i'm arthel ney develop i.time for for you sah "sunday >> joining us is dr. marc gel professor of med kin at langone medicine and author of "unlocking the secret code of sickness and health." >> and dr. david samadi professor of urology and lexon hill hospital and chief of robotic surgery. good to see both of you. >> and happy father's day. >> good to see you. >> thank you. >> father's day to everybody out there. it happens to coincide with men's health month. this is a time for raising

awareness about male health and how to lead healthier lives. dr. siegel? >> you know, i was shocked to find out that men live five years less than women and that in 1920 they lived only one year less in terms of life span so we're doing something wrong here and obviously women go to doctors more to begin with. they go to gynecologists, have childbirth, seeing special doctors, obstetricians for childbirth. >> and men are stubborn. >> and macho, and we only go when we're sick and then we have to be brought in by women and david has done a big service to get women involved with the samadi challenge to actually help women involved to get their men to get help but i want to talk about what we're looking for. we're looking for an internist, big ticket items. when men are 30 i'm doing testicular examines, ekgs and bloodwork and thyroid and when they turn 40 i add the psa and

rectal exam. there's been a lot of controversy about the prosthetic antigen and i need to know in advance if a problem exists and then figure out what to do with. at 50 i look at testosterone level, men getting a big tire around the middle. >> don't look at me. don't look at me. >> you're doing great. they could be getting fatigued. >> colonoscopy. >> and i also add a screening colonoscopy at the age of 50. one more thing, i was on david's radio show tied and a guy called in who was 43 years old. it was a very sad story because he had widespread prostate cans we are a high psa that had been overlooked. david and i believe you need that test. i'm not saying when you get a psa you'll immediately do a biopsy or immediately do a knee jerk. we want information and that's what it's about today. >> i've asked you both this before. is there such a thing for too young for guys having it?

you keep hearing the age of 50, but shouldn't men start having these tests a little bit younger, dr. mad is? >> they should and we encourage everyone to get a baseline psa at age 40. we heard from someone randomly, 43-year-old with wide ma taft sis spread of cancer. we just came back from another gala, 47-year-old, who died from pros today cancer, so if you want to invest in the country, invest in the younger men and when you find pros today cancer in young men it's allotted more aggressive. u.s. task force in 2011 came up a guide hine that psa is not a good test, not specific. we completely understand it because other things can cause an elevated psa and instead of training better surgeons, instead of coming up with better techniques and better tuber markers and better genetic testing coming into our field they completely blew off psa. what was the message to a lot of men out there, hone, i'm perfectly okay because we're problem cole verse. if there's nothing wrong with me

and it's a silent killer why do i need to go see a doctor and that's a huge mistake and why young men are coming in with high psas. 28% lower detection of aggressive pros today cancer. this was published on "journal of urology" from vanderbilt. i think there's a big message out there, and what i tell people out there if you're diagnosed with pros today cancer you don't know what to do or if your elevated psa, came up with pros patecancer911.com. both dr. siegel, myself, both available for free to give you advice. >> dr. siegel, if you catch the prostate question early. >> good question. >> early detection, what's the success rate in tweeting it and getting rid of it? >> that's where an artist comes in. go to the right surgeon, someone with a lot of experience, prefer robotics, thousands of cases behind them, the outcome is a

cure. you get it and it won't spread. if you get it after it spreads, chemothera chemotherapy, bone pain, chemical castration. i believe all cancers should be caught as early as possible, lung, breast, prostate. i want to add one more thing. we really want to rag on men out there, drink more than women do, smoke more than women do, we don't exercise enough. we gain too much weight. our skin, i found out today, arthel, that we sit in the sun longer than women and have twice the rate of skin cancer so we really need to haul it in and do what women do. >> it's a very important point that marc is bringing up is the fact that precision medicine and personalized medicine, looking at three men with the same type of prostate cancer, i may tell somebody that you don't need surgery and look at somebody else and saying that you need to go next week and get this pros kate cancer out. how do we know? we're having a lot of genetic testing being done that tells us who is at risk and who is not, and if you don't go and get checked, you don't want to wake up and have bone pain and back

pain and find out that the cancer spread. by then it's already too late and the quality of life is really miserable >> you know what the psa is in a person cured by a pros today surgeon by dr. smamdy. >> tell us. >> zier, you follow that zero and you follow that marker. that's a great number. >> a lot of times the first line of treatment, and this is not the surgeon who wants to do surgery, but surgery gives you a very accurate staging, gregg. psa afterwards has stab zero and we use radiation as a backup plan and that works really well. experience matters, talk to experts, good surgeons and good radiologist oncologists and but the key is testing. the american urologic association says we need to wake up and look at these young man. >> they have more aggressive cancers than older men so the ones with the cancers that are most likely to spread are in younger men. >> what he's also done and cardiologists and internists is they are taking care of heart disease which was the number one killer so if you're going to

live long enough, now you're going to die of cancer, whether it's colon cancer, whether it's prostate cancer, lung cancer, we need to get checked and screened. that's the message for father's day. >> good message. >> getting allotted of genetic testing in there, gregg, where we can find it earlier and earlier. >> and women are the key players in drag the the guy. >> men out there, come on, listen up. go see your doctor regularly and get tested. enough said. >> very important. well, listen, it's a common surgery performed to ease pain and clean up worn out knees, but, next, find out why some patients for some people it may not be worth the time and effort. benny's the oldest dog in the shelter. he needed help all day so i adopted him. when my back pain flared up, we both felt it. i tried tylenol but it was 6 pills a day. with aleve it's just two pills, all day. now i'm back!

