welcome back, everybody. i'm julie banderas. time now for "sunday housecall." >> and i'm eric shaumg. joining us as always is dr. marc sgal author of "the inner pulls, unlockingled secret code of sickness". >> and dr. david samadi and chief of robotics surgery. >> good to see you. a game-changer that has to do with lung cancer, a vaccine developed in cuba is on its way to our country and say it could end up being a lifeline for

patients here or dealing with cancer. dr. siegel has the details. >> with the united states beginning to change policies towards cuba researchers from buff, have from buffalo's roswell cancerens tuite joined a delegation to cube roorks led by new york governor andrew cuomo. they brought back cimavax, a vaccine against lunger, that could be a game-changer. >> the exciting thing about this vaccine is in prevention. we're not talking about immunizing 5-year-old kids to prevent them from getting lung cancer. we're really talking about them immunizing people that don't have lung cancer and are very high risk to get them >> it will have an improvement in your overall survival together with an improvement in your quality of life and apart from other drugs this is very safe. >> according to researchers the vaccine works by targeting for destruction and essential growth factors on the surface of the cancer that enables it to thrive. the vaccine is safe and cheap. only $1 a dose in cuba.

with lung cancer being the number one cancer killer in the u.s., a lot is at stake. the vaccine must still be approved by the food and drug administration, a process that may take months, before doctors at roswell park can begin a clinical trial. >> it's through this collaboration that we'll able to bring this vaccine to the u.s. and evaluate it and see its potential efficacy for patients with lung cancer or other cancers. this vaccine has implications across a number of different tumor types. it's a unique opportunity for roswell park and the cubans to be able to develop this. >> the cuban research verse other vaccines and inexpensive treatments in the works that interest roswell park. the international collaboration between these two institutions bodes well for the future of cancer care and not just with lung. >> sounds pretty promising, but dr. siegel, why would a new lung cancer vaccine come from cuba? >> first of all, this is for people with metastatic lung cancer that spread all over

their body and they don't have any other hope and a study that's come out of cuba on this looking at 5,000 cubans show 25% live for five years with this incredible for lung cancer but the doctor was saying maybe it could be used for people at a high risk for lung cancer and don't have it yet because they may make the protein on the surface of lung cancer that this vaccine fights. to add to your question, why cuba? because cuba focuses on prevention, don't have a lot of money, trying to figure out how to stop diseases before it occurs. they made this vaccine cheap, $1 a doze down there. they made it safe. you have to get a shot in your arm once a month. they have been focusing on vaccines in cuba for a real long time for infectious diseases. even though they are very poor they have a lot of effort on infectious diseases and vaccines. >> this isn't necessarily a vaccine in that if you get it it will prevent from you getting lung cancer and it's not going to cure you of lung cancer. >> that's exactly right. this is not for prevention.

if it get this vaccine if doesn't mean you won't get lung cancer. we're not quite there yet. the fda has to look into this. the research at roswell park institute has to go through in this country to find out what's going on. but 1,000 cubans have received this and globally they have about 5,000 patients who have gotten this. the reason why it's coming from cuba is because they are doing, you know, more with what they have, and they were desperate because of 55 years of embarko on them and the immunology institute in havana has brilliant scientists and they are collaborating with some cancer institute in this country and hopefully a lot of good things will come as a result of this. the way that this would work is the cancer cells, they have something called epithelial growth factors. every cancer cell needs fuel or gas to grow. what the vaccine will do is take the fuel away and slow down the process and what they are finding out in 2007 in clinical oncology, they found that it

increases the antibodies that reduces the tumor size. going back to you, it's not a cure. it's not a prevention. i don't want people thinking i'm his vaccine and i'm going to start smoking cuban cigars and i'll be fine. several there's some survivor benefits based on all the studies that i've seen. it adds about six months. >> dr. siegel, you talked about a trial and you're talking about months so when can someone, someone right now watching who has lung cancer or has a loved one with lung cancer, how long before they can benefit? >> i have to tell you a secret, i asked this question knowing you would work me. roswell says the fda is going to take six months for approval here. they are not used to this. the fda is not used to seeing a cuban vaccine, what do we do? think they can get it approved for clinical trials in six months, after that a year or two before it will get to the doctors' office. to david's point it's going to be part of an arsenal of treatments. we're going to add it to the arsenal of targeted therapies, of immune therapies, something we didn't have before.

i went up there thinking this thing has been around too long. i looked at it and said it's promising and may be usable for people at high risk who have this epidermal growth factor. >> but won't be able to use it until at least next year. >> that's a good point unless you go to cuba and look for the vaccine over there. >> can you do that? >> i'm sure you can. >> i'm sure if you pay you'll get the vaccine. >> okay. >> but what's important is that we're learning from the pins pal of how this vaccine works and to be able to apply this. >> and how it might affect other cancers, too. >> colon cancer, breast cancer and prostate cancer and a very important point you're bringing up. >> you read my mind. that's what i was thinking. >> that's where we're really getting a big buck for the bang. >> big bang for your buck. i got it. >> those are the cancers that have that epidermal growth factor, prostate, pancreas, lung, breast. >> so overall positive news coming out of cuba, something positive out of this relationship. i don't know what we're going to get out of the iran deal.

