Weird Medicine: The Podcast - 363 - Subliminal Bedwetting

Episode Date: June 12, 2019

Dr Steve and Jen McKinney discuss an elderly kidney donor, risk in surgery, eneuresis, mind-gut axis and autism, Fournier Gangrene, mucus, acne, and more! PLEASE VISIT: stuff.doctorsteve.com (for all your online shopping needs!) simplyherbals.net (Dr Scott’s nasal rinse is here!) noom.doctorsteve.com (lose weight, gain you-know-what) tweakedaudio.com offer code “FLUID” (best CS anywhere) bet.doctorsteve.com (Bet DSI! Try to beat my kid!) premium.doctorsteve.com (all this can be yours!)   Learn more about your ad choices. Visit podcastchoices.com/adchoices

Why did the plane land on the football field? To score a touchdown. How do you know if you are a pirate? You just are. 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. Yeah, me garreted.

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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 aging Dr. Steve. It's weird medicine, the first and still only uncensored medical show in the history of broadcast radio, now a podcast. I'm Dr. Steve. With my little pal, Jenny McKinney.

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Visit our website at Dr. Steve.com. for podcast, medical news, and stuff. You can buy or go to our merchandise store at cafepress.com slash weird medicine. Most importantly, we are not your medical providers. Take everything you hear with a grain of salt. Don't act on anything you hear on this show without talking it over with your doctor, nurse practitioner, physician, assistant, pharmacist, chiropractor, acupuncturist, yoga master, physical therapist, clinical laboratory scientist, registered dietitian or whatever. All right, very good. Hey, so we've got Jenny in studio with us today.

Lady Diagnosis and Dr. Scott may be on the way. they texted me at 1258 to ask if we were going to still record at 1 p.m. So, you know, I don't know if they're going to show or not. So it's like, call me. Don't text me. Call me. Yeah. You know, I'm just weird that way.

I get so many text messages and so many alerts that I just ignore them. And then every, you know, about 10 times a day I'll look at my phone and I'll catch up on everything. Right. And sometimes it's too late. But if you want me right now, call them. me. Yes. And if you want me right now, call me 754-227-3-6-47. In the meantime, don't forget stuff.com. That's stuff.com for all your shopping needs. We're going to be talking about genital hyperhydrosis today, and I'm going to put up a new product on there for people who have sweaty junk at stuff.com.com. You can see all the different

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if you use the offer code fluid, you'll get 33% off. Awesome. That's no... You know, a lot of these places will give you 5% or 10%. You know, 33% off is awesome. Yeah. Don't forget, even though Dr. Scott didn't hear, we will support his website. It's simplyerbils.net because he makes the best nasal rents on the market, in my opinion,

and seems to have decent quality control so there won't be amoebas in it. But check him out at simplyerbils.net. And I can attest to Dr. Steve's rule. Jenny, do you know what Dr. Steve's rule is? Have you been listening long enough to know? Well, Dr. Steve's rule is a mathematical relationship that says for every 35 pounds of of weight that you lose, you gain one inch of penis length. Oh, good.

And I can, you know, maybe TMI, attest that this is true because I've lost about 35, 40 pounds, and I actually got the tape measure out. And yes, indeed, I'll do anything for science. It's for the children. A good inch. And I did that using Noom. Noom is a psychology app. It's not a diet.

And it really changed my life. It changed my relationship with food. If you want to do it with me, go to Noem, N-O-O-M dot Dr. Steve.com. And one of the things that I used to control my intake was to quit just cooking mass amounts of food. And so I'm also lazy. So I started using freshly. And freshly is fresh prepared meals. They make eating right super easy.

They're gluten-free, which is good for me. You don't have to be gluten-free if you don't want to be, but these are. You can use my link to get six dinners for $39 for two weeks, and that's $20 off each week. Give it a try and let me know what you think. Look, you know, you're popping it in the microwave. Right. Am I doing that? I think it's the...

Oh, it's the fan? Yeah. Okay. All right. So, yeah, just I'll tell you what, turn the circulator off and then just position it so it's in, so it's blowing. in here but not making that horrible noise okay there we go you think you want to go in no no no I don't care but I just yeah it'll still circulate it's still I'm still hearing it though oh you hear that okay a little bit better yeah are you getting any of that no I think I'm good okay okay okay

thank you sorry technical I'll I'll I'll edit that out I always say that and I don't I had a two-minute coughing fit on the show while we I was doing um an interview with these two guys from DC on-screen podcast, which, by the way, check them out. They're good little fellers, and if you're interested in superhero stuff, that's a great podcast. But I was going to edit it out, and I did edit it out. I remember doing it, but then apparently I must have hit Control Z one too many times when I was undoing some edit that I did. And apparently not only did the two-minute coughing fit go on the podcast, but on the Sirius XM show as well.

