Weird Medicine: The Podcast - 442 - Suddenly Chanda

Episode Date: February 4, 2021

Dr Steve and Tacie welcome Lady Diagnosis, Dr Scott and (finally) Chanda to the studio to discuss Chanda's "slim pickins," Dr Scott's missing nose spray, morphine at end of life, home treatment for vertigo, rectal swabs for covid 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, O'Bee and 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 Tobolabov stripping from my nose. I've got the leprosy of the heartbound, exacerbating my impetable woe.

I want to take my brain out I'm glassed with the wave An ultrasonic, agographic and a pulsating shave I want a magic pill All my ailments The health equivalent of citizens Cain And if I don't get it now in the tablet

I think I'm doomed Then I'll have to go insane I want to requiem for my disease So I'm paging Dr. Steve It's weird medicine The First and Still Only Uncensored Medical Show in the History of Broadcast Radio Now a podcast

I'm Dr Steve with my little pal Dr. Scott, the traditional Chinese medical specialist who has street cred with the alternative medicine assholes. Hello, Dr. Scott. Hey, Dr. Steve. I got my wife, Tacey, the professional WebEx attendee. Hello, Tacey. Hello, Steve. And in the studio for the first time, we've got my friend Chanda, N.P. Chanda,

what are we going to call you? We've got to call you something that is my partner in business. Hello, Chanda. Hello. And we're going to talk about Chanda a little bit later in the show about what we have planned for her. And also, the return of Lady Diagnosis. I'm back from sabbatical. Hello.

Hey, Dr. Steve. You and Chanda work together now, which is very cool. This is a show for people who never listen to a medical show on the radio or the Internet. If you've got 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 347-7-66-4-3-23. That's 347 Poohead. Sorry, Scott. Visit our website at Dr. Steve.com for podcast, medical news and stuff you can buy

or go to our merchandise store at Cafe Press Talk. No, don't go there. I closed that. The hell with that. You closed it? Yep, I sure did. It's crap. Most importantly, we are not your medical providers.

Take everything here with a grain of salt. Don't act on anything you hear on this show without talking to over with your doctor, nurse, practitioner, practical nurse, physician assistant, pharmacist, chiropractor, acupuncturist, yoga, master, physical therapist, clinical laboratory, scientist, registered dietitian or whatever. Yes, I did close it. They got ridiculous and somebody tried to do a copyright claim on our Dr. Steve logo and all kinds of stuff and it was like, this is stupid. So to hell with this. So I just closed it. Why would anybody do that?

Because people are fucking stupid like that. Causing trouble. Yep. I had this piece of shit try to sue me for my simply herbal stress less thing. He said he owned the words stress less. I've seen stress less than a bunch of other things, too, so I hope he's suing all of them, too. Yeah, he tried, but it was unsuccessful. Oh, good, good, good, okay. Fuck it.

Yeah, you can call people names. It's fine. You know, Penn & Teller, I learned something from them. You can't call somebody a quack, but you can call them an asshole, and it's fine. Isn't that something? Because if you call them a quack, you're impugning their professional, whatever, reputation. But if you call them an asshole, that's just your opinion. This is my opinion.

So if you watch Penn and Teller's bullshit, they'll call people assholes all the time, but they'll never say they're quacks or phonies. Like Yuri Geller, the psychic spoonbending dude, they would never call him a fake, but they would, you know, call him names. It's funny. Anyway, don't forget to go to stuff. com. That's stuff. dot, dr. steve.com for all of your Amazon shopping needs. but also because you can check out the roadie robot guitar tuner.

And not only guitar, if you play the bass like I do, you can get the big hefty one. And the darn things, I thought they were going to be three, four hundred bucks. They're really very reasonably priced. You know, they're under 150 bucks. For this thing, that is the, you guys haven't seen this, have you? No. What it is is it's a little robot, and you put this on your string, and you pluck the string, and it tunes it for.

you. But you still have to tighten the... No. No. It's not like a tuner where it just tells you where it should be. It actually does it. Wow. It's the coolest damn thing. I'll show you after a little bit. It's fancy. It is cool. You have a stringed instrument over there, Scott?

Yeah. Oh, yeah. Well, here to do one. What do you got? Okay. You got that crappy guitar over there? Let's do the... Just do a couple strings on it. I don't want to take up too much time doing this. That's the Falcon, right? Is that what that is? Okay. here you go here's e2 do that i've got a slightly out of tune

so just to yeah yeah so you just put it on there and you go you hear it you see it there you go oh my god how cool is that it tuned us that's crazy impressive and then you just go to the next do a

good good well what happened I don't know. Oh, changing tuning. No, I don't. Here, you do it.

By God. I was doing fine. Oh, yeah. Oh, he's got delete instrument. No, don't delete the instrument. God damn it, Scott. I didn't put it on delete. Okay, you just got to click resume, that's all.

But anyway, you see it. It's neat as hell. But anyway, you can get those at stuff. Dottersteve.com or, yeah, that's the best place to go. All right. Check out tweakeda audio.com, offer code fluid, FLUID, for 33% off, the best earbuds for the price on the market, the best customer service anywhere. And if you want to lose weight with us, go to noom. Dot,doctrsteve.com.

Noom is not a diet. It is a psychology app, and it has been very successful for me. I'm two years, I'm on my second year, and keeping my weight down, although I would like to, I'm, I am working on getting the last eight pounds off. Those seem to be the hardest, but I feel confident that with Noom I'll be able to do it. Noom. Dottersteve.com, N-O-O-O-M.

And you get two weeks free, just try it. If you don't like it to hell with it, and if you do like it, you get 20% off. And then check out Dr. Scott's website, simply herbals.net. Do you have nasal spray on there because I've got people still emailing me saying that there's no nasal spray on there?

