Weird Medicine: The Podcast - 409 - We're Losing It a Little
Episode Date: June 4, 2020Dr Steve and Tacie try their best but fail to produce a great show. Lots of calls though, including airline update, viruses vs droplets, hemochromatosis and more! PLEASE VISIT: stuff.doctorsteve.com ...(for all your online shopping needs!) Feals.com/fluid (get 50% off your 1st subscription shipment of CBD!) simplyherbals.net (While it lasts!) noom.doctorsteve.com (lose weight, gain you-know-what) premium.doctorsteve.com (all this can be yours!) Learn more about your ad choices. Visit podcastchoices.com/adchoices
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You're listening to Weird Medicine with Dr. Steve on the Riotcast Network, riotcast.com.
I need to touch it. You know, ho, ho, hey-ho. I'm in the garretail. I've got diphtheria crushing my esophagus. I've got Tobolabovir stripping from my nose. I've got the leprosy of the heart valve, exacerbating my incredible woes. I want to take my brain now, blasts with the wave,
an ultrasonic, agoraphic and a pulsating shave.
I want a magic pill.
All my ailments, the health equivalent of citizen cane.
And if I don't get it now in the tablet, I think I'm doomed, then I'll have to go insane.
I want a requiem for my disease.
So I'm paging Dr. Steve.
Dr. Steve.
It's weird medicine, the first one's still only uncensored medical show in the history of
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my wife Tacey. Hello, Tacey.
Hello, Steve. She's the Queen of Maine.
Right? The Vicar of Liquor.
I don't even know what that means.
Obviously not anything good.
Who, unlike Lady Diagnosis, will do nothing for a battle of expensive wine, but will still demand it nonetheless.
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and not only just my eating life,
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and I'm cooking more and I'm eating more.
He's cooking cookies for me.
I'm maintaining my way.
Well, I never cooked any before.
I'm just getting fatter.
Maintaining my wife.
You're quite delightful, honey.
You're in a way well anyway.
And then if you want archives of this show, it's just a lute.
No matter what I say, I'm just going to be getting in trouble.
That's right.
I find you to be quite delightful.
Thank you.
I'm putting a link on our.
website where you can get archives of our show. For $30, you get a 32 gig thumb drive and 17
gigs of shows that goes all the way back to the beginning. And those are available at
Dr. Steve.com. And don't forget Dr. Scott's website at simplyerbils.net. And if you're a recent
listener, you're going, who? That's, I'm starting to wonder. I don't even remember what he
looks like. Oh my gosh, we haven't seen him in forever. I know. Well, I hope he
he's okay he's not to be trusted with COVID-19 that's why no no he's kept his office going and me too
and it's just you know we're both exposed to things so it's just smart for us to stay apart from each
other for a while but we'll get we'll have him back someday he can come in as a guest but you're
sitting in his seat now well temporarily okay we'll see about that well how are you
Oh, I'm sorry. I'm texting.
I mean, that's not even started. I'm not paying attention. I'm fine.
That's the story of my life. It's fine. I'm used to it. Don't worry. I don't blame you.
Everything's fine. Everything's fine. I'm lonely now. I've gotten to that lonely.
Well, you and lady diagnosis, she's feeling the same way.
Yeah, it's just, it's hard. And there's nowhere, you can't go out anywhere. I mean, we've got a little hot spot here.
Yeah, you're right.
You know, there are some parts of the country where they're able to do stuff.
You know, my COVID sit rep last week, which, by the way, if you're interested in looking at that,
you can go to YouTube and just search laugh button and the laugh, we're on the laugh button channel.
And they have a playlist of just SARS-COV-2 COVID-19 situation reports.
We do statistics and do some other things like that.
And the last couple of weeks I've been doing an in-depth look like two weeks ago.
We did in-depth look at the Remdesivir trial this week.
We did an in-depth look at the Moderna trial.
And I also revealed where Moderna got its name.
Did you know where they got their name?
Of course I didn't.
Oh, you fooled me for a second.
Yeah, it's from Mode RNA.
They were Mowed RNA therapeutics, and you mush that together, and you get Moderna out of it.
That fascinating?
That's fascinating.
I can see you're fascinating.
Who are you texting?
Okay, okay, okay, okay.
So I have a customer who is texting me.
Okay.
And so I feel like I need to respond back.
Yeah, I know.
It's just timing.
It's like when you want to do something, then all of a sudden, you know, everybody wants to talk to you.
I am excited to be here, though.
Yeah.
Me, too.
We skipped last week.
Yeah.
We just decided to take a damn week off.
We just didn't feel like it.
Didn't fucking, I mean, I'm sorry, I didn't feel like it.
Oopsy.
Self a bill.
So, no, that's good.
I don't care about the F word.
We're trying to be a little bit more circumspect,
partially because I'm going to be slightly less anonymous, I guess, going forward.
But we'll see about that.
And just stay tuned on that.
And anyway, but yeah, you look good, though.
I'd rather look good than feel good.
Oh, I do not look good, Stephen.
I think you do.
I think you look very juicy and delightful.
Thank you.
That's my goal, juicy.
And delightful.
All right, you want to answer some questions?
Yeah, let's answer some questions.
Give yourself a bill!
Whoops, wrong thing.
Thanks, Ope.
Number one thing, don't take advice from some asshole on the radio.
I didn't prepare anything because...
No, that's fine.
I'm not your puppet anymore.
