Sawbones: A Marital Tour of Misguided Medicine - Jimmy Buffett

Episode Date: July 7, 2021

We recorded this episode live on the Joco Cruise 2020, where Dr. Sydnee dissects the medicine mentioned in the songs of Jimmy Buffett. What is recommend for “Island Fever”? What should Mr. Buffett be concerned about when eating that “Cheeseburger in Paradise”? And do the lyrics of “Frenchmen for the Night” mean he may have Jumping Frenchmen of Maine?Music: "Medicines" by The Taxpayers

Hi everybody, Justin Acquire here. I've quite the interesting curio for you. Literally days before coronavirus swept through our nation and much of the globe, we recorded an episode of solvents on the Jonathan Colton cruise. It was a wonderful time, but it's honestly been a little bit hard to listen to because of how precipitously things collapse after we recorded this. We're hopeful that now with a little bit of distance from it, we can see it as the tragic irony of the whole thing. This may be a little less stinging if we're not as treating the coronavirus scenario with

as much gravity as it seems like we should forgive us. We knew not what we did. Hopefully you'll still get a kick out of this very strange episode of solbons and the the naivete displayed within. Enjoy and we'll see you next week. Solbons is a show about medical history and nothing the hosts say should be taken as medical We'll see you next week. distraction from that weird growth. You're worth it. I'm not a sense the Yeah, let me come for the mouth. Oh. Just project. Hello. There we go. Hello.

I'm Jury Fiatervo. Welcome to Saul Bones, a Marital Tour of Miscotted Medicine. I'm your co-host, Justin McElroy. And I'm Sydney McElroy. Thank you. Thank you. You know, it's funny. The sea air plays such tricks with the sound.

I could have sworn cities of pauses a lot. Or hello, everyone. Welcome to the cruise. Thank you for coming back. I thought you would only watch me if I was talking about Tyra Banks' book model land now. So I'm relieved. So if you've been paying attention to the world at large for the past month or so, you've

probably already guessed what we're going to be talking about this evening here on our medical history program. And so let's just spray down a little bit, calm down, and let's have a Frank, an open discussion about the music of Jimmy Buffett. So the last couple years on the cruise we've done some stuff that was pretty gross. Challenging. Challenging and we thought you know the world is hard right now. Maybe we need to relax. And who's better at relaxing than Jimmy Buffett? No one.

And there is a lot you can do with his body of work. When you look at Jimmy Buffett's music, there's a lot of a medical, you know, applications, a lot of history, a lot of things we can read into it, if you want to make a podcast about that. So we're going to take an in-depth medical look at some of the works. There are so many. Some of the works of Jimmy Buffett. Just launched right in there.

Just went right in. What's this one said? What song is this? Yes. This is Margaritaville. Okay. I feel like this is the next best thing to we're not going to get to go to the big Margarita ville on Grant Hurk now.

So we're bringing Jimmy to you. You're there. We're hard-broken too. I was certain that James would be waiting for me at the door with a lay or something like that, waiting to greet me. So then, I'm assuming you've all heard the song Margaritaville in the past. This is Margaritaville.

Yes, I would say probably the most well-known, Jimmy Buffett song. So there's so much to get into here. First of all, I'm concerned if, and I'm gonna take this view on all these songs as if the person who's singing them is like our narrator, or perhaps our protagonist, I don't know, if you will. But the narrator of this song, I'm really concerned about some unhealthy habits. First of all, he's hanging out on his front porch niblin' on sponge cake. That's a weird treat, right? Like to just have a sponge cake and you're like sitting on a porch

swing eating cake, just like chillin'. I think that that's, maybe we have developed some generally unhealthy dietary habits, right? Just like chillin. I think that that's we sit maybe we have developed some generally unhealthy dietary habits. Yes, fair completely fair. That's fair to say he is gonna eat some shrimp later, I guess We could debate the nutritional merits of that, but one way or another cake comes first And that's fine on a cruise of course Now when we discuss losing his shaker of salt, I actually think this is a big bonus for the singer, for you know, if we assume it's showing above it, that's great. Yeah. Because then he can't use it. And that's great for his blood pressure.

So perhaps it should stay gone. I don't feel like this person has a problem with their blood pressure generally speaking. Now Justin, just because it does not appear that this singer has a high stress lifestyle does not mean that they are immune to hypertension. Okay. Genetics do play a role. Oh God. You're ruining all the songs, aren't you?

