Weird Medicine: The Podcast - 459 - She Remembers

Episode Date: June 20, 2021

Dr Steve is joined by Ricky B from The Arcadia Project and his wife Vicky to answer questions about dementia, erectile dysfunction, doctor math and more, before singing their single "She Remembers" live in studio. 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.doctorsteve.com (The inexpensive ROBOT guitar and bass tuner!) simplyherbals.net (for all your StressLess and FatigueReprieve needs!) BACKPAIN.DOCTORSTEVE.COM – (Back Pain? Check it out! Talk to your provider about it!) Cameo.com/weirdmedicine (Book your old pal right now while he’s still cheap!) WOULD YOU BE INTERESTED IN AN AD-FREE VERSION OF THIS SHOW? WE ARE CONSIDERING AN AD-FREE PATREON VERSION OF WEIRD MEDICINE. CLICK CONTACT AT DOCTORSTEVE.COM AND LET US KNOW WHAT YOU THINK. Learn more about your ad choices. Visit podcastchoices.com/adchoices

What do you call a pig who tells jokes? A stick in the mud. If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM 103, and made popular by two really comedy shows, Opie and Anthony and Ron and Fez, you would have thought that this guy was a bit of, you know, a clown. Your show was better when he had me.

Medical questions. Hey! I've got diphtheria crushing my esophagus. I've got Subola vibes dripping from my nose. I've got the leprosy of the heartbell

exacerbating my incredible woes. I want to take my brain out and blast with the wave an ultrasonic ecographic and a pulsating shave. I want a magic mill all my ailments

the health equivalent to 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 to It's a requiem of 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. And this is a show for people who would 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 347-766-4-3-23. That's 347 Poohead. Follow us on Twitter at Weird Medicine and at D.R. Scott W.M.

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Dottersteve.com. That's backpane. dot, Dr.steve.com. And now let's welcome our guests. We have Ricky B. Who is a musician, who I've actually followed locally for many years. And I took lessons from his

erstwhile partner, bass partner. I took bass lessons from him. You did. And we have his lady, who his name is Vicky. I said, what name do you want to go by in the radio? She said, Oh, you could just call me Vicki Licious. It's like, okay, fair enough.

That's some radio name you got there. That's what everybody calls me. Do they really? Yeah. Except me. I know. Oh, well, okay, then you get one of these, my friend. Oh, whoops, wrong one.

If you want to get anywhere with her, you better call her Vicki Licious. Oh, I have a little. At least make her feel that way. We won't go into that. All right. Good. Well, listen. So we're going to play a little music later. Rick had some medical questions. Vicky may have one or two. And then we've got a guy from, I believe, from Croatia sent me a bunch of stuff. And then we've got another guy that just sent me kind of but like an experiment. And I don't know if he's effing with me or not. I have not listened to these questions. So this may be a complete cluster. Is this the experiment? Yeah, that's the experiment.

He sent me eight questions, and I haven't listened to him. So he may be just setting me up. I mean, if he asked me the square root of pie, I can ask, you know, Echo. Echo, what's the square root of pie? The square root of pie is approximately 1.7725. Exactly right. Give yourself a bill. Thank you, Echo.

See, I just want to make sure that she knew. So we'll do that if we have time. But, yeah, so Rick, tell me about being a musician in the age of COVID. Fucking, I mean, it sucks, right? Well, absolutely. Nobody gets to go out to venues. It really sucks for the musicians, but also, you know, the fans, too. As far as I got to stay home and write some, but, you know,

now the venues are starting to open up but during COVID it really suck man people are going bonkers now and I don't blame them I mean we went a year in three months completely locked down in some places I was at a medical school graduation today and I got an award of course thank you very much I can give myself one of these give yourself a bill and And, oh, damn it. God damn it, stop that. I witnessed that. But they were all just thrilled that they could be in the same room together and not be wearing masks and stuff.

And it was like, ooh, this is really something. It's like three years ago, we would have thought it was a really crappy graduation ceremony. But in post-COVID, it was the most awesome. thing I've ever been to. It was at this woman's, or grandmother's farm, and it was just outside and they had food and, you know, we

had a buffet. How scary. And it was really just delightful to be amongst people again. Oh, I'm sure, I'm sure. I think being... Get closer to the back of it. Being homebound, I think that if you listen to lots of

local or famous artists, you'll hear them say, it provided them an opportunity to get closer with their family, closer with their feelings, closer with themselves, period, which allowed them to write, be more creative, take their time, not a deadline. Yeah, I understand that, but what I'm not looking forward to is, I wrote this during COVID man and then hearing about everybody's troubles during COVID, you know, okay, enough, move on, in my opinion. Right. So that part I'm not looking forward to. It's all the COVID-based films and stuff that are going to come out with everybody in lockdown. It's like, no, we're out of lockdown.

