time now for "sunday housecall." joining us this morning is dr. david samadi. >> dr. marc siegel who normally doesn't but i think today has got something with him. he may be doing an on camera

procedure. associate professor of new york's langone medical center. doctors, we don't just tell people about stuff. they're actually going to show them later. that's a tease. why not? it has to do with heart disease. it's the number one killer in the u.s. for men and women said to be a hidden illness for women who often don't recognize the signs. every year people die without knowing they even had a heart history. earlier this week or last week president george w. bush underwent a heart procedure found on routine exam. they placed a stent to open a blocked artery. since it's sort of a surgical procedure, we'll start with you, dr. samadi. how many people in america have this procedure? >> about half a million americans are now getting this kind of procedure. it's called cardiac stent. what has happened over here is that in 2006, they found out he has a low risk for heart attack. they've been following him. the doctors have done an amazing job. he goes in for a routine

physical exam. nothing wrong. they get a stress test just to make sure he's okay. some changes on ekg. angiogram. they find one of the arteries are blocked. it was dielated called angioplasty. a stent is a scaffold, wire that stays there. going back to your question, there's a big debate in america. for example, bringing in cholesterol. his blood pressure. if he has it or any other risk factors. there has been some good studies. two clinical studies randomize, mind you, which is great. what they've looked at is long term there's really not much of a survival benefit between medical treatment and what dr. segel does with cholesterol and lowering your blood pressure than a cardiac stent. why are we doing this especially on someone who has no symptoms,

jamie. he had no chest pain. it's a different thing when you're having a heart attack. that's a life saving phenomenon. this is a man who rides his bike. he's active. he doesn't smoke. doesn't have sedentary life. they found it. is prophylactic cardiac stent the way to go? doing it before we have a problem. >> before a heart attack, you mean? >> that's a question i'd like marc to answer. that's what he deals with. >> let me jus ask, can i put that picture up again? i want to mention we're only using the president as an example. someone who's fit and someone who on routine exam smart enough to be checked found this. i want to put that picture of the stent actually to have dr. segel explain as well. because the stent went in and opened the artery we're talking about. now the blood flow is better. i bet you feel better immediately. >> absolutely. you made a great point, jamie. president bush for sure, i guarantee you, wants this to be about lessons americans can learn. not about himself. the three main cardiary arteries

is so tiny you wouldn't believe it. they get so easily clogged. we're busy eating high cholesterol diets and not exercising enough. david and i talk about the mediterranean diet which is terrific for the heart. exercising regularly. >> you barely could keep up with him on that bike. >> are you kidding? i couldn't keep up with him. there's the message. people that cardiac risk factors. people completely fit can still get the blockages. one-third of all heart attacks appear in patients who have no symptoms whatsoever. james fix who actually wrote the complete book of running and started the jogging craze died in 1984 while jogging of a heart attack. >> this is one thing i want to learn. i read all the data. this is a question that i have. if that's the case, should everybody get stress tests and forget about all of the -- >> okay. that is a great question. should everybody get a stress test? the answer is no. you get a stress test if you have cardiac risk factors or if

you're exercising vigorously like president bush is and someone has a question. what's the question? does he have cardiac risk factors. i'm not going to get into that. you look at each patient individually. that's what we do here on this show. talk about the psa. we make the sam point. it's not only about survival. that study used 40,000 patients and ultimately ran damized 2,000. some are sized it's flawed. i don't know if cardiac stents extend your life. they improve quality of life in certain people that have high risk lesions. we don't know what his lesion is. it's something in our quiver. >> if god forbid a million times eric was having shortness of breath, chest pain, pal pitatios palpitations -- >> we had to perform it right here, even though dr. samadi is a prostate surgeon i would trust him over me. he would do it. >> he's very kind. >> what is it? i don't want people to be afraid. >> here's what happens. if you go to have a cardiac

catheterization or angiogram they take something like this and feed it into an artery in your groin. they feed it up through the artery to your heart. when it gets to the heart you pass it through into the cardiary artery. there's a balloon right here. you blow air into the balloon, the stent becomes free. this is the stent right here. it floats right into the coronary where it's left behind. there's drugs covering the stent that keeps the plaque from reforming. >> we debunked. people don't have to be afraid. get checked if you're having symptoms. >> that's right. >> i commend the president for being in shape. i imagine that helped very much with his recovery and the fact that he at no time hadidn't hav attack means he doesn't have heart muscle damage. >> you bet. i expect him to do really well. patients like him go on blood thinners, plavix, aspirin, cholesterol lowering drugs. he's back to work. i expect to be biking with him this year. >> i expect women to take