Do you have anything else to ruin about this American classic? Yes, I do. We learned that later in the song that he has a new tattoo that is a real beauty, but how it got there, he has an acclue. Now I'm concerned. First of all, why don't you remember where, or how, or when, or who gave you the tattoo? That's problematic. And since you don't remember, do you know if it was done using, you know, appropriate sterile technique? You have no idea. So already, I'm concerned about blood-borne infections. I'm concerned about infection in general. Were you given proper tattoo care guidelines after the procedure? You clearly don't remember it,

so you don't remember what to do. Yeah, you're not putting a tattoo goo on there. You're not, you don't moisturize. You don't know what to do with the thing. So, there's a lot of concerns with the tattoo. And if that wasn't enough, we now find out that he blew out his flip flop and stepped on a pop top. So now tetanus is an issue that Jimmy Buffett needs to be worried about.

When was his last tetanus shot? It's not in Margaritaville. I don't know. Is he up to date? And then we got to think about how deep was this wound? What kind of pop top are we talking about? Like was this a deeper puncture wound? And we have to worry about like gas forming organisms.

Is gangrene going to develop, you know? Sorry, that was the only gross part. That was from Melissa who specifically asked for a gross part. So gangrene maybe for James. Maybe. I mean we don't we don't know. Okay I'm moving on. There's no way you can ruin this one. So you're playing Cheeseburger in Paradise. That's an example of a song that there's no way I could have anything to say about.

It's just a fun, it's just fun. I see some, I see some issues on it. Yeah, let me get to the good part. Come on, everybody. And a huge talk of me. Cheeseburger in Paris. For a time all. Yeah. Slime.

OK. All right. James Buffett, Cheeseburger in Paradise. What on earth could be wrong with this song, Sidney? Well, there's some hopeful notes in the beginning, because we find out that our hero is trying to amend his carnivorous habits. So perhaps he's pursuing a plant-based lifestyle.

That's a great thing, right? Like we know, that's a really heart-healthy, like, for longevity. This is a great turn he's taken away from red meat, perhaps meat in general, we don't know, we think. And he's been losing weight and eating sunflower seeds and drinking carrot juice. Now, if that is all, he's eating and drinking that this is obviously a concern.

But in addition, you can turn orange if you drink enough carrot juice consistently. So there is that. I don't know. Yeah, I mean, I think it's a concern. The man's a one person industry. I don't think we want him turning orange, certainly. And aside from his diet, he also notes that he's soaking up rays. Oh, yeah. And just from a skin health perspective, I have to frown on that immediately. I mean, I really applaud your turn towards veganism, but if you could wear some sunscreen,

that would be better. Anything else? Of course, Justin. You're celebrating hamburgers. Cheeseburgers, excuse me. Specifically, yeah. I specifically cheeseurgers. Cheeseburgers, excuse me. Specifically, yeah. Specifically cheeseburgers. So first of all, he's dreaming about eating a cheeseburger.

Now, just the fact that he's dreaming about it makes me concerned for perhaps an iron deficiency. I know that this was something that I suffered from through pregnancy, and I would often dream about hamburgers. I know that this was something that I suffered from through pregnancy, and I would often dream about hamburgers. And so I have to be concerned about, you know, is your body telling you something? Maybe you don't need a cheeseburger, maybe we need an iron supplement, Jimmy.

So iron supplement and paradise, maybe it might be a better tune, you think, sister. In addition, if we are going to indulge in the cheeseburger, we have to be concerned about colon health. All that red meat. How often are we going to eat these cheeseburgers, Jimmy? Well, it sounds like quite a few sits there. He's been playing this song for 40 years. We got to him too late.

I'm afraid. I mean, it's great that he wants to throw some vegetables in the mix on top of the burger, but then he's going to pair it with some french fries and beer. So, which is delicious. I'm not saying it's not. And plant-based, yes. The lettuce and tomato and french fries are plant-based. That's true. You ready to move on yeah now this is let probably this one's less well known I would say we're gonna really know who the paraheads are yeah there's another in the back we got Do you want to introduce this song? It's called grapefruit, juicy fruit.

And it's about enjoying itself. It's about fun. Grapefruit. The bands. All right. OK. That's all you need. You get the idea.

