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DR. DREW

Admitted Killer, Robert Durst, Literally Dying In Jail; Bobbi Kristina Brown Finally Moved Out Of Intensive Care; Durst May Be Connected To The Disappearance Of A College Student Decades Ago; Kourtney Kardashian`s Husband Scott Disick Left Rehab; A New Study About Porn And Your Sex Life; A Very Disturbing New Teen Trend Called Put Them In A Coffin

Aired March 23, 2015 - 21:00   ET

THIS IS A RUSH TRANSCRIPT. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED.


[21:00:09] DR. DREW PINSKY, HLN HOST OF "DR. DREW ON CALL" PROGRAM: Tonight, is admitted killer, Robert Durst, literally dying in jail? His

attorney says he has cancer. Bobbi Kristina Brown finally moved out of intensive care. Is her family finally facing reality?

Let us get started with "WTF." It is the most shocking story of the night dominating Twitter and Facebook. Robert Durst`s attorney is one of the few

who comes to this admitting killer`s defense. We will hear from him shortly. But, first, does Durst know what people are saying about him?

Does he even care? Take a look.

(BEGIN VIDEO CLIP)

NANCY GRACE, HLN HOST OF "NANCY GRACE" PROGRAM: Why is he smiling?

(END VIDEO CLIP)

(BEGIN VIDEO CLIP)

JUDGE SUSAN CRISS, GALVESTON COUNTY JUDGE WHO PRESIDED OVER ROBERT DURST`S TRIAL IN TEXAS: Everyone wants to assume that he is crazy because it is so

hard to understand how someone could cut up another human being. I realized it was a severed cat head with the front two legs attached. And,

it hit me, "Oh my God! This is a severed head." And, I knew that he had a history of destroying animals and cutting up animals.

(END VIDEO CLIP)

(BEGIN VIDEO CLIP)

JIM MCCORMACK, DURST`S WIFE`S BROTHER: I think he has the ability to just be a sociopath, but I think he is also a narcissistic. And, if you put the

two together, it is -- you know, it is basically the bottom of the barrel.

(END VIDEO CLIP)

(BEGIN VIDEO CLIP)

MICHAEL STRUCK, NYPD DETECTIVE, FIRST INVESTIGATOR ON T HE KATHLEEN DURST MISSING PERSON CASE: Rob Durst seems to be a lucky guy. Some walk free

from it. It sucks, but it is the truth.

(END VIDEO CLIP)

PINSKY: Joining us, Sam Schacher from "Poop Trigger" on Hulu.com; Judy Ho, Clinical Psychologist, professor at Pepperdine University and Mark Eiglarsh

from speaktomark.com. Sam, Durst was in court today. What happened?

SAMANTHA SCHACHER, HOST OF "POP TRIGGER" ON HULU.COM: Let us start with what happened at the end, Dr. Drew. Durst`s attorney gave a 32-second

press conference. He would not take questions. But to sum it up, there is no bail to be expected. Also, they got themselves a hearing on April 2nd

about whether it was legal to arrest Durst on the drug and gun charges in the first place.

PINSKY: Weird. I think it is weirder and weirder. Mark, maybe you can straighten that out for me. Can you help us out here? I mean what are

they talking about? I mean now I feel like the attorneys are into the whole thing as well.

MARK AEIGLARSH, CRIMINAL DEFENSE ATTORNEY: Yes. What do you have a problem with?

PINSKY: I do not understand why they would have -- well, he was caught with firearms illegally and some substances. What does he mean, they have

no right to look at that?

EIGLARSH: Well, that is interesting, you -- well, that is interesting you say that. Drew, I checked the witness list. I did not see your name on

it. The point is, you are hearing -- you are hearing what happened. They need to have hearings to determine whether those things really did happen.

PINSKY: Mark, I am going to go right at this since you are taking my name off the witness list. I have a real issue -- you and I have not talked

about this yet. But I have a real issue with how this case has been reported in the press. First of all, somebody is arrested because of a

T.V. movie, basically. I mean they can spin that however they wish --

EIGLARSH: No.

PINSKY: -- number one. What do you mean -- well --

EIGLARSH: No.

PINSKY: -- quite a coincidence that he was arrested on the day there was this big, big sort of moment in the television series. No?

EIGLARSH: You are swallowing the gullible that the defense lawyer is putting out there. So what if the timing of law enforcement having

probable cause and making an arrest coincides with the movie.

PINSKY: 15 years?

EIGLARSH: How does that makes him less guilty?

PINSKY: What is the timing?

EIGLARSH: I do not understand.

PINSKY: It took them 15 years to come -- 15 years they sit on this stuff and all of a sudden when there is a television show, they direct their

attention that way?

EIGLARSH: No.

PINSKY: Help me understand that.

EIGLARSH: Are you -- Are you yelling at me? Are you really yelling at me? --

(LAUGHING)

PINSKY: I think I am. I believe I am, Mark. I am excited about this.

EIGLARSH: Really?

PINSKY: Yes.

EIGLARSH: You put on that electric blue jacket and that electric blue tie and you are yelling at me?

PINSKY: Well, I had to match your ties.

EIGLARSH: Listen -- Listen -- Yes. Listen, there is no question that the producer helped law enforcement find items that they could not find. Once

they had that, the statements in the bathroom, the two letters that matched up, they had probable cause.

And, I do not care if the producer said, "You know what, can you wait and arrest him right the day before the show airs to help our ratings." So

what? Morally, maybe we have a problem with that. Legally, it does not take away from them having probable cause and proof beyond a reasonable

doubt.