particular note. >> i'm not getting on the table at commercial. >> i was joking, eric. it's not a sterile environment. one guy who -- a politician did lose a lot of weight, new jersey governor chris christie for his health. who also happens to have a big lead in his re-election race for the governor of new jersey. how would he stack up in a run for the white house? we've got some new polling on mr. christie comparing him to other potential 2016 candidates. we'll have that straight ahead. more health news. modern medicine can help fix any number of ailments. sometimes they can also have bad reactions. our doctors take a look at side effects. that's next. [ female announcer ] the best thing about this bar it's not a candy bar. 130 calories 7 grams of protein the fiber one caramel nut protein bar. the fiber one could save you fifteen percent or more on car insurance.

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housecall." most of the time medications can really help our health conditions from reducing aches and pains to fighting infections to controlling high blood pressure. you know, there are times when drugs can also cause unwanted reactions. dr. siegel, we hear about this all the time. so-called side effects. you get that thing from the pharmacy, it's like this long. i have never had a side effect that i know of. how do we know what to do when we get the medicine? >> this is the no free lunch segment. basically i have reasons for these things. i've put people on blood pressure medicine because blood pressure is a silent killer. hypertension is a silent killer. diabetes we've talked about extensively. very deadly and problematic. you don't want to die of an infection the way you used to do in 1900. there are a lot of side effects. antibiotics cause diarrhea, rashes. blood pressure medicines cause impotence. rashes also. nonsteroidal anti-inflammatory drugs like advil, aleve, motrin,

celebre kper celebrex, we overuse them. they can cause problems with liver, kidney, bleeding. we talk about our stomach. medications like aspirin can be a problem for the stomach. you look for drug interactions also. if you're on a drug like cumadin, we have to take all those things into account. one thing jamie mentioned before we want to talk about on a show, when you're on a statin drug to lower cholesterol can you eat a grapefruit in the morning? you have to watch what you eat. there's oral allergy sin dryndr where the medications you have interact with foods you eat. >> that's sad. people stop taking them. >> you want to be in conjunction with your physician. don't stop taking your medicine. that long list, don't go reading that long list. talk to your physician about which side effects you need to worry about. >> that's great advice. you get that list. you know what i hate, dr. samadi, the commercials. side effects include death.

you see that, they take the medicine, it could include blindness and death. what do you do? >> don't take that one. >> those are legal issues they always have to put in there to cover themselves. the truth is, i think what marc is trying to say is that you have to make a list of all of your medications. you also have to consider all the things we've talked about. ginko biloba, vitamin e. st. john's wort reduces the effect of viagra. if you're taking viagra, don't take st. john's wort. there are examples. they go on forever. there's going to be ads. don't read that long thing. put in. they'll tell you if there are interactions. that's why medical school training the changing completely. you don't have to memorize. what we're trying to say, anything that's over the counter. herbal medications. some of the foods. for example, broccoli and some of the cumadin and blood thinning medications.

>> make that list and tell your doc. >> doc, would you test drive an app out there where you put in all the medications you're on and it'll tell you about interactions and how accurate it is? >> there are. there are a lot of them. also medical computer systems where you can put in -- that's what the pharmacy shows. that will tell you interactions. >> i guarantee you viagra will get the most clicks. >> okay. thank you, doctor. it is one of the most common surgical procedures in the u.s. next we're going to ask the doctors to weigh in on breast enhancement surgery. all the changes it has undergone over the last few years if you're considering it. plus, new details on the dramatic end to a kidnapping case out west. how young hannah anderson is doing this morning. she's been found. 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. (tires screeching) red hot deal days are back. (alarm beeping) stop for no one. what?

