as always, every sunday it's now time for "sunday housec call." joining us associate professor of medicine. author of "the inner pulse: unlocking the secret code of sickness and health." >> also dr. david samani. upcoming chair of lennox hill hospital. doctors, good morning. >> good morning.

nice to see you. >> welcome back. >> thanks. great to be back with you. we want to talk about this first topic because it's so important. the sudden death of two young men, shining new light on two diseases. just this past week best-selling author vince flynn and well known actor james gandolfini died. both will be so missed. both from diseases that are potentially treatable if caught early enough. let's talk about vince flynn first. prostate cancer diagnosis in 2010. 47 years old, dr. samadi. what could have been done differently? >> okay. this is a really good point. everyone thinks prostate cancer is old man disease. in our practice we see a lot of guys like him diagnosed early 40s and 50s. one of the first things i want people to do is get their psa checked. at least a baseline at the age of 40. especially if you have genetic issues, if you are american -- african-american. if you are high risk check your psa. after age of 45 get that every

year. the aua is changing the guidelines. i think a lot of guys like him would go absolutely without detection. that's the important thing. now, he was 43 when he was diagnosed. i would have probably without knowing too much of the detail, i would have offered him a surgery. surgery is the best option for young patients like this because you remove the prostate. you know exactly what's in the prostate. your psa after that should be zero, so he would be comfortable. use radiation only as a backup plan, as a plan" b" that can be given after surgery. if you do radiation first it's difficult to do surgery after radiation. that's what a lot of people don't know. it's unfortunate a great author, icon like him, he's gone. but prostate cancer actually kills. it's a silent killer. a lot of people think it's a slow growing disease. you die with it, not from it. that's a mistake. we see that even young men like this can get very aggressive -- in fact, i will tell you that prostate cancer in young man is very aggressive and should be treated aggressively. >> but there's -- there's a

conflict about whether or not you get your psa checked at that age. let me go to dr. segel. let me ask you first. what's the minimum age. we've talked about this, if you have a family history obviously you start sooner. of every man in this country getting his psa checked? >> you should get a baseline psa at the age of 40. if it's absolutely normal, you don't have risk factors, go to 45. every year look at the trend. that's basically what i do at my practice. the youngest in my practice is 32 years old, jaime. these guys will -- >> i check psa. i don't understand why that's a controversy. it's what you do in a psa. we can follow a trend.

we can follow a free psa. send a patient to a yurologist like david. the second point, when you operate on someone and remove the prostate you follow a psa of zero. zero is your target. you want zero. when it goes above zero you go in and do something about it. it's easier to follow zero than to have to give radiation and not know if you got all the cancer. you can give radiation after surgery. but once you give radiation it's very hard -- >> that's a very important point that a lot of people don't know. again, when you're young, if you look at, like, the last year he was writing all these books he was in a lot of pain. i think radiation is a desperate treatment in younger guys like this. you got to be careful and talk to your urologist. >> of course, 47 years old prostate cancer, vince flynn. james gandolfini, shocking loss,

known for being tony soprano died in the hotel room. 51 years old. vacations with his young son in rome. goes to the vatican. has a great day. found slumped in the restroom. the ultimate nightmare for every middle-aged man. you're going to get hit. you're going to be in the bathroom and that's it. >> he ate two large fried shrimp cocktails that night. he ate a lot. he didn't exercise. he had that apple belly we talk about which has inflammatory hormones in there. that is bad for the heart. sedentary. 35% of the people who die from heart attacks in this country, 35% are sedentary. only 22% of americans exercise. we talk about it on this show every morning. you've got to do your morning exercise even if it's just walking. see your doctor. make sure you don't have high blood pressure. we don't know if he had that. smoking. cigar smoking is a risk. everyone says i don't inhale that cigar. the smoke gets in. smoking, alcohol. he was a drinker.

smoking, alcohol. you got to know your blood pressure. you got to know your cholesterol. you got to get your weight down. you have to exercise. you cannot be sedentary. you got to watch your diet. all wake-up calls. autopsy shows he didn't have a problem before. he died of a sudden heart attack. i don't want to scare anyone out there. that can happen, too. you get a plaque rupture. you don't even know you have heart disease. that can happen. >> they talk about that meal. the reports he just had another light meal. a meal is not going to do it. if you don't have the evidence of that as the autopsy had shown, how do you know you have a problem? >> first of all, i personally really miss him. his programs were fantastic. the big thing is, how do you distinguish between heart attack and acute sudden death? that's what you want to know. when it comes to heart attack, it's basically it's a vak cue l vascular issue. there's a plaque. there's a blood clot. it stops the blood flow. you get chest pain, pain radiating through the arm. you may be tired, cold sweat.

