time now for sunday house call. >> and hello, i'm eric shaun, joining us us as always, dr. mark siegel. he's the author of the inner pulse, unlocking the secret code of sickness and health. >> and chairman and professor of your rolling and chief of robotic surgery. good to see you, doctors. we start with some startling news from the cdc, they have issued a stark warning about the ebola outbreak. they say that ebola could affect

a few million people by the new year. telling america's news headquarters yesterday that the virus can be stopped, he says, if everyone works together. >> givingzhdz logistic support, getting support of settings up the field hospitals, but not one nation or organization is going to do it. so as the president said to the u.n. the other day, that really we need the u.n. community to get involved. >> this is such a heart breaking crisis, but if there is, what threat is ebola here in our country. >> in fact they want on to talk about that yesterday, here's what he said that i really think puts it in perspective. he said, look the world health organization who's usually more inflammatory says less. they say by the end of november 20,000 cases. you know why the difference? because the cdc's projection is if nothing is done. but a lot is already being done. >> they mean in africa --

>> they mean in africa alone. we'll get to america in a second. ualone. but the united states alone is sending 3 thurks military, they're trying to -- to be isolated, which is the key, because right now ebola is, for every patient that gets ebola there, two other people are getting it. that's a disaster, that's how infections spread. but with intervention, if they can cut it down to one person, that will help it to decrease dramatically. what about here, you kd the question what about here? well, here's what dr. fauchi said that i thought wud really, really powerful. he said if you get on a plane and you don't have symptoms, but you were in contact with an ebola patient, with those secretions, you could theoretically bring it here. because you might have it once you get off that plane. you get off the plane, you get sick, you have flu like

symptoms, you go to an emergencies room, they don't necessarily know you have ebola, but in the united states with the cdc involved and with all the public health officials involved and the state health authorities involved, they're going to figure that out and isolate those people, so my prediction and his prediction is you're not going to see a big outbreak here. >> so on that point, how concerned should we be here in america? >> i don't think in this country we have a lot to be concerned about as the cdc and also the who mentioned, the risk is very low. the reason is because this is not airborne and it's not transferred through droplets. if people would cough and sneeze and ebola were transfer that way, we would be in big trouble. this is from close contaminat n contamination, fluid, blood, that sort of thing. if you can isolate 7 0% of these

patients, then you basically put stop to the growing epidemic. >> there are a lot of these patients that are in the vicinity of healthy people and that's why they're having it spread. we're doing a lot of things, these numbers that they're talking about, 1.4 million doesn't make much sense. the whole ebola started in march of 2014 with 49 cases, we're at about 3,000 and we're hitting about 8,000. so this number around 20 to 25,000 sometime beginning next year makeless@move sense based on what was publiced in the journal of medicine. we have vaccines that come up, maybe about 10,000 vaccines, by the beginning of next year, which is a big deal. which have about 20 ebola treatment centers that are going up there. look at this, 3,000 troops are going to be over there with 500 health care providers, this is a huge investment on this country. >> and the patients who, the americans who are infected,

basically have been cured. >> not only that, but eric, in this country, in our emergency rooms, even if one of these patients will come. and we're going the see a few isolated cases here and there in different states, we're going to see them, we can capture them, the ers are all aware of this and we're going to isolate them and the supportive treatment they're going to give them. so we will see more of these, but i don't want people to panic, and these number millions, doesn't make much sense to me. >> to david's point, i think with worldwide intervention, it's not just the united states, the united states is rising up to the problem here. but we need all, the whole world involved. we need the world bank to give the money that they promised to the region, we need an inpouring of billions of dollars and public health boots on the ground there to really get this under control. and the other thing that we have in the offing, which makes this

very different than hiv by the way, hiv of course is also transmitted and you don't even know you have it, that's why it became a worldwide scourge, in this case, you have symptoms that public health can follow and it's not going to take the course of hiv. this vaccine has already passed stage 1 clinical trials at the nih, they have tested it on 20 people, they're now going to look at those 20 people and see if it's safe. so then they're going to go to stage two trial and start giving a year from now, you'll see to the effects of that vaccine taking effect. >> ebola is going to be a 2014 bug, not so much 2015. we're going to end this thing. >> thanks, doctors. well it could mean the difference between avoiding a heart attack or not, but it turns out just 1% of men actually do this on their own. we're going to tell you what it is when sunday house call returns. ugh. heartburn.

did someone say burn? try alka seltzer reliefchews. they work just as fast and are proven to taste better than tums smoothies assorted fruit. mmm. amazing. yeah, i get that a lot. alka seltzer heartburn reliefchews. enjoy the relief. "hello. you can go ahead and "have a nice flight."re."

