Weird Medicine: The Podcast - 396 - S#!& and Fall Back In It

Episode Date: March 5, 2020

It's hard to do a decent podcast with rigorous data crunching after 3 hours sleep at 7:30 am, but Dr Steve and Jenny McKinney give it a go. Corona, Appalachian aphorisms, heart attacks vs cardiac arre...sts and more. PLUS! A new Dave Ray Cecil song! PLEASE VISIT: stuff.doctorsteve.com (for all your online shopping needs!) Feals.com/fluid (lab grade CBD products!) TRIPP.COM offer code DRSTEVE (relax and get 20% off!) simplyherbals.net (While it lasts!) 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!)   Learn more about your ad choices. Visit podcastchoices.com/adchoices

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Starting point is 00:00:00 You're listening to Weird Medicine with Dr. Steve on the Riotcast Network, riotcast.com. I need some touch it. Yo-ho-ho-ho-ho-ho. Yeah, me garreted. I've got diphtheria crushing my esophagus. I've got Tobolivide stripping from my nose. I've got the leprosy of the heartbound, exacerbating my impetable woes. I want to take my brain now, and blast it with the wave, and all. Ultrasonic, agoraphic and a pulsating shave. I want a magic pill.
Starting point is 00:00:33 All my ailments, the health equivalent of citizen cane. And if I don't get it now in the tablet, I think I'm doomed, then I'll have to go insane. I want a requiem for my disease. So I'm aging Dr. Steve. It's weird medicine, the first and still only uncensored medical show in the history of broadcast radio, now a podcast. I'm Dr. Steve with my little pal, General Mancaves herself. Jenny McKinney. Jenny McKinney right here, 18-inch man calves.
Starting point is 00:01:06 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 347-76-6-4-3-23. That's 347. Pooh-head. Very good. Thank you. Follow us on Twitter at Weird Medicine.
Starting point is 00:01:25 Are you on Twitter yet? No. In a minute. Oh, in a minute. Oh, okay, okay, very good. 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 and act on anything you hear on the show without talking to over with your doctor, nurse practitioner, physician, physician, physician, physician, physician, therapist, chiropractor, acupuncturist, yoga, master, physical therapist, clinical laboratory scientist, registered dietitian or whatever.
Starting point is 00:01:55 Whatever. Yeah, or whatever. There's a lot of options on there, whatever. I had a friend that was mad at me. I didn't even realize it. And she thought when I said, or whatever, she was like I was being dismissive going or whatever. But I was really saying something like, you know, you could do this or whatever.
Starting point is 00:02:15 Yeah. Or whatever you're doing. Yeah. Whoever you need to see in life. I was, anyway. Don't forget to check out stuff. dot dr steve.com for all your amazon needs do all your shopping there and it really helps us out stuff dot dr steve.com you can scroll down see just about every product we've ever
Starting point is 00:02:37 mentioned on this show that we think is worth it crap or you can just click through and go straight to amazon stuff dot dr steve dot com if you need earbuds tweaked audio.com offer code fluid i need to get you some tweaked audio earbuds so you can talk about them i'd be tweaked Use offer code fluid for 33% off your order, which is an incredible discount. I mean, you buy $60 worth of stuff, and then you put in that offer code, and it drops it to like $39.99, which looks like it's way less than $40, which is weird. I'm all about coupons. Do you say coupon or coupon? Coupon.
Starting point is 00:03:17 Coupon. That was what they said in Chicago. Coupons. No, no. Coupon. No, they said coupon. Coupons. I say, Poupon, your coupon.
Starting point is 00:03:27 Let's watch TV. Oh. That's how I talk. You watch TV. How do you say tour? Tour. Tour. I think I'm saying, everybody makes fun of me.
Starting point is 00:03:39 I say tour. Tour. Not like a one or. That's not that bad. Okay. When I was in Vermont, you know, I would call and say, do you all have such and such? And they go, no, we all don't have that. And it's like, oh, oh, really?
Starting point is 00:03:52 No, it's on now. Oh. Oh, it's on. And it was just like South Park. Oh, it's on. No, I don't think it is on. No, it's on. It wasn't ever on.
Starting point is 00:04:02 I just took it. I just took it. Coupon. Coupon. That's a coupon. And watch some TV. Some TV. That's all I can really do from when I lived in Chicago.
Starting point is 00:04:15 Yeah. Check out anoom. Dot, Dr.steve.com. N-O-O-O-M dot Dr.steve.com. If you want to hit your ideal bodyweight. not a diet. It's a, it's an app. It's a psychology app. It teaches you how to change your relationship with food, but also helps you change a lot of other stuff in your life. I need a change in my life. Well, I'm telling you, it really helped me in other aspects of
Starting point is 00:04:41 my life as well. And I've got a little bit of control over things than I once did. So noom.com, you get two weeks free and 20% off if you decide to do it. It's just a three-month program it's less expensive than weight watchers and there's no points so check it out newm dr steve doc i mean just try it see if you like it if you don't like it the hell with it yeah hell with you hell with you know you hear people that no you never said that when you were in michigan right i i'd actually say what the hail like h-a-i-l just to be funny so it doesn't like offend people but it's still like letting you know i'm right but when you're down here hail is just saying hell yeah Because that's how we say hell.
Starting point is 00:05:24 Yeah. So, um, it's weird. So, uh, hell with you. Yeah. Is one of my favorite southern things. Or hail fire. That's right. Well, hellfire.
Starting point is 00:05:35 Hellfire. That's right. Now, so my best friend, David Miller and I were in, uh, at Oz Fest in Atlanta. Okay. And we got stuck in this, um, in this, um, in this play. And this is before GPS. Okay. So we were getting our map out.
Starting point is 00:05:52 And we were right in front of this little convenience store that has been featured on the show Atlanta. Okay. And this weird little dude comes a little, he looked like Lee Harvey Oswald. That's the only thing I can say. And he's walking in. It looked like he was a regular at this convenience store. People are going in and out, you know, buying beer and stuff. Yeah.
Starting point is 00:06:17 And we had the map out. and we just figured out where we were and where we were going. So it was really just like, okay, cool. Now we know. And he yells out to us, do you all need directions? And we were like, no, no, no, we got it. And he just looks at us and goes, well, hell with you then. And walks into the store, right?
Starting point is 00:06:39 Like he's all mad at you. Yeah, he was mad at us because we didn't need his help. And then we were saying, hey, we should go to that restaurant, something we were still talking out while we were pumping our gas. and he comes back out and he hears us talking about restaurants and he's like hey do you all need help finding a restaurant we're like no I think we figured it out but thanks and he goes well hell with you then and then just walks off again maybe hell with everybody that sounds like I know he was just we didn't want his help so hell with us yeah so now of course Dave and I whenever we're talking on the phone it's just I'll say stuff like he'll be talking about some cases like do you need help no seriously dude I mean I could be an expert on that case no I got it. And I'm like, well, hell we eat you. I just set him up.
Starting point is 00:07:22 Yeah. Well, I give people the option of like piss off. Like, hey, do you want to do this or piss off? Like, piss off is just kind of funny. Yeah, right, right, right. It's an easy way to say no without being offensive. Right, right, right. I guess.
