thanks so much for joining me and until next time, i hope you're learning to be more of a healthy you. all right, that's our theme >> that's our theme song. you know that means it's time for "sunday housecall." thank you for being here. >> hello, everyone. for the next half hour, we're going to make you healthier. joining us as always is dr. david and also dr. marc siegel. folks, you get two opinions for the price of one. great to see both of you doctors. i want to begin with this. the fda is talking about a major

public threat. turns out there's a troubling shortage in prescription drugs. which one and how worried should we be? >> we shouldn't be worried. this is actually good news. i'm glad we're opening up with positive news. fda finally is coming down on manufacturers because since 2010, we've had over 546 drugs that are short and put pharmacists in a lot of trouble and frustrated patients. a lot of the shortage of medication is morphine, tamiflu and the list goes on. manufacturers may not make enough profit, they may not have interest in this kind of thing. they don't have to report to fda. maybe they're not getting enough raw material just enough to make it on time. that's this whole cycle that has continued. fda this week announced they're going to really look into this and have a real open communication with all of these manufacturers. they want to put pressure on them to make sure this doesn't happen again and interesting

part about the whole thing is there's a new website now where all of the hospitals can come in and communicate so let's say your hospital has more propofol than mine. i can get in and say can someone help and you can work together. if they decide to stop a medication or not make it anymore for whatever reason, they have to report to fda so there will be advance notice to the pharmacy. >> that's a good thing. >> absolutely. a lot of times they might have patients come in saying the medication is too expensive. i can't get it. what do i do? they go to canada, et cetera. i said this before. if you are going to go out of the country which is not a good idea but if you have to make sure there's a seal. i'll post this on facebook. it stands for verified internet pharmacy practice site. they have to have that seal in order to be a legitimate pharmacy before you get your medication.

>> does this raise a bigger question that the drug companies have this much control over what medications you can offer patients. >> that's a great question. i was very dubious the fda could do anything about this. in 2011 when there was a presidential order allowing the fda to get involved, there was 251 drug shortages. last year with the fda involved, it's down to 117. they are making an impact. number one problem here is raw materials. to expand on what david said, 90% of the raw materials for these drugs come from overseas. some of what the fda had to do and they did this with norway, they went to norway and said we don't have the solutions we need for intervenous feeding and got it from companies in norway. it would be better if we were manufacturing it here, that's for sure. second point is sterilization. when you talk about intervenous drugs and most of the shortages with intervenous medications, the fda also regulates how sterile they are. they don't want viruses

introduced. sometimes when the shortage is there, the fda can step up the process of getting approval for something and get the company through the steps for sterilization. the biggest problem is generics and here's why. when you have a cancer drug talking about heart medications, cancer drugs, antibiotics, fluids, blood thinners, steroids, all of the major drugs that you really need, the problem is that once they go generic, the drug company doesn't make a profit and that's back to your original question. they can't force a drug company to make something that isn't profitable. >> and the issue is that the steroid injectable drugs that marc is talking about, there's not a lot of money to be made with this. antibiotics allow itting to in generics and medications that we deal with so that's part of the problem. with fda coming in, this hopefully will start to slow down. >> we started on a good note. >> that's the case. flu season. get your shot yet? some people don't want to get a shot and this comes as there's a stunning report from the cdc

claiming that children who are perfectly healthy and get the flu, some are dying from flu complications. you wouldn't think this day in age with everything we have that you still have flu deaths especially among children. >> last year was a particularly bad season for flu. the worst since 2004 because it started very early and a lot of elderly were hospitalized and 167 children died of complications of the flu. what people out there need to know is the flu isn't what kills you or gets you in the hospital. it's other things you get when immune system is affected like pneumonia was the number one reason that children died. if you have a chronic illness, if you have asthma, if you have diabetes, if you have heart disease, be vigilant about the flu. if the flu comes in on top of someone with diabetes, that's when they get sick. pregnant women and young children. the center for disease control recommends flu shots for everyone over the age of six months. i agree.

the reason is simply we call herd immunity. if you're in a house with a young child or a pregnant woman or a chronically ill person, if you get a flu shot, the chance of the flu entering the house is lower. we need a ring of immunity around everyone at risk. >> you're a doctor. your immune system must be beyond needing a flu shot after everything you have been exposed to over the years. >> it's mandatory for everyone in the hospital. and this study is important. not only was it in the journal of pediatrics, they looked at it over a decade talking about healthy kids, not kids with diabetes or asthma. this is really important. they got sick and they also died within a few days. you want to be careful. >> pneumonia can get you when you have the flu. >> last year we did this.

a lot of people loved it. i started with you. now maybe we'll start with eric. okay. so we got the flu shot. and now immediately after you got really sick. can you get sick from the flu shot? true or false? >> no. it's a dead virus. >> how about the mist? >> i guess yes. >> the first one is correct. nasal mist is live. >> people say they get the food shot and feel lousy. >> you may feel lousy but you won't get flu from the shot itself. it's coincident. a lot of people think there are preservatives and that can cause autism. what's the news on that? what is your thought on that? >> great question to ask me. some flu shots are now available without that. it has never been shown to cause autism. we spent so much time and resources studying that we could have spent that money looking for other causes. >> it's been so controversial. >> it's the reason people won't take a flu shot. it's wrong.

