it's time for "sunday hou housecall." >> joining us is dr. david samadi. >> dr. marc siegel as well. associate professor of medicine at nyu and author of "unlocking the secret code of sickness and health" which is what we do here. >> growing fears over one of the most common foods we eat. almost all of us eat chicken. there's been a big salmonella outbreak from raw chicken and it's getting worse. so far, it's sickened more than

300 people in 20 states and puerto rico and it's spreading. what do we do and how do we prepare our chicken so we don't get this? >> nothing to really panic about. 300 people over 20 states, but what we want people to know is this strain of salmonella is very resistant to antibiotics. this one doesn't respond. what happens with a lot of these infections is people get dehydrat dehydrated. they gets cramps, abdominal pain, and it's the nausea and vomiting that leads to the dehydration. make sure you drink a lot of fluid, and if it doesn't get well, take a stool sample and a culture. >> it takes days to see if you

have this. >> the cdc reports over 45,000 cases a year. it's probably over 100,000. this is one of our most common sources of food poisoning. it takes two to three days before you get it, but most of the time, it goes away on its own. let me tell you what's different here. as david said, this is becoming more and more resistant. why is that? because our chickens are loaded with this stuff. 99% to 95% of chickens are infected with salmonella. they live in squalid conditions, they pass it back and forth. i believe -- we talked about feeding humans too many antibiotics. feeding the animals is part of the problem. just one thing because we talk about it a lot. here's what happens. you wipe out the good bacteria. and by survival of the fittest, the bad bacteria swarms. >> wash your hands, right?

>> cutting boards, knives. >> clean the knife, take the knife, put it away. don't use the same thing, but that hasn't been enough. the precautions. >> people didn't know this was coming in. if they do exactly what you both mentioned, cross contamination is a big deal. making sure you really cook your food to 165 degrees is really important. that's going to get rid of most of the salmonella. and the bigger news is there has been no deaths. i don't want people to panic. >> we're a little panics, but i want to ask you this question, if you get salmonella poisoning and get through it, get hydra d hydrated, get whatever you need to clean your gut afterwards, could it have lasting effects? >> i didn't know you were going to ask this. >> sometimes i like to spring it on you. >> i love it and you'll be impressed. there's something called writer's syndrome. for people who have had salmonella, and very rare, they can go on to have symptoms of

arthritis, they can have inflammation of their eyes, sometimes inflammation of the urethra. the way to do this is tell your doctor, a year ago, i had something like this. that's a very important point you brought up. >> for people at home -- >> absolutely right about that. this is what we do best on "sunday housecall" best at informing people correctly. a tip for people at home, as david said, you're not likely to get this. it's only 300 cases. wash your hands, especially your fingertips. do not take the chicken you have just cooked to 165 degrees and put it back on the plate where it started from where the bacteria is predominating. >> people who barbecue grill often take the plate from the blood from the meat and put the meat back on and that's not a good thing. great tip. also, if you go to a restaurant, because some of the cases were in restaurants, if it's pink chicken, that's not the right

color. so bring it back. ask for more heat. >> absolutely right. >> you don't want them sick. >> is it enough to ruse dishwasher liquid in the sink. sometimes i use alcohol and 409 and spray it. >> you don't have to get really freaked out about this, but the whole point is not to cross contamination. if that's the area you're going to use your chicken, just don't come back and mix it with the juice of the chicken again. >> or cut your salad on the same cutting board. i want to move on because i have this prescription, specifically, from dr. samadi, and dr. siegel is going to talk to us, too. because october is national breast cancer awareness month. this is a time to check yourself out, ask your doctor if you have questions because there's new concerns about links between bpa, what they say is in water bottles, and also breast cancer. so doctors, what can we do? let me start with you, dr. siegel, and then i'll read

my prescription because i have homework to do, apparently. >> i want to start when i say i'm not kidding when i say dr. kolby. it alters the way the body works with estrogen. it has been called candy for breast cancer. if you take a baby or a fetus and they're in the womb and you subject the woman to these chemicals, we don't know how much, and viewers are going to write in and say how much, how much? we don't know. because in all good conscience, we can't take a woman over 70 years and put one in a group that gets bpa and another in a group that doesn't. it's not fair, not good science. >> they did a study with nurses for years and years and then they stopped it, right? >> it's a different study. with mice and with monkeys, they have studied this. there's a brand new study out this month that shows that rats that get bpa, even in small

amounts, have increased risks of breast cancer. this is a very worrisome finding. the fda has already taken bpa out of bottles to feed infants, out of products for infants. we have to look at what else it should get out of. it's been around since the 1930s. >> why do we have to put it in a bottle, like my water bottle here? >> it's a preservative. i want to say one more thing. you have to understand estrogen after menopause is a problem. before menopause, your ovaries are making estrogen. afterwards, if your gain weight or you drink too much alcohol, your body is getting more estrogen than you should at that age. that can cost breast cancer. >> if you add progesterone after men apausz and you're giving estrogen, is that okay? >> that's a topic for a different time. i want to say, long term studies looked like they showed an 8%

