Weird Medicine: The Podcast - 317 - Foreskin and Seven Years Ago
Episode Date: June 20, 2018Dr Steve and crew discuss the risks, benefits and alternatives to ... that procedure we do to infant boys without their consent. Also depression and inflammation, kratom and long-term use, and more. �...� please visit: stuff.doctorsteve.com simplyherbals.net Learn more about your ad choices. Visit podcastchoices.com/adchoices
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                                        How does Spock make his favorite dessert with a jello mind mold?
                                         
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                                        I need some such yet
                                         
                                        Yo-ho-ho-ho
                                         
                                        Yeah, me garretin
                                         
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                                        So I'm paging Dr. Steve
                                         
    
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                                        And our in-studio intern, comedian Cliff Andrews, aka 49 cent.
                                         
                                        Oh, no, you're Mike.
                                         
                                        Oh, shit.
                                         
                                        My fault.
                                         
                                        Do it again.
                                         
    
                                        Now he turned it off.
                                         
                                        To the rack.
                                         
                                        He's fucking up his show already.
                                         
                                        There you go.
                                         
                                        Try it now.
                                         
                                        Try it now.
                                         
                                        Jesus.
                                         
                                        Hi.
                                         
    
                                        God, I'm so sorry.
                                         
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                                        We'll just let that go.
                                         
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                                        So we need to get both of you guys weird medicine and Twitter handle.
                                         
                                        Yes.
                                         
    
                                        Get you guys some Twitter action on there.
                                         
                                        So maybe by next time.
                                         
                                        You just create an account, tag WM on it, and then that can be a separate account for you.
                                         
                                        Because I know, Evie, you have a personal account.
                                         
                                        Yes, I do.
                                         
                                        But you don't want all these, you know, freaks.
                                         
                                        No, I get enough of that on.
                                         
                                        some sites. I know you do. Oh, I can imagine. I cannot imagine
                                         
    
                                        being a woman on the internet. I've got to be honest with it. Sounds like the
                                         
                                        worst. It's, it's interesting. You know, I get unsolicited
                                         
                                        dick pics. Yeah. Especially, I got one from a guy I went to high school with and I just
                                         
                                        opened it up and there was just dick. Oh, damn. Uncircumcised. It doesn't matter, but
                                         
                                        well, it mattered enough for you to mention it. Well, I'm just saying, it shook you. It kind of shook
                                         
                                        me. I wasn't looking for turtlehead at the time.
                                         
                                        So,
                                         
                                        or Ardvark knows
                                         
    
                                        if it's uncircumcised.
                                         
                                        Yeah, but I don't have anything
                                         
                                        that's uncircumcised. No, no, you better thank you
                                         
                                        for saying that because anytime we say
                                         
                                        anything about circumcision on this show,
                                         
                                        I get four days
                                         
                                        of Twitter onslaught by the
                                         
                                        intactivists.
                                         
    
                                        It doesn't matter to me, either or.
                                         
                                        Yeah, that's what they call themselves
                                         
                                        intactivist.
                                         
                                        and Cliff likes it's true
                                         
                                        And while we're talking about that
                                         
                                        Can your foreskin grow back?
                                         
                                        Okay, no
                                         
                                        Once you've removed it
                                         
    
                                        The foreskin can't grow back
                                         
                                        Now there's a procedure that you can do
                                         
                                        By pulling skin from the shaft forward
                                         
                                        And sort of getting it to stretch over time
                                         
                                        Because you know skin will stretch
                                         
                                        When you do a plastic surgery procedure
                                         
                                        Like if you're going to cover up a hole or if you're going to, for example, if you've had a mastectomy and you want to do implants, not enough skin there to just shove an implant under there right when you do the surgery.
                                         
                                        So what they do is they put an expander under there.
                                         
    
                                        And with a gentle pressure over time, and for the women that have had it, maybe not they would argue with the word gentle.
                                         
                                        But you're using a progressive pressure from underneath and the skin will remodel.
                                         
                                        itself and it will stretch.
                                         
                                        And so you could do that with a series of sort of hook-like things to pull the foreskin.
                                         
                                        But who would want to do that?
                                         
                                        Well, people who are mad that they miss their foreskin.
                                         
                                        That their parents, you know, did this to them without their consent.
                                         
                                        So I guess my boys were going to come back and go.
                                         
    
                                        No.
                                         
                                        Most of them won't.
                                         
                                        And, you know, we've talked about circumcision.
                                         
                                        Hell, I might as well get into it a little bit with you guys.
                                         
                                        there is some evidence that it does harm a very small number of people are harmed by it
                                         
