hi. i'm arthel neville. time now for "sunday housecall." >> and i'm gregg jarrett. joining us dr. david samadi, chairman and professor of urology at lenox hill hospital and chief of robotic surgery. >> also dr. marc siegel, professor of medicine at the nyu's langone medical center, also author of "false alarm, the truth about the epidemic of fear." joining us live via skype this sunday, and good to see both of you, docs. >> glad to see you. >> we'll get right to you. >> good to see you. >> as we mark one week since the terror attack at an orlando nightclub pulse that left 49 dead and dozens injured, the massacre will no doubt leave lifelong scars on those directly involved, but it will also be

felt in less visible ways by many people who have been watching the tragedy and its fallout from afar, so how do we as americans cope with this going forward, and dr. samadi, i understand that there are stages of emotions. >> well, the biggest way that the terrorist is going to get us, it's not their bullets and it's not their guns. it's really the emotional and psychological scar that is going to be left behind, and we're talking about fear in this segment. so fear actually is a self-defense. it's a great thing that we have in order to defend ourselves, and something something called trauma or tragedy or plane crash or terrorists or whatever it is. that's the first staple and that's your flight or flee and flight mechanism. your adrenals and brain parts the adrenals and your heart rate will go up, et cetera. now the phases are trauma, fear, then you have anger, you have guilt, and the sooner people get through this and the sooner we face our fear and deal with it and get through it the better outcome we have. 50% of patients, unfortunately,

go through this and get stuck in certain phases, either fear or anger, et cetera, and then we have to deal with post-traumatic stress disorder when it becomes a chronic over longer months kind of issue so in your brain you have the center where the fear americanism is and that can be so hypersense ittized that it can really become problematic. dealing with this and accepting the fear and talking about some of the treatments and we'll talk about the ways to deal with that. >> dr. samadi just said something that it's possible for us to get stuck in one of those phases. dr. marc, do you have anything to add to that, or do you want to bring something else to the table? >> he's absolutely right. i wrote about this in "false alarm." there's something called the cycle of worry where you get attached voyeuristically to watching the news and you get stuck on these images out of compassion and then your heart rate goes up and you can't sleep and get an outpouring of

adrenaline or court sol and researcher down at nyu named elizabeth phelps put people in front of a video camera and showed them the same images people were experience when they went through terror and found a that some of the same physiological responses occur. what's the freemont for this? one treatment is role modeling. choose people that have courage through those things. laughter goes through the same fear center in the brain. laughter and courage go through the same centers. choose a fear guide. watch out what your children are seeing. they are seeing you be afraid and then they will be afraid and they will be afraid for the rest of their lives. exercise, sleep right. find out how to break the stress. come down here to the cayman islands and take a vacation if you need thompt listen to the news and everybody wants to know but the tool of terrorist is fears, it's not guns so we cannot give into that. >> all right. >> dr. samadi, what is the effect of fear and anxiety on an

individual's overall health? >> that's a very good question because the same adrenal gland can really increase your blood pressure and increase your heart rate and can lead to stroke and heart disease and obesity and diabetes so it's important to really understand that you have a problem. first, you have to face the fear, understand that you have t.surround yourself with people that you trust and make sure you're not alone. so many times i've seen people that have come from the war. they are my patient and come with prostate problems and i've gotten these letters saying this is the last time you'll hear from me because they have an issue so getting help and asking for help. you know, today -- >> i'm sorry, it's really striking me. you mentioned patients who are veterans. what about, and, of course, we always very much in favor of treating our veterans properly, but folks who are watching who are not vets. >> that's right. >> they are dealing with regular stress. how does it affect them? >> the effect of fear can affect your thoughts so you'll have the flashbacks.

event at the club. you'll understand how come i couldn't do something different so that guilt will come out? there are emotions. depression, angst i'll and all the fear that we have and then it becomes a physical part, the withdrawal, not being able to avoid other people. getting to drugs and alcohol and finally the physical which is a lack of sleep, lack of aptitude and the sooner they break the cycle, not only you break the health hazard that comes with it, but you can get back to your norm and that's really the key. today we have so many treatments. we have anti-depressants and desensitization which is cognitive behavior therapies, biofeedbacks and that's really important for people to know. >> is it possible, dr. siegel, and we've got only about 30 seconds left and i'll make it quick, is it possible that people can be suffering the symptoms of all of this without even recognizing it? >> there's no question about that, and that is happening right now. you know, we're going to talk later in the show about heart disease, the number one killer of men and women, strokes, depression. these are -- cancer. these are huge problems, and if you carry the stress from this,

from wore egtoo much, from worrying about terrorism too much, not only are you going to have sleepless flights but the long-term health risks worry me, i've seen it. been studied in studies out of israel and other places where people exposed to terror or even images of terror have a higher risk of heart disease, high blood pressure and stroke. >> we'll leave it at that and be back in right a minute. we'll tackle the shintaro ishihara u of sickle cell disease that affects tens of thousands in the united states. what is it, and what's being done to treat this often deadly illness? our doctors will be here to weigh in in just a moment. stick around for that. a heart attack doesn't care if you run everyday, or if you're young or old. no matter who you are a heart attack can happen without warning. if you've had a heart attack, a bayer aspirin regimen can help prevent another one. be sure to talk to your doctor before you begin an aspirin regimen. bayer aspirin.

