Weird Medicine: The Podcast - 441 - 90 Degree Throckmorton

Episode Date: January 28, 2021

Dr Steve, Tacie, and Dr Scott discuss penile fractures (YIKES!), how the pituitary drives testosterone production (it's more interesting than it sounds), coronavirus vaccines and more! PLEASE VISIT: stuff.doctorsteve.com (for all your online shopping needs!) noom.doctorsteve.com (lose weight, gain you-know-what) Get Every Podcast on a Thumb Drive (all this can be yours!) roadie.com (OMG the coolest stringed instrument accessory EVER MADE) simplyherbals.net (for all your StressLess and FatigueReprieve needs!) Learn more about your ad choices. Visit podcastchoices.com/adchoices

If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM103, and made popular by two really comedy shows, Opian Anthony and Ron and Bez, you would have thought that this guy was a bit of, you know, a clown. Your show was better when you had medical questions. Hey! I've got diphtheria crushing my esophagus. I've got Toboliviris stripping from my nose. I've got the leprosy of the heartbound, exacerbating my incredible woes.

I want to take my brain out and blasts with the wave, an ultrasonic, agographic, and a pulsating shave. I want a magic pill. All my ailments, the health equivalent of a 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.

It's weird medicine, the first and still only uncensored medical show in the history of broadcast radio, now a podcast of Dr. Steve, with my little pal, Dr. Scott, the traditional Chinese medical practitioner who keeps the weirdo alternative medicine knuckleheads at bay. Hello, Dr. Scott. Hey, Dr. Steve. And Tacey will be here in just a minute. 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 347-76-4-3-23. That's 347. Pooh-head. Visit our website at Dr.steve.com for podcast, medical news and stuff you can buy. And don't go to Cafe Press anymore. I canceled our account. I'll tell you the story of that in a minute.

Most importantly, we are not your medical providers. Take everything you hear with a grain of salt. Don't act on anything you hear on this show without talking it over with your doctor. Nurse practitioner, practical nurse, physician, assistant, pharmacist, chiropractor, acupuncturist, yoga master, physical therapist, clinical laboratory, scientist, registered dietitian or whatever. All right, very cool. If you will go to stuff. Dottersteve.com That's stuff.com, you will see the Rodey tuner.

It's the most incredible dang thing I've ever seen. Have you been playing with yours? I have been, yep. Yep. It'll tune any string, well, not like a violin or a viola or a cello, but I mean, fretted stringed instruments. Yeah, guitars, malins, bangers. Yeah, bass.

And all kinds of weird tunings. Like if you want to tune to Open G. open d, you know, dropped E to drop D, whatever they call it. Yep. It's pretty cool. That's a pretty cool. I always wondered why in the hell you would tune a guitar with all the same notes except the bottom

note would be one, you know, two half steps lower. So they drop it to D. And then I watched this guy, Rick Biatto. You ever watched his YouTube channel? Holy shit, this dude is awesome. Well, he's got perfect pitch. His kid has perfect pitch. And when I say perfect

pitch, you play a note and they go, A, play another note B flat, you know, another note C sharp. And then the kid, you can play like a chord and the kid's got his back turn to the thing and just immediately says, you know, C sharp diminished. It's crazy. Yeah, I can imagine. So anyway, Rick Beato, one of the things that he can do is he'll take pop songs and just sit there with his guitar and he'll listen to it for a second, then he's got it. And he can say, well, okay, this one is a two, a two, six one chord progression.

Oh, look at that. They throw in that suspended, you know, fourth or whatever. Right. And he's amazing. But anyway, why am I? Oh, he did a thing about the dropped E string and showed who would use that and how it would be used in, say, like, metal or something like that.

It was really pretty interesting. That's pretty good. You know, you want to get the... Because there are times when, if you're playing an E, you really wish you could play that D under the E to... to as a lead end. Right. But then you always have to go up an octave

and it sounds crappy and so you get a deeper, meteor sound. There's some stuff like that and it's pretty neat. I'll have to check a guy out. But anyway, the Rodey tuner that you can get

by going to stop. Dottersteve.com and I'll probably make a link you know, rowdy. Dotrsteve.com at some point but right now, just go there

or click on the link that's associated with this podcast, you know, like an Apple or iTunes. it'll have the links in the description. Anyway, all right, good deal. It's cool as hell.

And check out Noom. Dottersteve.com. If you want to lose all that weight you gained over the holidays still and you're having trouble, Noom is a psychology program. You get two weeks free and 20% off if you decide to do it

and it's not like Weight Watchers. There's no points, and it's not on and on and on. It's three months. And Noom. dot dr steve.com and i think if you sign up pretty sure you don't have to give them a credit card in the beginning so if that weirds you out you don't have to bother because i don't like those either where they say oh well give us your credit card and then you can you can you can cancel any time and i

don't like that just let me pay when i want to pay and let me renew it if i want to renew it yep and a lot of these places count on you forgetting about stuff yep and then you just on and on and on. So I think I got on some adult website at some point, and there was something I wanted to see. I'm sure I was doing research for the show. And I apparently paid a fee to get in, but then I didn't read the fine print, and they were just continuing, it went on and on and on for years, I think. And, well, look at this.