We're in the theater watching this. Show us, you know, superheroes or something, in my opinion. That's just me. You know, like doctors, like Dr. Steve. What about us? Medical social workers. We're heroes. Yeah.

Oh, where are we? We are. You know, I never kind of bought into that because we were just stuck. doing this you know and so I think a hero is someone that runs into the fire I tell my kids not being scared doesn't make you courageous it's being scared and doing it anyway that makes you courageous we didn't have a choice I mean it was just this is our job right so I'm not 100 you know I'd see and there were in one of the local hospitals they put heroes live here and they spell it H-E-R-O-S and I'm like oh boy that's way to beat the stereotype of being

an Appalachia and spelling something wrong on a big sign you put outside your hospital, but anyway. Well, at least it didn't say hoes live here. That's true. That's true. Anyway, so, but are you getting out and playing a little bit now, or getting ready to anyway? Well, I'm actually putting

some stuff together and getting I've been spending more time writing, and as you well know, I've been through some traumatic things. Yeah. Getting back to music has always been my saving grace, you know, outside of, you know, my wife being my strongest supporter. It always feels good to go out and do a few songs and get a crowd response to something you've created.

True musicians, I think, just have to do it. it's not a choice you know you have to do it it's you want to play I know a a mountain music player and she goes out and plays

she's not a huge fan of the mountain music so much but she says I get you know I'm in demand and they you know I get to play so she does it and you know it's like you

see I'm not a real musician all through COVID I didn't touch my my keyboards not one time I was so damn bummed about the whole thing but you and the other hand are a true musician your response to being hold up was to play more

you know I'm just a dilettante it was and and plus I got to I got to do some rearranging in my flower beds and stuff like that so you know but as far as music goes like I said it's just

it's always been an outlet Yeah. And I've always, I've always, I mean, for... And you sound like the guy that does those timeshare commercials. Have you heard him? Well, if you got stuck in a timeshare, we can help you. You kind of sound... I mean, people who aren't from around here, because this has heard all over the country, will love your voice. There's no question about that. Well, I'm just as countries could be. But you don't play country music. That's the interesting.

thing, although the song that we're playing now today could be seen as a country song. It certainly has all the elements of a country song. And I think in modern country could actually hit the charts, which is the other thing I wanted to talk to you about, is

this song you're going to sing, we'll have a lot of people listen to it. People are going to enjoy it, and I think a lot of people are going to wonder how in the hell do you break into this business? You know, I've had you on show i've had dave cecil on the show which for sort of coffee shop type singer-songwriter stuff

there's nobody better than he is and yet nobody's ever heard of the fucking guy you know i mean how do you make it in this business well i'm asking you hell you don't know well from what i understand it's perseverance yeah yeah it's a lot of luck though i've been told And knowing someone, knowing people. It's a lot of luck, though, too, isn't it? Just being heard by the right people. Well, yeah. And people that believe in what he's doing.

Yeah. People that believe in his talent. Yeah. Well, I believe in it. But what good has that done you? Yeah. You know, same thing with Dave Cecil. I was talking to him the other day.

I was trying to put him together with a woman that could sing duets with him, and it'll be beautiful. And he said, dude, you always have these great ideas. And I'm like, yeah, but nothing ever happens with it. It's just we throw all this shit against the wall, and literally none of it sticks. It's like we're throwing it against a Teflon wall. It's fun, though. Sure. When I was growing up learning to do music and stuff, it didn't seem like everybody was playing.

Yeah. With the access they have of YouTube and all the digital sites and everything, they don't have to pick up a needle, start to. the song over. They can just punch a button and start the, and some guy I'll teach them how to do it. Well, you are literally competing

against everyone in the world. Because everyone can make some sort of music these days with some of this electronic stuff particularly. Well, so, but when you get back to the basics of writing a song like when I do it, it's lyric

and a guitar. and how I know that it's a good song that it's catchy, my wife steals it and starts singing it. Yeah, yeah, okay. It does. And I mean, she'll go through the house singing something that I've played just like. That's got to be awesome. I've never had that experience.