Nope, you are not.
Never were, but you played the part for a couple of...
a couple of weeks, and I appreciate it.
Thank you.
I do want you all to check out the...
Hello, Ticey's husband.
Hey, got a quick question for you.
How large molecularly is this coronavirus
molecule?
I know it's a dumb-ass question.
No, it's not.
No, it's not a dumb question.
As a molecule, I mean, compare it to, say,
methane or something, it's huge.
and we could actually look up the molecular weight of the outer coat, I guess.
But as far as a thing in this world, it's exceedingly small.
I mean, you can see bacteria under a microscope.
You need an electron microscope to see viruses, all right?
So orders a magnitude.
Now you're seeing people wearing bandanas as face mask.
Okay, a bandana is only a single layer of fabric and it's not a very high thread count,
or maybe two layers but yeah i get your point it looks like it's very porous is it fine enough to
actually stop a coronavirus oh i love that that's a good question or is it just more
psychological and people run around and dress it like cowboys let me know thank that's uh by the way
stacy deloche everyone lest i not say his name oh yes stacey deloche we speak your name oh wait i bet i
can do it this way. Hang on. Can you tell him a little bit punchy? Stacey DeLoch,
we speak your name. You like that? No, she's texting again. Anyway, he's absolutely right.
If people coughed up viruses, then this would, these things would be worthless. In fact,
however, what those things are designed to stop are not viruses, but
droplets. We're coughing up droplets that have
viruses in them. And the droplets, yes, are
large enough that the mesh can stop them. There were
a couple of studies done where they had someone with SARS-COV-2 cough
into a petri dish or into some viral collection medium
with a mask on and without the mask on and watched
the difference and there was a decrease in the number of viral particles. So anything
that'll decrease
the number of viral particles that you're exposing somebody to is a good thing.
When there were just, you know, 10 or 100 cases in the United States,
then it was dumb for people to wear a mask.
Now that there's, what's the number today taste, do you know?
Let's look.
The number of coronavirus.
Yeah, cases in the United States.
No, I do not know.
Okay.
And then now my mouse isn't working.
but it's lots.
So let's say it's 1% of the population or 1,300th of the population.
You got a million, a couple million.
You know, if we had 2 million cases that we know about,
then that would be 1, 150th of the population, right?
Still less than 1%.
Then you would have more of a reason to wear face masks
when you're trying to prevent transmission,
especially in areas where this has become endemic,
where it's high concentrations of people is what I'm trying to say.
So those people, if you're in New York or another place
where there are hotspots, you should be wearing masks.
If you're symptomatic, you should be staying home,
but there are asymptomatic carriers as well.
It's just you're showing when I see somebody wearing a mask
says I care about other people.
You're not wearing the mask to keep.
from getting you're washing your hands to keep from getting it you're not
sticking your stupid fingers in your mouth and nose which I don't think I've done
for three months now if I have a big-ass bugger in my nose I'm going to use
simply saline to flush it out I'm not going to stick my finger up there
okay good is that good okay I thought you would approve so yes face masks
would not stop a cloud of viruses but they will stop droplets okay there you go
Hey, Dr. Steve, I've listened to you for years.
Hey, thanks, but.
I got me out of some jams before.
Now, they tell me I have primary emochromatosis, hereditary hemachromatosis.
Okay.
Let me know if you know anything about that.
Okay.
I appreciate it.
Okay.
Thank you.
I do know something about it.
So hereditary hemochromatosis is an condition where people, uh,
absorb too much iron
from the food that they eat. And so they get
excess iron. It's really, and it's stored
in the organs, like the liver
and other sort of
not tasty
organs like pancreas and heart.
And
it can, if not
treated properly, or if
it's missed, it can result
in liver disease and other problems like that,
even diabetes, if the
pancreas is infiltrated.
So
So, you know, this is an inherited problem.
So if you have it, if you have kids, it'd be good to do a genetic analysis.
But even then, most people that have the gene don't develop severe disease.
But people who have hemachromatosis can have joint pain, abdominal pain, fatigue, that kind of stuff.
Like I said, diabetes.
And it can also cause problems like impotence and liver failure and can turn your skin
bronze. They get like this bronze diabetes, it's called.
So how did I treat it? Well, isn't that an interesting question? So you can treat it a couple
of ways, but the easiest way to treat it is to just remove blood from your body. So you'll go in
and they'll take a pint of blood every once in when your iron stores get to a certain level.
And you donate that blood?
No, they can't be donated.
They could donate it for maybe research purposes.
But they may have a pint of blood taken once a week.
And then after that, they'll, you know, once the iron levels are back to normal,
then they'll do it, you know, whenever it's needed, usually every couple of months or something like that.
When symptoms flare?
Or, well, if you're waiting until symptoms flare, you probably waited too long.
So in this case, they would do blood tests.
to try to take care of it before you get symptomatic.
Because if you're symptomatic, you've got end organ damage for the most part, you know.
All right.
Now, taking blood out won't reduce or improve cirrhosis.
So you want to get on this before you get cirrhosis.
So people who skip their physical exams, you know, and don't get their yearly blood work.
they may miss this.
So, you know, it's another reason to do it.
They do screen for these kinds of things.
All right.
What would that show under?
Just iron.
I hate that word.
I can't say it.
Iron?
Iron.
Iron?
Iron.
Just ARN.
If you're from Tennessee, you can get away with saying ARN.
