Weird Medicine: The Podcast - 324 - C. Diff Run

Episode Date: August 18, 2018

C. Diff Jump! Everything about C. Diff (well not really). Pyloroplasty, stomach anatomy revision, tick bites, lymph nodes, testosterone therapy in prostate cancer, and more! STUFF.DOCTORSTEVE.COM simplyherbals.net Learn more about your ad choices. Visit podcastchoices.com/adchoices

You're listening to Weird Medicine with Dr. Steve on the Riotcast Network, riotcast.com. I need to touch it. Yo-ho-ho-ho-ho-ho. In the garretid. I've got diphtheria crushing my esophagus. I've got Tobolivir stripping from my nose. I've got the leprosy of the heart valve, exacerbating my impetable woes. I want to take my brain now, and blast it with the wave.

an ultrasonic, ecographic, and a pulsating shave, I want a magic pill for 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. I want a requiem for 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. Steve with my little pal. Dr. Scott, the traditional Chinese medical practitioner, keeps the alternative medicine wackos at bay. Hello, Dr. Scott. Hey, Dr. Steve. And she who will do most anything for a glass of expensive wine, it's lady diagnosis. Hey, Dr. Steve. And she who won't do anything but still demands the expensive glass of expensive wine. It's my wife, Tacey. Hello, everyone. This is a show for people who would never listen to a medical show. God, I'm so glad you laughed at that. medical show on the radio

or the internet. If you have a question, you're embarrassed to take to your regular medical provider, or if you can't find an answer anywhere else, give us a call. 347-7-6-4-3-23. That's 347. Pooh-Head. If you're listening to us live, the number 754-227-3-6-47, that's 754. Take it away taste.

Yeah, I don't know. Exactly. All right, lady diagnosis, that's yours. You're the understudy. Bear nip. Oh, 754, Bear Nip. or 754-22 penis, which is... That's your favorite. That's my favorite.

Follow us on Twitter at Weird Medicine or Lady Diagnosis or D.R. Scott, W.M., or you can also follow our intern 29-cent, 49-cent at WM-the-Intern. Visit our website at Weird Medicine.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 over with your doctor, nurse practitioner,

physician, assistant, pharmacist, chiropractor, acupuncturist, yoga master, physical therapist or whatever. All right, very good. And we have the delightful Tasey here today. And before we leave, you've got to remind me to bleep out that thing in the last show. I wrote it down. Thank you, thank you. Well, I need to do it today.

Yes, I will remind you. All right, very good. So, yeah, we had a bleepable moment there, Tase. So this is the first show after the insanely successful Vic Henley show on August 2nd. Of course, we're looking into the future because we're recording this on July 27. But it's coming up fast. I do hope people came and had a wonderful time and then came to the after party at the beer on. You did?

I came, yeah. Oh, that's good. I'm assuming your boyfriend was with you. so don't forget to check I thought that was the joke you were making I didn't realize you were not making a double entendron I'm sorry don't forget to check out stuff.doctrsteve.com

that's stuff.com for all your Amazon needs you can just click through and go straight to Amazon or you can scroll down and find products like Ibigard and melatonin gummies and all kinds of other stuff iontophoresis for people who sweat too much in their hands and feet and even armpits. So check out stuff.doctorsteve.com. Don't forget, tweakeda audio.com. Offer code fluid, FLUID for the best earbuds on the market for the price and the best customer service anywhere.

33% off. It's like buying three things, and then you only have to pay for two of them. And then Dr. Scott's website at simplyerbils.net. Simplyherbils.net. You get in any traffic there these days from Weird Medicine listeners? Absolutely. Yeah. Great support. Oh, good, good, good. And check out premium.com.

If you want archives to this show, it's a buck 99 a month, and you get all the archives to this show. I don't know why you would want that, but you can also access all of our content through the app that you can get either on the Google Play Store or iTunes app store, and it's just called Weird Medicine. So download that. It's a way easier way to listen to this than trying to use. Although we do like Playapod. And you can always listen to us on Dr.Steve.com or Riotcast.

