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week or not take care of yourself? don't worry about it! it is time for sunday house call. we're going to help you out. joining me, vice chairman of the department of robotogy. >> unlocking the secret code of sid ne sid. >> guys, hooking people up with great health today. i did overpromise? >> details on the fight against leukemia. there is an experimental treatment that's used on several adults that sent their cancer into remission. this is really important, sending leukemia into remission? >> this is a very interesting news that's coming up and very exciting for a lot of people listening. talking about a.l.l.

it is a cancer against white blood cells. it goes haywire and turns into a cancer. it has two peaks. usually children twee age 2 to 5 get this. 80% of the kids do quite well with chemotherapy. the next round is in older population and the prognosis is poor, 30 pfrs population actually survive it despite chemotherapy. the new way to do it is immune therapy. we are taking these white cells, we inject them with harmless viruses and through genetic engineering we equip them that your own cells can actually find those cancer cells an kill them. this is a very exciting news. we're seeing this kind of defense and therapy not just in leukemia but in also other fields such as prostate cancer and breast and other. so i think in the next coming years the immune therapy, oncological therapy is going to

be very big. $13 billion. >> how do you get it and what do you do about it? >> some leukemias are genetically based. obviously you aren't getting it from anyone else. you get it mainly in childhood. we are very concerned today about adults that get it. only 30% respond to initial treatment. it is miserable if they don't want to initial treatment. what do you do next? the way chemotherapy works, eric, is simple -- you try to poison the cancer more than you poison body and you attack rapidly growing cells. you can see what the problem is. all the rapidly dwrgrowing cellf the body are in trouble. that's why you get all the side effects. with targeted therapy -- ims health says we're spending $75 billion by this on 2015, that he the wave of the future. in this case they took a cell that usually attacks viruses or attacks cancer called a t-cell. they took it out of thebody,

engineered it, put it back in and programmed it to attack cancer as though it is a foreign invader. our problem with cancer is we don't see it as foreign. now we see it as foreign and that's why we had a tremendous response rate in people who already had not responded to therapies. >> and the key word that plasma just mentioned was targeted therapy, as opposed to chemotherapy which is a systemic one. this is the first palestinian cal trial. we have eight patients. frnl news is half of them are in complete remission, they're cured from this. half of them are partially in remission and they're going to get the bone marrow transplant. this is an ongoing -- we talked to a doctor from sloan-kettering who is going to really push this in lung cancer, breast and prostate cancer. >> can you go to the doctor now and get this? >> not yet. >> many cancer centers are actually starting clinical

trials. >> targeted tharps is where you take your own cells, reengineer them and put them back versus chemotherapy which is the same treatment for everyone, different cocktails. >> folks our age worry about getting dementia. now there's a new study that says 1 in 3 seniors actually dies with alzheimer's or another form of dementia. what the hell do ck do we do? >> we may see 85,000 people die because of alzheimer. 34,0 what are the complications? as have you a problem with thinking or emotional processing or your behavior, you get confused. you lose your memory. you have a problem with things -- simple things like taking your medications or going to the doctor or you can't

digest your food properly. i as an internist see people getting very sick with alzheimer's and other forms of dementia because of the -- falls are high on the list. we see hip fractures. what do we do? that's the research. very exciting to get to the cause of it, get it earlier. we have imaging techniques where we can diagnose it early. we are getting families more used to this and teams involved. that's the way of the future, to get treatments going before people develop it. >> should i be worriedfy can't find my guys? >> if you are fortunate to live you will to 85, then yes, you should worry. i am really convinced we missed the boat on alzheimer's. we invested so much money on heart disease and cancer. now we see for the first time the rate of death from those diseases are down where jazz

alzheimer's rate is up. that's because we don't know how to recognize it well. we don't have a good treatment for this zeenz. do you know that alzheimer's is the sixth leading cause of death? you have cancer, you have heart disease and it goes on to accident. it actually falls between stroke and diabetes but nobody puts enough investment in this. i think it is a very slow death, a silent one. takes over your memory. affects the family. >> i think this is a family disease. it is not just a disease of your elderly people. it is everyone in the family involved. we estimate $20 billion in costs up to $1.2 trillion by 2015 and 11 million people are going to be affected. >> genetics doesn't play a huge role. only 5%. but a lot of things you can do. studies show that if you don't eat healthy diet -- high-fat dint kreesd the risk of ael hilz

alzheimer's. if you couch potato. there are things you can do to engage your mind and lower the risk of alzheimer's. >> problem solving. cross word puzzles. eating properly. the mediterranean diet is also very good for that. >> it is a horrible illness not only for the patient but for the family. >> exactly. thank you. >> liposuction. many people think as it quick fix for losing weight. but do you really want to do it? the doctors weigh in and give advice on liposuction when we come back. yeah? then how'd i get this... [ voice of dennis ] ...safe driving bonus check? every six months without an accident, allstate sends a check. silence. are you in good hands?

