Weird Medicine: The Podcast - 367 - Morning Wood Pile

Episode Date: July 18, 2019

Psychologic vs physiologic erectile dysfunction. Muscle cramps exposed. generic drugs. THC "overdose." Diagnosis of abdominal pain. Full-Bladder-Tumescence. 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

What does Aladdin wear to the office on casual Fridays? His blue genies. You're listening to Weird Medicine with Dr. Steve on the Riotcast Network, Riotcast.com. I've got diphtheria crushing my esophagus. I've got Tobolivir, stripping from my nose. I've got the leprosy of the heartbound, exacerbating my infertable woes. I want to take my brain out

and blast it with the wave, an ultrasonic, ecographic, and a pulsating shave. I want a magic pill. All my ailments, the health equivalent of citizen cane. And if I don't get it now in the tablet, I think I'm doomed, then I'll have to go insane. I want to requiem. for my disease.

So I'm aging, Dr. Steve. It's weird medicine, the first and still only uncensored medical show and the history of broadcast radio, now a podcast. I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medical practitioner that keeps the alternative medicine assholes at bay. Hello, Dr. Scott. And she who will do most anything for a glass of expensive wine, it's lady diagnosis.

Hey, Dr. Steve. Hello. This is a show for people who would never listen to a medical show on the radio or the Internet, Lady Diagnosis. If you have a question, you're embarrassed to take to your regular medical provider. If you can't find an answer to anywhere else, give us a call. 347-76-4-3-23. That's 347. If you're listening to us live, well, you're not, because we're not broadcasting live today.

Follow us on Twitter at Weird Medicine or Lady Diagnosis or DR Scott W.W.M. 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 here 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, physician, assistant, pharmacist, chiropractor, acupuncturist, yoga master, physical therapist, clinical laboratory, scientist, registered dietician or whatever. Aesthetician. Or esthetician. I haven't had a request for that one yet.

It's just when people go, well, how about what I do? And then I just add it. It's fine. I don't care. Who cares? Ask everybody. We don't care. I have really kind of a bummer, a medical story that I wanted to cover today.

And it is really a bummer. And we'll get to dicks and nuts and some other stuff. Spit and boogers. After that. But I saw this in the newspaper. And it really kind of broke my heart. And here's the thing. There was a solution to this that didn't result in the bad outcome that happened.

So I'll just read you this. Westbrook helped his cancer-stricken wife die by suicide and now faces a manslaughter charge. The state police said Kevin Conner, 65, told investigators he held a revolver to the head of his wife, Lori, who pulled the trigger, September 6th, according to the arrest warrant. Connors turned himself in at a state police barracks Thursday and posted four. $50,000 bail. He's scheduled to make a court appearance on Friday. A phone message was left. Okay, whatever.

On the night his wife died, Conner's called 911, told officers who arrived that he'd been woken up by the sound of the gunshot. Oops, he was telling a fib. Questioned further by police, he said he had helped his wife because he couldn't watch her suffer anymore. He said he held the gun because his wife was worried about flinching when pulling the trigger according to the warrant.

Lori Connors had been diagnosed with terminal cancer was undergoing chemotherapy treatments which combined with symptoms of Lyme disease made her very ill and sapped her will to live. Police said Kevin Connors told them. Okay, and then there's more. But, you know, so now the woman is dead. He lives on, but now he's, you know,

maybe going to jail. Depends on what happens, but he got arrested. And he's never going to forget the image of, you know, and the scenario of him holding. the gun to his wife's head while she pulled the trigger. None of this was necessary. Okay. And I know, look, I know they felt like they didn't have any options, and that's what makes me sad about this, because apparently their oncologist didn't talk to them

about palliative medicine. Nobody mentioned hospice to them or that she could stop the chemo if she wanted to. That's what I was going to ask. There's so many things that went. wrong with this as far as the communication that was delivered to them, there's no, look, so

