and welcome, everybody, to sunday housecall. i'm jamie. >> i'm eric shaun. joining us, dr. marc siegel. associate professor of medicine at nyu's langal medical center. also author of inner pulse, unlocking the secret to sickness and health. >> you get two opinions today. dr. david samadi, great to see you. >> hello, good afternoon, and hello. we start with something that's really important. you go to the doctor, you want antibiotics because you feel lousy and usually you get them. there's a brand new report that says doctors are still

overprescribing antibiotics. the study finds 6 of 10 patients with a sore throat are prescribed antibiotics even though they say only 1 infection in 10 is severe enough to have antibiotics. you go to the doctor and you say, cure me. are antibiotics always the immediate answer in. >> absolutely not, eric. this is quite disappointing. this comes out of harvard and they found doctors are prescribing antibiotics for sore throats 60% of the time, the same in 2000. for brawn kites, 63% of the time. sore throats, only 10% of the time are strep, 10%. here we are, doctors like me overprescribing antibiotics. we just talked about the impact. 23,000 deaths per year now, according to centers for disease

control, because of resistant bacteria. it's growing because we're overprescribing antibiotics. what should we do about this? somebody comes to see me, i might want to check a streptest if they have been around strep. but i probably don't want to just give them antibiotics and say your throat is a little red. i want to check a rapid strep test if i have a suspicion, but those can be false negatives. you could have strep, and that could be negative, so a throat culture could be a better idea. a throat culture of a rapid strep test. i shouldn't look at someone and say you're sick, i'm going to give you an antibiotic. >> it's easy to get a z-pack, you get it and get cured. how do you know when enough is too much? >> isn't it bacterial versus viral, also? >> that's the best message. it's sunday housecall. if they know this, they don't

necessarily have to go to the doctor. once you go through the door and pay your copays, you're going to walk out with one prescription. 90% of the time, it's just in case kind of prescription. so as marc just mentioned, 90% is viral. how do you know? the best prescription for viral infection is the one that i'm going to give you, jamie. this is the one -- >> just in case? >> just in case. >> you don't want me to take a good time. >> this is exactly like what you need. first one is you have to get a lot of rest. that's the first thing you want to do. the first two, three days, you're tired. you have this viral infection. take a lot of fluids. >> don't zero in on dr. samadi's license. >> how do you know if it's viral? >> if you have a low-grade fever, some muscle pain, fatigue, low cough that's not really mucusy. that's more viral. if you start having high fever,

102, 103, sore throat, your tonsils, all this whitish stuff that mark will check in the office, if things are getting worse after a few days, it's most likely bacterial. >> that's for antibiotics. >> the message to a lot of people is for the first two, three days go with this prescription. >> and let me tell people what's on it. if your home and feeling sick, if it's bacterial, you need the antibiotic. if it's viral, rest, increased humids, get a humidifier, and saline for your nose. and he has a signature like a doctor i can't rete. >> the next recommendation is only five to seven days. not 10 to 14 days. >> and what about bronchitis? >> if you can't swallow, if you have a high fever the way david said, or if you have been around strep, come to see me, and if

you have limp node swelling. with bronchitis, do you have green mucus? you probably have a virus. 90% of the time, it's a virus and it should not be overtreated. if it persists, see your doctor. >> please don't come to work if you have viral or bacterial issues. >> i want to get to this topic. it's so important for men and women. an incredible breakthrough in inf infertility treatment after a woman whose ovaries were unable to produce eggs naturally gives birth to a baby boy. how is that possible? there's cutting-edge technology that allowed her for the first time to produce fully formed eggs. this is huge. women want to have children, and this is a way for some women to actually do that. >> yes, this is actually breaking news. this is coming from japan, and what has happened is a 25-year-old woman who almost had

premature stoppage of the ovaries -- >> like menopause? >> like menopause. ovarian insufficiency. they won't get mature enough to really produce those eggs. for those people, now there's breaking news coming out of japan where they're taking a piece of these fall kuehls, breaking them into small pieces. calls in vitro activations. they can give them enough hormones to make those premature ovaries and eggs to become mature. then plug them back in and make sure that they develop into real eggs and then through in vitro fertilization, they can have babies. this has happened now in 8 out of 13 women and this is a major deal. what i say this would be going, women who would get chemotherapy or radiation and their ovaries are not functional, this could play a big role, and women in their 40s. >> afterwards. >> that's right. and women in their 40s where the eggs may not be functional --

