i'm artel neville. time now for "sunday housecall." >> and i'm eric sean. joining us as all is dr. marc siegel of the langone medical center and author of "unlocking the secret code of sickness and health". >> and dr. david samadi is joining us live from orlando, florida. chairman and professor of urology at lennox hill hospital and chief of robotics surgery. >> doctors, welcome, as always. >> good morning. >> good morning. nice to see you guys? >> i want to start with -- shall we start with the mers outbreak. i mean, it's spreading, and

officials in the middle east are now confirming at least three more deaths this week. now, this is coming as a third person here in the u.s. testing positive for the virus. dr. siegel, i want to start with you on this because i want to make sure that you are -- agree with the cdc that it's not easily transmitted. these guys are 30 to 40-minute face-to-face meetings, right? >> let me get to that. for people not familiar with this, this is middle eastern respiratory syndrome. it's been around since 2012. there's been 570 cases. the vast majority of them are in saudi arabia. it's a corona virus which is the same as the common cold, also the same as sars which really scared us back in 2003 and ended up infected 8,000 people before it petered out. this one we're still trying to get a beat on it, arthel, and there is there's been three cases in the united states. what you're talking about, third case occurred because the health care worker who brought it to indiana and was hospitalized. it turns out that when he went to a business meeting on april

25th before he was hospitalized he sat for 40 minutes with another business person, and he transmi transmitted it to him to the point where it showed up on ann antibody test, a blood test. he didn't get sick from it, wasn't coughinging and respiratory secretions were negative and dr. swerdlow of the cdc in a press conference said friday we don't think it's changed in how it's transmitted. it's not carpalual contact. it's prolonged contact. what does that mean? you can get it from touching surfaces so if they sat 40 minutes together maybe they touched the same surfaces, maybe they shook hands, maybe there was cove. we don't know exactly what. i agree with the cdc. i don't consider this a change in the viral pattern but i'm really glad that they are tracking it so carefully that they are looking to see where it's going. they are going to isolate this guy. anybody who has been exposed should be isolated, but it brings up one final point here.

there's something called subclinical infection. you don't have to end up in the hospital. you don't have to die from something. you may get a very mild case and not even know you have it, so when we're reporting 30% mortality with this virus it may actually end up being a lot less than, that because plenty of people may be exposed to it and not know it. the more the cdc goes around testing for it the more they will find the mild cases. >> amazing. it really is amazing. dr. samadi, basically, bottom line is, it's hard to get, and it really is over in the middle east. it's not like it's spreading or the cdc said it's not a danger to the public. >> eric, actually so far we've had three cases as marc mentioned. second one is actually a 44-year-old man who is right here in orlando, and for a lot of people who want to know why i'm in orlando this week, just like last year, we have the american urologic association where 15,000 urologists from all over the world, including people from saudi arabia and other middle eastern countries, are coming here for a big

conference, and this is oernldo is reporting. >> are they discussing it as one of the topics of conversation? >> occasionally the topic has come up, but, you know, if someone is from saudi arabia or any of the arabian peninsula, if they have symptoms of fever, cough, they should not be here. they should be at the hospital, but, you know, there's no issue going on over here. this man in orlando, the 44-year-old with mers is doing very well and no serious complication from this, but what i'm concerned about is we're going so see more of these cases coming out in the u.s. as a result of global travel. that's a big concern. the big issue with this virus is that 30% of them die. out of 570, the people out there, 170 of them have already died, but the good news, as marc mentioned, the transmission is very challenging. the receptors for this virus, as opposed to sars and' opposed to

flu, it's not in the nose or nasal area. it's deep inside the pulmonary area, so you have to spend not just casual touch and feel but really prolonged time to be able to get this virus, so cdc obviously is not changing any of the travel issues. people don't have to worry, but you have to be careful that if you have fever, chills, cough, see your doctor because the next step would be pneumonia, and the reason why people die a lot of times is kidney failure so keeping them in isolation is the way to go. >> at least the cdc is on top of this, and they are tracking the cases. they say it's not a danger to the public, but it certainly is around there. speaking about another deadly disease that happens to be measles, well, the mayo clinic has come up with an amazing new discovery that they say can use the measles virus, they think, to deal with cancer patients. dr. samadi, what's the breakthrough with this news? >> eric, this is an amazing sto story. this is where the modern medicine is going to go on.

