Ask Dr. Drew - Is Dr. Drew Anti-Vaccine? Response To Media Misinformation, Anti-Vaxxers & Your Calls – Ask Dr. Drew – Episode 123

Episode Date: September 16, 2022

Is Dr. Drew an anti-vaxxer? Dr. Drew Pinsky responds to media misinformation about his support of vaccinations, his recommendations regarding mRNA, and does a fact-check of this week's shows. Dr. Drew... also answers viewer questions on any topic: addiction, health, today's top news, or anything you want to discuss.  「 MEDICAL NOTE 」 The CDC states that COVID-19 vaccines are safe, effective, and reduce your risk of severe illness. You should always consult your personal physician before making any decisions about your health.  「 SPONSORED BY 」 • GENUCEL - Using a proprietary base formulated by a pharmacist, Genucel has created skincare that can dramatically improve the appearance of facial redness and under-eye puffiness. Genucel uses clinical levels of botanical extracts in their cruelty-free, natural, made-in-the-USA line of products. Get 10% off with promo code DREW at https://genucel.com/drew 「 ABOUT the SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. 「 GEAR PROVIDED BY 」 • BLUE MICS - After more than 30 years in broadcasting, Dr. Drew's iconic voice has reached pristine clarity through Blue Microphones. But you don't need a fancy studio to sound great with Blue's lineup: ranging from high-quality USB mics like the Yeti, to studio-grade XLR mics like Dr. Drew's Blueberry. Find your best sound at https://drdrew.com/blue • ELGATO - Every week, Dr. Drew broadcasts live shows from his home studio under soft, clean lighting from Elgato's Key Lights. From the control room, the producers manage Dr. Drew's streams with a Stream Deck XL, and ingest HD video with a Camlink 4K. Add a professional touch to your streams or Zoom calls with Elgato. See how Elgato's lights transformed Dr. Drew's set: https://drdrew.com/sponsors/elgato/ 「 ABOUT DR. DREW 」 For over 30 years, Dr. Drew has answered questions and offered guidance to millions through popular shows like Celebrity Rehab (VH1), Dr. Drew On Call (HLN), Teen Mom OG (MTV), and the iconic radio show Loveline. Now, Dr. Drew is opening his phone lines to the world by streaming LIVE from his home studio. Watch all of Dr. Drew's latest shows at https://drdrew.tv Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript
Discussion (0)
Starting point is 00:00:00 I appreciate you all being here. We're going to take some calls today off Twitter spaces. And we've got to kind of decompress from the last three weeks of interesting guests and try to make sense of what we've got here. I'm sort of astonished at the kinds of things that upset people, but I'll address some of the things they've emailed us. And where I've made mistakes, I'll be happy to clarify my position. And where I have not, I'll just restate my position and uh caleb very uh interestingly set up today's
Starting point is 00:00:28 show as am i anti-vaxxer so i will address that as well let's get right into it our laws as it pertain to substances are draconian and bizarre the psychopaths start this right he was an alcoholic because of social media and pornography, PTSD, love addiction, fentanyl and heroin. Ridiculous. I'm a doctor for f*** sake. Where the hell do you think I learned that? I'm just saying, you go to treatment before you kill people. I am a clinician.
Starting point is 00:00:54 I observe things about these chemicals. Let's just deal with what's real. We used to get these calls on Loveline all the time. Educate adolescents and to prevent and to treat. If you have trouble, you can't stop and you want help stopping, I can help. I got a lot to say. I got a lot and to treat. If you have trouble, you can't stop and you want to help stop it, I can help. I got a lot to say. I got a lot more to say. BetMGM, authorized gaming partner of the NBA, has your back all season long.
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Starting point is 00:02:11 with iGaming Ontario. And of course, I would be remiss if I did not bring up the fact that Queen Elizabeth II has passed away. And I don't know, you know, sometimes very long, rich lives need to be celebrated and not just mourned and she certainly is one of these people and if you were a fan of the crown, you see the extraordinary circumstances she lived through and really the great leadership that she showed during some very uncertain times. I have seen really wild, awful things being said about her on social media in terms of her being a colonizer and all this kind of stuff.
Starting point is 00:02:53 Hmm. Interesting. You have to, I don't know what to say about human history. It's full of awful violence and awful rapacious behaviors. As the people, as the figures who eventually led people into a more stable, flourishing existence, even if they had horrible periods in their life, do we condemn them forever after that? I don't know what to do with that. I just, it's, to me, history is full of a lot of uncertain story and a lot of uncertain circumstances where I certainly don't claim to be in a position to be able to make a judgment of what someone should or ought to have done that would have made things better. Oftentimes, not being aggressive would have resulted in horrible terrors for other people. So I don't know. Think of all the great movies and storylines we've watched over the years, though, about her.
Starting point is 00:03:53 Oh, I know. That's why I said the crown. Just the crown. We really all got in touch with her with that. So now people are sending me emails where I have misspoken and some of the things I just got flat out wrong. So let me address those things. I dare any of you to talk on a microphone for 10, 12 hours a week and not fumble a little bit. So I'm happy to address where I might have said something wrong. An anesthesiologist sent me something that I said, I guess, on the Michael Jackson special. Yeah, it came out on Netflix recently, I guess.
Starting point is 00:04:22 That Harvey Levin put together. And I mistakenly said that propofol was a short-acting barbiturate. And I started thinking about, why do I think about it that way? Because it's hard for me not to think about it that way, because it fits so well into the biology of barbiturates. I know it's an anesthetic induction agent that is generally CNS suppressant, which is how I, and it acts mostly through the GABA system. I understand the exact mechanism of the GABA effect is slightly different. It's kind of like calling an opiate an opioid.
Starting point is 00:05:00 I mean, this is a technicality. It is a non-barbiturate induction agent because the molecule that it's built from is not specifically barbiturate. Just the way an opioid is not specifically built off the core of the poppy juice, which creates the opiate, it's a fully synthetic painkiller called an opioid. I mean, this is really splitting hairs. So, yeah, I got it wrong by calling it a short-acting barbiturate. It's a short-acting non-barbiturate induction agent, but none of that makes it any less extraordinary that it was being administered to somebody outside a hospital setting. That was the point, which was it requires a crash cart
Starting point is 00:05:45 and an anesthesiologist to use these medicines. I had never seen them out of an ICU, a surgical center, or a surgical suite. And when they said that he had been receiving that medication, it was astonishing to me. Literally, you could have told me that an asteroid hit his house, and it would have made more sense to me than giving a healthy person propofol. It is anesthetic. Okay, so, and it has, and I've seen people withdraw from it, and I've seen people get into medical problems from the long-term use of it. There's all kinds of issues related to it.
Starting point is 00:06:18 And by the way, I think one of the reasons that I start thinking of it as related to barbiturates is that the way patients in benzodiazepine withdrawal respond to the administration of propofol is virtually almost identical clinically to how they respond to the administration of actual barbiturates. Okay, so there was that one. This is exciting stuff, everybody, but people are, they get very bent out of shape. We read your emails. Yeah, very bent out of shape. Especially the ones when you're yelling at us. Am I wrong, Caleb? Is it sort of extraordinary the degree
Starting point is 00:06:52 to which they... It really is because I expected for your answer to be like, we were completely wrong. You're like, this is really splitting hairs. I didn't even know how close it was. It's going to be the same thing with every one of these. Every one of these is going to be like this.
Starting point is 00:07:07 Here's an email about a possible misquote. A guy's wife told me that you were incorrect. You said, how dare you? There are no nerve endings in the vagina. Now, I don't know what I said, but clearly I would not have said that. I might have said something like that most of the nervous input goes to the clitoris, or I might have been talking about the top part of the vagina. Was this on After Dark?
Starting point is 00:07:34 I imagine it must have been because that's the only place I really would discuss something like that. But it is a very complex neurobiology and neuroanatomy that is actually different person to person. But let's be clear. Is it on the inside or the outside? The nerves? Of your body. The vagina is actually, the nerves are on the inside. The vagina is on the outside.
Starting point is 00:07:55 This is a thing we argue about on After Dark all the time, where I talk about the fact that the mouth to the anus is a tube that is technically outside your body. It travels through the body, but it remains outside of the body itself. The inside of the body is a completely sterile environment. And if you get in there, you get an infection immediately. So the tube that is our gastrointestinal system is just a tube that runs from here all the way through our body and remains outside our body. If you can put something in it, it's on the outside. It has relationships with the inside because of the absorptive capacities of various different
Starting point is 00:08:33 linings. Even the mouth has an absorptive capacity. So you can get things to the inside more easily across these endothelia,, the tube itself is outside the body. Everything that travels through the tube is outside the body. Watch after dark. If you want to hear more about this. So here's, here's another one. Why wouldn't you apologize for this disgusting,
Starting point is 00:08:55 incorrect definition you made of the origin of the word Marano? Now, what does that mean? Well, let me give you the definition. So there was a period of history in Spain and Portugal where Catholicism, I think it was the days of the two famous king and queen. Shoot, who was it? Help me, somebody.
Starting point is 00:09:19 Ferdinand and Alexander. Ferdinand and Isabella. And they forced everyone to convert to Catholicism. And here's the quote, conversos, which were people, Jews that converted, who did not fully or genuinely embrace Catholicism, but continued to practice Judaism in secrecy, were referred to as Judizantes,
Starting point is 00:09:42 or pejoratively as Moranos. Moranos. And Moranos were, there it is, living in the Iberian Peninsula who converted but didn't continue to practice Judaism. I guess what this person is gravely upset about is not mentioning that it has a pejorative quality to it, which A, was not, I don't know anything about that. I just
Starting point is 00:10:06 know the historical term. And it was not me that brought it up. It was Adam Carolla. Moran, is that what you're talking about? And Adam Carolla was talking about how people today are like the Moranos of the Iberian Peninsula during that era, because there are lots of people with opinions, and they practice their opinions in their home and they're afraid to tell anybody. We live in a time when people are afraid to express themselves. And the conversos, moranos, whatever term you'd like to use, was what he was referring to in an Adam and Drew podcast. And then I guess I brought it up here quickly in relation to something. I think I did bring it up here quickly in relation to something. I was sort of,
Starting point is 00:10:50 I think I did bring it up here in passing, but the full conversation we have about it was at the Adam and Dr. Drew podcast. And at that time, we may have said it was during the Moore invasion, which was the mistake. Obviously, it's during the Catholic, what we call it, conversion. The conversion, everyone had to convert to Catholicism. And if we made a mistake, that was our mistake. So we receive gobs of emails of people freaking out because I misspoke an historical moment just in a casual conversation between one period of history and another,
Starting point is 00:11:22 not when the Moors took over, the Catholics took over. Got it. And a short-acting inductionation versus a short-acting barbiturary. If you want to hear more of it, watch the Adam and Drew show. These are what make people... I mean, this is what I get emails about all day long. Okay? So there we go.
Starting point is 00:11:40 Or listen, where you find your podcasts. Yeah. So there you go. A little PR there. I want to look at what you podcasts uh yeah so there you go uh let me little pr there i want to look what you guys are saying ranting yeah uh now the other thing that speaking of ranting uh hold on we'll just look at your hopefully it won't be at me i'm looking at the chat room i can't take it today oh you see are you you have had it up to here today it's been a long week okay hold on. Fort Detrick lab leak there. Oh boy.