>> no data to prove there's a connection between autism -- a lot of people may or may not agree with it -- there's no data to prove it. that's important. the other one is neurologic and muscle weakness we see once in 2 million shots. that's rare. back to jamie. i got a flu shot last year. what do i need to get it again? do i need to get a flu shot every year? >> yes, doctor, you need to get a flu shot every year. i know dr. siegel will chase me around the studio until i do. i'm trying to get out of it. >> the reason is because the strain changes every year and you want to make sure and pregnant women, are they safe to get flu shots? you gave it away before. >> yes. >> it is. it's absolutely safe. any kids over 6 months old up will get the flu shot. go get vaccinated. >> get a flu shot. >> many places you can get it for free. >> our immune systems our best

line of defense against any illness. sometimes our cells make mistakes and doctors will explain how an ordinary infection can turn deadly next. >> did you fall back? turn the clock back back an hour but can daylight saving time affect our health? the doctors will fill us in on why we should or should not worry even with that extra hour of sleep. daylight saving time. "sunday housecall" here on fox news channel. begins with knee. [ man ] hey, brad, want to trade the all-day relief of two aleve for six tylenol? what's the catch? there's no catch. you want me to give up my two aleve for six tylenol? no. for my knee pain, nothing beats my aleve. excuse me? glacier point?

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hi, >> hi, everyone. welcome back to "sunday housecall." supposed to protect the body against outside invaders but even our immune system can get confused sometimes and attack healthy cells. when that happens, an ordinary infection can turn deadly. what kind of infection are you talking about? >> any infection in the body. urinary tract infection or in

the lungs or anywhere. if you don't take care of them early on, it can spread to the blood and immune system goes after the infection and releases these mediators that attack every organ. by mistake the immune system will go after kidneys, liver, heart, something we call multisystem failure and eventually it's going to go into septic shock and any doctor that has seen this, knows what i'm talking about. the patient is confused. there's fever. blood pressure fall because there's not enough fluid in the system. the heart rate is up. on the monitor you see 120, et cetera, time is of an essence. if you waste time and you go through the whole differential diagnosis, you can lose the patient. you have to give fluid immediately. get control of the airway. make sure there's iv antibiotics and you can save lives. it kills many every year.

if you are your blood frepressu is down, see someone. better you intervene, the more chance we can save your life. >> what do you tell your doctor? >> it's 1% to 2% of cases. you have to really find it early within a few hours. 75% of the time it's deadly. what is it? your heart is pumping but your blood vessels open up. they dilate and they're not supposed to. why aren't they supposed to? you want to preserve flow to vital organs, to your brain, to your kidneys. you know what happens when you're septic? you don't get blood flow to the kidneys because arteries don't have pressure they're supposed to have. your heart starts beating faster and faster to make it up. still can't preserve blood flow to your brain and kidneys. what do we do when we intervene? we give antibiotics and fluids. most importantly we give a drug called a presser. we press down on the arteries.

we press down on those arteries to preserve blood flow to the brains and kidneys to fight back. it's a dramatic battle we're involved in. >> are you talking about other than urinary tract infections which is your expertise. are you talking about if you cut yourself and you get an infection. something as little as that? >> absolutely. can be a urinary infection. an infection from a wound. heart infection. it can start anywhere in the body. that's one of the things you have to look for. we try to find out where it started. >> what do you look for? we know someone who had this and went to the hospital. >> if you're a diabetic, infection shoots up your sugar. if sure not feeling yourself, don't just take antibiotics. go see a doctor. a lot of times when they come in, we end up putting this large central line, we may have to intubate somebody. the earlier the doctor intervene

looki inin ining at urine outpu. >> if you don't feel well, see the doctor. >> you guys know. i also know a case where if you don't get on this, you definitely could be fatal. >> a fast spiral down. >> fortunately with the 5% chance of survival, we had a nice result. thank you, doctors, very much. >> did everyone here fall back in daylight saving time has ended. hope you enjoyed the extra hour of sleep but what does that shift do to our health? doctors will fill us in on that as "sunday housecall" continues. [ woman ] we had two tiny reasons to get our adt security system. and one really big reason -- the house next door. our neighbor's house was broken into. luckily, her family wasn't there, but what if this happened here? what if our girls were home? and since we can't monitor everything 24/7, we got someone who could.

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back now with "sunday housecall" and time for "should i worry." did you set the clock back an hour last night? one viewer writes the clock is changing back and i didn't sleep right. we get an extra hour of sleep but how come feel tired? >> should i worry? here's my answer. worry in the spring when we spring forward. fall back and david and i have been talking about this. fall back may be an advantage. it's about your rhythms that are changing when you get different amounts of sleep. you could have increased sympathetic activity when you don't sleep enough. you could have more inflammatory markers in the body when you don't sleep enough. here you may be getting same sleep. the study that showed increase increased risk of heart attacks show a decrease of 10% now. we feel great. there isn't any major health risk as long as you get that extra sleep.