♪ music plays ♪ music plays traveling can feel like one big mystery. you're never quite sure what is coming your way. but when you've got an entire company who knows that the fewest cancellations and the most on-time flights are nothing if we can't get your things there, too. it's no wonder more people choose delta than any other airline.

red lobster's endless shrimp is now! the year's largest variety of shrimp flavors! like new wood-grilled sriracha shrimp

or parmesan crusted shrimp scampi... as much as you like, any way you like! hurry in and sea food differently. exercising daily, eating a healthy diet, not smoking, drinking moderately and keeping that belly in check are just some of the things that doctors say could prevent four out of five heart attacks in men. but according to new research, only 1% are following that advice on their own. what is it that men should be doing and why weren't they following the rules? >> maybe one of the things we need to do is extend sunday house call because they have a lot more work to do out there. 90% of people aren't listening. this is a global problem. cardiovascular disease kills

about 17 million men out there globally, and about 6 million of them, these numbers are going to go all the way through like about 23 million in the future. so we're losing the battle here, exactly what you said, they're not listening or they're just not disciplined to do what we're doing. this study from sweden, they followed about 20,000 men out there, an they found out, if you just quit smoking, it would reduce the risk of heart attack by 36%. that's just incredible. you know, exercise was helpful, but that was only about 3%. what was significant was, you know, the -- you know how to measure, you take your height in inches divided by two, for men it tould be less than 34 -- if which is one of the risk factors for heart disease, you would reduce that risk by 16%. these are significant. >> what is the best way to do

that? we're showing hamburgers and cheeseburgers and french fwris. i think you want to switch that burger to fruits arveds vegetables. that by ths r itself also eating the right foods, all the -- also reduces the risk by 18%. so exercise, healthy diet, it seems like we keep repeating ourselves. >> i would like to ask dr. siegel, to tell a guy stop eating the hamburgers and the cheeseburgers, instead of just cutting it out, instead of having a whole hamburger, maybe just a half. >> i'll say this on national tv, he actually has lost, i think about eight pounds just by listening to what we do every day. and i'm very proud of him. he exercises all the time, before coming to the show. >> that's absolutely true. but i'm also inspired by president bush and the mountain biking i do every year.

but here's the thing i wanted to say, the study only shows 3% effect from exercise, and i was looking at that and looking at that, then i realized something. here's to david's point, when you exercise, you actually eat less, so if i combine that elliptical or that mountain bike with that sunday house call mediterranean diet, there's a lot of good things in that diet. unsaturated fat rather than that cheeseburger. cutting out smoking was the biggest. but i want to switch gears on there. what is the number one cause of death in women? >> it's the heart. >> this study was done again in men. and did you know that 24% of the time is the only amount of time that women are ever represented in studies on heart disease. it's always men and it's really important. and the nih is now giving 10 million to bolster studies in women with heart disease because women don't have the same kind of symptoms, they don't always have that crushing chest pain,

they might just have a little nausea, they might have pain in their shoulder, they might hapa. get this statistic, twice as many times they're misdiagnosed as having psych yacht stlik problems instead of the heart problems they're actually suffering from. and heart disease after menopause when area cholesterol goes up, you're at big risk after menopause, excellent point. >> but what arthur brings up all the time is salt. and also the american heart association is finding out that we're taking about 3.6 grams of salt a day, i would should be around two which also contributes to heart disease, don't add salt to your diet. >> don't do that at all. >> hopefully it will work. >> we're talking about warning signs about your health, one is rabbit weight loss. coming up, we'll tell you what

could be causing it, what you should do about it and whether you should be concerned. mayo, corn doahh...ou are so out of here! the complete balanced nutrition of great tasting ensure. 24 vitamins and minerals. 9 grams of protein... with 30% less sugars than before. ensure, your #1 dr. recommended brand now introduces ensure active. muscle health. clear protein drink and high protein. targeted nutrition to feed your active life. ensure. take life in.

all right back now on sunday house call, on our weekly segment, should i worry? this is where we talk about everything that worries us. i have lost 15 pounds over the past two months and i can't put it back on no matter what i eat e dr. siegel should 24 person worry? what happens when you suddenly lose and don't know why? >> in a society where we're always trying to lose weight, this is a really good one to bring up. i don't know whether the patient should worry but your doctor better worry and he should do a differential diagnosis and figure out what else is going on

besides weight loss? are you thirsty? that could be diabetes. are you anxious? are you feeling flushed? that could mean thyroid disease, are you having problems with diarrhea, it could be bowel disease or colon cancer. i have to figure out what the possibilities are. number one on my list is depression and anxiety, because that for sure leads to weight loss and i have to say to the patient, are you sleeping at night, are you worried during the day? are you staking stimulants? >> you say depression and anxiety causes weight loss. >> actually it decreases appetite so i want to know if the patient is eating properly. and then it can rev up your metabolism. but internists have to ask this question, we think, depression, that's a psychiatrist, but a lot of the patients that come into an internist office are depressed, are anxious, are not eating. if you're not eating, you're going to liz weight. >> it's interesting, the way we

think, you're talking about the medical mind and the surge kl mind. depression is not at the top of my list because i don't look for it. i look for cancer. we're talking about losing about 5% of your weight in the next six months and now you can't gain it back, to me, cancer, cancer, cancer, is this person taking any chemo, cancer treatments, then i would get a cat scan, look for diseases like esophageal, colon cancer, where you lose a lot of weight very fast. if there's blood in the stool, i would move toward bowel disease, kroen -- so you lose quieting with toochl thyroid and that's a simple test. you can check the t-4, t-3, tsh. if you heart rate is up, pal pitation, changes in your skin,