Here's Tacey. Hello, everybody. All right, very good. Well, let's see here. Oh, don't forget to check out Dr. Scott's website at simplyerbils.net. It's spelled kind of like simplyherbales.net, but it's actually simply herbals. Or as they would say in the UK, simply herbles.

That's exactly right. I was going to say that. Because we've been watching a great British baking show. Oh, funny. And they say anise instead of anise, which is interesting, which probably is anise. They're probably right about that. And then they say herb. instead of, you know, they pronounce the H.

Among other things. You've not made any baking, anything that I've had in a week or two. Well, you're out of your mind. I made the hell out of some stuff last week. Oh, did you? Yeah, I made a chocolate bobca. Do you remember the Seinfeld episode where they're all in line and they had to get the bobka?

Of course. Well, I never knew what the hell it was, but they made them on Great British Baking Show, and I looked it up, and it's sort of like a, it's made the same way, that you make a corone, which is made with regular bread flour, and then you put, you roll it out, and then you put ham and basil leaves and cheese on there, and then you roll it up into a tube, and then you split the tube lengthwise all the way down.

So, you know, you see all the layers are just exposed, and then you wrap those things around each other, twist them around, and then you join it at the middle. Okay. I mean, join it at the ends, and it makes a crown. Right. It's a Coron. It's French for crown. And that he knows how to pronounce in French, but islet cells now.

He calls them Islet cells. But anyway, I'm very impressed with your odd collection of things that you do well, Scott. But anyway, and then you bake it, and it is outstanding. Tacey is on Noom, and she didn't want to eat very much, but she tasted it, and I can't eat it at all. Gained four pounds. Well, not just from that. It's helpful. But our kid, Beck, ate the whole thing.

He kept coming down and getting a chunk of it, and then another chunk. And then by the morning, the thing was all gone. Well, anyway, the bobca is the same way, except you use brioche dough, which has a lot of eggs and butter in it. Okay. So it's real elastic, kind of rubbery dough. And you roll it out, and then you make this really crazy, rich chocolate. paste that you put on it and it's got you know regular solid chocolate and cocoa and uh and confection or sugar and all this stuff anyway and then you you spread it over and then you roll it up

into that tube well cut it and instead of twisting them around you kind of braid it and then stick it in a breadpan let it rise or prove and um and then you bake it and then and then you coat it with a simple syrup while it's hot and it kind of crystallizes, makes a real shiny exterior. It's outstanding, dude. I made two of those. I made one for the nurses

in the COVID unit and then I made one for the house. Wow. But anyway, yeah. That's cool, man. So if you want me to bake you guys something, I will do so. All I need is somebody to say, hey, well, you make me something and then I'll do it. Actually, all Dr. Steve

needs for someone to say it's, hey, I bet you can't do this. No, Al. No, no, they probably would be right. But like our next-door neighbor, Becky, who's, you know, she's kind of on my list in case something ever happens to Tacey and her husband. Oh, my goodness. At the same time. They'd have to be in the same car wreck.

But anyway, I'm just kidding. But she is, she's hot, though. But she wanted those, what are those lemon cookies taste from Sam goodies or something like that? I don't know from someplace in a town near us. So I had to find that restaurant or the recipe. Those were an outstanding, too. So anyway, it's fun. Cool, man.

Check out Great British Baking Show. And if any of our British friends, or friends in the U.K. Any of our mates. Yes, any of our mates have a line to Prue or Paul Hollywood. I would love to get an autograph book. But anyway, all right. Tacey, you got anything? Yes, I have one article that's non-COVID-related.

Ooh. Cool. Ooh, I like that. Let me give you one of these. What do you got? Okay, hold on just a second. Doctors warning over TikTok beauty craze that uses erection cream to make lips bigger. What?

What? I want more. What erection cream? More info. It didn't know. The physician said he didn't know what erection cream they were using. But listen, you can buy this stuff in the drug store that makes, that puffs your lips up for lips you don't have to go right which kind of

penis route yeah i mean it's mouth lips right is that what we're talking about oh for god saying no i'm asking oh come on that's well no no no no no no no no no no as an impartial judge i would say legitimate no there's reason you guys would say legitimate because you're both perverts no let me tell you why because there is There's blood supply to the female genitalia that is not the same as penile tissue, but there is some erectile activity going on. So I wondered if they were putting it on their female parts to puff things up a little bit. All right.

