if they embrace new technology instead? ♪ imagine a company's future with the future of trading. company profile. a research tool on thinkorswim. from td ameritrade. i'm jamie colby. >> and i'm mark. he's unlocking the inner code of sickness and health. >> and also with us dr. david samadi. doctors, good morning. >> good morning. >> do you think i get a little too excited about this segment? "sunday housecall"? >> you're bringing a lot of medical news. and i'll tell you all the fans

that watch, they really take advantage of this. it's good to be excited. >> the thing is i've learned so much from you. look at me. it works, folks. >> you're an honorary doctor. >> not only that. i'm a really good patient. i followed your orders and i feel so great. so far we start with a serious top topic. we're going to help you. first, there is warning of an outbreak of a drug-resistant drug it's out of chicago. doctors, we hear this but is it occurring outside of hospitals as well? >> it's starting to. it's called cra, it's a big mouth full. this resistant bacteria problem is huge. the centers for disease control came out this year and said 2 million people have resistant infections and 23,000 die from

resistant bacteria. how does it get resistant? because we overuse antibiotics. in hospitals we're not disinfecting enough and a lot of this particular bacteria you're talking about is growing on things like respirationers, , ss per raters. they say this is a nightmare bacteria. we need to detect and protect. what does it mean to detect? find it early. what does he mean by protect. wash your hands more thoroughly. this was found in a scope. >> this is inexcusable. i have to butt in and say this is inexcusable that hospitals would allow the bacteria to grow. >> absolutely. it gross on a scope that goes deep into the bowel. the particular kind of back tear yarks this was the first time we've had it in the united

states. it has a jeannetgenetic abnorma that could spread to other areas. in the o.r. they use gases to sterilize thing but outside of the o.r., it's different. it's very complicated how to sterilize equipment. >> this is an area where you have a pocket of the section in chicago. this is not a systemic problem across the country you're making it sound. there are issues. but for this particular news that we're talking about, super germ. >> it's a family of seven organisms. they're becoming smarter and smarter. they're looking at us, throwing all these anti-bie uanti-bodies. healthy people snoultd be concerned about this. this is for people who have been hospitalized in long-term facilities, people on

ventilators, people who have long-term fully contractors. euro yol gists, you see e. coli. everything is resistant. one of them is this big gun that we use. so they're getting more resistant. what do we need to do? >> we need to isolate the patient. first we need to recognize them and then have contact. so the hospital have certain rooms we cannot go. or if we want to go, we have to put the gownsed on, et cetera. the truth is we have these devices. remove the contractor, get them off the vent, stop using the knee-jerk antibiotics. >> when you're in taufs, you've got to pay attention what's going on in the office. i have a great staff. sterilization is really important. we use a system to clean out the

cystoscopes. pay attention. i think now that we're sterilizing this, in that pocket -- >> maybe they'll get it under control. i want to tell you how many patients are afraid when they come into the office and think it might be germs. i of you and then they stick their hand in the trash to throw away the gauze and then the glove goes in trash. >> you shouldn't be afraid. i want to emphasize the point you just made, david. it is only in very severely ill people but the problem is it's also colonizing people who are healthy. you may not get sick. we could be spread out that way. >> it could be carried the other way. let them open the stair ril tray

in front of you. >> don't be afraid. you're protecting your health. >> doctors are warning that the improper use of some over the counter laxatives they say have some deadly consequences. dr. samadi, laxatives can be deadly? >> this is the news. this is why sunday house calls is bringing you the news. the long-term use of laxatives can actually harm you. they're saying you can only use sodium phosphate laxative for once a day, no more than three days. if you're not having bowel movements, do not repeat it. the big thing here is dehydration. besides that i'm concerned about all the electrolyte changes that can happen. extra soid yum, phosphate, losing your calcium, it's resulted in kidney failure, heart failure.

short term you can use it but long term you should -- >> should you use gatorade? >> no, no, no. don't take it. it's a drug. over time it could be addictive. not the same as drugs, but the tissue becomes hypersensitive. certainly if you have a chronic disease, you don't want -- >> how do you know if you're going to be in trouble with it? >> great question. this is called an as mottic laxative. we have many kinds, bulking like met a mao sal and those that stimulate the coy lon. all of these can't be used long term. this is called an as mottic laxative. what it means sit uses electrolytes, sodium phosphate, in the colon to draw water out,

