>> jamie: i believe "sunday house call" has new music, how about that. welcome, everybody it is "sunday house call" and joining us dr. marc siegel, the associate professor of medicine at nyu's langone medical center. and, the author of the inner pulse, unlocking the secret code of sickness and health. serving and dr. david samadi vice chairman of the department of urology and chief of robotics at the mt. sinai medical center. both doctors are here. >> jamie: let's get rolling, we were concerned when we heard west nile virus was back, a deadly disease, it is carried by mosquitoes and the centers for disease control say it is spreading faster than in any other year. doesn't the states already affected including texas, have declared a state of emergency, nearly 400 cases reported there. more than two dozen people have died from it. dr. siegel how concerned should the rest of us be?

i have written about this in my book "false alarm" and i think it is a health scare, we have close to a thousand cases this year and remember, how many cases of flu do we have, a half a million, 30,000 people dying in the united states and people will worry about west vile and you know what happens? west nile virus, by the way is spread by the culex mosquito, the southern house mosquito and less than 1% of those mosquitoes in areas where west nile are actually have this west nile and if you get bit by west nile, i want to add, you get the disease, 80% of the time you don't even get sick. 20% of the time you get a mild flu symptom. 1% of cases get really sick. >> jamie: call me overprotective but if dozens of people die, there are people out there that want to protect themselves, and, the thing they are worried about now is they are spraying for this. and they haven't done that since the 1960s. >> i want to talk about that. fear is the biggest pathogen and is worse than west nile but it

can hit you if you are healthy or young and i'm very concerned about anyone that dies, jamie, your point is right. but the spraying has to hit the larvae, has to hit the eggs and what public health departments do is go around spraying what is called adult-icide and kill the adult mosquitoes and you know what happens? they grow right back and come back and there is no scientific evidence spraying adult mosquitoes gets rid of the virus and it has pbo in it which can be a carcinogen and people with asthma than get asthma triggered by it. nothing in medicine is free. when you do something, what is the consequences? i'm against the widespread spraying. >> jamie: we used to say every medicine has a little poison in it but in the past people have had a problem with this, staying indoors makes sense i'm sure if you know they are spraying an anticipating else, dr. samadi, people should do. >> what we need to know about this, this is a virus not well-known to america and it showed up in new york city 1999. near j.f.k. and we don't know how it got here.

if you look at the history of it, and marc knows about this. in the last decade, the numbers have been going up and it is on the rise and there is obviously some concern, the question is, who should worry about this, and there are six states, dallas is the epicenter of this, oak observing, south dakota, california, et cetera and not everybody has to panic about this. 80% of the people who get the virus are asymptomatic and are perfectly fine and 20%, have flu-like symptoms. headache, nausea, rash, pain, et cetera, just like flu and about 1 in 150 are the ones that will get some sort of meningitis, stiff neck and you have to go to the emergency room immediately and not now. how do we protect ourselves? which is a question you are asking. make sure you get the spray that has -- there are five "d", you need to remember. first something in the spray with d.e.e.t. and the second one is to dress up, the second "d" and cover yourself until you figure out what is going on with

this and mosquitoes show up in dusk and dawn and if you don't have to be out there, stay indoors and cover and finally, drainage. any sitting water, swimming pool, drainage that can attract mosquitoes you want to be careful about. one of the big questions that came up, on twitter, is can i get the virus from casual sexual activity, kissing or anything else? and the answer is no, it is from a mosquito and it carries to it a humans. >> eric: bottom line, to be clear, how do you know you have it? you think you have the florida and how bad does it get? >> by the way i want to reiterate david is a point, still water and d.e.e.t. and long clothes and the way you know this, you start to feel flu-like and that's it. the other issues like a rash or a stiff neck or a headache is a sign of severe, severe symptoms. and again, one out of 150 only and you go to the emergency room but the bottom line, we have to watch out for illness in mosquitoes, this is a pretty rare one.

>> within two days to two weeks you will feel sick like having a flu, if it isn't going away, see your doctor. >> eric: an mention west mile. >> jamie: lime disease, too. >> eric: new research on a connection between testosterone and prostate cancer and, high testosterone levels could potentially spread the growth of the disease. dr. samadi, something else to worry about? >> this is nothing to worry about but the question comes up in our practice all the time. because more and more people are taking the testosterone supplements. and we want them to be aware, the relationship, between testosterone and prostate cancer, is a gray zone and among urologists there is no clear answer and in australia they are trying to address the question and found the older men at the time of diagnosis of prostate cancer had higher levels of testosterone. so, this is the observational study and maybe there is a relationship between testosterone and prostate

