challenge to the medical establishment. >> it is, eric and what happens, is, life is going normal in the hospital, tuntil you get the level-one trauma call, before becoming a urologist i did two years of general surgery and the trauma and i have some experience with some of these gunshot wounds and when the beeper goes off you are basically running to the trauma booth and depending on where the surgeons are, vascular surgeons, general surgeons, tram mark orthopedi-- trauma, orthopedics, because there are fractures, depending on what they are telling the hospital, a crisis like this with multiple deaths and tragedy, all the hospitals in that area will be in a disaster mode. what does that mean? the blood bank is going to prepare a large number of units of blood. icu is going to ship out some of the able patients in anticipation of using it. all of the elective cases, that are going to go to the or are

going to stop and so there is a big rush as a surgeon, when you are there, everyone works as a team and the patients come in and we have some idea from the dispatcher what is going on and the 17-year-old gunshot wound to the neck, the vital signs are stable, that is all we know and when they come in, the best thing is to get airway breathing, circulation, someone is intubating the patient if they are critical and, putting an x-ray to make sure the chest is working and there is no pneumo thorax and the decision has to be made whether the patient is going straight to the operating room and, the thing is this is a short range gunshot and sometimes the appearance of the gunshot is deceiving. you have to see the entrance and the exit and a lot of times, short-range shooting can have a blast effect in the abdomen and you may open up the patient and see bowels, kidneys, spleen, so, time is of the essence and everyone works as a team. >> eric: dr. siegel is every community in our nation prepared

for this? how do you know there is this type of level-one trauma center to go to where you live. >> that is a great question and the key area is triage and david has been describing what triage is about and from the moment an emergency responder sees you, they think, triage, how bad are you and where is the best medical center and i work at bellview, in the e.r., a number one trauma center and in colorado, where they are, that is one of the top trauma centers and they are thinking, do they need university of colorado, swedish hospital, another one and can they be treated locally and they get them to the top center and triage them, in terms of who is the sickest? who needs intravenous lines right away? who needs blood? and who needs to go to the or? and if they have gunshot wounds, the wound has to be debrided and you have to get the dead tissue out of there and the wound cleaned up and you have to get them on antibiotics. the biggest risk is infection and sometimes you have to relief

the pressure in the wounds, eric, so that -- because the tissues all swell. and the most important thing, having worked in the e.r. is to get someone like dr. samadi who has the treatment, and we are e.r. doctors but we have to get the surgeons in and, there is tear gas exposure as well and they have to clear it off of their skin and wash their eyes and get the clothing off. >> eric: they are professionals and our hats off to the emergency crews. >> jamie: we are hearing the recovery for some could be permanent. more medical news, though, we are following for you. the fda approving a new weight loss drug called qsymia. the second diet pill approved in less than a month. two weeks ago a drug was approved for the same purpose. do the drugs work and what are the risks? dr. siegel, mental there helepa you will tell us diet an

exercise but for other people, do these work. >> i will tell people, diet and lifestyle change... >> jamie: i knew it. >> people with diabetes and risk of stroke and heart disease, a lot of the reason is there is obesity, 1 out of 3 adults in the united states, already obese. we have to do something and i'm already describing a drug, federman, part of qsymia and i use that a lot, for people who can't exercise... >> jamie: that was half of fen-phen. >> that was the part of fen-phen, not the part that got the drug in trouble. and my problem with that, though i'm glad the fda approved it, it has been shown to be effective for weight loss and should be an arrow in our quiver but i have a problem with combo drugs. i can't tell if there is a problem which of the two is causing it and the thing the fda is keeping a close eye on is the other drug in the. and, it is the other part of

this, commonly known as topamax, used for migraines and headaches and, it makes you think a little more slowly and it can make you fatigue angle it may be -- maybe can cause birth defects and we don't want pregnant women to take it. it is a cautionary flag but i'm glad the arrow is there in the quiver. >> jamie: dr. samadi. >> the story behind it, they applied to fda in 2010, and got rejected because of the side effects and went back to the boards and decided, how will we get it back into the system. now, you have to look at the balance between the risk of obesity, and what it does, the cardiovascular, blood pressure and cholesterol and the risk of these medications which is kidney stones, could be birth defects, memory loss, and cardiovascular issues and so, fda looked at both risks and decided the risk of obesity, out what as the risk of the medications and now it is coming into the market. now, there is a guideline for this. you can't just go to the pharmacy and say i need this medication.