Starting point is 00:07:34 I kind of. Except in the South, I'm not sure it is. Now, we used to have, you've heard the jerky boys, right? Yeah. Oh, my God. There used to be this guy, and I can't remember his name. He was, it was, and this other guy took his name. It was like Maynard Ferguson or something, but it wasn't Maynard Ferguson.
Starting point is 00:07:49 And he would call people up and just say, well, you know, I bought this engine from you, and now it's tore up because we were racing or whatever. And it's just like, you know, it's all ridiculous stuff. He was wanting them to, well, I guess you all don't stand up for, you know, what you sell. And it was like, it was obvious he had just trashed this thing, right? Now, the jerky boys had calling, you know, get Brent, we're on the phone now, God damn it. And people would go, okay, yeah, I'll get him, you know. Well, this guy would call somebody a son of a bitch. And he's like, well, I guess the son of a bitch don't stand up for what he sells.
Starting point is 00:08:27 And he's like, well, I ain't no son of a bitch. And those were fighting words. Right. So you call someone a son of a bitch in the South. Oh, yeah. And they're going to beat your ass. And then that was those phone calls would all go to, you know, well, I'll take a two before to your damn ass. Well, you just come here and try.
Starting point is 00:08:43 Well, then he's like, well, you, I don't know why you're getting some mad about it. And then the guy, they kind of come down. And he would reel them out and then reel them back in again. But then the jerky boys would call, you know, people just the worst things. And they'd just go, yeah, okay, I'll get them. Like it was normal. Yeah, do you remember the one that he called the hospital? The nine, I think it was, he must have called like almost like an urgent care back then.
Starting point is 00:09:05 I don't remember. But he was talking about how he blew his fingers off from his, like he was holding the, he said he was an M-80 in his hand. He's like, it was kind of big. But then, like, it's kind of stingy because I'm missing some finger. Oh, geez. She was freaking out. Well, yeah, and that's sort of normal. You get those calls at urgent care.
Starting point is 00:09:28 But it was interesting to me that you could, you know, basically curse somebody out, you know, in New York and New Jersey, and they would just took it in stride. Sure. But you call some poor guy selling auto parts a son of a bitch, and now he's going to beat your ass. I'm going to get a meet out. in the farmland.
Starting point is 00:09:47 I know. I'll be here all day. Well, by God, I'll be there. You know, it's just hilarious. Yeah. I don't know. He needed a coupon. Well, that's what that, yeah.
Starting point is 00:09:58 But hail with you, shit on you. That's another good one from the South. Shit, well, well, shit on you. And I used to say that, which just evokes this image. You know, where that came from, you know, where that becomes something that you say to somebody that you're mad at. Oh, my God. You know, because getting shit on you.
Starting point is 00:10:16 is a bad thing. That is. Yeah. And my office receptionist at my old office, I'd say, well, Joanne, shit on you. And then she'd come back at me, well, shit and fall back in it. Which the only way you could shit and then fall back in it is if you're shitting in the woods, right? Oh, I was going to say that or like an outhouse that's gone wrong. Right, right, right, right, right.
Starting point is 00:10:43 But to fall back in it implies that you were. standing, and you shit, and then you went, whoa, and then you fell, and fell into the shit. Yeah, she's put some woo-woo on you for a shit and fall back in it. To knock off your balance. So if you ever want, if you're in Appalachia and you want to make somebody laugh, you know, tell them to shit and fall back in it. I'm going to use it.
Starting point is 00:11:09 I'm going to take that up to Michigan. Yeah, yeah. They're going to be like, what for hell? That's good Thanksgiving dinner. stuff it with your family, if you want to be really dysfunctional. Yeah, I'll see it. When your uncle says something stupid, well, she'll fall back in it. Shit and fall back on it.
Starting point is 00:11:26 I'll say it with the twang, too. There you go. Yeah, let them know I'm serious. Simplyherbils.net is Dr. Scott's website for a little while longer. I think it's still up. So just buy him out of all of his crap and let the poor guy get out of the business. And then if you want archives of the show, go to premium. dot dr steve.com for a buck ninety-nine get
Starting point is 00:11:49 all of the access to all the shows and we actually have an app you can go to the app store or you can go to the google play store and just look for the weird medicine app and that's the easiest way to listen to premium content if you've got a premium because you just log in once and then you can have all the shows awesome i'll also send you a thumb drive for 30 bucks you can go to our website at dr steve.com that's got every show on it you get a 32 gig thumb drive with 17 gigs of material on it so you know there's a little extra capacity on there too and uh i will i send
Starting point is 00:12:21 i try to send those out the same day with some stupid merch and crap like that too all right very good so you've got a podcast coming yeah yeah i'm doing like audio recordings right now that i'm trying to release as a podcast it's called uh so much jennergy because okay oops Because, like, you can see, you know, I wake up, you know, wide open. Yeah, we're doing this at 7.30 in the morning, and you're quite wide away. Yeah, yeah, well, I get up anywhere like 4.45, but, yeah. All right. Yeah, but it's basically, you know, just funny things that have happened from the week.
Starting point is 00:13:00 Where can people find this? Well, right now it's on, it's an email release. Oh, come on. I know. Do you see this studio? I know. You have access to this. I can help you with this. I know. Well, hell far. Oh, that's a hell far. Email. Yeah. Okay. So how would people get on your email list? Well, do you have to get into it? But how do they get into it? I don't know. Because I only have a link to send out to a home. So I'm trying.
Starting point is 00:13:29 You would have to send it out. So this is what you got to do. Go to Libson.com. L-I-B-S-Y-N-N.com. It's liberated syndication. and they will look there's free podcast hosting places yeah but it's for five bucks a month you can do it with limited statistics okay and when people start listening then you want to bump up to the $20 a month okay but at five bucks a month you can get it up there you can get it on iTunes and Facebook and all that kind of stuff okay cool yeah and how are you recording at it so right now what I'm doing I'm getting my finger ready for the bourbonne I know I can feel I'm being very judged. No, I'm going on.
Starting point is 00:14:10 You are. I'm judging you. So right now what I'm doing is I'm recording on Zoom. So I go to Zoom, log into my account. I record. I'm like having a meeting with myself. Zoom is an online app. Yes.
Starting point is 00:14:22 A meeting app that you can record on. I see other people are doing this when they're, you know, instead of taking phone calls, they'll have a guest on, they'll do it on Zoom. Yeah. So how are you recording it into Zoom? Well, it's, I'm recording it right in there. So I'm in, like, I'm in my, oh, so it says. By what means?
Starting point is 00:14:40 And talking to, I can see you, so talking to the mic. So I go to Zoom.com, I log in, and then it just tells me host a meeting, but I'm really hosting it by myself, and then I hit record. Okay. Okay. Hellfire. Can you please stop bullshitting? What means are you getting the audio into Zoom? So, well, it just records it right there, and then it exports the MP4.