PINSKY: All right. Let me go to another issue that I am concerned about. I mean this guy may be a killer, he might be. But the way they are

spinning it then psychologizing everything and presenting his personality construct is very bizarre to me. But the Attorney Dick DeGuerin talked

about the recent arrest on NBC just this morning. Take a look at this.

(BEGIN VIDEO CLIP)

ATTY. DICK DEGUERIN, DURST`S DEFENSE ATTORNEY: I think that anybody would be a fool to think there was not a connection between the final episode of

the series and the arrest of Mr. Durst.

(END VIDEO CLIP)

PINSKY: And the trigger for all the new legal activity was -- is specifically, especially the so-called bathroom confection from HBO`s "The

Jinx." This is the series we are talking about. Take a look at this.

(BEGIN VIDEO CLIP)

ROBERT DURST, MULTIMILLIONAIRE MURDER SUSPECT: What the hell did I do? Killed them all, of course.

(END VIDEO CLIP)

[21:05:10] PINSKY: Now, Judy, I do not know if this guy is a murderer or not. But what you are hearing there is a guy who is responding to internal

stimuli. He is reacting -- he is literally responding verbally to voices in his head.

JUDY HO, CLINICAL PSYCHOLOGIST: That is right. And, Dr. Drew, this is what disturbs me about this, too, because whoever put the film together,

that team of people, they are construing the story in a certain way to tell their narrative, to tell their story. There must be some bias in there.

And how many of them are actually psychologists, people who are trained to evaluate this person in terms of his psychological functioning? And, are

they weighing things like, is he paranoid schizophrenic? Does he have some kind of psychosis? Instead of, is he this intentional killer that is going

about this --

PINSKY: Or -- by the way, the intentional killer is not the big issue that everyone keeps zeroing in on. They keep saying, spoiled, entitled, rich,

this kind of stuff, which may be true. I do not know. But this guy also clearly has neurological and psychiatric problems. Sam, you want to take

issue with this? Did you see -- show me the neurosurgical scar I was just looking at when the guy was being intake to the jail. What, Sam?

SCHACHER: So what, Dr. Drew? This guy is a murderer.

EIGLARSH: Yes!

SCHACHER: He killed his friend. He admitted it, Dr. Drew. And, then what do innocent people do?

PINSKY: Look at that.

SCHACHER: I am sorry. They do not --

PINSKY: Look at that.

SCHACHER: So what? So what? You are looking at a murderer, Dr. Drew.

PINSKY: Look, Sam. Look, look.

SCHACHER: You are looking at a murderer.

PINSKY: I am looking at a scar on his head there. That is a neuro -- and see he lump on his scalp that goes up from that scar down the back of his

head? That is called a ventriculoperitoneal shunt. He just apparently had that put in. That is -- you know what that is for? That is for

overwhelming pressure in the brain. The fluid builds up --

SCHACHER: I --

PINSKY: Hang on. -- builds up to the point that the brain starts to get squished and things like that gait you are seeing there, that weird

festinating Parkinsonian gait, all these kinds of phenomenon, bizarre behaviors, talking to himself --

EIGLARSH: And --

PINSKY: Judy, back me up.

SCHACHER: I do not care.

PINSKY: I know you do not care, but Judy help me with this --

SCHACHER: Dr. Drew, perhaps that is karma.

HO: Yes.

SCHACHER: Perhaps that is karma for all the people that he murdered, Dr. Drew. For all the animals that he murdered, Dr. Drew. You are looking at

a serial killer. What are you talking about? What are you talking about? Acting like that this guy does not murder or dismember people. Really?

HO: Sam, there is so much data here that actually relates to his medical conditions and the manifestations of those medical conditions. And, I

think the issue here is that we are putting all of this evidence together and some of it actually does speak to the fact that he may have committed

these issues. Some of them do not. Some of them do not actually speak to the fact that he actually did any of these things. OK.

EIGLARSH: All right, let me sort this out for you, legally.

HO: Go ahead. Go ahead, Mark.

PINSKY: Mark -- Mark --

EIGLARSH: Let me sort this out legally.

PINSKY: Mark, hold up. Wait, wait, wait, wait, wait. Hang on, now. Hang on. I agree. I think you are going to get back to the facts. And, let me

pile on to your pile.

EIGLARSH: Yes, why do that. Yes.

PINSKY: But he has this -- the judge says he has a history -- he says -- we do not know. They say he has a history of damaging animals. That is a

bad sign.

HO: Right.

PINSKY: People described him as entitled a narcissistic, sort of getting away with it -- right. And, that may or may not be true. He does appear

to have some sort of thought disturbance. He just had neurosurgery. Are any of these things really relevant when you get right down to it?

EIGLARSH: Yes and no. Court of public opinion, have at it. He was a cross dresser. That means he is guilty. Whatever you want to throw into

the court of public opinion, that is what makes this country great. Your first amendment right to spew whatever you want.

In the court of law, his motivation is irrelevant. Motive never has to be proven unless you are watching a cheesy law drama on television. In court,

we do not have to prove why. And, the thing on his head and all the fancy words you are using can be raised by the defense for one purpose.

If they are alleging that he did not know right from wrong, that he was legally insane, which I am certain they are not going to, because it never

works. That is when that becomes relevant or at sentencing. That is it. Go ahead. Have at it.

HO: What about if he has a psychosis? What about if he has a voice that says to do this and he was in a self protection? What do we do about those

people in the court of law?

