>> eric: time for "sunday house call," joining us as always, dr. marc siegel, associate professor of medicine at nyu's langone medical center and, author of "the inner pulse". >> jamie: and they not only look smart, they are smart. and chief of row box at the mt. sinai medical center, dr. samadi. they they're a-team. >> eric: doctors, good morning, we start with what they say is a smashing break through, a vaccine designed to fight one of the most common and aggressive

forms of brain cancer, they say studies show the vaccine could potentially improve survival by extending the lives of patients. it seems big news if it is the case. >> it is promise mission and everyone out there is worried about this and everyone is worried they'll get a brain tumor though it is 5,000 cases per year of the severe type, cochleo-blastoma. and the problem is you cannot cure it, remove it an cure it and when you take it out it almost always comes back and they five-year sur rivvival rat terrible and they took the tumor as they were removing it and used to it cause the body's immune system to tarring it and, cause antibodies it and target it for destruction and they put the antibody back in and found the patient lived longer and the patient with recurrent brain tumor lived an extra 6 or 7 months and that is preliminary

and, in my opinion is just the beginning, they -- the study's author, from ucsf said maybe cancer would be a chronic disease, coming up, in the future. maybe this is -- a nontoxic vaccine, maybe is the future of cancer treatment, and it is very preliminary and the results are at this point mild but for people out there, look, brain tumors, if you are having a severe headache, seizures, behavioral changes, we saw with senator ted kennedy you might look into this but i get the question every day, and, it is a deadly disease and we like to see the cure, potentially on the horizon. >> eric: dr. samadi, it is an aggressive form. we have had it in our family and you hope it can be dealt with? >> it is unfortunate, because it is one of the most common brain tumors and is also aggressive and as dr. siegel mentioned, the prognosis is poor, surgery is the main treatment and when you remove 98%, that is the number,

the rest you can hit with radiation and chemotherapy. so i think happens been good news for the last three decades for this type of tumor and it is a clinical trial, phase 2 and, exactly as the doctor mentioned, it works by removing the tumor and purify it and take the protein and give it back to the patient, as personalized medicine as it will get because when the protein comes in, the immune system says it is a foreign thing and, you will get the soldiers and generals and army and go after the guy and it kills only the cancer cells remainings, and i think it is fascinating and i think it is still, at the very early stage, there is only 41 patients in this study but i think it is a great news for this type of cancer, because we haven't had, for years, and while further research is absolutely necessary, i think for people

with this kind of brain cancer there is hope. we have seen few percentages that go on for a long time and i deal with cancer day in and day out and i don't... the power of the brain is very important, getting to the studies, there are 8 centers across the u.s., in miami and san francisco. and hopefully we'll have better results in the future. >> jamie: sounds very promising. thanks. well a lot of people have sleep apnea, and they can't get a good night's sleep and have to wear a big contraption on their face, but now there is a face mask with a lot of people excited. it is still not so attractive but, doctor, if it works and people can get a good night's sleep, we will be a happier america. >> absolutely true, because 12 million americans are affected by this. and, what really it means, it means without breath. so, what happens to these patients, as a result of soft tissue around their neck, they wake in the middle of the night

and don't realize it and they start to go to sleep and wake up and it continues and as a result they are extremely tired and are fatigued and, there is the risk of accidents. and we know that it is linked to diabetes, heart disease and stroke, and... >> jamie: i didn't know that. >> absolutely, a major health hazard and recognizing it as you said is extremely important and obviously, weight loss, changing the way you sleep, instead of lying down on your back, to the side is important, but what you show is, the cpap machine, almost looks like a spacesuit, you know. >> jamie: is that the new one. >> this is the old one. look at this. you have to strap it around your head and it gives you positive pressure so you can breathe and get rest and the new thing we have, is provent and they are basically nostril patches that you put around the nose and it's a one-way valve and the air goes in and doesn't come out and... >> jamie: you sleep with your mouth open, though, it won't go in and out. >> might as well call yourself

