hi, everybody. i'm jamie colby. it's time now. we have been waiting all week for sunday housecall. >> i'm eric shawn. joining us is dr. marc siegel. associate professor of medicine at langal medical center and author of "the inner pulse." >> and dr. david samadi, chief of robotics. docs, great to see both of you. good morning. well, doctors have announced a dramatic shift in how to target high cholesterol. if you have it, you definitely want to pay attention. there are new guidelines that focus on risk factors that could

double the number of americans who actually have to take statins. dr. siegel, let's start with who would be affected by this. >> first, welcome back from israel, david. good to see you. >> good to be back. >> who would be affected? i don't like guidelines in general. i go into the office and i get this question every day. should i be on statins. statins are cholesterol lowering drug that block the formation of dles rahal in the liver. and they have been proven to be incredibly effective in people with heart disease to prevent second heart attacks, to prevent strokes. everyone agrees that people who have heart disease or have had a stroke should be on statin drugs. this is a billion dollar question. should you be on it if you're at risk for heart disease? previously, the american heart association and american college of cardiology have said, let's go by the numbers. if your cholesterol is too high, we'll put you on a statin. they're moving now in the direction of what is your risk factor? you know, do you have --

>> genetics, family history. >> are you male, do you smoke, do you have diabetes, are you obese? these are the things, smoking probably being the biggest. these are the things they're focusing on now. i still say it's got to be a doctor and a patient. and something we have emphasized on the show, and i know david is going to get into this, too. what are we doing first? you may be add risk. let me explain that a little. what do i mean by risk? we know that statin drugs retard plaques in the coronary arteries. if you have heart disease, they're going to prevent you from having a second heart attack. people at risk are forming the plaques. they just don't know it yet. the first way to address it is to improve your diet, get the blood pressure down, lose weight. you do all those things and you're not successful, then i'm thinking statdens. >> that's great, what you bring up, and maybe you can address that as well, dr. samadi, is that the history that a doctor

takes is really critical. as opposed to just looking at a piece of paper with your lab work. >> jamie, it goes a little beyond just the history of physical. i think there's going to be a whole change and shift in the way we're going to be thinking and treating cholesterol in this country. what they are really saying is that so far there has been a campaign about numbers. we wanted cholesterol to be lower than 200, ldl to be less than 100 and hdl over 60. this is what the dr. siegel has been doing for the last -- she's very experienced. now they want him to change and think about the campaign for risk. what does that mean, if your ldl, the bad cholesterol, is over 190, you're automatically going to go on some of these medications. if you have a heart disease or a stroke or history of this, which is where the history of physical comes in, jamie, you go on it. if you're between 40 to 75 and you're at risk of diabetes,

you're automatically going to go on it, and the biggest important part that we need to know is something called risk stratification, which mark was just talking about. what does that mean? if in ten years your risk of heart disease and stroke is more than 5%, there's going to be a co calculator. what goes in there, blood pressure, genetics, race, all of those will go into the calculator, and something will spit out saying this guy should be on statins. >> i want to ask about the side effects. we hear a lot of problems with leg cramps and deterioration of your muscular tendons. >> it can also increase the risk of diabetes, but marc will tell you overall, it's a safe medication. >> the muscle problems are the most common. i can go with that. if i good side you need a statin and you're having muscle aches, i might be able to switch you to another statin. those are pretty minor. and they're easy to adjust to. diabetes, well, you know, there is a risk of diabetes.

i believe those studies. >> from the statins? >> yes, minor risk, but jamie, the risk of having a problem from diabetes causing heart disease without the statin is much, much greater. so diabetics should get statin drugs. >> absolutely. i agree. let me say one other thing. this partly comes from cardiologists using medication that lowers ldl but doesn't reduce the risk of stroke and heart disease. the big thinking is is it really the cholesterol or a component of inflammation, and some problem in the vessels, and now, statins, they reduce the clogging and inflammation. that's big news. >> they have shown angry plaques and that's what led to this thinking. i think 190 is too high. you have to look patient by patient. if you're going to your doctor and he's looking it up, you want a doctor who looks at you the way we do. looks at the patient,

personalizes it. >> another issue has vitamins. apparently, there's not much evidence that vitamins can prevent heart disease or cancer. i have been taking my flintstones, no use? >> well, this is also another big news. for years, we have said vitamins are great for you, boosts your immune system, reduces cancer and heart disease. now we're going to change all that. the truth is that the u.s. task force has looked at 24 major studies across the board. is there real data to show there's a reduction in stroke or heart disease? unfortunately, the answer is no. we have said many times on this show, for example, vitamins a, c, and e reduce cancer. fish oil reduces heart disease. echinacea for flu. people have said that. ginkgo biloba for memory, but unfortunately, i have to tell you it doesn't work. without getting into marc's portion, these are the good

vitamins that i truly believe would work. >> here we go. dr. colby here has a homework assignment, i see. >> kidding aside, i will tell you vitamin d and calcium, i believe in that because it reduces colon cancer. that's what i want people to know. personally, i love l-arginine. it fixes all the inflammation, heali healing, and great for blood flow. and i'll post some of that on my facebook. the other one i really like is this one, tell me, you have the prescription. >> my prescription. we're going to post it. >> the vitamin vegetable, vitamin fruits, vitamin exercise, and vitamin water, all is good. >> biotin. this is the bad stuff, the bad vitamins. biotin i take because i want to make sure i keep some of the hair i still have. nobody has to were aabout it over here. these are the ones we don't like. vitamins, for example, vitamin e, we found out it increases prostate cancer.