>> that's incredible. dr. siegel, will it be in the united states or is it only in china? >> the study is in japan, but it was worked out of stanford, so it will be in the united states soon. 1% of women of reproductive age have premature ovarian failure. it's kind of like people on a train but the train has come to a stop. the eggs are there, and they're usable, but we can't get them out. by taking pieces of the ovary out, you allow it to start growing again. the body signals, says don't make that ovary grow. it's a certain size, a certain shape. if you take it out of the body, it can be stickulated to start growing again. then the follicles start growing again. you get your eggs again, put them back in the body. >> without drugs? >> with drugs that stimulate them to grow. then you put them back in the body and you actually can get ovulation again. i wrote about this in the inner pulse, but not with this technology.

women who think they can't have a child, women who maybe had cancer, who had chemotherapy, women in their 40s who think they can't have children. it's a dramatic result. >> ivf, or in vitro fertilization is the way to go if you have real, good mature eggs. this happens in only 1% of women who has this match rashz. like mark describes it, the train has stopped, the egg doesn't go all the way in. >> just before we leave this topic, tell women and men what it's called if they want to ask their doctor about it. >> in vitro activation, iva. >> fantastic. >> fabulous breakthrough. >> coming up, do you have trouble taking your temperature? are you cold when everyone else is burning up? the doctors will tell you why it may be time to get your thyroid che checked. >> that's why we keep it so cold in here. >> man's best friend may save your life.

how dogs are actually sniffing out not drugs, a deadly disease. encouraging research on canines helping the fight on cancer. >> it can increase their likelihood to detect ovarian cancer in an early stage. it will have a huge impact on the survival of this patient. ♪ shimmy, shimmy chocolate ♪ we, we chocolate cross over ♪ yeah, we chocolate cross over ♪ [ male announcer ] fiber one 80 calorie chocolate cereal. ♪ chocolate so i can reach ally bank 24/7, but there ar24/7.branches? i'm sorry, i'm just really reluctant to try new things. really? what's wrong with trying new things? look! mommy's new vacuum!

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to prove to you that aleve is the better choice for her, she's agreed to give it up. that's today? [ male announcer ] we'll be with her all day to see how it goes. [ claira ] after the deliveries, i was okay.

now the ciabatta is done and the pain is starting again. more pills? seriously? seriously. [ groans ] all these stops to take more pills can be a pain. can i get my aleve back? ♪ for my pain, i want my aleve. [ male announcer ] look for the easy-open red arthritis cap. housecall and the doctors. dogs can sniff out almost anything, and now there's word, incredible, that they can help in the fight against cancer. dogs who are trained to actually sniff out ovarian cancer, and they say it could also potentially lead to other deadly diseases. this is amazing. >> first, we have a problem with ovarian cancer. it's a silent killer. most of the time, there's no

symptoms or vague symptoms. 14,000 women die every year. we don't have the psa like with the prostate. we talked about how that's something we think we should utilize. with women, oftentimes it's utilized way too late. if you find it early, 95% survival rate. researchers are finding ovarian cancer cells have a volatile smell. research has shown dogs can pick it up almost 100% of the time. i was there at the university of pennsylvania, and mcbain, that dog, was 10 for 10. he was unbelievable. >> sniffed out? >> sniffed out ovarian cancer tissue. they're going to use blood and try to build an artificial nose from this that's mechanical they can use in a doctor's office. let's watch. >> the reason the dogs are so much better than humans is because dogs have an ability to, what i describe as smell in

color. they look around a room with their nose the same way we look around the room with our eyes. and they can smell each individual component. >> this is what we are striving for, to go from here, where both of the ovarian cancers are diagnosed today, to here, or even less than this, where we would like to be by detecting the odor. >> the doctor there, he's the chemist that's literally taking the smells that the dogs smell and by trial and error, he'sigu that nanometer artificial nose in the office. >> do you think this could have advancements on prostate cancers and other cancers? >> a very good question. the first time i read it, the first time is maybe this is some hocus-pocus science. how did it go to dogs smelling this and how do we find cancer? but then, when you really dig in, you find they're using the olfactory sensory and odor. and we human beings, we have

about 5 million sensors in our nose. dogs, on the other hand, have 200 million. and the brain and olfactory are connected. the science behind this starts from 2004. james walker from florida university started doing this in melanoma, and one out of two cases, they were able to detect it. in 2006, they tried this with lung cancer. he's right. 90% of the time, they were able to find it and the dogs came through. >> that dog is named ohlund. >> he knows me by my first name. >> how do they train the dogs? what is the reward? >> they take a piece of tissue or ovarian tissue and they threw these derivatives, they train them, then they tried to confuse them and go back and find exactly 9 out of 10 times, dogs

