Weird Medicine: The Podcast - 371 - Narcan Do!

Episode Date: August 22, 2019

Cotard's Syndrome Indighost (@indighostband) at Wolf Hills Brewery Aug 23 at 9pm) Plant based diets SIBO Narcan vs smelling salts 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) premium.doctorsteve.com (all this can be yours!) Buy Every WM Podcast on a Thumb Drive! 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. Yeah, me garreted. I've got diphtheria crushing my esophagus. I've got Ebola fives dripping from my nose. I've got the leprosy of the heartbound, exacerbating my impetable woes. I want to take my brain now, blast with the wave, and I'm not. ultrasonic, ecographic, and a pulsating shave, I want a magic mill

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 paging Dr. Steve. It's weird medicine, the first and still only uncensored medical show in the history broadcast radio, now a podcast. I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medical practitioner who keeps the alternative medicine wackos at bay. Hello, Dr. Scott. Hey, Dr. Steve.

This is a show for people who would never listen to a medical show on the radio or the internet. If you've got a question, you're embarrassed to take to a regular medical provider. You can't find an answer anywhere else. Give us a call at 347-766-4-33. That's 347. Who Head? Follow us on Twitter at Weird Medicine or at D.R. Scott W.M.

Visit our website at Dr. Steve.com for podcast, medical news and stuff. 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, physician, physician, pharmacist, chiropractor, acupuncturist, yoga master, physical therapist, clinical laboratory scientist, registered dietitian or whatever. All right, very good.

All right, Dr. Scott, well, let's see, it's been a little while. Oh, yeah. As the kids say today, it's been a minute. It's been a minute. Last week we had Cody Gilmer and Kim Smith from Indy Ghost, and that was quite delightful. We got good response from that. So August 24th, they're going to be playing in a town called Abingdon, Virginia, at Wolf Hills Brewery. And you all are all invited.

If you come, I will buy you beer. As long as you're not a recovering alcoholic or unlawful. under age. Yes. And it's a wonderful place. It is a cool place to go. It's a very cool place. This will actually be worth coming into town for if you're kind of far away.

I don't know that I'd fly in from Jersey or anything like that, but if you're in the area, you know, the region, I would definitely show up. Just come say hello. And that's going to be a good one. They're debuting their new album. Satan's Texas vacation, which has, as far as I can tell, nothing to do with the Dark Lord, nor with Texas, nor with a vacation. I have no idea why they're calling it that. I hope to find out more.

But I've been listening to the album incessantly on Spotify the last week, and it's really, really good, particularly given that they self-produced it. I mean, they do Dan Faire as their... guitarist, and he is also their recording engineer. So, but anyway. Are they going to play at Rhythm and Roos this year? I don't know. They're playing at Blue Plum today, so that doesn't help anybody that's listening to this.

In Johnson City, Tennessee. I forgot that was today. Yeah, it's actually not called Blue Plum anymore either. It's called Little Chicago, but that's way, way, way too local, particularly given that we have people in Australia and other countries that listen to this show. So anyway, Check out stuff.

dot, dr.steve.com. That's stuff. dot, dr.steve.com for all your Amazon needs. If you don't want to buy one of the things that you can scroll down, it's just all things that we've talked about on the show, things for excessive sweating, different supplements that we actually find have sufficient amount of evidence to recommend them.

But if you don't want to do that, you can just click straight through to Amazon, but it does help us. We're part of the Amazon affiliate program, and thank you very much for using that when you do. Tweakeda Audio.com. Offer the best earbuds for the price on the market and the best customer service anywhere. If you use offer code fluid, FLUID, you'll get 33% off your order. It doesn't matter how big your order is.

So it's like getting three things for the price of two. It's pretty amazing. You know, some of these places will give you a 5% or a 10% discount. When you see that 33% discount, it's insane. Simplyerbils.net is Dr. Scott's herbal website. He's got his famous, now famous, now infamous, nasal rinse. It's got some anti-inflammatory stuff in the guise of peppermint oil, so it smells good when it goes up your nose, feels good.

It's buffered saline otherwise, and it's excellent. Good shit, man. Go to simplyerbils.comnet and grab some of that, and they also have our late friend GVAC's favorite fatigue reprieve and also stress less. Yeah, we do. Anything else on there? No, that's it. You're not really innovating.

Not right now. Not right. But it takes money to innovate. Yeah, that's true. A lot of money. I had some ideas for some stuff. The next thing I go into business with Dr. Scott

will be, you know, a beer idea. A beer stand. in hell, and hell will have frozen over. Your idea, not my idea. We're going to your idea next. If you're a lazy, jackass like I am, but you still need to eat, try freshly. You get $40 off freshly. They deliver fresh prepared meals that make eating right super easy.

You can use my link at freshly.com to get six dinners for $39 for two weeks. That's $20 off each week. Give it a try and let me know what you think. If you don't like it, let me know. If you like it, let me know. If you don't want to try it, that's fine. We used to do Blue Apron, and I still love Blue Apron. But it was, you know, that's work.

