hello. i'm eric shawn. i'm here for "sunday housecall.." >> and i'm arthel neville. joining us is dr. saved samadi, chairman of urology at lenox hill hospital and chief of robotics surgery. >> and dr. marc siegel, author of "inner pulse, unlocking the secret code of sickness and health." >> good to see you, doctors. >> nice to see you. >> we'll start with ground breaking research on bone repair, a new study revealing broken bones don't actually heal like doctors thought they did. dr. samadi, we start with you to tell us more about this and also

who would you say is more prone to bone fractures >> you know, my gosh. for years and years and years we thought that the bone healing is a completely different process, something coming from vanderbilt medical center. they have done a good job of finding out what is bone healing and for years we thought something called fibrin involved in clotting, when bone fractures, bone is an organ that's porous and has a lot of blood vessels, when it fractures the vessels start to bleed. fibrin which is almost like a scaffold can come in and does the healing and all the textbooks in orthopedics and bones is talking about this. based on the study coming out of vanderbilt we find out that it's actually not correct and that's why it makes this study interesting. in fact, it has nothing to do with healing and in genetically modified mice they find out if there's no fibrin the bone healed and it was fine. why is this important?

last week we talked about the elderly population growing and we talked about their heart and obesity and diabetes. one of the things, as we get older, the risk of bone fracture in the elderly population goes up. these are patients in the hospitals that they can fall and the number of falls are high and so taking care of yourself today when you're young and in your 30s and 40s is very critical. exercise can build up your bone density and taking your vitamin d and calcium talk to your doctor and find out how much you should be taking and diet and exercise is important and banking on your future is very important. >> how do you take care of your bones when it's earlier and should you take calcium pills? >> you should start doing that day one now, start exercising, have a proper diet, decrease stress and all of that will put you in a better position if you fall, break a bone, have a wound, go to surgery and the

fibrin david is talking about, people overweight and diabetics they have a lot of fibrin. the stuff that comes in after you break a bone or hurt yourself is to stabilize the situation and if it stays around and you don't need it it's a sign that the body isn't working ideally. we may be able to fix out in the future. you always ask me, eric, when is this coming to primetime? we may be able to figure out how to lower the fibrin in people who are obese and diabetic and don't have good wound-healing and thereby help him and after you have a wound or break a bone, eat and sleep properly, exercise and get up and move as much as possible. >> milk, calcium, do you rec that? >> depends on the people. don't put every person. i want to know levels. what's your calcium level and vitamin d level before i should say everybody should take calcium >> you know something, you can check your blood, check your

calcium level and check your level of 125 vitamin d and find out whether you're deficient or not. >> how do you do that? >> get a blood defendant and get a bone density if you're over 65. check your bone density and see if you have enough bone and that's going to last you. you know what, osteoporosis is also -- is also on the rise among men, even though it's more common in women. you know why? >> why. >> because we're sitting around, behind computers and not moving and we're heavier and also all this obesity. imagine the weight that those knees have to carry, pressure on those bones is tremendous and you put -- and by losing weight and exercise. >> dr. samadi just saved a lot of people today because men don't want to admit this. the one thing you didn't say, we're too macho to say that we have bone density problems and we're losing bones and you know what happens when we lose bones we fall and get fractures and end up with a hip fracture at the age of 70. >> i'm sorry, but i take vitamin d myself. >> i do, too. >> i take vitamin d-3 and that's

the active form that absorbs calcium so for people out. >> dr. marc, you said that, you know, should start helping yourself now. dr. samadi just said they start testing for bone density at the age of 65. should doctors start testing for it earlier, why wait until you're 65? >> everybody will say i don't want the radiation. i certainly start earlier. for women i start right around menopause time because that's when we start to see bone loss. estrogen protects you against this bone loss. when you start to have lowering levels of effort jen, you -- you start to have a concern with this, and then i follow it every year or two to see what the trend is before i decide whether or not somebody needs treatment. for men, given a very, very big tip. men need to worry about this when they get to adropause, start having it's toast ran. >> manopause. >> manopause. >> wait a minute, what age is, that when do i expect manopause? >> another ten years. >> seriously, what age? >> 45, 55.

