hi, everyone. i'm jamie colby. it is time now for "sunday housecall." >> i'm eric shawn. joining us is dr. david samadi. chief of robotic surgery. >> and dr. marc siegel is joining us. associate professor of medicine. also author of "the inner pulse, unlocking the secret code of sickness and health" which is what we do here every sunday. >> we're going to start with something that's really important. you know how good a good night's sleep makes you feel?
there's a brand new study that says curing insomnia can also fight depression. over 18 million americans struggle with depression, and many have to deal with insomnia also. if you have depression, you can't sleep. if you can't sleep, you can suffer from depression. >> that's right. and the question is which one is really first? is it the chicken ear the egg? for years in medical school and training, we always have talked about insomnia as a symptom that parts of the depression. if you want to diagnose depression, you have a series of lack of concentration, insomnia, guilty feelings. all of that was part of it as a symptom. now, based on the new stidy coming out in canada, even though it's a small study, they're really giving insomnia not just a symptom, but a real disease. we're finding out insomnia can lead to depression. we talked about the importance of sleep, seven hours of sleep, many times on the show. if you're not getting np sleef,
that leads to high blood pressure, obesity, heart attack. it's important to get seven hours of sleep. if you're going to have insomnia leading to depression, you can take care of 50% of depression. that's the message from this that is extremely important. the biggest news we're bringing to you is yes, old fashioned medications are wonderful, but we don't like it. it treats it fast, but it gives you democrapendency and it does last long. cognitive behavioral therapy, which is a change of your behavior and the way you think positive about, oh, i'm not going to get any sleep tonight, as opposed to it may take longer for me to sleep. they'll work with you to change your behavior so you can sleep better. that has been extremely effective in treating not just insomnia but depression. >> it's like a vicious cycle. what do you tell your patients? >> in a book i wrote, "false alarm" i called it a cycle of
worry. you have a double the risk of becoming depressed if you don't have proper sleep. insomnia is months of interrupting your daily activities. you can't function properly because of lack of sleep. anxiety is involved, obsessions are involved, and then again, you're doubly at risk of depression. what's exciting about the study is if you treat the insum nomni the -- no matter what you gave them, your chances of getting cured of the depression was double,ologist. that's why it really works. it isn't just sleep habits. it's something that david referred to as cognitive behavioral therapy for insomnia. it's specific. it's based on your circadian rhythms. getting up the same time every day, going to sleep at the same time every day, not having daytime napping. it means when you are going to sleep, you don't have the tv on. you don't eat in bed. you don't play with the cell
phone and ipad. you just turn off the lights and go to sleep. if you can establish a routine, a discipline, you do a lot better, get rid of your insomnia. i want to emphasis, the pills are only used if we have to. >> like ambien, i don't know all of the sleeping pills. a lot of people take that. does that foster depression over a period of time? >> it can, and hallucinations. it can be problematic. same thing with valium or klonopin. whatever you're using, it can cause problems and maybe make your more depressed. >> i like the behavior therapy as an alternative, and sleep centers are opening up all over the country. >> sleep centers and sleep psychologists and therapists. we also want people to check their thyroid. sometimes hyperthyroid can lead to insomnia. this is from every direction, and just talk to your doctor and
find out what the cause is. if you're not sleeping and have uninterrupted one-month period, that's a diagnosis of insomnia. >> i feel this is one of the most helpful segments you have ever done for us. >> i love the urologist telling us everything thyroid. >> it's rubbing off. all right, well, another stunning study that we want to tell you about shows that herbp supplements that a lot of americans take are often fake. dr. siegel, you look a look at all the pills and already were unpacking because dr. samadi has a surprise for you. he's going to show you what he takes in the morning. what about in general? worth it? >> we're borrowing from canada today. another canadian study showed of 44 herbs they looked at, 30 had things in them that weren't supposed to be in them. fillers like rice, like yeast. in one case, it was supposed to be st. john's wort. it ended up being a laxative.