This is not work. This is popping stuff in the microwave. And if you want to lose weight with me, I'm back down to my ideal body weight after gaining 14 pounds on vacation. And, you know, Dr. Scott, it was no big deal. Good. It was literally no big deal. I didn't even stress about it because I'm like, I've got this. And it's all because of N-O-O-M. You can go to N-O-M dot Dr. Steve.com.

You get two weeks free and 20% off. If you decide to sign up for it, it's only a three-month program. So you sign up for three months and then just sign off again. There's no, none of this points stuff. So it's proprietary. So you've got to have a subscription to use the calculator like that other group does. This is not a diet. It's a psychology app.

it actually helped me in my real life, too. So noom.doctrsteve.com. And then if you want archives of the show, go to premium.com. Premium.com.com for buck 99. You can have full access to all of our archives. And if you use offer code fluid, you can get 50% off for the first three months.

Now, having said that, if you would rather just have a thumb drive with all of our shows up to date on it, go to Dr. Steve. there's a link on there you just click on it's 30 bucks it's 25 bucks for the thumb drive you get a 32 gig thumb drive with 16 or 17 gigs of our audio on it and um and you know five bucks for shipping so there you go all for 30 bucks but it's 30 bucks total it's 25 bucks for the thing and then all right few cool all right good enough um dr scott you had a story that you wanted to do and then we've got a crap load of your phone calls to go through so

what you got? We were just reading the hell, fucking lost it. Oh, you fucking idiot.

So Dr. Scott's version of show prep is he shows up, opens up his laptop and starts looking for stuff. So I'm going to talk about one of the most interesting medical maladies that It's out there. It's, well, okay, but I've already started, so you can do yours next because you were naughty.

Kotard's delusion. This is also called, do you know what that is, Dr. Scott? I do not. It's also called walking corpse syndrome. It's a rare mental disorder in which the person sincerely believes that they're dead or missing body parts like the brain. Oh, wow. They tend not to eat or bathe. They often spend time in cemeteries wishing to be among their own.

mind. And their perceived own kind, at any rate, the disorder has been connected to a dysfunction in the area of the brain responsible for recognizing and associating emotions with faces, but including their own. This causes complete emotional detachment, removes any sense of personal identity when looking at their bodies. And medication can be used to treat the condition, though, electric convulsive therapy has worked better in some cases. So people think of electric convulsive therapy. They think of one flu over the cuckus. It's not like that. Actually, even then, it wasn't like that.

When they do it on TV and movies, they really like to dramatize it. Hollywoodized it. When I've seen, I've witnessed it multiple times in my medical training and in my medical practice, I've seen it done. You know, you have an anesthesiologist there. They put you under, and then they put these two electrodes next to your temples, and then they turn it on. and it induces a seizure. And what I've seen is maybe the person's toe twitches maybe three or four times. That's it.

There's none of that thrashing around the table, none of that. They're foaming at the mouth. No, no. And it's remarkably effective. It is obviously a last choice, a last ditch effort. It's for people who have failed all the big guns of psychiatry, talk therapy, medications, going to see Dr. Scott and having him stick needles in them, whatever. They've done all of this stuff, and they're still so depressed that it's affecting their ability to exist.

Some of these people are suicidal. Some are just unable to function. And they do this, and it's amazing that it actually works. They found it originally in people who had diabetes and had low blood sugar, and they would have a seizure. and then if those people had concomitant depression, their depression would get better. I know a couple people that have had the ECT therapy and done extremely well.

Yeah, yeah. So, I mean, it sounds barbaric, but it is actually an effective technique. So what did you have? No, so I've got a plant, a little bit of research, new stuff on a plant-based diet, may reduce your cardiovascular death risk by up to 32%.

And the bottom line is they're talking about plant-based diets A couple early studies showed heart failure risk and heart disease overall dropped by up to 40%. But this is a new study in the Journal of American Heart Association talking about the diets with more vegetables, legumes, nuts, whole grains, etc., much fewer animal products show up to 32% reduction in cardiovascular death risk, which is pretty cool. I mean, we've been talking about it for a long time, but it's always good to have. But, you know, statins show the same 32 percent, 30 to 35 percent reduction. And we've talked about this, that there's a difference between relative risk and absolute risk. So if I'm going to reduce my risk by 30 percent, let's just calculate what my risk. Do you know what your cholesterol is?

I don't care. Okay, if you don't know. Okay, he doesn't care. So I know what mine is. So let's do this. I'm 60 plus. I'm 63. I'm not that.

I was going to make a joke out of it and then realize by saying 60, I already ruined the joke. I'm a male. I'm a non-smoker. My total cholesterol is 180. My HDL cholesterol. That's my good cholesterol is 60. And my systolic blood pressure is 120, but I am on blood pressure medication right now temporarily. I'm hoping to get off of it now that I'm on my, on my,

regular medication, okay? So I have a 10-year, 9.4% 10-year risk of myocardial infarction or death. Okay, now let me see if my blood pressure, okay, if I'm not on blood pressure medication, it's only 7.5. Okay, so at my age, it's a 20% average 10-year risk of myocardial infection or death. Mine's 9.4, right? So you said 30% decrease? Yeah, 32, yep. Okay, so I already know the answer, but I'm going to ask Alexa, because she's been lazy.

