hope to see you right here next week. m paul gigot. hope to see you right here next week. time now for >> time now for sunday house call. >> joining us dr. mark seagle. >> and dr. david. chief of robotic surgery. good to see you. >> great to see you. >> we'll start with the sad news. vice president joe biden's son beau died of brain cancer. he suffered a series of health

problems in rekrcent years. including a mild stroke in 2010. he also underwent surgery to remove a clean lesion. he was given a clean bill of health but suffered a recurrence checking into walter reid earlier this month. what happened here. >> first of all our thoughts and prayers for biden's family. it's never easy when you have such a young man, one of our friends daughter passed away at the age of 17. when it comes, it comes like a wildfire and the best shot you have on brain cancer is the first surgical treatment is the best treatment and you want to make sure that you get the entire cancer. obviously you said we don't know the details about the clean bill of health but hopefully the par gins were negative. it was a small one. a lot of the prognosis has to do with the size, location and where they are and surgery is the way to go but we still lose about 15,000 people from brain

cancer. best surgery is the first line of treatment followed by radiation and chemo therapy but prognosis is poor. majority of these are blastomas but there's many different types of brain cancers. but it's never good news but it can take off and despite all the research out there, still, 12 to 14 months on a good day. >> what gets me is you mention the gleoblastoma. mother-in-law had it and there were no symptoms. just collapsed one day on the street. is that the start of when you can find this? >> you may have warning signs like progressive headaches, changes in vision, nausea, vomiting but i want to point out to our viewers out there you may very well have those things and not have a brain tumor. they're still rare. only 1 to 2% of all cancers out

there. if you have a headache it's probably something else but if it's progressive and you have visual changes, get seen. i want to point out a larger issue here. it is one of those. but i'm guessing he's in the category after a glioma. had surgery but the problem is that these tumors infiltrate the brain. so even with your best surgeons out there like ben carson, by the way, you still have a high chance of recurrence because it infiltrates the brain. then you go after it with radiation and chemo. we have special treatments coming out. cuts off the blood supply to the tumor. targeted therapy like vaccines or polio virus has been useful.

it's in the pipeline. very exciting therapies out there. >> is it possible to survive after having a brain cancer lesion found? >> look at the statistics. you had five years. survival is about 30% so the odds are against anybody that gets this kind of diagnosis and on a good day with all the immune therapy and all the advances made you talk about an extra two or three months so we're a long way from knocking out brain cancer. it depends on the location and et cetera whether you can get to it or not but what do i want people to learn from this, and i think his celebrity status can change the research. if you get a headache that doesn't go away, especially morning headaches, don't ignore it. i don't want everybody out there to get mris and cat scans but headaches that goes away with vomiting is early sign of some of these. if you have visual changes out of the blue or you see a family member has personality changes, depending on where this cancer

is it can have mild seizures, pay attention to that because a lot of times when you catch them early, surgery is easier and if you end up with a negative margin. if you removed the entire cancer prognosis is much better. but grade, size, location and type of cancer. >> and they just announced like in early may that beau biden was bog to expand his duties at the law firm. he was talking about running for governor in 2016 and suddenly in a matter of a few weeks. >> from the reports we have this particular cancer wasn't affecting his speech, wasn't affecting his speaking or his thinking. that's quite possible. depends on where it is. tends to be in the front or at the sides. i want to say one more thing. agreeing with david about a drug being used now to cutoff blood supply to the tumor gives you four or five months maximum. but some of the newer therapies like vaccines against brain

cancer. you have to understand, we can't get it out in total. because we get it out and then like with beau biden it comes back. we think we got the whole tumor. patrick kelly used an mri which he superimposed on the brain and operated so he got the whole thing. cells can infiltrate. if we manage to attack with immunotherapy we can do invisible wars and maybe find the proteins that cause the brain cancer and maybe eradicate it. that's what the wave of the future is. >> what's most important is for people to follow up always. no matter what type of cancer you have even if the margins are negative and you feel like you have a clean bill of health, always follow up. >> how often? >> for the rest of your life. if you're diagnosed with cancer, there's always a very small chance. whether it's prostate cancer, breast cancer. >> how often?

