aking viagra and call your doctor right away if you experience a sudden decrease or loss in vision or hearing. this is the age... ...of taking action. viagra. talk to your doctor. . time now for "sunday housecall." >> welcome. joining us every sunday as always, dr. marc siegel. >> and dr. david samadi. good to see you. >> good to see you. >> we'll start with something that's caught a sound disease. it can strike people too quickly. that's pancreatic cancer.

it claims the lives of about 30,000 americans each year. now there's a new type of treatment that just got the green light from the fda. dr. siegel, it's hard to detect and people don't know that you have it until sometimes it's too late. >> you've been asking us about this. first of all, 45,000 cases a year. 35,000 deaths gives you and idea what we're dealing with. "the five" year survival rate usually under 5%. very tough because it's deep in the body the pancreas. got blood vessels all around it. by the time you find it and usually by something called silent jaundice, somebody comes in looking yellow. it's hard to screen for it unless you're looking for it. >> is there any test. can you go to the doctor and say i want a pancreatic test. . >> not yet. previously we've talked about proteins in genetic testing that's in the works.

a cat scan can pick it up. by the time do you a ct scan it's too late. there's people with certain genes that are predisposed. smokers have 30% of the pancreatic cancer comes from smokers. drinkers. alcoholics. people overweight. all of these people we have to start looking at pancreatic cancer. when we fine it we're faced what do we do with it. this new drug has doubled the survival rate in people that have advanced disease. it's still only six months and not approved by fda yet. they are fast tracking it. it's in stage two trial. usually what we try to do and david can talk about this. it's a whiple surgery. i'll leaf that to david but oftentimes unsuccessful. >> i would like to know first of all, can women have it as much or reason get it as much as men? also, dr. siegel talked about

some of the main causes. i want to talk about prevention. you tell us about things to eat and not to eat. >> men are a little bit more prone to getting pancreatic cancer. you saw the picture of steve jobs in his jeans as he was losing a lot of weight. weight loss is a symptom. patrick swazey. so we've seen a lot of famous people out there with pancreatic cancer. it's a lethal. the color is purple. it brings a lot of awareness. smoke cigarette one of the main reasons. long term diabetes is another risk factor. so what obesity is one of the reasons why we have diabetes in this country indirectly, lose weight, stop smoking and

pancreatis is a reason. so if you have someone in your family you may want to ask for a cat scan. if you have any kind of bloating, weight loss. jaundice is basically, you know, the way the pancreas is set up, pancreas is about six to eight inches of organ, sits under the stomach. the tail has split. on the other side the head has small intestine. it's in a hidden area that nobody knows about this organ. extremely important and vital to our life because it he is secretes the digestive enzymes. insulin comes from pancreas and that's very important. what happens with whiple the first line of treatment is surgery. the sooner you fine it the better the outcome. >> finding it, it has struck in the past a friend that didn't know. i mean it's just amazing to me.

isn't there a way to find out if you have any type of pain? >> basically, based on the signs and symptoms you have. if you have, for example some abdominal pain, back pain, indigestion, weight loss. we don't have a real marker. that's why they call them a silent killer. it's a lethal disease. by the time we get to prognosis is poor. surgery is the first line of treatment. we move the head of the pancreas. if the cancer is still organ confined you remove the head of pancreas along with a part of the small intestine. >> just a partial removal. >> you remove the entire cancer as much as you can followed by radiation and chemotherapy this this particular study came out is adding two more motion. >> what do you do? do you get ultrasound if you have stomach pain. >> i want to emphasize this

point. it's because it's deep in the body. we don't have a marker for it. that's why we talk about the psa. the prostate is deep in the body. we have a mammogram for breast cancer. we don't have a good screening test for pancreas. if we're suspicious we'll do a ct scan. i want to talk a little bit about the cr 207. it could be the cusp of something great. maybe two or three months of long term survival not a lot but what i like about it is the idea of immuno therapy where you take some parts of the tumor itself and provoke the body's own immune system to attack that tumor. that's where we're going to going the future. it worked in other cancers. the other thing they are starting to do with pancreas combining chemotherapy, radiation and immuno therapies. we don't have though lie grail yet. >> my only concern with what we

just heard and marc's point is well taken we had the same immuno therapy that came in with prostate cancer. prostate cancer doesn't respond to hormones. we went the whole route of vaccine therapy and i don't want people to have a false hope. yes, it may have some added benefit, but the benefit is only about two to three months. given the expense of this kind of immuno therapy we'll see if the government will sponsor some of these. >> this is only the beginning. i agree. this particular treatment is limited at best. i'm surprised they are fast tracking it. but it means it will be approved over the next year. you always ask that question. maybe a grandfather of a treatment ten years from now that could make a big difference. the biggest thing we'll do with the pancreas is figure out how to diagnose it earlier. we have to get a series of genetic markers or something that tells us you have it.