>> you mentioned the heart attacks. the monday in spring is the c b crabbiest day in america. >> that's not so good. on monday morning there's about 15% increased of more vehicle accidents and 5% chance of heart attack. this one is not so bad. there are people that are sensitive about the change in their biological clock. one hour can really throw them out and they get cluster headaches that go on for six to eight weeks. my advice to them is number one, enjoy the hour. i love it. we should do it every week. it was wonderful. you should change your hour friday or saturday morning and give yourself two days to recover so when you come home monday it's not so bad. that's a trick you can do. if you wake up early, most doctors will tell you stay in and close your eyes and that will relax for one extra hour without getting up.

change of the sunlight, et cetera, can change the way you feel and some of the hormonals. we'll take the hour. >> i want to ask you this. i think people underestimate the importance of sleep in general. four hours, is that ever enough? six hours? >> no, never enough. four hours. six probably not. it is probably seven or eight hours you need as an adult. we have talked about the risk of diabetes, high blood pressure, stroke, heart decease, migraine headaches. if you do not get the proper amount of sleep you are risking obesity. depression, obesity, heart decease, diabetes, stroke, all increase without enough sleep. >> which state in america doesn't follow daylight savings time? >> that is cheating because i came from this yesterday. arizona. >> the other is hawaii and there are only 70 countries that follow this is maybe in the future it will change. >> they say they do it for the heat so it is not so hot for so

many hours. >> i am just reporting. >> it is 4:00 in the afternoon and it feel like 9:00 at night. >> we are fans of napping -- eric and i; not together, obviously, but getting up together at 4:00 in the morning for a show -- i am glad you clarified that. at 3:00 p.m. there is a 3:00 p.m. nap if you take half an hour to an hour, for some reason around 2:30 or 3:00 p.m. each day try to take half an hour nap and you can see how energized you are, all the way through 11:00 without a problem. the other thing, seven hours of sleep is exactly what you need. >> i am a huge fan of naps but the seven hours is a lost deep r.e.m. sleep. >> you know who is not thinking the new york city marathoners, they are running today, 26.2 miles. that can run a body down.

our doctors will reveal how to help our bodies bounce back if you are a runner or if you know a runner. check it out. hi, i'm terry and i have diabetic nerve pain. it's hard to describe, because you have a numbness, but yet you have the pain like thousands of needles sticking in your foot. it was progressively getting worse, and at that point i knew i had to do something. once i started taking the lyrica the pain started subsiding. [ male announcer ] it's known that diabetes damages nerves. lyrica is fda approved to treat diabetic nerve pain. lyrica is not for everyone. it may cause serious allergic reactions or suicidal thoughts or actions. tell your doctor right away if you have these, new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing, rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever, tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don'drink alcohol while taking lyrica. don't drive or use machinery

until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. ask your doctor about lyrica today. it's specific treatment for diabetic nerve pain.

>> today is the new york city marathon. we have some steps -- ha -- to stay healthy. >> if you are going to be serious about this, you have to prepare ahead of time. obviously, hydration, hydration, hydration is the key on the way but not right before the marathon. you do not want to take any fibers because you do not want to have accidents during this. do not containing anything you are not comfortable. do not try anything new, no new food or anything like that load up on the pasta, carbohydrates,

protein such as salmon and on the day of the marathon, take potassium because if it is low, take a banana, because you can get muscle craps player in the marathon. be careful with that. gatorade has the electro lights. >> during the race, hydrate. any extreme exercise, six to eight ounces of waters, figure with potassium is key. be prepared. do not be a weekend war your and start doing a marathon. you have to prepare with 15 miles to 25 mile as week six months in advance and be careful and you will get less injuries. >> energy bars? people are taking the protein or energy bars right before. does that help? >> not really. what does help is the electro lights. cliff bars have the

electrolights and carbohydrate loading can cause a problem. >> is chicken soup good? >> the salt will help. the key is not to stop immediately after the race. >> walk to my house and have a bowl of chicken soup. >> your advice for any runner, any day, not just a marathon? >> any kind of heavy exercise. >> my meatball soup is not so good, i heard. >> doctors, great advice. maybe next year we will run. that would be something to look forward to. eric? >> i will walk. i will walk. >> you can do that, too. >> thank you for making us healthy. healthy. another half hour of sunday's health spar is always great

advice. that's it for today's house nd d you can follow the doctors on facebook and twitter. media buzz with howie kurtz, right now. take care. on the buzz meter this sunday, a president who's disengaged from the business of governing. a president who didn't tell the truth about keeping your health plan. that indictment covering not just some conservative critics but from the mainstream media. is this a turning point for the coverage of barack obama and an indelible image he won't be able to erase or just a rough patch for the administration? plus, a conversation with barbara walters about "the view." why she's saying away from political stories. >> "the view" is a daytime show. a lot of on people do threat their news from "the view," but it's supposed to be