tv Sunday Housecall FOX News May 11, 2014 9:30am-10:01am PDT
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which may cause kidney problems. if your pill isn't giving you the control you need, ask your doctor about non-insulin victoza. it's covered by most health plans. i'm heather childress. time now for "sunday house call." >> around i'm eric shawn. joining us as he does every sunday, dr. marc siegel from langone medical center and author of "unlocking the secret code of sickness and health". >> and dr. david samadi, chairman and professor of urology at lennox hill hospital and chief of robotics surgery. >> good to see you. >> a lot of topics to get to today. the first topic, the world health organization declaring pol
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polio a health threat again, dr. mad is? >> polio, haven't heard of polio for a small time. small pox is eradicated and hoping polio would join that family and now the w.h.o. is announcing an emergency internationally and public hazard for a lot of people. now, a little background of polio. we haven't heard about this disease for a long time. it really happens in children younger than 5 years old and poliomyelitis, polio in greek means grow, myelo means gray matter. it's inflammation of the spinal cord that causes paralysis and some abnormalities in the extremities in children mostly. we don't see this in this country because we all get vaccination and it was easy and eradicated n.countries such as afghanistan, a big huge part of this is in pakistan, now in syria, a lot of times because of bad sour water and not having clean water, through the fecal
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oral the bacteria is coming up. 1910 there was a huge epidemic. in 1950 we came up with an vaccination. there's a national day of pole so and we don't see all of this because of all the things going in middle east and pakistan, now w.h.o. is saying the numbers are coming up. last year we had about 36 patients. this year it's almost closer to 68, and that's a big concern. >> any in this country? >> none in this country. different than mers that we talked about last week and now the w.h.o. is saying if you're traveling out of pakistan or syria, cameroon and some of those countries, ethiopia, you should get your vaccine before you leave the country. there's no cure for this. that's the problem. it's hard to diagnose it. >> dr. siegel, what do you think about this report? >> you know, i think that this reminds us americans that we're part of a global health community and we think too much of what happens here. we're part of a world health
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community. we have to make sure that care is delivered all over the world. polio was stamped out here in 1979 thanks to the most famous nyu school of medicine grad jat jonas salk and his vaccine is still use. it's a kill virus. it can not spread polio, and some of the regions david is mentioning are not 100% complaint with this vaccine. they don't get it. it doesn't get into the right places. it doesn't get into the right clinics f.everyone takes the polio vaccine there's going to be no polio. it stamps it out. what is polio. it's a virus and spread as david said by a fecal oral root, get it from a root, contaminated waters, by poop. get it from close contacts. there's no treatment for it. the interesting thing about polio a why i'm worried about it. 95% of the time you don't see that paralysis that we all know about. you see nothing. asymptomatic 95% of the time. why does that worry me? it means it can be spread
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without anyone even knowing they had it. less than 2% of the time you get that paralysis. if you get that paralysis and we've all seen people that are afflicted by that for the rest of their lives, they can get rehabilitation, it cannot really be treated so the goal is prevention. >> fdr famously had it, maybe from a boy scout camp that he went to, not quite sure why. can it actually spread here through someone as they say in close contact from pakistan let's say? >> i think there is a possibility, as mark mentioned, we're in a big clone and a lot of viruses can come to this country but we're protecting because we're getting a vaccine. there's a rumor in pakistan and afghanistan a lot of times the taliban is preventing people from getting these vaccines because maybe they are american vaccines, et cetera, or the access to these vaccinations are really not there so we're seeing a rise of these kind of polio diagnoses. you would look for a blood test and antibodies and get the csf,
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the fluid from the spinal cord, to lock at the inflammatory cells and protein, and, unfortunately, there's no cure for this but the history of polio goes way back to the egyptian times, and we know about this. >> i did want to ask, you know, because we're talking about this today, it makes you think about the debate that people are having, whether or not to give your children vaccines, so does this speak to the importance of that? >> this one is huge. age of two months you start with this. by the a.j. of 4 years you've had all the series. everyone should have this. the symptoms of polio are pretty common, the nausea and come hitting and the characteristic things are muscle spasms and problems with muscles. not everyone that has that progresses to the paralysis. >> great point. >> meanwhile, have you heard about this study, the fda issuing strict new guidelines with aspirin, the agency saying that aspirin shouldn't always be seen as something that can help prevent a first heart attack or stroke in people who don't have any casorio vascular history. dr. siegel, this is huge. everybody says take a baby
