in the meantime, i hope you learn to be healthier. >> time now for sunday house call. >> welcome as always. joining us this sunday as he does every sunday is professor of medicine at the medical center and author, unlocking the secret code of sickness. >> and the chairman of professor of neurology at lennox hill hospital and chief of surgery. >> it's great to see you. >> just a few more days. many parents do well in the classroom and they feel as

healthy as possible if they are in school. what should we do as parents. like a lab rat. they are coming home sick within the first week. >> that's right. it's successful for the school. get your kids immunized and make sure they have that mmr vaccine before they go to school. others i'm a big fan of. make sure they have the hepatitis vaccine. make sure the emergency contact numbers. go with them to school and make sure the school knows how to get them. you can't get away from them that easy. you want the school nurse to call you. the next is eyes. i want every kid to have their eyes checked. you know how many kids are squinting and aren't seeing what's being taught to them? i believe in regular examinations, we want to know what kids are suffering from. what are the restrictions. can they participate in physical

education. are there medications? the school needs to know. >> absolutely. >> all the shots that we had in the past. >> this is about kids going to school and get the hearing. the visual test is all done and now we get to the stuff that when i grow up, i hated going to school. summer was fun and i had a day of anxiety. it's always good to team up with a friend of yours to make the first week easy and get rid of the heavy backpacks that you have. >> the kids's backs get ruined. >> is there a way? should they be weighed some. >> it's usually less than 20% of

your body weight. those books add up and put pressure on the spine. you can get a roller ones that will help. parents should talk to the nurses at school and make sure all the information with the allergies to food. if you have serious problems like asthma or any restrictions to physical activity, the nurse should have good contact with the parent. finally -- >> i was going to review the school lunch. review the school lunch with your child and find out what they are eating. watch out for bullies. the american association of pediatrics said that the best way to handle a bully is to not pick a fight, but just say why are you doing this? stand your ground. the problem with bullying is the kids are not going to talk about this. >> you want to look for changes. is the kid not exacting with

others? is he getting up in the middle of the night? most kids are so scared they may not say everyone is ganging up on me. >> that's a problem across the country. bullying. >> think of that on a checklist. you bring up a great point. >> they may not be telling you. >> the teachers and the nurses and they will have a good school year. >> now we want to turn to a groundbreaking idea that could help cut down the number of complications in surgery and for patients. it's thanks to a new tracking device. it's something of a black box like the ones in airplanes. that records movement and is also supposed to help identify errors during an operation. doctor, what is this all about? >> this is supposed to be similar to what goes on in the

black box. the canadians are putting in microphones in the operating rooms and multiple cameras all over the operating room and they are taping the process. interaction of the surgeon with the staff. what goes on in the operating room. how do you handle the organs? the reason for this is to reduce the number of complications and to make the surgery smaller, but to use the video to educate the next generation of surgeons. do you go in the operating room and learn or do you practice outside? when we grew up, there was a conat the present time of do one, see one, teach one. you start doing it and you become a professional. that time has come and gone. i think they have the black box that you go back and find out what you learn.

they take it and they go back. how do you become better? that's what this is about. there issues in the early part of the study, but one of the things i have done to cut down we did this years ago. that's how we came up with this technique. that has been efficient. you don't want to practice. you want to come in and do the operation where there simulators. they will talk about this. the pilots are not going to learn how to fly the plane where they have the passengers. you have the simulators. you take the mrri of the kidney or the prostate. you practice outside the operating room so when you come in, you are efficient and you do the surgery. >> what about the legal issue? >> that's the other side of the coin. let's go to the videotape. is it a foul or a fair ball?

