hello. i'm arthel neville. time now for "sunday housecall." >> and i'm eric sean. joining us a dr. marc siegel, professor of medicine at langone medical center and author of "unlocking the secret code of sickness and health." >> and dr. david samadi chairman of urology at lennox hill hospital and chief of robotics surgery. good to see you both. >> good to see you as always. >> want to start here. actor and comedian tracy morgan remains in critical condition today after being involved in a deadly six-vehicle crash on the new jersey turnpike yesterday.

the 45-year-old morgan is now facing an uphill recovery battle, and dr. samadi, you know, we hear the term critical condition often, but what does that mean from your perspective? >> arthel, critical condition means that the vital signs, blood pressure and heart rate are not stable, and fortunately he's in the icu at robert wood johnson in new jersey, a great hospital that's able to take care of him, so his vital signs. his heart may not be cooperating. may have had some sort of injury. he was unconscious at the time so that what makes him really critical. getting control of his airways, et cetera, but this kind of accident obviously is very tragic, a passenger died. there was a truck trailer that hit them really hard to the point that there was a whole pile-up of cars, six cars back-to-back that hit each other. his car turned over so you're worried about a number of different injuries. the best way to demonstrate, use marc as an example of a patient. when the paramedics and ems get to the scene, and i did two

years of trauma at jacoby hospital in the bronx. you really want to look at the airway, breathing and circulation so we'll look at him. he at the time was unconscious so immediately you want to look at the pupils, put the light in and find out whether there's any reaction. that tells us what kind of injury we have. one of the things that will happen is at the time of the accident he would have whiplash meaning that the car was hitting from behind. the head will go and then bounce back. that can have some sort of neurologic injury over here so the first thing you want to do is stabilize the neck as the ems get. you're worried about the traumatic brain injury, 50,000 people die as a result of this every year, extremely important. look at the breathing. is there any breathing going on at the time when he was found. there could be some rib fracture, and a piece of bone can go into his lunks, something today pneumothorax, want to get control of that immediately, and the big thing about him that i found important is he had a kidney transplant in 2010 which is in the pelvic area so any

kind of internal organ bleeding, liver, bowel, bladder rupture and the kidney transplant is right next to the bladder in the pelvic area. you want to worry about, and finally there was a broken leg. at the time when they found him, there was -- you want to make sure that you put a cast so it doesn't go from a simple fracture to complex, but the key is to get him to the hospital immediately. >> and they transported him via helicopter so what happens in that helicopter, dr. siegel? >> before we get back to that i want to take you back to the scene and add a couple of points. people out there need to know that a lot of times these accidents occur because of something called distracted driving. now we don't know what that tractor trailer driver was doing. we don't know whether he fell asleep at the wheel. there was one report on that. we don't know if he was distracted but one out of ten fatal accidents, talking 35,000 per year, 5 million traffic accidents per year and 3 million need medical attention. one out of ten times it's due to

distracted driving. alcohol is not supposedly a factor here, but we worry about that as well. now you're on the scene. the first thing you have to do stabilize the patient before you put them in the helicopter. the number one cause of spinal injury, arthel, is at a motor vehicle accident so usually if there's any question, and david showed this on me, you tape the head down to a hard board before you would ever move a patient. if you think that there could be a damage to the back. you've talked about whiplash. there's also the issue of post-traumatic stress. in one-third of all people who have ever been in a car accident. >> how do we protect ourselves? slowing down and traffic apparently, the truck driver, they say, didn't slow down. we don't know if they were wearing seat belts, a fancy luxury mercedes big van, and it seems like it has leather seats and you have seat belts, what can you tell about that, and the most important thing is what about the seat belts? >> it's 1:00 a.m. when this accident happened. they are coming from a casino in delaware. you don't know -- there's six passengers in the car, whether