you have to be really obese. body mass over 30 and if you are overweight and have diabetes, you can have it. the side effects are there, so for people who want to have casual weight loss to go to the beach it's the wrong one and if you are way overweight, 10% of your body loss, it can help you tremendously. >> jamie: keep us posted both of you on patients you know and how effective it is. >> eric: whooping cough, you know it can be deadly and is making a come back here in our country. lots of people think of it as a childhood disease but, coming up, we'll explain why folks of all ages should take precautions against whooping cough. mine was earned off vietnam in 1968. over the south pacific in 1943. i got mine in iraq, 2003. usaa auto insurance is often handed down from generation to generation. because offers a superior level of protection, and because usaa's commitment to serve

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>> eric: earlier this year on "sunday house call" we told you about treating prostate cancer with robotic surgery as championed by dr. samadi and today we'll explore radio surger cyber-knife and you may have heard the commercial. joining us is dr. john lynch, chair of the department of urology at medstar georgetown university hospital and is also a prostate surgeon and dr. sean collins, a radiation oncologist and, the director of the medstar cancer center, and is also a paid consultant to accu--rray, e makers of cyber knife. doctors, good morning. dr. collins, let me start with you, the commercials about cyber-knife. what is it and what does it do. >> it has been around. it is not a new thing and has been around 15 years and it was made by a neurosurgeon at stanford university and we have been treating prostate cancer with and the reason it is

different than radiation, your prostate moves and if it is moving what we do with conventional radiatio we have a larger margin so we don't miss it and with this we track when your your prostate goes so we don't miss it and we use hundreds of radiation beams when we treat the prostate to give high doses to your process pate and lower doses to your bladder and rectum. >> eric: is it better than traditional radiation? or, robotics surgery? >> well, first of all, i think it is better than traditional radiation because it actually allows, because of the robotic arm, allows a higher dose of radiation to be delivered to the process it state -- prostate an instead of 40 treatments it is five and the time is significantly less and in comparison to robotic surgery, it is not surgery but a form of radiation and that is where patient education i think is important. not one treatment fits every

patient. and that depends on the patient's extent of disease, and, dressive disease and age and, what co-morbidities and there are times we both recommend surgery and both recommend radiation. and it depends on each patient. >> eric: cyber knife, it sound like surgery but it is not surgery. >> it is an external form of radiation. >> eric: and it is amazing, you talk about the difference between 40 teams and five with that. why is there such a difference. >> because we are tracking where the prostate is we can use smaller treatment margins and treat less normal tissue and we treat less bladder and res rectum which means we can give the radiation more quickly without harming the patient. >> eric: and in terms of harm the patient. what side effects are there and what could happen with cyber knife versus other treatments. >> the conventional radiation treatment has side effects,

urination urgency and bowel urgency and, you will have your and bowel frequency and urgency and, after a few months it will go way and it can cause rectal bleeding after treatment, but those are similar side effects to conventional radio therapy. >> eric: how do you know whether to choose this type of treatment versus an alternative. >> it is important, number one for the patient, again to be educated and talk to a physician. we function as a team at journal town. i think a lot of situations we feel that a younger, healthier patient with a longer life expectancy may be better suited to surgery and an older patient does not need surgery and radiation may be an effective form of treatment and every treatment is different and our goal is to discuss it together with our patients. >> eric: and you deal with specific patients. what about the fancy medical

studies. what do they say about cyber knife. >> we've treated, the -- for prostate cancer the last nine years and there are peer reviewed articles, and what the articles tell us about the side effect are similar with the cyber knife, and the cure rates will be likely the same and it is a much more convenient option for patients. when i talk to my patients they want more options because many are still working full-time, and many are actually taking care of other sick and elderly loved ones, so, five treatment versus 40 treatments, many patients prefer that. >> eric: gentlemen, thanks for going through this and explaining it this morning. >> thank you, eric. >> eric: absolutely, more of sunday house call in just a minute. if you have copd like i do, you know how hard it can be to breathe and what that feels like. copd iludes chronic bronchitis and emphysema. spiva helps corol my copd symptoms

