thanks to all of you for watching. you can catch me weekdays on the fox and business network. we do hope that you can join us next week. hello, i'm marcell neville, time for sunday house call. >> and i'm eric shawn. welcome as always. joining us, dr. david samadi, chairman and professor of urology and also chief of robotic surgery. >> and dr. marc siegel, professor of medicine at nyu's lango langone medical center. good to see you both, docs. >> talking about health, this month is colon cancer awareness month. did you know that colon cancer

is the second leading cause of cancer deaths in the united states, but if it's detected early and screened for properly, you know it's also one of the most treatable. dr. samadi, this really hits home for me because my father died of colon cancer. sadly, he never had a colonoscopy. he was 84 years old so it shows the importance of having to colonoscopy like once every three years or once every five years. i do it once every three years. >> yes, and i know you're a huge advocate of screening and no matter month than march, which is colon cancer awareness month. you learned from that mistake and we want people to follow the same exact thing. 143,000 adults die from colorectal -- are being diagnosed and 50,000 die from this disease. so still we have a lot of people that actually die from this. you're right that screening actually can save lives, starting at the age of 50, unless you have a very strong family history of this. you may want to talk to your

doctor and do it earlier. what are some of the risk factors? we know that age obviously plays a role. maybe he was a little too old. obesity, smoking, excess alcohol, fatty food and red meat plays a role. more importantly if you have inflammatory bowel disease, crohn's and ulcerative -- did you know 25% of people over age of 50 did not want to go get colonoscopy. why? maybe it's invasive. i've got so many people saying i don't want to go for that colonoscopy prep. i don't know why they're afraid of that. they don't like it. >> dr. marc, i was just going to say, does it hurt? that's the main thing that keeps people away from getting it. >> let me just finish this thought. no problem. so what i'm trying to say is that there are other options besides colonoscopy. so colo guard, which is a study that just came out in the scientific new england journal of medicine.

they looked at 10,000 people and they found colon guard, not invasive, is 92% predictive. they sending you a kit, you send back the stool. they look at the dna cells being shed from the colon and they can diagnose colon cancer. >> i don't know, i'd want 100%. take that tube and stick it wherever they do and look at whatever. >> what do they do? >> i want to start with something eric admitted which is amazing that he's saying this on television about his father because he doesn't bring personal facts a lot. if you have a family history of colon cancer, you have to get the colonoscopy earlier, much earlier. ten years earlier than your relative was diagnosed, that's what we usually say. that's number one what i'm looking for as an internist screening you. 95% sensitive is a colonoscopy for picking up colon cancer but it's not to be in the right hands. prostate cancer has to go to the right hands. colonoscopy has to be in the right hands, it's an art.

i want you to be doing it from the age of 50. but if you have a change in bowel hakbits. if you're suddenly constipated, suddenly get diarrhea, suddenly see blood in your stool or suddenly have weight loss, you need to get in and get that colonoscopy scheduled. if you have polyps, it's got to be more frequent. now, if you are afraid of colonoscopies, i want to answer eric's question. it's the prep that bother most people. they worry about the colonoscopy, eric, but it's the prep where you have to drink stuff the night before and you're on the toilet for a couple hours. >> oh, man. >> the procedure isn't painful? >> the procedure these days, most people are putting them out. they're using propofol most of the time. now i personally like conscious sedation, that's an alternative. that's valium and demerol where you can see it being done. you have an option. you can talk to your gastroenterologist or your

anesthesiologist but you can be put to sleep. i want to talk about cologuard. in between those colonoscopies, whether every five years or ten years or three years, if we find polyps, it's every three years, in between we do something called fecal blood. we look for blood in your stool. >> that's the little tab thing the doctor gives you that you leave on the shelf and never actually do. >> you should do it because you can bring it in to your next doctor's visit, you can mail it into the lab, we can do it with testing that's better than the usual way. but i believe, like david is saying, i think this cologuard may be a home run. it's just coming out. it's been fda approved, eric, to answer your request e. it looks like it's 92% sensitive, colonoscopy 95%. it looks at your dna. >> it has a lot of advantages over colonoscopy. i'm not saying that you should not -- colonoscopy is still standard of care. for a lot of people that are older and don't want to go through an invasive procedure, even though the risk of

perforation may be 1%, you're still getting anesthesia and have a surgical procedure, this is a great start. if you find something abnormal then you can get the colonoscopy and they can treat it. now, for a lot of people who may have diarrhea or hemorrhoids and may see blood, that's not the time to do this test. the test itself is available. it's about $600. medicare and interestingly enough, i found that blue cross blue shield also accepts this and will pay for it. so people who don't want to go for a colonoscopy for whatever reason that we spoke about, this is a great alternative test. >> as a female, should i get it done? >> yes, absolutely. especially if there's genetic family -- if you see any blood. one of the things that came up is the caliber of the stool. if you have some sort of a mass in the colon, it's going to squeeze the diameter of stool is going to be very narrow. if you see any blood tinged, that's coming from the bowel. usually hemorrhoids is a lighter blood, it's fresh blood and