No, not yet. Okay, so when are you going to? But they can email me, and I'll ship into a direct way. How would they do that through the Simply Erbil's website? Yeah, through simpler website or through Weird Medicine. Dot, Dr. Steve. Well, okay. You can, yes, you can just say I'm Dr. Scott's secretary, so.

But is there a place on? I need adult supervision in case you haven't figured it out. Is there a place on here to email you? Yeah, I think so. Contact. Okay, down at the bottom left, it says contact, and then it says full, yeah, okay. And you get that? Yeah.

Okay, that goes straight to you? Straight to me. There's no intermediaries. I'm going to send something. By God. And I'm going to send a keyword, and the next time when you come back, you have to say the keyword, because I don't believe you. I already know what a keyword is. It's a test.

You, son of my bitch. How did you know? Okay. The keyword is, jag-ass. Jagoff. Okay. All right. Oh, then you've got to say, I am not a robot, and then send the form in.

Okay, very good. Usually, he's not this nervous with all these pretty phases in here. He can't hardly stand them. No, it's awesome. So, Chandamee, what's the deal? So this is the first time in the studio, right? We've known each other for 10 years. You've never been up here.

I know. That was a mistake for us to wait this long. So, anyway, for those who don't know, well, I hate to just jump right into that. But we were thinking about doing a dial-a-date for Chanda because she is single. She is singularly attractive. She's got a great job. She's got money. And for some reason, just can't figure it out with the dudes.

And it may have something to do with where you live, to be honest with you. I mean, well, because you live in this part of the country, and Diane had the same problem for the longest time. You know, just the dudes that she's confronted with. The pool is small. You want a redneck, there's plenty. Hey, and the trees are, there's not a lot of branches on the family tree. No, there's not. Exactly.

There's not a lot of branches on my tree. We are in the center of tranquility and consanguinity. Consanguinity, it's right. AKA inbreeding. So, but anyway, so we thought maybe, you know, we've got a pretty wide listenership, and some of these folks have jobs, and some of them. of them are good looking and some of them are, you know, might be worthy of you and broaden your pool a little bit.

So I was thinking we do a dial a date thing. I don't know what we're going to do. So, you know, so tell us a little bit about yourself without revealing. Oh, I love these kind of questions, right? So I have all of my teeth. Yes. Yes. I can attest that that's the case.

Mm-hmm. I do have a job. I have two children. Yeah. But they're pretty self-sufficient. the house at this point almost right so i don't guess they really count yeah so you're old that's one thing very old not old but you're not 20 anymore your kids are how old 15 and 16 yeah and they're good kids and they pretty much stay out of your way because i've seen them twice the whole time i've ever

known you me too like in years yeah they stay in their room yeah yeah but you're single yes and uh there you go so unfortunately and you're in the medical profession which is very cool. So we probably should talk about that stuff. But we're just throwing it out there if anyone is interested. Email me at DR. Steve 202 at gmail.com with the header win a date with Chanda. And maybe we'll even have a prize or something if we find somebody really cool. There's got to be some kind of cash to get in on the action.

Well, no, no, no. Who's got the money, Scott? I have to send wine, I think. There you go, wine. No, I'm not getting up anything. We have a budget for... You keep saying that, but no, we don't. Well, you don't, but the show does.

My money is your money, and all your money is my money. Honey, here's... Listen, this is the thing. We have to spend some of that money on show-related stuff so we don't have to pay taxes on the money that we make. I disagree. She'd rather give it to the government than your money. No, no, I want to spend just as much as we need to. Yes, this would be...

He was talking about Premland and all sorts of places. Okay, I can't talk about how much we make, but the amount we would spend on that would not come close to wiping out our tax burden. We need to spend just enough so that we pay zero taxes, which is what, you know, on weird medicine, I want to pay any taxes on this. Well, we better not be paying taxes on weird taxes on weird. Well, here we go. This is one way. Oh, my God. We should have a destination, like, soul.

Everyone meet at one place. We went from win a date to text-talker with Dr. Steve. Yeah, there you go. Dr. Steve. And these are exactly the arguments that I want to have. I'm totally just messing with you. I don't give a crib. But I will not give one.

You know, I'm just messing with you. Okay. Are you? But just so we know, all your money is all my money too. No, I get that. Okay. Yes, it is. But we have to, we have, we bought all the equipment that we need. So there's no equipment expenses right now.

We need to spend some money so that we can deduct that from our income so we don't pay taxes. I understand. You've already told me that. Let's take it on the road. Argue and with you to argue. Yes, I mean, I'm in. Look at Nashville. We could do like some downtown Broadway.

Oh, New York. She likes Cowboys. Let's do New York. She likes Cowboys. Okay. So anyway, you know, we maybe. I think she's up for all that. If we get, you know, three or four eligible people.

will do a dial-a-date thing where you ask them questions that, of course, I will write. And just like we did, if anybody wants to hear an example of that, I think, was it episode 100? We did the dial-a-hade with your mom, Tacey.

My mother, yes. I still can't believe she didn't want to date me. That was just disturbing. Well, that's right. You were one of them, aren't you? That was before you got started. Well, Magic Mike was a little more her style. Yeah, but what they won.

I like losing. You know, I wrote all these questions for it was like what kind of trim does your uh does your uh trailer have and stuff like that you know and and um my my favorite movie is black guys dressed up you remember that was one of her things that she thought that was what men in black was called you don't know my mother have you ever met her she's just a i have met her okay yeah so that's a true story we were at the baseball diamond and tacy and i are there watching our kid play and the other kid was off you know talking about unicorns with some

some kid that he had met at the thing and uh and all of a sudden joanne just just out of nowhere says i'm going to go see that movie black guys dressed up and i had to think for a minute i'm like do you mean men in black and she's like yeah yeah yeah yeah that's it so anyway so that was one of the questions my favorite movie was black guys dressed up uh what if if our romance was a movie well Would it be called? And do you remember what your answer was, Dr. Scott? Apocalypse now. That's pretty good.