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♪ >> jamie: welcome back, everybody to "sunday house call," i heard a really bad cough from one of our studio folks, working here. question is, if you are coughing, is it whopping cough? it is spreading, actually in the u.s. and several states are urging folks to get vaccinated against it. it is a potentially fatal illness, dr. samadi, you heard that cough. >> that was marc siegel. >> jamie: that is what it sounds like and i actually asked you to tell people so they'd know the

difference. dr. samadi, why is it coming back. >> multiple reasons, some families are against vaccination and some is the cyclical nature of the disease, every five years you will see that coming up. and, you know, the other thing i really learned while i was studying this and again i don't deal with whooping cough every day and, the vaccination wears off, every ten years, you have to get a booster and the diagnosis is critical. because it starts with a plain russ runny nose and it is typical of flu and then it goes on for days and weeks and you sound like dr. siegel that he end, which is real whooping cough. >> jamie: i remember, in california, years ago, actually it was on the rise. is it seasonal? is it certain places around the nation, right now? >> it tends to be all year around but especially like all respiratory viruses in the winter and i have to tell you,

jamie, it is a worse problem than everyone realizes, the cdc says 15,000 cases reported a year and it is on the rise, but many experts think it is goeser to a million and i'll tell you why -- closer to a million and and i'll tell you why. pooh don't know they have it, when you are a grown-up, you don't have the whoop, you feel run down and, have a little cough and you think it is a virus and it turns out we were overtreating those with zithronycin and we were getting rid of it and, now we are saying we are overdiagnosing things and it is a bacteria and because of that early diagnosis and treatment is key but there are so many infections out there we are missing that are adults, and are people in college, and our teens, busy spreading it like wildfire, and the people we really don't want to get it, which are infants. >> because of the respiratory droplets. >> exactly. exactly and the infants don't have the respiratory tree that is developed yet and, they are

in the middle of getting the original immunization series they are at big risk for the disease, i want everyone, adults to get the booster and the vaccine. >> wash your hands and get the vaccination. >> eric: and ask your doctor and also something to talk to the doctors about, adhd, a growing sign of that in adults, and we don't know they have it. what should people look out for. >> 9 million people have attention deficit hyperactivity disorder. first ask, does my kid have it, 10% of kids have it and it runs in families, adults may not call it adhd but may not be focusing or may not laugh a great relationship at home or may have trouble on the job or their sex life may be in trouble and they may get fatigued and have problems with motivation, mood swings, all of those can be due to adhd and you may be calling it something else but you need to get treatment if you have it and maybe psychotherapy and medications an std stimulants w work.

but the key is to get it diagnosed. >> these are very subtle and you thee the shooting crisis and a lot of adults may that have the symptoms and you may not know it and adhd comes in different shapes and forms and some are intensive types and, that is for the psychologists to decide, who has anger management, tells if these people can hold on to their jobs and don't pay their credit cards and are financially in trouble and some are the types that get bored and start with work and leave it halfway and go to the next one and there are cognitive and behavioral therapies as marc mentioned and you remind yourself, with the day of the calendars, stickies, organizing your lives and talking to the psychologists, and medication can really help you serving all right. >> jamie: if you need help feeling frisk you we'll tell you which foods could actually help you get into the mood. >> that's not the one. >> jamie: stick around for that. >> we're ready. [ male announcer ] this is rudy.

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>> jamie: i'm pretty certain you stuck around for this one. the question is whether or not food can put you in the mood. for centuries, certain foods have been said to boost libido. doctor, what do you know about that? >> this is what i do for a living. >> jamie: okay. >> this is the best topic of the day. you want to have a great sex life?

here's's recipe. asparagus or avocado. baseil is a secret to have a healthy libido. celery, pumpkin seed is a great formula, followed by figs and watermelon. i am not going to repeat that. >> i have a different take on this. back in the 'th century, casa nova had 50 oysters a day, every morning. we all want to be casa nova. oysters increase testosterone. there is a study in the journal of science that they make you friskier. and chocolate. now, chocolate, a lot of chocolate has a chemical that increases testost robe and -- testosterone and makes you friskier. >> there is a mixed thing about chocolate -- >> be romantic --

>>-- chocolate and oysters and flowers. >> alcohol turn its off. >> eric: you got it. for more on house call for all sorts of -- they cover everything, these guys. >> they are getting friendlier. attach. >> eric: log on to foxnews.com/housecall and it's onwitter. >> jamie: this is cool. >> eric: they will tweet you right back. weigh in on whatever topic you want. >> jamie: i think we covered that one. okay, guys. have a great week. thank you so much. a fox news alert in a brand-new hour. new insight into the life of an alleged mass murderer. the 24-year-old suspect in the aurora movie theater massacre. the friend telling the "los angeles times," quote, everything cameaise to holmes. he reportedly got as in school without studying and date