time now for sunday house call. >> hello. welcome. joining us is chairman and profession or of urology at lenox hill hospital and chief of robotics surgery. >> and dr. mark seigel, author of unlobbing the see credit code of sickness and health. and that's what they do every sunday. >> february is american heart month. and today we'll talk about all the things you can do to show your heart a little love. very important. without the heart, we got

nothing. so what is first on the list? >> obviously this is a very serious rob because it's a leading cause of death among men an women. we have 720,000 deaths and heart attacks as a result of this. so i'm glad we're all wearing the red color as bringing awareness to this situation. i always talk about new mpneumo. i'll post this. a is for like ask your doctor whether you need aspirin or not. aspirin is a big topic and i'm going to ask mark to make a comment who should be on aspirin and who soo not. think we're taking too many aspirin. i think the third of the country are suffering from metabolic syndrome. what are we talking about. it's blood pressure, cholesterol, diabetes, obesity, which leads to stroke and heart disease. b stands for blood pressure.

less than 120 over 80. c is for cloholesterol. you should know it like you foe yo know your age. diet is the key. we want you to stay away from what? salt, sugar, fat.'s all obvious. e is for exercise. are you really out there three times a week for exercise? f is for fiber. three sets of veggies and fruits. g is for green. we've talked about the fact that if you don't see the colors, especially green and red and all the fruits and vegetables, you're in trouble. and finally, h is habit. this is a big part of this. and i want you to jmp in because when we talk about habits, we're talking about behaviors. i just came back from bermuda, a big heart foundation there. and what i realized is we had doctors taking care of disease, we're disease care people, we're not health care people.

and what do i mean by that? we need to change the behavior of people. and that means that as a child, we need to educate our people about diabetes, about all of these -- >> it's so hard to talk about exercise every week. you don't always exercise. i walk a lot. >> yeah, because you live in new york city. but if you didn't live here, you probably wouldn't walk as much. >> you walk down at the mall and -- it's hard for people. >> and you're coming right to the heart of it. at a time when deaths are going down, obesity is going up and diabetes is going up. so david's point about prevention, we're talking about three very tiny arteries on the heart. i wish you could see how small they are. they get clogged, you got a problem. and it's easy to get them clogged. so what can we do? prevention is key. patients come to see me. i want to know cholesterol, blood pressure, whether they're exercise. and as we've talked about, not just whether you're exercising, what are you doing when you're not exercising?

are you sitting on your duff? we want to know how many fruits and vegetables you're eating. we're talked about the mediterranean diet. whole grains, fruits and vegetables. get rid of all of the processed food that have the sugars and the salts in them. david asked the question about aspirin. i want to talk about that for a second. i have to identify you as being in a high risk group as we just said, high cholesterol, high blood pressure. if i'm treating for you cholesterol and high blood pressure and you have a family history of heart disease and you're a smoker, number one risk of heart disease is a smoker. i might decide to put you on a baby aspirin a day. of course if you had a heart attack before, i definitely will. >> dr. mark, a lot of people don't know when they have had a heart attack. is that true? >> absolutely. especially since it was go red for women yesterday, and you three look beautiful with all your red today by the way. but women especially don't

necessarily know. we all know about that crushing chest pain like an elephant sitting on your chest. but did you know could yyou cou a heart attack just by being fatigued or nauseous or a sensation in your left armor jaw or your neck or your left shoulder? that can be the only warning sign. >> or feeling like an elephant is sitting on your chest, the pain radiating to your left and you have to call 911. but i want to get back to -- >> one quick thing. if you think you are having a heart attack, should you pop an aspirin? >> at that point, it may prevent some of the dissolving of the clogs and prevent them to go up. >> i would say to sure if -- if you're having chest pain, rain down your left arm, you're sweating, you pop an aspirin. >> get to the doctor immediately. but we keep talking about all this stuff. but the question is whether we're getting through to these people and they're learning from this. i really think that the only way that you'll change the health care is to go back to when the

kids are really four years old, we're looking for a lot of quick things. we're basically getting a lot of fast foods. when you add sugar, salt and fat, what do you get? you get your fad foos, you get your processed foods. and that's what we're eating. so unless we start educating and preventive disease, yes, we can give you viagra for sexual dysfunction, yes, we can do a lot of these things, but we won't make a difference unless we go for prevention and wellness. and that's a big message for this month which is very different than what we've said every year. >> a question for you on this. a man, is there a warning sign for men in men's health to say that they have heart disease in terms of the you're logic functi function? >> the very first sign of heart attack in young men is sexual dysfunction. the same arteries bringing the blood to the heart is bringing to the penile tissue. so when i see a 40-year-old

