hi, everybody. it's time now for sunday "housecall." >> joining us is dr. mark siegel, he's the author of the inner on unlocking the inner coat of the secret to health. >> and dr. david samadi is here. chairman and professor of urology and chief of robotics surgery. great to see you, doc. >> nice do you see. >> welcome. >> happy sunday. >> we are going to begin with the spotlight on multiple sclerosis week. helping to bring awareness to a

disease that affects 2.3 million people worldwide. it can strike without warning. dr. siegel, how do you know when you're starting to have symptoms of m.s. and is early detection portion? >> m.s. is known as the great imitator. it can mimic almost any neurological disease. you can have weakness, you can have fatigue. when i interviewed a.m. an romney last year, that was her prominent symptom. that is hard to know because fatigue can be many different things. it can be sensory loss, you can get confused, you can get depressed. the most prominent one of all is optic nuritis. the key thing is it comes back. you have an episode where you have a problem and it remixes. the best way to understand is like wiring. the wiring of the brain is like copper wire, let's say. nerves are like wires. the outside of the wire is insulation. so the insulation of the wire gets attacked by the body's own

immune system. and then it starts to repair itself but it's never quite as good as it was. it gets scarred. why does the outside of the wiring get attacked? why the auto immune problem? that's the zillion dollar question. people think it's due to a virus that they haven't figure out yet, a genetic predisposition, but something causes the body to attack itself. which is why the number one treatment we use is something called betatheron. >> so this month, and especially this week, we're trying to bring awareness to multiple sclerosis. we all nay mow somebody who has it. some patients do better than others. what is it like to live with m.s.? >> that is an excellent question. it's devastating for the patient who was perfectly fine and then in the middle of between 20-year-olds and 40-year-olds, they feel they have the numbness, they become paralyzed as a result of it. and as mark described it, the blanket that wraps around those nerves, there's a hole in the

blanket. so the brain says start walking, but the person can't walk because the information that is missing and it's not getting to the limbs, so the to the arms, etcetera. 2.5 million people all over the world, women twice the risk over men, and this is a disease that you have to first exclude other diseases. and the knew nonnic that mark uses in his practice every day to find out if there's other diseases or not is caught vitamins. he has to rule of vascular disease fekdz, trauma, auto immune disease such as this and metabolic, vitamin b12 defici t deficiencies and psychiatric and dramas. but exciting things about this disease. there are antibiotics that come from germany, now we can check not and find out if somebody is headed towards m.s.

they are in the pipeline and they can reduce the immune problem. but the biggest thing is, now we are taking the white cells, we are putting some of these an antigens and putting them in the body. now we are playing with the immune system. >> you go to the doctor, do you get an m.s. test? is it automatic? >> there are number one points. historically, taking this back a decade or two was when we inv t invented the mri scan. that allowed us of what it could be is stroke. and we thought, you know, this could away stroke. dow an mri and it finds something cause t-2 weighted images. there's a characteristic way an mri looks for m.s. >> should you ask your doctor sdmp. >> brain and spinal cord. the doctor should think of it themselves. usually a physician sees an internist or a neurology gist sees somebody with a weak patch,

they should think of it. >> could it happen in kids or at a certain age? >> 40 is the maximum, that's what you see. but if you don't have any symptoms, you don't need to worry about it. in thank you. glad we could raise awareness. >> exactly. men, listen up. there's new hope for prostate cancer patients. there's a new study that shows that young men with early prostate cancer who undergo surgery right away, it turns out they have a better chance of survival. so if you go under the knife earlier, it's better? >> we've been waiting for a suddeny like this, it's better. new internal medicine just published this week. long follow up, 24-year follow up coming from sweden. this is basic lay randomized study, which we always had a problem to tell somebody you're going to go for watchful waiting versus surgery. they took about 700 men, divided them into two different groups. watchful waiting versus surgery. following them tore about 24 years, they found out under the

