What can i do to stick to a diet so i am not in bed sick 8 hours of the day. First of all, you look great. Congratulations on that. [ applause ] because, thats very important. You know, to have the mindset, the selfesteem, you know, to know that you can. What you need to do is start eating regularly. Can i say that, um, i cured myself of 3 eating disorders by watching the doctors, ask taking all of your advice. Yours, yours, yours, all of you. [ applause ] okay, one of the things here, is, we dont realize the intestine is much like the heart, itmoses all the time. It moves all the time. It needs something in there because it produces toxic substances to digest food. If you spend a lot of time empty, you will have nothing in the intestines with nothing to neutralize it. As long as you go on any sort of plan, eating plan, you eat regularly, never spend long periods of time without eating, all right . Your intestines should kick backun normally. Back up normally. I know acidic is bad. I problem i suffer problem i suffer problems with sodium. I get swoll yen with a fever, i sometimes vomit blood, i cant move, i lay on the right side dr. Phil am sometimes its comitose, and its because of sodium. a this is something a lot of patients do, they say, because of sodium, i get this. Right. And you have to be careful, because what you wanna say is, okay in these situations i experience these symptoms. You dont want to say because of sodium this happens. You think or perceive its sodium, but it could be something else. Thats a great takehome message, i dont get as nice as he does. Because we lose a lot of Important Information when you come in with an assumption. Right. Like that. Its rare actually that sodium can cause all of that. So, i dont know what else you may be eating. Let me hit on the acidic point. Acidity, citrus foods can cause worse heart burns but they dont contribute to the ulcers. Acid in the stomach is so much more acidic, you can eat almost anything as long as its regular. Go to the doctor, and get a good accounting about this sodium thing. Sodium can cause bloating. Absolutely. Water retention, yeah. Talking about what you are eating, foods that have roughage, a lot of lettuce, cabbage, spinach, also nuts and popcorn, those kinda things, depending on the state of your intestines may keep it irritated, theyre more difficult to digest. You may not not eliminate but reduce the consumption. Good ovrall health usually does not involve a metabolism booster over the counter. Like vegetables and fiber . Absolutely, on a regular basis, every day. But thank you very much. Thank you guys so much. Keep a food journal. We hope you are doing better. And we want to open up the forum for another question. How about you . I am esther. Esther, how are you . Good, how are you. Excellent. Whats been going on . I have had a mark on my lip for about 4 years and i am not sure what it is. I thought it was a pimple. But, i tried to pop it, that was 4 years ago. It still hasnt gone away. So, i am not sure what this is. Well, pimples shouldnt last 4 years. Drew, do you want to anything thats been there for your years four years, thats suspicious, a i need to take a look at it. When you say you tried to pop it, did you get anything out of there . Not really, just blood. You dont have anything like this anywhere else on your body . No, it just started showing up one day, it might have been because i used to lay out in the sun. That doesnt come and go at all . No, it stays there. There all the time . Uhhuh. Does it hurt, is it tender . No, it doesnt hurt. Clearly, its been there 4 years, its not getting bigger. I am safe in saying that its probably not a cancer. It looks more like a vascular thing. Maybe an irritation. But, what they teach us in medicine is, 1 thing is, make a diagnosis. And the only wa i can make a diagnosis on Something Like this for sure, would be to do a little biopsy. Okay. Which i could do for you here, back in our exam room. Send it to the pathologist. He looks at it under the microscope, and you will get your answer. Okay, great. Thank you. Lets go do it right now, come on. You are sure you can do the show without me . Drew, we can do the show without you; its never as good. [ laughter ] actually, you know what . Lets go to the procedure room right now. Drew, can you hear us out here . I sure can. You know what were gonna do, we will not only get a diagnosis, the size of this lesion, i can remove this whole thing. This is an excisional biopsy. We will remove it and get a diagnosis at the same time. Obviously i have to gate heather comfortable. Get heather comfortable. This is a touch of novacane, sorry esther. You will see this blanch a bit and swell up. So i will get her nice and numb. We want to take care of this once and for all for you. And, um, are you ready . Yes. So, as i said, we will remove the whole thing. I