Well, just like the ordinary love, it's stuck in your head. Yeah, there's a song that Rick and I have been recording, and I couldn't get that effing song out of my head. And at one point, I'm like, this sucks because I can't hear anything else in my head with that song. Now, that's a testament to what a great song it is. But, yeah, it's freaking irritating when you get something. Every once in a while, I have a speaker in my shower so I can listen to a podcast when I'm, you know, taking a shower because I must be constantly entertained. And when I turn it off, it goes, do, do, do, and it's the first three.

notes of the get smart theme. And then for the rest of the morning, I hear do do do do do do in my head all day long until no this ain't no ordinary love gets in my head. Right. So, but I've really enjoyed working with you and that's why I wanted to have you on the show. But anyway, let's talk about something that has something remotely to do with this show. You had a couple of medical questions. Yeah. And you had a friend that had a thing and another thing, another thing. So let's talk about those. Well, I had called my buddy.

I hadn't talked to him in a long time. He was a, I worked with him when he was a physical therapist. And I called him and actually was just going to get a reference from him for, you know, maybe in another case and found out that he had. had almost died and while he was in the hospital they found and he couldn't remember he couldn't tell me what it was that about killed him yeah but he he actually called me back and said oh me to tell you i have dementia which which floored me because he was brilliant and i admired this guy a lot he was great are they sure he had dementia or i mean was he in the ICU when he was in the hospital

Well, he said he almost died, but he didn't tell me what he didn't, he couldn't, he couldn't remember where he was. A lot of people that have been in the ICU can't remember. Yeah. And that has to do with some of the medications that they use. And, you know, there are people that get ICU psychosis. They're taken out of their normal environment and they're sick as hell and they get delirium. And that can mimic dementia. And it can persist for quite some time. And then those people kind of resolve. You know, the course of dementia is that if it's Alzheimer's, for example, it'll get worse slowly. You know, the first thing that they'll notice is they can't name things. Like they'll say, you say, what is this?

And they'll say, well, that's a wrist or no, that's a thing that tells time instead of calling it a wristwatch. Or if you hold up a pencil, they'll say that's a thing that you write with. That's kind of the first sign. I had a professor in medical school. had a IQ of like 220. I've told this story before, but you all haven't heard it. And he was one of the smartest, maybe, no, let me say, he was the smartest person I've ever met in my life. Very eccentric as all those folks with IQ of 220 are.

And when he started getting dementia, he would say that crazy stuff, like he couldn't say deck of cards. He would call it a concentric stack of thin laminates. now that that's a that's a person with dementia early dementia stage one dementia where they're having trouble naming things that has an IQ of 220 wow you know well see that was my question because he was going out they're not letting him drive talk more into the mic if you would they're not letting him drive but they're he's able to go out and hit a golf ball sure play golf sure it doesn't happen all at once And I was just wondering if, I was just wondering also if this is going to lead to Alzheimer's. And he was, his excuse, I think, was that it was work, work, work, work, work, work, work, work, work.

And then all of a sudden he collapsed. Now, there's something else going on. Now, if you have vascular dementia, these are people that have constant mini strokes that are taking. Well, they can be, but sometimes they don't notice them. But what they do, what happens is they decline in a stepwise fashion. They'll be okay, and then all of a sudden they're worse, and then they'll stay worse for a while, and then all of a sudden they get even worse. But it's always in a stepwise fashion.

It's not a gradual decline like you see in Alzheimer's. Now, one thing that you could do, you have a part of the way. here that's in the medical field and you're in the medical, or we're previously in the medical field, you could do a mini mental status exam on this friend of yours if he'll consent to you doing it. If you just, if he's cool with you sort of, and then you write down what the number is. And then you do it two weeks later. And if the number's going up, that's unlikely to be dementia. It's more likely to be some cognitive thing from the medications they gave him. If it's going down, that increases the odds that it's dementia.

Now, am I recommending that you do this? Not necessarily. It just depends on how close you are. And if he's avoiding going to the doctor, you could do that for him. But you could look up many mental status exam online. It's an easy thing to do. Well, I was trying to think, you know, because today's hospitalizations are not longstays at all. That's right.

And he was in there off and on for months. Really? Is that right? Now, if he was on propofal and or, you know, versed and or IV fentanyl on the ventilator in the hospital for months, they can have cognitive decline that lasts for about as long as they were in the hospital. It can last for months. Yeah, and the thing is, we don't know, we don't know how long he was in the hospital. Yeah.

He can't, he can't, he's not a good historian. Is he local? No, he's in Memphis now. He's in Memphis now. He could come to me and I could find out. Well, if I, see, that's why I encourage everybody to be diligent friends because things change and shit happens. Yeah, that's a good medical term. Shit, man.

