The Adam and Dr. Drew Show - #1834 Weekly Infusion

Episode Date: March 1, 2024

Wrapping up the week, producer Chris jumps in with Drew and Spaz to share the latest trending  news, but first Dr.Drew shares his thoughts on Dr. Phil, and they dissect the modern training of incoming physicians. Plus, the discovery of micro plastics in humans, the hormonal impact of plastics, and the fear of female psychopaths. Please Support Our Sponsor: The Jordan Harbinger Show - Available everywhere you listen to podcasts

Oh, that's just me, Perez Hilton, drinking all the tea that goes on in this world. And with the way social media is, I just can't get enough. I'm obsessed. It's like every day something new and scandalous comes out and I want it all. I'm the OG of entertainment gossip and if you are like me and have an unrelenting thirst for all the drama that's flying around, you should listen to my podcast. The Perez Hilton Podcast, available wherever you get your podcasts. with over 300 channels and thousands of TV shows and movies. Finding what you love has never been easier. Just open the app and something good will already be playing because it's curated by real humans who love TV as much as you do.

So you'll spend a lot less time scrolling and a whole lot more time watching. That's why Pluto TV is TV the way it should be. All you need to do is download the app and start streaming. Pluto TV. Stream now. Pay never. Recorded live at Corolla One Studios with Dr. Spaz and board-certified physician and addiction medicine specialist, Dr. Drew Pinsky. You're listening to The Dr. Bruce and Dr. Drew Show. Yeah, you are.

Get it on. Got to get it on. No choice but to get. Yeah, you are. Get it on. Got to get it on. No choice but to get it on. Mandate. Get it on. Bruce is here with us. Dr. Spaz is here. Chris Laxamana is in with us as well.

I love you brought the orchestra back in. Record that intro just for this week. Yes, I had to bring the orchestra back, and I had to get Emmy in front of the orchestra. It was amazing, right? Phenomenal. I love when Adam's not here because you either get a Dr. Bruce intro or a Mark intro, and I love them both. Right. So before the mic's heated up, Bruce, welcome back.

I was talking about this Dr. Phil book, which is called We've Got Issues, and I told Chris, I go, this is awesome. I stand behind this book. I admire what this man is doing. I just fully, fully endorse everything that he's getting into these days. And you said. I didn't think you liked him. I didn't think you cared for him. Which is interesting.

So I took issue early on in the early days of his talk show because he was being promoted as America's doctor. And that to me was like, he's not a physician. It's like, and Dr. Jill, like Dr.

Jill. And that always bothers me when people do that. And, and I was like, oh, you know, this is, this is not,

people think he's doing psychology and he's really not. And then credibility that maybe he didn't necessarily know that. Then I re completely reconsidered the whole thing. I don't think he believes. He's using his psychological training in mind. He's doing a talk show. And he does a brilliant job at doing a talk show. What I don't like is that people think that's treatment. And he would never say that. I don't blame him for that. It's a talk show. He's doing a talk show. He can't be held accountable for using psychology.

And I think he's had a net positive impact on people's understanding of psychology. There's been also a negative – the negative I didn't like when people always go, why don't you confront them? Why don't you confront that person? That's not how you do psychology. That's how you do a talk show. And he does an excellent job at that. And so I was always kind of bothered by that.

But particularly in COVID, he stood up and said some courageous things. He's been spot on with everything. I fully stand behind that guy, fully, fully, fully. In this book, we've got issues. He is so right. So that's my two cents on Phil and everything he's doing these days. Do you think PhDs should have a different title then? What do you say, Bruce? I don't know how you could do it, but it would –

I think it would better – it would put them in a more comfortable position too. So I was in medicine when this all happened. And the status of doctor in the 70s was one of the highest status in the country. When I was in college, we called our PhD teachers professor because in Europe, professor is the highest standing. But they slowly co-opted the doctor because of its esteem. And I just watched it happen where all of a sudden everybody's a doctor. Musicology is a doctor. Chiropractic is a doctor. Psychology is a doctor.

It's over. Okay? So if you want to distinguish yourself as a medical doctor, it's on us to use a different term, not on them. So I have just started calling our profession physician. We're physicians. And that's now on us, not on them. He doesn't have to calling our profession physician. We're physicians. And that's now on us, not on them. He doesn't have to do that. He can call himself a doctor.