Aw. So, anyway, so we would do things like that. And then you would get to pick, and then you'd get whatever the price was now. And then a moderately priced hotel with us. Would be fun. That would be a really romantic thing. Not in the same way. With Dr. Stephen Tacey.

What Big Joe's prize was, I think. they won $2 off any jello item at Piccadilly Cafeteria their big prize. All right. Okay, nope. So if you're interested, email me, or the best thing,

I'll tell you what, let me give you a better way. It's easier to remember. Go to our website at dr.steve.com. Click contact and ignore all the warnings and then send me an email with your sort of, just you've got to pitch yourself because we're going to respond to the people

based on the pitch that you give. And pick. And Chanda's going to look at your Instagram and all that stuff and we'll pick three. If we get three people, then we'll do a game. If we just get one really good one, well, hell, then just go have fun. I mean, we need pictures, too, though.

Yeah, of course. Oh, yes. Okay. Yeah, none of those. Our income statements. Filter, you know, highly filtered Instagram pictures. Shoe size. Like, who's that person on 90-day,

finance taste that she used all those filters and when the guy showed up from Tunisia. Oh, I can't remember her name. He was a little bit surprised, but anyway, go easy on the filters. I mean, be real because we want this to be a real thing. And we want

somebody that we like so we can hang out because we like Chandan. If she ends up hooking up with somebody we can't stand, we're never going to see her again. Yeah, it'll be over. Yeah. All right. So let's, you do cosmetic stuff

let's talk a little bit about anti-aging and things like that what's big on the scene these days well Botox is always big it will forever more be big but there's there's three different brands

they basically all do the same things we carry them all so what would somebody what would a guy most of our listeners are dudes that we have a you know a substantial fraction or women but why would a guy want botulinum toxin by the way the most toxic substance known to man microgram per microgram i love the fact that we've taken the most toxic substance known to man

microgram per microgram and we figured out a way we could jab it into people's faces to get rid of their wrinkles but anyway why would a dude want that to go on a date with me oh okay fair enough because you don't want some wrinkly old old codger Well, they can be older, but not wrinkly. Yep. Got it. Got it. But we do. We treat a lot of men. Rinkly man-ass. That's awful, right? Oh, that would be bad.

I remember Samantha on Sex in the City where she was boning this older guy and she really liked him. And then she saw his wrinkly manass when he was walking off to go to the bathroom. Totally turned off. I remember that. But anyway, okay. We have a lot of dudes, though, that do Botox. and it's just to look more youthful or fresh, I guess. It's not so tired.

That's Sharpay-ish. It worked for me. You did me? And I've only had it done once. It lasts for about four months. Is that while you're looking so youth? No, it's worn off now. Thank you.

But it's really interesting how it works. So it binds to actively contracting muscle and basically paralyzes it for up to four months, which, you know, botulinum toxin causes botulism. If you happen to get a big load of it because you've got some canned goods that have gone bad, what it does is it gets into all the muscles of your system and paralyzes those. And unfortunately, one of the groups of muscles is your diaphragm and the muscles around your rib cage, and it causes you to stop breathing. So botulism is a bad disease.

But the fact that we've harnessed this, this top. oxen to just do the muscles that we want is pretty incredible. It really is. Now, there have been some cases of botulism in people who have gotten injections, but to my knowledge, never at cosmetic doses. It's always been at the really high doses that they use for people with neck spasm, which is called torticolis. You want to talk about, that's in your Baileywick, Dr. Scott,

you want to talk about tortacolus for a second? Well, that's the only thing I was going to say. The only time I ever see it used is, certainly not cosmetically, but if somebody's got a dystonia, which is a weird neck spasm, or it's also called torticolous, the muscles are spasming so hard they'll actually pull the head down onto the chest wall. Right. And it's, and one of the things they can do is actually do Botox in the neck,

and that's a really dangerous thing to do. Yeah. Well, now, please forgive me. Let me finish. It's dangerous, but under the right hands, skill hands, it can do wonderful. But carries increased wrist. I don't think the word dangerous characterizes it, right? But they use larger, and the other times they'll use it sometimes if people have a paralysis,

if they're in wheelchairs and they have a spasms or migraines or migraines and stuff like that. But they use a much higher dose. To my knowledge, and I may be wrong, but the 100% or close to that of cases of botulism that have come from injections of botulinum toxin have come from those where they're injecting into larger muscles and much, much higher doses. And it's a slightly different formula, I think, too, because ours is cosmetic.

You can order either. Potency's a little different. I'm guessing. Yeah, I always wondered what the difference between the cosmetic and the therapeutic really were. That'd be something for you to look up, Scott. See if there's any actual substantive difference between botulinum toxin for cosmesis.

or botchal anum toxin for therapeutics. Well, he's looking that up. Can I ask a question? Of course. Okay, so Bot Botox, does it freeze or does it relax? What is it exactly that it does? Excellent question. It doesn't spasm it.