in once case, ginggo was something else. it's particularly disturbing, jamie, because the fda does not have jurisdiction over herbs the way it has over prescription drugs. so these supplements are unregulated and we can't police what is in them. now, assuming you actually got what was in them, i have an additional problem because the nih has a division called the national center for complementary and alternative medicine that has been studying this $5 billion industry for the last few years and they have not been able to prove that st. john's wort decreases deprovision. that ginkgo biloba decreases depression. all the things these people think they do have not been proven, and something like st. john's wort, which is used all throughout europe for depression, if you take st. john's wort with an antidepressant, you end up with a huge problem because you get
cod have a tremendous . reaction. go to your doctor and say here's the supplement i want to take. >> can i ask you a favor, dr. samadi? give people a chance to get a piece of paper and a pencil during a quick break. is that even if we have to kill, i want to make sure i pay attention and everyone else can to everything dr. samadi takes. we'll tell you the real program that dr. samadi is following. >> and doctors are answering a lot of your questions. one question came through to us about quick chest pains. you ever get that? what does it mean. dr. samadi will follow up with izisraeli patients and pioneering treatment of a deadly disease. all of that next. [ male announcer ] alka seltzer plus presents the cold truth. [ coughs, sneeze]
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with coffee because he says you should drink four cups all day long. today, we're going to find out what seplments he's taking. hit it, doc. >> this is not that difficult. i'm not into taking 20 pills. but you know, for my lifestyle, i may not get enough vegetables and balanced diet, so i always take one multivitamin, and don't worry about the brands we're talking about here, just the concept behind this. one multivitamin gives me all the nutrition i need. marc always kaungsed me about the stress and how hard i work, so i have to protect my heart. fish oil, omega-3 fatty acid is healthy for you, but i don't want you to take a lot of it. one or two days a week of this is more than enough. salmon, the rest of it. this one is a really good one. red yeast rice could be complementary to the lipitors. it's safe, and i think if you have the fatty foods, this will help you. biotin is to protect whatever
hair i have left, so i want to make sure i protect it. so this is actually healthy. the one that i mentioned, a lot of people ask about this, l-argini l-arginine, which is about 500 milligrams, you can take it once or twice a day. this causes healing, reduces inflammation. it can work like a pseudo viagra. it brings the blood flow, and for women, it helps with healing. it's not too much, and i hope it helps. >> i have been known to give patients or say to them, red yeast rice. it can lower cholesterol if you're afraid of statins or don't need them. i like biotin, i wish it would work. i like flaxseed oil to lower cholester cholesterol. >> and for some people, baby aspirin. >> if you need it, but talk to your doctor. these can interfere. go to nccam, and you can read about it. we'll post it in facebook. >> great advice. dr. samadi, he was in israel last week, following up with
israeli patients he treated and teaching techniques about robotic surgery. dr. siegel takes a look. >> our own dr. david samadi, chief of urologist at lennox hill hospital was back in israel last week, following up with patients he treated. >> you can see the pubic bone. >> a pioneer in robotic prostate surgery, he's traveled in israel in the past to teach these techniques to other doctors. >> we got the prostate cancer at the last possible second, not minute, before the cancer left the prostate and went into the whole body. >> it goes beyond the mechanical part of the robot. we're not robots. we have emotions. as doctors, i feel their pain when they come the first time, and then you see them across the bridge when the cancer is gone. >> dr. samadi is not alone. up in the north of israel, doctors are currently providing medical care to wounded syrians who are supposed to be their enemies. >> i think there is a little
plus to look at this patient who was previously your enemy, and you are in a system that is democratic and wise enough to help a people in harm. regardless who they are and where they are coming from. >> it is our moral obligation to take them and treat them, and not only treat them by medicine, even to treat the souls. that means to hug them and love them. >> back down in tel aviv, dr. samadi connected with the powerful feelings of his colleagues to the norts. >> in hebrew, when you save one person's life, you have saved a whole village. >> wow, absolutely amazinamazin. >> wonderful work. >> well, this was a very special trip because three years ago, when we went in and brought robotic surgery to israel, it was really a great collaboration with all of the scientists and surgeons. this time when i went in and over the last three or four
years, we had over 400 israeli patients who have come here. we have taken care of them. it was extremely emotional. a lot of tears, a lot of joy and hugs. people who are cured from prostate cancer. the example we saw, a patient who had a very difficult cancer to deal with. one of the highest risk prostate cancers he had, and now he's cured. i couldn't bring myself to give the speech, but it was wonderful. we're going to collaborate. now we have established the biggest prostate cancer support group in israel. i'm very proud of it. and also want to thank everyone that came to the lecture, supported everything that we did, and on and on. this is a very special trip. >> one of the things i was thinking as i was watching it, you're getting teary eyed. i know how much both of you care utyour patients. the fact is you didn't just cure that male patient. you cured a family. >> it's true. it's unfortunate, i get emotional about this, but one of
my patients for the first time passed away about three months ago. 46-year-old. and it didn't have to be like this. so any kind of opportunity we get, we should get the word out. get tested. you can save a life. and we'll continue the battle. and marc had a lot to do with this. so i thank also fox news for doing this. you have saved a lot of lives. >> what should people do? you can see the affect it has on dr. samadi, and doctors and patients? >> it's a great segment for our viewers. i'll tell you why. david, i have been in his operating room and he's focused on the surgery. this is the other side, when you meet the patient whose life is saved because the prostate has been removed, and hundreds came to hear him speak. they were grateful. that's when he gets to share the emotions. doctoring is about emotions and emotional hearing. that's why we put it together with the doctors from the north who are saying these syrians are injured.
