Weird Medicine: The Podcast - 309 - A Dish Best Served Cold

Episode Date: April 28, 2018

Brian from RadioFreaks podcast monopolizes the show in a subtle and successful effort to do to Weird Medicine what Dr Steve did to his show when Colin Quinn was on (go to r/drsteve on Reddit for more info!) Well played, sir. CHECK OUT: stuff.doctorsteve.com simplyherbals.net Learn more about your ad choices. Visit podcastchoices.com/adchoices

What does a grape say when it gets stepped on? Nothing. It just lets out a little wine. You're listening to Weird Medicine with Dr. Steve on the Riotcast Network, Riotcast.com. I've got diphtheria crushing my esophagus. I've got Tobolivide stripping from my nose. I've got the leprosy of the heartbound, exacerbating my incredible woes. I want to take my brain now, plastic with the wave, an ultrasonic, ecographic, and a pulsating shave. I want a magic pill.

All my ailments, the health equivalent of citizen cane. And if I don't get it now in the tablet, I think I'm doomed, then I'll have to go insane. Quim, of my disease. So I'm paging Dr. Steve. It's weird medicine, the first and still only uncensored medical show in the history of broadcast radio. Now a podcast. I'm Dr. Steve with my little pal, Dr. Scott,

the traditional Chinese medical practitioner who keeps the alternative medicine assholes at bay. Hello, Dr. Scott. Hey, Dr. Steve. She, who will do most anything for a glass of expensive wine, it's Lady Diagnosis, everyone. Hey, Dr. Steve. And from White Pine, Tennessee, it's Derek Johnson.

everybody. And my wife, Tasey. What's up? This is a show for people who never listen to a medical show on the radio or the internet. If you have a question, you're embarrassed to take to your regular medical provider. If you can't find an answer anywhere else, give us a call 347-7-66-4-33-23. That's 347. Pooh-Head.

You're listening to us live. The number 754-227-36-47. That's 754. 22 penis. Or 754, bare nap. Which is also just as valid. That's your favorite, yeah. Follow us on Twitter at Weird Medicine, Lady Diagnosis, and D.R. Scott, W.M.

And visit our website at Weird Medicine.com or Dr. Steve.com for podcast, medical news and stuff you can buy or go to our merchandise store at CafePress.com slash Weird Medicine. Most importantly, we are not your medical providers. Take everything you hear with a grain of salt. Don't act on anything you hear on this show without talking it over with your doctor. Nurse practitioner, physician, assistant, pharmacist, chiropractor, acupuncture, There's Yoga Master, Physical Therapist, or whatever. Aesthetian.

Ooh, esthetician. That's a good one. We could say that. You know? It's a thing. Our merchandise store, we'll sell about like one Bristol stool scale mug a week. And I think we get 38 cents for each one, but it's just funny. And a lot of it, I think, are people that don't know weird medicine.

We're selling like this generic. one that's on there. And I think people are just looking, what are they searching for to find that? You know, shit, turd mug or, you know, gift with fecal matter on it or something and they come to our stupid merchandise store. But anyway, it's cafepress.com slash weird medicine. You have a cool shot glass on there, too, that we still use. So anyway, don't forget to go to stuff.

Dottersteve.com for all your Amazon shopping needs. Stuff.doctrsteve.com. Thank you for checking out that page and tweakeda audio.com from Franklin, Tennessee. Offer code fluid, FLUID, not F-L-E-W-I-D, which I see on Twitter all the time, or F-L-O-O-O-O-O-O-O-I-D. But it's the actual word fluid for 33% off your purchase, which is a big deal. You know, sometimes you get 5% off or 10% off. something you're buying a pizza and you get a coupon you get 5% of 33% off is a big damn deal it's more than 5 and 10 yes it is very good lady diagnosis the amateur mathematician in the group 33 is more than 5 or 10 simply herbals dot net that's dr scott's herbal website you don't sell those pills though on there do you

because that's not a simply herbals brand no it is not yeah that's too bad but he does have his nasal Rinse, which is awesome. Derek has one of those. I'm pretty sure that's the new one and not the one that I've already used because I said it right here and you got that one. So you're good. You got the used one. You're good. And let's not forget, we've got Vic Henley coming August 2nd. It's just going to be a big party. It's outdoor. There'll be craft beer, food trucks, August 2nd, Allendale Mansion in a town called Kingsport, Tennessee. There's a nice resort that's near there that you can stay in. Good ice cream shop down the road