changes in your hair and weight loss. of course everything else, diabetes is a huge epidemic in this country, as a urologist, we will see frequent urination, you're thirsty, you're hungry, because your sugar is up but your -- >> by the way, you know, it's easy enough to go scopes in a cat scan if you're concerned. unexplained weight ross that's continuing, especially in the setting ofjbqu÷ anemia or a sedimentation rate that shows inflam mags, you do the scopes, you check a colons of copy if you haven't had one, and a cat scan. that rules out most of the big kwlis. >> if you have weight loss, check it with a doctor. >> yes. >> here's the e-mail, house call at fox news.com. the subject is so important and necessary and really affect all of us.

so are you feeling tired all the time or experiencing some unwanted changes to your hair, your skin? coming up, we're going to tell you why it could all be related to an imbalance in your hormones and what you can do about that. huh, fifteen minutes

could save you fifteen percent or more on car insurance. everybody knows that. well, did you know you that former pro football player ickey woods will celebrate almost anything? unh-uh. number 44... whoooo! forty-four, that's me! get some cold cuts... get some cold cuts... get some cold cuts! whooo! gimme some! geico. fifteen minutes could save you fifteen percent or more on car insurance. whoo! forty-four ladies, that's me! whoo...gonna get some cold cuts today!

ñññññ@w ugh. heartburn. did someone say burn? try alka seltzer reliefchews. they work just as fast and are proven to taste better than tums smoothies assorted fruit. mmm. amazing. yeah, i get that a lot. alka seltzer heartburn reliefchews. enjoy the relief.

they're responsible for the way you look and feel, so if your body's hormones are all out of whack, it could mean big trouble. but how do you even know and what can you do about it? how do you know? >> there are going to be some changes and. you're going to feel it. if you go to bed, you're tired, you wake up, you're still tired after six hours of sleep, there's a problem. there are certain who are poens that we want you to remember. if there are changes in your skin, in your hair, you're starting to gain some weight, you're starting to get some of those hot flashes. all of those that we've spoken about, these are the changes as a result of the hormones. if you have sleep problem, remember melatonin and cortisol. if you don't sleep enough, if you're under a lot of stress your cortisol level is going to be up. we know that cortisol in the short term is okay because that's a self-defense, right? if it is up for a long time, it affects our immune system and it also causes belly fat.

>> what causes your cortisol levels to go up? >> stress, lack of sleep and all of those lifestyle changes that we want people to listen. the other thing that's important, we just mentioned thyroid. if you're gaining weight without eating too much, you're tire, you're losing weight, constipated, that's all low thyroid. we want people to check. opposite is the high thyroid. finally the whole combination of cortisol, testosterone and estrogen is wlau newhat you nee to your doctor. women who oftentimes have fat around the belly, they secret too much estrogen and that's a risk for breast cancer. the only way to really take care of this is by losing the weight. i'm not going to get into it more, it is a big discussion, but i'll post on my facebook. >> do i have hormones, too? or do they all leave at 17? >> let me take your pulse. >> that was a weighty question. you have hormones. we all have them. >> he has them because he's wearing the red tie.

there are three types of main hormones. thyroid, the sex hormones, and the stress hormones. david was talking about the stress hormones. when you're under stress they go up and they cause your heart rate to go up and your blood pressure to go up. it is an acute reaction. the sex hormones change around menopause. david will love this, in addition to female menopause, there's male menopause. your testosterone goes down. thyroid is something i see every day in the office. with thyroid -- in one-third of all women have thyroid disease. most of the time it is low thyroid. you feel constipated. you feel depressed. you become intolerant to the cold and very fatigued. i'm suspicious about your thyroid being low and i will check thyroid on everybody that comes in. >> if it's low --

>> you give thyroid replacement which is just a normal hormone. it is very similar to what the body makes itself. i don't even consider thyroid a medicine. >> this is what you have. this is your hormone. this is the one that you want to worry about. basically. testosterone. you have plenty of it. when people get really fatigued and just lose interest, libido is down, that's when they worry about testosterone. >> can women have low testosterone levels? >> women can also have high testosterone. when you get oily skin below the lower part of the face, worry about testosterone. a word of caution. a lot of people are getting testosterone for no good reason. see a urologist before you go for it is to for testosterone injections. >> women with the sudden hair growth have to think about something called polycystic

ovary disease. talk to your doctor. that does it for us today on "sunday house call." president obama has touted yemen as a success story but now it is a country in turmoil. protesters demanding that shiite rebels who seized much of the capital get out. as an al qaeda splinter group claims responsibility for firing a rocket near the u.s. embassy. we'll have a live report. almost a week after a u.s.-led coalition started pounding isis targets in syria, are we seeing any signs the military strategy is paying off? fox's military analyst major general bob scales joins us as the debate over sending in ground troops rages in washington today. >> the president was exactly right. what we're doing is totally different than the last decade.