a lot of symptoms. that's not specific. acute cardiac arrest which is what he had, it's a sudden plumbing problem. the heart stops. that's some sort of electrical problem. some sort of arrhythmia problem. if you have a heart attack that's massive it's going to turn the heart out of sync. then you can collapse. loss of consciousness is a symptom and it's already too late. the question is what do you do? if you have nitroglycerin give them immediately until 911. time is up in essence. i don't recommend people do this. if you're desperate and you see the heart is really in trouble you can hit the person in the chest really hard. right here. >> you saved a life doing that. >> this week. >> last week unfortunately there was a patient that happened i a party. you just basically hit them hard. you can jump start until 911 gets there and buy time for you. it's scary. >> i'd love next week to talk to our viewers about what you can do if you find somebody stricken. it might be a good thing to talk about. >> how about an aspirin. >> if you have it, absolutely. you buy time. aspirin or nitroglycerin.

obviously if you can get some -- >> cpr. >> he will be missed. his funeral is on thursday. >> two great losses. the american medical association is classifying obesity as a disease. another wake-up call for americans. you need to become healthier. our doctors offer their take on that and what you need to do, next. plus, self-proclaimed government nsa leaker edward snowden. reportedly on the move. live right now. the airport in moscow where he's reported to be headed before he heads to another destination. where's the u.s.? are they going to catch him? what's going on? will he arrive? you'll know. stay with us. [ male aouncer ] it's 7am and steve is already thinking about tomorrow. which is why he's investing in his heart health by eating kellogg's raisin bran®. mom make you eat that? i happen to like raisins. [ male announcer ] invest in your heart health. now that's what i'm talkin' about. [ male announcer ] with kellogg's raisin bran®.

now that's what i'm talkin' about. we replaced people with a machine.r, what? customers didn't like it. so why do banks do it? hello? hello?! if your bank doesn't let you talk to a real person 24/7, you need an ally. hello? ally bank. your money needs an ally.

... [ male announcer ] need help keeping your digestive balance in sync?

try align. it's the number one ge recommended probiotic that helps maintain digestive balance. ♪ stay in the groove with align. 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. [ male announcer ] that's handy. ♪

welcome back, everybody. if you're not listening to your own doctor you might want to listen to this. because the nation's leading physicians, all of them voting to declare obesity a disease in this country. effective defining 78 million american adults and sadly 12 million children as having a medical condition that does require treatment. dr. samadi, here we go again. another wake-up call. do you think americans will listen and stop overeating? >> this is a game changer. because now they're going from being very concerned to a real disease. and it's going to change the whole environment of how insurance companies and doctors are going to really treat this. but we have a problem. there's a real epidemic. nobody will deny this. over $150 billion goes into diabetic and obesity-related expenses and medical costs. one out of three americans are suffering from this. two-thirds are overweight. we have to do something. i'm glad that they're coming up with this. whether the whole stigmatizing it as a disease is the right thing to do or not, something

needs to be done. in the field of cancer, i think obesity is a major problem. increases the estrogen. you have cancers such as breast cancer, endometrial, insulin growth factors that cause cancer. something needs to be done. i'm glad the ama is on it. >> there is a connection between being overweight and having cancer and other diseases. >> over 20% of people are obese in many regions especially in the south. obesity in my practice predisposes to all the other diseases i treat. whether it's a condition or disease shedding a spotlight on it is crucial. diabetes up to over 9% all over the country. it's because of obesity. you don't have enough insulin. you make insulin in your pan crease. it's not enough to do the job when you're obese. we have to figure out a way to get people to lose weight. david mentioned cancers. cancer of the colon, cancer of the kidney. prostate cancer related to obesity. obesity is directly related to heart disease. it's related to stroke. it's related to diabetes. all of our big killers are

related to obesity. there's a lot of different ways to lose weight. exercise we talk about all the time. but we also sometimes need medication. this will probably -- >> see your doctor. >> the fat around the stomach that he's talking about. not fat around the hip. it's the fat around the -- belly fat. it's acting like such an organ. >> estrogen makes inflammatory hormones. >> you mentioned diabetes. shocking information about that. new developments in the battle against diabetes. physicians saying that they have a major breakthrough. we'll have details on that. believe it or not, it's a new device they say can monitor blood sugar and supply the body with insulin. the doctors will explain in just a second. if you've got it, you know how hard it can be to breathe and man, you know how that feels. copd includes emphysema and chronic bronchitis. spiriva is a once-daily inhaled copd maintenance treatment

that helps open my obstructed airways for a full 24 hours. you know, spiriva helps me breathe easier. 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. does breathing with copd weigh you down? don't wait to ask your doctor about spiriva.