Starting point is 00:15:06 Oh, my God. Oh. Is that what I'm supposed to answer? No, by what, how are you getting your voice into Zoom? Oh, I'm sorry. Oh, I just recorded it on the computer through a microphone. There you go. Okay, so using a headset. Yeah, headset with the microphone.
Starting point is 00:15:20 Okay, okay. So the audio quality might be okay. There are some commercial grade headsets. Yeah, yeah. Well, I just have, I wear a headset for work anyway because I do online. Yeah, okay. A headset's okay. Yeah.
Starting point is 00:15:31 Oh, I'm sorry. Yes, that's understood. And you plug that directly into your computer. Right in the computer. audio interface. So that audio interface is going to suck. Yeah. Is it a PC or a Mac?
Starting point is 00:15:42 Mac. Oh, it is. Oh, well, it might not suck too bad then. It's not too bad. Yeah, okay. I've had like five recordings so far. Yeah. And it's basically like me just talking to you.
Starting point is 00:15:54 Yeah. Right, right. That's fine. I mean, Jim Florentine used to do his podcast on his iPhone. He'd just be driving from one gig to another and do a podcast. Yeah, yeah. That's kind of what it sounds like. It's just me telling you funny stories that have.
Starting point is 00:16:07 happened from the week and um you know just random crap that i think is hilarious and i just keep laughing and um it's like 15 minutes and good 15 minutes about right for something like that if you want to up your audio game i can help you okay you know you'll want an audio interface or if you you said that you have a cassio and you just hold it up to the yeah so when we were talking about like background noises and like i don't have any way i don't know audio equipment to be able to things so I have my own like I found a Mr. Bean laugh track so I put that right up to my microphone and then my headset and then so I have that ready on my phone and then I bought a 1980 Cassio organ that I just those are great I just put like a beat on and like when I have
Starting point is 00:16:56 and I make my own commercials yeah like just with everyday items okay so so yeah now the casseo I like that if you have you seen Napoleon Dynamite yeah they did the whole soundtrack on a Cassio, and it's brilliant. It's so, that's... So if you're wanting that sort of retro, kitschy, kind of crappy thing... I just wanted to feel like you and I are just having a conversation, but I can't hear you.
Starting point is 00:17:20 Except you're doing sound effects with a Cassio. Yeah, right. Okay. So we're, over the next few weeks, we're going to figure out a way for you to get this on the internet, and then we can promote it on the show. Now, be prepared. People love to, you know, they're anonymous,
Starting point is 00:17:35 so they just love to shit on. Oh, yeah, shit on me and hope I step in it. That's right, shit on you and fall back in it. I'm sorry. So I heard you did a show in Charlotte recently. Yeah, yeah, just outside. It's called The Trail House. It's a restaurant.
Starting point is 00:17:54 Okay. The venue was really good. You know, it gets kind of risky because you're not sure if they have like stipulations or you got to, you know, watch your content or. Right. But there was eight of us and probably. Well, you're not known to. work real blue right right no but if i yell m f or when i'm talking about my dad then you know like because that's just him you know that's always fun yeah but i just want to make sure i even
Starting point is 00:18:18 asked was there any kids in there before we we went on but uh yeah it was a great great show the crowd was awesome um the food was phenomenal um there was eight of us and probably six of us were really hilarious yeah which is a pretty good high percentage you're including yourself in that yeah okay good good excellent All right, well, good. Yeah. What I wanted to add real quick is, like, I have distinctive laugh, right? So Mitch Hedberg did a set on distinctive laugh, which is like my laugh and when I'm laughing, it's really loud.
Starting point is 00:18:49 And I think people are laughing at my laugh. Okay. So I don't know if I'm really funny or they're just laughing at my laugh. And so if I don't laugh, it's really obvious. Right. You know, because the room's kind of quiet. But that's what's rough is like if stuff's not funny and I'm not laughing, I feel like really. Distinctive laughs are funny.
Starting point is 00:19:07 And sometimes they can't, and not in your case, but they can be annoying. I had a friend in medical school. I had a distinctive laugh. And everybody, that's what people, how they made fun of her. Right. You know, they, you know, you know. Yeah. I don't know.
Starting point is 00:19:23 If she's listening, she knows who she is because that was pretty perfect, actually. Yeah. But anyway, you know, speaking of kids in the room, my, I took my kids both to Jim Florentine, where he talked about, and at that time, I think they were 10 and 9, where he talked about, you know, fashioning a condom out of saran wrap, so that you got to learn about that. And then I took them to see Uncle Robert, you know, Uncle Bobby Kelly, because that's what they call him Uncle Robert.
Starting point is 00:19:54 And he talked about flying cunnelingus monkeys. And they were sitting with my mother-in-law, and my wife was so embarrassed she wouldn't even go up there. So my mother-in-law looked like, here's this old lady, bringing these kids to this show about flying cunnelingus monkeys. Risky, risky. Yeah, that's pretty funny. She was beat red when she came downstairs, but we were just laughing. So anyway, a couple of things.
Starting point is 00:20:28 You know, I guess we need to talk about coronavirus. Now, we record this on Wednesday, and this is, depending on. on when you, so just so you know, when you're listening to this, this may be outdated. We're recording this Wednesday, March 4th, 2020. But the NIH National Institute of Health is doing a clinical trial on an antiviral drug called remdesivir to treat COVID-19. Now, remember, the virus is SARS-C-O-V-2, but the disease that it's. causes is called COVID-19. That just means coronavirus disease 2019.
Starting point is 00:21:14 So a randomized controlled clinical trial to evaluate the safety and efficacy, in other words, is this stuff okay to take, will it harm you, and does it work of an investigational antiviral remdesivir and hospitalized adults diagnosed with coronavirus disease has begun at the University of Nebraska Medical Center in Omaha. I wonder why they picked there. I'm just curious, you know, a lot of the cases are in Washington and stuff like that. Why not start there? But, okay.
Starting point is 00:21:43 The trial regulatory sponsors the National Institute of Allergy and Infectious Diseases and a part of the National Institutes of Health. This first clinical trial in the United States to evaluate an experimental treatment for COVID-19, the respiratory disease first detected in December of 2019 in Wuhan, who by probably, in China. The first trial participant is an American who repatriated after being quarantine in the Diamond Princess cruise ship. We actually have a doctor from the one town over that was on that cruise line. And I'm giving him a couple of weeks to get the virus totally out of his system and we'll invite him in. Maybe we could talk to him about his experience.
Starting point is 00:22:30 He bought this person volunteered to participate in the study. The study can be adapted to evaluate additional investigational treatments and to enroll participants at other sites in the U.S. and worldwide. You know, the thing is, so that particular case is an N of one. So he's got a 50-50 chance of getting the drug if it's randomized placebo control. Right. So, you know, we're not going to get much information from this one case. Yeah.
Starting point is 00:22:59 I mean, particularly since 90-plus... percent of people get better. So let's say that there's a 6% mortality rate with this with this virus. That means 94% of people don't die. Sure. So you would have to treat a lot of people to be able to show a positive effect because you get 100 people, 96 of them, if you give them the medicine, we're going to get better anyway. Yeah. So now, okay, so maybe this time you had five, What if this stuff is 20% effective, then, well, now you had 95%. Right? Yeah.
