>> and, dr. david samadi, the vice chairman of the department of urology and chief of robotics at the mt. sinai medical center, doctors, thanks for joining us and we begin with a startling new statistic, dramatic, stating american adults are living with two or more chronic conditions. and, research actually shows people 45 and older are especially at risk. doct dr. samadi, what is going on with this. >> this study came out of cdc this week, and looked at 9 chronic illnesses, heart disease, stroke, cancer and the list is long and they noticed now in america, the population over 45, they have at least two of those chronic illnesses and the numbers have gone from 16%, in the last decade, now to 21%. and, what is more important is the -- over the age of 65, the number has gone from 37% to now 45% and what it really means is, is that half of the population

over 65, they have two chronic diseases or more and that is not really good news for us and the answer is, why exactly does it happen? and some of it has to do with the wear and tear of the fact that people are living longer. and modern medicine is diagnosing them, and as a result of living longer you are going to have the chronic disease and some of it has to do with the cost of medicine, they cannot afford the medication or are not complying with that and that is part of it and the biggest part of it, the chronic illness is on the rise as a -- and the secret behind the shadow is obesity, and obesity causes the heart disease, stroke and diabetes, so, really, to take message to a lot of people out there, 20-second message is cut down on the satellite, sugar, white flour, and that should take care of the high blood pressure and diabetes and make sure you exercise and stop smoking. we are good at prolonging life and excellent in diagnosing and quantitating but we don't do as well as the quality of our

patients, prevention is the way to go in the future. >> kelly: we good advice. >> patti ann: dr. siegel, what would you add in terms of not being that statistic. >> not everyone complies with their medication and, one of the things that came out the review, is 24% of people are not getting their medications or getting to the doctor and as a practicing internist i see the problem of people with two or more problems and i couldn't agree more with david's point about obesity, that is the core of the problem, not just obesity bought being overweight, almost half of americans are overweight, and, are sedentary and we lie on the coach, don't get up, don't exercise and i want to explain why obesity is at the core of this, because people come to me and if they are obese, their cholesterol is usually too high. their blood pressure goes up. when their blood pressure goes up and the cholesterol is too high, they have a higher risk of heart disease, that is nor one of these chronic diseases and diabetes, we talked about previously, is directly related to how much you weigh. the more you weigh, the less

insulin receptors you have to do the job you need, the more likely you'll have diabetes, all of these together, increase your risk of heart disease. what do we do? david gave nice prescriptions for you. for me i'd also add, small changes, get big results, get up in the morning, walk or do whatever exercise you can do, 20, 30 minutes a day and if do it early that the morning it increases your appetite and hunger hormones go down and, coffee, you like coffee in the morning and don't eat as much and you are set for the day and you know what? you start losing weight and feel better and chronic diseases don't happen as often. >> patti ann: all right, good advice. moving on now, could bad breath be a sign of disease, researchers are working on technology that might be used to detect and monitor several conditions, by a whiff of your breath. we'll start this time with dr. siegel. >> we have heard about this since the time of hip.

-- hippcrates, and i heard from a doctor in stoneybrook, and they are doing studies using david's favorite thing, nanotechnology, tiniest particles to assess the breath r and people are worried, will it be sensitive enough to pick up real diseases and she is looking at particularly markers and one is acetone, died with diabetes and they are starting clinical trials and we may see something about this, and you breathe into an e-tube and it assesses the amount of nitric oxide in the case of asthma or another problem in the case of cholesterol, or acetone and in a few years in the future you may be able to breathe into a tube and they may be able to tell us what diseases we have or are at

risk for. >> patti ann: dr. smamadsamadi? >> technology is being advanced and bad breath was solesly awkward but that is note point, a good dentist and oral surgeon can find out, is it just gingivitis, dental cavity, or coming from chronic sinus infection or gastritis or inflammation of the stomach or bronchitis, so we can learn a lot from this kind of technology, within year, research is being done at stoneybrook, they are able to give us a very small breathalyzer and you can breathe in, and it costs $20 and will tell you whether it is a sign of diabetes. that is amazing, think about it and you can get treated for asthma and come back and do the test and see if it is effective or not and i think the nanotechnology and looking at the particles that are in our breath are going to give a lot of, you know, future diagnose cease. >> and dr. samadi is a graduate

of stoneybrook, one of their star graduates. >> kelly: doctors, thank you so much, our doctors are here to help answer viewers' e-mails as well and we have a good one coming up for you. for those of you who are suffering from neck and back pain. especially if it involves a herniated disc. stay around. ♪ you know, i was once used for small jobs. yeah, and i took on all the bigger, tougher ones. but now that mr. clean's got this new select-a-size magic eraser,

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his morning starts with arthritis pain. and two pills. afternoon's overhaul starts with more pain. more pills.

