thanks again so much for joining me, and for next time, i hope you're learning to be more of a healthy you. it is time now for sunday house call. joining us is dr. mark siegel. he's associate professor of medicine at lambeau's medical center. >> and also with us, chairman and professor of urology, chief of robotic surgery, doctors good morning. you think i get a little too excited about this segment sunday house call? >> you're bringing a lot of medical news and i'll tell you all the fans and people that

watch, they really take advantage of it. so it's good to be excited. >> the thing is i have learned so much from you, and i know eric has too. look at me. >> you're a good example. >> i was a really good patient, i followed all your orders and i feel really great. we're going to help you with everything, we even have whether you should worry coming up. first there is a warning of an outbreak of a drug resistant bacterial and it's been linked to a hospital in the chicago area, 40 people sickened so far. dr. siegel we hear about bacteria and infections in hospitals and is this occurring outside of hospitals as well? >> it's called cre, a big mouth full, but this resistant ba bacteria problem is huge. 2 million people have resistant infections and 23,000 died from resistant bacteria? how does bacteria get resistant?

it's because we overuse antibiotics. the bacteria that's most fit survives. in hospitals we're not disinfecting enough. and a lot of this bacteria is growing on things like respirators, on catheters and it's eluding detection, so the cds and dr. friedman came up with a statement saying this is a nightmare bacteria, we need to detect, find it early, protect, take it and segregate it, let's have people wash their hands more, let's have things for disinfected. this was found in an ercp scope which is something we put into -- >> this is inexcusable that our hospitals would allow bacteria like that to grow. >> it grows on a scope that goes deep into the bowel and it was very, very hard to get off. and a particular kind of bacteria, this is the first time we have had this in the united states as a genetic abnormality

that could spread to other bacter bacteria. here's another problem, in the or, david uses a gas to sterilize things, outside the or there's a problem, because there's very complicated issues of how to sterilize equipment. >> if this is an area where you have the pocket of infection in chicago, so this is not a systemic problem across the country, the way you are making it sound. there are issues and bacterial issues in the hospital. but for this particular news that we're talking about, it's in regal park in chicago. >> this is a supergerm? >> it's e. coli, there's a family of seven organisms, they're becoming smarter and smarter, they're looking at us throwing all those antibiotics a at us and they're saying i can battle you guys. healthy people should not be concerned about this, these are people that have been hospitalized in long-term facilities. people on ventillators, foley

catheters, and you see everything is resistant except a couple of iv act bottled ticks, one is a big gun that we use, so the bugs are getting more resistant, we need to isolate this patient. first we need to recognize them. second we need to have contact isolation, so the hospitals have certain rooms that you and i cannot go or if you want to go, we have to glove up, put the gowns on, et cetera, and the truth is remove these devices, if somebody comes in with a catheter they don't need it, get them off the catheter, stop using all these knee-jerk antibiotics. >> how do you tell if it's sterilized correctly? >> when you go to someone's office, you got to pay attention to what's going on in the office. i have a great staff, sterilization is extremely important. so we use cidex which is the

chemical we use to clean up equipment. now that they're sterilizing this in that pocket in chicago, this will disappear. >> they will get it under control, but i can't tell you how many people when they come into the office, if they see something suspicious, you go to the dental hygienist they put their hand in the glove and then their hand go sbosz the trash can. are you. >> you shouldn't be afraid to tell your doctor you're not being sterile. i just want to emphasize a point, it is only in very severe people, but it's also colonizing people that are healthy, so you may not get sick, but we can spread it that way. >> but let them open the sterile tray in front of you. not when you walk in and it already has been there. >> don't be afraid to ask.