So I keep saying I'm going to edit these things out, and I never do. Anyway, so but you can go to freshly.com. It's freshly.com. It's freshly.com and you can try it out. If you don't like it, you can cancel any time. If you're into sports betting, check out bet. Dot.com. B-E-T.com.

Just takes you to bet D-S-I. It's the place I found that's the easiest to sign up for. and they've got some cool promotions and my kid is a genius when it comes to NBA so next season I'm going to see if he can make us some college money awesome that'd be great or some walking around you know walking around money so

and then if you want archives of this show and why would you but if you do go to premium.com use the offer code fluid you can get three months for a buck a month and then after that it's a buck 99 a month you know just download them all and then you'll have them and then you can cancel. Nice. So it's just there.

It's not there for us to make money. It's there to keep my coworkers out of there because I figure they're not going to spend a buck $99 just to see what I'm up to. Yeah. All right. All righty. I understand you have a news story that you wanted to do today. Yeah.

I have a few. Okay. But did you see online where the 84-year-old donated his kidney? No, no, no, no. Yeah, she needed a kidney and had put some signs out in her yard. She probably thought he was coming over to maybe borrow some sugar or something, and he said he wanted to donate his kidney, but he's 84 years old. Sure.

Doesn't that seem kind of old? No, no. For surgery? You know, kidney, well, it depends. There are young 84-year-olds, and there are 84-year-olds. We only have two. We only need one. Right.

And if he's got good kidney function and didn't have. have a lot of cardiovascular disease where he's got a clogged up kidney, there's really no reason that I can think of why he shouldn't be able to donate. Now, yes, the older you are, the more risk there is, but really, well, okay, there's this thing called the Goldman Criterion. Let me see if I can find it on here. Okay. And we'll look, because what you're really worried about is what's the chances he's going

to have a massive heart attack during or? or after the surgery, right? That's really what we're worried about in a situation like this. So let's get this Goldman calculator out, uh-oh, which, okay, wait a minute, I've got my, my mouses turned around. So this is called the Goldman criteria for cardiac risk. Okay. And if you have high risk, then you could have 78% chance of complication, but low risk is like 1%. Oh, wow.

So the first criteria, age greater than 70 years. He gets five points for that. This is what they call a multivariate analysis, meaning you take all these criteria and you assign them points. And then at the end, you just add all the points up together and it can stratify these things based on risk. Okay. Now, let's just say he doesn't have anything else. He's got a normal kidney function. It's not an emergency.

It is intraparent neal. So they're going to have to, you know, actually, it's not technically, but I'm going to count it as that the kidneys are actually behind the peritoneal cavity, the paroteneal membrane. But since they're going to, this is sort of major surgery, even though they can go from the back and get it, I'm going to say this is intraperitoneal just to be conservative. Sure. So he has eight points. At 85 years old, donating a kidney, this is class two. He's got a 7% chance of having a. a major cardiac complication after this surgery.

Now, that means he has a 93% chance of just sailing right through. Those aren't bad odds. If I gave you those odds and sent you to Las Vegas, you would bet everything on black. Yeah. Right? You know, you only had a 7% chance of losing everything. You can just push that out of the way.

Okay. Lady diagnosis is here. She was doing the limbo with the fan. Just trying to. stick her chest out so we can check it out. That's all this is bad. So, hello, lady diagnosis. That's what.

Lady Diagnosis, you remember Jenny. Yes, hey, Jenny. Hey, girl. So they first met when Lady Diagnosis was the hostess for the funniest person in the Tri-Cities competition, and Jenny was one of the finalists in that competition. How long ago was that? Two years. Yeah, it's up there somewhere.

Maybe I don't have a poster on this. that we have the new comedian showcase was it 2017 i don't know 2017 so yeah yeah 2017 yeah good times yeah yeah it was awesome that was fun what's the date on that new comedian showcase may 11th may but we did so did we do that that quickly after because it was like it was in april that we did the funniest person was it april so i'm thinking it was a year before that i had a funny feeling it took us a year to get to get around to doing those new comedian's showcase. It took a while.

Yeah, yeah. Actually, I think you're right. Yeah. We should have done it right away, but anyway, that's a long story. But anyway, check us out at etncomity. We've got Rich Voss coming in August, and save the date for that and come to Kingsport, Tennessee, and come see that show. You're not going to want to miss that. And it's August 1st, admission is free, and there will be craft beer there.

There will be music. There will be local comedians. Perhaps Jenny, perhaps not, depending on after we see her new set. And here's Dr. Shidhead. Hello, Dr. Shithead. That's hilarious that you answer to that. Okay, you got your mic on?

This is very professional. Some of the other shit you call me. Yeah, that's right. All right. Hey, how's it going? Awesome, awesome. Good, good, good. Good to see you.