He's talking about grapefruit. That's the joke. So grapefruit is First of all on the surface. This is good right grapefruit is good for you It's got vitamins A and C and E. It's got some calcium. It's got some phosphorus It's pretty decent on the glycemic index if you're worried about that which we are In terms of proof. I was, but I am now. Thank you, Sydney.

Well, I mean, all fruit has sugar. And so if you're looking for natural sugars that are a little better for you, like grapefruit has a lot to offer. And so I personally think it tastes awful. I'm sorry to everyone in the 80s who ate it all the time. And my mom, who eats it every day. But I don't like it. but I can see where he's coming from with the grapefruit.

My main concern is that grapefruit is known to interfere with a number of medications. So once again, when you approach Jimmy Buffett music from a medical perspective, you realize pretty quickly that there's a lack of medical history. I don't know. Yeah, it's weird. It's like none of his songs give a complete medical history. Do you have a family history of colon cancer? It's never addressed. I mean, it isn't though.

Like you're joking, but I'm serious. So grapefruit is going to decrease the activity of a certain enzyme. Do you want to know the name, Justin? Oh, I know, but why don't you tell everybody else? Cytocrom P450 specifically, 3A4 is the enzyme it's going to interfere with. I was going to say you should specifically. I was going to say you should say you should. Cytocrom P450 in the house.

Yeah. Some of you are allires P450 in the house. Yeah. Yeah. Some of you are allires, but that's fine. No. You're dressed extremely well, so we're going to let it slide. If there was an audience where there would be big fans of Cytacrome P450, this is the audience. Yeah. This is the audience.

Yeah. Yeah. Just, and we found our people. That's fair. So as a result, that enzymes ability to break down other medicines that you are taking to eliminate them at the appropriate rate is going to be interfered with. And so I have a lot of concerns, you know, grapefruit, it's healthy, good, I'm going to start eating a lot of it.

But without knowing, like, is he taking lipitor? Is he taking Xanax? Is he taking Xanax? Is he taking Viagra? That last one, we all feel pretty confident about it. It could interfere with the activity of any of these medications, and we don't know. Schmanners, Now, definition. Rules of etiquette design not to judge others, but rather to guide ourselves through everyday

social situations. Hello Internet, I'm your husband host Travis McAroy. And I'm your wife host Theresa McAroy. Every week on Shmanners we take a look at a topic that has to do with society or manners. We talk about the history of it. We take a look at how it applies to everyday life, and we take some of your questions. And sometimes we do a biography about a really cool person that had an impact on how we view

etiquette. So join us every Friday and listen to shmanners on maximumfun.org or wherever podcasts are found. Manor shmanors, get it. Would you like me to ruin another song? This is called Knees of My Heart. All right, that's good. Everybody's enjoying it, though. Oh, okay.

Wow. Don't kill your buzz. Go for it. Don't want to see it on the silver screen. Don't let the craziness tear us apart. I'm down. All the needs of my life. Okay, you get the idea.

You get the idea. And it's just ridiculous for an anatomical standpoint. And I just wanted to say that. Just bothers me. That's it. All that for that? It's also a good song that I enjoy. This may be my sneaky way of introducing you

on a Jimmy Buffett music that's less than ever. Yeah, you're going after the bone yard. This is called a Frenchman for the night. It's right, romance. He even speaks French in the song. Song I've heard before, the scratchy grime of foam Cuts to the bone of the arous, a pashio All right, he spoke French, that's all. I just wanted to prove that. All right, so obviously you can't just

be a Frenchman for the night, but that's not really the medical issue. What I was thinking about about as I was pondering the concept of becoming French for one night was, are we referencing a little known ailment, a rare disorder that is called jumping Frenchman of Maine. This is actually the name, like as in I have jumping French men of Maine. You have jumping French men of Maine. I do.

No, but that is how you would use it in the sentence. That was just demonstrating. That is the full name of the condition. It was discovered by George Beard in 1787. You might have already guessed the population, among which it was discovered. They were French men. It was this strange, it was actually French Canadian lumber jacks.

There were a group of them, all in the Moosehead Lake region of Maine, and they had this very strange startle response, where even the slightest sound or movement, something that wouldn't necessarily startle the rest of us, would result in them jumping, or screaming, or sometimes punching or kicking, someone near them. And so he described what he called the jumping Frenchman of Maine disorder. And he wrote extensively about just,

and it was this very isolated disorder. There was only known among these Canadian lumberjacks who experienced it. And they were also noted to be specifically a ticklish and shy, which he wrote about a lot because he thought maybe that had something to do with it. If you're very shy and ticklish, you may be prone to jumping Frenchman of Maine. Good to know.