Starting point is 00:12:10 You know, I am getting, well, I'll get to that in a minute. I'm getting exhausted. I'm getting just exhausted by people spinning on both sides of the vaccine argument. It needs to sort out. We're working our way through it. We're going to figure it out. But we have been, you know, to sort of get to immerse yourself in one point of view is an error. I think you've got to just stand back and kind of let the data kind of emerge as we figure out what's going on here. Something is, there's a signal, something's going on, but exactly how common and what it is and how serious and at what risk and what benefit, we really need to get clearer, clearer on this whole landscape. Now, having said that, I want to address what Caleb pointed out, or at least name today's
Starting point is 00:12:57 stream as me addressing whether or not I'm anti-vaxxer. I have, as I have said many times in my life, there were not enough vaccines for my family and my kids. Any vaccine that came along, I was ready to give it to them, no matter what it was. And they derived benefits. The HPV vaccine was one of the greatest advances of my career. That was phenomenal that we could eliminate cancer, nearly eliminate cancer that was killing people.
Starting point is 00:13:24 I mean, routinely killing people and we could eliminate cancer, nearly eliminate cancer, that was killing people, I mean routinely killing people, and we could eliminate it. And now we know the same thing is escalating in men in terms of head and neck cancer and anal cancer, and we can eliminate that too with the vaccine. So the HPV vaccine, yeah, every medical intervention, every treatment, everything we do as physicians can have adverse effect. The question is, at what risk? And the reality is the HPV vaccine has one of the safest risk profile of any vaccine in history. It really is a very, very safe vaccine. And no, it didn't make people go have sex. It didn't cause irrational behavior because you gave an 11-year-old a vaccine that would prevent cervical cancer when she was 35.
Starting point is 00:14:02 No, the 11-year-olds don't even know quite what they're getting. It doesn't somehow free them to go be profligate. It just isn't like that. So we've now had that vaccine for now what, close to 30 years, I guess it's been. And I am not anti-vax. I'm very excited about vaccines. I have been concerned about this vaccine,
Starting point is 00:14:23 the mRNA vaccine. At the beginning, I was very excited about it vaccine, the mRNA vaccine. At the beginning, I was very excited about it. I went out and got it myself and couldn't get it. And I got COVID, so I didn't take it. And very quickly, we started hearing about some nasty reactions and people having concerns about it. So I sat and I watched. Still clearly beneficial for people in the older age group. And it also was looking early on like it was a benefit, not just the individuals, but in terms of reducing the spread of this thing,
Starting point is 00:14:50 reducing the amount of replication, maybe reducing the risk for more serious variants emerging. So I was very enthusiastic about it at first. And then we started seeing data that suggested, you know, be concerned. The J&J vaccine was pulled from the market after people had very serious reactions. I had one of those reactions. Thankfully it had no real consequences. And now we're at a time when we're looking at rolling out a vaccine.
Starting point is 00:15:16 Now the CDC has said something extraordinary today. You know this bivalent vaccine covers original variants, covers BA.4, BA.5. And I don't really understand why the original variant is in the mix in this thing, because it's so, you know, pretty much everything is Omicron now. So I'm not quite sure what they're doing with that, except to try to fight off something. Should a variant emerge? I guess that's what they're thinking.
Starting point is 00:15:39 It has only been studied on mice, but that's how we create the flu vaccine every year. It's the same platform, mice, change the structure, give it to humans. Now, I'd like to see some work on humans. I want to see how it rolls out on humans, how it affects humans. I'm sort of reserving judgment on it. I'm recommending all my patients over 70 get it. I am asking them to wait a month or so to see how it affects people to make sure it's as safe as I suspect it is. I don't know. We don't know. We don't have the data. We've got to do these things clinically in real time. So where was I going with this? So again, so I was very enthusiastic about it. Then we started hearing some issues and I saw a lot of nasty reactions myself that made me concerned. And of course, we saw a lot of horrible COVID too. And the question remains to
Starting point is 00:16:26 this moment, what is the risk of COVID, I mean, hospitals of COVID dying of COVID versus having some sort of disabling reaction to a vaccine? I don't quite know that yet. And there are people in the sort of Steve Kirsch world and Alex Berenson who believe that number may be- Who will fight you until the end. They believe the number might be unacceptably high. Maybe Kelly Victory, too. Right. Kelly, of course, as well. And we don't know... I'm going to need a water or something. I'm reacting to something in this room. I don't know what that number would be. What is an
Starting point is 00:17:01 unacceptably high number for a worldwide pandemic that we're just getting under control that is killing a lot of people? What would that number be? Would it be one per thousand? Would it be one for 500? Would it be one for, and you know, how do we define exactly what we mean by disabling? In other words, we've seen, you know,
Starting point is 00:17:19 certainly an incidence of myocarditis now in males under 30, and I believe that is real data, is it under 40 or under 30, I've already forgotten that, but it's younger males. And as such, people who are vaccine uber Alice, as I always say, accepting no other alternative than vaccine therapy, would say, the incidence is still very low,
Starting point is 00:17:48 and they all get better so far, we think. But my pushback on that would be, prior to this, above all else, Uber Alice, and in my history, when somebody developed myocarditis, that was a dire emergency. That was a 10-alarm fire. That was a serious thing. People could die immediately from arrhythmia.
Starting point is 00:18:10 We didn't know where it was going to go. It was going to end up in a cardiomyopathy where they're going to need a heart transplant. And that has happened both from COVID and from the vaccine. And so how do we make this determination unless we get that data? And if you notice, every single person that I've spoken to with Kelly Victory, all three of us every time said the same thing. We just need more data. Usually Kelly and the other guests are much, much more worried about the vaccine than I am,
Starting point is 00:18:38 but we all agree we need the data. There's a nice conversation going on on Rumble between Jeheb and Dick. And? And they've been dumb. Go ahead. we need the data. There's a nice conversation going on on rumble between Jehep and Dick and, and, and they, can I, and go ahead. Oh, can I follow up on that?
Starting point is 00:18:49 Some drew to get, just get some more like specific answers from stuff that I see all the time. Cause a lot of people, their first reaction is they want to paint you as a hundred percent anti-vaxxer and you're on the anti-vaxxer team just because you're asking questions about some things that they just really started using a few years ago. And so some of these- This is the same thing as people,
Starting point is 00:19:11 if you questioned anything about COVID policy, you were a Trumper. This is that same black, white, bizarre, effed up thinking that people have. So if you are, other than a vaccine uberalis, vaccine above all else, you don't put that up there again, vaccine uberalis, you are therefore anti-vax. It is possible to have a nuanced approach to vaccine therapy where you're making individual decisions for each patient. That is possible. And the CDC, go ahead, reminds you.
Starting point is 00:19:40 It reminds me of the time whenever you were hesitant about the opioids before it was called the opioid epidemic, where it was everyone just wanted to paint you as you were just simply, you didn't care about pain patients. You didn't care about people hurting. When you could see all the signs of this thing that was coming up, it was growing and growing. But you were relentlessly attacked for that. That is mass formation psychosis. That is mass formation psychosis. I know what you want to call it i know what else it is one way to construct it is that that is hysteria and that is it is dishonest and it's intellectually immature dishonest and and simplistic that's not how
Starting point is 00:20:16 things work so there's that the c here's the my concern about today the cdc came out today walensky today said, well, vaccines for everybody over 12. And somebody asked her, well, Paul Offit, who's, did we interview Paul Offit here? Was that the one we interviewed? I don't think yet, but no. Paul Offit is a very pro-vaccine guy, has come out now and said, you know, I'm not sure young males need to get this vaccine, because he's obviously worried about that circulation article that showed males are prone at 10 times the rate, 3,000 times than average of getting this myocarditis. And he said, I'm not sure they benefit much because they have this reaction and they don't get sick from COVID. And the interviewer asked Walensky, what do you say
Starting point is 00:21:01 to Dr. Offit when he puts that out? And she goes, well, we just like to have a more simplistic approach to our messaging, so we just say everybody over 12 needs to get the vaccine. That is disgusting. That is disgusting because you can't trust the American people to understand a set of instructions that mitigate their risk, that if you're 12 to 40, maybe you want to talk to your doctor about it. Above 40, get it. Or 40 to 65, we strongly recommend it.
Starting point is 00:21:28 Talk to your doctor. Over 65, do get it. And by the way, her rhetoric on the 65 and above was spot on. She was very good in how she expressed the benefits and the importance of vaccine therapies in those age groups and the data we have showing it's safety. But the fact that you say 12 and above just because you can't trust people
Starting point is 00:21:49 to understand what you're telling them, talk about the opposite of healthcare. The opposite. It strikes me almost as a form of education snobbery where they think we are the experts, we know all. But you're an expert as well so they don't care what you're saying they don't care what dr mccullough is saying they don't care what dr kelly victory's saying they're just lumping everyone into this group and they're
Starting point is 00:22:12 saying we know best you can't find this information you would never understand it we don't even need to explain it to you we just want every single person in the entire world to take this exact same vaccine and no one is an individual right they became a they become defensive and authoritarian and anybody who just questions what's going on just brings up issues around it i wonder what they're going to do to off it i really wonder so my plan to get rid of men my original quick question whenever i first came on screen was if you had ever seen any evidence of anything called vaccine shedding which is something i I hear about a lot, where it's relatives of mine are concerned because, like, let's say I received a vaccine. They are now concerned that they can't even come around me because they vaccines that can be somewhat risky for people who have severely depressed immune systems.
Starting point is 00:23:11 Like you wouldn't want them to walk into a bone marrow unit, that kind of thing. Right. That's somebody who can get in trouble with that. But this, these, the kinds of vaccines that we're using against Omicron is just protein. There's no virus. I think they're talking vaccines in general. There's no virus created. Even before, because the lipid protein,
Starting point is 00:23:28 what I had read about that is that it would pretty much defeat the purpose of all the work they did to put the protein together if it's not meant to survive that long at all, especially not to cross from body to body. But I think what they're referring to are things like all vaccines even before mRNA. Have you ever seen any evidence of something crossing? Like I said, there are live and live attenuated vaccines that do that. There is such a thing.
Starting point is 00:23:53 Let's look them up. Let's see. I feel like it could be a bunch of people are misreading something. Like they may see what you're, like this little small example that you're looking up right now, and then assume that that applies to every vaccine, that anyone who gets one can then pass it. Because then in their minds, everyone is a danger. They are so, so, so, so different. Okay, let's see what this, vaccines after, shoot.
Starting point is 00:24:23 Yeah, okay. Vaccines to avoid. uh shoot yeah okay actually take some questions all right i will hang on you told everybody you would come on i will um for visit there by the way weren't uh turn the music on jesus all right i can't find it i can't find the specific it it's the live attenuated virus that kind of thing uh let me quickly oh my god measles smallpox chicken pox yellow fever are live attenuated so i would those are the ones that have those kinds of issues associated with them uh so there's it's not zero it's a few uh and it's you know something that rarely happens
Starting point is 00:25:12 but there is such a thing and uh so all right we'll go to the calls that's what people want to do that's what we shall do uh and also we want to mention that drew is a part of a new fox television show coming up in january yeah it's uh presently called special forces it's gonna be january it was an extraordinary experience we you have booked uh one of my staff oh there i am with some of the some of the guys that i was out there with scaramucci danny amidola have a photo of him flying out of the helicopter Caleb from Twitter Jamie Lynn Spears was there Oh my goodness it was such a No I don't think they have the helicopter
Starting point is 00:25:50 There is the entire group there So Mel B Before they got all dressed up Well there we are dressed up in our fatigues That we literally lived in for quite a while Kate Gosling in the lower right Dwight Howard So it was an interesting group
Starting point is 00:26:04 Mike Piazza Danny Amendola in for quite a while. Kate Gosling in the lower right. Dwight Howard. It was an interesting group. Mike Piazza. That's Piazza on the left. Danny Amendola. We will be interviewing one of the staff members on this show soon. You know that? Yes, I do. On the 29th of September. That will be very interesting. That guy was impactful, I will just say. Go to Drew's Twitter.
