>> a fox news alert. the american center for law and justice is reporting now an american pastor held in iran has been convicted and sentenced. they represent pastor saeed abadeni. he has a wife and two children who live in the united states. they say a judge in iran known as the hanging judge convicted the pastor to 8 years in the worst prison in iran for quote threatening the national security of their country. that charge stems from the pastor's attempt to establish a network of christian churches inside iran. coming up in the 12:00 hour we are going to hear directly from an attorney who represents his family to give us the very sad latest developments.

>> first sunday house call joining us this morning dr. david samati department of your rolling chief of robotics at the mount sinai medical center. >> and dark mark seigel ned cal center also author of inner pulse unlocking the secret code of sickness and health. >> good morning, doctor. >> hope you had a great week. >> talking about the flu as if this season wasn't bad enough centers for disease control and prevention warning there's a new bug sweeping the nation. you get the flu now you are going to get sick with something else. >> the new one is norovirus. it's the second most common bug we have in this country. nobody knows about this because everybody talks about common colds and flu. it effects 21 million americans

and 800 die from this. it's a real gi virus. that's what it is. it causes nausea, vomiting diarrhea as jamie says a lot of cramps. this abdominal cramp and gi comes from this virus. they call it a ferrari of the virus. it is easy to get it. very difficult to prevent getting it and it is basically surrounds the surface of somebody touching by not washing your hands after the bathroom. it comes through the fecal and other rale. if you are at a restaurant they are not taking good hygiene places like cruises, planes, hue populus places. what's important is washing your hands is very, very critical. hand sanitizers won't work. you have to really bleach the area. >> does not work. it's a very resistant bug. it is contagious. it mutates quickly year by year. the symptoms are easy to

recognize. you usually get it within 24-hours after and it lasts about a week. mostly younger people are in danger dehydration is a part of it. >> if sanitizers don't work you go around they have the little device squirt on it what do you do? wash your hands all of the time? >> this is a wildly infectious bug. compared to the flu. to compare it to the flu it takes 20 particles of another row vire -- norovirus 1,000 of the flu to get you sick. it lives there for weeks. as david said hand sanitizers don't work it doesn't have will f fat envelope around it like the flu does. bleach works. if you took those clorox wipes and wipe down surfaces that helps. if you are sick with the norovirus and people need to know the difference. if you are vomiting and you have diarrhea if you are getting dehydrated you have a low grade

fever that's not the flu. that's norovirus most likely norovirus. >> some people call this stomach virus or stomach flu. >> it is a win fer flu. >> how about soap and water? >> soap and water really works but you have to do it for 30 seconds. as we are going to talk about later it dries out your hands. there's a problem with that but washing is really good. use the clorox wipes. you have to stay hydrated. that's the main thing. it will go away on its own in 1-3 days you have to stay hydrated. if you are very young or very old that's where you get at risk if you get dehydrated. keep up the fluids. >> best way to prevent is wash your hands for 20 30 seconds. >> clorox wipe the surfaces and stay away from people. don't go handling food if you are not feeling well. >> eric knows -- first of all move over just in case.

you siveng happy birthday when u wash your hands. >> when you touch things and you can pick up this virus i think doctors you said even if you touch your eye you can pick it up? >> no question about it any mucous membrane can go into the body. 60 percent of stomach viruses are on the hand. it starts on the hand gets into the mouth and you got it. within 12-hours you can get sick. >> as doctor says sing happy birthday to you when you wash your hands. >> if we had time we would have a demo. >> i want to get to the next topic. a lot of people ask me about this when i put it out there we were going to do it. there is new research that shows older americans who take aspirin and so many do as part of regular preventative therapy it doubles the risk of an eye disease that can cause blindness. you have to help us out on this one. >> acute macular degeneration. the time we are talking about is called wet meaning blood vessels are leaking.

it is a pail disc at the center of the retina. retina is like photo paper like you are a camera and you are printing on photo paper. interface between the eye and the brain. at the center is the macula. it is responsible for central vision for seeing for reading, for discerning certain surfaces. the basic things you do in life. over the age of 85, 20 percent get de macular degeneration. maybe there's an increased risk of this from aspirin. we know there's an increased risk for high blood pressure high cholesterol from being obese from smoking. we already know that. here's my take home here. i don't want people out there to stop their aspirin because of this study. it is not proof and i have a lot of people on aspirin that really need it to decrease risk of stroke, decrease risk of heart attack and certain cancers. aspirin is a miracle drug, but the real take home is get your doctor in the loop.