increase in cancer in those types of treatments, but hormone therapies have not bore that out. >> quickly, i'm sure you care about all the other women out there as much as you care about me, dr. samadi. thank you, my family thanks you. lose weight and exercise one hour a day. >> this is really the secret for breast cancer for all women out there. the first thing you want to do is there's a study that shows one hour of walk a day for post menopausal women can reduce the risk of breast cancer by 14%. if you do vigorous exercise, that brings it down to 25%. that's really a big deal because around the belly fat, it stops all the estrogen in there and that's a big risk factor for breast cancer. the next thing on the list -- >> because it's a scientific symbol, but i actually know it's to reduce alcohol intake. >> so one glass of red wine a night. not more than that. if you take more than two glasses or five ounces of wine a

night, it increases the risk of breast cancer by 25%, and alcohol can convert estrogen. >> jumping on what dr. siegel said, too, no bpa, especially if you have a family history. and you want us to consider the rainbow diet. what is that in. >> patients come to me, and this looks really well. look at your dish and see a lot of colors. green, red, all the fruits and vegetables that have a lot of antioxidants and that's the way to go. bpa, we're surrounded by it. my advice is to get bpa-free products and forget about the microwave popcorns and things. >> and quit smoking. >> this particular topic i have to leave so we can get to everything else, but you want us to know about the bone density, and because it's not about me and i'm here to help you stay healthy, this will be posted on dr. samadi's facebook page. >> without his license number. >> i blocked it out.

>> here's something else that affects a lot of people. has your heart raced and you're sleeping at night and you wake up and it's going boom boom boom and you don't know why? that could be scary. what do you do if your heart skips a beat or your get heart palpitations out of the blue. plus, baby boomers are struggling to take care of our elderly parents at home. they'll advice us on the best way to manage mom and dad as they get older, especially for those juggling kids and work. everything on our plate. the doctors will fill us in. >> plus, a happy anniversary to the u.s. navy, born october 13th, 1775. army, please forgive me. go navy. we'll be right back. the american dream is of a better future, a confident retirement. those dreams, there's just no way we're going to let them die.

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back now on "sunday hou housecall" with a new segment, should i worry. we worry about our health and different conditions. have you ever worry ied about yr heart? i feel my heart skipping beats. should i worry? writes one of our viewers. dr. samadi, what is it, what do i do besides calling you at 4:00 in the morning? >> you don't have that problem because you're always very calm. palpitations is when you feel your heart racing. sometimes people feel it in their chest, their throat, their neck. it's not a sign of heart disease. a lot of palpitations are based on anxiety, stress, shutdown, government shutdown could cause palpitations, and coffee. a big advocate of coffee. this is one time you don't want to touch caffeine because alcohol and caffeine can cause palpitations. dehydration can do it.

if you take diet pills, we talked about thyroid, all of those can cause palpitations. these are arrythmias. when the heart is out of sync, they don't communicate and that's when you get the heart racing and beating of the heart. if there's a leaky valve, you need to be concerned. that's when you should worry about it. when you go to your doctor, you want to know what, how, and when? what happens to you? explain to we what this is about. how does it go? does it slow down and then race? and when, when does it happen? >> maybe whirite it down. >> i have a question, thank you for your confidence. at 4:00 in the morning, you wake up and you have been sleeping and your heart is going boom, boom, boom, two glasses of wine, now it's coming back, the sugar level, is that what it is? >> the wine can do it to you, caffeine can do it to you.

stress is the number one form of palpitation. i want to know if you have underlying heart disease. more than six of these in a minute, call your doctor. more than three in a row, call your doctor. if you have a history of heart disease, i want to know about it. if you say it's starting and speeding up and it's irregular, your doctor needs to know about it, because it could be an arrythmia. should i worry? by the way, i have to give a hats off to eric and jamie for should i worry? you want to know what really impacts you. you shouldn't worry about a single palpitation. if you had a cup of coffee and you feel fluttering in your chest, you shouldn't worry. it has to do with the trend, the underlying risks, and if there's heart disease. >> the buzz words that make mark get excited in the op-ed is chest pain. palpitation is chest pain, red flag will go up. if you have shorter breath, if you're dizzy. in the past, we have talked about event maker.

something you can carry in your pocket. every time you have palpitations, you put if on your chest, and the app will send the ekg to your doctor. >> something simpler this time of year, if you're taking decongestants that can cause heart palpitations, so you want to ask your doc for that. >> listen for a heart murmur, too. >> definitely get checked if you feel any of these things, right? >> get an ekg or ecocardiogram. >> i'm really concerned about this, the between-meal snacks that i enjoy, you enjoy, turns out they can do heavy damage to your weight line. we have an alternative. we'll tell you about a new study and a new treat that can fill you up and provide great health benefits. ooh, i'm hungry already. i can't wait. >> are you a baby boomer taking care of an elderly parent at home? how you can keep the rest of your life in balance while

providing your loving parents the loving care they need. we'll have great advice from the doctors next. 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?