EIGLARSH: Right. Well, you enter a not guilty plea by reason of insanity, and then you get the same result with the "American Sniper" case. It works

in a fraction of one percent.

PINSKY: Yes.

EIGLARSH: Because jurors do not want to cut people lose.

PINSKY: Yes, I agree.

SCHACHER: Dr. Drew, he knows what he is doing.

PINSKY: Yes. I think you are right, Mark.

SCHACHER: He knows that --

PINSKY: Sam, I have to go. I got to go. I got to get out. There is another piece of data we have to point out here too. Apparently,

allegedly, he has esophageal cancer too. So, at the opening when I said the guy is literally dying in jail, esophageal cancer is very aggressive,

unless you get it terribly early.

He, apparently, had a surgery for it. If it was not an endoscopic surgery, if it was a surgery with a knife, it is curtains for this guy. Durst may

be connected to the disappearance of a college student decades ago. And, later, Bobbi Kristina is finally moved out of intensive care, finally.

Back after this.

(COMMERCIAL BREAK)

(BEGIN VIDEO CLIP)

[21:10:00] PINSKY: This guy is much more complicated than the press is reporting and this is not a psychological problem. This is not narcissism

and entitlement. This guy is severely psychiatrically ill and medically ill.

See that scar? Now, reliving from that scar, you see that lump under his scalp? That is a plastic tube there that goes down along his neck into his

abdomen to drains cerebrospinal fluid because his brain is under so much pressure they had to put this device in. He has Parkinson`s. He has

hydrocephalus. He is chronically mentally ill. He has auditory hallucinations.

(END VIDEO CLIP)

PINSKY: Back with Sam, Judy and Mark. That is my point, Mark. I know the legal system does not care about any of this, but is not it interesting?

It matters to me. It matters to me that people are misconstruing really sort of obvious medical problems and painting this -- I do not know what he

is. I do not know if he is a killer or if he is unjustly accused.

Whatever he is, the way they are painting the story is so inaccurate. It just bothers me as a physician. So, I am yelling about it all the time,

because it is the context in which this behavior happened that people are missing completely. You say the legal system, it does not care about that.

I do not know. It is hard for me to --

[21:15:09] EIGLARSH: I did not say that.

PINSKY: First of all, it matters a lot for me what goes right on television.

EIGLARSH: Wait, wait, wait.

PINSKY: Well --

EIGLARSH: No, no, no. Back that up. Back that up, Mr. Blue jacket. No, no, no.

PINSKY: It is backed up. It is backed up, Mr. blue tie -- Purple tie.

EIGLARSH: The legal system cares a lot about this in the proper situation. Not in the guilt or innocence phase of a trial, unless the defense is

raising insanity. That is different.

PINSKY: All right. Got it.

SCHACHER: Dr. Drew, can I say something real quick about insanity?

PINSKY: Now, before the HBO documentary, "The Jinx" has been aired, Robert Durst was linked to three deaths, his wife , Kathy McCormack, his friend,

Susan Berman, and his neighbor, Morris Black. Sam, there are more, are not there?

SCHACHER: There are more. OK. So, number one, 16-year-old Karen Mitchell, she vanished in 1997. She was a volunteer at a homeless shelter

in Eureka, California where he had been spotted. Then there had been speculation about 18-year-old Kristen Modafferi who also vanished in 1997.

But, police say they cannot find evidence. And just today he was possibly linked to a 1971 disappearance of Lynn Schulze, a college student in

Middlebury, Vermont where he owned a health food store. And, Dr. Drew, I am about to jump out of my seat with the whole insanity thing. I am sorry.

The guy knows the difference between right --

PINSKY: I am not talking about insanity. I am not talking about insanity.

SCHACHER: I tried to get in about insanity right before this.

PINSKY: I am not talking about insanity. I am not talking about insanity.

SCHACHER: OK. Can I --

PINSKY: I am talking about the way this is being painted in terms of his neuropsychiatric status.

SCHACHER: OK.

PINSKY: It is driving me insane.

SCHACHER: He knows the difference between right and wrong.

PINSKY: They keep on psychologizing this -- yes, he does.

SCHACHER: Yes, he does.

PINSKY: Yes, he does.

SCHACHER: He tries to flee the country.

PINSKY: Absolutely, I am not suggesting that he does not, not for a second. I am talking about how this is being painted so inaccurately and

being assumed and taken up by the press at large. I cannot get it across. This is a complicated problem. It is an opportunity to talk about a

complicated problem. And, it is being massively misrepresented in the way it is being presented.

This guy is hearing voices and responding to them. He had brain surgery. He has esophageal cancer. Is any of that psychological? Does any of that

have to do with being entitled a narcissistic? Does any of that have to do with knowing right and wrong? No.

But, at least he has an accurate conversation about what the heck this is. And, what it is, is something far -- people are playing armchair

psychologist that have no business even addressing this. Judy, back me up. This is a complex situation. And, people need to talk about it much more

accurately. Do you agree with me?

HO: Absolutely, Dr. Drew. And, here is the problem. Because it is so complicated, people do not know what to do with it. And, that is why there

is so much armchair psychology going on, because they are trying to make sense of the situation. We all as human beings, we need to categorize. We

want to understand.

So, instead of getting all of the information possible, they go to the easiest explanation, which is, "Oh, this guy is a psychopath." Like that

just gets thrown around without consideration to the fact that these issues that he is having in his brain are contributing to personality changes

possibly, are contributing to thought disorder possibly. This is just a problem that is too complicated --

PINSKY: And, do not -- they do not mean he is not a killer.