But right now our favorite third-party player is Playapod. All right. There you go. Yes. I don't know why you'd have an opinion about your favorite third-party podcast player. But I do. And that's what it is. So fuck all of y'all.

All right. We have a caller that's been on hold for 40 minutes. Oh, no. Don't say it. No. Don't say it. I don't blame them. Okay, I don't either.

They're going to call back. They're going to call back. We have a call. This is a lady diagnosis call. Oh. So let's see what this is about. I honestly can't remember what this is. It has some time.

Hey, just listen to the Sirciccum show. Lady Diagnosis's response to the blowjobs while pregnant. She said something about nobody. want anything in their throat. Nice. He's a keeper. Do you remember what that was about? No.

Somebody talking about getting blow jobs while they were pregnant and you were like, I'm not doing that. I can't remember. I don't recall that. Okay, well, you got props from somebody anyway. Well, thanks, man. Well, thanks, man. Way to go.

Thanks. So you're pregnant and your husband is demanding that he be satisfied. in some way? Are you giving him a blow job when you're pregnant? No. Tacey has a, would that be a, that, Tacey is a, is a, is a no, I'm guessing. Oh, wait a minute, though. When I was pregnant, I really liked it.

You did? Yeah, I might. I would. Hell, I don't know and I'm not doing anything to find out. So there you go. Okay. Yeah, I liked it when, when you were on the clomid. And I didn't like the whole crying for three days every time that, you know, that you

went off the clomed. but I liked the fact that, I mean, Tacey and I were at a party. We were having a party at our house, and it was our night that we had to have intercourse. So we did. So we did. We went upstairs. Yeah, well, you had to. You had to do it on certain days.

Everybody knew it, too. Yep. It was just like a medieval wedding where everyone's standing outside the door, making sure that the husband is consummating the marriage, right? I think my mom was there, too. It's hilarious. We got so wasted at our wedding, which our wedding was awesome. I wish I was there. And it was, we didn't consummate our marriage for 10 days after that.

That's how long it took for us to get over it. Well, there were other things going on. That's a hell of party. I'm not that bad. No, I wasn't saying it was you. I mean, I'm. There's no such thing as a 10-day hangover. Yeah.

You remember how that was. It was bad. It lasted several days, and then we were just like, oh, God, the whole thought of even moving made me kind of sick. It was bad. Anyway. All right. All right. What were we talking about?

Blow jobs. Oh, yeah. So, okay, so we got Tacey's thing. It was a no, a strong no, and then a kind of, well, maybe. Maybe, yeah. Probably. I was pretty horny when I was pregnant. Yeah, me too.

Yeah, that's what I was thinking. There you go. Yeah, I'm never against it. Yeah, the thought of it. of it sounds gross, but then I remember I wanted it. Yeah, you're baping your dick against his poor kid's head and against their will. Poor we, pa.

All right. Okay, well, anyway, you got props from somebody. They thought something you said was funny, but I couldn't find it. I went back to try to find it, and I had no clue. That had to be a long time ago. All right. Well, let's take another, let's take some other questions. Don't take advice from some asshole on the radio.

Was that the second thing? Number one thing. Oh, it's the number one thing. Okay, all right. Thank you, Ronnie B. All right. It's a good thing Ronnie's here. I know.

I wish he was here. I wish he were here. Nobody wants anything in there. Here we go. All right. Hello, Dr. Steve. This is trucker, Steve. I called you the last,

sometime I had the last year. And you probably remember. My problem was I was floating after. No, I don't remember. You remember that? No, I don't remember. Or eight, like three, four hours after eight. I would get sick and throw up real bad.

Remember he threw up? I'm probably with my doctor and what I got wrong. We found out what was wrong with me was I've got a closure for my bottom of my stomach going into my small intestine. And I went up to, and you'll know where this is. I went up to Houston Valley Hospital there, the King's Port Gastronomical Service or whatever you call. Never heard of them. Never heard of them. I'm trying to do it.

I got a cut out. I got a stretcher. Nine minutes and four. And my food wasn't going into my small intestine. Yep. So when it wasn't going through, it was just sitting in there turning back to liquid, and that's what it was making me sick. Yeah.