Starting point is 00:26:21 You can see a picture of what they made them do. It's pretty impressive. I like it. You have a picture of what they made them do it's pretty impressive you'll like it the picture of the helicopter flying backwards out of a helicopter over the Red Sea okay let's get into some Q&A here we're going to get into it let me see here
Starting point is 00:26:39 now everybody knows why you were gone yes Phillip what's going on a little music please knows why you were gone. Yes. Phillip, what's going on? Little music, please. I did not get, they were supposed to send me my uniform, but they didn't, I did not, they were supposed to send me my boots, too. They didn't send me any of that.
Starting point is 00:26:59 It was a damn mess. They probably burned it afterwards. Phillip, what do you got there? You're still muted. You got to hit the microphone the lower left hand corner hear me there you are what's going on you hear me hey i so i have a one-year-old daughter and she got her first vaccine and my wife is a nurse and we weren't actually too optimistic about actually being able to have a child. So now she's ultra protective. And I'm just wondering, our daughter already got COVID a couple of weeks ago, and I know she's going to be gung ho about
Starting point is 00:27:40 getting further vaccines for her. And I'm not in any way, shape or form anti-vaccine, but I just, I don't, I don't even know what to think now. Well, I don't believe the COVID vaccine is being recommended for that age group. So I would not even contemplate it, but get the routine vaccines. They, they, they are, they have decades of a track record behind them. And the risk reward is very well known. This is what I'm looking for with COVID is clarity about the risk reward. We know it with these vaccines. No, no medical intervention is completely safe. But without these medical interventions, what you're leaving yourself exposed to is much more serious illness. See, people get into these. What's
Starting point is 00:28:22 happening now is people get into these silos where they've only seen people with vaccine injuries and haven't seen people die of COVID, or they've only heard about measles-related vaccine injuries and haven't seen kids with measles encephalitis. Measles is a bad, it's a nasty, nasty illness. These things can kill people, and the ones that kill children are common. Look, this is just common. Look, we're worried about, notice how monkeypox isn't being talked about anymore. Shocking. And also what they're doing is attending to the risk population who was at risk of monkeypox very clearly and helping them not get monkeypox and get the vaccines to protect them from it. But this textbook, this is just infectious
Starting point is 00:29:04 disease of children, just children. That's mostly what pediatricians are doing, a lot of infectious disease, a lot of it. And to worry about, there are so many things that can be very serious for kids that we can take care of and that we can vaccinate against. Please do that. And again, as I always remind people, as they worry about monkeypox, why don't we worry about everything in this infectious disease tech book? This is the only single volume infectious disease textbook I could get my hands on easily. And we can just worry, and you see the print is pretty small. So let's worry about every page of this book and let's make sure the press thinks about it. For instance, 750,000 people died of AIDS last year. You're worrying about that?
Starting point is 00:29:47 You're thinking about that? You're caring about that? They're dying every few minutes of AIDS. Where's the press with that one? We're worrying about monkeypox, who's essentially a flu with a nasty rash. AIDS is killing people every few minutes. Want to give an update on that press? You're so worried about people's health. Just, again, the context, the inability to contextualize what they're reporting is what makes me wildly frustrated. All right, anyway, let's keep going here. Okay, we have lots of people who want questions.
Starting point is 00:30:20 Somebody said they lost their cousin five years old to the vaccine. To the which vaccine? The vaccine, the COVID vaccine. The COVID vaccine. Well, there are two things. People die of lots of things all the time. That's the way the world is. And now we're reporting all of it.
Starting point is 00:30:37 And it starts to look like it's related to the vaccine. And it may be related to the vaccine. Well, remember when you said when they were going to start vaccinating kids, kids were going to start dying and then all shit was going to hit the fan? You said that at the beginning. I did say that. I said that once they start looking
Starting point is 00:30:52 at the adverse effects of the vaccine on kids, it's going to be a problem. I don't even want my kids to take it. I don't either. They're 30. They don't need it. They have to to travel, unfortunately. But they've had COVID
Starting point is 00:31:04 and they're fine with it. It's no big deal. I don't want them. They have to to travel, unfortunately. They've had COVID, and they're fine with it. It's no big deal. I don't want them to get it, but the doctors insist. Well, Paul Offit today just said that young people, young males particularly, shouldn't be getting it. This is the biggest of the big vaccine advocates. So let's see. All right, this is Obi Bonobi.
Starting point is 00:31:23 Come on up, Obi. And we do see your questions on Restream. If we don't catch it as it goes by, just reiterate. I'm not seeing them. I'll look for them. Susan wants to know what I think of the sudden adult death syndrome. It's a common thing. I've seen lots of it over the years.
Starting point is 00:31:48 Is it at an increased rate now? We don't know. We need the data. I'd like the data, please. There are some signals that suggest it might be. Is it related to the vaccine? No idea. No idea.
Starting point is 00:31:58 I'm worried. I'm worried about it. I'm worried. Unmute yourself on Twitter spaces. Obi-Wan. unmute yourself on uh twitter spaces obi-wan uh so i was uh wondering um the majority of this information that comes out online do you think that it's like biased information or biased data that we're receiving what what data do you mean? When we're looking at some information, we're like bombarded
Starting point is 00:32:28 by a bunch of these fact checker sites, you know, and I'm really hesitant on like trusting any of that type of information because it's only, it's all like one sided. I agree. I agree. I'd be very, very,
Starting point is 00:32:43 very careful. And you have to sort of, the consensus will emerge. That's what happens is with time, you start to learn more and more, it becomes increasingly clear. And you start to see these factions sort of folding down, either going away or folding into other positions. And that's going to happen. We're going to figure this out. I, you know, the CDC just today showed their cards a little bit by saying, just vaccinated anybody over 12, because that's the easiest way for us to message it. That is a horrible, horrible policy. That would be, I can't even think of anything in medicine where you would do something like that. It's where you just say, just take this treatment because,
Starting point is 00:33:22 well, I can't help you spending time helping you understand whether you should or shouldn't take it. So just take it. And if something bad happens to you, well, you know, we're going to help a lot of people. That is a disgusting way to approach things. And that's what they have done today. Now, I am seeing the UK, I guess. So a great example of this, Obi-Wan, is Dr. Kelly Victory was quoting some data from the UK yesterday. And I think we even posted it, Caleb, didn't we?
Starting point is 00:33:50 Yes, it's up on the website. Pregnancy data. All right. So she put an article directly from the United Kingdom website. I saw it in my own eyes from August 22nd that is talking about the vaccine, particularly the BioNTech vaccine. And it specifically in their materials says pregnant women should not get the vaccine, breastfeeding women should not get the vaccine. On the same website, under a different category as of September 1st, so two weeks later, different category, so-called yellow card
Starting point is 00:34:26 reporting, which is kind of like our VAERS system. It says pregnant women are at higher risk and should be encouraged to get the vaccine. That's the same country's healthcare system. That isn't even data. That's just putting out policy. When you start getting into data, it gets even more confusing. So I understand, Obi-Wan. I think you wait it out. We got to see where this goes. In the meantime, it's, look, how do we know so clearly that it is beneficial for the 75 and above? Why are we so clear about that? Because they're at the highest risk of real illness and hospitalization. We have dramatically changed that with the vaccine, and there are no significant adverse events in that population. They're only typically going to live another 10 years or so, so we don't worry about things like longer-term, down-the-line stuff. It's not a
Starting point is 00:35:22 clinical concern. And something may pop up. There may be something yet,. It's not a clinical concern. And there may, something may pop up. There may be something yet, but it's not clinically relevant. It may be, but we don't think so. Meantime, tremendous benefit. So it's clear, super clear. You're 75 and above, get it. You're 65 and above, probably get it. I'm not sure. 70 above, get it for sure. 65, probably. But under 50, it starts to get very muddled. It starts to get very confusing. I was just talking to somebody, Susan, who was in France last week or a couple weeks ago, and they've thrown things completely open. So hats off to the youth of France
Starting point is 00:36:05 who pushed this issue dramatically and they're able to vaccinate or not vaccinate as they wish. Not in Spain. There's lots of testing being done and everything's fine in France. There's no massive outbreaks. There's no increase in,
Starting point is 00:36:18 you know, lack of ICU beds. It's just, we're in a different stage of this thing and it is time to act accordingly. It just is. And the more we hesitate that, the more people are going to be damaged by being dismissed from schools or not being able to return to schools or so-called education from home, which isn't working. And we're going to have people economically. All we have done, look, this is in terms of my anti-vax position, which I'm not, the one thing I will say that I'm clear about is we did a horrible job of protecting the population
Starting point is 00:36:57 that was genuinely at risk for this thing, people with chronic illnesses, obesity, and elderly. They got it anyway. All these things we did did not prevent anything. The virus just did what it did. They got it anyway. And we shifted the burden of everything we did in our attempt to protect the people that we did not protect. And the burden now is on poor people.
Starting point is 00:37:25 We've done them out of education. We've economically distressed them. Well done, everybody. Really well done. This is not how things should be done. I mean, we need to really look dispassionately at the mistakes we have made. That's the other thing that we all-
Starting point is 00:37:41 Higher suicide risk. The mental health consequences have been profound, and that's for everybody. for everybody so there we are okay let me keep taking some calls here calls here it everything up this is swisher give him a her chance here there you are what's going on i was actually trying to formulate my question first i want to tell you you have been in a wonderful influence to our country and i'm sure many other countries i'm 45 years old so i've watched you talk about food and nutrition i just thank you for everything you've done and it saddens me that anyone would doubt the length of time that you've been talking to us and been right is enough for me to continue to listen. I'll say that much. Very kind. Thank you very much. So my question about the biotech,
Starting point is 00:38:28 you know, and the nanotechnology that is in there, you know, my question to you is, do you, I am kind of following Charles Lieber and I, he's worked for Harvard for the length of time that he did. And then kind of, uh, there's two sides of the coin with nanotech it could be amazing and it also can be of harm so my question to you is do you feel right now in the environment that we're in and we talked about trust on the internet you know can we find the best facts for our kids etc yeah and the fact that they said 12 and over for cdc now angers me so deeply because my nephews were vaccinated yeah so you know too, but better late than never. My question to you is, do you feel that the climate
Starting point is 00:39:08 that we're in, that we have enough regulation on mRNA-type technology that we're not really, the public doesn't know yet what this is, and to pass it as a vaccine would be dangerous. So the way I would think about this, because you're asking almost an unanswerable question, so this was utilized as something I would think about this, because you're asking almost an unanswerable question, right? So this was utilized as something that people thought would work, that they thought was safe, that had
Starting point is 00:39:33 been in development for a long time, primarily going to be used initially in very specialized populations, even just cancer patients, right? Now, all of a sudden, we're taking that same technology and giving it literally to everybody. That's a very different question about safety, right? Are we taking the entire population, nearly of the earth, really, or just, you know, millions and hundreds and hundreds of millions of people and exposing them to this new technology that we think seems to work? I feel more comfortable with it than Dr. Kelly does, right, Dr. Kelly Victory, because, you know, these particles, these lipid bilayer shells that are being manufactured here are kind of ubiquitous in nature, they're normal,
Starting point is 00:40:21 and so how problematic could it be to have a lipid shell sort of fused with our cell linings? I don't see where it would be immunologically active. I don't think where it would be structurally problematic. I could be wrong. Maybe I just can't think of it. But what's happening now, and this is the thing that kind of bugs me, is everybody is becoming a junior scientist, and we're culling through all this bench work
Starting point is 00:40:47 material. And I cannot tell you how far the bench, the scientific bench science can be from clinical reality. There are things that, for instance, let me take a popular straw dog, which is ivermectin in a dish has antiviral properties that look very powerful, actually. And same thing with hydroxychloroquine. There was a great article written about multiple different antiviral pathways and what had been shown in the dish, in the laboratory. I can just tell you, having been around a lot of patients that have
Starting point is 00:41:25 taken both those medication, didn't seem to do too much. It didn't hurt anything, and that's why I didn't object to it. But it didn't, not the way a real clinically proven antiviral like Paxlovid. Paxlovid, man, it works right away. I mean, it's striking clinically what this does so the distance between you know all these little tiny observations on in a laboratory setting versus what happens in human physiology on the macroscopic level can often be uh infinite in literally infinite so i don't the to answer your question or to continue to tip to around your question i i don't know what to do with it yet except that i would think from that itself we would see some sort of signal now we don't maybe the myocarditis is caused by the lipid bilayer you know by the nanoparticle shell i don't think so i think it's my my gut is it's a spike protein because
Starting point is 00:42:23 you're seeing myocarditis in covet patients as well there's i think the more interesting question should be asking you know what is it about this crazy protein and could somebody have designed it in such a way to do these things god forbid but maybe uh and and sort of focus our attention on that uh I will tell you that I myself, you know, I worry about new technologies and new medicines all the time, but we've been using it quite a lot now. And I can tell you if you're over 75,
Starting point is 00:42:53 it's safe for you. If you are particularly the worries about the technology, if you are 30, I hope it's okay. Seems to be okay. That's kind of a long answer to your question, but you're asking something very complicated. Thank you very much.
