IT IS, ONE, WE WANT TO HAVE A CANCER THAT RESPONDS TO CHEMOTHERAPY SO WE CAN USE IT.

THE SECOND WE WANT TO IDENTIFY A CANCER THAT'S NOT SO AGGRESSIVE THAT THE CHEMOTHERAPY'S NOT GONNA HAVE A CHANCE TO WORK.

AND THE THIRD IS WE WANT TO FIND SOMEBODY THAT HAS A RELATIVELY LOW ENOUGH BURDEN OF CANCER TO WHERE WE CAN FEEL CONFIDENT THAT WE CAN GET IT YOU A OUT WHEN WE DO THE SURGERY.

>> THAT'S AN INTERESTING POINT BECAUSE IF YOU CAN'T GET IT ALL, IF THE SURGERY DOESN'T GET ALL OF IT OUT, I MEAN, DOES THAT CANDIDATE -- DO YOU PROCEED WITH THEY HOT CHEMOTHERAPY OR IS IT SOMETHING THAT THEN WILL HAVE TO WAIT?

>> NO.

TYPICALLY WE DO A LOT OF DIFFERENT STUDIES AHEAD OF THE BIG SURGERY, A COMBINATION OF CT SCANS AND SOMETIMES EVEN JUST PUTTING A CAMERA IN TO LOOK AROUND BEFORE COMMITTING A PERSON.

BECAUSE THIS IS A BIG OPERATION, TED.

THESE OPERATIONS CAN TAKE ANYWHERE FROM 8 TO SOMETIMES EVEN 20 HOURS.

PEOPLE ARE IN THE HOSPITAL FOR SOME TIMES 7 TO 14 DAYS.

SO BEFORE WE PUT SOMEBODY THROUGH IT, WE WANT TO MAKE SURE THAT IT'S THE RIGHT THING TO DO FOR THEM.

>> AND LET'S SAY SOMEONE GETS PUT THROUGH IT AND IT WORKS, EVERYTHING'S -- IT'S A GOOD THING.

ARE THERE SIDE EFFECT AS SOON AS WHAT DO THEY EXPERIENCE AFTERWARDS?

>> YEAH.

TYPICALLY I TELL EVERYONE THE INITIAL RECOVERY IS TOUGH.

USUALLY THOSE FIRST TWO TO THREE MONTHS, IT'S A BIT OF AN UPHILL STRUGGLE WITH EATING AND ACTIVITY.

BUT USUALLY BY SIX MONTHS, UNIVERSALLY PEOPLE ARE BACK TO HAVING A VERY NORMAL QUALITY OF LIFE.

BUT THESE ARE ALL THINGS THAT WE GO THROUGH IT'S NOT A DECISION THAT'S TAKEN EASILY OR LIGHTLY AND IT'S A TEAM APPROACH THAT CONTRIBUTES TO IT.

>> AND I ASKED YOU EARLIER WHY ABDOMINAL CANCER WAS THE FOCUS HERE.

BUT COULD THIS IN THE FUTURE, NEIGHBOR A MORE, I DON'T KNOW, TARGETED OR FOCUSED WAY, APPLY TO OTHER CANCERS?

>> ABSOLUTELY.

SO THIS SIMILAR CONCEPT HAS BEEN APPLIED IN CERTAIN OTHER CENTERS TO PEOPLE THAT HAVE DISEASE INSIDE THEIR CHEST CAVITY, FOR EXAMPLE.

SO THAT DOES EXIST.

BUT THIS THERAPY ALSO DOVE TAILS SOME OF THE OTHER THERAPIES WE OFFER AT BANNER MD ANDERSEN, INCLUDING CHEMOTHERAPY WHICH BOOST THE BODY'S OWN ABILITY TO FIGHT CANCER AND TARGETED LOCATIONS, SO WE CAN INTEL GENTLY FOCUS ON CANCERS.

THESE ARE ALL PART OF A HUGE REAL PENELOPE OF OPTIONS THAT CAN RESOLVE THESE.

>> AND AMINO THERAPY, IS -- IMMUNOTHERAPY.

WE'VE MADE HUGE STRIDES OF IMMUNOTHERAPY, THAT I THINK IT'S BECOME STANDARD PRACTICE BUT ALSO THERE'S OTHER THINGS CALLED CARKEY THERAPY AND A LOT MORE TO COME.

>> WE DID A SEGMENT ON THAT NOT TOO LONG AGO.

DOCTOR, GOOD TO HAVE YOU.

THANK YOU FOR THE INFORMATION.

>> THANK YOU FOR HAVING ME.

>> THAT'S FOR NOW.

I'M TED SIMONS, THANK YOU FOR JOINING US.

YOU HAVE A GREAT EVENING.