>> COMING UP NEXT ON ARIZONA HORIZON: WE'LL HEAR ABOUT A DISPUTE BETWEEN THE CITY OF CHANDLER AND A LOCAL WATER COMPANY... ALSO TONIGHT: TSMC IS ON THE HUNT FOR HOME-GROWN TECHNICIANS TO WORK AT THEIR ARIZONA SEMI- CONDUCTOR PLANTS... 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.

A FORMER FBI WHISTLE-BLOWER HAS FILED TO RUN FOR CONGRESS IN ARIZONA.

JONATHAN CURTIS BUMA CLAIMED THAT THE FBI SUPPRESSED HIS INVESTIGATIONS INTO DONALD TRUMP'S LAWYER, RUDY GIULIANI.

BUMA WAS SUBSEQUENTLY CHARGED WITH DISCLOSING CONFIDENTIAL INFORMATION, INCLUDING SENDING FILES TO FAMILY MEMBERS.

AS THAT COURT CASE CONTINUES, BUMA IS NOW PLANNING TO RUN FOR ARIZONA'S 6TH CONGRESSIONAL DISTRICT AS A DEMOCRAT.

CD-6 IS CONSIDERED A COMPETITIVE SEAT.

IT'S CURRENTLY HELD BY REPUBLICAN JUAN CISCOMANI.

A FEDERAL JUDGE IN TEXAS TODAY PERMANENTLY BARRED THE TRUMP ADMINISTRATION FROM USING THE ALIEN-ENEMY ACT TO DEPORT VENEZUELANS NEITHER CHARGED NOR CONVICTED OF A CRIME.

THE ACT IN QUESTION DATES BACK TO THE 18TH CENTURY AND WAS PASSED WHEN FRANCE THREATENED THE FLEDGLING U.S. WITH WAR.

THE JUDGE TODAY RULED THAT THE ADMINISTRATION HAS IMPROPERLY STRETCHED THE MEANING OF THAT LAW, WHICH TARGETED MEMBERS OF HOSTILE FOREIGN NATIONS DURING TIMES OF MILITARY CONFLICT.

TODAY'S RULING APPLIES ONLY TO VENEZUELAN IMMIGRANTS IN THE SOUTHERN DISTRICT OF TEXAS.

PRESIDENT TRUMP TODAY ANNOUNCED THAT MICHAEL WALTZ IS NO LONGER THE NATION'S NATIONAL SECURITY ADVISOR.

IT'S THE FIRST SIGNIFICANT SHAKEUP OF THE CURRENT TRUMP WHITE HOUSE.

THE MOVE COMES AFTER WALTZ ACCIDENTALLY INCLUDED A JOURNALIST ON A GROUP-CHAT TO DISCUSS WHAT WAS SUPPOSED TO BE SENSITIVE MILITARY OPERATIONS AGAINST YEMEN.

THAT SAME INCIDENT INVOLVED DEFENSE SECRETARY PETE HEGSETH WHO IS STILL ON THE JOB, SOMETHING THAT ARIZONA SENATOR MARK KELLY NOTED.

>> I THINK THEY'RE HOLDING THE WRONG GUY ACCOUNTABLE.

I THINK -- YOU KNOW, THE PART THAT WAS MOST TROUBLING TO ME ABOUT THIS WAS THE INFORMATION WE SHARE, NOT ACCIDENTALLY PUTTING A JOURNALIST ON THERE.

THAT IS -- YOU KNOW, THAT WAS AN UNFORTUNATE MISTAKE.

THE INTENTIONAL PIECE OF THIS WAS SHARING INCREDIBLY SENSITIVE INFORMATION ABOUT A STRIKE OFF OF AN AIRCRAFT CARRIER, PUTTING PILOTS AT RISK.

YOU KNOW, SO I -- I MEAN, I THINK THAT'S WHERE THE ACCOUNTABILITY SHOULD BE, NOT WITH THE NATIONAL SECURITY ADVISOR.

THAT'S MY VIEW.

>> HAVE YOU GUYS GOT -- >> IT'S NOT A SURPRISE TO SEE THIS.