HO: No.

PINSKY: He may be a killer. He may be guilty of all these things. It is possible. But, let us stop with the spoiled brat stuff. This is vastly

more complicated than that.

SCHACHER: OK. He should have gotten help before.

PINSKY: It is not a simple as --

SCHACHER: He should have gotten help before, Dr. Drew.

PINSKY: Of course he should have, and maybe he has.

EIGLARSH: Guys.

PINSKY: We do not know. We do not know. Mark?

EIGLARSH: Drew, I think that you and Judy are making wonderful points. I think it is important to have that dialogue, but I would raise two issues.

Number one, both of you did not treat him.

PINSKY: Right.

EIGLARSH: And, number two, this happened three decades ago.

PINSKY: Yes.

EIGLARSH: So, his current state of mind is relevant, but I do not know how he was 30 years ago when he allegedly committed the offense for which he is

being extradited is a lot more relevant. And, you do not have any handled on how his head was back then.

PINSKY: You know what: I completely, completely agree with you. What I have been taking issue with all along is that we have this television

program that condemns a man in a court of public opinion then magically there is an action by the district attorney`s office -- magically.

And, it is based on a bathroom confession, which is him in the condition I am talking about, with the neurological impairment. The psychiatric -- he

is responding to internal stimuli --

EIGLARSH: No, no, no. Did you see the letters, drew? Drew?

PINSKY: I am just saying, Mark. This is what I am talking about.

EIGLARSH: You are using a lot of big words. But did you see the handwriting and how similar it is.

SCHACHER: Thank you.

EIGLARSH: You do not need an expert and all that stuff. You can see the similarity.

PINSKY: Yes. It is very damning. Absolutely.

SCHACHER: A television program, Dr. Drew, that he sought out?

PINSKY: I am not saying they should not have arrested him a long time ago. I think they probably should have. What I am saying is, let us stop with

looking at this thing on television and not understanding what we are looking at. It is driving me out of my mind.

EIGLARSH: OK.

PINSKY: This guy is -- He is talking to himself -- EIGLARSH: He is crazy. Help people understand it.

SCHACHER: It was his idea.

PINSKY: I am going to start responding to hallucinations myself in a few minutes.

SCHACHER: Me, too.

PINSKY: Judy, help me out with this.

[21:20:03] HO: I feel like you have multiple voices in your head right now, Dr. Drew, condemning you and telling you that you are wrong.

PINSKY: The three of them. The three of them.

HO: That is right.

EIGLARSH: Judy. Judy. it was his idea. I am interested in what is going on in his head. I want to know what is going on in Dr. Drew`s head more

than Durst`s.

HO: Yes. Exactly.

SCHACHER: Thank you.

EIGLARSH: I am more concerned about him right now.

HO: You, guys, are driving him crazy.

EIGLARSH: Why is he so upset?

SCHACHER: I feel like Dr. Drew should be on that jury.

PINSKY: Whoa! One at a time. One at a time.

SCHACHER: Dr. Drew, I am sure the defense would have loved if you are on that jury. Because first of all, he went after that T.V. show. He is the

one that called the director. He is the one that wanted to talk about it, because guess what? He does like the attention. He loved the fact that

that same director made a movie about him --

PINSKY: Yes, he does. I am sure he does.

SCHACHER: -- and painted him as a killer. He does not care that he is being painted as a killer, Dr. Drew.

PINSKY: We do not know that, but I agree with you. He is -- he probably is a certain -- Listen as I said at previous shows, I treated a guy almost

exactly like this. What I think is this guy is very similar to somebody I treated long ago.

He was in a chronic psychiatric facility where we kept people for years and years and years. And, this particular case I am thinking -- Actually, I

had a series of them just like this. They were entitled.

They had lots of money and they were schizophrenic, or schizophreniform. They had sort of thought disorders like this guy and they were

insufferable. They were insufferable. They were hard to be around.

If you get to know them, it was a little bit easier, but I could see how easily people could think all kinds of horrible things about that person

out in the world. I am just raising the question that if we at least thought about this accurately, the way it ought to be thought about, we

would not be so apt to condemn this guy based on what was on a television show.

And, it is just raising the question, is not it something that after 15 years a T.V. show ends up seemingly, seemingly -- maybe not. Listen, I do

not want -- I am not trying to be critical of the D.A. at all. It is not my intention, just the conversation about this has been so primitive and

inaccurate. It has driven me a little bit crazy.

Next up, Bobbi Kristina`s family has taken action 52 days after she was found unconscious in a bathtub.

And, later, is porn good for you? A new study says yes, yes, yes. We will talk about it after this.

(COMMERCIAL BREAK)

(BEGIN VIDEO CLIP)

[21:25:55] PINSKY: I am not wishing that she should die. I am not wishing that at all. I am saying that should she get the appropriate level

of care for the condition, the reality of this condition.

(END VIDEO CLIP)

(BEGIN VIDEO CLIP)

SCHACHER: All of this drama while Bobbi Kristina lays in a coma, can you imagine how they were when Whitney Houston died, which Bobbi Kristina was

privy to? That gives us a better understanding of what Bobbi Kristina -- what world she has been living in all this time.

(END VIDEO CLIP)

(BEGIN VIDEO CLIP)

LONI COOMBS, FORMER ATTORNEY: Who steps up for her? Who steps in and says this is enough --

PINSKY: It supposed to be the medical system. It supposed to be -- We live if fear of the law.