Starting point is 00:23:40 So it's really going to be hard. You're going to have to have thousands and thousands of cases to be able to show an effect of this drug. Yeah. Now, if you only give it, obviously, to people who are hospitalized with it, that would be smart. And then you could show how many of those had a decreased length of stay. that would be easier to show or how few of them died compared to people who didn't take the drone. All right. At this time, when they wrote this, there have been 14 confirmed COVID-19 cases reported in the United States.
Starting point is 00:24:14 Additional 39 cases among persons repatriated to the United States. We're going to be talking about these numbers in just a minute. Remdesivir, which was developed by Gilead Sciences, is an investigational broad spectrum antiviral treatment. I wonder how it works. It's previously tested in human. Humans with Ebola virus disease has shown promising animal models for treating Middle East respiratory syndrome. So remember, MERS and SARS, and this are all coronaviruses. Okay.
Starting point is 00:24:44 So if it works, if it's broad spectrum, it works on one coronavirus. It may work on others, just like Tamiflu works on, seems, most of the strains of influenza. It's not a great perfect drug by any means, but certainly helps. Right. Let me see. It says although remdesivir has been administered to some patients with COVID-19, we do not have solid data to indicate it can improve clinical outcomes. So this is just going. Clinical trials of remdesivir are also ongoing in China, where they do have higher numbers.
Starting point is 00:25:14 Now, just recently, the number of recovered cases is exceeding the number of new cases in China. So that's good. So maybe this thing is slowing down. We'll see. all right so let's um so there's a lot of controversy though sure um and i'm seeing it on twitter and stuff and what's real and what isn't uh this is from the atlantic by uh alexis madrigal well that's an awesome name uh-huh uh the official coronavirus numbers are wrong and everyone knows it well i don't know it so that's already wrong did you know it well that's what's
Starting point is 00:25:55 going to say how do you it's just a statement you're right now how do you how do we know Everybody knows it. It's documented. Well, let's just see. Okay. It says, because the U.S. data on coronavirus infections are so deeply flawed, the quantification of the outbreak obscures more than it's illuminates. Okay, let's see. Okay, then she says, we know irrefutably.
Starting point is 00:26:18 One thing about coronavirus in the United States, the number of cases reported in every chart and table is far too low. So I want to know what the evidence is. I know there have been issues with the testing kit. So the WHO, well, I think they talk about it to some degree in this article, so it'll either confirm or deny what I'm getting ready to say. But the WHO came out with a test by some German scientists, but the CDC said, oh, no, we want to do our own test. And there is precedent for this. if someone is transferred to you and they say, well, you know, and the doctor on the other side says, well, you know, they had a mass on their brain, for example, you're not going to believe what they said unless you can see the CT scan that they, and if you can't get that, you have to repeat it. Right.
Starting point is 00:27:14 So you don't trust what other people say, even if they're very trustworthy. Right. Unless they have something to back it up. Unless they have something to back it up. And I think the CDC was like, yeah, your test may be good, but if we make our own, we know it'll be right. Okay, gotcha. And the first batch of them was something was wrong with them. And it did delay us testing a bunch of people.
Starting point is 00:27:37 Now, you know, people say, well, up in Canada, we're testing, you know, five times as many people as you all are. Well, how many tests, how many if tested positive? Well, 20. So at that point, what they were doing is they were testing, you know, you know, thousands and thousands of people to pick up 20 cases. Right. You want to pick up every case that's called sensitivity, so you want to cast a wide net. I get that.
Starting point is 00:28:02 But, you know, most of the tests that they were doing were coming back negative, which meant that ultimately, in hindsight, those were unnecessary to do. So how do you figure out who to test to make sure that you catch all the cases you want to without doing a bunch of unnecessary tests? And that's a difficult epidemiological question. So, you know, do we just test everybody in the United States? Well, that'd be insane. That's 350 million tests.
Starting point is 00:28:30 We don't have them. So do you just hit everybody with fever and an influenza-like illness? Sure. That's a good place to start. And how about testing people that have come into contact with someone that's had coronavirus? Right. And also, what if they're just testing, like, in the conditions? Canadian research, what if they're just testing to the negative people just to say we have tested, you know, three million people, but we had 20.
Starting point is 00:29:01 Right. So, yeah, so I understand. Yeah, I, it's, I'm not so impressed that, well, we're just testing more people. Right. Testing more people doesn't, doesn't really help you if you're testing people who aren't at risk. Yes. You know, we don't do treadmills on everyone. We do treadmills on people that have a reasonable chance of having a positive result.
Starting point is 00:29:25 Sure. Now, we have to have a hair trigger with us because you don't want to miss any cases if you can avoid it. Yeah, for sure. But we're going to. Yeah. So anyway, so she goes on to say the data are untrustworthy because the processes we used to get them were flawed. The Centers for Disease Control and Prevention's Testing Procedures missed the bulk of the cases. They focused exclusively on travelers rather than testing more broadly.
Starting point is 00:29:51 because that seemed like the best way to catch cases entering the country. Well, sure. You know, in the beginning, you're doing mitigation, so you want to – it had to come here from somewhere else. So you're trying to catch those folks as they come in if you can. It says just days ago it was not clear that the virus had spread solely from domestic contact at all, but then cases began popping up with no known international connection. What public health experts call community spread had arrived in the United States. No one was surprised by this.
Starting point is 00:30:21 The travel bans and all that stuff, all that did was buy us time. It's coming here just like it is to Italy and other places where, you know, it's like trying to, you know, you spill mercury and trying to, you know, bat it with your hands to contain it somehow. Yeah. That's really hard to do. So, but what they did was delay things. So we've got a little bit of extra time to maybe develop a treatment to get better statistics. and to do better screening. So, um...
Starting point is 00:30:54 Well, talking about Mercury, it's in retrograde. Ooh. That's why you can't control. That's why you can't control it. That's awful. All right. It said, uh, there's firm evidence that in Washington State the coronavirus have been spreading undetected for weeks.
Starting point is 00:31:13 Now different projections estimate that 20 to 1,500 people have already been affected in the greater, greater, Seattle area in California, too. The disease appeared to be spreading, although limited testing means no one is quite sure how far. Yeah, so, I mean, we need to probably ramp up testing, no question about that. Yeah. And it says, while Chinese officials were enacting worldwide historic containment effort, putting more than 700 million people under some sort of movement restriction,
Starting point is 00:31:44 quarantining tens of million of people and placing others under new kinds of surveillance, Well, that's great. The American public health officials were staring at the writing on the wall and the disease was extremely likely to spread the U.S. We always knew that. It's not like there was anything we were going to do to keep it from spreading here. They were just trying to delay it so we had more time to be ready for it. It says, meanwhile, South Korean officials have been testing 10,000 people a day,
Starting point is 00:32:13 driving up the country's reported case count. Same goes for Italy. Well, yeah, well, they've got tons of cases. there. Sure. China, the officials say the country has more than 80,000 cases, but the real number might be higher because all the people had milder cases were turned away from medical care and never saw it in the first place.