Now I've got to deal with baby going to a surgeon, and I thought maybe get your idea of what you thought might be the cure for that was. Either have to go into surgery, and I've heard that I have had my small intestine cut, re-sown. Well, maybe. Well, I get your opinion on that. Thanks a lot. Thanks a lot.

First of all, that's hilarious. what yeah yeah I know I know that's the second show we've had to bleep a doctor's name even though he was given her him or her props um okay so this guy probably has this is and I have no idea but the most likely thing when he's saying he has an obstruction from his stomach going into the intestine it's mostly likely a thing called idiopathic hypertrophic pyloric stenosis this in adults is a rare disease so let's That's what I was going to say.

Let's break those words down. So idiopathic means we don't know why it happens. Hypertrophic meaning an overgrowth of some tissue. In this case, this would be the muscle tissue in the pylorus, which is the valve that goes. Valve is kind of a weird name for it, but it is a valve by definition. You know, it closes to keep the stomach contents in the stomach. And then as you get more and more liquidy stuff in the stomach, it'll start opening up so that you can pass the food that's been finished in the stomach

into the intestine to finish the rest of the digestive process. And the first place it's going to go to is the duodenum or duodenum, depending on where you're from. And that's where bile gets mixed in and all kinds of stuff like that. So these people, and then pyloric stenosis, stenosis just means narrowing. So they have an unknown cause of an overgrowth of the pyloric muscle causing narrowing. And that's what idiopathic, hypertrophic pyleric stenosis means. And they have done things like taking out part of the stomach, where you just cut out the pylorus.

And one part of the stomach, one part of the duodenum, and just sew them together. Just cut out the offending. If your eye offending the, fendeth the, cut it out. Be gone. And they've done other things like gastroenterostomies, pyloromyotomies, ooh, that's a fun one, that's where you go in. So pyloro means the pyloros, myotomy means cutting of the muscle, okay, myo being muscle, otomy being cutting. So pyloromy, pyloromy, pyloroplasti, where you go in, and pyloroh, again being pylorosplasty, meaning changing the shape of. okay and endoscopic dilatation that's where they go in down through your mouth stick a balloon in the pylorus and just blow it up and try to stretch it out

they've all had variable results there is a new thing where they can do this under laparoscopic means where they don't have to cut you open well they still cut you up still surgery it's a much smaller incision they use a scope and go in and actually do the pyloroplasty where they go go in and surgically make that hole bigger. Okay. So that's probably what's going to happen. He would have to see a surgeon that is trained in that if he wants to have the laparoscopic version. He can search around C. But if that's what's happening, yeah, he has to have that fix because his stomach is

just filling up with fluid and it's not being passed to the duodenum. It's got nowhere to go except for him to puke it back up. And that's why we probably told him he had reflux, which technically we were right. That is reflox. It is right. The contents are reflexing, but it's caused by this rare condition. And certainly a slow gastric emptying, too, and it could be because of that stenosis. I'm sure we were right. Yeah. I'm sure, yeah. So there you go. All right. Let's take a call from area code 717. 717. You are on weird medicine. How can we help? Hi, Dr. Steve. Son of Fritz. Hey, son of Fritz. Hello, man. It's been a long time.

Yeah, I was going to say I know that voice. Yeah, I knew that voice immediately too. Son of Freds, you can check out his artwork. The easiest place you can check it out is at flatusflute.com if it's still up. And he is an incredible graphic artist and designer and an all-around good guy. So anyway, what can we do for you? Well, I was on antibiotics for three weeks. It's um, uh, it's, um, dicyclycer or whatever, uh, hexade for, um, anti, uh, for, um, a tick bite.

Oh, okay. Probably doxycycline, yeah, would be my guess. Doxycycline, high clade? Thank you. Okay. Okay. And, uh, my question is, how long do I have to worry about, uh, getting something like fosterium diso? Oh, you, you would know. Yeah. You know. Yeah, you're off of it now, right? You would know. Yeah, for about three weeks. Okay, okay.

