dr. nancy snyderman on one of the most popular surgeries for americans. some who put it off for far too long. >>> and making history. a woman who has already broken barriers now on the verge of going where no woman has ever gone before. "nightly news" begins now. >>> good evening. as it unfolded in court today, in cleveland, ohio, a live television audience was allowed to see a man who has been described as a monster, who for over a decade held young prisoners in his home. and during his long and rambling remarks in court, he said he was sick and he appropriated the language of the addiction treatment culture to paint himself as a victim. as he tried to contend the girls he kept chained up in his home were somehow content. it was tough to watch at times especially when one of his brave victims spoke. now he will live out his remaining days behind bars as part of a plea deal. it is where we begin tonight. nbc's kate snow is live in cleveland. kate, good evening. >> reporter: good evening to you, brian. the women that he held in that house for over ten year

dr. nancy snyderman reports. >> 62-year-old patty sutton works the early morning shift at starbucks. this previously retired barista didn't go back to work for a paycheck. >> i'm there for health insurance. that's about the only reason. >> she wants to retire, but her insurance covers herself and her husband, scott, who is permanently disabled. they are too young for medicare and can't afford independent coverage that allows them to keep their current physicians. >> we have to stay with our doctors. they are specific to what he needs and specific to what i need. >> next year people looking to buy their own will have more options through the affordable care act's online market place. >> they can compare prices for plans and see the different plans available to them. >> a new study finds between 500 and 900,000 people like sutton can choose to stop working or retire early based on new options. experts caution there is more to consider than price. >> you want to see whether your physician, whether the specialist that you use are in the network that are offered by the plans. a plan that

dr. nancy snyderman has our report. >> which knee are we going to operate on today? >> the bad one. >> the bad one. >> reporter: it's early morning at new york's hospital for special surgery. dr. windsor is finishing his safety checks before bringing 54-year-old thomas apple into the o.r. >> feeling good. feeling nervous. feeling excited. >> reporter: tom is having total knee replacement surgery. doctors expose the knee and attach a metal plate and plastic to the tibia or shin bone where the cartilage used to be. then they cement a metal covering around the femur creating a smooth surface separating the bones. the numbers for total knee replacements are up in men and women, topping more than 645,000 cases a year. that's double the number of wrist, ankle, shoulder and hip replacements combined. like thomas apple, brian williams also suffered a painful knee injury playing high school sports. >> did you have to be talked into the operation or were you ready? >> every surgeon always said to me, "you'll know." i was hung up on taking out original equipment and putting in r

dr. nancy snyderman, nbc news, princeton, new jersey. >>> back in a moment with news of a crowd favorite returning to one of the biggest stage there's is. huh...fifteen minutes could save you fifteen percent or more on car insurance. mmmhmmm...everybody knows that. well, did you know that old macdonald was a really bad speller? your word is...cow. cow. cow. c...o...w... ...e...i...e...i...o. [buzzer] dangnabbit. geico. fifteen minutes could save you...well, you know. >>> two f-16s out of andrews air force base collided over the atlantic late last night. both were air national guard. one pilot ejected and was safely rescued at sea. the other was able to fly back to base. so much for turning the spare bedroom into a den. new stats from the pew research center say fully a third of millennials, those ages 18 to 31, are living at home with their parents. this amounts to over 20 million young americans, more male than female on average. survey says 63% of them have jobs and are earning money, just not enough to be able to afford their own place to live. >>> ellen degeneres got the call from th

dr. nancy snyderman. >>> the end of the graham era. after 80 years as a family-run business, the grahams are selling "the washington post" to amazon's ceo jeff bezos seen here deal making at a media summit last month in sun valley. but can the king of dotcom save print? >> we knew we could keep the "post" alive. we knew it could survive. but our aspirations for the "post" have always been higher by that. >> this is going to shake things up. >>> good day, i'm andrea mitchell in washington. nearly 100 u.s. government personnel flew out of yemen today on a c-17 air force cargo plane. leaving only a kel stal emergenskeletal emergency staff behind because of what the state department is calling the extremely high threat level. th all of this comes after the interception of al qaeda communications threatening major attacks on u.s. interests. joining me now from new york, nbc's ama, but richard, first to you. you just finished interviewing john mccain there in cairo. what is he saying about the situation in egypt and the threat level in neigh

dr. nancy snyderman on one of the most popular surgeries for americans.ome who put it off for far too long. >>> and making history. a woman who has already broken barriers now on the verge of going where no woman has ever gone before. "nightly news" begins now.

