Ask Dr. Drew - Justin Bieber's Ramsay Hunt Syndrome, COVID Long Haulers, Paxlovid & Your Calls – Ask Dr. Drew – Episode 92

Episode Date: June 17, 2022

Dr. Drew answers caller questions and discusses Justin Bieber's Ramsay Hunt Syndrome and facial paralysis, Hailey Bieber's stroke, COVID Long Haulers, and Paxlovid. He also speaks to callers about grief after a spouse's death, palliative care, and monoclonal antibodies. [Originally broadcast on June 13, 2022. Watch at https://go.drdrew.com/3OisXnq] 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 Ask Dr. Drew is produced by Kaleb Nation ( https://kalebnation.com) and Susan Pinsky (https://twitter.com/FirstLadyOfLove). THE SHOW: For over 30 years, Dr. Drew Pinsky has taken calls from all corners of the globe, answering thousands of questions from teens and young adults. To millions, he is a beacon of truth, integrity, fairness, and common sense. Now, after decades of hosting Loveline and multiple hit TV shows – including Celebrity Rehab, Teen Mom OG, Lifechangers, and more – Dr. Drew is opening his phone lines to the world by streaming LIVE from his home studio in California. On Ask Dr. Drew, no question is too extreme or embarrassing because the Dr. has heard it all. Don’t hold in your deepest, darkest questions any longer. Ask Dr. Drew and get real answers today. This show is not a substitute for medical advice, diagnosis, or treatment. All information exchanged during participation in this program, including interactions with DrDrew.com and any affiliated websites, are intended for educational and/or entertainment purposes only. Learn more about your ad choices. Visit megaphone.fm/adchoices

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please contact Connex Ontario at 1-866-531-2600 to speak to an advisor free of charge. BetMGM operates pursuant to an operating agreement with iGaming Ontario. Thank you all for being here. We appreciate you stopping by. We're going to take your calls for the next hour or so on Twitter Spaces. It's somewhat new technology for us, so we're sort of trying it out today for the first time. It looks like we're on our way. So if you're on the Twitter Spaces room, it's much like a clubhouse room. You just request to come up and I'll bring you up to the front of the room and you have a chance to

ask your questions. And by requesting, you are consenting to be streamed out on YouTube, Twitch, Twitter, Rumble, many other places, Facebook, wherever we're out. There it is. There's an example of what it looks like on Twitter spaces. So we're going to try that out today. A lot going on in the world. I've got some thoughts on monkeypox that's driving me a little bit insane. I also got some ideas about shutdowns and the current economic problem, but I mostly want to hear your questions. So we'll get right to it after this. Our laws as it pertained to substances are draconian and bizarre. A psychopath started this.

He was an alcoholic because of social media and pornography, PTSD, love addiction, fentanyl and heroin. Ridiculous. I'm a doctor for... 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. 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 more to say. As we said, today is sort of a special episode. We are just sort of taking your calls and we're taking them off Twitter spaces for the first time using that particular platform.

Susan, are you good today on this Monday? Yeah, I'm good. I'm trying to get all the platforms up and tell Jeremy Murphy how to do this. Okay, good. I mean, first day is always, you know, a little nerve-wracking. I see my friend Andrew Oshkosvili up there on the restream. Andrew, any thoughts about what's going on in the world today? My basic sort of preoccupation lately, I noticed somebody retweeted a video by a young man who had monkeypox. And he was talking about how he contracted it in this video. And a physician retweeted it and says, it's important we know this. There are somewhere between 45 and 50 cases of monkeypox

amongst 350 million people here in the United States. I just went ahead and I went over and checked out some other incidences of other illnesses, just so I had it here. Echinococcus is 350 cases a year. Tularemia is also about five per one way, so it's about somewhere around 450 cases a year. Murine typhus, it's not even required for reporting, so it's very common, endemic in Southern California. And tuberculosis, there were about 7,000 cases reported in the last year. Much more dangerous illnesses, much more common.

Why are we talking about tularemia and tuberculosis? Why the preoccupation with monkeypox? Don't get yourself in trouble, Dr. Drew. You think we're going to get axed out of Twitter spaces? No, but wonder if it's worse, and then they go, oh, you said it was just like the flu. Okay, well, fair enough. It looks as though it's, well, it's very odd because it looks like the household transmission rate is higher than COVID, but outside of the household, it doesn't transmit. It does not appear to be a respiratory virus. So it's very unlikely that it's going to be a significant... Let's say when we're done, there are 5,000 cases, when it runs its course. Let's say there are 5,000. Not fun, not good, nor is it good there are 7,000 cases

of tuberculosis. What should we do about that? Should we freak out about tuberculosis? Should we freak out about murine typhus? Should we freak out about brucellosis? Should we freak out about leptospirosis? Things you've never heard of because the press isn't reporting it, because they're making an issue of this one thing because they think it makes a good story. That's what I'm sort of getting disgusted by. Now, I will happily be, well, I don't want to be wrong. I mean, I could be wrong that the monkeypox turns out to be a much more significant problem than it appears to be. But my point being, there are very serious infectious disease out there that appear to be

much more common, appear to be. Now, they made no, they at one point, as you heard me talk about on Thursday, made an issue about the CDC on their website said we should be wearing a mask to prevent a non-respiratory virus. And I saw that and I went a little bit crazy about it because that was bizarre. And it really suggests what I've been worried about, that either they're just strictly trying to manipulate behavior or they're incompetent. And I don't mind people sort of making a case for masks. I have no problem with that. I think there's a good case for an individual wearing an N95 mask to protect him or herself only, not to protect other people, to protect him or herself. And if we're in the middle of an outbreak, I want people to protect

themselves. That's a decent argument. But to claim that it'd be important to wear a mask for monkeypox, well, it'd be much more important for tuberculosis. Tuberculosis, about, I think it's around 40%, 30%, 40% of people with tuberculosis are aerosolizers and become highly contagious with tuberculosis. So we shouldn't be educating people about that. I'm just saying. I'm just saying. So anyway, that was one of the things that had me concerned today. The other thing, yeah, Russ Savage says, let's worry about the rats and the plague. The plague is coming across the country. The plague is a little less frequent. Let's see incidents of plague. Let's see how many cases of plague there are in the United States. Incidents of plague, U.S. Yeah, about 20 cases per year, something like that. So it's less than monkeypox by about half,