will excise it. And i will follow the vermilion border. Can you open for me . Turn a little this way . Now to do this right, i need to put my finger in your mouth, and you will see that i am just going to remove this little thing as an ellip,se, right . Like so. Are you all right . Uhhuh. I am sure if you were not, you would let me know. So i am going to just excise that like so. Right . There is our specimen. I think its this is pretty vascular. I think this is probably a little hemangioma. A granuloma. It had a lot of blood vessels. Probably from trauma. Drew, if it is that, whats the likelihood of it coming back or regrowing . I think we got it under control. So the next step you will see me do, is get this dry. Because i do have you see that . Thats a nice clean bed. You see that . So you are cauterizing it nicely . Cauterizing. Really good. I think we need to sedate the audience. I do need help, dr. Sears. Dr. Sears . Yes. Where were you 5 minutes ago . Am i your surgical nurse. I will hand you tools . And you can wipe my brow. Nice. Excellent. [ laughter ] actually, jim, can you get on the other side for me . Okay. Put a little pressure on this while i load up my suture . All righty. Just, you know gotcha. Now, shes a little older than your usual patient, jim. But you are cool, right . Yep. Replace the incision in the vermilion in the natural border there. Drew, can you explain what the vermilion is. You have used that term several times. The vermilion border is just that natural white line of the lip, the transition from the pink. Doctor . When i put one more stitch in, you will not even see how long do you want it . I would like it just right, about a quarter of an inch. Right there. Not too short, not too long. You must have gotten an a in surgery. Esthers concern, shes a lovely young lady. Her question, as everybody asks, you know am i gonna have a scar . But i want you to take a close, close look at this now that i cleaned it up. We placed the incision in the vermilion. You cant see the cutmark. We will make a diagnosis, what is it but its gone great drew. My question is, i am on my feet 1215 hours, and i feel like it could be leading to circulation issues. When do you need to worry about your circulation . I get to a point where if i sit down for the day, the knee pain is so bad i put it in one position, and i wont really wanna take it out of the position. All of the tips you need to know to prevent circulation pain. Later. We are the doctors, you might as well take advantage of us. We surprise a staff member whos dealing with an uncomfortable issue. Patty, are you upset with us . Thats later coming tomorrow. A doctors exclusive. Shes not allowed to see her friends. Legendary radio personality. Casey kasems children fight for the right to see their ill father. With parkinsons disease, its important for the patients to be socialized. I know how much it would mean to him if he could be around people his wife can have the money she wants just give us our dad back thats tomorrow, and then on monday. A 4yearold boy. Dying of cancer. He shaved his head, made him wear a mask. Is he a victim of medical child abuse, by his own mother . All new. Comi overmany discounts to thine customers [old english accent] safe driver, multicar, paid in full a most fulsome bounty indeed, lord jamie. Thou cometh and we thy saveth what are you doing . We doth offer so many discounts, we have some to spare. Oh, you have any of those homeowners discounts . Here we go. Thank you. He took my shield, my lady. These are troubling times in the kingdom. More discounts than we knoweth what to do with. Now thats progressive. With an audience of nearly 200 people, there are always questions left unanswered after the show. We often stick around and answer a lot more questions when the cameras stop rolling. Heres what happened next after a recent taping when we decided to keep the cameras rolling. My question is, i am on my feet 1215 hours, sometimes more within a day. I have two jobs and i go to school. And i feel like it could be leading to circulation issues. I wanna know what could i do to help, like, during the day while i am active or on my feet, to help maybe eliminate that. And if its correlated. When you say you are on your feet, doing what . I work, i have two jobs. Cleaning and moving and standing on my feet at the register. I get crazy low are back pains when i am on my feet for a long period of time. The circulation issue is with the knees. I get to a point where, once i sit down for the day or if i am sleeping, my knee pain is so bad, like, i will put it in one position, and i wont even wanna take it out of the position, because it hurts so bad. A couple of things could be going on from an orthopedic standpoint. The first concern is standing all the time. If you are standing and not moving a lot, for lets say a half hour at a time or