dr. nancy snyderman starts us off. >> reporter: when he was in office, president bush's medical team declared him to be in the superior fitness category. with low blood pressure and low cholesterol levels. >> i had my physical. and i'm feeling pretty good. >> reporter: even after leaving office, president bush has continued to maintain an active exercise regimen six times a week. >> it doesn't take much time to stay fit. 30 minutes, five days a week. >> reporter: during a routine physical, the 67-year-old was found to have a blockage in one of the arteries of his heart. though sources tell nbc news, he was not having symptoms. the findings prompted doctors at texas health presbyterian hospital to insert a stent. a stent is metal scaffolding, placed into an artery narrowed by cholesterol plaque. it restores blood flow and prevents a heart attack. nearly half a million stent procedures are done every year, and sometimes more than one stent can be placed at a time. twice as many men than women will get a stent. though with heart disease increasingly recognized in women, doctors expect that numbe

dr. nancy snyderman. >> reporter: when liz degalle met linda nelson taylor their first year in college, the two quickly became best friends. >> she was always a true friend and a lot of fun to be with. we were like sisters. and it was an instant friendship. >> reporter: that bond lasted more than 20 years until linda died of ovarian cancer at the age of 43. it is a disease notoriously difficult to diagnose at an early stage. so in linda's memory, liz joined a study at m.d. anderson cancer center following more than 4,000 low-risk, post-menopausal women over 11 years using a simple blood test called ca-120, a common marker for ovarian cancer. by giving this blood test yearly and routinely tracking the results, doctors could pick up early stages of the disease with almost 100% accuracy. >> it is only when you look at it over time that it starts to become much more effective at picking up early stage disease. >> reporter: based on those results, some women had ultrasounds to look for a cancerous mass, and if necessary, surgery. about halfway through the study, liz degalle's ca-125 numbers were

dr. nancy snyderman looks at the procedures for total knee replacement. >>> another unusually cool day. let's check in with jeff ranieri. >> temperatures down ten to 15 degrees. we are tracking nearby showers. doppler radar continues to remain dry at this hour. let's get a look at cool numbers. 60s in the north bay. 68 in santa rosa. below average for the east bay. 74 in livermore and 73 in san jose. cooler than average weather i thought would take a look at how hot it can get. some of the hottest weather on this day back in history. gilroy topping out at 107. santa rosa 99. san francisco at 92. still can get very hot here in the beginning of august but, again, we have been lucky the past couple of days. throughout thursday the cooler th average weather is going to continue. cloud cover at the coast, by the bay and inland. temperatures starting in the mid to upper 50s. by 11:00 a.m. tomorrow we get the sun in here. temperatures just in the upper 60s. let's get you to the live high definition network. plenty of sunshine. in about three to four hour period this afternoon we did see about

dr. nancy snyderman is here. what do we know about this tonight? >> we know how he was admitted to m.d. anderson cancer center and he did undergo a procedure last night. that procedure is being described as a complicated biopsy. you can read from that that it's likely that there was a tumor or some type of tissue left behind from this mass that was biopsied. we do know that he had a restful night. there have not been any complications, which means he's expected to go home tomorrow. but these can be frustrating times for families because families want answers, and sometimes if there's a complicated biopsy, it means you just don't have enough tissue to really make a definitive diagnosis, so now it will be days or weeks until that diagnosis is made and i can guarantee you the doctors between m.d. anderson and his doctors in philadelphia will be talking and sharing information daily to try to figure out exactly what this is. perhaps this procedure he had will take away the risk of stroke that he's had and then form late a really strong plan going forward. >> all right. dr. nancy, thanks for

