hello. i'm arthel neville. time now for sunday housecall. >> welcome as always. i'm eric shawn. with us is dr. marc siegel, author of the inner pulse unlock the secret code of psychness and health. >> dr. david samadi is joining us live on the phone. dr. samadi, can you hear us? hello? >> yes. good morning. i hope all of you are safe and away from all of the snow that's

out there. good to be with you. >> you're not here with us because of the snowstorm, and a lot of people now that it's over you've got to go start digging out. but shoveling snow can be dangerous, even if you think you're in pretty good shape. tragically, they say at least six deaths so far have been attributed to shoveling in this storm. and in new york city, it's a 68-year-old man, 78-year-old and 80 year man man, a 94-year-old in long island and 61-year-old in long island, also a 60-year-old in maryland who authorities say succumbed to this because of shoveling. dr. siegel, you may think you're in good shape and you're okay. you get out in the driveway, and sadly a tragedy can strike. >> what a tragedy. you know, the biggest problem with it is it's a goal-oriented behavior, eric. that means people don't want to stop. if you're on a treadmill and feeling winded and short of breath, you stop. but you don't want to stop until the shoveling is done. that's the first problem. the seconds problem is the

surgeon general has reported it's the equivalent of five miles on a bicycle. can you imagine if you're a couch potato, 70 years old and you haven't done anything in years, suddenly you're up with a shovel and doing the equivalent of riding a bicycle mai files? one-tenth of problems with shoveling snow are heart attacks or strokes. those are the people that don't necessarily make it. for tips, fifrs ever all, don't do it if this is your first exercise. hire northbound somebody to do with it. secondly, if you are, push the snow. don't listd. a lot of energy is extend with the upper arms. take frequent breaks. most of all, when you feel the heart rate going up, slow down. again, the heart rate and blood pressure goes higher than on a treadmill even. >> dr. sa maudely, it's not a race, and there's tip physician you're over 50, pay a nibd k neighborhood kid to do it. >> those sta tais ticks you're talking about, eric, are absolutely correct.

if you look at all the data out there, people that are over the age of 55 have four times, listen to this, higher risk of getting heart attack and especially in men. men are twice more likely than women to end up having massive heart attacks during this season. and a lot of it is something that we've discussed before. because of the cold weather out there, those vessels, the coronary arteries that bring the blood to the heart, they constri constrict. so if you have underlying disease, you have high cholesterol, high blood pressure, coronary artery disease, now by constricting those vessels, it pushes you over and you could have a massive heart attack. your blood pressure can go high as a result. the risk of stroke is much higher. arthel, a couple of weeks ago, you brought up a very good point. for people who are asthmatic, have bronchitis, their respiratory rate, they get short of breath and need to stop. people who are really at risk are the ones that are diabetic,

have high blood pressure. if you have any kind of breathing problem or are asthmat asthmatic, you want to make sure you pace yourself. 0 because this is not the time to start going out there and pushing yourself and exercise. if you're not in good shape, this is not the time. that's why as marc mentioned, pace yourself. make sure you cover all the extremities to you don't lose heat from your body. and call 911 if you really aren't doing well. that's so important to catch them early to save their life. >> that's a good point. i want to talk to dr. siegel. i know we're saying, dr. siegel, of course, if you're over a certain age and if you haven't been exercising, don't do it, hire the kids. but let's talk about the kids. there are dangers involved there. i know maybe not a heart attack. but kids getting out there shoveling the snow. >> well, sure. imagine how bad you would feel, if you say, i'm not going to shovel because i'm over 50 and that's four times a greater risk as a heart attack. then you hand it off to a kid with asthma. there's a lot of under lying heart disease that people don't

know about. they get out in the cold. they're lifting a shovel. they don't feel well but don't want to stop. the main thing you need to do is warm up. warm up indoors before you even start shoveling. when you get out there, make sure you're ready for exercise. >> like how often shue you go back inside? >> i would say 10, 15 minutes. 15 minutes of shoveling snow is the equivalent of riding a bicycle five miles. i don't want anybody who doesn't exercise doing this. even if you don't get in shape, do 10 or 15 minutes of it and go back inside. what's the big deal? people are shoveling during the middle of the storm, eric, then it gets covered over. i don't even understand what the fanaticism is about this. >> so dr. samadi, before you go -- >> marc's point is well taken. what he says is very important. when he talks about this 15 minutes of shoveling is the same as 5 miles of biking or half an hour of swimming, this data is very important.

you don't realize when you're out there, within 15 minutes you put so much pressure on your major organs, your lungs, your heart, your other organs that you really have to be careful and pace yourself 36 in the cold, by the way, your arteries clamp down so it's more stress on your vital organs. the kind of circulation we need, that's why the heart is under such pressure. under cold, the heart is under more pressure. arteries are clamped down. >> make sure you're hydrated. >> bottom line, i'm going to pay a kid. get the kids to do it. treat them well if you want to do it, do it slowly or get a snowblower. just push the machine. it will do the work for you. >> like arthel says, get a healthy kid, though. >> that's true. when we come back, your heart isn't the only thing you need to worry about in this wench. when we come back, we'll talk to the doctors about hypothermia and frostbite and how you can protect yourself.

