. hi, everybody. it's time now for sunday house call. >> welcome as always on this sunday. joining us as always, chairman. >> dr. segal joins us as well. author of the inner pope, unlocking a secret code of sickness and health. great to have both of you here. >> hello. >> if you came in with a report that the medical announcement, the veteran news announcement tom brocaw is diagnosed with melt pell miyeloma.

how do you detect it and what is the diagnosis. >> about 1% of cancers of multiple myeloma. unfortunately 10,000 people die from this. it starts from bone marrow. a lot of people don't know what it is. it's the soft part in the middle of the bone. theso the simple way to think of this is the federal bank. you have dollars and euro. when you print out a lot of dollars, the value of the others go down. that's what happens in the bone marrow. you start producing a lot of plasma cells. it's a cancer of plasma cells that are supposed to make the soldiers to defend us, but they are going out of synch. you have a lot of dollars being printed. not the value of the rest.

that goes down. you don't make enough red cells, you get anemia and you get fatigue and tired. you have lesions meaning that the bone is going to say it's enough. in the rest, you will have severe bone pape. you have fatigue and bone pain and your calcium goes up and it's funny. you will have too much calcium and you get renal failure. your kidney function goes down because it affects your kidneys. aar f team innia a ini ini inin bone pain. >> i want to add one thing. the proteins that the plasma cells make are atypical and heavy. it's supposed to be antibodies and it is supposed to be our

immune system. it makes the proteins and anti-s that don't work. . they clog the kidneys and make you anemic and they spread to the bones. what do we do? here's what we do. when i started the practice, this was one of the worst cancers you can get. you were dead within two years. brain cancer and parchg reattic cancer. there is a certain treatment. we are able to keep people going-over several years or a decade. here's why. we used to use poison to poison the bone marrow, chemotherapy. woo wipe it out and hope it recovers. now we use a drug which was originally used you might remember, pregnant women were given this in the late 50s and early 60s if they got nauseous during protection and we got birth defects. we threw the drug out.

now we have come back to a drug we discarded and it's having great uses because it cuts down blood flow. we use bone marrow transplants and stem cells where we wipe out the bone marrow, we can preplace it with a person's own cells that have been cleansed of the cancer cells. it made a dramatic change in the disease. it is no longer the uniform killer. >> how do you know you have it? >> what you would do is get the urine protein, meaning you get your urine and blood and you get the urine and the blood test and you look for the proteins that mark is talking about. the reason why i jumped in, i want to make sure people know about the international myeloma foundation. 1-800-452-2873. i will post this on my facebook. this is the foundation that reaches out to a lot of people.

a lot of support out there. the prognosis is not so great, but we made a huge leadership in the bone marrow transplants. this is your own cells to make sure you do well. >> the diagnostic question. you look for that in the blood and you have to confirm it by finding the malignant cells. that is the yj that is making the blood cells. >> our wishes are with tom brocaw and his family. >> waiting to hear a good news story that we made progress in the field of cancer. we wanted to follow-up on a story about new breast cancer screening guidelines that urges women to schedule mammograms more frequently. a bombshell study that cast doubt on the effectiveness of the screenings. the mammogram specifically? >> i have big reservations although i want to start by saying it looked at 90,000 women

in canada and a randomized trial where they put one half of the women in the group with breast exams and mammograms. they found 25 years later after five years, 25 years later, the number of women that were alive and got breast exams were almost as high as those who got mammograms. but, i would not change one thing. i think women should get mammograms. why? breast exams are unreliable. i love to diagnose them, but you send them for a mammogram. here's the bottom line. we talked about this. here's the bottom line. you want to find breast cancer before it escapes the breast. it's called early detection. the goal of a mammogram is not exactly to save lives. it's to get cancer early. every woman out there would want

to know. >> what are your quite lines. when do you start and how often do you get it? if you have a history and if you don't. >> i start at the age of 40. the most aggressive is from 40 to 50 and they show a higher rate of mortality. i continue until at least 70 or 80 at least once a year. if i tell women to get mammograms once a year, they don't get them every year. they get them every year and a half. they will forget about it completely. i want women to get their mammograms every year and that's a way to make a comparison. this shifts over to david. if we have too many false positives and doctors doing biopsies, the fault is with the doctor and not mammogram. the misdemeanor graham provides information we need.

