time now for your sunday

house call. joining us is dr. marc siegel. associate professor of medicine at the nyu lango medical center. "unlocking the secret to health." >> and dr. david issamadi. doctors, good morning. >> starting july 1st. >> starting july 1st. first of all, happy father's day. >> thank you. >> to all of you. >> exactly. speaking of father's day, what a better way to take care of ourselves. ask questions what we need to do as we get older. let's say you start at 20 years old. what type of tests should we have? >> i want to wish my father a happy birthday. >> happy birthday. how appropriate that we're mentioning ages. >> i'm not in any one of those specific categories. >> i thought you were in your 20s. >> what do you do when you're 20

years old. >> if you come in with a sprained ankle, don't expect your doctor to do nothing and treat the ankle. the doctor has in his or her mind what you need for a screening tool. i ask you what your history is, i check your heart and lungs, i check your abdomen, i check you for hernias, add a chest x-ray and an ekg. i might have done that ekg earler if you're in sports, if

you're a competitive athlete. you don't have to overreact to it. you need its a a baseline. with a smoker, i might have started that earlier. >> 40. >> when you're 40 we start thinking about something that david does automatically, with is a rectal exam, prostate exam. i want to make sure you don't have any bleeding, any anemia. i check your psa. >> 50? >> at 50 i add a colonoscopy. everyone at the age of 50 i check testosterone and vitamin b 12. >> what do us guys do? write this down and say what do i do? >> first of all, it's men's health. we don't go to doctors. i deal with this all the time. if it wasn't because of the spouses and wives who make 70% of health care decisions in this country, they would never come to our office. when you talk about a 20-year-old, instead of doing all pajs, the key is test

particular cue lar cancer is very popular, you want to do a te testicular exam. you look for hernias. you look for vericeles. 30s are a good time. i leave them alone. i want them to have a good time. when they get into their 40s. >> get a baseline psa when you're in your 40s. high risk genetics, african-americans. after the age of 45 you can get your psa every year. 50-year-old is when the colonoscopy kicks in. if you have polyps, that can convert to cancer. that's why you want to have a colonoscopy. in the 60s, you have a lot of

time to get there. osteoporos osteoporosis, take your vitamins. calcium, vitamin d 3. the big message is screening and prevention save lives. you have to be proactive and you have to take care of yourself. we talked about checking your level of testosterone, etc. i think what marc does, which is extremely significant, there are two big tickets, heart, which is a leading cause of death. he takes care of all of the cholesterol panels. >> david's making a great point about men being deniers. men are not coming in as much. they don't want you doing this stuff. that's bad. heart disease, i have to focus on who's at risk. if you're a diabetic, if you're a smoker, i'm more interested in preventing that in so high risk. david is examining for test particular cue lar cancer. he wants to know the family history. same thing with prostate cancer. the family history. >> absolutely. this is a very important point

because you can't just screen everybody the same way. individualizing the care, looking at the guy and finding out what his risk stratification is. high gerris bei-- higher risk. we all work as a team. everybody that watches the program, they need to know what their cholesterol panel is. your good cholesterol hdl that marc recommends has to be over 50 or 60. ldl, bad cholesterol, less than 100. fasting blood sugar, which is important for diabetes, has to be less than 100. you need to know these numbers just like you know your social security and carry them with you. >> you know what scares me as a man, something that we overlook, that we won't know. you have a prostate cancer. shawn kimmerling, 37 years old, has a foundation for testicular cancer. a young man with a life cut

short. >> what do i need to know going into the doctor. when you come in to see doctors like david and myself, you don't need to know anything. >> great advice. >> get involved. >> thank you. of course. we have a quick correction that we'd like to make about a segment that we had yesterday. that's on the possible health risks of bpa in plastic containers. yesterday we mistakenly showed footage of people showing bottled water from p.e.t. plastic. some of the bottles were recognizable. this soft plastic we're told does not contain bpa and fox news apologizes for that error. coming up, how nuts and olive oil can help prostate cancer. we talked about the med terrainian diet on this program. a lot of that coming up. plus, why researchers say an

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♪ welcome back. new research on prostate cancer. a study finds that men who eat a diet high in vegetable fat, such as those in nuts and olive oil, may be less likely to have their disease spread. so, dr. samadi, tell us about this. >> this is a very, very fascinating field that's upcoming and evolving. the studies are not quite there yet, but what we are starting to understand. we talked about how vitamin e can help prostate cancer but then we found out vitamin e actually increases prostate cancer. this particular study is interesting because it's the diet and prostate cancer. we don't much much about that. we said, yes, prostate cancer is

a silent killer. diet, high fat can increase the risk of prostate cancer and high fiber is good for you. stick to low fat diet. now we're distinguishing between different type of fat, good fat that we are looking for, avocados, miss stpistachios, al grilled trans fat, burgers, fries, cookies, ice cream that you want to stay away from. if you stick with vegetable fat, you can reduce the risk of spread and metastasis and rate of death from prostate cancer which is important. i think the big message is that what exactly happens with prostate cancer, the cells start to kind of go through cycles. they repair themselves inflammation is a key word. inflammation causes the cells to grow much faster.

you want to keep your pr prostaglandin inflammation you want to keep that low. >> is that the crp, the test? >> that's one of the tests you do for inflammation. this study looked largely at people who had prostate cancer to see what caused spread. they were trying to say vegetable fats decrease your risk. it's an associated finding, meaning it's not a proof that the vegetable fats are the issue. as david is pointing out here, what is it about people that eat diets low in vegetable fats? we love the nuts, we love the fish, we love the vegetables. we talk about it a lot. people that don't eat that, what do they eat? they eat trans fats, carbohydrates, they eat cookies, they're sedentary, they smoke. that's the problem with this study. it points out that if you have an unhealthy lifestyle, you'll be more at risk for prostate cancers and more risk for it to

spread. >> the guys who eat healthy food, they're exercising and doing the right thing. it's hard to know. a lot of holistic doctors, they are legitimate, but there are a lot of them selling vitamins and stuff. be careful. this field is evolving. exciting. >> we've been talking about prostate cancer. the doctors will fill us in on a possible new break through that has to do with the fight against breast cancer. how they think a drug that's used to treat osteoporosis, could they say also treat breast cancer patients? we'll be right back. >> this type of drug has been the holy grail. it was sitting there all the time. if you've got it, you know how hard it can be to breathe >> announcer: "sunday "housecall" is brought to you by spiriva. that helps open my obstructed airways for a full 24 hours.