with all that blood supply around it escapes the pancreas. >> is there anything we can do? can we stop eating something? >> stop smoking. stop drinking. >> if you have a family history of pancreatic cancer go for a screening. see your doctors early on in your early 20s. if you want to start early on, if you haven't smarted smoke don't. if you're not drinking alcohol stay away. family history and diabetes are big tickets. >> one-third of all the pancreatic cancer is due to smoking. >> glad you're bringing the awareness. >> so millions of americans suffering from serious back pain on a daily basis. is there anything out there that can help? our doctors weigh in on that. we'll ask them for their reaction to a new study that claims a popular over-the-counter medicine may not be as effective in treating back pain as once thought. stick around. ♪

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00. for millions of americans it's the go to over the counter medicine that is going help treat their back pain, but a new claim, a new study out there saying asscetominephin is not a good as once thought. >> australian study, 1600 patients followed them for long enough time but what they did is they randomized them. in one group they gave them acetaminophen every day. second group only took when it they had the pain as we call as

need or prn. third group they got sugar pills, that's a placebo. what they found at the end of the study there was no difference between the sugar pill or placebo versus tylenol. what does this mean for people who like to take tylenol and other kind of medications that as asscetaminopheacetaminophen. if you have a fever that's fine. but 2 million people are taking these pills as if it's nothing except you may have added side effects of this medication. when should you be worried? when you step over three grams a day. eric good time to start taking notes. when you step over three grams a day and how do you get there? if you have a cough in the morning take a cough medicine fold by tylenol. at nighttime some alcohol. that's when you get your liver

and kidneys in to trouble. it doesn't help you for back pain. >> so what do you take instead? >> i have a slightly different take. first of all, in australia they call it parcetomal. that's the australian name for tylenol. a good neurologist never turns to tylenol for back pain. you know why? back pain is caused by inflammation. it's caused by the bones and the muscles and the nerves being in a very tight compartment. that inflammation or muscle spasm can only be treated by a few things. heat, anti-inflammatory or a muscle relaxant. now, here's the most interesting thing about this study. all the people stew did and i agree with david this was an

extremely well done study, all of them whether they got placebo they got better in 17 days. you know what that tells you. back pain goes away. i'm worried about people that rush to a percoset or rush to surgery. the thing you have to do with back pain, put heat on it, physical therapy. in the old days we used to think bed rest. it's not bed rest. get up and around, go see a physical therapist. put heat on it. anti-inflammatories or muscle relaxants. >> strengthen your stomach muscles. >> having said that a lot of people out there, they are not going to go from back pain to neurologist. they go to many, many other doctors before they get there. what i want people to know there are back pains that need to see the doctor immediately. if you have a back pain but have some fever that could be kidney infection. if you have bloating with it,

could be pancreatic cancer that we just talked about that's referred pain to the back. >> what if you have tingling with it. >> if you have a herniated disk, some sort of spinal stenosis, you need to see orthopedic not to get massage and heat and make it worse by the time you get to the doctor. so certain back pains you need to sometimes even, you know, aneurysm. >> i tell them beat, anti-inflammatory, muscle relaxants. main thing don't rush into aggressive treatments. acetaminophen has never been treatment. >> that's the big point. taking too much acetaminophen is not going to help. placebo is as good. the added benefit, when you add a lot of them together it's

going to hurt your liver. >> can i get a massage at least for the back? >> even massage. there's a new study that shows massage has to be under the guise of your physician. >> something that makes people worried have you thought about this. three commercial airline crashes justin last week and a half including the shoot down of the malaysian flight 17. some people getting on planes thinking twice about it. that anxiety is not good for you. coming up our doctors will explain what to do before you get on your next flight and how to deal with any possible fear of flying. it's progressive pain. first that feeling of numbness. then hot pins. almost like lightning bolts, hot strikes into my feet. so my doctor prescribed lyrica. the pain has been reduced and i feel better than i did before. [ male announcer ] it's known that diabetes damages nerves.

lyrica is fda-approved to treat diabetic nerve pain. lyrica is not for everyone. it may cause serious allergic reactions or suicidal thoughts or actions. tell your doctor right away if you have these, new or worsening depression, or unusual changes in mood or behavior. or, swelling, trouble breathing, rash, hives, blisters, changes in eyesight, including blurry vision, muscle pain with fever, tired feeling or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. [ karen ] having less pain, that means everything to me. [ male announcer ] ask your doctor about lyrica today. it's specific treatment for diabetic nerve pain.

