Weird Medicine: The Podcast - 372 - Super Android 23 Redux

Episode Date: August 29, 2019

Dr Steve, DJ Logan, DJ Whooping Crane celebrate the return of Super Android 23! Actual medical questions are asked and answered despite a multitude of distractions. 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. listeners. Let me run. What did they wrong then? You know, your old's house is like another. I've got diphtheria crushing my esophagus. I've got Zabola vibes stripping from my nose. I've got the leprosy of the heartbound,

exacerbating my incredible woes. I want to take my brain out and blasts with the wave, an ultrasonic, agographic, and a pulsating shave, I want a magic pill all my ailments, the health equivalent to citizen cane, and if I don't get it now in the template, I think I'm doomed

then I'll have to go insane. I want a requiem for my disease, so I'm paging Dr. Steve. Dr. Steve! No need to take a careful. Yo-ho-ho-ho-ho. Do you know-to-bein. 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, DJ Opi AIDS. It's an inside joke. DJ Logan Field. DJ Logan Field. Just Logan Field. He looks just like Opie, everybody. I put out a Twitter that said,

reminiscing with an old friend about the golden age of radio, I didn't say that it was Opie, and I didn't say it won. And a whole lot of people assumed that it was. Apparently. They said that he'd lost it. lost a lot of ways. Yeah, I guess I, apparently, I look a lot like opi to some people.

Which is cool with me? Not nearly the radio chops that Opie has. Not nearly, no, no. He's way better than me. This is a show for people who would never listen to a medical show on the radio or the internet. If you have a question, you're embarrassed to take to your regular medical provider. If you can't find an answer anywhere else, give us a call at 347-766-4-3-23. That's 347.

Take it away, DJ Logan. Poo head. Poo head, yeah. Follow us on Twitter at Weird Medicine at Lady Diagnosis and at D.R. Scott WM. Visit our website at Dr. Steve.com for podcast, medical news and stuff you can buy and 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 over with your doctor, nurse practitioner, physician assistant, pharmacist, chiropractor, acupuncture, yoga master, physical therapist,

clinical laboratory scientist, registered dietitian, or whatever. All right, very good. And the sounds you're hearing are of Super Android 23. Back again in studio with DJ Logan. And this is all used. Like all rock stars, DJ Logan is... Oh, whatever he is. He can't speak coherently right now.

Sorry, boys. I can't believe you don't know the theme song from Barney Miller. You play the bass for crying out loud. Everybody who plays the bass can play Barney Miller. No. I can play... Ooh, listen to that. Wow.

Wow. We had fun recording this earlier. Absolutely. That is me on the synthesizer. I'll take credit for that. You're killing it, yeah. The bass shit was terrible. I'm pushing buttons.

I'm editing that out. It sounded much better in rehearsal. Anyway, you've got some nimble fingers there, sir. Yeah, for an arthritic old asshole. Don't forget to check out stuff.doctrsteve.com for all your online shopping needs. That's stuff. Dot, Dr. Steve.com. And I've added some new things, including some information for peripheral neuropathy, dingo dust.

A dingo ate you a penis. It's for people with sweaty genitalia. Ooh. Yeah, and you put it on, and it's quite delightful. Oh, wow. Okay. So check that out. it's stuff.doctrsteve.com.

Go to tweakeda audio.com. Offer code fluid for 33% off. The best earbuds on the market for the price. That's what we're using to listen to this show with right now. And simply herbals.net. That's Dr. Scott's website. If you'd like to lose weight with me, go to Noem, N-O-O-M dot, Dr. Steve.com. It's the only thing I've ever had that's allowed me to have sustained weight loss over some period of time

where I'm right at my ideal body weight, and I've been there for... And, you know, I gained weight over vacation. No big deal. I just said, fuck it. I know how I can lose it again. When we saw you in Durham... I was just on the way then.

If you're interested, if you're lazy, check out, like I am, check out freshly. They're basically fresh-prepared meals that make eating right super easy. You can use my link. 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. Go to freshly.com.com.