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a potential break through in the fight against breast cancer. researchers finding a drug to treat osteoporosis has now been shown to stop the growth of breast cancer cells. so, dr. segel, it's fascinating how this drug was, in fact, discovered. >> let me talk about what's at stake here. 70% of breast cancer is estrogen receptor positive, meaning estrogen makes the cancer grow. we use tamoxifan. cancer figures it out, mutates. it makes it inactive, turns against it. the cancer grows more. we still need to target the estrogen receptors. this drug destroys the receptor. this drug can be useful when at that mocks i fan has failed. fox news yesterday spoke to dr. mcdonald who's the head researcher on this. let's have a look. >> what we decided to do, rather than wait around, we go back and

look at drugs that have been sitting in drawers for the last 10 or 15 years and made the rather remarkable surprise that a drug, which has recently been approved in europe, has all of the characteristics that we want to treat end stage breast cancer. this type of drug which actually destroys the estrogen receptor and has been a holy grail and was sitting there all the time. >> can you imagine, heather. we go back and look at drugs that we've been overlooking or for other things. in europe this is getting approved for osteoporosis. oncologists will be able to use it for breast cancer. there will be clinical trials. you spoke to him yesterday. >> i spoke to him yesterday. he was clearly very excited about this discovery. he said it was hopeful for breast cancer patients. the next step will be getting clinical trials in the united states. what do you think the time frame would be for that? >> last point. i'll switch to david. this is eric's greatest question. >> right. >> in europe i think they'll be able to use it in the next six

months. if they get it going, it will be in the next year or two. >> this is the reason why everybody loves "sunday house call." it's bringing the greatest news to everybody. this was in the endocrine society two days ago. they're coming in for this particular drug. it wears two hats. it works almost like estrogen and it actually helps you with your bone density. in breast it blocks the receptor. besides blocking the receptor, it destroys it. that's the big part of this. you won't build up resistance for breast cancer. i think that's a big ticket. fda is looking into this because there were some side effects of clotting and possible stroke. hot flashes are the side effects. that's the best part of medicine. a lot of medications we use we use we find them by accident. some of the identify effects are if it, in fact, turns out to come to this country, it would

prevent a lot of breast cancer. when they become resistant, the next choice would be chemotherapy. now we can use this medication to slow down the process. >> didn't they find out viagra that way? >> that's another story. we should cover that. the nurses said, hey, what's this going on. they were studying blood pressure. >> you see how they discovered viagra. >> well, we'll do that next time. >> something that we do several times a day, a new study finds that when you wash your hands, you do it for two seconds, three, five? no. >> you're supposed to say the abcs. >> that's right. we'll have more on that in just a moment and how we can stay germ free. [ male announcer ] this is george. the day building a play set >> announcer: "sunday housecall" is brought to you by aleve. two pills all day long, all day strong.

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>> hand washing is a daily routine for most of us -- or at least it should be. but according to a new study, only a handful of people are properly scrubbing. doctor, how important is this? what is the proper way? >> it's extremely important. the undercover researchers looked at 3700 people and 95% of americans are not doing a good job. 10% don't even wash. 37% don't use soap. it's unbelievable. so there is something about 20 seconds of handwash to get through the germs. that's time. but you have to know how to do it. the best way is the way surgeons do it. you put the soap on the palm of the hand and the finger and it is nails, where you have the germs and bacteria, you want to wash that carefully for a few seconds. and then you make your hands wet and get into the creases and scrub them. this takes literally 10 to 15 seconds and at the end, you make sure you wash your entire hand. the complete 20 seconds is what gets rid of this.

that's the key. >> most of it is carried on the fingers. don't you love this? they are hiding in the bathrooms and they find -- guess what -- fathers day, they find men are much worse than women. they are not washing, using soap i. and they are not going to the doctor. >> here's a key statistic here. 80% of all infections are carried on the hands, according to mayo clinic. if you wash the way he just told to you wash, you cut down your risk of stomach bugs, respiratory infections, allergies. all of this stuff i see, you cut down the risk by 45 to 50%. this is the key. >> i think the restaurant owners should really watch out. recently, we had the hepatitis "a" from the oral and mouth and hands. so you want to make sure that your staff are really careful with washing your hands and post signs. if there are signs in the bathroom that, encourages people. >> if you can't get to the bathroom, use hand sanitizers and wash with them the same way,

the fingers, too. >> and take some viagra. >> next week, viagra. >> wash your hands. a lot of reaction to the age groups, what you should get checked at what age. that's going to be on foxnews.com and i will tweet it and on facebook. >> thank you. >> thank you very much. happy fathers day, to all the dads at home as well. snoop we begin a new hash with a fox news alert. top u.s. intelligence officials are crediting the controversial nsa surveillance program with saving lives and stopping more terror attacks than they first claimed, ax tacks that were potentially being plotted here -- at home -- and around the globe. good morning and happy fathers day. i'm eric shawn. i'm heather childers, in for jamie colby. the details are classified, but we may be learning more as ea