know ovarian cancer tissues. this is significant. whether it pans out to be a real deal or not, we'll find out. in 2011, going back to the japanese, they did the same thing with colon cancer. i'm worried about prostaught cancer because if i'm going to walk around with one of these dogs in my office -- >> how are you going to get them sterile enough to go into the operating room? >> a dog walking in my office is not going to accept insurance. >> you have to buy the little white coat. >> that's right. >> but if you can get diagnosed by a dog, that is a miracle and it's absolutely fantastic. >> especially because it's a silent killer. that's great. keep us posted on that. the dogs are adorable and very smart. also, we wanted to tell you utthis. i'm not talking about anybody that i know. but do you find that sometimes your cold and everyone else around you -- it turns out it could be a health issue. we'll find out what doctors say

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i am not talking about anybody i know, but this might be you at home. if you have cold hands and feet and you put a sweater on when everybody else is sweating and how hot it is, you could need your thyroid problem. we won't say who is who hot and cold d. but he has a heavy jacket on. >> what about the thyroids?

>> it's your thermos stat. it's a heat and cold kind of a thing. low thyroid, what happens? you complain about being cold in the studio all the time. you will have high cholesterol, and con stau paeugs, and depression, and muscle and joint main, and get tsh. get a blood test followed by t-3 and t-4, and they can be replaced. stay away from foods such as broccoli, collie phrour. >> there is high poe thyroid, that makes you cold, and

hyperthyroid that makes you warm. with testosterone levels play a role in that? >> yeah, thyroid being load could lead it to testosterone being low. i checked out on every single patient that comes into my office because of the 5% number. i am worried about symptoms like feeling excess cold, and c fatigue. it's a met ballic hormone. pregnancy increases your dramatically. you can have problems with your infant if you are not checked with this. get it checked. it's easy to replace. it's a human hormone.

>> tsh. thyroid stimulating hormone. >> great suggestions. >> we have heard about the health benefits of red wine for years, but what about brewskis. researchers found the health benefits of beer. if you've got it, you know how hard it can be to breathe and man, you know how that feels. 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. you know, 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? don't wait to ask your doctor about spiriva. she loves to shop online with her debit card. and so does bill, an identity thief who stole mary's identity, took over her bank accounts, and stole her hard-earned money. unfortunately, millions of americans just like you learn all it may take is a little misplaced information to wreak havoc on your life. this is identity theft. and no one helps stop it better than lifelock. lifelock offers the most comprehensive identity theft protection available. if mary had lifelock's bank account alerts,

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>> i am not going to tell everybody to drink beer, but if you are drinking beer there could be benefits you don't know about. silicon is good for bone and bone growth and it's shown to decrease blood pressure and the risk of heart disease and diabetes. they have not shown beer has more calories. they talk about the beer belly and i think it's a real thing, but glass for glass, beer is pretty similar. you get the same thing. beer has a lot of benefits to it. >> well, red wine, that has a great representation. >> beer has a lot of benefits beginning with the silicon in it. and it decreases the amount of

other things. >> how much is good? >> one 12-ounce beer a day, five days a week, one a day, not more than that. having beer and having fun with the game, it's perfectly fine. there is vitamin b in it, and it can reduce heart attack, and wine gets all the credit but beer also has anti-oxidants, which nobody talks about it. fiber from barley, that's a big part of it. ancient egyptians figured it out better than us, and the problem is alcohol. >> wheat, too. a lot of people are allergic, aren't they? >> yeah, and people have to be careful with that. >> what about lite beer?

>> the affects of light beer are the same as regular beer calorie wise, but in terms of how much alcohol you drink you want to keep an eye on that, and how many you have. i want to switch gears for a second. my father is turning 90 this week, and i want to thank the doctor to talk him out of an unnecessary hernia operation, and he is turning 90 this week. >> i can see you are emotional -- >> what he doesn't know is i told his father to have some beer -- >> yeah, and he is any and can drink more than one. >> doctors, thank you so much. the doctors love to ask your questions. go on our website, "sunday housecall" on facebook. that will do it for this edition. great to have you here.

>> doctors are here every sunday. and now we have mediabuzz. the buzz beater this sunday morning, the government shutdown. >> today's top story, much of the federal government shutdown this morning. >> just under 2 million workers affected right now, and consequences for american families growing every day. >> veteran's disability claims will not be decided. >> but has the journalist eubg blame game been fair to the republicans challenging obama and the crusade against obama care. >> the idea that a small group of republicans have decided to