♪ >> eric: back with the

doctors. if you have diabetes, listen to this, there is major progress to toward creating an artificial pancreas. it would automatically supply the inis sigh lynn they need. this sound like an amazing breakthrough. when will it be available? >> that is always your question. 26 million diabetics and 5% is type one. that is genetic based. the body attacks its own pancreas. that is type one. we worry about that in pregnant women. type one pregnant women we use insulin pumps is use in all type ones. this have been around since 1963. it used to be big backpack. every year it gets better and better. this one is something called the threshold pump and been studied in the new england journal of medicine where it shuts off at night if your sugar goes low.

biggest problem with diabetes is when you have low sugar. it's much more dangerous to have low sugar than high sugar. you can have a cardiac arrest for that. we are worried about insulin pumps but this will shut off. it will tell you what your level is at and now it will shut off. >> it's ready now. >> eric: can you get it right now. >> after the study and what has happened you will be able to get it. >> it sounds amazing. >> just yesterday the american diabetes association talked about this in chicago. it's like a real hot news coming in. we talked about this a year ago and it's basically like a pacemaker or artificial pancreas you wear. it's type for time one diabetes but probably can be use for type two. the sensor in your blood

understands whether your blood sugar is low or high and will be like an app. it's going to charge the quality of life for the patient you don't need to keep sticking apologies and you don't need to adjust it. its continuous data that comes in, just just fragmented information you check. you don't have to get up in the middle of the night to check your sugar and you don't to have to go into comas or other things. >> eric: it's almost available right there. >> jamie: we love good news. now can you imagine a little boy that was born deaf hears the sound of his daddy's voice for very the very first time. facial expression almost tells the story. we'll have it when we come back.nn this is betsy. her long day of pick ups and drop offs begins with arthritis pain... and a choice. take up to 6 tylenol in a day

or just 2 aleve for all day relief. all aboard. ♪ these are sandra's "homemade" yummy, scrumptious bars. hmm? i just wanted you to eat more fiber. chewy, oatie, gooeyness... and fraudulence. i'm in deep, babe. you certainly are. [ male announcer ] fiber one. folks have suffered from frequent heartburn but now, thanks to treating with prilosec otc, we don't have to suffer like they used to.

[ bell dings ] ♪ [ horse whinnies ] getting heartburn and then treating day after day is a thing of the past. block the acid with prilosec otc, and don't get heartburn in the first place. we've surcome a long way. ♪ [ le announcer ] one pill each morning. 24 hours. zero heartburn.

♪ ♪

>> jamie: two stories that get me. military members coming home and little kids getting medical miracles. look at this boy, his life changed forever. thanks to a groundbreaking medical procedure. he is three-year-old jason clamp and he heard his father's voice for the first time. watch. >> daddy loves you. daddy loves you. >> jamie: and audio brain stem implant. it's been used in adults but the first child in the u.s. to receive one. we want them all to get them if they need it. doctors are back. what do you think? >> it's wonderful news. we started the program with sad news and now we're ending with wonderful medical miracle. now, we are going to artificial ear and if this brain stem implant basically has a microphone

has a processor bypasses the auditory system and with the base stem, this kid for the first time can hear. can you imagine. >> jamie: his reaction to this. >> the sooner you do it the better it is. usually around nine months that is when they are learning how to speak and all the movements. he has a long way to go but certainly this is a major medical miracle. now, the reason why we did this brain stem implant because he doesn't have auditory nerve. if he had that we would have done a cochlear implant. >> jamie: how many kids are affected by this and why has it taken so long to approve it? >> it's very rare and based on something that he is talking about which is the cochlear thing that looks like a snail. we have put implants from that going to the brain. that is very common, but in his case, in this child's

case the nerve is literally atrophied. it never developed. it's important for adults for a tumor that can destroy that nerve. you put the implant right on the brain. why it took so long? it's very difficult. just like david says it's very difficult, it's difficult to operate on the brain itself. there is worry about bruising the brain. you have to be very careful. younger you do this the better and again, and the other problem is speech is not as well developed in this kind of situation. a child like this may have a problem understanding, interpreting speech. you have a microphone involved and a processor that helps him interpret speech. the environmental sounds around and the processor helps him interpret speech. >> he heard daddy loves you but he may not know what it means. >> he is using the visual cues and sign language. he was on "fox and friends" and was amazing going

around the studio and finally hearing which was eye-opening. >> looks like he will be a future cameraman. >> jamie: so great to tell that story. good to see you. ♪ >> eric: starting a new hour with a fox news alert. edward snowden reportedly on the run. where will he end up and will that final destination put him beyond the reach of american law forever? you are looking at the airport in moscow. that is where a plane carrying snowden about an hour or so ago. it's about 7:00 p.m. and flight arriving from hong kong where he was allowed to leave legally from hong kong on this flight earlier this morning. good morning, this is brand-new hour of america news headquarters. i'm eric