dr. colby. >> jamie: every day i'm learning my stripes. >> it won't work if you are a mouth breather only if you breathe through your nose and it is a great thing and simple and the issue is it is a little expensive, 60 to $75 a month and insurance will not cover it. >> jamie: really. >> but you can travel with it and it works 50% of the patients and i like it. i think -- look, how simple is that to put it on. >> jamie: looks like a oxygen mask you would see someone have in the hospital and i didn't realize, the answer would be stunning, if you breathe out through your mouth you defeat the purpose. how do you know? >> well, actually, this is an important, important topic to talk about, as david says, it leads to diabetes, hyperattention, stroke, heart disease, the stuff i end up treating and people say, i'm just a snorer and when people come to my office as a snorer the next thing i say, ask your partner whether you stop breathing at night. do you have those episodes? are you fatigued the next day? it is a hugely important problem

affecting millions and go for a sleep study and they do, and come back and they say, okay. they want me to wear the spacesuit. but the problem is, that is in my opinion, still the number one treatment but studies show only 50% of people actually abide by that. my practice, is less than 50%. >> jamie: they don't wear it. >> they don't wear it and try it once or twice and can't sleep like that and now here's something else to use instead. maybe. the study last year in sleep had a very, very positive result on this, so i agree with david, it should be tried for people that don't tolerate the cpap but my second line of treatment because i want them to try the conglomeration. >> jamie: a better night's sleeping is everything and a separate topic. works against diabetes and heart disease and everything else. i don't know why insurance wouldn't cover it. it would cost us less money in the end but we'll save that for another day. >> maybe they will now. >> jamie: maybe. >> eric: good point. we've heard a lot of crazy ways to lose weight and a new diet

may take the cake. did someone say cake? the doctors will fill us in, next. let's play indoors this weekend.

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♪ h >> jamie: brides beware, we're not talking about runaway grooms, there is a diet out there that is proclaiming they'll get you ready for your big day. but the doctors want you to know, it could be dangerous. it is extreme. it involves inserting a feeding tube through your nose into your stomach, i know it sounds bizarre but people are doing it. the ke diet and it says it will help you shed 20 pounds in just ten days. dr. siegel. is it even safe? >> no. and i would tell brides out there, relax, enjoy your wedding. what is this all about? 800 calories?

this is a starvation diet. the k stands for keae -- key tone-jenic, and can you imagine doing it, right before your wedding, somebody is making a lot of money off of this thing but i'm not for it. >> jamie: what is "e". >> they are putting a feeding tube into the stomach -- >> >> jamie: who is doing it. >> a doctor in florida and in europe it has been done in the past and they are really trying to starve you, you only get 800 calories of protein and water with no carbohydrates and the term, ketosis, when your blood sugar drops, you feel dizzy and your body says i'll tap into the fat source and burn the fat and that is when you get the keytone bodies and you will take a

beautiful bride and have side effects, ready for this? bad breath, constipation, fatigue, weakness, do we really need that. >> jamie: perfect for a honeymoon. >> come on, six months to a year to prepare for the wedding. go to the rainbow diet, how about that. fruits, vegetables, 30 minutes of exercise, and a lot of water and, no soda and have a great wedding. my advice. >> jamie: much better without that. >> eric: an update on a medical procedure the doctors told you about, during house call, last week, it is cyber knife robotic radio surgery, a type of surgery for patient with prostate cancer and, we received a statement on behalf of the company, cyber knife and the statement says: the cyber knife system was fda cleared to treat anywhere in the body more than a decade ago. and the first prostate treatments were performed in 2002. and are now performed at more than 100 hospitals throughout the united states and around the world. 14 peer reviewed published studies support the

effectiveness of cyber knife for prostate cancer and demonstrate a low incidence of short- and long-term side effects. dr. samadi, you brought up the issue last weekend and your response to the company's statement. >> what i have to say is that all i want, every time i come, every sunday here is to really give i good scientific data to my patients and surgeons don't only offer surgery because it is comfortable and there will be room for that in the future but a lot of patients call and ask and are confused, robotic radio surgery is not robotic surgery, it is radiation and the advantage of surgery, you remove the entire tissue and you know exactly what type of cancer you are dealing with and i think the data we presented they are at the early stage and this is one size fits all and not every patient should get surgery or radiation and you have to be open minded and get a seconds and third opinion and, if radiation is the right treatment, go for it but i want

people to know what is out there and clear the confusion and, certainly, we appreciate the statement from the company. >> eric: all right, we do. thank you. >> thank you. >> jamie: how do you feel about being a vegan? the question is, is it right for your family? no animal by products? no meat. the doctors will tell us whether or not it is the right choice, for your whole family, next. 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, or problems passing ure. other side effects include dry mouth and constipation. nothing can reverse copd. spiriva helps me breathe better. does breathing with copd weigh you down? ask your doctor if spiriva can help.

