would like me to answer, just send it my way via twitter page or on facebook. that's all for today. thanks so much for joining me. until next time, i hope you're learning to be more of a healthy you. hi, everybody. i'm jamie colby. it is time now for sunday "housecall." >> joining us, as always, dr. marc siegel, professor of medicine at langone medical center and author of unlocking the secret codes to health. >> dr. david samadi is here, chief of robotic surgery. great to see you. >> happy sunday. >> we are going to begin with a spotlight on national multiple

sclerosis week, an illness that affects 2.3 million people worldwide. it can strike without warning. how do you know when you're starting to have symptoms of ms. is early detection important? >> hugely important. the problem is that ms is known as the great imitator. it can mimic almost any neurologic disease. you could have weakness. you could have fatigue, a really important one. i interviewed ann romney last year, that's her prominent symptom. fatigue, suddenly getting fatigued. that's hard to know. fatigue can be many different things. it can be sensory loss where you can get confused, depressed. the most permanent one is optic neuritis where you suddenly lose vision in your eye. you have an episode where you have a problem and it remits. the best way to understand it is like wiring. the wiring of the brain is like copper wire. nerves are like wires. the outside of the wire is

insulation. the insulation of the wire gets attacked by the body's own immune system and it starts to repair itself but it's never quite as good as it was. it gets scarred. why does the wiring outside or the wiring get attacked ? why? auto immune problem. that's the zillion dollar question. a virus they haven't figured out yet, a genetic predisposition, but something causes the body to attack itself, which is why the number one treatment we use is beta seron, which tries to prevent the body from attacking itself. >> so this month, and especially this week, we're trying to bring awareness to multiple sclerosis. we all may know somebody who has it. some patients do better than others. what is it like to live with ms? >> that's an excellent question. it's devastating for the patient who is perfectly fine and 20-year-old to 40-year-old, they feel they have the numbness, become paralyzed as a result of t as marc described it, the blanket that wraps around those

nerves, there's a hole in the blanket. the brain says start walking but the person can't walk. inflammation is missing and it's not getting to the limbs, to the arms, et cetera. 2.5 million people all over the world, women twice the risk over men. and this is a disease that you first have to exclude other diseases. and then what marc uses in his practice every day to find out if there are other diseases or not is called vitamins, vascular disease, infection, lyme disease, auto immune disease such as this and metabolic, vitamin b12. you have to rule all those out. by exclusion then it's ms. mris. the exciting thing about this, let me give you some good news. >> please. the. >> antibodies against these proteins. now we can check those and see

if somebody is headed toward ms. what marc talked about, they're in the pipeline and can reduce the immune problem. but the biggest thing is now we're taking the white cells, putting some of these myelin, antigen. now we're like playing with our immune system. look at this guy and leave the real myelin alone. >> is it automatic? >> the number one point, historically, taking this back a decade or two, was when we invented the mri scan. that allowed us -- the beautiful list david just gave of what it could be is stroke. this could be a stroke. you do an mri and it finds something called t 2 weighted images. very characteristic way that an mri looks. >> should you ask your doctor? >> the doctor should think of it themselves. but usual if a physician sees -- internist or neurologist sees somebody with a numb patch, weak

spot or not feeling themselves. >> seems to affect young, healthy people, too. could it happen in kids or at a certain age? >> between 20 and 40. if you don't have any symptoms you don't really need to worry about it. that's when you see the neurologist. >> thank you. glad we could raise awareness. new hope for prostate cancer patients. new study shows young men with early stage prostate cancer who undergo surgery right away have a better chance of survival. dr. samadi is a prostate surgeon. under the knife, earlier is better? >> we've been waiting for a study like this for a long, long time. "new england journal of medicine" just published this week, 24-year follow-up coming from sweden. this is basically a randomized study, which we always had a problem to tell someone you're going to go for surgery. they took about 700 men, divide them in two different -- follow them for about 24 houyears.