Starting point is 00:43:11 I appreciate your time. You bet, of course. Definitely, and I'll keep following. Okay. Don't get lost in the science that's out there. I was noticing this today and yesterday, that people are tweeting around and getting lost in these observational,
Starting point is 00:43:24 the bench work. The bench work has to translate, so to speak, to the clinical. It has to get to the large-scale physiology before it's really meaningful. Miss Chris, what's going on there? Oops, sorry about that. What's going on? I pushed the wrong button hello hey there hey now what's up yeah i have a non-vaccine related question if that's all right
Starting point is 00:43:54 with you yeah all right so i have three kids they all started school hallelujah it's great mom loves it too um but i i have a daughter with special needs we've talked about her before she's doing fantastic smart sweet little girl but i you know last year when we were trying to navigate through some of the things she was encountering one of the possible options and i spoke to her pediatrician about it and I trust her obviously with the care of all my kids so I think she's great and they were talking about putting her on attention deficit disorder medications totally fine it helps a lot of people I understand and over the summer no intervention medication wise because I just wasn't seeing a huge change in regard to her
Starting point is 00:44:46 behavior and in regards to just her overall, you know, sense of feeling like she's doing a good job and she's fitting in. Did you say that was on medication? She was for a little bit. Okay. And then we stopped over the summer because she was growing so much. we just kind of just wanted her to just live her life and us be there and see how she would develop. She grew almost eight inches. It was nuts. So, but I know it's nuts. I'm so short. I don't know where this comes from.
Starting point is 00:45:18 But in any case, you know, going back into school, first time around other kids, she's still getting used to it. But automatically, some of her teachers who have worked with her in the past are like, well, is she still taking medication? And I'm having a real hard time with that because developmentally, as far as her physical state and her mental state, she's growing so much so fast. I almost feel like i'm doing her disservice at this point by interrupting it how would you be interrupting it because i think as she matures and she grows obviously her brain and her social skills and physically she's just changing a lot. And I was just worried that... So I was very concerned about all the amphetamine
Starting point is 00:46:09 stimulant prescribing, particularly when I started dealing with all the amphetamine addicts. I thought we were creating that. So I looked at the literature very carefully on ADD and stimulants. And it is very clear that used properly, and again, properly is a relative term, but used is sort of a dicey term, really.
Starting point is 00:46:28 Used properly, the child develops at a better rate with greater self-esteem, with higher competency and higher self-efficacy and higher academic performance. Everything is better, and the risk of addiction and whatnot actually goes way down with these things. So the way it's thought of, and I'm not here to advocate for the psychostimulants, I'm just advocating for some sort of intervention because the way the sort of clinical syndrome goes is the ADHD itself impairs the development. That's what gets in the way of the development.
Starting point is 00:47:02 Never thought about it that way. Yeah. And so it doesn't have to be medication. And my preference is non-medication approaches for sure. But you have to really be watching that the ADHD is creating the difficulties in terms of, again, self-efficacy being the number one. You ever heard of the term self-efficacy? Yes, I have. Yeah. Self-efficacy being what gets gets impaired and with self-efficacy diminished
Starting point is 00:47:26 self-advocacy comes this sense of being broken or something's wrong with me and etc etc and they sort of go down that path my poor little girl has definitely said that a few times and uh heartbreaking you know she's a kid is there is there someone that has any you know sort of interpersonal therapeutics for this in your community? We've talked about this before, it seems to me. Yeah. You know what? It's kind of a winding road.
Starting point is 00:47:52 She gets older. She starts exhibiting unbelievable skills academically. And she's a smart kid. We had her tested IQ-wise. And she's scary smart, which is like another concern but good for her i i just want to make sure that you know if i'm going to medicate her it's hard to know with things like i would i hear you i would i would explore in great detail what other options there are behaviorally it really sounds like she needs that empathic therapeutic presence because if she says things
Starting point is 00:48:26 like I'm broken already, you want to work her through that and medication's not really going to do that. And I am not, and by the way, I get very concerned about using psychostimulants after the age of 18. It's very concerning. I've seen some sort of nasty things happen as a result of that. The benefits are not as clear after 18. Let's take a little break.
Starting point is 00:48:47 Thank you, Chris. We've got to take a break. Be right back after this. I think we have found the holy grail of skincare. GenuCell has absolutely changed certainly my skincare regimen. I like that vitamin C serum, the under eye creams, skin nourishing primer. Susan loves the eyelash enhancers, uses it on her eyebrows as well. GenuCell has everything to make us both feel and look amazing. Best part, the quality of the
Starting point is 00:49:11 products. Using pure ingredients like antioxidants, copper peptides, and a proprietary calendula flower base, GenuCell knows how to formulate products to perfection without irritation. For Susan, she hates that annoying dry area on her nose during allergy season, like right here. She's tried everything, but no matter what, the skin is flaky and dry. Nothing seemed to help until she started using GenuCell's Silky Smooth XV Moisturizer. Soaked right into the skin, she was hooked after one use and now loves all of their products as well. I am a snob when it comes to using products on my face. The dermatologist makes a ton of money for me. But when I was introduced to GenuCell, I was so happy because it's so affordable and it works great.
Starting point is 00:49:52 I was introduced to the Ultra Retinol Cream, which I love at night. All the eye creams are amazing. People notice my skin all the time, and I'm so excited because it's actually working. Right now, you can try GenuCell's most popular collection of products and see what i'm talking about for yourself go to genucell.com and enter code drew for 10 off that is g-e-n-u-c-e-l dot com and the code is d-r-e-w and susan don't you have some special packages out there they're coming coming, and I got the XV cream working for my flaky nose. Fair enough. It's working.
Starting point is 00:50:28 I hate that. Don't you hate it when you get that flaky red thing around your nose? Well, I wear that anti-red stuff that these guys have. Seems to have worked. I haven't had it in a long time. Did Dr. Malone, I'm forgetting in this interview, did he take on the vaccine in elderly population, or did he sort of demur there a little bit
Starting point is 00:50:45 you guys remember i'm not certain i can't remember is he anti-anti all the way across because somebody on the restream was saying dr dr malone was anti all the way across the board i you know can be there there seems to be great confusion that people have um between people who have a scientific background and have a, like, okay, remember when that person was yelling me about watching or listening to This Week in Virology, which I did. I started listening to it. I used to listen to it all the time. And yes, it's an excellent lecture about science, not about medicine, not about clinical reality. They are a million miles away from it. They don't know really anything about it. They know generally what they're talking about.
Starting point is 00:51:33 There's a reason that when, after we do a couple of years in the classroom 24-7, we then spend the next eight years out on the wards dealing with these illnesses in real people it's not it's not the way you think it's not like everything is exactly the same everything is quite different person to person and you're trying to deal with these these differing genetics and differing physiologies and complex biologies that are underway. In the laboratory, it can look one way and out on the clinical words can look entirely different. Not only that, but I made the point the other day that typically we see things out clinically before the literature, before the research catches up. For instance, I just said a few minutes ago about ivermectin, hydroxychloroquine.
Starting point is 00:52:23 Whether you take it early or at high dose or whatever it is i just i haven't seen much i haven't seen much people people get better that we're going to get better and people that really sick get really sick and keep getting sick while there are other treatments i've used monoclonal antibodies packs of it people are getting really sick and it stops it just stops that is different than watching people who would have gotten well, kind of get well anyway, and people who are kind of getting into trouble get really into trouble as opposed to something that stops a slide in its tracks. The monoclonal antibodies are actually the most striking thing of all. So don't forget these things are still available. We have
Starting point is 00:53:00 moldapiravir, we have Paxlovid, we have monoclonal antibodies there's lots of great treatments out there so people don't have to be so fearful of not getting the vaccine particularly they're sort of and the fact that omicron is so much less virulent so much more difficult less difficult than than some of these other variants that we've had all the way there's amy k i'm going to bring her up here you have lots of questions still i'm going to get to you guys i'll do my best my goodness lots of questions amy k just um unmute that mic in the lower left hand corner there you are sorry about that how are you i'm good how are you well i'm great long time fan first time caller a random question done talking about the whole covet thing um yeah all right um hormone replacement therapy and the new trend that's going on with pellets containing testosterone for women thoughts and feedback because i'm looking into it let's talk to a patient. Patient, what do you feel about this?
Starting point is 00:54:06 Patient? Susan? Wait, I'm sorry. Where were you? I was reading something. Sorry. Amy called in and said, I'm contemplating this big trend of bioidentical hormones. Oh, sorry. And the perimodal.
Starting point is 00:54:17 I didn't know you were talking to me. And I said, let's talk to a patient. I am a patient. I'm a very impatient patient. Should she get it? should she not get it what are the risks well if you're having hot flashes and you feel like you're crazy and you feel like you want to take a nap like every five minutes and you are gaining belly fat and you feel like you're getting old it's a good idea because well the good. Well, the good thing is I've been able to combat most of that.
Starting point is 00:54:48 I actually went through that like about three years ago where I thought I was losing my mind. And then when we finally pulled my hormones, my actual doctors, she started laughing and she goes, oh, they are so done. It's like not even funny. Like you've crossed the bridge. But now I'm kind of like a, I work out quite a bit by I'm realizing it's harder for me to maintain muscle mass. Sleep's not great. And definitely there's like zero sex drive.
Starting point is 00:55:16 Like you could put the rock in front of me, make me dinner and I'd be fine. Yeah. You don't want sex. And you also, you build muscle, you want sex all the time and you feel better about yourself. You're, if you have male pattern balding in your family, you might get kind of thin hair, but it's, you know, it outweighs the benefits of it.