their legs are blown off. they have shrapnel wounds, burns. we're going to take care of them no matter who they are, whether they're our enemy or not, because we care, what we love what we're doing, and that's the high emotion dr. samadi brings to surgery and healing. >> there's no such word as enemy when you're a doctor. i have been in the hospital many places in israel, and i have seen an israeli mix with the arab patients. as a doctor when you wear a white coat, everyone is the same. you give 200%. these are very powerful. the testimonials are the reason we wake up every morning and go to work. >> it's truly the hippocratic oath. thank you so much. well, you wake up with a strange feeling in your chest. i can't imagine anything scarier. but how do you know if it's something you need to worry about? we always answer, should i worry? we'll tell you about that after a break. thank you both. okay ladies, whenever you're ready. thank you. thank you. i got this. no, i'll get it!
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well, it's time for our segment "should i worry?" i don't want you to. this is our weekly segment where we look at everything that worries us. we had a viewer that asked, i wake up with a pain in my chest which feels better when i sit up. should i worry? dr. siegel? >> i have to tell you, i handle chest pain with kid gloves. i don't want anyone out there to hear this and say, i don't need to worry. if you get chest pain when you're walking on exertion, 90% of the time that's coronary artery disease. that's your heart. if you're lying down and it gets better when you're sitting up, it's probably your stomach, reflux, gastritis, ulcer, or
your pancreas, it could be. don't hear this and say it's not my heart. i still want you to see your doctor. drinking water could help you. sometimes stomach medication. could be your pancreas. you may need an ultrasound. you need to see a doctor, but most of the time that is not your heart. >> i want to jump on that. it can be equally dangerous. >> absolutely. how do you know? it could be a bleeding ulcer. could be a penetrating ulcer. >> the way you distinguish that, with the heart it feels like a dull pain. like an elephant is sitting on your chest and radiating to the arm. in general. whereas with the ulcer, you usually have stabbing pain and it's really burning pain. that's usually what acid is doing. when you lie down the acid can regurge into the e sosophagus. >> if it were the heart would it be here? this arm? that arm? >> mostly in the chest. usually on the left side.
radiates to the left arm. the reflux stays right here. you can see the heartburn, you can feel it. burning feeling in the middle of the chest. you want to make sure you stay away from any kind of heavy food, fatty food, chocolate, alcohol, all the things. citrus fruits. all of those can really give you a problem. the best thing you can do is you sit up or if you have that problem, you always lie down at 30 degree angle. chewing gum, just take a gum and chew on it. that washes the acid. that's rel really important. >> if you ate a lot you put more pillows. >> that's one thing. drink more water. >> i want to end by saying, when i examine this i have to look at the whole history. are you nauseous, vomiting, burping? if you're burping it's more likely it's the reflux or stomach. drinking water and getting rid of bad dairy products and fatty foods. >> one of the tricks is take a little baking soda in the water. drink it. maybe one teaspoon. it neutralizes the acid.