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aspirin, take a baby aspirin. it can help. it's the magic drug and now the fda says what? >> first of all, i want to start off by agreeing with the fda for a strange reason. i don't think anybody should go to their pharmacy and pick up an aspirin, which is a very active chemical, and decide they'll treat themselves with it. i think they have to go to their doctors and doctors will hopefully be following the guidelines of the american heart association who says people at very high risk should be on aspirin. it's been shown by studies, eric, that 17% decrease in women for stroke over the ages of 55 on aspirin, over 30% decrease of heart attack in men over the age of 45 in aspirin, but we have to see it in conjunction with what are your risks of bleeding and risks of having stomach problems, if you have high blood pressure and that's one of your risk factors, is your high blood pressure under control. i have to look at a patient and judge the risks, what's the risks of bleeding because over 100,000 people go to the hospital every year from aspirin-induced bleeding. >> even the coated aspirin. >> even the coated aspirin. one of the things people do is
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take the coated aspirin together with ibuprofen or nab sip and that increases your risk of bleeding even greater. i want patients out there to know, check with your doctor. you may have heart disease and not know it. we know people with heart disease should be on an aspirin, we know. that's been proven. but up until the point you have the first simps toms, you may have blocked arteries and not know it. that's the group i want to target as a doctor, those with high cholesterol and high blood pressure and diabetes and obesity, that have the risk and are almost there and on an aspirin. doctors have to decide. >> this is more about not diagnosing yourself and making sure you go to the doctor? >> i think people need to know that we're sending mixed messages over here. for years we said take aspirin, it's going to take your life, and now we're saying like wait a second, don't take it because the risk outweighs the benefit and i think this is very clear. have to be very open about this. last year jama came out with a great study showing if you've not had any heart attacks before
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don't take aspirin because the risks outweigh the benefits what. are the risks, bleeding in the brain, bleeding in gastric ulcers and stomach and if you don't have it, don't take ars pryne and if you're had myocardial infarction and heart attack, aspirin helps. inflammation causes cancer and inflammation causes heart disease so if aspirin reduces inflammation that will help. 44% of people are taking aspirin today and this is a great cause, as marc mentioned, fda is on this. not one size fits all, everybody go out there and take baby aspirin is a huge mistake so it's very clear now that you should not take it for high-risk patients. if you're not had heart attack, don't take aspirin, only if you've had heart attack as a recurrence. how do you know you're at risk? one of the things we've spoken about in the past, and believe me, i'm not a cardiologist and i read about this a lot. you can go and get a quick test that shows how much calcium you have in your arteries and
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vessels. if you have a high score, obvio obviously you're on the way to having a heart attack and maybe taking aspirin in those patients can prevent clotting and go there random and start taking the aspirin, that's not a good thing. >> if you have calcium in your arteries and neck you have a three or four times chance of having a heart attack. >> check that carotid artery. >> do you take aspirin? >> i take it every single day. >> are you going to stop immediately? >> i believe in it. >> what's a safe way to stop if you should stop? >> stop immediately. >> look, he doesn't have any family history of heart attack, he's taking it because his neighbors are telling him. >> ask the doctor. >> they are telling you to stop. >> i'm not listening. >> i also told him to get his psa. >> talk to your doctor. >> coming up, don't go far
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because we'll have a new discovery that could mean the difference between life and death for millions of prostate cancer patients. why researchers are now advising doctors to check their patients' testosterone levels before it's too late. >> and the sobering truth about alcohol. you think about it, how much is too much? we will tell you when your drinking is putting you at risk. "sunday house call." with my friends, we'll do almost anything.