And then lastly, if you're interested in getting archives of the show, you can go to Dr.steve.com. There's a link on the front page. For 30 bucks, I'll send you a thumb drive with all the shows on it. Or you can go to premium.com. It's $9.99 a month, and if you use offer code fluid, it's half that. And then you can get archives of all of the shows and just have full access. We have an app to it on the App Store and at Google Play. I've got it.

Very good. You do? Mm-hmm. Oh, aren't you something? All right. So, I don't know that we want that playing behind us the whole time. Nah. A little too distracting.

All right. You guys want to answer some phone calls? Sure. Yeah. Right, absolutely. Oops, oops, uh-oh, so let's try that again. Number one thing, don't take advice from some asshole on the radio. All right, very good.

Let's answer a quick question here. Uh-oh. Uh-oh. Could you pick this? Hey, Dr. Steve. Now they're saying that mouthwash can maybe cause diabetes. I mean, come on. on. Could you pick this apart like you usually do with some of these studies for the podcast? Thank you.

Yeah, absolutely. It's crazy. So that's a little out there. Well, okay, so you hear something that's out there, but you've got to research it because sometimes the stuff that's out there is not bullshit. Yeah. For example, the idea that bacteria can cause stomach ulcers, the gastroenterologist thought that was hilarious for, for, for, for, the longest time until they finally proved that it was really true. You know, you can go in and you can sample some ulcers and they'll have this

helicobacter pylori in them and then when you cure it, they go away. Now, you're trying to say stuff, but you don't want to be on the show, so okay. Super Android 23 brought a groupie and she said she didn't want

to be on the show, but the whole time I'm talking about helicobacter pylori, she's raising your hand and saying things, okay, well, do you want to talk or do you not? Okay, there you go. Well, I did have a baseball-sized stomach ulcer that had a blood vessel that was just squirting blood into my... Yeah, almost died. We talked about that last show.

That can be fatal. They gave me an antibiotic, and in a month it was gone. Yeah, it's amazing. So that fulfilled Koch's principles that they isolated the cause and then demonstrated that you know, removing it would, you know, make it go away. So, you know, yeah, very interesting. So there you go. So I'm turning your mic back off.

Now, so I'm just saying I only bring that up because that sounded like BS at the time. I mean, I remember when I was in medical school, when AIDS was first happening, we didn't have people with HIV because we didn't know what caused it yet. Right. So there were just AIDS patients. Grid. And I remember we were talking about, I think, I think. I was working in an immunology lab, and the immunology postdoc, and I can't remember his name, said, oh, there's no way.

He was laughing at us. We were saying, it's got to be a virus. He's like, no, there's no way that could be a virus that causes that. And, you know, so even those guys got it completely wrong. Well, he was a dumbass anyway. I don't know how he got his Ph.D., but anyway. They just hand them out, handing them out there. So this is from diabetes.co.uk patients with high risk of type 2 diabetes who use mouthwash twice a day or 55% more likely to develop the condition within three years, a new study suggests.

So these are not just normal people. These are people already at high risk of type 2 diabetes. Right. People with pre-diabetes, people with glucose intolerance, you know, morbid obesity, that kind of stuff. while an association observed between mouthwash and type 2 diabetes, the findings do not indicate the mouthwash causes it. Of course, but the clickbait doesn't say that. Right, right. So can you think of ways that, because they didn't do a prospective study on this, they did a retrospective study.

Right. Over. So what they did, they evaluated 1,200 overweight people aged 40 to 65 who are deemed at high risk of developing type 2 diabetes. Okay. If they haven't, they don't have it. Right. 17% of the study developed pre-diabetes or type 2 diabetes, and this rose to 20%, or which rose to 20% for those who use mouthwash once a day. So that was, it went up three whole percent, right?