Starting point is 00:55:39 The only real side effects, the, if you have cancer too, obviously if there's breast cancer in a first-grade relative, it's a whole different conversation. Although there are clinicians out there that believe testosterone with estrogen actually lowers the risk of breast cancer. Now, I'm not that person, but there are people that advocate that.
Starting point is 00:55:57 Now, if you have low risk of cancer and, you know, the Women Health Initiative was a disaster. We should be replacing women's hormones much more than we do. And we should certainly be adding testosterone much more than we do. And women are not attended to properly. They're told they're depressed. They're told they're stressed. When in fact, their hormones are just completely destroyed. And then their husbands leave them and they become lesbians.
Starting point is 00:56:22 Is that the path? I don't want that. Well, and my husband is like smoking hot and seven years younger than me so i like need to get it together yeah you gotta take care of your man well it's but the but more importantly though you're gonna feel so much better i mean susan you're right susan right now is dealing with a thing where her pellets didn't had to dysfunction this time i don't know why she's actually in a down phase of this whole thing and and it's affecting your thinking i can tell you well actually my testosterone was a little high last time so then i don't know for some reason in the summer when
Starting point is 00:56:55 i'm wearing a bathing suit and i'm outside i get the pellet pops out or gets infected or something so um and it's always in aug August and I don't know why. I'm dealing with a little infection and then a couple pellets popped out. I guess I'm not going to do it. I've been doing this for 12 years. The skin gets worn out.
Starting point is 00:57:18 We're going to find a new place to put it next time. It was high anyways. My testosterone was high but I was feeling great i'm gonna tell you i felt really good but they said oh you're it's a little high so like now i'm i the pellets aren't taking effect because i have to wait five weeks to get a blood test so i'm starting to feel a little tired a little and i'm achy oh my god are you complaining you've been complaining like crazy i know it's just not my normal self but um i also really i worked pretty hard this week. So, cause it was your birthday, but
Starting point is 00:57:49 honestly, I'm, I'm okay with that. Like, it's kind of like going through menopause again, you know, you just have that lull, but I know they're going to fix it and I'll be fine in a couple of weeks, but they give you also creams to put on in the interim if you have hot flashes at night or you have aching or whatever. But honestly, it's so rewarding to feel energy, happy. Well, I remember you saying you felt like a part of yourself had died or something that you were getting. Yeah, and I had menopause when I was 45. So that was not fair. Oh, yeah.
Starting point is 00:58:21 And honestly, if Drew wasn't such a hypersexual person, I wouldn't have worried about it so much. I want to blame it on him. He's a very passionate, passionate man. Fair enough. Well, that's a great thing. I appreciate it. I appreciate it. One last question.
Starting point is 00:58:41 The procedure itself, I made the mistake of Googling what that actually is. And I don't do well with like medical stuff. And it kind of freaked me out. It did. Are you like completely numbed up? You don't really feel anything during that? You get a little prick like it, you know, it's kind of like when you get your teeth done, it doesn't hurt as much as your teeth, but it stings for a second, then they they numb it up. And then they make a really teeny tiny little incision. They push the pellets, they're a little skinny they're like the head of a pin you know like they just go inside and then it goes under the skin and then they put a little steri strip on it and a piece of blood you know this sort of bandage over it and for a couple of days you have to wear that and you peel it off and it's healed
Starting point is 00:59:20 and it's it's under your skin for like four months. You don't have to think about it. You do have to take progesterone, uh, and like maybe, uh, a, a spirolactone, which helps you not grow hair. But, um, it's not, you know, you do that every day, but it doesn't, but if you've already been through, if your period's over, then you don't really, you have to do that. You won't bleed. You know, I was bleeding for a while until I was into my mid fifties when I would forget to take the progesterone. But you know what? It's, it's just, I don't know. I don't want to go through menopause again and I don't want to be tired all the time and I don't want to be cranky and I want to have sex with my husband. You know, it's just, I want to, you know, I didn't want to before. And it wasn't because of him to, you know, I didn't want to before.
Starting point is 01:00:07 And it wasn't because of him. It was just that I didn't have any hormones at all. So, you know, that. Oh, yeah. It's completely like gone. There's just nothing. It's like dead. Yeah. And that's unfortunate.
Starting point is 01:00:18 People feel so much better. At least you're recognizing it and you can make a change. We didn't have those choices 10 or 15 years ago. I mean, they did, but it wasn't spoken of much. You will be surprised how quickly things come back and how strikingly different it feels. Because I've referred many, many people for this therapy. Now, the only potential side effects really,
Starting point is 01:00:39 obviously the breast cancer issue, which we talked about, and the endometrial cancer, which you reduce, as Susan said, by taking the progesterone. But the hair loss, hair growth, deepening of the voice, and aggression. Sometimes people complain that they get aggressive and irritable from the testosterone. But that's, did you take birth control pills
Starting point is 01:00:57 when you were younger? Oh yeah, I think from the time I was like 21 till 40. And how did those affect you? Do you remember? Not, you know, not, I don't really remember having any side effects whatsoever. I never had any weight gain or anything, but I pretty, I'm a healthy eater and I work out a lot. So I think I staved a lot of that off. And the only reason why they pulled me off of it is because I actually got high blood pressure from work stress. And they felt like that was maybe compounding some of that. so they pulled me off of that and I got an IUD after that all
Starting point is 01:01:31 right that's all gone that's again that's sort of predictive that this will something you'll tolerate rather well yeah okay good luck if I go in thank you I just find somebody who really knows their stuff you know yeah it has to be somebody knows uh something weird just happened on my computer what's that it says assistant d wants to log in unapproved caller no security agent may be invoked by apple so i know but it's it's like freaking my computer out how do i turn this off uh susan i'll fix i'll i'll fix it's not on the streaming i'm just shutting everything i'm gonna turn off my computer, right? Your Apple computer?
Starting point is 01:02:07 Yeah, somebody's trying to get into my computer. Yeah, I'll wire in. I'll fix that right after the show. Yeah, just don't allow any of that. That seems like someone's... I'm getting a cyber attack here. Hilarious. Hi, my name's Ariel.
Starting point is 01:02:23 Ariel, what's happening? Oh, I remember listening to kfi ever since i was like 12 so this is kind of an interesting development that we're finally on spaces together you mean you mean k-rock okay no kfi you know am or dr drew are you on KFI or KABC? KABC. KABC, my bad. I get them confused here and there. But I do listen to KABC, too. Those were my two favorite radio stations to kind of listen to. I know, I listen on KABC, too.
Starting point is 01:02:57 It was so good. Right. And four days ago, somebody just mentioned birthday, and I just wanted to mention four days ago, it was my birthday. Happy birthday. Happy birthday. Same as mine. Thank you. I appreciate it so much.
Starting point is 01:03:13 So the topic is responding to media misinformation and calls on any topic. Okay. Well, my topic that I'd like to bring up is I would love to see the end of political polarization. Wouldn't that be nice? Because, you know, you know, because it's and I and I think Twitter spaces is the best place to do it, because I have had people who lean left and who lean right in when I host spaces. And we have such cordial, friendly conversations. And I just think that, you know, let me just give you a little bit of background information.
Starting point is 01:03:54 I was a former Trump supporter who went to the Yang Gang because, you know, as a millennial, that I saw that a lot of, yes, yes, indeed. Andrew Yang. I saw that, you know, all the middle-class jobs that were being gutted out of the economy when I came of age here in California, that was shocking to me. We were told that if we all just put our heads down, study hard and get a college degree, that the economy, you know, wouldn't leave us behind. And that's not what happened. And so I thought that Trump, since he was a businessman, would do a better job for us in the economy.
Starting point is 01:04:40 But that's not what happened either. But then when Andrew Yang started talking about how artificial intelligence and automation were getting rid of all of these middle class jobs and the idea of a universal basic income, that's when I went from the far, not too far right, kind of to the center right to more a little bit of the center left. So if I can see things from both sides, I think a lot of people can see things from both sides. I completely agree. I think that discourse and being involved with each other and just interacting and sharing ideas that that's the whole deal. Thank you, Ariel.
Starting point is 01:05:17 Bobby, I've got you up here. So refreshing. Yeah. Yeah. It's nice. It's yeah. All these positive things.
Starting point is 01:05:25 I thought we'd get a bunch of trolls on Twitter if we took instead of Clubhouse. I thought, oh God, we're not screening the call. So we're going to get a bunch of people calling you names when they come on. And nobody has yet. I'm so excited. Bobby? So refreshing. Two things.
Starting point is 01:05:41 One, a quick comment on the last speaker. I do believe that if you break things down to topics, I have a that discussions on Twitter spaces or Clubhouse to be very productive and very collaborative. So I'm optimistic. It's when we start with this menu of which side are you on? Are you do you like the National League or the American League? Then everything breaks down. It's so weird to me if you take a position, whatever it might be, then you become automatically X or Y. You're not allowed to have a mix of positions on different issues.
Starting point is 01:06:43 That's just never, ever been like that before. The people running to one side of the boat or the other. It reminds me of a personality disorder, frankly, when things are all one way, all the other. And I'm glad to hear that people are into the reality of the gray zone, which is where everyone really is. I stopped looking at Facebook during Trump's reign, and I was like, I just couldn't take it.
Starting point is 01:07:06 It was just like, what are you talking about? What is wrong? Can you just say something nice today instead of just trashing everything that he's done every single minute of every single day over and over again? Bobby, what do you think? Is there a number one or two topic on your list? Well, I think we have a gerontocracy, um, and I think we have a little bit of corruption and the longer people stay in
Starting point is 01:07:35 office, it seems the more things can go wrong. And, um, I think we need kind of fresh blood coming into the system. I think the numbers of the average age of Congress are pretty high. And I think the mindset, it's like we have a gerontocracy that's run on COBOL, an old operating system. And I'm optimistic that we're going to fix that because the only way out of our fiscal problems are through improving productivity. And I think if we improve productivity in healthcare, in education, and in the public sector, right away we can knock $3 trillion off the deficit. So I'm optimistic. Where are you located? I'm located in Nyack, New York.
Starting point is 01:08:29 It's hard to have that kind of optimism when you're in California. California is full of young representatives, and it's a freaking disaster and completely disconnected from reality. And it's a mess like i i almost can't express i don't understand how they can just keep marching down the road they're marching down it just gets worse and worse and worse um so and of course you know your state and your local governments affect you much more than the federal government they just do so yes unless yes. Unless we, I guess really what's going to happen is most people are going to vote with luggage. That's really what's going to happen.
Starting point is 01:09:11 People are going to, I mean, for a young person like Ariel who called a few minutes ago, he said he wanted to blame it on the federal government why there was no middle class jobs for people his age. That has nothing to do with the federal government. In California, you have 5% of people paying 90% of the taxes and you have people that are under the state thumb and very few people in the middle. Very, very, very few.
Starting point is 01:09:35 No one supports the middle in any way. I want to ask you a question and it's about the opioid or opiate So I want to ask you a question. And it's about the opioid or opiate epidemic. Yeah, the numbers are just getting worse. Yes. Not in my wildest dreams.