age of 65, surgery is beneficial and reduces the risk of death. over the age of 65, the risk of spread to the bone and also the use of hormone, so the quality of life is better with surgery over the age of 65 and under 65 you have a lower chance of dying. this is incredible news for a lot of doctors and prostate cancer patients out there. we also need to treat only eight men in order to save one life. so what has happened -- >> what does that mean? >> that means before they were saying don't go for surgery, because there's incompetentess and now go for surgery. we are better surgeons. also men live longer because our good doctor is taking care of their heart. so they are living longer. if you're going to live longer and now based on this study we see there's benefit from surgery to a lot of people you need to really decide what you like to do. but this study is important. >> you go to the doctor and get that psa number, you go once a

year and what should i do? what should i do and what should viewers do? what should you do when you say that psa number and how do you know if it spikes and you have to go see dr. samadi? >> well, look, i want to burst a bubble and agree with david on something really important. i do not believe in the term watchful waiting, period, for anything. diabetes, i'm not ared to give you a medication, maybe i'm giving you diet control. i do something with the information. watchful waiting is an anti-medical term. i don't like it. what do i do? i get the psa. maybe i observe a trend. psa is a prostate specific antigen. it tells me that something is going on in the prostate. so if something continues going on in the prostate, maybe i try antibiotics to see if it's infection, if the problems continues -- >> and by the way, do i a digital rec tall exam. that's very important. if it's an abdomen nominal psa

that continues, i would send the -- >> what should we look for? >> under 4 is the gold standard on this. but again, i don't want people out there to say oh, my psa is under 4. it's not an absolute number. it's a trend. then there's something called the free psa, which makes the neurologist even more suspicious. a free psa, which is even more suspicious for prostate cancer. >> what does that mean? >> that shows you that the prostate specific antigen, that's the part that gets abdominal if it could be prostate cancer. i want to say one more thing which is called the number needed to treat. he said one out of eight. give you a number, under the age of 65, this study showed that for every four men that i see, i save one lye. that's called the number needed to treat. that is so dramatic that i could save one life by sending a patient to david or a top robotic prostate surgeon number needed to treat, that's what

this study shows. and over the age of 65, the rate of ma pass ta sis is a lot harder if i did this what i call horrible, watchful waiting. do you want to be a 75-year-old man getting hormone therapy or chemotherapy or would you rather be cured? that's the question. >> you have to be under four. >> that's right. but let me make one comment about what mark just said. it doesn't mean that every person that has prostate cancer you have to do surgery. if a 73-year-old comes to my office and has a low risk prostate cancer and he has cardiac stent, diabetes, obesity, i may just watch him. but for the most part, you have to individualize the care. we see surgery and getting rid of the cancer, having radiation as a backup plan after surgery is much better in younger men. >> and with better surgery now guys can expect to have a better result, better lifestyle. you guys know what i'm talking about, which is good news. >> that's right. moving on, bacon, bacon,

bacon, is that what you're having for breakfast? is that the best you can do when it comes to protein? you are going to want to hear about this. there's a brand new study that says we know eat ago high protein diet is good, but it could be bad, as bad as smoking? [ male announcer ] legalzoom has helped start over 1 million businesses. if you have a buness idea, we have a personalized legal solution that's right for you. with easy step-by-step guidance, we're here to help you turn your dream into a reali. start your business today with legalzoom. we're here to help you turn your dream into a reali. olet's say you pay your tguy around 2 percent to manage your money. that's not much, you think except it's 2 rcent every year. does that make a difference? search "cost of financial advisors" ouch! over time it really adds up. then go to e*trade and find out how much our advice costs. over tispoiler alert.dds up. it's low. really? yes, really. e*trade offers investmen advice and guidance from dedicated professional financial consultants. it's guidance on your terms not ours that's how our system works. e*trade. less for us, more for you.

yeah... try new alka seltzer fruit chews. they work fast on heartburn and taste awesome. these are good. told ya! i'm feeling better already. [ male announcer ] new alka seltzer fruits chews. enjoy the relief! look, don't miss a minute of this show. what goes on this set, i give up. but a new diet study -- high protein diets include eating a lot of meat and cheese for many people. my friends out there, i'm not saying you're middle age, but the one who sent me this shaker because you love it so much, i know you love cheese and you love bacon. what about safety? dr. siegel.