Oh yeah That's where Tim Dillon And I went and we shared No we didn't share He had the biggest Banana split I've ever seen Yeah he So Tim Dillon

Did a comedy thing for us last year And it was They got doubled the attendance They'd had for any other event That they've ever had And Tim was absolutely hilarious He was Yeah

And he Oh God that was fun And nobody had ever heard of him Because he's kind of still Coming up You see him stuff now. But, you know, he wasn't a famous, you know, a Jim Caffigan type fame comedian, so people didn't know what they were getting in themselves into. And they loved him. They absolutely

loved him. And after it was over, he wanted to go get ice cream to celebrate. And, you know, he said a lot of the promoters will tell him no and stuff. And this is why we did this. You know, that they would shit on him. You know, we did this in the first place because Jim Florentine was talking about how poorly he was treated on the road. And it's like Jim, to us, is a superstar and he's a friend. And it made me feel bad. How badly these people were treated on the road. You have to eat from the comics menu.

And it's like a plain hamburger. And it's like the owners are afraid they're going to somehow eat up all their profits or something. I treated them really well. So, yeah. So, you know, I got a few bucks out and hand it to Lady Diagnosis and take him to Skips. skips diners right next to this place and they have the best banana split and he he was so enamored of that banana split because it's monstrous I mean it's it's something for big you know big Tennessee fatsos and um and the ladies there loved him yes oh it was fun yeah and they he took and put it on

his Instagram yeah yeah that's funny so I'm glad he enjoyed that and he enjoyed being here so it's It's a fun time, so try to make that. We do have fun with it. Yep, yeah. All right. What else? Check out premium. Dottersteve.com, too, for all of our archives,

buck 99 a month. If you want to really be a cheap skate, go for the buck 99 and download everything and then just cancel your membership. So for two bucks, you can have everything. Probably don't start with that. It's your show. It's fine. Our kids have to go to college, so don't do that.

I need new shoes. So, let's take some phone calls. Don't take advice from some asshole on the radio. That's exactly right, Ronnie B. Thank you so much. More wise words have never been said. And listen, everybody, it's wood floor liquor. How's it going, buddy? Hey, guys.

The host of The radio freaks. The radio freaks. And are you guys back broadcasting yet? I know you had a baby not too long ago, and it might have put a little cramp in your, or crimping your style as far as doing podcasting. It's not even so much the baby,

but shortly after we went on hiatus to get ready for having the baby, my computer took a dump. And with everything going on with, you know, the baby coming. Sure. Well, you live in Philadelphia, it'd be hard to get another computer in a place like that. I'm just saying I was too busy and I was working and I didn't really have expendable cash that I wasn't spending on the baby. Gotcha. That part I definitely understand. So anyway, so what's up, man? To what do we owe this delightful call?

I called to talk to you about an interesting thing that involves me. that I'm sure a bunch of other people are going through. I kind of caught a few minutes of your discussion a few weeks ago on narcotics and stuff. Oh, yeah. And you and I've had this conversation. But after my multiple stomach surgeries, each of those surgeries I was released from the hospital on Deloaded. Because of the controlled substance, they didn't really want to give me a whole lot of it, which I understand. Yeah, aka hydromorphone for people who are following along at home.

Right. Okay. Exactly. Yep. So they put me on an extended release version, which I've been on for, I don't know, two, three years. It's called Exalgo, and it's extended release hydromorphone. So it's like a dilauded delayed release. Okay, yeah, go ahead. Right.

It's also got that special coating on it that prevents chopping it up and snorting it or, you know, using it in a way that's not intended. Right. There's some abuse deterrence building to it. Right. That's one of the reasons why the doctors would rather have you on that than the regular dilauded or hygrimorphine to begin with. Yes, and there's another reason for that, too, is that you don't get the peak.

Addiction is driven by the peaks and troughs of these medications when they hit. And the hypothesis is that if you use a long-acting one that doesn't peak, like that, you just sort of get a tonic level amount of medication. You're less likely to become addicted. And there's a difference between addiction and habituation. You, I'm sure, are not addicted to your medication, but you might have been at one point habituated to it because if you stopped it suddenly, you would go through withdrawal. But, you know, addicts crave the medication. They will use it for a non-medical use. They will lie, cheat, and steal to get it. They'll use it beyond the point where there's demonstrated harm, that's addiction.