Okay. However, amongst twice daily users of the mouthwash, the rate rose to 30%. Now, this is, now they're saying the indiscriminate routine use of antibacterial mouthwash products may cause more harm than good in light of recent. studies said the study authors okay can you think of another way that this may be correlated but not causally related hmm not well okay so what did one of the symptoms that people with diabetes have as they're pissing out sugar yeah okay so they have polyurea but to replace all that piss what do they have polydipsia they had they start drinking more water right so they're thirsty and they get dry mouth and people with dry mouth have I have halitosis and people

with halitosis use more mouthwash there we go so there you go this is what I say to them and this is what I say to DJ Logan give yourself a bill that may only be what it is they would have to do a prospective study and follow this population and my understanding was this cohort that they had was not looking for mouthwash use and diabetes. It was a fishing expedition, which is what we call a study where you just do, you know, look at a whole bunch of different things and see if anything shows a statistically significant answer. Those are not valid studies to make a conclusion from. Those are good studies to then base a follow-up study where you're actually controlling for these variables.

Sure. So, yeah, here you go. way down at the bottom they say there is also a possibility those who use mouthwash more often may be more likely to have poorer health and possibly poorer diets compared to those who do not give yourself a bill come on the way the study was run means the researchers cannot say for certain whether mouthwash was definitely a contributing factor it does however ask questions this is just what we just said so I'll give myself one of these give yourself a bill but what is the what does the

headline say? Twice daily mouthwash use could increase risk of type 2 diabetes. Now, let's look this up. I just want to... You know, Frank Zappa said writing about music

is like dancing about architecture. And writing about medical stuff, I don't have a good analogy. But it's... It's unbelievable how shitty it is.

journalism is shitty. I just wanted to throw out the Zappa thing to sound smart, but then I sounded stupid because I couldn't come up with a good corollary for this. But anyway, let's look up twice. Let's do mouthwash causes diabetes.

I've never heard that. And let's see what happened. Here we go ahead. Question. Does mouthwash increase your risk for type 2 diabetes? Click. Yes. No. Here's another one. Could mouthwheres?

be putting you at risk of diabetes? Click. Oh, here you go. Here's from Forbes. Regular use of mouthwash may increase risk for diabetes. The only thing I was going to say was, I mean, I don't know the amount of sugar. Here we go. How much sugar is in the mouth?

This is Newsweek. Newsweek. Mouthwash may trigger diabetes if you use way, way too much. And then the article says, however, the study doesn't show conclusively that mouthwash is causing diabetes. And why do the article? Why have that headline? Here's another one.

Okay, now, here. Okay, this is from NCBI. This is PubMed.com. Regular article. over-the-counter mouthwash use and the risk of pre-diabetes, okay? Okay. This is from the journal Nitric oxide, not exactly a front-line medical journal for diabetes. It says frequently use of over-the-counter mouthwash was associated with an increased risk of developing prediabetes in this population.

So let me see. the effect estimates were similar after adding income education, oral hygiene, oral conditions, sleep breathing disorders, diet, medications, fasting, glucose, and some other things. So there you go. Now, that's a little more interesting. But even then, it was associated with increased risk. Let's see what the increased risk was. Well, shit, I'd have to plow through this study for this.

I'd be more concerned, like, as far as mouthwash is, I don't consume alcohol. And I would be more interested in the study where they said if a person who used mouthwash that had alcohol in it was more likely to have a relapse or something. Oh, sure, sure, sure. Yeah, no, that's a concern. Yeah, they said here most mouthwash, most mouthwashes contain antibacterial ingredients, which could impact oral microbes critical for nitric oxide formation. Okay, there you go. That's why it was in the journal of nitric oxide.

And in turn, predisposed to metabolic disorders, including diabetes. Do you know what else is dependent on nitric oxide? Not off the top of my head. Cyldenafil. Oh, there you go. Or teladalafil. Right, right. The active ingredient in Viagra or sci.

So they increase nitric oxide, which increases blood flow, which increases your meaty giant erection. There you go. It's quite, okay. So anyway. Yeah. So that's interesting. So I would like to see more study on this.