>> depending on the cancer. in a case like this i had an interview, and they have a lot of advances but they may want to see this person every two months. prostate cancer we might want to see them every six months but you are never free of recurrence. as you go further away from the time of diagnosis, then possibility of recurrence, percentages can go down. but you're always stuck with this and the sooner you get the recurrence, the better outcome you're going to have. >> i want to ask a question, i'm just curious. this is speculation now. do you think it's likely that what he had in 2010 was related to this? >> that's a very good point. he had a mild stroke at the time and whether there was some sort of a lesion that gave him a stroke. the likelihood of that is very low even though talk about the signs and symptoms that may be one of them. i highly doubt that at that time given who he is that they have not -- >> would an mri have shown that. >> usually.

>> but sometimes it could be a small cell that has turned out in three years to be what it is. it's hard to really prevent this and not everybody is going to go out and get mris but that's a very good point. >> one more point, people are wondering, this has nothing to do with his trauma as a child in an automobile accident at the age of 2. head trauma does not lead to this later on but what he did show is tremendous courage. overcoming his mother dying in a car wreck and his sister. lives a life like this even when he finds out he has brain cancer continues to work. he's an inspiration. >> maybe next week we'll talk about the cell phone. we're running out of time but the effect of cell phone and radiation on brain cancer. let's talk about that. >> another time. >> certainly our condolences and thoughts and prayers are with the biden family and for all the families such as mine that have suffered from brain tumors and this type of thing. >> very sorry. >> very well sorry. sorry for you as well as the biden family and anyone else as well. well millions of returns

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"sunday hous we're back now. there's new information on the work being done to develop the first kind of medical test that could be used to identify post-traumatic stress disorder or mild brain injuries because you know many vets suffer from those conditions. >> we don't talk about it enough. we turn a blind eye to it and we think on a lot of levels that's not me. it's a crutch. i'm not going to cry on someone's couch and a lot of people don't understand that that's not what this is about. >> this could be such encouraging news for those who served. >> absolutely. hugely important. he's from the home based program in massachusetts which is the red sox together with mass general hospital. the red sox have shown a lot of support for things like this. but we don't have any reliable tools yet. if you come to me with a sore throat i know if you have strep. i can tell if you have heart disease or check a marker and see if you literally damaged

your heart. post-traumatic stress we don have that yet but we're heading in an exciting direction and where i work the veteran's center there is looking for markers at the blood and genetic markers to see if you're predisposed toward this. eye studies to see if eye contact is off so five years from now we'll be able to diagnose this based on actual scientific tests. >> is there a genetic come poen to this? >> some may have genetic predisposition. changes in the brain are completely different. there's bio markers that we're looking into.

receptors in the brain looking there. we can say you know what you're about to head toward post-traumatic stress disorder. the research coming out along with five of the sensors and they got a grant for $45 million to invest this. they're making some progress. we have a long way to go but putting this along with the imaging and genetic tests that we are seeing is a game changer because the earlier you diagnose it the better the out come is going to be. >> they sat down and here's what he had to say. >> you lack one set of tools that would be helpful and those that we can confirm or disconcert the diagnosis of post-traumatic stress if we have this conversation five years from now of saying we'll have

blood tests and brain imaging tests and brain wave tests that will be of enormous value and we'll be able to offer more than a detailed clinical assessment. >> i'd say it's very promising that five years from now in the case of post-traumatic stress that we will have advanced brand imaging tools which are helpful not just in diagnosis but saying which treatment is best for which person. >> this is phenomenal and if this does come to pass which i believe that it will, does this mean that we will not only just decrease the cases but is it possible to prevenn it from getting to that point. >> great question. the answer is absolutely yes. he's talking about which treatment for which person can

get it. one third can't think clearly or have problems and are depressed. but 60 or 70% don't have it. first we'll be able to tell who has it. this one will benefit from therapy or this one from something called an alpha blocker that works for stress moments and some won't need anything at all. for your question, we're going to know in advance if we have genetic markers that preticket. >> a lot of patients today are coming in and giving them through questionnaires and surveys and they may not be honest with you. that stigma can effect your career in the future. now by looking at the mri imaging and your memory, the size of it, changes in hormonals and the genetic component of it and you can put all of this together and say you're heading

toward post-traumatic stress disorder and even in that period looking at someone who has been traumatized from rape or a soldier or a car accident they may have a completely differ path way toward the same diagnosis so it's a very complex thing but congratulations for bringing this up. it's extremely important and well funded so we hope in the next four years we'll have great results. bring it here. sunday house call. >> great development. >> yeah. >> put them back to work. >> absolutely. >> anything for our veterans. >> absolutely. >> good job. >> i still want to know what the splendid splinter is. >> that's ted williams. >> we'll get to that. >> well, you know it's the season when a lot of us are showing more skin. coming up next, the doctors will explain how you can achieve the healthy summer glow not just by spraying the sun tan lotion on at the beach but actually changing what you eat? by changing what you eat. with xfinity from comcast you can manage your account anytime,

