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tv   Sanjay Gupta MD  CNN  November 24, 2013 4:30am-5:01am PST

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york. thank you. we are going to see you back here at the top of the hour. >> "sgmd" starts right now. welcome to "sg md," love it or hate it, less than a week now to go until thanksgiving. get this stat. most of us are going to eat about 3,000 calories in just that one meal. we're going to spend some time showing you how to cut your calories with the help of top chef hugh achison. we'll also tell you how to stay sane, after all, who could forget this? >> dad wants ambrosia so i we got to get the miniature march marshmallows. you do the cranberry. you know i can't cook. yeah, well, i'll see you tomorrow then. gobble, gobble. oh, bye-bye.
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>> you may remember that clip from the hilarious 1987 movie "planes, trains and automobiles." we are getting old. steve martin and also the late great john candy. look, i'm going to tell you, the holidays, they can be a trying time, you know this, for families from all across the country. so joining me with how to survive holiday hell as many people call it, our very own richard quest in new york and from los angeles behavior expert wendy walsh. welcome to both of you. wendy, it's a different kind of stress, right, a special kind of stress, if you will, over the holidays. because you say getting together with relatives is the closest thing we have to a time machine. what did you mean by that? >> exactly. it's because we are just sort of held in our chairs by a centrifugal force which is our early family systems, be they good or be they bad, no matter how old we get, we become the 12-year-old at the table again, and the sibling rivalry stuff comes up again and mom's favorite gets special attention.
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everything goes back to that early family table. >> i was never mom's favorite. i know exactly what you're talking about. you know, richard, you know, i think a lot of this is about expectations, right? we have all these expectations of what the holiday season's going to bring, and then all of a sudden, it's very hard to meet those. and you say only a fool will go into this thinking everything will be fine. >> wendy's put her finger on it perfectly! you know, sanjay, it's not about expectations, it's about going into war! think of it this way, there are -- you go home to your family and there are land mines everywhere. there are elephants in the room that you walk around. why is cousin joey got blond hair? shhh, we don't talk about it. what is happening to derrick and sara? shhh. we don't talk about it. >> right. >> how long -- how many drinks has uncle arthur -- shhh, we don't talk about it.
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this is a time for backbone and steel because, frankly, only the brave get out of this in one piece. >> and if there's a lot of drinking, then all of a sudden you're talking about everything. nothing's off the table. >> exactly. >> is it psychological warfare, wendy? >> in some ways it can be, one of the things richard is talking about, you're talking about from the other side of the pond, where there's a lot of repression and here in america we talk about too many things and we need to learn to restrain ourselves a little bit. >> i don't know if you've met richard quest yet. he doesn't fit your stereotypical across the pond. >> i need a few sessions on your sofa to get rid of my repression. >> but i do think, listen, we get together, sanjay, for one reason. remember, our ancient people, our biology remembers this, we get together during the darkest days of winter, because our ancient people, the sun went away, the food was gone, we huddled together around fires and shared the last little bits
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of food and hoped that spring would come. so it is wrought with fear from a biological level. then we go back to the early childhood events that may have been negative, let's be honest, there may have been terrible traumatic events that happened in our childhood. but now we have this great opportunity, we can enter with an adult eye. we can enter looking for forgiveness. we can enter looking to spread love. i mean, we share genes with these people. we share pheromones, we share humor and we should be able to find a way to share love. >> it's a great point. it's a lot to take on, though, and one of the things you wrote about as well was this idea that some people kind of jet in and they're going to jet out. they're not going to try to get the whole experience. richard, let me ask you, because maybe you're the perfect person to ask, once you have had enough, how do you diplomatically extricate yourself from the situation? >> you need the diplomatic skills of madeleine albright and hillary clinton all rolled into one. >> or richard quest.