Yeah. You know, you're right. Antibiotic use is a real risk factor for Clostridium difficile infection or C-Diff. It also will call it pseudomebrinous colitis. And what happens is this Clostridium bacteria is not killed with normal

antibiotics, but the rest of our bacteria in the gut can be killed with it. so all of a sudden this claustridium goes well wait a minute all my neighbors moved away i'm just going to move into their houses and it just starts growing and reproducing and it makes these plaques and it gives you a can be a life-threatening diarrhea but not usually in somebody as hale and hearty as as son of fritz is but um you know the people who usually are harmed by this are the people who are frail chronically ill or the elderly.

Now, doxycycline is associated with lower risk of Chlostridium difficile infection than just about any other antibiotic. And they've even done studies to see if you could give people doxycycline, would it prevent it? And they did a, let me see, let me see how many, 2,305 unique patients

were studied, and 43 patients developed claustridium within 30, days of this antibiotic called Cephtriaxone or rocephine. And it was an incidence of 5.6 per 10,000 patient

days. And the people that got doxycycline along with it, it was 1.67 cases. So that was a very, 1.6 7 cases per 10,000 patient days. So doxycycline was associated with

a lower risk of CDI and guidelines recommend this combination as a second-line regimen for some patients with community-acquired pneumonia and further clinical studies would help define whether doxycycline-containing regimens should be a preferred therapy for this condition. So I think if you haven't developed it yet, you're in pretty good shape, and as a matter of fact, you were on the exact drug that probably has the least incidence of causing pseudomberinous collitis. So I think you're in good shape. Yay.

Yay. Congratulations. Good job. All right. So this is what I would tell you're the prescribing physician. Give yourself a bill. For prescribing doxycycline in your case. So the answer was no?

No. Oh, Lord. Well, welcome back, Lady Diagnosis. That was a long dissertation for, no. I got 30 fucking minutes to kill. Of course I'm going to give a blowhard response. I just wanted to make sure that was the answer. you. Yeah, so he's in good shape. How's everything else going? Okay, buddy.

Yeah, everything. But yeah, everything otherwise is fine. Oh, good, good. Just quiet. Okay. Just getting bitten by kicks and all that stuff up here in Pennsylvania. Oh, understand. Understand. I've seen a couple of cases of Lyme disease, and I've diagnosed a few of them, particularly when I was in Vermont. And, but now it's everywhere. The test came back positive, believe it or not. Yeah, and that's, that's unusual. Many are called, but few actually show up. But when you have real Lyme disease, be thankful that they caught it early and treated it

before it became latent and then late-stage Lyme disease. So they did a good job. All right, old buddy. I don't have to worry about Lyme disease if they knock it up with 21 days of antibiotic. That should take care of it, but of course follow up with your prescriber. But as far as your question,

about the C. diff, I think you're in great shape on that. All right. Okay, thank you. Have another great whatever. Thanks, and you as well. Okay, whatever. Take care. All right. Area Code 618, you're on

Weird Medicine. You're what's up, doctor? You got to say hello to Tacey. She's your favorite. Daddy like. That's disgusting. Dr. Steve, it's your old pal Darren. Of course.

I had a question about lymph nodes in my neck and throat. Previously, I had a macro prolectanoma. Nice. Which left my pituitary gland limp like my pecker. And I was just. Just hypothesizing that maybe I'm having problems with my lymph nodes in my neck because of that, is that a possibility? Well, tell me a little bit about this. Do you have multiple lymph nodes in your neck?

How did you find them? Give me the whole story, start in the beginning. I just woke up one night and thought I had pulled a muscle on my neck. And when I woke up in the morning, I felt a big lump on the right side of my neck. Front side or backside? Inside towards the throat. Okay. And I talked to you on Twitter about it, and I got put on some antibiotics, and it went away.

Okay. But I'm just wondering if it's something I should seek out further tests. Well, is it gone now? It's still gone? Yeah, it's gone. Okay, then I wouldn't. But let me talk a little bit about lymph nodes in the neck. So there's a chain of lymph nodes in the front of the neck

and a chain of lymph nodes in the back of the neck. So you had a single, tender, you know, painful lymph node that appeared on the anterior, the front part of the cervical chain or the chain of the three. wrote right near your thyroid gland. And these almost always are drawing from infections. Somewhere it could have been a zit on your scalp and it drained down. Then the bacteria and the white blood cells decided to duke it out in that particular lymph node. And when that happens, it gets enlarged.