(END VIDEO CLIP)

(BEGIN VIDEO CLIP)

PINSKY: Do what is best on behalf of the patient. That is the person in trouble here. The family is suffering, but the patient is the one they are

responsible to.

(END VIDEO CLIP)

PINSKY: Sam, we make good points on this show. Mark, welcome to the program, my friend. Sam is making great points. Loni is making great

points. I making great points. Judy always makes great points. Now, Mark, you are on this. We never talked about this topic before.

And Sam, Judy, Mark, the story you are tweeting about most tonight, 52 days in coma, unresponsive to the external world. Bobbi Kristina Brown,

finally, finally, finally getting sane care, moving out of the highest level of critical care into a long-term facility. And, Sam, that does not

mean she is not getting intensive treatment. she is still on a ventilator and she is moved to effectively a rehab unit. Is that right?

SCHACHER: Yes, Dr. Drew. But, it is interesting because I am getting so many tweets right now with people celebrating the move, thinking because

she was moved to a recovery center or rehabilitation center that somehow that means that her condition has improved. So, please, Dr. Drew, clarify.

Has her condition improved?

PINSKY: No.

SCHACHER: So, what does that mean?

PINSKY: We do not have to -- we do not have direct knowledge of what is going on. We obviously are not there, but what we are hearing -- and I got

to call out to Sunny Hostin right now. She supposed to confirm to me what this -- you know, whether or not this is accurate.

I believe this following is accurate. She still has a tracheostomy. She is still on a breathing machine. She still has a gastreostomy tube. She

still cannot swallow, cannot open her eyes, cannot move, cannot respond to the external environment in any meaningful way, has no thoughts, feelings

or consciousness that we are aware of.

Except, Mark, the one thing perhaps -- perhaps in whatever primitive function that remains, again, if they lighten up her barbiturates, she just

has active seizuring from all the pressure on her brain.

But whatever awareness of any sort might remain, it is only going to be misery of the pain, of being unable to move, of having skin breakdown and

joints contracturing. Do not you think there is an ethical issue and does the legal system have any way to intervene on behalf of the patient, if

they do not leave an explicit directive.

EIGLARSH: First of all, I do not disagree with you. I do not want to be Debbie Downer. There is a lot of people rooting for her. And, I am, too,

but --

PINSKY: Mark, zero -- zero probability.

EIGLARSH: I do not see this as anything other than --

PINSKY: Zero. Zero probability.

EIGLARSH: No. I do not want to be that negative, but --

PINSKY: Well, it is the truth. I prognosticate all the time. You do not have to be that negative. I will be the negative for you. I was near zero

at day eight. I was zero at day ten. At day 52, if what we were hearing is accurate, impossible. It is zero. Sorry.

EIGLARSH: I have a client who went in for a breast augmentation at 18. And, I visited her in the hospital. I will never forget those memories.

All they did in this case and in hers is they moved her to another place that has a different name. That is it. And, what can people do?

PINSKY: Well, it has a different name. But it is not a place for people that we are trying to, you know, give all the intensive resources. She

does not -- if she needs that, then she is never going -- I mean that is ridiculous. But if she can get out and just get a reasonable level of

care, try to keep her comfortable, keep breathing for her. That is fine.

Do not let her die. I am not saying, that she should die. I am saying it is an appropriate level of care. And, Sam, although they call it rehab, I

am afraid they are not going to be doing much rehab there. It is really a nursing home.

SCHACHER: OK. So, here is my question to you. Do you think that the family moved her to this rehabilitation center because it helps them avoid

that decision to end life support?

[21:30:01] PINSKY: No. No, it does not. It is interesting. You know, when I started railing on stuff on this show, people often do not

understand what I am talking about. And, this is what I was talking about, to move her to a something like this.

It is appropriate. It is not -- it is not taking -- in fact, it is sort of a move towards a longer-term operation where they just sort of give her

what she needs. The question will become, Sam, is what do they do if she develops bad infections and sepsis and skin breakdown and terrible

contracturing and pneumonias.

And, all of the things that will happen at some point? Somebody may go, "You know why do we keep treating these things? It is never going to get

better." At what point -- that is my next chant is at what point are they going to see the writing on the wall?

But, I do not know if that is what is happening, and I am just assuming that is going to be it. It is not like she is going to be walking or

talking or waking up. It is just -- it does not sound like that at all. It is really sad. Judy, any thoughts on your front?

HO: Yes, Dr. Drew. I think that there -- of course is always that element of is the family ready to make a bigger decision to say good-bye. I know

you just discussed this. But my concern too is that by being in a long- term facility, there is more possibility for exposure to even abuse by the staff. I know that there are lots of great long-term facilities.

PINSKY: No. No. No.

HO: No. No, no.

PINSKY: Stop, stop. Do not go there.

HO: No, but it is true. But it is true, Dr. Drew. You cannot deny the fact that there are these incidents that happen more and more at nursing

homes and long-term facilities. So, are you saying that she is not at risk?

PINSKY: First of all, yes, that happens in situations where the nurse to patient ratio is really not quite what it should be where people are not

getting the highest level of long-term care. I mean those things -- I agree, but listen. This is a high profile case. This is something on a

ventilator. She is going to be getting a lot of attention. I would not worry about abuse in that setting.

EIGLARSH: Drew.

PINSKY: What, Mark?

EIGLARSH: My greater concern is the exploitation that someone will offer someone who works there some money to get photographs of her.

HO: Right.

EIGLARSH: That is my issue.

PINSKY: Yes. Or something will --

EIGLARSH: I want to ask you this question.

PINSKY: Yes.