Starting point is 00:32:31 That's right. And that's actually a good thing because that drives the mortality data down. If more people had it and just recovered from it, but we know how many died from it, you know, if you pile on numbers to the numerator, I'm sorry, to the denominator, than the percentage of people who are dying are actually much lower than we think. So, all right. Anyway, all right. What have you got?
Starting point is 00:32:59 Dang. Well, just on top of that, I found an article from Representative Mark Pocan. He's a Democrat out of Wisconsin. Okay. He's demanding information from the CDC about decision to stop sharing the data about the number of people tested. like kind of like you were just talking about so what they're saying is they stopped disseminating figures
Starting point is 00:33:24 on the number of people tested and the death toll but I'm not seeing that I'm looking at the CDC site right now and it seems to have all that stuff on there CDC Corona virus numbers let's look at that and see what we come up with yeah I mean
Starting point is 00:33:45 And there's numbers all over the place on this. What the hell is he talking about? So he's saying we're no longer, oh, maybe this is, oh, this is Nancy Misionier, right? What? M-S-O-N-E-R. That's my Michigan accent coming out there. So how do you spell it? M-E-S-S-O-N-N-I-E-R.
Starting point is 00:34:07 M-S-O. M-S-O-O-O-E-M-Sounier. It's probably M-O-S-O-O-M-S-N-E. So she's the CDC's, yeah. Hot M-M-S-N-E-E-R. year. She's the CDC's Director for National Center for Immunization and Respiratory Diseases. Okay. She told reporters that the agency stopped sharing data on the number of people tested because of more testing happening at the state level.
Starting point is 00:34:31 Okay. So she said we're no longer reporting the number of persons under investigation or those who tested negative. Right. Right. The states will have to do that now. Because, yeah, we're different than a lot of other places. is we have state run, you know, infectious disease teams and stuff. So, yeah, yeah, you know, influenza is reported by state as well. So here we go. This is updated Mondays through Fridays, and it is just coronavirus disease CDC. Just Google that.
Starting point is 00:35:06 It says updated March 3rd, 2020. So that would have been yesterday for us. says the CDC is responding to an outbreak of respiratory illness caused by a novel coronavirus. The outbreak first, okay, well, we know that. Okay, COVID-19, U.S. at a glance. Data include both confirmed and presumptive cases of COVID-19 reported to the CDC. So they're being reported to the CDC from other places or tested at CDC since January 21, 2020. does not include information on testing results of persons repatriated to the United States from Wuhan, China, and Japan.
Starting point is 00:35:44 States are now testing and publicly reporting their cases. Okay. So the CDC will collate all of that stuff. But, yeah, this isn't their job at this point to report how many people are being tested in, say, Tennessee. Right. They can report it after Tennessee reports to them. Gotcha. But if you want to know, the states will do that.
Starting point is 00:36:06 Right. It says in the event of a discrepancy, state case counts are the most up to date. So we have a very robust health care system in this country that, you know, public health system that does this stuff. So total U.S. cases are 60, total deaths, six. So that small, I don't have to ask, echo, that's 10%. Yeah. States reporting. I don't know that one.
Starting point is 00:36:30 Oh, I'm sorry. States reporting cases are 12. So it's in 12 cases. There have been 22 cases are travel-related, 11 person-to-person spread, and 27 are under investigation. Okay? That says here, the CDC is no longer reporting the number of persons under investigation that have been tested as well as PUIs. That's persons under investigation that have tested negative. Now that states are testing and reporting their own results, CDC's numbers are not representative of all testing being done nationwide.
Starting point is 00:37:02 So they just don't want to confuse people. And this is actually a response to this whole thing. Well, the number, they're reporting their numbers are too low, you know. Right. All right. But they can only report what they have, what information they're getting from the state. That's right. Yeah.
Starting point is 00:37:20 But, yeah, so the CDC isn't doing all the testing themselves anymore. Sure. And so far there have been, okay, in Washington, it just says yes. So it's the West Coast, which makes sense closest to Asia where this thing came from. and then it'll spread. And then you've got Georgia and Florida and then New York, New Hampshire, Massachusetts, but not Vermont yet. And then Wisconsin and Illinois. So, all right.
Starting point is 00:37:46 Very good. You got anything else? No, that was it on that. Okay. Oh, yeah. COVID-19 cases among purses repatriated to the United States, three from Wuhan, China, and 45 from the Diamond Princess cruise ship. Oh. Dang.
Starting point is 00:38:02 Well, so. That was just a. cruise ship from hell oh yeah that's terrible but okay save for the the family that came back here yes um after they were quarantined how would their how would their number be reported would they be reported as recovered oh okay so but if they're tested and she tested positive yeah um would her number be they'd be they'd test as a positive case and then now they would be reported out as recovered so Would her initial, her first number of positive go, where would they report that? Like, not on a state level because she's on a cruise ship, right?
Starting point is 00:38:41 Oh, right. No, they were one of the first coming through, so they were probably, I'm pretty sure they were tested by the CDC. I'm talking out of my ass at this point. Oh, no, that's okay. I just really wouldn't know. That wouldn't be considered a Tennessee case because they were saying they were excluding people who were repatriated.
Starting point is 00:38:56 Yeah, yeah. So I didn't know where her number would go if they would say she was positive, but she She would go United States, but not Tennessee. She would go in the repatriated list. Okay, gotcha. Okay, yeah, cool. All right, well, shit. I don't have a whole lot else on this.
Starting point is 00:39:11 Oh, well, we could look at influenza numbers. Influenza illnesses, overall cumulative hospitalization rate for this season increased to 52 per 100,000. So that's pretty damn low. The percentage of deaths attributed to pneumonia and inflammation. influenza is 6.9% below the epidemic threshold of 7.3%. So that's, it's crazy that that still takes people's lives. Yep, yep. We've got to have a universal influenza vaccine.
Starting point is 00:39:45 Yeah. Because we're worried about this and people are freaking out. But, you know, 30 million cases of influenza in the United States and 30,000 people who have expired from it in the United States this year alone. Yeah. and we just kind of take that in stride. Yeah, man. And we're just, we're terrified of the thing that we don't know.
Starting point is 00:40:10 Right. So, flu is sort of the devil we know. Yeah. You know? Yeah. It's like your shitty cousin. Yeah. That always shows up and...
Starting point is 00:40:20 Yeah, ruins Christmas every year. But he's family. Right. And we, yeah. They're like, well, we have to love him because he's blood. No. I know. It's weird.
Starting point is 00:40:29 That's stupid. It's stupid. It's stupid. But it is weird. And nobody even invited him. That's the thing. He just shows up and ruins everything. Yeah, the response to this is, I know what people are responding to is that this is the big fear that one of these days, one of these like avian flus is just going to sweep through and just take us out.
Starting point is 00:40:50 And I get that. Yeah. But we haven't seen it yet. And this one certainly does not look like it. A lot of us are going to get it. Yeah. And those that don't survive it, it's tragic. No question about that.