people who eat meat and cheese, they go, oh, i had some protein, am i going to be okay? >> i'm going to go slow on this one so all our view onners understand it. this study is about trends in life. we always say, it's good for you or it's bad for you. this study shows that protein, if you have too much of it, may be bad for you from the ages of 50 to 65. if you're middle aged, you don't need as much protein out there as you thought you needed. because protein gets converted to a growth factor that leads to cancer. there's a four-times greater risk of dying of cancer with a high protein diet in the ages of 50 to 65. now, here's what's really fascinating. eric, for our viewers. over the age of 65, your production of that cancer factor goes down. so it turns around when you're older, you need protein. >> look at that protein, though. the steak, that's what we're talking about. >> and jamie, that's a great point. it's animal protein we're talking about here.

everyone says plant protein isn't ate good. it is as good. beans are great for you. seeds are great for you. >> but -- >> don't get your proteins from animals. the study is saying, when you're middle aged, don't eat as much animal protein. less than 10% of your diet should be animal protein. we in america, it's more than 20%. switch to plant protein. >> what about -- milling age has been addressed. what about us? >> younger ones? >> yeah. am i supposed to have a big steam steak? >> you can have a little steak. it's not a problem. what you need is one gram per kilogram per day. so you take your pounds, your weight and convert it to kilograms and you need to take one gram per kilogram. so it's about 60 to 70 grams of protein. one steak, it's not a problem. but moderation is the way to go. we're taking too much animal protein, which is not good for us. it increases this factor, which is the incident growth factor.

it causes cancer. we all have some sort of a prosecute canc precancerous cells. what causes it? lack of sleep, not having a good diet. >> so we are activating those? >> we have activating because of our lifestyle. by taking this animal protein, now you are adding to it. what we're trying to recommend is all the mediterranean diet that we talked about, legumes, lentils, beans -- >> what about this morning, when you were saying bacon could be as bad as smoking. what about eggs? >> once a he week, twice a week, i'm fine with it. but if you take a lot of -- >> how about chicken? >> i want to add one more important thing out there. people out there are hearing about atkins diet. that is high protein. fat is not good for you. carbohydrates are not good for you. now we're saying animal protein is not good for punish.so fruits

an >> how about water, doctor, is water okay? >> fruit and vegetables. >> chicken is good. >> add some steak, have chicken, fish -- fish and chicken and a glass of wed wine. >> moderation. >> but in moderation, you're right. >> less than moderation. >> it can be incredibly wonderful humanitarian gift, but how do you know if organ donation could be the right decision? and what about the risks? our doctors will weigh in on that, coming up. ♪ [ male announcer ] nothing says, "you're my #1 copilot," like a milk-bone biscuit. ♪

say it with milk-bone. i'm saving a ton of time by posting them to my wall. oh, i like that one. it's so quick! it's just like my car insurance. i saved 15% in just 15 minutes. i saved more than that in half the time. i unfriend you. that's not how it works. that's not how any of this works. [ male announcer ] 15 minutes for auote isn't how it works anymore. with esurance, 7 1/2 minutes could save you on car insurance. welcome to the modern world. esurance. backed by allstate. click or call.

and i'm back for sunday housecall and our doctors in our weekly segment, should i worry?

one viewer writes that my mom is suffering from kidney disease and has been on dialysis for almost one years. i would really like helping her out and donating one of my kidneys. i'm 38 years old. wondering if there are any dangers to the two of us undergoing such a procedure and what the future might hold for us. >> first of all, let me explain that a lot of people love the fact that we respond to their e-mails. and they stop in, really appreciate it. it's great that we're doing this. since 1954, the first kidney transplant until now, we've come a long way. we used to make big envisions to do this, the removeall of the did kiddny for donors. now we're doing them laparoscopically. first of all, let me congratulate him for giving up one of his organs. it takes a lot of courage to do this. but the typical risk of surgery, infection, bleeding and recovery

is obviously always there. at first, the receivers concerned it's over the risk of rejection. that's always there even though it's a good kidney, but also prolonged high blood pressure and -- >> even if it's mom to son? >> that's a great way to really -- most likely it's a good match, so that's the way to go. he has to go through a screening. for him to have a kidney failure in the future, the chance of that is less likely. it's very small. because the other kidney is going to kick in and compensate. we've got to make sure that we protect that so in the future if he ends up having high blood pressure, high cholesterol, we have to make sure that all of that is under control to protect that kidney from him. >> i have some advice for america's patients. know your blood type. the only thing you need to know is your blood type when you go to give blood or when you go to give an organ. if you're type o, you can give a kidney to anybody. otherwise you have to have the exact same blood type. a, b or ab.