He's a psychologist. And if they want that standing, they're fine. They deserve it. We're different. We're physicians. It's different. Medical doctor is different. And he may be moving away from it because I have his book in my hand right now,

and it's by Philip C. McGraw, PhD, not by Dr. Phil. Good for him. Good for him. And PhDs should have very high, not by Dr. Phil. Good for him. Good for him. And PhD should have very high standing. It does. I'm all for it. And he has a lot of wealth of experience. And I've never seen him say anything wrong.

I've never seen him be inaccurate or wrong. And he brings in good consultants and stuff. And that's so good. That's what good people do. How often do you get the criticism that, oh, you're not a doctor because of Dr. Phil? They found out that Dr. Phil is not a physician. They hear Dr. Drew, another celebrity. All the time.

Well, they think you're a psychiatrist. They think I'm a psychiatrist. They think that's not a doctor. They don't know what that is either. And that's where that whole thing came from, that Adam always kids, are you the love doctor? Because I'll talk about some medical topic, and he'll just go, oh, yeah, the love doctor. What do you know?

And the thing is, and I used to resent it a little bit also because of how rigorous our training is, how hard it was to get into medical school. So he did four years of science undergraduate, four years of medical school, four years of postgraduate residency, which was grueling back in those days. It's not so hard anymore, too, by the way. They get to work normal hours. Oh, my God. They're wusses.

When men were men. That's crazy. When men walked the earth, that's what we trained. Yeah. I worry about it because the thing, the part of that training of never sleeping and working all the time, first of all, you saw adequate volume of patients.

You have to see a lot of pathology to really know what you're talking about. And I mean like thousands of patients. And to be able to prioritize the person in front of you, no matter how miserable and tired you are. I never made mistakes because I was miserable and tired. And that's because I was trained so vigorously to be able to keep going no matter what. And that's gone now. It sounds like it was obviously purposeful to get you into that mindset and into that condition. Put everything above the patient above all else.

That's it. Yeah, but I wonder when they're going to catch on to the – remember, you go to the county hospital and you do your first procedure. Who's going to get the first procedure? Well, maybe the banker or the hedge fund billionaire should get the first procedure and not this poor person in the county hospital. You know what I mean? Yes. So this is the part that people don't know, that the county facilities were like mash

units. And the way the training was done, this is also part of what's so intense about medical school. See one, do one, teach one. That's how we did procedures. First arterial lines I did, I had the instructions on the patient's chest when I was doing it. And the nurse was talking me through it. Yeah. I had never seen one at that point.

But I did one. And then I taught it after that. Right. So do you think, are the new doctors, are they becoming soft now because they're not going through that rigorous training? Okay, so here's the thing. The virtual training now is amazing. You mean with the computerized stuff? Computerized stuff and having, you know, it's like we were doing with, they used to have smoking Sam when you had a mannequin thing.

So there are a lot of things that are being done. Some of the labs, like in the trauma life support, they don't like to say, but you're using – putting a chest tube in a dog or whatever. I think they're virtual ways and there are – there's a lot of stuff going on now where your first – your do one is not – Not a person or an animal. It's not a person. Yeah. So I think that's been a growth. Which is good.

Also, the weakness in the medical system really now is not the stuff we're talking about right now. It is the electronic record. The electronic record has made everything a bunch of box checking. Everything is just check the box, check the box, check the box. And doctors are not thinking because of that. Just check the box, check the box, check the box. And doctors are not thinking because of that. And they're put into such extreme stress filling out boxes that they don't have time to do anything else.

Boiler plate. So you look at it. I'll read a patient's chart. I'm looking for what happened the last visit, and I can't find it. But it's this long. It's like 10 pages long. And it's all cut and paste, boiler plate. It's terrible. It's like 10 pages long. And it's all cut and paste, boilerplate. It's terrible. It's terrible.

And then if you don't do stuff, you get dinged in certain ways. You get in trouble. And it's just the opposite of practicing medicine. It's really problematic. And I think that's what happened during COVID. Everyone is either a box checker or an employee or both, and they just were told not to check any boxes, and they just stopped. I remember years ago that you mentioned that you think lawyers have a huge influence on medical decisions. Do you remember saying something like that?

