hi, everybody, i'm jamie colby. >> welcome, as always on this sunday. joining us dr. david samadi and chief of robotic surgery there. >> dr. marc siegel joins us, as well. "unlocking the inner code of sickness and health." great to have both of you here. >> we begin with the report, have you heard athis, shocking announcement from tom brokaw. he has been diagnosed with multiple myeloma an incurable cancer affecting blood cells in

the bone marrow. dr. samadi, what is it and how do you diagnose it? >> about 1% of our cancers are multiple myeloma and 10,000 people die from this. it starts from bone marrow. a lot of people don't know what bone marrow is. a soft part in the middle of the bone and i think the simple way to understand it, think of of it as a federal reserve bank. in the bank you have a lot of different currencies. you have yen and euro and when you start printing out a lot of dollar, what happens is the value of the other one the other currencies go down. that's exactly what happens in the bone marrow. you start producing a lot of plasma cells. these are cells that are supposed to make these soldiers to defend us, but they're going out of sync and now a lot of plasma cells or dollar being printed out there and now the value of the platelets and red cells goes down.

you don't make enough, what happened? you get anemia. if you don't have enough red cells you get fatigue and tired. you also have some lesions. meaning the bone is going to be eaten up and you have in the skull, severe bone pain. now, you have fatigue, not enough red cells and you have bone pain and your calcium goes up and c stands too much calcium and r is for renal failure. your kidney function goes down because all those proteins affect your kidneys and anemia and bone pain. if you have have that you want to worry about multiple myeloma. >> what is the prognosis and what happens? >> the proteins that those plasma cells make are atypical and heavy. supposed to be antibodies and our immune system. instead makes these heavy,

clunky proteins and antibodies that don't work. they clog the kidneys and they make you anemic and then, as david said, they spread to the bones. you get bone problems. what do we do? eric, here's what we do. when i first started in practice, this is one of the worst cancers you can get. you were dead within two years and everybody said, brain cancer, multiple myeloma and pate reattpancreatic cancer. we can keep people going seven, eight years over a decade. i hope that's true with tom brokaw. we used to use poison and now instead we use a drug which was originally used, you might remember, pregnant women were given this in late '50s and early '60s if they got very nauseous during pregnancy and we found that it caused birth defects. we clue that drug out. isn't it amazing, jamie, we came

back to a drug we discarded and it cuts down blow flow to these plasma cells. we use bone marrow transplant and after we wipe out the bone marrow, we're able to replace it with a person's own cells that have been cleansed of the cancer cells. so, it's made a dramatic change in this disease. no longer the uniform killer. >> how do they detect it? how do you know you have that type of cancer? >> you will get the urine protein. you get your urine and get your blood and your urine test and your blood test and basically look for the spike of some of the proteins that marc is talking about. i want to make sure that people know about this international myeloma foundation and you can call, 1-800-452-2873 and i'll post this on my facebook. 1-800-452-2872. a foundation that reaches out to a lot of people and a lot of

support out there. as marc mentioned, the prognosis is still not that great, but we made a huge leap in some of these bone marrow transplants especially your own cells to make sure shat ythat you do wel >> abnormal proteins you look for that in the blood and then confirm it by going into the bone marrow itself and finding the malignant cells. that bone marrow being the engine that makes your blood cells. >> our thoughts and wishes with tom brokaw and his family. >> he is doing well and great to hear good news story that we've made some progress in that field of cancer. we also wanted to follow up on a story we did last year about breast cancer screening guidelines. the ones that urge women to schedule their mammograms more frequently. cast serious doubt on the effectiveness of the screening. dr. siegel the mammogram specifically? >> i have big reservations about this study. i wanted to start out by saying it looked at 90,000 women in

canada and did a random trial where they put one-half of the women in a group and they found that 25 years later after five years of screening, 25 years later the number of women that were alive who had gotten the breast exams alone were almost as high as those who had gotten mammograms. but, here's the big but. and i know you want a butm li b line. i wouldn't change one thing. i think women need mammograms. breast exams are unreliable i love to diagnose knowledgeuals and when you do that, you send for a mammogram. another thing this study shows where you found a nodule, you want to find breast cancer before it escapes the breast. it's called early detection. so, the goal of a mammogram isn't exactly to save lives the goal of the mammogram is to get

cancer early. >> what are your guidelines, dr. siegel? when do you start? if you have a history in the family and if you don't. >> i'd start at the age of 40 because the most aggressive breast cancers are in the 40s and they have shown a higher rate of mammograms and continue until 70, 08 years old and i would like to say once a year and i'll tell you why for a funny reason. if i tell women to get them every year, they get them every year and a half. i want women out there to get their mammograms every year because that's the way i can make a comparison. now, if, this is my last point, i'll shift it over to david. if we have too many false positives, that we have too many doctors out there doing biopsies and treating people. jamie the fault is with the doctor, not the mammogram.