It's really true. But it just, it happens out of the blue. Yep. And. Yeah, we get hit by a meteor. sitting here talking about it. I'd say that to my patients all the time. You just watched deep impact, didn't you?

No, I've never seen that asshole movie. Well, if he does have Alzheimer's disease, biogen announced that they were scrapping two phase three trials of the investigational anti-amloid agent, aducaninab. aducanumab sorry it's a monoclonal antibody for Alzheimer's disease and they did what happened was during their studies they did a thing called a futility analysis and it showed there was no way that they could that they could come to statistical significance to show that this stuff actually worked

but they reanalyzed the data and the drug is back on the table and they did this thing it was called the emerged trial and what this is is this is a a monoclonal antibody that is supposed to reduce clinical decline in Alzheimer's, and it also removes this substance called beta amyloid from the brain, which is felt to be associated with Alzheimer's disease. So we may be getting to a point where Alzheimer's may be something that we can actually treat and reverse, which would be awesome, because I hate Alzheimer's. Alzheimer's dementia worse than I hate cancer.

At least with cancer, the vast majority of people are themselves until they leave this world. When you have dementia, it robs the person of their quality of life because they don't know who they are anymore. So if you don't know who you are, you can't have much quality of life. But it really robs the people around you of your presence because it shatters the personality. And, you know, if you've ever met demented people, I mean, sometimes they're funny, sometimes they're sad, sometimes they're just, you know, curled up in a ball making noise. But you talk to their family, and they say, yeah, they used to garden. You know, this person was a college professor, you know, stuff like that. And every time I can't find my keys, I'm like, oh, here we go.

Yeah. But so if we could reverse it, right now, we have medications for it. But they all work on acetylcholine. One works on the N-methyl deaspartate receptor. That's nmenda. But none of them are very satisfying. You know, we get people in hospice, and they're like, well, should we continue this medicine? It's like, well, if it did what you wanted it to do, they wouldn't need to go into hospice at this point.

So it's okay to stop them at that point. But if we could get a disease-modifying drug, not unlike biologicals, for rheumatoid arthritis. You know, back in the day, we had gold. That was the only disease-modifying drug. Everything else made people feel better, but they still got the gnarly hands and ended up in a wheelchair if things got really bad.

But then we got the biologicals. And like my mother-in-law, hell, she's on one of them, Humera or one of those. And you'd never know if she had anything, you know. And so we have these disease-modifying, drugs. Same thing with HIV. Used to be, we had, the only medications we had for HIV were things to treat the infections that they got,

but eventually they would die. And in the early days, in the 80s when I was training, if someone came in, they didn't come in with HIV because we didn't know what the cause was. They came in with AIDS. And it was a terminal illness, 100% of the time. Now, we have these disease

modifying antiretroviral cocktails that take the viral load in most people down to zero and they can have normal lives and normal lifespan as long as they stay on their medicine and it may be that some of them can actually come off the medicine so if we had that in Alzheimer's that would be huge but you know yeah so why do we not because number one we don't know how consciousness even exists we don't know what it is so if we don't know what it is how the hell can we fix it when it doesn't work right you know if you ever think about it most people don't think about it how is it that you're self-aware what what makes you self-aware why can't we program a computer to be self-aware what

is it about us and some people say well it's the soul or whatever okay that that's not a satisfying answer to a scientist right if that's what it is well hell you know that's That'll be evidence that we're being stupid if we're not believers, you know. But short of that, it's, you know, it's some recursive thing. You know, it's recursion where things are looking at it, you know, there's loops in the brain that refer to themselves. And when you do that enough times with enough complexity, then you get this emergent behavior, which we call self-awareness. But who knows? I mean, my thing, and I didn't make this up,

but our consciousness is the way that the universe regards itself. That's what we're here for. Because we are bored out of the universe. We're not separate from it. We feel like we are sacks of meat separate from the earth that we walk on. But we grew out of this world. We weren't plopped into it. And because we grew out of this world that every single atom in our body,

You can tell we've been drinking. We have not, I promise, we have not been doing anything other than that. But that, I know it sounds like that, doesn't it? But every single atom in our body, it came from the center of a star. Every single atom. Because the Big Bang, all it made was hydrogen, a little bit of helium, and maybe some lithium, some antimatter and some matter in those. two things annihilated and left enough matter to make what we see in the universe.

And then the heavy elements like iron that makes up the hemoglobin in our blood work and the calcium and our bones all was forged in the center of a star that then went supernova, seeded our solar system. And when it coalesced, the earth had all those heavy metals, including uranium and things like that. Really? Really, you've never had this concept before? It's amazing.