I THINK THEY FIRED THE WRONG GUY.

>> SECRETARY OF STATE MARCO RUBIO WILL SERVE AS INTERIM NATIONAL SECURITY ADVISOR.

AS FOR WALTZ, THE PRESIDENT SAID TODAY HE'S NOMINATING WALTZ TO SERVE AS U.S.

AMBASSADOR TO THE UNITED NATIONS.

>>> AND U.S. MANUFACTURING OUTPUT IN APRIL SAW ITS BIGGEST CONTRACTION SINCE THE START OF COVID IN 2020 ACCORDING A SURVEY FROM THE INSTITUTE FOR SUPPLY MANAGEMENT WHICH CITES UNCERTAINTY STEM FORECAST PRESIDENT TRUMP'S TARIFFS AS A MAJOR FACTORS.

COMPANIES REACT TO AN KNOWN ECONOMIC ENVIRONMENT.

>>> THE ARIZONA SUPREME COURT IS REVIEWING A CASE INVOLVING THE CITY OF CHANDLER AT A LOCAL WATER COMPANY THAT THE CITY CLAIMS IS FAILING TO HONOR AN AGREEMENT TO PROVIDE WATER FOR URBAN AREAS THAT WERE ORIGINALLY FARMLANDS.

THE CITY CONTENDS THAT THE WATER DISTRICT IS STILL TAX RESIDENTS AND FAILING TO PROVIDE WATER.

FOR MORE ON THIS WE WELCOME CAND LYNN MAYOR HARTKE.

WHAT EXACTLY IS GOING ON?

>> WE HAD A CONTRACT IN 2002 AND TENDS TO BE 2086, WHICH IN THAT THEY WOULD SELL US WATER, AND FROM THAT WE WOULD MAINTAIN CANALS AND RECEIVE WATER.

THEY VOIDED THAT UNILATERALLY, AND THEY'VE NOT SOLD US WATER IN THE LAST 10 YEARS.

WE SUED THEM IN 2022, ONE IN SUPREME COURT, LOST AN APPEAL DUE TO A TECHNICALITY OF THE AMOUNT OF TIME YOU'RE SUPPOSED TO BE ABLE TO SUE.

BUT THE SUPREME COURT HAS PICKED IT UP AND WILL BE REVIEWING THIS NEXT MONTH.

>> SO YOUR CLAIM IS THAT THE CITY TAXES, THEY'RE PAYING FOR WATER THAT IS, WHAT, IS SIMPLY NOT AVAILABLE, THEY'RE NOT SELLING IT?

I DON'T UNDERSTAND THAT.

>> SO ABOUT 27,000 HOUSEHOLDS, 29% OF THE DISTRICT IS BEING TAXED TO A TOTAL OF $1.7 MILLION ANNUALLY.

AND WE'RE NOT RECEIVING ANY WATER FROM THAT.

AND THEY'RE NOT RECEIVING THE BENEFIT.

YET, THEY'RE BEING TAXED.

>> AND WHAT'S HAPPENING TO THE WATER?

>> I WISH I KNEW.

IT'S RW CDs WATER.

AND A COUPLE OF YEARS AGO WHEN WE HAD THE SURPLUS, THEY EVEN ALLOWED IT TO FLOW OVER THE DAM AND LOSE IT RATHER THAN SELL TO US.

>> IS THERE SOMETHING ELSE GOING ON HERE?

DO YOU THINK THAT THE DISTRICT IS TRYING TO GET TO YOU SIGN A NEW CONTRACT, TRYING TO CHANGE TERMS?

WHAT'S -- AGAIN, IT SEEMS LIKE A EQUALS B. I DON'T GET IT.

>> WE TRIED SINCE ABOUT 2018 TO COME TO GRIPS WITH A CONTRACT AND FORCE THE EXISTING ONE, SIGN A NEW ONE, BUT WHAT WE NEED AS A CITY IS CERTAINTY.

