at the addresses on the screen. until next time, i hope you learn to be more of a healthy you. healthy is as healthy does. i'm jamie colby. it's time for sunday house call. >> welcome to sunday house call. with us is chief of robotic surgery. >> and here to help us clean up our act issiegel. good morning, doctors. great to have you here. let's get right away started with this. we again with a new warning that concerns pregnant women. there's a new study showing

expectant moms who take tylenol could increase their child's risk of adhd. is it safe at all for women who are pregnant to take acetaminoph acetaminophen? >> we talked about this in adults. it causes liver toxicity. pregnancy, 64,000 mothers and children, they looked at it. if they took one day of tylenol a week and the first trimester, it increasing attention deficit in children. they are taking it for headache, fever and pain. the big result of this study is we want you to take it for fever, because fever is dangerous in pregnancy. so it's the safest medication to take during pregnancy. but try to avoid this for any kind of headache and pain. a big teaching for pregnant women is to try to avoid this as

much as you can unless it's a high fever, because high fever during pregnancy causes birth defect and a lot of things. the second thing is the timing of taking tylenol. if you take it during the first trimester, it increases attention deficit risk by 9%. this is the time where the nerves and all the end krin and hormonal changes are taking on. if you take it in the second and third stritrimester, the risk increases to 68%. >> what about if your back is really killing you at the end. >> patients come to me and say what do i take? i say nothing. i feel more certain of that,

because we always felt that the one thing could you take was acetaminophen, maybe tums. we don't want people taking ibuprofen or aspirin because it increases the risk of bleeding and early miss carriage. the problem is these are over-the-counter medications. i agree with david on the issue of fever, but you know who should make that decision? your doctor, not you. don't go to the store and say i have a 103 fever, i need tylenol. if nothing else, this is what it brings home. many people think oh, it's just a tylenol. the truth is, it's got active chemicals in it. this is a lot of patients, over 60,000. we have to figure out why this is happening. is it affecting the brain?

is it affecting the leveiver. >> it changes a lot of hormones in the kids. they also mentioned that through the placenta, this can get to the kids and cause liver toxici toxicity. >> thank you doctor. one of the most commonly used tools in a medical office, but how clean are stethoscopes? according to a new study, not as clean as we would like. do you clean your stethoscope between every patient? >> i got to tell you, i thought i was neurotic. i actually do. i thought i was crazy. we sit there focusing on hand washing. patients are washing us. are we wearing gloves. >> but do they really do that? they're running around, grabbing paperwork and going from person to person. >> i hope most of them are doing this. this is an interesting study because it shows there's a lot

of bacteria on the part of the stethoscope that you put on your back or your chest. you may be sweating. don't you want your can doctor to use an alcohol swab after that? it's simple to wipe down the part of the stethoscope that touched the patient. even the tube. these things, we're wearing them all day long. i'm wearing them from one patient to the next. the study did also show mrsa on some of these stethoscopes. that is the super bug. the one thing is it doesn't show which path logical bacteria are there and can they actually cause infection. i would like to see the study which is rammed into hospitaling right now. is it passing from doctor's lab coats to stethoscopes to patients. put a little alcohol on your stethoscope. >> what if i go to the doctor and say hi, doc, would you wash

that? will he just make a joke about it. >> you're not insulting him. but it's perfectly your right to say please wash your hands or stethosco stethoscope. fortunately i don't carry a stethoscope anymore. but thislele study th study tha mayo klinic is very critical. >> 89 different little bacterias? >> the tip of the fingers had about 467 of them. the thumb was like 37. >> and your tie? >> that's a good one. this is another one. so if the doctor actually leans over to hook at the stethoscope, the tie that gets contaminated and this goes on from patient to