Well, I'm just a little. Yeah, there's a TikTok about that. So I'm all big about TikTok. Okay. but you don't know what the um the uh no um it doesn't say what kind of erection cream the doctor says he doesn't know what kind of erection cream was used however he oh my god look at the picture of this guy he yeah he he recommends against it okay so what what he's putting on his lips is a vasodilator so most erection creams are vasodilators they they increase blood

blood supply, which makes sense. I mean, erections are just blood supply, right? But I doubt it works on the old penis, but it seems to work quite well on the lips. And I don't know, I mean, listen, that's what it's not designed for. It's definitely off-label, but I'm not sure why these, oh, good Lord, why the docks are saying it's so dangerous. How dangerous could it be? It says these creams are not made to be ingested or consumed. Right, but he's not ingesting it if he's just putting it on his lips.

He's putting it topically. Now, if it is absorbed and because it's more mucus membraney lips are, and just on the other side of the lips, his mouth, which is mucus membrane, if it could be absorbed and drop your blood pressure, that could be a problem. Well, it says trying this could cause you to suffer an allergic reaction, stinging, soreness, blisters, and uncomfortable swelling. I agree with that. And you can buy your own lip plumping lipstick from CVS or Walgrey.

They're saying here that limp plumping, oh, God, try saying that five times real fast. Lip plumping glosses work the same way. they use Capsacin, and Capsacin is the, you know, the molecule that's in red peppers. It's hot, and it increases blood flow to the lips because it's really just an irritant. You know, it's just irritating the crap out of them, and the body goes, what in the hell is on my lips? I need to send blood there to kind of to dilute out the effects of it to the tissues by injecting fluid into that area. and then you get plumber lips, which is, you know, you're just basically torturing your body and causing it to make you look more attractive.

Because, you know, we use a lot of topical creams with the capsaic in there because it works as a great analgesic, you know. Yeah, capsacin is sold as a topical analgesic, as Dr. Scott said. I'll give you one of these. Give yourself a bill. And the way it works is you have to keep applying it because it's not like lydicane that just turns off the nerves. What it does is it depletes a neurochemical called Substance P. And when it depletes substance P, the body can't transmit a pain signal through that fiber anymore.

So we used to use that a lot for arthritis. Sure. and I have changed my mic, and now I am popping my peas every time I say one. Let me try that. And for arthritis and also for post-herpetic neuralgia. Yes, which is counterintuitive. Yep. People who have shingles who end up with pain afterward that can last months to years,

they'll, they can, once the blisters have totally healed, you do not want to put this stuff on open skin, oh Lord. but once it's totally healed you put it on and then you'll get a burning and tingling for a while and then when that goes away the pain will go with it very interesting yeah we use the suffer and you'll know what this is but this um chronic regional pain syndrome the crisp yeah yeah or the or the rSD which some people used to call but reflex sympathetic dystrophy yeah we'll use that sometimes for those for those patients just to try to turn off the sure those nerve endings yeah yeah pretty cool yeah it's interesting it's almost like you're overwhelming the your endings And then they just go, oh, we can't deal with this.

They can't transmit any more information. So that's one of the ways we try to break those cycles of pain. Yeah, yeah, that's cool. Good stuff. All right, good old cap sason. It's a great herb. That is a great herb. All right, that's a good one, Tase.

Good one, Tase. What else you got? Could worse COVID illness equal stronger immunity after? That is intuitive than it would. Tell us what do they say? They examined blood samples from 39 COVID-19 patients and 10 people who hadn't been exposed to the virus. And all they analyzed the expression of individual genes of more than 80,000 T cells. Okay. Ah, I like that.

Of the COVID-19 patients, 17 had milder illness and weren't hospitalized. 13 had been hospitalized and nine ended in intensive care. The researchers were surprised to find that patients with milder COVID-19 had weaker T-cell responses. You said they were surprised or they were not surprised? They were surprised. Why would they be surprised by that? Well, I don't know, Steve. They're stupid.

And that's it? Well, I mean, it's a big long article. I could read the whole thing, but that's pretty much the sum of it. Very interesting. Now, but they were measuring the immune. response by measuring antibodies and then T-cell Epigenetic? CDA plus

T-cells. Okay. So that's a pretty good study because they weren't just looking at antibodies. So you have humoral immunity, which is antibodies, and then you have cellular immunity, which is basically T-cells. And

you know, B-cells are involved and all that as well. But the B-cells really produce the antibodies, so they're more humeral, or, you know, on the humoral side. But they weren't just looking at antibodies, because that's been my complaint about some of the studies, is that all they're looking at is antibodies. They're not remembering that there are memory T cells that never forget anything. So all this really tells us, though, is that they're not expressing the markers of immunity that we traditionally associate with

things like this. But the question is, when they're exposed again, what happens to them? If they had, quote, unquote, weaker immunity, well, they already had an asymptomatic syndrome, right? Right. So if they get it again, they're asymptomatic again, who cares? Other than that they can transmit to other people, which is why we need herd immunity, which is why we're pushing vaccines and stuff.

I wonder if that would translate to those, you know, because we were talking about before we came on the show people having their, the vaccine is the second vaccine. Some people have a little bit more reaction than another. Oh, yeah, and you did, right? And I had a little bit more about it. So we had, our whole staff was vaccinated. And everyone felt some of the first shots, no problem at all. The second shot, we were all tired, fatigued, sore.

