tv Americas News Headquarters FOX News October 20, 2013 1:30pm-2:01pm PDT
my handle is carolaltfnc. that's all today. thanks so much for joining me. until next time, i hope you're learning to be more of a healthy you. hi, hi, everybody. i'm jamie colby and it's time for sunday house call. >> and i'm eric shaw, and joining us is dr. marc siegel, authors of the inner pulse on unlocking the secret code of sickness and health. >> and dr. samadi. he's a professor too. and great to see both of you. thank you for joining us on "sunday house call." i wanted to begin with this new research on the fight against alzheimer's. there's a study that finds that doctors soon may be able to
detect the disease years before the first symptoms set in. dr. siegel, how early? >> this is pretty exciting. it's out of johns hopkins and published in a major journal called neurology. and it looked at the idea of looking at the fluid that's around the brain, the csf, we call it. that flawuid we're going to tal about in a second topic as well. that's not only a accusatiocush it absorbs waste products from the brain that the brain makes as it's working. if you have these two very abnormal proteins, if they build up in the fluid around the brain, it may be a marker that five years down the line, you might have a problem thinking. you may be forgetful. you might have a problem with daily activities. you might be on the verge of mild dementia or even alzheimer alzheimer's. if we knew five years in advance, jamie. and that's what this study was. if you could predict five years in advance, maybe we could come up with treatments that prevent it before it actually happens. that's what we do with heart
disease. high blood pressure, treat that in advance. we're hoping with alzheimer's, we can treat in advance. and this is the first time we've seen a marker like this that we could focus on. >> how do you find it? is there a test for these markers. >> they're looking at the ratio between the cow protein and beta amlyene. they're coming up with these kind of results among normal, cognitive people. we've had these kind of results in the past on alzheimer's patients, but now 265 patients go through no symptoms, normal people, and now with a family history of alzheimer's. and they're finding out if the ratio, too much protein and not enough beta, then there's a higher risk of having alzheimer's. great biomarker, just like we have cholesterol or blood pressure we can predict. very interesting and it's actually fascinating, because now we can really see who is headed towards that. now, we don't have the treatment. that's the problem. the way to do this is get the spinal fluid.
more studies need to be done to duplicate this. where are we going with this? $200 billion being spent on alzheimer's. it's a health crisis. the numbers are going to triple in the next decade or so. 5 million americans suffer from this. if we can delay this, and if we can push it further back, until the pharmaceuticals come up with this, then we are going to be okay. >> what should i ask -- eric is going to say, what do i ask my doctor for tomorrow, but not everybody wants spinal flood. >> they say, i want the -- >> though, we're not ready for that, eric. but what you can do monday morning is to cut down on your -- everything is going to come together. listen up. saturated fats, right? that's all the meat and dairy we talk about. that increases your beta amaloid. all these doughnuts and foods, replace them with berries. exercise can reduce the level of beth beta amaloid in your brain, and
also sleep will reduce that. if you can do this at least from monday morning, you have an option. >> see how he pronounces the word alzheimer's, that's the correct pronunciation. he's taught me that. and think about this, this is a little on the negative side. if you knew, you want to know how to tell patients? if you knew that five years there now you were going to have a problem thinking or you were going to be forgetful, you could say to the patient, look, we better do something about this now. what's your home situation? who are your caretakers? how can we predict the future? that's a big deal in medicine. >> a lot of patients don't want to know if you can't treat it. >> we're getting there with treatments, though. the treatments are on the blocks, but we want those treatments early. >> speaking of the brain health, did you know that your brain, it's actually very busy while we're asleep. researchers found that the brain operates a waste flushing system that stays active during shut-eye, so dr. samadi, when we're in dreamland, what's this waste flushing system that the brain is involved in while we're dreaming? >> i think this is even more
fascinating and i'm preparing for this segment and really getting to this whole they think as a ourologist. what happens to building at 5:00, 6:00 when we go home? all the cleaning people come in, cleaning up the waste, so by tomorrow morning when you show up, everything is beautiful. that's what's going on in our brain. the university of rochester is finding out is there's a whole system, it's the spinal fluid that mark just talked about, goes through our brain while you're sleeping, cleaning up all the toxins that we talked about. is it crazy? it's incredible. so what happens? your cells in brain actually start to shrink by 60 percent. so your beta amaloid, and the reason for that, they need to open up space for all these bubbling, cleaning people coming in and cleaning up the toxins. and they start their activity by ten times to make sure. that's why sleep is important. that's why getting seven hours of sleep. when you cut it down to three hours, jamie, what happens is
you leave all those toxins behind, you're a little forgetful, a little tired. what was the name of that again? that's why you need to sleep. the other thing that's important is, now, if these cleaning people are going in and cleaning up the toxin in our head, maybe they are lazy, maybe they're not doing their job, maybe we should push them. and if we can push this system to wash out all these toxins, we can treat alzheimer's or delay it. >> when you talk about the toxins, everything in our body? >> all the cells in our body are making waste products. in sleep, before this, we have studied electrical activity. what happens to the brain during sleep? this is the first time we're really looking at the cells themselves. and as david said, we found out they expand when we're awake. eric, you're out there covering the united nations, your brain cells are expanding. they shrink when you're sleeping. you're rejuvenating your brain cells are growing now.
