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i don't care if you ate that all week, you didn't sleep and felt awful because we're going to make you feel better. time for "sunday house call." joining us, dr. david samati. >> and dr. marc siegel, from nyu lang land medical center.

unlocking the secret code of sickness and health. good morning. >> good morning. obviously you've been watching fox and the reporting and you know it's been a very tough week for millions of americans. can you imagine two weeks without power? no heat? no clean water potentially? it was too much. experts are sight possible long term emotional fallout but we have the physical symptoms people are reporting. >> absolutely. look, we're familiar with this kind of hurricanes or e but the truth is there's a trigger point which is a physical aspect. homes are destroyed, people have lost their cars. photos and wedding dresses, all of that. that's the immediate mourn in front of us. after that is the emotional, psychological aspect which could be more devastating than the physical aspect.

we're talked about the post traumatic stress disney district order. >> how do we know when we cross the line? we want to cry for them. >> you have to pay attention to the symptoms of ptsd. the message is to understand you're going through the changes. immediately the first month, if you're having difficulty sleeping, chest pain, hearing the sound of the hurricane coming through your home or apartment, kids are having difficulty concentrating, and that results in depression and anxiety. you need to recognize that. after a month you go from acute stress disorder to ptsd. the sooner you interrupt it the better it is for you. you can become violent, lead to alcohol abuse. i was talking to mark about a patient of mine that came to my office. i'm not a psychiatrist but every doctor should be in their

practice. i asked how is life treating you because i saw he wasn't himself. he said i had a gun in my mouth last week and i was about to take my life. this is a real story. all of a sudden everything stops and i said let's talk about it. let's bring it out. we have to face this. we got help for him. he's going to be fine and you have to reach out. 80s tough time but you know, there's a better future for us. there's a brighter day. we're going to get together, americans are strong. we get through this. >> we've been hearing reports of neighbors being there for neighbors but once of cross the line from the immediate impact of stress to a chronic condition of stress, what treatments are out there? with every pill is a poison, so you don't want to try medication right away. >> absolutely. we have a lot of precedents. in hurricane katrina, they had post traumatic stress disorder. why it this happening?

you lose control, you're note your pattern. even your bus stop stops working or train stops and power goes out. everyone's not in their right element. elderly people are used to a pattern and it's disrupted. maybe just taking longer to get in to work. what do you do? you asked me what do you do about it? the first thing you do is try to regain some control. there's a great story out this week that someone in a shelter was given baby formula and just being receiving that baby formula for her baby made her feel better. you have to, sass you as you sa, share with others. if it continues for months after the disaster is over, you consider behavioral therapy. sometimes antidepressants, beta blockers, but medication is not the first treatment, it's getting back to a semblance of control over your life. then if it's going on, you seek

help. >> there has been a lot of debate about ptsd. there's truly a physiological change that happens in these people's brains. the fear factor is overworked. hormonal changes. so it's real. denying it is not going to do it. this is a time where getting together with neighbors, calling nam members and take small steps. don't look at the whole house gone. take small steps and build up. >> first of all i want to thank you for helping that patient in a way that isn't your training but you went beyond the call of duty. i counsel military men and women and i tell them inning by inning. just take it inning by inning. we'll talk about this again because i think it will be something people want to know. >> very enlightening.

>> david's point is stress hormones increase and they stay increased. you think there's something to fight and there may not be. >> an eye opening study says aging doesn't mean you're just getting older, there could be a serious risk of heart disease. we just talked about stress, now this? >> let me lay my cards on the table. i didn't choose this topic. 10,000 patients were looked at in the copenhagen heart study over decades from the angles of 40 -- ages of 40 to 70 and the message is don't let your doctor look at you like a number. he's got to look at you for signs that may help. this study showed there was a 59% risk of heart attack if you have certain signs of aging physically. 39% increased risk of heart disease. here's the signs. >> eric, pay attention.

>> i did not email or call the author of this study because i'm angry. i have two of these signs. number one, balding over here. anyone who can see the back of my head sees this. the other is loss of hair here. i got two. we're having this disagreement. i don't think i have the other two. creasing in your ear folds. >> creasing in your ear folds? >> the most predictive of heart disease is fat deposits over the side of your eyes. i looked all night in the mirror and i don't have it. i have two out of four. if you have three out of four your chances of heart disease are dramatic. to be serious about this, this is just about evidence that your physician needs to look at you. this is probably predictive. i believe it's legitimate. >> creasing under the eyes, how do you know -- >> for years. >> everybody right now is looking in the mirror, looking for those things. >> where do they come up with this? >> it's a good study.

it's 35 years follow up coming from denmark. i like the fact -- this is an example of how important a physical exam is. patients come to have cat scans and mris and we don't see a doctor. the fat deposit around the eyelid, we can use laser but they should say this fat around your eyelid may be increasing heart disease. let me send the patient to a cordologist. that doesn't usually happen. gray hair was part of it, wrinkles. i'm glad great hair did not lead. the truth is if you have a fatty deposit, if you have the earlobe increase, if you have receding hairline and balding on the crown of the head, that had 39% in heart attack. we need to pay attention and

talk to the doctor. >> in david's neck of the woods, balding is related to dye hydroxy testosterone. >> maybe you should see a cardiologist. i only laughed at the vision of you checking yourself out in the mirror. a stunning new look on deadly medical mistakes. they do happen and the doctors want you to know how to avoid it. we're awaiting president obama at the veterans day wreath laying ceremony at arlington national cemetery. when it happens. we'll bring it to you live. oh no, not a migraine now.

