driving or operating machinery. most common side-affect is nausea. life as a non-smoker is a whole lot of fun. ask your doctor if chantix is right for you. hello. i'm arthel neville. time now for "sunday housecall." >> i'm eric shawn. joining us is dr. marc siegel, author of the inner pulse. unlock the secret code of sickness and health. >> and dr. david samadi chief of robotic surgery. good to see you both. >> good to see you. >>. happy valentine's day. >> absolutely. valentine's day. we've got the red ties going on. that's a reminder about our heart health. protecting our health. lessons for bothen in and women. dr. siegel, really important. >> go red for women month.

it's american heart month. but go red for women. i want to talk about women. only about 50% of women realize that heart disease is the number one killer of women. people think it's breast cancer. ten times more women die of heart disease. ten times more women dive heart disease than breast cancer every year in this country. womenv different symptoms of heart disease than men do. they may not have the crushing chest pain, they may have tingling, back inpa, neck pain. >> tingling where? your chest? >> traditionally in the left arm. that's where you generally see it but you could see jaw tingling, jaw pain, back pain, fatigue or nausea. if you are not feeling like yourself especially post menopausally. you have to get checked. >> what do you get? ekgs? >> i am at the front lines as an internist. i check people with ekgs. i want to know your cholesterol. i want to know your sugar, i

want to know if you smoke. i want you to know your blood pressure, not just me. you should know your blood pressure, your cholesterol. if you are smoking you should stop, you should lose weight, stop drinking alcohols as much as possible. and not be sedentary. >> you mentioned blood pressure dr. siegel. how often should you check your blood pressure? what if you are not exactly in the suggested range? what is it now 120/80? i don't know. what is it now. >> the last study makes it look like 120/80, not 140/over 80. >> i'm a' not a fan the machines you use at home. the battery operated once. if you are using one. go to the doctor and correlate it with what he or she gets in the office then you can see whether it's accurate or not. >> dr. ssamadi, let's talk abou risk fact loors. who is most at risk? >> we're talking about women

because this month is all about go red and hence the tie. the reason why this is is important is because women are undertreated. very important. underdiagnosed and undertreated. because when we think about heart disease we think of men. it is a stigma that it is a man's disease. when women patients go to the hospital room for doctor, they are not thinking hey i should be ruling out heart attack in a 30, 40, 50-year-old woman. more than lung cancer, colon cancer and breast cancer combine. the symptoms as mark mention ready vague. in men we have an elephant sitting on our chest, severe chest pain radiating to the arm. and basically everyone knows about this. in women, you may have profuse sweating, nausea, back pain, you may have some arm pain. it's all vague. >> why is there such a

difference? >> some of it could be anatomical. some of it could be hormonal changes. we know for example, estrogen protects you while you are on it. and after mena pause your risk of heart disease could go up. young women, though, are also at iske are. diabetes, high blood pressure, why do those cause heart attack? the blood flow to the heart is something called coronary art trees. when there is plaque there the flow of blood doesn't get there and the muscle in the heart can die. that's a heart attack. that's why good to check the your lipid profile. get your diabetic a 1 c. lose weight, stop smoking, stop ink doctoring alcohol in moderation. that's very important. i think the big thing is if something is not right call 911 and don't sit on it.

>> dr. siegel. to that point, i did work forgo red for women, the harlem chapter, and many of the survivors there said -- women didn't realize they were having a heart attack. >> that's a really important point you are making. two thirds of all women that die of heart disease did not have symptoms to begin with. maybe they had some of the vague symptoms that david and i are talking about today and are calling it no symptoms. maybe it just didn't feel well. we always talk about time being brain with the stroke. time is also heart. let me explain what i mean by that. if we get you to the e.r. real quick we can get you to the cardiac lab open up that lab that's clogged and stick a accident in. if we do that during acute coronary symptoms, a heart attack, if we get there fast enough we can event damage to the heart entirely. get in as fast as possible. >> of course it's valentine, we so want people on line and on facebook what should i give him or her? i think what's important for her

to pay attention, if your man is not funking well, if he is not sexually active or impotent at the age of 40 to 50, one of the early signs of heart disease in young men is impotence. so sexual dysfunction. make sure you don't ignore it. getting a prescription for viagra isn't going to cut it. if he is older and has urine airy stuff same thing for him or her. cut down the stress. no more arguing. after the chocolate and strawberries and julyie make sure she goes and gets checked for all the things we talked about. >> the best valentine gift. >> and you know how to cut down on the argument, right? we're always right. >> just say yes. >> we move on. we'll switch our topic to men. a new weapon in the fight against prostate cancer. what researchers say can smell the potentially deadly disease when "sunday housecall" returns. to truly feel healthy on the outside