not half as many as monkeypox, not a 100th, about half. Now, to be fair, monkeypox is in its early days. It might spread a bit more, And it has spread a bit more in Africa. But the way it is being reported is what troubles me. It's not contextualized. And I'm trying to contextualize it. By the same token, I look back at the last two years and I think about our lack of contextualization of COVID and our run to lockdown to copy the zero COVID policy of the Chinese Communist Party, which has been shown to be deeply flawed, has now caused some really very serious economic ripples. And we're all going through that right now. And it is not

going to be fun. I saw an article this morning that was tying the current economic sort of earthquakes, specifically with the lockdown. There was a British, British MPs were talking about this. And I thought, yeah, how could it not be? I mean, you make tiny adjustments in a money supply or a rate hike, and you get massive changes in the economy. Of course, it creates massive changes when the whole world shuts down, money supply is massively increased. Now, I'm not saying it's all

bad. Maybe we can inflate our way out of debt. I mean, that's an interesting problem. It didn't work in Germany after the First World War, but certainly there are other examples in history of where people have done this, and it probably has maybe been a net benefit. I don't know. Maybe somebody can help me with that. Historically, I'm looking at the restream. So I'm watching you guys on restream quickly. I'm going to go over to Rumble, see what people are thinking there.

Okay, you guys are worried about the panic aspect, which I was worried about too. But let's be fair. The whole world went into panic, right? It wasn't just us. The whole world, save Florida, Sweden, a couple other places where they seem to have been a little more measured in their approach. All right. There we go. So that's my concerns today.

I want to take your calls. I'm looking for Jeremy on the Twitter. He said he's on there, but it's hard to find. I'm looking for Jeremy on the Twitter. He said he's on there, but it's hard to find. We have a lot of people out there. Yes, we appreciate you guys stopping by, too. You have to raise your hand, I guess. No, it's called BA. Caleb, help us with this. I see listeners and I see requests. I believe, so down at the bottom, I think it's on the bottom left corner on most phones, and you click on request. There's a mic. Yeah, and it's like raising your hand. Click on there, and then you're request a mic yeah and it's like raising your

hand click on there and then you're going to be you're probably going to be muted so you're going to have to unmute yourself once i call you up but i don't see jeremy he said he was listening but i don't know if he's oh there he is there he is okay he has he doesn't have a face because he's he's not very twitter savvy but he's on there i see him he's down at the bottom all right well he can raise his hand but he's got all right you got a request i'm gonna go we're gonna this is gonna be our first because he wants to talk about justin beaver okay so okay uh maybe we should do that first i know i'm trying to get him to where is he he's way at the bottom he's just says jeremy and he doesn't have he's right next to alana do you see they don't a lot of these people don't use Twitter a lot, so this

was a first day of. Okay, so at least he got on there. I'm very proud of him. I invited him to speak, so there you go. I think that's him. Okay. And Jeremy, let's see if you can get up here to the, whoops. See if you can do it, Jeremy. Oh, I think I just, I just, oh, here we go. Hung up on him.

Eliminated him. I don't know what I'm doing here here this is a little bit of a different technology than we were used this is cool though there's a lot of people out there what i all right but raise your hand and drill click on your your avatar and bring you up okay give me a second here just to kind of scroll through some of the stuff jeremy needs a picture well let me let me talk about justin bieber a little bit because that was another thing that kind of went a little haywire a little bit sideways and let me try to get Jeremy again, invite to speak. Let's see if he can respond to that. Jeremy, I invited you to speak. Let's see if that's a possibility.

So Justin Bieber has Ramsey-Hunt syndrome, right? There are a lot of famous syndromes of facial pain of various types. There's something called Talusa-Hunt syndrome. There's Ramsey-Hunt syndrome. And Ramsey-Hunt syndrome is just essentially Bell's palsy caused by a specific viral agent. It's the Bell's palsy associated with pain. That's how we kind of know it's the varicella zoster virus that's causing the Bell's palsy. And it can often have a little vesicular eruption in the ear, which is sort of what's called a herpetiform eruption, which is typical of shingles. So Ramsey-Hunt, I'm not even sure he had Ramsey-Hunt. He certainly had Bell's palsy.

And to call it Ramsey-Hunt doesn't really matter because it's treated the same anyway. It's treated with antiviral medication and corticosteroids. I did see some literature that suggested, you know, one of the standard therapies for Bell's palsy is prednisone and acyclovir. And I saw some data that suggested that methylprednisolone is better for Ramsey-Hunt. So there is one reason that diagnosis should be parsed out from the rest.

So let me invite others. Whoops. Do I invite them to co-host, caleb or do i invite them to speak no invite them to speak there we go yeah okay why jeremy's having a hard time okay wyatt there you are he'll get there hi wyatt hey how's it going oh it's having me up sounds good what's going on huge fan thank you what's going on i'm uh i'm working i'm a door dasher so i'm just driving around right now but i thought i'd hop in here because I have some questions for you. All right.

Let's do it. All right. So I'm 23 years old. I don't have health insurance. And I think that I need an Adderall prescription. But I don't. Or prescription. And I don't really.

How would I approach a doctor and seek that out? Well, you know, right now you live in somewhat of a golden age of what's called telehealth or telemedicine. And you can go online and find low-cost evaluations. Now, the psychiatric piece is harder to come by, but you might be able to find a general doctor that would be willing to do this. So I would just look up telehealth in your area, uh, see if you can find somebody that's reasonably priced. And I think literally for a hundred bucks,

I mean, less than the price of the prescription, you can definitely get an evaluation and probably have somebody prescribed that for you. Okay. Is there anything maybe like that I should go into that? Like, um,

look like something that like, I would say that a doctor or somebody reading that telehealth thing would be like, okay, this, this guy needs this. Well, I mean, you just, just answer their questions. I mean, you don't want to distort what, you know, you don't want to mislead the clinician. You just want to go, look, I, I can't concentrate. I have trouble ordering things. I, I, you know, don't get things done. I procrastinate them. And have you ever been on in the past? Um, I've, uh ordering things. I don't get things done. I procrastinate them. And have you ever been on it in the past? No, I haven't been prescribed it in the past. I've tried it before. And it felt great. It felt focused. I'm not a fan of Adderall for adults, I have to be honest with you. Do you have any history with addiction yourself? No. Okay. All right. So it's people that have history of addiction that I really

worry about. For other people, I prefer, well, you talked to the doctor in this particular case, but I hate to see you on a psychostimulant. How does this work? Okay, there we go. I hate to see a psychostimulant used chronically just because you have a little trouble concentrating, but if you need it for certain circumstances, that kind of makes sense to me. I'm going to try to keep going through some of the calls here. Whoops. So I'm trying to, okay, so Jeremy only sees hearts. So you see there's two little heads next to the hearts, and then there's a plus sign. So he's in the wrong screen.