One of us spiked a fever up to 101. What? Yep. on that on that the 24 hours later but it was it only lasted for about two days oh my but I'm just wondering if those of us who have a little bit more robust response to the coronavirus that's a great question would be more kind of immune to it in the future well that's interesting I hope that's not true because I hope not to I had a very mild reaction to it although I had one that's how I could tell I got the vaccine you know right right right Right now, we're doing pretty good in Tennessee, particularly. We peaked out our cases at, and I'm looking at a smooth moving, a simple moving average on December 26th was the peak of the simple moving average at 8,000 new cases. And, you know, we're down to half of that right now, about 4,000 new cases. So, and that's the smooth moving average now.

The total cases right now is 1.9,000 new cases. So that's a huge difference. And you can see if you go to COVID.stoutlabs.com, you can look at your state. Let's look at one of the big ones. Let's look at California and New York while we're at this. So if you all want to get on COVID.stoutlabs.com and then click the state's U.S. data. and then you can look at it with us. So I'm going to look at New York.

And New York, wow, had a big peak early. I'm looking at going back 300 days, big peak back in April, and then it fell down. But still, you know, 600 cases a day, 700 cases a day, and then started creeping back up around November 16th. And then it peaked at January 18th, and it now seems to be working its way back down. So they've got 14,000 new cases. If you look at the simple moving average, if you look at the absolute number for today, or yesterday, which was November, I'm sorry, January 26th, it was 11,000 new cases. So now we can look at new deaths.

And, you know, in the beginning, New York, not so good. You know, you look back at April of 2020, they were running, you know, a thousand new deaths a day, and then it started to drop pretty steadily. And then it bottomed out at about 9 to 10 deaths per day between July and November, and then started to creep back up again. But still, it's just at 100. 190, well, just, 190 deaths on January 25th, and 219 would be the absolute number. That's the simple moving average number.

And then if you look at deaths per population, New York's pretty, you know, they're up there right now at 219. Let's look at what's one of the more open states? Florida Oh Florida's getting worn out Okay Florida They're as bad as No they're not Or almost as bad

No when you look at deaths per 100,000 population They're at 116 It's 116 New York's at 219 You know Florida is wide open And you know

New York is locked down So you know Lockdown I've said from the beginning I didn't think That lockdowns Maybe the first two weeks when we did the two weeks to flatten the curve or whatever, that was fine.

And everybody kind of went along with that. But keeping, I have still to this day not seen evidence that people eating indoors is a risk for super spreader events, you know? And I had, oh, Dad Blasted. I had an article from the Journal of Pediatrics that I wanted to talk about today. and it was the reason why our kids are back in school full-time that there was a really nice study that showed pretty conclusively that schools are not super spreaders

and that the number of cases of transmission within schools, particularly from student to teacher, is vanishingly small. And it argued that kids should be in school. And that's not some right or left-wing, you know, publication. The Journal of Pediatrics really not very political. They're really like the Journal of the American Medical Association or New England Journal of Medicine. They really are interested in the science.

Right. And the science is looking pretty good on kids being back in school. Good. So anyway. All right. Enough of that. What else you got? Anything?

Nope. That's it. That's all you get. Okay. I like the TikTok one. And maybe we should try that. Let's find that erection cream and I'll put it on my lips. You want to?

No. Okay. Because the other thing you can do is just go to a med spa and get filler. And then your lips are, you know, how long does that last taste when you get filler? Well, it depends on what kind. That's true. Let's just say high alaronic acid. I don't, I mean, I don't know the difference.

But, I mean, when I get it done, I mean, I get it done in it. It lasts a while. Yeah. Three four months. No, longer than that. We should get Chanda in here. She's, now she's got a boyfriend, so that whole date or Dr. Steve's friend a bit kind of fell through. But we should get her in here anyway because she's entertaining, and then we could ask her these questions.

Because she does vaginal rejuvenation, you know. And that vaginal. rejuvenation, Scott, I'm telling you, I could not do this procedure. Right. Because it's a probe. It's about eight inches long. And it, you know, and what does it do? It tastes, it vibrates, and it's got radio frequency energy, so it tingles, right?

So it goes in, it comes out. It goes in, it goes in, it comes out. It goes in, it comes up and down all around. If I did this procedure to someone. They would immediately run and say, that creepy old man assaulted me. Yes. So, you know, you have to have the right person. The right person doing it.

But conversely, if we were going to do, you know, extra corporeal shockwave treatment for erectile dysfunction, which works, by the way. Yeah. I probably wouldn't want her doing it, although maybe some guys would, but that would be weird too. So I will be doing those. I think they put enough numbing agent on your wee-wee to keep it from doing more.

much while the probe is stroking it. It's just weird. So I'll do that one and she can do the other one. All right. Anyway, but we need to get her in. Maybe next Wednesday. Okay. That'll be all right with you?