blood mixed in the stool is very -- >> you know, something the prep isn't that bad. they have some orange drink that wasn't bad at all. >> eric -- >> i believe you. >> we've gotten away from using something because of complications. they're using go lightly or new lightly which you have to drink the phospha soda. i do want to take a slightly different view than david. i don't think we're ready to say cologuard. i love the premise of this. we almost have no other situation where we literally can look at your colon directly with a scope and tell you, hey, there's a polyp here. you can't find a polyp with cologuard so let's get those colonoscopies done. eat more fruit and vegetables, exercise more. obesity is a huge risk, smoking is a huge risk, being sedentary is a huge risk for colon cancer. fruit and vegetables alone cuts down the risk. >> perfect way to end the

segment. >> i think it's important not to replace -- >> in the future. >> just starting. >> people need to know about this. >> right. >> i'm done. >> thank you. i just needed permission. okay, thank you, very important stuff, though. of course you may have noticed when you woke up this morning that you lost an hour of sleep. but did you know that the time difference may also have an impact on your health? we're going to find out what that might be, up next. man (sternly): where do you think you're going? mr. mucus: to work, with you. it's taco tuesday. man: you're not coming. i took mucinex to help get rid of my mucusy congestion. i'm good all day. [announcer:] mucinex keeps working. not 4, not 6, but 12 hours. let's end this

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tell your doctor about any history of mental health problems, which could get worse while taking chantix or history of seizures. 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 can be life-threatening. tell your doctor if you have a history of heart or blood vessel problems, or develop new or worse symptoms. get medical help right away if you have symptoms of a heart attack or stroke. decrease alcohol use while taking chantix. use caution when driving or operating machinery. common side effects include nausea, trouble sleeping and unusual dreams. chantix absolutely helped me quit smoking. ask your doctor if chantix is right for you. okay, so we all set our clocks last night, right, meaningless time getting some critical shut-eye so that could impact a lot more than just how tired you're feeling this morning. dr. siegel, really how much of an impact could one less hour of

sleep have on your health? >> more than you think, arthel. >> you look exhausted, look at him. >> no, i look great. >> let me have that camera back. it's all that coffee that dr. samadi is recommending. ñpwith all of that coffee. >> he has all of the tremor going on. >> this started with benjamin franklin in 1784 who wrote a paper that said let's save energy. let's extend in spring so we're up later and don't need artificial lights. of course he also invented electricity, so he's the man. but how does this affect us? it's actually because studies have started to show, and a study out of michigan last year showed that you have about a 25% greater risk of a heart attack on the monday after you move the clocks forward. and get this, arthel, 21% less the day after you move the clocks back. that's pretty good science. and why? why are people having more heart attacks? well, it has to do with

something called circadian rhythm. in the morning when you get up, you release your testosterone, you release your steroid hormone, your cortisol is dependent on when you get up. if you alter that even by an hour, you can get moñe stress hormones in your blood. if you're a heart attack about to happen, that may be the day it happens. also car accidents are more likely to occur on the monday following. so it's about screwing up your clock. now, dr. samadi has said yesterday on tv i'm going to beat him to the punch on this, he wears a beautiful watch. >> he does, i've noticed it. >> and he's changed it yesterday so he missed all his appointments yesterday. >> this is a very special watch. you can zoom in on this. this is given by one of the presidents of a very most powerful country. you can zoom in f. >> i want to make the point and i'll switch to you. the point he's making which is an excellent one, you have to get your body ready for this change. you can't just jump into it 2:00 in the morning on a saturday

night. you've got to gradually change. >> they say accidents go up this week. this coming week accidents go up. >> 5% to 10%. >> that's unbelievable so please be careful this next week. but we worked today. most everyone slept late and woke up an hour later. guess what, tomorrow, grumpy day. monday morning they are so grumpy because everyone had -- is sleep deprived. tomorrow morning 9:00. >> eric, let me just jump in because everyone looks a little fatigued over here. chronic fatigue syndrome is a syndrome that has been around a long time. the biggest news is not what's going to happen on monday morning because every year we get through and we'll be fine. you set up your time an hour before, you basically don't have alcohol or smoking, et cetera, you don't exercise before you go to bed, we've covered all of that. the truth is that the institute of medicine just came out and changed the whole concept of chronic fatigue syndrome. people that are tired for a long time, about six months, people that cannot stand for a long time with some exertion they get really tired, and they call it

systemic exertion intolerance disease. mouthful, but they are changing it because now we're starting to understand what this chronic fatigue is. for a lot of doctors, it's hard to diagnose this, there's no real test. this is a diagnosis of exclusion. you feel like you're always tired but don't tell you have chronic fatigue syndrome because there are some data coming in that if you check your blood test, and i'll put this on my twitter about this, your saidment rate, your inflammatory is going to be low. you're going to have some immunoglobulin against herpes and chlamydia. there are some tests to find out if this is lyme disease, fibromyalgia -- >> bottom line, we're out of time. bottom line, you can be tired because of the change of time but it can also be chronic fatigue syndrome. >> it can be thyroid, lyme disease, problems with weight gain, it can be depression. so if tomorrow you're not feeling back to where you were, go see your doctor. >> that's a short term, but long

term watch out for these. >> circadian rhythm for me, nothing. >> you have -- for you it's like a whole different biological -- >> it's underlying fatigue we need to know about. if you have fatigue, see your doctor. >> you still look great. >> we've got to get through grumpy monday tomorrow morning. there's new warning about those testosterone boosting drugs. why they are telling doctors to avoid prescribing some of those popular treatments. we'll have that as "sunday housecall" continues.