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now it's easier than ever to manage your account. get started at xfinity.com/myaccount and we're back. . and we're back now "sunday house call" in our segment should i worry, that could be a lot of stuff. one viewer writes my hands and feet. are there changes i can make to my dieten to help reduce dry sk? we are in the middle of the summertime coming up. >> he has dry skin. >> well, i wouldn't be a good practicing internalist if i didn't pointmi out the first thg to do is see your physician. your internist, primary care. makeke sure you don't have thyrd disease. ecze eczema, y you can have a skin condition.

menopause. if it's not a medical issue, low vitamin d. drink more water and cut down on salt because salt gets water trapped in the wrong place in your skin.al it gets it trapped outside the cells. the other thing i wantn to say s for the sake of the dermatologists out there, they'll say the outer layers of skin is dead and you have to use creams. this is the deeper levels. eat a lot of fruit and vegetables bringing more water in theru body. fruit, vegetables, low salt and sunscreen. >> omega-3 tablets or pills? >> certainly for this person, you should not go see a doctor because that would save you $25 co-pay. you know? if you have a dry skin, hydration, hydration, hydration. so first thing you do is drink a lot ofdr water. d sleep can make a difference in how you look and then you get anti-oxidants. pomegranate juice is best

anti-oxidant. tumeric. you want to treat it outside and inside. think of red meat has some -- they're telling me they oar running out of time. i'll post it on the blog. >> you were about to invite us to the barbecue. >> we can eat red meat? >> actually can increase the collagen in your skin so you treat it from inside out. skin happens to be the biggest organ in the body.ou rest and all the things that also markn mentioned and i put everythingls online. >> exposing skin, do you wear a one piece at the beach? >> of course. i love sun. i enjoy, you know, i won't say what kind of bathing suit. >> i wear. >> a one piece or a cover-up? >> i'm sorry. i can't wear the hat.'r i wear the hat. i wear the shirt and i wear -- >> can't you imagine this guy comes to our house and sitting under the umbrella and two days. >> i drink water with my beer.

>> yeah right. >> sets him up. >> next week we'll talk about protecting yourself at the beach. >> good. >> all right. well, if you have questions for your doctors as a viewer had, e-mail them. e and remember they -- it potentially gets to your questions and like to do that. your name and e-mail and all that kept completely confidential. and they'll never send you a bill. >> we like hearingil from you. hey, have you had food poisoning? the doctors are going to offer some hips tips that could bring you relief next. offer some helpful tips that could bring you relief, that's coming up next. whehe trusts onlyon duracell quantum because it lasts longer in 99% of devices.

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i've had it. have you had it? >> yeah. >> how do you know if you've had food poisoning? dr. samadi, seriously. >> this is a time that we are going to see a lot of cases because the food is outside for a couple of hours. you should absolutely get rid of that food because bacteria can get into the system or if you don't wash your hands, one of these bacterias get in. pain, nausea, vomiting, fever. all are symptoms of gas to enteritis and fever or diarrhea over five days gorks to the emergency room to get iv fluid. >> probably is a bug. it is an noro virus or bacteria. normally they go away on their own. if you have a fever, vomiting, diarrhea continuing, dizzy, this is when you need to see a

physician. i want you to see a physician right away. >> fluid, fluid, fluid. most important. >> don't keep the mayo out. >> diarrhea, dry skin. see siegel. >> thank you as always. a fox news alert. the senate set to convene any moment now for a showdown over the patriot act. lawmakers are racing to come to a solution before key provisions of the controversial law expire at midnight. including an nsa surveillance program that collects vast amounts of telephone data. hello, everyone. this is "america's news headquarters." >> hello again. hello, everyone. supporters of the law include mitch mcconnell. they say it's necessary to keep us safe from terrorist attacks. but a bipartisan group of opponent argue it violates the u.s. constitution. most outspoken of them all is,