Alexa, what's 30% of 9.4? Duh. 30% of 9.4 is 2.82. 2.82. Alexa, what's 9.4? Oh, shit. Never mind. Sorry.

I'm not sure about that. Yeah, I'm sure that's true. Alexa, what's 9. 9.4 minus 2.82. 9.4 minus 2.82 is 6.58. Okay. So it would reduce my risk from 9.4 to 6.58. So it's, you know, it's really an absolute reduction of like 2%, 2%. Right? Yeah, that's right.

Might make a difference. Yep. Yeah, but that's right. The overwhelming odds are I'm not going to have an MI in the next 10 years. So let's just say you take a thousand people like me, and we're going to reduce the risk by 2.8 absolute percent, okay? So that is 0.028, right? That's 2.8.

Okay. Alexa, what's one divided by 0.028? One divided by 0.028 is 35.7143. Okay, so you'd have to put 35 people on a vegetable-based diet to prevent one heart attack. Okay. Does that make sense? Yep. Okay.

So the benefit, this is one of these things again. The benefit to the individual is rather small. It's non-zero, and it's really, you can argue it's not trivial. But the benefit to society would be great, you know. If we could prevent one out of, you know, one in 35 of all the MIs that are going to happen this year, let's see what the incidence, incidence of myocardial infarction in the last year. Okay, here we go. Okay, every 40 seconds, someone in the United States has,

has a heart attack. Okay, here we go. Every year, seven, God damn. 790,000 Americans have a heart attack. So let's say it's 800,000. Right. So, well, now we're going to see how many we can prevent. Alexa, what's 800,000 divided by 35?

800,000 divided by 35 is 22,857. There you go. There you go. Almost 23,000 people. We could prevent... Give yourself a bill! 23,000 heart attacks. If everybody did this.

Yep. A year. You know? So that's 200,000 something in a decade. So, interesting. Pretty big number. Now, was that a pure vegetable-based item? Are they just saying increase your amount of vegetables?

Yeah, just increasing the amount of vegetables. By how much? They didn't say specifically... An apple a day? Well, no, and what they said on this, on this specific report, It was a self-reported thing, so it's not a great thing. You didn't tell me that. I'm just telling you.

It's American Heart Association. There could be a lot of biases in that, though. Of course, yeah, yeah. But, you know, when people answer these, like, okay, so when I have to answer a questionnaire, how much exercise do you do? And I do none. I don't ever put that. It says, do you do three times a week? I go, yeah.

Sure, why not? So people are going to answer one of these things. say, oh, yeah, I eat four servings of vegetables a day. You know, they're lying. So we've got to take that into account, too. Of course. But doesn't say how much you have to do? That's not worthless to anybody.

Well, just to eat more vegetables. It's not worth it. It's a conversation starter. It's not proof. It's not proof. Okay. But it's a conversation start. You and your shitty articles.

Hey. This is written by a medical doctor. Oh. Yeah, there's no dumbasses in the medical field. Oh, no. No, they're all really awesome. That's half of what I, the emails that I get, which, by the way, if you need to get in touch with me, just a weird medicine at riotcast.com will do.

Or just go to Dr.steve.com and click contact and ignore the warnings. That's there for people who aren't listeners to the show. But so much of it is just dealing with, how do I deal with my doctor? And then it's their doctor's a dumb ass. Yeah, absolutely. There's a guy out there that has bloating when he eats, abdominal pain, been treated for ulcers and multiple different things, been put on PPI's. And I said, ask your doctor about small intestine bacterial overgrowth syndrome. And which for those who don't know, that is a syndrome where the small bowel gets colonized by bacteria that form a slime layer in the small bowel.

And when you eat, they start fermenting stuff, and they're not supposed to be. And you get bloating and abdominal pain diarrhea. You know, it mimics irritable bowel syndrome, but with lots more bloating. And he wrote me back and he said, no, I already asked him about that and they refused to test me for it. Now, that's just some dumb ass. Yeah, that's not cool. Just test them for it. Well, they probably don't know what it is.

So I gave him some stuff to print out. I said, print this stuff out and take it in and say, you know, I was just looking at it. They don't say you got it from some doctor on the radio because then they're going to dig their heels in. Like, you're a, you know, I'm not teaching them. You're telling them how to practice them. Yeah, don't try to school them. Just say, hey, what do you think? Yeah.

Because many physicians, particularly, are narcissists. And they may not have even started that way, but they are now. Right. And if you go in trying to school them with stuff, they're just going to be pissed and they're going to dig in their heels. It's rare that one has got the self-awareness to go, you know what? You're right. But if you go in saying, I just wanted to get your opinion on this, I printed this out. What do you think?

Do you think this could apply to me? Could we try this? That's a good one. And then you just show it to them. Yeah, then about half of them look at you and say, well, no, Google's your doctor now. That's great. And that's fine. And that's time to go get another dog.

Find another doc. Yeah. That's a good. There's a lot of great notice. If you approach them that way and they still blow you off, because this guy's got. The SIBO, yeah. Sebo, SIBO, SIBO. Yeah, Saibo, SIBO.

