♪ >> jamie: i fell better ael bet, it is time for "sunday house call," the vice chairman of the department of robotics and chief of urology. >> eric: and the author of "the inner pulse", dr. marc siegel. >> jamie: you come in on sunday and i have a healthy lunch and i hope folks get all the information they need. we have great topics, including this, there is a study out this week that raises serious question about x-rays at the dentist. are they safe?

some researchers link the radiation to a risk of brain tumors. dr. samadi, i always put up a little bit of a fuss, but i didn't realize there could be a connection. do you believe that? >> let's talk about this. i think everyone can relate to one of those x-rays, everyone has had it as a kid and, we grow up and every time you go to a dentist you get one of those. it was a big publicity, it was published in "cancer", coming from yale school of medicine and one of the largest studies we have had talking about the dental x-rays and brain cancer and looked at 3,000 people, half of them had brain cancer, called meningioma, a benign tumor of the lining of the brain and the other half did not. part is because they talked about their memories, do you remember taking x-rays when you were a child and that is the short coming of this. it's not a real study and doesn't prove radiation causes cancer, it suggests it. we have to be careful about what we are doing here, and the ones

who got the x-rays, bite wing or the panorama had in a ceased risk of getting the brain tumors, and, we say, benign, it is like -- sounds like it is nothing, but any kind of benign brain tumor depending on the size and location can press on the brain and cause a lot of symptoms and you want to be careful. does it mean you shouldn't get the x-rays? no. talk to your doctor, find out if you absolutely need it. because, staying away from any kind of radiation, is not a good thing. the average age of these people was 58 and they got the radiation given years ago, which was stronger and different type of radiation and, so... >> jamie: good to know. >> what the american dental association recommends, if you don't have cavities, make sure you get the x-rays every three years, if you are children, every two years, talk to your doctor. do i really need it or not? >> jamie: dr. siegel how many is too many, then. >> the key question is, do you need the x-ray at all? that is true with any x-ray. i want all my patients to say, do i need the chest x-ray, the

cat scan and go to the dentist, do i need the dental x-ray and david said the study looked back over the years when more radiation was given and the authors say in the paper, we are talking about radiation given years ago. but it reminds us, and we'll talk later in the show, about a higher level of radiation and what it might mean, but ionizing radiation is all over the place, in cosmic race, a cross-country plane flight, the amount we get now is 2 to 3 millirems, which is the same as going on a plane, but if you had it as a child they looked back and saw, it increases your risk of getting this benign tumor. i believe the study is valid but i don't think we have the same level of risk now. ask your dentist, do i need it? how many x-rays do i need? once a year? >> eric: i ask them to try to skip when i go.

doctors are now reacting to new warnings america may be growing addicted to painkillers. sales of prescription drugs are soaring at an all-time high? many physicians are thinking twice, they say before they fill a prescription and dr. siegel, you hear a lot about this, what, overmedicated? >> it is terrible. we have seen four times the amount of narcotics prescribed than prescribed ten years ago. 250 prescriptions, the past year alone. now, the problem is, we're becoming an addictive society. people come to me, in my office and say, give me the percocet, i have been getting it for years, i want to know why you are getting it. a back operation you had five years ago? why are you on it? i have to ask these questions to people. a lot of times they were on it for a good reason to begin with and as time went on the reason went away and they didn't have physical therapy or lose weight. and, so many side effects for these narcotics, people get confused, it interferes with sexual function as david is

aware of. it is a huge, huge, huge problem. >> eric: what if it helps people and how do you know when someone... >> eric: he didn't mean it personally. >> jamie: wow. >> we get patients who come in with the problem. >> we're talking about -- that is really funny. we're talking about medications, percocet, vikicodn... and theres knee-jerk reaction going on and as a doctor, we are all human beings and try to help them but we are really taking care of the symptoms and not taking care of the underlying disease, trying to figure out what is going on and over time, what happens, it builds tolerance and you have to give bigger doses, and that happens and they keep going, one of the good things that happened in '07, the law went in, in washington, if you are taking a lot of these medications you