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well, it is what happens when your body begins to lose heat faster than you can produce it, hypothermia is what we're talking about. it can strike at any time in this cold weather and can sometimes prove to be deadly. so dr. samadi, bringing you in now, i wanted to ask you, how do you even know if you're suffering from hype foe thermia and how long does it take toe get it. >> it's really important important people to understand the signs and symptoms of hypotherm hypothermia. the core temperature of the body is usually 98.6 degrees, when it gets lower than 95, you have hypothermia u. end up having cold feet. you'll have trouble speaking. the skin becomes pale because the blood starts to go to the main vessels. you may get confused and later on, this is within the first 15,

20 minutes, later on you may start having really shallow breathing, become unconscious. this becomes a real emergency. hypothermia can kill you. in the previous segment we talk about elderly because their skin is very thin, children are at risk. by the way, if you have hypothyroid, if you have arthritis, are diabetic or have spinal cord injuries, you're at high risk. what happens when you don't take care of this quickly, you may have frostbite at extremities, you may have toes and fingers which can really become a major problem, lose sensitivity and sometimes people lose their limbs and go for amputation. the sooner you get back to shelter, to home, warm up and take warm fluid and slowly warm up, not to put any heat quickly under hot water because you can get burned, that's the way to treat it. ultimately you want to call 911

if you have any of the signs or symptoms. very serious problems. >> that's what i was going to ask you, dr. siegel. we go outside, we are freezing, you put your hands under hot hot water, is that bad, can uf just do anything, like warm wt help ? if your fingers start to tingle or start turning color or yelly, waxy skin is a sign of frostbite. if the patient goes back inside, you do want to put your habdzs under warm water, you want to warm up your hands. if you start to have more extreme symptom chz the cold like david was talking about like where your temperature drops below 95 degrees when y$9u get confuse, when i want your wet droej "close to home"ing ofoff start rubbing your skin, drink a hot beverage. if there's any question, 911. when the patient gets to the emergency room, we use warm intravenous, blood, recess pra

raters and something where we take the blood out warm it externally, put it back in the body. here's the good news, you could get very cold and even look like you're not going to survive, but your heart continues to last at very cold temperatures. we've had many, many miracle cases where we think somebody is gone, but as we warm them up -- >> even before you get there, if you're out there, can you feel it coming on? what happens? do you get lethargic? >> that's a great point, eric. you feel lethargic. then you lose the idea it's coming up. that's what i worry about. you feel the cold, you feel the tingling. but as you get lethargic, you lose track that you're about to black out. >> dr. sasamadi, that's when yo should get inside really quickly. >> there was a story about an elderly laidly who went to save her husband who was 80 years old. the husband had more layers of clothing and they both became hy hypotherm

hypothermic. she passed away and he survived. having layers, if you're out there and you're going, make sure you have three or four layers and cover yourself. that's how you keep the heat unside your body and protect yourself and you stop having this tingling feeling near your fingers or your face, get back in. don't take a chance. >> doctors, good advice, as always. stay warm and be safe. >> stay inside. one thing a lot of people do when it starts to dip, you take a nip. coming up next, our doctors will tell us why reaching for a drink to stay warm actually is a bad idea. ♪song: "that's life" ♪song: "that's life" ♪song: "that's life"

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and welcome back to "sunday housecall" with the doctors. some people think it's a great way to stay warm when the temperatures start to drop, but the doctors are going to tell us that the truth is when you drink it can be a dangerous thing. dr. siegel, a glass of wine, a couple of beers, brandy, people think it's a good idea to warm up, take a little nip. no? >> absolutely the worst thing you can do. because, look, you get the rosy cheeks. you know why? because the blood is being taken

away from the core in the body which you need in the cold. eric was talking about getting confused and lethargic, the alcohol bringing that on. it place, out to the skin. you get confused and groggy from the alcohol and get dehydrated from the alcohol, your body's thermostat is broken with alcohol. you don't realize it is cold out there, which is the other point you're making. >> you're the reason why people do it, you don't realize it was cold. >> you get frostbite, you don't know it, you get hypothermic, it can put stress on your heart. who knows who has underlying heart disease. i don't want to scare people out there. do not drink in the cold. >> you're telling us we can't get a hot toddy when it is cold outside. >> i think a glass of brandy or cognac on a day like this goes far. but mark's point is well taken. you don't want to really be drinking a lot of alcohol when you go out there, the first initial phase of drinking alcohol, it opens up the skin,

but at the same time, you lose a lot of your core temperature, we just talked about, and it can lead to hypothermia, which you really don't want it. the biggest problem with alcohol is the fact that defense mechanism of the body against cold is when you start to shiver. and shivering you will increase your muscle activity, increases the heat. alcohol will take away that mechanism. somehow god created us this way. alcohol takes that shiver mechanism and it can also lead to hypothermia, and the fact that it is diarrhetic and it may push you to be dehydrated. that can put pressure on the heart, so if you're drunk or drinking, a lot of alcohol after, while you shovel snow, that's the formula for disaster. using bad judgment and decision, getting behind the car, falling and causing fractures, it is all bad news. if you're in front of the fireplace, having a glass of cognac, it is a good idea. >> why me?

