dr. natalie. >> hi, is it okay to skip my ob-gyn appointments? >> oh! >> well, actually the latest is that, in fact, we can be spacing out our gyn appointments a little bit more with a pap smear and hpv testing. the newer recommendations are less frequent pap smears but that doesn't mean you don't go. there's still a value to having the breast exam, having an exam with your doctor, they screen your urine and you can bring up issues of concern. >> i have dear friends who would not be on this planet anymore if they hadn't gone to their gyn in their 40s. >> an important message is even though we have changed the psychology, you don't need a pap smear, it doesn't mean you don't need to see your doctor. >> my breast cancer was detected by my gyno. >> make an appointment today! >> not alleviating stress. one of the biggest things here is that we are called in our 40s the sandwich generation. we are sandwiched between taking care of elderly and ailing parents and young children and that's -- for many of us that's a very, very real thing. so identify it and try

dr. natalie wiley.he is an ear, nose, and throat surgeon and head of the kingston public hospital, where the surgical screening took place the day before. marlene, who we talked to earlier, said she's been waiting years to have this operation done. is the problem not enough doctors, not enough space, not enough resources? what is it? >> it's a little bit of all of the above. the kingston public hospital really is the main provider of health care, a secondary care. not just for the island of jamaica, but for the english speaking caribbean. so we have a lot of patients. sometimes our capacity for surgical procedures is overwhelmed. so this is why today is such a good opportunity for us to clear some of the backlog of patients that we have. >> how would you describe the status of health care here in jamaica? >> we have some challenges, but i think this year the budget for health has increased and there's been a recognition by the government of the role and importance of health care. >> nothing is perfect i

dr. natalie azar is a medical contributor.syndrome to people who had acute coronary syndrome. what is the difference? >> the other name for the broken heart syndrome is called stress induced cardio my yoth i. the brain senses the stress and stimulates a gland in the body called adeanal gland to produce adrenaline. it can stun the heart muscle and weakening it. as opposed to an acute coronary syndrome which is caused by a blocked coronary artery. >> you're talking about two physical ailments. one is triggered by emotional things and the other is triggered by physical problems. >> right. usually a structure problem with a blocked artery or something. the interesting thing that came out of this. we've known for a long time that emotional triggers can cause this broken heart syndrome, but what these researchers found is that physical triggers were more common than emotional triggers. physical could be, you know, acute respiratory failure or surgery or grief and panic. but in a significant portion, 28% there was no trigger found. >

dr. natalie azar. i hear talk to your doc. that's the main thing. >> absolutely. >> two tamale whose lives were changed forever by a fatal car crash and a case of mistaken identity. >>> and the new wave of jimmy fallon and justin timberlake are celebrating their friendship and who wants in on this bromance and josh brolin on conserg everett, his f after trying brookside chocolate, people talk about it online. love at first taste. i would liquify it and bathe in it. curse you, brookside! your nefarious plans have succeeded. nefarious? are we still talking about chocolate? brookside. talk about delicious. after trying brookside chocolates, at fitgirl.kayla posted: sexy lips. chocolate. purple heart. speak no evil monkey. i don' t know how to respond except to say, thumbs up. hey girl. tap dancing twins. brookside. talk about delicious. why do you think the ripples make a difference? grabs more? it's the cleanripple texture. now, do you feel so clean that you would go commando? why not! how do you feel? awesome! cottonelle has cl

dr. natalie azar is a contributor for nbc. good morning. >> good morning, savannah. >> a study that throws up in the air everything we thought we gnaw about what is good for us so what's the bottom line here? >> well, the bottom line i think on a light note is if you're waking up in the morning and feel guilt benot taking your supplements, you don't have to feel guilty anymore, but importantly the stuff that's coming out of this research from the british medical journal is actually not new. we have had for a number of years now, u.s. health officials have made the recommendation that calcium supplementation probably doesn't prevent osteoporosis or fractures in older individuals. specifically the two studies that were reported yesterday looked at both an association between calcium intake with diet or supplement and whether or not tim proves bone density and the other study looked at whether or not it actually prevents fracture which is the most important end point. neither of those studies looked terribly promising. >> so the

dr. natalie azar. good morning to you. i guess i get this. you want to build up a certain immunity to germs. the question is how much is too much in terms of sanitizing? the reason it's called the hygiene hypothesis is it is evolving. the idea has been around for a couple of decades. just to summarize what we are saying, it's postulating that because of the industrial society and our decrease in infections because we are cleaning, cleaning, preventing, vaccinating and all of that there is an unfortunate rise in allergy and asthma. to understand abnormal it's important to understand normal. what should be happening when a child is born, critical post natal period where they are exposed to things. i think of it as a dance between exposure and how your body reacts. the immune system is fine-tuning itself so it's not reacting against itself and causing allergies. if a body is busy fighting infection it won't fight itself. that's a way to think about the idea if you are not exposing yourself to things your immune system has nothing better to do th

dr . natalie azar, "today" medical contributor, will help us make sense of this. good to see you. so we all gave you a bunch of information. gender, age, blood pressure, bmi, whether or not we smoke, diabetic, all those things that go into the formula. let's do a reveal. >> okay. >> i will start. i'm 40 years old. my heart age is 41. one year older than my chronological age. is that a problem? >> that's a problem. >> really? >> one year? >> here's a really important take home from the study. the study wasn't meant to generate a number or a relative risk like if you are x number of years other your real age your risk for a heart attack or stroke is this much higher. it is meant to drive home the point that the risk factors -- age, gender, diabetes, g bmi -- factor into heart health. if your heart age is greater than your real age then your risk for heart disease is higher. >> we'll talk about ways to bring the number down. let's go to my pal savannah. how old are you? >> 43 years old. >> well, your heart is 43 years old. >> whoo! i'm average. yay! that's good, right? >> it's great.

