sickness and health". >> and dr. david samadi, chairman of urology and chief of robotic surgery. >> we start with the warning, trance plant tourism, where people can travel to a different country where they can buy an organ we're told like kid any e nes. some say it can lead to liver disease, hepatitis b and c. consider this, any given day in our country, more than 75,000 people are on an active waiting list for organis. but there are only 14,000 possible donors. the most commonly transplanted organs are kidney, liver, heart, lungs, pancreas and intestine. dr. siegel, people say, gee, go save money and go abroad. but there could be complications. >> eric, i want to start by talking about kidney. the study you're talking about

out of saudi arabia actually looked -- it was presented in the united states. this study looked at kidney and looked at the fact that we have a million people in the united states with end stage kidney disease, have kidney failure, they're in trouble. they need dialysis, they need a kidn kidney. 100,000 are on a list to get a transplant. they have maybe 8,000 available from cadavers, another -- >> is it a good idea to go to another country to get a kidney? >> no, it isn't. and the reason it isn't, and this is what the study shows, the quality isn't the same, the risk of infection is higher as eric said. your risk of hepatitis is higher. and the most important thing, arthel, is you don't have follow-up. i mean, you get your kidney. then what happens? you have to find another doctor. with dr. samadi, he operates on prostates. people come from all over the world, he does follow-up, he goes overseas and makes sure people have follow-up. you have to know your surgeon, how to check them out, know the

quality you're getting. with a transplant. transplant failure is a huge problem. one more point, once you have that kidney, it becomes a medical issue. it's no longer a surgical issue because people reswrekt their kidney and get infections. you have to have the follow-up. >> dr. sa maude dli, what do you say to people who are on this long waiting list, they need something that will save their life. i don't care, i'm going to go try in another country if it may extend my life? >> arthel, i think you're on to something. kidney failure and region failure is on the rise. as we're getting older and diabetes and obesity is on the rise, we'll see more and more and the supply doesn't meet the demand. so what happens? exactly what you say. they get frustrated. you're on heem mow dialysis for a long time. they spend 12 hour was filters. kidneys are so essential. did you know that about 200 liters of blood goes through our kidneys, if they don't function well, your acid base, sodium, potassium, it's a nightmare. what happens is they go to

china, philippines, pakistan, iran because now you can buy a kidney. the probable is that the scre-- problem is that the screening is not the same. we look for hiv, hepatitis, viruses. they don't do that. you know why? because it's all about money in those countries. and the follow-up is a disaster. now, i want to talk about a patient of mine who went to costa rica, got the renal transplant and also coded. if you're doing that and you're desperate -- i don't recommend this -- at least take your surgeons with you as a desperate move. now -- >> wait wait wait. excuse me. so you're saying to take your surgeon from here, like if you were my surgeon, i take you with me to costa rica? >> yes, you can. it's not recommended. but if you're desperate and are going to do that, which i don't think is a good idea, at least take a team with you if you can afford it. the problem is that a lot of times these surgeons may not be as qualified. when you talk about kidney

transplant, the urter, the vass cla tur and arteries and veins, it takes skill. find out who is doing it. what about complications? does your insurance cover it? a lot of questions go into it. we have a lot of international customers come for prostate cancer. we go through the gamut with them so they're comfortable, they have videos, they thouknowt they're getting into. >> coming here i would think is different. they're having a segment saying, beware, don't just travel no another country to have surgeries. >> i think kidney transplant, any kind of trance mrarnt -- marc, i think you would agree -- is a different animal when it comes to a different country. >> completely agree. >> if you have a surgeon taking out your prostate, your gall bladder, maybe you take a case if you have all the questions. you need to worry about rejections, infections, surgical dmriks complications. i would think twice. there's also kidney

registry.org. one of the things that's important, eric, if you're not a good match for marc -- >> he's a great match for me! >> -- you can swap a lot of these kidneys so it's not one on one anymore. there's a whole registry out there where people can hem each other. >> marc, in general, you hear about people going abroad. is it a good idea in the first place with all the issues here? ff absolutely not. unless there's something over there we're not doing here, which is rare. one final point, the best centers are the only ones that do it here. not every hospital does kidney trance plant. i want to make one final plea. when i say there are a million people with renal disease, dialysis only lasts a certain amount of time. we need more donors. sign that donor card. >> it's important to know about your heem globen a 1-c. diabetes is a factor for -- check your urine for protein. if you see blood in the urine, there's a problem.