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the potentially deadly disease

there is a ground breaking new device that researchers say can defect prostate cancer in a man's urine. dr. smat samadi, what is this test? how does it -- does it work? >> prostate cancer as you know, next to skin cancer is the most common cancer among men. 230,000 men die from this. today we use blood tests in order to diagnose prostate cancer. this is a study coming from british, from london. what they have done is taken the urine, and looking at the gas to comes from the urine -- remember we had a segment a dumb years ago where the dog was looking at the urn urine for a diagnosis of ovarian cancer. same concept. now it's through an speftding they can examine urine and with

95% accuracy they can say that somebody has prostate cancer. right now it's not available for clinical use, but it has potential that in the future -- imagine, instead of going through psa test and biopsy you can get someone's urine and diagnose prostate cancer. it has potential. >> when will that be available? >> typically, this takes two to five years. sometimes they may not pan out. certainly we've seen it with stomach cons cancer, with ovarian cancer. and it's exciting in the field of prostate canser to see something like this. the other issue, as marc will talk about, and we are having this whole controversy about psa, should i get blood test, should i not? a lot of organizations are discouraging people because they are saying the test is not accurate. and that debate should be ongoing with your doctor directly. if you are at high risk, you haven't had psa you may want to get a baseline at the age of 40 to know where you stand. >> you have been telling me for

years, what is your psa? i don't know. you have got to follow it. when they give you the piece of paper every year, they give you the piece of appear, it has a number, 2.3, you don't know what it means. and you don't know -- you have got to get your old papers to follow your history. >> first of all, you are not the one that should decide that. your doctor should be the one to guide you. we talk about trend a lot. i i believe in psa it's shocking to find out since the preventive services task force ruled against psa only 16% of internists like me still do it of i do it because i want the knowledge that something is going on in the prostate. i poll it over time. if it's greater than four, i start to get concerned. and i might refer the patient to a urology gist. i like psa. i like that you know it but i like better that i know it. we're moving into the arena

where we have other options of screening. mri is better. we started a year ago today how dogs are sniffing out cancer. now they are making electronic noses. based on the volatile chemicals that dogs found they built an electronic nose they can fine those chemicals and say with good accuracy you have ovarian cancer, stomach cancer, lung cancer. that could be in the offices in three to five years. >> i have to leave it there, but i want to let everybody know, that you have the website, prostate cancer 911.com. if you have prostate cancer or think you have it, you can get great answers there. >> great confusion and great advice. you have gotten the shingles shot, but it could be time to get another one. why one shot may not be enough to prevent shingles. the doctors will fill us in straight ahead. see me. see me. don't stare at me.

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♪ (cell phone rings) where are you? well the squirrels are back in the attic. mom? your dad won't call an exterminator... can i call you back, mom? he says it's personal this time... if you're a mom, you call at the worst time. it's what you do. if you want to save fifteen percent or more on car insurance, you switch to geico. it's what you do. where are you? it's very loud there. are you taking a zumba class?

. and back now at "sunday housecall." our weekly segment, should i worry, where we talk about everything that worries us. one viewer wreets i've read the shingles vaccines only last five to ten years.

my husband and i got our shots over ten years ago. should we get another? we are 72 and 83. dr. siegel, does the shot expired? >> first of all the viewer is right. they only last five to ten years. >> oh, wow. >> i can't tell the viewer to get the shot because i don't know the underlying medical condition. one thing we should tell people, if you have had hiv, but assuming they had it ten years ago and they were okay with it they should probably have it now. there are 90 million people get it a year. and many of them had the chickenpox. >> that means you have the virus. >> it's in your blood and one third of all adults are going to get shippingels over their lifetime. what i like about the vaccine. not only that it lasts five to ten years. not that it works only 50 to 60%

of the time. that's not the great thing. the great thing is people who get shingles, a lot of those people get a pain that doesn't go away for months and months. >> what causes that? >> the virus causes it in the nerves. >> why does it all of a sudden crop up. >> usually stress or an upper respiratory infection. a lot of times we don't know why you get it. but you get this rash which is blistery, it looks like and about. it's characteristic. a long with it a good percentage of people can get the pain that lasts on. the vaccineine cuts down that pain 70%. that's where it really works well. >> dr. samadi, the viewers they are saying they are 72 and 73. is there a danger if you are older? >> after the age of 80 you don't want to take this shot. as you get older it doesn't work