triple checking hydraulics. the evening brgs more pain. so, back to more pills. almost done, when... hang on. stan's doctor recommended aleve. it can keep pain away all day with fewer pills than tylenol. this is rudy. who switched to aleve. and two pills for a day free of pain. ♪ [ female announcer ] and try aleve for relief from tough headaches. ♪ >> kelly: welcome back, questions following a study that finds healthy people should skip ekg screening. a federal panel suggesting the heart tests don't provide doctors with much information. dr. samadi? >> you know one thing i love about the program is that we are bringing you the most recent medical breaking news and this article that just came out in

annals of internal medicine, by a u.s. task force, it came out this week and basically what they are saying is you are asymptomatic and have no symptoms, no chest pain or cardiac issues and are at a low risk, meaning you don't have diabetes or high blood pressure you don't need ekgs every year and so you don't need to be screened and the reason is because sometimes, we may be overdoing it. and we may be getting too many ekgs and we find things that can lead to cardiac problems and other things and there is a discussion from cardiology standpoint, we don't want people to go on and get chest pain and die because coronary heart disease is one of the leading causes of death in this country and 40% of deaths have to do with this and how do we go about this? i think of common sense, things we talked about, mammograms an psa tests, screening, and ekg follows the same pattern. if you are at low risk, get a baseline at the age of 30 and talk to your physician, every five years and follow up on that and why is that important?

because you want to compare any abnormal ekg in the future with a baseline and see what has changed. that is really important. if you are at moderate risk or high risk, if you have diabetes, high blood pressure, make sure you get the ekg and also get stress tested. but, it is a discussion between you and your cardiologist and marc will make more comments about that. >> i agree with everything he said, i need a baseline over the age of 30 to determine whether you need -- if you have a problem later on i need something that is -- to refer back to and the other issue is the american heart association says if you are sedentary and not exercising and you get up out of your chair, i need an ekg because you are suddenly at increased risk. david's point, if you have high blood pressure, if you have high cholesterol, a family history of heart disease, if you are overweight, you smoke, all of these things mean i have to do more scrutiny on the ekg and i want to make a point i've made on this program several times. it is note ekg that is the problem who overreacts. it is the doctor. it is a $75 test and it doesn't

mean i'll overreact. if doctors take the ekg and are doing unnecessary stress tests and angiograms an unstory stents, that is not the fault of the ekg, doctors have to learn how to react properly to tests. >> that is a good point, being a great doctor is not a knee-jerk reaction, it doesn't mean elevated psa, is a problem and, abnormal ekg is a cardiac death, and you have to look at the entire picture than just what is in front of you. >> i'm glad you brought that up. >> patti ann: we were asking for e-mails and got one from a viewer: 6 weeks ago through an mri i was diagnosed with a herniated in the neck between 6 and 7 and i was told it may take 3-6 months to get over the injury. what is the normal procedure for this type of injury? dr. siegel. >> i like this e-mail, as david said last week, e-mails don't give us enough information to treat over the television but here's what i will tell you. the mri is not the only example.

what are you feeling? do you have weakness? do you have sensory loss? numbness in the area? weakness i would worry about, if you develop weakness you need to see a neurologist right away, because the problem could be severe enough you might actually need surgery, we are talking about the spinal cord and pressure on the spinal cord and there are medical treatments we can use, sometimes steroids work and nurmeurologists if you have weakness will do elect electromyograp electromyography, and, we are not talking about operations and too often sone sees an anatomicl abnormality and the next thing you know they are having surgery, and the parts of the body that are involved, wrists, flapping, and, your wrist, if you are having the symptoms, contact your neurologist. >> that looked like a punch there!

and we are talking about herniated disc. what exactly is it? between the two vertebrae, bones, there are shock absorbers and that is how we move our neck and, this patient because of wear and tear, or injury, and we'll see more and more of these injuries, we're behind computers more and becoming the facebook and twitter generation and bad posture gives us this kind of herniated disc and once the disc pushes against a nerve you will get the kind of tingling feeling and the pain in the shoulder, tip of the fingers. and, of course, every conservative measure from advil, motrin, any of the medications, physical therapy plays a big role and, surgery is a last resort but it works well if everything else fails and what they do is remove that part of the disc and put in a bone graft and, they fuse the two bones so it stabilizes the area and they do amazingly well. so what i would tell this person, in the next month or two, if the -- the pain should

resolve, 80% of the time resolves on its own and i'm surprised he didn't get in touch with her, he calls everybody. >> he's right. you may need it but you cannot go back, make sure you really need it before you get it. >> not just for barb, but everybody out there suffering from a herniated disc or other problems, back pain... >> she's already feeling bad. >> i e-mailed her but she didn't e-mail me back. >> kelly: more "sunday house call" coming up and re information in the colorado movie theatre shooting. what we know now about the psychiatrist treating suspect james holmes prior to the attack and what it could possibly tell us about his mind set. 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