Oh, for sure. Oh, my God. Is that still happening? Yeah. There's been some reform on that front over the last 10 or 15 years, so it's not as egregious as it was. But a lot of the excess, really, I think the leftover of it is not that that part of medicine is not as miserable as it was. It's that a lot of the expense in medicine is because of what the attorneys have done. In other words, if one tort reform would save billions of dollars,

billions, if it was just an adequate defense in malpractice to say, it was my clinical decision, it was my impression that I didn't need to do those x-rays in labs. I was of the opinion that certain things were happening, and I did not feel I needed the labs and x-rays and labs. I was of the opinion that certain things were happening, and I did not feel I needed the labs and x-ray. Now, the CAT scans, the x-rays, the labs are done almost automatically because you get sued if you don't. So as opposed to saying, it was my decision, it was my clinical training, my impression, if that was an adequate defense, it means nothing in the court of law now. But if it was an adequate defense, we means nothing in the court of law now. Right. But if it was an adequate defense, we would say billions and billions and billions of dollars.

And watch TV in the middle of the night. What do you see? I think Adams brought it up. There used to be like, learn to drive a truck and this, and now it's all being, it's lawsuits. Did this happen? Did you go to- I've driven by billboards that say, stress don't work. Right. Yeah, that's that.

Call Sweet James. Who hurt you? Literally, just the board just said, who hurt you? I've driven by billboards that say, stress don't work. Right. Yeah, that's not working. Call Sweet James. Who hurt you? Literally, just the board just said, who hurt you? Yeah, with Suboxone. Are your teeth falling out? Did a stupid doctor give you Suboxone? Was there a dental class action suit?

Oh, my God, yeah. What are the issues? Because of dry mouth? I've talked to dentists about it. That's what they think. So if you swallow, people swallow the pills now people swallow the pills and I'll say it. You have the option. You can swallow the pill.

You absorb, you know, quite a bit less. So they think it's in, when it's dissolving in the mouth is what causes the dental problems. Right. So they say it takes nine. If we could just use the patch, we'd be much better, right?

Durgizic, what do they call it? Not Durgizic. Butrans. Butrans, yeah. So Butrans is only up to 80 mme. So it's a low dose. In Europe, it's up to 80. So here, 20 micrograms an hour.

Can't you put a bunch of them on? No. There's a black box warning if you use more than 20 that they're cardiac. I still haven't figured this out. With 20 micrograms an hour, which is less than a half a milligram a day, but the pills go up to 32 milligrams a day. And yet you can give them all Klonopin. Good.

Good. Fantastic. All right. So I guess you guys are very qualified to talk about this. So should I be worried about measles right now? Have you had the vaccine? Yeah. No.

Okay. Should America be worried? Yes. Yeah. For sure. 79% rose, 79% globally last year, big outbreak in Florida. Listen, one of the horrible consequences of the vaccine excesses in COVID is that people have lost faith in vaccines generally. Yeah.

Predictably, predictably that's what would happen. And now it's happening. And that's not good. That is not good. And I know, yes, people are worried about blah, blah, blah, blah. Some vaccines are very good. Maybe you don't want to take them all at once. I get that. Maybe you don't want to take them all at once. I get that.

Maybe you don't want to take them so early in infancy. I get that. Take the vaccines. Please take the vaccines. And if you're – what was the age group for the inadequate vaccine? We were in that age group. There was a group that didn't get a vaccine that was effective into adulthood. Is it the polio thing?

No, no, no. It's us. It's measles. But it was in our age group. I had measles. If you've had it. If you've had measles, you're also good for life. And your age group should be fine.