We were just talking. Welcome back. We were just talking about an 85-year-old dude that was going to donate a kidney. And Jenny said he had high risk for having, you know, a problem at 85 donating a kidney. And we did this thing called the Goldman criteria for cardiac, you know, risk in non-cardiac surgery. And he only had a 7% chance of having a major complication. That's higher than you or I would. It would be a 1% for us.

but still 93% of the time he'll sail right through it. Yeah, the lady he's donating to is 72. Yeah. He's trying to get it. So he knows her. Yeah, it's his next word. Like, they live in the same community.

So, yeah, what if she just thought he's coming to give sugar or need some sugar? Give some sugar. He's like, I'm taking a kidney. He's trying to. Okay, anyway. All right. Yeah, so cool.

So good for him. And he'll lose weight at the same time. Yes, he will. He'll lose about a half a pound. About this kind of random, but my sister, when we were growing up, she would wet the bed. Okay. Which is terrible because we shared a bed, so it's real bad. Oh, geez.

Yeah, that's bad. But my mom took her to a doctor, and the doctor had recommended that we listened to subliminal bedwetting. Okay. Well, it was cassette tape at that time. Yeah. How did that turn out? I don't know. I just wanted to know what your thoughts were on, like,

the bed wedding and then do you think it really was helping? I don't know. I think she was just sleeping so hard. Yeah. How old was she at that time? Oh, it was from seven to, well, probably younger because we started, we wanted more room in our, oops, I'm sorry, more room in our bedroom. So we put our, uh, just slept in the same bed.

It was probably, maybe like five to 12. Yeah. Yeah. It's, um, you know, okay, so bedwetting is called en ureasis and it's a 20, percent of five-year-olds they have it and 10 percent of 10-year-olds. So, you know, one in ten will have it. And usually older than ten, it'll remit spontaneously at the rate of about 15 percent per year. Oh, okay. So when do you think the last time she wet the bed? How old was she? Probably 11 or 12. Yeah, there you go. So that's about right. Now, so she was going to

stop anyway. These subliminal tapes, I don't think that does anything. My mom tried to get me to learn multiplication tables using subliminal. I'm so old that what we had was this vinyl record and it would play, you know, three times three is nine, three times four is twelve. You know, four times six is whatever it is, because I never did learn it. I know four times three is twelve and then you multiply that times two to get four times six. So I've learned all my multiplication tables that way, you know, which is either really smart or really dumb as hell. You know, I had to have tricks to learn my multiplication table. That's how I learned the states in a song in alphabetical oracle. There you go. But this thing did nothing. This thing did nothing. I fall asleep watching TV and it's not

going into my head. I think it is. It seems like it is. But there's no any recollection of it whatsoever. So I'm not a fan of sleep learning. I just don't think it works. You know, for some kids who have bedwetting, you know, I've seen these shock pads when they, when moisture hits them, they shock them. Your father did that to you, Dr. Scott? Oh, yeah.

Well, okay, don't make silent hand gestures to lady diagnosis pipe up. That's something interesting. We're on a radio show. Right. Tell us about it. No, we did do that. There was other methods to correct aberrant behavior, like beatings. Yeah.

There are three of us. Yes. Three boys and one mom. So you would piss the bed and your mom would beat you? Oh, no. Brothers. Your brothers would beat you. So we stopped pretty quickly.

Yeah, they're bigger than I am. Yeah, I guess that would be an incentive to not wet the bed. I don't know that you have any control right now. No. They will use a spray called D-D-A-V-P, and what that is is, it's, intranasal vasopressin, and what vasopressin does basically just stop you from urinating. So if you've got a kid that, and temporarily, if you've got a kid who bedwets and they're not going on sleepovers because of this problem, you know, they're 10, 11, 12, and it's

embarrassing, adolescent girls particularly, and boys too, they can get a prescription of this DDAVP and use it for sleepovers, and it's about 100% effective. And they just know that generally they'll grow out of it. So there you go. Cool. Yeah. I'm not a fan of the shock things at all. That's terrible.

What it's supposed to do is wake them up and so that it trains the brain instead of going into deep sleep and pissing, that if you're pissing, you should go into a lighter sleep so you wake up. I just would be scared of pissing then after that. Yeah, yeah, yeah. Because I'd be getting a shock. Yeah. Yeah, you know, you're just going to feel, you're going to have this weird feeling.

That sucks because when I laugh too hard now, even now, if I go on go-karts, it's 100% guaranteed, I'm going to urinate. Really? Yeah, I just laugh. Or if somebody trips, I'm going to lose it. I can't stop laughing and then I just pee. Really? Yeah. So other people's misfortune causes you to urinate.

That's actually called instant karma. Okay, that's pretty good. Your glee over someone's misfortune. There's a German word for that. Shaden Freud. I love that word. That's a good word. All right.