Yeah, so it sounds like. Yeah. Hmm. But anyway. Yeah, hopefully it gets better. Poor failure. I know. And if anybody has any questions about that, let me know.

We treat it with an antibiotic called Ryphaxamine, and it's quite effective. All right. Okay. Let's take some questions. number one thing don't take advice from some asshole on the radio what's the difference between narcan and smelling salt i've seen both of them you know use on tv it's probably not real but you know they they wake an unconscious person up and i was just wondering how it works in the body yeah now this is a great damn question yep i'm gonna i wish i had well i'll just give them

Great question. So you've got an unconscious person, and you've seen this a million times, they put the smelling salts under their nose, and then they wake up. Well, how's that different from Narcan, which we're promoting for use with opioid overdose? Could be also. And they're unconscious as well. Okay, so smelling salts really is nothing more than ammonia salts, and if you ever smell, just, you know, take a bottle of ammonia. Don't get close. Don't get close.

You waft it. It's called waft. The way that you waft, by the way, we learned this in organic chemistry. You hold it away from you about a foot away from your body. Put your hand over it and then wave it towards your nose. Don't ever stick your nose right over the ball. Never do that with anything. No.

Hold it away from you and then use your other hand to wave it towards you. And if you do that, that's the smell that you get with these smelling salts. And if someone has fainted, that will wake them up. But, or if they're intoxicated with alcohol or something like that. And here's the thing, smelling, I've never used them clinically ever. We have them, but I've never used them. If someone faints, the right way to wake them up is to get there, is to lay them down gently on the ground and then get their feet, hold their feet up. You can even put them on your shoulders.

And like if you're kneeling in front of them, just kneel and put their legs, their ankles on your shoulders. And it's usually good to do this witness because if somebody walks in to your exam room while you're doing this, it's going to look not, it's not going to look good for you. Oh, well, they fainted. I was just, you know, come on. But or maybe a better way to do it if you're in a room with furniture is to put their feet up on a chair or a couch or chair, yeah. I agree. And support their head. I mean, don't let them flop down, but, you know, you can put a little pillow under the head.

but that will usually wake a fainter up right away because their issue is the circulatory system in their body has opened up and gravity is pulling blood out of their brain to the body. And this can happen for a lot of different reasons. It has lots to do with the autonomic nervous system. Don't worry about it. Or people who stand up too fast and their body doesn't adjust. You know, when you stand up, the vein,

and arteries in your body are supposed to tense up so that there's more resistance to flow and you're pushing blood back into the brain. But if it doesn't do that fast enough, particularly in people my age and up, it works a little bit slower. You stand up. All of a sudden, the blood starts to rush out of your brain and you feel faint and you may even faint. And again, the treatment for those people is to lay them down on the ground and get their feet up. Don't hold them up. I've seen people, you know, grab under their shoulders and try to hold them up. If the blood continues to rush out of their brain, they'll have a pseudo-seizure. And it looks just like a real seizure.

And it may even be one. I've never seen a good physiologic explanation for it, but they'll jerk like they're having a seizure. And that's their way of telling you, put me down, you know. So anyway, now you have someone that's intoxicated with alcohol. There isn't a whole lot you can do. So they'll use the smelling salts just as a noxious, stimuli to just wake them up.

You get their attention, sure. You know, loading them up with coffee, you know, it doesn't really do much. It might keep them from going to sleep because you're just giving them something to do. Time is the main thing. Time, time. If someone is acutely intoxicated

with alcohol and they are comatose and you don't know how much they've had to drink, you've got to take them to the emergency room because you can die from alcohol and poison. Yes. You know, if you see, two champagne bottles off to the side and an enema tube sticking out of their ass and they're unconscious, they may die.

So, again, another reason to drink champagne, don't take it in enema form. Because once you've shoved two bottles of champagne up your ass, you have no control over how quickly this stuff is absorbed. And you're going to absorb all of it. Yep, very quickly. Very quickly. At the same time, too. Yeah, yeah.

Because of the surface area. bow you know if you're drinking it the stomach's smaller surface area and you get full and you get full or you start or you pass out before you can kill yourself so but so those people we may use smelling salts for now narcotic overdose whole different thing with a narcotic we call them opioids you call them narcotics they stimulate a receptor called the mu opioid receptor now there are other ones too there's mu kappa delta and lambda but let's just talk about the mu opioid receptor. So the mu opioid receptor, when it is triggered, induces somnolence or sleepiness.

It decreases your rate of breathing. It makes your pupils pinpoint, and it slows down your bowels as well, okay? Or peristolsus in the GI tract. Now, if you get enough of it, it can make you comatose, and it can eat. even stop you from breathing altogether. So this is what Narcan is good for. Narcan is completely different. You spray it up somebody's nose or you give them an injection of it, gets into their system,

and it displaces the mu agonizing or this mu stimulating material like morphine or heroin or whatever, and displaces it off of those receptors. And they wake up. I've seen this happen so fast, I could, so you walk into the emergency room, I heard this story. Let's just say I heard this somewhere. And there's someone that has had a stroke and you walk in and the family's all around them saying, you know, grandpa's leaving us. And was he like this when he came in? No way he was sitting up, but he must have had another stroke.