Arn.
Yeah.
Well, the thing is is that a lot of people don't have any problems other than elevated levels of iron in their blood.
So they may have some other, you know, elevated, like liver function tests or something like that.
Or joint plane with an elevated liver function test, and then they'll text, check your iron.
It's not like polycythemia.
Those people have too many red blood cells, and that's pretty easy to diagnose and just screening stuff.
But the way that they diagnose this is with a blood test called a transference.
iron or a serum ferretin and they're just blood tests that are abnormal in this disease okay okay
so um there you go anyway arn say arn a rn a rn arn arn you're from tennessee you can get away
with it the the correct pronunciation is iron iron iron iron like you're mad at me which is often
you have ire and then just put an end at the iron iron iron there you go all right okay
You're listening to Weird Medicine
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
Tacey, do you experience stress?
No
Or have anxiety
Oh absolutely never
Or chronic pain
Do you know what drives me crazy?
Are those people who will put on, like, Facebook, oh, now I know anxiety is real.
Oh, are you kidding me?
Yeah, really.
I mean, what the hell?
Where have you been?
Have you never had a kid?
Because if you have a kid, you know what anxiety is.
Oh, these are people with children.
I mean, are they just floating through life?
Like, oh, anyway.
Well, if you're having any of those things or having trouble sleeping at least once a week, you're not alone.
Many of us do, and personally, I have difficulty sleep.
sometimes, but I have this myelgic disorder called polymyalgia rheumatica that causes my muscles to ache
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You're listening to Weird Medicine.
Hey, Dr. Steve.
This is Albert from Albert Kirkry again.
I hope you're still doing well.
Hey, thanks, man.
We're doing it.
Great to hear.
Hey, listen, I was really glad that you answered my questions.
I do have one follow-up.
I called about the calcium score.
And you said there's a possibility that there could be a false negative, understood.
Okay, so we're talking about a calcium score for,
cardiac risk screening.
So in people that have at least one
risk factor, like
high blood pressure, high cholesterol,
early family history of heart disease,
they can pay 50 bucks most places
between 50, 150 to get a calcium score done
when they do it in off cycles of, you know,
in a CT scan suite.
And then they can tell you, they give you this number
and low numbers are better.
if you have a score of zero, which if I remember this guy did, you have a very perceived
low risk of having myocardial infarction in the next 10 years. However, I did say that you could
have a false negative if you had a plaque that hadn't been calcified yet, that kind of stuff. So that's
what he's talking about. I'm just curious that I should probably plan on again next year just
to do a follow-up.
It's not much money and see if anything changes from the baseline.
In that period of time, you said it could be some soft plaque that hasn't formed yet.
Right.
I'm just curious about that.
So I'd like to hear a little more about that.
And, you'll listen for your show.
Oh, by the way.
That's you.
That's you.
She's a great compliment to the show.
Oh, you just missed the compliment.
I'm familiar with that area.
I fish there.
Hang on.
In the West.
You listen for your show.
Oh, by the way.
Absolutely love hearing Casey on the show.
She's a great compliment of the show.
Oh, nice.
I'm familiar with that area.
I fish there in the Wattaga every year and miss that area.
All right, buddy.
Well, if you're ever in our area, come say howdy-do.
We'll put you on the air.
Wattog is beautiful.
Yep.
So could people hear that phone call?
They couldn't hear the phone call.
They could hear the ringtone.
That's what I was asking.
Yeah, yeah, yeah.
That's great.
That's the same person I just said to call me at 330.
And they just called you now.
Yeah.
Is it some doctor has the hots for you?
Of course it is.
I know what.
God damn, these things are doctors.
Well, she might have.
He or she may have the huts for you too.
So this guy wants to know if he should get a calcium score next year because I put doubt in his mind when I said you could have a false negative.
Remember, no test is perfect.
There's always a chance of having a false negative with any test or a false positive.
And pre-test probability is the key for these things.
you know, you don't want to do a calcium score on a 10-year-old kid because, you know,
even if it's positive or negative, it doesn't really tell you anything because the odds that
they're going to have coronary artery disease, almost zero just by definition.
So you want to choose your population appropriately, which is why we do these on people that
have at least one risk factor.
Now, yes, it is possible that he has a false negative.
It is unlikely.
And there was a study that was done.
looked at exactly what he's asking.
So I'll give him one of these.
Give yourself a bill.
For asking a great question that,
um,
where they did a calcium score,
then they repeated them,
whether they were high risk or low risk.
And what they found was,
repeating it at a
more rapid interval
than every five to ten years
in a low risk patient
did not reveal anything.
They stayed low risk.
And,
Repeating it in a high-risk person didn't change anything because they stayed high-risk.
So there is no benefit to the aggregate population, you know, the statistical population.
Remember, statistics don't apply to the individual.
There might be someone in that group that would have benefited.
But in general, people don't benefit by repeating these things more than every five to ten years.
Okay.
Got it.
All right.
Great question, though.
Hey, Dr. Steve, it's your old pal Keith from Florida.
Hey, Keith.
Now, Keith from Los Angeles.
Oh.
Glad you still do the show, buddy.
Thanks, man.
You have a question.
We always talk about how we kind of build immunity to everything around us by pure exposure.
Yep.
Like, I know they speak about kids nowadays being more susceptible, susceptible to, you know,
nut allergies and that kind of stuff.
And they say it's because parents are being hyper clean.