dr. nancy snyderman. >> reporter: in ft.worth texas, today, 4-year-old julian aguilera is getting his measles shot. a quick pinch to the arm and a lollipop later, he's all smiles. it's a relief to his mom too. >> you don't want your kids to get sick. >> reporter: the largely preventible infection is making a comeback, and the latest outbreak in north texas. of the 21 cases originating at this mega church, at least 16 of those were not fully vaccinated. which means two shots as a child and for most adults a booster. >> someone who actually had the disease in july, had come back from a country where measles is more common, incubating the disease, became sick here and thenther people got it. >> reporter: across the country there have been 161 cases of measles in 16 states so far this year. that's nearly triple the number in 2012. while nine out of the ten children old enough to receive vaccinations get them. pediatrician dr. laura popper is concerned about the growing number of families who are opting out for nonmedical reasons

dr. nancy snyderman is here with more. nancy, we don't know exactly what's going on here, but he did suffer a stroke three years ago when he was 41 years old. typically with a stroke patient, experience more problems down the line. >> well, typically one-quarter of those stroke patients have had symptoms before. and we do know that since his stroke, beau biden has had several episodes in the past. and that makes this serious. we have established tonight, nbc news has confirmed that he has been admitted to m.d. anderson for further testing. and having already been seen at two major medical centers around the country and now at m.d. anderson, the procedure that he's going to have is most likely a biopsy. the concern is always when there's a seizure and ongoing neurologic problems, you have to find out what the problem is. so to have him overnight, to most likely have a biopsy and then keep him for observation to allow the doctors to get tissue, make a correct diagnosis and then have a formulated and very smart game plan. and

dr. nancy snyderman, nbc news, new york. >>> when "nbc nightly news" continues, cruising memory lane one last time. it's bon voyage to the love boat. makes me feel even better, that's what i take. sorry, we take. [ male announcer ] centrum. the most recommended. most preferred. most studied. centrum, always your most complete. icaused by acid reflux disease, relieving heartburn,st studied. relief is at hand. for many, nexium provides 24-hour heartburn relief and may be available for just $18 a month. there is risk of bone fracture and low magnesium levels. side effects may include headache, abdominal pain, and diarrhea. if you have persistent diarrhea, contact your doctor right away. other serious stomach conditions may exist. don't take nexium if you take clopidogrel. relief is at hand for just $18 a month. talk to your doctor about nexium. >>> friends and colleagues remembered our colleague veteran nbc news reporter john parm as the consummate broadcast journalist. four decades of distinguished service here at nbc, a white house correspondent, report other than the front line a news an

dr. nancy snyderman reports, it's never too late to turn things around. >> reporter: it's the last few days of summer before school starts, and 13-year-old marshall reed is up early getting breakfast ready. on this morning's menu? fresh veggie omelets for his mother and him. >> eating healthy makes me feel so good that i don't want to go back to my old ways. >> reporter: marshall has worked hard to control his weight, which is important in light of today's study suggesting obesity causes more deaths than previously recognized. in an eye-opening new report, researchers studied men and women between the ages of 40 to 85 over a 20-year period. they found that obesity was likely responsible for about 18% of deaths during that time, one out of five americans. >> obesity is going to increasingly shape the mortality levels in the united states as we move forward. >> reporter: body mass index has increased in every state, especially the southern and midsection of the country. experts worry that will translate into declining life expectancies. obesity is now responsible for more deaths because it's

dr. nancy snyderman is here with more. nancy, we don't know exactly what's going on here, but he did suffer a stroke three years ago when he was 41 years old. typically with a stroke patient, experience more problems down the line. >> well, typically one-quarter of those stroke patients have had symptoms before. and we do know that since his strike, beau biden has had several episodes in the past. and that makes this serious. we have established tonight, nbc news has confirmed that he has been admitted to m.d. anderson for further testing. and having already been seen at two major medical centers around the country and now at m.d. anderson, the procedure that he's going to have is most likely a biopsy. the concern is always when there's a seizure and ongoing neurologic problems, you have to find out what the problem is. so to have him overnight, to most likely have a biopsy and then keep him for observation to allow the doctors to get tissue, make a correct diagnosis and then have a formulated and very smart game plan. and