back now with "sunday housecall" and our segment should i worry. our weekly segment about everything that worries us. one viewer asks i'm preparing to fly this week and i'm thinking about taking a valium because i'm so nervous. should i worry? >> by far the safest way to travel. people out there i'm calling this irrational but it's real. i'm not dismissing it and i wrote about it extensively in my book "false alarm." after 9/11 there's about 40,000 deaths from traffic accidents every year. twice as many as usual took to the roads. therefore a lot more deaths from people driving after september 11th than would have died in a plane accident the entire 40 years of commercial flying. that's how dramatic this is.

people who avoid flying and take another mode of transportation, put themselves at greater risk. why does this happen? because of fear. fear is hardwired into our brain. we have this fear mechanism and it overrides everything else. you personalize the risk. you think it will happen to you. luckily there's way to threat. flying is a perfect storm for fear. you're at 30,000 feet. you lose control. you fear dying. any time you lose control, fear hits you. so what do you do? desensecytivization. i have fear of flying myself. because of having to go out on the road i had to fly twice in one day to pittsburgh and back and i had to fly to western texas in a tiny plane. >> what did you take? >> i shivered. i held the hand of the producer until i was done. after that i was able to do it again. you do it you will overcome it.

>> once they gave him the ha handk handkerchief he's must better. >> the worst year was 1972 we had 2300 deaths as a result of this. this year we already have 700. this doesn't sound good. actually i was supposed to fly myself and i cancelled it. is it irrational? absolutely. i don't want to jeopardize my life. people will tell you risk of dying is 1 in 10 million, in a car crash 1 in 272. there are issues out there with turbulence, take offer and landing. how do you deal with this. first you have to know what your fear is. there's an app out there, called -- >> we're going to break. >> more on aero phobia.

yoplait greek 100! you want to see which one yoplait greek beat? chobani yes! yoplait greek wins again. take the taste-off for yourself! moderate to severe is tough, but i've managed. i got to be pretty good at managing my symptoms, except that managing my symptoms was all i was doing. when i finally told my doctor, he said my crohn's was not under control. he said humira is for adults like me who have tried other medications but still experience the symptoms of moderate to severe crohn's disease. and that in clinical studies, the majority of patients on humira saw significant symptom relief. and many achieved remission. humira can lower your ability to fight infections, including tuberculosis. serious, sometimes fatal infections and cancers, including lymphoma, have happened; as have blood,

liver, and nervous system problems, serious allergic reactions, and new or worsening heart failure. before treatment, get tested for tb. tell your doctor if you've been to areas where certain fungal infections are common, and if you've had tb, hepatitis b, are prone to infections, or have flu-like symptoms or sores. don't start humira if you have an infection. if you're still just managing your symptoms, ask your gastroenterologist about humira. with humira, remission is possible.

let's bring back the doctors now. you say why we have the fear of flying and you were going address how we address that. >> aerophobia is a real deal. when you talk to psychiatrists

they will tell you move on don't worry about it. that's not the right way to deal with this. first you have to find out what's the cause of the fear. it the takeoff, turbulence, landing. maybe you were younger and had an accident. something called turb cast an app for $2. gives you turbulence while you're traveling. if you have that fact it will put you at ease. most of the fear is because of the what if. what if something happens. so training yourself, learning about the fact. i like also great trick. when you travel to a place that's pleasant you can put a picture of that on your tap top. looking at the ocean in cancun, everything getting yourself a prize at the end of the trip is a great therapy. stay away from coffee and alcohol because that can induce alcohol and dehydration. valium should be the last thing you touch. if you want some herbals --

>> what about those tiny bottles of alcohol. >> they don't help. people think they do. here's the biggest ticket item. i have counselled a lot of people on this. you know what the issue is? it's anticipating the anxiety you're going feel on the lean. in other words, you're anticipating that plane flight. you have to identify what it is that really worries you the most. for me it is the turbulence. when i feel myself going up and down i feel the next thing we'll bottom out. you have to read what the actual information is. in addition to what david says about essentially desensitization going through something that simulates happen on top of that fuel yourself with information. read about turbulence. read about what the worse case scenario is. landing how safe is landing. how safe is taking off.

>> sit back and relax and watch the fox news channel. >> that helps too. taking your mind off it by focusing on other things. >> cognitive behavior therapy is the word you want to remember. >> thanks for watching. as far as hamas and so-called cease-fire they are violating their own cease-fire. it's come to the level of absurdity. >> actually the question is not just hamas itself, there are several resistance groups in gaza but mr. netanyahu who loves to lump everybody under hamas accused hamas of everything including killing its own people and so on. >> as a religious holiday celebration is about to start, the latest attempt at a truce in the gaza strip seems to be getting little traction as israel and hamas wrangle over terms, international diplomats try to figure out a path to sustainable cease-fire.