know about these things. monitor your blood pressure, et cetera, save your kidneys. lifestyle changes is a big key. >> definitely. we are not suggesting there are no top-notch doctors anywhere else in the world. >> of course not. i'm glad you picked the right color today. green is the one. >> thank you. >> you're welcome. we move on to this. they're some of the most vulnerable patients. next, we'll tell you why some doctors are now being told to back off when it comes to administering certain treatments for the elderly. very interesting. stick around. when my doctor told me i have

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patients with diabetes, hypertension and other conditions. researchers now telling doctors they should actually be treated less aggressively than they commonly are. dr. samadi, why? >> i'm so glad we're talking about this because i really think as we are getting older we're overtreating some of these patients. we're talking about patient that's are over the age of 75. and what i want is to really think about patient care as the way the plane takes off when you're young. when you travel and then when you land. landing of a plane is when you're older. you have to slow down doctors in treating diabetes and blood pressure. when you see 75-year-old, 80-year-olds. the study from the new england journal of medicine shows when you treat diabetes among elderly too harsh, bring their sugar down more falls, more mortality. you need to slow down as the plane landses. more greasive is when we're in youth, exercise, weight loss, good diet, et cetera.

then during the course of our l life, in the 40s and 50s and 60s is when you want to treat, be aggressive. once you get to 70 and 80, a blood pressure 150, 140, no big deal. even if your hemoglobin a1-c is higher for risk of diabetes, leave them alone. don't overtreat or overprescribe. >> i don't look forward to landing. i don't want to land. >> no. >> you're still very young. >> but that's a good point. they also talk about pan creigh the ick canner. if you're much older, sometimes leave it alone. >> pancreatic cancer a special case. talk about high blood pressure and diabetes, we're always talking about how to control these things but one thing we've never is said on this show, it's more dangerous to be low than high. everyone out there is worried that their blood sugar is too high, but when you're 80 and you're not eating properly and it goes low, you'll end up in the ambulance in the hospital.

same thing with blood pressure. blood pressure goes low, i end up having to send you to the hospital. this survey showed that only 19% wanted to change their blood pressure medicines if it was too low. only 20% listened to their doctor who said, hey, your sugar is too low, back off on your medicine. backing off on medicine is even more important than medicating in the first place. but i want to add to this the caveat that yesterday's 70 is today's 60. look, people are living to older ages. i want them to get their flu shots. i want them to get their pneumonia shots. i believe strongly in preventative care. i still send people for colonoscopies at 80. >> there's side effects. >> i don't envy marc actually. once in a while i see the patients who come and really come with a bag of medications. the good thing about surgeons we should be looking at all the medications but there's so many blood pressure medications they're on, so many diabetes medications that they're on, an

interaction of these, so find a good doctor who really goes through all of your medications and finds out which ones are absolutely necessary and which you can -- >> there are doctors who specialize in geriatric medicine. >> to david's point about the plane, by the way, sometimes i feel like one medicine is counteracting another medicine which ask counter ago another one. a lot of jer area trikss will say, you're on too many. let's stop them. >> sometimes you have to say no when you're a doctor. when you say an 80-year-old getting a prostate biopsy and psa. if you've made it to 80, you're going to be fine. enjoy. >> exactly. enjoy the rest of the ride. >> keep flying. >> thank you, doctors. he's not only a presidential candidate but an experienced pediatric neurosurgeon. does experience in the e.r. prepare you for the oval office? dr. siegel interviews dr. ben carson.

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well, we've had farmers and lawyers and governors and senators as president. but now physician dr. ben carson

is bringing the experience of his medical training to the presidential field. dr. siegel sat down with him doctor to doctor. >> when i read about your mother, i understood why you don't believe in blind entitlements and what you call the faceless money the government gives out. i understand your mother worked really hard. flash over to obamacare and tell me why as a physician, what's your critique of it? >> well, the main reason i have been such a vociferous opponent of obamacare is not so much because it's not affordable and it doesn't work but because it fundamentally changes the relationship between the people and the government. when you look at the way the country was put together, it was supposed to be of, for and by the people with the government there to facilitate life, liberty and the pursuit of happiness. with this act, the government comes along and says, we don't care what you people think. this is what we're doing. we're shoving it down your throat whether you like it or not. if you don't like it, too bad.