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it's a common knee surgery suppose to help ease pain, but researchers are now saying that the procedure may not be worth it for some middle aged patients. dr. samadi, i want to start here. is surgery the automatic answer? people jump to surgery. >> arthel, based on cdc 5.7 million americans go to doctors for knee pain, and about a million surgeries are being done on knee surgery because of knee pain. the question is whether it's effective or not, and based on the recent data from "new england journal of medicine" they basically looked at thousands of people, some of them -- and they randomize them. some went for the actual surgery which is called arthroscopic. they put three holes with a camera, look at the meniscus and some fix it and some got sham surgery. they looked in and didn't do anything and they pound out post-op both groups did very well. what do we learn from this?

probably some with the surgeries are being overtreated and overused and to go back to your question just because you have knee pain you don't need to start from surgery. there's a lot of physical therapy, acupuncture, non-weight bearing exercises, swimming, a lot of weight loss. obesity is putting tons of pressure on niece and losing weight would get rid of it and i would advise that before you go for surgery. if you need surgery it's very effective. always get a second opinion. >> always get a second opinion. greg, i was reading in terms of weight loss it could be five pounds and make a great difference. >> that's right. >> absolutely. >> because the weight on the knee is exaggerated. by losing five pounds, almost getting 25 pounds off those knees and that could be enough to get rid of this. >> sometimes guys go out and play tennis and the next day they are really hurting, but if you take an advil or something similar that will often remedy the problem. >> won't recommendity the problem, by the way, is tylenol.

acetominophen has not been shown to work. did you know that the knee carries five times the amount of weight? like an absorber five times the weight because we started off on all fours and now we're on two and the meniscused is the shock absorber between the bones in the niece so if it gets torn, partially torn, and there's not an area of blood supplying, it it won't heal right and you may have pain but surgery is a last resort because surgery hasn't been shown as studies shown to improve the situation. have you to try things like physical therapy first and injections and losing weight is key. >> i want to pop up a quote here talking about this. research has shown that just having a meniscus tear on an mri alone is not enough for surgery, okay. it is the combination of locking, catching systems, mechanical systems and pain that do not -- that does not go away after treatment with non-operative or conservative course including pt which is

physical therapy or plus or minus injections of arthritis present as well. what does that all mean? >> what that means basically as gregg mentioned you're playing sports, you'll have knee pain, doesn't go away after a couple of days and you end up getting an mri after seating doctor. you may find something around that meniscus that could be abnormal, and we want to stop at this point and not jump necessarily right into surgery but start maybe with steroid injections, maybe with physical therapy and all this acupuncture that may take it away. all these alternative therapies should go first before unless your orthopedic surgeon would say absolutely this is a surgical case and that's when you look to him. >> dr. siegel, you've heard the doctor get to that point, bone on bone, dude, nothing in there. is that when it's time to really have surgery? >> one of the times you consider a knee replacement. the group we're talking about today is over 50 who has a little meniscal tear and develop a card lage tear and they have pain and they say what do we do

about it? what the surgeon was saying there is look for locking and catching syndrome meaning that it's clicking. it's not bearing weight properly. it's giving out from under you. you can hear it. in the doctor's office i can extend and flex and row today your knee and if i hear it clicking it's a diagnosis i can make in the office but it doesn't mean i immediately need to operate. if you have arthritis in that knee and an mri can tell me i can inject the knee and used a ville as gregg said and physical therapy and weight loss are key ways to treat this. >> what you're talking about is a real arthritis, and that's when the joint is basically gone and then it will go for a real operation. >> right. >> that's a knee rea placement. >> quickly. >> that's different. >> what if you have a small tear, is it possible to live with that and -- and will it become worse guaranteed? >> great question. first of all, if the tear is on the outside of the meniscus it's going to heal on its own because the blood supply is there.

don't look an mri and say bang, surgery. on the inside it may not heal and it may get worse but you can live with it providing you lewis weight and do physical therapy and control the pain without necessarily going to surgery and also one last thing. >> yeah. >> you have the surgery, there's some studies that show han increased risk of arthritis after that so the surgery may have a side effect you don't want. >> good to get a second opinion, arthel. >> and next week we'll get into torn acls. kidding, but there's an idea. >> personal advice. >> it is a common complaint, especially in the summertime, but coming up next the doctors tell us what exactly causes us to sweat, perspire, and what can we do about that, huh?