                                        there is some evidence that it is beneficial to a very small number of people
                                         
                                        there will be a very small number of people that will be benefited by not by reducing the risk
                                         
                                        of penile cancer and certain sexually transmitted diseases if they don't have a foreskin
                                         
    
                                        Now, so there's this bell curve.
                                         
                                        You've all seen the bell curve in school.
                                         
                                        So at the very left-hand side, there's a little tiny place you can shade in people who have been harmed by a circumcision.
                                         
                                        And at the very right-hand side, there's a little place where you can shade in a place that says people that have been benefited by circumcision.
                                         
                                        Everybody else is in the middle, you know?
                                         
                                        So it's for them, neither beneficial nor harmful.
                                         
                                        the intactivist will make the point that it is a cosmetic procedure that is done without the patient's consent and they're absolutely right about it because there is, you know, if there was a known, overwhelming benefit to it, then it would make sense from a medical point of view to do it.
                                         
                                        But there really isn't.
                                         
    
                                        So it really is.
                                         
                                        It's a choice.
                                         
                                        We give the parents the choice to do it or not do it.
                                         
                                        And then, you know, there's the religious aspect of it as well for, you know, our Jewish brothers and sisters who, you know, have their kids circumcised as a matter of ritual.
                                         
                                        And, you know, but again, it is for the most part a surgical procedure done without the patient's consent.
                                         
                                        Well, I can see, you know, you know, those who have not been circumcised, I hear that, you know, as far as like masturbation, it's, you know, pretty epic.
                                         
                                        Well, and what do they have to compare it against?
                                         
                                        I think it's pretty epic.
                                         
    
                                        Yeah, it's awesome.
                                         
                                        Yeah, I think it's, yeah, it's totally fine.
                                         
                                        I don't know how to they.
                                         
                                        Now, we have a friend who had a circumcision as an adult,
                                         
                                        and he used to be on this show all the time.
                                         
                                        We need to get him back.
                                         
                                        And he had a circum, one of the arguments against doing it as an adult
                                         
                                        was that it was so painful that nobody would do it.
                                         
    
                                        And our friend Sam Roberts had a, he had what's called fymosis,
                                         
                                        where he couldn't retract the foreskin.
                                         
                                        And when he'd piss, his foreskin,
                                         
                                        just balloon up.
                                         
                                        That's how tight it was.
                                         
                                        And then he'd have to squirt it out of this balloon, you know, at the end of his penis.
                                         
                                        He had a piss balloon.
                                         
                                        And he had a piss balloon.
                                         
    
                                        Exactly right.
                                         
                                        And so he said it was the most painful thing for a week.
                                         
                                        He was on the couch.
                                         
                                        Well, our friend Jefferson had one.
                                         
                                        And I'm not breaking hippie.
                                         
                                        He talked about it on the show.
                                         
                                        They have a new procedure where they sew everything back up instead of leaving it raw.
                                         
                                        And he had no pain whatsoever.
                                         
    
                                        In matter of fact, he played softball the next day.
                                         
                                        Very next to you.
                                         
                                        So that thing, right, it's a bit of a show off.
                                         
                                        But that sort of lays to waste the argument that people wouldn't choose to do it as an adult because it's so painful.
                                         
                                        Right.
                                         
                                        So now every kid that's ever had it done as an infant, nobody remembers it.
                                         
                                        I don't remember it.
                                         
                                        I'm sure I cried my ass off.
                                         
    
                                        I've done, you know, in training, we had to do circumcisions.
                                         
                                        And I trained so long ago really was.
                                         
                                        a political thing then and we did um a penal block on those kids now you're sticking a needle in
                                         
                                        their dick and they didn't like that but then after that they'd be just sucking on their
                                         
                                        pass fire while you're while you're chopping their foreskin off and they're not making you know
                                         
                                        no noise whatsoever no rapid breathing nothing because it was numb um so I don't know you know
                                         
                                        it's I the intactivists that come after me which is hilarious because I'm really more on their
                                         
                                        side than I am on the on the other side yeah yeah I really think it it's you know it it is a
                                         
    
                                        an issue of consent and I totally see their argument on that I do think of what my penis could
                                         
                                        have been you know yeah do you I think about if I still had my foreskin what could it you know
                                         
                                        what adventures am I missing out on I don't know I don't know medication maybe of
                                         
                                        girls girls going what the hell is that you know it's just I don't have anything against I
                                         
                                        mean you used to you know I used to date a guy for very very long time yeah
                                         
                                        well and when it's erect you can't really tell because it retracts naturally it does and i mean there's
                                         
                                        nothing wrong with it but i think you know as growing up is just something you do right right right
                                         