SO IF THEY HAVE X AMOUNT OF WATER THAT THEY WILL SELL US A PERCENTAGE OF WHATEVER AVAILABLE WATER IS AFTER THEY'VE COMPLETED ALL OF THEIR OTHER OBLIGATIONS, THEY RECEIVED 5.6% OF SRP'S WATER.

WE BELIEVE AFTER ALL OF THE OTHER OBLIGATIONS THEY SHOULD SELL US 29% OF WHAT'S LEFT AFTER OTHER THINGS, AND THEY'RE UNWILLING TO EVEN GIVE US ANY CERTAINTY AT ALL.

>> YEAH, AND AGAIN, THEY SAID THE AGREEMENT WAS TERMINATED IN 2018 EFFECTIVELY -- I THINK THE QUOTE WAS EFFECTIVELY ENDED MANY YEARS AGO BECAUSE OF SIGNIFICANT INACTIVITY.

WHAT ARE THEY GETTING AT HERE?

ARE THEY BASICALLY SAYING THIS WAS SUPPOSED TO BE FOR FARMLAND?

THIS AIN'T FARMLAND HIM?

>> WELL, WE DON'T KNOW WHAT THEY'RE SAYING BECAUSE WE'VE ASKED FOR WATER EVERY YEAR AND MAYBE THEY DON'T HAVE WATER BECAUSE 29% OF 0 IS STILL 0.

WE'VE ASKED EVERY YEAR.

SO WE ARE AS PER MECHANICKED AS ANYBODY ELSE.

>> IS THE CITY NOW USING SIGNIFICANTLY LESS OF AN AMOUNT OF WATER THAN WHEN THE CONTRACT, WHEN THE AGREEMENT WAS ORIGINALLY MADE?

>> WELL, THAT IS UP TO THEM.

WE'LL TAKE ALL THE WATER THAT THEY'RE WILLING TO SELL US.

SO IT'S NOT ON OUR END BECAUSE IT'S A VALUABLE COMRADERY, AND THIS IS A PRODUCT OF AG TO URBAN THAT WE'RE SEEING IN OTHER CONVERSATIONS.

ALL OF THIS LAND USED TO BE AGRICULTURE.

BUT WHEN IT BECAME URBAN A LOT OF THE TAXPAYERS THAT WERE PAYING, THEIR LAND IS NO LONGER ACCESSIBLE SO WE BECOME THE IMMEDIATE-YEAR.

>> DID THE ORIGINAL AGREEMENT SAY THAT X AMOUNT OF WATER WAS NEEDED BY THE CITY BECAUSE FARMLAND NEEDED X AMOUNT OF WATER.

YOU'RE NOW ASKING FOR Y AMOUNT OF WATER BECAUSE THE X ISN'T NEEDED.

IT'S NOT FARMLAND ANYMORE.

THAT CHANGES THE AGREEMENT OR IN SOME CASES PULLFIES THE AGREEMENT.

>> I HONESTLY DON'T KNOW WHAT THEY'RE SAYING BECAUSE TECHNICALLY THEY HAVE A WATER DISTRICT OF 40,000 ACRES THAT COVERS MESA, GILBERT AND CHANDLER AND THEY'RE UNDER A STATE AGREEMENT.

THEY'RE SELLING WATER TO THE GILA RIVER SO THEY CAN'T DO ANYTHING ELSE WITH IT, AND WE'VE ALREADY BELIEVED IN WHAT -- WHATEVER A SHARE OF WATER IS AVAILABLE.

AND NOW THEY JUST REFUSE TO SELL US ANY WATER.

>> HOW MUCH OF CHANDLER IS AFFECTED BY THIS?

>> 29% OF THE RWCD IS IN MOST IF NOT ALL OF SOUTHEAST CHANDLER.

>> AND THIS IS NOW BASICALLY HOMES FOR THE MOST PART?

HOMES AND BUSINESSES.

>> YES.

THEY WERE ONCE AGRICULTURAL, THEY'RE SOLD, THEY'RE NOW HOMES.

>> WHERE ARE YOU GETTING THE WATER NOW.

