with a signature. legalzoom has helped start over 1 million businesses, turning dreamers into business owners. and we're here to help start yours. time now for sunday house call. >> joining us as always is dr. marc siegel. professor of medicine and author of the inner pulse, unlocking the inner code of sickness and health. >> and dr. samadi. chief of robotics surgery. good to see you both. >> we begin the program today with a tragic story in new york. a beloved and well respected television reporter suddenly

dying of a brain aneurysm. he was a tv anchor and correspondent. she was stricken while she was riding in the news van returning from reporting a story. dr. siegel, this really hits me at home because my mother was the same age, 49 years old, an actress on a soap opera. woke up one day, said i have a headache and died three days later of this. what do we know about aneurysms? >> i'm very sorry to hear about your mother. they're much more common than they have. one out of 50 have brain aneurysms and most don't know about it because you don't know until something goes wrong. sometimes you get a warning but most of the time you don't get a warning before the aneurysm b bursts, and i liken it to a tire. you get a brand new set of tires and it looks perfect but there could be a tire because the

arteries are under pressure. there could be a tire with a weak spot. you don't know what the weak spot sit. it balloons out and you get a blowout. that's what can happen with aneurysms. i brought a model of the brain and this is the area where most of them occur. they're the size of a berry. very tiny. they leak or burst and you get a bleed. worst headache of your life is what they usually say. we can save you about 50% of the time but two-thirds of those people end up with permanent deficits. the sooner the better. with family history you have to be checked. >> are they hereditary? >> they're not all he dead tear but a lot of them are and anyone that has a first degree family member should be picked. david is going to talk about the risk factors but high blood pressure is a problem with it. >> and is there any way when

you're dealing with these to have any type of symptoms that you know it could be coming on. a writer wrote a book called i want to thank any brain for remembering me when they detected a brain aneurysm. >> he was one of the few lucky ones that had symptoms. a headache. you may have a stiff neck or nausea. if you have high blood pressure or you smoke or a drug user, you have to get it check. >> should you get a cat scan. >> not everyone. the best thing is to get an ang yo gram with a cat scan. everyone with a family member should be an mri. >> is there any way to prevent this? most people don't know they have any sort of possibility of an aneurysm coming on? >> that's the problem, and i think all of them are asymptomatic. there are no symptoms. if you have blurry vision or

stiff neck, changes neurologically. pain along your arm and legs. you may want to consider getting a cat scan. knowing the risk factors are important. smoking, high blood pressure. it pushes that and can rupture the aneurysm. we see about 6 million people in the country but only about 30,000 ruptures. half of them end up dying and the other half that stay, half of those have a lot of complications and issues. i think if you're not a smoker or you're smoking, stop smoking. family history and genetics play a big role. usually women in their 40s and 50s, once you recognize if it's about 10 millimeter or less, we may want to observe it. >> what do you mean 10 millimeter or less? >> if the size of aneurysm is between 5 to 10 millimeter, you might have able to observe it

and not have surgery. a lot of times what happens is through intervention and raid rol olgs, we can put a clip or a coil and block it from the rupture. the problem with the aneurysm is if you look at this brain, if i can borrow this for a minute. around this brain there's a skull. there's no room for any kind of bleeding. once you have a rupture from the sicircle of willis, there's nowhere the blood can go. it's called sub arack noid hemorrhage. she went unconscious on friday and our heart goes to them. and i'm sorry about your mom. she's obviously leaving two sons behind and it's a tragedy. you don't recognize it. >> you mentioned the size of the clot. two questions. first, obviously it's only

doctors who would be able to recognize that. >> yes and. >> and you'll tell me how that happens. also i ask you what if you have problems with circulation? does that play into snit. >> that's a good point. usually if there are some elastic issues with the arteries or vascular problems or trauma, but typically lower extremities is not a risk factor for those kinds of arteries. for a doctor you have to be good and pay attention to some of this stiff neck, blurry or double vision. severe headaches and get the cat scan. the sooner you find it, the better we can treat it. if it goes unnoticed we have this kind of tragedy. >> but sometimes, like my mom just boom. there's no symptom apparently with lisa. sitting in the van talking and suddenly you just, something ruptures. >> because there's an outpocketing you don't know about. the tiny ones are about the size