They're letting their kids roll around in the dirt and the mud and be just kids.
Yeah, I don't remember our kids ever eating mud pies and stuff like we did.
We used to make pies out of mud and eat them.
Well, is that a good thing or a bad thing?
Well, we'll talk about it.
That's disgusting.
But, I mean, we never did that.
Now, Beck ate dog food all the time.
He did.
Liam would yell,
Mom, Beck's eating dog food again.
He'd be over there in the dog bowl, just munching on dog kittles.
Because we're living in this new COVID world where everything is being wiped down
and cleaned and hyper sterilized, are we putting ourselves at risk for other things besides
COVID because we're not getting exposed to those things that we are wiping out with the COVID cleaning?
That's a cool question.
I like it.
there's a difference between adults and children for one thing so when he says are we i'm assuming he
means adults and there is a difference between doing this your whole life and doing it for a year
or a year and a half or however long we're going to be dealing with this bullshit oh god please don't
say okay let's say nine months i don't want to hear that either okay let's say six months
So March to
Well, September
We won't have a vaccine by September
But we may have one by October
Pfizer is
You know, keeps making noise
That they think they may have a viable vaccine
Ready for market for the whole world
By October
So I hope they're right
So that wouldn't be so, so bad
That would be record time, by the way
And those
people who do this deserve endless, you know, oral treats for the rest of their life.
If they get an effective vaccine out by October, for real, they should get oral treats the rest
of their life for free.
Absolutely.
Just on demand.
You know, and maybe just for a little while, shut up about Big Pharma, just for a little bit.
Ooh.
Ooh.
I said it.
You certainly did.
And, yeah, Big Pharma is going to be.
partnering with the military on this, too, which is going to be really interesting.
Is they're going to get this vaccine, but then they're going to hold it back, see?
That's right.
That's what they're going to do.
And they're going to charge.
Yeah, you're right.
They've got the cure for it.
They just ain't giving it because you can't make no money if everybody, oh, God, what a, shut up.
You haven't been here, but I've said this on this show before that, because we,
We've heard the conspiracy that doctors have the cure for cancer.
Well, don't you know it?
And it's very simple.
And we all know it, but we're not saying it because it's not good for business if we cured cancer.
Now, if this were true, I would be the first to get on Fox News, CNN, MSNBC, and reveal the simple cure for cancer that everybody can do with over-the-counter.
counter ingredients just for the blowjobs that would that would come from why are we so concerned
with oral treats well i mean today it's just all right i understand i get it i get it salutations
okay just for the salutations that doesn't sound as as interesting if i said oh just for the
pats on the back you know i might as well just say fuck continuously if you're going to talk about oral
treats. I mean, seriously.
We've just gone downhill.
This is a terrible show.
This is terrible.
Well, but this is one where we're actually taking a bunch of calls and doing good
information now. Okay, so let's keep doing that. Do you want me to
just bleep out all that stuff? Yeah, maybe.
And I'll just. No, you can, I don't know.
I'll take out where I said blow jobs and
then put like a robot voice that just says, salutations.
I would do that. I would like that. That would be funny.
Yeah.
That would be a lot of work, it sounds like, though.
Salutation. Oh, shit. No, I can't even do it right.
Salutations. Okay. Yeah. I've lost mind.
You know, this is getting to me, actually. I think it is.
Well, I'm just not as focused.
I think all of this is getting to me.
No, it's everything is getting to me.
It's getting to everybody.
What's going on in our country?
Yeah.
Yeah.
Well.
And then we got this virus that's going to get us all in the meantime.
It's not going to get us all.
But it is affecting us all.
But, you know, I stand by the words that I said the very first time I spoke about it on the air,
which was either Jim and Sam or Anthony's show or Opies.
It was one of the three.
And I said, most people won't get it, and most people who do get it won't die.
But you can see even that being true, and it's totally true.
It has the capability of just effing us up big time, you know?
Well, yeah, and economically.
Well, that's what I mean, yeah.
Yeah, it's terrible.
And mentally.
Mentally.
Yeah.
So where were we?
Oh, the clean environment hypothesis.
How did we get off so far afield?
Because you said oral treats.
Oh, that's what it was.
Oh, yeah, because I was talking about the vaccine.
Yeah.
Sorry.
Well, they should.
They should get all the oral treats.
want on demand. They should just be able to go up and say, okay, I demand my oral treats and we just
do it. Man woman alike, right? Yeah, I think so. So a lot of parents... I hope my boss never finds
out about that. I can bleep your part out. Okay. Or I can bleep my part out too. But a lot of
parents believe their children really should be kept in this sort of clean environment. And you're one
of those. Because the idea of your kid eating a cow, or not a cow patty, that would be disgusting. A mud pie.
horrifies you.
But a lot of people,
there is some research
that says that unclean conditions
are actually good for your immune system
and define good.
It means that you've been exposed
to more horrible things.
But people who are kept in very clean environments
from very young age
have a higher rate of allergies
and asthma and other things.
Well, they do say that homes with pets
are less likely to,
kids are less likely to have allergies.
That's interesting.
You have your iPad?
You might look that up while you're, well, I'm waxing eloquent on this.
You know, there was this Dr. Straycan, Straycan, S-T-R-A-C-H-N, Strayshan, Straycan.