But habituation are people that are using them for a medical purpose, but their body gets used to it and they can't just stop it suddenly. So anyway, go ahead. Well, in that case, I'm addicted to going to the ER when I have a problem because there's nothing else better than them pushing IV delawater into you, and there's no better feeling in the world. I just can't justify it with medical problems enough to go every time I feel like it. No, you're absolutely right.

And people love that. And we've learned stuff from our addict friends because I will go to a hospice meeting and people that work in the hospitals, I can, you know, I'll have everybody raise their hand. What's the number one combination that the drug seekers love? And it's Dilaudid and Fennergan. Fennergan is a phenothysine drug also called Promethazine, which is for nausea. but it was an antipsychotic originally. And it's one of the so-called major tranquilizers, but we use it for nausea. And they love that.

Well, we can learn from that, you know, because if, because who has the higher IQ on what's awesome when it comes to narcotics, but drug abusers, right? They know what's good. And they know that's good. And so when we've got somebody with intractable pain in hospice from cancer, we can learn from that that we can use the phenothysine and the dilaudid together and get. a better effect but anyway go ahead i keep interrupting you with with fun facts sorry so anyway so obviously i'm not addicted to it common sense would dictate that i don't just go to the e r every time

i feel like i want to get high and i also don't abuse my prescription medication in fact my doctor wrote for eight milligram tablets uh two tablets twice daily so that's like 32 milligrams of extended release okay um i actually weaned myself down to only one uh each dose. So only two pills a day. So you're on half. Yeah. Right. So, and that was all voluntarily. So, and thank God I did because a lot of the times when you try to take your prescription early, because you may have taken one or two extra because you were in more pain, you can't get it with the insurance company. That's right. They only limit you to a certain amount so that there's no abuse. Right. And that's kind of the situation I'm running into.

Thankfully, I weaned myself off down to a lower, level because I built up a surplus. The insurance company sent a letter, maybe about two, three months ago, or January, that they were only going to cover now. And we have phenomenal health insurance, both working for the hospital. So our prescription insurance has been great up until now. So because this is a controlled substance, a Schedule I controlled substance, they're only going to... Schedule one is like LSD and stuff like that. But They're going to only cover a quarter of what the doctor's writing for. If I show that there is a medical need for this medication and the doctor can submit proof to that, they will double it.

So I'll get half the prescription, but I still won't get what I've been getting. So it's a good thing I have a surplus and I was able to wean myself down because I'm not going to get it anymore. So they're going to give you half of the 32, which is 16, which you're taking. Is that what you're saying? Yeah. Okay. The problem is, though, I submitted my March prescription to CBS, which is where I get my pills filled. And my insurance is through CBS Caremark.

That's who my employer decides that they're going to use for their insurance company. Yeah. The problem is I submitted my prescription to CVS. They said your insurance company is not going to cover but a quarter of it, so your doctor needs to submit another medical necessity form. It's called a prior approval. Or medical necessity, exactly right. They submitted the medical necessity based on the four pills a day that they were originally prescribing me. So, of course, that got rejected.

Like the insurance company and the doctor's officer going back and forth with the coverage and what they will and what they won't and what they will and what they won't. Meanwhile, it's been a month now. If I was somebody that needed medication, I'd be screwed if I didn't have a service. No, you're right. That's right. So that's a problem. And then on top of that, Pennsylvania, luckily, is one of the states that has approved medical marijuana, but they're making it so hard for people to get.

My pain doctor that prescribes the hydromorphone suggested moving me over to medical marijuana because then everybody should be happy because he's not an opiate anymore. We've got him on medical marijuana. It's all paid for out of pocket. Right. But the problem is the state makes it so difficult to sign up for that. it's incredible too you have to jump through so many hoops to actually do what they want you to do here in Pennsylvania to get a medical marijuana card and the dispensaries are not being able to keep up with the supply so they're often out of marijuana yeah so yeah well on that particular topic there's a study in the april fourth edition of the

british medical journal that this may be an editorial Let me see if I can find the study, but the title is opioid prescriptions decreased in U.S. states where marijuana was legally accessible. So that one should mostly be a no-brainer. There was a new study that just came out. I haven't had a chance to read it yet that kind of showed the opposite effect that people who were using marijuana were more likely to use more opioids. But that's sort of the lone voice crying in the wilderness of these studies. Most of the studies I've showed showed a salutary effect on pain with cannabis. cannabis, either extracts or the whole plant, and a decrease use in opioid.