Every single atom in your body. Just think about it. Well, I know. That's why our bodies react to certain things. Hmm. You know? Okay. You know, do you believe in intricate design?

I mean, you know, the way the human body is designed. I mean, if you look at just the central nervous system and the design of it. And, you know, every species. Yeah. And so... So he's saying that's evidence of a creator? Is that what you're going for? I'm saying that's evidence of a creator, but every lab experience experiment has to have a catalyst to set it off.

And I look at it as God was doing a lab experiment, and that was the big bang. He had to have a catalyst. So if I'm going to invoke the creator in this. at all and we'll get we'll get off this side that's I'm sorry I was thinking of this going but the fact that every single thing in this universe boils down to four fundamental forces and at one time they were all one force okay there was the super force that then after at the moment of the Big Bang that there was the one single force and then it precipitated as the universe cooled into

Four forces. Strong, weak, electromagnetic, and gravity. That's all there is. It's just those. Now, if, and now this is going to sound like pot talk, religious pot talk, but if God is all knowing and all powerful and all good, right, then it follows that he or she, whatever, it, there's probably not a word for what the creator is, would also be omni-efficient. So omniscient, omnipotent, omnibenevolent, and omni-efficient, which means if you are perfectly efficient, then you would have a single force and you would go whoop, and that would do all of this, you know, and all of this comes from that. Now, the thing that blows my mind, and we've got to do some medical questions, is that

that after all this time of us looking, still no evidence that there's anyone else in this universe other than us. So if this universe is truly ours for the taking, we are stupid as shit to be worried about the things that we worry about. And the fact that this universe is all ours, and we're not putting all of our efforts into getting off of here and going to different places and taking ownership of this universe so that our species can't be wiped. out by one extinction event on this planet is nuts. And the fact that people get all mad because they didn't give me hot sauce at Taco Bill. I asked for hot sauce. They gave me mild.

Drives me absolutely bonkers when you look at the bigger picture. You know, right. There you go. Okay. Get off my soap box. Uh-huh. All right. So there may be something for your friend.

That was deep. That's what she said. I hope there is something for him. Yeah, I do too. Well, it'd be interesting to know if he really has dementia. He may not. He may not. If he didn't have any signs of it before all of this,

it doesn't make sense that he all of a sudden collapses and now why he's got dementia. It's much more likely that he had delirium and he's still got some cognitive deficits. And that may reverse. I hope so. He needs to see a neurologist. He needs to see his primary care frequently.

they need to do serial mini mental status exams and other neurologic tests for cognition. And I'm sure he is. Are you? Yeah. I'm sure he is because he's with family that. Okay. Okay. Good.

Okay. Well, I hope so. All right. Well, are you ready to get into the, and we've got to keep an eye on the time. You know what? Let's just, I'm going to do one of these questions, and then we've got to sing our song because we're 30 minutes in. we've only got 50 minutes total so so I'm going to do the first one of these

this whatever this is this challenge from this guy okay hey Dr. Steve it's Frank Indo how are you? Hey man good man how are you good glad you hear it I'm doing good I'm doing good thanks Dr. Scott hope you're doing well so my next question's about

boner pills I was just curious ever since I started working from home I never quite know when my wife is going to allow me to be frisky. Ah. So what I've gotten in the habit of doing is taking a third of a boner pill every day. Every day.

And sometimes it's used and sometimes it's not. Understood. Is there an issue with doing that? Nope. Matter of fact, they make a pill called Seales Daily. And Seales Daily, instead of taking 20 milligrams on Friday and it works all weekend long, you take a pill every day. so that you can do, stretch your stuff whenever you want to.

Stretch your stuff. And, okay, Rick wants me to write him a prescription. Vicki wants you to write your Rick a prescription. Well, that says a lot, don't it? Well, listen, we'll talk about that after. I mean, if we need to talk about that, we can talk about it. But, yeah, you can take Cialis daily, and it's five milligrams. You take it every day.

And they also will prescribe it for people who have prostate problems because it's actually a pretty decent prostate medication. You know, people have trouble urinating because of their prostate. That's a way that you can get your insurance company to pay for it. Because I tried to get the SeattleS daily because it's just fun walking around with a big old, you know, something that the cat can't scratch, you know. It's fun to walk around with that. So I wanted to get it and take it every day. And the insurance company was like, oh, hell now. Oh, really?

But they'll pay for 20 milligrams. They'll pay for four, no, they'll pay for five a month of the 20 milligrams. So you cut them into quarters, and it's the same damn thing. I don't know what their issue is. They just don't want you to have fun every day. I know. You know, it's damn insurance companies. But yeah, so that's totally fine.