so, you have to keep the blood circulating in the lower extremities. The blood goes down and has to pump back up, if you are not contracting the muscles in your legs it could pool in the legs. If you are on a flight, its the same situation. Toe raises are the best. You put your feet shoulderwidt the toes like this. Hold it one23, down. Simple exercise, what it does, is, it contracts your muscles and by contractoring your muscles you help contract your muscles and help pump the blood back up. As far as your back is concerned, sitting or standing for long periods of time, your low are back, right. Yes. Thats the lower lumbar a region, a lot of energy and pressure goes to the lumbar region because of the way the spine is constructed. Okay . I tell people all the time in this situation, you have got to stretch. You have got to get your lower back out of the static position its been in. So, i, you know, 5 minutes every couple of hours, of, you know, forward flexion is good, coming down to hold. And then like this. This is very, very good. And also side to side. Because you know, your spine moves at all different angles. So when you are at work. And you are serving your customers, you gotta remember to serve yourself. Subtle movements takes the pressure off of your back. And because if you stand in one spot every single muscle tenses up. Okay. You actually have what we call a vargus formation in your knees where you are actually, the way that your knees come down is more at an angle. What will happen is as you start to get older, if you dont start exercising regularly now and strengthening the quadraceps, you will end up with arthritis. Start walking to work, doing more cardio vascular exercises to strengthent legs now strengthen the legs now, it will prevent issues down the line. Thank you so much. Thank you. One of the things they love about our show is that [ applause ] thats a lot of spontinaity. The producers in the control room can talk to me through an ear piece. If they want me to go to a specific tape or go to an animation, our executive producer patty said in the ear, lets go to the next guest, and i thought, what an appropriate time patty, if that were you, to be the person to ask a question. Because i know that you have been dealing with issues with your with your eyes. And we are the doctors, patty. You might as well take advantage of us. All right, travis. I do. Um, late lye my lately my eyes are burning and itching every day when i put my contacts in. What can i do . Hold on, hold on. Patty, patty. Are you upset with us . I mean. Im. Whatever. I do have this issue, so it would be helpful to get the answer. To understand the context here, patty is our boss, shes behind the camera, she doesnt wannabe in front of the camera. Shes a little like, are you serious . Thats whats happening. Thank you, ian. Thats exactly whats happening. The favor i have to ask of you, patty, is to take off the producer hat for a moment and put on your patient hat. Because dr. Carey oseal was here, and i asked him to stick around knowing we would give you an opportunity we will not force you but an opportunity to get an exam right now in the greenroom with dr. Oseal. Hes in there waiting, he has his equipment. If you are willing. All right, patty [ applause ] what is that you tell me . We all have to do things we dont like to do sometimes. [ laughter ] [ applause ] see, whats great, patty, is, when you work on the doctors, the doctor comes to you. Thank you travis [ applause ] coming up. All right accident travis, late all right, travis, lately my eyes are burning and itching every day when i put in the contacts. Itchiness tiply suggests typically suggests. And later. I am always on the computer, i started developing pain in my hand. I think it could be carpel tunnel syndrome. How to know if your hand pain is something serious. You feel numbness throughout the hand and in both hands theres a chance it could be something else. Plus, a medical confessional that will shock you. Thats later announcer a doctors exclusive. Hes not allowed to see his friends, his brother or kids. Casey kasems kids, the court battle to see their father. A rhonchi today its all about what happens after the show. We never know what we will be asked or what to expect. As is the case with our executive producer, patty. We surprised her in the last segment, because weigh knew she was having we knew she was having issues with burning and dry eyes. So we called in our own dr. Oseal. They asked me to join you today because you are having difficulty with the contactulences . I contact lenses. I put them in and they burn. So i took them out and had to wear glasses. You are rubbing your eyes a lot . Itchy, tired and burning. Itchiness typically suggests allergy. Allergy could be something in the environment. Or it could be to the contacts themselves. The fact that, when