Okay, do you got anything else there? Well, let's save some for the next show. Yeah, that's fine. Yeah, good, good, good. Okay, awesome. I had one that I was going to bring on autism and the gut microbiome. Gut bacteria, and this is from medical news today, gut bacteria may contribute directly to the development of autism-like behaviors,

according to the results of a new study in mice. Okay, so this is not a great study for humans, but it is interesting. We're maybe narrowing in on this whole mind-gut thing because that's for real. It seems to be too much evidence that there's a mind-gut axis

that has to be healthy. If the gut biome isn't healthy, then the mind is affected by it. And it's weird. It's like, why would that be? And how would it? be. So we've got a lot to learn about this. You know, when we're

born, our guts are pretty sterile and within just a few days, you know, we're colonized with these beneficial, some mostly beneficial bacteria. A couple of you know, crummy ones will get in there, but the good ones usually will crowd them out.

And, you know, but it is amazing that we have this sort of relationship with these bacteria and they benefit from it and so do we but there may be more than just them being there to fertilize or sorry to ferment sugars and stuff like that and cause flatus there may be more to it than that so it's pretty interesting it said in recent years numerous studies have revealed differences in the bacterial

composition of the gut microbiome between individuals with autism and neurotypical people I like that word, too, instead of saying normal people, neurotypical people. One in 59 children in the United States have received a diagnosis of autism spectrum disorder, which is about four times more common in boys than girls. And it occurs across all socioeconomic, ethnic, and racial groups. The question is, is this a marker of disease or is it a cause of disease? And we talk about this with vitamin D all the time. Yes, low vitamin D is associated with cancer.

disease but is it just a marker in which case it's just telling you that you're at risk for those diseases or is it a cause in which case supplementing vitamin D would hopefully prevent it and so the only way to really know is to you know find these kids and correct their microbiome and see if it makes any difference on their behaviors and then also somehow try to figure out a way to treat this before the autism kicks in and see if you can prevent it. So if you give a bunch of infants probiotics, which don't do, by the way, pediatricians recommend against that for right now, at least some of the ones that I've talked to because, you know,

you've got an immature immune system and you're throwing bacteria at these kids. But, you know, you could do a controlled trial at a university center and see if when you give kids certain bacterial colonies, in their food to colonize their gut, is there a decrease in the diagnosis of autism in those kids? You know, that'd be an easy study to do. First, you've got to pick, now, how do you pick which bacteria? Well, you've got to see the ones that they're different in.

Right. You know, and so then you pick to supplement those between the neurotypical people and the autism kids, supplement those, see if you can, number one, establish colonies of those. Maybe they have some weird receptor, or something that doesn't let those colonies be established. And that may be part of the, you know, there's so many factors it could be, but this would be an easy study to do?

Would it be this simple, supplement them, and then follow that cohort of kids over time and just see if everything else being equal, there's less autism, diagnosis, or less severity or anything in that group compared to the control group? What's the result of excess vitamin D? Well, you can get excess vitamin D. You can get a thing called hypervitaminosis D. Okay. But you've really got to take a crap load of vitamin D to get that. Okay. It can be hard to do it.

It's really difficult to do. That's like crazy people taking bottles of vitamin D. Hundreds of thousands of them at a time. Yeah. Let me see that, literally. Oh, no. Instead of. Well, I take 5,000 I use a day.

No, why do you take so much? Because that is more of them. Coming from Michigan, we had a lack of sun. And so every time I got tested when we were here, if I had a blood panel run, it was always low. So that's just how much I've been taking. But I didn't know if I'm – but each time I go back, they're like, hey, your vitamin D is perfect. So I keep taking it. Okay.

You may be able to get it perfect with a lower dose. Yeah. Like, you know, I usually recommend 400 to 1,000 here because you are exposed to more sunlight here. Yeah. Let me see here. In the United States, overdose exposure to all. All formulations of vitamins was reported by 62,000 individuals with nearly 80% of these exposures in children under the age of six, leading to 53 major life-threatening outcomes and three deaths,

two from vitamin D and E. Whoa. And vitamins A, D, E, and K, I always remembered ADAC in medical school. Those are the fat, soluble vitamins. They're the ones that can accumulate. Okay. Let me see here. If it says what the dose of vitamin D.

Let me see. Google, hey, you got your computer, Dr. Scott. Google hypervitaminosis D and see how much really you have to take to get that. Let me see. I'm looking at medical news today right here. This is the first thing that came up. Rare but potentially serious condition occurs when you take too much vitamin D, result of taking high-dose vitamin D supplement.

So let me see. Yeah, the Mayo Clinic states recommend dietary allowance of vitamin D for most adults is 600 IU a day. Doctors may prescribe higher doses to treat medical conditions. And you're really at higher risk of hypervitaminosis D if you take the high-dose supplements and you've got kidney or liver disease or something which you don't have. You know, it can cause calcium levels in the blood to rise, causing loss of abs. appetite, fatigue, weight loss, excessive thirst, excessive urination. That would make you think you had diabetes, constipation, irritability, nervousness, that kind of stuff. Ooh, irritability.