cancer, now, how do we treat aggressive prostate cancers? we give them hormones to bring down the level of testosterone to nothing and tells us you have to be cautious. now, doctors, they are fast in giving testosterone to patients. >> jamie: without testing them, their levels? >> exactly right. so any time they see someone they have male menopausal symptoms, we talked about this, men gaining weight and have low libido and sexual function, they have no interest. and maybe your testosterone is low, and the answer is, check your testosterone twice in -- early in the morning, 6-to 7:00 the peak of testosterone and check your psa and get a prostate exam. >> eric: how do you check your testosterone. >> a blood test and talk to the urologist, i'm thinking of get taking testosterone... and if you have a family history of prostate cancer, be very careful. >> eric: you get the psa number,

do they check your testosterone. >> not unless you ask for it and with the psa controversy it will not be there but you can say, dr. samadi said, i need to. >> eric: all right, dr. siegel. >> i check both in my office, i check testosterone and psa and i believe in both and it is a landmark study coupling out of australia that shows a direct connection if not proof between the testosterone level being high with elderly people, an increased risk of them having prostate cancer and i tried to get the author of the study and he didn't get back to me but another expert, dr. david samadi thinks there is an important connection as he just told you but there is not proof. look at the point, the holy grail, we are giving anti-and anti-androgens, that block testosterone, and to treat prostate cancer that is advanced it tells you something. >> jamie: a natural connection. >> there is a natural connection and here's the bottom line when it comes to the internists

office, people are saying to me, i want testosterone. i want to lose weight. i want more energy, i want my libido back and these are legitimate issues and i'll send people like that to urologists like dr. samadi but the bottom line is, as i said in the the first segment nothing is free in medicine. be careful what you wish for. because, we don't know for sure but there may be a risk for giving it. >> eric: test your testosterone and your psa. great. thank you. >> jamie: fast-food restaurants receive a lot of blame for there menus but some restaurants are taking steps to give us healthier eating options. an interesting report on what is exactly being done and that is headed straight your way, next. pa paefpaef ry and abigail higgins had... ...a tree that bore the most rare and magical fruit.

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the calcium they take because they don't take it with food. switch to citracal maximum plus d. it's the only calcium supplement that can be taken with or without food. that's why my doctor recommends citracal maximum. it's all about absorption. >> jamie: are you already health-conscious and counting

your calories? maybe your think you should avoid fast-food restaurants? don't worry about it. it doesn't have to be the case as more and more fast-food chabs are now offering healthier choices -- chains are now offering healthier choices including mcdonald's, here's the company's nutritionist. >> we have committed to reducing sodium by 15% across our national menu of food choice buys 2015. as well, we're also taking steps by 2020 to reduce the number of calories, saturated fats and added sugars. >> jamie: is it the place to take you or your children? dr. siegel? what do you think. >> i interviewed chef dan, at the olympics where all the mcdonald's restaurants were and they are making the point they are introducing heather choices to the menu and they aren't the only one, burger king is, too, burger king has a veggie burger an mcdonald's, more salads an oatmeal in the morning and, you

drive up and they say, how about the oatmeal for breakfast and they give you the brown sugar, too, and there is a dodownside this, when there is a serious problem with fats an sugars an salts, still i like where they going and it is a step in the right direction and i interviwed the president of national action group against obesity and she has serious concerns. >> people know it is not good for them and they are pretending and are in denial. everyone knows fried food and extra sugar is not good for them, but when you buy oatmeal with maple and brown sugar and all of that added to it, it is not good for you. >> it is personal responsibility and you go to mcdonald's an know what you are doing and supposed to keep your portion size down, at least now they offer salads, that is really the take. >> jamie: can i be honest with you both, dr. samadi, i was a burger king girl for two years and had a choice of making a big

salad out of the whopper tray with the condiments or eat a fried fish fillet and fries and onion rings and i went for the fattening stuff and i bet most people don't walk into mcdonald's, saying, oatmeal. is it practical. >> i don't buy this. all of the interviews are great but there is a lot of marketing behind this and they are spending billions over dollars on saying oat meals and apples and it is not just mcdonald's, they are all guilty, mcdonald's feeds 40 million people all over the world and it has gone global. to 2015, not good enough, 2020, we are talking about obesity that is an epidemic and is going, also to our children. they have playgrounds, they have toys, and i took my son there once and, you know, this is there is a science of addict with the food, not being mentioned and, your brain, opiates want it more and the