Starting point is 01:09:56 I'm going to be 70. And not in my wildest dreams have I ever think that opioids or, I'm sorry about that background or or heroin or derivative would would ever come back the way it has. And I guess we're approaching one hundred fifty thousand fatalities a year. If you were to have a five pointpoint plan to address this epidemic, what would you do? I may have more than five points. A, we have laws in California that allow you to use drugs without consequence legally and to traffic at a certain level without consequence. I would immediately change that. I would not criminalize these people
Starting point is 01:10:46 for any of the transgressions. I would have some sort of mandated or motivated treatment. They would have to do something. You have to ask addicts to do something or their disease will keep them where they are. So one of the ways to motivate that is with the legal system. They should not be in prison. They should be in treatment. So we would have to expand residential care. We have to expand availability of psychiatry. We have to expand the availability of medically assisted treatment.
Starting point is 01:11:15 We have to expand conservatorship and make them appropriate for this problem so people are under the care of people who are following the directions of a medical treatment team we have to um i have so many different we have to change the definite we have to bring back the definition of gravely disabled gravely disabled must exist as a criteria under which we can help people otherwise we're not allowed to help people no matter how sick they get unless they say i'm going to kill myself i'm going to kill somebody else, or I'm in septic shock. Otherwise, we're not allowed to do anything.
Starting point is 01:11:51 We have to create, obviously, lots of environments for people to be. In those environments, we're going to have to have levels of care all the way from the acute detox setting to independent living with vocational rehab. I mean, it's just, it's just, these are my patients. I've dealt with them for years. I know exactly, I did it for 30 years. I know exactly how this goes. They can, and some of them are not retrievable.
Starting point is 01:12:13 Some of them will require chronic custodial care and we have to provide that for them. That's it. It's very, it's, it's not difficult. It's not that difficult, but you have to do it or they die. The part that's missed by all the advocates who say they're living their best life, they're doing what they want, everyone that they want to do, who, you know, who are you to say that they, you know, should be doing anything other than what they're doing? A, they have a condition called anosognosia, the sort of more common lingo calls it denial. Literally the brain ability to have insight into
Starting point is 01:12:44 the consequences of their behavior is neurologically blocked. It's called anosognosia. They can't see what's happening to them. And the other issue that they always leave out of their declaration that would just let heroin addicts use their drugs, whatever, is that addiction is, and by the way, I'm not against that as long as somebody is there to try to get them towards treatment. Addiction is a progressive illness and it ends in death. And particularly opiate addiction, that is highly predictable. It is progressive and it ends in death. Whether a nurse is administering the drug or the patient is getting it off the street,
Starting point is 01:13:17 it's progressive and it ends in death. So that's it. That's my basic sort of plan. Is that too much? No, Dr. Drew, we have members of Congress that are physicians. I don't know how many, but at least a half dozen. Very few have experience with addiction where they understand it. You have to really understand this disease. But they should. I mean, if you were to hold some kind of forum for positions in Congress, I'm sure you have.
Starting point is 01:13:53 I've tried it in California. I tried it in California. to try to reopen the Lantern and Petra Short Act, to try to change the definition of gravely disabled. Brought families up there who were begging. They had resources. They had doctors. They had the treatment centers set up, ready to go. They had a bed for them to put their loved one in. If we could just change the law so these families could help their loved one.
Starting point is 01:14:19 And they were told to scram. Who are you? Get out of here. Scram. All of them. Us. All of them. Us. All of us. No.
Starting point is 01:14:27 Zero. You're just, well, who do you think you are? Is sort of what you're met with. So that's the attitude in at least this state. And this is the state that really cultivates all that. So they'll just keep coming here. This is not a federal problem. And I worked with Ben Carson very diligently. He was very, he understood this. I told him the same
Starting point is 01:14:51 plan that I, he was like, yep, yep. Got it. Got it. Got it. He's a neurosurgeon. He knew exactly what I was talking about. And, and he came here many times with me and tried to figure out how we could do this. Not with this state. Thank you. And, you know, it's heartbreaking. We all know somebody that has passed away from this. That's how common it is. Yeah, and I look back. I used to be head of the Little League in town, and that was 20, 30 years ago.
Starting point is 01:15:20 And I hear about these kids that I knew as 12 or 13 that have overdosed and died and I just can't you know well there is something the federal government could go after the fentanyl trade because fentanyl is what's really accelerating the death rate if you want to just go at it sort of from the way we always have uh is uh you know really go at the fentanyl distribution through the through the cartels and meth meth too. Meth is a big part of this whole story. And the meth deaths have not yet really hit the, oh, there we are. Advocates who opposed nomination. Oh yeah. What are you putting that up there for, Caleb? Because you tried. You've tried many times. You've tried so many times. It almost feels like to me,
Starting point is 01:16:04 because I lived in Los Angeles for 11, almost 12 years, and it feels to me like all of these, the homeless activists have never actually interacted with or met a homeless person in their life. That's the way that they act. Why is anybody- They're getting paid, though. These people are- They're losing their money if they don't-
Starting point is 01:16:21 You're right, Susan, but these are sick people on the streets these are open-air hospitals with no doctors involved in their care why are they listening to so-called advocates about how sick people should be treated that's the insanity of all this if you just put all of the sick people who have in the streets in walls just imagine them in a building and in that building no nurses, social workers, and advocates. That's who's looking after them. How's that going to go? How's that going to go?
Starting point is 01:16:52 People with deadly illnesses. It's just so sad. It's so sad because you're exactly the person. You understand exactly what's going on there. I treated it. I did it for three decades. If you've ever interacted with people who are homeless, it's so sad because the activists are working against their best
Starting point is 01:17:08 interests. Constantly. Because they're getting paid by the government. No, not the activists. I don't understand the activists at all. What do you call them? Lobbyists? No, the governments are paid. There are the real estate is all tied up
Starting point is 01:17:23 in this, building these $800,000 units. And there are people that are definitely benefiting from a financial standpoint. Well, the people that were fighting you not to be on that committee were activists. They were spreading these lies and rumors about you to get you not on that panel and freak out the city. I would argue that it's at least— And you weren't even going to get paid. You were just doing it out of the bottom of your heart. I didn't want to do it.
Starting point is 01:17:45 I did not want to do it because I knew it would be a hassle. I mean, it would be painful. It's going to cost you money. At least manslaughter. You could have been doing shows at those times. Oh, for sure. Like everything else, yeah. It is manslaughter, if not flat-out murder,
Starting point is 01:17:59 that they allow this to go on in the streets. Hokie Girl, I've got you up here. There you are. What's up? Hey, Dr. Drew, how are you? Good, how are you? Good. It's your favorite fourth year DDS student.
Starting point is 01:18:11 Oh, yes. Hey there. Look, I just love calling in because I have like these biological questions and things and I feel like you're a great influence. I don't even know where to start on this one because gosh, there's so much awesome stuff that everyone has been calling in and saying and all great points. First, I'd like to say that social media is garbage and trash.
Starting point is 01:18:33 We know that. We'll wake it up to that. Yeah. Also, I just want to advocate that getting medical advice or resources or information from social media avenues such as Facebook and Instagram, probably not the best source. Probably not. Probably not. All things being equal. It's one of those things like in school we have to learn. They're like, oh, you have a patient that let's say hypothetically that says, well, I heard on Facebook that blah, blah, blah, blah, blah.
Starting point is 01:19:08 Oh, yeah. And you have to be able to kind of educate them and kind of basically how do you handle that. And I guess it always boils down to the fact that you have to be able to, the credibility of the source matters. Consider the source. I feel like if it comes to something medical, it should be a medical journal, a science journal. Things like that. I think that's what they kind of emphasize. I think you and I talked about this last time.
Starting point is 01:19:38 Let me say this again, which is that I get frustrated with medical students who become consumed by a single article. So one article has one conclusion, and they now decide, this is it. I'm an expert. I understand this. Yeah, at least that's the gunners. We've got the grail. And to have a medical opinion, you have to have read broadly across all the literature
Starting point is 01:20:04 pertinent to that category. You have to have a broadly across all the literature pertinent to that category. You have to have a deep understanding of it. And then you can contextualize that one study. The one study may be a breakthrough, but you'll know it is a breakthrough if you understand everything else that's out there. Otherwise, it's just another piece of information you pull in as you try to get towards the truth and reach a consensus with, with the peers. You can't just, you know, read one thing and then all of a sudden, you know, decide. Help people understand how, how different it is because now you're in your fourth year, you're doing stuff, the clinical part of it and what you see versus the science. People don't
Starting point is 01:20:40 quite get that distance. And I think people get screwed up by that. And trust me, I'm not trying to, I really want to emphasize that I'm not trying to sound like, like a know-it-all or anything like that. It's just that, you know, we study, like you said, we study this, we spend 15 years doing this, we work on it. And that's why it's called the practice of medicine, the practice of dentistry, because nobody knows a hundred percent forever, You know, and so every patient's different. Everything is, you know, different. But we know a lot more. I mean, when it comes to, you know, some, you know, I'm not going to tell the guy that's
Starting point is 01:21:15 changing my oil how to do his job. Right. Because I don't know how. I don't know it. Right. No, but like, so I feel like it's one of those things where I feel like I feel like because of social media and everything, but like, you know, just people,
Starting point is 01:21:26 you know, like you said, there's people out there with misinformation and everyone's their own doctor. Where'd you get your MD from? WebMD.com. Oh yeah. Like, you know,
Starting point is 01:21:35 and, and, and, and we, we, we, we, we,
Starting point is 01:21:37 we, we, we, we, two things because before the days of social media, uh, peers of mine used to have in their office, a plaque that said,
Starting point is 01:21:45 please do not confuse your Google search with my medical training. And, and that now social media, it's gotten even worse because people have these communities of people that are sharing ideas that, and some of that's great. Sometimes it is legitimate. Sometimes it isn't, that's the hard part, but it's, it's kind of just, I don't know, it's just frustrating. I agree with that 100%. Google is not exactly a credible source for medicine. You can go on there and learn how to boil an egg. Let's say it is. Again, it's different than – so what's going to happen to you, I assume, is what happens to me all the time,
Starting point is 01:22:21 is patients will come in with their Google search and plop down pop down a bunch of material that is from my perspective is telling me the sky is blue the sky is blue the sky is blue yeah yeah i knew my cousin said the sky i knew i knew the sky was blue i knew the sky was i know that i know that and but they think they're coming upon new information because they've never seen all this before and so they you need to know this. It's like, yeah, yeah, yeah, we know, we know. But it's interesting that I just noticed lately something is happening where people are really not getting what clinical experience is all about. Yes, and I think that social media takes that away from us.
Starting point is 01:23:03 But just tell me for a second, because I'm seeing this in every conversation I have about ivermectin and hydroxychloroquine. I've had a lot of clinical experience with those two medications, and they don't do very much. And people are like, oh, no, you need more of this, you need more of that, you need it earlier. Done it all. But as compared to a monoclonal antibody and Paxlovid, where I see marked response, like clear response in dicey situations sometimes, that's a difference that defies whatever the science actually tells you. The clinical experience informs us something. Because you've seen it happen. You've watched it progress.
Starting point is 01:23:45 You've watched it and learned for yourself, like, you know, this works. I've seen it work versus reading, you know, in a textbook or whatever. And I totally get that. And I guess, you know, I don't mean to take up all your time, but I guess what I really want to know from you today, Dr. Drew, because trust me, I mean, if I could pick your brain for years, I would. But what I want to know today is because of this, I mean, even in undergrad at Virginia Tech, they didn't know much about hepatitis C at the time. Now we know, obviously, I mean, that you how long the the medical and medicine and dental and all that career is now we have harvoni yeah i'm just curious you know i'm you tell me because i mean obviously you would know a lot more than i would but when i hear the word cure i don't like
Starting point is 01:24:42 it i'm hesitant to believe cure. Like, oh, it's cured and never going to come back. I'm thinking about the virology. No, it is. That's the point.
