breast cancer, alzheimer's, type two diabetes, even gout. dr. samadi, why is that? >> as you mentioned we're getting a lot of great news in medicine and one was this one and part of the reason why we are seeing this in younger generations is because patients are smarter now, they are better educated, we are doing more screening, and early detection and that is part of it, but it is part of it is our lifestyle and the sedentary life led to some of the things we have see and with melanoma, we talked about it a week ago, more and more, younger generation, are going to the tanning salons and are exposed to sun, without using the sunscreen and we are seeing more melanoma? >> and the best advice is really, stay away from most of the tanning salons and make sure, between 10:00 a.m. and 2:00 p.m. is really hot and make sure you wear your sun screen, up to 30 and the best advice, make sure every month you self-examine the skin and, look at your body and write down any

moles or freckles and every month see if there are changes and if there are changes in the shape, color, diameter, see your determine knowledge and, we have talked about nains and i bring the fact that your bone structure is exactly like your savings account, money goes in, the more you spend, if you spend more than goes in you are in deficit and that is what it is with bone health. you want to make sure you have built up with enough bone to... >> jamie: and we are living longer. >> exactly right, exercise in your youth will show you, a delay in osteoporosis and losing weight and do your exercise and take your vitamin d and calcium and it will make sure you don't have this kind of bone disease. >> jamie: and our young generation is more obese than ever. >> a nice bridge to the next one which is stroke, we are seeing more stroke in younger people, we eat way too much salt, twice as much as we should have, one out of five americans is smoking and that doubles your risk of

stroke, two times greater risk and sedentary lifestyle and high salt diet and obesity, diabetes and high blood pressure, i'm seeing more high blood pressure, in people, and that leads to stroke. so i'm encouraging people, and you just saw me last week on a bicycle, i'm encouraging people, get out there and be fit. the next one i want to talk about is breast cancer and breast cancer, a lot of that is genetic. so, david's point about early detection, we're out there looking for breast cancer and, if you have a family member that has -- a close family member we want to screen you very, very carefully for that. >> jamie: when? you will not do a mammogram on a 20-year-old. >> that's true but like david said about examining the skin, i want women to do self-exams and it is controversial in the literature about that, here's my point of view, if you find something, go to your doctor. show it to your doctor and your doctor decides what to do. this is the art of medicine and it's not about your, oh, this isn't good and that is good. women should be examining their breasts from a very early age and, go to your doctor. high fat diet leads to breast cancer, too much alcohol leads

to breast cancer. and at an early age and know urgent next. >> what is important is, whatever message we give on the house call program, a lot of it is general information, but with personalized medicine you really have to see if it fits you and is not for everyone and when we talk about breast cancer, breast cancer,nd prostate cancer go hand-in-hand and the youngest person i ever operated on with prostate cancer was a 39-year-old and, the day would come last week i would operate on a 32-year-old i think never thought i would see that day, and it happens with younger ones and you need to be sure you are aware of it and do the testing and talk to the doctor, and diabetes, diabetes, type 2, always used to be the adult type of diabetes, type 2. type one was for younger ones and now we are seeing type 2 in adults and these are people who make insulin and there is

resistance and it has to do with diet, the best advice, you need to spend time with your children and make sure you have a family, and find out what they are eating and make sure they are -- >> jamie: go for a walk after dinner. >> all the sugary drinks and soda and replace with fruits and vegetables. >> and keep your mind active, the last listed is alzheimer's, exercising your brain and your body, will cut down your risk of dementia. >> eric: one of this great purposes of the program is to educate people so they are aware of their health and now, another shocker came out this week, has to do with popular energy and sports drinks, they say they boost your energy? according to a study drinking them is quote like bathing your teeth in acid. dr. siegel, are they -- >> jamie: yummy! >> and, from the journal, general dentistry, and, they look at 13 energy drinks, 9 sports drinks including red bull, monster mash and found an

unbelievable amount of acid in the energy drinks and they were worse than your sport drinks in eroding your enamel and looked at teeth enamel over five days, given 15 minutes, four times a day, bathing in the acid and found a two times greater increase of enamel in people that had energy drinks and sports drinks, not a great part, either and energy drinks, worse, what can you do outside of not drinking them? rinse your mouth out afterwards and chew gum, the two biggest tips i can give but my biggest tip of all, don't drink these. >> eric: what about the amount of caffeine or sugar or other... >> that is a great point, eric. first of all, the energy drinks are loaded with caffeine and the sports drinks are loaded with sugar and, unless you get the ones that are sugar free and i'm a big believer in getting electrolytes if you exercise and i'm better with sports drinks than the energy but the caffeine hidden in those drinks is a lot. >> eric: and, electrolytes,

gre gatorade. >> that is different, as a doctor the best advice is not to take any of these, these are going under dietary supplements and you don't know what is in it and the fda cannot get too involved and there are deaths -- and this is not to scare people and i'll get hundreds of e-mails, why did you say this. it is to protect the patients. your parents and my parents never had to take the energy drinks, there was no need for it and there is an underlying problem with our help and if you get enough sleep and eat healthy and exercise, when did we need these kind of energies drinks and my advice is to stay away from it and find out what is going on, are you getting 7 hours of sleep in really drinking enough? i think, a lot of side effects to this, and this whole dental c cavity that leads to gingivitis and, stay from it. >> and we talk about coffee and benefits of coffee but the internally drinks have more