                                        no that's right it's become a kind of a cultural thing where we just do it and then i hear father saying
                                         
    
                                        well i don't want to not do it because i don't want my kid to look different in the locker room
                                         
                                        well if everybody just decided we weren't going to do that we'd have a whole generation of kids
                                         
                                        with four skins and they would all look the same so yeah but anyway but anyway that's um
                                         
                                        It would be like a surprise.
                                         
                                        So what am I going to get today?
                                         
                                        And you get to peel that thing back.
                                         
                                        Yeah, see what I'm getting.
                                         
                                        Yes.
                                         
    
                                        You get a little cheese for your crackers.
                                         
                                        Like opening a Christmas cream.
                                         
                                        Yeah.
                                         
                                        Slighty sleeve of Oreos.
                                         
                                        Just really.
                                         
                                        All right.
                                         
                                        Let's take a quick phone call here.
                                         
                                        Oops.
                                         
    
                                        Uh-oh.
                                         
                                        What did you say, Ronnie B?
                                         
                                        Take advice from some asshole on the radio.
                                         
                                        Well, wait.
                                         
                                        What?
                                         
                                        Number one thing.
                                         
                                        Don't take advice from some asshole on the radio.
                                         
                                        Thank you, Ronnie B.
                                         
    
                                        Area Code 954, you're on Weird Medicine.
                                         
                                        Hi, Steve. Friends, how's it going?
                                         
                                        Hey, good man.
                                         
                                        Hey.
                                         
                                        What's up?
                                         
                                        You want a quick phone call?
                                         
                                        You've come to the wrong one.
                                         
                                        Oh, okay, that's fine.
                                         
    
                                        That's totally fine.
                                         
                                        Totally fine.
                                         
                                        So my question is actually a two-part question or a two-part debate.
                                         
                                        I was looking on the BBC a couple of weeks ago, and I come across a study that some Cambridge professor come across that linked
                                         
                                        depression through inflammation.
                                         
                                        So he's basically saying that
                                         
                                        when you have serious information from
                                         
                                        some sort of condition, it causes depression
                                         
    
                                        and different from the sort of depression
                                         
                                        that you get with the condition.
                                         
                                        Have you come across this? Have you thought
                                         
                                        about this? Is this widely known
                                         
                                        in the medical community? It's not really
                                         
                                        but inflammation
                                         
                                        is the root of all
                                         
                                        medical evil. All disease. Yeah. All disease.
                                         
    
                                        So it doesn't surprise me. The question is
                                         
                                        is the inflammation causing the depression or the other way around.
                                         
                                        Now, you know, one sort of hypothesis of depression is that people are depressed to have a deficiency in these things called monoamine neurotransmitters.
                                         
                                        That's why we use, you know, the early, the early antidepressants targeted these monoamine neurotransmitters.
                                         
                                        and it leads to low amounts of serotonin or epinephrine in the brain,
                                         
                                        but there are some forms of depression that may be linked to ongoing low-grade inflammation in the body.
                                         
                                        And that makes total sense to me.
                                         
                                        Yes.
                                         
    
                                        You know, people with bad teeth who have inflammation in their mouth have an increased risk of heart attack and stroke.
                                         
                                        Yes.
                                         
                                        And we look at cancer and how the real fight against cancer is going to come from the immune system.
                                         
                                        You know, if we have a targeted form of inflammation, so their inflammation could be good.
                                         
                                        But the inflammatory types of cancer tend to be really rampant, you know, and angry types of cancer.
                                         
                                        You know, there was, I think the study that you're looking at,
                                         
                                        That was the one in the Journal of Clinical Psychiatry.
                                         
                                        And what they did was they looked at 14,000 people between 2007 and 2012, and they screened for depression, had blood samples drawn, and they found that the people had depression at 46% higher levels of a thing called C-reactive protein, which is a marker of inflammatory disease.
                                         
    
                                        Now, they were only able to establish an association between the two.
                                         
                                        This does not imply causation, so we don't know if the depression.
                                         
                                        causes the inflammation for whatever reason, you know, it messes with your immune system,
                                         
                                        or is the inflammation causing the depression?
                                         
                                        So we know that stress definitely increases inflammation in the body.
                                         
                                        Exercise probably decreases inflammation, although you could have short-term inflammation of joints
                                         
                                        if they get roused up because you're exercising for the first time in years.
                                         
                                        Lots of foods, Dr. Steve.
                                         
    
                                        Yeah, I'm going to how much data there is on that.
                                         
                                        You know, Harvard has a list of inflammatory foods.
                                         
                                        You want to throw some out there?
                                         