So your medication, wood floor liquor, if I can call you wood, is when you were taking 32 milligrams of hydromorphone, if you run that through the calculation, because 7.5 milligrams of hydromorphone orally will equal 30 milligrams of morphine or 30 milligrams of Lortab because they're the same strength. So 32 times 30 divided by 7.5 is 128 milligrams of oral morphine equivalents. That's the equivalent to 12.8 Lortab tens. And that's a pretty decent amount of opioid. And they will look at that and look askance at that.

Anything over 100, they start freaking out on these morphine equivalent daily doses. But when you divide that by two, you're looking at six Lortab 10s a day, which would be the same as taking one Lortab 10 every four hours. So that's a significantly more moderate amount, but still a lot of medicine. So I would love to see them work on because you had this. surgery how many years ago now we're looking on probably about three years since my last surgery yeah and you had a nerve impingement syndrome from the surgery isn't that right and that what was causing your pain no no these were all hernius okay you're operations okay and then I also had a massive a massive Mercer infection in my belly after I remember that I thought that you had like

the mesh was impinging on a nerve or something like that it yeah no it was it was infected from the Mercer infection I got So they had to go in and clean it all out and then put in bio mesh as opposed to the regular mechanical mesh. And they also did an abdominal resection. Most of these insurance companies, and there's some data to back them up, say that post-surgical pain, you know, should not be chronic pain. And they are really cracking down on this. And we've talked about it on the show. They're throwing the baby out with the bathwater because there are people with legitimate pain.

or having, even my cancer patients sometimes have a hard time getting their medication, even when we write a letter that says they have cancer pain and they're going to die until we get them in hospice. Once we get them in hospice, then hospice, you know, then we pay for their medicine, and then there's not a problem. We become the formulary. But until then, it's very difficult. And these knuckleheads out there have ruined it for everybody.

And when I say knuckleheads, not just the patients, you know, the abusers, but the people who are supplying the abusers. It's a problem. So if you were my patient, one thing I would recommend is trying a multifaceted approach to this pain. Let's try some topical stuff. Let's try, you know, the Roman army would all line up and poke each other with sticks,

and then the vandals come around and flank them and just destroyed them because they didn't follow the rules of war. And if you're just attacking pain using one front, on you know always marching forward in a straight line you're missing out on some opportunities you want to flank this pain so you want to hit it from a bunch of different angles and doing a more multi-faceted approach to your pain may allow you to get down to a manageable amount of opioids if not all off of them altogether i'd see dr scott and do acupuncture i'd be doing the yoga and all that stuff you already done the weight loss and you put smoking right Did I have what? You quit smoking and all that, right? And you lost a ton of weight, too. I quit smoking actually four years ago.

I lost some weight from the abdominal recession. Oh, okay. Just them scooping out just globs of belly fat. I thought you were losing weight anyway. No, anyway. I was a little bit. I was a little bit, but it's fluctuated back and forth between since I've had the surgery.

Yeah. Obviously getting to your ideal body weight would help. and then doing these, you know, there are other medications other than opioids that are, you know, have a good effect for pain. And, you know, narcotics, as you've already figured out, aren't always the be-all and end-all to pain management. But I don't want the government throwing the baby out with the bathwater and penalizing people who are, who really don't have any other option and making it so difficult for them to get. And you're kind of hitting up against that. And these insurance companies are just by Fiat saying we're not going to pay for it anymore.

I don't want to take over the whole show, but two real quick things that I thought about while you were saying all that stuff. Yeah. Well, I was just going on. It's very interesting, too, that the medical marijuana is not paid for by your medical insurance. That's all out of pocket. So I would like to see, since it's supposed to be a substitute for pain medication that's not addictive, I'd like to see the insurance companies pick that up because that's all out of pocket. And that gets to be very expensive.

Well, the problem is medical marijuana is awesome, is not only awesome, according to Dr. Scott, expensive. But it is illegal in the marijuana is still a schedule one as far as the DEA is concerned. So a national chain like CVS can't carry it. And most of the laws, I mean, when you pick it up there, are you going to a pharmacy to get it? or are you going to do it a dispensary? No, you go to the dispensary. And I understand why it's not covered because the whole federal legality thing. But I would like to see it paid for eventually.