caffeine than coffee and they are hidden and people don't realize they are getting the caffeine. >> eric: you want an energy drink? coffee. >> jamie: one other thing is they use artificial sweeteners even in the low-cal energy drinks. so much more health information for you and your family. we have information about sinusitis. so many people are suffering, right now, the doctors will tell us why a prescription that is commonly used for it, may not be the answer. does any mother evefeel like their kids are adults? i have twins, 21 years old. each kid has their own path. they grow up, d they're out havingheir life. i really started to talk to them about e things that are important that they have to take nership over. my name's colleen stiles, and my kids and i did our wills on legalzoom. [ shapiro ] we created legalzoom to help you take care of the ones you love. go to legalzoom.com today and complete your wil in minutes. at legalzoom.com, we put the law on your side.

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♪ >> jamie: welcome back, i did something during the break i'm curious to ask the doctors if it was helpful. i stood up and, several studies show if you sit at your desk all day it's not good for your health. but, there is little proof it could lead to back pain.

still, experts say putting pressure on your spine by sitting so long, may make you prone to injuries. so, dr. samadi, was that a smart thing? >> it was. >> jamie: really? >> yes. >> jamie: good. >> 90% of americans suffer from low back pain at some point in their life and fortunately a lot of that is self-limited and disappears on its own and before we get into the reason behind low back pain, it is also important to understand, the actual structure of the spine. think of it as a high rise. that has 30 floors? . you have 30 people and these they're floors and between each floor you have the shock absorbers and those are the discs. where the elevators are in the core of the whole building, that is where the spine core is, the spinal court or the serves are and what happens over time, let's talk about the causes now. you end up having -- sitting for a long time, sitting is the worst position for your spine. why?

where do you think the highest point of pressure in the building is? the lower level. >> jamie: the basement. >> exactly. when you sit, all the floors on there, it puts the weight on there and you want to take frequent breaks and make sure now we have computers an facebook and twitter and we are spending more time, make sure the level of the computer is at the level of your belly button, hands are comfortable and once in a while get up and exercise. we'll do something quick together. a simple way to release some of the muscles pain. sit all the way back and see if you can do this, suck your stomach all the way in, all the way to the back. >> jamie: as if it wasn't all hour. go ahead. >> and hold it ten seconds. and, slowly breathe out. normally. >> jamie: i'm checking my time clock. >> do it five times and you'll see relaxation of your muscles. that is what we see most of the time and? general, there is the old man

disease, wear and tear. degenerative disease, called arthritis. and what happens over time, with this build -- when the building gets older the floors are going to basically get shaky and the bones will be closer and, the disc which was in between these, is going to leak into where the elevators are. that is called spinal stenosis, going to put pressure on the nerves and that is where you are going to get what some call sciatica. >> jamie: and what can we do about it? it sounds terrible. >> a beautiful description and i want you to understand, these nerves and bones and muscles in the back, are very tightly together. we call it a very tight compartment and that is the biggest problem, because most of the time when people have lower back pain, they are having a muscle spasm because that nerve is so close to the muscle. now what can they do? get up and stretch, they can use an ergonomic chair where their forearms are 90 degrees and

here's what they can't do, don't rush to an imaging study and have a doctor send you for a million tests. if i need to use medication, i use muscle relaxants, again most of the time it is muscle. i know, i'll get a million e-mails but don't go to a chiropractor right they've bat. figure out what is wrong with your back. >> jamie: an analgesic? >> if you are having a bad day and having aches and pains i'm okay with an occasional analgesic use and david said it can bother your kidneys and, i don't like any of my patients taking medications of any kind without my being aware of it. they surprise me and jamie they say, oh, i am not taking any medicines, just three advils a day for the past two months, stretch, take frequent breaks and see your doctor if it persists and david went over the causes, sciatica, a disc problem, a -- it needs a workup, not a chiropractor. >> a lot of times what they do,

under the flooroscopy, and, you have anticipation, and pain management and you have anesthesiologists and talk to the doctors and find out what is right for you. >> eric: such a big topic. >> and therapy before you start considering surgery. you want to go slowly with this. >> jamie: and, one last thing, heat or ice. >> heat. >> eric: that's interesting. >> heat. >> eric: e-mails on back pain, they have been coming in and we have this already from stephanie in south carolina. she says this is regarding a spine procedure, mild, used to correct spinal stenosis, is it safe? signify she should consider and what is it? we talked about recommend amends what is this. >> david set me up for this and