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well, we do cover it all here on "sunday housecall". we want to talk to you about breast enhancement surgery. we're not necessarily recommending anything, but we understand it's the most commonly performed cosmetic surgery in our country. dr. samadi has some thoughts on it. >> obviously the experience of the surgeon matters. we have had and we've come a

long way and the silicone implants used to leak and cause a lot of problems, inflammation, change of the figure of the breast, etc. now in the last two years, we have saline implants and also we have the silicone implants. the saline most of the time is used on younger women because it's easier to handle and in case they change their mind, they can also like get bigger or smaller size, but this silicone one which is now being done is mostly done transactional. there's really no incision. >> what does that mean? >> it goes through the axe illa, and it looks more natural. it really has come a long way. like i said, in the hands of experienced surgeons, these work really well. >> you're saying leakage leading to immune disorders no longer an issue? >> it's not much. what they have done is they have put in a silicone shell around it. even if there's a rupture, with saline obviously it gets absorbed and they have to replace it. with silicone, even if there's a rupture, it won't be messy.

even if you squeeze it, it will go back to the shell, so it really has become -- and these are all fda approved. it's ambulatory. >> that's good it's come along way. dr. siegel, i want to ask you about women having mammograms and whether or not implants affect the ability to diagnose problems later on. >> usually not. usually you can have mammograms with both. now, in terms of patient satisfaction here, jamie, women are more happier with silicone implants, but they have more local complications, even with the advances david's talking about. with saline if there's some leakage, it's easier to spot. with the silicone, you actually have to do mri scans regularly to make sure they're intact. you follow people with mri scans. you look for infection or scarring occurring. about 20 to 40% of the silicone ones have to be replaced be within ten years. that's something we watch very carefully. >> should you ask for saline? >> i think it's a matter of popularity. women like the feeling and look

of silicone implants better. the saline ones have less complications. women need to know there's never been a study that show the silicone implants lead to breast cancer. that's really important. >> okay. good advice, doctors, thank you. eric. it's not just for teens any more. the age range for americans getting acne is getting broader. coming up, we'll tell you about dermatologists that are actually revising the guidelines. we'll look at who's battling the blemishes and what you can do about it. [ male announcer ] 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. ♪ ♪ you have to let me know [ female announcer ] when sweet and salty come together,

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back now on sunday housecall. we look at the face of acne getting a lot younger in our country according to dermatologists. they're getting more cases of pediatric acne in kids as young as seven years old. dr. siegel, it used to be like 13, 14. you get the clearasil. what's going on? >> 17 million americans have acne, and three-quarters of them are young. they're getting younger all the time. i think most people would agree for that, eric, although it's not proven is because puberty is happening earlier. you get hormone surges and more and more oil glands below the skin. the oil glands are responsible for getting rid of dead skin, but they get clogged. the follicles at the surface get

clogged and you get pimples. the treatment for acne is drying agents, retin-a, which is amazing, and then anti-bacterial stuff. anti-bacterial lotions or some dermatologists will actually use oral antibiotics. it drives me as an internist crazy. we look at the side effects we talked about in the other segment. it's a very, very big problem. >> what if you're parent and the doctor does prescribe those tetra sig sigh4# cycline. >> you've got to get back to the basics of hand washing and simply trying to stay clean. >> the way most dermatologists will tell you you start from warm water to hot. that opens up the pores and finish up with cold water. that gets rid of all the grease and oily tissue that you have over there. most of this in younger children

is really problematic. they lose their self-esteem, it's embarrassing in front of others. this should be taken very seriously. before you go he to al to all th dose medications, things like vitamin b5 lotions are softer on the skin of these children. i think once it gets really problematic, there are things sucthat you can take. >> please mention accu tane. there are questions over the years about it leading to suicide. >> again, i don't think you should start with medications because of the side effects. that's one of the things when you use those, it causes a lot of redness and for a short period it can make it worse before it gets better. stick to washing your face on a regular basis. >> i completely agree with his warning about accutane. it's a big gun for very bad systemic acne. >> monitor and ask the doctor if you're a parent and concerned about the risk? >> it better be a dermatologist and they better certify it because the fda is on top of it.

>> what does that mean? >> they have to officially file it before they can prescribe it. >> my goodness. it's like a controlled substance. doctors, so much information today. >> thank you very much. >> see you next sunday. we start this hour with a fox news alert. finally free and said to be safe. 16 -year-old hannah anderson is about to be reunited with her father after missing for nearly a week. her alleged kidnapper shot dead by fbi agents, tactical specialists, during a confrontation late yesterday in the idaho mountains. >> jamie: good morning, everyone. welcome to "america's news headquarters". i'm jamie colby. >> eric: i'm eric shawn. following that week-long manhunt that expand five states and sparked multiple amber alert, they were spotted at a camp ground. >> we had a lot of resources in that area, both on the ground and