So go ahead, Chanda. It prevents or paralyzes the muscle. So it can't contract. So it can't move. So therefore, you do, sometimes. get a relaxation of that muscle just because it's holding up your eyebrow or

you know, whatever or eyelid if you don't do it right. Correct. Exactly. So sometimes you do get that laxity so it looks like it's relaxed but it's actually just not working. Right. It won't contract anymore. Have you ever done Botox for on somebody's

face that's had a pretty bad Bell's palsy? Actually, that's really I'm glad you asked. Give yourself a bill. I actually have and I told them like, hey, we're going to try this. We're going to do a little bit more asymmetrical injection just to see what kind of results we'll get. So they're familiar or aware that we could or could not correct the asymmetry, but the ones that I've done turned out really well. So you gave it to the contracting side, right, the contralateral side to the interesting.

the non-respected yeah okay big words you do it to the side that droops or that's the non-drooping side to make it almost droop kind of thank you so it's not a stone okay yeah so it almost looks like it's drooping a little bit too okay so yeah so physically chanda's voice changed balances in my little bit my hell she was looking to me sorry chander chander go ahead where do you stick it where do you like to no i was finished but it's i enjoy the challenges of cosmetic medicine like that yeah because you can really change someone's life. You can be creative. And their attitude, their confidence level

just with a little Botox. Yeah. Now, you had a machine in there that I, and we've alluded to it on the show, but I can't do this procedure. I am forbidden from doing this procedure

by my own choice because if I did this procedure I would end up in court multiple, multiple times with people saying that I abused them. And I found out about this procedure because you did it on Tacey. Yep. And that was the

vaginal rejuvenation. And I only laughed because it's just so absurd. Thought of me, a dude, an old dude going in to do this on somebody. So talk a little bit about what it is and then we'll get to why

it is that it would be idiotic for me to do this if I I valued my medical license going on. Well, it is vaginal rejuvenation, but the machine that we have is, it works with radio frequency waves rather than like the CO2 lasers. So, yeah, radio. Yeah, yeah, yeah. No, I'm just, you know, I think. Okay.

But it's pretty phenomenal. The Resilious XM, everybody. I got the radio and the radio waves. I'm just thinking of opium. But the results that we've had. to me coming out of these people's vaginas, go ahead. They would love it. Go ahead.

But we've had really good results for the treatment of incontinence, mainly. So instead of having surgery, this could obviate that. You know, if someone has a problem and they recognize it early enough, you can treat that before it gets so far gone. So what's the process of doing this? The actual process takes about 20 minutes. Okay. It's a wand. A lot.

It looks much like a tampon. A magic wand? It is a magic wand. Okay. I have a different term for it that rhymes with schmildo, but. Steve, can we get some music, appropriate music, why? Yeah, okay, yeah, no, I got it. Thank you, Scott.

I'm so ready for it. Magic wand. Oh, shit, you forgot. No, I did not. My finger right here, you asshole. Go ahead. The magic wand gets... And what do you do with the magic wand?

It's inserted. Well, you do first before you inserted. Oh. Well, we warm that ultrasound gel. I'm going to turn off his fucking mic. He's ruining this. I'm just kidding, Scott. Go ahead.

Never change, God, never change. We insert the magic wand for about 10 minutes on the inside of the vaginal wall, so you actually have to work that wand. That's why Dr. Steve's not able to do this. You got to go in, and then you've got to. going to come out. And then back in and then back out. A little bit around a little bit.

Do you go around the outside too? Yes. So after you finish the 10 minutes on the inside, you actually use that same one on the outside. I mean, seriously, can you imagine if I did this that I would do one and that woman would be, if she didn't just jump up during the procedure when it was over, she would go, oh my God, that creepy old man just abused me because how would they know up front, even if you told them this is the procedure? that that's the procedure. I can't believe.

I mean, the thing is it really works, but you have got to approach this really carefully how you explain it to somebody before you do it, or they're going to really think that, you know, you're some creepy person doing something to somebody. A lot of patient education. Yeah. Prior to.

Because it isn't awkward. I mean, no female likes to go to the gynecologist. Right. So there they are. Don't say no, but you're right. the vast vast vast majority don't mine is hot i love it there you see okay so there's one in this room yeah that means 33 percent of all women really do you like to go well that's true up the statistics statistically so um so the other side of it is we're getting

ready to do extra corporeal shockwave therapy for erectile dysfunction that's one you know you probably shouldn't be doing either. Exactly. Although some dudes would love it, we're going to obviate the, you know, the need for any problems there as well. So I'll be doing those and you do the vaginas, I'll do it. And I know that sounds gender specific and, you know, it's not 2021, but honestly, you know, I don't know any other way to do it. It's a very intimate procedure, really. And I wouldn't feel comfortable doing erectile dysfunction.

treatment on men all day long. Yeah, because you've got to, you know, you got to grease it up and then you got to, you know. Numb it up. And then up one side and down the other and back and forth. And you've got it in your hand, you know, so anyway, it's just, yeah. It's an interesting business that we're in. Mm-hmm. Yeah.

Count me out on the treatment of a rectile dysfunction. Fair enough. You just want the benefits of it. Correct. There you go. So, and yeah, if, don't forget about that, guys, all your parts need to be working. And if they aren't, I guess, Dr. Steve could fix it. There you go.

You come to see me? Okay, fair enough. If you need a little help, come see me first, then we'll get you hooked up. All right. I don't know what I'm saying. You get 15% off with the code Dr. Steve. Okay. She just got you for that.

She just committed it. Sure. Well, I mean, she's the boss. Like, she takes the money. All right, you guys ready to take some medical questions? You got anything else to tell us about? That was fascinating, I think. Yeah.

No, I mean, I could talk all day long about cosmetic medicine, but we can take questions. Okay, yeah. Well, if anybody has any questions about cosmetic medicine, I'll store them up, and then we'll have Chand to come back. Sounds great. How about that? Okay, sounds good.

First thing. Number one thing. Don't take advice from some asshole on the radio. Hey, and fairly I am behind all my questions. quota of questions and everything, but what is the best care for somebody who's having problems with equilibrium, especially from your inner ear? Is there anything that can be done about that? Thank you. Bye, Tacey. Bye.

That's Stacey Deloge, everybody. Yeah. So do you guys know the Epley maneuver? Have you ever heard of it? So the Epley maneuver is for people that have vertigo, which is what I'm, if he's talking about inner ear disequilibrium, vertigo caused by position. So when they change the position of their head, they get the room starts spinning.