described the anatomy, if there is narrowing because the soft tissue is pushing there, if you get a narrowing you get symptoms especially when you try to walk. what do we do? a decompression and get the prush o pressure out of the canal, and, it is new-fangled and it is state of the art, and, eric as we have discussed on the show before, and david and i are conservative about rushing to new-fangled treatment. it is about the surgeon, not the procedure. not this is a good or bad procedure, it is who is doing it and how much experience they have and in this case, the actual lamina, the bones need to be decompressed, a little bit more expensive procedure than this viewer describes to actually cure the problem, long term. i've had too many problems with recurrent symptoms in that particular procedure. it may not be enough in most cases. >> it is impossible to really cover the whole topic, within

four minutes and the truth is there are a lot of surgeons that may recommend laminectomy and, you see where the disc is and you are able to remove it with minimal invasiveness and you have to talk to multiple doctors and find out what is best for you and the "mild" treatment works in 70% of the time and if it doesn't work, you can always get a laminectomy and this is the general recommendation and talk to your orthopedic surgeon and find out... >> eric: we can talk about back pain, almost every week. >> jamie: a want to know about acupuncture, next time, thanks, springtime means a lot of people are having trouble breathing, sinus infections, sinusitis, what is going on? so many people suffering and, often prescribe antibiotics but sometimes taking those drugs can be pointless. the doctors will give you better remedies, "sunday house call,"

continues, after a quick break. y irregular heartbeat put me at 5 times greater risk of a stroke, my first thoughts were about my wife, and my family. i have the most common type of atrial fibrillation,r afib. it's not caused by a heart valve problem. i was taking warfarin, but my doctor put me on pradaxa instead to reduce my risk of stroke. in a clinical trial, pradaxa® (dabigatran etexilate mesylate) reduced stroke risk 35% better than warfarin. and unlike warfarin, with pradaxa, there's no need for regular blood tests. that's really important to me. pradaxa can cause serious, sometimes fatal, bleeding. don't take pradaxa if you have abnormal bleeding and seek immediate medical care for unexpected signs of bleeding, like unusual bruising. pradaxa may increase your bleeding risk if you're 75 or older, have a bleeding condition like stomach ulcers, or take aspirin, nsaids, or blood thinners, or if you have kidney problems, especially if you take tell your doctor about all dicines you take,

any planned medical or dental procedures, and don't stop taking pradaxa without your doctor's approval, as stopping may increase your stroke risk.ures, other side effects include indigestion, stomach pain, upset, or burning. pradaxa is progress. having afib not caused by a heart valve problem increases your risk of stroke. ask your doctor if you can reduce your risk with pradaxa.

♪ >> jamie: we've talked a bit on this show how antibiotics can be overprescribed and did you know that more than 20% of antibiotic

prescriptions for adults are given in outpatient care, often because people say they are having sinus problems. and, they probably don't, it turns out, need that particular drug. so, dr. samadi, how do doctors know when you need an antibiotic for a sinus infection and when you don't? >> well, we are certainly overusing antibiotics and a lot of this is being -- just resolved on its own because they are mostly viral and not bacterial but the question from the audience was, exactly what is sinus and the role of the sinus, before we get into it, these are spaces behind the nasal area, on the forehead and what they do is -- the they are humidifiers and huand they get blocked with any kind of an immune problem or smoking gets blocked and can get infected and you have the infection of the sinus and what do doctors do, with the post nasal drip or fever? there are studies from jama that

shows placebo versus amoxicillin, no benefit and a lot of times you can take care of it yourself by taking steam and making sure you are drinking warm tea and after ten days, if the symptoms are still there, that is when you can take the antibodies. these are mostly viral, not bacterial, and, you just -- resolves on its own and we are overtreating them. >> jamie: there is so much gunk in the air, dr. siegel we breathe in every day and i'm not just talking about the subway they are building in my naked but a lot of people swear if they use the saline spray, not a drug, every day, they get out all of those pollutants and less sinus infections and problems. what is your opinion? >> jamie, i like that saline spray and i think the whole key message here is not to overtreat. the journal of the american medical association article in february, clearly shows we are overtreating, 95% of the time, sinus infections are viral. but, there is another problem, out there. guys, it happens to be a big

allergy season. and you go there and you are having your -- your eyes are weeping and burning and you have nasal discharge and think maybe i have a sinus infection and go to your doctor and put you on an antibiotic, wrong, he has to treat the allergy and if it is really a sinus problem you will have gunky mucus in your sinuses, and there again, 95% of the time it is viral. doctors shouldn't rush to antibiotics. i use musinex and that thins nasal secretions and, afrin spray and, as david says, get into a hot shower, humidifier... a hot glass of tea, chicken soup, before you rush to antibiotics. >> jamie: definitely the chicken soup. >> we are causing a lot of resistance. >> if you have fever, over 101, the headache doesn't go away, you still have symptoms, that is where you need to go back and that is when you need to be treated. >> or getting gray -- green

discharge, i don't mean to be graphic. and fever. >> eric: we'll talk about the president's plan to jump start the economy. a fair and balanced debate on that when we come back. does aspirin even work on headaches? aspirin? i don't really know what it's for. isn't aspirin like a vague pain reliever? 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. visit fastreliefchallenge.com today for a special trial offer. then try it yourself and tell us what you think.

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