well, that's all for today. i hope you enjoyed our show and that you're learning to be more of a healthy you. see you next time. hello. i'm arthel hello. i'm arthel neville. time now for "sunday housecall." >> and i'm eric shawn. welcome as you are every sunday. joining us is dr. marc siegel, professor of medicine at langone medical center and author of "the inner pulse, unlocking the sect receipt code of sickness and health." >> and dr. david samadi, chairman and professor at lenox 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. he may have had some sort of injury. he was unconscious at the time so that's 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 tremendous number of different kind of 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. the first thing you want to do, 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 theon. 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 lungs, something called pneumothorax. you want to get control of that immediately. 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 that's important. >> 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 drink. who is coming at you, so as you 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, your chances of a major injury go down dramatically. 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, they have to try to stabilize you, get an intravenous line going, get you evacuated.

>> they had to make sure they 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. i feel everyone that's been 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, delayed to stop and brake can lead to this kind of

disaster. >> bottom line, wear your seat belts. you see people not do that. it's the law almost everywhere. wear your seat belts. >> with a shoulder harness and air bag. >> excellent information. thank you. 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. upgrade to the philips norelco shaver series 8000

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it's a disease mostly 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 osteo, bone and porosis, holes, holes in the bone. your bone density is going down because estrogen usually helps you to 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 men, 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 like bisphosphonates. medications you use to help with bone density. hormone replacement controversial but useful so make some changes. >> dr. samadi, you're shaking your head. >> first of all, june is men's health. this is a perfect topic for men's health, besides prostrate 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, reduces acidity. anything that increases your acid it, the soda -- >> carbonated drinks. >> carbonated drinks, processed meat, all of these increase acidity and it eats up your bones. >> even like club soda, nonsugary sodas, club sodas or

celticsers. >> 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 exercise 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. i want you to 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 vitamin d level. vitamin d 3 and calcium is extremely important. if all that fails -- >> life-style is important and exercising and losing weight cuts down on your problem. for mediterranean diet, i want to emphasize one key today, that's salmon. i'll tell you 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 and shown to improve bone density. a triple threat and go for the fish salmon. >> i eat it four times a week. 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 have a huge epidemic of vitamin d deficiency because we're shunning the sunlight. >> salmon and d3. >> i'm selling salmon on your facebook page. >> and vitamin d 3. i'm selling on facebook. >> 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. weekdays are for rising to the challenge. they're the days to take care of business.

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and back now with "sunday housecall" on our segment should i worry, our weekly segment 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. a study from brown looked at 108,000 patients, followed them for 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.

adults, if they are having sunburn, they are at high risk of nonmelanomas. but younger children, if they are exposed to real sunburn, in the future can end up having melanoma. let me say 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 asymmetric meaning if you put a line across, it one side doesn't match the other side, irregular borders. c is the color, multiple colors. and d is diameter, over 6 millimeters, that's mel nochl, a until proven otherwise. go see your doctor. that's extremely important. >> i remember as a kid getting sunburns, usually on your back, 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 cancer. uvb causes the sunburns. that's also associated with skin cancer. it's the lifetime risk. but here was the demarcation in the study that is fascinating. if you have five or more severe sunburns as a kid, it increased your melanoma risk later on by 80%. >> wow. >> but it did not do the opposite. of nonmelanoma 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. for melanoma risk, it has to be in childhood, the severe sunburn. that's really fascinating. and david's point about abcd, the e on that, this was out of new york university, they added an e which is that it's evolving. that lesion on your skin changing? if it's getting bigger, if it's

getting more irregular, evolving, you really got to worry. >> i can ask about that. sometimes you have a mole. sometimes they take different shapes. you can't ignore that i want to get back to dr. siegel's point. asking this point dr. samadi. we talk about sunscreen. if i put on sunscreen with a certain spf, will it prevent me from gigabyte at this point? >> certainly you should wear the sunscreen. we just talked about you getting vitamin d. if you're exposed out there for 20 minutes twice a week you would get enough vitamin d. but you should wear your sunscreen now. white shirt or you're wearing a beautiful white dress, that's a spf 4 by itself. so if you don't have any sunscreen, even wearing a white t-shirt protects you at spf 4. you would go to the market and see spf 15 versus 30. it does not mean it will cover you double the amount of protection. spf 30 covers about 97%. 15 will cover you 92%. so in my book, there is no reason to buy anything more than

spf 50 because you get your 98%. >> you see 85 and 100? >> there is no use for it. over 50, you already have 98% protection. >> you have to reapply it, though. what we have available in the united states, it wears off. you go in the water, reapply it. and again, the take home message for parents out there, kids are the ones at risk for melanoma if you burn them. watch out for your kids. >> the pathophysiology of melanoma versus nonmelanoma based on this study seem to be different. you want to protect yourself and make sure you don't get to that blistering sunburn stage. >> wear sunscreen and reapply it. >> you said last week you said even i should wear it, people with darker complexions. very important. >> absolutely. >> two week ago we talked about how some doctors may not always have, not these two, may not always have the best bedside manners. next, what we're going to do. we're going to turn the tables as our doctors reveal their biggest pet peeves about their

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doesn't stop there, dr. siegel, i'll start with you, your biggest pet peeves that we as patients do. >> i have a few. >> patients are watching. >> i want to start by saying you really can't do anything wrong. doctors are supposed to be ready for whatever you throw at them. we shouldn't be irritated. well shouldn't turn on you. but having said, that will are things that you could do out there that doesn't work as well. which if you come in with your diagnosis in hand and say doc, i need this pill, well, you're not using me as a guide the way you should be. or if you think it's a supermarket, hey, doc, while i'm here, can i take care of another ten things? that puts a lot of burden on the office. i'm a big fan of second opinions. let's say i send you to a urologist like dr. samadi and i need his opinion on a prostate. don't come back to me and say what is your opinion? i may give it to you, but understand i'm choosing the specialist that i think is best to begin with. so don't accumulate ten different second opinions. you're going to get confused. try to find doctorious can trust. >> dr. samadi, you're up.

>> i think he is being politically correct. he is being nice about it. we love our patients. we want the best for them. but when you go to the doctor, you have to be prepared. you can't just walk in and say hey, i'm here, take care of me. are you bringing all of your labs with you? because if the lab is done in some other outside lab, hasn't come to the office, you're going get frustrated. you're going to have to wait for that result. the more you put into your doctor's office, the more you're going to get out. showing up on time. one of the things that really annoys me, i have never talked to any patients about this, we're sitting where we're starting to have the 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 your phone. and when you bring your questions, don't come with 25 questions, prioritize. the first three or four questions that are absolutely important to you, that's your show, that's your time. >> we want to know everything. we want to know everything. first, we want you guys to be on time. you know how long i've waited in the weight room sometimes? >> it's not about us.

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

i will give you the wrong blood pressure medication if you're not telling me. >> it's the best job you have as a doctor to take care of people. absolutely. >> thank you, doctors. that does it for us. i'm arthel neville. >> thanks for watching every week. take care. on president obama under fire for freeing five taliban commanders as the media keeps digging out new information about his failure to consult congress and at the heart of it the conduct of bowe bergdahl. >> tonight we are hearing stunning new accusations from the soldiers who served with bowe bergdahl and those who risked their lives to save him. >> all the early joy and celebration over bergdahl's release has indeed been clouded over several growing controversies. >> he deserted not only the army, but he also left myself and my platoon and my company to