the mammogram provides information we need. >> two things, is a mammogram only as good as the screener? how do you pick the right person to do a mammogram. any reason to be afraid to get a mammogram? >> the criticism of what marc was just saying. you'll find false positives that can lead to some of 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 big role over here. but, look, this is not the confusion among the patients. the doctors are also confused. this is a big debate on a national level and big controversy that is going on among all of us. one week saying get mammograms and the next week saying don't get mammograms. where do we stand? that tailored screening and all of us in a different species. not every breast is the same. younger breasts that are very dense and older ones that may not be the same. now, this study is from canada.

i'm not saying the breasts in canada are different than the u.s., but it technology, that was supposed to be funny. the technology that they have used there 25 years ago, mammograms at that time, there were simple mammograms. now digital ones and, guess what, three dimensional mammograms coming from mass general that is detecting. this is what i'm getting to for your answer. detecting 7% higher chance of getting breast cancer. well, that's going to change the result of this study. now, are experience 25 years ago the same? i want people to be careful. american cancer society is recommending getting your first mammogram at the age of 40 and every other year. and every year, sorry. if you get the mammogram, talk to your doctor before you jump in because a lot of these noduals may or may not be cancer. >> when we can go to our doctor and ask for the three dimensional? >> it's coming up.

other hospitals are going to look into it. i don't want people to be confused because this is sending the wrong -- we have the same issue with psa and prostate cancer. since last week when we told people to call in about their prostate cancer we were able to help hundreds and hundreds of people and that's what's going on with a lot of breast cancer. >> just to highlight your final point here. the technology has changed. the study was looking at 1980s. right now digital three dimensional mammograms. if you do a breast exam alone, i don't have scientific information. mammograms give me that scientific information and then i decide what to do with it. >> mris is also another one that we use to complement the mammogram. >> i don't want you to be cut off by our master control, but we will talk about any other thoughts you have on that topic on the other side. >> i've been watching the olympics and this condition has been blamed for sidelining bob costas. it's pinkeye. if you have it, man, you know it's annoying.

yoe don't touch your eye. what is it and how do you prevent yourself from getting it. we'll talk pinkeye in a moment. seasonal depression. it does exist. it is a real thing. the doctors say it's on the rise. next, how to know if you're feeling normal or there's something serious going on and what you can do about it. ♪ ♪ so you can have a getaway from what you know.

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is a small pill, not an injection or infusion, for adults with moderate to severe ra for whom methotrexate did not work well. xeljanz is an ra medicine that can enter cells and disrupt jak pathways, thought to play a role in the inflammation that comes with ra. xeljanz can lower your ability to fight infections, including tuberculosis. serious, sometimes fatal infections andancers have happened in patients taking xeljanz. don't start xeljanz if youe unless ok with your doctor. tears in the stomach or intestines, low blood cell counts and higher liver tests and cholestel levels have happened. your doctor hould perform blood tests before you start and while taking xeljanz, and routinely check certain liver tests. tell your doctor if you have been to a region where certain fungal infections are common,

and if you have had tb, hepatitis b or c, or are prone to infections. tell your doctor about all the medicines y take, and if you are pregnant, or plan to be. taken twice daily, xeljanz can reduce the joint pain and swelling of moderate to severe ra, even without methotrexate. ask if xeljanz is right for you. back now on "sunday house call." back-to-back storms and a spike in people who suffer from seasonal depression. dr. samadi, what is seasonal depression? just walk out and it's ice and snow and gloomy and dark -- >> you said it. depression syndrome comes in when every two days like we have. winter storms and you get locked up in a dark, cloudy, no sun.

so, the result, your hormones are out of sync. your vitamin d is low and you're not getting enough light. a real entity. for a long time there was a debate if this is a real depression or not. poor concentration, really not feeling well, overeating mostly carbohydrates and gaining weight and you come out in march and you're 20 pounds heavier. it's a real depression and i think people should recognize this. this is different than just not feeling like going to work. they have the crying spells and they are depressed and don't want to socialize with other people. before you jump into all the medications, there are so many herbals that you can take. one of them is this hydroxy t p tryptoph tryptophan. boost your serotonin and make you feel better. the light therapy. light therapy and i'll post all