don't just go to the pharmacy and buy as frpirin and start yourself on it there may be unexpected risks. >> aspirin can cause bleeding if macular degeneration like the opening of the vain or artery in the eye it wouldn't be recommended. do you ask your eye doctor? >> that's a good point. every time you take a medication you have to balance the risk and benefit. just because your neighbors are taking it you should not be on it. 45 million americans are using aspirin because there's a lot of statistics and a lot of medical doctors are using it to prevent stroke, heart disease, to really open up the vessels and make sure you get enough blood flow. in this particular study coming from australia and it was actually published in general which is a reputable magazine and journal, i don't buy this. i don't think it's a big study it's a small one it's not really a cause and effect it's not random. it's a very observational study and if you really look at the

statistics it really doesn't show that it causes blindness. it shows it increases the risk. i don't buy it. if you have heart disease at risk of stroke you should continue and no one should stop taking aspirin because of this study. going back to what you ask talking to your on the mol gist talking about your risk. if you are a diabetic risk of diabetic eye issues macular degeneration follow up and see them. this happens usually over the age of 49 is when we see this. it is not revessibreversible. prevention is the way to go. >> that's what we are here to help people do. thank you. great topic. >> take your aspirin if you need it. >> coming up a new development gynecologists are avoiding traditional surgery. when it is time to go under the knife we will look at robotic methods helping women get back

on their seat sooner. join our live chak at house calls. keep the questions coming. if you have a follow up question doctors have an answer they might give it to you on our program. yeah. then how'd i get this... [ voice of dennis ] ...safe driving bonus check? every six months without an accident, allstate sends a check. ok. [ voice of dennis ] silence. are you in good hands?

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be here and the patient is 10 feet away as you move your hand the instrument moves in the patient's abdomen. that was an eye opening experience. they are coming in for women. all of the hysterectomies removal of the uterus for cancer, fine broi browe-- fibro which causes difficult menses. all of this is being done with robots. the reason it works with this is because we are working in a very narrow pelvic space. >> we are looking at it right now. there you are behind the mask some place. >> those are my nurses my lovely team that always stand behind me. i am sitting at a distance away. of course you need to have the team. the reason why it works is you can visualize things better. there's no incision. there's no blood loss. >> there are basically tiny little holes we put the instruments but there's no cut. they get to go home early and go back to work. since there is no blood unlike

open surgery you can see the field and that's why in prostate cancer you can see the nerves and the outcome as far as sexual fupgs and continence it goes well. >> there's a patient there? >> yes. >> the key thing is how do i decide as an internist i am going to send somebody for a row potic procedure. >> david helped train some of the people in this country for women as well. strangely when they study it had for women his reck tommies or myo myectomies when you take out fibroids you can have a longer time in the operating room and it can be more expensive. you know why that is? not everybody doing it has david's training. if you are a patient looking to see if you have this procedure which has obvious advantages higher magnifications you can get to places you couldn't get to otherwise. quicker healing time. out of the hospital faster.

you don't have the big wound. >> no bleeding. >> i didn't see any. you have to have someone who has the experience that knows what they are doing and has the number of cases. >> if you go to the doctor what should i ask a doctor about the surgery. >> you ask whether it's necessary to do it that way. do you know someone who has a ton of experience. >> experience matters. i think if somebody can use their hands, we used to say tactile feedback or touch is the way to go as we did in open surgery years ago if you can translate your experience and bring the technology and combine them that's where you have the magic. the question you should be asking your doctor what is your experience how many cases have you done? >> what is the right number? >> i think for prostate cancer you should go to hundreds or thousands. the most experienced guy. if your surgeon is going from room to room and is only there

for part of the operation that's not a good operating room to be with. find out what the complications are do you have a technique and what are the side effects. everyone that does robotic prostate surgery may have a different technique. i think it's experience of the surgeon that matters. >> ask you one last question on this. could this be used for brain surgery ultimately robotics? >> no. it will go on to other modalities but right now because there's not a lot of room in the pelvic area for prostate for uterus this works really well. you have pufull range of motion you can really bring the camera. when we used to do open surgery you can't put your head under the pelvic bone to see. now you can see beautiful. that's where men and women out there will benefit from the advantage of this. >> that was the doctor washing his hands. >> we are glad to know. there are a lot of questions surrounding head splitting,