You are ticklish. Yeah, any shy ticklish people out there? You should go get checked when you get home. You may have this extremely rare, rare condition. Over time, this has been looked into a lot, I think, because it's so unique and interesting. And people have begun to wonder if it's more of what we think of like a culture-bound syndrome.

It's actually what we would consider like a cultural response to things. You begin to accept that a normal response within your kind of isolated region of the world to some sort of thing happening would be to pass out or to start laughing a whole lot or to jump or kick, and you see it perpetuated in these like isolated kind of little micro-cultural areas. And that is probably what this is. It's actually been found in other parts of the world,

and there's different names depending on where you see it. And my favorite that I found is that there is a similar response that they found among isolated populations in Louisiana. And they called it Rage Encation. So if you live in Maine, you might have jumping Frenchmen of Maine, but if you live in Louisiana, you may have rage in Cajun, it just depends. And this ties into James, how? Jimmy Buffett sings along with Frenchmen in the name, so.

Okay, I'm moving on. I just really wanted to talk about jumping Frenchmen of Maine. You're stretching to ruin that one. This song is called A Pirate Looks at Forty. Oh my dad's favorite song. There's some trivia for you all. That comes up, it's some of the geek trivia later. Sydney's.

What is Tommy Smirls favorite, Jimmy Buffett's song? Mother Mother Ocean. I have heard you call. Just makes you need to get out there, doesn't it? We are literally out there. Oh, yeah, ocean. I just makes you need to get out there, doesn't it? We are literally out there. We are currently out there. I think I'll be more out there. You seen it all.

You seen it all. All right. All right, so this pirate is looking at 40. I can already tell I don't like this. I'm 39 years old and I don't like what you're about to do already with my heart and my mind. So I have a pass. Is there one pass where I can hit a buzzer and say no whammy and we skip one? Is that a possibility?

Has there ever been on sale? Never. So I can only assume that as this pirate looks forward at 40, he's thinking about his preventive health care and what kind of screening tests he might need and what he might need to talk with his primary care physician about his upcoming well-check. That's what we all think about, right?

That's normal. And so I just went ahead and looked up some recommendations for Jimmy Buffett. I'm going to assume that this is a male just because Jimmy Buffett's singing song. And there's some questions. If you're going to look at the US Preventive Services Task Force recommendations for health screening.

There are a couple questions. So, mail. For a pirate looking at 40. For a pirate looking at 40. Tobacco user, I went ahead and plugged in yes. Safe bet. I feel like a lot of pirates probably smoke. Right.

Probably. Safe bet. Something. The other question is sexually active active definitely plugged in yes for that That's a big yes or is game for sure, right? Okay, so I apologize for the pirate assumptions if you if you're a pirate and I got that wrong I apologize. I shouldn't make sweeping generalizations so So, for this pirate who's looking at 40, we're going to definitely want to check a blood pressure and discuss regular monitoring of your blood pressure. There are also some screening tests, we need to screen for HIV, for syphilis. We definitely need to talk about tobacco cessation.

I know that's hard, it's a pirate lifestyle. Probably all your buddies are smoking too. But it's not good for you. It's worth the effort. You scurvy is actually not in the preventive services task force. I know that seems weird. There's no greedy task force. Scurvy. Although certainly if my patient was a pirate I would bring it up. That's where we got grade A evidence. Now as we go ahead and include some of the grade B recommendations,

because we like to do things that are evidence based, and we may as well expand to the evidence that's not quite as strong as grade A, but still pretty good, it's grade B. So we're going to screen for depression, for diabetes, we're going to talk about unhealthy alcohol use. I have to assume this is an issue or could be. He's a pirate, remember. And we're going to talk about some like healthy exercise nutrition, definitely getting plenty of vitamin C because we are a pirate, safe sex, and maybe we need to start some sort of cholesterol lowering medication for this pirate who's looking at 40. I'm a fever. This is from Don't Stop the Carval, right?

Which was supposed to be a musical and then it was just one of the concepts album. It's going to ruin it now. I think I've got a touch of island fever. But you know why I picked this one. It's got fever right there in the neck. I feel like I feel a bit sauteed again. I guess morning. I like this song because I feel like it's a diagnostic puzzle. This is how I approached it.