under the age of 65, surgery is beneficial and reduces the risk of death. over the age of 65, the risk of metastasis spread to the bone. quality of life is better with surgery over the age of 65. under 65 you have lower chance of dying. this is incredible news for a lot of doctors and prostate cancer patients out there. we also only need to treat eight men in order to save one life. >> what's that mean? >> that means before they were saying don't go for surgery. there's incontinence, impotence. confidence rate is much more improved. men live longer because our good doctor is taking care of their heart. so they're living longer. if you're going to live longer and based on this study we see there's benefit from surgery to a lot of people. you need to really decide what you would like to do. >> you go to the doctor, get

that psa number -- i don't know what it means. you go once a year. what should you do? what should i do? what should you do when you see that psa number and how do you know if it spikes and you have to go see dr. samadi? >> i want to burst a bubble here and agree with david on something really important. i do not even believe in the term watchful waiting period for anything. diabetes, i'm not ready to give you a medication. maybe i'm giving you diet control. prostate, i do something. i do something with the information. watchful waiting is an anti-medical term. i don't like it. what do i do? get the psa. maybe i observe a trend. what is a psa? prostate specific ant generaige. it tells me something is going on in the prostate. if something continues going on in the prostate, i try antibiotics to see if it's infection. if the problem continues -- by the way, i do a digit aa aal re

exam. i may feel a nodule that the psa doesn't pick up. >> what should we look for? >> under four is the gold standard on this. again, i don't want people out there to say my psa is under four, dr. siegel, dr. samadi says -- it's not an absolute number. it's a trend. free psa which makes a urologist even more suspicious. >> fake psa? >> free psa, more suspicious for prostate cancer. >> what's that mean? >> that shows you that the prostate specific antigen, that's the part that gets abnormal if it could be prostate cancer. what david mentioned, the number needed to treat. he said one out of eight. even more dramatic. under the age of 65, this study showed for every four men that i see, i save one life. 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 top robotic prostate surgeon. number needed to treat. over the age of 65, the rate of metastases was much harder. do you want to be a 75-year-old man getting hormone therapy, chemotherapy or would you rather be cured? that's the question. >> you've got to be under four? >> that's right. let me make one comment about what marc 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 extent, diabetes, obesity, i may just watch him. for the most part, you have to individualize the care. surgery and getting rid of the cancer, having a 0 psa to follow up and having radiation as a backup plan is much better. >> and 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 can you do when it comes to protein? hear about this. a brand new study says eating a high protein diet is good but it could also be bad. as bad as smoking? with at&t's new pricing for families you get 4 lines on at&t's network... including unlimited talk unlimited text ...and 10 gigs of data to share. 10 gigs? 10 gigs. all for $160 dollars a month. you know, i think our family really needed this. it's really gonna bring us closer together. yep. yep. yep. yep. yep. yep. introducing our best-ever family pricing for instance, a family of four gets 10 gigs of data with unlimited talk and text for 160 dollars a month. only from at&t. test. but you don't have to bear with it.

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look, don't miss a minute of this show. what goes on this look, don't miss a minute of this show. what goes on, on this set, i give up. but, you know, new diet study came out -- what came up will come up on the show next week, i promise. high-protein diets including a lot of meat and cheese for many people -- my friends up there, i'm not saying you're middle aged but the one who sent me the salt shaker because you love it so much, i know you also love cheese and you love bacon. what about safety? dr. siegel, people who eat meat and cheese and go, i had some

protein. are they going to be okay? >> i'm going to go slow on this one so all our viewers understand. 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. here is 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 this. look at that protein, though. the steak. that's what we're talking about. >> you need more steak? >> jimmy, that's a great point. animal protein we're talking about here. plant protein isn't as good. it is as good.