you're getting ready for the next day. but as this brain cells shrink, the fluid, the spinal fluid comes in and it like vacuum cleaners out the debris and the bad products that are formed during sleep, including beta amaloid, all the proteins we don't want there, we get rid of. the fluid comes this and cleans the brain out. >> can that be enhanced? is there anything we can do to enhance the cleaning system? >> i think we can, but one of the messages here is sleep is good for you. look what happens during sleep? we're rejuvenating. those of us that replace sleep with caffeine, bad idea. and of course, probably down the road, there are going to be some treatments that can increase the amount of cleaning of the brain that goes on. >> the theory behind this is that we've talked about, for example, coffee can reduce the risk of alzheimer's or diabetes. that maybe it would increase the antioxidants and these guys will go and clean up those all those beta amaloids. this is a great way to go. finally, where is the waste
being dumped? in the liver. that's why we don't want you to be drinking too much alcohol. if your liver is not ready to accept these toxins, liver disease can lead to alzheimer's. it's all coming together. >> i'll take a nap over a cocktail any day of the week. a nap is good enough, or do you need that seven hours in a row to get the cleaning people really doing their thing? >> you need seven hours in a row to get the cleaning people in there. the problem with alcohol, it interferes with that cycle. but for people who aren't getting enough sleep, if you nap during the day, the next study is going to show that the fluid is coming in then too, but it's during a full night's sleep, that the brain -- this is in mice, by the way. the studies are in mice. >> the same context, cholesterol. the same concept that can cause heart attack. the same plaques can cause brain attacks, which is alzheimer's. >> it's interesting that the brain can heal itself in that way. fascinating. i want to talk about this condition that half of the people over the age of 60 have,
and how fiber, you know, it's good for one thing. it can also help something else. we're going to tell you about that. and do you like oreos? who doesn't? did you know that -- well, could they be as addictive as drugs? it's hard not just to have one. but there's a new study out about oreos. you've got to love them. the doctors will fill us in on what this research supposedly found. h supposedly found. [ commins ] the alarm went off after 1:00 in the morning.
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i thought you get pain with that? >> you do. we call it tics medicine. they're little pockets in the colon. and usually we pick them up with a colon of couroscopy. we see these pockets. the pockets may not give you any disease. for a long time, you may have this pocketing in your colon and never get sick from it. that's diverticulosis, when you have the pockets. they come from low-fiber diets. if you don't get fiber, you get these pockets. what can happen with the pockets? they can get inflamed, infactec, they can start to bleed. it's pretty tricky to actually diagnose this, because sometimes it doesn't show up on a cat scan. it's usually abdominal pain on the left lower side.