You like her. She's your friend. Yes, I do like her. All right. Let's see. We did alternatives to Xanax last week. So, well, let's do a couple of these. You ready?

Yep. All right. Let's see. Number one thing. Don't take advice from some. asshole on the radio. Thank you, my friend. Thank you. Thank you. Thank you. Hey, man. I had a question about Pironi's disease and actually more question about just having a

curved dick and what the difference would be between the two because I see that there is treatment for basically the symptoms of having a curved penis. And as I see that Peroni's disease can be a little more serious than just the negative, you know, the negative, I guess, life consequences of having a curved dick. I'm still curious about using those treatments to possibly straighten one's erect penis out. And I think if I'm that concerned about it, I'm sure there's possibly millions of other men out there that would be curious about this treatment in not just a disease approach, but more like, I guess, in a cosmetic way. So, yeah, that's my question. Pretty much that's. Okay.

So Peroni's disease, it is a disease of the penis, generally caused by scar tissue. tissue, in the sheath, the semi-expansile sheath of the penis itself. So the way erection works is you have some sort of stimulation, and then the arteries and arterials going to the penis open up, and then the veins and the venules coming out of the penis kind of shut down a little bit. So you have more blood going in and it can't get back out, so now it starts to fill up. And that sheath is only expansile a little bit as far as

girth, but more in the axis, well not in the length arena. So if that weren't true, then you'd just get a big giant balloon-shaped penis and it would look stupid and be floppy. So you want this sheath to be only partially elastic

so that it stretches just so much. And then after that, it provides kind of a rigid or a semi-rigid sheath that the more blood you put in there than the harder, you know, the harder the erection becomes. And do you get to the point where, as we say in Tennessee, a cat couldn't scratch it? So if, however, you have intercourse, particularly with the woman on top,

this is a lot of times how this happens, she's thrusting downward and maybe you've got whiskey penis and you're semi-erect, and the penis comes out of the vagina a little bit, and then she thrust down and actually folds the penis over on itself. Breaks it. And breaks it. You'll have sometimes incredible pain with that.

And if you actually get a penile fracture, you'll probably end up in the emergency room because there will be swelling and excruciating pain. But if you don't, you may just get a little injury to that one edge of the sheath where the penis bent. Right. And then scar tissue develops. And now scar tissue isn't as elastic as the sheath itself.

So when the penis becomes erect, the scar tissue won't expand and now it's going to bend in the direction of the scar tissue. Now, a little bit of curve is probably a good thing. Matter of fact, a gentle curve of the penis, especially to the side, to one side or the other, will give an illusion of increased girt. Now why is that? Well, because as you insert, you're pushing against the, let's say, if it's curved, you know, it comes out of the body, curves a little bit to the right, and then curves to the left. So it's an arc. It looks like a C with the bow pointing to the right. And when you insert the penis at that point into whatever orifice, but let's just say for the sake of this story, it's penis to vagina, the penis will put more pressure on the left. left no sorry the right side of the woman's vagina right and then as they insert then it's going to go more and more to the left side and then as you complete the thrust and it bends back the other way

then it'll be more in the middle so you'll get this impression of greater girth because you're exciting not only the neurons on the left side of the vagina but on the right as well and but now a very pronounced curve can be painful for the dude, and it can make, it can render intercourse impossible. I've seen them where they're almost right angles. So for those

people, they really need to get something, need to get something done. And it also gives you an effective shortening of the penis, too. Oh, the dogs are here. Let me turn on the doggy microphone. Okay, well, so we'll see if they have anything to throw in later.

so you want to see a doctor if you notice this urologists are the ones who normally would treat this and most of the time you can't tell that you have it when you're flaccid by the way so there are other things if you have family members that have Peroni's disease or if you have any kind of connective tissue disorders like depoitrin contracture

there you go is it okay if I just decline those while you're in here or do you want me to let you look at them to see okay and then people are in their 50s and 60s is much more likely to happen so there are some treatments for this there were

stretching devices where you use a device that has one of those things called not something cock No, that's... Cockering. No, no, no.

Latch cock or... No, a turnbuckle. Turnbuckle. Turnbuckle. I don't know. I just have cock on the brain, I guess. So you would have a Velcro strap that goes around the base of the penis. Right.

And then a Velcro strap that would go under the glands or the head of the penis, the aka the proverbial Roman Warren helmet. And then you would have turnbuckles that were attached to those. And then you could turn those turnbuckles that would put more and more pressure and more stretching in the longitudinal direction to try to stretch the penis out. And for people that don't have really severe peronis, that can be helpful. They may even gain about a quarter of an inch. You know, in the acute phase, you're just going to have to let it go. But in the chronic phase, that's what we're talking about is all this stuff. there are injections

so that's the first one's called penile traction therapy so you just apply traction to it to try to straighten it out there are injection therapies one of them is a thing called elastase and what it is is it's an enzyme that breaks down or maybe it knows collagenase sorry collagenase breaks down to collagen in scar tissue and when they inject it then you can apply

traction, and as the scar tissue dissolves, you can sort of remodel the penis. And they don't recommend surgery until the disease stabilizes, but surgery is also an option. And then there's a drug called verapamil. It's used to treat high blood pressure, and it disrupts the production of collagen, which is in the scar tissue, and it's well-tolerated, may even reduce pain. And then there's one I've not used is interferon. And that is a protein that's an anti-inflammatory protein. It breaks down the production of fibrous tissue.