And then there's a lot of inflammatory stuff going on. Fluid gets transported to that area and secreted there. plus the white blood cells and all the inflammatory markers and stuff. And when you get one of those, my protocol always was if it's less, if it's a single one and it's less than a month old, see what happens. If it's painful, treat it with an antibiotic. If it's not painful, just watch it. If it lasts more than a month, it needs to have a needle stick in it and get a diagnosis for it. If you treat it with antibiotics and it goes away, it ain't cancer.

You know, because that's what you're worried about, right? You're worried about lymphoma or something like that. And, you know, cancer doesn't go away in the presence of antibiotics. It doesn't come and go either. It just comes and stays. So most providers would say you had a single node, tender, treated with antibiotics, went away, forget about it. Now, if it keeps you up at night, go back and see them and let them feel for it. They could even do an ultrasound if you were really worried.

about it and just look and make sure that it really is gone. And you could do a little blood work too, you know, just to make sure that you're in good, okay shape. If it's wearing on your mind, you know. And it's always good to get these second opinions from your primary care

even after you've talked to me because this isn't a second opinion. I'm just trying to you know, sell tweaked audio. And simply herbal. And simply herbles. Herballs. Her balls. Yeah, this is Chip again. I was worried that Darren might have

fucking lemon disease a bunch of oranges or something. Hey, that's the wrong one. That's what we call on the biz a callback. Oh, good. Yeah, yeah. Okay, thanks. Thanks. So show us what a tag is. Thanks for clarifying

that that was a callback. Yeah. All right. that part out all right good talking to your doc he's got ladies die

you're looking hot tasty with your big boobas dr. Scott oh yeah with your man bond oh yeah

man I'll catch you on the flip side for the muckers all right all right you skipie Kaye see you man see you

see you see you I do an okay chip online I have a real hard time doing it. It's a horrible thing to do. The only thing, when I was on Chip show, he said, oh, you're part of the Chip Army now. And I said something stupid like, or more like the Chip Leggy, right, Chip?

And he's like, you're good, you're good. That was my only chip. That was funny, Dr. C. See, it's so stupid. The leggy. Chip leggy. All right. all right one more did the guy who waited forever ever call back no and i can't even i can't even

call him back so rude well that's what am i going to do i've been on testosterone replacement for a while and i feel great my father-in-law is 67 or so had prostate cancer about 10 years ago and had it removed. He's been cancer-free for 10 years, but he won't consider testosterone replacement despite having tons of symptoms because he got told once that it's like throwing gasoline on a fire. But since he's been cancer-free for 10 years, is he in the clear? And is there any PubMed articles out there that I could show him to convince him that he needs to get a testosterone back? Ostelegal. Yeah. And I actually sent this guy some stuff. It is a little counterintuitive. we were always taught

you have prostate cancer no testosterone therapy because just like he said it's like throwing gasoline on a fire because testosterone or prostate cancer is primarily testosterone driven but I've got a couple of studies

this is one from the Journal of Sexual Medicine testosterone replacement therapy following the diagnosis of prostate cancer outcomes and utilization trend so they looked at people that got it anyway and let me see it says in this population based

observational study, so not great data, right? It's better than anecdotal data, but it's observational. In testosterone replacement therapy in men with a history of prostate cancer, treatment was not associated with increased overall or cancer-specific mortality.

These findings suggest testosterone replacement therapy may be considered in men with a history of prostate cancer, but confirmatory processing. Expective studies are needed. So that's very interesting, isn't that, that you would think it would be just a plain. Absolutely no. Just an absolute no.

So do you think a doctor recommended he take? Yeah, I don't know. Testosterone or just his son-in-law? It could have been that he had a urologist that said, dude, your prostate's low, your cancer-free. Hey, let's try this. And the guy had just somebody had told him, don't ever take this. Because I'm telling you, that's what they trained us. Right.