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welcome back to sunday house call. i'm jamie colby. we love your e-mails and we read them, too. sharon from houston writes there is a large underground need for baby boomers who take care of their parents at home. sometimes those like us feel so detached from the world. it requires coordinating competent care and seldom taking time out for one's self-. eric, it's a problem for so many of us. dr. siegel, what suggestions do you have for folks trying to balance it all? >> first of all, this is a really important topic. baby boomers are getting older.

they have more medical problems. the elderly, their parents have more medical problems and we're keeping them alive longer now. we have more technology. so you have people that themselves have medical problems, taking care of parents with medical problems. and maybe they didn't treat you that well when you were a kid. maybe you have resentments build up and maybe now you have to take care of people that weren't nice to you or you're taking care of them out of love, they were great to you and you want to pay them back for all you did as a kid. but prevention, don't wait until an elderly person falls. you might have a hip surgery they're not ready for. don't wait when it's something like diabetes and don't snicker and let them say, let them have some candy, ice cream, enjoyment. try to prevent problems before they happen. be aware of what chronic problems your parents or your relatives have and be on the lookout for them. don't be afraid to spend the money that they've been putting away to get the care they need. last point, people want to be in

their own home if possible. i find that my patients do better if they can stay in their own home. >> i advice folks our age to start thinking about long-term care that allows household care. bus you're right. older folks can be stubborn about asking or allowing help to come in. how do you convince them that they need to start taking care of themselves differently? >> jamie, this is a sensitive topic and it's very difficult to break the ice with them. because you're talking about death. you're talking about financials. you're talking about the bank accounts, how it really pul put their life together. and i think that baby boomers, the sandwich generation, taking care of their primary family and they're going through a lot. my job as a physician is to bring the emotions and educate people as to what you're going to go through. the first stage of this is really fear. now the rules are changing. the parents are becoming the children and the children are becoming parents. the next one is grief. idea of watching your parents to

see how they become independent and they are not able to function now. they used to drive, now they are basically dependent on you. and now you're frustrated, you can't give them everything and finally the guilty. the best thing is to have an open discussion and have a conversation as soon as possible. bring 1347b in and take care of them, the sooner the better. >> and in terms of taking medication, that whole generation can be stubborn maybe by those containers where you lay it out for them. >> thank you so much. >> thank you. cravings between mooeps meals, there's a new study. wait until you see what they say. they say they found the perfect snack to reduce our hunger. i'll believe it when i see it. doctors will fill us in on what that is, how much do we need, when do we start doing it? afghanistan in 2009. on the u.s.s. saratoga in 1982. [ male announcer ] once it's earned,

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the bad news is a spoon full of sugar is not good. but craving a between meal snack, we have something for you. we have a new study suggesting a handful of almonds can fill you up, curve your appetite and not give thaw belly. how good are they? >> they're fantastic. last week, i talked about berries. they're youngish, they are no major history, they're sexy, blueberries. almonds on the over other hand, they have history. it's amazing when i started to prepare for this. the origin of almonds come from iran. eventually, found its way to europe and spain and now the u.s. is the biggest importer of this kind of almond. excellent for you. it's very high in protein. as you said, there's not a lot of sugar and it's perfect for really shrinking your belly. that's excellent for brain and we'll talk about all the

benefits of this, but i absolutely recommend it. >> moderation, though? >> i was going to say first you have to watch out that you don't have a nut allergy. this new study out of purdue is very impressive because it shows using almonds as snack food reduces your glycemic index. it's good to lose weight. it's good for decreasing appetite. it doesn't something called flavor point that dr. david katz at yale discovered this. which means it's such a strong flavor that it shuts off hunger. so you use the almond toes decrease the other amount of foods that you eat. we love it because it's a mediterranean diet. it's high in unsaturated fats. high in fiber, high in what david loves which is anti-oxidants. >> and it you get full of energy, boosts your immune system and it'serfect way to start. >> a hand full. like five to seven? >> let me just say put it in water before you eat it.

>> and walnuts, too, by the way. >> not chocolate covered almonds. >> walnuts, too. guys, thanks so much for joining us. this is sunday house call. >> and that's it for sunday house call. media buzz is next with howard kurtz. stay tuned. on the buzz meter this sunday, with both sides here in washington still struggling to avoid a government default just five days from now, are the mead dwra adding to the act money surrounding the shutdown and trumpeting the charges and countercharges. >> they hated blaming the extortionists. >> the president is using, i think, the right words. he talked about extortion, strong language about cripplelty. cripplelty. >> is the press blaming congress on this? and should conservative xhen taters have agreed