And they did a placebo-controlled trial on it, and it showed statistically significant improvement. So there are things that you can do. So if you have this, you don't have to suffer with it alone. Go see a urologist, and they've got some ideas. Right on. All right. Okay, no. Yeah, the surgery is pretty gruesome.

I wish GVAC were still here because this would be one where I could really get him cringing. Let's look at this. I'm looking at Mayo Clinic now. Oh, Lord. Okay. One is called placating the unaffected side. So that's not so bad. And what they do is suture the other side to kind of even out the traction that's being put on the sheath.

and it results in straightening of the penis but is limited to less severe curvatures and if it's less severe, why are you doing it? And then they can do incision or excision and then grafting. And it says with this type of surgery, the surgeon makes one or more cuts in the scar tissue allowing the sheath to stretch out

and the penis to straighten. Wow. Well, I hate to leave with all this penis talk. Oh, honey, I just got to the best part. parts. Penile implants. Surgically placed penile implants are inserted into the spongy tissue that fills with blood during an erection. The implants might be, ooh, semi-rigid.

Manually bent down most of the time and bent upward for sexual intercourse. You know, what I want to know is if anybody in the audience has a penile implant, so if it's just always sort of rigid and you just kind of jam it in and go in. in and out, in and out. Do you still have an orgasm with that? You know, I've been doing this 35 years and never gotten a good answer to that. You kind of wonder if they're still neurologically intact first. Well, okay, let's say that they were, and it was just a blood flow issue.

I always got... I'm out. Yeah, you've got to go. Thanks, Tase. Bye. Let's give Tasey out. Bye, Tase. Oh, no.

Wrong button. Thanks, Tase. So what we need to do, if we want to chase Tacey out of the room, we just got to talk about penises, right, Tase? Penis, penis, penis. But, you know, why would we ever want to chase her out of the room, though? But I always thought that the erection, at the neurologic cascade that happens to make an erection, that's, you know, with the parasympathetic nerves, and the spinal column and all that stuff, that that was essential for an orgasm to occur.

Because if you take a flaccid penis, it almost doesn't matter how much you stroke it, nothing's going to happen, right? So isn't one that's semi-rigid kind of always flaccid, really, and why would you ever have an orgasm? Well, think about a spinal cord patient. They can put a tinge unit on a penis

and stimulate it to the point where they actually have an orgasm if they're trying to have conceive children. Yeah. Hmm. But, well, that makes sense because it's a spinal

reflex. You know, the ejaculation is pretty much a pure spinal reflex. Yeah. So if you're There's not a lot of a cortical. C3 quad or something, then you can still have you can you can still ejaculate

so now I knew a person that was didn't have any feeling from the waist down but he could have what he perceived as an orgasm

by somebody like rubbing on his arm while they were having intercourse so I thought that was interesting that is kind of interesting yeah talk for a minute

about that and then about rubbing rubbing an arm I don't know so I know I've got a couple or I know of a couple gentlemen that do have the penis pumps

from injurious events. You mean, so a penal implant that is a pump? That's a pump. Okay. And they do, they have semi-erections pretty much all the time. So I'm sure that's got to get,

that's kind of strange getting used to. Yeah, the ones that I used to see at the VA were not really, I mean, I guess they were functional, but they weren't hogs by any means. No, no, no. Here's an article from the Journal of Sex and Marital Therapy. It's called The Effects of Penile Implant Surgery on Ejaculation and Orgasm. So this should answer my question.

It says 35 patients received penile implant were interviewed to assess their pre- and post-surgical ejaculatory and orgasmic experience. prior to surgery, most men were able to experience ejaculation, 71%, and orgasm, 80%, even though erectile capability was impaired or lost completely. Well, that's interesting. The implantation of a prosthetic device did not interfere with ejaculation or orgasmic functioning. Cool. Well, there you go. That's pretty cool. Well, hell, why don't I just get one of those?

No, I don't have to worry about anything. It makes a lot easier. Five men who had been non-orgasmic earlier reported having orgasm after surgery. Wow. Okay. Oh, I see. So what they're saying is, in these cases of psychogenic orgasmic dysfunction, the penile prosthesis helped overcome the psychological barriers to this function.

Now, I can see, I mean, so much of sex is in the brain. I mean, is in the mind. And if you're not into it, it ain't happening. and if you are feeling insecure in any way, most of the time it ain't happening. And so, you know, and all of a sudden they give you a rigid hog and you're walking around like an 18-year-old with a semi-erection all the time, I could see where that could turn things around for some people.