beta carotene causes lung cancer. you have to be careful. vitamin c causes kidney stones. i know what you're going to say. these are drugs. talk to your doctor. the more is not merrier, and be careful. >> i'm still going to pop my vitamins. >> first of all, i agree with your point. you have to check with your doctor. especially the fat soluble vitamins, vitamin a, vitamin d, you could get into a toxic range. they were showing on the video there, vitamin d3 and b-12, which i really agree you should check patients. i check every patient in the office for vitamin d, which is more like a hormone than a vitamin. make sure you're not low in vitamin d, especially in climates where you're not getting enough slow. vitamin b-12, not enough absorption. the key here today is that multivitamins, unless you have nutritional defish anss don't show to increase life, don't

show to decrease cancer. all men were taking, going to protect my heart, going to protect you. turns out, increases your risk of prostate cancer. >> talk to your doc about what you're taking. eric, even if they're cherry roar grape, doesn't mean your flintstones are doing the trick. we have to take a quick break. we have a lot more on sunday housecall, and november is prematurity awareness month. what the heck is that? the doctors will explain some of the long-term health -- bless you, eric. health problems that could affect babies born too soon. that's next. mine was earned orbiting the moon in 1971. afghanistan in 2009. on the u.s.s. saratoga in 1982.

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awareness month. nearly half a million babies are born prematurely each year in the u.s. so dr. siegel, when you see patients sometimes, is that a question you ask them, were you born prematurely? >> absolutely. you see the effects early in life. i want to start by giving a shout out to the march of dimes. i think they have done more good for medical care in this country than any other organization i can think of. they're nonprofit, their heart is in the right place. they're saying, looking we may be saying 37 weeks is full term, but do not have your babies between 37 and 39 weeks because you still could have problems then with breathing, with development, with maturity. 37 to 99 we39 weeks, don't go scheduling your c-section, have induction. granted, most problems are before that. before 37 weeks you see issues

with prematurity, some of the things you were mentioning, developmental delays, problems with breathing, you can control a lot of that if you're a woman out there by not smoking, by not drinking during pregnancy, by going for check-ups as soon as you know you're pregnant, by taking the prenatal vitamins we talked about, and if you're h e having problems like cramping or bleeding, getting to see your obstetrician. >> many people think pregnancy is nine months -- >> not if you have had one. >> the truth is it's really ten months. if it's a marathon, pregnancy, the last mile would be 40 weeks. the closer you get to that, the better it is for the child. the whole kangaroo mothering is extremely important. the more time the baby stays in the uterus, the better it's going to be. one third of brain activity is formed between 35 weeks and 40 weeks.

that's why it's so important, as the doctor mentioned, don't schedule the c-sections because you're ready. it doesn't make sense. that's when the baby is going to get all the nutrition the last two or three months. that's really important. this foundation, it has helped tremendo tremendously. we have about 500,000 kids that are premature. hopefully with these kind of segment, we can help people go for prenatal testing, education, et cetera. >> don't drink or smoke. >> fabulous. >> if you quit smoking, you may have done that years ago. we'll get to that later. >> looks good for me. >> talk about smoking coming up next, about the problems with smoking and if you have quit, does that really mean you're fine? the doctors will fill us in. ya know, with new fedex one rate

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back now with "sunday housecall" and should i worry, which is our weekly segment about everything that worries us. we have two questions about smoking. a stopped smoking a year ago. should i still worry about mew heart and lungs? another viewer wrote, i don't smoke but my husband does. should i worry? dr. samadi, in the clear? >> hopefully, i'm going to combine both questions. let me congratulate this person for stopping it. then i would say i'm really disappointed your husband is still smoking because that's a second-hand smoking, and you're still in trouble. when you quit smoking, you know, you have the nicotine that's going to be out of your system for about a couple weeks or so. that's the good news. boa most doctors remember the effect of smokes will stay in your system for years, up to 20

years. of course, the sooner you quit, the better it is. smoking is not good for you. besides lung cancer and heart disease which will increase by 20%, bladder cancer is one of the things we see all the time as a result practice all the time as a result of this. you wake up one day, you see blood in the urine, you scope and unfortunately it's in the bladder and that's not such a good situation. what i would say is put pressure on your husband to quit smoking now. >> so dr. siegel, i quit smoking, you think you're okay, but you could have complications. >> first of all, i challenge anyone out there to go to an anatomy lab. when we start as medical students, the first thing we see is a black lung. that's how bad it looks if you've been a big smoker. if you quit, i congratulate you. your risk of heart disease goes down by 50% over the first year. your risk of lung cancer goes down, your risk of emphysema goes down. if you're stuck in a house with a spouse that's still smoking,