He was an epidemiologist, and he wrote in the British Medical Journal that people in larger households had fewer instances of hay fever because they were,
And his hypothesis were, they were exposed to germs by older siblings, you know, viruses and other things like that,
whooping cough and stuff.
And that led to further research that suggests that a lack of early childhood exposure to less than pristine conditions can increase the individual's susceptibility to disease.
What did you find?
I found it.
It's all over the place.
But this article was from the New York Times, December 19th, 2018.
More pets, fewer allergies.
Children who live with cats and dogs, when they are infants, are less likely to develop allergies later in childhood.
Kind of makes sense.
And the more pets they have, the better.
Wow.
A Swedish study of 1,278 children has found.
Wow.
Now, of course, we've got a farm, I mean, not literally a farm, but many, many animals, too many.
Yep.
Kids still have allergies.
Yeah, they're both just snott and.
It just shows it.
Statistics don't apply to the individual, but in the, there was this Erica von Muteus.
It sounds like a, like a marvel villain, Dr. Muteus, compared the rates of allergies,
and I'm getting this from LiveScience.com in the way, the rates of allergies and asthma in East Germany and West Germany,
and they unified in 1999, as you remember, and the initial hypothesis was that East German children who grew up dirtier and
generally less healthful conditions would have more allergies and suffer more from asthma
than their Western counterparts.
However, her research found the opposite.
Children in the polluted areas of East Germany had lower allergic reactions and fewer cases of asthma
than children in West Germany.
It kind of makes sense that they're not seeing these allergens as foreign later on in their life.
They're seeing them as part of the environment and your body's basically got a mechanism
and by which it acclimates itself to its current environment.
That's me saying that, not this article.
So now, when we get to this COVID business, yes, the kids that are born now are being
raised in really hyper-clean environments for the most part, in the people who are not only
wiping stuff down, but they're isolating themselves.
So they're not being exposed to other kids and all that stuff.
So when they go back to school, when this is all over, you're going to see a rash of virus
viral illnesses that they're going to have to get caught up on.
Yeah.
Just like a kid going to kindergarten.
That's right.
And it's right.
So it'll happen when they're in second and third grade maybe instead of kindergarten or whatever.
It will happen to adults as well?
Sure.
If there are viruses that are circulating that are sort of low level that people aren't getting because they're not being transmitted at the rate, like Norwalk virus.
Oh, boy, that's a fun one.
You remember that?
Yes, I do.
How could you forget?
You know, a 24-hour puke bug is one thing.
You puke about eight hours, and you feel like shit for 24 hours.
But the puking is usually about eight hours, usually at night for some reason,
and you can sleep through some of it.
And, but that Norwalk virus, God, we were sick for a week.
Oh, it was terrible.
Can you imagine a whole cruise ship full of people like that?
No.
Ugh.
So anyway.
So, yes, I don't think that this short period of time that we're doing this is causing any long-lasting damage.
The kids will just get caught up on these allergens.
There may be some, for some kids that were just born that are in this clean environment hypothesis situation, it may affect them adversely.
But again, it's going to hopefully be a very short period of time.
That's how we got off on it because I said it's not going to be that long.
because I said it was going to be a year
to a year and a half, and then I had to back it down
to six months just to make you happy.
So, you know, don't worry about what
the facts are. Just say six months.
Yeah. I hope the virus just wants to make me
happy and goes away. I know, me too.
Me too, Tase.
All right.
Hi, Dr. Steve.
Hey.
I am a healthy 39-year-old.
My heart rate
is consistently at a hundred or above.
Okay.
And my temperature is usually like 95 or 96.
Oh.
Is this something I actually worry about or is...
Okay.
I, yeah, go ahead.
I'm glad she brought this up.
I would like to talk about healthy heart rates as well.
Sure.
Yeah, well, you're the fitness guru.
You wax eloquent.
Okay, so.
Tacey works out four or five times a week.
My heart rate runs mid-80s, and that seems high to me.
Although I do have a thyroid condition.
Right.
And I've often thought, before I had the thyroid condition, my heart rate was not that high.
Yeah.
And I'm wondering if that is caused by it.
And what about this lady with her heart rate that high?
Is that?
So the normal resting heart rate for adults is between 60 to 100 with the lower considered more healthy.
So lower heart rate, usually, unless it's pathologically low, generally indicates a healthy heart, more efficient heart function, better cardiovascular fitness.
And, you know, elite athletes can have a heart rate as low as 40 and still be normal.
I know.
And so what about her?
What about me?
Right.
So a lot of things can influence your heart rate, your fitness, your activity levels, and if you have a cardiovascular disease, or your body position, emotion, stress level.
Stress.
You are a high stress individual, my friend.
who I live with
and that alone
can give you a high heart rate
so meditation and other stress
related things
doing the trip app
t ripp.com
if you have an oculus go
or an oculus quest
may help to reduce
your heart rate
and certain medications
can cause it as well
she said she was normal
but her temperature is slightly low as well
now 98.6 sort of a myth
So mine is consistently 97-8.
But to be at 95 is, you know, it's a little on the low side.
It could be, you know, it's all a bell curve and she could just be an outlier.
Two standard deviations away from the mean.
But with a high heart rate and a low temperature, you know, I would test, check her thyroid.
Yeah.
That'd be one thing I'd check.
See if she has other symptoms that may, simple blood test.
I'd do a complete physical and just, and why not just do a resting EKG
and just make sure that that is what we call a sinus rhythm.