it draws water. you go to the bathroom. the problem is it can upset your election trow lied. we used soda and we ended up with patients in kidney failure. now how much can you use safely and they're saying, well fda is use 1ing 1.5. people get it over the counter. >> they should come with a warning, don't you think? >> absolutely. >> there is a warn bug that's what fda wants you to do. read the warning. the biggest question. i'm going to the doctor? laxatives are not the answer. besides the fluid and the fruits and vegetables which is simple, we've got to find out what the underlying disease is. do you have a high powe thyroid issue or are you taking per ka

den. >> this is important. people want to know why they can't go. >> look at the underlying problem. >> and are you really constipated? add to those great points. some people may thing they're constipated. maybe that's normal for them. >> that's what i wanted to ask. can you tell the folks out there who they're con city paid, how often should you go? >> there's no answer. consult your physician and the main issue is what's your change of pattern. we look to colonoscopies. if it's normal for you, it may not be normal for everyone else. >> everyone's routine can be different. any routine that's different thing are you drinking enough water, taking fiber. >> are you exercises? >> exercises. are you allergic to dairy and cheese. the fda wants you to read.

read. >> it's not a nice topic to talk about on television, but thank you. a person who refuses to do to the doctor. let's say leg pain. that's something, do i worry or not worry. >> general surgeon's warning over cigarettes, do not smoke. a lot have quit but have enough? that's our segment coming up on "sunday housecall." hey kevin...still eating chalk for heartburn? yeah... try new alka seltzer fruit chews. they work fast on heartburn and taste awesome. these are good. told ya! i'm feeling better already. [ male announcer ] new alka seltzer fruits chews. enjoy the relief!

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welcome back, everybody. 50 years ago today u.s. surgeon

general came out and said don't shmoe. despite everything we know there are new numbers that say 20% of us are still lighting up every single day. dr. siegel, will you ever get them to quit? we know about the risks? >> i can't believe the reaction from 1964. over 40% of americans were smoking at that time. right now it's down 20%. we've got to push it down to zero. now, in 1986 they came up with an announcement that said smoke in your environmental is bad. that's good. it brought up all the research on second hand smoke and then in 1988 they changed it from a habit to an addiction. when you know it's an addiction and it hurts people around you and it can lead to heart disease, lung disease, and cancer, and lung cancer is one of the top cancer killers still, even with 20% of americans smoking, we still have an enormous problem. now we're thinking what can we

to do further restrict tobacco use. there was a strict learning on it. are they helpful, harmful. 70% of americans who are currently smoking want to quit, but how do they quit? they quit different ways. some quit with chantex, nicotine patches, it set rachlt we have to solve it. >> agreed. >> now we're seeing the full blown effect of it. as a result of it, 8 million lives have been saved. about 70 million people would have died from that that are now here. any report can make a big difference. of course, increase in taxes, prices of cigarette smoking, some of the ads we've seen with pictures of people with development laters have made a big difference. if you haven't started smoking, don't start. if you want to quit call

1-800-quitnow and you can get a lot of help. i want to make a point that everyone is talking about lung cancer. 41,000 deaths as a result of it. it's not just lung cancer. in our field or urology, bladder cancer is the same thing, kidney cancer. you can start from the mouth going all the way down from throat, esophageal, pancreas, kidney, and on and on. >> all tl carotid arteries is -- >> within one year you cust your risk in half. you want do it now. it's never too late no matter how heavy a smoker you are. >> now you have a chance to quit because you'll really save your health and a lot of costs. >> the phone number. >> 1-800-quitnow.

>> call even if you have someone you love. >> these guys have such great advice for us every single week because it's what we deal with, what we care about, dealing with our health. coming up, one viewer writing about swollen legs and what that means for her legs. if you know someone who's got swollen legs, you'll want to hear this. >> eating like a caveman or cavewoman, we're in the 121st century but many are reverting back to the paleo diet. is it good? there's a lot of buzz about it. myth or fact. we'll be back. i always say be the man withhe plan but with less energy, moodiness, and a low sex drive, i had to do something. but with less energy, moodiness, i saw my doctor.rive, a blood test showed it was low testosterone, not age. we talked about axiron the only underarm low t treatment that can store t levels to norm in about two weeks in most men. axiron is not for use in women or anyone younger an 18 or men with prostate or bret cancer. women, especially those who are or who may become pregnant,