>> jamie: with very good reason, it is a disease that most patients don't want to talk about but people suffer from and in inflammation of the lining of your colon and intestine and, we received an e-mail about colitis and she said i'm 18 years old and have been diagnosed with colitis and i have been given antibiotics to take for two weeks and what kind of food should i stay away from and is colitis something that can go away? dr. siegel, is it a lifelong chronic illness in. >> jamie it depends on what is causing it. the way the star ory is unfoldi i have a feeling it could be

infectious colitis, caused by bacteria. >> jamie: like h pylori. >> no, no, something called c-difficile when you take antibiotics, or if you traveled you can get the bacteria and they are trying, the doctors to give the patient antibiotics to see if it will clear it up and if it doesn't you do a colonoscopy and you have the problem you are talking about. is there inflammation in the colon, are there white blood cells lining the colon? that could be a lifelong thing. inflammatory bowel disease, ulcerative colitis and we hope she doesn't have it and we hope it is infectious from the e-mail and gets better with antibiotics. >> jamie: what about the foods. >> i think fiber. stay away from anything that precipitates the diarrhea and drink a lot of fluids. >> starchy food would be great, potatoes, rice, usually healing, and bananas are good. but, i think the main point, also with colitis is it is one

of the risk factors for colon cancer and if you had it 7 to 8 years you are at high risk, because the mucosa gets eroded and it causes mutation and it gets out of cycle and the cells can come cancerous and if you have a risk of colon cancer and colitis, you are at high risk and i advocate screening at the age of 40, and, you may have ulcerative colitis and you may have blood in the stool and, recognize, it and, as you said, the symptoms, they can wax and wane and it will get better and it comes back again and we see it in a lot in the hospital as a result of use of antibiotics and the treatment of choice, with c-difficile is flagile... >> jamie: that antibiotic and get treated if you have the symptoms. it could be a lot of different

things. >> eric: speaking of what we eat, adults, some around the country are cutting out all animal byproducts from their diet and for parent it cs it ca hard to know whether it will be a good diet for your kids. the doctors will weigh in on that, next. does aspirin even work on my headache? aspirin for pain? aspirin is just old school. people will have doubts about taking aspirin for pain. that's why we developed bayer advanced aspirin with micro particles. it enters the bloodstream fast and rushes relief to the site of pain. we know it works. now we're challenging you to put it to the test. we're giving away one hundred thousand bottles absolutely free through april 25th. so you can try it yourself and tell us what you think. visit fastreliefchallenge.com to get your free bottle.

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>> eric: welcome back to sunday house call. some adults practice a vegan lifestyle. but what about the kids? experts are raising red flags that it's not at all healthy to raise little ones with a vegan diet. >> well, look, i don't have the real answer for this. that's the honest truth because i think it's a good discussion to have. but the difference between vegetarians and vegan, in vegetarian, you can have no meat, but you can have the biproducts, you can have eggs and cheese. but with vegan, you can't have any of those. this is beyond just diet. this is almost becomeag a cult, where there is no leather or fur coat and they are very strict t. became popular because bill clinton as a result of heart disease, got onto this and alec baldwin and brad pitt and the hollywood stars made this popular. i think for adult, this can work. but when you talk about kids, especially in the first year, there are certain vitamins, b12,

they are not going to get, iron, calcium and vitamin "d," it is difficult to get the nutrition through this diet to your kids. unless, under very strict supervision of pedia trigdz, that may be -- pediatrician, so i would say be very careful with this. >> the problem is that we are not against or for anything in this case. there are people who firmly believe they should be vegetarian or vegan and that their children should be. but before the age of five, it's a problem to get the amount of protein you need. you can get protein from legyms and soy, but have you to monitor this very, very carefully. same thing with the mineral and it is vitamins, it's very hard to ge. it's hard to get enough calories on a vegan diet. we have seen too many cases where very young children, especially under the case of five, where they don't get