EIGLARSH: Drew, I got to ask this question, because I am sure your viewers are wondering.

PINSKY: Yes. Go ahead.

EIGLARSH: You just made it very clear that there is no percent chance, 100 percent chance she is not going to get well.

PINSKY: Yes.

EIGLARSH: And, I am inclined to agree with you just from my experience, but --

PINSKY: Yes.

EIGLARSH: How about those people like her family members, people out there watching, they are hoping for a miracle. And, there have been examples

where people -- hear me out -- have somehow come back miraculously. Why do you rule it out in this case? What is different than those other

miraculous cases?

PINSKY: Well, yes -- Well, Segun -- I mean Mark.

EIGLARSH: What?

PINSKY: Because, I have had these conversations before on this show. There are comas and then there are comas. There are comas and then there

are comas. And, I talked to multiple neurologists and all said the same thing.

If somebody is -- if what we are hearing is accurate, there is no response to the external environment, which seems to be the case, if there is

uncontrolled seizuring when you attempt to taper her down barbiturates, that suggests the brain damage is so massive, so massive that even if there

were some recovery, you would not want it.

You would not want anything to do with it. It is still going to be a vegetative state no matter what you do. That is just -- there are comas

and then there are comas. And, this is one of those where it is not just a situation where, well they are not waking up.

No, it is somebody in an ICU for 50 days. Somebody on a ventilator for 50 days. And, somebody who seizes uncontrollably when any attempt is made to

lighten up their medication. That is a zero probability outcome situation.

Next up, we are going to hear from you on what you are saying about this and on Facebook and Twitter. And, later, Kourtney Kardashian`s husband

Scott Disick left rehab. Out after a week. Good, bad? I got some thoughts after this.

(COMMERCIAL BREAK)

(BEGIN VIDEO CLIP)

[21: 37:55] PINSKY: Do you want to be in a coma in an ICU so you can be rendered in a vegetative state for an indefinite period of time? Is that

OK with you?

(END VIDEO CLIP)

(BEGIN VIDEO CLIP)

VANESSA BARNETT, SOCIAL COMMENTATOR: I think Bobby Brown issue. I think he is struggling with the fact that he was not there for his daughter. I

think this is very difficult.

(END VIDEO CLIP)

(BEGIN VIDEO CLIP)

HO: That is a driving force here. Each of them have a different way of expressing their guilt. And by keeping Bobbi Kristina alive, it is a way

for them to still have a chance to alter their own course.

(END VIDEO CLIP)

(BEGIN VIDEO CLIP)

PINSKY: This is not the kind of coma that people come out of after a year or two years. And, if somebody does come out of it, they will wish they

had not because they will be completely altered, unable to speak, unable to communicate, not be able to move. It is going to be a disaster.

(END VIDEO CLIP)

PINSKY: Back with Sam, Judy and Mark. And, we continue to make great points on this program, all of my panelists. And, Judy, you disappointed

me in the last block, though. I got to tell you, taking aim at people that do long-term care. I wish people who do work --

HO: Well --

PINSKY: -- Well, hold on, hold on, hold on. You must have had a bad experience with somebody or something --

HO: No.

PINSKY: -- because it is the outliers that make it so tough for the rest. Because it is hard work. It is really intense work. I used to round on

nursing homes for years and years. And, I really always admired the men and women that worked in that environment and that they did a good job.

The ones that are the outliers gave a bad taste everyone else.

HO: And, Dr. Drew, I used to do rounds at long-term care facilities too. And, I just saw how burnt out the day in day-out staff was.

PINSKY: There is some burnout, yes --

HO: And, so maybe some of this, and some of this maybe is having better training for them. I actually did not personally have a bad experience.

But, I just keep encountering patients and people who complained about this with me that I just felt like it was something important to bring up,

especially because as Mark mentioned, this is a high-profile family.

PINSKY: Yes.

HO: And, there may be some aspects of exploitation, even the fact that some long-term care facilities might take people in when they know there is

really no chance for them to be brought back in a certain way that would be valuable to their life.

PINSKY: Yes. It is distressing. I mean I cannot disagree with you, but it is distressing to me. There is an i1nteresting tweet up right now. It

says, in reference to Bobbi Kristina, what exactly is causing her uncontrollable seizures. Basically, what it is, is the brain has been

injured so profoundly, and literally crushed, that the tissue itself is just like becoming -- it is disorganized.

[21:44:7] It is not working anymore. It is like if you really injured your heart, the heart starts beats uncontrollably in strange ways. That is

what the brain is doing. And, it is probably never going to do anything different.

It is not going to anything much different, because it has been so profound -- like people talk about it almost as liquification of the brain. I have

heard some neurological colleagues call it like that.

And as pertains to that, I got to read you one of our Facebook friends who is a critical care nurse for twenty years said to us. There it is, Tracy.

"I only wish everyone could see this through the nurse`s eye.

The body in the bed does nothing on its own. Nothing. Breathing, urinating, defecating, coughing, swallowing, repositioning, all actions are

done by medicine, machines and nurses. There is no dignity in tha bed. No humanity."

HO: Right.

PINSKY: And, this woman -- this Tracy, God bless you, thank you for your work as a nurse. You absolutely summarized why I found this case so

disturbing. Anyone who has worked in ICU for any period of time sees lots of cases like this.

And, just the way we needed to talk about Durst realistically, we need to talk about this case realistically. Because it is going to help people if

they got -- forbid, get themselves in a situation like this. Mark, you had a client after that, you know, unfortunate situation with anesthesia. Had

you ever seen -- anybody ever talk to you about this kind of thing before?