I would do that, just inform your primary care that you're, you know, your prescriber that you're doing that so they'll be aware. That's all. All right. Okay. Do we need to talk about you guys? Do we need to discuss what's going on or maybe just, you know, want me to blow over that and say, oh, he was just kidding.

And then we'll, you know, I'll write your prescription later. Yeah, right. Well, I mean, you know, due to heart problems, you know, and heart medications. Cool. Some people with heart medications can't take that stuff. That's what I'm saying. And Metropolol. He's one of them.

And Losartan. Those are okay. Do you take nitroglytherin? I do. You're out of the game for Cialis and Viagrin and stuff. They put me on ice. Yeah, Isoorbide. You cannot take it.

It'll kill you. And because they were first developed as, blood pressure medications and what they found was in the presence of nitrates they really work and so they'll drop your blood pressure to the point where the heart can't perfuse and it can precipitate a heart attack so so or you know other bad things that come with low blood pressure so now you can't have that now there are things you can have you could do el prostadil no problem with that what's that al prostadil he's this guy that works downtown They'll give you a little rub and tuck.

No, Alprostadil is a medication that you injected into the base of your penis. Oh, yeah, we've tried that. Have you? Yes. And it didn't work? Nope. Okay. Then there are the Alprostadil surin, or suppositories where you take a pellet of that stuff

and you shove it down the urethral meatus, aka the cockhole. And sometimes that'll work. particularly if you're tentative about injecting the base. Now, the third thing is... The shot didn't bother me at all. Yeah, okay. It just didn't work. Did you get anything?

You get a half? I did. Half it doesn't do you any good. But I also had a reaction to it one night and about fell out. Okay. I mean, I had a reaction so bad. Thinking about it, I broke out and sweat. Oh, yeah.

Don't do that then. Have you tried... So you don't want to do the suppositories either. That's called the Mews system. Have you ever tried the penis pump? Yes. You did? Yes.

I bet you didn't do it right. Yes, we did. There's no way it can't work. It has to work. No, it doesn't. It's physics. If you do it right, it has to work. Because if you think about it, you're putting a negative pressure around the slong itself.

And if it's sealed properly, blood will flow into there. and then on the end of that thing there's a cock ring and so when you get it a nice big purple giant meaty erection you slip that cock ring off of the end

to keep it that way now if you didn't if you're looking at me like what the hell is he talking about if you didn't do it that way then you didn't do it right that really happened yeah okay

can you show us how to do yes I can't I would be happy to all right let's play the same song for Vicki gets me in trouble again See, Joe used to tell me that, you know, people would say we, you know, play for exposure.

People have died from exposure. I'm just going to give you lots of reverb. All right, you ready? This is a song that I first heard at Rick's house, and I said, oh my gosh, I think I could probably actually play that one with you. Some of his songs are too hard for me to play, but this one is one I can play. And it's called She Remembers. One, two, three. She Recalls a day.

She put that bottle down. Yes, there was a time. There was not a soul around. She remembers her darkest moments, all the tears that she cried. She tried to lie. walk it all away deep inside she remembers she remembers she remembers she was headed down a dark road about to lose away When she saw a light shining through the night

God ain't good at better days. Oh, oh, she remembers. She remembers. cigarette at least a hundred times And she swears she don't know how She made it through 99 She has scars you'll never see

and bones that will never heal She tried to lock it all away Close to deep She remembers She remembers She remembers She was headed down a dark road

about to lose away when she saw a light shining through the night guiding her to better days Oh Oh She remembers She remembers She remembers

Nice. Good day. I did notice at one point we were clipping a little bit, so we'll go back and listen to it if we have to. We'll just record that part. Sure. I like playing that and do it again. That's awesome.

Excellent. So I'm assuming that's about your mom. My mom. Oh, your mom. Oh, he wrote a song about your mom. Well, he wrote this song and then I... And then you went, oh, that's my mom. No, I, well, yeah, sort of.

I interjected with some thoughts and... Who came up with the line? She quit her last cigarette? Smoked her last cigarette. At least 99 times? At least 100 times, yeah. That's a great damn line right there. Because anybody who ever smoked?

You used to smoke, right? I still do. Oh, you do? Oh, no. I know. I didn't know that. Okay. I know you used to.

That's the thing about Rick. Ricky B. He is a lyricist. Unbelievable. Yeah, that's a great line. Yeah. He's got a lot of great lines. So she smoked her last cigarette at least 100 times.