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alright, fellas. alright, russ. back to work! test. welcome back. a new health alert for some prostate cancer patients. a new study is showing low testosterone levels in low-risk patients could be an early warning sign that their condition might be getting worse. dr. samadi, what do you make of this stud? >> this is a study that just came from chile, and they looked at 154 men. what they found was that in the
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patients with low-risk prostate cancer, and they talk about that, if you have a low dark risk prostate cancer, a lot of time we would do for close surveillance, we would see you every three months and would rather not treat those patient. in those patients if they have a low testosterone level there's a probability of ending up with a very aggressive prostate cancer this. study is environmentic because we think high testosterone can lead to prostate cancer and a low level could lead to this. my take about this is that our diagnostic tools for prostate cancer is weak meaning that biopsies we're doing today is random biopsies. the doctors and urologists are shooting in the dark and taking samples of the prostate, and the take from this is if you're a low-risk prostate cancer, meaning there's something called a grecian score of 6, if you have low dark risk prostate cancer, there's 40% chance you have a much aggressive cancer in prostate and not know it because the biopsies are correct, and
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that's a huge reason why sometimes in young men i'm not in favor of following them and doing the watchful waiting. biopsies are not accurate. when it's low-risk prostate cancer, may be understated and they may have cancer and why surgery is best for young men with prostate cancer with first sign of treatment and that's why i discourage people from getting radiation because when you get radiation for prostate cancer at a young age you're basing your decision on a random biopsy which may or may not be accurate so that's what we're getting out of this. talk to your patient and doctor to find out what the best treatment is. a new website that will go up this week calls prostatecancer911.com and patients can come in and ask their questions and call and find out what to do. prostatecancer911.com, and marc, also, of course, does see a lot of these prostate cancer patients. >> i screen people for psa which is check the prostate and i'll
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also check testosterone and what i would also tell you from eric's take some wouldn't decide that someone with a low testosterone would have a more aggressive prostate cancer. this is a preliminary and small study. i think the issue here is if we diagnose prostate cancer in a young person, we would want to cure it, if possible. now, here's where the problem lies, and this term watch fall waiting comes, heather. as a patient gets older we may decide that they are too old for a radical prostatectomy. we're also moving in directions with better surgery and better and better techniques. we can do it with less side effects. patient gets in and out of the hospital the same day, and we can now operate on people that are older and people that have more other medical problems, like diabetes and like heart disease. if i can operate and cure atien that rather than what's called watchful waiting, because of the
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wabt you made because when you watch if the wait you find out in 30% of the time that it spread. now what do i do? i might not be able to cure you. i cure you if i can. >> you may be going in with a low-risk pros kate cancer before surgery and afterwards you might have a much more aggressive cancer. the psa should be zero or undetectible and you still have the option that if the cancer comes back after surgery you still can have radiation. radiation works well after surgery but doing it the other way around not so well. >> coming up, we'll take on some of the biggest myths about alcohol when "sunday house call" comes back. with diabetes, it's tough to keep life balanced.