So he has island fever. Now we do not have a specific location other than island. Island, yeah. Mr. Buffett, that does not give me enough information. There are many islands. The only clue we get later in the song, there is the line, I think I'll take my shoes off and go walking down beside the Caribbean Sea. Okay. Now, in the Caribbean Sea, there are technically 7,000 islands. So that's not a great clue. Not super helpful. But it gives us a

region of the world. And that definitely is helpful when we start talking about like what sort of tropical disease may have caused this island fever. Now some common culprits, we actually have to think about malaria, very common worldwide, probably not. The first thing I would consider for this person, but definitely not. Probably not, probably not, not malaria first thing. Yeah, I wouldn't think of malaria the first thing for my pal James Buffett. Justin, if a traveler comes back from a from a malaria's region of the world and they have a fever, it should be the first thing you think of. It should be the first thing you think of. I'm surprised you haven't learned this from me yet. I'm a little disappointed.

Okay, we're in the Caribbean sea. All right, so malaria is certainly dangae, definitely on the differential typhoid, leptosporosis, of course. And then that doesn't even begin to touch on all the common illnesses like influenza that you have to consider, because those happen everywhere, right? Like just because you're on an island doesn't mean you can't get the flu. And again, no history, we don't know. Did he get a flu shot?

Mikey should have. I don't know. So he, later in the song, he says, he thinks that it found its way to his brain. So I am going to interpret this line as a neurological complication of the disease. Yeah, yeah, yeah, yeah, naturally. Yeah, naturally. Uh-huh. So, while malaria, dengue, leptosporosis, we could all have some possible neurological

complications. Those aren't the first things I would think of because they usually manifest more as like drowsiness. And he talks about how he's fighting the urge to join a parade. Which why fight it, first of all, join the parade. But if that's the kind of like delirium that his ensued, that would actually take me in a different direction, and so I am going to guess that he has typhoid. Jimmy Buffett.

From this song, Island Poverty. Now the bad news is that- Bad news is. I mean, well, other than that he has- Jimmy Buffett has okay Jimmy Buffett has typhoid but that's obviously that's bad news that also he didn't listen to any of my advice about vaccines because he could have been vaccinated against typhoid before he left and he didn't do it so that's a big Tisk Tisk. But on the good news is that there is treatment for typhoid.

So he can come to me. I will take care of him. I can provide him with either a flora quintalone, a third generation, sepolis borin, and we can just get him fixed right up. So don't worry. Great, great, good news. We solve the diagnostic puzzle and save the day.

Fantastic. I love puzzles. There's no way you can ruin this song. It's called Math Sucks. You spell it? S-U-K-S. Math Sucks. That's how Jimmy Buffet spells it. As in, how is it still out of the song title? If the Shuster Seek is the mother of invention, then I'd like to kill the guy who invented this. It's all about math. The numbers come together in some kind of third dimension.

A regular algebraic. I bet nobody here agrees with that. No, no, no. This is not the crowd for informing the match sucks. Some people here probably use a like math. There's fractions in my subtraction and extol. I do. But my homework is bound in the the whole back. Math sucks.

There it is. Hey, hey, you are going to feel so bad. When I tell you all that I am concerned that this poor singer has dyscalculia, this is a condition that affects about 3 to 6% of the population. It involves some sort of dysfunction in the intraperidol sulcus of the brain, and it makes math very difficult. So now don't you all feel bad? They don't seem to be feeling bad, said. It can resolve as we age. We see it.

We diagnose it more in kids. And sometimes it goes away. But in some adults it persists. And I guess for poor Jimmy Buffett, math has continued to suck for him. And his experience of math anyway has been hard ever since. It's interesting because we're still not sure. It might have something to do with the how we actually make concrete numeric characters.

And the patients who have it can actually still do conceptual math without an actual number. I think that's fascinating, apparently. Jimmy Buffett wrote this song in his 60s. I very much enjoy someone who gets to 60 and they're like, you know what? I still don't like math. I didn't like it earlier. I don't like it now. I'm going to write a song about that because I still don't like it. And I've given it a big opportunity. It's had six decades. I don't like math. Here's a song about it. Well, but I think it's fascinating to think that it's not that he doesn't like math. Here's a song about it. Well, but I think it's fascinating to think

that it's not that he doesn't like concrete math, or not that he doesn't like math. It's that conceptual math might work for him. We just haven't found the right way to teach Jimmy Buffett math. That challenge is out there, and we could teach him and make him love math. Probably not me.