patience. that's one of the reasons why pediatricians wear a bow tie. >> lab coats are loaded with bacteria. >> this is another war story that comes in. there's another story that was done in indiana. they find out that the doctors are not washing their hands correctly. only 13%. and 5% do it correctly. you want to really wash them with the palm of your hand. scrub in between. make sure you go at least 30 seconds and wash it correctly and dry it. and it becomes your habit. >> it's really a big problem. >> those hand sanitizers, those foams, they're on the outside of every hospital now. please use them when you're leaving the room. spread from patient to patient. >> i thought it was nice when the doctor took the stethoscope to warm it up before they used

it, but no more. sorry about your tie, too. >> i thought they did it to look smart. >> got to change at that once in a while. >> that was a great tip, guys. a new medical development for people who need it most. a doctor ventured to the caribbean where he helped establish a cutting-edge surgery center for cancer patients.

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leallelelelelelelelele bei being being being bei welcome back to sunday house call. our doctoring work so hard all week. and this week one of our doctors was in the dominican republic opening up a new cancer center. this is home to the new cancer institute. and it comes at a time when medical tourism is increasingly

popular. close to a million americans per year seek health care outside the u.s. and the caribbean is now known for high quality, procedures. now you can add to that the state-of-the-art da vinci robot. >> you're going to change the liviinines of many, many people. i'm proud to be part of this. very proud. ? with roboticing surgery,ing recovery is remarkable. you can get in and out of the hospital in less than a day. the institute will include

treatment of prostate, gien clojic and other typing. it will treat prostate cancer as well as other difficult surgeries in a safer,ing more effective manner with minimal blood loss. >> less trauma. the less trauma facilitating an amazing recovery. >> a huge snep thtep in this co. >> reporter: regulationinging -- >> you thought our doctors were just pretty? they're really smart, and they really care. that is fantastic that you are bringing that technology. dr. siegel, great explanation of tourism for medical purposes.

this is a huge game changer down there, isn't it? >> they found that 40% of all medical tourism are people looking for expert technology that they can't get other places. so we expect people from all over the caribbean, south america, canada and the united states to come there because there is no other robot down there other than in port rico. we did the first surgery in this country. people have to understand. what is the advantage for robotic surgery? it's a minimal insignificance. you get in there with the re bott arms. minimal or no blood loss. the patient recovers quickly, he gets out of the hospital within a day. it's the smart technology where they get in there and preserve the nerves. it's a better surgery. >> it's a shame to send the care of americans away when we could be doing these procedures here. ? well, we doing it here but to open the first institute in the

entire caribbean, i want to salute the president who was visionary who brought this and brought the government to establish this. this is going to really change the way we practice medicine down there, it also. i want to compliment the surgeon that you see in the video who sent the last four years and studied this smart technique and is now bringing the technique all over the caribbean, really bringing this for education, to that part of the world. to be part of this institute is a great honor. >> a fantastic teaching opportunity for other young surgeons to learn the technique and spread the goodwill and good care. >> this was the first trip over there. i want to tell you that they really accepted us with open arm. real warmth. these are great, great people.

and i'm so honored and privileged to be part of that team. and the work that mark did. i appreciate everything that has been going on. we're going to give back to the humanitarian. and that's part of the missionary that we're all very excited to be part of this. sf . >> thanks to both of you. do you know the difference between diastolic and systolic? they call it the silent killer. coming up, the doctors weigh in about blood pressure. what you need to know so that it doesn't get you. t you. [ woman #1 ] why do i cook? because an empty pan is a blank canvas. [ woman #2 ] to share a moment. [ woman #3 ] to travel the world without leaving home. [ male announcer ] whatever the reason. whatever the dish. make it delicious with swanson.