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we're back now with sunday housecall. for our weekly segment, should i worry, when we talk about everything that worries us. we're going to discuss wine and alcohol. how much is too much? i assume if you're passed out on the floor, that's too much. >> yes, that's definitely too much. that, by the way, is very dangerous because you can vomit and die from those blackouts. that's a big problem. the centers for disease control, i'll cite them as my authority, says women should not have more than eight drinks a week and men should not have more than 15 drinks a week. by that, they mean 5 ounces. thought what the restaurant serves you. that's considered a drink. you go to the restaurant, you get eight ounces of wine. there's probably, eric, some
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cardiovascular benefit to alcohol. the problem is there's a lot of problems with alcohol. three drinks a day, as this person is having, they could get addicted eed to it. they could get behind the wheel of a car with it. it may help you go to sleep initially, but the car myth, it says you can have one drink an hour and drive because it wears off. a glass of beer takes two hours to wear off. i don't want anyone going out there drinking regularly, getting behind the wheel of a car. that leads to a tremendous amount of accidents a year. >> don't drink at all if you drive. if you go to dinner, one drink, two drinks fine? >> social drinking, one glass of red wine a night is perfectly fine. nothing wrong with that. in fact, a lot of studies show as a result of antioxidants, there's some benefit to that. you get into trouble when you start adding up more and more to second and third glasses. and especially in women, you
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want to be careful because we know alcohol and red wine can add to estrogen and may lead to breast cancer. you want to be careful with that. i think you get into trouble when you really lose control. that's when you have consequences. really the alcohol affects your entire body. not only your liver but your pancreas. if this person is drinking three glasses of red wine, he or she is going to be up all night. you're going to be urinating all night long. >> is that the sugar? >> calories. talk about calories, four ounces of red wine, you're talking about 120 calories per four ounces. when you get the bigger sizes, that's a lot more. >> one important point, a lot of college kids and high school kids, they go to a party and a kid passes out. we told our son if that happens, you have to call a parent. sometimes kids think, they're just passed out. it's okay. it could be really darjts. >> we did a story earlier in the year where campuses are starting
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to have buddy systems where they look at people. one other final point. alcohol gets together with other medical problems you have like high blood pressure, like obesity, makes you more obese. it's a problem on its own. >> and drinking coffee, which is something i encourage people when they're not drinking, with alcohol, you don't want to drink coffee because it's another stimulant that can give you a false alarm. you may feel like you're awake but you're really drunk. >> and aspirin and alcohol, going back to aspirin. avoid that, correct? >> depends on the size, how big you are. i can drink two glasses, no problem. dr. siegel can drink one and pass out. >> drinking contest. >> coming up, how young blood could really be the key to slowing down the aging process. definitely want to stay tuned for that one.
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some are calling it vampire therapy. others see it as the fountain of youth. new studies find that young blood can improve and in some cases reverse the aging process in mice. now the question is, could it be done to humans as well? dr. sumauti, say yes. >> not that you need it, you're fine, but this is a cute study coming from stanford university. they took the young blood and they trance fusfused into old m three months versus 18 months, and what they found was the new mice with the new blood now had better cognition, better memory, the nerves have better plasticity, and they're acting much better. what we're finding is in our blood when we're young, we have certain factors. it doesn't matter. these are the factor that give us, you know, energy, the power of thinking, and cognition. as we get older, those factors go down. if you take the blood from someone younger and give it to the older one, now it comes back
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to the way you were. this is the study, this is only in mice, but we'll see if the clinical trials in humans will work out. it also changes a protein in the brain of the mice. so this is a very interesting way to really get there. we spent about $260 billion in anti-aging, and if this works out, it will be great. >> before i recommend vampirism, i'm not going to suck any young person's blood, but what does work is the plasma. it's not the cells. you don't have to take the cells out. you take the part of the blood that is just the fluid. they're looking at the fluid at harvard and stanford and figuring out what works. it helps the muscles, the hearts, brains, memory centers of mice, helps mice think more clearly. it's five years away from humans. five years before human trials. >> i'm going to heather. >> thank you, but you can't have my blood.
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>> when can i buy it at wawa? >> not yet. >> great information. >> that does it for us. i'm heather. >> and i'm eric shawn. thank you for watching sunday housecall. no friends to reward and no foes to punish. >> the head of the select committee set to investigate the benghazi terror attacks promises that the group will go where the facts lead it, but is that enough to get reluctant democrats on board? republican congressman, a member of the house oversight committee, is here to weigh in. >> and lining up at the polls. residents of two regions in eastern ukraine engulfed by a p pro-russian insurgency, prompt ukraine's interior minister to call it a criminal farce with ballots soaked in blood. and lynne cheney is back in the news becau
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