i studied that last night. beans are great for you. seeds are great for you. don't get your proteins from animals. so glad you brought that up. 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%. it's out of control. switch to plant proteins. >> middle age has been addressed. what about us, like us younger -- >> for younger ones? >> yeah. >> can i go have a big steak? >> you can have a little steak. it's not a problem. you need one gram per kilogram per day. take your pounds and great and convert it to kilogram and take one gram per kilogram. 60 to 70 gram of protein. so one steak is not a problem. moderation is the way to go. too much of this animal protein, which is not good for us, increases this factor, insulin growth factor, and causes self proliferation or cancer. we all have some sort of a

precancerous cells. that doesn't convert to cancer. what causes it, lack of sleep, inflammation, not having good diet. >> we're activating those cancer cells? >> because of our lifestyle. by taking these animal protein, now you're also adding to it. so, what we're trying to recommend is this mediterranean diet, the legumes, beans, lentils. >> what about eggs, doctor? this morning you were saying bacon could be as bad as smoking. what about eggs? >> once in a while. once a week, twice a week. if you take a lot of that, it's not good for you. >> how about animal protein? chicken. >> it's animal protein. i want to add one particular thing, paleo diet or atkins. at kins 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 you. >> how is water, doctor? is water okay?

>> fruit and vegetables. >> you can't live on fruit and vegetables. chicken is good. >> and a little bit of protein. >> fish. fish and chicken and a glass of red wine. >> olive oil. >> but in moderation, you're right. >> less than moderation. donating an organ can help save someone's life and be incredibly wonderful humanitarian gift. how do you know if organ donation could be the right decision? what about the risks? doctors will weigh in on that, coming up. [ alarm sound for malfunctioning printer ] [ le announcer ] you've reached the age where you've learned a thing or two. [ metal cnks ] ♪ this is the age of knowing what you're made of. so why let erectile dysfunction get in your way? [ gears whirri ] talko your doctor abt viagra. 20 million men already have. ask your doctor if your hea is healthy enough for sex. dnot take viagra if you take nitrates for chest pain; it may cause an unsafe drop in blood pressure. side effectinclude headache, flushing, upset stomach, and abnormal vision.

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andi'm >> back for house calls on "should i worry," which is about everything that worries us. a viewer writes, my mom is suffering from kidney disease

and on dialysis for a year. i would like to donate a kidneys. i am 38 and wonder if there are dangers to such a procedure and the future could hold? dr. samadi in interesting letter. what are the dangers? >> first, let me explain a lot of people love the fact that we respond to their e-mails and they stopn. since 1954, the first kidney transplant we have come a long way. we used to make big incisions to remove the kid me and now they are done in a less invasive surgery. i congratulate him forgiving up an organ, it takes a lot of courage to do this. the typical risk of surgery, infection, bleeding and recovery is always there. as far as the receiver is concerned, it is the risk of rejection. that is there although it is a

good kidney but, also, prolonged high blood pressure. that is a great way...most likely it is a good match. 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 is very small. the other kidney will kick in and comment. we will make sure we protect that. in the future, if he has high blood pressure, high cholesterol we have to make sure that is under control to protect the kidney. >> excellent advice: know your blood type. only thing you need to know is your blood type when you give blood or an organ. if you are type o you can give a kidney to anyone, otherwise you need the same blood type, a, b or ab. type o you can give to anyone. this boy has to have the same

compatible to give the kidney. in addition, wevicted for ain't bodies. will the kidney be rejected? we do a screening and a yous match to see? there is a problem with her rejecting the kidney. then, long-term the only risks we worry about, end stage kidney disease, we have to screen the donor to make sure he doesn't have underlying kidney problems that his mother have. what if they both have diabetes? you will not want to give a kidney. another thing, you give kidneys up to the age of 79. beyond that, they really don't like to do it but next extreme cases they have given a kidney a 90-year-old. >> great advice to know your blood type if you are in a car accident, write it up, great advice. >> this is described as a miracle supplement that can help bush body fat. how do you know if it is real or just a scam? we want you to know so our

doctors are back to tell you, true or false, can you burn fat with a pill? so you're telling me your mom has a mom cave? hi boys! i've made you campbell's chunky new england clam chowder. wow! this is incredible! i know. and now it has more clams! [ male announcer ] campbell's chunky soup. what? [ male announcer ] it fills you up right.

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 which can be