You don't seem convinced. This is a very good song. This is not a song I'm discussing. No, it's not Sidney. But I needed to hear this song to take a break from your songs. This is Justin's favorite Jimmy Pat's song. No, no, no, no, it's probably take a challenge. But it's up there. You know what I said? I will play for gumbo. This is called I will play for gumbo. I was a song called I will Play for Gumbo. I was a self call. I will play for Gumbo. Ruined that one, Sydney. You can have it.

You can keep that song. That one. Do you want to introduce the title? This is called Please Bypass This Heart. Rights itself, I guess. I mean, he just does this Rights itself, I guess. I mean, he just does this for me, I feel. It's just for me. I think every thought I was a country music fan,

but I do like Jimmy Buffett, so... I don't know if that means... Well, I don't necessarily think of his music as country. The genre has often been defined as golf and western, which I like. It's hovering in between a lot of different styles. They, of course, incorporate some country melodies, country structures.

But it's also a lot of the island. Do you mean G-U or G-O? G-U-L. OK. K, please bypass this heart. I think this just sort of speaks for itself. The American health care system is so broken. Here we have this person begging a cardiothoracic surgeon to save their life and bypass their heart

because they probably don't have insurance and can't pay for it. And I just think we all need to remember that until we have Medicare for All, Jimmy Buffett is gonna have to write these kinds of songs. So... So... So... So...

So... So you think he could afford it though? He probably can afford it now. Fair. So... Fair. So... So me away, James. You like this one? Is it good one, yeah?

It's a good one. As the son of a son of a sailor I went. I've got to forget all the time. I've got to forget all the time. Spending the view of the cat that grew up in the back. Yeah, well it's called son of a son of a sailor and he says it right there, which is convenient. Thank you, James.

For this podcast. It's really important to have a firm grasp on your family history, to understand your risk for different genetic disorders. And the more that you can understand about that, the better informed your primary care physician can be and the better care they can take of you. Now, as we've already covered,

Skirby is not a genetic disorder. So that's good, nor berry berry, or palagra, or rickets, which are all caused by nutritional deficiencies and as the son of a son of a sailor, they may have been at risk for. But the singer is not. However, we do worry about high blood pressure and cardiovascular disease among sailors today.

Oh, well. Yeah. And their sons? Well, the two, because as we know, there is genetic component to these disorders. And we see a slightly higher rate among sailors and their lives are full of stress, and often poor nutrition and lack of exercise,

because they're trapped on their sailboats or bigger boats. And possibly things like smoking, which we've already discussed. Huge sailor problem. So every time I hear that song, I think about genetic disorders. Do you know? I ran it first, never thought of the worst, as a study of the short stars' position, cracked with my leg like a shill of a rock and some of them using a bell. You know the- This song is called Growing Older but not Up.

So Benjamin Button Disease. There's no way Benjamin Button Disease is real. Please don't pretend like Benjamin Button Disease is real. You know how afraid I am of Benjamin Button Disease. We're just... This is targeted. I know it's hard, honey. We're going opposite directions, but we've met right now No, we're not you tell me all the time Benjamin button disease is not real

And now for you to get up on the stage and you're telling like it is Betrayal Jacques Hughes If it's in a Jimmy Buffett song don't you tear I'm skipping this one There's no way Benjamin button disease is real and I'm not gonna let you tell these fine folks that it is. They believe in you and they trust you. I'm just saying. You're not. You're not saying it, Sydney.

Take it back. Play on a person's fears like that. I'm here on the Joko Cruise. I'm gonna pour you. This is a mile high in Denver. This is very early. It's like for my sister's record. Yeah. I think sometimes he likes smoking marijuana.

No. Now you aren't saying this is a song about smoking marijuana. Are you sitting there? Well, I mean, when you hear a mile high in Denver, I mean, the first thing you think of is, of course, altitude sickness. So we've all been there, right? I mean, you've got, like, what kind of symptoms

is he talking about? He's a mile high in Denver. I'm gonna assume since he's still singing that we're probably dealing with like acute mountain sickness. So like, he's dizzy, he's got some headaches, maybe some trouble sleeping. He could be vomiting. I don't know.