you know, when you talk about measles, it always like was a major danger to kids until 1963 when we started having the vaccine, and since then obviously we got control of measles. now in a disease called multiple myeloma where in the bone marrow you would have certain cells like plasma cells that grow, that's a dangerous cancer. you know, good news for you, eric, is that this is not a rad story. a woman in minnesota with multiple myeloma went through chemotherapy, went through stem cell and all of those failed. now using the measles virus as a factor, as an age the, the mayo clinic researchers were able to get to the cancer cells and use the virus in order to kill the cancer, so this is a noble job, and in the field of urology we're familiar with this. in the past we have used some of the tuberculosis virus. >> right. >> the vcg therapy in order to

cure bladder cancer. this is an amazing one. they are doing some genetic formation and being able to get to the cancer, and she's actually cancer-free. >> that's great news. >> dr. smamdy, thank you. i want to bring dr. siegel in on this. first of all, what's myeloma? >> myeloma is 25,000 of cases a year. up to 45% don't survive 5%. it's cancer of the bone marrow cells, plasma cells. what's the bone marrow, the inside of your bones, factory that's making blood cells in your body, so when they get cancerous you're in big trouble, and that's why the mortality rate is so high. now what's really exciting here is those cancer cells, arthel, have on the surface receptors that have tracked the measles virus. the measles virus, we have always known that, goes for the bone marrow cells. goes for the bone marrow and sees the cells outside the bone marrow and bakes a bee-line for these types of cells. a researcher at mayo since 1990 has been working on the measles

virus, taking the measles virus we use in the vaccine, use a live virus in the vaccine, modifying it and now finally this year he has it to the point where if he gives a dose that's 10,000 times the dose you would get with your measles vaccine, he gets it to go into the body, go right for the cancer cells. the virus multiplies in the cancer cells, kills the cancer cells and then it's kind of like a guide missile, shoot a guided missile, kills the cancer cells and the immune system comes in and does a secondary treatment. >> if you have myeloma do you ask for this treatment? >> that's the second question. we're not there yet and as david pointed out we are with the mice. this is a trial that two people were given. the first woman is totally cured and in remission. the second one came back, but weaker. in the second face we'll give it to thousands. >> how long before we can get it? >> i would say within five years. >> within five years. >> eric, i will tell you the

good news about this is that the side effects that they saw after this was only some fever, headache and chills, so to get that much of this vaccine to a patient without major side effects, this is a noble job, and they should be congratulated and using virus to cure cancer going to be hopefully the way in the future. >> indeed. >> very good. >> absolutely. okay. thinking of taking a sleeping aid to help you catch some zs? first you want to hear the fda's latest warning about one of the most popular sleeping drugs on the market right now. at delta we're investing billions of dollars,

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starting on the popular sleeping drug lunesta, this after a new study found that patients who took the drug at the current dose of 3 milligrams had a greater risk of next-day drama and impairment than those who took a smaller dose. dr. siegel, i mean, what -- a lot of people take sleeping pills to get to sleep, to stay asleep. what happens if you take too much of this lunesta? >> first of all, arthel, i don't think everyone who is taking sleeping pills actually needs them. we give out 60 million prescriptions a year for sleeping pills. i want to ask people out there. are you going to bed the same time every night? are you having caffeinated beverages every night, drinking alcohol before you sleep? are you using your iphone, your ipad right up to the time you go to sleep? we've got to get sleep hygiene in there, and you have to speak to your physician about that, and then -- >> quickly, what -- what time do you cut off the alcohol intake? >> after dinner, you try not to drink alcohol. a drink before dinner rather than after.