I wanted to put this out there because if there's anybody listening, we have a lot of people listen to this show, if there's anybody listening that's in a similar situation, to email me, Weird Medicine at Riotast.com or go to Dr.steve.com and click contact,

ignore all the warnings. That's for people who don't listen to the show. And then email me, there. Dr. Scott and I, if there's anything Dr. Scott can do that guy forward to him. Absolutely. Lady diagnosis can, you know, I don't know, show you

her, you know, whatever. Beautiful face. She's pretty awesome. It's 2019, Harvey, just shut the F up. Okay, but anyway, look, I can help in the sense

that I can talk to people about this stuff. but I can also get them hooked up with the right people in their area. This is heartbreaking because, look, even if you want to end it yourself, end your own life, there's other ways to do it. If she were in hospice, for example, they'll give you a two-week supply of your long-acting and short-acting pain medication. I'm not advocating anybody do this, but that's always enough to take care of things in a very painless way.

But what I've found is people who express to me a desire to end their life quickly, often that desire goes away when I demonstrate to them that we can get their symptoms under control without them dying. Right. And then all of a sudden, well, now, well, shit, Avengers Endgame is coming out. Maybe I'll wait till then. Right on. You know, that kind of stuff. You start all of a sudden having things that you want to do because you're not having just unendable.

ending pain and suffering. It's not necessary. If you are in a cancer center and you have unremitting pain and suffering and the oncologist can help you ask them to refer you to palliative medicine. All right? I guess a lot of people don't even know what that is

or that it exists. But, okay, so there is this thing now called the oncology care model, and this is a pilot program that Medicare is doing a lot of cancer centers have adopted it, has a pilot program. In that, they are required

to give you information about palliative medicine and they are required for their patients to have access to palliative medicine. It doesn't mean they have to have a specialist. It could be, you know, the oncologists can do it because they get trained in this stuff. You know, I have oncology fellows that train with me and residents and medical students and stuff like that.

But in our cancer center, we have a fully functional, it sounds like I need palliative medicine. a fully functional palliative medicine service. So everyone who's getting non-cureative chemotherapy gets sent to us whether they think they need us or not. Well, good, because a lot of people don't even know what palliative medicine is, and they've never heard of it. So they don't know that's an option. I have a lot of people that don't show up because of that, because the oncologists are not taking two seconds to tell them what it is. And I love my partners, but they've got other things going on.

So I've even created a letter that they can just hand. And to the patient says, hey, I'm Dr. Steve, and this is what we do, and here's what we can do for you. And, you know, we're going to do this, this, and this on your visit and all that stuff. And the patient has the right to decline and to go. But at least they know what it is. And they know it's out there. And there's no reason to suffer like this if you're a cancer patient. None.

And really no reason. It's not, in palliative medicine isn't just for cancer patients either. that's our biggest client but you know we see COPD strokes dementia you know congestive heart failure all kinds of stuff so all people who have a disease that's advanced that probably will take them out of this world may benefit from seeing a palliative medicine provider so if you need something like that i have a list of just about every palliative medicine person in the united states feel free to email me I can hook you up with them. If I call them, they will know who I am without saying why.

They'll know who I am, but they'll know who I am, and I can get them to see you. Okay? So just, I don't want anybody else to have to go through this. I went, you know, more bummer stuff. I went into palliative medicine because my mom suffered so much at the end of her life that when I, you know, we were just helpless. that when I had the one lecture on end-of-life symptom management when I was at one hour out of seven years of medical training, I really paid attention. And later on, I decided I didn't want anybody else's mom to go through what mine did.

And when I realized I could make a career out of it, I did. So, you know. But anyway, and people say, well, why do you do this show for 15 years? when you have my job, you've got to do something that just makes you laugh at some point. If you don't, you'll go crazy. I have a tattoo on my arm. Do people ever appreciate you? I know it's kind of a horrible time in everyone's lives.