of the end of this pen. the big ones are like a quarter. the little ones can set there with no symptoms until it brss. you also can develop them from trauma. if you're in a car accident, you can get them. i'm not trying to scare anyone but this is the number one reason when people co-to my office wrrngs i have a headache. it's the worst headache of your life. >> i would tell you daughter if you have a family history and if there is a risk factor. if she's a smoker or has high blood pressure, get a cat scan. >> no matter your age? >> i would. >> if you have family history, i agree. >> and our thoughts and prayers are with her family and colleagues over at wabc tv. >> i'm sorry about your mom as well. >> thank you. >> spring is in the air. and so is allergy season too. next, why this year is expected to be worse than ooeprevious ye

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to breathe with copd?ow hard it can be it can feel like this. copd includes chronic bronchitis and emphysema. spiriva is a once-daily inhaled copd maintenance treatment that helps open my airways for a full 24 hours. spiriva helps me breathe easier. spiriva respimat does not replace rescue inhalers for sudden symptoms. tell your doctor if you have kidney problems, glaucoma, trouble urinating, or an enlarged prostate. these may worsen with spiriva respimat. discuss all medicines you take, even eye drops. if your breathing suddenly worsens, your throat or tongue swells, you get hives, vision changes or eye pain or problems passing urine, stop taking spiriva respimat and call your doctor right away. side effects include sore throat, cough, dry mouth and sinus infection. nothing can reverse copd. spiriva helps me breathe better.

to learn about spiriva respimat slow-moving mist, ask your doctor or visit spirivarespimat.com after such a miserable winter for most of us, many people are finally ready for spring. it still won't come here to new york but for some it's a bittersweet feeling as we learn allergy season is coming earlier than expected this year. dr. samadi, why is it coming early and what can we expect? >> the winter hasn't even gone away. part of it is because of the drought and the rainfall that you see on the west coast and also southwest area. that's why we have it early.

it's a result of the pollen, the foreign on thes that come in into your body and your immune system is confused and it starts pumping anti-bodies and you've heard of histamine. you get all this runny nose and itching and all the symptoms of allergies. what's the best way to do this? make sure that usually these pollens are high wind. there's also dry wther and early in the morning. avoid those. >> you're telling me don't go outside during the early morns? i keep the windows open too. >> that's a very good point. close your windows and if you're out and come in, take a shower, leave the shoes outside, change your clothes and use this filter which is hepa. >> i have that on my vacuum cleaner. >> and we have all the anti-histamines and everything and because of sake of time, i'll post some of this on our

blog. there's a whole list of things to do to slow down some of these allergies. >> what can we do? >> the first thing you have to do is get it early. the problem this year is that you had a very cold winter in most places and now you're getting a lot of rain water. and it's hitting. figure out what pollen you're ajerjic too. is it ragweed? is it grass? is it birch? different ones interact with fruits. did you know that if you have a problem with birch, you're likely to be allergic to apples and cherrys? if you're alerjic to grass, you're likely alerjic to tomatoes. i know you love bananas. we have to post this too. >> do you go to an allergist? >> absolutely. if you go to me as an internist

i'm going to say are you taking an ant histamine. there's something called singular which decreased inflammation. but that's prescribed. >> exactly. >> and we have to go into prevention. david was talking about not tracking the stuff in your house. you have to use filters. don't exercise in the middle of day and avoid the pollen you're allergic to. >> i have a question. you mentioned how do we know if the benadryl over the over the counter anti-histamines are lasting. how do we know if we need something more many. >> if you're having a persistent nazl drip or runny or watery eyes or itchiness and you're taking it and it's making you tired. that's when you see your doctor. most of the time people think they have a cold. >> i think it's important to see

allergy doctors who are experts. there are so many tests that they have kind out what's wrong with you. there are also injections. almost three months they could get an injection once a month per month to help your immune system. >> also desensitizing. >> yes. >> i know about this stuff. >> last year on this show we talked about this new item that's out there in addition to the allergy shots. you can put something under your tongue. that's more people that hate shots. >> desensitizing. they give you a shot every two weeks. i know about that. yellow jackets and wasps. >> take off your clothes, change your clothes. >> we'll watch it. >> prescription for shower. >> coming up here in sunday house call some patients say it's heart stopping or it may be