Yeah. We don't have that. Let's see here. Okay. Oh, well, here we go. The tolerable upper limit or the maximum daily intake of vitamin D that's unlikely to result in health risks has been set at, uh-oh, 4,000 IUs per day. Adverse effects have been seen in those taking less than 10,000 IUs a day over an extended period of time. So, you know, it will not hurt you one bit to drop down to 1,000, and then the next time, just check your blood level.

If it's normal, then you're fine. Okay. You know, you may not need that excessive amount. Now, I'm not your physician, so, you know, you might want to run it by them, but I think that would be totally fair. I actually wasn't aware that, you know, anything above 4,000 was considered excessive. I have seen people on that 5,000. Well, when we first moved here, that was prescribed. Yes.

So, but it was like a... You must have been really low. Oh, yeah. One day a sun for 31 days up there? No. Yeah, yeah, yeah, yeah. I don't think I can handle that. Yeah.

All righty. Well, you guys want to answer some questions? Let's do it. All right. Number one thing. Don't take advice from some. asshole on the radio. All right. Very good. Thank you, Ronnie B. What a good fella. You're so polite.

Well, you know, you've talked at length on many of your shows about Fortyce spots, Fournier's Gangrene, maybe it's Fournier's Gangrene. I don't know. I'm my French. And the Val Salva maneuver and other treatments and conditions named after people. But I'd like to know more about the people behind the name. Anyway, thank you for your time. Yeah. Oh, quat tangent wine. Thank you, my friend.

He was speaking Biavian. Of course. I was going to say. Let me need to press one for English. So Fornier Gangrene, and let's just talk about that for a minute because it's fun. It is also known as necrotizing fasciitis of. the genitals. Do not Google image this if you have

a weak stomach. So everyone in here, please go ahead and Google image this on your phones while I'm talking about it. Fornier gangrene, it's F-O-U-R-N-I-E-R, Fornier Gangrene. So in 1764, this guy named Boreanne, who was a French

physician, described an idiopathic, meaning we don't know you know, the doctor's an idiot and the patient's pathetic. That's what would the medical humor thar, idiopathic. It just means we don't know

where it's coming from. Rapidly progressive soft tissue necrotizing, meaning killing, dying process that led to gangrene of the male genitalia. So that's the only place. That's where Fornier Gangrene is yes.

Oh, okay. Is that location, yeah. However, the disease was... Oh, yeah. Yeah, okay. Pretty gross. The disease was named after Jean-Alfred Fornier, a Parisian venerologist, meaning that his specialty was sexually transmitted diseases. Which is one way to not get an STD, by the way.

On the basis of a transcript from an 1883 clinical lecture in which Fornier presented a case of perineal, that's taint, gangrene, green, and otherwise healthy young man, adding this, to a compiled series of four additional cases. He differentiated these cases from perineal gangrenees associated with diabetes, alcoholism, or known trauma. So, anyway, the manuscript outlining Fornier's initial series of fulminate perineal gangrene provides fascinating insight into both the societal background and the practice of medicine at the time. In the anecdotes, Fornier described recognized causes of perineal gangrene, including a placement of a mistress's ring around the phallus so they were using cock rings back then ligation of the prepuse used an attempt to control an uresis the prepuse being the foreskin or as an attempted birth control technique practiced by an adulterous man to avoid impregnating his married lover so i guess what they

were doing was they were ligating it meaning that they would pull the foreskin up and then tie it off yeah and so if you're you're you're at your own good it's like a lot you're It was your own condom. It was your own reservoir tips, right? So they would tie off the tip of their foreskin, and then they'd bang their mistress and then pray that the, you know, that the tied up foreskin would hold in their, you know, delightful, you know, present. The super glue or the duct tape hell. Yes, that's right.

The delicious life-giving substance. I'm sorry I looked that up. Yeah. I'm okay. Who ever heard of that? Now, that's a new one. on me and so then these guys that tie it up and then you what happens

you have intercourse you fall asleep right and then you forget to untie this thing and now it gangrenes off and you got a hell of a lot of explain it sluffs off yeah and you got some explaining to do to your spouse no

no sir oh here's another one another person placed foreign bodies such as beans within the urethra and then excessive intercourse in diabetic and alcoholic persons. He calls upon physicians to be steadfast in obtaining confession from patients of obscene practices.

See, we used to use language in the medical, you know, like when we're doing a history and physical, patient admits to marijuana use. Well, we've taken that out because admits to sounds like you're doing an interrogation, right? Right. It's not our job to interrogate people. We're supposed to be non-judgmental and just get the facts. But back then, he wanted a confession from patients of their obscene practices.

So that was Fournier. So a bean in it. Put a bean in it. Yeah, I guess they were thinking if you put a bean in it, then when you bust a nut, you were busting a peanut. You were busting a peanut, right. That has to be some really good woman part. to do all that

or you're just desperate not to get somebody pregnant and you don't have birth control you know so you're trying anything so the val salva maneuver the val salva maneuver is like when you are you make the

maneuver like you're taking a giant dump but you have your sphincter clothes so you're not actually going to force out fecal matter you're that's the valsalva maneuver and we'll use this for lots of different things including even stopping sort of cardiac arrhythmias and stuff. But that was named after Antonio Maria Val Salva.