you take them out for a few days, do they start to feel better . Yeah, instantly, when i take them out at night, they feel better. Based on what you are describing, its resistance to the contacts themselves and the burning suggests dry eye. These go hand in hand. Eyes that are dry become untolerant to contacts more easily. When you have dryness to the surface, the contact lenses and eyelid rubbing over the contact lenses 3,000 times a year, it will be become more dry, and you can get blisters underneath the surfaceof the lids making it uncomfortable to wake contacts. Lets wear contacts. Lets tang take a look. We are going through a dry weather spell, its dryer and windier, the santa anna winds kicking up. People who have worn contact lenses comfortable, for many, many years and why are they now suddenly having problems . Some people cannot tolerate them, and others can go 50 years before these types of problems kick in. Medications can affect it. With all of those medications, once you stop the medicine, the dryness goes, away. Look up high. I will squeeze on your eyelids. And i know u you have the contacts in. I am squeezing to see what kind of oil you are producing. I am getting a good idea of whats going on. Shes a little injected, isnt she . A little bit. More important than that, look up high. More importantly, i find that her oil glands are not producing not getting much out of there at all. What does that mean . You have a few things going o. One is the contact lenses are irritating the eyes, because the surface doesnt have great lubrication, because you have mild allergy and dry eye. Tears are made of three components. Mucin, mucous water oil. When there isnt enough oil in the tears the water evaporates. Every time we blink a tiny packet of oil is liberated into the tear film. You are not getting much oil liberated because the oil is stuck in the glands and as the day goes on, you blink more and more, the eyes are dry, they start to burn, the contact is firm against the eye, and when you take it off at night, you feel the resistance. Its like its stuck to my eye. Absolutely. What do i do . Solutions, Little Things you can do are preservative free artificial tears. Decreasing the amount of time you wear the contacts is probably the single most important thing you do. Otherwise, the blisters forming underneath the surface will become like cobble stones, like little rocks ask then they rocks, and then they become scars, and then you got issues more permanently. Terrible. We will treat you with various medications designed to get the Oil Production going stronger. And i may put you on drops or pills. Ultimately you will come to the point where the decision will be whether to keep wearing contacts that will be a tough one versus going to lasiks or glasses . I am scared of lasiks. In your circumstance, lasiks is 50 times safer than contactulences. Contact lenses. Once you have symptoms from the contacts, the lasiks is less risky. As long as lasiks is properly performed, of course. And i will do a preliminary screening, to see your lasiks candidacy. You will have treatments in hand to use, and you will know your future options, as well. Well, thank you so much, doctor [ applause ] you got the Million Dollar patty, arent you glad you got to see the doctor today . I really have to say i am. This has been a problem. So i am really excited to know that its theres something i can do. You are a living, breathing example, we all get busy with work, and we put things off. Now we have you on track to hopefully improved vision, and dr. Oseal, we cant thank you so much for thank you enough for helping out. Thank you so much. And how about you, sir . Whats your name . Edwin. Whats going on . I am a Graphic Designer by trade. I am always on the computer, always, 24 hours basically. And, um, i started about a few months ago, i started to develop a lot of pain in the hand, a lot of throbbing pain, my finger tips go numb. Sometimes they lock up in the morning, and so, i think, i dont know, but i think it could be carpel tunnel syndrome. And my question is, basically, how do i alleviate the pain without surgery . First things first. You need to make a proper diagnosis. So when you say these words, numbness in the fingers, show me which fingers get numb . The middle finger and the finger next to it. Do you get numbness in the pinky finger . Yes. This is an important distinction the carpel tunnel s affects the median nerve affecting this half of your hand. You feel numbness in the thumb, index finger and third digit and part of this side of your 4th digit. The fact that you feel numbness throughout the hand and in both hands, theres a chance that it could be something else, as well. So, you know what . Do we have i know we built a carpal tunnel animation a few years ago. If we have that in the control room, could we pull that up . Standby