Grandpa's leaving us. And you look at him and this person is comatose, breathing maybe 14. times a minute, and they're actively dying. So you look at the chart, and you see they got four milligrams of morphine intravenous, and you also find out that they had a creatinine of six. Now, for the people who don't know what that is, it's a measure of kidney function, and normal is 1.5 or less, and the higher you get, the more your kidneys are not functioning. So if you know a thing or two, you know that there is a metabolite.

In other words, when drugs get in the body, they go through the liver, and the liver changes them. And we call those changed chemical compounds metabolites. And there's a metabolite of morphine called glucose-6 morphone or morphine-6 glukuronide. It doesn't matter. It's the same thing. And it is only excreted by the kidney. And when the kidney isn't functioning, it's got nowhere to go and it's active. works on the body just like morphine does.

So it accumulates. You can't get rid of it. So in a situation like that, you go and say, well, just hang on a second. And you go get an amp of Narcan, which is the stuff we're talking about that competitively inhibits the morphine at the level of the receptor, and you inject it. And 30 seconds later, that person sits up and goes, what are y'all doing here? Okay. I changed that story.

enough so that there's no HIPAA situation. I made it hypothetical, but that's basically the gist of exactly what has happened multiple, multiple times. So that's the difference. Smelling salts are just a noxious stimuli like slapping somebody in the face. Narcan actually has a chemical basis for its action, and it only works on opioid intoxication. It kicks those little boogers right off. But here's a couple things, Dr. Steve, too. You know, we all love the movie Pulp Fiction.

You don't have to jam Narcam into somebody's heart, number one. Right. And they injected adrenaline into her heart. Was that what it was, adrenaline, yeah. Doesn't make any sense medically. It doesn't great. That's all right. You use adrenaline.

Right. We used to jam adrenaline in people's hearts when they had a cardiac arrest and they had no IV access. But. It was the last. that kind of thing. Yeah, yeah. So, and I haven't seen that done in ages. And the other thing, too, and correct me if I'm wrong, please.

So if Tarantino had come to me, I would have said, let's use Narcan for this. But it wouldn't have been as cool a jamming this thing in Uma Thurman's, you know, sternum. Or sticking in her nose and squirting it in her nose, it wouldn't have been, it wouldn't have the same effect. No. Hey, and correct me if I'm wrong. It was such a great scene, but it made, you know, and it doesn't even, it's so great, it doesn't even take me out of it.

No, it was a great. Knowing that it's bullshit. Yeah. That was a great move, by the way. And correct me if I'm wrong to, but when you give someone Narcan, it displaces the opiates. Right. Temporarily.

Temporarily. That's right. In other words, they're not magically gone. They still need to go to the hospital and make sure that they're treated. Give yourself a bill. They will go back to where they were. Thank you, Dr. Scott. I forgot to mention that.

You have to, if you give this to somebody, you immediately call 911, even if they seem fine. Right. If they have a long-acting opioid in their system, let's say that they took 12 extended release oxycodones known on, you know, and the market is oxycontin. Those are going to be in their system for quite some time. Let's say I heard about another patient who injected themselves with 14 milligrams of Dilaudid. Delaudid is a very potent opioid. And for someone that's not used to it, 14 milligrams is a lethal dose.

Yes. You know, 1.5 milligrams of intravenous hydromorphone or dilaudid is equivalent to 30 milligrams of oromorphine or three Lortab tens. So that was the equivalent of just about 30 Lortab tens, right? So we would give, let's just, well, in this case, you would give somebody Narcan. And they'd wake up for 15 minutes and go right back to sleep again. Give them another one, wake up, right back to sleep again, and stop breathing. So what you have to do in that situation is do an arcand drip. Right.

So you are actually giving them a constant dose of this stuff until the other drug is completely out of their system. Right. So there you go. That's a great question. Good question. All right. I've got a Dr. Scott question. Uh-oh.

Yeah. I love to show. I had a question for Dr. Scott. What percentage does the Chinese herbs and or acupuncture have regarding ed. E.D. or child dysfunction like I've heard that acupuncture and or the Chinese herbs help with that. What percentage does it help? Okay, we don't have to ask the same question three times. So, yeah, so do you have anything for erectile dysfunction?

yes in traditional chinese medicine but not that really that doesn't compare it to some of the western medical drugs okay and definitely not rhino horn no we don't do we don't condone that no or any other use of wild animal parts other than things that aren't in danger but i'll tell you i'll tell you dr steve the way i the way i address is the same way you do the first thing is figure out why they have ed yep and i will tell you this if it's if it's because they're stress or performance anxiety some chinese medicines work really well there you go okay but now Now, if it's a true low testosterone or they do need a Cialis because maybe they've had some surgery or trauma or whatever, you know, I'm a big fan of sending them to Western medical doctors, getting some Cialis, whatever, if something's helpful. I'd like to do this wave therapy.

Yeah. I mean, I'll freely admit. I'm 63. With a Cialis, I get the erection that, you know, a cat can't scratch. Yeah, diamond cutter. And then other times I can achieve it, but it's not as consistent as it was. was when I was 18. Right, sure.