have to see an expert in the pain field to see if you need it or not. over time it lowers the testosterone level and causes sexual dysfunction and lowers estrogen and lower cortisol and affects your body. >> the pain experts have solutions to this and they prescribe a lot of these opiates and 80% are taken by people they were not intended for. it is a recreational problem as well. >> eric: be careful, talk to your doctor. be on this lookout. >> jamie: thanks for raising awareness, i wish they mate them so they were not addicted. a vaccine for shingles hitting pharmacies soon and diagnosing it can be trick i we'll tell you what you need to know. >> eric: and a treatment for prostate cancer is raising eyebrows, why some say the procedure's name is misleading. that and more, straight ahead. in my line of work, it's not uncommon for the term "hero" to be bandied about. but does bringing a floor back to life really make us heroes?

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>> jamie: more "sunday house call" now, a new type of surgery that is gaining a lot of attention among doctors, treating patients with prostate cancer. you may have heard of it as cyber knife robotic radio surgery. but it turns out it is not robotic at all. dr. samadi, you and dr. siegel wanted to clarify what it is. >> there have been a lot of ads and it confused a lot of patients about the robotic radio surgery, cyber knife and it is important for people to know it is not surgery, only radiation, a new type of ridation and has been around maybe 4-5 years, and there is not a lot of data and information about cyber knife and i want the patients to know, when they hear cyber knife or robotic radio surgery they are not getting surgery, no tissue is removed them same radiation and they are getting it in a

shorter period at a high dose. >> jamie: this is robotics. >> this is my operating room and we're doing robotic surgery, which involves removal of the prostate. why is it important? you will find out how much cancer you have in your prostate and the cancer is gone and you get tremendous and accurate way of staging. what type of prostate cancer you have, where it is, lymph nodes and that is important and psa, a test we use, should always be zero after surgery. and you will always be in control of your life. you can tell me, my psa is zero, i'm cured. if the cancer ever comes back, then you can always get a low dose radiation, after surgery and you have the options and the other way around is not correct, if you get radiation you lock up the prostate inside you and, we can do surgery but it would be challenging and difficult. >> jamie: are you saying, both of you agreeing that cyber knife is not the first round of what

you should do, because it is difficult to do the robotic. >> i'm totally in agreement and, the prostate is a hard gland to stage, until you get in there and with the lungs, cat scans are beautiful for telling me how far a cancer has gone and prostate i cannot tell when david does a biopsy exactly how far it has gone and i can tell after he operated and i want to tell people, the conversation changed in my office. it used to be ten years ago, people came in and would say, what do i do, should i have seed, radiation, surgery? there was not a clear answer and the answer is clearer now, because now there are better surgeons using advanced techniques. and the art of medicine comes into play but i want to say,ing a important, it's not one technique versus another, if i say i send people for robotic prostate surgery it is because i know at least one great e robotic prostate surgeon who is well trained and i can send the patient to. the art of medicine, not just about comparing techniques. it is about experience, how many cases has the person done, what

is their training, that is involved and the conversation with less blood in the field, less side effects and quicker recoveries is more in the direction of prostate surgery. >> jamie: i'll add to what you are saying. if you are diagnosed with prostate cancer and told to do cyber knife get a consultation at least on whether robotic is right for you. that is what i'm hearing from the experts. >> yes. it is important to talk to 2 or 3 people an find out what is best for you. we have superb techniques, the smart technique and instead of taking the nerves from the prostate, leave everything alone and removing the prostate away from the nerves and that improved the sexual function and brought the continence to 97%, so, the quality of life is there, get the cancer out, and keep all the options open, and talk to your experts. >> jamie: called smart surgery? we'd want that over dumb surgery, thanks, doctors. very important topic for so many

people. and, meanwhile, is sugar consumption actually poisoning us? how addictive is sugar? the doctors will tackle it, those look good to me. how about you? we'll be right back. if you have copd like i do, you know how hard it can be to breathe and what that feels like. copd iludes chronic bronchitis and emphysema. spiva helps corol my copd symptoms by keeping my airways open a full 24 hours. plus, it reduces copd flare-ups. spiriva is the only once-daily inhaled copd maintenance treatment that does both. and it's steroid-free spiriva does not replace fast-acting inhalers for sudden symptoms. tell yr doctor if you have kidy problems, glaucoma, trouble urinating, or an enlarged prostate. these may worsen with spiriva. discuss all medicines you ta, even eye drops. stop taking spiriva and seek immediate medical help if yr breathing suddenly worsens, your throat or tongue swells, you get hives, vision changes or eye pain,