I can't figure out how to get over the, I don't know, poor Jeremy. Look, I've got After Dark. Who is After Dark? That's probably Heather. Hello. I'm just a Twitter space account. We do a lot of different Twitter spaces. But I wanted to say, Dr. Drew, I'm glad that you are on Twitter spaces. There are hundreds of spaces that do your type of format and the Loveline format. And I would love to see you do more of these. this is awesome well we might what we are you know we're we were using clubhouse it's just a great way to interact as i see it and so i what i my little model is that we're on enough

platforms that we're essentially broadcasting and that the call-in is all these great technologies we have whether it's clubhouse or twitter spaces and so you can be there and interact with me so we will be doing a lot of this. Caleb, what do you think? Do you think most of the time we're going to be on Twitter Spaces? I mean, there's a significant number of people here on Twitter Spaces, so we might be using this a lot more often now.

Okay, so that's a yes. So that'll be Tuesday, Wednesday, Thursday at 3 p.m. Pacific time. We'll send out blasts and whatnot. Sometimes we adjust the time a little bit. I have lots of interesting guests on, too, that you can sort of ask questions of as well. They're Zoomed in here. Coming up, I have, let me tell you who I've got coming up.

You see, I just agreed to a bunch of guests, and they're not showing up on the calendar just yet. Gleb Saburski is coming in. He's a cognitive psychologist. Susan, have you seen this week's schedule? No, I haven't. I'm still trying to get, Jeremy's not going to make it. Okay, poor Jeremy. Maybe he will.

I don't know. But be that as it may, we have lots of cool stuff, lots of good guests and lots of interaction. And can you, let me ask you this. What is, After Dark dark what's your actual name uh my name is chas chas can we bring up more than one person and do interactions and that kind of thing up here yeah yeah there's a few different things you can do you can um you can manually invite people people can request to come up you can also uh have co-hosts so it looks like caleb's helping you out you can make him a co-host and you can actually help you um you know uh moderate the conversation bring people up so

you know you're not fumbling around with it uh it's it's really cool and people can also uh share tweets in the space yeah that's good everybody share a tweet right now how do you do that well where do i see that so the people well the that are speaking, they're able to share something on top. So see the little, there's a little arrow that points up. You click on that and it shares. I shared it to my Twitter. I have a little, I have a little pencil in the right hand corner. That's not it.

Yeah, that composes a tweet. But if you actually go to someone else's tweet you can hit the share button and you can actually put it on top of this space so right now i went to your page i shared your tweet to the top of the page now the whole audience can see that tweet got it outstanding see that's really good well i used to do that with thank you for joining me it was great on periscope but then Periscope stopped letting people have comments. Okay. Well, I have lots of callers to go through, so let's go do it.

We'll try to get as many people as possible. Jeremy said he's only getting the video, which is weird because it's just audio on there. So he must be looking at the video for the restream. That's weird. Coco, are you there? Yes. Hi. How are you doing Coco, are you there? Yes. Hi. How are you doing today, Dr. Joe? Good.

How are you? I'm good. It's really good to see you on Spaces. I've actually been doing Spaces since day one, since they started. So if you need any help or tips or tricks, I can help you with that. Thank you. But also, I had a question. So I'm a big mental health advocate, but I also have

lupus and I'm a big lupus advocate. I have been struggling with it for, I'd say about 15 years. I went undiagnosed for a really long time and I have three forms of lupus. So the systematic, the discoid and the, I can never say the other one, the eros, I can never say it right. Um, but I have been trying and erythematosis. Yes. Thank you. Yeah. Twister. Um, but one of the biggest frustrations I've had is I feel like, uh, I'm only dealing with that, but also to herniated disc and so I'm struggling to find ways to get pain relief I used to Merrick I use a chairman I use a lot of different stuff I've even done you know cryotherapy you know acupuncture

and I just can't seem to find the pain relief that I need and just wanted to know if you have any suggestions for that. You know, as you know, the opiates can, you know, lead to more pain. That's the real problem. But sometimes mild opiates like tramadol are helpful. Have you tried that? The issue is, you know, I have such a high tolerance. I was born with spina bifida. And so I had three surgeries by the time I was like 16. And they basically had me like on a morphine drip. Oh, boy. And so I think since then I've just had such a high tolerance.

Yeah, yeah, yeah. So tramadol. Yeah, yeah. And then I also have to be careful because I have to stay away from anything that hurts my kidneys. Right, because of the lupus. Have you tried, this is going to sound bizarre, but have you tried any kind of hypnotic therapies or trauma therapies? I'm going to talk to a hypnoperson, hypnomagneticist. I don't know what the hell he's doing, but I'm interested in that whole space.

Breathing, hypnosis, this is going to sound goofy, but I really believe that sometimes when you help regulate your autonomic nervous system, your ability to perceive and tolerate pain is significantly altered. Have you had specific trauma therapies? You know what? I actually, so the only trauma therapy that I've had would be EMDR therapy. You had it. Good. And I did find that actually very beneficial. And I did both forms of it. And I even read the book, you know, The Body Keeps Score. The Score, yep.

Yeah, great book. And so I do know that, you know, trauma and things like that can be tied in with, you know, autoimmune disorders and pain. And I haven't tried any hypnotherapy, but I would be interested in learning more about it. And then breathing. That's another thing. Breathing techniques and things. These are all, I mean, when you have pain like this, you have to bring in everything you can possibly get your hands on. There's The Body Keeps the Score by Dr. Vanderkoek. It is, nothing should be off the table. You know what I mean? And usually it's a multiplicity of different things

that gets you to somewhere where you have some sort of pain relief. But I wish I had something magic to tell you. I do not. Right now I'm looking into a book called Breathe, B-R-E-A-T-H, that somebody touted as excellent for various kinds of regulatory. I see it all as sort of regulation, regulating pain, regulating emotions, regulating what the

feelings coming out of our body. And it gets goofy. It gets a little goofy. It gets a little outside of the sort of mainstream medical kinds of recommendations. But there's a lot there. There's a lot of people doing this kind of things. I glad you did emdr that is very courageous of you i'm glad you did acupuncture i i mean there are other as you know other sort of bodily based therapeutics you can't do anything too aggressive because you have all these structural problems but i would keep looking i'm sorry i don't have anything sort of dramatic to offer. This is just Alex. Alex, Alex. Alex, your mic is muted.

I can see that. So down the lower left, there you are. What's up? Sorry about that. So I heard hypnotherapy in there. I figured I'd ask. Okay.