And I would like to do that wave therapy. Is wave therapy where the ultrasound is your penis? Yep. Oh, I've seen it. Have you seen it? I know somebody's got one. You know someone that has one? Yeah, one of our friends here.

Really? Okay, yeah. It's about $8,000. Oh, really? Yeah, for the treatments. But it does work. It does work. Now, it says here, the average cost is $3,000 per 12 section.

sessions yeah yeah well our friend he charges a little bit higher prices but has he going to charge me that no no but it'll be probably three grand for the 12 sessions okay yes what it is they they they literally put up they they so you've seen it done yeah oh you had it done but no i didn't have done no but i know the girl that does it um so they put a numbing agent or you put a numbing agent on your penis right yeah so that you won't get an erection while you're while you're um having this this wave therapy and it is it's some chick doing it oh yeah and she's Oh, come on. No, there's no way I won't get her out.

She's smoking hot, too. Oh, my God. I'm not doing that. She's smoking hot. I'll just buy the machine myself. She's smoking hot. Oh, man. I don't know how they stood it.

But anyway, so what they recommend is after you have the, after you have the wave therapy, seriously, have a plan to rid yourself of the erection later because you're going to get it. Really? Yeah. Yeah, it works pretty well. The vibration, it's an ultrasound kind of vibrating therapy. Yeah. It seems to work extremely well. It's just expensive.

Yeah, it's been shown to be relatively effective. Low-intestin, shockwave treatment is effective for short-term treatment of erectile dysfunction. It says its efficacy declines after two years, particularly those with initial severe, well, who cares? Two years? I'll take two years. Hell, two years, I'll be half dead anyway. Damn right. No, but it's, it works well.

It's extremely. Okay, well, hook me up. I'm doing it. Yeah, but deal, Chinese, you know, as far as acupunctrine. They take payments? Oh, yeah. Oh, yeah. He does.

Okay. But, you know, the acupuncture for ED is not super, super great. I'm surprised you're not doing that. Honestly. Oh, the way. I would want her massage and me. No, no, no, no. I mean, you.

Oh, buying the machine. Doing it. Oh, yeah. Do you, I bet you don't have to be an MD or a DO to do this. To buy it? Maybe to buy it. Maybe to buy it. But that would be their policy.

I don't know. I mean, you're licensed. Yeah, but I'll tell you it's expensive to buy. Sure. It's expensive. It'll come down. Yeah, let me see. These people studied the long-term efficacy of penile, low-intensity shockwave treatment

two years after an initially successful outcome among 156 patients. They found that at one month, treatment was successful in 99 patients at 63%. But during follow-up, a gradual decrease in efficacy was observed at two years. The beneficial effect was maintained in. and 53% of the patients, so half of them, we're still happy with it. Yep. The other ones could just do it again.

Yep. The treatment effect was lost in all patients, excuse me, diabetes, who initially had severe erectile dysfunction. Yeah, that's a whole different animal. Yeah, they're talking about primarily these guys were intact. There was no surger. I'm doing this.

Surgical issues, no trauma issues. Yeah, I want to do it. Yeah, yeah. Tell him, I'll plug him on the air, and he can give it to me for free. It doesn't cost him anything to just throw another person into the mix. No. No, all he's doing is he's paying her to hourly salary anyway.

And she's, yeah, you like her. Shut up. I don't care about that. It's not like I'm going to have any chance with it. No, but at least, you know, that's the thing. You got somebody with their dick in your hand, and then they're rubbing this thing on there, and they know you have erectile dysfunction,

because why else would you be there? And then you're, like, looking at them, goes, oh, what are you doing Saturday now? Oh, you do later. How are you doing? I did that when I had my first colonoscopy. And they filled up my colon with air. And then, you know, they send you in this room. And you just have these most thunderous fletus you've ever had.

It goes on and on and on. And I remember sticking my head out. And the two technicians were really hot. Yeah. And I stuck my head out. The door I went, yeah, so what are you guys doing this weekend? So, anyway, I'm a fucking idiot. That's cool.

All right. That was a good one. That's a good one, yep. Let's try this one. Hi, Dr. Steve. This is Diane from New Jersey. I've been listening to you on podcast and serious, and I took your advice, and I got the Schingrich's vaccine.

Oh, uh-oh. Okay, so I went to my local pharmacy and the pharmacist's gave me a shot, and now I have tendinitis in my shoulder. Oh, no. All the heart in properly injecting me. So my question to you is, how qualified are these pharmacists to give injections, or would it be more worth my while to actually go to my physician, pay for an office visit, and have someone there administer the vaccine?

Love you. Love the show. Take care. Thanks. Bye-bye. Well, love you, too, and I'm sorry that that happened. Wow, there isn't a hell of a lot of training to do one of these. It just makes me wonder, you give them into the deltoid, okay? So you're doing it in the arm. The deltoid is the big muscle on the outside of the shoulder. And if you have them relax that, there really isn't a whole lot of structure right there to cause a problem. I'd like to know where her tendonitis is.