He was an Italian anatomist born in Imola, or Imola. His research focused on the anatomy of the ears, and he coined the eustachian tube, and he described the aortic sinuses of the Val Salva in his writings. Now, so the reason that the Val Salva maneuver is associated with him is because we use it to open up the eustation tubes. So the Eustachian tubes are the tubes that go from the middle ear into the back of the throat. So every air-filled cavity in the human body has an exit, at least one.

The gut has an entrance and an exit, but the sinuses tend to have just exits. And the middle ear is also an air-filled cavity, and it has to have an exit to equalize pressure, right? So when you go up in an airplane, the pressure on the outside decreases. If your eustation tubes are closed up, your ear drums will bow outward because the pressure inside is greater than the pressure outside. So you yawn or chew gum or whatever, and then the eustation tube will open up and then it'll come down. When you're going down, the air pressure is increased compared to the pressure inside the middle ear. and so the eardrums will bow in. And that's when you do the Valsalva maneuver

where you hold your nose and put your nose forward in the position like you're smelling flowers and then blow like that. Could you hear my ears pop? Okay, it's really loud in my ears. Sometimes I wonder if you can hear it on the outside. Nope.

But anyway, so you're forcing air up through the eustachian tubes into the inner ear to equalize the pressure and it feels so good when you're coming down. down. So, yawning, going up, blowing, coming down. And teaching your kids how to do this. I taught my kids very early age how to do the Val Salva maneuver so that they didn't have horrible pain when you're descending in an airplane because you'll, a lot of times, if you've been in a plane and the plane is descending and all of a sudden the kids in the cabin start screaming, that's what's going on. And you can get a ruptured eardrum from that. It's called

barot trauma when that happens. But anyway, that's Antonio Maria Val Salva. So, These people, I am not a fan of eponyms, like, what's it, like, Peroni disease. Some guy named Peroni got to name a scar in his penis, but there's not a real good, simple name for that. It's scar in the penis curved to the right or the left disease. So, you know, there's not a great disease for that. Fournier's gangrene sounds cooler, the necrotizing fasciitis of the male genital. Talia. Yeah.

You know, so that's why we use those because it decreases the number of words you have to use. But then you've got to learn what it is. Yeah. And then it becomes sort of code. And I'm saying Fournier's gangrene, and I can talk to another physician, but it's kind of a code that we're using. I don't like that.

Right. The other thing, too, if you're explaining something, you're going to want to make sure you're using the right words. That's right. Yeah. Well, totally true. Go ahead. Well, my friends, our best friends are chiropractor.

a lady comes in and says her husband has flasio on his feet so what was she trying to say oh I'm sorry, fasciitis oh plantar fasciitis yeah yeah fletio that's close that's a good one I've heard fireballs in my universe that was fibroids in my uterus that's a good one I hear I hear

rotary cup Rotary cup All the cup Instead of rotator cup And then there's the Just the Regional stuff Like in North Carolina

They'll say They got the gouch Instead of the Instead of I have gout They got the gouch You get me my gouch peels And here we have a lot of wing bones Yeah wing bones

Of the scapula Would be the shoulder blade And the other thing we have here That's weird are leaders Leaders You got leaders yet That leader right there My neck

Yeah leaders are tendons And it comes from, my hypothesis is that it's L-E-A-D-E-R-S is what they're saying, and it's like the leader on a fishing line. Yes, exactly. Because that's the tough part of the fishing line. The leader. And, you know, they kind of look like leaders. Yeah. Tendants do.

So, anyway. That's crazy. Yep. Yeah. So please know what you're saying. Yes. Well. Or have some hillbilly like Dr. Stephen.

We can translate. We also, in the medical profession, have got to stop saying, okay, there's two year words. that we use totally differently than all of our patients do, and it causes confusion. Okay. And that's positive and negative. So if you have a positive attitude, that's a good thing. If you have a positive balance in your checking account, also a good thing.

Sure. If you have a positive biopsy, that's a bad thing. Yes. And so I had a friend of mine. His mom called him on the phone and said, oh, thank goodness, an influenza of act or my influenza test was positive. They just told her, yeah, your influenza is positive

and gave her a prescription. Didn't tell her anything. It just handed her a prescription. She figured she didn't have to fill it because you know, she doesn't know what whatever the generic for Tammy flu has. Why can't I remember that all of a sense? Tamsalosin.