>> i want you to talk about aborg aborti abortion. i read your views on it. because you're a pediatric neurosurgeon no less you understand what's going on for a fetus inside the womb. >> i've spent many, many a day, many a night operate ing treating? >> i remember a little girl, sweet little girl she was, and she had disseminated medular blass tomorrow

blastoma. we removed the tumor but it had already spread, and they tried bone marrow transplant and all kinds of things, and it had come back again. and there was really nothing more to do. and she just smiled, and said you all did the best you could do. thank you. >> that really gives you a medical physician's perspective on what he has dealt with. >> he cried after that. he talked to me about the role of faith in healing and talked to me about how as a doctor that was the head of a surgical team that made decisions all the time, that he felt that qualified him to run a team and he's using some of those skills in his campaign right now. so, again, he's been -- he also said, by the way, the u.s. constitution meant for people to run for office who weren't just career politicians. >> you know, what comes to my mind, pardon me of after watching that, i want to ask

each of you, as doctors, you approach everything, you have to be clinical, but your people and do you have moments when it kind of gets to you, your profession? >> well, you know, i think as a surgeon, that's a huge advantage that he has. because he has to make quick on his feet, make a decision whether it is about artery or bleeding or something in the operating room, so as a surgeon, i think that prepares him for this kind of job, long hours, and building stamina, dealing with emotions of people, that's what the surgeon -- the real good surgeon will do with this. the fact he's in the operating room and he has a team and surrounded by people from different sects and building a good government and team for himself, areas that he's weak with foreign currency, et cetera, foreign policy, that's important for him. is it fit to be the president, that's totally beyond sunday house call and i don't want to get into it. i can tell you personally when it comes to abortion, always as a doctor and surgeon, the life of mother is always number one

over the child. and that's a whole different discussion that we can have about this. but i think there are certain cases of kids whether it is after rape or other things that should be individualized and give to the women's power. but these are all discussions that i think is beyond today's topic. >> to o.j. arthel's point about emotion, you try to save your emotion until afterwards. you perform the surgery. he is a top pediatric neurosurgeon, one of the best in the last several decades. afterwards, you reflect. when the little girl came to him and thanked him, he started to cry. so we can't have that emotion in play when big decisions are to be made. that may also work in politics as well. >> control over his emotions, which is important. >> got to go, guys, sorry. >> but great ideas about health care and we had many discussions with him, so he's on the right path. >> okay. >> we wish him lots of luck. >> up to the voters to decide. we'll see what happens. >> you rely on them for immediate relief. but next find out why some of

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allergy pill sold over the counter felt they were very or extremely satisfied with the drug's effectiveness. could it be, because there are so many choices out there, we go to the drugstore, and we don't really know what kind of allergy we have, we grab what we think we should take. maybe that's why it is not working. >> excellent point you're bringing. i think people are self-treating themselves, they have the allergy symptoms, they go to get the over the counters, but you're right, you don't know if it is hay fever, allergies. the to tomato or some other allergy. a lot of people are going to primary care, to pediatrician, to get these prescriptions. there are experts and allergy specialists that you should go to if these over the counter medications are not working. don't self-medicate yourself. the other study that came out, very interesting, was that kids that are exposed to dogs or kids in the first year of life are exposed to peanuts, their immune system becomes stronger, they form antibodies, later on in

their life, fifth and sixth year, lower chance of getting asthma, which i thought was very interesting. a little bit of dust, little dirt through the is okay. >> you go to the drugstore, you know, walk in there like 15 different types of things there. >> hundreds. >> all the different categories. >> even worse of a problem than going to your primary care doctor. but seriously, you know what is really happening, the stuff i used to prescribe is now available over the counter. so i used to prescribe flonase or nasonex for allergy sufferers. the number one that is used over the counter is the oral antihistamine, a claritin or ben drill. the problem with that is, it makes you sleepy. it interferes with your work. even claritin, even zyrtec, interferes with work. so i agree with david, and dr. has to be in the loop, don't self-medicate, b, if it is a persistent problem and the fall and summer and spring, don't be satisfied just with dr. siegel. go and see an allergist.

>> especially if you have -- >> if your throat closes, that's serious. ♪ doctor, doctor give me the news ♪ the new theme song. thank you for joining us. pushing back, gop presidential contender dr. ben carson hits the airwaves today, taking on the avalanche of media reports questioning his life story. live from new york, it's the donald. times three. we got trump's best moments from "snl" and what all the other gop candidates are doing to prepare for tuesday's fox business network debate. brand-new details about the night john lennon died 35 years ago this december, from the hospital trauma staff that tried to save his life. good