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back now "sunday house call"

our weekly segment "should i worry" which the doctors focus on everything that worries us." both of my husband's legs are swollen three times their size above the knees to the feet. he will not go to the doctor. should i worry?" is this bad circulation in. >> he into edds to be seen. that's for sure, because there is a lot of things this can be. first thing is put your fingers and see if it's pitting edema, in other words does it have give to it, if it can be indented. secondly, is there a lot of weight gain, are you short of bra brette? i worry about your lungs, your heart, your kidneys and your liver. those are the four biggies and could there be something blocking your circulation. i need an ekg. i into ed to check your blood. i need a chest x-ray, a need your urine checked, could you have nephrotic system, your lungs could also be blocked. let me tell you how this works in terms of circulation. there's a backup to the veins

from the lungs if they're blocked and that goes into the legs so it's either your lungs, your heart, or your kidneys or liver. >> if the legs are swollen up is that water or what is it? >> it could be a lot of things. the question you want to know, is this happening in an acute, is it short term or these legs have been swollen for a long time and now the wife is getting worried. that's the first thing you want to know. obviously there are a lot of things that can cause this ed edema. if this patient had any surgery, is there blood clots that could cause pulmonary embolism. your heart pumps the blood out. how does the blood come back to the heart? you get into the plane, go to california you can't put the shoes on because the legs are swollen. because when we walk as we walk the muscles are going to squeeze the blood toward the heart and

there are valves that will block it from going down again. if there are issues with the valves, valve insufficiency, you will get swollen so this may not be -- >> people can see how tall you are now. >> will that tell you anything, both legs? >> you're less likely to have a blood clot if it's both legs and more likely to have a packup from your lungs or your heart. i got to make sure you don't have heart failure. >> that's what it sounds like, could be serious. >> it may not be that and may be that your kidneys are not getting -- >> what is an edema? >> swelling of thefluid, the third spacing where the fluid gets out and gets swollen. lymphodema, it's like a sewer system in new york city, all the rain and sewer goes into, all the infection goes into the little of nodes. if they're blocked you get swollen legs and have to see somebody. >> give me your hand for one

second. what they were talking about is if you press on the leg and it turns white, if it goes in, then you can tell it's swelling. you're okay, though. >> one simple truth if your heart is a pump it's supposed to get blood to your body. if your heart is not pumping your blood properly it will back up into your legs >> let's talk about the body sewer system next week. >> can i have your legs one more time in. >> that's it, no more touching. go to the doctor, please, go to the doctor. are you still plugging away at your new year's resolutions, coming up the doctors have the 411 on the hottest new diet trend out there today, does it work and if you're on it, should you worry? we'll let you know if it's right for you, next. hing? there's nothing like being your own boss! and my customers are really liking your flat rate shipping. fedex one rate. really makes my life easier. maybe a promotion is in order. good news. i got a new title.

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right now the paleo diet which a lot of trainers are recommending, it's very popular. we wanted to let you know whether or not it's good to eat like the cavemen did, argh! dr. siegel. >> it's a gimmick but i like that it cuts down on processed foods and up on fruits and vegetables which david and i talk about on the show, nuts, berries, the things you were gathering millions of years ago. the problem it has too much meat in it. i like the omni heart diet or mediterranean diet where basically you have the fruit and vegetables, you have the nuts, you have high protein, you cut down on carbohydrates and get rid of the saturated fats and replace them with unsaturated fats or proteins. this doesn't pay enough attention to that. too much fat in this diet, like the atkins too fatty. >> you might lose weight but it may not be overall healthy. >> yeah, you're right, jamie. i just don't think there's a

diet that's good for everybody. i think you should look at why are your acidity, base, ta you can to a nutritionist, just by touching your skin they know whether you're hydrated around. we've talked about the mediterranean diet, number three on the list, not so bad, you get olive oil, the great fat, avocados and those things, nuts which is great for you and it's a great mix. this one i think has a lot of meat, even though it keeps the sugar away but the best diet is to get rid of sugar, keep your sodium less than 2,400 mi milligrams a day, stay away from white flour and follow the mediterranean diet. >> we both agree and i would add exercise to that. if you regular exercise it changes the hormones in your brain so you don't want to eat as much. drink a lot of water and exercise. >> i think we're going to come up with "sunday house call diet." >> that's great that you can reprogram your brain to eat better for a lifestyle.

doctors, thank you so much. everyone out there, give something a try from today. that will do it for us. great to have you here. >> good to see you, see you next week. "media buzz" with howard kurtz, has a lot to say, coming up next. here's howard. on the buzz meter this sunday it was a local scandal involving bridge traffic until a newspaper dug up evidence that chris christie's aide deliberately caused a nightmare of traffic in new jersey as an act of political retaliation. suddenly according to the media his presidential hopes for 016 were roadkill and the story prompted christie to hold a marathon news conference sparring with reporters for nearly two hours. >> i am embarrassed and humiliated by the conduct of some of the people on my team. i am who i am, but i am not a bully. i'm sad.