Yes. Do they? More so in this job than any time, if I was, when I did family medicine, maybe somebody would thank me once or twice a year. And I was pretty good. but I get expressions of appreciation every day multiple times a day in this job. May interrupt, please. I'm going to interrupt because I get a lot of patients that Dr. Steve helped their family members

and they just can't say enough. Oh, good. Yeah, I mean, it's just incredible. It's because it's the truth and it's a tough gig. It's got to be a tough job. It makes a huge difference. I feel like I was called to do it. Jay Moore asked me when we met and,

in Knoxville once, he said, why how could you do it? I said, I was called to do this. And if you're called to do something, it's easy. And Jay's kind of had this sort of religious conversion, and he understood that, and he just, you know, hugged me and said, I understand, called to do

something. Yeah, that's... Jay's cool guy. But, you know, without getting too modeling or anything, I have a tattoo on my arm that reminds me why I do my job. It's sadare delorum, opus de venum est. It's Latin, and It means the relief of pain is divine work or is a divine job or is God's work or whatever.

But, you know, it's not, there's no ornamentation with it. It just is permanently there so that I don't forget because every once in a while, this shit gets to you. Yeah, sure. And then you got to, why am I doing this? But anyway, all right. Okay, enough of that. Get on to Dick and stuff. How about the penis things?

Yeah, we did Morning Wood last time. That was a good one. Morning Wood is interesting. Oh, and he also, that guy last week asked if someone with erectile dysfunction can get morning wood. It all depends on what the cause of the erectile dysfunction is. If it is psychological, absolutely they can get morning wood. As a matter of fact, that would be a good. It's a diagnostic determinant, yes.

If you can get morning wood, then your erectile dysfunction is psychological. If you get erections in the middle of the night and we have ways to test that, You can do a little Velcro pressure gauge, or they'll take a little piece of tape. A roll of stamps or a piece of tape. And if the stamps are broken in the morning, then you had an erection. Or the tape is, you know, no longer tape. There's a bunch of different ways. Two mesmometer or something like that.

It measures penile tumens. I can't remember the name. I'm just making that word up, but it's going to be something like that. And it will also look and see if you get a nice meaty, Eretion in the middle of the night. So, okay, so let's see here. Let's do this one.

A stupid thing that seems my... Oops, what? Did I maybe? Oh, wait, wait. First thing we got to do, this is most important. Number one thing. Don't take advice from some asshole on the radio.

That's more important than anything else. I have a question about cramps and stuff. So I tend to get painful cramps in me tummy when I move in a certain position or something or if I do a stupid thing that seems mundane, it seems ordinary, but every once in a while, pretty occasionally. It happens a frickin a lot, and I get them in my feet, too, you know, where you normally get cramps. Is that just dehydration, or is it a potassium deficiency?

see? Isn't it a wiener from causing it? Because it's so big? Yeah. Let me know. Yeah, I like the medical questions, people call in. What they're really doing is bragging. So,

yeah, muscle cramps. Dr. Scott, I'm sure... But in his tummy, does he mean, like, throwing upy kind? I'm assuming that he means abdominal. Abdominal. Okay. You can get that. You can get cramps in your taint. That sucks. Yeah. Every once in a while, I'll wake

up with a cramp in my leg and I have to get up and walk around and it's so bad that it actually makes my foot curve in and so I'm walking on the side of my foot for a while because the

treatment for a muscle cramp in the acute phase is counter-stretching so if it's cramping contracting in one direction you want to pull it on the other side but when it's multiple muscles that's hard to do So, but I have to get up and walk around.

If I walk around for about 30 seconds to a minute, that goes away and then I'm okay. So he needs to do backbins? So, yeah, maybe, maybe. Yeah, it's a tough one or just stand up straight because it's probably he's curled over and just stand up straight. So we used to prescribe for people that had these frequently quinine, but then the FDA told us we had to stop doing that. But you can still buy quinine over the counter in the form of tonal. water. Dr. Scott, you got anything in the alternative medicine realm for muscle cramps? I like astragalus, but...