dr. nancy snyderman, is here with more on what you need to know about lyme disease. first, help us understand this big jump. >> i think for a lot of us, it wasn't that surprising, because for years, we have recognized that we probably underdiagnosed this and the cdc today said they are looking at new ways of trying to figure out how many cases are in this country and this does give credence and credibility to parents wtients, over the years, had symptoms and frankly, doctors haven't known,put that into any bucket or category. when doctors can't do that well, they don't diagnose well. >> we will talk about the symptoms. some mimic other illnesses but what are the they? >> the classic is a bull's eye rash, the central point with a bull's eye and that happen 2s 4 to 36 hours after a bite. and then, flu-like symptoms, fever, aches, pain, headache. then some times, joint aches and muscle aches and when it can be misdiagnosed as arthritis. the tick bite doesn't mean you're going to get lyme disease. the black-legged tick has to be on you for 244 to 346 hours for it to real

dr. nancy snyderman is here. what do we know about this tonight? >> we know how he was admitted to m.d. anderson cancer center and underwent a procedure last night, what is being described as a complicated biopsy. you can read from that that it's likely that there was a tumor or some type of tissue left behind from this mass that was biopsied. we do know e that he had a restful night. there have not been any complications, which means he's expected to go home tomorrow. but these can be frustrating times for families because families want answers, and sometimes if there's a complicated biopsy, it means you just don't have enough tissue to really make a definitive diagnosis, so now it will be days or weeks until that diagnosis is made and i can guarantee you the doctors between m.d. anderson and his doctors in philadelphia will be talking and sharing information daily to try to figure out exactly what this is. perhaps this procedure he had will take away the risk of stroke that he's had and then form late a really strong plan going forward. >> all right. dr. nancy, thanks for the update.

dr. nancy snyderman. got to go to belgium for my hip. ways going on there? >> it's a lot cheaper to go to europe for your hip to a really high quality hospital there than to stay here. >> i thought when i first saw the numbers, i thought, okay, you'll still pay for the plane ticket and everything. even with the added cost of traveling there, the prices are dramatically different. >> yes, i think the most striking correlation is michael choppen went to belgium for his hip for $13,000, everything included, including the plane ticket. and that cost here, that price here, would only buy you the implant. so there's a huge difference. >> dr. nancy snyderman, why? >> well, there's sort of a consortium, a monopoly, if you want to consider it, on implants that are made in the united states. and i have to say, medicine is the only field i can think of that as innovation progresses, prices go up. they don't come down. anything else you look at, telephones, coulmputers. either other commodity goes down except medicin

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dr. nancy snyderman. >> for georgia clark knowing which foods are gluten-free makes a difference for heraughter's health. >> this is not a choice. this is a lifestyle they have to live now for health reasons. so i'm personally choosing to buy products from those manufacturers. i know other people probably are as well. having the government put their stamp of approval on it, huge. >> reporter: both have celiac disease, an intestinal disorder in which eating gluten causes pain and even malnutrition. gluten is found in any product including wheat, barley and rye. but eating gluten-free is a fad and big business. a more than $4 billion industry and growing. you can see gluten-free food everywhere from the super bowl to the ball field, even on the menu in restaurants. a recent survey estimated one in five americans buys or consumes a gluten-free product. that's far more than the number of people with celiac disease. erin hanes doesn't have celiac disease but is a health conscious yoga instructor who supplements with gluten-free food. >> i feel better when i don't have glouten in my body. i ca

dr. nancy snyderman about extreme diets and we're going to brush upon this one diet. >> and we're start to look back at the week in entertainment, everything everything from kim kardashian and her war on social media to a big win to the "ducks dynasty" crew. >> and we're going to take you to a very special restaurant where that day, as we found so many spots, a number of ordinary spectators turned into heroes on that day to help the wounded. they are the definition of -- the last business to oil on boylston street. >> lester has the right idea. bike riding at 8:00 on a saturday morning when it's absolutely gorgeous outside. but some area where it's chilly, down to the plains and into the southeast where temperatures will be about 15 to 20 degrees below average. normal high in atlanta, 88 degrees and it's only going to hit about 71 degrees today. mostly because of the clouds and the showers and that moisture streaming in off the gulf of mexico. so another six to eight inches of rain is possible in parts of the southeast. especially in areas like southeastern louisiana. through the d >>> her