>> WE GET WATER FROM SALT RIVER, FROM CENTRAL ARIZONA PROJECT, FROM GROUND WATER, AND WHILE THIS IS NOT A HUGE AMOUNT OF WATER, IN THE STATE WHERE WE'RE TRYING TO HAVE ASSURANCE AND WATER STABILITY IN OUR PORTFOLIO, IT ALL COUNTS.

>> IT SOUNDS -- AGAIN, I GOT $8 MILLION OVER THE PAST SIX YEARS FOR NO WATER.

YOU PAID THIS MONEY AND GETTING NO WATER YEAR AFTER YEAR, IT'S GOING IN, IT'S GOING IN.

WHY IS IT STILL GOING IN IF YOU'RE NOT GETTING -- AT WHAT POINT DO YOU JUST SAY, YOU KNOW, WE'RE GETTING NOTHING HERE, WE'RE STOPPING THE PAYMENTS?

>> WELL, IT'S TACKED ON TO THE TAXPAYERS' BILLS.

SO THE CITY DOESN'T PAY THAT.

IF YOU HAVE ONE OF THOSE HOUSES, IT'S AUTOMATICALLY STUCK ON YOUR WATER BILL.

>> CAN THE CITY DO SOMETHING ABOUT THAT?

>> THAT'S WHAT WE'RE DOING RIGHT NOW.

WE'RE TRYING TO SAY IF YOU'RE NOT GIVING BENEFIT, THEN THESE -- IF YOU'RE NOT GETTING BENEFITS, THEN THESE RESIDENTS SHOULD NOT BE TAXED.

>> BUT PRIOR TO GETTING THE SUPREME COURT INVOLVED AND THESE SORT OF THINGS CONSIDERING THE CITY DO SOMETHING TO SAY YOU SHOULDN'T BE TAXED IF YOU'RE NOT GETTING WATER?

>> I BECAME MAYOR IN 2018, AND WE HAVE BEEN TRYING TO GET WATER FROM THEM, TO HAVE A CONTRACT, AND EVERY TIME I THINK WE'RE CLOSE, SUDDENLY THEY TURN ON A DIME AND GIVE US NOTHING.

>> IS THE STATE INVOLVED WITH THIS?

STATE LAWMAKERS LOOKING AT THIS?

>> OUR LAWMAKERS ARE LOOKING AT THIS FROM THE ASPECT OF GOVERNMENT SHOULD NOT BE RESTRAINED TO A ONE-YEAR WINDOW OF NEGOTIATION BECAUSE WE TRIED IN GOOD AGREEMENT TO NEGOTIATE AN AGREEMENT.

IN ESSENCE RWCD SAID WE'RE NOT GOING TO GIVE YOU WATER NOW AND THEIR CASE WAS OVERTHROWN ON THE FACT OF THE TECHNICALITY THAT THEY'RE SAYING YOUR STATUES OF LIMITATION HAS BEEN ENDED.

WE WERE BUSY TRYING TO RESOLVE THIS ISSUE WITH THEM.

ISN'T THAT A BETTER PLAN TO HAVE GOVERNMENT ENTITIES TRYING TO WORK ON A SOLUTION RATHER THAN SUING EACH OTHER WILLIE NILLY?

>> THE COMFORT APPEALS SAYS NO, BUT I GUESS THAT'S WHY IT'S THE SUPREME -- WHAT'S THE TIMETABLE NOW WITH THE SUPREME COURT?

>> JUNE THEY WILL BE HEARING ARGUMENTS WITH US, AND WE BELIEVE THAT THEY'VE PICKED IT UP BECAUSE THEY AT LEAST HAVE QUESTIONS ON THIS ONE YEAR OF STATUE OF LIMITATIONS.

>> INTERESTING.

OBVIOUSLY THAT'S WHAT THE APPEAL'S FOR AND THEN YOU KIND OF TAKE FROM THERE.

ALL RIGHT, MAYOR, GOUT ADVANCED ALREADY -- MAYOR, INTERESTING STORY.