>> you've given us permission. >> you're not insulting them, you're protecting your health. >> doctors are warning that the improper use of some over the counter laxatives and they say could have some deadly consequences. laxatives can be deadly? >> so this is the news, and that's part of the reason why sunday house call is bringing you the latest news. fda this week made an announcement that the long-term use of laxatives actually can harm you. what they're saying is that you can only use these sodium phosphate laxative for only three days not more. the big thing here is really dehydration that we're talking about. but besides that, what i'm concerned about is all the electrolight changes that can happen, extra sodium, extra phosphate, this has resulted in kidney failure, heart failure.

short-term you can use it, but long-term you don't want to be on this. this is a drug, even though we think it's just a laxative, over time it could be addictive. not the same as drugs, the tissue in the colon, they become hyper sensitive, you build tolerance, you need more laxatives. people have died from this and certainly if you have a chronic disease, you don't want to take this kind of laxative. >> how do you know if you're going to be in trouble with this? >> this is a good question. we have got bulking laxatives like metamucil out there, we have other laxatives that stimulate the colon like senicot. this is called an azmotic it literally draws water out,

you're cyoit upsets your electrolite balance. we used to use this for:oscopy. now the problem is, how much can you use safely? they're saying, well, you can use 1.5 ounces, you can use a very small amount once a day. but people go and they get it over the counter, they use more than a small amount. >> it should come as a warning. >> there is a warning on it, but that's what fda wants you to do is to read the warning. the biggest question that -- besides the fluids and the fruits and vegetables and the fibers, which is simple, we got to find out what -- do you have hypothyroid, are you taking percocet or painkillers.

if you're on iron, iron by itself can constitute pate you. some people think. >> how often should you go? >> there's no answer to that, folks out there, but you got to consult your physician, and the main issue is what's your change of pattern, because we looked at the colonoscopies of people who sudden -- exerci but a lot of people are sensitive to dairy and cheese. talk to your doctor. the fda wants you to read the instructions and do not treat yourself with these lacks tiffs.

>> it's not an easy topic to talk about obviously on television, but so important. thank you. and we all know a person who's stubborn, and i'm not -- a person's refusal to go to the doctor over something they think is no big deal. let's say for for example leg pain. it could be something you should worry about. >> the first surgeon general's warnings over cigarettes telling us not to smoke. a lot of people have heeded the warnings, but have enough? we'll have our progress report coming up on sunday house call. a lot have quit but have enough? when you have diabetes like i do, getting the right nutrition isn't always easy. first, i want a way to help minimize my blood sugar spikes. then, a way to support heart health. ♪ and let's not forget immune support. ♪ but now i have new glucerna advance with three benefits in one. including carbsteady ultra to help minimize blood sugar spikes.

it's the best from glucerna. [ male announcer ] new glucerna advance. from the brand doctors recommend most. advancing nutrition for diabetes. as a police officer, i've helped many people in the last 23 years, but i needed help in quitting smoking. [ male announcer ] along with support, chantix varenline is pron to help peop quit smoking. chantix reduced the urge for me to smoke. it actually caught me by surprise. [ male announcer ] some people had changes in behavior, thinking, or mood, hostility, agitation, depressed mood, and suicidal thoughts or actions while taking or after opping chantix. ifou notice any of these, stop chaix and call your doctor right away. tell your doctor about any history of mental-health problems, which could get worse whe taking chantix. don't ke chantix if youe d a serious allergi or skin reaction to it. if you develop these, stop chantix and see your doctor right away, as some can be life-threatening. tell your doctor if you ha a history of heart or blood-vessel proble or if you develop new worse symptoms. get medicalelp right away if you have symptoms of a heart attack or stroke. use caution when driving or operating machinery. comm side effects include nausea, trouble sleeping, and unusual dreams.

i did not know what it was like to be a nonsmoker, but i do now. [ male announcer ] ask your doctor if chantix is right for you. test. [ crash, alarm blaring ] it was shortly after midnight. these guys broke into the house. after a few seconds, adt called me. they went ahead and notified the authorities. there able to prehend the suspects in no time flat. this intruder had a knife. the officers had already received a call om adt and had gotthere and apprehended the suspect.

it just made me think of how lucky i was to have adt. [ male announcer ] when it's your family, trust adt fast response monitoring to help ptect against burglary, fire, and high levels of carbon monoxide. when seconds count, the experience of adt matters. [ lisa ] my son is my world. the most important thing is to knothat he is safe. [ male announcer ] now get adt starting at just $49 with 24/7 protection just over $1 a day, plus a money-back guarantee. the person who took the call from adt saved my home, my possessions, and he mit have saved my life. [ male announcer ] get adfor as little as $49 and save a lot more than money. call or click today. welcome back, everybody. 50 years ago today, u.s. surgeon general came out and said don't smoke.