obese higher risk of cardiac says my sex life is not the same, instead of giving him viagra, i send him to mark and say get your ekg, get all the labs, make sure this guy is not going to have a heart attack. and by losing weight and everything else, we can help him. >> one final point, stress. i can't prove this to you, but i think stress, stress, stress increases your risk of heart disease. try yoga. not you, me. >> you notice how much he's smiling more? >> i did know that the women are really unaware a lot of times that they're having hart eart attacks. i did work for the harlem chapter and i learned that. >> i congratulate you for wearing the yes, sir. it's certainly symbolic and it brings a lot of awareness. sir. it's certainly symbolic and it brings a lot of awareness.sir. it's certainly symbolic and it brings a lot of awareness. >> and after menopause, your

estrogen is going down. you're not protected. and you are probably thinking you didn't have a risk of heart disease. women after menopause are at great risk. >> great visiadvice. >> after this show, we welcome everybody to come to twitter and we'll talk about this. >> talk about the heart and something that is really bad for the heart and that is smoking. you know about second hand smoke, that's not good either. but just how bad is that? there is a stunning new study about secondhand smoke. we will bring that to you as the whys want to keep you healthy. 73% of americans try... ...to cook healthy meals. yet up to 90% fall short in getting key nutrients from food alone. let's do more... ...add one a day 50+. complete with key nutrients we may need. plus it supports physical energy with b vitamins. one a day 50+

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affects one in four nonsmokers. and once more, they say it's the most vulnerable members of our society who are at risk. dr. siegel takes a look. >> rates are alarmingly high. currently 58 million americans including 15 million children that continue to be exposed to secondhand smoke. >> the cdc says there is no safe amount of secondhand smoke. children can develop acute broken kite tis, asthma, ear infections or even sudden infant death syndrome. when they reach adulthood, heart disease, smoke or lung cancer. dr. mcculley has many years of experience treating sick children who are victims of secondhand smoke. she teaches families ways to overcome the problem often sharing an emotional experience she had when caring for one child with cystic fibro six

whose grandfather was unwittingly subjecting him to cigarette smoke. >> i said to him while i know that you know that your smoking affects your health, but did you know it affects your grandson's health. as soon as he learned that, me a commitment to quit smoking and he's been smoke free for over ten years. >> you you hear about secondhand smoke, but you don't know exactly how it can affect children. >> that's certainly -- i'm glad marc is bringing this to the surface. it was a great report that you've done. it's absolutely important because in adults, it causes heart disease and lung cancer. about 7,000 cases related to second happened smoking. 41,000 cases of heart and lung disease which is significant. >> from secondhand smoke? >> secondhand smoke. but the good news is that the

level of cotonin is decreasing over the last decade. we started in 1991 about 80%. 2007, 40% and now 25%. so allhe ads are encouraging people to walk away from smoking, make sure that if you haven't started, to quick, he had kaindicate your children. we heard about sit tchlsids, pu issues. it's a real problem.indicate yo. we heard about sids, pulmonary issues. it's a real problem. >> and dr. mckulley told a personal story. she said there was a child she's taken care of with cystic fibrosis and grandmother who was smoking, smoking, smoking. didn't realize because he's older generation that he was impact this is kid.didn't reali older generation that he was impact this is kid.smoking, smo. didn't realize because he's older generation that he was impact this is kid.

she tells the grandfather and he quits smoking and the kid got a lot healthier and just graduated high school recently. soot the message there is these are real people, we have have ee them. 26 states have bans on public smoking. but that means over 20 states don't. 700 cities have bans on public smoking, but many don't. and what about the two family dwellings. someone smoking like a chimney that lives next to you, it's coming through the walls. secondhand smoking is still a big problem. >> if you smell that, is the smell enough to potentially impact your health? >> if you're smelling it, it's impacting your health. any amount of secondhand smoke whatsoever can increase your arriving of devel risk of developing heart disease, long disease and short term developing asthma. and third hand smoke which lives