Starting point is 00:41:06 But I maintain my original stance that, like influenza, the majority of people won't get it. Because there's 300 million people in this country who have had 30 million cases. So, again, about 10% of people have actually gotten. It means 90% of people are just like, well, I ain't getting no flu shot. I don't never get the flu. If you have a 90% chance of not getting something, year after year after year, there are going to be some people that just never get it. Right. And they're going to think they're immune or something.
Starting point is 00:41:38 Yeah. And when they finally do get it, they're going to be, you know. Right, right. How do you feel about the flu shot itself? Do you recommend that? Yes. Yes. It's not, it's imperfect.
Starting point is 00:41:51 Some years, it's only 6% effective in preventing influenza. Other years, it's more like 40 to 50%. there can be complications. Sure. They're, you know, back in the swine flu era, there were, well, you know, people get Gionne Barre. Have you heard of Gionne Barre? Okay, so you get the flu shot. I've worn one.
Starting point is 00:42:16 And then. Oh, I forget. Oh, I saw you're seeing green beret, but sassy. Yeah. Boy. Yeah, so you get the flu shot and then, and I don't know what the incidence is, but it's really, really low. Maybe like one in a million, something like that. And then you get this thing called ascending neuritis where the nerves starting in your feet get weak and then, or, you know, stop sending impulses to the muscles and so the limb gets weak.
Starting point is 00:42:53 and then it starts to ascend, get up to the knee, and then up to the thigh, and then up to the waist. And if it gets up to the neck, of course, the respiratory muscles get affected and you end up on the ventilator. Oh, my God, that's terrible. Then after it's kind of done doing its thing, it descends back down to the feet again and then sort of leaves your body. And it may leave behind some residual weakness. Now, is it like paralyzing, though? Yes. Oh, God.
Starting point is 00:43:23 So you're like slowly being paralyzed. Right. From the feet up. That's why they call it ascending neuritis because it ascends. That is terrible. It is terrible. You know what else causes ascending neuritis? Influenza.
Starting point is 00:43:37 So back in when during the swine flu epidemic in the 70s, a lot of people got Gianne Barre from the influenza itself. So it's not the vaccine necessarily. It's some, it's the immune system's reaction to. the viral protein that causes it. So whether you get it from the influenza or you get it from the vaccine. That
Starting point is 00:44:00 sounds horrifying. It is. It's horrifying when it happens. No, when it starts going back down, though, do you get feeling back? Yeah, yeah. Or you get function back. But like I said, there can be some residual weakness left over. Yeah, so it's rough. And if that happens to you, it's totally
Starting point is 00:44:18 sucks and I get it. And it's like, well, shit, if I hadn't gotten the vaccine, well, maybe, but if you'd gotten influenza that year with that protein in it, you may have gotten the Guillain-Barray anyway. So the risk is far outweighed by the benefit. Yeah. And yeah, so I'm a fan. But the universal vaccine is what we've got to have. Right. You know, we need one vaccine for all influenza. If we do that, we might be able to eradicate this stupid virus before something bad happens, like, you know, an avian flu or another epidemic like the 1918 influenza epidemic.
Starting point is 00:45:00 But still just boggles my mind that, yeah, it's just influenza. Yeah. But then this coronavirus so far is, you know, doesn't seem to be as virulent as the influenza, but we're freaking out about it. But it's, again, because it's the unknown. All right. And we'll be back right after these. words from our sponsors.
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Starting point is 00:48:23 Okay, very good. Well, you want to take some phone calls? Yeah, let's do that. All right. Hello? Number one thing. Don't take advice from some asshole on the radio. All right, very good.
Starting point is 00:48:33 One thing that people don't know is that is the voice of the great Ron Bennington, who I'm going to go see in April 10th in Atlanta at the Creeps with Kids concert. You need to go to that It's Ron Bennington Jim Florentine Robert Kelly And oh shit Oh God I'm missing somebody
Starting point is 00:48:54 Did you say Asheville? No in Atlanta Okay Who am I missing I'm being an asshole I'm missing somebody important Bob Kelly Oh Voss
Starting point is 00:49:09 Oh Jesus sorry Rich Yeah and Rich Voss So it's all creeps with kids. Yeah. And I think that people go to this going, oh, this will be a fun, you know, sort of lifetime sort of comedy show. And now it's completely vile. Yeah. Which is great.
Starting point is 00:49:29 Yeah. Yeah. But anyway. Don't go there on a first date if you're trying to like it. Right. Unless you just want to gauge how cool they are. Right. You know, I had a girlfriend once.
Starting point is 00:49:41 and our first date was I took her to see full metal jack. That was our first date. And she hung in there. Yeah. So, you know, I was a film major and it was Kubrick and it was like, hell. Right. You want to go see a movie? Jeez.
Starting point is 00:49:57 All right. So this, anyway, this drop. Number one thing. Don't take advice from some asshole on the radio. If you listen closely, there's an edit in there. And what he said originally was don't take sex advice from some asshole on the radio. I don't even remember where that drop came from, but I took out the word sex to make it apply, you know, more broadly to people like me. Number one thing.
Starting point is 00:50:19 Don't take advice from some asshole on the radio. Oh, yeah. I only heard it because you said something. Right, right, right. Yeah, it's a pretty ham-handed edit that I did, but I did it in audacity in like 2006 or something. So I didn't know what the hell I was doing back then. Sound pretty good for not knowing. Yeah, there you go.
Starting point is 00:50:36 Yeah. All right. Hey, I had a question with this here, coronavirus going around. Anyway, we're just, okay, it's like enough coronavirus. Let's take some phone calls. Here we go, but that's what it's going to be for one. What is your opinion professionally bear on everybody uses vinegar to clean with? And people that are really a big supporter, I would say it kills germs and all that fun stuff.
Starting point is 00:51:05 Sure. Would something like that be a... perspective in killing the coronavirus or any other virus or do you know? Anyway, that's a good question. No, it's a great question. And he's like, do you know, does anyone know anything? Right. And yeah, so coronavirus can certainly survive on surfaces where we know that.
Starting point is 00:51:30 And people still aren't 100% sure how long they're estimating about the maximum under perfect conditions. it'd be three days. But so that's why you don't want to touch your, you know, so someone coughs in their hand. They get billions of coronavirus particles on their hand in the mucus. They touch a doorknob, and then the stuff sits there in the mucus. And those viruses, remember, are not alive. They just have to remain intact. And if you put them, then you grab that door and stick your hand in your face afterward.
Starting point is 00:52:04 then you can transmit that virus to yourself. And everyone who's listened to this show over the last several weeks and, well, in decades even, we've talked about this mode of transmission. It's called fomite transmission. And, you know, it is, there's a real risk for that. And how long is it on the door handle? Well, that's what they don't know.
Starting point is 00:52:27 Oh, okay. Yeah, this is from the Mercury News. new coronavirus spreads quickly. Health officials are aggressively assessing how long it can survive on surfaces to better understand the risk of transmission based on what is known about similar coronaviruses. Disease experts say the new outbreak of the virus and see they got this wrong, named COVID-19. Now it's the outbreak, the disease is COVID-19, but the virus is called SARS-C-O-V-E-2 is mainly spread from person to person through coughing or sneezing.