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>> you can't do the age-old, my cell phone, hello, i must go immediately, i'm sorry, i've got -- that won't work. you need to set the parameters early. so, if you're going home, you should make it clear that you may have to leave a little bit early because of a dinner at "x" or, again, back to your expectations. now, look, if you're having a really good time, then you can make your host feel even better by saying, oh, no, i'll cancel that. if you're not having a good time, your host is ready for you to say, oh, thank you so much. and be forceful. don't be put off. remember, you're not inviting somebody to let you leave. you're just merely excusing yourself. it's about etiquette. it's like when you're flying and the person next to you will not stop speaking and you want to go to sleep and they are a pain in the proverbial, you don't say, would you mind shutting up. you say, you say, you will excuse me if i get some rest.
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my mother's meeting with the other side. >> you are brilliant! so many people are going to use this advice, richard, i guarantee. richard, do you have siblings? >> three sisters. >> wow. >> need i say more? >> wow. i love it. >> including a twin who's seven minutes older than me, and you think i've got a complex. >> well, do you have any advice for richard, wendy, regarding the social class sibling rivalry? >> i will say this as siblings leave the family they go up and down the various social classes and there's lots of rivalry over a kind of mustard or lettuce or beers or cabernet, et cetera. stay out of that mess and be who you are. more importantly, in a sobering way, i want to tell you, if you don't work out your stuff now with your parents, or if there is old real injuries, you're going to be working it out at a
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death bed or at a tombstone so go in there and be brave and talk about things that matter. you can do it. >> wendy walsh, sir richard quest, very good advice. thank you to you both. happy holidays. >> same to you. i think we've well established our families as much as we love them can cause some real headaches sometimes this time of year. but up next an operation, believe it or not, for extreme migraines. i'm going to take you inside the operating room. i'm tony siragusa and i'm training guys who leak a little, to guard their manhood with new depend shields and guards.
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it dissolves in any temperature, even cold. tide pods. pop in. stand out. nearly ten years ago plastic surgeons at the cleveland clinic, they noticed something curious after performing certain operations known as brow lifts. some patients came back saying they used to have frequent migraines that then went away after the operations. the surgeons became intrigued by this and they began to experiment and today they toss around the word cure or at least something close to it. >> i just want to have a life. i operate on half a life. >> corin hawes says she has 15 good days a month. >> hold on. >> the other 15 she deals with crushing migraine pain. >> it feels like a boa constrictor around my head. it feels like a snake going around like this and just so much pressure. >> and get this, the pain is so
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bad, even sad movies are out of the question. >> i can't even cry. "beaches" was a killer with barbara hershey. ♪ did you see that? oh. >> it's been happening since she was 9 years old. a maddening loop. she's okay one moment. the next, fighting massive pain. >> i tried oxygen tanks. i tried acupuncture, every migraine medication. every seizure medication, antidepressants, everything. >> well, almost everything. >> and what are we doing for you today? >> surgery. >> what kind of surgery? >> migraine surgery. >> migraine surgery. it's a controversial treatment for what many neurologists say is an intrinsically brain-based problem. >> i'm just going to make a couple marks. >> okay. >> over the areas we talked about. >> her plastic surgeon said that tight muscles and connective
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tissue are literally choking her nerves especially in the neck and that may mark the beginning point of her migraines. so, he plans to make incisions and remove bands of muscle in what he says are trigger points, frown lines around the eyes, the temples, the base of the skull. basically relieve the pressure. >> i'm anxious. i've been anxious, like, for a while now because it's, like -- it's, like, a new life so -- >> okay. we're going to start. can you go up to 20, please? i'll take some gauze. i have identified the nerve. that's half the battle. >> her surgeon says that 90% of patients at his practice emerge from operations with fewer headaches. and he says for 60%, the pain goes away completely. >> we have patients that are almost three years out, and they're still reporting no headaches. so how are we doing? >> doing very good. >> no migraines.