We could certainly make mouthwashes that don't have all the anti-microbial stuff in them. That's easy. I just get the one that doesn't have any alcohol. That's all like that. Dr. Steve, I was wondering if there is a difference between men's and women's formula of rogene. I think the men's has 5% active ingredients and the women's has 3%. And I was wondering if 3% is working pretty good for a female, if the men's formula,

that 5% would work even better. Yeah, very tricky, trying to get me to recommend something off-label on the show. That's not something I can do, but I can tell you this, that Rogaine has been more extensively studied in men, and so they have a regular strength and an extra strength for men, and then they just have the regular strength for women.

So, but Rogain is why I don't have a bald spot, As big a bald spot is a bit, I mean, it would be bigger than it is. I'm thinning on top, but it's not all the wrong wall. It doesn't grow hair back, but it stops hair from falling out. That's pretty much right. Yeah, it extends the life of the hair follicle. It's so cool that you're bringing this up because I wanted to actually ask you about this. I keep seeing a lot of commercials for that hat that has like a hundred laser beams.

Oh, yeah, yeah. Yeah, it's crazy, but the laser stimulation actually has some data behind it. Really? Yeah. I think they've only done because I kind of was like, hmm, let me look that. I thought they only did one study with that. Yeah, I think it's not real deep data. We'll look here in a second.

We're doing one of those shows where we can just look stuff up and take time. But a hat full of laser beams. So monoxidil, which is the active ingredient in Rogaine, was originally a blood pressure medicine. Yeah, yeah. And it says it's a potassium channel opener that causes hyper-polarization of cell membranes. And theoretically, it widens. blood vessels and opens potassium channels.

Give me, are you drinking something over there? You have herpes? No. Thank you. Theoretically, by widening blood vessels and opening potassium channels, it allows more oxygen, blood nutrients to the follicles, making the follicles live longer. That's the theory. Okay.

My experience with monoxidil has been about a third of people get a really good result. A third of people get nothing, and then a third are kind of in between, and I'm sort of the in-between. Gotcha. It's delayed me developing the bald spot that all the men and my family have, because at 63, I still have hair on the top, but it's really, really thin. All right. Now, could women take the 5%? I mean, you can buy this stuff over the counter.

They can do whatever they want, but it's not indicated for women yet. But that's all the, that's the only difference. All right. Hi, Dr. Steve. I had a question about the between a low-calorie diet and a low-carb diet. So on a low-carb diet, you supposedly consume all of your glycogen, and then since you're not eating carbohydrates, you then start burning fat and with these ketones as part of that process.

But also in a low-calorie diet, you must also eventually consume all of your glycogen, even though you already eat carbohydrates, because eventually you're burning fat, you know, since you don't have as many calories. So I wonder if you could talk the difference between how a low-carb diet and a low-calorie diet burn fat, I'd burn fat.

Yeah. Well, they both burn fat. And that's the end mechanism. If you eat fewer calories than you're burning every day, you have to lose weight. I mean, it's physics. The low-carb diet works a little bit differently because those people are burning fat, even though they may be taking in prodigious amounts of calories. The true original ketogenic diet advocated by Adkins was,

a low carbohydrate diet with high in green leafy vegetables and lean animal protein. And you didn't have to worry about fat. Yeah, eggs and stuff like that. Yeah, but you can have meat. And you could have some bacon and things like that. But, you know,

it morphed into this thing where people are only eating bacon and mayonnaise and cheese and meat. Sounds pretty good. It sounds good. And they also lose weight, but they're losing weight partially because they're malnourished. Right. So you want to do a balanced low carbohydrate diet,

and that's for people who the low calorie diet doesn't work for them, you know, where they start craving food and stuff. Now, if you'll continue to just work through the craving like any other sort of pseudo-addiction, you can beat that with a low-calorie diet. If you're going to do low-calorie, you don't want to do super low-calorie for a long time. I know people do this. HCG diet, they're doing 600 calories a day. Of course you're going to lose weight on that.

It's basically fasting, a modified fast. But if you're going to do that, you don't want to just do carbohydrates. You need to add protein into the mix. Or one of the things that you will catabolize or break down is muscle. And that you don't want to do. It's fine to break down fat. And it's fine to deplete glycogen stores and all that stuff. So what you don't want to do is deplete muscle.