Tamsillosen. You know, it had that on it, so she doesn't know what that is and she just went home and said through the prescription and the trash well I'm you know my test was positive meaning that's good that's good right so so shitty communication on the part of medical providers is one of my pet peeves so we should use normal and abnormal negative same way you can tell somebody well your test was negative and they'll go you know because negative is net when is that ever good right negative attitude negative balance you know

so you know so anyway so normal and abnormal please for the medical students residents and physicians that are listening to this and you know uh we use i don't say metastasize we'll say spread you know stuff like that you know trying to use more plain language yeah all right um oh this is a good one i think i've got one for doctor i've got two for dr scott let's do this and then we'll get out of here for today it's a good thing you showed up dr stock yeah good thing it is Hey, Dr. Steve, but at three months now, I've had tremendous mucous flow down the throat. Been living off of mucinex. I mean, probably taking the least quadruple, the suggested dosage of mucinex.

I take allergy shots, allergy pills, a lot of meds. but I have no way to stop this. So what did he not mention that he said he's taking allergy shots and allergy pills, but there's a third thing. I know. Yeah, go ahead. Nasal spray. Oh, okay. Well, yes.

Okay, so there's a fourth thing. Reflux. He's not taking any, you know, this could be reflux. So the question is, and I'll let you wax eloquent, because I know you have a lot to say about mucus. the mucus can come from different places it can come from above or the problem can be above where you're just producing a lot of mucus in the nasal pharynx and it's draining down the back of your throat but it can be coming from problems below too from the lungs or from the stomach if you have reflux and you're and you're laying down at night and you have this horrible acid crap running up into your oropharynx in the middle of the night you know it it's toxic, and it can cause inflammation of those tissues, and you'll produce more mucus that way as well. And not everybody that has that has symptoms with that.

They don't have heartburn. So anyway, what are you going to say, Dr. Scott? Well, I was going to just say that one thing he did not mention, though, is dietary, possibly, possibly the, what we see a lot of times with people really excess mucus is their dairy products. Certainly, if he's drinking a lot of milk products, I can cause a lot of the flim. Give yourself a bill.

So I would definitely discuss that with him. And certainly then try to figure out if it's coming from the top, if it is a nasal spray to wash out that flam is going to be a great idea. Or a navage. A navage. Go to Dr. Steve.com, scroll down, find the navage, the greatest invention. Look, you can do a Nettipot. Nettipot's cool.

You can do Dr. Scott's nasal rinse. Which is far superior to those two. I agree with that for a lot of things. Check it out at simplyerbils.net. But for just mass cleaning out of crap in your nasal pharynx, you cannot beat that damn navage because it's motorized. So it's like I always akin it to the people doing Pilates instead of doing yoga. So a yoga master comes to the United States and they do all these cool poses and down dog and updog and greet the day and all this stuff. And then they go into a Pilates studio and they would be whole.

horrified to see these people trying to attain these same things using pulleys and shit. You know, pulleys and ropes and stuff. Well, the navage is kind of this, you know, the navage is to Pilates, no, the navage is to the Nettipot

as Pilates is to yoga in that, you know, it's motorized and it's all, you know, newfangled, but it is awesome. And there are positions I can't attain without using pulleys too, so. Does it just Shoot it up there?

Yeah, so what it is is there's a reservoir in the top, and you put saline in it. Sure. And then there's a reservoir in the bottom where everything goes. Okay. And then you've got two little prongs, and you stick them both in your nose, and you're just sitting up straight. Okay. And you just put it in straight because the floor of the nose is parallel to the ground. Yeah.

So you don't want it your head up or down. So, and then you turn this thing on, and if you push it in halfway, there's suction on one side. Okay. And then you get the suction going. and then you push it in the rest of the way. And once you've got that suction going, it's going to squirt water in the other side, which will make a transit through that nostril,

and the suction will then pull it around the nasal septum and bring it back out. The other one, it never goes down your throat. It's the coolest damn thing. Because I do use a nutty pot. And so, like, it just gets so frustrating because you feel like you just can't get everything. Yeah, that's what I like about this

because instead of just gravity, it's kind of like that ride, at Disney the Twilight Zone Ride Tower of Terror. It drops, but it doesn't just drop, it drops faster than the rate of gravity

if it was just free fall. Oh, wow. Okay? So, but that's it gives it a more intense drop, right? So it actually pulls you down faster than 10 meters per second per second. Which is what free fall is. Yeah. So it's the same thing.

You know, it's more, you get more force than you would with just a netty pot using gravity on it. So, I love it. Go to Dr. Steve.com, scroll down. They're under 100 bucks. That was the best 80-something bucks I ever spent. Or you go to Simply Earval's first. Yes, try that first.

Yes, try that first. Dr. Scott's nasal spray has some peppermint oil in it, which has been demonstrated to be anti-inflammatory at the level of the gut. We don't have any data on the nasopharynx, but it does follow that it should work. And it's certainly, from an anecdotal standpoint, is my favorite nasal spray of all time. Yeah, but check his diet. That'd be my first thing, yeah. But do all that stuff.

And if it is from above, just mass removing it so that your body doesn't have to try to get rid of it, may help. Right. All right. Good luck. All right. Let's do one more. Well, all right, you bastard. So a milk allergy that will cause excess mucous?