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and we are back. now for should i worry? this is our weekly should i worry. it's a weekly segment for everything that can raise us. this viewer asked the following. i suffer from severe excess sweating. should i worry. the answer is it depends. it runs in families and it could be normal. it may be that you have a hen dense si for that. if it happenings at night it is night sweating. i am worried about that. a lot of things can cause this. you should see a dermatologist. there are things we are using. excess antipercent perfect rants

that only a doctor would know about. it can be treated. >> i'm not sure if there is anything to worry about over here. this is not heart disease. nothing will happen to the patient. when you sweat a lot. kids in schools, they can be bullies. they have to wear dark shirts to cover themselves. you don't want to shake anyone's hand because it's always sweating. diagnosis is number one. don't ignore it. we have a lot of treatment. one of them is botox. certainly for armpits we can do lavage of all the sweat glands. they are made to basically keep us cool so you get rid of all the heat. by using laser, you can clean them up and botox them. same thing with hands and palms. if it doesn't work, there's endoscopic treatment. we can cut the nerves. it will take care of the problem. >> is there a wonder? >> it's a result of sympathetic

change symptoms. fight and flight. heart rate goes up and you start sweating. by cutting the nerve you can slow that down. fairly minor but in the hands of an experienced surgeon it works well. >> it's the body's sprinkler system. it cools off the body. sometimes it's over doing it. sometimes it's normal, sometimes it's a warning system for me that there's an underlying problem that's going on that i want to find out. >> he always gets stressed when he sits next to me. >> i don't sweat. i get stressed but i don't sweat. >> not sweating. >> there's a treatment for this. >> i don't sweat, i glisten. what? >> greg, you're not sweating. >> this is what you miss on sundays. >> i'm cool and calm, baby. >> all right. >> you get the award today. >> thank you very much. if you happen to have a question for our doctors, all you have to do is e-mail us at house call.fox news.com. we may just answer it on the air.

all names and e-mail addresses are kept completely confidential so keep your cool. >> we -- keep your cool. i like it. we touched on this a little bit last week. next we'll take more of an in depth look at the benefits of yoga. from the makers of one a day fifty-plus. new one a day proactive sixty-five plus. with high potency vitamin b12... ...and more vitamin d. like i like my vacations: tropical. and during red lobster's island escape, three new dishes take me straight to the islands. like the ultimate island seafood feast, with crab, lobster, and jumbo shrimp. all you have to do... get here while you still can.

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so today is the first international day of yoga. millions of people around the world getting into the vision to take part in this ancient practice. dr. samadi, should i do yoga? >> i think you should start working the traditional exercises called yoga. not only is it great for muscles and weight loss, but it's also great for the entire system. it basically rejuvenates, revives your inner peace which is what this is about. part of the meditation is extremely important. look at this stretch. from your muscles and your bones, especially with posture. we're sitting behind the computer for a long time. it helps you with that. it helps with blood pressure. can lower blood pressure. lower the cortisone level and stress level. you'll be able to sleep better. overall i'm a huge fan of this. for a nontraditional surgeon to endorse yoga, you have to give me credit. >> what about dr. siegel who think, i'm too out of shape, too overweight.

i'll break something if i do yoga. not true, is it? >> absolutely the people who should be using it. dr. samadi uses it for stress reduction. it lowers heart rate. those are big killers we talked about earlier in the show. it decreases stress. it helps with fitness, helps you with body position. if you are overweight and get into those positions and stretch your body out and learn to breathe properly, meditate, the three is a great combination. it's been useful for centuries. over 21 million people in the united states do yoga. i'd say another 21 million should do it. >> it's also becoming a big industry. $10 billion is going into this. i think it's a great way to start your day, by just stretching, relaxation. it boosts your immune system. i think just like acupuncture, yoga is another one that you want to be starting under an instructor. learn how to do it correctly because if you just do it on your own, he's right. you can hurt yourself. end up getting one of those ends

os sk endoscopy surgeries. >> once you're focused, you can do it on your own. >> absolutely. there's different types. hot yoga, cool yoga, different positions. "madmen" fans know don draper did yoga and the next thing you know he invented the greatest coca-cola commercial in history. if it worked for him it should work for our viewers. >> 35 million people in india are celebrating this national day as we speak. >> that's right. maybe we start the same thing at fox news. >> 25,000 people in new delhi celebrating this. 177 countries are celebrating world yoga day. it's also men's health. >> we're going to encourage all of the news anchors to do yoga. "housecall" yoga. >> there are lots of positions i know but yoga isn't it. >> i have a t-shirt, coffee,

yoga, wine. i have to include the middleman. >> i don't. >> doctors, thank you so much. >> great to see you. >> happy father's day. >> that's going to do it for us. i'm greg jarrett. >> thank you very much for watching. hundreds of faithful packed charleston's emanuel emanuela.m church just nine days after parishioners were gunned down. >> 15 days and counting since two convicted killers cut their way out of a new york state prison. the search for the escaped inmates changes course after a possible sighting. are the fugitives any closer to be caught. we're awaiting for a live conference between the border and pennsylvania. the center of the search. >> plus, in the coming days, the supreme court will rule on the future of obamacare subsidies and same-sex marriage. what these landmark cases mean for all fs us.