He doesn't say that. Do you think, do you think he's vomiting? How much have you thought about whether or not He doesn't say that. Do you think he's vomiting? How much have you thought about whether or not Jimmy Buffett is vomiting when he sings these songs? You know, Sid, Stuart, never crossed my mind, actually, if you can believe that or not, never crossed my mind. He talks about admiring the scenery and things like that

that you probably wouldn't feel like doing if you developed like a further stage of altitude sickness like high altitude pulmonary edema So I mean with that much fluid in your lungs you're not gonna be admiring the scenery, right? So probably not that or high altitude cerebral edema where you get swelling in your brain Which I mean maybe you admired the scenery before you fell asleep Which, I mean, maybe you admired the scenery before you fell asleep. I'm not enjoying this as much as I thought I would, Sid. Either way, he could have prevented this if he had just ascended more slowly.

You don't have to get altitude sickness. So obviously, he just, I mean, he probably flew there, right? It was like a gig. He probably just flew there. He just ascended too quickly. And the best thing because now he has less oxygen available at the higher altitude, that's why I sick. So the best thing for Jimmy to do at this point, I would say, is to, you know, descend, go to a lower elevation. 4,000 some feet high in Denver doesn't really have the same ring too with though. I don't know if he has DMOX available, which is a medication you can take to help with altitude sickness, it doesn't always prevent it, but it can it's not a lot of great rhymes there with DMOX. I just think it's cool. Diamox is cool.

I've got a check in the watch, because I believe it's a bad final song. You know what I mean? I have mixed feelings about this song. It's always nice when something that somebody that you love, like a musical artist, you love, like really hits mainstream, and everybody's listening to them all of a sudden, but then it's for this song. Five o'clock somewhere.

There's just so much better work. There is better songs in the catalog said, but every one of those iTunes purchases, little slice goes to Jimmy, and you gotta celebrate that. Any few bucks that I can cobble together, I gotta celebrate, oops, here it comes. So... I mean, I get it, it's catchy, I get it. I'm saying, he's only half past 12, but I don't care. It's five o'clock somewhere. It's a good tip.

So as you've probably already guessed from listening to this song, it's five o'clock somewhere and what it's obviously referencing, that our singer is suffering from discronto metria. I know, it's really a shame. Which obviously we all know is the inability to distinguish the passage of time. And so for Jimmy, I mean, he doesn't, it's five o'clock anytime, anywhere. He just doesn't know. It's five, it's four, it was two, now it's ten, he can't tell anymore.

I know, that's a rough. Yeah, you've painted a rough picture for a shirt set, and almost sapped some of the fun and whimsy out of the song. I mean, especially when you consider the... And the member of plates and flip flops and t-shirts and win chimes and Christmas ornaments. And all manner of things at wall clocks, at say five o'clock somewhere on them. Well, I mean, it's even sadder if you think about that it's usually the result of some sort of trauma to the cerebellum.

So like what kind of history does Jimmy have that he can no longer tell what time it is or how long it's passed, or perhaps this was from a stroke or a seizure of some sort? I know, we have to consider all this in the differential. We really aren't given enough information to make a firm diagnosis, so I'm just doing the best I can. In addition to the inability to mark the passage of hours and therefore tell time effectively,

if you have this disorder, you're also going to have issues with spatial recognition and with short-term memory. And I really think that if you're familiar with more songs from Jimmy Buffett, this is all starting to come together. There are other songs called Things Like, Who's the Blonde Stranger? I heard I was in town. If the phone doesn't ring, it's me.

I used to have money one time. Nobody from nowhere. She's going out of my mind. That's rough. And where's the party? Where is the party? He can't find it. Everybody celebrates this song and I just it's hard for me you know it's hard for me to understand. You just find it too too awfully depressing.

Thank you folks for enjoying with us the meat. You just play in some cheeseburger. Yeah, just play in a salad with some cheeseburger. I thought we'd get to the fast part. I'll kind of share it together. We're so happy that we got to sit here and just kind of goof around and share the music of Junior Buffer with you. Thank you to the taxpayers for these who are selling medicines as the entrepreneur and entrepreneur program.

Thanks to the Jonathan Golden Cruise staff for making this show come together and ask us on the boat and everything. So thank you very much. Thank you for coming. You're all the best. I love you. So as we're saying, every week on the show, my name is Justin McRaw. I'm Sydney McRaw. And it's always, don't, drill a hole in your head! Maximumfun.org Comedy and Culture

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