Starting point is 00:53:00 contact with fecal matter from an infected person may also transmit the virus. But the CDC says it may be possible for a person to become infected by touching a surface object that has the virus on it and then touching their own mouth, nose, or eyes. So one thing to take home from this is if you don't have the disease, the only reason to wear a mask is to keep your stupid hands out of your nose and your mouth. Oh, okay. That's the only reason to wear it. It won't do you any good otherwise. Now, if you have it and you cough into that, it's less likely you're spraying droplets around. I mean, you may still spray some, but there'll be orders of magnitude less than if you're just, you know, onto surfaces and stuff.
Starting point is 00:53:42 A question about that. Yeah. So did you grow up here? No, you're not. I'm from, I'm from south of here. Okay. So this is a crazy question, but do they teach people here in the south to just open sneeze? I mean, I'm being serious
Starting point is 00:53:58 So my dad grew up here And he just opened sneezes Like just right out in the open And just right at the ground People will cough into their elbow and stuff But if they sneeze, it's like It's a free-for-all at 250 miles an hour But like I don't understand it
Starting point is 00:54:14 Like up north You know we're taught like Do everything in your elbow Yeah Cough sneeze like keep it here Well people used to carry handkerchiefs Which is gross Because people blow it in their nose
Starting point is 00:54:26 and then put it in their pocket. But it's probably, if you're going to sneeze and you sneeze into a handkerchief, that actually is a pretty effective technique to, you know, decelerate those particles down to zero pretty quickly. So in that regard, it's pretty cool, but, you know, then put it back in your pocket.
Starting point is 00:54:44 It's disgusting. Disgusting. No, I saw a guy literally roll his window down and sneeze out the window in a truck. I mean, I just, I puked out the window like that once. just open the window and just Oh yeah No but I just didn't know if that was like taught here
Starting point is 00:55:01 Why is it always funny to see somebody puking I don't know why that's funny But to drive by and see someone stick their head out the window And just start puking would be hilarious Yeah I don't know why it's funny Tripping is funny to me I know
Starting point is 00:55:15 Falling down whiskey throttles I guess we just like other people's misery Yeah I know But you know if you saw somebody I guess you know Something life threatening you wouldn't find Oh, no, no, that is not funny. You know, but puking, because we've all puked and it's awful, but it's not the end of the world.
Starting point is 00:55:30 No, I do not do good in emergency situations. Yeah. Mucous is the thing. I don't like, although, you know, I can sit and eat and talk about shit mixed with mucus, mixed with pus, and it's no problem, you know. And people in the medical profession who, because we have to catch up on cases during lunch and stuff, you know, and you're grabbing food and you're talking about all that. this stuff. And then you take it to the dinner table, and there's two medical people talk about, yeah, you know, I've- Oh, yeah, not everyone. Shears in your enthusiasm.
Starting point is 00:56:01 This giant cyst and the stuff, you know, came spewing out and smelled like rotten, rotten cottage cheese. And everyone's throwing their forks down. And you're like, what, what? What's wrong? Like, what? So it says here, an analysis of 22 earlier studies of similar coronaviruses, including SARS and Middle East Respiratory Syndrome, published online, month concluded that human coronaviruses can remain infectious as on inanimate objects for up to nine days at room temperature. Damn! No!
Starting point is 00:56:33 Now, here's the thing. They are really fragile. That's under perfect conditions. So they can quickly be rendered inactive using common disinfectants and may also dissipate at higher temperatures. It's not yet clear, however, whether the new coronavirus behaves in a similar way. But these things are, you know, they have a membrane that they, create inside your cell and it's very fragile so yes acetic acid which is vinegar should kill
Starting point is 00:57:01 it soap and water kills if soap and water will get you know kill it as you know acetic acid will you know just don't mix vinegar and bleach please that's you know you make it together chlorine gas it says on copper and steel it's pretty typical it's pretty much about two hours so that would be like a doorknob oh Oh, okay. And for how long the new coronavirus may be active on those types of metals. But I will say on other surfaces, cardboard or plastic, it's longer, which makes sense. Cardboard and plastic are more porous.
Starting point is 00:57:34 They've got, you know, places where you could just get a microscopic glob of mucus that could have a billion viral particles in it. I'm not a germopold, but there's only one door handle I don't touch, and that's at the doctor's office. Yeah. I just don't do that. Yeah. Well, you know, I had a professor, and we all thought he was a goose. And this was in the 80s, where he would wear these really baggy pants, really baggy pants. And he would put his hand in his pocket and then reach up to open up a doorknob, you know, through the fabric of his pants.
Starting point is 00:58:06 And we would just laugh and laugh. But now, you know, he's looking pretty smart. He'd probably live until he's like 150. Yeah, yeah. Yeah. It says the Food and Drug Administration this week said it has no evidence that COVID-19 has been transmitted from imported goods. goods. So I've had people ask me if I order something from China, you know, how much risk do I have? And now they're not letting people work that have fevers and stuff. So the likelihood
Starting point is 00:58:36 that you're going to be exposed is pretty low. But still, you know, it's a question. They have no evidence that that's ever happened. Right. Well, we talked before that if the resistors quit coming in, how that would shut everything down. Yeah. I think the news just reported. this week that manufacturing is slowing down because of imports. Yeah. Yeah. Right.
Starting point is 00:58:58 Yeah, there's no resistors made in the United States anymore. Yeah. We could gear up pretty quickly if we had to, but there would be a lag. Dang. But anyway. Yeah, crazy.
Starting point is 00:59:08 All right. Well, on to happier things. Yes. Unless it's another, unless we're doing a call about coronavirus. Hey, you got a quick question for you. Looking for a little definition. Excuse me.
Starting point is 00:59:19 Definition or something. By the way, this is Stacy DeLove. Oh, Deloche, everyone. Oh, Deloche! We know you. Let's... Here. I'm
Starting point is 00:59:32 not acknowledged that I know him. What is the difference between a sudden cardiac arrest and a heart attack? I've always thought that they were the same thing, and now I'm renewing some stuff, and that there's a difference between sudden cardiac arrest and heart attack. cardiac arrest and heart attack. Yeah, absolutely. So a sudden cardiac arrest would, okay, so a cardiac arrest is almost always sudden. It doesn't have to be, but let's just take out that first word and just talk about a cardiac arrest. An arrest is when the heart stops. So if you have respiratory arrest, you stop breathing. If you have cardiac arrest, your heart stops beating. That's what they're trying to prevent when you have a heart attack. So a heart attack,
Starting point is 01:00:22 is any injury to the heart caused by decreased blood flow to the heart. So the heart has its own blood supply. So when it pumps, one of the first places that blood goes to is back to the heart. You'd think it's full of blood. What's the problem? Well, it doesn't really work that way. Right. It still needs blood vessels because those muscles can't just get oxygen from diffusion.
Starting point is 01:00:44 It needs blood vessels. So when you pump out of the left ventricle to the rest of the body, the there are three there are well two little holes in your aorta that lead to three coronary arteries okay so you have the left main you have the circumflex and the right coronary artery and those then dive back into the heart and feed it oxygen and nutrients and stuff which is pretty cool because it's like look I'm pretty important here I'm feeding myself first yeah it's just like when you get paid and you pay yourself first by putting something in your retirement account, you know? It's not just like that. It's not a great analogy, but it's sort of like that. We'll take it. It's taking its nutrients first and then pumps the rest to the rest of the body.