This is where, you know, P.A. John used to start asking questions. of the voicemail. It's like, John, it's recorded. You can't ask questions. But I'd like to know where it is because this seems very strange. I have been giving vaccines my whole career. I've had other people giving them. I've been in office where it's done.

I've never had a single person that have tendinitis in that shoulder after being given. Now, this vaccine sets up a lot of inflammation. Now, I could see that some of the inflammation could have spread to that area. and then maybe it's caused some persistent inflammation in the tendon itself and has caused a tendonitis. But, you know, right in the dead center of that fat part of that delta, you're right, there's really nothing there. There's not a lot there, but there certainly could be some, it'd be interesting to see where they gave with a shot. That is true. You know, because if it had gone towards the front or back, I mean, they got a little rotator cuff.

Yeah, a little rotator cuff. Okay, here we go, though. Okay, so let's read this article because this is incorrect injection technique can result in, serious shoulder injuries. So we are assuming that this pharmacist is using correct injection technique. Right. So, let's see. In early March, several news stories covered potential

shoulder injuries after vaccine administration. Patients describing serious shoulder injuries were showcased on television with some state. They couldn't raise their left arm after receiving vaccination from various types of health care providers. Oh, goodness. And others commenting, they needed surgery to fix the damage to their shoulder. The condition known as shoulder injury related to vaccine administration,

Serva is rare but can occur with incorrect injection technique. So let's listen to what the technique is. Serva is thought to occur as a result of unintentional injection of a vaccine antigen into tissues and structures underlying the deltoid muscle or trauma from the needle in and around the underlying Bursa. So, okay, this is starting to make some sense. So they could go too deep. what they're what they're saying.

If you had a really skinny person and you just jam this thing in there and it's going down all the way down to the Bursa. So Bursa, right. So Bursi is the plural of Bursa. Bursa is basically a lubricating device in joints that have like a bone, like your elbow, it's got a Bursa. If you feel the, you know, flex your arm and then feel the elbow, you can't feel the bursa but there is one there that that lubricates the uh this joint because uh there's skin and structures that are sort of um what's the word i'm thinking about it you know traversing this

joint as you flex and extend the arm they need to slide over the shoulders right yeah they need to slide over it without much friction so a model of a bursa would be to take a little bit of olive oil and put it in a Ziploc bag and then evacuate all the air so it's just plastic oil plastic and then if you take that between your hands and then rub

it you can rub those two layers of plastic over each other with almost no friction basically what a bursa is now when a bursa gets inflamed it will increase significantly in size and that's why you see these people with these golf ball looking lesions

on their elbows that's a an achromian bursitis, and where they're a chromian or elbow bursa has gotten a lot of inflammation, gotten really big. So I just want everybody, when they're talking about bursa, I want everybody to know what we're talking about. After a vaccine injection, some patients may experience severe persistent shoulder pain and prolonged restriction of function, which are thought to occur as a result of an inflammatory reaction, which, of course, is what we're trying to set up. So, yeah, you know, if you injected vaccine antigens into the burst.

say itself, I could see there would be a real problem. Because you're trying to set up inflammation, but then you're setting it up inside this structure. It says most patients develop symptoms within 24 to 48 hours of vaccination. When presenting to their provider, patients may be diagnosed with deltoid bursitis or other conditions such as tendonitis, rotator cuff tear, frozen shoulder, impingement syndrome, adhesive capsulitis, and shoulder bursitis. Okay, so let's look at proper injection technique.

An article published in the January-February issue of JAPA, this must be the journal of the American Pharmaceutical Association, described a proper injection technique to prevent shoulder injuries. The authors wrote that injections should be given in the thickest, most central portion of the deltoid muscle at a 90-degree angle to the skin. Yes, this is proper technique. other tips are to avoid vaccine injections in the upper third of the deltoid muscle and to have both the injector and the patient be seated to reduce probability of injecting too high into the I don't know that you need to do that just don't inject too high all immunization providers should be familiar with the anatomy of the shoulder to avoid giving injections too high now she is saying if you would Google this

what training are required for pharmacists to be able to give injections her question is what training are they supposed to have and would it be better to go to a physician's office i don't know um did you look that up or you're just sitting there you're not doing anything no i'm just thinking okay i asked you to do something oh i'm not even listening what training do pharmacists pharmacists god damn it pharmacists need uh to give give injections that's fine i'll just do everything hey you know a couple of pharmacists we know those guys giving us injections would be frightening uh yeah i i have mine over here and he does an awesome job yeah okay so here we go administration of injections by pharmacists this is the state of

ohio board of something authorizes pharmacist to administer by injection any of the following dangerous drugs as long as the drug this be administered has been prescribed by a physician But it doesn't say anything about, okay, here we go. A pharmacist must comply with all the following. Successfully complete a course in the administration of drugs that satisfies the requirements pursuant to paragraph K. Receive and maintain certification to perform basic life support procedures, okay, in case somebody dies while they're doing it. So anyway, yeah, so they do have to have some training, at least in Ohio. So there you go.

sometimes it just sometimes things just happen yeah yeah i've i heard of a case one time with a very thin lady someone some genius gave her a steroid injection into her hip because she had some burstitis yeah and dinged her sciatic nerve oh it was too deep yeah gave her some pretty bad ridiculopathy yeah thankfully i fixed it but it was pretty miserable i'm going to throw this out there there is a national vaccine injury compensation program. So you may qualify for this. Oh, wow.