despite everything we know about the effects of cigarettes, there are some new numbers that show some 20% of us are still lighting up every single day. dr. siegel, will you ever get them to quit? we all know about the risks. >> let's talk about the progress. i can't believe the effect that announcement had back in 1964. they based it in 7,000 papers that said cigarette smoking is dangerous to your health. over 40% of americans were smoking at that time. now it's 20%. we got to push it down to 0. in 1988, they changed it from habit to addiction and we all know it's an addiction, when you know it's an addiction and you know it's hurting the people around you and you know it can lead you to have heart disease, lung disease and cancer. even with 20% of americans smoking, we still have an enormous problem. so now we're thinking what can

we do to further restrict tobacco use, there's a controversy that we have talked about, e cigarettes, are they helpful? are they harmful? 70% of americans who are currently smoking want to quit. how do they quit? people quit different ways, some quit with chantix, some quit with patches, some quit cold turkey. it's a problem we have to solve it. >> an announcement 50 years ago, now we're seeing the real full blown effect of it and as a result of it, 8 million lives have been saved, about 17 million people would have died from this that are now here, so it's tremendous ous. so any of these reports can make a big difference. now of course increase in taxes, prices of cigarette smoking, the ads we have seen the pictures of people with ventilators have made a big difference. if you haven't started smoking, don't start. if you want to quit call

1-800-quit-now, and you can get a lot of help. i also want to make a point that everyone's talking about lung cancer, 440,000 deaths as a result of this, et cetera. it's not just lung cancer, in our field of your rolling you can go all the way from the mouth, throat, es soft guiel, it's all the effect of smoking. >> and also what mark does, which is all the coronary artery disease, stroke, heart disease, it's all related. >> if you quit and within one year you cut your risk of cancer down to half. >> how long does the effects of smoking stay in your system. a lot of researchers and scientists are saying maybe 10 years. now you have a chance to quit because you really save your health and a lot of costs. >> call in even if you have someone you love.

>> i'll post this on facebook. >> these guys have such great advice for us every single week because it's what we deal with, it's what we care about dealing with our health. coming up, one viewer writes to us about swollen legs and what that means for her husband. >> she's worried. and also eating like a caveman or cavewoman when we're in the 21st century? but many people are reverting back to the paleo diet. we will debunk myths or facts next. myth or fact. we'll be back. farmer: hello, i'm an idaho potato farmer. and our giant idaho potato truck is still missing. so my dog and i we're going to go find it. it's out there somewhere spreading the good word about idaho potatoes and raising money for meals on wheels. but we'd really like our truck back, so if you see it, let us know, would you?

thanks. what? fifteen minutes could save you fifteen percent or more on car insurance. everybody knows that parker. well, did you know auctioneers make bad grocery store clerks? that'll be $23.50. now .75, 23.75, hold 'em. hey now do i hear 23.75? 24! hey 24 dollar, 24 and a quarter, quarter, now half, 24 and a half and .75! 25! now a quarter, hey 26 and a quarter, do you wanna pay now, you wanna do it, 25 and a quarter - sold to the man in the khaki jacket! geico. fifteen minutes could save you... well, you know.

>> back now to the weekly segment, should i worry? the doctors focus on everything that worries us. "both of my husband's legs are swollen three times the size from above the knees to the feet and he will not go to the doctor. should i worry? is that bad circulation? >> he needs to be seen. there are a lot of things it can be. first, put your fingers and see if it is pitting edema. does it have "give." that tells me something. if it can be indented. is there a lot of weight gain? what i worry about are your lungs, your heart, your kidneys and your liver. those are the big ones. is there something blocking your circulation? i need an ekg and chest x-ray and urine check. you could be losing free teen through the kidneys. you could have heart failure. i can listen to the lungs. it could also be your lungs are blocked. there is a backup to the vein from the lungs if they are

blocked and that goes right into the legs and leads to this. it is your hungs, your heart, or your kidneys or liver. >> is it water or what? >> a lot of things. is this happening in acute -- short-term or been going on a long-term? a lot of things can cause this edema in our field of surgery, has any kind of surgery taken place or blood clots? that can go to the lungs and cause an embolism. your heart pumps the blood out, right? how does the blood come back to the heart? you get into the plane now, you go to california, you can put future your shores on because your election are swollen. when we walk, as we walk, the muscles are going to squeeze the blood toward the heart and the