You can get your measles titers taken to see if you need the vaccine. But it's a horrible disease. Terrible disease. It's a terrible illness. In adulthood especially. It's really bad. But there's a really interesting thing in here, which is, okay, all the, not all, but a lot of the public health officials at the state level are pediatricians. They have no training in adult medicine. They

were making risk reward decisions in an adult disease called COVID. They're not trained to do it. The reason it's mostly pediatricians is because most of public health is about vaccine therapies. And they are in a position to make those recommendations. And so they've done so. Oh, shit. What was I going to say about these guys? Oh, what I'm noticing, I interviewed Peter Hotez, and I noticed that their risk tolerance is very different than adult doctors. Interesting. And so if they're, say, 200 children die of measles in a year,

they are beside themselves. This must stop. And they're willing to take inordinate risk to get that to stop. And I think there's something wrong there in terms of their risk tolerance and their risk reward thinking, their analysis on this. So I'm kind of worried about, you know, I just don't quite know what to do with this world where, you know, we demand a 22-year-old male with no risk for Omicron to take a vaccine with a 1 in 10,000 risk of myocarditis. Why would we do that? That's pediatricians doing that.

Until they can come up with a proper way of describing the risk-reward, and they have to talk about the risks of vaccines. They have to talk about it to convince people what the right path is for their child. Well, I'm just waiting for the 8 or 10 million people that have come across the border unvetted medically. Because I know even years ago, I remember a single shift, we found two tuberculosis new diagnoses. You never saw that. And so- Oh, now you mean? No, this was like 10 plus years ago. In the 80s, we saw routinely. You know what the number one cause of seizure was? Back then, it was during the El Salvadorian Civil War and the Nicaraguan Tricies.

And so it was all massive. People don't know there was a massive influx into Southern California. And you know what our leading cause of seizure was? Cysticercosis. Cysticercosis. Tapeworm in the brain. I thought that was a metal band. We saw liver fluke routinely.

We saw ascaris all the time. Yeah. I even saw an ascaris wedged in someone's common bile duct. Oh, no. And so, I mean, I've seen crazy, crazy shit. Parasites. Parasites, which is tropical medicine we normally don't see. But what about all these people coming in?

It's like, okay, this is where I say, now I'm a racist, right, because I'm concerned. But at what point do you have a group that, what is it, 22% unvaccinated? That's when you can get into an epidemic level when something can really spread. So that's these childhood diseases and then the COVID thing where people are anti-vax, and then the pharmaceutical. I had one father tell me, I'm not going to let my kid profit the pharmaceutical companies with their voice. It is crazy how the COVID vaccine and the negative response, the backlash to it, has caused people to think all vaccines. Yes. Well, they've started to reconsider vaccines.

And if you start to look at that data, it gets confusing because people won't talk about the risks. You have to educate patients. How else do you do informed consent? I don't understand. But you know why there's less ascaris now coming in? Why? Because asylum seekers, do you know what they're required to take for five days upon entering the country? Ivermectin.

Ivermectin. Yeah. The CDC requires that. Really? Yes. That right now they're doing that take for five days upon entering the country? Ivermectin. Ivermectin. Yeah. The CDC requires that. Really? Yes. That right now they're doing that? Right now it's on their website. Well, too bad it doesn't kill TB and measles.

I've seen a lot of TB, too. A lot of TB. Oh. Things that are so scary that people, oh, TB, that's nothing. So I have a patient, a wonderful patient, robust 80-year-old TB, So I have a patient, a wonderful patient, robust 80-year-old TB, and multi-resistant, had to take five drugs, right? You have to take five medicaments for six months, five toxic medicines, went into hepatic failure, got COVID, bad COVID, right then. So can I use Paxlovid? What do I do?

He'd been fully vaccinated, so I elected to do nothing. I had to have him off everything because he's recovering, his liver failure reversed, thank God. And then we had to put him on three sort of novel anti-tuberculous meds. There's new things out there coming.

And we cured it. But that's how treacherous this gets. And people think, oh, he packs a little bit. It's like, these medical patients are complex. I was going to say, and people are paid based on, they're still paid based on procedures. I know. And then it's like we were talking about internal medicine. You're like the primary care doc for adults.

And the literature, the amount you have to learn and know, we were talking about that, compared to a few decades ago. It's insane. And I think it's caused sort of the people going into medicine. I know emergency medicine is just – there are 800 empty positions. People don't want to go into certain areas where emergency medicine has become sort of this high acuity, every shift, primary care demands. And it used to be the number one residency. People don't want to do it. And I know in primary care and internal medicine, once they get there, there's a very idealistic picture. I want to be a primary care doctor. I want to go in an underserved area. And then, okay, well, you have 3,000 people on your panel,

in an underserved area. And then, okay, well, you have 3,000 people on your panel, and that's your responsibility. But 15 minutes per visit and one complaint, and it becomes overwhelming in terms of the stress. So I don't know where I'm going with all this. Well, that's where I used to complain about attorneys and stuff because they were creating some of that stress at that time. But now it's just everything's a mess.