I've heard of quantum healing hypnotherapy in there. I figured I'd ask. Okay. I heard of quantum healing hypnotherapy. I've heard of, I know nothing about this space. I'm just recently starting to read about it. But there are a lot of people that claim a lot of things. And I don't know what to make of it yet, except that when people are in need of, when they're desperately in need of something, I'm always willing to kind of entertain these things that to me makes sense.

It makes sense that in an interpersonal space, if you can get any kind of a deep trusting state going, you can improve your regulation. That's sort of the way I can conceive of it. And I hearken back to good science by stephen porges and alan shore and so the interpersonal neurobiology is kind of worked out we just haven't worked out the clinical applications in all in all settings yet so that that's what you know but i'm i'm going to bring somebody in here soon to talk about it and i just i i claim ignorance and and i hear things i hear things i read things and i claim ignorance but uh i and i wouldn't normally bring it up unless there was you know

sort of desperation why do you have some experience with this uh i've just been looking into it for the last couple years yeah uh started really getting back into it in the last couple weeks yeah and i figured now is the perfect time to. Well, report, report back, you know, let us know what the experience is like. And please, I think antidote anecdotes are not, they don't anecdotes.

We don't mean put me in a position to make recommendations, but I think anecdotes have meeting meaning and people should sort of listen to them. Hold on a second here. I'm still, lots of you are requested. I'm trying to get through you guys.

I know. I see Jeremy in there, but he can't figure it out. That's really funny. He goes, here i'm still lots of you are requested i'm trying to get through you guys i know i see jeremy in there but he can't figure out that's really funny because i'm like a hundred year old man limp bisquick pancakes are you yes there you are what's that yes i am don't you like me you know limp is good i get it yeah anyways i'm 38 i well 39 now but at 38 i had a heart attack oh my gosh and i'm on a ton of meds yeah i know did the american diet sold red meat whatever um and it wasn't like i wasn't athletic i played basketball through college but uh two weeks prior to that i was also diagnosed as epileptic so heavy benzos with that but the list of medications for the heart attack are like baby aspirin, Astrovan, Clota, whatever, can't pronounce it, Formasacide.

Okay, so I'll slow you down. So, hang on, hang on. Was it a completed heart attack where you damaged the muscle, or do you now have a stent in and you preserve the muscle? Six stents. Six stents. Wow. Do you have familial hypercholesterolemia? Yes, I do, actually.

Okay. Which I didn't find out until after my heart attack. Right. That's how you get a heart attack. Either smoking or FH is how you get a 30-year-old heart attack. Okay. Well, that sucks. But once you have a stent, you buy essentially five medications.

So, you have Aspen. You have the platelet inhibitors. You're going to get a statin. You're going to get some sort of beta blocker or calcium channel blocker. And you're probably going to get some sort of ARB. So, boom, right off the top. That's what you get. Plus Coumadin because I have a clot in the heart as well.

Oh my goodness, dude. Yeah, I know. You wouldn't expect it from me. But anyways, my question is, you know, I'm fairly young and my wife is going into that period of her life where she wants to be more intimate and obviously there's some problems right so we haven't broached the subject of when i can start taking the you know the purple or the blue pill yeah but uh who's who's we who's we haven't brushed it uh the what's the name of the place it's the uh uh heart failure clinic horrible name if you ask me

okay uh do you do you have congestive heart failure also no i don't okay good so so you're talking about your clinic are you on nitrates are you on imdur or anything like that or cater or any of these no i mean i'm sorry or the transdermal nitrates. Because the nitrates are really what give the problem to the PDE5 inhibitors, right? That's the class that Viagra is in. And that class has four or five different medications in it, and some of them aren't commonly prescribed, but some of them are a little easier to tolerate than the others. You really need to work with your cardiologist on this, but I don't think, you're obviously at special risk, but I don't think it's contraindicated based on what you're telling me. So, yeah, you should be able to do that and you should be no problem.

So my question is, where can I pee on my wife and not get her pregnant? Where can you pee on your wife? Is that an After Dark thing or is that an Adam thing? Or am I supposed to be able to follow that? I don't want more kids. Well, it looks like you're not going to be having sex until you get the blue pills. So it might work out. So maybe they can also, I'm just thinking maybe they can do a vasectomy as part of the deal.

Or maybe she can get her tubes tied or, you know, obviously she can be on hormonal birth control. There's a lot of options, a lot of options. The bigger problem is with your cardiac condition is getting you back to the point where you can function. And I would make a real issue of that because it's important. And if your doctors are ignoring that, that's not okay. That's a, because he has heart problems,

that's why he has ED? I think it's, well, you know, when you have coronary disease, you all typically, okay. So he has something called familial hypercholesterolemia, which is a really high cholesterol. It's associated with advanced vascular pathology. So the fact that he has it going on in his heart means that he also has it going on in the artery to his penis.

So it's not just the heart disease. It's not just the heart medication. It's also the artery going to the penis. So he really needs help getting blood, getting the nitric oxide pathways to respond to what blood input there is. And so he's going to need these kinds of medication in order to do that. There also are a lot of people. We're going to get Ashley Winter in here as a urologist, and we're going to talk about the implants and how happy the men are when they get these implants.

It's better than you think. So that's another option is to go with the devices that are available. But anyway, I think PDE5 inhibitors, their call would be certainly a reasonable way to go, provided your cardiologist agrees with that. But it would be very important to deal with it. So it's not like just correcting the card. So when men present in their 40s and 50s and 60s with erectile dysfunction, the first order

business is getting on a treadmill and ruling out heart disease because the erectile dysfunction can be the first sign of heart disease just from the cardiac part. But because he has FH, I can predict the penile artery is about seven times more sensitive to the hardening of the arteries from the coronary arteries. He's going to have stuff in the penile artery as well, which makes it that much more important that he be on high-dose statins, that he take these medications or maybe do an implant to help him, and that he pay attention to this stuff. Some of it can be reversed, but it requires high doses of these medications to reverse it, we think, and those medicines can cause further erectile dysfunction

on top of it. So he's fighting an interesting battle that he should be carefully working out with his doctors. So I'll tell you what, we are still here. Did you see the comments on Rumble? No, let me look over there. There's one that was talking about Justin and his wife. He goes, what are the chances? With the jab, pretty high it seems. So someone might consider that so the the vaccine has okay the vaccine has been associated with bell's palsy right so it's possible i've not seen it specifically associated with ramsey hunt but i'm not 100 sure he had ramsey hunt it may just been run-of-the-mill bell's palsy which would have been more likely the case that it was from or related

to the vaccine uh her syndrome i promise you is well let's reason about it i'll tell you about her syndrome it's completely after the break completely unrelated to what he had which is a viral recrudescence of the nerve and the facial facial nerve it sort of causes the nerve to swell as it comes through the skull, and it cuts off its own blood supply, and that's why the nerve dies, and that's why people get that facial palsy. But what his wife had was something completely, completely different, and I'll explain that after the break. Don't know where to start on your skincare journey either?