they all had their seat belts on or not. when a car like this happens, there would be a lot of flying objects. you know what, eric, besides seat belts, not a lot you can do to see a truck coming at you at that speed. >> i think, eric, and i thought of the same thing when i was preparing for this, you have to think it's not just you, the driver. if you're in a car, everyone on the road could be a risk to you so don't think i'm safe because i've had sleep or i haven't had anything to droming at you, so say, stay seat belted at all times or use the shoulder harness. one study out of britain says if you're hit in a car and have the shoulder harness on and the airbag the chances of a major injury go up. internal injuries, another could be a fracture to the spleen where you could lose a lot of blood on the scene and die. paramedics think about that, stabilize you, get an intravenous line going and get fluids in you and evacuate you. >> if i can bring up a point you made, they had to make sure to

stabilize the spine. let's make sure the paramedics don't go there right away. the best thing we can do if that happens and they are not there is don't touch the patient. >> good point. absolutely, keeping somebody immobile. there may be times when you have to get somebody out of a car but best off doing that if somebody trained is on the scene and knows how to do that and can immobilize the patient carefully. one really important point and to eric's news you can use point. if you've been in a car accident you need medical attention period. let some medical professional tell you don't need it. everyone who is in a car wreck should be seen by a medical professional. >> meaning the types of accidents you have may not correspond to what's going on inside you. you may have a very small accident but have a real bleeding going on and the concept of lack of sleep is extremely important. a lot of these drivers go on for 18, 19 hours may not get that kind of seven hours of sleep that we always talk about, slow reaction, stop and brake can lead to this disaster. >> bottom line, wear your seat

belts. it's the law almost everywhere. wear your seat belts. >> with a shoulder harness and air bag. >> excellent information. thank. most people think of osteoporosis as a disease that only affects women, but what you may not know is that it can affect men as well. so what can we do, all of us, to protect ourselves from what can be a painful and debilitating disease. the doctors weigh in on that next. i'm randy and i quit smoking with chantix. for 33 years i chose to keep smoking... ...because it was easier to smoke than it was to quit. along with support, chantix (varenicline) is proven to help people quit smoking. it's a non-nicotine pill. chantix reduced the urge for me to smoke. it actually caught me by surprise. some people had changes in behavior, thinking or mood, hostility, agitation, depressed mood and suicidal thoughts or actions while taking or after stopping chantix. if you notice any of these, stop chantix and call your doctor right away. tell your doctor about any history of mental health problems, which could get worse while taking chantix. don't take chantix if you've had a serious

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it's a disease mostly associated with women, but in fact osteoporosis can be a real concern for many men as well, affecting about one in eight over the age of 50 at some point in their lifetime. dr. siegel, i want to start with you because i want to find out how does it affect men?

is it the same way that it affects us? >> not exactly. with women menopause hits, your estrogen level goes down. osteoporosis, by the way, comes from the greek meaning osteobone and prossies holes, holes in the bone. your bone density is going down because estrogen usually helps to you keep it up. that's why women are affected precipitously after the age of 50. with men, also occurs in men, very important to bring that out. with men it's 60 to 75, it starts to equalize, so we can't think about it as a disease with women. we have to think about it with women, especially since, arthel, often it's a silent problem where you're walking along, you don't know you have it. the next thing you know you fall and have a hip fracture or a wrist fracture or a lower back spinal fracture. this is a big problem, and so i think everyone should be screened with bone density studies. women right after menopause or even a little before to get a baseline. men as they hit 60 for sure. life-style change, increase the amount of exercise you do, lose weight. some people say eat soy because

it's got estrogen in it and later on sometimes i use medications bilike biphosfonates. hormone replacement controversial but useful so make some changes. >> dr. samadi, you're shaking your head. >> june is men's health, a perfect topic besides the prostate health. bone health is extremely important. before we get to the medications one of the biggest things we talk about on this show is what, mediterranean diet? mediterranean diet, fruits and vegetables, are the best thing for you because it alkinizes your blood and increases your acidity, anything that increases your acidity, the soda. >> carbonated drinks. >> carbonated drinks, processed meat, all of these increase acidity and it eats up your bones. >> even like club soda, non-sugary sodas or celtsers. >> if you drink a lot of it, yes. >> how much is a lot? >> seven or eight of these sodas