For real? Yeah, actually, I do. Because that's your answer for everything, so I'm just wondering. No, I do. I like estrackus, but honestly, it sounds like what he's doing is just a normal muscle spasms and overuse syndrome typically, especially if in your feet or your abdominal wall, you know. It could be dehydration. It could be magnesium.

I like magnesium better than potassium. I like magnesium better than potassium because potassium is so tightly regulated in the body that you're almost never. Right. Like if I test all of our potassiums, they're all going to be within, you know, a tenth of a point of each other. And then just like pH, pH is so tightly, I'll guarantee you that if we did a pH on all of us, it'll all be 7.4, whether you're on an alkaline diet or I'm drinking alkaline water or any of that stuff, your pH is going to be exactly the same. The pH of your urine will be different Because that's one of the ways that the body You don't regulate that, yeah

But so I always hear potassium Eat bananas and stuff I've never had anybody Any benefit from that But magnesium, yes And certainly tonic water now Gatorade Does that have anything to do with cramping

Or is that just hydration Well, I'm going to give you one of these Give yourself a bill And I'll tell you why Because one of the main reasons that's felt to cause this is when people have a relative dehydration. Now, I'm on a fluid pill right now, so I can easily have a negative fluid balance, and I think that's when mine kick in. People who are on diuretics do tend to be more prone to these things. Yeah, and Gatorade, if you can just get the ones that aren't real high in sugar.

Yeah, that's the problem with Gatorade. It's got a lot of sugar in it. So it's great for rehydrating after exercise. but if you're just drinking a bunch of Gatorades, it's probably not real good for you. But they do have some electrolytes in them. They got a little potassium and sodium and stuff like that. So stretching.

Would stretching not do any good if you stretch every day? To prevent them, I don't know. And even if you have a tight muscle? If you are having a cramp stretching in the other opposite direction, absolutely makes a benefit. But it's not really going to do much, probably, if it is a magnesium. I'm not a lot.

I'm not aware of, you know, like, what you would be thinking is if you stretch before you go to bed, maybe you won't get the cramp, and I'm not aware of any connection between those two. It doesn't mean it wouldn't be. I'm just not aware of any data that says that it would. So, I mean, you know, stretching's never a bad thing. That'd be an easy one to do. Get a bunch of people that have leg cramps on a regular basis, to have some of them stretch before and the other group.

Absolutely don't do it. and just see if there's any benefit to it. That'd be an easy study to do. Nobody's going to spend money on it. But, I mean, we could do it if we could find enough people that had, you know, regular leg cramps. Regular, yeah. But anyway, yeah, there's a way we could actually do some scientific studies out there. They would not be, they would have to be pilot studies in the sense that you couldn't rely on them.

But we could, you know, we've got thousands of listeners. There's got to be. 50 people that have regular leg cramps, if we could get 25 to do the stretches and 25 to not, and then report back to us, you know, we could at least make some conclusions from that. You can't rule out that people are just fucking with us and telling us something completely wrong just for the hell of that. So that's why it wouldn't be, you know, a rigorous study, but at least we could get some ideas from that. Yeah, because you can't prove cramping and measure it, can you?

Right. Well, you can measure it? Yes, you actually can. You could measure it using the proper crampometer. Yeah, crampometer. Is that like a crapometer? But you can, yeah, you can see contraction of muscles of just the electrical activity. You could absolutely do that.

I can't think of the machine, but you can tape it on there and it'll measure the contract. Yeah, yeah, yeah, yeah. So, yep, that could be done. So do your stretches. But anyway. Take you, making these and drink some water. Drink water. And, yeah, stay hydrated.