you have more problems. the smoke that's in the air can kill you, even if you're not a smoker yourself. so once that person quits, luckily, the chances are greater that their partners would quit. one out of five americans still smoke. we still have a lot of work to do. >> and he's asking patients if they had smoked. >> that's a great question if you have asked that. that could have an impact on what their problems would be. >> that is part of the calculator that they're going to be using. >> don't smoke. >> agreed. well, he is said to be the world's oldest living world war ii vet. i couldn't believe it when he was announced at 107 years old. do you remember this on veterans day? what was his secret? the answer may shock you. 107. wow. ♪

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well, they say that our

generation will live to over 100. but you want to have a good healthy long life. check out this guy. he's believed to be the oldest living world war ii vet. his name is richard overton. he was announced as being 107 years old. he's quoted as saying he starts every morning with a tablespoon of whiskey in his coffee and smokes a dozen cigars. cigars? a day? two indulgences he claims are the secret to his longevity. it was such a thrill to see him so healthy. >> happy birthday. i've got to tell you, i'm still sticking to the mediterranean diet, the elliptical exercise, if you want to live to 107, he's an anomaly. the whiskey, as long as he has one tablespoon in the morning and that's it for him, but if he starts having that throughout the day, i'll worry.

they asked george burns how he got to be 90 smoking a cigar about that. what did his doctor say about that? he said my doctor's dead. >> like a tablespoon of risky in your coffee? >> i don't think that would work at the office. >> in the morning. >> i love this guy. he's done everything i've asked people to do. he's drinking his coffee, which we know the benefits of it. whiskey is really known as the water of life. so he's adding a little bit to it and it's working. there's anti-oxidants. also, echoing love and that's the secret. >> it is? >> you have to have love, you have to be in love. but having said that, i think he has very good genes. some people say, he's smoking and there's nothing wrong. a friend of mine just smoked a couple of packs and he's dead from lung cancer. this man is lucky, he has good genes, he has loves, he is drinking his coffee. >> what's the word for love in

hebrew? [ speaking foreign language ]. >> you have to have that. >> you have to have lots of that. >> dr. samadi was in israel talking about prostate cancer. how was your trip? >> it was fantastic. we got to visit a lot of israeli doctors. i have to tell you so many patients of mine we've offered, and the tears and emotions, overall it was a very, very successful trip and i'm very happy with the connection between the u.s. and the israelis when it comes to prostate cancer. >> they have the mediterranean diet. they still have issues with prostate cancer? >> they have a lot of fruits and vegetables. they also have the sun, which is your vitamin d and calcium. this was a great trip for us and we're going to hopefully one day connect and do the surgery here from new york all the way to tel aviv and other parts of the world. that's getting closer and closer. these are all the people that came and are scientists, working with the prostate cancer

program. we've been able to give back a lot. i saw a lot of people that came in, asked questions about prostate cancer. >> i'm going be there. i want to give a shout out to our israeli bureau who follows and they said the patients were crying, it was emotional. they were calling him an angel. they're going to go up tomorrow to the north of israel to follow some doctors giving charity care in the north of israel. we're going to combine that with david's story. next week, we're going to present that to you on sunday house call. >> if you're near a major medical center, you can get help. but if you're not, what do you do? >> we have opened the door to not just israeli patients, but anyone opened with newly diagnosed prostate cancer, open not ju israelis and other parts of the world. >> how close have we come to

being able to do remote care? is that turning across beyond prostate surgery? >> the first step, obviously, is wa eric said, which is you send doctors. but even better if you can do it by the internet, by the web, by video conferencing. some of the things we've done, we have devices that will take your ekg, beam it over across the world, then you can be in an operating world. david will probably some day soon be able to operate remotely from here and help someone over there. >> you remember, jamie, a couple of years ago when i was there we did our teleconferencing. i was here, giving lectures and operating and they were able to see it. from there, we went to telementoring. now we can draw something on our ipad and they can see it. the final stages would be doenl doing robotic surgery. it's coming through. >> i think it's amazing that patients will have the benefit of doctors worldwide. we appreciate the benefit of

having both of you. thanks going to see it for us on sunday housecall. check out the web page on foxnews.com for more. media buzz with howard kurtz starts right now. here's howard. he dissects the media. >> have a great day. on the buzz beater this sunday, caution. bill o'reiley steps into the spin zone. we talk about the coverage of president obama. msnbc, his high decibel style and why he says the liberal media resent him. >> they hate me because i represent something that is very feared in america. i made my success outside of the establishment. that is how i did it. and they don't like that. and the right doesn't like me, either. >> president obama trying to fix his health care program. runs into a buzz saw of negative questions from the press corps. >> do you not believe, sir,