And if you don't take it enough protein, that's exactly what you'll do. So there's no one best diet. If there were, then we would already know what it is. We wouldn't be arguing about all these different diets, paleo and Mediterranean and all this stuff. So you've got to find what works for you. Make sure it's balanced. You're getting the right nutrients. And all we're trying to do is mitigate risk over time.

Vegan diet has been shown to, you know, decrease risks. or a bunch of, can you, would you do me a favor? Would you run downstairs and just grab me either one of those and I'll go buy you some more or just anything? Thanks, I'm having a hard time today. And it's probably all the vapor in here from these rock stars, whatever they're doing. So where was I?

Oh, I don't remember what I was saying. Well, I was going to ask you a quick question. I don't know if you've heard of this particular diet or book or whatever. The book I read, part of it, was called The Four Hour Body. Okay. And I know nothing about it. Yeah, it was, it's a high protein, low carb kind of thing. It's Atkins kind of sort of, I guess, ketogenic, whatever.

But it involved a lot of what you could do is for six days. You could, it was, I already hate this. Yeah. And I'll tell you why. Okay. Before you, and you get a cheat, you can still ask your question. I don't give a shit. I don't like these, these diets where, oh, you have to do this for X number of days.

And then you do this other thing for X number of days. Why not? Because it's not sustainable. You want to, you have to adopt a new lifestyle. Now, if you want to do that to kickstart your weight loss, like if, you know, if you're 500 pounds, and you want to lose your first 100 pounds doing that, and then you kick in a healthy lifestyle to sustain and just kind of glide into that. I have no problem with that. Even Dr. Ian Smith's Fat Smash idiocy, in my opinion, purely my opinion, is totally fine to get things started.

Right. But you've got to have a plan. And all of those books have plans. But so few people ever get to that last chapter where it says, well, this is the maintenance phase. oh thank you you're a delight thanks i did you know basically the beginning of the book it says if you want to do this go to this chapter

just skip all this other stuff it's really it's really kind of um really cool the way that he has it set up okay so he goes all right if you want to just lose weight go to this chapter and read it and do what i do what it says in here so and uh and and like i was you pick a day like you said you're kind of against that as far as like there was a cheat a cheat day where it like

you do everything for the six days and then i i picked friday as my cheat day okay and you can eat anything basically you want to eat shouldn't be called cheating though because then what are you cheating on you know you're just living your life yeah it's a gift day

I don't know but um so I was going crazy I could tell I needed carbs because the whole week I was eating spinach and chicken and and eggs all this stuff and then

I'm like I feel I don't have a soul anymore I need a I need a cookie I know people do feel that way And then what they do a lot of times, and don't make this mistake, is you start craving carbs and you go to GNC and you buy these. They have these candy bars that have zero carbs and they're chocolate. And they have zero carbs and, you know, they've got a few calories. Right. And then you eat one and it's like, oh, my God, this is chocolate.

And then you eat three of them. And then on the way home from the store, because you crammed them in your mouth outside the store in the mall, you have to stop somewhere and evacuate your bowels that are, Just a tsunami of sorbitol-induced diarrhea has just gone through your bowel, yeah. So it's really good to clean you out, but not good to sustain your life either. Because those things are sweetened with sugar alcohols and they're non-digestable. Well, if they're non-digestable, you've got all these particles in your bowel. And what happens when you have solutes behind a semi-permeable membrane? You remember from chemistry?

Through osmosis, it draws fluid in. And so you're just drawing all this fluid into your bowel, and you've got to evacuate it and it's got to go somewhere. So if you put a semi-permeable membrane between two, you know, tanks of fresh water, and then you put a whole bunch of salt on one side, the freshwater will work its way across that membrane in an attempt to, in an attempt to dilute out the salty side. And if you can make it so that the salt can't go in the other direction

so it doesn't diffuse the other way, then you'll just get this big bloated thing of water on one side and then the other side will be almost depleted. So, oh, osmosis, my friends. There we go. So there you go. I saw the movie Osmosis Jones. Is that a movie?