natalie and tamron drag me and hoda oh our first hot yoga class. where was carson? >> dr.or better health. my name is phil zietlow, and i've been an engineer on the cheerios team for 51 years. about five years ago, i found out that if my daughter-in-law, joyce, eats anything with gluten in it she feels pretty darn terrible. so my team and i came up with a way to remove the grains that contain gluten, from the naturally gluten free oats that cheerios are made of. so now joyce and i can have cheerios together anytime we want. and if you love someone with celiac, or gluten sensitivity, you can too. acidity was in my diet...much that it was damaging the enamel. i wanted to fix it right away. my dentist recommended pronamel. he said pronamel can make my teeth stronger. pronamel is helping me lead the life that i want to live. ♪ the new fall collection. white house black market the whole day to sell to the their old cart aside and buy a new one... oops. nana's got the kids til 9... but it's only 2. guess you'll just have to see a movie... ...then get some dinner. what a pity. al

dr. natalie azar. i said today can you prescribe something for me to grow taller between the two?ration is good for your heart health. this is important. a couple of weeks ago we reported on a study that said there could be a link between light to moderate drinking. today we'll look at the cardiovascular system. we are talking about red wine. it contains a polyphenol. you have heard of resveritrol -- or not. it's an antioxidant. it promotes cardiovascular health, stabilize it is arteries. good for you. raises hdl, lowers ldl. this is something to point out. this is a serving for women. one a day is five ounces. to demonstrate this is a double serving. ten ounces. this looks like a lot in one serving but you know how you repour, one serving a day for women, two a day for men. >> of red wine? >> preferable to white. >> for your heart. >> it's good for your heart. >> chocolate. >> tell us it's okay. >> dark chocolate is the best. you're eating it? i thought it was glued to the table. this is the second poly-phenol. these have flavanoids. also an antioxidant which stabilizes coronary

dr. natalie azaur. a lot of people are looking and wondering, a lot of these cacumbers don't necessarily have packaging. if you think you have a sickness, what are the symptoms? >> expoesh toor salmonella will typically cause symptoms from 12 to 72 hours after injection. typically, fever, abdominal cramping and diarrhea. it's a self limited illness. resolves in four to seven days without antibiotics. >> can we talk about who's most vulnerable? the infections range in people from a year old to 99 years old. more than half the cases reported in people under 18 years of age. is that a convince dnls? >> not a coincidence. we talk about the vulnerable groups being the elderly and the young and people with compromised immune systems. children are uniquely vulnerable for a number of reasons. one is their small body weight and secondly they're more likely to get diarrhea. it's also harder to pick up signs of dehydration. >> some can result in death. how do you know it's time to go to the hospital? >> just to re

dr. natalie azar. good morning to you. lot of people will be looking and wondering, a lot of cucumbers don't necessarily have packaging, the question is if you think you have some kind of sickness what are the symptoms of salmonella? >> exposure to salmonella will cause symptoms anywhere from 12 to 72 hours after the ingestion. typically the symptoms will be fever, be a dom cramping and diarrhea it is a self-resolving illness, without antibiotics just proper rehydration. >> the infections range here in people from a year old to 99 years old. but more than half the cases reported in people under 18 years of age s that a coincidence? >> not a coincidence. we always talk about the vulnerable groups being the elderly and the young and people with compromised immune systems. children are uniquely vulnerable though for a number of reasons. one is their small body weight and secondly, they are more likely to get diarrhea. also harder to pick up since of dehydration in an infant. >> you say most of these will resolve themselves. s

dr. raj, thanks so much. >> and we're back in a moment. this is "today" on nbc. >> over here. it's a big day for natalie cooking skills and talk about the people who inspired you. >> yes. >> most importantly on sale now. >> yes, it is. >> get your copy. >> guess who is coming up? is what have we got? >> whitney cummings and the amazing franklin graham. >> her album is so good, so good. >> she gets better and better like a fine wine. >> wine. >> what a gift. >> what a gift she has. >> she has so many. >> oh, my gosh. i'm ... ==topvo== an early morning fire in san jose left a dozen people looking >>> good morning. 9:56. i'm kris sanchez. an early morning fire in a san jose home left a dozen people looking for somewhere else to stay. firefighters say it started after a car caught fire on vine street just a bit after midnight. the flames bu s burned at tlool weeks and jumped to a nearby home. firefighters are saying it looks to be accidental. a look at your weather and traffic coming up. >>> mostly cloudy skies with a chance of rain for the south bay as well as parts of the east bay. expect highs only in th