And what this has caused is a problem in your inner ear. There's these things called semicircular canals that are in there that sense position and acceleration. And they are the things that when you spin on a bar stool and then stop that you feel dizzy. And so when you spin on a bar stool, the fluid in these semicircular canals will start spinning in the opposite direction, okay? Or, well, yeah, actually they'll start, they will lag behind and then start spinning in the same direction as you when you're spinning. Okay, and then when you stop, the fluid will continue to spin for a while.

And there's sensors in there that sense that spinning, and it'll feel like you're still spinning to those sensors, and so then you feel dizzy. and that's caused by the semicircular canals and the inner ear. Well, every once in a while you'll get a sludge in your middle ear and that will, and the sludge are in the form of crystals and they'll push on those sensors and the sensors will then fire making you think that you're spinning when you're not. So they have, and the sludge can move around, hence the term benign because it's not caused by a tumor, positional vertigo.

So it only happens in certain positions when those crystals start to move. So, Steve, I've heard of people being prescribed like Valium or Xanax. Yes, thank you. So explain that. Give yourself a bill. So for whatever reason, Valium is one of the best anti-vertego medications that we have. There are other medications that are so-called anticholinergic medications. Those are medications that cause rapid heart rate and dry mouth, but they also decrease vertigo, and one of those is mechlazine.

And that will help to treat vertigo as well. But if everything else fails, we'll use diazepam, which is valium, and it's very effective. Whereas the other, you know, benzodiazepine-like tranquilizers don't seem to be as good. So it's just valium. It's just valium is the biggie. So, but one of the things that you could do is, If you knew where those crystals sort of resided, there's some movements you could do to move them out of the way so that that won't happen. And that's called the Epley maneuver.

And there was this guy, John Epley, he designed a series of movements that dislodged the crystals from the semicircular canals. And they bring the crystals back to where they belong. And that treats the symptoms of the vertigo. So here's how you do it. Are there some risks? it's pretty safe to do this when you do it properly. If you can't move your neck safely, then you can't do the Epley maneuver safely,

but otherwise people are in pretty good shape on that. So there are some videos online. It's E-P-L-E-Y, but here's how you do it. You sit on a bed, and you turn your head 45 degrees to the right, and you lie back, keeping your head turned. And your shoulders are on one pillow. Your head should be reclined, and then you wait 30 seconds.

Now you turn your head 90 degrees to the left without raising it, and you're looking 45 degrees to the left, right? And then you wait another 30 seconds. You turn your head and your body another 90 degrees to the left onto the bed and wait 30 seconds and then sit up on the left side. Okay? That's if the problem is in your right ear, and if it's on your left here, you do the opposite. Now, I know nobody that's listening to this will remember that.

All you have to remember is, hey, there's a, I've treatment for this, I've got to go on YouTube. YouTube, yeah. Okay, so yes. And if you, and if you do have that, if the problem is, are the crystals and you break those things loose, it's nice to have some help with you when you do that, because you can vomit, and it can, if people do that and they move those crystals, it can, it can induce a pretty severe.

Vertigo can, if it's, if it's treating. Can cause vomicking. Vomik, I don't vomit talking over myself when I did that, that head moving my head. Hey it around. Of course. And there are a few other things if it's not crystals. Yes, of course. So this is not something, this is, you know, if you're home and you have positional

vertigo and you've suffered with it and you've had that diagnosis, you could do this at home and help yourself. If you have vertigo that comes on suddenly that won't go away, you need to seek medical treatment. Okay. This isn't something to dick around with. But you could do that up to three times a day if you have a diagnosis. benign positional vertigo okay all right i received uh my mother recently passed away i was in the room when it happened i'm sorry hospital she'd had a a brain hemorrhage after uh surgery to

repair and aneurism and they removed the ventilators and said that you know this was the end but they gave her um morphine and some other stuff and i said what's the morphine for because If there's nobody home, what's the point? And the nurse just said it said that she doesn't feel any pain, which confused me because they told me that there's, you know, she's gone anyway. Yeah. But maybe she wasn't. I don't understand.

But I know that you're a hospice doctor and maybe you could shed some light on the procedure for taking someone off the ventilator, administering drugs and stuff. Yeah, sure. So, and I'm sorry about your mom. It's no one that's a natural part of life doesn't make it any easier to deal with, does it? So when, and I talked to him after this, and he said that they told him that she was brain dead, but she breathed for an hour after him. So if she was breathing, she was not brain dead.

So either he misheard or they misspoke. But if someone is brain dead, that means that their brain is no longer functioning. They meet the criteria for being dead. And we don't give them anything when we take them off the ventilator because they are, in fact, deceased. You say, well, how could somebody be deceased and still on the ventilator? Well, because back in the day, we used to define death by cessation of breathing. You know, 4,000 years ago, if somebody stopped breathing, they were dead. And that's how we defined it.

They stopped breathing. Then we develop ventilators. So if you stop breathing, you don't necessarily die. and we can keep you alive for some time with a mechanical ventilator with a tube down your throat and it gives pressure and releases pressure and all that stuff. Then we defined it as cessation of the heart beating, but then we developed this protocol called Advanced Cardiac Life Support,

which in many cases either we can shock people's hearts started back up or we can use drugs and electricity or we can use a pacemaker, all kinds of things. things. So we really can't define death as cessation of, of heartbeat anymore. So then, now our definition is cessation of brain function. But how do you determine that? Well, you lose some basic reflexes. Like if I can take a, if your eyes are open, I can take a cue tip and rub it on your cornea and you don't blink, that's loss of a very basic reflex. If you don't gag, if you don't have any, you know, there's a bunch of other reflexes that you lose when you die.

