more of a healthy you. how are you feeling this morning? i am jaime colby and it is time for "sunday house call." >> joining us is dr. mark siegel and and author of "the inner pulse, unlocking the secret code of sickness and health." >> and good afternoon for the chairman of urology and chief of robotic surgery. doctors, good to see you. you know, sunday is our day forgetting healthy. whatever we did up until now doesn't count. from this point forward let's get better. we wanted to start with a disease that can strike suddenly and have deadly

consequences. there is a possible breakthrough in the fight against pancreatic cancer. doctors have a new way to screen for the disease sooner. doctor, when you hear about pancreatic cancer you automatically think this is one that can't be treated. is that true or has it changed? >> first of all it can be treated. the problem is the treatment, jaime, is not effective. people are worried about pancreatic cancer because it is the number 4 killer in the country. 80% of the time it is found too late to treat it surgically. if you can't treat it surgically you can't cure the patient. that's the state-of-the-art right now. the surgery itself is complicated. david will talk about it. the problem is most of the time you can't even do it. the thing has spread too far. what do we do? how do we find it early when most people present with what they call silent, painless jaundice. by the time you turn yellow painlessly, it is too late to do anything. what do we do? we have to look for tests that

will find it before. not imaging tests because we don't know how to image it early enough. tests, blood tests that will help us determine markers. we have one the ca19-9. it is not that effective. at mayo and in japan they found metabolic markers, markers in the blood stream that could help you, but they still -- that's still not ready for prime time. to answer eric's question, a new study just out is looking at genetic factors. it is something called rna which is a genetic factor that tells the body you are making a tumor. you are making a tumor. if that works out that could be the answer genetic stz wave of the future to diagnose something before the horses get out of the barn. >> for pancreatic, or if that testy effective could it work for other silent cancer killers like ovarian? >> this is specific to pancreatic cancer. as you mention eld the disease

patrick swayzee, steve jobs, they get the disease and 70% die in the first two years. this is a death sentence unfortunately. partially because we are not catching it early. 80% of the patients who have pancreatic cancer had this tumor marker. who is walking out there with pancreatic cancer we don't know about? 38,000 die because of this. that's not a good ratio. a lot of people are dying from this. who are the people that are at risk? if are you a smoker, smoking comes up again. obesity, diabetes. if you have had pancreatitis, alcohol. if you are a male over the age of 45 and family history are you at risk. you should tell your doctor you have this so they can screen more. now pancreas is about 6-inch organ under the stomach. it is hard to get to it and that is why mark and other doctors, we can't examine it and find. it liver is easy and other

organs are easy and the pancreas is ther surgery is the treatment of choice. when we find it in the hands of experienced surgeons, laproscopicly it is easily handled with chemotherapy. there are a lot of great studies with immuno therapy. the scientists are having a tough time getting to the can aer is. the cancer cells are surrounded by shell, a cocoon. by immuno therapy you can get to those and the treatment. a lot of exciting things going on. >> i go to the doctor tomorrow and what should i ask for? >> the ca19-9. if you say pancreatic cancer they will do this. >> it is not that effective. that's a shame. i have seen it on my blood panel. >> it is not that effective. we don't have an answer yet. we can find it sometimes on a cat scan coincidentally looking for something else. we have to think about if there is a family history. one other point, the pancreas

is a double organ so people are not confused. today we are talking about the other side of the pancreas called the exocrine side. it is the part of the gland that makes dais stiff hormones that gets in trouble. >> this is what he is talking about and it is not available. it is coming from copenhagen. i wanted to say that because it is funny. copenhagen and the scientists have done a good job. >> you can't live without your pancreas. >> hugely important. >> you are not going to remove the pancreas. >> absolutely. >> watch "sunday house call." you may not want to get sick on sunday because the new study says it could be more dangerous if you get sick at night or on the weekends. tell me it isn't so. you hoped awful these doctors are on call. you picked up the phone -- >> don't get sick on sunday

because the doctors are here. this is a study that just came out from the mayor clinic. the ma a yo clinic. every six months we see these studies coming in. this is not to scare you. study after study shows as we get closer and closer to 5:00, nighttime and the weekend, friday night, saturday, sunday, the care may or may not get as good. the staff are not there. we are short staffed, specialists live far away. and based on this study 1.8 million visitors, if they had stroke there is 10% increased risk of dying on weekends. not to scare people, a lot of administrators are looking into this seriously, and what they are doing is using tele medicine. send the cat scan to the radiologist at home and get the response right away and bringing in the specialists to be ready. there is a rapid response team that we have. when there is a problem this