they have some tenderness, a little bit of a fever, they've been having cramping, especially in an elderly person makes me think of this. i have to treat it with antibiotics, usually cipro, antibiotics, sometimes they have to be hospitalized. they usually get a cat scan, as i said. almost all of the time, this can be cured. most of the time, it can be cured, with antibiotics. sometimes a surgeon like david has to get involved and actually remove part of the colon. usually that's not necessary. people who have this problem, where they debt diverticulitis, the infection, need to be on a high-fiber diet. it used to be thought you have to avoid seeds. the latest research has not shown that you have to avoid seeds. and the last thing is, sometimes these things can bleed. that's a particularly difficult problem in the elderly. if you see an elderly patient come to the emergency room and are having a lot of lower gi bleeding, you worry this can be it, especially if they have pain on the left side. sometimes you have to do an emergency procedure to stop the pleading. >> dr. samadi, what are the best
forms of fiber? >> fruits and vegetables and the diet we've spoken about is number one, and constipation is the main reason why people try to push and they push part of the bowl and the colon into these pouches called diverticular. and by itself, they may be asymptomatic. 65% of americans over the age of 65 have it. no big deal. so the abdominal pain and gas and bloating will come and go. but you get into trouble when something gets stuck, it causes inflammation. that's when diverticulitis kicks in. how do we know this? i used to spend many nights in the emergency room, and the first thing is you put your hand on the left lower quadrant part. if you take the abdomen and cut it into four quadrants, the right side is the appendix and the left side is die ver tick r ticklerit ticklerittickle
diverticulitis. you give them antibiotics and they do well. now, if this recurs, multiple supposed, unfortunately, either laparoscopically or open surgery, we have to take that part of the colon and they do just fine. >> pain on the left side? >> left lower quadrant. make sure you're not constipated. metamucil is a very easy fiber. if you don't want to eat all the fiber, add fiber. 25 to 35 grams of fiber a day would be sufficient to get you through this. and again, all the time, you used to say that corn, seeds, not good for you. now we see that it's fiber. the new research shows that that's only a myth. you can have all the fiber you want. drink a lot of water. >> left lower quadrant pain, fever, tenderness, as david said, high white blood count, diarrhea, cramping, see your doctor. >> and right side is appendix. got it. >> we'll get to the middle next week. >> ovarian cysts on the right. >> speaking of stuff down there, for men, do you know your psa level? do you look at it when you go to the doctors? what does it really mean when it comes to the health of your
prostate? well, the dean of prostates in the nation is dr. samadi, who will explain it all in our "should i worry?" segment next. your psa. stay tuned. and i quit smoking. chantix... it's a non-nicotine pill. i didn't want nicotine to give up nicotine. [ male announcer ] along with support, chantix (varenicline) is proven to help people quit smoking. [ mike ] when i was taking the chantix, it reduced the urge to smoke. [ malennouncer ] some people had changes in behavior, thinking or mood, hostility, agitation, depressed mood and suicidal thoughts or actions while taking or after stopping chantix. if you notice any of these, stop taking chantix and call your doctor right away. tell your doctor about any history of depression or other mental health problems, which could get worse while taking chantix. don't take chantix if you've had a serious allergic or skin reaction to it. if you develop these, stop taking chantix and see your doctor right away as some can be life-threatening. tell your doctor if you have a history of heart or blood vessel problems, or if you develop new or worse symptoms. get medical help right away if y have symptoms of a heart attack or stroke.
sunday house call of the doctors and it is time for "should i worry." our weekly segment of everything that worries us. here is an e-mail about prostate cancer. "i had surgery for prostate cancer and@0x]!$tjupr>kx mk p.sg up. why is that? should i worry? doctor? >> this comes up once in a while it is very rare that we see the p.s.a. after surgery going up.
the main benefit is you remove the cancer, patients are in control because they know what type and how of cancer they have. guess what? the p.s.a. should be undetectable or zero and that is why i prefer surgery. if you have aggressive cancer, the p.s.a. was high to begin with, it can come back 5 percent or 10 percent of the time. that is when radiation has a role. you can get radiation after surgery but it would be very difficult to do surgery after radiation. all the ads we see, be careful. with surgery, you remove the cancer, the patient is in control, with the option of radiation after. what i will tell this writer, we have to see how fast and when the p.s.a. is coming back. if it comes back way ambassador surgery it is not a huge problem. it depends on the doubling time.
we want to see the speed of the p.s.a. if it is from .01 to .02 i am not too concerned. normal should be zero. after surgery, it should be zero. it is very, very sensitive after surgery and that is the big part of this. >> what does it mean if it isn't zero after surgery? >> it could be benign and it will not kill the person or it could be cancer. if it comes back double, the first it is .01 and then .02 or more, in that situation we have the option of radiation and taking care of the patient. don't panic. >> what if you do not have surgery, a normal person, and you get that thing every year, the number, and i know what it means, what do i look for? >> i want everyone to know that was doctor on right of the screen, too, and his operating room, and that was me filming
him. he was tremendous as a robotic surgeon. there he is again, that is the robot. it is tremendous. >> as a doctor, he came in and he saw it for himself. he saw the fine movement. >> the teen is tremendous, too. >> before we move on . >> i follow a trend. there is a magic number of p.s.a. of four and if it is higher i need to know the family history. i need to know if you had a large prostate to begin. i need to physical a trend, to check a free p.s.a. it it is low it is worrisome. everyone should not only get p.s.a. but get a prostate exam over the age of 40. if i have a concern i send the patient to a specialist but i follow a trend. there is no absolute number.