this. northern light technology is the one that you put on your desk as you're working the light hits you half an hour every day for about five days and you feel much better. a lot of herbals we have to get the patient feel better. >> the herbal and the light box, what else can you do, marc? >> it's not realistic. most people are not going to have the light treatment early in the morning. sit by windows. the first thing you want to do is recognize this. if you have are having a problem where you are gaining weight and feeling fatigued and no light out, spend more time by the window and spend more time outside, as much time outside as you can. exercise more. also, exercise actually increases the same hormones david was talking about that this decreases. so, exercise is key. get to your doctor and see whether you have another tendency for this. in other words, there's people out there that have other causes of depression, eric, but they get worse when you have seasonal effective disorder. so, on top of pre-existing depression, it can get worse. do you have a thyroid problem or

vitamin d deficiency. vitamin d is key. your vitamin d, i find there is an epidemic of vitamin d deficiency going on in the united states. it's made worse in the winter. >> how much should you take? >> i like vitamin d 3 about 2,000 units. again, this depends on how low you are. that's the formulation i like. it has calcium in it. how many times a week depends on how low you are. great time of year to be replacing vitamin d. >> great advice in this harsh weather. >> the doctors will post more information. i know you had a few other recommendations. dr. siegel, great advice, as well. all about a nose bleed. when you get one of those, should you worry? the doctors are going to address that. plus -- it happens to kids all the time. pinkeye. it happens to adults, too. all ages could be affected by it. is it serious? how can you protect yourself? if you get pinkeye, what should you do?

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>> i am giving rather risk the credit. he doesn't want you to worry. this segment about everything that worries us comes from a view whoever asked when i get ready for work i get a nose bleed as i shave after my shower. should i worry? doctor? >> i don't know. but i will tell him what he should do it is not the shaving, it is the shower. why is it the shower? because of the least the shower. your house could be very dry and that dries out your nasal passages which are loaded with blood vessels and you get in the shower and the heat and humidity

hits and you bleed. you should have a humidifier in your house. maybe you are on blood thinners, or you have high blood pressure. you need to be checked. when you are check by an internist or ear nose and throat, then pack with vaseline or nasal spray. that will help you. watch out for hot showers even if you like them. >> take a cold shower and top shaving! >> that will make him popular. >> mark mentioned everything: high blood pressure. >> what you is the connection? >> blood pressure goes up and in anterior part of the nose can burst and if you sneeze or cough, high pressure will burst it. kids have this all of the time

because of trauma to the nose. you want to control the bleeding. what you do is you pack it and you have to keep pressure for about 10 minutes. do not take your finger off the nose, keep it for 10 minutes, always lean forward because you don't want the blood to go to your stomach. that causes vomiting. >> do not lie back. >> do not listen to eric. after the cold share and not shaking lean over, be calm, 99 percent of these anterior bleeds, they stop. posterior, you have to see ear, nose and throat poster. that is in the back of the throat. front is easy to take care of with this pressure and compression. >> if it happens routinely, talk to your doctor. >> something else affecting people, bob costas got pink eye

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>> back with the doctors. if you ever have pink eye. it is annoying. people think it affects children, but, as we have seen bob costas, it affects everyone. it was so bad he had to take himself off the air. what is pink eye in how do you get it what kind of treatment is there besides not being on tv? >> i have had it, i wear glasses, they say don't touch your eye. >> you have to feel for the good, missed for the first time after covering the olympics for years. this is bacteria or viral, the

viral will last for two weeks with no treatment of the it has to disappear on its own. the best thing is what he is doing, washing your eyes and cleaning it and making sure the inflammation. the layer covering the eye when it is inflamed there are a lot of blood vessels that send the soldiers to clean and that causes the inflammation whether it is allergies, and we think it is an infection, with back -- bacteria infection, you get antibiotic but this could be the trauma from having the lens there and it was infected. do not touch your eye. if you get an infection you done these are very contagious. do not share towels. make sure you wash your hands. >> is pink eye both eyes?

>> both eyes mean it is infectious or allergies. if it itches it is allergy. if it weeps it is infection. if you have crust it is bacteria. most of the time it is rival and spreads easy. if it is bacteria we use eye drops, i use something called cipro type of eye drop. internists love to give antibiotic drops with steroids but that is dangerous because it could be herpes, because if you give steroids it will be worse. if an internist gives you something super strong, have them send them to an eye doctor. >> bob costas has another week before he better. >> he will feel better in a few days.

>> doctors, wonderful to get all of this great advice. thank you so much. i feel like i can take my medical boards now. >> "media buzz," is next. >> this sunday, hillary clinton thought lieu -- lewinsky was a a loony tunes. it is coming back to haunt her. private lives, what one of hillary clinton's closest friends wrote about some of her darkest hours, now public as the 2016 attacks get going. >> another sell -- set back for obamacare, is the press minimizing the magnitude the problems? chris christie is still