i don't like when you're approaching bedtime, cut out the alco caffein. everyone is different. some people can tolerate is better than others. these are called sedative hypnotics and lunesta is eszopiclone, know the generic name but it's more than just lunesta. there's a drug cam ambien that the fda last year said this is affecting people the next day. they are tracking ten milligrams, next day they canned drive, are groggy and can't wake up from them, don't know what happened and same condition with lieutenanta which is even longer acting so the fda is wisely suggesting instead of taking three milligrams a night use one milligram, maybe two milligrams. >> cut it in half. >> you can also get it in the one milligram dose. start with the lower dose and try not to take it every night. work on sleep hygiene first and get your doctor in the loop and doctors out there stop prescribing so much of this

stuff. that's my message. >> a strong message. dr. samadi, what do you think about taking lunesta or the sleep aids? are you for it, or do you agree with dr. siegel? >> i think we have encouraged people to be able to sleep seven hours at least because if you really have insomnia and you can't sleep well, the health hazard is tremendous and it can affect you, but i agree with marc, that you should not take these medications. somewhere between 30 million to 60 million of these prescriptions are flying out there, and poem are overusing it, and that's why fda actually made the right call by cutting down the dosage from three milligrams to one milligram. i've also talked on "sunday housecall" on the other use, and i will post there,on dr. david samadi's facebook. look at some of the herbals that will help you in order to get sleep. use chamomile and the best one i like is melatonin. melatonin, .3 milligrams, would really give you a nice good

night sleep without any side effects. the problem with this medication is that the effects of these will stay inside your body of seven to 11 hours so the next day you won't be able to function. if you're a pilot, if you're driving a car, you're going to be jeopardizing your life and many others, and that's why you've got to be very careful to take a low dose under supervision of doctor before you go up to the second two milligram or third milligram. >> let me echo david's point, valarium, benadryl may be better to take than this and if people ha -- what is the right situation and the right treatment? >> tylenol p.m., sometimes it's right. depends on the patient. >> i would also tell you that you should stay away from cove and taking a lot of sugar and try to take magnesium.

everything with magnesium would be calming for you. >> i like mag newsium but not valarium. >> or have someone read you a bedtime story. >> now we're talking. >> got to get tucked in. >> if you've ever been forced to deal with a case of swollen feet. the doctors will weigh in coming up next on what swollen feet means and what you do if you have it. plus, dr. david samadi will fill us in on the latest battle against prostate cancer. the newest developments coming up next. awesome, amazing, that's epic, bro.

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and back now "sunday housecall." new developments in the fight against prostate cancer. dr. somati was at an international conversation in peru. what was the conference about and what new developments are there? >> eric, before we get to that, let me just explain to you. in the field of prostate cancer, especially in this conference here in florida where thousands of urologists are coming together talking about robotic surgery versus open surgery, that discussion is almost put to a stop. we see that robotic surgery has many advantages over open surgery. the trip to peru was extremely interesting and exciting. we were invited by the national library of peru. they were extremely hospitable. they had conference about robotic surgery where a lot of doctors participate in that. we were able to share some of our robotic prostate surgery experience with the doctors and physicians over there. we were also able to visit the

hospital such as 1,000-bed hospital. what i found out is very interesting is in u.s. we're doing prostate cancer screening quite aggressively. we're finding out the disease early and in "sunday housecall" we've been a big advocate of screening of prostate cancer, finding the disease early and being able to treat it. that same is now true in peru and many other countries. people are coming in with very advanced prostate cancer and sometimes surgery may not be an option for them. and they have to give radiation and chemo. and we're going to change that. we're going to collaborate with a lot of doctors, not only in the dominican republic as we've done in the past, but now in peru and many other countries to be able to bring everyone on board. very exciting times. >> dr. siegel, it seems to be so easily recognized through psa. >> look, in peru prostate cancer is the most common cancer in men and the leading cause of cancer death among men. david was getting at one of the reasons for this which is that