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♪

>> back with the doctors, under a new florida law, local pharmacies will be able to provide a vaccine for shingles, a painful condition, a rash, contagious, caused by chicken pox and doctors are warning about a shingle diagnosis, because they say the symptoms can be tricky. dr. siegel, sounds like good news if they can do it in florida, and hopefully it spreads to the rest of the country. >> there are a million new cases of shingles and 1/3 of us will get it in our life times and it's not a simple disease and it is cheicken pox coming back and if you had it as a kid, it hides in the nerves and comes out in the dermatome distribution and it comes out with a rash, pain. raised, red, blisters to it and it really, really is painful. the most important thing and what you can do about it is, i can put topical anesthetics on

it and give you an antiviral drug that helps but the problem is, you suffer for it for at least a few weeks and the goal is, what do you do to prevent it? now there is a vaccine and i offer it to everyone over the age of 50. it only works in behalf of cases. only works for five years. and, it is expensive and is worth getting if you had chicken pox as a kid. if you haven't had chicken pox, the vaccine will not help you. you need the chicken pox vaccine and if you have had chicken pox you can get shingles as it reactivates and people ask if it is contagious and the answer to that is, it is only contagious to people who have not had chicken pox and you know what you get, you catch shingles, you get chicken pox, and if you have the shingles rash, it doesn't spread but you can get chicken pox if you haven't hat it. >> eric: man oh, man. >> marc covered it nicely. the only thing i would say is recognizing this is actually more important, because there are a lot of different types of rashes out there and, this has a

very typical signature of its own. blisters on the red skin, on one side of the body, usually, painful and travels around the same path of the nerves that stimulates the muscle. that is important to recognize this. and, as marc mentioned there are phases, the first phase, you get the headache and the fever and tingling feeling and it becomes agent active phase and you can get the chicken pox, and one issue with this, particular long term can cause nerve damage, neuralgia, and after you recovered you still have those tingling feelings and make sure you see your doctor and if you are over 60, and you have not had shingles get the vaccination. >> jamie: expensive and sounds like for many it might be worth it. meanwhile, sugar. yes. sugar, under attack for being toxic. researchers say the sweet stuff is actually poison, but is sugar getting a bad rap? our doctors check in after the break. [ male announcer ] this is coach parker...

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>> eric: back now to sunday house call. there are serious warnings about sugar consumption. a recent study suggests it could be as dangerous as poison and we are getting way too much sugar in our diets. too much, right? >> eric, we are having three times the aim of sugar that bee

had 50 years ago. this is a huge problem. it's a form of addiction because it causes to you crave it because it leads to an increased hormone called dopamine. we hide it in corn syrup. we hide it in processed sugar and the sweets we eat. then it gets into the body and the liver convert its into ldl cholesterol and you get heart attacks and strokes, you get obese. you get diabetes. all the problems i treat in the office, i don't want more patients, but i get them because of sugar. >> it's hidden. you have to look at ingredients in cereal and things. >> cereal, big culprit. >> it's true. we are taking 130 pounds, 130 pounds of sugar a year. that's ridiculous. we're taking a lot of it. as mark mentioned, when you have a load of sugar coming in, the level of insulin goes up. there are insulin receptors that

cause increase in colon and breast cancer in growth factors. and there is the reward system in our brain that gives you that euphoria. you crave more. the more you take, you want more. that's really dangerous. and increase in cholesterol and heart disease. the recommendation by american heart disease is that men should have less than 100 cal rears a day and the women should take 100 to 150, and that's it. we are taking too much. put the sugar down and that will help you a lot. >> have fruit instead. >> look at the cereal box ingredients? >> jamie: i was shocked yesterday. i did that. doctors, thank you so much: back to the big story this hour. a fox news alert, the midwest now bracing for another round of violent weather after a series of deadly storms have already hit. good morning. it's great to have you here. a brand-new hour. i'm jamey