400, 300 calories is not that important. what is important is what she said. the sugar. you get the super-sized portion that has tons of sugar in it. you have transfats and french fries at mcdonald's are great. we all like it but when it comes from that fried oil, you see how much salt they put on that? >> jamie: isn't it portion control, share the fries? >> i'm sorry, marc. the personal responsibility is all good and we should be responsible for that. but, it is so hard to get away from this. because, everywhere you go, you see it. and you are right. nobody is going to walk in and say here's a double cheese burger and here's the oatmeal, can i have the oatmeal with the apple? doesn't work. >> and he is making a great point, addict. fast-food is addicting and the flavor is what it is about and mcdonald's is a business and mcdonald's is going to respond to what people are telling them to do. you can't, you know, say to mcdonald's, don't serve food that is no healthy for you,

because they'll respond, it is a free country and they are a big business. what is really good to see is not what mcdonald's is doing, it is if they are offering healthier choices like a veggie burger or burger king, offering a veggie burger is because people are buying it. addiction, exercise is also addicting and losing weight is, too, once you start you can't stop. i don't think we can stop mcdonald's and david is right about the 400 calories, in a sense, that is a joke unless you are a diabetic and then you really want to see that. but, the under 400 calories menu has a lot of unhealthy food in it. >> jamie: i'd like to add to this. you make an excellent point, too, maybe we can help the obesity crisis in the country if we eat fast-food by going in and ordering these, maybe not every time we go, but a few times to encourage them to put more of these on the menu, if not for us, for our kids. >> this is a cultural issue and has nothing to do. the size and supersize is one thing and when we grew up being in the kitchen, with our family, seeing mom cooking

the fresh food is a way to go. everybody is looking for an easy way out and it is easier to drive through and get your food and go home and that is a major culture issue and i think we should be responsible for it and a doctor's role is to see patients in the office and say stop. >> jamie: or talk about it. >> take the sugar out of your ice box, you if get the ice cream out and soda out, you make an enormous difference. >> there is nothing effort. >> eric: the head chef... chef dan kudrow, a sous chef at the four seasons, the first chef was chef renee. who knew. anyway, get better sleep while you're in the hospital? is that possible? the doctors say it will be when we come back.

>> eric: sleep is critical to our health but often when you're in the hospital people most in need of healing cannot get it. dr. samadi, i mean, of course you can't get it. every hour or so they poke you and get your temperature and don't turn the fluorescent lights off and they are having a party next-door and everyone is talking in the hallway and beep, beep, beep. how do we get sleep in the hospital. >> a good demonstration of what goes on in hospitals.

if you get a complaint from patients, it is lack of sleep and exactly the way you present it. it is not so much the c. difficile infection which we'll talk about next week or the falls from the patient, you see the patient the next day and they are exhausted, how do you heal? when you sleep, whether after surgery or medical issues and hospitals are recognizing this and there is a study from annals of internal medicine and see electronic noises are even worse than the human noises. coming from harvard and that is really important. if you look at a hospital two decades ago, eric, it was quiet and there were no beepers and computers and the loud noises and my advice, and at our own hospital you are starting to see the signs, quiet, please, between certain hours and they are recognizing that but i think as a tradition, i tell my patients, if you can get a private room, that is the way to go, because, i think if you are can afford it and, do it that's the way to go and the other thing is have a relationship with your nurse and find out her

name, that is key and talk to her. and, ask her to lower the lights and, in the hospital you don't have "do not disturb" like in hotels and of course they have to interrupt you when they need to and, if you bring an mp3 player or ear piece to make sure it is quiet and if everything fails, ask for a sleeping pill. >> eric: and then you have... >> believe it or not the studies show and it is only 12 people that were studied and, the annals of internal medicine it is actually the electronic sounds that matter more than the human voice, the beeps and the helicopters landing and the ice machines and the monitors. lights going on and off and the problem is with the elderly patients i have, they develop a cumulative sleep deprivation that is really bad because they have so many other medical problems going on and develop often something we call hospital psychosis where you lose track of where you are and get agitated and delirious and it is

problematic. the problem is really important to figure out. >> jamie: our advice, stay out of the hospital. >> eric: yes. in the first place. >> slathering on sunscreen is one way to protect your skin, we have another way to combat the sun's rays by what you eat. protecting yourself from the inside-out, next. ♪ [ kate ] most women may not be properly absorbing the calcium they take because they don't take it with food. switch to citracal maximum plus d. it's the only calcium supplement that can be taken with or without food. that's why my doctor recommends citracal maximum. it's all about absorption. that's why my doctor recommends citracal maximum. juicy brats grilled up on a thursday. the perfect use of the 7th inning stretch. get that great taste anytime with kingsford match light charcoal.

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>> eric: we all know that some protection during the summer is important. but did you know some foods you eat can provide natural protection? amazing? >> i hope it's ring-dings and rocky road. >> you are on a roll today, eric. three things that are not good for you -- and they are all with "s." smoking is not good. sun is not good and lack of sleep. okay? the things that are really good for you oms also start with "s," strawberry, great for the skin. it has a lot of vitamins. selenium in canned tuna, that's a good one. tomato and green tea, they have a lot of anti-oxidants and always try to drink a lot of water. skin is the largest organ and fluid is very important. >> eric: and those foods can really help? >> i agree. anything with antioxidants is good for the skin. and green tea also reduce ris