In other words, PQRST, T wave, we talked about those a couple of shows ago,
all of the elements of a normal EKG so that you have atrial contraction
and then ventricular contraction and then ventricular relaxation,
all of those normal things.
So if it's above 100 and it has those, we would call that sinus tachycardia.
And sinus tachycardia can be a sign of disease, but also can be just a sign of somebody that's just incredibly out of shape, too.
But I'd look at all that stuff.
Is it stress?
Is it thyroid?
Is there a blood pressure problem?
Is there a medication problem?
You know, I'd look at whether she's on contraceptives.
What typical medications can really raise the heart?
Right.
Well, anything that can lower the blood pressure and cause the heart to have to compensatorily increase.
Okay.
So let's say you were on hydrant.
I'll just throw this one out for hyperhydrosis.
Hytrin can lower blood pressure, and the heart sometimes, if it needs to pump more blood, will compensate by beating faster.
So things like that.
So we'll just, you know, and any over-the-counter supplements, I would want to know all of those.
Okay.
Just to be complete.
Cynthroid, though, no?
Yeah, Cynthroid could do it.
Cynthroid can increase the heart rate?
Yeah.
Mm-hmm.
Sure.
Yeah.
Okay.
So any of those types of things could do that.
Now, the goal in you is you have low thyroid, right?
Mm-hmm.
You're taking cynthroid to bring your thyroid back to normal.
that shouldn't have that effect, right?
But if your body had acclimated itself to a very low thyroid for a while,
then coming back to normal could cause you to have an elevated heart rate.
I mean, right now it says 88.
Okay, that's not bad.
It's not good.
How much aerobic stuff are you doing in your exercise?
Because you're doing more power stuff, right?
Yeah, but when you lift weights like that, your heart rate does increase.
Of course.
But as far as cardiovascular, I'm not doing what I should do.
Yeah.
So you're not doing the sort of aerobic thing that we would assume would bring your heart rate down.
Yeah.
Now, this woman, by the way, that's sitting across the table for me, you don't want to wrestle with her because she will beat you like a girl, even if you're a 65-year-old man.
She's, you're the strongest one.
moment I've ever met in my life.
And when I mean strong, I mean physically strong.
That's funny. Mentally strong, no.
No. But physically strong. It's unbelievable how strong you are.
Because she works out with this guy, and I'm telling you, his guns are, the circumference of
his arms is the same as my waist. I mean, they're huge. And he doesn't inject them
with synthal. You know, they're not artificial. Those are real muscles. The dude is amazing.
You have nothing to say. I'm having a conversation.
Oh, I'm sorry.
Well, no, he is.
I mean, yeah, he's pretty cool.
I like him pretty good.
I've been going to him for a long, long time.
Yeah.
Like eight or nine years now.
So anyway, my advice to her is just go get checked out.
Go get checked out.
Yeah.
Hi, it's me again.
Oh.
I am calling because.
Another girl.
I'm not very good at this.
What am I supposed to do when you swallow a dirty pen?
penny. Okay.
Or my heart rate is 112.
Oh, that's the same person.
Yes.
Oh, okay, okay.
So let's just answer the other question that she asked.
What happens if you're an adult and you swallow a dirty penny?
Okay.
I'd love to have her live on and ask how that happened specifically.
but anyway, the answer is nothing.
Dirty pennies are gross, but like H.G. Wells said,
we earned our place in this world, you know, alongside our bacterial cousins, you know.
And for the most part, there's nothing pathologic that's living on a penny that's going to hurt you that your stomach can't take care of.
And then the passing of it, it's pretty incredible, but you can pass that through your small intestine and through your large,
intestine usually without any problem unless you had a stricter in your bowel or you know a scar
tissue or something like that or a kink in the bowel that was causing it not to pass so um and the
the great thing about swallowing something like a penny as far as knowing where it is is it's
very easy to identify on an x-ray you know because they're radio opaque the x-rays can't go through
it shows up as a big white oval only would be a circle if it was presented exactly
in the plane of the film.
Do you remember when our way too old child swallowed a quarter?
This is what I'm thinking of.
He swallowed a quarter and turded it out with no problems whatsoever.
And how old was he?
Way too old.
I don't remember exactly.
Summer 8?
Yeah, way too old.
Why did he do that?
Do you remember what the circumstance was?
He just had it in his mouth, I think, it was just squishing it around and he swallowed it.
So he didn't, they didn't eat cow pies.
or mud pies, but they did eat, they didn't eat.
Well, I grew up, you know, on a farm, I grew up around cow pies.
We used to throw them.
The farther you could throw it, you know, a matter of fact, when I lived in Vermont,
they had cow pie throwing contests.
They also had this fun contest where they would take an area, put a cow in it,
and grid it off, and then you would pay money for gritty.
and wherever the cow would deposit fecal matter, that person would win.
It was a sort of a lottery.
Cool.
Yeah.
All right.
I got nothing to say about that.
No, I mean either.
Hey, it's your dumb, dumb friend.
Just, I don't know the question, but I just listen to 407, show 407,
and you're about wanting to do a live show.