Just Google National Vaccine Injury Compensation Program and see. And I'll have people go, well, see, that's evidence that vaccines are bad. No, this is vaccines. Most likely bad, bad luck. Are awesome. But there are going to be adverse reactions. But if these vaccine-producing companies had to fight every single one of these vaccine, related injury lawsuits they would just stop producing vaccines so the federal government said

we see this as a priority we need vaccines therefore uh we're going to set up a fund and you guys will help us fund it but we're going to have this fund to buffer you from those we'll deal with this right okay so there you go kind of a little insurance thing for the pharmacist yeah it really is yeah that's exactly what it is for not only for the pharmacist but for the pharmaceutical manufacturers. All right. There you go. All right.

Okay. Let's do one more and then we'll get out of here. Oh, wait. Wait, whoa, whoa. Okay, because we're on the topic of vaccines, this is an excellent point. And I first thought this person was crazy and then I looked it up and they were right. So hang on. Ah, dang it.

Come on, you bastard. I've been doing a lot of cussing today. Hello, I was just listening to you. talk show. I know you're looking up stuff on the CDC website. I just thought I would let you know that the CDC is not just a government agency.

It is a for-profit agency. They own several vaccine patents. Okay, by owning the patents, they have a personal interest in the vaccines. Okay, yes. So

this person made one factual statement and one counterfactual statement. They're not a for-profit organization, but they do own patents for certain vaccines. I looked at the list. Here's just some of them.

Nuclearic acid vaccines prevention of flavivirus infection. This patent comes into play during manufacturing process of vaccines for yellow fever, Zika, Dengay, West Nile virus, and more. So these are relatively uncommon.

Now, Yellow Fever, if you're going to, like, Costa Rica and going to be in the middle of the rural area, you've got to get yellow fever vaccine. You probably can choose a yellow fever vaccine that CDC doesn't own part of the patent for. But these are ones that need support because who would manufacture these vaccines? Who would maintain these patents the whole thing?

Not money makers. Various vaccine testing methods, adjuvant patents, assays that assist in vaccine development and vaccine quality control. So, you know, the vaccine industry is a multi-billion dollar industry. I see this as the CDC supporting vaccines for, you know, uncommon things that may not be supported otherwise. if somebody can show me where I'm wrong on that I'd be happy to take a look at it I still see the CDC as being you know it's the Centers for Disease Control

they're an excellent organization I trust in the things that they say I don't see that this making them now an unreliable narrator to use a prose term you know yeah all right but it's very interesting

I was not aware of that. It's not like they own measles vaccine, and they're saying, oh, no, measles vaccine is safe. Or a statin. Or anything that's, right, right, right. Making gazillions and others. All right. All right, one more, and then we'll go. Hey, so why if you take testosterone replacement therapy, your balls shrink, your saclophys

all sharefully, looks like there's nothing there. Yeah. Does that mean you're not on the right HCG? You talk about HCG and the best ways to get it. Well, wait, that question just took a left turn because this really doesn't have anything to do with HCG.

You, I think he means TRT or testosterone replacement therapy. So yes, when you take testosterone you're the little bit of Because you have low testosterone, presumably from failure of the testicles, the testicles just shut down.

When they shut down, it's like just closing up shop. They just shut, you know, shutter the windows and say, fuck y'all, we're out of here, and they will shrink. And if you don't want that to happen or you want to maintain fertility, you can use a medication called clomophene instead. What chlomaphene does is basically stimulates the testicles to produce more testosterone. So it's more, quote, unquote, natural in the sense that it's coming from your testes. You still maintain fertility because the testicles still make sperm, and they don't shrink. They may even get slightly larger. So, yeah, talk to your prescriber.

If they're going to give you testosterone replacement therapy, they should be telling you this stuff. All right. Yep. You got anything? No, I think we're good. Anything new in the realm of acupuncture? I guess there's never anything really new since it's 4,000 years old. Yeah, no.

Nothing? No, no. All right. I'll come move with something. All right. Well, thanks. Go to Dr. Scott. Can't forget, Rob Sprantz, Bob Kelly, Greg Hughes, Anthony Coombeah, Jim Norton,

Travis Teff, Lewis Johnson, Paul O'Charsky, Eric Nagel, Roland Campo, Sam Roberts, Pat Duffy, Dennis Falcone, around Bennington, Fizz, Watley. And we'll throw in Jim McGon. McClure 2, whose support of this show has never gone unappreciated. Listen to our SiriusXM show on the Faction Talk Channel, SiriusXM Channel 103, Saturdays at 8 p.m. Eastern, Sunday at 5 p.m. Eastern, on-demand, and other times at Jim McClure's pleasure.

Many thanks to our listeners whose voicemail and topic ideas make this job very easy. Go to our website at Dr. Steve.com for schedules and podcasts and other crap. 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.