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And time now right now for Sunday house call as always joining us this morning is doctor David some money.
Is vice chairman of the department of urology and -- -- -- accent than Mount Sinai Medical Center here in New York.
Doctor Mark Siegel is here with us as well associate professor of medicine at the NYU went on medical center and author of the -- -- Unlocking the secret code of sickness and in health.
And it's good to have you both if only we could -- why somebody does this what a week and even though you've seen trauma.
And a lot of patients suffering I'm sure you were affected as well doctor somebody you start.
How do people cope.
-- is especially with social media and with television being able to see this and you feel like you're participant.
What Jamie let me just start by saying that it was a very difficult week for America and my heart and all of our prayers -- with a family who went through this.
We had for the good news toward the end of the week and hopefully that will help everyone to cope with this.
But we're talking about -- -- -- post traumatic stress disorder this is a real anxiety disorder that can affect a lot of -- someone better we're actually in the middle of the field.
-- some that were just watching TV or their rural FaceBook and watching this and this is -- real deal.
About five million Americas are usually affected by PT SD.
I'm the most important thing is to really recognize it and the best -- simplest way.
To understand PT SE is this Newmont lake and you know I I like new wanting because that's how I've learned to medical school very easy way.
The war trauma.
Is that she -- for Pete he is the -- for trauma.
Some sort of a tragedy like this it's a normal behavior to an abnormal event and it could be not just the war but it could be flooding could be sending hurricane.
Could be -- -- -- offered rate or.
Loss of a loved one all of that is it tragedy.
You may not realize that these people can you see this you know blog -- marathon runners etc.
What he does the next phase of this is really avoidance -- -- want to deal with anybody else becomes very emotionally -- they don't want -- interact and they become -- And that's when -- family union.
Relationships start to break and and then of course that's that you really.
It becomes very important so that's a -- it's a tip off and then sew up the baby become unable to function they may lose their job they don't want interacted -- become.
Completely handicapped now if the symptoms go on for a month.
That's real PT EST if it's less than that it would be -- acute stress syndrome and finally sees arousal they become angry -- the ball.
The simple things can make them into them also and they can get into fights since recognizing the symptoms.
And intervening early on is absolutely key and that's -- first phase.
Of coping telling me that's fantastic because we want to take care especially -- -- After seeing call.
-- -- -- that point you're gonna wanna -- back to the physiology of the children are watching us our children will react as we react.
So we're worried they're worried if we're calm -- com if we keep some perspective they learn perspective now to get back to this point about PT -- Here's how it works in the brain there's a -- center in the brain called the amigo.
That is probably the most powerful organ in the body that's his it was responsible.
For all of our most powerful emotions that's why.
As David said you know we have a more.
Positive narrative towards the end of the week we have the guys were caught you know the one was killed when was -- -- that's a positive narrative the narrative of the medical responders that was a great story for the public to watch -- those.
Stories trigger more positive emotions the fear emotion.
Stress hormones and adrenaline nor adrenaline quarters all of those can Wear you down they can create what I written about and cold a cycle of word.
Now you ask a question about can anyone get PT EST not just the people involved -- -- wanna talk about that for a minute I look at it this way.
In Boston first there's the people that were involved in the event they got injured or they were right there when the bombs went off that's the inner circle.
Then there's the rest of the city that went on lockdown for a couple of weeks.
Then there's the rest of us who are watching these images on TV.
Do you know that there's a study from Elizabeth Phelps at NYU that shows.
That if you simply watch a video of violent events occurring you can have some of the same reactions yourself.
That's why 5% in New York was affected with PT is the type symptoms after 9/11 20% of the people close in.
Of the people in the mill buildings.
How it affects you you're good you can have the risk of depression risk of anxiety -- all catastrophes if you get to connected to them.
There's the risk of depression and anxiety.
There's -- the risk of your heart rate going up your blood pressure going up.
Gaining weight and you can get your heart disease or stroke it.
It's every other -- it's -- real physiological changes that happens with us and if you check the -- for some of these patients.
Their level of nor epinephrine -- quarter result -- -- high so your -- North American which is leads to the blood pressure and heart disease.
Over time is high but look Jamie I think -- did disorderly intervene.
That's what NASA center to talk about it and that raising anxiety even more no it's actually who get to the therapy in the in this and they they're part of the segment but it didn't do more you open up and you talk about this.
The better it is and it's also good for family members to know that there are a lot of heart lungs out there that they can seek help.
If you don't intervene what happens is the next phase of this move comes drug abuse alcohol.
What I want people to -- also that is not what everyone is going to be affected by this when you have a trauma like -- only about 20% of people.
May actually get affected my son came to -- -- figures on -- it was marathon bonding mean.
And he thought maybe this is a part of the firework at the finish line they're celebrating and so there's a different language to speak and I turn off the TV and I think the exposure less explored do you have the various isn't.
You'd be -- that issue and a lot.
All over the country saw this video -- you see the bombings now in and and real time as they happen.
You see this video with all the time doctor Siegel we played as you see the bloodied limbs you see the injuries -- -- in the sidewalk.
It affects asked who do you talk to the clergy a therapist your doctor what can we do about this.
Your friend you talk -- your role models talking is really important number two.
Let's try to put the information and perspective Erica helps to -- and as horrible as this as.
Is there anything wrong with saying there -- only three people died when 700000 people die every year of heart disease and and we shouldn't ignore.
The the perspective of this that's so different things don't have a legislation that tariffs and I'll explain why -- I want to commit that because look.
Went went out loud noise occurs this week we think of bombs going off in our neighborhood we think we're going to be next that's a normal reaction.
But it's not likely.
And we have to remember that it is not likely doesn't mean because this happened it's going to happen to us but we over personalize the risk when you -- in.
Voyeuristic lead to an image on the screen you think it's going to happen you that's the fear memory that's that part of the brain I'm talking about it is so powerful.
That -- it interferes with your ability to see what your own personal race.
That that your practice not was walking around the street looking in the garbage cans when I was up -- to -- I mean reporting on this in Boston looking to see if there's a knapsack or Baghdad sitting on the street that it and that's a good thing -- you know something that's causing a lot of our analysts.
And and and I hope we won't have any more of these tragedies in our society but if you look at the way he behaved toward this any kind of loud -- today is gonna make it won't be aware of this.
-- -- -- Not that they're used to this but there's there's system did this memory system is used to this so they can react really well and then when we get to the therapy.
I asked to going back to the scene and trying to desensitized.
To -- this and over time.
You will learn how to cope but this -- -- 100% right talking to church.
Clergy doctors all of that those resources that you should take advantage of try to put in the positive emotions like courage and caring the terrorists win if we give -- to this -- the battle of terrorism is fear that.
It's not a -- and it's important as you say put it in.
Perspective for -- you know the desensitize and is interesting they do that with military members who have lost limbs or been injured they take them back to the scene where they were -- -- but I don't know if -- can ever desensitized from NASA but.
Great points doctors and I hope everyone will take care of themselves.
Because it was a very dramatic week and.
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