on the furniture, that's been studied, as well. >> sometimes you can smell someone's clothes. that can affect you? >> absolutely. >> what is going on is there are certain category of people that are at higher risk. children between age 3 to 11, construction workers, african-american, and also the salary, the poverty level plays a big role. and we haven't made a huge impact in those categories. overall, the level of secondhand smoke and smoking it in public is way down. so quit smoking. look for restaurants, places that really ban this kind of stuff. and if you're not going to go there by force, they will change their policies. if you're in the car and somebody is smoking, it's going to affect you. so it's a real risk. p. >> absolutely. two final points. one is that 40% about of children are still exposed to secondhand smoke. 70% of african-american children are exposed to secondhand smoke. and you know what the worst problem with secondhand smoke is? we haven't mentioned it yet, it's if your parent or someone

around you is smoking, you're very likely of doing it yourself. >> so teaching your children not to start and an role model is exactly what you're trying to bring in. >> and i was going to make a comment that like if you do smoke, you may have residual effect. could you have stopped smoking 20 years ago and still he said up with lung cancer. compla >> it pay take 10 to 15 years before the effect wears off. even in urology, we see bladder cancer, kidney cancer that can come and many other diseases. so please if you haven't started, don't start. >> here is a dwra matt tick statistic. it wears off, but it doesn't wear off completely. if you smoked 20 years ago, i still got to check you.

>> even second happened smohand. >> the risk laheart disease is one-half the year after you quit than what it was while you were still smoking. >> and i know you have mixed emotions about e getgets. and i'll get hate e-mails. don't go to e ge-cigarettes as segue to quit. it's still controversial. we don't know the data on that. >> i've found it works in some smokers. >> that's debatable. >> just don't fight. >> i choked him last time. >> once was enough. okay. >> i agree with him on the whole about e-cigarettes. it can be problematic. >> so researchers uncovering a better way to detect high risk prostate cancer. we'll tell you all about it and why they say this new method is a lot more accurate. [ female announcer ] we help make secure financial tomorrows a reality

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prostate cancer patients. researchers say they have uncovered a better way to detect this potentially deadly disease. doctor, you're up on this one. what is this? >> it's a great step forward in this field of prostate cancer. normally the indication to get a biopsy is either your psa level of blood test is high, or you may have some abnormality on exam of your prostate. one or the other is an indication to get a biopsy. same thing to find out if you

have cancer or not. we do a random biopsy using our machine. we will look at the prostate and take 12 or 14 samples to find out if there's any cancer. but the key word was always random, so we didn't know what way we were going. the new way is called mri guidance. so we're taking a picture of the prostate and fusing them with prostate pictures and finding where are the hot spots and just targeted the diagnostic tools to go over the areas where it looks suspicious rather than just randomly shooting. we're finding more agressive cancers. those are the ones that need to be treated as opposed to low risk ones, so it helps us there. and it's really a great way to distinguish who should get buy so -- biopsy, who should not get biopsy and on and on. >> but you take a picture of it,

so how do you go in and get it? >> i do lidocaine right around the prostate. it's easy to do and the risk of infection is 2 to 3%, so it's fairly benign. >> when gu to tyou go to the do they give you that exam. that's important, too, isn't it? >> any time we do a ur logical topic, i can't believe the numbers and i can't believe there's even a debate there. because 27,500 men die of prostate cancer every year. it's the number two cause of death of cancer in men after lung cancer. everyon everyone knows you need to catch lung cancer early and you need to catch prostate cancer early. you have to do that digital rectum exam and feel for a ridge or nodule on the underside of the prostate.

if i feel something abnormal, i send someone to a great urologist like david. also the psa. i don't need the psa to do a biopsy, necessarily, but i follow the trend. send the patient to a urologist and consider a biopsy. mris are getting more and more consistent, as he said. >> we'll take a break and talk more about the psa, what you have to look at, what the number means, especially if it goes up, when we come back.

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back to "the doctors." the prostate, what do you look for? >> a trend. we want to see the psa, prostate energy. groups are pulling for it, but i want to know, what do you look for? because the psa can be treated win affection, so try treating the infection. the trend is up. i send him to a urologist like david. >> we have genetic tests that we have, we also look at derivatives of psa for anybody who is diagnosed with prostate cancer.

go to prostatecharancer911. >> at what age should you do that? >> at the age of 40. thanks for being with us this sunday. i'm lee land vittert and welcome to news from washington. breaking right now, an attempted attack from the u.s. coast guard. >> an attack on the coast guard station in new haven this morning. brian following the story has all the details. >> a 44-year-old michigan man is now in custody. his identity has not been revealed, but the fbi initially investigating this as a potential act of domestic terrorism. so far investigators have not found any links to terrorism or a terrorist organization. this is what we know. just after 6:00 a.m. tis