Absolutely. Well, and it doesn't even have to be an allergy. Not even sensitivity. It's just milk is really, plain milk is just so flimmy. You know, anytime I have a child or a peed's case, it comes in with recurrent bronchitis or pneumonia, earache's the first thing I do is take them off of all milk products. And typically it makes a huge difference. Yeah, particularly in those older kids, we've got other stuff they can have.

You don't have to drink milk. You know, you don't have to drink the fluid from a cow's tit. You know, I see. these adults, too, and they're just drinking gallons of milk? It's like, how much milk do you need? Does that have issues for acne, too? I had a girl that was asking

potentially, yeah. Potentially, yeah. He might say so. Well, I would say that the data doesn't support dietary things, but, you know, the traditional Chinese approach may be different, but we've got to figure if your body's trying to get rid of some something that it doesn't like, you know, some sort of toxin or something in. But maybe it's trying

to come out the other way, like through her face. It's toxic. No, I I don't think there's data to support. I agree there's no data, but I would at least try that for us. Well, that's what I did tell her. I said stop milk for a minute and see how it goes. And it cleared right up, but she couldn't give up milk. Okay.

Well, if it really did clear right up, she's nuts if she went back to it. You can drink soy milk. There's almond milk and all kinds of stuff. Now, if you make, let's just talk about acne for a second. if I did if I had somebody with just zits everywhere and I performed a magical procedure that stopped any further zits from forming and I'm talking about at the at the molecular level you know at the poor level it would take six weeks before they'd ever know I did anything because the zit that you have on your face today started six weeks ago so if I make them all stop forming it's going to be six weeks before you'll know Okay, so any intervention that you do, you've got to do at least 12 weeks to say that it doesn't work. And that's what sucks about acne because you try one thing. You got to go January, February, March, okay, this sucks.

Let's try the next thing. You know, April, May, June, now this sucks. And it can take years to find something that really works. I'm not being married. Yeah, kind of. That's birth control right there. There you go. That won't give you gangrene.

And I had, oh, and Lady Diagnosis, too. We've all got our horror stories in that regard. Jenny's the only one who's got a decent marriage on the three of us. That's just your first, right? Yeah, you've been together 25 years, married 23. Well, that's all good for you. And I still like him. A lot.

He's a pretty good filler. Yeah. Well, good for you. Wait a-to-go. Go fuck yourself. I don't have to. You're 100. She's a hundred, you're a hundred and fifty thousand dollars a manian's always got a damn singer.

Thanks for a minute in. All right. Let's get out of here. No. A question for you. It might be a dumb-ass question, but what is heartburn? Both of my parents died from my heart attacks. My little brother's had a heart attack.

Older brother died from something other than a heart attack. So I'm the only one's not had one so far. So every time I get a twinge in the chest, I get nervous. about it. So got me the thing of what is heartburn? Yeah, heartburn's different than angina. It's a lot. So you want to talk a little bit about heartburn, Dr. Scott? You have exactly two minutes and 42 seconds. First thing, let's make sure his heart with his history is in pretty good shape, number one. Yeah, but the reflux typically is from stress. It's from foods, but it's where the acid bloops out of your stomach and up into your esophagus and causes some burning in your

Yeah, inflammation. It's usually a constant burning that will get better with, it's like an an acid or yellow mustard, as Dr. Scott has taught us over the years. She should respond pretty quickly to those, too. And if it does. And if it does. If it doesn't. Now, angina or heart pain is different than heart burn. So that is typically a dull pressure in the chest radiating to the left may radiate to the left arm.

associated with exercise. So you go upstairs and you have it. It can happen at rest, though, too. Usually there will be shortness of breath, maybe palpitations, you know, skip heartbeat, perhaps sweating, nausea, that kind of stuff. Very rarely do people present with all of those things, which makes it challenging.

You know, we can't just say, oh, yeah, that's a heart attack. So if you think you're having a heart attack, you go to the emergency room, they do serial heart cardiac enzymes on you. And if they're going up, then you've got a problem. If they're not, then they're not. And a huge number of admissions to the hospital or for chest pain rule out, MI.

It's what it's called. And they come in and you keep them for a day. If they're fine, great. If they're not, then they do further testing. So, all right, don't fuck around with that one. First time you have it, you should get checked. All right. Well, thanks.

Always go to Dr. Scott. Lady diagnosis. Jenny McKinney, anywhere you're appearing that we can plug? Oh, July 5th, I'll be in Oak Ridge, Tennessee. Okay, just in the town? Yeah, I guess it's like two streets. I don't know. Oh, really?

You should be able to hear me laughing over there. Okay, and then you're doing, you applied for a comedy festival in... Yeah, Motor City Comedy Festival in Detroit, September 19th. Okay, so we'll check that out as we know more. Listen to our Sirius XM show on the Faction Talk channel. XM Channel 103. Saturdays at 8 p.m. Eastern. Many thanks to our listeners. 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. Thank you.