really well. 50 to 59, it works well, 60% of the time. as you get into your 60s, it works only 40%. and then when you get 80, it doesn't work well. these guys have one more shot. that's what it comes down to. >> is it effective. >> about 50% of the time. but shingles itself, even though it's not pleasant, and you get blis terse and it's itching and painful, that disappears after a month or so. you get the shot mostly to avoid this painful experience for a long time. >> something you should talk to your doctor. >> what age do you get sit in. >> i think after the age of 60 is a dwd one each the fda has approved it for 50. i would start at the age of 60. if you are allergic to neomy sin, or gelatin, and if you have history of leukemia, lymphoma, hiv stay away from this. >> quickly, what if i don't get the shot and i get shingles?

will the shot work? >> they recommend if you have had chickenpox or shingles in the past, go ahead and get the vaccine. >> i agree. >> knowing you, you are not going to get it. >> if you turned 60. get the shot? >> 60, get shot. >> if you have more questions for the doctors, just e-mail us, house call on fox news.com. and they will address all the questions that they can. the names of course and your e-mail will be kept confidential and they will not send you a bill. most of us reach for it when he start to feel under the weather. how effective is that over-the-counter cough syrup? the doctors weigh in on that next.

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you have to feel healthy... on the outside ...at your core. trubiotics a probiotic from one a day naturally helps support both your digestive and immune health by combining... ... two types of good bacteria. trubiotics. be true to your health. so there is an entire aisle at the drugstore devoted to it, but a growing number of doctors say over the counter cough syrup doesn't even work. what's the deal, dr. samadi? >> it's sprizing because when you have a flu or cold and you have a cough, the first thing you do is go after the over the counter cough sir ips. i was surprised and pleasantly

surprised that's part of "sunday housecall," you learn something all the time that i wouldn't be taking these cough medications moving forward. >> you won't be? >> they don't work. look at all the studies. the contents of these is not working. in fact, cough is a good thing for you because rts a natural way to get rid of the mucus. you wonder what do you do for this? the ped of this cold and fever, et cetera, lasts five to seven days. so you start taking warm tea with honey, which really soothes your throat. that's the best way to get rid of coughs. clear your upper airways with saline water is the best way to clear a lot of the mucus. >> get a nasal spray? >> exactly right. it clears all of your nasal congestions, et cetera, and gets rid of it. these don't really, would. they have side effects. >> the cough syrup companies they are going to go wait a minute we've got studies up the

wazoo that show this stuff works. >> i agree. i think hess right tea and honey is the best thing. i completely agree. best thing, and it works. the one thing i would say, there is not enough guy phenomenon sin in any of these cough sir ups and that's probably why they don't work. muse necks actually has enough in it where it thins your nasal secretions. i think muse necks dm, i find that it works. i give that to patients with colds and cause of and they feel better. what we do know, overuse of antibiotics? -- >> if you look at the stud auto he is majority of the studies show by the time you start taking the medications already the body is healed and when they

kparld to placebo there was absolutely no benefit. yes, your symptoms could be getting better but a that's because your whole body is already healing. so it doesn't work well. the other thing, you can take a lose i think, to lubricate your throats, i would use that as well. >> one thing i would caution against -- >> antibiotics. >> right i'm guilty of overprescribing z packs. i have a cold right now, and i was ready to reach for the d pack yesterday. instead i had david's tea and honey and i feel better. 90% of the time it's viral and the antibiotic is dplot not going to help you. >> throw cayenne pepper in the tea. >> rock candy and gin. i wouldn't advise drinking. try. that that will knock you out and get rid of your cause of. >> brandy works also. >> we are learning from you guys, learning rid. >> hot toddy is great.

docs, happy valentine's day. >> thank you for watching. i'm arthel neville. >> "sunday housecall," every sunday we are live with all the medical news. >> happy valentine's day. we'll see you at 3:30, 3:30 eastern. this is fox news alert. remembering supreme court justice antonin scalia. i'm shannon bream. welcome to america's news headquarters from washington. >> nice to be with you at home on what is a sad sunday here in washington. today we remember justice scalia on what will be a special edition of our show. ♪ >> the flags at the supreme court are flying at half staff as washington and the nation mourn the death of supreme court justice antonin scalia. the conservative giant died suddenly while on a hunting trip in west texas. >> he was found dead in his room