                                        Well, I mean, anything that's, you know, high in fat and low in nutrients is going to be way up the list.
                                         
                                        High in sugar or high in anything that your body doesn't tolerate.
                                         
                                        Me, for instance, shrimp.
                                         
                                        Yeah.
                                         
                                        You know, shrimp's going to cause inflammation in me and it's going to cause depression because I feel crappy.
                                         
    
                                        Well, things that decrease, foods that.
                                         
                                        decrease inflammation right off the bat thing we've talked about in this
                                         
                                        in this studio many times is turmeric sure and uh tomatoes olive oil olive oil
                                         
                                        olive oil is a mono unsaturated fat those are that's a good fat
                                         
                                        avocados fish almonds walnuts berries that kind of stuff hey i tell you what dr scott
                                         
                                        just because we're looking at this inflammation and depression link and we know
                                         
                                        turmeric is an anti-inflammatory do a pub med search on turmeric and depression
                                         
                                        and now that wouldn't that be interesting we'll just make it make that link right now yeah
                                         
    
                                        can i just take a moment to just appreciate the accent i'm just saying oh yeah oh yeah yes i'm
                                         
                                        just i'm just badass 9 5 4 c south you south florida uh yeah i was formerly mark from
                                         
                                        london but we've just moved to to the miami area oh yeah also i'm now mark from
                                         
                                        Miami instead.
                                         
                                        Say that again.
                                         
                                        Say that again, please.
                                         
                                        You need to come to the studio.
                                         
                                        I believe you and night nurse Evie could make a go of it right now.
                                         
    
                                        We were done there not too long ago in that area.
                                         
                                        Well, I would just came back from London with my kids, too.
                                         
                                        And there was the first trip out of the country.
                                         
                                        I wanted to take them someplace where they'd feel kind of at home.
                                         
                                        And they really did, and they loved it.
                                         
                                        I have family in London, so.
                                         
                                        You know, TV there is a little different.
                                         
                                        They have a game show called the TV.
                                         
    
                                        chaser. Have you ever heard of this?
                                         
                                        No. Now, do you know what I'm talking about?
                                         
                                        Yeah, the chase. Yeah.
                                         
                                        The chase. I think they're talking to do as well.
                                         
                                        Okay, so they have a black guy on there, and they call him the dark
                                         
                                        adventure. Oh, no.
                                         
                                        The dark destroyer.
                                         
                                        The dark destroyer. That's it. The dark destroyer.
                                         
    
                                        And it is the, and we were just like,
                                         
                                        I cannot believe they're saying this.
                                         
                                        Oh gosh. Okay.
                                         
                                        The dark, here we, and here, and here, and with the British accent to it.
                                         
                                        Hello, it's, here he is the dark destroyer.
                                         
                                        I can't do it, British, destroyers here.
                                         
                                        There you go.
                                         
                                        You know for my penis.
                                         
    
                                        And he revels in it.
                                         
                                        Okay, so here we go.
                                         
                                        Okay.
                                         
                                        An anti-inflammatory compound in turmeric may benefit those with depression.
                                         
                                        Researchers are finding mounting evidence that an anti-inflammatory compound in a common kitchen spice might help reduce symptoms of
                                         
                                        major depressive disorder so there you go give yourself a bill so i think it's fascinating i think
                                         
                                        we're looking more and more at inflammation as a root cause and surely as a marker of disease
                                         
                                        and it'll be uh it does if if the turmeric improves depression in a clinically significant way that
                                         
    
                                        does imply that it's the inflammation causing the depression not the other way around it can heal
                                         
                                        cavities too what turmeric yes get out of here
                                         
                                        I've tried it.
                                         
                                        It actually works.
                                         
                                        How do you heal a cabin?
                                         
                                        Well, it just draws out the toxins, I guess, or whatever.
                                         
                                        It just makes it hurt, blast.
                                         
                                        Yeah.
                                         
    
                                        I mean, you still got to fill a cavity.
                                         
                                        Yeah, you still have to feel it, but it just, yeah, I had to, you know, try it on a baby tooth.
                                         
                                        So, yeah.
                                         
                                        Oh, okay.
                                         
                                        Well, cool.
                                         
                                        I'm not going to call bullshit on that.
                                         
                                        I have no data either way on that one.
                                         
                                        Yeah, so the bottom line is antidepressants or anti-inflammatory diets may help.
                                         