Yeah. It had, um, it was, it was, it was a fairly brother's movie, but it was a cartoon and it had, it's a cartoon. Yeah, okay, I remember that. Yeah, yeah. Okay, well, there you know. Well, thanks for sharing that. That's the only osmosis I'm into, Steve. Okay, uh, here let's try. I think I figured this one out. Here we go. Hi, Dr. Steve. Oh, thank you for your email. I know it's been a while. If I could speak an appellation English, as well as you taught on your last podcast, that would also be equally cool. I'm glad you liked my accent as much as I enjoy yours. We love it. If you ever want me to do some sort of English recording of jingles or anything like that, I used to do, I used to read the news on radio, actually. So I'm more than happy to do that if you want. Blood and hell, yes.

I actually am emailing just, I hope you don't mind, but I'd love to take you up on you asking if you could help me with my studies in any way. It's just a very... Hang on. All right, it's 2019. That action, cut the crap. Very quick question. And that's, how do you learn quickly and retain information learning as an adult?

Because although I'm 27, I'm not old, hugely, but it feels a bit different now. And I'm really keen to learn as much as I can, obviously, for getting into medicine. So how do you learn as an adult? What's the best way of doing it? Obviously, it varies hugely person to person, but if there are some tips that you can, could offer. I'd be so grateful. Thank you. Well, oh, wait, you had more. Hope you're all well. Of course. Oh, thank you. She's delightful. So here's the thing. I was 27 when I went to medical school, so I can relate to this issue. What you want to do as an adult

learner, when you're going to learn advanced things, is capitalize on your motivation. That's the thing that really is the only difference at your age there's really no difference between an 18 year old and a 27 year old as far as their ability to learn other than at 27 you should have less distractions and you should be more highly motivated so when you're you know 18 you're going to college you're trying to take prerequisites and all of a sudden it's a new environment and you've got you know frat rush and all this crap and just everything it's a kegs yeah streaking as in my case Yeah, and hormones knew... You were a streaker, huh?

Yeah, I was. I was actually on Walter Cronkite. My ass was on Walter Cronkite. On CBS? CBS. I was at University of North Carolina, and I was in Mangum Dormitory, which is in the North Campus. That's where streaking started.

Wow. And we had a guy in my dorm that worked at Channel 11, which at that time was, I guess, the CBS affiliate. And he brought cameras out. and they filmed it and they sent it to the network and then the next thing I know I see because I had a groucho marks one of those glasses with the nose and the mustache

and I was going my arms were gyrating like a maniac and so it was unmistakably me streaking streaking right past Walter Cronkite's face the coolest thing out of There's a guy's streaking in front running the

yeah it's a it's a phenomenon called streaking and the the weird thing was is that my group um so we streaked out

and there's this whole crowd of people they've been anticipating that and waiting for us all to come and that the dorm was four or six floors I think it might have been six but at least four

filled with naked man and and and then it just emptied out starting from the bottom and then we just emptied out right and when we get to And so I was maybe, I was on the second floor, so by the time we get, we get out by the library, we decided by God we're going to streak the library. Well, we didn't realize the other group, the bulk of the group didn't streak the library.

They went that way. Oh, no. So here we go. We go streaking through the library, which of course puts us way behind the main group, right? So we get back to the dorm. We went to this big circuit of North Campus, and we come back around, and there's this crowd of people, and we're like, whoa. And people, the crowd is already gelled back. Right.

You know, they'd already let the streakers through into the dorm. They're all putting their clothes on. And the crowd is jelled back into a mob. And here we come smack into this wall of people. And they're like going, who the fuck are these guys? Who are these naked people? Now, we're the real streakers. Here's the damn thing.