>> 50 is the magic number for us. 50 is the magic number, we start looking at testosterone levels. 40 we're checking psa. >> that's correct. the highest peak of your bone density and also testosterone is around 30 to 35 and every year you will lose some of that, and you have enough bank, you have enough bone density to last you. the reason why 65 is usually we don't see osteoporosis until 55, 60. there could be cases of early osteoporosis, but that's not the case. so eat healthy, exercise, lose the weight and take supplements. >> weight training or cardio vascular. >> everybody is different, arthel. talk to your doctor and find out, do you have arthritis or not, heart issues or not? that's advise i'ded care but weight bearing is a way to go. >> i'm a huge fan of cardio vascular as your baseline, walking 20 to 30 minutes a day or using that elliptical or bike or running. on top of that there's something to be said for weightlifting and

body tone and increasing testosterone level. >> dr. siegel has lost 15 pounds since starting "sunday housecall." >> i'm imspired by you and president bush. >>led "housecall" challenge. >> do some push-ups. >> a lot of people have this, acid reflux, it's widespread and heartbu heartburn. you hear people use those terms interchangebly but turns out they are two different conditions. coming up we'll tell you what they are, how you get them and how you treat them and how you can prevent them. we'll be right back. why do so many people choose aleve? it's the brand more doctors recommend for minor arthritis pain. plus, just two aleve can last all day. you'd need 6 tylenol arthritis to do that. aleve. all day strong.

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sometimes those terms are both used interchangebly, but they are actually two different conditions. dr. siegel, why do people suffer from there,? >> first of all, less talk about heartburn. that's a pain that sounds like you're heart. if you're getting it i want to make sure it's not your heart. see your doctor if you're getting burning in your chest, even if it's not radiating to your arm or short of breath, get checked. heartburn can be a manifestation of acid reflux where the spinkt their connects the esophagus and stomach is loose and acid comes up. if it's more than twice a week, we call it gerd, gastroesophageal reflex disease and lose weight and cut down on smoking, cut down on chocolate and eat less fried food. fried foot is a huge, huge cause of that, faetd food and alcohol. alcohol and smoking are big ones and exercise more. if all of that is not working, then you should see your physician, and we may have to try to treat it with medication. >> dr. siegel, excuse me, you

say it happens when the spinkter is loose. can you operate to tighten it? >> you can. limited procedures to do through scope. that's not a first resort, last resort. lifestyle is a first resort. you simply lose weight. it will improve. >> how do you know which one you have? >> it's not so much important what you really have. the fact is if you have reflux, right, short term, once in a while you may have bad food or big steak and you may have reflux, nobody cares and nobody treats it and if it becomes a chronic disease and having it twice a week then you have real gerd and issue. why does this happen? anything that would increase the pressure in the stomach or anything that will loosen up that sphincter then you'll have acid going up so something called hiatal hearn yeah, hernia of your stomach that pushes the acid up. if you have chocolate that will relax it and if you're pregnant and that pregnancy is pushing against the stomach, obesity,

when you have alcohol or smoking, you're opening up sphincter and it goes up so what's the big deal? if you have reflux you can cause scarring and bleeding of the esophageal area, something that prones you to have cancer and a lot of times if the reflux goes all the way up to your mouth you're going to have bad breath. you're going to have tooth decay. we're seeing the dentists can detect this and dry cough, it's not always allergy, basically going after your vocal cord so that's why it's important to treat this. >> a lot of over-the-counter medications now. >> i forgot one treatment. you know how last week i talked about aspirin being a cheap treatment. even cheaper treatment for this. water. drink water. if you drink a lot of water and don't take aspirin, aspirin can actually bring this on. aspirin can make this worse. coffee can make it worse, alcohol and smoking really does. if you drink a lot of water and elevate the head of the bed at night before you go to sleep,

those are key tips. >> don't eat late and elevate your head. >> and don't self-medicate, eric. >> prilosec and nexium. >> talk to your doctor about whether you need that, because once you're on it hard to get off of it. >> fatty foods and big amounts of food late at night and lying flat is another major risk factor so make sure you don't do that, and i think there's a lot of antacids that you can take over the counter if it's early on but you don't want to share these medications from your neighbors and grab those because they all have side effects and you only want to be on those medications for a short period, not prolonged period. >> very good advice. >> very good. >> still ahead, ocular migraines and vision disturbances. could these be early warning signs of diabetes? the answers coming up.

now for should i worry, our weekly segment about everything that worries us. this viewer asks us i occasionally experience what i've learned is on ocular migraine with vision disturbance. should i worry? dr. siegel? >> well, i wouldn't worry but i think you should be seen and seen by a headache expert

because, you know, 15% to 18% suffer from migraines and 6% of men. it's an extremely common problem, and viewers pointing out something really important here. the migraine may just come in the form of an enlarging blind spot that's 20 or 30 seconds or shimmers that you see. you may not even get the headache. it could be a warning that you're about to get the one-sided headache of a migraine or you can get it without the headache and that's an ocular mike rain. see an eye doctor or neurologist and i believe in most cases you need an mri to make sure it's not something else. >> could it be caused by eye strain? >> usually a migraine is a separate entity and the aura when you see the shimmers and have a visual change. most of the time it lasts 20 seconds to 30 seconds and can last longer and last several minutes. it's usually nothing to worry about. again, get it checked out. >> it is scary because you're driving behind the wheel and all of a sudden you see the blind spot in the middle of your eyes. typically both eyes or one eye.