And then if there's no brain activity. And so what we have to do is we have to determine that there's no brain stem function. And we do that by doing a thing called an apnea test. And this doesn't apply to his case. We'll get back to his case. But we're just talking about brain death at this point. The apnea test is a test where you take someone off the ventilator after ventilating, you know, getting their oxygen way, way, way up. You take them off for 10 minutes and they don't breathe for 10 minutes, but nothing happens to them because we oxygenated them to such an extent that they don't have to breathe to continue to pump oxygen around.

Their heart's still beating. They're just not breathing. If there's no meaningful respiration during those 10 minutes in the absence, of drugs that can cause that like anesthetics or if the person is hypothermic or you know you just pulled them out of a freezing lake you wouldn't want to do this test

so all of those things all those variables being taken out of the mix then you watch them for 10 minutes if there's no meaningful respiration and certain parameters on their blood gas change a certain amount it doesn't matter what it was for this discussion

then you can declare a positive apnea test Then you have to do another test to show that it's permanent. And one of those tests could be repeating the apnea test in 24 hours or doing an EEG, you know, a brainwave test where you get a flat line. Or you can do a nuclear brain flow study, which is what most people do now, to look for blood flow to the brain. If there's no blood flow to the brain, that person is passed away. But their heart can still be beating and they can still get oxygen from the outside to the inside as long as we're ventilating. But when we take them off, the ventilator, they won't breathe because there's no function left.

They have actually passed away. Now, in this case, this is a person who had an irreversible, massive injury to their brain that they were never going to recover from. And so the family chose to withdraw treatment. We don't withdraw care. We withdraw treatment. And so they withdrew treatment. and then they transitioned her to comfort-focused care. And one of the things that they gave her was morphine.

But they told him they were doing it for pain, but from what I hear, there wasn't any indication she was in pain. We don't just give drugs for no reason. What they gave it to her for was for tachypnea. And tachypnea is when people breathe fast, and they can be shallow as well. But when you take them off the ventilator, if they're not transferring enough oxygen,

they'll breathe really fast. And it's really, it's distressing for the family to watch more, and it is for the patient. So what we'll tell people is this bothers us, but it's not bothering the patient. The patient's not experiencing this, but we are. And so we've got to be aware of that. So we should always counsel folks.

This is the changes in breathing that we're going to see as people pass through these different stages before they actually, you know, finally leave. this world but anyway so that's what that was for and it just sounds and at the time i don't i wasn't there so whether they told them that or they were just so freaked out which is often the case that they couldn't really register what was being told to them there's no way that we'll ever know so unless somebody recorded the conversation and all that noise over there is is ralphi under the table i'm just waiting for him to start unplugging things we had a cat in here too a couple

minutes ago. Oh, she was here, too? Mm-hmm. Yeah, good. I like that kitty cat. All right. Hey, Dr. Steve. I was wondering about the COVID-19 vaccinations. Okay.

When people are fully vaccinated and they're the 95% month after or whatever their last shot, yeah. Even though you don't get sick, can you still get the effects that other people have like the lung problems, the blood clots, COVID brain, stuff like that. Oh, I see what he's asking. So what he's saying is if you get the vaccine and you generate this, you're simulating an infection, could you from the vaccine get all those bad effects that people sometimes get from COVID-19?

Now, the vast majority of people who recover from COVID-19 or who have had asymptomatic cases don't get those things. It's for the most part, not all, but for the most part, and it's the vast majority are people who got really, really sick with this. And most of those adverse effects seem to come from the inflammatory response of the body rather than from the virus itself. And you wonder, well, how come some people are asymptomatic and other people just die from this? And it's just the natural variation in humans that really is built into our species that prevents one virus from just coming through. and just wiping us all out in one fell swoop. And, you know, everybody's got a different immune system.

What may make me extremely susceptible to COVID may prevent me from dying from, say, malaria or something like that down the road. So, you know, there's always tradeoffs with these things. Some of the people that are completely immune to this may have problems with other viruses. So, but anyway, but that, yeah, we're not seeing any of that with the vaccine at this point. Excellent question. Hey, oh, Steve. Yeah. Don't worry about who this is.

Okay. Have you heard about these anal swabs? I don't know about you. That sounds kind of fun for COVID, allegedly. Yeah, the COVID anal swabs. So that, the reason you can detect COVID in the anus or in the rectum is because when you have an infection, you swallow these. viral particles and the RNA remains intact to enough that they can detect it in the stool or in the, you know, by doing an anal.

So that's real? Yep. Wow. And, I mean, it's one way to do it. But, you know, it's also when they put the probe and the tracking devices in there at the same time. So seriously, though, why would you, why would you do that when you could do it different ways?

I don't know why you would do. Don't ask me why questions. I'm just telling you. that you could do that. And there is such a thing. And I've been reading that... They have an aversion to somebody swabbing her nose. Please stick that up my ass.

Right, that's a good one, Scott. Is it the same swab? I used to do that when we had glass thermometers in a thing. And then, you know, I'd put it in the person's mouth and take it out and go, oh, that was the rectal thermometer, you know. Oh, hilarious. All right. But yeah, that's the thing.

You could do that. You can detect it in the stool. All right. Whatever. Got another question for you. COVID related. What's the chances on this COVID-19 morphine as it gets into all the different people's bodies

and interacts with your DNA in your system? And I'm assuming that you're going to be breathing it back out. Yeah. If you breathe in, breathe out. Is there any chance? of it morphing or keep changing and evolving? Well, yeah, Stacey, have you not heard of the U.K. variant or the Brazil variant or the South African variant?