>> i wanted two things. is a mammogram only as good as the screener. how do you pick the right person and know that they have the right equipment? is there any reason to be afraid of getting a mammogram? >> i think what mark was saying is you will find false positives that can lead to the treatments and maybe not necessary. that's why they say be careful with mammograms. of course the experience of the person who does it plays a role, but this is not the confusion among the patient. the doctors are also confused. this is a big debate at a national level. a big controversy among all of us. now people are watching saying don't get mammograms or go get a mammogram. i think personalized medicine. looking at all of us and the different issues. not every breast is the same. you have younger breasts that are dense and older ones that are not so dense.

this study is from canada. i am not saying they are different from the u.s., but the technology. >> that was supposed to be funny. >> the technology that you used there 25 mammograms at that time. now we have digital ones. there big mammograms that are detecting. >> i can visualize it. >> detecting a higher chance of getting breast cancer. that will change the results of this study. now our experience 25 years ago is the same and i want people to be careful. the american cancer society is recommending getting your fertile mammogram at the age of 40 and every year. if you get the mammogram, talk to your doctor before. a lot of these are not cancer. >> i want to know, when can we go to the doctor and ask for the-dimensional mammogram. >> it's coming up. they are going to look into it.

i don't want people to be confused. we have the same issue with the prostate cancer. when we told people to call in about prostate cancer, we were able to help hundreds of people and that's going on with a lot of breast cancer. >> just here, the technology has changed. they were looking at 1980s. we have three-dimensional mammograms. i don't have scientific information, but mammograms give me that. i have to decide what to do. >> i know sometime here, but mris are used to complement that. >> i don't want you to be cutoff, but we will talk about any other thoughts you have on the other side. >> i have been watching the olympics and the condition has been blamed for bob costas. it's pink eye. if you have it, don't touch your

eye. what is it and how do you prevent yourself from getting it? we will talk pink eye in a moment. >> sammy depression. it does really exist. it's a really thing. the doctors say it's on the rise. next we will tell you how to know if you are feeling normal or if there is something serious going on and what you can do about it. so i can reach ally bank 24/7, but there are no branches? 24/7. i'm sorry, i'm just really reluctant to try new things. really? what's wrong with trying new things? look! mommy's new vacuum! (cat screech) you feel that in your muscles? i do... drink water. it's a long story. well, not having branches let's us give you great rates and service. i'd like that.

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plays a key role throughout our lives. one a day women's 50+ is a complete multivitamin . . one a day women's 50+. . back on sunday house call, it has been a harsh winter with back to back snowstorms and low temperatures. that means people are suffering from seasonal depression. doctor, what is seasonal depression? >> it comes in the winter and it's great. ice and snow and gloomy and dark. >> you said it.

seasonal depression comes in when every two weeks we have winter storms and you are locked up in a dark and cloudy area with no sun. your hormones are out synch. for a long time there was a debate whether it was a rel depression or not. we have the seasonal disorder. not feeling well and overeating mostly carbs and gaining weight. you come out in march and you are 20 pounds heavier. it's a real depression and think people should recognize this. this is just not feeling like going to work. these people have crying spells and they are not social with other people. before you jump into the medications like prozac and zoloft, one is a i hhydroxy tryptophan. the best treatment is the light

therapy. light therapy. northern light technology is the that you put on your desk after working and the light hits you a half hour every day for about five days and you feel much better. there a lot of things we have that woe can give the patient to feel better. >> you have herbal and light box. what else do you have? >> most people are not going to have that light treatment early in the morning, but the first thing you want to do is recognize this. if you are gaining weight and feeling fatigued and you don't have energy and it's a snowstorm going on with no light out, spend more time by the window and as much time as you can outside. exercise increases the same hormones david was talking about that this decrease. exercise is key. get to your doctor and see if you have another tendency. people out there have other causes of depression. they get worse when you have

seasonal effective disorder. on top of presifting depression, it gets worse. do have you have a vitamin d deficiency? i find an epidemic of deficiency going on in the united states. it is made worse in the winter. you are not getting it from the sun. i like it about 2,000 units. it depends on how low you are, but that's the formilation you are. it has calcium in it. how many times a week depends on how low you are. this is a great time of year to replace vitamin d. >> the doctors will post more on the recommendations. great advice as well. should i worry segment is all about a nosebleed. when you get one of those, should you worry? the doctors will address that. plus, it happens to kids all the time. pink eye. it happens to adults too. all ages could be affected by