And then if you have a chronic problem, try some tonic water every night. Four ounces should do it. It can be diet, tonic water. And then the other thing I just want to throw out there is, if you're having muscle cramps all over everywhere and it's frequent, go get checked because there are a couple of serious conditions that, you know, that you can see ongoing muscle cramps with. But those would be things where, you know, one minute they're cramping and they're cramping. hand and then the upper arm and then the abdomen and then the leg and then the feet it's just all over everywhere and it's constant that's a whole other thing yeah it's all the thing but one other thing is what 98% of all those cramps are idiopathic oh yeah and benign but you know

empathic meaning that the patient's an idiot and the doctor's pathetic no it's the other way around the doctor's an idiot and the patient's pathetic but you know one thing we didn't touch it just idiopathic means we don't know there's no known cause but the one thing we did not touch on is he could have some iotrogenic causes i mean if he's taking certain medications are caused spasms. So just check your medicine kit, too. Yep, yeah, yeah, particularly, like I said, diuretics. Okay.

Hey, I love the show. Hey, how a drug addicts ruin it for people that need medicine. I know you talk a lot about apothea on your show, but if someone needs, like, an anxiety medication, like a benzodiazepine, why is it so damn weird that the generic drugs differ so much? Sometimes they're going to put the medicine in the generic drug. Or then if you want to call the pharmacy and ask if they have a certain manufacturer because they vary by manufacturer, they get so damn weird the pharmacist.

Some of them get so damn weird and treats you like, you know, not even like a real person. Should you call the regular manager of the store and tell them, talk to the pharmacist boss or something like that? Yeah, I'm getting lost in the weeds on that one at that point. But let's talk about generics for a second. The FDA requires that the active ingredient in a generic medication has to be exactly the same as in the brand name drug. Now, if it's not, there are these things where they have these biosimilar drugs. Those are usually big proteins and they have the same activity, but they're not exactly the same drug. That's a different thing.

That's not what we're talking about. I'm talking about generic drugs must be the same. exactly the same molecule, and the generic medicine has to have the same strength, the use indications, and the form, in other words, if it's a tablet in the branded, it's got to be a tablet and the other thing or injectable, and the route of administration has to be exactly the same. If it's not, then it's not a legal generic, and they're very strict about this stuff and they monitor it and the the activities it's got to be within like 5% or something like that i don't know the exact number let me see if i can find so does just one company make all

generics or different companies there is a big one called tefa their Israeli company and they make a ton of generics and they also make some branded stuff too they are pretty much at least back in the day we're the king of the generics but there's lots of companies who make generic drugs Yeah, a lot of them There are a lot of generic drugs coming from Canada or in Canada from China now.

Let me see here. Yeah, approved generic medications are generally only sold after patents and exclusivities protecting the brand name version and that's another thing reason why Teva is funny is because when the companies get

within about a year and I hope I'm not committing liable or by saying this or slander, whichever the spoken one is, right around when there's a year left in the patent, they'll just come out with their generic and dare the companies to sue them. Yeah, they're pretty funny that way. But you know, you'll save a ton of money going with generics, not always, but a lot of times you will. And it really is, for the most part, the same drug. Now, the binders might be different than some people could be. They say, well, I'm allergic to generics. Now, what they're, they may be allergic to is a specific binder that

was used in a generic drug, and the branded drug is better for them. Now, he was talking about pharmacies and asking for specific manufacturers. So, like, if you call a pharmacy and say, do you have Teva generic, you know, chlorhthalodone, for example, yeah, they're going to go, dude, you know, we have a distributor. And whatever the distributor, can get the best deal on is what we're going to have. And they want the highest profit margin. So a lot of times I can save more money by using a branded discount card than getting the generic. So, for example, let's say a statin drug.

You know, let's call it, I don't know, prokula statin. And it has a discount card that pays your car. copay, up to $50. And then there's a generic of the same drug that's out, and you're co-pay for it, because there's no card for it, might be $20. So I can actually get the branded drug cheaper to me, my end cost. Now, it's costing the system more money than I can the generic. So everyone's, and people out there, we talk about this about once a year, if you're

having trouble paying for your branded medication. almost always you can put the brand name in and then put dot com and then the upper right hand corner usually it'll have patient assistance and you can download a card a discount card this doesn't work if you have Medicare or Medicaid though because the government has excluded their patients from being able to get these cards which I've never understood that if I were running for president the first thing I would do is say look a discount card should work for everybody including Medicare and Medicaid patients. That's just silly. But you can almost always get a discount card and it may pay your co-pay or it'll say zero cash down or something

like that. Okay. So do that. I've never heard that. All right. There you go. That's generic for you. Hi, Dr. Steve. So a couple of months ago, I took a little bit too much of those marijuana edible and what happened was I had a classic back trip complete with panic attacks and paranoia and slight hallucinations and everything and for two months now I feel like I haven't been normal I have this weird anxiety going on where I have this strange hollow dealing my chest or I didn't even know how I was explained properly it's made