EIGLARSH: No. And, to this day, it is very difficult for me to think about those images, to see her parents there with her. But, you still are

hoping for a miracle. There was no way to suggest to them what they should do. Same with this family. They pray every day. And, miracles come from

a higher power.

PINSKY: Mark, Mark, Mark.

EIGLARSH: And, they do not want to hear from doctors like you. I get it. I get it.

PINSKY: We could cause untold misery to uncalled numbers of people and use all of our healthcare resources in situations like this and never have

anything for people that doctors know are salvageable, can be returned to quality life. No one is trying to hurt anybody. We are trying to do what

is right for the patient. And, that has just been lost. And, I frankly have blame the legal system.

SCHACHER: Dr. Drew.

EIGLARSH: What would you say to the family? What would you say? What would your speech be? What would your speech be?

PINSKY: My speech would be, I would have to say it regularly and I would start gently, but I would ultimately get to, this is not fair. It is not

fair to her. It is unconscionable to continue this level of care for somebody who will not recover. I am so sorry, let me get you somebody --

let us talk about this what it feels like, how to come to terms with this and we will allow her dignity.

Now, I am not -- she is not dead. I am not saying we should not allow her to -- we should refuse care. I am saying, let us be reasonable about this

and let us keep a daily conversation going about how this is playing out. And, I can pretty much promise you how it is going to play out is not going

to be good. And, they will have slowly come to terms with that. And, 50 days -- it is too slow, frankly. Way too slow.

SCHACHER: And, Drew, in the meantime, is not she -- you had a doctor on last week. And, it was so profound what he said. It made me so sad. And,

it stuck with me. So, she feels every single poke. If she were to get infection, she would feel that. All this time, she would be living in her

own personal hell?

PINSKY: Yes. Yes. That is the best this could be. If there is any consciousness of any sort at all, that is the best possible thing here is

that she is sitting suffering with no dignity. That is the only possible level of experience she could have. Otherwise, there is really sort of

nothing.

And, I can tell you, as someone -- when I think about this things is I talk to people all the time -- I do pull people through situations like this.

And, when they come to and get rehabilitated, they do not remember anything. They do not remember anything about this. So, I am going to bet

that this is not that. But, it is still the only thing it could be is that.

PINSKY: Next, time for ClickFix and a new study about porn and your sex life. Please check us out on Facebook for more stories about the stories

you see every night. And, as always, let us know what you think about anything. Be back after this.

(COMMERCIAL BREAK)

[21:48:07] PINSKY: Time for our Click Fix. You tell me what is trending on your Facebook, Twitter and Instagram feeds. I am back with Sam, Judy

and Mark. And, Mark, first you are up. What do you got?

(LAUGHING)

EIGLARSH: All right. My Click Fix comes directly from Twitter. All over the place about Scott Disick -- I do not even know how to pronounce his

name, Di-sick, dis-sick, disik. He is sick. He is the baby daddy, father of Kourtney Kardashian. It is so difficult keeping up with them.

And, he apparently, good for him, went to rehab. Bad for him, he left this Costa Rican rehab. It is all over Twitter, after only a couple of days.

And, then I am looking through Twitter and on the TMZ website, something very unusual and insightful came up. Let us watch.

(BEGIN VIDEO CLIP)

UNIDENTIFIED MALE REPORTER: Hey, Dr. Drew! How are you doing? What do you think about Scott Disick leaving rehab early in Kardashians?

PINSKY: Well, I got issues with the choice of what he did there, the IBU game.

UNIDENTIFIED MALE REPORTER: Is that the root?

PINSKY: Yes, but we do not know who should be using or what the -- I have seen bad things happen from it. And, most people who take it, take it for

heroin. They do not take it for alcohol.

UNIDNETIFIED MALE REPORTER: OK.

PINSKY: That suggests he is really desperate.

(END VIDEO CLIP)

PINSKY: Yes, you know what? Thank you, Mark, for bringing that up, because --

EIGLARSH: So --

PINSKY: What? Go ahead. Make your comment.

EIGLARSH: Well, you mean to tell me that this IBU -- what is it called? IBU game?

PINSKY: IBU game.

EIGLARSH: IBU game.

PINSKY: IBU game, yes.

EIGLARSH: Is not there to replace the 12 steps? Really? You cannot just take this drug and now all of a sudden you are cured of alcoholism, heroin

addiction, gambling, whatever it takes? Really?

PINSKY: Yes. Thank you for saying it that way because I seem like an excessive enthusiast. But, yes, right I have seen bad things happen. It

does works for a short period of time, interestingly, but the vast, vast majority of cases have a recurrence within about six months.

[21:50:00] We also talked about the fact that leaving rehab for celebrities, the number one reason they leave early is they want to get

back to work. They got a lot of money to make. They like the work. They leave prematurely and they relapse. So, it is a bad side that they left so

quickly. If he was desperate enough to go down to IBU game, he needed more treatment.

HO: Right.

PINSKY: Sam, you got one too.

SCHACHER: Yes. OK, my Click Fix, Dr. Drew, is a study that I have seen all over my Facebook feed about porn. I guess that says something about my

friends. For those of you out there who have may be a guy that is watching too much porn, do not worry. It is actually not a bad thing.

So, researchers at UCLA studied 280 men. And, those who watched at least two hours of porn per week showed actually a stronger desire to be with

their real-life partners. These men also reported the highest levels of excitement.