It's so bad. It seems like it. It's Burger King. But now it's just everything's a mess. It's so bad. It seems like it. It's Burger King. Yeah. We're so used to this on-demand mentality now that goes with treatment, right?

Well, I think this, you know, and kids, it's just the smartphones, everything happens right away. And it's like, I was watching this, I was in the bank, unfortunately, and there was a two-year, four-year-old kid doing the TikTok thing. Oh, yeah. unfortunately and there was a two-year four-year-old kid doing the tiktok thing oh yeah and i was like and the mother was on her phone and i'm like that kid's brain is going to be like a heroin addict you know it's like it's so geared towards immediate gratification speaking of gratifying somebody immediately i want to hear from our friend jordan harbinger you're about to hear a preview of the jordan harbinger show with iconic musician and producer Moby. It's a super real conversation about fame and mental health. Moby was really open on this one. My first punk rock show was to an audience of one dog. And my first electronic music show was to Miles Davis. 1999, I thought that my career had ended. My mom had died of cancer.

I was battling substance abuse problems. I was battling panic attacks. I'd lost my record deal. And I was making this one last album. And I was like, okay, I'll make this album. I'll put it out. I'll move back to Connecticut. I'll get a job teaching philosophy at some community college. And then all of a sudden, the world embraced me. I handled fame and wealth really disastrously. It was so humiliating. I wouldn't trade any of it. For more from Moby, including how he bounced back from a 400-drink-per-month booze habit, check out episode 196 of The Jordan Harbinger Show.

All right, we're back. So what else you got for us, Chris? Are you guys worried about microplastics? Because, I mean, there's a thing about – Yeah, I'm worried about estrogen in plastics. Really? Estrogenation, great book. Estrogenation, you read that book?

No. It's very compelling. Did you hear the study out of New Mexico, University of New Mexico? They said there are microplastics in every human placenta. Yeah, but this is – Are they interdating? There's everything and everything these days, so I don't know what to make of it. There's lipo – what's the – liquid nanoparticles in the ovaries.

Yeah, and tell me something. We wouldn't even know. Right. I don't know what to make of it. Until somebody can show me a pathology from these things, it's just – I don't know. I don't know what to make. Maybe. Maybe a problem.

I'm open to what to make. Maybe, maybe a problem. I'm open to it. Right. Do you think in the last, I don't know, 30, 40 years, the introduction of plastics has affected us? And have you seen any? What kind of effects? I think the estrogen story. I think the hormonal story.

I think that's it. I was looking at some science website yesterday. There's somebody that's studying toxins in the environment, and they're documenting it, and they're using computers, and then they're looking at prevalence of certain illnesses. And what are they seeing? Well, it's looking at – right, and cancers. But they're looking at the combinations in the environment. And in certain areas of the city, they're actually measuring chemicals in the air and going back in time. And so it used to be concerned for lead.

Now it's like chromium and arsenic are just as big a problem as lead is, but nobody was really looking at that. So it gets to be – that's one issue. Okay. So that's a – it's sort of like background interference. But what about all these other toxins that we're exposed to from from cradle to death you know and it's like what i always you know don't you wonder brain tumors you know pancreatic cancer the prevalency rates of these things and lung cancer what's going on with that yeah so is it impossible to avoid plastic to

where this wouldn't affect you i mean it, it's everywhere. Yes. It's impossible. It's impossible. How would you do it? I don't know. Don't put plastics. Avoid plastic bottles. Don't put them in your dishwasher on the lower shelf, too. Oh, yeah. Is that right? It's super hot.

Well, they're super heated down there, so plastics, I think, I tell the family. Oh, yeah. Don't put plastic in the microwave. Oh, that's a good one. Right. Yeah. What do you guys think about the Alabama IVF ruling? Didn't we talk about this?