team that are experts, they get to the site and we save you. if you are planing to have a heart attack make sure it is on monday, tuesday, wednesday. >> hospitals will make changes and will they? you covered the future of health care. will they even have the capability and the resources to staff a hospital at night and on the weekends? >> that's a big question mark. that's why the patient has to be their own advocate. i have a couple of points i want to make. to me we are talk about the heart. if you are having a heart attack on going and 700,000 people are still dying of heart disease every year in the country, if you have a heart attack on going there is something called door to balloon time. you have to get to the hospital within 90 minutes to get upstairs and have that angiogram done and have the stint put in and the artery reopened. studies show that you are 40% less likely to get there in the 90 minutes if we are talking weekends or nights because of the skeleton staff. but here is what you can do if you are a patient. from you near a university hospital or major medical

center try to get there. don't tell the ambulance driver drive me another two hours, they know what they are doing. the ambulance drivers know what they are doing. but if you get to a major medical center it will help. the other point i want to emphasize is teams at hospitals are starting to gear up for this more and more. they know about this. the cardiac cath lab knows this and are on call. >> having a relationship with your doctor is trough men -- tremendous. you have to know your doctor. a lot of times people call me, hopefully, look, make sure people are staying and waiting for me in the emergency room so i don't get there and sit for another three hours. >> you call the doctor and tls the answering service and they say we will leave a message. you put the phone down and they never call back. >> everyone practices medicine in different ways. some are very hands on and a lot of people have my cell phone and e-mail. we have different ways of practicing medicine. but for the hospitals, this study is very important. now they are realizing, wait a second. 10% increase of death as a result of not having enough

staff. so people don't need to be scared so make sure you communicate with your doctor and we are geared up. that has improved drastically. >> eric, if you have chest pain, go to the hospital. sphru abdominal pain, get dizzy, go to the hospital. you don't have to wait for the answering service. it may be nothing and better to air on the side of caution. >> if your doctor won't give you an e-mail or phone number, change doctors. meanwhile like it or not marijuana is legal in a number of states. what about the effect on the body? doctors are going to tell us is it harmless to smoke weed? that's coming up when "sunday house call" returns. >> plus many folks for your new year's resolution say to eat better and cut out the cookies and the donuts and the sodas. what is the real way to fulfill your resolution? the doctors will fill us in on what to look for when we go shopping at the grocery store next.

it is loaded in cheddar and very high in fat. you have the potatoes high in fat, big carbohydrate and bad for digestion. it will make you gain weight. and over here a healthy egg white with apples. what do you think of the difference? >> it makes all of the difference in the world. it feels so much better when i stay away from the bread and the potatoes and the cheese. >> well that was dr. siegel. how much did you have to pay that diner to say the egg whites were better than the ham and cheese? come on on now. you may want to make some simple breakfast changes and it can go a long way for your health. >> i great, dr. seeing gel. >> i didn't pay them. they were happy we were over there. but seriously they say they go up to patrons they know and offer them healthy choices. oatmeal instead of yogurt

parfait and fruit and tomatoes in assisted of potatoes and egg whites and avocados, all of the things we are talking about on on the show they offer people. do people eat them is the question. we like fiber. fiber improves sugar digestion and decreases obesity which one-third of americans suffer from that. but not everybody complies. i want you to look at a surprise guest we didn't know is there and what he had to say about it. >> sir, good morning. did anyone ever tell you you look like the famous tv legend her -- geraldo rivera? >> no. >> nobody ever told you that? >> he has narrow cheeks and a little more robust. >> you look good with a beard, geraldo. tell me what you are eight. is this what at the -- is that what they ordered. the yolks and the bacon and the home frys.

home frys. they put this in front of me. in quantity it looks all right. but it looks on the healthy side for me, doctor. >> he said he eats bloody maries on the weekend. he was making the point that people are stuck with their bad habits. it takes time to get the discipline to eat better foods. no one can force you to do it. >> don't have the bacon. start skipping the bacon and do something like that here and there. >> this was a great report. i enjoyed it. the name of the cafe i think was bloomburg cafe. that guy was ready to flow a punch. it is a great concept, but he couldn't wait to take his cheese and bacon. >> what is the upside? can you change your body by making a simple change like breakfast? >> that is a good point. people don't know there are

many different types of fibers. the sol -- soluable fiber is the one that makes you not feel hungry anymore. h's a -- a it is a low glycemic index. that reduces your sugar and diabetes and everything else and reduces close reel. cholesterol. those are your berries berries and everything else. the non-soluble work as 5* -- as a laxative. you need both and that's the purpose of this and it was nicely done. there is 100 trillion bacteria in our gut. people think there are species on the moon? there are a lot of species down there. these guys are either good guys or bad guys and they are always fighting. the kind of fibers you put in, pu -- if you eat a lot of red meat you will have inflammation and colon cancer and everything.