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back now with sunday house call. there's a new warning about all those testosterone enhancing

drugs this week. the fda warning doctors to avoid overprescribing those. they are not that safe or effective. what do they do? >> i was just flexing my muscle. it's supposed to make you bulky. we've talked about male menopause. so you have lolw libido. you start waking up. fda is putting warnings about some of these testosterone replacement therapies. >> are they shots? >> what about the deodorants. >> here you go. >> i see the commercials. the guys use it. >> yes. all about guys. all of them that can cause some side effects. the simple one is acne. but there also like risk of stroke and blood clots and heart attacks. so fda is putting out a warning

about this. this is from a jama study. they looked at 55,000 men. when they are on this type of therapy, over 65 increase of heart attack and stroke two fold, younger guys, three fold. this is meant to be for people who have a real problem. their testosterone is real low because they don't make it. we call them hypogonads. not for aging population. and it's being misused. when should you get telsted? early in the morning. >> we were talking about fatigue in the last segment. i'm check my men for fatigue. i always check for testosterone in addition to thyroid, in addition to hepatitis or lyme disease. i want to know what their testosterone is. it gets lower with aging.

but you start to gain weight, you build up a big stomach, get estrogen. >> estrogen? as a man, you get it? >> and it increases your risk of a heart attack. ucla study, within the first 90 days after starting the testosterone replacement is when the heart attacks occurred. so you might be sitting there with an underlying risk of heart disease, and you don't know it until you take this metabolic stimulant called testosterone. >> but if you have a metabolic estima stimulant, does that affect your weight? >> lose the weight. exactly what he just said. it takes the belly fat. >> takes the bad fat. >> converts it to estrogen. you lose that weight, your testosterone is going to shoot up. >> lose that middle. >> some patients -- >> you don't have it.

>> how do you lose the exercise? >> there are some people who literally have a problem. >> what do you mean they have a problem? they overproduce it. >> they don't produce the testosterone and they're extr e extremely handicapped. in those patients, it's legit. you cannot have $2 billion industry in increase in prescriptions. >> on this point, it's got to be my group that's doing it. you know how i'm praising internists? don't let your internist prescribe a testosterone supplement. internists are overprescribing this. >> so get cologuard, sleep well. >> have a colonoscopy. >> these guys are out of control today. when we come back we're going to get the skinny on a new invention that promises to

revolutionize the way doctors treat obesity. hmm. equals great rates. it's a fact. kind of like shopping hungry equals overshopping. and drinking waterthy just isn't enough to ease my constipation i trust dulcolax tablets. i take dulcolax for dependable overnight relief and in the morning, i am back to myself dulcolax, designed for dependable relief

americans... 57% of us try to exercise regularly. 83% try to eat healthy. yet up to 90% of us fall short in getting key nutrients from food alone. let's do more, together. add one a day. complete with key nutrients we may need. plus, for women, physical energy support with b vitamins. and for men, it helps support healthy blood pressure with vitamin d and magnesium. take one a day multivitamins. so a surgeon in grand rapids, michigan coming up with a method that treats obesity.

>> this is a sleeve that you put into the esophagus, and it signals your brain that you're full when you're not really full. this is not really fda approved yet, but there are other sleeves that do. it fools your body. it goes down to your intestine that tells you to stop eating. people are always -- are you exercising enough, are you too sedentary, are you eating too many carbs. i'm worried that so many americans are over weight because of the risk of high blood pressure, heart disease and diabetes, and if i can't get that risk down boy modifying lifestyle and you're really obese i have to start thinking about things like this. >> i think there is room for surgery. not everybody is going to be treated by medication and being on treadmill. some people have a real problem whether it's genetic or thyroid. we should always include them. i think these are excellent advices, but for those who don't

do well with this they can get surgery. now this particular patient had a bypass, ended up having stricture as an esolve jeel, it's putting a stint and dilating it. and he thinks those are sending signals to the brain saying that i'm full. we don't know whether it's the size of the stomach that makes you lose weight by filling it up, you send messages to the brain or dilating this sphincter. so it's done in other countries, hasn't come to u.s. yet, but i think we should pursue it and give it a chance. >> innovative surgeons, whereas with a lap band where you basically put a rubber band around, this device you remove after six months. so i'm a little worried that after six months -- >> it's going to go right back.

>> maybe some reflux. >> this is a good show. we rarely agree on anything. >> that was good. that does it for us. we're back next sunday. >> i'm arthel neville. the doctors are out of control. and welcome to america's news headquarters. >> topping the news this hour, marking a half century since one of the most defining moments in american history. crowds gathering in selma, alabama to mark the anniversary of a civil rights event that changed america forever. and two more teenagers caught trying to join the death cult. and one year after malaysian flight 370