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to prove to you that aleve is the better choice for him, he's agreed to give it up. that's today? [ male announcer ] we'll be with him all day as he goes back to taking tylenol. i was okay, but after lunch my knee started to hurt again. and now i've got to take more pills. ♪ yup. another pill stop. can i get my aleve back yet? ♪ for my pain, i want my aleve. ♪ [ male announcer ] look for the easy-open red arthritis cap. back now with sunday house call on this sunday morning. liposuction. a lot of americans have used it to try and lose weight and shed the pounds. how do you know if you need it and what are the risks?

doctor, should we lose liposuction and at what should you say i can't lose weight anymore by exercising and dieting, i'm going under the vacuum cleaner? >> liposuction -- liposuction is not a good option for weight loss. that's not the first choice. but a definitely a great role for liposuction -- 400,000 procedures done ever year, some in the hands of experienced doctors, very safe, and sometimes there are major complications. mark will talk a little bit about that. liposuction is after you have a steady weight, after you've done the diet and exercise, you've lost all the weight and your weight is study. if you're still fluctuating through up pounds, 35 pounds higher or lower, that's not the time to get hyposuction. big difference between weight loss and liposuction is you're removing the fat cells whereas liposuction you reduce the size of the fat cells. you have to be serious about this. once you do liposuction you have

to keep exercise and keep it toned. otherwise you can gain weight in other places. it is a wonderful procedure when done appropriately. for some people it is a great operation. >> mark? >> i get asked this a lot because if i to clear people for this. as it dilemma for me. should i just clear someone or talk to them about whether they really need it. you don't use it for weight loss. you use it for certain areas of the body like the tummy tuck, certain areas where there's a lot of fat that you want to get rid of. here's the key point. there's something that's under local anesthesia. that's not putting you to sleep. the people who get in tlurouble with lopo with people who say i want this done, i want this done. there's then a risk of blood clots, bleeding, a risk skin turning out not the way you

expect. if you can limit the amount of blood loss, limit the approach, use under the local. pe basically inject lidocaine. it is a beautiful procedure when it is done that way. >> your sucks is just pick one thing. >> don't have five things done at once. when they tell you general anesthesia, that's the issue. >> years ago i had to do a story about liposuction and watch. i saw the doctor who did it who was not a plastic surgeon. tell us what kind of doctor you should go to, board certified or not. because this particular doctor -- i won't say the specialty -- probably went for a weekend training course and actually sneezed during the procedure in his office. didn't have a mask on. when we went to do the follow-up weeks later with this bride to be she had a huge infection. >> yes. you've got to be very careful with that. when you say experienced doctor or surgeon, you've got to be

board certified plastic surgeon who does this all the time. always talk about the volume of how many procedures you do. first thing you mention, which is really important, technology of liposuction has improved. we've gone from dry to wet pie low suction. now they have ultrasound that can actually melt and suck the fat out. that's improved. risk of hematoma and infections, again in the right places where they do a lot of it is minimum. it is when it is indicated, it is a great procedure. >> assuming it is indicating. that's the key point. >> ask the doctor. you ever do this before? >> that's a good one, eric. if they're also filling cavities that's never a good sign. when in doubt, doctors say sit it out. that's the latest advice from brain experts whether it comes to athletes and concussions. >> sunday house call is brought to you by --

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welcome back, everybody. we have more sunday house call for you. just try telling your kids they can't play sports. but there are brand-new guidelines you should keep in mind on how to manage concussions when they're involved in athletics. d doctors and coaches being told if their players get a head injury, take them out of the

game. is this just common sense? >> i'm really happy about this. the state of pennsylvania is way ahead at saying exactly what you just said -- if they have a concussion, get them off the field, make the health professional reexamine them before putting back on. now historically, they've tried to differentiate if you are blacking out. in other words, if you get a concussion and you lose consciousness, that's when they were really serious. but they found over the years with all of these studies about repeated concussions, it increases your risk for dementia in nfl players, in veterans coming back from war. in our high school students as well. a lot of our high schoolers are out there trying to be like their nfl heroes. they're lowering their head, charging ahead, the helmet is not great protection. once they have a concussion, whether he's just that their bell is rung or whether they have pronounced symptoms for greater than 15 minutes or whether they lose consciousness. in all cases, they have to stay

off the field. one last thing -- when you have a concussion, it predisposes you have have another one. it is not isolated. concussions come in bunches. once you shake the brain like that it is more easy to getr ti. >> one thing people can keep in mind, i bet, are that children's brains are a little softer, little more pliable, maybe it is not as thick. they're really more at risk. >> absolutely. research in this kind of brain damage and brain trauma, concussion, is really weak. we're lagging years and years behind. this guideline mark just talking about, 1997, was base clue you pull the player out. if there's no loves consciousness or symptoms within 15 minutes you send them back. that's the big danger. they can get more concussion, more attack on the brain just like a heart attack and they can die. new guideline has return to play progression. licensed health care doctor has to examine them neurologically,

physical examples. they have to go through certain exercises before they can get back in. >> but school budgets don't have the money always for a doctor on the sidelines and they're only guidelines. why isn't it mandatory? >> it is going to become mandatory because we need more research and funding. the sideline example is just by looking at your pupils say are you dizzy, if not, go back in, that's not going to cut it anymore. >> it may not be enough to have the sideline trainer or sideline nurse. they can go to their doctor. i think it should be actually a physician's note that says you can get back -- >> how much time do you have between the hit and getting to the doctor. you point is you need to sit out of the action at that point. you may need a day or two to recover or more. you may have persistent diz dizziness with a kolg r kobconc

dizziness or -- >> if they pass the neurological and physical examples, they can get back. >> i was in wrestling, got my bell rung. i'm glad now they recognized it. >> no long-term effects. >> glad to hear that. now what happened to all of us? you get that food craving. just can't ignore it? how do you stop it? advice on killing those cravings when the doctors return. [ male announcer ] this is george. the day building a play set begins with a surprise twinge of back pain... and a choice. take up to 4 advil in a day or 2 aleve for all day relief.

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