I STILL DON'T QUITE UNDERSTAND HOW MONEY GOES IN BUT NOTHING COMES OUT, BUT I GUESS WE'RE GOING TO FIND OUT FROM THE COURT HOW THAT RESOLVES.

>> I HOPE SO BECAUSE WE TODAY STILL DON'T UNDERSTAND THEIR POSITION ON WHY THEY WON'T SILLS WATER.

>> MAYOR, GOOD HAVE YOU HERE.

>> ALWAYS GOOD.

>> >> MASSIVE NEW SEMICONDUCTOR PLANTS BEING BUILT IN NORTH PHOENIX COME WITH A MASSIVE NEED FOR QUALIFIED WORKERS.

CHIP-MAKER TSMC HAS DEVELOPED AN APPRECENTICESHIP PROGRAM TO HELP RECRUIT AND TRAIN ALL SORTS OF TECHNICIANS AND SPECIALISTS TO WORK AT THE PLANTS.

JOINING US NOW IS ROSE CASTANARES, PRESIDENT OF TSMC ARIZONA.

WELCOME TO ARIZONA HORIZON.

THIS IS AN APPRENTICESHIP PROGRAM THAT EXIST BUT IT'S EXPANDING, CORRECT?

>> CORRECT.

WE HAD AS PILOT THAT STARTED LAST YEAR, LAST SPRING AND IT WAS FOR OUR FACILITIES TECHNICIANS.

WE PILOTED THE PROGRAM AND NOW EXPANDING IT TO EQUIPMENT TECHNICIANS AND PROCESS TECHNICIANS AND FAIRLY SOON IT WILL BE MANUFACTURING SPECIALISTS TECHNICIANS.

AND THESE SPECIALISTS, APPRENTICESHIP PROGRAMS ARE THE FIRST OF ITS KIND IN THE COUNTRY.

>> AND THIS IS BASICALLY ON-THE-JOB TRAINING.

>> YES, ON THE JOB AND ALSO IN CLASSROOM WITH MANY OF OUR COMMUNITY COLLEGES PARTICIPATING.

>> SO IT IS KIND OF TARGETED TOWARDS ARIZONA RESIDENTS, IS IT NOT?

>> ABSOLUTELY.

WE ARE COMMITTED TO HIRING LOCALLY.

WE WANT TO MAKE SURE THAT WE HAVE AS MANY PEOPLE FROM ARIZONA BE AVAILABLE TO HAVE THESE GREAT JOBS.

>> LET'S TALK ABOUT SOME OF THESE DIFFERENT APPRENTICESHIP PROGRAMS.

EQUIPMENT TECHNICIANS, THIS IS NOW AT THE STRAHAN MOUNTAIN COMMUNITY COLLEGE.

HOW DOES THAT WORK?

>> YES.

THE APPRENTICESHIP PROGRAM VARIES, BUT GENERALLY ABOUT 1 TO 3 YEARS.

AND IT'S ON THE JOB.

THEY ARE OFFICIALLY TSMC EMPLOYEES, BUT WE GIVE THEM TIME TO BE ABLE TO GO TO THE COLLEGES AND LEARN IN-SCHOOL TRAINING.

AND WE ALSO HAVE AVAILABILITY FOR THEM TO, YOU KNOW, DO MULTIPLE TYPES OF JOBS.

SO IT'S VERY STRUCTURED.

>> A PROCESS TECHNICIAN.

THERE'S ANOTHER APPRENTICESHIP PROGRAM FOR THAT.

TALK TO US ABOUT THAT.

>> OH, THAT'S REALLY EXCITING.

THAT'S A SEMICONDUCTOR PROCESS TECHNICIAN.

AGAIN, ONE OF THE FIRST IN THE COUNTRY, IF NOT THE FIRST.

AND IT IS PART OF A NANO TECHNOLOGY, A TECHNICIAN PROGRAM THAT WE DEVELOPED IN CON CONJUNCTION WITH NORTHERN ARIZONA ANNIVERSARY AND RIA SALADO COLLEGE.

>> AND NAU, I IMAGINE THERE'S OPPORTUNITY FOR ADVANCEMENT IN TERMS OF EDUCATION, TRUE?