migraines. how many times do you say my aching head what am i going to do? there's a new study out there that offers answers about what actually triggers those migraines. we are going to help you out. stay where you are. look, if you have copd like me, you know it can be hard to breathe, and how that feels. copd includes chronic bronchitis and emphysema. spiriva helps control my copd symptoms by keeping my airways open for 24 hours. plus, it reduces copd flare-ups. spiriva is the only once-daily inhaled copd maintenance treatment that does both. spiriva handihaler tiotropium bromide inhalation powder does not replace fast-acting inhalers for sudden symptoms. tell your doctor if you have kidney problems, glaucoma, trouble urinating, or an enlarged prostate. these may worsen with spiriva. discuss all medicines you take, even eye drops. stop taking spiriva and seek immediate medical help

if your breathing suddenly worsens, your throat or tongue swells, you get hives, vision changes or eye pain, or problems passing urine. other side effects include dry mouth and constipation. nothing can reverse copd spiriva helps me breathe better. (blowing sou) ask your doctor about spiriva. we all work remotely so this is a big deal, our first full team gathering! i wanted to call on a few people. ashley, ashley marshall... here. since we're often all on the move, ashley suggested we use fedex office to hold packages for us. great job. [ applause ] thank you. and on a protocol note, i'd like to talk to tim hill about his tendency to use all caps in emails. [ shouting ] oh i'm sorry guys. ah sometimes the caps lock gets stuck on my keyboard. hey do you wanna get a drink later? [ male announcer ] hold packages at any fedex office location.

>> if you have migraines you know you will do anything to prevent one. there's a lot of myths about what actually triggers them. all of the things we love, chocolate, coffee, bright lights. there's a new study, though, that actually goes through what causes migraines. we want to ask dr. seigel first what are the real trirgs and what are the ones you are not going to take away from us if you have migraines. >> 30 million americans have migraines most of them women. haring lagrgely because hormona changes cause a my grafrnl it's a headache usually on one side. it's the most common headache that gets you to the doctor's office. there's a lot of controversy. a lot of research believes there was inflammation in the blood vel els. we think it's a irritation to the nerve in the face. we look for treatments that actually cut down that irritation. that's why seizure medicines treat it. that's the lathes in migraine

research. but what triggers migraines it varies person to person. the take home of this study which is a very small study of 27 migraine sufferers published in a renowned journal of neurology they all say exercise and bright lights trigger migraines. when they were studied they found it didn't work. most of the time it wasn't what they said. it brings up a point. what is it about lights that triggers migraines. it may be going from a darkroom suddenly into the light. it may have something to do can suppress. we always look at these studies and see headlines in the media. migraines are not caused by what they said. the reality is this was a very small study and it's not proof. the take home here is it's a personalized thing. you have to talk to your physician. chocolate is one idea. hormones is another idea. not sleeping can cause high grains. stress can cause migraines. in food and cheese can cause it

also nitrates. tirama neshg e a protein found in certain foods like aged cheese. >> not going to have cheese now. >> and red wine can cause migraines. >> depends on the person. >> it sounds like you have got to experiment. you have to try to take away different things from your diet or lifestyle and see what is really triggering the individual person. >> or keep a great excellent diary and find out what causes it. jamie, i think the most important part of this is you have different type of headaches that can cause different type of symptoms and different type of treatments. it is really a block in the brain that could be causing it. could it be a tumor? is it a migraine? you need to recognize exactly what migraine headache is. pneumonic for it is pounds, p is pulsating headaches. hours 4-72-hours. it's on one side it causes

nausea on and on. keeping a strong diary and talk to your doctor. >> don't rule everything out until you know. >> talk about getting cold and being cold the frigid weather in the northern part of our country it could take a toll on your skin. how you can keep your hands and face from drying out. we will get tips when we come back. [ male announcer ] this is anna, her long day teaching the perfect swing begins with back pain and a choice. take advil, and maybe have to take up to four in a day. or take aleve, which can relieve pain all day with just two pills. good eye.