So, Dr. Drew, question to you. Does watching porn rewire the brain, so that these men are now more -- even more aroused to be with their partners?

PINSKY: You know, I hate to add all the guys that like porn, but there is probably, if you will, a sweet spot with this in that if they watch too

much, there is actually a lot of evidence, particularly younger males are having erectile dysfunction and sexual dysfunction of various types.

So, yes, of course, it make sense that if you are watching a certain amount of arousing material, you are going to want to -- you know, you are sort of

charged up by that. But, there is a quick -- it quickly goes over the edge into trouble.

And, unfortunately in this day and age, we are seeing a lot more trouble than not. But, no Mark, I know you are an enthusiast. I do not have Mike

Catherwood here to defend it, maybe you could defend.

(LAUGHING)

EIGLARSH: Well, wait. Did I just hear Samantha suggest that she has a study that the key to my physical relationship with my lovely wife is to

watch classics like "Forest Hump" and "Goodwill Humping" and "Pump Friction"? Is that what she is suggesting?

(LAUGHING)

SCHACHER: Is that true, Mark?

EIGLARSH: But, I am asking you. Is that the answer?

SCHACHER: I do not know the titles to these old porn. Either you made them up or they are actually in your collection.

(LAUGHING)

PINSKY: That is right.

EIGLARSH: Moving along.

PINSKY: Here is what I am looking forward to. First of all, the fact that Mark knew those titles, if they exist, is very, very distressing. Judy --

put Judy on here with me.

Judy, I know you disappointed me tonight. But, Now you are going to bail me out, OK? After the commercial break, you are going to show me a video

for which there are more than 3 million views, is that right?

HO: Yes. Probably still climbing.

PINSKY: All right. Hold on. And, I hope this is not as disturbing as Mark naming the name of old pornographic puns, so to speak.

SCHACHER: Forest Hump.

(LAUGHING)

PINSKY: Forest Hump. Back after this.

EIGLARSH: How do you know they are so old?

(COMMERCIAL BREAK)

[21:56:47] PINSKY: Back with Sam, Judy, Mark and our Click Fix. And, you guys have been a great panel. But, it is time for us to climb out from our

Floridian swamp. Thank you, Mark Eiglarsh. Judy, what do you have?

EIGLARSH: Yes.

HO: OK, my Click Fix is from Instagram. And, there is a very disturbing new teen trend called put them in a coffin. And, this is what they do.

So, basically, they put their hands in front like this and then they dive backwards like that on to cars, grocery displays.

They have been costing thousands of dollars in damages to some of these cars. It was started by a rap group called "Thought Boys." And, it was a

vine video to begin with. Now, you see these videos everywhere. So, pictures on Instagram, Facebook posts and videos, Dr. Drew. Do our teens

have nothing to do?

(LAUGHING)

PINSKY: Now, I have to say -- I have to say the young people you are seeing in the video are not the teens -- a disclaimer. Let me read it,

they are not the teens responsible for the damage to the BMW apparently that is a fact.

HO: Right.

PINSKY: Mark, I got to say -- Sam, let me go to you. Do you think, Mark, your husband -- your lovely husband who, you know, I think the world of,

do you think he would be inclined -- men are screwballs. You know what I mean? And, I get this feeling if I were 17, I would be inclined to do

something like this.

SCHACHER: You would do this, Dr. Drew? That is hilarious.

PINSKY: If I was 17. I want to be careful because it is dangerous and one of these copycats can end up dead if we are not careful and they are going

to destroy property. But, I understand the screwball 17-year-old. I was one once.

SCHACHER: Right.

PINSKY: For a woman looking at this, you must be like, "What?"

SCHACHER: Yes, it is stupid. I am like, "What are they doing?" If somebody coffined on my car and put a dent in it, I would be pissed.

HO: Yes.

PINSKY: Well, the destroying of property is a little disturbing.

SCHACHER: Yes.

PINSKY: But, I mean the fact that they are doing it, somehow in my primitive male brain, it makes sense.

HO: Are our children that bored, Dr. Drew? What is going on with our society?

PINSKY: Mark, you are the male -- you have the wide chromosome, please help me out here. I know you are an attorney, but help, help.

(LAUGHING)

EIGLARSH: Yes. I was young and stupid like you, Drew, once in the past. But, I would have done the same thing. My concern though is after a while

the average stunt does not work. So, they have to up the ante.

PINSKY: Right.

HO: Right.

EIGLARSH: Where this is headed is problematic for me. Sorry to be like that -- I am curious about it --

PINSKY: Oh, no, no. Absolutely, I do not want to -- to me, that is obvious. We need to state it. I completely agree with that. Judy, thank

you for bringing that to our attention. But, I found myself mesmerized by it. Shockingly trying to be honest with myself. And, I wonder if you know

-- trying to think, would my kids do this? Would I have done this? You know?

But, look, obviously, people are going to be hurt, property is going to get damaged. But, there is something crazily -- I do not know what that is and

where it came from or why a young male would be attracted to it, but there is something about it.

Please, guys, let us limit it to things that you cannot destroy or can hurt yourself, at least that perhaps. You can DVR us and then you can watch us

any time. I want to thank you guys, the panel, tonight for upsetting me. Let us see them for one last shot here. It is an interesting conversation

tonight, but you guys were great. And, I do appreciate you joining. Mark --

EIGLARSH: You can turn your jacket off now.

PINSKY: Thank you for that, Mark. Again, DVR us. You can watch us any time. The "Forensic Files" follows our show most nights and it begins

immediately.

[22:00:06] END

END