really? >> even from afar he thinks of me. >> we're going over to david's house after this. >> you're all welcome. >> i'll send the helicopter to pick you guys up. we have two feet of snow over here. >> keep the flask at home. >> absolutely. >> football games, the flask in the pocket. >> inside. have it inside. >> great tip. that's a great tip. drink, have it inside. >> not outside. in front of the football game, in front of watching sunday house call, i'll let you have a glass of wine. >> good deal. okay. well, by the way, the storm is behind us and the snow has stopped falling, so does that mean that you should head out for your morning run? good question coming up, the doctors give us a breakdown of the dos and don'ts of exercising in the cold. listen up! i'm here to get the lady of the house back on her feet. and give her the strength and energy to stay healthy. who's with me?! yay! the complete balanced nutrition of great tasting ensure. with 9 grams of protein and 26 vitamins and minerals.

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ugh! heartburn! no one burns on my watch! try alka-seltzer heartburn reliefchews. they work fast and don't taste chalky. mmm...amazing. i have heartburn. alka-seltzer heartburn reliefchews. enjoy the relief. well, a lot of runners out there eager to hit the pavement after being cooped up by this huge winter storm. but there are a few precautions they should take before heading out in the cold. dr. samadi, what is your advice. >> a lot of professionals out there who run on a regular basis and they know exactly what to do, what to wear, you know, and certainly layers as we spoke is the way to go. if you're after this weather and

you normally don't exercise, i don't encourage you to start today, you need to invest in good pair of shoes and socks, especially wool socks. it keeps humidity out and keeps your feet dry. you want to make sure you wear, like, tight pants, dry fit pants to really keep within your body and also make sure that if you're out there, wear your reflective and flores end gear because some cars may not be able to see you. the mnemonics is cold, c stands for cover, covering yourself to stay that way from hypothermia. always overexertion, we talked about the remark about not putting too much pressure on your body. l is layers, that is important. start from temperature of 60 and every 20 or 30 degrees lower add one more layer to protect yourself. and d is dry. make sure you stay dry in a day like this because of all of the

frostbite we talked about. i think that's a great formula for people. >> thank you, doctor. >> i agree with david. i love exercising out in the cold, again, don't do it if you haven't done it before. it is a good way to bond. you make more endorphins. you're going to sweat a lot. so aim your layers for 20 degrees warmer than it is outside. you'll sweat up to that level. if it is 30 degrees, aim for 50 degrees. if it is ten degrees, aim for 30 degrees, that's the kind of clothing you wear. you want to wear gore-tex shoes, which means it is water repellent. the other kind of sneakers with mesh absorb the water, and you got boggy socks, so then when you're done running, get back inside or whatever the exercise is, get out out of the wet clothes, get into a hot shower, drink something warm and make sure you warm up as quickly as possible. >> i like dr. siegel's point, which is to layer for the --

layer up. what happens if you get overheated? >> i think in addition to sweating, if you get overheated, you're going to become dehydrated and that's going to be a problem. and the other thing that is important for people to know is that you either layer is the most important one to protect yourself as a shelter against rain or against water, you want to make sure that's a water resistant one. and then it should be fine. for a lot of people out there, i just had my son out there to shovel the snow, the video on instagram, you'll get a kick out of this. >> we'll check it out. >> one point to emphasize, the reflector. especially with all that snow out there, in the dark, if it is starting to get dark, make sure people can see you. the more reflector material you wear, the better. >> forget about speed. forget about speed. this is not the time to speed. small steps to make sure you don't fall. >> very good. dr. samadi, nice talking to you

over the phone. we'll hope to see you in person next time we do "sunday housecall." i'm arthel neville. thank you for watching. millions of americans are trying to dig out at this hour after the blizzard of 2016. from the streets of philadelphia, the jersey shore, times square, washington and virginia, welcome to america's news headquarters. i'm shannon bream and check him out. >> i'm leland vittert outside in a city that has shut down. the blizzard of 2016 is gone. this is the big dig out of 2016. they say washington is a beautiful city to walk around. and that's just about the only way to get around town. even fire trucks have been stuck out here. the last time we had a snow like this, you remember 2010, federal government was shut down for four days, metro shut down for three