Yes, that's how that happens, is these things. It first mutated so that it could jump from an animal host to a human host, and probably from bat to what is that cat thing called, a kestrel or something like that in China, and then it went from there to us. I can't remember the name of it. It's sort of a cat-like animal. I was singing Wombat No, it's not Wombat

Honey Badger Yeah, because the Honey Badger doesn't take no shit No, that's right, they don't If you've not seen that video If you don't know what we're talking about You have to watch it Let me Best video ever

It really is What's it called? Honey Badger don't care Honey Badger don't something Let me see Crazy nastiness of the Honey Badger Is that it? Let's see, I'm sure that's personal

This is the Honey Badger Badger. Watch it run in slow motion. It's pretty badass. Look, it runs all over the place. Whoa, watch out, says that bird. Ew, it's got a snake. Oh, it's chasing a jackal.

Okay, so you just got to watch. It's one of the greatest YouTube videos of all the time. 96 million views, by the way. Like seven from me. I'll have to give Randall. You've got to give Randall some applause on that one. James. But anyway, so,

It had to mutate, and it did that because of natural selection. It gets in, and there's a variant that was able to attach to this animal, and then the animal came in contact with humans, and we shared ACE2 receptor proteins, and then that particular variant was able to jump to us. So these viruses are constantly mutating. Most of the mutations don't lead anywhere. You know, those viruses will die up, but the successful ones,

the successful ones will live on. to reproduce in a different host. And if they're really successful and very transmissible, then you get a global pandemic. So, yeah, this thing is always constantly mutating, but we only see the mutations that give it some advantage. You know, either, and most of the advantage to a virus is that I can jump from host to host easier and reproduce more,

which is why, by the way, we need to kill all these damn viruses, starting with the coronaviruses, they need to all be eradicated because they just, this is to no end. There's no benefit to it. There's no purpose to it. They just reproduce for no reason. I mean, humans reproduce for no reason either, but at least we can regard, we are the universe regarding itself.

Viruses don't serve that purpose, you know? So at least there's something, there's some purpose there for us. They're kind of like mosquitoes. Yeah. They're kind of like mosquitoes. Yeah, now, bats eat mosquitoes, so I wouldn't want to kill all the bat food. Because they do good stuff, too, right? Yeah, bats can eat other things, too, though.

Yeah, I guess. They wouldn't starve. Would they not? I don't know. No, they can eat other bugs. They like nuts, I think. Yeah, mosquitoes got to go. Mosquito's got to go.

RNA viruses of all sorts, influenza, Ebola, coronaviruses. They all suck, and they can kiss my ass. so they need to go. Now, I've been had a lot of people talking, oh, it's, you know, we're not even testing for influenza. That's why there's no influenza cases. That's not true. Every single person that comes into our hospital, and we're not the only one that's doing this, gets this four-tiered or four-armed tests. They get influenza A, influenza B, COVID-19, and respiratory sensational virus. And so we know how many, Influenzas there are. And we, that's the kid's school calling. Oh, good. We still have not seen any influenza this year. The infectious disease guy that I know who sees everything, he's seen two cases this year.

Wow. Yeah, the numbers are staggering and low. Yeah. Well, the... Just goes to show you. The R-sub-zero or R-not of influenza is about half of that of COVID-19. So if we're having some success mediating this, this illness or mitigating this virus with social distancing and masking while we're doing

even more so it's amplified for influenza right we're just not seeing it which is pretty damn cool which tells me we can probably defeat influenza yeah that's fine with me if we hit it first if we all just pull together and do what we need to do well kumbaya to you too my friend Yeah, that's right. All we are saying. Give your mask a chance. Yeah, I don't want to live my life in masks, though, when there's no. There's some benefits.

You go outside, it's cold outside? A scarf. Get your mask on? Oh, man, it's great. The infectious disease guy said he's, that I talked to, said he's never going back to the way that he used to do things, though. You know, that's never going to change now after this because it's been so successful. Yeah. So is he going to do that in real life, too?

Well, I doubt it. I think he means at work. So it's been so successful in the hospital, particularly, to prevent transmission. And you know what's funny is because of the lack of personal protective equipment early on, we just got rid of the whole idea of putting this stuff on for people that have MRSA, meomethylin-resistant Staphorius, or vancomycin-resistant enteroccus, because we used to have to suit up for them, but we would just put on the blue skirt, the blue dress.

I'll go into these places. I got the right kind of person, got a good sense of humor, you know. Well, never mind, it won't be that funny if I tell it now. But I have a standard joke that I tell when I'm putting my blue dress on. It has to do with devil in a blue dress. But anyway, it's really stupid, but I get a big he-ha-a to some of these, you know, country folk. But when, but we could cast that aside and just did universal precautions, meaning we did the same thing for everybody, hand wash in, hand wash out, and wearing your mask. And so we don't do anything special for those things.

We do special things for infectious viral, you know, respiratory things. And that's been wildly successful. So I don't see us going back To doing it the old way anymore So some places should still require masks Like Walmart and the big department store You mean going forward forever, you mean? Well, for a couple years, I think

If you walk into Walmart You know, there's so many people How are we going to go to like a Musugah concert? That's what I want to know Well, outdoors should be none I hate masks though I mean I wear mine but I hate it I mean you should be punished for going some places anyway

Yeah, that's true Diane. But, you know, outdoors isn't all that it's cut out to be because during the pandemic of 1918, Philadelphia decided they were going to have a war bonds parade to generate funds for war bonds. And that was a huge super spreader event, and it was all outdoors. So it's close proximity to people. And when you're in a mosh pit at a Meshugger concert, or, you're, Even if you're not, you're just crammed in there because everybody wants to get as close to the stage as you can.

And, you know, I don't know when we're going to be able to do that without worrying about it. Well, that's true. That's true. I mean, even now, my son and I were at a, like, a little bakery. And the people behind him were close. And he looked at them like they were committing a crime. So I think it's kind of in our mindset now to keep distance. Isn't it funny that, like, if you watch a movie? He was like, can you believe they're so close to me?