It's not a heaviness, but it's like a sink and feeling in my chest and I wake up sometimes with my heart racing and, you know, there's the classic DPDR, your personalization, derealization going on as well. That kind of taper up a little bit, but I think it's worse when I wake up, you know, waking up kind of, I don't know if I'm dreaming to, either dreams are causing me to panic or to have. more anxiety? So do you think he quit taking the edibles? Is that the insinuation? Oh, sounds like it. Yeah. Okay. Yeah. It sounds like it freaked him out. Well, he said he had a bad trip.

You know, first off, did the edibles come from a legitimate source? What else was in them? If they didn't, could there have been something else in there? Could they have been, you know, there have been adulterance in there? Number three, if he had a really horrendous

episode, it's much more likely he now has a little bit of post-traumatic anxiety than anything else. As far as long-term effects from a single use of THC, I don't, you know, it could happen, I guess, but it would be exceedingly rare, if not vanishingly unusual. There are long-term effects from, you know, constant use of THC, including this thing, which really sucks called, you know, THC hyper-emesis syndrome, these are people who all of a sudden start puking

and they can't stop. And we use cannabis for people who are puking with, you know, chemotherapy. It's one of the best drugs we've got. The synthetic version is called drainabinol or maranol, also sold as syndros, and there may be one other one as well. And it's great.

But if you are taking it constantly, and chronic use, you can actually have the opposite effect. Those people have really no choice but to just stop using THC as a drug altogether. There are a couple of, you know, cohort studies that looked at chronic psychosis, depersonalization, chronic anxiety, that kind of stuff, tends to be associated with heavy chronic use, and it's still very unusual. it's certainly safer than heavy chronic use of alcohol or cocaine and other drugs like that. So isn't pot or pot cookies or edibles, isn't that supposed to mellow you out?

Yes, and it does. So if he took another one, wouldn't that decrease his anxiety? First, I don't know if it's legal where he is. And again, if he has a legitimate source, certainly if that source was illegitimate and it was adulterated, I would certainly would not recommend he take any more. If you found a legitimate source, would that not be an option? So that's what it's supposed to do, Dr. Scott? He could try it, but I'm not recommending that because he just had a horrendous episode with this.

Go ahead. If he's in a medical marijuana state, for sure, go talk to a provider and see if they've got any ideas on that. I have no problem with that. But at this point, if it's post-traumatic, he needs talk therapy in the quickest way to get to. relief is going to be with cognitive behavioral therapy. Just look up a cognitive behavioral therapist and go talk to them about it. And you may need some medication as well just to get you over this. But this should go away.

Mine certainly did. Yeah. And I was just going to say in Chinese, we actually call it Heart Sink. It's a heart sink syndrome. And it's that kind of empty feeling in the chest. And it does kind of sound like when he took his, those, the main, Major dose of the edibles, whatever was in him, kicked in. He may have had some underlying anxiety anyway, just really exacerbate it.

It's my issue with edibles anyway is you can't, once they're in your stomach, you can't control the absorption. You know, if you're toking off a little vape pen or a spleaf or a blunt or what's the new one, not a pumpkin, what is? I can't remember the name of it's the big ass damn thing. But then you can control it. You know, if you get a little bit too much. much you're going to know right away and you're just going to stop, whereas if you eat, you know.

30 milligram gummy. Yes. And then there's nothing you can do it. Yeah. And then what will happen is it takes 30 minutes. Oh. So they're taking, well, nothing's happening. So I'm going to take more.