It's just not going to happen with this presidency. Well, okay. Well, the president doesn't make the laws, but, you know, he can, to some degree, drive the agenda. What he can do is tell the DEA to start enforcing the law and, and, and, and, uh, force the issue that it's against the law federally and start going into dispensaries in California and putting people in jail. Now, that he could do. He can't write the laws, only in the legislature can do that. And even the Tennessee legislature is getting ready to pass a medical marijuana law. And so it's really sort of a domino effect. It's rolling across the

country. And when if people would just look at the data and forget about the filthy hippies from the 60s, I get it. I was one of them. Devil's read. Forget about that image and start thinking of this as medication. At least we could get medical marijuana passed on a federal level. Why would we, just for my patients, why would we take a hospice patient deprive them of something that might help them? And there's so much data that says it would help them, help some eat, helps them feel better, has better outlook on their quality of life, all of that. Why would we tell them, oh, no, you have to get your nephew to go cop for you on the street, and God knows what, he's bringing home.

If you're going to do it and you're in jeopardy of going to jail for it. Now, that, to me, is bullshit. So, anyway. Yep. You mentioned that in states where the medical marijuana or legalized recreational marijuana, marijuana even has been passed that the opioid use dropped. Now, what made me think, what I thought of when you said that was, I wonder if there's a correlation between the number of people that use opioids non-criminal, just because

they need opioids, and they take the marijuana and that all of a sudden, you know, allows them not to have to use the opioids anymore. Yeah, well, that's what you're hoping. That's what it is. right and that's that the number is so low because there's so few people that are actually abusing it as opposed to the good people that are just addicted to it because they have no other option yeah here's one this is from the journal of the american medical association okay this is one of the top journals without any hyperbole in the united states you got jama and you got

n e jm the new england journal of medicine those are the two big ones for internal medicine And this article was from April 2018 Association of Medical and Adult Use Marijuana Laws with opioid prescribing for Medicaid enrollees. So what they're looking at, this is a good one because there's a little bit of politics involved in this article as they're trying to show, is this going to save Medicaid money and save the government money? Because they know that you've got bean counters that are looking at these things. And those are the kinds of arguments that they will catch hold with them. And I'm just going to read the results. It says state implementation of medical marijuana laws was associated with a 6% lower rate of opioid prescribing. Moreover, the implementation of adult marijuana laws, which all occurred in states with existing medical marijuana laws,

was associated with a 6.38% lower rate of opioid prescribing. So, you know, I'd love to see 50%, but hell, we'll take 6%, you know, so, or 6% or 7%, and, you know, it just depends on how they were reporting this. So it not only affects how much people are using, but how much people are prescribing. So I am very interested in seeing at least medical marijuana, if not recreational marijuana, pass on a federal level. But anyway, uh-oh, see if this is anybody interesting. Oh, it hits Big Joe, everybody. Hang on. Big Joe, you're on weird medicine.

Oh. Am I really? Yes, you are. What have you got for us today? I just called about his science project. Do you know what it's going to be? Yep, it's next Saturday, from 9 to 3. From 9 to 3?

Yep. At his school? No, I'll get you the address. later. It's, it's, it's, it's at one of the universities. Oh, okay. All right. Well, everybody else on the radio land? Good morning or good afternoon. Well, we thank you. Thank you, Big Joe. Bye.

I'm glad she threw that in there. Yeah, so our, uh, uh, our kid did a science project and he won the school science fair and he's going to the regionals. week. Wow. And he did it on determining Planck's constant using a circuit that he built himself and different colored LEDs. And from that, he could calculate Planck's constant, which is a number that has 34 preceding zero.