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and code drew for 10 off i did have jenny cell with us uh they are a product that we can stand behind susan was using it over the weekend i noticed always and uh i like the vitamin c serum that's for underneath the skin creams yeah it the skin creams. Yeah, it's great. It's really good. And then the retinol. I mean, I'm using all of it. Good. The under eye creams are all excellent as well. And Caleb, have we solved the problem of international access to the website?

Is that still, you're still working on that? I'm still checking on it. It's available in most countries, but there's some people I believe were having a little bit of trouble, but they had ways of working around it. So I'm going to try and get the official way soon. Okay. I'm going to go on to talk about Justin Bieber's wife syndrome in just a second. Somebody asked me, do I have any insight into COVID psychosis? I don't know what you mean by insight. We know that psychiatric illness is very common. Various kinds of cognitive distortions are very common after COVID.

I will tell you that after the 1918 flu, the influenza so-called epidemic of 1918, Dr. Menninger, who was the most famous psychiatrist of that era, felt that somewhere around 80% of all the psychiatric illness he was seeing at the Menninger Clinic was post-influenza. And he listed all the different psychiatric syndromes he had seen. It was essentially everything.

And a lot of it was thought disorder. A lot of it was mostly temporary. I was looking at a, you got to remember that even though they documented brain shrinkage and all kinds of things neurologically related to COVID, the brain is a resilient organ. It can recur. It can heal. And so just because we've had these insults, it's much like a head injury, much like getting hit in the head. Yes, it put you at risk for all

kinds of things, but it doesn't mean that it necessarily is going to put you at risk for things down the line or continue. So back to- Yeah, let's talk about Bell's palsy. Justin's wife. Okay. I had Bell's palsy. Susan had Bell's palsy. It looked just like that too. Well, all Bell's palsy looks the same. You can't close your eye. You get a facial droop. Your mouth doesn't move.

And now I have one small eye. They all look the same. I hate it. You had it. Susan had it because she had such expansion of her blood volume by having three babies inside. Her blood volume expanded to the point that the blood couldn't get through the opening, the so-called skull os, the opening that the facial nerve comes through. Sort of like that guy's cholesterol to his penis. Kind of like that. Yours essentially

choked itself out because the volume was so great it couldn't get through, and it started restricting the blood supply out here to the facial nerve and you really didn't have a complete palsy did you had like a partial yeah no i did any event i was so freaked out yeah but i was okay with it because i was going to have three babies so and they put you on corticosteroids because the possibility was that it was a viral thing anyway so they i mean i'm sympathetic to that and then then uh susan went into shock after she delivered three circulatory systems because they forgot to put her on stress doses of steroids but here's the other thing how much of this is press related bullshit though that's what jeremy

was going to call about because he was like he was like how come they both had it like something else is going on so we're not getting the real story. All right, so the fact that Justin Bieber, a lot was made of a common problem I would take issue with. Bell's palsy, because Justin is on there going, I have a rare problem. No, you don't. You have an unusual and uncommon feature of Bell's palsy, maybe. Can you get it from drug abuse? Bell's palsy, very common. It's very common.

With drug abuse? Not typically. No. You can get it from the vaccine. It's a well-documented issue with the vaccine, his Bell's place. He can't close his right eye and how the right side of his mouth isn't moving when he tries to smile. That sucks. That's what I look like.

It comes back. It comes back. And again, if it's Ramsey-Hunt, the methylprednisolone is more effective than prednisone. Hopefully, they gave him that. But in any event, so there you go. He's going to have an all likelihood of complete recovery. Not a big deal. His wife's thing was a much bigger deal.

She had what's called a paradoxical embolus. When she said she had this sudden, I think it was weakness on the right side of her body, I immediately said she has a patent frame and a volley. That's what she has. That's what does that in a young person. Normally, we all have small clots that frequently come out of our legs and make it to our lungs and are sort of screened out by the small vessels in the lungs and dissolve there.

But if you have a hole in their atria, you know what? Why don't you, if you can put a picture of a patent foramen ovale up there Caleb you'll get people so the heart comes into the right side sorry the blood comes into the right side where there's a blood clot coming out of the leg that would normally get screened out by the lungs because of the patent foramen ovale it's across to the left side and gets to the brain okay and when it gets to the brain, it causes symptoms. We have a good friend, Susan, that just went through the same thing a couple of months ago.

And it's very, very scary because it can be transient but massive. And sometimes the strokes can be massive and permanent. So the symptomatology can be, you know, they can't speak and they can't move on the right side of their body, left side of their body, whatever. That could be from the vaccine too? Well, that's the question. So as you know, everyone knows. Or cocaine. No, no, stop it.

Stop with the drug. Or too many babies in your uterus at the same time. You're not listening to me. Oh, there it is. So there's the patent for aminovi showing the right to left shunting. The stuff goes into the blue atrium and gets across to the red atrium and then goes straight down to the ventricle and up to the head. Well, normally there shouldn't be that connection between the two upper chambers of the heart, and it should go into the lower blue chamber and then to the lungs and then kind of dissolve.

Now, if you have a big clot, which we also know COVID causes, you get something called a pulmonary embolus, and it's very, very serious. So COVID does cause clotting. We also know that some of the vaccines cause clotting too, right? The Janssen, the AstraZeneca vaccine, I had clotting from that. We know that it caused sort of what's called a thrombotic thrombocytopenia syndrome, almost like the way, it's like a heparin-induced thrombocytopenia coagulation activation, and that's clotting. And so that vaccine, it makes sense to me, might put people at increased risk for paradoxical embolus. I don't see where the mRNA booster is likely to do that. So while it could be causing the Bell's palsy on Justin Bieber's syndrome, I don't really see where it would likely cause the paradoxical stroke.