a day over time it can, but one of the big things about osteoporosis is smoking. smoking is a huge risk factor. alcohol, if you have a sedentary life, i know you exercise every day but if you don't exer sues all the time that's a huge problem so lifestyle changes is extremely important. one other thing i want to tell people to know there's a vitamin k2, read about this. vitamin k2 brings in the absorption of calcium to your bone. magnesium is important. you want to make sure that your doctor checks the vite maybe d level, calcium, vitamin d3 extremely important. >> life-style is important and exercising and losing weight cuts down on your problem. mediterranean diet, want team if a size one food today, and that's salman. why salmon is the key. it's got vitamin d. it's loaded with calcium and has omega 3 fatty acids which have also been studied to improve

bone density. a triple threat and go for the fish salmon. >> eat it four times a week, and by the way, dr. siegel put me on vitamin d, took my 1,000 ies this morning, had it. >> great to take vitamin d. >> mixed with calcium so it has a much better absorption. >> vitamin d3 has both in them and have a huge epidemic because of vitamin d deficiency because we're shunning sunlight. >> salmon and d3. >> i'm selling salmon on your facebook page. >> good to know, congratulations. >> speaking of summer, do you happen to suffer from a bad sunburn when you were a child? well, if that's the case you'll want to hear what the doctors have to say. before you venture out to the beach later this summer. stay with us.

and back now with "sunday housecall" on our segment should i worry, our weekly segment about everything that worries us. one viewer writes i had bad sunburns when i was a kid. should i worry about being at risk for skin cancer? dr. samadi, what about that? >> so this is actually an excellent question and, unfortunately, the answer to a lot of this is you should be worried. stud frebrown looking at 108,000 patients, followed them for about 20 years. they find out that if you have a blistering sunburn as a child you are at about 80% higher risk of having melanoma as you get older. now, we're talking about two different types of skin cancer, melanoma versus none melanoma, basal cell carcinoma and squamous cell carcinoma.

dogs with sunburn at high risk of melanoma and younger children with a bad sunburn in the future can end up with melanoma. every time we talk about skin cancer i want to bring this a, b, c, d. you need to examine yourself and go to a dermatologist and get a full checkup at least once a year. if you see a lesion that's asmet trick meaning if you put a line across, it one side doesn't match the other side, irregular borders, multiple colors and the diameter is over 6 millimeter, that's melanoma until proven otherwise g.see your doctor. that's extremely important. >> i remember as a kid getting sunburns, usually on your black, blistery and itchy and melanoma would be at that spot or any place else? >> anywhere in your body. look for it on the back, the scalp because it's often misses there, groin, legs, could be anywhere in your body. about 80,000 new cases per year. what's really dramatic about this study, looked at 100,000 british women, was that it

showed a real demarkation here, eric. lifetime risk is based on how much sun you were exposed to over your life, uv light, uva as we talked about before is the deeply penetrating light associated with skin cancer and uvbs causes the sunburns, it's the lifetime risk but here was the demarkation in the study fascinating. in the study fascinating. if you have five or more severe sunburns as a kid, it increased your melanoma risk later on by 80%. but it did not do the opposite. in other words, your risk of non-melanoma occurred when you were an adult. if you burn as an adult, eric, let's say you go out now and have a big burn, it does not increase your melanoma risk. it has to be in childhood, thor into sunburn. that's fascinating. i want to add a point to david's point, the e on that out of new york university, they added an e, which is that it's evolving. is the lesion on your skin changing or getting bigger or

more irregular? if it is evolving, you have to worry. >> i was going to ask because you could have a mole that takes different shapes, you can't ignore that, but back to dr. seagle's point. you mentioned about going out in the sun and i talk at sunscreen, if i put on sunscreen with an spf, will it prevent me from getting it at this point? >> well, you should wear the sunscreen. you get vitamin d from the sun. if you are exposed from 20 minutes twice a week, you get enough vitamin d but should wear the sunscreen now. white shirt or a beautiful white dress, that's an spf4 by itself. if you don't have sunscreen, wearing a white t-shirt at least protects you with spf-4. you go to the market and see spf-15 versus 30, it won't give you double the amount of protection. spf-30 covers you0%, 15 will cover you 92%. there's no reason to buy