It makes you feel like you can actually accomplish the goal. We used to, well, still do. If you had a young guy that had performance, anxiety, you could give them a prescription for Viagra and just never use it. But knowing that they had it took away their performance anxiety, they could go back to normal again. Pretty interesting. Yep.

It's all about the mind, getting the mind ride. It certainly is. All right. Okay, do-doke, that was a good one. Did we do their nocturnal erection one last time we did? Yes. Okay. Let's do this one.

Yes, this is Wade from Louisiana. I'm going to try to be the new Stacey DeLoch, I guess. Okay, Wade. But I was wondering if you are... For you to be able to do that, you've got to do a couple of things. You have to bring us no-carb brownies, which is Stacy's wife makes. And you have to call three times a week, and I throw two of the calls away. And then you have to get your ham radio license so we can talk on ham radio.

You know, on digital mobile radio. But other than that, you're doing great. Being treated for low testosterone, say you're taking injections and you stop, will your testicles start producing testosterone again or have they shut down? That is an excellent question. And the answer is it could go either way. That's not good. Oh, my gun just fell out of my pocket. I hope that doesn't ever happen in a restaurant.

Oh, my God. Lord. Well, I've got to be careful when you're here, Dr. Scott, just in case you try something. All those crazy women chasing me around. Or that. That could be it. That may be more likely. So, oh, stop.

All right. So I have heard of people who overdosed. on testosterone, let's say they were bodybuilders. Right. And they were cycling. And then they stopped and start feeling bad. Go get their testosterone checking it's zero. Yes.

And they get it checked a month later. It's still zero. I've seen cases like this. And in those folks, their testicles stopped producing. Yes. They just gave up the ghost. And so you can get to a threshold where it won't come back. Now, if you want to.

want, if you have low testosterone and you want to preserve fertility, in other words, you want to have kids with your girlfriend or wife or whoever, testosterone therapy isn't the way to go. There's another therapy called chlomaphene citrate, and most fertility docs and urologists will recommend that instead. And what that does is it encourages the testicles to make their own testosterone. Because when you take testosterone replacement, you take testosterone replacement. therapy if you take enough of it to get your your levels up to where they're supposed to be

the testicles just go well why are we even bothering right you know they don't they obviously don't need us and and they will stop producing and they'll shrink too they'll shirvel up and peck their shit up when you do clomid they don't do that so it's a feedback loop basically there are hormones in the pituitary gland that when there is low testosterone on board, they will send out more of these hormones. And their hormones are telling the testicles, make more testosterone. It's just like submitting an order. If you're, you know, if you're an automobile manufacturer and you're running out of brake pads,

you submit an order to the brake pad factory, and then they ship you brake pads. And if you have too many brake pads, you don't order them for a while. They don't make any. They don't ship them to you. And if you start running low, you, you, put in a big order and then they make more. It's the same thing. So the pituitary sends out these hormones, the testicles start making testosterone.

Now, if you have primary testicular failure, in other words, you've gotten old and you're losing your ability to make testosterone, the pituitary will order more testosterone. So the levels of those pituitary hormones will go up while the levels of pre-testosterone will decrease. Okay? Right. So for a while, and when the pituitary goes, hey, assholes, make more testosterone, they'll do it. But then they kind of tire out and they continue to fail. Yes. So in those people, you'll have high pituitary hormones, particularly FSH and LH and low testosterone.

Right. Now, if you have a pituitary tumor that's preventing the ability to place those orders, let's say you're ordering clerk at the car manufacturing, or you've lost the, I don't know, their computer went down, they can't place an order. So then they don't make any brake pads and they don't ship any. Same thing. In that case where the pituitary is not requesting more testosterone, you'll have low pituitary hormones

and low testosterone and that's leading you toward looking at the person's pituitary but high hormones low testosterone normal is no it's not normal but that's it aging primary

testicular failure right okay so now so if you have a situation where there's high hormones pituitary hormones and low

testicular hormones because of primary testicular failure. And now you give somebody testosterone. What's that going to do? The pituitary is going to detect the testosterone. And they're going to go, well, okay, you've got plenty now. Stop sending us. So they will start to decrease the demand. Well, you've already got testicles that can't meet the demand anyway.

And so the only thing that's making it make any at all is these high levels of pituitary hormones. Well, now the pituitary hormones are decreased. and testicles are going well, okay, I guess we're good. We've done our part. Yeah. Does that make sense? It sure does. So in those people, you will see a high test or a normal testosterone and low pituitary,

little or normal pituitary hormones. But if you could differentiate between the two types of testosterone, the native or what we would say endogenous body made testosterone would be almost zero. Now, when you stop, sometimes the testicles will come back, but a lot of times they won't. Right. So there you go. So, again, if you want to preserve your ability to impregnate somebody, then don't use testosterone for your low testosterone. Ask for chlomaphene instead.