I'm guessing more likely that his wife was on a long plane ride or something like that where these small clots are more likely to form. Maybe, yeah. Interesting, right? Okay, that's that's my what a coincidence yes it is an interesting well not a coincidence because they both had something around the same time but they are unrelated they're not in any way they're like coincidence it's like saying he had pneumonia and she had arthritis right just unrelated they're

not related though one involved a clot which we sometimes associate with covid and one involved a viral reactivation which we associate with the vaccine sometimes so okay maybe yeah we're not saying it is or it isn't because i'm saying it's interesting but it could happen maybe uh that's why i'm wearing larry about getting a booster kenneth what's going on there whoops we're not connected to kenneth getting a booster. Kenneth, what's going on there? We're not connected to Kenneth yet. There we are. Kenneth, what's up? Hello.

Can you hear me now? I hear you now. Hi, Dr. Joe. Thanks for taking my call. You bet. I just had a stent put in. I had a AAA. It was 5.7 meters.

No. Centimeters. So let me tell people what this is. triple a was 5.7 meters and meters. No centimeters. So let me tell you what this is. So he had, he called, it's called a triple a it's an abdominal aortic aneurysm, which is so you can get aneurysms in the aorta typically in two places. Well, you get it in the thorax and it could be ascending, transverse or descending or all of the above, or you get in the abdomen, which is kind of a mess and it's a big operation to get that fixed.

Were you a smoker? Yeah, I am. I don't drink. I don't do drugs. Okay. But I smoke about a half a pack a day of ultralights, which I know every doctor in the world is going to say it doesn't matter and all that other stuff.

Okay. All right. My doctor tried to put me on the patch my ultralight cigarettes 0.08 milligrams of nicotine good patch is 23 milligrams nicotine so one patch was like me smoking 400 of my cigarettes well i i nearly i thought i was gonna die well that's interesting yeah one of the big problems with those patches is most people don't use enough. But you can get the lozenges and the gum and other things to try to replace the nicotine. I'd urge you to do it.

The nicotine is not the problem. I know. The tobacco is the problem, not the nicotine. But go ahead. Okay. I mean, what I was getting at was earlier, one of the calls was talking about the 81 milligram aspirin. I heard some negative news about that recently. Yeah.

You really shouldn't take it if. Right. So what you heard is should an average person say over the age of 50 be on a low dose of aspirin as just a health maintenance prophylaxis of some type. And for a long time, we thought that should be so, but it's not so. It needs to be applied for specific therapeutic intent. For instance, I have Lynch syndrome, and it turns out that people with Lynch syndrome

on aspirin produce less polyps. So guess what? I take aspirin every day. You have an abdominal aortic aneurysm with a large piece of plastic in your gut or in your abdomen. And you need to make sure clots don't form on that plastic,

and your doctor will tell you how to do that. And aspirin may be part of that. Have they recommended that? Yeah, they did. They did recommend it. and i've been taking it for you know for a while now stay with it i was taking it stay with it i was taking high blood pressure medication as a statin uh because of the uh aneurysm they were keeping an eye on it every year and all that and then finally it got to the point where they didn't want to take any more chances how was that operation how'd you do with that? It's a big operation.

How did it go? Believe it or not, the biggest problem I had was coming out of anesthesia. And then I also, that's when I started putting the patch on. So I was going from 0.1 milligrams of nicotine a day to 23. It really did a number on me. But the surgery had very little pain amazing obviously you can't feel anything inside right two incisions which i'm not sure why they did two but the two incisions um they healed immediately they great glued them i had it done at mass

general hospital great um good hospital oh yeah uh great hospital. Yeah. And then the recovery was very quick. I was up and about the next day. Count your blessings, my friend. The cigarettes can do more than abdominal aneurysms, right? They cause cerebral asterisk disease, coronary disease. Think about the lozenges. I think you're the kind of person that those lozenges might be just right for. And don't be afraid of the nicotine.

Be afraid of the tobacco. Oh, my gosh gosh we're getting some interesting stuff going here this is uh thank you Kenneth this is Patty now Patty you're muted there you are Patty what's up hi um I'm calling from Austin Texas I'm a retired nurse a palliative care nurse and recently my husband of 40 years passed away. He had heart surgery and aortic valve and mitral valve and bypass. And he had been diabetic 58 years. And they got in and it was a mess.

So he had 11 days in the ICU. And it was very difficult to watch him. I knew he wasn't going to make it. And so I'm calling about grief because it is – I did palliative care. I stood by hundreds of families in the ER who lost loved ones. But I have never felt such physical pain, chest pain, not sleeping. I just got blood work back. My kidney function's off.

And, you know, it's hit me like a brick. So I wanted you to talk a little bit about the stress of grief. Well, you know, the extraordinary things about primate, we believe that primates can die of grief, right? Right. There's various ways that both chimpanzees have been observed to die of grief, and our own biology to result

in very significant medical pathology. I think people are sort of aware of the sort of broken heart syndrome where your heart literally stops, doesn't work right, get failure. Right. Sudden death syndrome. But you're not talking about that. You're talking about the stress. And the pain sort of goes without saying, right?

I believe, well, there's good evidence that we very focused on the nervous system up here right but we have a large body of nervous tissue here and here i'm pointing at my gut and actually the pelvis as well and these are almost peripheral brains and when people say you know i feel this in my heart or my heart aches, I believe wholeheartedly it is this neurological material actually sending messages. And those messages can be disabling, not just from the standpoint of not sleeping and not eating and not drinking, but it almost has a, what's the word I'm looking for, a neurasthenic effect. Do you know what neurasthenia is? No.

It's wasting. It's just sort of wasting. And there used to be a syndrome in psychiatry called just neurasthenia, and they've eliminated it. And I've been a fan of that term for a long time. It's really sort of fatigue and wasting, and it's a feature of our and wasting and our and it has a it's a feature of our nervous system dysfunction dysregulation over overly burdened um either by a virus or by

a trauma or an event and the the patty i don't know how what you know you know all the grief therapeutics that are out there right i'm sure you've taken advantage of some of that. Yes, I have. And I don't want to sort of, this is heavy stuff, but my friends and patients that go through this always say the same thing when it comes to loss of a spouse, a particular long-term spouse that you really love, is that you never get over it. You just regulate it. You learn to live with it. And my instincts are that it's impossible without filling your heart with other people and maybe fulfilling activities, whatever that means for you. And you've certainly heard that as a palliative care nurse, and you've seen those groups and stuff. Well, yeah, I should listen to my own medicine. But I'm just really taken back by the physical

aspect. I know, I know. It could easily. And that's why my kidney function is going down. It could easily. But why should we be surprised by, look, the self is embedded in a social context and no more so than in an interpersonal context with close, intimate connection. When that part dies, that is a part of you. It just is. And it's one of the unfortunate realities of having a good relationship is that you really lose a part of yourself. And you've got to sort of, you have to force yourself out there to sort of rehabilitate yourself in the face of this. If you lost a leg or something, same idea. You've got to get out there because it can do you in. It can. I don't think it will. I think you're going to be, you know, you'll be, you'll get through it. I mean, you're knowledgeable. You're a fighter. You get it. But the pain is what the pain is. And I'm really sorry you're going through that, but