Starting point is 01:24:52 The clinical reality is certain genetic subtypes can be cured and never come back. Much the way a bacterial illness can be cured and not be an issue then. That's great. it's funny because i was actually you'll find my name on an article 1985 or 86 or something um regarding use of ribavirin and hepatitis c which is what we were trying to do early on and so we this was you know and then we didn't even know about the genetic subtypes then. We didn't have that information. And so it's a great example of how these things evolve.
Starting point is 01:25:29 It just evolves very slowly. And back at that time, now here's a good clinical story. Back at that time, the prevailing wisdom was hepatitis B could not be transmitted sexually. B or C? Are we talking about C? C. B obviously can't. But C was the prevailing wisdom in 1985 was it cannot be transmitted sexually. Now it turns out some genetic subtypes are prone to sexual transmission. We know that now. But at that time, I had a patient
Starting point is 01:25:58 come in and she goes, I am telling you, my husband was a drug addict. I got it from sexual contact. That's how I got it. Remember her, she's from sexual contact. That's how I got it. I remember her. She's like, look, that's how I got it. I know that's how I got it. And the hepatologist was like, nah, she's lying, blah, blah, blah, blah, blah. And I thought, no, this is – but again, it's just an example of how clinically it walks through the door before the science catches up with it. Right.
Starting point is 01:26:21 It takes time. It takes time. It takes time to develop these things. Years, months, years. Right. It takes time. It takes time to develop these things. Years, months, years, you know. And so I think that's a great example of showing that, you know, in undergrad, I mean, that was probably like 10 years ago now for me. 10 years ago, we had, you know, no idea. Even the immunologist who wrote the textbook, Elgird Klaus, you know, he thought he was so great. And he was, he was great. But he had really nothing to say about why there isn't a vaccine for Hep C at the time.
Starting point is 01:26:48 Yeah. But we've developed so much. So I guess I just wanted to ask you, like, you know, I have, you know, an uncle, for example, who has or had Hep C, went through the six-month treatment. And his kids are, like, still afraid of, like, you know, because he's not exactly the most sanitary. You know, if he cuts his fingers, he doesn't care. He's just, you know, kind of a stubborn kind of guy. So like should they be concerned about like, you know, blood? They got to talk to the hepatologist.
Starting point is 01:27:14 What is the subtype? Is it cleared? Is there any chance of recurrence? And does he have a viral load at all? Thank you, my dear. Good luck with your training. Appreciate you calling in. You guys, a lot of you are wanting to talk up there susan how are we doing on time wise
Starting point is 01:27:30 i'm good keep going okay dan what's going on oh yeah you're up there dan and you're unmuted and yet we can't hear you so it must be something at your microphone or your computer something like that it looks like he dropped off ah well that will that would explain it uh okay i'm gonna going down the line here um oh a lot of people have sort of reshuffled she has a lot of energy. Yes. Whoops. Meg, go ahead there. Meg? Meg!
Starting point is 01:28:15 Come back, Meg. Sometimes they forget to push the unmute. Hi, Meg. Hi, thank you. This is a great space you're having with media information this is actually definitely needed my quick question is actually a little bit different from COVID
Starting point is 01:28:32 it's pretty personal so I do I do apologize it's pretty personal are you sure are you okay think about it before you say anything you okay? I mean, think about it before you say anything. You okay? the case is, um, I'm trying to figure out, um,
Starting point is 01:29:05 I like, I do not, I, I hear have very conflicting information about, um, the, we lost you there for a second. They, what Meg about the puberty blockers.
Starting point is 01:29:25 Okay. Very, very conflicting information. And I do not know. I do not. I am curious as to what the, I'm not a parent, so thank goodness, but just what an answer would be. Because actually puberty was so traumatic for me that I developed a really serious eating disorder and it's still going on. So I wonder if, you know, I just personally for me,
Starting point is 01:29:57 I'm like, oh man, I wish my parents could have put me on a period blocker for 10 years. To change gender or just to block puberty until you develop more? Just block puberty, just to block puberty. That's interesting. I had not really contemplated people having puberty blocking agents
Starting point is 01:30:17 to treat whatever stressors were getting to you at that point or maybe somehow trickling through puberty in a way that's more tolerable um i i don't have an answer that i've never even contemplated that i don't know if anyone the the world when did she have puberty was it early no no no no it was um i mean i'd say like you know like 14 13 14 um normal and so i it's it's hard to know if, you know, it's the world of pubertal blocking, you know, clinically doing, you know, administering pubertal blocking agents. This is a new thing, right? This is a new intervention. This is not something that, hey, we've just been doing
Starting point is 01:30:57 forever. No, no, this is something new. And the challenge that I have been issuing that I believe is the main challenge of these new treatments is how to pick the right patient for the right treatment, which is always the problem. I mean, you know, in medicine, diagnosis, then treatment, right? And that's based on the fact that diagnoses have a common biology and a common natural history. And you can study that in relation to multiple treatments until you find the one that has the best outcome for the individual patients.
Starting point is 01:31:33 I don't know that we're there yet with that kind of data. We're using them quite liberally, and we'll get some data soon, whether or not people would use it and contemplate using it for stringing out puberty or delaying puberty for development. Seems to me that's a reasonable thing. That's a reasonable, I mean, it's a medication like any other. It has a hormonal effect rather than, say, a neurobiology. Maybe you were depressed at that time and they gave you a neurobiological agent. Why is giving a hormonal blocky agent that much different? Well, it has developmental things and it has medical consequences of getting in the way of that development.
Starting point is 01:32:18 And I assume we'll learn more about that with time. It's just an interesting question. I don't know the answer to it. And I'm sorry you suffered through that time. Puberty is not kind to anyone. And Susan, would you agree it's particularly not kind to women? Oh, absolutely.
Starting point is 01:32:33 Largely, because men mostly feel aggressive and out of control and they act out. Women sort of act out on each other a little bit, isn't that kind of? Yeah, it's true. And then we judge ourselves based on our friends what they think of us and we're very cruel to each other especially during puberty and to men i wish i had more meaningful answer for intense intense uh let me think and an eating disorder
Starting point is 01:32:57 is just such a tricky thing too i'm gonna try dan again uh See if he wants to give it a shot. We're connecting with Dan. Danny there. Hello, Dr. Drew. Hey there. Hi. I just want to say that sometimes on Twitter spaces, there's a bit of a bug when you grant someone speaker access and then sometimes you lose audio.
Starting point is 01:33:19 So that may be what some other callers are experiencing. Got it. Thank you. Yeah, there's a lag. True. And yeah, so I had a question about, so something that's been doing the rounds on social media a week or two ago was a study around how serotonin
Starting point is 01:33:39 wasn't what people thought it was for the antidepressants. Yeah. And I was wondering when you were talking about, you know, how you have your clinical experience and how that is quite different to the data side of things, maybe. So is this another scenario you think where the antidepressants, do you have clinical experience where you think it's definitely working or is it something where it's
Starting point is 01:34:05 not so clear? Ask the question again. You're asking, do they actually work? Is that what you're asking? Yes. In your clinical experience, have you noticed, do antidepressants work, and what do you think of that study? Did it show what people thought it was, that antidepressants were working? So nobody that works in psychiatry, I'll never say nobody because I'm always surprised, but there should have been nobody who worked in psychiatry who believed that the serotonin mechanism was the sole means by which antidepressants work,
Starting point is 01:34:40 if at all. Everybody in psychiatry understands that that is just an observation that's probably a predominant mechanism. It's a piece of the story. There's anti-inflammatory properties in antidepressants through the Sigma-1 mechanism. There are multiple, multiple mechanisms of action. The corticotropin-releasing hormone is implicated in the use of antidepressants.
Starting point is 01:35:03 The mineralocorticoid, glucocorticoid system is deeply affected by this. The GABAergic system is affected by it. The atrial natriuretic peptide is affected by antidepressants. There's multiple mechanisms. And I think it became part of the common lingo to explain to patients what we were trying to do. It became a placeholder for, look, we don't know exactly how these things work. They clearly affect the biology of the brain in ways that have clinical utility because we see it.
Starting point is 01:35:37 We see it all the time. People get better. They feel better. It has side effects, and I would say clinically people aren't as diligent as they should be with those side effects. They also should be working hard to get people off these medications if it's at all possible because they have protean effects. It has lots of effects on who you are and how you feel. Don't you want to be able to regulate your emotions autonomously as a whole being? It seems to me that philosophically that should be the goal.
Starting point is 01:36:07 But the idea that this is not a serotonergic system was never an issue, was never a question. It was not anything that anybody ever really that worked in the field, gave any notice to. And we also knew that different people were having different mechanisms. That's why the antidepressants, we have to kind of move through lots of them and find out how to get the system activated we're looking for for that particular patient. But they do work. They work like crazy. But they're grossly overused. They're overprescribed by primary caretakers who have almost no training in psychiatry. And there's lots of problems. Don't get me wrong. Lots of problems with it. But the serotonin thing, I was shocked that that even made a news story because that was not something that people in psychiatry really worried about.
Starting point is 01:37:11 I've got an article in front of me. I think he passed out. He passed out, I mean. No, he's on mute. Sorry, no, no. He's like, wow, that was long-winded. Did you get all that? Like, wow.
Starting point is 01:37:23 I mean, we know that there's a 5ht1a system and all that is is is prominent but but it's not it's not the story it's not the story it's a feature of the story and and it's one that we know a lot about you know because that those synaptic mechanisms have been highly studied but no one ever kidded the kid you know there's also genetic things that are turning on and off in the brain during antidepressant therapy so no one ever kidded themselves that that was the whole story of antidepressants i think this is a good example of something where even myself i just read the headline and maybe the first paragraph and i think oh they don't work oh yeah you know so how many other people are thinking that yeah and that wasn't and by the way that wasn't what the article was
Starting point is 01:38:02 the article was serotonin isn't the main mechanism. And yeah, it's not. That shouldn't be a headline. And again, what that is is Gelman's amnesia again. Gelman amnesia. So I know a bit about this field. So they report it. They don't know anything about it.
Starting point is 01:38:17 And I see how vacant their understanding is and how little they actually are reporting reality. And I assume when they report about peace rapport in the Middle East that they do know what they're talking about. But guess what? Those are even more complicated issues. And they don't report those any better, I'm sure. So yeah, that's what I have. Thanks for that. All right.
Starting point is 01:38:39 You got that. If you want an article, Caleb, I'm going to send you an article, Caleb, that you can post. Yes, I'm going to post it on the website. That'll be at drdrew.com. I will send that to you right now. Actually, no, I can't. They can actually go directly to it. If they're watching the show, you can scan the QR code and go straight there or just go to drdrew.com slash 982022.
Starting point is 01:39:01 982022. And they can see it right now? I'm gonna post it once I get your message. I'm sending it, yeah. I'm sending it to you right now. Time travel. Here it is. It's just a nice broad article
Starting point is 01:39:14 about the different mechanisms of action for antidepressant therapy. And they don't even mention the anti-inflammatory one, which we think is actually pretty big. When is that article from? I just sent you, let me see where it is here. It's from, uh, hold on.
Starting point is 01:39:26 Sorry. Oof. We've been talking a long time here. Susan, you're doing okay. That last one was really intense. Really intense. Yeah.