>> YES, ABSOLUTELY.

MANY OF OUR TECHNICIANS OVER THE YEARS CONTINUE TO DO MANY DIFFERENT THINGS, WE WANT OUR EMPLOYEES TO HAVE THEIR ENTIRE CAREER AT TSMC.

WE WILL INVEST.

WE ARE INVESTING.

WE'VE INVESTED $5 MILLION JUST AT THE START, AND WE WANT HOME TO CONTINUE TO TRAIN AND GROW.

THERE'S MANY OPPORTUNITIES.

WE'RE GONNA BE HERE FOR A LONG TIME.

>> YEAH.

SOUNDS LIKE IT.

A MANUFACTURING TECHNICIAN SPECIALIST.

THIS IS APPARENTLY PRETTY INTENSIVE, INVOLVES GRAND CANYON AND WEST MECK.

>> CORRECT, YES.

AND THIS IS ALSO VERY EXCITING BECAUSE THERE'S NOTHING REALLY LIKE IT.

IF YOU LOOK AT SEMICONDUCTOR PROCESS TECHNOLOGY AT TSMC, THAT THEY'RE MAKING RIGHT HERE IN ARIZONA, IT IS THE MOST ADVANCED TECHNOLOGY AND PRODUCTION IN THE UNITED STATES.

THIS IS THREE NANO METER TECHNOLOGY, FAB 3 WE JUST BROKE GROUND ON.

IT WILL BE TWO NANO METERS AND BELOW.

>> AND I WANT TO GET BACK TO THAT IN A SECOND.

BUT THE LAST ONE, THIS FOURTH ONE IS FACILITY TECHNICIANS, IN CLASS-ROOM MINUTE AT STRAHAN COMMUNITY COLLEGE AGAIN.

WHAT DOES THAT INVOLVE?

>> SO IF PEOPLE LIKE WORKING WITH THEIR HANDS.

LIKE TO WORK ON ENGINES AND ASSEMBLE AND DISASSEMBLE AND MAINTAIN, BASICALLY ALL KINDS OF DIFFERENT EQUIPMENT.

AND WE'RE NOT TALKING ABOUT JUST CAR ENGINES.

WE'RE TALKING ABOUT SOPHISTICATED MILLIONS, TENS OF MILLIONS DOLLARS PIECES OF EQUIPMENT.

>> AND THAT'S WHAT I WANT TO GET BACK TO, BECAUSE SOME OF THIS STUFF SOUNDS REALLY SOPHISTICATED.

IT SOUNDS VERY FINELY TUNED.

I MEAN, IT SEEMS LIKE IT'S SOMETHING THAT MORE -- AN APPRENTICESHIP PROGRAM WOULD BE GREAT FOR THE GROUND FLOOR BUT YOU REALLY GOTTA KNOW A LOT TOWARD THE END, DON'T YOU.

>> THEY ALL LEARN.

AND OUR FIRST COHORT FROM LAST SPRING, THEY ARE ALL THRIVING, AND THEY'RE ALL EXCITED.

I MET AND WELCOMED OUR COHORT A FEW WEEKS AGO FOR THE EQUIPMENT AND PROCESS TECHNICIANS, AND THESE KIDS ARE JUST RARING TO GO.

AND THEY'RE SO EXCITED.

I MEAN, THEY'RE WORKING ON SCANNING ELECTRON MACHINES.

AND BUMPS AND REALLY INTERESTING THINGS.

>> HOW MUCH INVESTMENT IS TSMC MAKING IN THIS?

>> AT LEAST 5 MILLION IN THE START AND WE WILL CONTINUE TO INVEST.

ON THE JOB TRAINING FOR THE APPRENTICESHIP PROGRAM, THAT'S JUST THAT BUT WE ALSO HAVE ONGOING TRAINING FOR OUR EMPLOYEES.

WE PAY FOR TUITION AS THEY TONIGHT GROW WITH TSMC.

SO, LIKE I SAID, IT'S BREAK THE STEREOTYPICAL MANUFACTURING.