you got to sort of think about the fact that, you know, you know, you get philosophical a bit with this, but you need somebody else to share this with you, which is that you had what you had, you know, don't try to keep that in your heart, what was yours and not focus on what you've lost, you know? Right. It's interesting too, you know, being in the ICU and having worked in palliative care there and then being on the other side of the stethoscope was a very interesting experiment. I'm sure it wasn't fun. I'm sure it was not fun. It was extremely stressful. Yeah. And the morning that Craig was not doing well and we knew that we were going to withdraw the pressers and let him go

his surgeon his heart surgeon had worked so hard he looked at me and he had tears in his eyes but he said we're going to stay the course and i'll see you on monday this is on a friday and he bolted and and so he abandoned me but you know you know having been a palliative care nurse, you know the surgical mentality. Yep. They don't want to lose. They just can't deal with death and dying. They don't want to deal with it. They want to get people back, and they turn the death and dying over to internists and palliative care people like you.

Right. They have no skill. Unfortunately, they're not good at it. I'm glad. It's probably better that he didn't stick around because he had his own shit he was dealing with and he dealt with it his own way. I wish he could have at least been present with you for a minute. But he just did not have the capacity. No, exactly.

He just didn't have it. And he probably sensed the pain that was coming your way too. So I'm so sorry, Patty. But I feel like you still have important work to do. So please take your own advice, okay? Okay. Thank you, sir. Thank you for talking to me.

God bless you. You see, I'm, right? Reminds me of my show. Yeah. Yeah. Yeah, it's something. Yeah. Sometimes when you get to talk to them, they're a psychic.

It makes you feel better. Well, that's true. People get some closure, but I don't think that's what Patty needs. It might be too soon, too. Yeah, it's a different. You got to wait a while. Hold on a second. Let me, I'm trying to figure out. Okay, Leah, there you are.

I'm trying to cue. I'm going to get up here. Leah, what's going on there? You caught my attention. Thank you for waving at me. Hi. Hey there. Okay.

So I wanted to ask you about two different things, but combined them. Okay. I have post COVID syndrome. I've had it. So fun. I had it since March. No, since May of 2021. And I keep waiting to get better.

I mean, I've tried so many treatments. What have you tried? I've had infusion treatments of 17,000 micrograms of vitamin C plus all the other vitamins. Well, actually, I've had six of those. I've tried ivermectin. I've tried – I haven't done the monochromal thing. But anyway, a bunch of different things. My doctor is really into multiple, like, let's find out what we can do.

Yeah, that's good. So let me bring up a couple of interesting things i've seen people do i i could not recommend it we don't have the data to suggest it yet but it's just interesting things people are doing and by the way have you checked out covid long haulers.com um i have a link to it i have a podcast called long hauling with lady leah it's nothing big it's just for people to like hear the symptoms and also to hear the brain fog the brain fog i find the most frustrating it's extremely frustrating i know i had it myself so so um i again go to covid

long haulers.com they have lots of interesting ideas there do they put it on the website or do you have to sign up? You can go to Facebook and look it up there. Oh, that's good. It's easy to find. Yeah, Dr. Yeo probably has a lot of information. Yeah, go to covidlonghaulers.com. So I'm going to suggest three things. Talk to your doctor about, some people are trying Paxlovid. Did you do that? That was my second question. It's about that drug. If I had bad long hauler, I would think about that. Fluvoxamine really helped me. I know some other people for whom it didn't help, but fluvoxamine really helped me with

the brain fog. But that was earlier on, right? It was about two months out. Did they suggest it after? The earlier, the better with fluvoxamine. Yeah, same with the monoclonal adenoblast. Yeah, the monoclonal adenoblast is not likely to work. The fluvoxamine is another idea.

I have seen people take, this is going to sound very weird, but I was thinking about it this morning when I woke up, and I've just seen no literature on it, but I've heard of people doing this, is NAD infusions. I guess it's occurring to me now because I'm going to have an infusion doctor come in here in a couple of days, I think Thursday, to talk about infusion therapies. And NAD is a very, very common one. Again, no literature that I know of to back that up, but just an interesting idea out of desperation. And finally, the other thing is for your fog, I found learning languages very helpful in clearing the fog. I know it sounds bizarre, but we were going to Greece, and I thought, hmm, I'll try to learn in Greek, and it really helped. Maybe taking a vacation to Greece will help, too.

But before that, it started helping. So I really would recommend, and I had this sense, I don't know if you have this sense, also my sense was that some sort of physical, musical something would help me. So I also thought about going back to piano and sort of physical, musical something would help me. So I also thought about going back to piano and sort of working at that because I had this feeling that those sorts of language, music, movement phenomenon could help clear it, and it sure did for me.

Now, it might have been a coincidence, but who knows? So there you go. So I wanted to ask you, my second question is sort of about that um like thursday i tested for the third time positive with covet okay oh my god i had this last time i had it was in december of 2020 that's weird um so i got this and i have a fever and i have all the symptoms so my doctor put me on the medication you just mentioned, which I already forgot the name of it. Paxlavid.

Good. Okay, so what happened was I started to take it, and first I got that nasty taste in my mouth. Yeah, very common. The day after, I did like one pack, and then I took my second day dose, the morning dose, and I got a real bad high like all over the back of my neck. Oh, no. So I looked it up on the morning dose, and I got a real bad high all over the back of my neck. So I looked it up on the FDA website and it says

to discontinue it if you get a rash. And I wanted my doctor so bummed out because she thought it would help me a lot. I thought so too. Well, maybe she should get the monoclonal antibodies since she's got COVID. Yeah, now monoclonal, and there's only really one that works. There was

a You're supposed to do it within the first five days or something. Now monoclonal, and there's only really one that works. There was, uh, They supposed to do it within the first five days or something. Have you shield is the one that I think works still. Have you shield? I live in San Diego County and they have the free bank here that I can go to, but today would be my last day. Then do it. Then do it.