So it's like 6.626 times 10 to the negative 34. And he came within 1%. I was pretty proud of that little guy. so he had good good scientific technique he took good data so anyway there you go as smart as you and tacy isn't it inevitable that he would go to the finals of the science fair well i'm telling you this kid's a million times smarter than i ever was and don't forget in my family my nickname was stupid steve so and it wasn't it wasn't a uh a reflection on how shitty my family was although that was part of it but um it was really a

a large part more of a testament of how smart they were my brother is a million times smarter than me so but I have a radio show and he doesn't it's right all right okay man good luck with the whole opioid thing

I feel like I took up most of it yeah you already did well there's we have 30 seconds left thank you Mr. Licker thanks Licker all right bye guys enjoy enjoy see dude

thanks isn't a good answer for that because he has sort of pain that doesn't fit the model that they're looking for particularly because it's post-surgical and that is that is true but that's one reason why I see a lot of those post-surgical cases yeah a lot of those abdominal breast reconstructions after cancers and stuff like that I see a lot of those and you know a lot of people when they go before the board because they've had trouble with their prescribing patterns it's a lot of times it's because they go straight to opioids and don't do anything else right you really have to have a more multidisciplinary approach.

Physical therapy, yoga, acupuncture, you know, different non-opioid modalities. And you've got to document all that. I tried A, I tried B, I tried C. So. And, but that's, that's awesome that he weaned himself off of 50% of where he was at. That's a pretty big number, though. It looks good.

It looks good, but it's still a lot. That was a lot. Yeah. All right. Well, you guys got anything else? No. Nope. I think it's nap time, isn't it?

Everybody's just beat. Everybody's just beat. Thanks always go to Dr. Scott, Lady Diagnosis. Derek Johns, three shows in a row. What to go, Derek? My wife, Tacey. We can't forget Rob Sprantz, Bob Kelly, Greg, Hughes, Anthony Coomia, Jim Norton, Travis Teft, Eric Nagel, Roland Campos, Sam Roberts,

Matt, Duffy, Daniel, Ross, Ron Bennington, and Fess Wattley, who's early supported this show has never gone unappreciated. Thanks also go to us. certain Reddit community that has chosen not to shit on me, and that is also greatly appreciated. It might have changed by the time this airs. You just never know. Listen to our SiriusXM show on the Faction Talk channel, SiriusXM Channel 103, Saturdays at 8 p.m. Eastern, Sunday at 5 p.m. Eastern, on demand, and other times at Don Wickland's pleasure. Many thanks. Go to our listeners whose voicemail and topic ideas make this job very easy.

Go to our website at Dr. Steve.com for schedules and podcast. podcast and other crap. And check out Dr. Scott's website at simplyerbils.net. That's simplyerbils.net. And get yourself some Simply herbal sinus rinse with peppermint oil and saline and buffered stuff in it. It's fantastic. It makes my nose feel like a million bucks. Until next time, check your stupid nuts for lumps.

Quit smoking. Get off your asses and get some exercise. We'll see you in one week for the next edition of Weird Medicine. And because Comfortably none Well shit, Scott, we forgot to do a song today. We'll see if we can butcher one from Bob Dylan. How about that?

All right, sounds good. A little don't think twice, it's all right. Okay, you count us in because I don't want to go too fast. I'm going to count us in and let her rip. You ready? Let's do it nice and slow. All right, three, two, one, and ain't no use, sit and wonder, why'd be, if you don't know by now. Ain't no use to sit and wonder, why be you can never do any how.

When your rooster grow, that'll break in dawn, yeah, look out your window, and go, and now, I'll be gone. You're the reason that I'm traveling home. Don't think twice it's all right. Ain't no use turning on your light, me. That light I'll never know. Ain't no use turning on your light, me. I'm on the dark side of the road. There's something you would say Try to change the mind so I would stay We never did to us talking anyway Don't think twice alright

Oh Ain't no use calling out my name gal Like you never did before Ain't no news Calling out my name gal I can't hear you anymore I'm thinking as I'm wondering out that road I once had a long run of a child I'm told

we never get too much talking anyway don't think what's alright last one so long honey baby where I'm bound I can't Goodbye, it's too good a workout So I'll just say very well I ain't saying that you

Pretty me, I'm kind of Oh shit I was all right I don't mind You could have done I'm better But I don't mind Don't think twice it's all right God damn

What are you doing? I had it until the very fucking end. You did great. That was great. You know what? It's because I tried to do something different. I tried printing it out so I could read it. And then my computer wouldn't get fucked up.

Yeah, that's better. Yeah, it's better. All right. So we're good. Thanks, everybody. You need to flip. I wasn't sure you're going to be here. But here's my page is the next time.

Now on, I'm flipping. Thank you. But it was obviously. I need to help. You needed to flip something. I'm a flipper. She's a great flipper. Thanks.