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gets the palpitations but what those beats are is basically electricity comes from the brain to the upper part of the heart. it charges it and then charges the lower part of the heart which is the muscle and the blood goes out to the body. the heart is a pump that gets triggers from the brain. you can get a skipped beats and then the next beat is harder. you get a skipped beat and then a harder beat. in her case and i don't want to diagnoses her over television. a thickened heart from high bailiff lea blood pressure can cause to them. the high blood pressure is something to worry about it. you can get it from alcohol and stress. in the vast majority of cases it's completely benign however, sometimes it can lead to a worse problem like something called

atrial fib ri ration. you have to exercise and lose weight. you have to get the blood pressure under control. get rid of the stress. >> sometimes my heart goes crazy for no reason. i don't have high blch. how do you know you don't have a more serious problem? >> that's an excellent question. occasionally you may get this problem you spoke about. we have to really study her because based on one question you are k not diagnose her. yes, she has blood pressure and a premature ie tral contraction, pac, what is it in you have atrium and ventricle. you have a problem. this extra beat going on that can lead to the palpitation. i would get ekg and check her magnesium and potassium.

does she have history of a heart attack? you may get tests and we may see this is completely benign induced by alcohol or smoking or coffee or stress. stress can do this. sometimes it can throw an extra beat. eventually if it turns out to be nothing, we'll watch here. if it's something more there are blockers consider. >> only a doctor would know? >> checking electrolytes is key. if you have an an normal po tas sum or mag needs nunesium levele to take care of it. >> they have to be absolutely in sync. if there's an extra beat, it can change things. see your doctor. i think, we don't know if -- we have to get the level. there's a lot more in this case. the only concern is when they turn into atrial fibrillation,

it can cause a problem. >> a lot of good questions for the doctors and if you have a question you can e-mail us. it's house call. we can get to a lot of the questions. all e-mail addresses will be kept confidential and these guys will never send you a bill. >> we all know your furry friends can make you feel good emotionally but could they help keep you healthy in other ways? details on an eye-opening new study, next. next look!

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good. aleve. proven better on pain. a new study now revealing some surprising health benefits of man's best friend. tell us all about the study. can't wait to hear. >> all right america. i'm convinced getting a dog completely helps your health. we've talked about dog owners being healthier because obviously they are walking with their dogs, able to detect cancers in the past. >> the dogs are able to detect. >> the dogs. they're using dogs to diagnose overarian cancer because of some of the volatiles things that

comes from the cancer. in this case they are studying the good and bad bacteria in dog owners. they say having a dog is good as having yogurt, you can get good bacteria in your gut by having a dog. overall i have to say, i think it is time to get a dog. we just posted three options on my blog. tell me what i should get. >> i have isabel, she's a poodle mix. it makes me feel better. >> there's studies, significant studies show that dogs decrease blood pressure and stress. you are better off with a dog than an ace inhibiter which is a blood pressure medicine that i subscri subscribe. i want to talk about there april ut they're putic value of horseback riding.

disabled people are able to bond with the horse. i think they have a real value. maybe even a gold fish. when i got my sammy a gold fish it kept dieing. i would say it's the same one, he would say no that's different, no therapeutic value. none. >> you know what is going on, they are bringing dogs to the hospital wearing ids and take them to cancer patients to help lower the blood pressure and it is just amazing. i admit i'm going to start looking for a dog. >> and i also want to add, for those out there, who have cats don't hate us we love cats. >> pesian cats.

>> couple prescriptions, dogs and cats. >> that is sunday house call for now. thanks for watching. enjoy the rest of your sunday. welcome to washington, nice to have you with us this sunday. nice to be here with you. welcome to america's news headquarters. nuclear talks with iran set to resume this week, they are making progress towards reaching a deal but deeply skeptical members of congress are pointing out that iran government has not honored commitments before. . >> not a question of trusting the iran government, i know secretary kerry and president obama are comfortable with what we're insisting on from that