the more fiber you add and the more carbohydrate you put in you will get certain bugs. you are changing the bugs. >> i didn't see fiber on the plate? >> apples were fiber and berries are fiber. fruit instead of fruit juice. an apple a day keeps the doctor away. >> order wheat toast instead of white toast. >> english muffin that is wheat. >> you need 25 to 40 grams. i'm going to post a lot of stuff on the facebook. 25 to 40 grams and explain how you can take this. apple and berries and you can get all of that. >> and oatmeal. >> simple steps for breakfast. we talk about should i worry? one man whose father died of a cyst and now he has one. should he worry? and say what you want about marijuana, but they do say there are benefits to medical marijuana. the doctors will fill us in.

the debate across the country, medical marijuana coming up.

>> on "should i worry," a weekly segment about everything that worries us, someone writes, my dad was a cancerous ccst on his kidney and died great that and i have one on my kidney. i have been told that just because i have a cyst like my dad doesn't mean it is cancerous doctor? >> the doctors are right assuming they have examined it. i am sorry his father passed

away from this because today the cure rate is extremely high. they are simple ccsts, a simple cyst, and his father probably had the cancerous type with a tissue and if they are simple you just observe. the best is m.r.i. or ultrasound. i would not panic or worry but follow-up with your neurologist each year. if there is a cancer, every intent should be made not to remove the entire kidney, just part of it. >> a recovery from nyu came up with a classification for these type of cysts and we have four

type, one and two you watch, and three or four you want to remove and if they are one of those the removal will be reeledded. >> thanks for the nyu nod, but, he said he has pain so what can happen with a simple cyst, and we are talking a simple one here, it can actually obstruct so someone has to made sure that it is not obstructing the flow through the tubes. if that is not the case, you follow it. more complex, irregular borders, you worry about that. talking about kidney cancer, we have not covered that. why are you at risk? obesity. high blood pressure. smoking. we are always worried about smoking. also, work-place exposure to certain chemicals that increase the risk for kidney cancer. >> the problem is, it is very hard to find.

blood in the urine you look for. you can find it on an ultrasound , if it looks abnormal or multiple cysts in one place. >> or blood in the urine. mark is right, the biggest thing is to spare part of the kidney. >> blood in urine, is that always cancer? >> could be bladder or kidney center. or an infection. >> the hottest political debates is marijuana, medical marijuana, a lot of controversy whether it should be decriminalized and made legal. you should know the effect on your body. is it harmless as some would like us to believe? the doctors will weigh in on that next, on "house calls."

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lcombaverydy. ere there are arguments on both sides for the legalization of air juan and the effects medically. what is the impact on our body and overall health if you are prescribed or decide to just smoke marijuana in doctor? >> it has a medical indication, it dewe creases nausea and can improve appetite if you suffer from cancer and helps with pain. on the other side with kids, 60 percent of people under the age of 15 say it is the primary reason they go into rehab, it impairs thinking and impairs performance on tests. it is addictive. you do not want to get behind the wheel with it. it is dangerous when it is used readdressally. unfortunately, too many the distinction is blurred. >> you talked about a lot of the organs being impacted.

>> this is something we have to think about as doctors, not a political statement. you have to watch out no your patients. i disagree. why think there is any role for marijuana, medical miles an hour juan. i don't think so. a lot of people may disagree but it sets a bad example for the next generation. studies show that children that watched their parers smoke marijuana end up addicted to cocaine. i am against it. studies show prolonged use reduces the i.q., psychosis, depression, and the risk outweighs the benefit. for that reason, i'm out. >> i agree with that recreational it is leading to a lot of problem. dangerous. >> illegal most places. >> in your opinion, that is interesting. the debate will continue. that does it for us on "sunday

house calls." >> that is it. see you next week. "media buzz" starts right now. >> on the buzz beater, president obama tells the new yorker that fox news and rush limbaugh are turning him into a caricature. why are they getting under his skin? >> journalists are obsessing over chris christie with virginia's governor being indicted to texas wendy davis call the by a newspaper embellishing her from poverty star. >> a seattle star sends his team to the super bowl and delivers quite the speech to the fox reporter. >> i'm the best in the