She recalls the day. She laid that bottle. down yeah yeah well what's the one after the cigarette though she smoked her last cigarette at least oh she does she swear she doesn't know how she got through 99 okay yeah but see that that line doesn't really uh it doesn't really go with smoked her last cigarette yeah 99 is speaking of the year 99 and all the things that she went through in 99 oh so that's something only you guys would know when you sing it actually the the first The first line, the microphone, the first line that, actually, that line came up.

Did you smoke weed before this? No, I wouldn't do that. I'm smoking weed now, but, you know. You're blowing smoke now, but you're not smoking weed. But the line was, and she swears she don't know how, she didn't drown in all. wine yeah that was his original line yeah and then i changed it yeah and and i think i so that's a cool thing i think a lot of songwriters do that that they'll put stuff that means something to them and there's no way that the person listening to it would have a clue what they're doing but they assign

their own meaning to it right and when you write a song you want it to not only relate to something personal but you want it to relate to something personal universal yes universally yeah and so 99 doesn't mean actually literally 1999 it means just a very challenging yes anybody's 1999 yeah the next bunch of songs will be about 2020 but yeah yeah that sucks so well you know I wrote a song

that did follow it called etched in time you can find it on my YouTube side oh yeah let's let's plug your YouTube the Arcadia Project the Arcadia Project yes I'm going to look at it right now Go ahead and talk. And I wrote this song from our, we called Etched in Time, and it chronologically went from 69 to 9-11. And we want to talk about heroes.

There's a subject. Oh, shit, what the hell is this? You got an accordion player? This isn't you. No, that's not me. The different Arcadia Project. Oh, no, there's more than one. The Arcadia Project.

It's... Yeah, that's what that is, too. Okay, on YouTube. Uh-oh. There you go. That's it. This one? Okay, so it's the top one.

So there's another one called the Arcadia Project. And they play, looks like, maybe Zytoco music or something. Yeah, they're weird. Yeah. Oh, good. Oh, yeah. Here we go. Now am I going to get a damn strike, copyright strike, for playing this?

Yes, I am. Oh, God, it's on CD baby. Okay. because the last time I played something of somebody that was on CD Baby, we got a copyright strikes. Oh, wow. But I own it. It doesn't matter, dude.

The guy who I played was named Steve Tucci from the Tucci band, their album, Olivia, by the way. And he is my niece's boyfriend. And when you talk to him, you think you're talking to Christopher Walken, by the way. It's the craziest thing in the world. I was talking to this guy. I immediately liked him. And I was like, why do I like this guy so much? It's like, well, because I'm talking to Christopher Walk and, you know, anyway.

So I had permission to play his, too, and we got a copyright strike because it was on CD. CD Baby is a pain in the butt. And he even emailed them and said, hey, you know, I'm telling you that's okay. But I still don't have the copyright strike, you know, off on my YouTube thing. So anyway, what are you going to do? Well, the other one. So I can't play any of this. Well, you can play the etched-in-time video because...

Google tattoos and scars. Yes, absolutely, yeah, Arcadia Project. Tattoes and scars. Which one of you has the tattoo and which one has the scars? Tattoos, scars. Emotional scars? Big time. Or real scars?

Yeah. Okay. I'm a hot mess. Well, you know, I... We'll take out the mess, and I'd say you'd be... I saw that. Sorry, Rick. All right.

Oh, my goodness. What were you going to say? I just shut Rick completely up. All right, let's do another medical question then. All right. Unless you got... So, yeah, just check that out. All right, here we go.

Hey, Dr. Steve. It's Frank Indo. How are you? Hey, Frank. Good, man. How are you? Good. Glad you hear it.

I'm doing good. I'm doing good. Thanks. Good. Scotty boy. Went up. Ever since I started TRT. Scott's not here.

They told me to donate blood every day. six months to get rid of the excess hemoglobin that will build up due to the TRT. I believe I had that right. Maybe you should clarify that. Yeah, I don't think that's absolutely necessary. I've been on testosterone replacement therapy. That's what he's talking about. And what he's concerned about is that his blood hemoglobin is going to be too high.

In other words, but really it's a somaticret. It's the number of red blood cells. And if you are on so much testosterone that you have to have blood removed every couple of months just to get your hematicrit down, which the hematicrit, by the way, is the fraction of blood that is taken up by red blood cells. So the way we used to determine it was you would put it in a little blood in a little capillary tube, and then you'd spin it down in a centrifuge. And then let's say it was 10 centimeters long in this tube. you could measure how many centimeters high the red blood cell fraction was because it was dark.