they are using the lap scope with this. they had another camera looking down. the view from above. they found about 20 mistakes per operation that were missed otherwise. if you use this for pier review, you could peach residents the health care quality of improvement who had that kind of information to answer your question. if it's for pier review, it can't be used legally. it's going to say wait a minute, why shouldn't i have access to that? if we ask the patients, they want to know what goes wrong. this is a very debatable issue. i agree that the number one purpose is teaching to learn from mistakes. by the way, somebody who comes outpost op, you may not know why it goes wrong. somebody accidentally punctures

the lining of the spine. if we go back to the operation, you can see where that happened. there is a great advantage with learning. >> we had the m&m. morbidity and mortality. they look at why one complication happens. if you have the video of that surgery, you can look and see this is what happens for learning purposes. improving our surgical skills. robotic and laproscopicer the same pathways. these have been tremendous and it works well. >> whatever helps. coming up, some women describe it more painful than childbirth. kidney stones. why are they painful and how do we make sure we don't get them. the doctors will fill us in on kidney stones after the break. [ dog barks ] ♪

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. and back now to >> back now to sunday house call. it can be caused by dehydration or genetics. if you get kidney stones, it can be a horrible experience. what are they and why are they painful? how to make sure you don't get them. how do we not get kidney stones. is it possible? >> what are they? they are a build up of calcium or mag need yum and things that crystallize in the arteries or in the bladder. you get stones in either one. what causes them, it's interesting. back in the 1970s, less than 4% of people have them. now 12% of women and 7% of women. why the increase? because things are heating up. you get them more in the summer. in july and august. people are not hydrated enough. people are not drinking enough.

one of the top kidney experts are saying have lemon and lime. if you use a lot of lemon and lime and hydration, you can cut down on your risk dramatically. you want to avoid fatty and salty. you want to avoid -- that's the most common kidney stone. you want to avoid calcium and drink a lot of water and it's genetic. watch out if someone in your family had them. >> what do they feel like. is it stabbing pains? it's going to happen to me. >> a lot of women say it's more painful than childbirth. >> the reason why is you can explain it easily. you would have a crystal in the kid me. >> like your side? >> exactly. you have it on the right and the left side. if you have a stone here, this

stone as long as it kids in the kidney and doesn't obstruct anything, you won't have a pain. if you have fluid going through it it, it starts to block the kidney. you are going to get that severe pain that is worse than childbirth. until it passes all wait through the bladder and then you push it out hopefully. it's a rule of five millimeter stone has a 50% chance of passing and the bigger the stone gets, the lower the chance. with medications like hydration and muscle relax ants, that stone will pass. sometimes shock therapy or we go in surgically to remove the stone. you have to stay away from some of the foods that he just mentioned. lime or lemon has sit rate and that inhibits these crystals.

>> squeeze lemon in the morning. >> on your food or salad and drink at least eight glasses of water. when you hydrate, you prevent them from getting together and cause the kidney stones. >> doctors have to be thinking if there is blood in the urine or sudden back pain or severe sharp pain. hydration or shock therapy or surgical removal. >> the best thing for this in the emergency room. they can see the crystals and treat it. >> good tips and advice. also if you are a diabetic, you know you are supposed to stay away from sweets, but what about natural sugars like from fruit? is that off limits too? you don't want to miss what the doctors have to say about that. t when a pro at any 2014 pga tour event sinks a hole-in-one,

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we'll give you $150. comcast business. built for business. welcome back to sunday house call. now for should i worry? our segment about everything that worries us. this viewer asked i am diabetic, but i love fruit. should i worry? >> the simple answer is no, you should not worry. fruits are great for you, but the question is what kind of fruit and how much are you going to be taking? you have a lot of fructose causes inflammation and chronic diabetes and inflammation. there is a study that was done with 190,000 people follow them for about 20 years. they took two portions to three

servings of certain fruits like apples and grapes and raspberries and avocado. all of those had the reduction of 27% in the risk of diabetes. choose what you eat and pick the right fruits and they actually can reduce the diabetes. if you think of other fruits and too much of it, then you will hurt yourself. >> you have to worry about juices too. monitor it. monitor it. sugar. you are going to get all of your insulin and that is not good. >> all fruit is not created equal. stay away from pineapples and mel lops with a last sugar. some of the others -- apples and pears and cherries -- have low-calories, less than in juice, by the way, but, also, they are loaded with fiber.