lasts 30 minute, it's harmless and painless and while we're cons straight on this migraine and it's called ocular or eye migraine for that reason, and there could be other things. remember, last week we talked about stroke and ischemic attack. i don't want to ignore this because if you're having a mini stroke that can present in the occipital part of the brain and if you have a mass in the brain pushing against the optical nerve it could be doing the same thing. pay attention to migraine by yourself, don't need a lot of treatment. go on for a long time, usually early on in the 20s and 30s, women three times more than men and all theioning stuff happens for some reason. >> hormonally related. >> 70% it's genetics and something called prodream, what that means is there could be symptoms, signs and symptoms beforehand, a couple months

before you may be feeling tired or fatigued, getting some of the headaches, that's a way that you're getting the migraine. if you auro, that's when the headache comes with the ocular part and the vision. >> before i get to the medicines before like the last time with reflux we can do a lot with changing what you eat, no aging cheese and chocolate can provoke migraines and red wine and being dehydrated and under stress. >> lack of sleep. >> lack of sleep really important and then when you start talking about medicines, eric, there are things trold triptans before migraines occur that will aboard it from happening and we also use a lot of anti-inflammatory medications like naprocyn and add vilvil an aleve.

>> anti-depressant medications once in a while work. >> absolutely. >> beta blockers that we use for hearts that would work for this also. those are desperate measures. we like red wine and red wine is also a big ticket. >> propomax and. >> what was the first one? >> topomax and seizures, nothing else works, bow to the is shown to be effective. >> see the ophthalmologist and see what's going on with your vision. don't ignore it. >> blackouts are 20 to 30 seconds. >> sometimes they can last to several minutes, zigzag lines. >> caffein is good for migraines, i know from experience. >> david is right. >> got to listen to the doctors. >> caved is right. it's good to keep folks and patients cam when it goes into surgery because nerves can really be on edge. coming up we'll tell you about one doctor's technique that is music to their ears. shopping online...

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it's the brand more doctorsose recommend for minor arthritis pain. plus, just two aleve can last all day. you'd need 6 tylenol arthritis to do that. aleve. all day strong. and we're back now with "sunday house call." don't be surprised if you walk into dr. sermati's operating

room and you hear this ♪ ♪ >> that happens to be one of his favorite songs. he plays this music to put patients at ease. you play music when you operate? you sing? >> yes, i sing and i dance and i -- look, operating room is a serious place. we're doing a lot of complex operations, but this study that comes from u.k. tells you that i was right about this for the last 15 years and i play music depending on what country the patient comes from, i play their language. it's soothing. it reduces anxiety and also because we are doing robotic surgery, it boosts the morale, it engages everybody. you don't want to play distracting music but it works really well. i feel like going through the day playing music is great. by the way, after the surgery is over and cleaning up the room, we have a lot of people that work and help us. i play their music.

it's fantastic. you've been there. >> it's very soothing actually. by the way, there's a study out of "lancet" that shows the bright music in the operating room helps the patient in terms of outcome, heal better, helps the staff morale as well. i'm sure that works in your o.r. i've been there and everybody is smiling. >> one time i did a story in an operating roomt. it scared the hell out of me. >> it's not distracting. >> we don't know about this. we're out. you guys got us under. >> there are a lot of surgeons that are really uptight and they want the room to be completely silent. that's their prerogative, that's fine. this works really well. it energizes you. you're not being distracted. it works well. they look at 72 different studies. they find out that post-op, after surgery, less pain, faster recovery and their anxiety is less. it works. i have to sing frank sinatra the

other day. >> not here, please. ♪ ♪ >> by the way, it doesn't hurt the patient and they go back to work. >> no. no. >> please. >> it heals for sure. >> soothing. >> thanks. >> takes care. the three most popular americans in france speak out together for the first time in their own humble words describing the incredible fight to subdue the shooter aboard a speeding train. plus, what counter terrorism agents are learning about the gunman's ties to radical islam. >> growing outrage after the army orders this decorated afghan vet involuntarily discharged for his reaction to a shocking crime. we're going to talk to the congressman who says he should stay in the army. and hillary clinton's e-mail controversy dominating the air waives again today. >> we're talking about information that went to the secretary of state who is the highest