there is a great teening school. >> by the way, a couple of months ago we started this whole program to give back to the community for anyone diagnosed with prostate cancer they can come to my facebook and send their questions and we will give them our opinion. that has helped a tremendous number of people. why want this person to panic, we have options and can study it. >> great question. you would assume it would be zero forever. thank you, doctors. you like cookies? you could eating them now? they could be as addictive as hard drugs. especially...these interesting favorite cookies which could keep you hungry for more. what to do about the double stuff. s don't unstuff your nose. they don't? alka seltzer plus night fights
your worst cold symptoms, plus has a decongestant. [ inhales deeply ] oh. what a relief it is. [ inhales deeply ] hall we do is go out to dinner.? that's it? i mean, he picks up the tab every time, which is great...what? he's using you. he probably has a citi thankyou card and gets 2x the points at restaurants. so he's just racking up points with me. some people... ugh! no, i've got it. the citi thankyou preferred card. now earn 2x the points on dining out and entertainment, with no annual fee.to apply, go to citi.com/thankyoucards of their type 2 diabetes with non-insulin victoza®. for a while, i took a pill to lower my blood sugar,
but it didn't get me to my goal. so i asked my doctor about victoza®. he said victoza® is different than pills. victoza® is proven to lower blood sugar and a1c. it's taken once-a-day, any time, and comes in a pen. and the needle is thin. victoza® is not for weight loss, but it may help you lose some weight. victoza® is an injectable prescription medicine that may improve blood sugar in adultth type 2 diabetes when used with diet and exercise. it is not recommended as the first medication to treat diabetes and should not be used in people with type 1 diabetes or diabetic ketoacidosis. victoza® has not been studied with mealtime insulin. victoza® is not insulin. do not take victoza® if you have a personal or family history of medullary thyroid cancer, multiple endocrine neoplasia syndrome type 2, or if you are allergic to victoza® or any of its ingredients. symptoms of a serious allergic reaction may include: swelling of face, lips, tongue, or throat, fainting or dizziness, very rapid heartbeat, problems breathing
or swallowing, severe rash or itching. tell your doctor if you get a lump or swelling in your neck. serious side effects may happen in people who take victoza®, including inflammation of the pancreas (pancreatitis), which may be fatal. stop taking victoza® and call your doctor right away if you have signs of pancreatitis, such as severe pain that will not go away in your abdomen or from your abdomen to your back, with or without vomiting. tell your doctor about all the medicines you take and if you have any medical conditions. taking victoza® with a sulfonylurea or insulin may cause low blood sugar. the most common side effects are nausea, diarrhea, and headache. some side effects can lead to dehydration, which may cause kidney problems. if your pill isn't giving you the control you need ask your doctor about non-insulin victoza®. it's covered by most health plans. >> why would we pick on oreo when we can talk chocolate chip
cookies? there is a biological region. what is up with the double stuff? >> everyone knows oreos, america's favorite. all, the rats favorite cookie. they love oreos. here is what the study is, out of connecticut college, they took a bunch of rats and injected them with cocaine and alcohol and morphine. or they gave them a choice of eating oreos and the ones that ate oreos ended up on the side of the maze where the oreos were, waiting to more and those that got cocaine ended up on that side waiting for more cocaine. the research has concluded and previous studies have shown what happeneds in your brain and they measure the protein in the brain that literally causes this to happen, in the brain, your body starts to have less receptors for dopamine and only makes it, which we all love, it makes us
happy, the brain of the rat only made dopamine in response to the oreo cookie or the cocaine. >> so it could be more addictive than cocaine? >> it is not about oreos but the pleasure sensor in our brain that is sensitive to sugar, fat and salt. you heard me before many times, i said food, unfortunately, is contaminated and i got a lost e-mails about that and i will tell you now it is addictive. putting 9 sugar in high fat food you desensitive your pleasure sensor in your brain and it becomes addictive like cocaine. that is what people need to know. how do you avoid it? when you put something in your mouth? look at it and pay attention, find out if it is right for you. by exercising, you have the indoor begin acting like a dopamine so you will not end up... >> i am not giving up oreos. >> moderation. moderation. >> the rats go right up to the cookies and so we would.
fat and sugar. fat and sugar. >> keep knit mind, that study is online for all of you. that does it for us. >> thank you for watching "house call." many conservative connators are saying it has been a disaster. >> you can see that in the standing of the republican party, suffered or enjoys, depending on what you want to call it, it is as low ebb, in two polls. >> it is hard for republicans to spin this as a win. clearly the president got most of what he wanted. >> on balance, though, if this is a little, the democrats won. >> did the coverage play a