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>> kelly: "sunday house call" contins, we're learning a psychiatrist who treated the suspected colorado movie theatre shooter was a schizophrenia specialist. it is still unclear, however, why james holmes was actually seeing her. and, whether he was receiving any treatment. so, what is schizophrenia, and, dr. samadi, can you explain what schizophrenia is? >> kelly, schizophrenia, by

itself, means... in reality is an imbalance between emotion and cognitive behavior and what it really means is, these are the people that don't know the difference between what is real and not real. and they may have many symptoms, and some of the symptoms are delusional. and, they can hallucinate and, hear things, maybe you should go to the movie and start killing people and you are a hero and they are hearing things and are disorganized and have poor hygiene and, flat affect and may not interact with their society well and have cognitive behaviors and usually, it is in their 20s and 30s and is rare to see schizophrenia over the age of 45. so his age matches the typical schizophrenic and you have to be careful, there are different subtypes, one is paranoia, and those are the types that do well with good prognosis and there are disorganized ones and those are poor prognosis and the truth is you have to take them and treat them well, and diagnosing, early, is beneficial, because,

otherwise, leaving them alone, it can become -- they can become homeless and poverty kicks in, drug addicts and alcohol and they can be dangerous to society. >> kelly: and the drug interaction, wouldn't it set it off even more. >> that is right, the problem with schizophrenia is -- the lead theory is you have troo much dopamine and we use medications that block dopamine and drugs increase dopamine and, it is no good and david said at the beginning, 1% of the population are schizophrenics and, tv and movies everybody thinks i have a split personality and that is not what schizophrenia is, it is when your emotion and thinking are broken apart. and, your thinking is disorganized and you think, things that just are not real, aren't really there. you have beliefs, false beliefs, and, they are fixed and you can't talk them out of it or they have hallucinations and, usually it is auditory, a voice

that isn't there and, they can see something and they show it on tv a lot and more oftentimes it is the voice and are oz organized and withdrawn and emotionally withdrawn and, paranoid, they think someone is following them and most of the time, this is outpatient and most of the time, it is nonviolent and the vast majority of the time it is nonviolent, a lot of people have schizophrenia out there and i don't want them locked up because of this story. this is highly unusual. >> the big question is why should someone who is supposedly smart, in the ph.d. program, didn't show any signs of symptoms, of any kind of abnormality, one day starts to really terrorize everybody, and i think, you know, there are someissues, that go under the radar. and whether the media or some of the movies and violence had something to do with it, like marc mentioned if they are delusional or have hoo hallucinations, it can feed into

it and the earlier you diagnose them and bring them in and treat them the safe the community and society will be. >> and there are plenty of warning signs, not just one day -- it is not like you suddenly snap. >> kelly: and we aren't saying this is the case of the shooter. but something they are, looking at pushing and we are hearing more about possible findings and still to come, tips on helping you maintain your weight with simple, every day activities. dr. siegel says it is possible, and he'll give us surprising advice. [ male announcer ] this is rudy. his morninstarts with arthritis pain. and two pills. afternoon's overhaul starts with more pain. more pil. triple checking hydraulics. the evening brin more pain. so, back to more pills. almost done, when... hang on. stan's doctor recommended aleve. it can keep pain away all day with fewer pills than tylenol. this is rudy. who switched to aleve. and two pills for a day free of pain. ♪

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>> are you tired of counting calories? did you know that you might be able to keep your weight study or even drop a few pounds without any special effort? here's some tips on that. this we have to hear. >> as we said before, small changes give you large results. it's easy to lose five pounds. take at a breakfast bagel and make it an english muffin. increase the water you have. get up and stand and walk around instead of getting all the time. get more sleep. seven hours of sleep instead of five and a half will help you lose five pounds. every day some kind of exercise and don't just lie there. increase your water and decrease your portion size. that's the most important thing. >> it' it's easy. you should drink seven glasses

of water to increase your metabolism. sleep is a big part of this. if you want to take some vitamins or herbs, one thing that's really good for you is xanthigen. it's actually a mix of sea we'd and mo perform pomegranate. there's another that increases blood flow and the metabolism. so look into xanthigen and cut portions and everything else my good friend mentioned. >> all of this without exercise. >> and sleep more. >> all right. i can't come in tomorrow morning. i've gotta sleep. >> we'll write you a doctor's note. >> thanks, guys, so much. >> always good information. thanks so very much. for more information about today's house call or previous calls, log onto fox news.com/house call. sunday house call is now on twitter. that's writte