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literally they say it was like a switch. >> for corrine there was no switch. >> that's healed great. >> seven weeks later, she still has sporadic headaches. >> so, i'm hopeful, but i don't want to, like, count my chickens. >> sure. when you have lived with pain for so long, you're, like, is it going to come, when is it going to happen? >> to be sure, migraine surgery has its detractors. common concerns among neurologists that the study suggesting this method works is flawed and the patients, well, they are most likely experiencing a placebo effect. the american headache society calls migraine surgery a last resort option that is not appropriate for most sufferers. >> i think it is good to have people that are skeptics because that's how science gets advanced forward. any neurologist or pain specialist who is skeptical about this should actually start collaborating with surgeons. >> we caught up with corrine 12 weeks now after surgery.
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her headaches, she says, are down to three a month. >> three a month for me is very good. i had a tough recovery, but it's definitely working for me. definitely looking for 100%, but, you know. >> it is safe to say that many neurologists do remain skeptical about this, but the doctor who you just met said the procedure can be helpful to a certain subgroup of patients. and to see if someone's a good candidate, surgeons will often test by injecting lidocaine or botox into the suspected trigger areas. if that helps, they say the operation could be a more permanent fix. i wish corrine luck. up next, cutting the calories around your thanksgiving table. might have to do this without sacrificing the taste. we invited top chef hugh achison. he's going to come by right after this. but, first, today's "human factor." >> got away quickly. >> for 15 years gail devers was one of the fastest women in the world, known almost as well for her long fingernails as her
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olympic and world championships. devers qualified for her first olympics in 1988. but when it came time to compete, her body failed her. >> i ran slower than the first time i ever ran when i ever stepped on the track. >> her hair started falling out. her once long nails broke and she started losing a lot of weight. >> at my worst i was under, like, 85 pounds. >> her symptoms continued for nearly three years without a diagnosis. her specialist confirmed grave's disease, an autoimmune disease of the thyroid gland. devers got radiation treatment but as a side effect she developed painful blood blisters on her feet. it was so bad doctors nearly amputated her feet. >> i remember sitting there saying, oh, my gosh, oh, my gosh. >> eventually doctors found a way to treat them, and a year and a half later, devers was back in her running shoes,
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competing in the 1992 olympics. today she's married with two children and helping other kids achieve their goals. anyone have occasional constipation,
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. you know this guy, he is a judge on bravo's "top chef" and
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the award winner of this cookbook called a new turn in the south. 3,000 calories for just one meal. on average. not everybody. there are ways to do this a lot better and still have a great meal but not overdo it. >> historically, it's a rich meal. we want to lighten it up and take the seasons with growing throughout and relish in there. the new rule these days is half the dishes on the table to be vegetables. i don't want to be them fat laiden. i want them tore fresh, nice dishes. here we have a beautiful beet and carrot salad, cold parsley and the tops of the carrot greens. this is brussel sprouts with cranberries. this is beautiful two different types of kale with pecans and sweet potatoes in there. >> my friend anderson cooper said he just recently discovered kale because it's become so
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popular. he didn't know what kale was. >> kale salads are on the rise. and now they're getting attacked. kale is -- there is a backlash now against kale. kale is just had the moment. let it have its moment. it's really good for us. >> that's how we americans are. we build them up to tear it down. >> if i see another kale salad, it's like i love kale salad. and then we have a pork tenderloin. beautiful local pork with these tiny beautiful roasted apples. and then we've got a leak bread pudding. i don't have a turkey here. i wanted to do a variation. and this is so good. tons of sweated down leaks. it mimics that richness. i want that feeling, that will havely feeling of being full at the dinner table afterwards but i don't want to laiden myself out. >> so you don't have turkey or honey baked ham or something like that.
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>> you can. what i want you to do is just think in the availability of your area and then adapt to it. if you like the spiral ham, go for it. if you like the roasted turkey, go for that. but what i want you to do is this part. >> so half the table. if you look at this, four of the eight dishes, three in the six of this case, vegetables. >> exactly. >> how long does it take to prepare something like this? >> not too long. food is meant -- we position foods thk complex thing which is really confusing and really difficult to do well. it's not. all of these recipes are really easy to do. they're written for home use go. to your farmer's market and find great carrots and beets and do this salad. it's great to cook brussel sprouts this way. this is really fresh and good. this is really simple. simple vinaigrette. this is a cranberry and simple tart we made with brown sugar and custard that is awesome. really fresh. so that's all we're looking at.