    
                                        depression yeah
                                         
                                        interesting
                                         
                                        um always
                                         
                                        don't self medic don't self
                                         
                                        treat for depression if you have
                                         
                                        if you have clinical depression you still need to be
                                         
                                        followed by a health care provider
                                         
                                        but anyway mark what were you going to say
                                         
    
                                        so just the second part which kind of
                                         
                                        follows on from that is I've always
                                         
                                        been fascinated why uh you know the human
                                         
                                        body without any kind of medical intervention
                                         
                                        uses things like inflammation
                                         
                                        to sort of uh
                                         
                                        to react to injuries and
                                         
                                        and diseases if it's so natural
                                         
    
                                        if it's sort of in our genes, why are we so quick to change it?
                                         
                                        And the same with temperature.
                                         
                                        If, you know, temperature is there to fight viruses, why are we so quick to reduce temperature?
                                         
                                        Right.
                                         
                                        I'm not really sure what they're thinking is.
                                         
                                        Okay.
                                         
                                        So I have a sort of an answer for you.
                                         
                                        One thing is, so chronic body inflammation, and you're right, we use inflammation to fight off
                                         
    
                                        bacteria and stuff when we get an abscess and then, you know, wall it off and try to kill the bacteria.
                                         
                                        inside. So that seems like a good thing. But chronic inflammation kills us when we're 65, 70, 80,
                                         
                                        50, somewhere in there. We're long past the time when our ancestors had already passed on
                                         
                                        their genetic material to the next generation. Our ancestors, you know, started procreating probably
                                         
                                        between 14 and 16 and were done by the time they were 20 something because they were dead by the time
                                         
                                        they were 30.
                                         
                                        Right.
                                         
                                        So these things that we look at now, like cancer, and these are things that are, except very
                                         
    
                                        rarely, our ancient ancestors really didn't have to deal with.
                                         
                                        These are products of errors that have no evolutionary drive to them.
                                         
                                        There's no evolutionary drive for me to have a healthy immune system at age 60, right?
                                         
                                        Because I've already, I'm done passing my genetic material on.
                                         
                                        so that's why and now the the temperature thing temperature does help the body to a certain extent fight viral infections and to a certain extent bacterial infection no one's ever cleared a virus from their body because their temperature was elevated you know it may facilitate it to a small degree but that's almost really a byproduct of of you know total body inflammation rather than
                                         
                                        a truly beneficial cause.
                                         
                                        So you're not going to prolong any pneumonia or anything
                                         
                                        by giving somebody ibuprofen for their fever.
                                         
    
                                        Right.
                                         
                                        And certainly the reason, another reason why we see, you know,
                                         
                                        certainly for me, not Dr. Steve,
                                         
                                        but, you know, we see people in our office all day long
                                         
                                        on our pain medicine clinic all day long.
                                         
                                        It's all about inflammation.
                                         
                                        And most of that inflammation is not beneficial.
                                         
                                        Right.
                                         
    
                                        You know, so it's systemic.
                                         
                                        So, and like you said,
                                         
                                        the evolutionary changes have caused us to have more.
                                         
                                        wear and tear on joints, et cetera, et cetera, et cetera.
                                         
                                        If we can keep the inflammation out of those joint spaces,
                                         
                                        it's a better quality alive.
                                         
                                        So that's a big, you know, if the inflammation we're helping to control, you know,
                                         
                                        an abscess tooth or something, that'd be different.
                                         
    
                                        It's, you know, to warn us that there's an infection in a certain area.
                                         
                                        Right. That's one thing.
                                         
                                        But, you know, when your nose is clogged up and you've got this histimic response
                                         
                                        going on, your sinuses because of inflammation, that's not a good quality of life.
                                         
                                        Allergies is a good example of that.
                                         
                                        You know, that's an adverse effect.
                                         
                                        fact that didn't
                                         
                                        stop our ancestors from fucking each other.
                                         
    
                                        Right? Right?
                                         
                                        You know, if they had a runny nose, you know, in the caves.
                                         
                                        Sorry, honey.
                                         
                                        You know, nobody gave a shit.
                                         
                                        And so we didn't select against that.
                                         
                                        Right.
                                         
                                        And it is sort of a maladaptive response to these allergens
                                         
                                        or antigens that are in the air.
                                         
    
                                        But anyway, so that's why.
                                         
                                        Is that a satisfactory answer?
                                         
                                        It was more complicated than I thought, actually,
                                         
                                        because I just thought that there was, like, say with inflammation,
                                         
                                        it was just a case of just stopping inflammation from getting too out of control.
                                         
                                        The same with temperature.
                                         
                                        My daughter had Kawazaki's a little while back.
                                         
                                        Oh, wow.
                                         
    
                                        And her temperature was through the roof.
                                         
                                        And it continued for a long time.
                                         