type o, you can give it to anyone. now, this boy had to have that same xat wbl his mother. in addition, we check for antibodies. we do an antibody screen and do a cross match to see if there's going to be a problem with her rejecting your kidney. as david mentioned long-term, the only interests we worry about, we have to screen the donor to make sure he doesn't have an underlying kidney problem that his mother had. what if they both have diabetes? you're not going to want to give a kidney unless you have no choice. someone can get a kidney up to the age of 79. beyond that, rereally don't like to do it. but in extreme cases, they'll give a kidney to a 90-year-old. >> if you're in a car accident or whatever t, great advice, know your blood type. we want to talk about this because it's being described as

a miracle supplement that can help burn body fat. how do you know if it's real or just a scam? we want you to know, so our doctors will be back to tell you true or false. can you burn fat with a pill? life's an adventure when you're with her. and it always has been. but your erectile dysfunction - it could be a question of blood flow. cialis tadalafil for daily use helps you be ready anytime the moment's right. you can be more confident in your ability to be ready. and the same cialis is the only daily ed tablet approved to treat ed and symptoms of bph, like needing to go frequently or urgently. tell your doctor about all your medical conditions and medications, and ask if your heart is healthy enough for sexual activity. do not take cialis if you take nitrates for chest pain, as this may cause an unsafe drop in blood pressure. do not drink alcohol in excess with cialis. side effects may include headache, upset stomach, delayed backache or muscle ache. to avoid long-term injury, seek immediate medical help for an erection lasting more than 4 hours. if you have any sudden decrease or loss in hearing or vision,

or if you have any allergic reactions such as rash, hives, swelling of the lips, tongue or throat, or difficulty breathing or swalling, stop taking cialis and get medical help right away. ask your doctor about cialis for daily use and a 30-tablet free trial.

look, if there was a miracle fat burner, eric would be taking it. there is a miracle fat burning supplement out there and people believe it may burn fat, but we're going to give you the skinny. dr. siegel, is it the real deal? >> first of all, it has to have something in it called hydroxi citric acid to even be the real garcinia cambosia. if you don't have that, you're a fake. if it has it in there, i have

questions about it already because the fda can't regulate these things. i don't know if it works. there's been three major study owes this that haven't proven that this stuff helps you lose weight. there was a study in rats where they gave a ton of this stuff to the rat and you know what happened? >> what happened? >> their testicles shrunk. >> thank you. >> do we need that? i don't think this stuff works. in diabetics, it can interfere with sugar. >> where does this come from, dr. samadi? i never mentioned it. you mentioned hydroxy something. it can raise your blood pressure and it can make you -- >> sugar. first of all, you have to know how to pronounce it before you -- it's called garciniacambosia. this is from south asia. it became very popular because a lot of people started to endorse this. people lose weight as a result

of this. >> honestly, or did you -- >> no, no, but look at what happened. it increases your serotonin so you're not going to have that crave and emotional eating. that's one part of it. it converts the sugar to fat and people lose weight. here is the trick. you're not going to be able to take this forever. you should only take it for about three months. and how much weight are you going to lose in three months? five pounds? ten pounds? so it's not that revolutionary thing. the side effect is minimum. it seems to be safe. but if you're pregnant, if you're bred feeding, you should not touch this. >> diabetic a as problem because it is the point you made, that it converts sugar to fat. >> if you want to lose weight, exercise and eat less. >> but in the meantime, i'm making everybody happy. garciniambosia. >> that's going to do it for us.

look, we want you to be safe, we want you to be healthy. sunday housecall, we always bring you the latest and greatest health new and we have a good time doing it. coming, media buzz with howard kurtz, that's next. >> on the buzz beater this sunday, american akers parachuting to ukraine as news organizations scramble to cover the russian invasion of crimea under difficult conditions. but are journalists giving us a clear picture of the crisis or are the pun didn'ts focusing on president obama? and why was the mainstream media so dismissive when mitt romney called russia president obama's -- foe. and bob costas says a media culture unfairly targeted him. >> i don't respect the heat over light voices w