MANUFACTURING SOUNDS KIND OF BORING, BUT YOU HAVE LIKE THIS ASSEMBLY LINE.

THIS IS NOTHING LIKE IT.

THIS IS THE MOST ADVANCED STUFF IN THE UNITED STATES.

WE'RE MOVING ATOMS AND CHANNELING ELECTRONS, THIS IS REALLY, REALLY COOL STUFF.

>> I WAS GONNA SAY, WHEN I THINK OF SEMICONDUCTOR MANUFACTURING, I DON'T THINK OF ASSEMBLY LINES.

I THINK IF THINGS REALLY TAKE A LOT OF TRAINING AND THE FACT THAT THESE KIDS ARE GETTING KIND OF APPRENTICESHIP PROGRAM AND THIS BE KIND OF TRAIN AND IT'S ALL HERE IN ARIZONA.

I WOULD IMAGINE, AND I'D HEARD THAT ARIZONA, THE EDUCATIONAL FACILITIES, THE OPPORTUNITIES HERE, ONE OF THE MANY REASONS THAT TSMC IS HERE.

>> ABSOLUTELY.

WE HAD A DUE DILIGENCE TEAM THAT WENT OUT IN 2019, 2020 AND MULTIPLE STATES, MULTIPLE CITIES, AND ARIZONA WON BECAUSE FIRST OF ALL THEY HAD AN EXISTING ECHO SYSTEM, BUT REALLY IT WAS BECAUSE WE WANTED TO BE ABLE TO TAP INTO A GREAT UNIVERSITY SYSTEM AND COMMUNITY COLLEGE SYSTEM, AND ASU WAS A GREAT PARTNER.

THE COMMUNITY COLLEGES HAVE BEEN WONDERFUL TO COLLABORATE WITH.

>>> SOUNDS LIKE A GREAT PROGRAM.

TSMC ARIZONA, CONGRATULATIONS, AND BEST OF LUCK.

>> THANK YOU VERY MUCH.

>> A NEW SURGICAL PROCEDURE KNOWN AS "HOT CHEMOTHERAPY" IS HELPING TREAT PATIENTS WITH CERTAIN CANCERS OF THE ABDOMEN.

WE LEARNED MORE FROM DR. RAJESH RAMANA-THAN, WHO IS ONE OF TWO ONCOLOGISTS AT BANNER MD ANDERSON CANCER CENTER, WHO PERFORM THE PROCEDURE.

>> THIS IS CALLED HOT CHEMOTHERAPY.

WHY IS IT CALLED THAT?

>> SURE.

IT'S PART OF A LARGER ACRONYM, HEATED CHEMOTHERAPY.

IT'S A PROCEDURE THAT'S BEEN AROUND FOR SEVERAL YEARS.

BUT IT'S A PROCEDURE WHERE WE HAVE MORE AND NOR DATA THAT IT CAN REALLY HELP A SELECT GROUP OF PATIENTS THAT HAVE VERY ADVANCED STAGES OF CANCER WITHIN THEIR ABDOMINAL CAVITY.

>> WHY ABDOMINAL CANCER AND NOT OTHER CANCERS?

>> SURE.

OUR ABDOMINAL COMPARTMENT IS LIKE A CONTAIN HEAR 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.

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 HOLT CHEMOTHERAPY COME 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 SPREADS THE CANCER CELLS AROUND.

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

AND THE TWO PARTS THAT YOU REFERRED TO, THE FIRST PART INVOLVES REMOVING ANY OF THE CANCER THAT WE CAN SEE OR FEEL, AND THEN THE CHEMOTHERAPY IS THERE TO REALLY TREAT THOSE FLOATING CANCER CELLS THAT AREN'T VISIBLE TO TO THE NAKED EYE TO TRY TO PREVENT IT FROM COMING BACK AGAIN IN THE FUTURE.

>> SO CORRECT ME IF I'M WRONG, THESE ARE HEATED KEEM DRUGS, THEY'RE APPLIED DIRECTLY IN THERE.

>> CORRECT, EXACTLY.