And so there are probably doctors out there that still say that because that was the party line for so, so long. But so if a doctor says it to you now, don't you assume he knows what he's talking about? No, not necessarily because we're always going to, we tend to think catastrophically, at least a lot of people do. And there's an evolutionary reason for that because our ancestors who thought catastrophically had a survival belt. benefit because if you saw the you're standing out there hunting gathering and you see the the grass start to move it could either be the wind or it could be a saber tooth tiger ones that always assumed the worst were the ones that got up in a tree and when it really was a saber tooth tiger they survived right and the ones that were cool and like oh nothing's going to bother me are the ones that and even if it was just a one percent difference in survival that's enough to have that um a gene be passed and amplified over, you know, how many generations would that be? 10,000 generations or more, 100,000 generations. And so we tend to think catastrophically.

And that's why some people won't wear their seatbelt because they think they're going to get trapped in their car. You can, in an accident and die in a fireball, right? And you can show that that happens sometimes. It's like one in a million. And you can show them that if they wear their seatbelt and don't get thrown. from their car they won't have a one in two chance of dying

so wearing your seatbelt obviously makes more sense and statistically you can prove that it's a better strategy but people still think about that oddball catastrophic event that's why people are terrified to fly even though

knock on wood it's the safest way to travel you're much more likely to die in a car rack than you are an airplane wreck even though when you have an airplane wreck it's going to be catastrophic most of the time you know so

so I guess it depends on the severity of the symptoms he's having it whether the testosterone would make it worth his while God dang it She's awesome she's awesome you've actually have been listening so that's good yes that's exactly right he's got to weigh the risk versus the benefits

and decide is the are the symptoms I have right now are they affecting me in such a way that I need to take something every day that I also have to overcome this fear that I have because some doctor told me don't ever take it and he's got to weigh that and that line's going to be you get a hundred people that line will be different for yep for all hundred of those people all right can we do one more no nope we think we're out

here are we done yeah we got to go are you serious we got to deliver beer oh okay well all right let me let me start the art trail music I got I'll do it the potty. I'll do it. For the potty. You can go play. Do you need me to go with you? No, no, I've just got to take the cakes over.

Okay, I've got to go to the hospital anyway, so. You go be a doctor. And then, are you, are you, I'm a beer winch. Okay. I got it. I'm a beer winch today. Check out, um, Dr. Scott's, uh, beer store at the beer run kingsport.com or Facebook.com

slash what is it Beer Winch The Beer Run Kingsport Beer Run Kingsport, yep It's a great place Or Facebook.com slash ETN comedy Or

Facebook.com slash weird medicine Or Or WWW Yes You remember when people used to go

HTP Kohlens backslash Backslash WWW dot Yeah now we can just say go to dr steve.com I really look forward to the time when we don't have to say at in front of tweets

anymore. You've noticed, you might have noticed I'm trying to cut that out. No, I haven't. Just say check us out at Weird Medicine or Lady Diagnosis or W.M. Scott, W.M. I haven't noticed, but I like it. Because everyone's got at in front of them. Why would we have to say that?

There's still people like me that don't know. Yeah, well, they shouldn't be on Twitter. They're going to get hurt. It's dangerous, Dr. Steve. Thanks always go to Dr. Scott, the king of acupuncture and traditional Chinese medicine. I don't. Slash beer winch.

Thanks always go to Lady Diagnosis, who shows up. Appreciate that. And for Tacey, who's going to get her some later tonight. you. She feels it. Lucky girl. Can't forget Rob Sprantz,

Bob Kelly, Greg Hughes, Anthony Coomia, Jim Norton, Travis Teft, Eric Nagel. He told our kids that. No, I did not.

Scarred. No, I said, no, this is what happened. I said, you know, I'm going to come back early from the thing and then maybe we can,

oh, you know, and then the Beck was like, oh, yeah, freaky. Yeah, freaky. That's what he said. And I said, yeah, man,

I'm going to be my stuff, and then, you know, just a gross amount. Anyway, 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. That's beautiful.