And let's say it was 4.5 centimeters, then your hematocrat would be 45 percent, right? Mm-hmm. Okay, because it's going up 45 percent of this 10-centimeter tube. And the top part is just clear serum. So if it's climbing up to 55, 60, something ain't right. It's not supposed to do that when you, just bring your testosterone back to normal. Okay, so I would, I would question that and ask why are they, you know,

insisting on that. Okay. Okay. Hey, right. Hey, Frank. Hey, Frank. Quick question about, oh, you want me to say, how you doing? No, yeah, sure, if you want to.

You meant, okay, yeah. How are you doing? Doing good, man. How are you? Oh, good. I'm glad to hear you. Yeah, I'm doing good, too. We'll go through that whole game.

Anyway. That's not my game. Dr. Scott, yeah, you're there, too. No. Tacey's not, we get it. Yep, all right. Anyway, questions this. Dr. Math.

Every time I go to the doctor, the doctor asks how many beers I drink a night. Yep. What am I supposed to answer? I have this distinct feeling if I answered it right, they would up it by whatever percentage. So if it's four, do I say four? Yeah. Or if I do say four, do they think it's six? No.

They think it's eight. Well, you know, the thing is, you've got to be honest with your provider. And if your provider thinks that you're not honest and you are being honest, maybe you need a different provider. But most of the time, no, they're going to go by what you say. Now, the only time that they would think that you're lying is if you're in there drunk or if your liver enzymes are out of whack and there's no other cause for it. And you're saying, well, I only have one a day. It's like my mother-in-law, who, his name is Big Joe. You all don't know her.

She's on, this is Big Joe. Let me play This is Big Joe This is your mother-in-law We're missing contains mature contents that may be offended to some listeners

What did they wrong in? You know, your house is like another Now you all understand what she said, right? Yes Both of you understood perfectly what she said I had to translate for so many of our listeners So we probably We probably have people that still didn't hear that show where I translated it.

Let's do this. Weird medicine contains mature contents that may be offended to some listeners. Surely that makes sense. Weird medicine contains mature content that may be offensive to some listeners. She said offended, but okay. What did they wrong then? What did I do wrong then? Oh, okay.

You know, y'all's house is like an oven. And it is. It's hotter and shit up here. And I appreciate you guys because you haven't complained about how hot it is. But I didn't want to turn the AC on if you all were going to sing and then have all that white noise in the background. You know, but anyway. But yeah, so my mother-in-law, why was I talking about my mother-in-law? What was the question?

I don't know. We were talking about testosterone and all of a sudden your mother-in-law came up. Okay. Does she have like an over-abund? of testosterone? No, no, no, no. We were talking about Dr. Math. God damn it.

Hang on. I don't have to go back and listen to why I was talking about her. Okay, wait, I remember because Big Joe, who looks like she, a basketball with a bigger basketball underneath it, right, is, or I like to say, she looks like a basketball on top of a smaller, you know, on top of a bigger basketball. I just messed it up three times. But anyway, she would say, oh, how late one? time of day. And you look at her, you know, she's lying. But it actually is true. She starts at seven in the morning and doesn't end until 11 o'clock at night. She really does just eat one time a day. So, Vicki, you were saying that my inversion table is just basically a sex toy, right? I

wish that were true. But, you know, you're giving me some ideas, but I'm just really trying to figure out how in the hell you would use it for that. But you and Rick are free to give it a try. Maybe that will well. All right. Well, listen, thanks go to Ricky B. And Vicki Licious, his paramour. We can't forget, Rob Sprantz, Bob Kelly, Greg Hughes, Anthony Coomia, Jim Norton, Travis Teff, that gould girl. Lewis Johnson, Paul Offcharsky, Chowdy, 1008, Eric Nagel, the Port Charlotte Horror, Vicky. I don't know if you know her, or the Saratoga Skank. She might be a friend of yours. Roland Campos, sister of Chris, Sam Roberts. She Who Owns Pigs and Snakes, Pat Duffy, Dennis Falcone, Matt Kleinschmidt, Dale Dudley,

Holly from the Gulf, Steve Tucci, the great Rob Bartlett, Vick's nether fluids. Vic is now engaged, so I'm taking that out of there. Carl's deviated septum, Bernie, and Sid Martha from Arkansas's daughter, Ron Bennington, and Fez Wally, whose support of this show has never gone unappreciated. Listen to our SiriusXM show on the Faction Talk Channel, Sirius XM 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 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, get off your asses and get some exercise. We'll see you in one week for the next edition of Weird Medicine. Thanks, everybody. Thanks, Vicki. Thanks, Rick. You're welcome.