Or at least just tell it. You don't have to remember that. If you're going somewhere, you say, hey, wait a minute. Now, I heard there was this stuff that I could get my testosterone up, but I could say, still stay fertile. Right. Okay. All right.

Well, I think that was a good one. That was good. Did we do this one? Yes, Dr. Steve. This is Wade from Louisiana. Oh, now I see. Now I understand. Oh, here you go.

Now I got it. Okay, yes. Okay, he's meeting one of the criteria of being the, and is he from Louisiana? Louisiana. Well, that's where Stacey lives, too. So they're both, okay, got it. That's fine, though.

If they're good questions, I don't care how many times you call. All right. Let's take his question, though. But if you have had COVID, would the vaccine be beneficial to you or are you immune? You would think that if there is a vaccine, then if you've caught COVID, your immune system would fight it and you wouldn't need it. Yeah, you would think that. The thing is, is that we don't know what kind of immunity people are really getting. And we do know that at least the Pfizer and Moderna vaccines make different antibodies. So would two kinds of antibodies against the same virus be a good thing? Or could

one of those block the other one and then cause a worse syndrome later? We don't know the answer to that. So far, though, people who have been vaccinated and there are millions of of them now, that have gotten COVID-19, have not had that horrible worse syndrome. Matter of fact, the vaccine seems to protect people from dying. Yeah. So I'm just reading straight from the CDC website because it's just me saying this is the CDC. And it says due to severe health risks associated with COVID-19 and the fact that reinfection is possible, vaccine should be offered to you regardless of whether you already had COVID-19.

infection. The CDC is providing recommendations to federal state and local governments about who should be vaccinated first, so we're working on that. At this time, experts do not know how long someone is protected from getting sick again after recovering from COVID-19. The immunity someone gains from having an infection called natural immunity varies from person to person, which is good, because if it was all the same, we'd either all be dying or all be fine, but one virus could tick all those boxes and kill all of us. This natural variation is very important to the survival of our species that one virus can't just run through it or through us and kill us all. Now, an alien virus, maybe, but not a earth-made virus.

So Andromeda strain is still possible. Of course, spoiler alert, at the end of that, it mutated to a strain that was not deadly. So like regular viruses often do. Okay, some early evidence suggests natural immunity may not last very long. Well, okay, no, the immunity may last very, very long. Antibodies may not last very long. It says we won't know how long immunity produced by vaccination lasts until we have more data on how well the vaccines work. Both natural immunity and vaccine-induced immunity are important aspects of COVID-19 that experts are trying to learn more about.

That's always heartening, isn't it? Oh, Jesus. Well, we're trying to learn more about it, but in the meantime, This is what we're recommending. So, you know, it's, I don't know the answer. That is a personal choice. If you've been infected and you're inclined not to take the vaccine, I would understand that. Sure.

And then if you want to wait, that's okay. They are recommending that you get it, when you can, when you're able to get the vaccine. Are they right or not? We won't know for the longest time. Only time will tell. Yeah. So if 10 years from now, all of a sudden, people who got the COVID vaccine are having horrible time with just regular coronavirus-type colds, well, then we'll look back on this and go, you know, oops. But, well, okay, well, we'll learn something.

But so far, we're not seeing any of that so far, but it is early days. It is way early. It is long ago. The other question, well, the COVID-19 vaccine alter my DNA. We've answered that on this show. absolutely not. It doesn't work that way. The RNA does not inculcate with your DNA. It can't.

RNA is a messenger from the DNA to these little machines called ribosomes. By the way, I've said this before, but go to YouTube and look for an animation on mRNA transcription

and it will blow your mind. That's pretty cool stuff. These machines, yeah. So it's just instructions to the ribosomes. to make proteins that's it's all it is okay all right all right scott you got anything else i don't think so dr steve all right well let's get out of here we can't forget rob sprance bob kelly griggs hughes anthony cumia jim norton travis teff that gould girl

lewis johnson paul of charsky chowdy 1008 eric nagel roland campos she who owns pigs and snakes sister of chris sam roberts pat duffy dennis falconne Matt Klein Schmidt, the girl who's not a Ph.D., Dale Dudley, Holly from the Gulf, the great Rob Bartlett, Bernie and Sid, Martha from Arkansas's daughter, Ron Bennington, and Fez Watley, and the Port Charlotte Hoar. Whose support of this show has never gone unappreciated? Listen to our SiriusXM show on the Faction Talk channel, SiriusXM, Channel 103, Saturdays at 7 or 8 p.m. Eastern, Sunday at 6 p.m. Eastern, on demand, and other times at Jim pleasure. Many thanks to our listeners whose voicemail and topic ideas make this job very easy.

Go to our website at Dr. Steve.com for schedules and podcasts and other crap. Until next time, check your stupid nuts for lumps. Quit smoking it off your asses, get some exercise. We'll see you in one week for the next edition of Weird Medicine. You know,