anything more than spf 15 because you get 98% -- there's no use for it, eric. over 50, you have 98% protection. >> you have to reapply it, though. >> what we have available in the united states, we talked about this a couple weeks ago, it wears off. you go in the water, re-apply it. kids are the ones at risk for melanoma if you burn them. watch out for your kids. >> the physiology of melanoma versus non-melanoma are different. protect yourself. the risks are in the sun. >> wear sunscreen and reapply it. >> kids need to be kept out of direct sunlight. >> even i should wear sunscreen, people with darker complexions. two weeks ago we talked about how some doctors may not always, not these two, may not always have the best bedside manners, but next, we are going to turn the tables as our doctors reveal their biggest pet peeves about their patients.

you're going to want to hear it. stay right here. ♪ ♪ ♪

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are you always running late to your doctor's appointment? or do you sometimes just come up with your own diagnosis for what's ailing you? if so, you are guilty in

committing the list of bad patients. we'll start with your biggest pet peeves we as patients do that we shouldn't be doing. >> i have a few. >> go easy, your patients are watching. >> i want to say you can't do anything wrong. doctors are supposed to be ready for whatever you throw at them. we shouldn't be irritated or turn on youme. having said that when you come in with diagnosis in hand and say, doc, i need this pill. you are not using me as a guide the way you should. or use me as a supermarket, can i take care of these ten other things? that puts a burden on the office. i'm a big man of second opinions. let's say i send you to the urologist and say, i need his opinion on your prostate. then don't come back to say, well, what is your opinion? i'm choosing the specialist. don't accumulate ten second opinions. find doctors you can trust. >> doctor, you're up. >> well, i think it is being

politically correct. he's being nice about it. we love our patients and want the best for them. but when you go to the doctor, we want to be prepared. you can't walk in and say, i'm here, take care of me. by you bringing all your labs with you, if the lab is done in some other outside lab, have them come to the office. you're going to get frustrated and have to wait for the result. the more you put in to your doctor's office, the more you're going to get out. showing up on time. one of the things that's really annoying, i have never talked to any patients about it, you're sitting to start a conversation, the phone rings, turn off the phone. it's a broadway show. you're here to see your doctor. be prepared and turn off the phone. when you bring in your questions, when i say that, don't come with 25 questions. prioritize. the first three to four questions that are absolutely important to you, that's your show and your time to talk to your doctor. >> no, we know everything. number two, we want you to be on time. and you know how long i have waited in the waiting room?

>> oh. it's about what we are doing wrong, not them. >> here's the most important thing. don't save your chest pain for the end of your visit. this happens all the time, by the way, doc, my chest hurts. now you have to start all over. you're nervous but try to prioritize. >> your point is well taken. doctors should be responsible to get you on time. sometimes they come late and we always accommodate. that's not the point. the other issue is, now there are a lot of tv shows about doctors and a lot of information out there on the internet, et cetera, make sure that when you come in, ask the honest question to get the answers. because there's a lot of misinformation. finally, if you stop your medication and are not taking them. if you reduce the dose on your own and you take half of it, or if there's a new medication that somebody else has given, share that. be honest with your doctor is the best thing. >> that is really important. because we get the wrong treatments going. david is so right. i'll give you the wrong

medicine if you're not telling me the truth. >> that's the best job you have as a doctor to take care of people. >> that's good advice. thank you, doctors. that does it for us. thank you for watching every week. take care. new details emerge about bowe bergdahl's time in captivity. meanwhile, the president firestorm grows as president obama faces a backlash from the left and the right over his decision to make the controversial soldier swap without notifying congressional leaders as the law requires. and a leading contend tore take the helm at the embattled department of veterans affairs says no thanks to the top job as v.a. officials get ready for another grilling on capitol hill. republican congressman john runyon will be asking the tough questions on monday, but today he's here with us live. and the first triple crown in decades goes down in flames as california chrome's winning streak comes to an end with a four