So I was wearing a tie, right? We couldn't run. There was no way we had to walk through this crowd to get back into the, the dorm and it was huge all over the street walk a shame all of a sudden when you're walking through a crowd and you're naked yeah now you're naked all of a sudden i didn't feel naked before because i was in a group of people and we were supposed to be there but now i'm walking through a crowd of people and i feel naked and there was this girl uh a woman from my uh speech class or something okay and i really i had a thing for her anyway she had these big beautiful tits and stuff

And I'm, well, and of course there's the shrinkage. Yeah. And there you are with your, uh, groucho marks. Right. Well, fortunately, I think I threw that down at this point. And so I'm taking this tie. I had a necktie around my neck and I was wrapping it around my junk trying to hide that. And she comes up and goes, you guys were awesome.

And I'm like, oh, my God. Can this night ever end? It was so embarrassing. I never had the guts to ever ask her out. Wow. They got to bring that back. Yeah. Well, I think the people still do it, but it wasn't, you know, they do it during games. Then it was new. Yeah, they never, yeah, they never, they always cut away.

But I've never felt, have you ever had that dream where you go to class and you realize you forgot to put your pants on? I always, I always dream that I miss the whole semester. Well, I had that, but I mean the naked dream where you're, I've never had the naked dream. You forgot to put your clothes on and you're walking around naked, okay. Well, there are people listening to this. I lived that Because you go from being part of a group Free and easy to all of a sudden

Oh my God I'm naked I felt like Adam and Eve When all of a sudden they ate the apple Of knowledge of good and evil And all of a sudden they were naked Would you have dreams of you dreaming that you You're like the third level of inception That could have been an inception

Okay so that's what you do And use Nemonics excessively use nemonics because if you're going to learn new knowledge, what you want to do is apply it to a framework. You need to have a framework and then like a scaffolding

and start hanging things from the scaffolding. And then get naked. So don't get behind, number one, and do more than they expect. So if you have to do every other problem in the back of the book, just do every problem. Do

every problem. Get, if you're taking college physics, get Schaum's college physics, you can buy it, it's a paperback book, you can get it at Amazon, do every problem in there too. I used to have a friend and he and I were doing prerequisites to go, he was going to dental school, I was going to

medical school. Both of us had already graduated, so we were doing post-bacceliorate prerequisites. And so we were all in the same classes, and we would just get these books, and we would just kill those chapters. And we would get together and just do the problem, do as over And over and over and over again.

Repetition, yeah. The first three words in the problem that they give you on the final exam, you already know what they're going to ask, you know? Right. It needs to get to the point where it's second nature. I did a lot of flashcards, used a lot of nemonics. I still remember the cranial nerves from on old Olympus towering top, a French and German view to hop.

And those, the first letters are all the first letters of all the cranial nerves, stuff like that. But basically capitalizing on your motivation, the way when I went back to school after being out for a while working in TV and radio and then decided I wanted to do it, I was so motivated. It was really like taking candy from a baby. I always had the highest score on the final exam in my class because I was competing against a bunch of undergraduates, you know, 18 and 19-year-olds.

And it really made a big difference. So you'll find it very easy, but just stay motivated and stay up to date. As a matter of fact, stay a little bit ahead if you can. All right, and that's really, that's the best advice I can give you. And then let us know how your studies are going. I had a 44-year-old woman in my class in medical school. It's not that unusual.

I thought I would be one of the oldest people at 27, but I did, I was on the admissions committee, and I knew, you know, I could see everybody's ages, and we did an arithmetic mean, and I was right in the mean. The mean in our class was 27. So, all right? Very good. All right. Let's do one more.

Okay. Hey, Dr. Steve. This is Steve from Neal. Listen to episode 368 on your podcast, and you're talking about putting people in the hospital, fasting them on 600 calories of protein. Oh, here we go. And having their blood sugars drop. Work.

600 calories of protein is a lot. lot. Now, we're in gluconeogenesis. Stop them from having a low blood sugar or stop them from having a little blood sugar and keep them out of elevated blood sugar. No, because it's not a lot of calories. And now, 600 grams of protein may be a lot, but 600 calories of anything is, you know, it's basically fasting or starvation. So that's why. And, you know, that's just it. But we wouldn't, yeah, we wouldn't just give them meat. I don't know where he got that idea. We would put them in the hospital and we would give them a 600

calorie diet. And it would be generally a balanced diet but it would just be severely calorie limited. And what he's talking about is back in the day, yeah, you know, stuff like that. Back in the day we would, if people's blood sugars got out of control we didn't have a lot

of pills back then that we could give like metformin and stuff like that. So we would just put them in the hospital and fast them for two weeks. Water. Yeah, yeah, water's good for you. We put them in the hospital and fast them for two weeks because you could put people in the hospital for two weeks back then just to give them a calorie-restricted diet.