I did. I said it's the extreme left, extreme right. These guys are nuts. Yeah, they make us crazy. They make you crazy. Yeah. And it's never biologically, medically accurate or consistent. I mentioned the other contraceptive thing.

medically accurate or consistent. I mentioned the other contraceptive thing. So, you know, the extreme pro-life people don't take any issue with IUDs, which work by causing an abortion. That's how they work. And the people on the left, if somebody with a three-month-old fetus is killed, that's murder of two people. But if you take the one person out of the other person,

well, that's not murder. I mean, none of these things are, they're so intellectually dishonest and inconsistent. That's what drives us crazy. It feels more like they're just feeding the culture war. They're just fighting. They just want to fight. This is Adam's thing. Just grievance, grievance, grievance.

Right. Yeah. So, and I, you know, I don't know. I don't, I don't. Because you. Look, here, no one ever gives the real good arguments, by the way. Yeah. So, and I don't know. I don't – Because you – Look, here – and no one ever gives the real good arguments, by the way. No. You know what the good argument is against pro – wait a minute. The best – look, I understand people want to protect life.

And if you want to protect life, it's easiest to point at the moment of conception. I get it. I get it. So, what is your obligation to protect that life? No one ever talks about that. So if I come up to you, Chris, and I go, I pull you off the street and I go, because of something you did yesterday, only you can save this guy over here who's a violin player. He's eight years old.

He's going to be the world's greatest virtuoso. But, and you can leave him in nine months. You can just be done with him in nine months. But for nine months, I'm going to hook your circulation system up to his. And you're going to have to be kind of limited in your activity while he takes your circulation for nine months. What is your obligation

to do that? Right. And if you don't do it, he's going to die and the world's going to lose a great violinist also. What is your obligation? I don't have an answer to that. No one ever talks about these interesting questions, which are really at the core. It's weird, right? And by the way, it's never going to happen to you because you're a male.

So should you even have an opinion about it? I shouldn't even be talking about it. Well, that's kind of the way I feel. So I get both sides. I get both sides. I get both sides of most arguments, which is what gets me in trouble. Most of it's through the people in power. Again, it's the narrative, and it just happens to be right now. What you said would be shot down.

First of all, you're a male. I think you're whatever your pronouns are. And you're an older white guy.'re whatever your pronouns are and you're older white guy it's just you wouldn't get and i'm willing to let it go you might get beaten up if you go to berkeley sorry and and try to have this discussion what would happen i mean they'd go back and oh dr drew you're what did i say all right yeah we shouldn't even be commenting on this yeah especially you do you have a me. You have a beard. I do have a beard.

How do you know he's not a girl? I don't have boobs, though. What are his pronouns? Yeah. I need to exercise more. So I've been hearing a lot about prion proteins lately. They're not really. Yeah, they're proteins. Yeah, yeah.

They're proteins. They're reproducing proteins, yes. Yeah. First off. Don't eat any deer. The zombie deer disease. Hey, prions, I've worried about prions since I was in medical school. Jakob Kreutzfeld disease is no bullshit.

Have you ever seen it? Oh, it's horrible. It's terrible. Yeah. It's like mad cow disease in a human. But it destroys people in like six months. I mean, it destroys them. Right.

Fast. Yeah. And there's a Kreutzfeld-Jakob disease as well. Yeah, that's what I said jacob oh that's the same yes we used to say bovine spongiform encephalitis we used to say jacob kreutzfeldt now they say kreutzfeldt jacob it's whatever oh jacob is jacob yeah yeah okay i've been saying but your brain looks like swiss cheese yeah it's it's spongiform it looks like a sponge bovine spongiform encephalitis first Also called, what was it called in the Pacific Islands?

Oh, I'm blocking it. Kuru. Kuru, right, right. But it's all, the deer population is crazy. Yeah, and so you go hunting and people. Can you cook it out? No, you can't, right? No, no.

So, and then. Like bad cow disease, right? Right. And then, so some of the, you know, fast food stands, there was one like in Redlands. Oh, we're in trouble. But anyway, so brain. People eating brain. Yeah.