                                        And it took a while for them to actually sort of pick up that it was Kawasaki.
                                         
                                        Oh, yeah.
                                         
                                        But we kept on pumping a full of the usual acetaminophen to try and drop the temperature.
                                         
                                        And so my thinking was, well, if there's a virus,
                                         
                                        and she's fighting it is that not what the temperatures for but right but yes so it was a bit
                                         
                                        I was a bit unsure what the the science behind it was yeah that Kawasaki how's she doing she
                                         
    
                                        doing okay yeah actually and I've maintained to you before she's also a tetralgia
                                         
                                        a fellow patient as well oh I remember you okay yeah yeah she has a heart condition and then
                                         
                                        she has Kalazaki's which the major issue is that it can affect the coronary
                                         
                                        Sure. Inflation of the medium-sized arteries throughout the body. But, you know, there's medium-sized arteries in and around the heart. So she's doing well, though. She kind of came out of it with the right treatment, you know, pretty well, which is surprising. And so, yes, so she's been clear of it for about six months now. But we, yeah, it was a pretty hard time at the time. But, yeah, she's doing well. Thanks for asking.
                                         
                                        Yeah, good, good, good, good. Well, how old is she now?
                                         
                                        she's just about to turn four
                                         
                                        that's right
                                         
                                        because you called in right
                                         
    
                                        when she was diagnosed
                                         
                                        with the tetralogy didn't you
                                         
                                        if I remember right
                                         
                                        or soon thereafter
                                         
                                        it was
                                         
                                        yeah there was it
                                         
                                        because I sent a couple of emails
                                         
                                        there because there was a
                                         
    
                                        the condition itself
                                         
                                        was easy to sort of pick up
                                         
                                        and understand and follow
                                         
                                        but the root cause
                                         
                                        and where it comes from
                                         
                                        was a bit hard for
                                         
                                        especially my wife to accept
                                         
                                        there was a certain amount
                                         
    
                                        of blame on her part
                                         
                                        even though it's completely ridiculous, you know, there's no blame.
                                         
                                        But, yeah, so I wrote you an email at a time.
                                         
                                        And then I think I called in shortly after and discussed it further.
                                         
                                        Yeah, I had a friend who was an anti-vaccine person,
                                         
                                        and then she decided mainly because of pressure from the school to vaccinate her kids.
                                         
                                        So she had five of them.
                                         
                                        One of them about a month later developed type 1 diabetes.
                                         
    
                                        You'll never convince her that the two things weren't relayed.
                                         
                                        right you know right and it's uh it's the same thing with uh influenza vaccine you know there
                                         
                                        are certainly if you have 100,000 people that are getting influenza vaccine on any one day well
                                         
                                        let's just say 10,000 on any one day there will be you know maybe a hundred of those that got
                                         
                                        exposed to influenza on Saturday they just don't know and they were going to get it on
                                         
                                        Wednesday because it's already in their system they get their flu shot on Tuesday and then
                                         
                                        they get influenza on Wednesday you'll never convince them that the flu shot didn't call
                                         
                                        the influenza you know and folks who have kids that have a problem like
                                         
    
                                        tetralogy which by the way it's it's a heart defect they call it tetralogy
                                         
                                        because it's four four different problems in the heart one there's a hole between
                                         
                                        the lower chambers of the heart there's an obstruction from the heart to the lungs
                                         
                                        and the aorta kind of lies over the hole in the lower chambers and then the muscles
                                         
                                        surrounding the lower right chamber are overly thick and so there's four problems with
                                         
                                        that and you know folks that have a kid that has something like that will look to themselves to blame
                                         
                                        themselves for it and it's it's unnecessary you know if you have a kid that has fetal alcohol
                                         
                                        syndrome yeah you can blame yourself for that because you drank too much alcohol at a bad time
                                         
    
                                        during your pregnancy but something like this is just one of those sporadic things that just
                                         
                                        happens and there's you know you can't predict it and you can't prevent it but at least it's
                                         
                                        treatable you know yeah yeah a lot of surgery
                                         
                                        yeah she's had uh four surgeries so far most of which have been uh cast procedures which is amazing
                                         
                                        well that is amazing because she also had uh she had mapcas as well which was made it even more
                                         
                                        complicated which are those medial collaterals that kind of grow and create bypasses to sort of allow
                                         
                                        the blood to get to where it has to go so she's had a condition to close sorry an operation to close
                                         
                                        those she's had the open heart surgery she's probably due in the next five years to have a valve
                                         
    
                                        replacement but to look at her you would never know yeah that's awesome child she behaves normally
                                         