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

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

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

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

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

AND IT'S IMPORTANT TO ALSO REMEMBER THAT THIS THIS IS EXPERIMENTAL -- THIS IS EXPERIMENTAL.

THIS HAS BEEN AROUND FOR MANY YEARS BUT THE ONE NEAT THING WE HAVE TO OFFER OUR PATIENTS NOW IN PHOENIX, IS THIS ADDITIONAL THERAPEUTIC OPTION, SO FOR THESE POOR INDIVIDUALS THAT HAVE THIS DIFFICULT CANCER, THEY NOW 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 SLID INTO.

>> IN GENERAL, YES.

THE JOB OF THIS IS TO ESSENTIALLY TRY TO BRING THE CANCER BURDEN BACK DOWN SO THAT THEY COMPANY 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 GET EVALUATED FOR THIS?

>> YOU HAVE TO SEE ONE OF THE PHYSICIANS.

WE HAVE TWO DIFFERENT PHYSICIANS ACROSS TWO DIFFERENT PARTS OF THE CITY.

SO BANNER AND D ANDERSON HAVE FOUR DIFFERENT FITS LOCATED IN FOUR PARTS OF PHOENIX.

AT ANY OF OUR LOCATIONS WE'D BE HAPPY TO SEE A PATIENT TO SEE IF THERE'S A CANDIDATE WITH 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.

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 IS NOT GOING TO 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 ALL 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 THIS HOLT CHEMOTHERAPY OR IS THAT SOMETHING WHERE YOU HAVE TO WAIT?

>> NO, TYPICALLY WE DO A LOT OF DIFFERENT STUDIES AHEAD OF THE BIG SURGERY.

A COMBINATION OF CT SCANS AND SOMETIMES PUTTING A CAMERA IN TO LOOK AROUND BEFORE COMMITTING A PERSON BECAUSE THIS IS A BIG OPERATION, TED.

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

PEOPLE ARE IN THE HOSPITAL FOR SOMETIMES 7 TO 14 DAYS.

>> WOW.

>> SO BEFORE WE PUT SOMEBODY THROUGH IT, WASN'T TO MAKE SURE THAT'S THE RIGHT THING TO DO FOR THEM.

>> AND LET'S SAY SOMEONE GETS PUT THROUGH AND IT WORKS, 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, THIS ISN'T 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 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 DUCK TAIL SOME OF THE OTHER THERAPIES WE OFFER, CANDLELIGHT VIGIL HUGE KNOW THERAPY, WHICH BOOST THE BODY'S OWN ABILITY TO FIGHT CANCER.

TARGETED THERAPIES WHICH LOOK AT CERTAIN MUTATIONS, SO WE CAN INTELLIGENTLY LOOK AT THE CANCERS SO IT'S PART OF A PENELOPE OF OPTIONS THAT WE CAN TREAT FOR.

>> AND IMMUNO IMMUNOTHERAPY, I'M NOT HEARING AS MUCH AS I USED TO.

IS THAT BECAUSE IT'S BECOMING STANDARD PRACTICE?

>> ABSOLUTELY.

IMMUNOTHERAPY HAS HAD SUCH WIDE PENETRATION IN MEDICAL PRACTICES.

WE HAVE MADE HUGE STRIDES INIMMUNOTHERAPY THAT I THINK IT'S BECOME STANDARD PRACTICE AND ALSO EXCITING STUFF AHEAD.

SO WE'RE CONTINUING TO INNOVATE AND THERE'S A LOT MORE TO COME.

>> DOCTOR, GOOD TO HAVE YOU HERE.

GOOD INFORMATION.

>> THANK YOU.

>>> AND THAT IS IT FOR NOW.

I'M TED SIMONS.

THANK YOU SO MUCH FOR JOINS.

YOU HAVE A GREAT EVENING.ve that we have such a strong community impact.

Because I get to tell the stories of Arizona.

Really, there's no job more fulfilling than using your skills and talents and abilities to enrich your communities.

The creativity and the passion of my colleagues It's just a great place and I love being here.