And I have a British friend. He's American, but I'm from England, and he loves brain dishes. And I'm like, brain is the last thing. That's terrible for my gut. Oh, my gosh. I'm eating bison viscera these days. Viscera? Yeah.

Viscera is extraordinarily healthy. I know. That's why I eat it. I hope brain's not in the mix. I'll have to find out. How are you preparing that? A friend of mine, this group that I'm working with

creates this thing called Bison Trifecta. It's a holistic goddess is the group. It's an officer of the wellness company. And I'm a big believer in viscera and I've never been able to get enough. And so I started taking their bison. Well, so zombie deer disease spreading, obviously, we're trying to avoid

eating them, being around them. Don't eat their feces. It's so good. But they haven't confirmed if it can be transferred to a human. Preons get through. Preons get through. The thing is, it takes a long time to get clinical and then you're done.

It's years and years and years before you're aware of it. And then you're done quickly. You know what? We didn't talk about Kratom. God. Oh my God. Kratom's a disaster. You're here to Kratom?

I've heard the word. It's a weak opiate. It's in chocolate bars. That's right. In pot clubs. Oh, but they're- I don't participate. Oh, but it's-

So it's like tramadol. It's got norepinephrine, serotonin, reuptake inhibition, and opiate receptor stimulation. So people- You buy it in a health food store. Well, I don't know health food store. You buy it in a head shop. Head shop, yeah. But I got-

Psychosis. Okay, what happens to a bipolar patient and you give them an antidepressant? They get nuts. They get psychotic. or well I don't know health food so you might have a head shop head shop yeah but I got you know psychosis okay what happens to a bipolar patient and you give them an antidepressant they get nuts they get psychotic nuts out

so these people start taking more and more I had a guy 15,000 bucks a month on Kratom I've seen many Kratom addicts now yeah

and it's now oh use it to detox it's a natural painkiller use it okay whatever yeah anyways how bad

how bad are the addicts are they I'm the same as any other opiate addict. Really? Same. Yeah. How about gas station heroin? Salazine?

What is it? No, no, no. Tineptine, I think it is. Oh, that's a new one for me. I haven't seen that. It's an atypical tricyclic, and it's used in Europe as an antidepressant, anti-anxiety agent. I've not seen it.

Yeah. And then some of it has synthetic cannabis in it, synthetic THC. Which makes people seize and crazy. Yeah. But it's not outlawed in California. You can probably get it here. But it's another problem, opiate, that's, yeah. There would never be a non-addictive opiate.

Just remember that. All opiates are addictive. Mu opiates are addictive. Mu opiates are addictive. And then speaking of prions too, a new study just said that they were able to transfer Alzheimer's through prion because they did

years ago, like 85. So, here's the problem. Yeah, dementia. Dementia is probably going to end up being, what would your guess? How many different illnesses? Oh, 10 to start with. Oh, I'm going to say when we're done. Yeah, it could be a point of so many.

It's going to be 200 or 300 illnesses when we're all done, when we figure out all the different types of dementia. But right now you could sit in. Now you could list 10. Vascular. Wendy Williams has frontotemporal dementia. Oh, right. That's horrible.

Horrible. And she's getting all the behavioral stuff that goes with that. They get wacky. Wendy Williams has frontotemporal dementia. Oh, right. That's horrible. Horrible. And she's getting all the behavioral stuff that goes with that. They get wacky. There's Pick's disease. We used to call it Niemann Pick's disease. Right. That's Pick's disease. There's Alzheimer's dementia.

There's probably 50 illnesses in Alzheimer's. There's vasodementias. There's various types. And that's just the beginning. That's just where we start with these things. Is there anything we can do personally to avoid? Exercise. Exercise.

And Lewy body. That's one that I'm sure. Lewy body. Oh, right. That's what Robin Williams said. But that's a crazy. I'm wondering if Wendy has Lewy body. She looks a little bit that way to me, too.

We'll see. What do you mean she looks a little bit that way? Have you seen the videos of her behavior and stuff? I saw a clip of her in a bed. And people are like, it's not okay for her to talk like that. Her brain doesn't work. Her brain isn't working. What is wrong with people?