Starting point is 01:39:34 Really? It just bored you. That's all. Uh, let's see. It was written on, is this from, uh,
Starting point is 01:39:42 2005, 2005, all the different mechanisms. Let me see, really quickly. Depression, anxiety, blah, blah, blah. Tom Cigar's, wait, don't go. Oh, really? We'll keep going. Yeah, they don't even mention the,
Starting point is 01:39:58 this is 15 years old, 17 years old, and it doesn't even mention the anti-inflammatory stuff that we think is important. Let me also pull that up. The so-called, well, I'll do it. Sigma-1 and this is an England Journal article. I don't know if you can get these up though. Sorry.
Starting point is 01:40:19 Oh, can't get it. Okay, so let's try another call while I- What is the antibiotic I the um antibiotic i'm taking uh did you did you tell me amoxicillin no it's not doxycycline doxy yeah see you guys i can't even keep track of what i take ask the big guy mike go ahead there mike still there Mike, go ahead there. Mike's still there. Mike, you've got a...
Starting point is 01:40:54 Hello? There you are. What's happening? Oh, hey. Thank you very much for taking my call. Oh, that's my dog. Sorry about that. First of all, to address what you said at the very beginning of the show about forming an opinion about somebody who did something good, even though they had some bad things going on in their life. Tell me, yes. Obviously, Jordan Peterson would say that it's really important to form a narrative in order to understand what's going on in the world around you but uh daniel kahneman would also say that uh sometimes our opinions are formed by confirmation bias and although we have to form
Starting point is 01:41:34 an opinion about the world that sometimes that opinion can can be misleading so we need to keep in mind of our biases and be open to other ideas. But people are not. We're just not. Yeah. And that's the hard part. I try. I try. And this is why, like, it's really hard for me on the one hand where generally I understand the value of a vaccine.
Starting point is 01:41:59 And I also understand that there's a social element to it, too. I mean, I'm young and fit enough where like I didn't need the vaccine, but I wanted to encourage other people to be confident about it because on the one hand, sure, they were afraid of covid maybe needlessly. But if the vaccine was harmless, well, then what's keeping you right? So I kind of wanted to participate. So I got the Pfizer as soon as it was available to me back in January 2021. I didn't really have a terrible reaction. I mean, the second one was difficult, but whatever. And then when December rolled around and the booster was available, I said, okay, I would like, you know, a broader range of immunity. And so I got the Johnson & Johnson one. It was my
Starting point is 01:42:44 understanding that may or may not be corrected. It was based off of a dead virus rather than MRNA. So I said, okay, good diversity. Yeah. So, um,
Starting point is 01:42:54 in late February, my wife lost her pregnancy because it was a molar pregnancy. And now I understand that obviously that if you are pregnant or wanting to become pregnant, female, you're going to take the vaccine. Well, obviously vaccines of one type or another, I'm sorry, this is why I'm asking you the question, but I don't know how it would affect a woman, but certainly it's closer to the point of conception but for a man because i'm the one who took the vaccine how is it that something like that could affect my genetic makeup to the point where it may have caused it i don't see how you know molar pregnancies happen right they happen
Starting point is 01:43:37 i i would not i would not begin to think cause and effect i because at very least i would expect us to see a signal that somehow male you know genetic material was being altered at the level of meiosis and it's just there's nothing like that out there and moles happen once in a while they just they're just major genetic errors and the thing is no good and that's not what they're seeing from the women being vaccinated either what they're seeing with that is these not what they're seeing from the women being vaccinated either. What they're seeing with that is these, they think they're seeing is perhaps, you know, real spontaneous abortion, which is different than having a molar pregnancy. I see. Yeah, I wouldn't, don't blame yourself for that. And I would, for John, you know, again,
Starting point is 01:44:22 significant percentages of pregnancies end in the first trimester, and molar pregnancies is one of the reasons that that happens. Your wife's okay, right? It didn't spread or anything? Right. I mean, no, very, very fortunately, the DNC was done very delicately, very expertly, and she did not have any long-term effects. Right.
Starting point is 01:44:42 That is to say, like a hysterectomy or something. And moreover, she's being treated by a very sensitive physician that's looking at her whole health picture and checking her hormone levels to make sure that there weren't any cells remaining, that it doesn't become cancerous or return. And from what limited knowledge knowledge it's my understanding that we don't have a full picture of all the hormones that are in the body that indicate that a person is still fertile but from what we have been measuring she does still seem oh yeah i'm sure she'll be fine i'm sure that will be okay it's a lot to go through though i know it's kind of it shakes your shakes you to your core when somebody gets sick like that these are dangerous things in
Starting point is 01:45:23 reality um you guys i feel myself running out of steam we've almost gone for two hours here uh let me let me go i have not yeah i have not looked at the restream in a minute so if you guys give me a second uh what's going on with you guys tom cigars wants me to go six hours susan you want to do that i'm gonna do a six hour maybe on Monday next week? We have dinner reservations in 45 minutes. I know. That's why I'm trying to wrap it up. Is it already 45 minutes?
Starting point is 01:45:50 My goodness. Okay. It's been a fun show. It has been good. I came in with not a lot of energy. A lot of information. Good. Very excited.
Starting point is 01:46:02 You have a big crowd here. We do. Yeah. Lots yeah lots of good what do you guys want i would love to take some advice about what you guys want to hear me talk about or what we what you want do you want some thematics here do we want to you know back in the day of course we did lots of relationship stuff we've not been doing any of that lately you can do that at after dark okay let's just keep it there we're not going to talk about vaginal nerves. Well, I'm going to have people from the... I have enough humiliation on After Dark. I don't want to say that.
Starting point is 01:46:30 I'm going to have people from the Fox show come around. We'll get some of those people in here. Can you put the picture of the tweet up of him flying out of the helicopter, Caleb? Can you get that on there? I'm not sure that's me. I think that's Jamie Lynn. It doesn't matter. I want you to explain that. I want you to explain that.
Starting point is 01:46:45 I want you to explain that to everybody. You got to see it. You got to see it. It's OK. So scroll it up a little bit. We're losing the. There it is. So we dove out of helicopters into the Red Sea.
Starting point is 01:46:56 That's what we did for fun. And you we flew over there. So you see the the rails that the helicopter lands on. I'm going to tell you, getting out on the, see how there's two of them, Susan? I had to go out on that bottom one. That was hard because I was so tall that I was getting up towards the propeller. And there's a staff in the helicopter with you just yelling at you, just telling you what to do, and you just do it. Yeah. And you had to go backwards. Yeah. You fall, you put your hands
Starting point is 01:47:23 over your chest and you just fall, you fall through your feet kind of backwards and you had to go backwards. Yeah, you fall. You have to fall backwards. You put your hands over your chest, and you just fall through your feet kind of backwards. Head first in. And you fall in head first like that. That's what happens. And then you've got to drive. Then you've got to swim to shore, which was its own deal. With your clothes on, your boots. And I know Casey Gates is out there going, yay.
Starting point is 01:47:37 But honestly, the story is unbelievable. This is going to be one of the best shows on TV coming out in January. Special Forces. It's called Special Forces so far. What's the last three? The Ultimate Challenge. Yes, I can't say it. Special Forces, the ultimate test.
Starting point is 01:47:58 Ultimate test. Yeah, so we went, we met a bunch of people who were in it too and we heard all the stories and it's just amazing. And the camaraderie between these, We met a bunch of people who were in it too, and we heard all the stories. And it's just amazing. And the camaraderie between these celebrities now is amazing. We have so much respect for the special forces and the military,
Starting point is 01:48:19 what they have to go through to be these. You have to be an animal to be able to do this. I mean, it's ridiculous. You've got to be of a different nature. And you have to have a really strong mind and you have to have a strong body, of course. But the experience was really 100%, even though it was the craziest thing you've ever done in your life. Yeah, it was well worth it. I wish, well, you'll see what happens. 120 degrees, you know, just thrown together with 16 people.
Starting point is 01:48:47 And I mean, I have the whole list on Twitter of the people in the cast. But great people, by the way. Really good time for you. I think it's opened up your friendship quota, too. Like you've made new friends. You're all trauma bonding together. We are trauma bound. We are all trauma bound.
Starting point is 01:49:06 That is for sure. So it's coming up in January, but I don't know. I don't know what we're, we're not allowed to say. There's everybody. So we're allowed to talk about who's in there. And it's like Mel B,
Starting point is 01:49:17 it's Carly Lloyd, it's Jamie Lynn, it's Mike Piazza, Anthony Scaramucci, Kenya Moore, who are Hannah? Hannah Brown, the bachelorette. The soccer player.
Starting point is 01:49:29 Carly Lloyd, I said. Oh, you did. Oh my gosh. Oh, the gymnast. Howard in there. And Montel Jordan. Okay, and that's our group um we're missing somebody oh I feel bad we're missing somebody oh Danny Amendola I did say Danny I think Gus Gus is uh
Starting point is 01:49:54 Gus the skier yeah they're so nice anyway there we go you guys are all bonded and he left he left us for a couple weeks to do that, and good thing he got home alive. That's right. Because it was pretty intense. Shit goes down. I'll just tell you, shit goes down. It's intense. Intense.
Starting point is 01:50:12 And we're going to bring one of our staff members in here to talk to us in a couple of weeks. That would be really interesting. I know. I'm not making it sound as exciting as it really is. It's going to be probably one of the most epic shows on television. It was an epic experience. And if anybody lives in england you've probably already seen it there yes it's called uh sas this is a celebrity sas in england
Starting point is 01:50:30 and uh yeah that's why mel b came over here because she was a huge fan of the show i wanted to do it over here okay let's wrap this thing up thank you all for being here today i appreciate appreciate the questions appreciate the twitter spaces as always we'll do it again monday susan monday uh yeah tuesday around if it's no no thanks i don't know we have to clear that with caleb because he has to be available you can do one of your i have to clear that with the baby but susan can do a little dose thing on monday if she wants no i can't can't no why i used to do that all the time. I'm not doing a little dose thing. Sorry. Okay, well, we'll see. Nobody misses that, Drew. If not Monday, it will be. I do.
Starting point is 01:51:09 If not Monday, it will be Tuesday. Same time, we have Harry Reich. What's his first name? Dr. Harvey Reich coming in next week. He is a world-class epidemiologist, and you listen to the way he talks, you'll start to understand. I think Dr. Alexander said it perfectly. He goes, when you hear him talk, you understand the way epidemiologists should think you listen to the way he talks you'll start to understand i think dr alexander said it perfectly because when you hear him talk you understand way epidemiologists should
Starting point is 01:51:28 think and be trained they're really well trained epidemiologists as a rare breed and they're very interesting to talk to so i look forward to that on wednesday at three be here tuesday at three probably just questions again like we did today uh maybe monday as well but we'll see you all next week have a good weekend. Ta-ta. Ask Dr. Drew is produced by Caleb Nation and Susan Pinsky. As a reminder, the discussions here are not a substitute for medical care, diagnosis, or treatment. This show is intended for educational and informational purposes only. I am a licensed physician, but I am not a replacement for your personal doctor, and I am not practicing medicine here.
Starting point is 01:52:08 Always remember that our understanding of medicine and science is constantly evolving. Though my opinion is based on the information that is available to me today, some of the contents of this show could be outdated in the future. Be sure to check with trusted resources in case any of the information has been updated since this was published. If you or someone you know is in immediate danger, don't call me. Call 911. If you're feeling hopeless or suicidal, call the National Suicide Prevention Lifeline at 800-273-8255. You can find more of my recommended organizations and helpful resources at drdrew.com slash help.

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