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united states, and it -- its effects can be devastating with complications including anemia, infection, even stroke. back to dr. siegel who joins us by skype. so talk to us about this disease and the symptoms. >> well, gregg, what is sickle cell disease? as you said it's world sickle cell day today. what is it? well, you know, normally a red blood cell is round. it looks like a doughnut, but when you have a genetic abnormality, this is inherited. if you get two genes from different parents, could you end up with what's called a sickling and just like it sounds, it locks like a sickle. you don't have the right oxygen-carrying capacity on your red blood cell. what happens? well, you get anemic, and when you have a crisis you can literally infarct one of your major organs and it dies like your liver, your kidney, your bones. you get pain, it's painful.

what's the treatment for it? oxygen and now we're doing hemopoetic stem cell matching which is really, really hopeful. people live with up to age 30 or 40 and it's a tough disease for african-americans and people from other parts of the country. it's a really difficult disease. >> as a black child growing up in the '70s i heard so many about sickle-cell anemia, and i saw kids living through pain and even some died from it. why is it that kids are so affected by this disease and then also after that if you could answer -- you see different effects of as a urologist. >> this is an invisible dis kid, as you said, both times have to trade about 25% of the children

with get the disease. they are hiding it because it's embarrassing and can't concentrate. they get swelling joints and arms and legs and it's really affecting them and when you're a teenager it's really affecting them as a teenager and what happens with sickle cell, the cells can actually clump and you have an owe conclusive crisis. if it happens near the heart they can get heart attack and a lot of kids end up with mini stroke or they get a severe pain that paralyzes them and they have to go to the hospital so it's a real big problem. as you recall giurologist we se patients that come in with very prolong eviction even without taking any viagra and it's painful and you have to take the blood clots out, give them hydration and sometimes give them transfusion and get the bad blood out and stem cell is probably one of the ways to go to treat this. >> and if i may, dr. marc, ask

you because if stem cell is the way to treat it, is this something that's covered by insurance? >> you know, generally not. that's a great point, arthel. it's very, very hard to get the insurance to cover this because insurance doesn't like to cover things that are for small groups of people. this is for smaller numbers, but for us 2,000 infants a year born with this, and the idea that your red blood cell gets into a shape where it can't carry oxygen and then you end up damaging organs and, you know, this is really, really a crisis so i'm really glad we're bringing awareness to it. those stem cell transplants are life saving and we need more research on it because we can broaden the transplants we give and save more people as a result. giving people transfusions and oxygen are ameliorating and the get you through the next crisis. yes, we can transfuse you back to a normal level but your red blood cells in sickle cell disease die faster than they are

supposed to. they are supposed to last 120 days but in sickle cell it is they last 10 or 20 days. >> as a baby, you didn't ask to get this disease and if your family can't pay for the cost, can we eventually get it covered? >> i'm sure as the zion progresses and the hospitals come around, we're talking about 70,000 people in america that are affected by this, 2,000 kids. we should be able to cover them and absolutely it's a must, but the message for a lot of teenagers that have this problem on june 19th is ask for help. it's not embarrassing. this is not something you have to live with. we can help you certainly keeping hydrating and going to the doctors, superb doctors and -- and already some of these african-american kids have so much pressure and attention from peer pressure and this is one added problem that can affect their social life, so i'm glad we're bringing awareness to

this. >> well, it's a common condition for thousand of women. what do you do if you notice blood in your urine? our doctors will explain. that's coming up next. ♪ ♪ ♪ ♪ that's life. you diet. you exercise. and if you still need help lowering your blood sugar... ...this is jardiance. along with diet and exercise... jardiance works around the clock... to lower blood sugar in adults with type 2 diabetes. this can help you lower blood sugar and a1c. and although it's not for weight loss or lowering systolic blood pressure, jardiance could help with both. jardiance can cause serious side effects including dehydration. this may cause you to feel dizzy, faint, or lightheaded, or weak upon standing. ketoacidosis is a serious side effect that can be life-threatening. symptoms include nausea, vomiting, stomach pain, tiredness, and trouble breathing.