If you watch a movie now where people are all hugging and you're like, what are they doing? Yeah, I think that's a room crowded. All the time, I think that. So I think we have changed in that respect. So we're more conscious of it. Yeah, now it's very strange. You walk into a Walmart or something and someone that doesn't have a mask on because they're obviously. Who knows what?

They're on a certain mindset, right? But it's kind of weird. Now you look at them and it's like, what the hell's wrong with them? Yeah. Right. Yeah, what's wrong with them? And here we are wearing, you know, personal protection. of equipment into Walmart, but they're the weird ones.

It's been strange, very strange. It is strange. I hear that, I believe it was Sweden, and if any of our Swedish listeners want to pipe in on this, that their culture is sort of based on social distancing anyway. They don't like being around each other, and so they stay away from each other. And in the beginning, you know, it was looking like Sweden was going to do amazingly well. Now, their per capita, you know, their deaths per capita about where everybody else's is, you know, just all kind of bunched up.

But, and if you want to check out those numbers, you can graph it for yourself at COVID.stoutlabs.com. I'll put it on the podcast thing if I remember. And if not, you can email me if you can't figure it out. But, you know, that was sort of their natural thing. And I wonder if we're going to get that way. I'm not shaking people's hands anymore. Right.

Now, somebody who shoves one in my hand. Now, right now, I can go, coronavirus but you know two years from now if somebody shoves their hand out then I guess I'll just have to and I'll just wash my hands afterward but um you know I that's the big thing there's nothing wrong with the hands shake it's just not washing your hands before you stick your stupid fingers in your mouth and stuff well we were out to eat last night and I met a new person and this lady oh did you well it was a lady oh yeah yeah I mean she was a nice lady but la la nice lady then He's like, hi, I'm Michelle, and sticks her hand out, and I'm like, is it rude to shake her hand?

Or is it rude to not shake her hand? So it's kind of an awkward. Just slap it out of the way. It's like, what the fuck? Draw first. Hey, draw first. Give him a fist button. I do that.

I've done that. I've just, I've held out my fist and people take their hand and just curl it into a fist and bump it. That's worked. But I don't want to be rude. Why do we even have to touch each other? Because human touch is important. It's not. It is.

It is. It is. It is. It is. It's not when you meet people. It's not important in that context. I agree human touch is very important, particularly in a therapeutic environment. If you, patients who just had a hand placed on their shoulder, nothing else felt better when it came out of the doctor than if they never touched them at all.

So that I get. But the reason we shake hands is because the Greeks started this shit to show it was a true. tradition to show that you didn't have a weapon in your hand. Because back then, I guess it was pretty damn treacherous. And so there's no need for that anymore. We don't have to touch each other. I'll touch my family and my close friends, but I don't have to touch some stranger on the street

just because I've met them for the first time, in my opinion. Old habits sometimes die hard, though. And then you realize what you've done, and you're like, damn it, that was stupid. But then the bow doesn't seem to be totally protected because Asian countries have had, you know, that don't shake hands traditionally have had coronavirus just like we have, too. So it's not just that.

But really, in the end, if we go back to the handshake, if we just learn that when we shake somebody's hand or touch anything and that we wash our stupid hands before we eat or touch our faces, we just teach people don't touch your face and put your finger in your mouth. My boss still, every single time I meet with her, sticks her pinky in her mouth constantly, just constantly, it's always in there. Gross. It's gross.

It was gross before, and when you got big long fingernails, it's kind of gross. But just the fact that she does that in a global pandemic. And when this thing first started, I would reach over and take her hand and take it out of her mouth and put it on the table, but then now I'm touching her. And, you know, but I finally just gave up on it. You know, she gets it, she gets it, you know. But anyway, I just. I think that this has decreased the epidemic of fingernail biting in most people.

And, you know, if we do nothing else, just teach people, don't touch your face, put your fingers in your mouth or your eyes or your nose unless you just washed your hands or sterilized them. And then if you're going to shake hands that you do that, then I think that, then we will have learned something that we can take down. If we make that part of our culture, we will prevent a lot of diseases. because the most dangerous thing in the hospital is the hands, the unclean hands of health care personnel. Absolutely number one dangerous thing in the hospital.

All right. You guys got anything else? Scott, it seemed like you had something else, no? No. No. All right. Chanda, do you got anything? No.

Okay. Well, we can't. Thanks always go to Dr. Scott. It's a pretty good fella. We're going to be playing music later, and it sucks just as bad now as it did five years ago when we started, but it's still fun. We can't forget, and Tacey and Chanda, thanks for being here. Do you have fun your first time?

It was fabulous. You all came out of my fabulous. It's a strong word. Yeah, maybe it's this wine. It was the wine. It's the wine. Lady Diagnosis, you drinking, too? You know I am.

Okay, very good. All right, it's not expensive bottle of wine, though, So we can't expect it. So there's no show. That's right. No quid pro quo. We can't forget, Rob Sprantz, Bob Kelly, Greg Hughes, Anthony Coomia, Jim Norton, she who owns pigs and snakes, Travis Teft, that ghoul girl, Louis Johnson, Paul O'Charsky, Chowdy, 1008, Eric Nagel, Roland Campo, sister of Chris, Sam Roberts, Pat Duffy, she who does not have a Ph.D., Dennis Falcone, Matt Kleinshmidt, Dale Dynschmidt, 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 p.m. Eastern, Sunday at 6 p.m. Eastern, on demand, and other times at Jim McClure's pleasure. Many thanks to our listeners. His voice mail and topic ideas make this job very easy. Go to our website at Dr. Steve.com for schedules and podcasts and other crap. Until next time, check your stupid nuts for lumps, quit smoking, get off your asses and get some exercise. We'll see you in one week for the next edition of Weird Medicine.

Goodbye. You can say goodbye. Well, science. Have a good. You know, I'm going to be able to be.