Why could you have one of Jim or Sam's dumb, dumb producers?
they're on Saturday night
you just
feed it just like
the Benington show does
where they've got Vito
in the studio
catching the phone calls
and they're putting
up the post
you know
Ron and Gail
sit at their house
and do everything
over an I has feet
sure I mean
we would love to do that
we've been talking about it
for 15 years
so I've just sort of
given up on it
ever happening but the problem is
there's no longer a Saturday night virus and during the Saturday night virus they had staff in the studio on Saturday nights
now for my pissant show they're not going to you know have pay someone to be in the studio at 8 o'clock at night on a Saturday to do our dumb show live that's what I've just figured out
because you know when we used to go up there those number of years you know there was a show live shows going on Saturday
nights and there just aren't anymore so i just don't see that happening but that would be fun to do i'd love
to do a lot and we couldn't work out the capability here yes no we have the capability yeah we have it
i can control uh it's pretty cool taste i would have the screen here just like they do there that's a
web-based thing it's not hardware based so i could control the phones from here they would just need
an engineer there that was answering the calls uh doing
the call screening and then, you know, routing them to us.
Another problem is that Saturday night is wine night, and I'm not sure I would be willing
to forego that.
You wouldn't have to.
They would all just be drunk shows.
You know, we've done a couple of drinking shows.
We have.
Ron and Fez, or Opion Anthony used to do some drinking shows, and there was some drinking,
especially when Eastside Dave McDonald was on during the Ronan Fez era, and there were
drinking shows.
And so, yeah, we would just do a drunk medical show every day night.
But I'm, I'm, we would love to do it.
And that's, yes, that's how it would be done.
Matter of fact, I think Jennifer Hutz been doing it from her house way before COVID
started.
And there have been some other people that have just been doing their shows from their,
from their home using an ISDN line.
But the internet lines have gotten so good.
you can just about do it with an internet codec instead of an ISDN codec, but we could do both.
Well, that's interesting.
It is interesting, isn't it?
No.
No, okay.
Not what swimmer.
Hey, Dr. Steve, I had two work canals done on Tuesday, called the dentist on Friday.
I got some swelling in my face, and now it looks like I got fat lip.
Is that an infection in the tooth, or is that, what would your advice be other than just to continue to take the,
Antibiotics.
You're the man.
We love you.
Hey, thanks, man.
Likewise.
A fat lip after a root canal.
Well, you can get, look, when they do a root canal, I know more about the root canal
that I'm going to know about getting a fat lip afterward.
Basically what they do is they drill down into a lot of these teeth will have
have a cap, you know, a crown over them.
But if they don't, they'll drill down into the tooth and expose the nerve in there.
What they're really trying to do is you're taking a tooth that chronically painful,
you're just going to take the nerve out.
And so they drill down in there and you get this delightful laughing gas.
And this is done by endodontists.
and they remove the pulp
and then they replace it with this stuff
called gutta perch it.
I don't know what the hell it is.
But they replace everything in the tooth with this stuff
and then you go back to your regular physician
or dentist and then they put a crown back over it
to cover it up.
And it's really pretty cool procedure.
It's one of the first sort of micro procedures
and when it's very, when it's,
When it works, it's great because you can preserve the use of that tooth for years afterward.
You don't really need the nerves and all the stuff that's in the tooth.
When you do this, of course, you're setting up a lot of inflammation, and inflammation can lead to swelling.
But if you've got swelling in the lip, you should call the endodontist immediately and let them know.
because swelling in the lip could denote swelling elsewhere.
And what you wouldn't want is swelling in your upper airway,
and that would be a problem.
So just give them a call, let them know what's going on,
and they'll talk to you about it.
Honestly, the one thing they teach us nothing about in medical school
is anything to do with dentistry.
The only reason I know anything about root canals
because I've had one myself.
so they'll
they'll most likely
recommend that you put cool compresses
on the lip and all that stuff
but call them and I ask
if I honestly have no idea
how about that?
All right
you don't hear me say that too often
Tyson.
Dr. Steve, this is Rob
I'm a big fan of your show
this isn't a medical question
but what is the
give yourself bill thing
that you wish to play
whenever somebody does something right
just curious to what that is
I'm sure a lot of the other people want to know to.
Okay.
Well, okay.
I would like to know.
Well, that's Opie.
So it's give yourself a bell.
He used to say, when somebody would say something right, he'd go, give yourself a bell with this stupid voice, and then he'd hit the bell.
Give yourself a bill.
That's Opie.
That's Opie.
So I stole that from them just for the old school Opie and Anthony listeners.
But when I was on Anthony's show, you know, I can use.
my soundboard, because I'm doing it here from the studio.
So when he said something that was right, I gave him a good old...
Give yourself a bill!
And it was funny because it was the only time that Opie's ever been on Anthony's show,
you know, on his new show.
So she's not listening again.
No.
It's okay.
Well, I was looking for that email from that person who worked for the airlines.
I wanted to talk about that.
Yeah.
It was very interesting.
Yeah, no, take a minute to see if you can find that.
His name was Dan.
I don't remember that.
So you could just search for Dan in your email.
And we know two Dan's, but I'd love for you to read that.
Let me take another question here.
Don't expect me to pay attention.
That's okay.
I won't.
I don't know what you're doing.
I was wondering.
Amen.
Just presuming, I know no one really knows yet,
but presuming that previous exposure to COVID-19,
does not give you any sort of immunity at all,
then what good would a vaccine be?
I think we answered this before, actually.
First off, absence of evidence is not evidence of absence.
Yes, no one can say that getting the disease, COVID-19,
and recovering from it,
will give you long-lasting immunity to SARS-COV-2.
And that's just because nobody's had it long enough yet.