dr. nancy snyderman. nancy, this sounds like good news from the president's office. you know, when we see him as a physical guy, always out, always jogging, you know, 67-year-old, but by all appearances over the years in great health, how does something like this happen? >> well, it happens, tamron, because we always pay the piper for how we've lived our lives formerly. something was found on his routine physical, whether it was an ekg change or whether he had some pain or discomfort in his jaw or his chest. something made the doctors realize he had a blockage of one of his arteries and they wanted to put a stint in. look, we all pay the price for what we've done in our previous years. cigarette smoking, eating too much saturated fat, our love of cheeseburgers, you name it. while we realize the president is in really great shape and runs a lot, what you see on the outside isn't necessarily what doctors see on the inside. so they took this pre-emptive step to protect his heart. >> he's going to be released as early as tomorrow, resume his normal schedule on thursday.

dr. nancy snyderman. with us as well.ly everything we've been told about pregnancy is wrong. women can drink, take ambien? is that what you're saying? >> no. not all of it -- not smoke. so when i got pregnant, i found like at lot of women a lot of more choices, like can i have a cup of coffee. >> the answer is yes, right? >> but the recommendations were confusing. book said one thing, doctor said another thing, people on the internet said 50 different things and realized that actually all of these come from studies and data and that was something i was comfortable with from my job and ended up taking my job as an economist and like moving it to my pregnancy and that was the genesis. >> coffee is okay. >> some coffee is okay. >> alcohol? you can drink alcohol? >> in moderation. very important -- >> bottle of vodka. >> bin drinking heavy drinking -- >> how much wine can a pregnant woman watching "morning joe" drink before 8:00? >> you're going to get in trouble, i'm warning you. >> how much wine? >> dr. nancy, when we want

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dr. nancy snyderman here with that story. >> it is controversial. i think more knowledge is power.nd look into our family tree. they took a leap of faith. yes, we looked at our again eck. [ applause ] >> my father, dr. stanford snyderman recently turned 90, cause for a celebration and family experiment of sorts. to what do you attribute your longevity and health. >> gene pool. >> gene pool. >> to see if he might be onto something, we turn to a company that is bringing a snapshot of the human geno directly to consumers. >> prevalence for breast cancer. >> how about you? >> how much like you i am. >> ann is ceo of 23 and me. for $99, 23 and me analyzes your 23 pairs of chromosomes checking them for some of the most common traits and illnesses. >> you order a kit. we send you a little box that has a tube. you spit in the tube, seal it up, put it back in the mail. two to three weeks later we send you an e-mail that says welcome to you. it's your genome. >> so we all spit. >> with my parents, siblings and children, we started with one of the most serious topics. my father comes from eas

dr. nancy snyderman is nbc's chief medical director.rds are muscles. it causes stiffness and slowing down of the muscles. no reason to think your voice wouldn't be effected too. people that speak for a living can get by with it but when you have to rely on the fine muscles of a vocal chord a singer can't do what she needs to do. >> like holding a note. >> yeah. >> some of these symptoms started years ago in conjunction withther diseases. is that common. >> linda had a tick bite and developed weird, mild symptoms so you think well maybe i have a mild case of lime disease. then she had shoulder surgery and when her hands started trembling she thought perhaps it was due to her shoulder but the stiffness and changes in muscles can be gradual. it can be one side of the body and not both. and there's where the fingers literally go like this. and unless a doctor who hasn't seen these other isolated incidents looks at you and said you're pill rolling, you have a tremort rest or your hands move, only then can they say none of that other stuff ma

dr. nancy snyderman, thank you so much. renouncing possible canadian citizenship. questions are popping up about whether he is able to run for president because he was born in canada but mostly raised here in the u.s. he appears to have dual citizenship but is making it clear he's all american. >>> bob filner is said to be in mediation talks to settle a sexual harassment claim against him. 16 women are accusing him of making unwanted advances and the entire city council is calling for his resignation. >>> police are investigating a death at the home of singer olivia newton john. a 42-year-old contractor is expected of shooting himself at the star's mansion. the palm beach post reports contractors were seen working at the home monday and one of them was crying. >>> people in oregon are waiting to hear if they have to evacuate ahead of a wildfire near the columbia river. meantime, reinforcements are making progress near the fire in idaho. there is deep concern today that thunderstorms could trigger flash floods in the burned