                                        it's great that's awesome well give her our best and uh and thanks for calling in give us an update
                                         
                                        and uh thanks for calling man yeah thank you very stimulating question i uh and you're gonna show thoroughly
                                         
                                        okay thank you take care all right pick her bye bye bye bye yeah if he was here i think he probably got
                                         
                                        got some from night nurse evening she's a sucker for uh
                                         
                                        I admire the accent.
                                         
                                        I mean, I, I, yeah, the accent was pretty, he could have got some from Cliff.
                                         
                                        Yeah, you know what, hey, try something once.
                                         
    
                                        You never know.
                                         
                                        Of course, you know, I'm, you know, I'm used to the Australian accent, too.
                                         
                                        Oh, that's true.
                                         
                                        Yeah, that turned out great, didn't it?
                                         
                                        It turned out real good.
                                         
                                        Yeah, it turned out fabulous.
                                         
                                        I don't trust anybody from a place where the toilet water spins in the other direction.
                                         
                                        I just don't.
                                         
    
                                        There you go.
                                         
                                        Now, I can't do any accents at all, but when I was in, like, other than the one,
                                         
                                        that we have around here, which I originally had, and then I lost it in school doing
                                         
                                        a radio voice.
                                         
                                        A whole year of losing the accent class.
                                         
                                        Oh, wow.
                                         
                                        Really?
                                         
                                        Yeah.
                                         
    
                                        Yeah, we could talk about that technique sometime.
                                         
                                        I actually do say, could I make?
                                         
                                        They do do that.
                                         
                                        They do?
                                         
                                        Oh, yes.
                                         
                                        Well, when I was in high school, we used to have these girls that would call, I went to a
                                         
                                        boys boarding school, not because my parents were snooty, but because I lived 45 minutes
                                         
                                        from the nearest high school and it was in the mountains and I had four miles of dirt road to get
                                         
    
                                        to my house and so this boarding school was really inexpensive and so I was there and I was there
                                         
                                        for three years and during my senior year these girls would call one of the dorms and I would
                                         
                                        put on this fake accent it's like hello my name is Sven and and they were all over that they
                                         
                                        just had to talk to Sven all the damn time oh my gosh you know and it was just the accent I had
                                         
                                        nothing to say. I have no game.
                                         
                                        You've got an accent you don't need game.
                                         
                                        Exactly. That is your game. Or magic.
                                         
                                        Or magic. Dude, a magic with an accent.
                                         
    
                                        Oh, that would be the thing. They're throwing vagina.
                                         
                                        Tannies are just dropping.
                                         
                                        Now, magic is a really good icebreaker for somebody that has no game.
                                         
                                        And I have a couple of close-up magic tricks that look like real magic.
                                         
                                        And that helps me because I can amaze somebody right off the bat and then they're intrigued.
                                         
                                        You've got them at that point.
                                         
                                        Yes, you've heard them.
                                         
                                        But you've got to be careful.
                                         
    
                                        Like Somerset mom in one of his books, I can't remember which one it was.
                                         
                                        But I remember the quote.
                                         
                                        And they teach this to all magicians, too.
                                         
                                        The quote is, he asked me, did I like card tricks?
                                         
                                        I said no.
                                         
                                        He did five.
                                         
                                        So you never, as a magician, want to do magic for an unwilling audience because it's not going to go well.
                                         
                                        You know, honestly, that actually can apply to comedy as well.
                                         
    
                                        And just in general, not necessarily the card trick, but just asking the audience a question.
                                         
                                        You open yourself up to the answer, no.
                                         
                                        You know, if you just do it, if you just do the trigger.
                                         
                                        Yeah, you want to hear me do a song?
                                         
                                        No.
                                         
                                        No, I don't.
                                         
                                        Yeah, we're good.
                                         
                                        Thanks for coming, Gus.
                                         
    
                                        And then you do it anyway, and you're getting at least.
                                         
                                        All right.
                                         
                                        Your comedy chop's still up to snuff.
                                         
                                        You've been practicing?
                                         
                                        I mean, you've been doing some sets and stuff.
                                         
                                        I've been doing YouTube videos.
                                         
                                        Oh, you have.
                                         
                                        So I've been trying to work on more of, like, my off-the-cuff type of...
                                         
    
                                        Do you want to plug it?
                                         
                                        Yeah.
                                         
                                        If you go on to YouTube, look up Rants in My Pants.
                                         
                                        Okay.
                                         
                                        It is a radio, television, and film review show.
                                         
                                        We do a new episode every week.
                                         
                                        Really?
                                         
                                        Who are you doing it with?
                                         