>> it's rirnic that you mention that they come up with the cuban cigars and now they are coming up with a vaccination for lung cancer, interesting. >> fascinating and if people want to go too cuba and try it, look it up. >> it's a deadly cancer so any news is wonderful with these patients. >> coming up, former president george h.w. bush suffering and recovering from a painful neck fracture. next we'll talk about how common this type of injury is and the potential treatments available today. 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! aleve. all day strong. irresistible moments deserve irresistibles treats. new from meow mix with real salmon chicken or tuna.

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we are most susceptible to an injury like this. this is a common thing in seen injuries. >> that was president george h.w. bush's doctor talking about the former president's condition after he suffered a bad fall at his home in kennebunkport, maine, last week. doctors say the president is doing fine but that it could be months before he fully recovers. dr. samadi, how serious is his injury? >> well, i have a feeling knowing him and also how he goes about life that he will recover well. he's a very strong man, so i'm not concerned, but, of course, you know, this kind of fall in elderly is always a big concern. osteoporosis plays a huge concern. this is what we call compression fractures. what happens with your spine is you have a lot of vertebras and these bones after time get weak and when you fall you can have a compression or fracture of this bone. you know, what they are going to do is basically they are going to watch him very carefully. they are going to put him through a rehab, but as we get older, and that's why it's important, a lot of people in their 40s and 50s to try to

exercise, eat healthy food, get your vitamin d and calcium and build that reserve so when you get older you'll have more, more bone mass waiting for you. what they are going to also do is an mri of the spine, find out where the fracture is, and sometimes they may need some surgery where they put a balloon, they basically lift up the bone and put some cement to stabilize, but they probably won't go that far in someone like him. >> dr. siegel, what do you do when you're older and as dr. samadi says when you're younger to try to protect your bone loss? >> a big deal he's bringing up about osteoporosis, not just in women. 5% of these fractures occur in men from aging and osteoporosis and the reason is because your bones get thin and more brittle. if you're in a wheelchair like president bush is and have parkinson's you're more prone to being unstable and falling, and the fall can even be low impact. we're used to these fractures. called a c-2 fracture, odontoid fractures, used to seeing them in divers and high-impact sports

injuries and elderly people. everybody out there has seen a halo where they have the cage on you and they have screws and screw it in. if there's not a lot of movement in the spine, they will do that in a younger person. . they are not going to do that in someone that is 91 years old. it's really impossible to keep it on. surgery, they are not going to do either. luckily in his case he did not have any neurological deficits, thank god. he had perfect use of his arms, legs. no neurological problems so what they will use is a thick brace, a rigid brace, to stabilize the back, not the halo, not surgery, but a brace. >> we see, eric, 700,000 of these compression fractures in the elderly and we see men are now going to their 0s and 90s and that's one of the reasons why, whatever reserve you have should last longer and we talk about having exercise and stop smoking because that causes bone loss.

stay away from alcohol, healthy food. all of that plays a big role in building that reserve. >> when you're talking about the elderly. the one thing you're most afraid of is falls. bad falls, and mostly we're talking hip fractures. a hip fractures sets an elderly person at age of 91 back. how much does this set him back considering his previous health condition? >> that's a good question and that's why the nurses are always very careful with these kinds of patients. i think there's some setback but in the location where he is he's going to be fine. most of the fractures are thoracic lumbar, on the lower part of the spine, not the upper one. this is a little unusual and i'm sure he'll be fine and will recover. >> especially because of the statement david made at the beginning, his fortitude and courage. >> jumps out of airplanes. >> needs to watch for infections, respiratory secretions, can develop blood

clots so they have to keep him immobile. >> have to watch for neurologic symptoms. >> should people take calcium pills for your bones? >> that's a very good point. get a dexterity test which tells you your bones density, dexa, tells you your bone density, whether you get your vitamin d and calcium. you don't want to randomly take vitamin d because you end up with kidney stones and end up in our office. >> we don't want to end up in your office. nothing against you. >> speaking of ending up in their office, what does your urine test tell you it is. >> there you go. one point about that coming up.