there's also slippery elm. >> slippery elm? >> which we've spoken about. i'll post this on facebook. there's a loft tricks you can do before you take a lot of medications. >> absolutely. >> you know who's going to need a lot of medication? half of america after thanksgiving. >> give us advice now. ready to stuff your face on thanksgiving? we love the stuffing and sweet potatoes and all of those pies. it can really hit us. the advice they just gave us, we'll need it next week, too. the doctors have more tips for us to enjoy our holiday meals. stay with us here on "sunday house call." if you've got cop, hey breathing's hard. know the feeling? copd includes emphysema and chronic bronchitis. spiriva is a once-daily inhaled copd maintenance treatment that helps open my obstructed airways for a full 24 hours. spiriva helps me breathe easier. spiriva handihaler tiotropium bromide inhalation powder does not replace fast-acting inhalers for sudden symptoms. tell your doctor if you have kidney problems,
glaucoma, trouble urinating, or an enlarged prostate. these may worsen with spiriva. discuss all medicines you take, even eye drops. stop taking spiriva and seek immediate medical help if your breathing suddenly worsens, your throat or tongue swells, you get hives, vision changes or eye pain, or problems passing urine. other side effects include dry mouth and constipation. nothing can reverse copd. spiriva helps me breathe better. does breathing with copd weigh you down? more shopping. more dining out. and alo with it, more identity theft. by the time this holiday season is over, more than a million identities may be stolen. every time you pull out your wallet, shop online, or hit the road, you give thieves a chance to ruin your holiday. by the time you're done watching this, as many as 35 more identities may be stolen.
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try lifelock's protection 60 days risk free. ♪ ♪ order now and get a special holiday gif-- a document shredder to keep sensitive documents out of the wrong hands. a $29 value free. ♪ ♪ because during the holidays, keeping your identity protected means keeping your family protected. back now with "sound housecall." it's that time of year again. thanksgiving is almost here. some of us enjoy the holiday a little too much. dr. samadi, what can we do to make us feel better friday morning. please don't tell me don't eat the third piece of pecan pie. >> leftovers.
leftovers can be deadly. >> first of all, it's a great time of the year to be thankful about our health and everything else. you should enjoy. it's a family time. i don't think you should really skip the meal. it's a time you can eat a little bit more but the next day get rid of this. number one, the next day don't take a lot of dairy food. that adds to more floating and heaviness. hit the gym. work out some of the calories. >> i was afraid you were going to say that. >> you're going to be in the shopping malls anyway. that walking is great for you when you buy all those ties and suits. also drink a lot of water. all the salt you get and you see your fingers start to get swollen, drink seven to ten glasses of water the next day and you'll be fine. >> first thing you have to do is avoid the guilt. in other words, you know you overate for thanksgiving. but on the next day, i want you to wake up and say let's reset the thermostat. don't skip breakfast. you start skipping meals on the day after thanksgiving. the next thing you know you're going to do what the doctor just
said. run to the refrigerator, grab the leftovers and stuff your face. have a high protein breakfast. cut down on dairy and processed foods. stay away from the carbohydrates. exercise. drink a lot of water. have a moderate day. don't try to compensate. do not feel guilty. we know you're going to overeat thanksgiving. friday is another day. >> if you eat a lot the night before the next day wake up, you don't want breakfast. have a cup of coffee. >> have greek yogurt. >> it's good but also that has dairy. fruits are great. have berries. coffee. >> i'm going to have to hide the cold stuffing. that's where i'm going to go in the morning. good point. well taken. some of these foods can turn, too. they've been sitting out at the counter and on the table for hours and hours. when you put it back in the refrigerator it doesn't cure. >> are you going to do this? >> the whole thing. >> fruit and vegetables on friday. >> good advice. >> wish everyone a happy thanksgiving. >> enjoy it.
>> be thankful, of course. >> i love the no guilt. thank you, doctors, so much. great to have both of you. happy thanksgiving coming up. hope you have a great and healthier day. that's what "sunday housecall" is all about. i'm jamie kobco colby. have a good one. >> here's howie. happy thanksgiving. on the buzz meter this sunday, liz cheney sparks a national debate by telling fox she opposes same-sex marriage including that of her sister. >> i love mary very much. i love her family very much. this is just an issue on which we disagree. >> with mary cheney and her wife firing back on facebook and the former vice president weighing in, are the media exploiting a family feud or covering a legitimate split in the republican party? msnbc's martin bashir apologizes for dirty and disgusting remarks about sarah palin. this morning, palin responds on fox. >> that's the executive hypocrisy that is so prevalent t