@carolaltfnc. thank you for joining me. until next time, i hope you're learning to be more of a healthy you. healthy you. and welcome, everybody, to "sunday housecall." i'm jamie colby. >> i'm eric shawn. joining us, dr. marc siegel. associate professor of medicine at nyu's langone 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. chief of robotics. >> 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. dr. siegel, you go to the doctor and say, cure me. are antibiotics always the immediate answer? >> 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 bronchitis, 73% of the time. the amount of doctor visits has tripled for people having bronchitis. i'll tell you what's wrong with that. sore throats, only 10% of the time are strep, 10%. here we are, doctors like me overprescribing antibiotics. we just talked about the impact. resistant bacteria is thriving. 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 strep test 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. in other words, you may have strep and that could be negative. a throat culture may be the better idea most of the time. a throat culture or 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? and you shouldn't do that. >> isn't it bacterial versus viral, also? >> that's the best message. bacterial versus viral. 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 day off. >> 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 real mucousy, that's 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. >> that's antibiotics working, that 10%. 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 fluids, get a humidifier, and saline aspiration for the nose every day. and dr. samadi has a signature like a doctor. that's all i can read. >> the next recommendation is only five to seven days. not 10 to 14 days. and that's the best recommendation also. >> and what about bronchitis? >> a couple more things on sore throats. here's when you come to see me, if you can't swallow, if you is a high fever the way david said, or if you've been around strep. that's when you want to come to

see me or lymph nodes, 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. we want to stay healthy. i want to get to this topic, this is so important for both men and women. an incredible breakthrough in infertility treatment after a woman whose ovaries were unable to produce eggs naturally gives birth to a healthy baby boy. how is that possible? there's cutting-edge technology that allowed her for the first time to produce fully formed eggs. and dr. samadi will tell us about -- 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. basically the ovaries 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 the follicles, breaking them into small pieces, call 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 --

this would be another way to really get -- >> 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 stimulated 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. you couple this with in vitro fertilization and it is 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 maturation. like mark describes it, the train has stopped, the egg doesn't go all the way in. through this, they can activate it. >> 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 checked. and what that means. >> 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.

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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 diagnosed way too late. if you find it early, 95% five-year survival rate. how do you find it early? researchers are finding ovarian cancer cells have a volatile smell. we don't usually use smell to diagnose something. they're using dogs. 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's trying to figure out how to get 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 thing is maybe this is someocus-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 basically try to confuse them and then go back and find exactly nine out of ten

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. so there is some science. i'm worried about prostate 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 about this. i'm not talking about anybody that i know. but do you find that sometimes you're colder than everyone else around you? it turns out it could be a health issue. we'll find out what doctors say you might need to get checked out if the temperature is never right for you. that's next. out if the temperat

right for you. that's next.

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.

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and back now with the doctors and sunday house call. is it possible that one of our country's favorite beverages has gotten a bad rap? well, a gnnew report claims tha beer may not be so bad for our health. dr. siegle, it means we can enjoy the game and knock down a few and get healthy, too? >> well, look. i'm going to turn that around and tell everyone on tv out there to not drink beer.

i am going to say if you are drinking beer, there's benefits you may not know about. silicon being inconumber one. it's good for bones and bone growth. that's been shown. also beer has been shown to decrease blood pressure, decrease the risk of heart disease, possibly decrease your risk of diabetes, improving circulation. so i think that -- i think that there are benefits to beer. also, when they match up beer and wine, eric, they have not shown that beer has more calories. we always talk about the beer belly, and i think it's a real thing, but glass for glass, beer and wine are fairly similar. they're pretty much the same. you don't get that risveratrol. >> it's in red wine which has given red wine such a great reputation. >> we've talked about that on the show. beer has a lot of benefits beginning with silicon and also decreases your risk of carcinogens. there's a possibility it may decrease the risk of certain cancers. again, don't drink it because i'm talking about it. but if you are drinking it, a glass or two, it's probably okay.

>> how much, you know, one can? two cans? a six-pack? how much is too much? >> 12 ounce -- one 12-ounce beer a day is what's recommended. and if you have it five days a week, just one a day, that's all. not more than that. and i think, you know, having fun behind the game and having some beer, it's perfect tly fin. there's vitamin b6 in it, so it can reduce the risk of heart attack. the great thing about it is really antioxidants. wine gets all the credit, but beer also has antioxidants which nobody talks about. so the fiber you would get from barley, that's a big part of it. ancient egyptians figured this out much better than us. look, the problem with this is obviously alcohol. >> we, too, and a lot of people are allergic, aren't they? >> so of course, you have to be careful with that. but the effects of alcohol on the liver and pancreas is when you overdo it is when you get into trouble. >> how about light beer or the nonalcoholic beers? >> actually, the effects of

light beer are about the same as a regular beer. >> calories. >> caloriewise, right. in terms of how much alcohol you drink, you really want to keep an eye on that. you want to keep an eye on how many you have. i want to switch gears for one second. my father is turning 90 this week. and i want to thank the doctor for helping to talk him out of an unnecessary hernia operation. we are real doctors here. and i go to my buddy for medical office. he did not need it, and he's turning 90 this week. >> and i can see your emotional and your gratitude is very beautiful to see. >> i told his father to have some beer. >> i hope at 90 he could drink more than one. >> absolutely. >> thank you so much. you know, the doctors love to answer your questions. you go on our website and "sunday housecall" on facebook. we'd love to hear from you as well. and that will do it for this edition of "house sundaycall." great to have you here. >> the doctors are here every sunday. and next sunday, too.

now on fox news channel, "media buzz" with howard kurtz starts right now. >> take care, everybody. and stay well. on the buzz meter this sunday morning, the government shutdown. now in its sixth day plunges the media headlong into crisis coverage. >> today's top story, much of the federal government shut down this morning. >> just under 2 million workers affected right now. consequences for american families growing every day. >> veterans disability claims will not be decided. the wic nutrition program for needy women and children may have to shut down. >> but has the journalistic blame game been fair to the republicans challenging president obama and to their crusade against obama care? >> however, the idea that a small group of republicans have decided to simply shut down the