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food, you want to plan it out like you're a restaurant owner or chef and map out the day. make sure you're fitting in enjoyment and time with the family. but then surround yourself, my 9 and 11-year-old, they want to cook with me in the kitchen. >> it's part of your family tradition. >> it is the best times i will always spend with my kids. we have fun in the kitchen. we plan the meals and get things going. you're spending time with them and also giving them life skills. if you give them life skills, they'll eat better for the future. >> it's good advice this idea, i want to spend time with my kids. if you choose convenience and made poor food choices. >> people say i'm going to get that meal at a fast food restaurant to make my life easier so i can spend more time with my kids. how about go to the grocery store with your kids and cooking with them for an hour and a half and enjoying the time in the stories as you listen to music on the radio and you engage with them and see them. and then it's real. but you're giving them life
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skills. they're not learning much by buying fried chicken in a bucket. >> i couldn't agree more. you heard it here. it's one of the best times of his life, cooking with his children. thanks a lot. happy holidays. >> you, too. farmer: hello, i'm an idaho potato farmer. and our giant idaho potato truck is still missing. so my dog and i we're going to go find it. it's out there somewhere spreading the good word about idaho potatoes and raising money for meals on wheels. but we'd really like our truck back, so if you see it, let us know, would you? thanks. what? you give them the giggles. tylenol cold® helps relieve your worst cold and flu symptoms.
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last week the american heart association came out with new guidelines about who should controlling their cholesterol with statin medications.
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this generated a lot of questions from you at home. i want to spend a moment today reminding you of the basics. best way to control cholesterol is to really watch what you eat. it's basic advice but makes so much sense. when we didn't have all the choices we have nowadays in terms of fatty foods, processed foods, we were better at controlling heart disease. cholesterol is this waxy substance that our body makes by itself. the problem is it's also if a lot of foods we eat. because of those foods we're getting cholesterol that's are much higher than we should v best way to think about good and bad cholesterol is bad cholesterol is stuff that builds up in your blood ves he wills. it can cause blockages. it can cause problems with your heart. good cholesterol, the best way to think about that is sweeps up the bad cholesterol. it is the cleanup crew. satins are a type of medication. there are many different types of brands of the medication. it interferes with the way
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cholesterol is made, absorbed and cleaned out of the body. if you interfere with that a bit, you can decrease someone's cholesterol and increase the amount of cholesterol that is sort of wiped away from the blood vessels. they can have significant side effects, not necessarily life thet ening in most cases but can you develop significant muscle problems. can you develop problems with your liver. what they're not sure of and very posh question is will it actually prolong life in the vast majority of people? that still remains to be seen. here's the bottom line, hopefully this makes you more knowledgeable. but also initiates a conversation with your doctor. you need to know your family history. you need to know your cholesterol levels. you need to chase life. now before we go, a quick reminder about our fit nation challenge. listen, you've been doing it. i did, too. making excuses about your health. so let me help. we have just one more week to tell us why we should choose you for next year's team. log on to cnn do the dom/fitnation and learn more there.
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we're going to train together. we're going to transform your . i call it hitting the reset button. that's going to wrap things up for us. "new day sunday" continues right now with christi paul and victor blackwell. >> the world is united in support of our determination to prevent iran from developing a nuclear weapon. >> a historic deal. while you were sleeping, six major powers including the u.s. cemented an agreement to freeze key parts of iran's nuclear enrichment program. the terms, the reaction, and the controversy ahead. >> and what is this deal mean for israel? already the u.s. ally is voicing its severe displeasure calling it a historic mistake. >> plus, the reaction from congress. republicans are firing back at the white house calling the treaty a blow to our allies and one high ranking senator even ys


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