Why not? Uh, for the COVID for sure. Drew loved it. And I also, um, the young lady who sure. Drew loved it. Yeah, it helped me a lot. The young lady who was just speaking about losing her spouse, since I got post-COVID syndrome, my mother-in-law moved in with us. She had dementia, and she passed in December. My son died in February, and my uncle died in March. And I have to say that the hospice people have helped me so much dealing with my

grief. They're trained in grief therapy and they're free generally, especially if your husband was on any type of hospice. You may have missed it. She was a hospice nurse. Oh, I didn't know what that palpative care was. It's hospice, hospice. i've never heard that term so um they never called it that when we when the nurses came back she should have good right there you heard her say it she needs to take her own advice she does she needs to do what she needs knows how to do you're absolutely correct i'm so sorry for your loss thank you very much awful what is going on down my face but it's just now let me say one more thing. I want you to write this down, too.

There is another antiviral. If you can't get the monoclonal antibody, it's called molnupiravir. That actually is pretty good. Okay, I don't think I can spell that. M-O-L-N-U, molnupiravir. Molnupiravir. It's actually a pretty pretty good medicine um and when it was when the research was coming out i was looking to fluvoxamine you took it while you had covid

yeah you could take that also but it really does it's this stuff is very very good so in terms of you know reducing the duration and all that stuff stuff. And you might get the side benefit of maybe wiping out some of whatever's causing the long COVID. But check out covidlonghaulers.com. Leah, thank you so much for this call. I've got to wrap things up. I actually have to go see a doctor myself, take care of my own health care right now.

Have I talked about? Thank you so much. All you listeners on Twitter. Yeah, the Twitter spaces is a great move. Some new blood. It's a great leap forward. By the way, I'm watching you guys also on Rumble. I see what your comments are.

Rokokoro says, do language, study languages, do ayahuasca. This is the spirit world. I mean, you know, let's be careful. They're a little more open with their thoughts on Rumble. Oh, yes, they are. Which I appreciate. I don't trust any of them anymore. There are a lot of viewers.

Not after this. It's nice to see people awake in the chat, though. Squeezebag, I don't blame you for not trusting physicians. I don't blame you. And if you're ever on Rumble and you want to get on the show and ask a question, just go over to Twitter Spaces. We'll start opening it up over there, and we'll try to take more calls this week. PaxLivit is good.

You're saying it's not good. It is good. It is changing the whole answer. But I will tell everybody, if we do have a guest, which we are going to, we might have to add an extra little time on the end, Drew, so you can take calls, because we don't get to questions until the end of the show. What do you mean?

If we have a guest. Oh, yes, of course. We usually interview for about an hour maybe we can go an extra 15 20 minutes and take some calls yes absolutely we will do that i will do more calls it's called ask dr drew look i love doing calls i love doing it and these calls have been great you guys the twitter you know each platform has its own sort of character of call we can start 30 minutes early and then take then take the guest i don't want to so squeeze bag doesn't doesn't trust doctors i don't blame her uh but we we have not performed well this pandemic i would say but

realize that most yeah most physicians have here here's the enemy let me tell you two things are the enemy the enemy is centralization of authority medicine should not be a centralized phenomenon it should be highly trained individuals decentralized to use their judgment. The only person that only concerns him or herself with the well-being of that one person, the patient. Decentralization. Centralization is the enemy. I heard Peter Thiel give a lecture the other day, and he was saying that was the problem

with what's happened with computing as well. And I agree. Centralization is the enemy. Bureaucratization is the enemy. And nowhere more so than in medicine. And yeah, we have not performed well as physicians because of that, because of that. But we can get it back. We can. I hate to see you really not trusting you. Find a doctor you can trust and work with him or her. You've already heard today in these calls some very good physicians doing

their job and improvising and trying to help the patient. That's what the job is, to try to use your judgment. Novavax is out, guys. Well, what the job is, to try to use your judgment. Novavax is out, guys. Well, Novavax has been approved, should be out soon. We'll see what the recommendations are. I think personally, if you're allowed to use Novavax as a booster, I personally would probably take it as a booster, but we'll see. We'll see what they say.

For people over 75 who've had no adverse reactions to the mRNA vaccine, probably keep going with those boosters. Although I have seen some pretty nasty reactions to the mRNA vaccine, probably keep going with those boosters. Although I have seen some pretty nasty reactions for the third booster and people who had no previous reaction to it or the second booster, I guess it is. All right, everybody. Thank you for being here. We appreciate it.

Good discussion. Good calls. I think we reached out to a lot more people today. I think it's good. Caleb, thank you for setting this up. Anything you want to say, Caleb,

about how we're going to proceed here with the. Oh, no, this is, this is very exciting. There were hundreds of people trying to call in on the show. We were on the front page of Rumble, so there were hundreds of viewers there. YouTube was taken off, so it's a big show all around. So thanks, everybody, for coming on. And Rokokoro agrees with me

that centralization is the enemy. Yeah, it is the enemy, I'm telling you. If you look at some core root cause, root cause is centralized authority and people who have gone a little wacky with that and they've made people that oppose their authority a problem. That's a problem.

Just follow. Watch my interview with Jay Bhattacharya. That to me was sort of eye-opening in a way that I cannot i cannot describe and i've been reaching a lot of tv i've been retweeting a lot of his stuff lately any event we'll be back tomorrow at three o'clock uh we will take calls i'm seeing we're having uh i don't see uh we may i'm not sure what it's gonna be tomorrow but we'll probably have a guest yeah do you know who it is?

Yes. Oh, she's going to look for it so we can promote it to you all. Really do appreciate the Twitter version. It's TBA. Yeah, that's what I saw too. She didn't put it up. So we'll tweet it out. But Wednesday we have Gen Miner.

Miner. Who is that now? Gianna Caldwell and Dr. Drew. Oh, wait, that's something else. No, that's a meeting I have to go to. Oh, okay. I don't know. She sent everything.

She just didn't. But thank you for announcing my meeting. That's well done. I hope that wasn't secret. I don't know. I've been too busy. Yeah, it was a secret meeting, but I guess maybe the Twitterverse will show up. Okay. Lauren D'Angostino and her boyfriend, Angostino, on Wednesday.

Regarding? How do you say that? I don't know. Angostino? No, it's not on my- David Nazarian, Thursday. Oh, David Nazarian. I mentioned that.

That is the IV therapy doctor. He's a very good guy. And then Lauren D'Angostino and her boyfriend. I don't know what that is all about. I don don't know she comes up with good ones and then um let's see tuesday guys i must go we have a tba tomorrow maybe it'll just be asking it could be just calls again we have plenty of calls they're all excellent so we're so organized over here thank you caleb for setting this up thank you for doing an extra show today. It sucks. And we will see you all tomorrow at three o'clock. Ask Dr. Drew is produced by Caleb Nation and Susan Pinsky. As a reminder, the

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