And when they came out, their blood sugars would be under better control for a long period of time. It's pretty neat. That's old-school stuff, though. Now they have babies and they kick them out and they say... Oh, that's true. You can't hear what DJ Amanda's saying, but she said, now you have a baby and they kick you out the same day.

That's true. When I was training in the 80s, if you had a vaginal delivery, you were in the hospital three days. And if you had a C-section, it was five to seven days. Now it's one day for the vaginal delivery and maybe three days for the C-section. Turn and burn. Yeah. What? All right.

Well. Hey, Dr. Steve. I have very dried skin on my testicles and around my penis. and just above that. And I was wondering what could be causing this. I've tried bacterial creams and fungal creams, and nothing keeps to get rid of it. Okay. So one thing that you may want to do in a situation like this where he has dry skin,

but he doesn't know what's causing it, is, yeah, yes, to get some lotion, that's right. I think lotion is a laudable suggestion, DJ Amanda. But, you know, this could, there are a lot of different things that can cause us. They're fungi, their eczema, you know, just an allergy. Or he could have a thing called, now you're, now I don't, oh, erythrasma. You're throwing me off. It's okay. Oh, yeah, but I'm getting a contact hide just from being in the same room with you.

they erythrasma is caused by a carini bacterium and the only way that you can get rid of it is with a specific antibiotic so what you want to do is take a black light and if you have access to a black light shine it on your junk and if

that dry area lights up like a beautiful salmon color and it's beautiful salmon color if we could harness that in some way for other uses you could you know it would be very useful but so I

but if it lights up a very beautiful salmon color, it's erythrasma, and only your primary care can, but they would be very impressed if you went in and said, I think I have erythrasma, because I'll guarantee you they probably only seen one or two cases in their life. Otherwise, you want to use an over-the-counter fungal cream like Lotraman, but you've got to use it for a long time. That's the thing, you know, it takes a week or two weeks to, you know, do anything.

Okay. Yes, you can. Hydrate from the inside out, but that's probably not just going to make isolated skin on the penis. I don't have a penis. There you go. So then shut the fuck up because you don't know what you're talking. But anyway, it's...

And ultimately, the right place to go is a dermatology appointment. So if you don't get any luck with this, they'll scrape it. They'll look at it under microscope. They'll do a potassium hydroxide. test that will look for you know for for not algae

for fungi or yeast and they can treat that specifically if they have to culture it sometimes they'll only be sensitive to one or two Andy Jesus Christ okay we got to get out of here oh my God she is losing her shit

thanks always go to Dr. Scott who didn't even hear to DJ Logan and Super Android 23, DJ Amanda. We can't forget, Rob Sprantz, Bob Kelly, Greg Hughes, Anthony Coomia, Jim Norton, Travis Teff, Lewis Johnson, Paul Offcharski, Eric Nagel, Roland Campo, Sam Roberts, Pat Duffy, Dennis Falcone, Ron Bennington, Fez-Watley, whose early 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, 5 p.m. Eastern on demand and other times at Jim McClure's pleasure. Many thanks. Go 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. That includes you, DJ Amanda. Quit smoking, get off your asses and get some exercise. We'll see you in one week for the next edition of Weird Medicine. Do you understand why I don't do? Mm-hmm.

Because I was with my dog, like, that's... Mm-hmm. What's fun, now? I dig that shit. That was cool. Is that... Mm-hmm. I'm gonna get my base now.

Tell you all about it. Um, um, Um, Um, Hmm. Uh, Uh,

I'm going to be able to be. I'm going to be. I'm going to be able to be. You know, Thank you. Thank you.