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back now on "sunday housecall" and our weekly segment should i worry and we talk about everything that worries us and that could be a lot. one viewer writes my doctor found protein in my urine. should i worry? dr. siegel, what does that mean? >> this is, first of all, a great one for me and david. you know why? half of the things that cause protein of the urine are on my side of the fence and the other side are on his side of the fence urology. so before i throw it to him a lot of time you don't have to worry. a lot of the time maybe you're dehydrated or exercising too much or maybe you have a urinary tract infection and we need to treat. we dip the urine with a stick and look at the amount of albium, protein in the urine and we look at how much there is,

and the more there is the more we worry and then we have something called the sediment. the cells in there, are there cells in there? is there blood in the urine and that's causing the protein? a lot of things could cause the protein. that's what i'm getting. if there's blood in the urine i worry it could be bladder cancer, cancer, kidney stones, prostate. i worry about that. it could be infection if it's white blood cells. the two things i see the most, are diabetes interfering with kidney function causing protein and high blood pressure causes protein. these impact the function of the kidney. the kidney doesn't work as well, it starts to spill protein. if i really worry, i do a 24-hour protein. >> what should we be looking out for to even go to the doctor? >> a lot of times you wouldn't have any signs and symptoms at all. when you come -- you'll end up in my office. you end up with a urine test.

when you get a dipstick, you find out there's some protein. first time around, it may not be as important and you repeat the test. it's really the sign of kidney disease. you have to be careful about that. kidney gets the blood, all the good stuff back in the system and gets rid of all the waste. when you have kidney damage, whether it's part of a syndrome called nephrotic syndrome, you can have chronic kidney disease or iv antibiotics that affects your kidney. all this, whatever it is, diabetes, high blood pressure, that can cause kidney disease. now the filter doesn't work well and you start spilling all the good things. you see sugar, protein, those things. what we do is we start treating the high blood pressure. the patient goes back to the nef rolt, to the medical doctors, you fix the diabetes, so by knowing and screening is the most important thing.

>> screening is always so crucial. >> you get a urine test like every year? >> well, when you come to your medical doctor, certainly urology office, that's the first thing we do. and in that dipstick area, you would see whether there's any blood or sugar or other things. a whole gamut of information. >> i think that's extremely important. a lot of doctors are so keen on the blue test, we forget to do the urine. like we say the eyes are a way to see what's going on, prou teen in the urine is the sign that that kidney is not functioning properly if it persists. >> then you can get the 24-hour urine, find out exactly what's going on with you, whether it's changed my diet or not. >> it's embarrassing, that little cup -- >> no not at your youology office. >> definitely good to do it and not wait. >> we have just gotten word that

president george h.w. bush has been released from the hospital. fox is confirming that. >> very good news. >> that's great. >> going home to recuperate at home and wear that neck brace. >> jumping out of planes at 95. >> i hope to see that, and i'm sure he does, too. we'll tell you what sunburn art is? have you ever heard of this? apparently it's the latest craze. doctors are pretty concerned about it. we'll tell you why. put your hand over your heart. is it beating? good! then my nutrition heart health mix is for you. it's a wholesome blend of peanuts, pecans and other delicious nuts specially mixed for people with hearts. planters. nutrition starts with nut.

he needed help all day so i adopted him.r. 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! aleve. all day strong. all right. have you heard the new trend, sunburn art? i admit i have never heard of it until today. it involves people purposely exposing certain parts of their skin to the sun without protection in order to create some design on their body. doctors say this is nothing to admire. i would have to degree, dr. samadi sm. >> if you look at the pictures, it may look cute, but a huge mistake. all the studies show if you have five episodes of sunburn, you increase the risk of melanoma by 50% to 80%. this is a huge mistake. a picture of a boy that has a

picture of batman on his chest. you're burning your skin, risk of skin cancer, a deadly disease. we see about 73,000 melanomas. you don't want to go on with keem cha keem charp. if you want to go out, put your sun dan lotion, wear something to cover your skin and really apply sunscreen lotion every two hours, especially if you near the water, you really need to reapply. this is the dumbest thing i've ever heard of. it's taking off on social media. everyone thinks it's a fun thing. a huge mistake, don't do it. >> the study looked at 100,000 women over 20 years and found it doubled their increase of melanoma, sunburn, five per year. here is what's -- >> five per lifetime. >> per lifetime. melanoma you get by sunburn, the

others, squamous cell and basal cell. melanoma kills almost 9,000 people a year. wear long sleeves, wear sunglasses. your eyes can burn. >> that's a very good point that you're bringing up. something called ocular melanoma which you can get it from the sun, but also self-exam. once a month you stand in front of the mirror and look through -- or your family members, go through everything including the back of your ears, look for moles, changes in color, we talked about the abcd. >> something bigger, darker, changes. varying colors. >> put the cab bash on sunburn art. >> always remember to put it on your ears.

i always forget. >> you can have melanoma under your hair, also. make sure to wear a hat. go to your doctor and screen for melanoma. >> use that sunscreen. >> i'm eric shot. >> i'm jerusalem lee ben dare ras. the family of the shooter speaks out for the first time. we're live in chattanooga. >> no retreat for donald trump despite the uproar. the presidential candidate isn't backing down for comments he made about john mccain's standing as a war hero. we'll tell you what he's saying now. crowds in iran is still chanting death to america despite the nuclear deal made with the united states. meanwhile, secretary of state john kerry is trying to sell the deal to the american people today before congress starts debating it. we'll talk to two