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time now for should i worry? it's our weekly segment about everything that should worry us. this viewer asks, i'm a 60-year-old woman and recently noticed blood in my urine. should i worry? dr. samadi, what should she do? >> it could come from the kidneys, you have the ureter and then the bladder and urethra. i would not be worried but this lady needs to be checked. we usually get a c.a.t. scan of upper kidneys to rule out kidney mass, kidney cancer or kidney mass. then i sent the urine to cytology, and then i do a procedure to look inside the bladder, five minutes, not painful. surprisingly, you can find bladder cancer. a five-minute procedure can really save your life. in men, which is not the case here, if you have an enlarged

prostate, sometimes that can cause blood in the urine. but giving you antibiotics and getting you out of the office is not always the best way. >> dr. seigel, do you run into this with your patients? >> very commonly. i want to start where david left off there. a 60-year-old woman shouldn't have blood in the urine. obviously, not menstruating. i think of urinary infection first. i would check a urine culture. i might start the patient on antibiotics, but your urine is pink, red or cola colored, you send a patient to a urologist like david. anyone not doing that is making a mistake. even though i can clear the urine with an antibiotic, i can still do that. other possibilities is kidney stones. even if you're not having pain, your only symptom could be blood in the urine, and as david mentioned, could be cancer.

doctors use a ct urogram, which i want to hear his thoughts on that. it seems less costly. >> dr. seigel, if you were to give your patient the antibiotic, it clears it up, then they send the patient to you, dr. samadi, will you still be able to see the problem inside? >> yes, we will be able to scope and find out if they have any kind of stone or any kind of cancer. but this particular ct urogram he mentioned is looking at the lining of the kidneys for smokers. if you have a long history of cancer, you can get cancer in the tube within the lining of the kidney and this test can really show it. the whole idea is, just thinking it's urinary tract infection or you're getting older or just get antibiotics and go home isn't going to cut it. simple ultrasound can put your mind at ease. you should absolutely look into it. >> very good. thank you. if you have any questions for our doctors, e-mail

us @housecall @foxnews.com. all names and e-mail addresses are kept completely confidential. >> today, of course, is father's day. for you teenagers out there who are still in bed and didn't get out this morning and say, gee, dad, i love you. let me make you breakfast. >> oh, wow. >> maybe bacon and eggs in a fruit bowl, dad, before you go to work. we're going to ask the doctors about the best ways to encourage the dads in our lives to step up their games when it comes to their health coming up next. what's it like to be in good hands?

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and antioxidants that work throughout your body. trubiotics from one a day. not everybody has figured it out yet, but today happens to be father's day. time when we appreciate dad. it's also a perfect time for men to focus on their well-being, since june is also men's health month. what are the best ways to encourage dads out there to take care of themselves on their special day. dr. seigel, let's begin with you. any advice? >> shine a spotlight on it. women are 33% more likely to see their doctor than men because they start with a gynecologist and then obstetrician. men are in denial. i say at the age of 45, you want to do a prostate exam, a psa, age of 50 a colonoscopy, at age of 30 i want to do ekg and start screening cholesterol and other

blood work. come see your internist. from the time you leave your pediatrician, you should be seeing your internist. psa, as david will agree, very important. prostate exam, cardiogram. if you have a history of heart disease, i want to be all over you. >> dr. samadi? >> the leading cause of death among men is heart disease and cancer. basic information, knowing what your blood pressure is. don't say it's normal. my doctor says it's fine. knowing your cholesterol, knowing your psa, appropriate age for colonoscopy can save your life. very simple things, sticking to good nutrition and getting rid of sugar and salt. if you can just do that this year, get rid of sugar and salt. >> aall shuger and salt? give us -- >> i have to tell you. i drink, as you know, a lot of coffee. i used to add one or two tablespoons of sugar to it. it adds up.

you start putting pounds on and not feeling well. food already has salt in it. adding exercise. love your spouses is a big part of this. you know, i think all of that, and get rid of stress, if you can, if you can -- >> exercise is great. >> i agree, exercise is key. mediterranean diet, plenty of nuts, vegetables, fish. change your diet this year and lose weight. i agree with david. >> and take some vacation time. a lot of people are workaholics and that will do them in every time. >> if you go to caymen islands, you need a bigger room. >> somebody swam up to the side of the pool and said, i'm a fan of dr. samadi and yours on sunday "house call" just yesterday. >> we love that. >> yours, too. >> find out if he still has his prostate and call me. >> i want to tell you, happy anniversary. you're celebrating 20 wonderful years of marriage with your

lovely bride, so happy anniversary to you and happy father's day to you as well. greg is here, happy father's day. the father to olivia and grace. happy father's day to you, dr. samadi. happy father's day to all of you and thanks for watching. one week after the deadly mass shooting in orlando, new details about the gunman and his ties to radical islam. while congress gets ready to debate gun control tomorrow on capitol hill. we'll take a closer loom. plus campaign 2016. donald trump pushes back hard against critics in the media and some in his own party for as hillary clinton fights to get bernie sanders off her back in time for her party's convention next month. get ready to fire up those grills and open up those boxes of ties, we celebrate america's dads this father's day with your pictures from home.