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. should i worry? >> dr. siegel? >> i actually don't know if he should worry or not. i'll tell him what he should do. first of all, it's not the shaving. it's the shower. why is it the shower? it's the shower because of the heat of the shower. also, your house may be very dry

and that dries out your nasal passages loaded with blood vessels. you get in the shower and the heat and the humidity hits and you start to bleed. you should have a humidifier. maybe you're on blood thinners, high blood pressure. god forbid, you're using cocaine. that would cause the problem. there are underlying risks. there may be a problem with a bleeding disorder. i want this guy checked. once he's checked by an internist or ear, nose and throat doctor. then i say pack it with vaseline or use saline nasal spray, use a humidifier, all of that will help him and beware of hot showers. even though you love them. >> i like to take a cold shower. >> cold shower and stop shaving. that's the way you treat it. >> that will make him popular. >> basically, marc mentioned everything. high blood pressure -- >> what's the connection between the nosebleeds and the high blood pressure. >> all the plexus in the interior of the nose can burst if you have real trauma,

sneezing, coughing, high pressure can burst it. then you can -- also trauma. kids have this all the time because of the trauma to the nose. as a surgeon, you always want to control the bleeding. what you do is you basically pack it and the way you pack it is keep pressure for ten minutes. don't stop taking your finger off the nose because -- to see what's going on. keep it for ten minutes. always lean forward. you don't want the blood going into your stomach that causes vomiting. >> how about you go back to bed. you lay there for ten minutes and wait? >> don't listen to eric. after the cold shower and not shaving, lean over, be calm, 99% of these, these are anterior bleeds that usually stop. posterior ones if you have that problem, you may have to see a ear, nose and throat problem, they may have to do something to stop the bleeding. >> what's posterior bleed? >> that's in the front of the throat. >> if it happens routinely, talk

to your doctor. >> yes. >> something else affecting people, you've seen bob costas getting pink eye and it got worse and worse and worse until they finally sidelined himself. what is pink eye. how bad is it and how do you avoid it the doctors will explain. [ male announcer ] this is kevin. to prove to you that aleve is the better choice for him, he's agreed to give it up. that's today? [ male announcer ] we'll be with him all day as he goes back to taking tylenol. i was okay, but after lunch my knee started to hurt again. and now i've got to take more pills.

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back now with the doctors. if you ever have pink eye, man oh, man you know it is annoying. a lot of people think it affects children. as we've seen watching bob costas in the olympics, it affects everyone. he had to take himself off the air it was so bad. what is pink eye, how do you get it and what treatment do you have besides not being on tv? dr. samadi, i've had it. i wear glasses. they say don't touch your eye. >> you get a few -- for the first time after years and years of covering the olympics, this is a bacterial or viral.

it lasts about two weeks. there's really no good treatment. it has to disappear on his own. the best thing is washing your eyes and cleaning it up, making sure that the inflammation, conjunctive a is the layer covering the eye. when it gets inflamed, you have a lot of blood vessels that send them and you get inflammation and the red eye. in this case we think it's an infection. with bacterial infection, you have antibiotics, either strep or staph infection that we can give you. this could be exactly what you said. it could be the trauma from having his lens there and got infected. and you're right, you don't want to touch your eyes. if you get any infection there, you're done. one of the big thing is stop sharing towels. these are very, very contagious, pink eye. especially the viral one. somebody else is using the towel and you touch it, right there you have it. make sure you wash your hands.

>> marc, is pink icon junk at this viets. >> i treat a lot of it in the office. both eyes are involved. it's either infectious or allergy. if it's itchy, it's allergy. if it weeps, it's more likely infectious. if you get crust on your eyelid, it's more likely bacterial. most of the time it's viral, spreads easy. if it's bacterial, we use eye drops. i like to use the eye drop. one warning for patients out therement internists love to give antibiotic drops that have steroids in them. that's really dangerous because it could be herpes. if it is, you give steroids, it's going to get worse. beware. you get antibiotic eye drops, but if you get something super strong, have him send you to an ophthalmologist, eye doctor. >> i guess bob costas has another week or so to get better. hope he does. >> he will feel better in a few days. also watch out for ulcerative

colitis. he'll get well. >> wonderful, doctors, to get this great advice. i feel like i could take my boards now, medical boards. >> i'm j.b. colby. thank you so much. >> i'm eric shawn. media buzz comes up with howard kurtz on the fox newschannel. from a newly discovered archive. should the media be diving back into the old clinton scandals? >> monica lewinsky scandal coming back to haunt him and his wife's likely 2016 presidential bid. what one of hillary clinton's closest friends wrote about some of her darkest hours. now public as the 2016 attacks get personal. another setback for obamacare as part of the employer mandate is pushed back again. is the press minimizing the magnitude of the law's problems? chris christie still getting