simple psa you just mentioned. i think you have to do the psa early. i think you have to figure out what to do with the results. it doesn't mean you automatically biopsy. look for a psa under four, but it depends on the patient. you follow a trend. you check a free psa. you figure out what to do. if you get a biopsy, you figure out what to do with that result. in peru they're starting to figure that out. to echo one of david's other points, once you know you have prostate cancer, then what do you do? with the robotic option, you have option of getting someone in and out of the hospital in one day, very little -- and they can go back to work. >> a lot of people say they know what their cholesterol number is and everyone walks around and say they're proud of it, but no one knows what their psa number is. >> at what age do you get the psa? >> david and i both start over the age of 40 following a psa and also a digital rectal exam is part of this. to echo one of his other parts,

the national library of peru is a venerable institution and it was an honor david was invited down there. over 7,000 volumes, it's a huge library. >> david talked about the number -- what's your recommendation? four or under, four or above? what should you do and what do you tell your doctor if you see him tomorrow? >> i think the younger you are the numbers should be lower. certainly if you have family history, you should know what your psa is. and look at the doubling time. find out what it takes for that number to double. if it does in a short period, then we would be very concerned. but i can tell you that as far as sexual function, urinary control, we have come a long way. and in the hands of experienced surgeons people that do thousands of these surgeries, robotic prostate surgery seems to be the way to go and get the prostate out and use radiation as a backup plan. and this trip to peru was extremely exciting. i met so many urologists. as marc mentioned the national library of peru has over 7 million books and now they want to go from not only history and

education but also in medicine and make a big difference. we're glad to be part of this. >> you know, i promise i'll bring in my numbers one of these days. you've been telling me about that. >> next week. >> we're waiting for it. >> i want to know your numbers too. >> next week. >> okay. stick around for that. it is a common cause for concern, swollen feet. so what exactly causes it and what can you do about it? we're going to ask our doctors to weigh-in on that coming up in "should i worry." okay, listen up! i'm re-workin' the menu. mayo? corn dogs? you are so outta here! aah! [ female announcer ] the complete balanced nutrition of great-tasting ensure. 24 vitamins and minerals, antioxidants, and 9 grams of protein. [ bottle ] ensure®. nutrition inharge™. ♪ [ jim ] when my grandson grows up, it's his. but it's all mine now. [ male announcer ] that's how we run, and nothing runs like a deere.

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now for "should i worry," our weekly segment about everything that worries us. this viewer asks, my feet are swollen. should i worry? >> dr. siegel, i want to get to you. what causes it and what's the remedy? >> i love this topic because i get asked this every single week by patients. and the answer is sometimes you worry about this and sometimes you don't have to.

and i'll tell you how you can decide. if you're overweight, your legs are going to swell. if you're on calcium channel blockers or antidepressants, your feet will swell. if you're out in the sun too long, your feet will swell. the problem is -- i'll tell you what else causes your feet to swell, blood clots cause your feet to swell. infections cause your feet to swell. if you're pregnant, it causes your feet to swell, but if they swell too much, it could be p preclampsia. i have to see you to know. >> david, quickly, should i worry? >> well, i think a lot of times people are standing or sitting for a long time and they don't need to worry because they can elevate their feet and they can move around or they can wear these like stockings and that can help. but there are also cases where you may be on water pills or diuretics. and if you're not taking them

enough and the fluid is backing up, you may have that. or you may have some -- >> ask your doctor. we've got two of the doctors here. >> they're the best. that does it for us. >> thank you for watching "sunday housecall" as always on sundays. take care. nearly two years after the deadly benghazi terror attack the question remains, who bears responsibility for what happened before, during and after the attacks? former vice president dick cheney puts the blame on the person many think will run for president, then-secretary of state, hillary clinton. >> i don't think we've heard the last of it yet. and i would expect that she will be held accountable during the course of the campaign. pregnant, christian and sentenced to die in sudan. international outrage grows as a married physician sits on death row because of her faith. will the outrage be enough to help save her? the reve