I mean, somebody got it in November.
There was a few people that got it in November and December in China and stuff,
and then, you know, it spread.
So no one's had it 10 years to know whether you can get it again.
And the people who have had these positive tests after having negative tests,
that means nothing to me.
I'm not heard of a single person that tested positive after having one or two negatives
that actually got sick or gave it to somebody else.
So those people most likely just had false negative tests, and then they had a positive test.
And we don't even know that what they, if they had fully recovered and they were asymptomatic,
what they may have been pulling out of their nose if it was polymerase chain reaction testing was just viral fragments that, you know, tested positive because they are of the viral RNA.
That's what they're looking at.
so I am unconcerned about that right now we'll see down the road now if all of a sudden two years from now people that got this and recovered are now in the hospital on the ventilator with the same damn virus then that's cause for alarm but there's really no reason to think right now that that's what's going to happen do you find that guy's email I did find the email okay you got a minute 52
uh oh wanted to give you some basic information when it comes to airliners and how the pressurization and air conditioning
work. Okay, so this was about, you were talking about taking your plane right. Yes. The topic of
recirculated air in the cabin seems to be a common topic in question with the ongoing pandemic.
I'm a captain for a regional airline. We operate for American United and Delta with the
Embraer 170-175 aircraft. In the case of our plane, the amount of recirculated air is only
40% of the total air in the cabin. That's interesting. The other 60% comes from the outside.
I had no idea. Other.
air liners have about the same split of recirculated to fresh air in the cabin. The
pressurization system works so well that it could explode the fuselage. In order to
maintain a comfortable cabin altitude. Damn. The pressure that will ensure a long life for the
air frame, there is an outflow valve that allows the high pressure cabin air to exit the aircraft.
In addition, the cabin air is filtered through HEPA filters. According to our maintenance team,
the filters can get rid of 99% of the crap that can get you sick. In addition,
Yes. In addition, we are currently operating many flights with passenger capacity at over 50%.
Our aircraft has a few rows of first class, single seats on one side and side by side on the other.
We don't have the luxury of blocking middle seats, so plenty of people have someone next to them on a flight that's half full.
It's a necessary evil for us to survive. We are having to operate fewer flights to save money until passenger numbers rebound.
If the major airlines could furlough right now, they would lay off half their pilots in flight attend.
Oh.
Regionales like mine would have to do the same.
Even with operating fewer flights and limiting passenger numbers to maintain some form of social distance,
we are all losing massive amounts of money each day.
Yeah, I bet.
And he says he's been checking this data from the TSA nearly every day.
We've got a long way to go, but the numbers are slowly trending higher.
It also goes to show how few flights there are when a total of 200,000 to 300,000 passengers can lead to aircraft being full.
When I've seen social media posts or stories on television news of crowded planes,
I just have to say these people that are complaining chose to travel by air.
No airline is required, nor does it make financial sense, to only load a plane where everyone has a seat open next to them.
I've operated a flight all month, and I'm taking all of June all.
Compared to what they should be, the airports are basically ghost towns.
Detroit, this past Friday looked more like a slow Saturday in the dead of winter.
Not the Friday of the holiday weekend that kicks off summer.
And then, of course, he says his wife and him love the show and podcasts.
It's one of the primary things to listen to on his drive to and from the airport.
Well, isn't he a good fellow?
Well, thank you.
Thank you for, you know, and I did rush to judgment.
That was, it was my choice to fly, and I did get freaked out when people were sitting next to me.
Well, you weren't complaining.
You were just freaked out.
It was a little freaky, but, yeah, I appreciate it.
That's the way I tell it anyway.
Yeah, exactly.
I mean, it is, it's just a weird-ass time.
Yes, and they can't be flying planes half full.
No.
I mean, it does make sense, and they are losing a ton of money every day.
And everybody's got to do what everybody has to do.
And we have to have an airline industry.
We cannot have a country without an airline industry.
We can't have a country without a postal service.
Yeah.
We can't have a country without restaurant workers.
I mean, you know, all of this, there's very few cogs,
radio hosts is one we can do without, you know.
Yeah, my career is also one.
That's true.
I'm unessential.
So, anyway, well, that's good.
I'm glad he wrote in.
And any other, if any of you all have anything to say,
free to write or call in, we're happy to.
We actually read it.
Yeah.
Because we ain't got nothing else to do, right?
Don't have nothing else to do.
Well, we can't forget old Rob Sprantz.
Bob Kelly, Greg Hughes, Anthony Coomia,
Jim Norton, thank you, Ope, Travis Teft, Lewis Johnson,
Paul Ophcharsky, Eric Nagel, Roland Campos,
Sam Roberts, Pat Duffy, Dennis Falcone, Matt from the Syndicate,
Ron Bennington and Fez Watley, who supported this show,
has never gone unappreciated.
Listen to our SiriusXM show on the Faction Talk channel,
Sirius X, Aten Channel 103, Saturdays at 8 p.m. Eastern,
Sunday at 5 p.m. Eastern on demand and other times at Jim McClure's pleasure.
Many thanks to our listeners whose voicemail and topic ideas make this job very easy.
And go to our website at Dr. Steve.com for schedules and podcasts and other crap.
Until next time, check your stupid nuts for lumps, quit smoking, get off your asses and get some exercise.
We'll see you in one week for the next edition of weird medicine.
Goodbye, everyone.
Thanks, Tase.
I don't know.