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>> listen to the silence. it is a moment to honor those who have laid down their lives for this nation. we're now at arlington cemetery awaiting the president, first lady, the vice president and his wife, attending the ceremony on this veteran's day. the president will give -- lay a wreath at the tomb of the unknowns. at the vietnam veterans memorial, names of the 58,000 men and women who lost their lives in that conflict are being read one by one. a very special day on which we honor those who served and gave their lives for our country. you know, when you're a patient you hope you're in good hands

but some medical errors kill more than a quarter million people in the u.s. every year. that's unbelievable. 250,000 people die through medical problems and mistakes? >> it should not happen. there are ways to prevent it and some it negligence on our part as physicians and the hospital but a lot of it is also patients's responsibility. they need to know when they come to the hospital why they're there, who is their doctor. so many times you talk to the patient and they have no idea what they're going for or they're confused. one thing that's happened is now they're getting and i.d. a bracelet that -- like a gps. we know where they are, who they are. so as a doctor, the first thing i always do is check the bracelet before i say hello. that's how you identify them. they have things called time-out where the nurses and as an

anesthesiologist and nurses check the date of birth and that's a a time-out which reduces it is errors. but the patient needs to know is it the right or left leg and they have to mark it. at the end of the today, as a surgeon, you're the captain of the room, you're the captain of the ship. the buck stays with the surgeon. ii have a rule in my operating room, if you don't see me, you're not going to the operating room. i get the consent and follow the patient in. and it reduces any drama or complications. they need to ask the question, this medication you're giving me, is that the right one? make sure the doctors are washing their hands before they see you. be the police of yourself and that can reduce problems. >> you talk about mistakes, what are we talking about? >> the one i'm most concerned about is 2 million cases of infections where you pick up an infection in the hospital after you got there and 20,000 deaths

every year. the way to avoid that if you're a patient, make sure your doctor wears gloves, see him washing his hands or using hand sanitizer. they're all over the hospital. we have got to cut down on the amount of infection transadmitted to patients. in the emergency room, we have so much er overcrowding, they're down 10%. the number of er's we have is down 10%. you go in, call ahead. have your physician call ahead. if you call my office or your doctor's office and say i'm heading to the er, i'm not feeling well. they get a heads-up you're coming? >> always wash your hands even if you visit. >> communication is key. >> all right, thank you. just ahead, why it's more important than ever to tell your doctor about your family's medical history. we'll be right back. those little things still get you.

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welcome back. we've been talking about when you see your doctor, how much time you have, what questions you should ask and it's becoming more important to share your family medical history than ever before. dr. siegel, what questions should ask family members so you can relay that information?

>> it's getting more important as we have genetics. you have to tell both sides of the family and first degree relatives. uncles and aunts, grandparents. i look at blood pressure, i look at cholesterol, certain cancer, colon, prostate. more and more we're finding avenues into genetics that tell us what to predict. >> when you think about that you think about breast cancer because that's the one you hear about if you have a relative that has had it but what other illnesses and diseases are there connections? >> prostate cancer is a big one. a lot of times people think with breast cancer they only think about their mother's side but the father's side, genes can go back and forth. doctors give you all these forms

and it's so annoying to fill out but as a doctor, you're a detective. you need that information to take care of your patients. in cancer when the cancer is seen before the age of 50, it's critical and mostly genetic. volunteer that information to your doctor. >> thank you both so much. >> happy veterans' day. >> you too. >> we're awaiting the start of the annual veterans day ceremony right now at arlington national cemetery. the president and michelle obama are set to arrive any moment. we'll go live with the ceremony as it happens. i have a cold... i took dayquil, but i still have a runny nose. [ male announcer ] dayquil doesn't treat that. huh? [ male announcer ] alka-seltzer plus rushes relief to all your worst cold symptoms, plus it relieves your runny nose. [ sighs ] thank you! [ male announcer ] you're welcome.

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>> jamie: we really shouldn't just honor our veterans today, but we do. we should honor them every day. but todayate day, we honor the service of all u.s. military rather thans who have fought to keep america safe and protect the freedoms we enjoy. welcome to i brand-new hour of america's news headquarters on veterans day. >> eric: veterans day happens to fall on a sunday, this morning, this year. moments from now, the president at arlington national cemetery. you can see beginning to walk up there, laying the wreath at the tomb of the unknowns