    
                                        Right now, I'm doing it by myself, and just friends will come in and they'll help if they're available.
                                         
                                        But I did a Disney review by myself the other day.
                                         
                                        That probably pissed you off because it's got some...
                                         
                                        What did you do?
                                         
                                        Frozen?
                                         
                                        Oh, Frozen's on the list, obviously, because that movie's bullshit.
                                         
                                        And I got Lion King on there.
                                         
                                        I've got...
                                         
    
                                        Oh, really?
                                         
                                        Oh, yeah.
                                         
                                        There's some...
                                         
                                        Oh, you're doing some, like, real actual Disney stuff.
                                         
                                        Oh, wow.
                                         
                                        Is this like when...
                                         
                                        If Disney was Ratchet kind of thing?
                                         
                                        It's the worst animated Disney films is that list.
                                         
    
                                        But I could definitely do something.
                                         
                                        And I'm open to suggestions.
                                         
                                        So, I've been going on for a few weeks.
                                         
                                        Oh, nice.
                                         
                                        Oh, yeah, cool.
                                         
                                        Okay.
                                         
                                        So Rants, like R-N-T-S in my pants.
                                         
                                        Okay, cool.
                                         
    
                                        Check that out.
                                         
                                        Rants in my pants.
                                         
                                        All right.
                                         
                                        Let's take one more and then let's get out of here.
                                         
                                        This is going to be a short one.
                                         
                                        Oh, God.
                                         
                                        I don't know if you all can, the next time Cratum comes up or do you want to play this or whatever.
                                         
                                        Yeah, it's come up now.
                                         
    
                                        If you remember, I called you guys, God, it's probably been six years ago now.
                                         
                                        Oh, yeah.
                                         
                                        I remember that, exactly.
                                         
                                        I was using cratum to come off of opiates, and I used cratim for about 16 months, every day, no breaks.
                                         
                                        And, of course, addict behavior I kept up in my dose.
                                         
                                        And suddenly one day it, like, switched on me, and all the positive effects I was getting from it became negative.
                                         
                                        Okay.
                                         
                                        So, whereas instead of relief from anxiety, I was getting intense anxiety, paranoia,
                                         
    
                                        depression so I quit at cold turkey and I called you guys back then yeah now actually I
                                         
                                        didn't remember because I thought I had permanently damaged my brain but anyhow I just I
                                         
                                        kind of want to talk about it because fast forward now I'm on Suboxone which I talked to you
                                         
                                        about that too you may or may not remember and I'm getting you know I'm still on it my
                                         
                                        maintenance dose or whatever the hell you want to call it going to therapy and doing all that
                                         
                                        fun stuff and we're getting ready to start finally tapering me down um but it's just if there's
                                         
                                        anybody out there that's wanting to take grade them whatever you've just you've got to be careful
                                         
                                        with it okay yeah good i'm uh i'm with him congratulations on your impending sobriety and uh for taking
                                         
    
                                        in charge of the situation, getting some treatment.
                                         
                                        Kratum, very interesting substance.
                                         
                                        It is an alkaloid that also hits mu-opioid receptor.
                                         
                                        So there may be some benefit in this stuff.
                                         
                                        The problem I have with it is anything that hits the mu-opioid receptor is going to ultimately
                                         
                                        be habit-forming.
                                         
                                        And so people are trading one addiction for another.
                                         
                                        And there are just too many stories.
                                         
    
                                        of adverse effects for me to be able to say,
                                         
                                        yeah, I think it's cool that you just go out and do cratim.
                                         
                                        I don't like the idea of people treating their addiction by themselves,
                                         
                                        going to some head shop, buying cratim, and trying to treat themselves.
                                         
                                        Just go get help.
                                         
                                        And there are addictionologists out there that will be understanding non-judgmental.
                                         
                                        Go to an N.A. meeting and gets this stuff taken care of.
                                         
                                        And in the meantime, I'm going to advocate that we do research on Craiton.
                                         
    
                                        them and spend a lot of money on it because this is a very active molecule that has some really
                                         
                                        interesting properties that in the future I think we could use if we can standardize its use
                                         
                                        and synthesize the molecule maybe modify it to get rid of some of the adverse events and
                                         
                                        use it clinically. But until then, I can't endorse it.
                                         
                                        It just seems like you increase, the more you increase, the more the likelihood.
                                         
                                        agreed so don't forget stuff dot dr steve.com tweaked audio.com offer code fluid and simply
                                         
                                        herbals.com. And we will see you next week. Check your stupid nuts for lumps. Quit smoking it off
                                         
                                        your asses and get some exercise. We'll see you in one week for the next edition of Weird Medicine.
                                         