what does fiber do? fiber has the sugar absorbed further down the line in the intestine, the kind of hormones that those with diabetes need are there. you get a more gentle effect in terms of the sugar in the body. it is better for those with diabetes. the association says that diabetics can have two or three servings a fruit a day and do fine depending on the paint. not everyone is the same. no juice. no juice. that is just a rush of sugar. >> avoid the spikes. do not go to high sugar, low hug and starve yourself when you start to get this craving and you gain a lost weight. keeping your sugar at the steady level, using the right kind of food, they all have a lot of knew try helps and antioxidants

that reduce the break down of fructose. our that is good for those without diabetes. >> absolutely, fruits and november tables. fruit has a last water so you lose weight on fruit, you lose weight on vegetables. do not worry if you have diabetes, worry if you have the juice. >> if you have a question for our team e-mail us and we could answer it on air. names and addresses are confidential. >> the most important meal of the day is breakfast, supposedly? we will tell you some researchers are saying as far as metabolism breakfast may not be what it is cracked up to believe. but i don't believe it. i'm randy and i quit smoking with chantix. as a police officer, i've helped many people in the last 23 years. but i needed help in quitting smoking. along with support, chantix (varenicline) is

proven to help people quit smoking. 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 allergic or skin reaction to it. if you develop these, stop chantix and see your doctor right away as some could be life threatening. tell your doctor if you have a history of heart or blood vessel problems, or if you develop new or worse symptoms. get medical help right away if you have symptoms of a heart attack or stroke. use caution when driving or operating machinery. common side effects include nausea, trouble sleeping and unusual dreams. i did not know what it was like to be a non-smoker. but i do now. ask your doctor if chantix is right for you.

>> back to "sunday house calls." as far as watching your weight, most recommend that you eat a hearty breakfast but according to new research, that is not necessarily better. doctor, i do not believe this. i do not buy that. you need a good breakfast. awful disclosure, eric and i both love greek yogurt for breakfast and i advertise this. i don't believe it but i will tell you why, because this study

and we love to look at the studies, 33 people studied over six weeks and the author says to the "new york times" and i quote, "i almost never eat breakfast." if the study author never eats breakfast, he clearly is not an unbiased scientist. a much larger study looking at 27,000 men over 16 years last year showed a 27 percent increase of heart disease if people who do skip breakfast. what you do, you start your day with exercise as i have aid on the show many times -- water, some kind of a breakfast. not fats and carbohydrates but pruett and protein and yogurt. >> isn't it about the individual, how all of our me tappisms are different? >> 100 percent right. the purpose of the study was the point you just made. not everyone is the same. if it works for you to go on and delay your breakfast to 10:00 or

11 o'clock and you still are healthy and can function, so be it. fine. eric's point is important because when you sleep overnight your brain slows down. they have to slow down and save the energy the when you wake up you want to start the me metabolism, you "break," the fast, that is what breakfast is. by the time you get to the lunch without breakfast you are eating a last fatty food and you want the salt and your insulin is out of sync. it is way put in your system. should you take the sugary cereal in the morning? no. oat meet. blueberries, something healthy in the morning that is a quick

fix. >> you mentioned the magic words "oatmeal and blueberries." >> oatmeal lowers the chess trillion. now a dilemma to the dr. samadi, david convinced me that coffee is great for you, for most people, those without heartburn and without high blood pressure. if i am going to have my cup of coffee in the morning to start the day i want to have it with some food to second it up, why want to have it on an empty stomach, something with fiber or protein or oatmeal or juice. >> to convert a medical doctor who was scared to drink coffee a year and a half to admit that coffee is actually good, more more studies are coming out with the fact that drinking coffee three our four cups a diary dueses the risk of alzheimer and

diabetes, et cetera, et cetera. i always start with coffee. >> doctors, thank you. >> your mom was right. >> that is it for us. >> on the "buzz beater," the media are in a polarizing debate whether president obama should step up military action against the isis terrorists in syria. >> why can't we get a straight answer on the threat level to america or american interests by isis? you have to kill their leadership and take out as many rank and file jihadists as possible. >> i don't buy into the fearmongerring i hear from the right. we are bombing the tar out of the them. president is doing a good job handling it. >> this is prompting president obama to hold a number and say we have no strategy against isis. we will examine the coverage of this extraordinary moment. and reverend al speaks a