Starting point is 01:01:35 And it is just a very small amount, but it's enough. So when one of those coronary arteries gets clogged or you get a thrombosis where you maybe you have a plaque and it ruptures and now it forms a clogged. and then the clock goes and then gets stuck because arteries get smaller and smaller as they dive into the tissues, right? And then it clogs up the tissue. No blood flow to that tissue anymore
Starting point is 01:02:04 and now the tissue starts to get damaged and may die. Okay. And you can detect that in the blood through blood tests that look for enzymes that are only produced in the heart. And when that tissue is damaged, those enzymes are released into the bloodstream and you can detect them with the blood test.
Starting point is 01:02:22 So we look for peaks of things like troponin or creatine-phosphate kinase, which is CPK. Okay. And when you see that, then you can diagnose. And then there are other things. You know, you have the symptoms of a heart attack. Sure. Not everybody shows up classic,
Starting point is 01:02:39 but the classic symptoms are, I've got a weight on my chest, feels like an elephant standing on my chest. I have shortness of breath, nausea, and diaphoresis, which just means profuse sweating. Oh. And palpitations where you feel your heart, you know, beating out of your chest, those kinds of things. And left-sided maybe arm pain or left-sided chest pain.
Starting point is 01:03:06 But people can present in an atypical fashion as well. Sure. That's the problem with this. That's why people die of heart attacks without going to the emergency room because they think that they're having indigestion. Oh, I was going to say, is that like equivalent to. heartburn or? Well, that's what some people will have this and think they're, oh, this is what heartburn is, but no, that's different.
Starting point is 01:03:27 Heart burn is actually, we call it pyrosis, is a, you know, a burning sensation right in the upper abdomen lower chest. Okay. And that's caused from acid damaging the mucus membrane, either of the stomach or of the esophagus. Gotcha. That sounds terrible. And, you know, those tissues are all kind of mushed together, and they were together when you were an embryo. And so that's why, you know, when you have pain to your heart, sometimes it'll radiate to the left arm or the left neck.
Starting point is 01:04:01 But I've told this story before when I was in medical school, this person died in the waiting room because they were misidentified. They came in and said they had a sore throat. Oh. And so they triaged them to the ambulatory side where they said. see people with sore throat. Sure. But what he was really saying was I'm having angina and it's radiating to my neck. But when he came in, he just said, look, I've got a really bad sore throat.
Starting point is 01:04:29 Oh, shoot. And so, you know, it's like, well, sore throats go over there. Sure. And by the time they came to get him, he'd already had a cardiac arrest. Jeez. So, yeah, a heart attack can result in a cardiac arrest. And the cardiac arrest, a lot of times your heart doesn't just stop. It'll go into a pulseless arrhythmia, meaning like ventricular tachycardia, where the heart is beating in such a chaotic and fast way that you no longer have a pulse.
Starting point is 01:05:02 And if you don't have a pulse, then that's when knotty things happen. Right. And that can lead to a cardiac arrest. Shoot. All right? So there you go. So one of the things I thought we would do is we had the feels ad during the show. I would like to play the song that that was derived from.
Starting point is 01:05:22 Sure. Dave Cecil was here one day when we were talking to Gunner Asiason about advances in cystic fibrosis because Dave's daughter has cystic fibrosis and Gunner is an advocate for CF. And they're coming out with some new crap right now that's pretty outstanding for cystic fibrosis. Awesome. And so when he was here, we did the podcast. He was just sort of noodling around on his guitar. And I was like, that song is awesome. He's like, really?
Starting point is 01:05:54 I don't hear it. And I'm like, no, dude, that's one of the best songs I've ever heard. I just heard a snippet of it. But I said, that's beautiful. Yeah. We need to record that. And so he came up and I'm going to use it for our feels campaign for the next year. Awesome.
Starting point is 01:06:10 And then we recorded the full song. Now, this version of it has some. Issues. No question about it. But I want people to hear it because I'm excited for people to actually hear this song. Yeah, they should. So that's how we're going to end this episode. And with the Dave Cecil's new song someday. Oh, and let me tell you what the issues are. First off, he has such a perfect voice that this microphone that I used is so sensitive that I should have put a pad on it, like a 10 dB pad, so that I could get all the dynamic. And it was, you know, I'm an audio engineer, but I was just so excited to have him in up here that I, I just kind of fucked up. So his voice is, it's awesome, but it could be better. So that's the first thing. And then the second thing is I have an app, or it's not an app, it's a plug-in for my Logic Pro 10 that I record in in the music studio. And it's called East West Symphony Gold or something.
Starting point is 01:07:17 like that or Hollywood symphonies. And it's sampled symphonic instruments. Like you can get string bass, cellos, violins. You can get the full orchestra. You can get voices, all kinds. I have symphonic choirs too. And I added some at the end to just sort of make a dramatic effect. And it doesn't quite have the dramatic crescendo that I wanted.
Starting point is 01:07:39 Plus, those things sound muddy because I use too much reverb. So I'm going to clean it up. And when we finally, you know, release. this. And so I'll have to talk in the middle during the drum or the guitar interview just so people don't take that snippet and, you know, I have to ruin it a little bit. But other than that, it's a pretty perfect song. And so this is Dave Cecil's Someday. And we'll see you next week. Check your stupid nuts for lumps. Rolling wheels
Starting point is 01:08:25 Take you home The fuse like years I've come and gone since then Come and gone But I remember everything Like it was yesterday There's nothing more I can say I've learned
Starting point is 01:08:46 I know I'm still a kid as far as a life's concern, but as days go by, you may realize somehow there's an untouched part of you. And though you will try to always get it right, the beauty of life lives in some way of life lives in side of you and I hope someday you find it too you're listening to Dave Cecil on weird medicine at Dr. Steve.com
Starting point is 01:09:32 check him out at Dave Rayceasel.com or on YouTube.com slash Lobster Johnson. Why can I be just like them and sell my soul? Trade it all for some idea. Believe that money somehow can buy dreams. Then I could live the good life looking at my things. But as days go by, you may realize,
Starting point is 01:10:15 lives, somehow there's an unchanged part of you. And though you will try to always get it right, the beauty of life lives inside of you. And I hope someday you find it too. I hope someday, I hope someday, I hope someday, I hope someday you find it too. You will find it too. You will find it too. So stop believing you're alone, and no one knows that. that lonely in your bones.
Starting point is 01:11:20 Everybody is the same. Everyone is looking for their home, for their home. So watch the heels roll away, replaced by every single other day. Watch them as they fall, and chase us all, but as days go by, you may realize somehow there's an unmoved part in you. And though you will try to always get it right, the beauty of life lives inside of you. I hope someday you find it too.
Starting point is 01:12:23 I hope someday, I hope someday, I hope someday you find it too. You will find it too. It'll find it to Someday Someday Someday you'll find someday you'll find it too

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