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. back to sunday house call and now back to sunday health

call. we're going to talk about blood pressure. we have this e-mail. i am a 22 year old man. most recently, my the older you get, it is essential hypertension where there is no underlying factor or cause. when you are young, the younger you are the more likely i will find another cause. i worry maybe his physician didn't find that cause. >> like what? >> kidneys are number one, is there a problem with the kidney? there is blood vessels that lead to the kidney, and the arteries can get a blockage in a young

person and i want to see picture of the harm and urine studies to make sure the adrenal gland is not causing a hormone to skyrocket it like this. he could have a tumor, as well. usually, that occurs in older people. i am worried about kidneys. two, i don't want to slap a medication on it and call it a day. he has a risk of developing hard disease, of having a stroke. i don't want to scare anyone, but this is a big deal. high blood pressure is the called the silent killer. he is not under control and he is using a medication we use in older people. there are better medications for him, probably, something called beta blockers but he has to be worked up for an underlying cause. >> go to the doctor once a year, maybe, and you get the blood pressure and that is it. what do you do to make sure the blood pressure is under control? you do not know if you have it. >> one, check it.

the normal blood pressure is 120/80. this patient is actually being completely mismanaged. we have 20," joe of the young generation like this coming up with this band-aid therapy, they are given medication and we are going nowhere. there are three things to worry about: country, kidney future, hard decease and brain disease which is a stroke and alzheimer's disease. the way to street this, besides all the tests you will test, hormone changes and we need to find out, after scan americans have higher risk, and we need so see if there is a family history here and we have to look at his lifestyle. do not underestimate the effect of lifestyle. the obese, and the dietary approach to stop high pressure is what i would do. >> stop smoking, bring the salt

down and the importance of diet. jamie, you are a huge fan of this. >> a couch the foods we should add to the diet? >> it sounds old fashioned and we are supposed to be a high-tech doctor but garlic is a best source of lowering your blood pressure. stop smoking, broccoli, tomatoes, bananas, fruits and vegetables and fish and, mind, you one blood pressure does not mean you have high blood pressure, three times 120/80. >> we propose the natural solution when we can. we will come right back on that. in the meantime, i don't know why the camera is on me when we are talking about a woman's biological clock. our doctors are going to explain this guys are new feeling the same pressure as the ladies to

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we talked about high blood pressure and for guys that can stand in your way of being a dead but what about good you put it off? a study fines that children of fathers age 45 and over are more like throw have low i.q. ought tick, greater risk for mental illness. dr.siegel tell us what you want about high blood pressure and what the impact could be for dads offer 45. >> i was going to say this young person at the age of 23 who has that kind of a blood pressure who a doctor thought to put him on medication is probably has a big problem. although there are a lot of great things about exercise and diet and things like garlic which i believe in, and

decreasing alcohol and smoking, you have to understand he could be in a category where he is at risk. we have to do all the lifestyle changes and probably he needs treatment. >> for life? >> probably, it is a silent killer. we need to figure the cause. >> we hope he get as second opinion. >> how about having children later in life for guys? >> first of all, there is decreasing testosterone as men get older and they are let fertile. men, too, can have kids after the age but it is harder as with women, and with men the deline is more gradual. on top of that, the cells that make sperm are actually dividing all the time, and over the years, the more they divide, the more challenges of mutation, the more mutation, the more chance that the child will have a problem. it isn't just in women it is also in men.

that means this study looked at 2.6 million people in sweden and found greatly increased risk of attention deficit disorder, bipolar disorder, schizophrenia. >> your specialty is helping guys with issues like this. what do you recommend? >> i have an honest discussion with men out there, and i think this is a real entity, we see that male biologic clock. when you are in your 20's and 30's your permanent is like a brand new lamborghini you can do zero to 60 in four seconds and then the car slows down, the engine slows down, in the 20's and 30's the sperm can swim across the ocean and dot job but over time, there are mutations, the sperms are not so functional and even if you marry younger women you have the problem of increasing attention deficit and autism. >> we love the lamb lamborghini,

but the dodge, not is were. >> "media buzz" is next right here on fox news channel. >> on the buzz beater, joe biden starts dropping hints no matter what hillary clinton does and get as warm welcome from the media. >> can i kiss the vice president? >> i would love that. >> is there enough skepticism of biden who will be 74 and is it fair to pundits to point out that hillary clinton will turn 69 in stephen colbert makes fun of me. >> a it is rude to talk about a woman's age but i am talking about people talking about other people talking about other op