I wonder about the cocaine and meth in the past, heavy usage, if that's coming to roost in the brain. But that would be more vascular, more Alzheimer's usually. Well, except the dopamine. Who knows if it blows out their receptors? I don't know. Yep, yep,'s usually? Well, except the dopamine. Yeah, yeah. It blows out their receptors. I don't know. Yep, yep, yep. Had to bring some drugs in.

Cytotoxicity, we call that. And then lastly, a new study, more women may be psychopaths than previously thought. Really? Speaking of psychopaths, James Fallon. Do you remember that guy? Yeah. He died of a brain tumor. He just died.

No. Yeah. And he was doing brain tumor. He just died. No. Yeah. And he was doing research on psychopathy. He was doing all these functional MRIs and he had a bunch of controls on his desk. Him and his family were doing the controls and his research assistant said, go through these controls and let's just unlabel them. So he was going through the controls on his desk.

He goes, oh my God, there's one of the psychopathic patients MRIs here on my desk. Got me in the mix and And he opens it up. It was his. His. We did weekly infusion with him. Yes, we did. So if somebody wants to go back to weekly, that was a great segment there.

Great episode. He's a brilliant dude. And it turned out he discovered that most psychopathy is genetic. And it's usually genetic, not a direct lineage lineage but like cousins and uncles is like it's like one removed and he talked to his mother was able to it was through her side of the family and he went all the way back and found out he was really in his version of psychopathy throughout history their family history usually there was acting out only on family members yes his psychopathy was and his family reported like,

yeah, everyone loves you except us. You're an asshole to us. He was – all the way back he was related to Lizzie Borden. Yeah. Who killed her family. That was fascinating. Who killed her family. That was fascinating.

That's genetic. It has a genetic component to it. It's a biological thing. Your brain doesn't perceive emotions normally. Well, so this is done by Dr. Clive Boddy from Anglia Ruskin University. So he just says that basically since we've been studying psychopathy, it's been very male-oriented. Just all the tests, we'd use incarcerated individuals.

And then he started saying, well, let's skew it a little bit more towards the female brain and females as well. And he said that they described female psychopaths as prone to expressing violence verbally rather than physically. Yep. Socially and verbally. Yeah. And estimates suggested that originally it was a 10 to 1 ratio of male to female psychopaths.

Now it's 1 to 1. A friend of mine does, she's a brilliant psychologist and a lawyer and whatnot. And she primarily focused on adolescent female. And she says the scariest patient she ever works with. She worked and she worked with psychopaths for the FBI for a while. And she was, had some crazy stories about that. She goes,

but really the scariest ones are the female psychopaths, young female psychopaths. Are they misidentified as, as borderlines? They get borderline or sociopath and they manipulate men and cause all kinds of crazy damage and stuff and don't care. Yeah. Do not care.

I feel like I've met a few of them myself. Oh, sexist. Sexist would say. They do a lot of – and they trap people online and then act out on them and stuff. Wow. Oh, it's like – I mean, I'm not saying that every female is a psychopath, but I do see the emotional violence. What he's saying is he attracts psychopaths. There we go.

Get out of here. You walked in here. We're two doctors here. You are. You can't fool us. We're used to bullshit, too, by the way. We're addiction doctors. And you're going against the grain.

You know my nickname for him is Lexidazical. Oh, we're not Maxipata? No, Lex. I don't have nickn Lex. All right, guys. Great show. Thank you so much. Bruce, thank you for being with me this week. It's always a pleasure.

I am replacing Adam Carolla, correct? That would be great. You're going to get kicked out today. Chris obviously loves it. The boys in the booth learned a bit here. And that's it then. Well, look for me at RumbleGhost. Please sign up, subscribe to the Rumble channel.

Bruce is... Dr. Bruce H at AOL. There you go. I do like that. I've got 70,000. Chris, anything for you? Anything you want to say? Hey, check out the Rumble channel. Bruce is... Dr. Bruce H at AOL. There you go. I've got 70,000. Anything you want to say? Hey, check out the Adam Carolla show. We just celebrated 15 years of podcasting. I saw that. Something like 3,800 episodes.

Wow. 200 days of continuous podcast talking. What happened to my health segment? How do you guys do without me? Yeah, we need to. We need to. I piss off Adam. That's why I get under his skin. I'm going to play in this episode. Good times.

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