And the next thing they know, they've gotten too much and you can't control. It's just like, and don't do this at home, champagne, enema. If you're drinking champagne and you drink too much, what's going to happen, you'll get sloppy and people will cut you off, or you'll pass out and just stop drinking. Whereas if you shove it up your ass, a whole bottle and you absorb it all at once, you have no control over it. You know, I can kind of control my buzz when I'm drinking it, but if you do it all at once into a mucosa that readily will absorb it,

you can't, you don't have any control. Yeah, but I think he's going to get better. I think with a little bit of time and some counseling for sure. Yeah, I think so. He might need a little bit of medicine just initially, but I think he's going to do well. Maybe. well I don't know if he's going to do well but there is a pathway for him

to get better and he doesn't have to feel like this. Right it out. Okay. All right. All right. Let's do. We do one more. Hey, I know. Dr. Steve. Yeah. I got a tummy ink.

Poor little feller. Over here to the left side, like where my pancreas is or my swim bladder. I can't. Where his swim bladder is. Okay. Wait a minute.

being funny because that's not where your pancreas is or my my swim bladder i don't know what it hurts i don't know if it's my appendix or what but like i don't like it uh what do okay so he has left-sided abdominal pain so the question is what's there well it's not your appendix your appendix when you have appendicitis it'll start usually uh usually uh by you being constipated, can't drop a deuce. And the pain will usually start around the belly button, and then over time, work its way to the left lower, the right lower quadrant of the abdomen.

And now, that's not always the case. I think Ronnie B. talked about this on his radio show way back when he and I did a show together. His appendix was rotated backwards, so he actually had back pain. Okay. You know, and they thought he had a kidney stature. and then realized that he had appendicitis.

So, you know, but it's always going to be intense and pretty excruciating. And it will be accompanied by you can't an ilias or a paralysis of the bowel. So you won't be moving your bowels for a couple of days. And maybe little great fever and all that stuff. So that's not what this is. This is on the left side, not the right side. Pancreatic pain will usually be right in the middle, right under the rib cage. Okay.

And it can work its way to the right, as well. well but most of the time it'll be there gallbladder will be in the upper right hand area under the liver and right under the rib cage so it's not probably not that so what is on the left side well you've got kidneys over there yep so kidney stone is a possibility or urinary tract infection um you kidney stone pain usually comes and goes and it's excruciating as well really sharp pain um that waxes and wanes he could have diverticulitis because the bowel starts in the right, where the appendix is, in the lower right quadrant of the abdomen, works its way up, goes across under the rib cage,

and then works its way back down to the ass on the left side. So, and there's usually lots of heavy pressure, particularly when people have giant, hard American turds, and they're trying to, you know, force them out. You'll get the diverticulitis or diverticulosis in the left quadrant. Okay, so that's a possibility. One is left quadrants, the spleenic flexure, so the spleen is. That was very good. That we'll give you that.

Give yourself a bell for that one. You could have a problem with your spleen. Either it's enlarged because you have motto and didn't know it, or you could have a thing called a splenic infarct. that's a possibility as well where part of the spleen just dies for no reason and usually it's not that big a deal but it can be painful

so those are the only things I can think of that are common on the left side go ahead the only other thing I was thinking it's possibly a little gastritis or gastriculs or just it's possible that's going to be in the middle to the right though that could be anywhere

so do you have to go to the doctor for all those things I would yeah you could have like a pluracy fits on the left side to the upper left side, possibly. So pleuracy is inflammation of the lining of the rib cage that surrounds the lung. That'll usually be up above the rim of the rib. A little higher. Of the rib cage, you know, where the hard part starts.

But, yeah, that's a possibility as well. So all of those things are possible. It could be a bunch of things, but it's a bunch of stuff. It's probably not, which is appendicitis. gallbladder, stuff like that. All right. So, yeah, if it's persisting, don't call some dumb radio show. Just go get it checked out.

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