valves will block it from going down. if there are issues with the valves on something called valve insufficiency they get swollen. >> does it tell you anything because it is both legs? >> more like thousand have a backup from the lung or heart if it is both legs. >> i have to make sure you don't have heart failure. ait sounds like congestive heart failure. >> it could be. >> what is edema? >> a swelling of the fluid, where the fluid gets out. another thing, is your lymph nodes, if they -- they are like a sewer system, and all the infection goes to the lymph nodes and if they are blocked you get ugly swollen legs and you have to see somebody. >> can i say something, one second? what they were talking about, if

you press on the leg and it turns white, if it goes in, can you tell it is --. >> if your heart is your pump, to get your heart to the blood if your heart is not pumping it will back up and end up if your legs. >> let's talk about 9 body sewer system. >> can i have your leg one more time? >> no more touching. go to the doctor. are you still plugging away at your new year's resolution? the doctors have the hottest new diet trend out there. does it work in should you worry if you are on it?

adalimumab. adalimumab. this is humira working to help relieve my pain. this is humira helping me through the twists and turns. this is humira helping to protect my joints from further damage. doctors have been prescribing humira for over ten years. humira works by targeting and helping to block a specific source of inflammation that contributes to ra symptoms. for many adults, humira is proven to help relieve pain and stop further joint damage. humira can lower your ability to fight infections, including tuberculosis. serious, sometimes fatal events, such as infections, lymphoma, or other types of cancer, have happened. blood, liver and nervous system problem serious allergic reactions and new or worsening heart failure have occurred. before starting humira , your doctor should test you for tb. ask your doctor if you live in or have been to a region where certain fungal infections are common. tell your doctor if you have had tb, hepatitis b, are prone to infections, have symptoms such as fever

fatigue, cough, or sores. you should not start humira if you have any kind of infection. ask your doctor if humira can work for you. this is humira at work.

we're gonna be late. ♪ ♪ ♪ oh are we early? [ malennouncer ] mmute yo way with the bold, all-w nissan rogue. ♪ >> why i told you how much i learned and how great i feel about the show, i never fall a f.d.a., -- a fad.

the doctors tell you about a ere is a new diet called the paleo diet and we want to let you know whether it is good to eat, like the cave men did. dr.siegel? >> what i like about the paleo diet, it puts down on processed food. i like that part. it is up on fruits and vegetables which we always talk about. nuts. berries. what you were barrying millions of years ago. but it has too much meat. i like the omni heart diet or the mediterranean diet where you have the fruit and vegetables, you have the nuts, you have high protein and you cut down on carbohydrates but you get rid of saturated fat. this does not pay much attention. there is too much fat. it is too fatty. >> you could please weight but it may not be overall healthy? >> you are right. i don't think there is a deiter

that is good for everyone. you should look at your base, your acidity, find out we touching your skin they know if you are high dried. mediterranean diet is number three on the list, you good grape, fats, avocado, nuts all are great for you. it is a great mix. this has a lot of meat although it keeps the sugar away but the best diet is to get rid of sugar, keep your sodium to less than 2400 milligram a day, stay away from white influence and fall mediterranean diet, is a good mix. >> we both agree. i add exercise. if you regularly exercise it changes your hormones and you do not want to drink so much. >> we will come up with "sunday house call diet." this is our project. >> you can reprogram the brain to eat better.

doctors, thank you. hope everyone gives something a try today. great to have you here. >> good to see you. "media buzz" with howard kurtz is next. he has a lot to say. shear howard. >> this sunday, it was just a local scandal involving bridge traffic until a newspaper dug up evidence that chris christie may delivery have called a traffic nightmare in new jersey as an act of political retaliation. suddenly, the presidential hopes for 201 are road kill and he held a marathon news conference for nearly two hours. >> i am embarrassed. and humiliateed by the conduct of some of the people on my team. >> i am who i am. but i am not a bully. i'm saddened. i'm sad. that is