Weird Medicine: The Podcast - 481 - You MTHFR

Episode Date: November 25, 2021

Dr Steve and Dr Scott Discuss: Walking Corpse Syndrome Foreign Accent Syndrome Hyperekplexia (jumping goat syndrome in humans) Dr Strangelove Syndrome Geographic Tongue Vaccine myths Respiratory Therapist Week! (oops!) NASH (not Ogden nor Bridges) MTHFR mutations! Please visit stuff.doctorsteve.com (for all your online shopping needs!) Get Every Podcast on a Thumb Drive ($30 gets them all!) simplyherbals.net (for all your StressLess and FatigueReprieve needs!) patreon.com/weirdmedicine (Don't miss our exclusive Patreon feed!) Cameo.com/weirdmedicine (Book your old pal right now while he’s still cheap!) betterhelp.com/medicine (who doesn’t need a little counseling right now?) Learn more about your ad choices. Visit podcastchoices.com/adchoices

What do you call a dragon with heartburn? Bad news for the nearest village. No, wait, I hit the wrong thing. 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. Why can't you give me the respect that I'm entitled to?

I've got diphtheria crushing my esophagus. I've got Zobolivir stripping from my nose. I've got the leprosy of the heartbell, exacerbating my impeccable woes. I want to take my brain out and blasts with the wave, an ultrasonic, ecographic, and a pulsating shave. I want to magic pills All my ailments

The health equivalent The Citizen Kane And if I don't get it now in the tablet I think I'm doing Then I'll have to go insane I want to requiem for my disease So I'm paging Dr. Steve It's weird medicine

From the world famous Cardiff Electric Network Studios 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 practitioner, gives me street cred with the wacko alternative medicine assholes.

Hello, Dr. Scott. Hey, Dr. Steve. 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 347-7-66-4-3-23. That's 347. Follow us on Twitter at Weird Medicine or at DR Scott WM. visit our website at dr steve.com for podcasts medical news and stuff you can buy most importantly

we are not your medical providers take everything you hear with the great assault don't act on anything you hear on this show without talking over with your doctor nurse practitioner practical nurse physician assistant pharmacist chiropractor acupuncturist yoga master physical therapist clinical laboratory scientist registered dietitian or whatever all good to see you old buddy glad to be here a little mom more calm this week than it was last week. That's always good. Yeah.

And we're recording this the day before Thanksgiving. Excellent. Yep. Good stuff. Cooking my ass off. So I guess the deal is now Liam and his girlfriend have been together so long that now we're doing joint Thanksgiving with her parents and her brothers and sisters and stuff. We love them, though. We went on vacation with them.

I told my son's girlfriend. dad, because we're like best friends at this point, that we cannot allow our relationship to be held hostage by two 18-year-olds and the whims of whatever, ooh, I don't like him no more, or, you know, that kind of stuff. We can't have that because he's my ham radio buddy. Oh, is he? Oh, yeah. Oh, yeah.

Yeah, we, I've been looking for somebody like this for the last, I don't know, 20 years that I can hang out with. We can talk ham radio, but not only that, listen to this nerd-ass shit that we do. So we pack up, I've got in there, in the other room, I've got these cases, you know, those sort of go cases, military go cases. They're filled with sealed 25-m-amp hour batteries and these patch panels called Anderson Power poles that I made. Okay. And we can go out to a park, and it's called activating a park through a group called Parks on the Air. And you go out there, and then you say, you know, CQ Pota, CQ Parks on the Air, this is, you know, whatever your call sign is.

And you will get 20 people calling you at once. It's really exciting. It's kind of like you're in a foreign land because they'll get those. It's called a pile-up. And it's fun in the sense. And then you write all their call signs in the date and the time and the report that you gave them. And then, okay, I get it. So a group of nerds is called a pile-up.

Yes. And it doesn't sound, it's not what it sounds like. No, it's not that. It's not that. And, yeah, I know this is just. God damn, this is about his boy. Okay, okay, okay. Okay.

I get it. Well, anyway, he's my buddy. And so we're not, I'm hoping that unless my kid does something just egregious, because you know how it is, then you've got to support your kid. If they just break up through attrition, then we'll still be friends. So I'm hoping we can keep that going. But I'd be fine if they got married. I'm telling you, I would be totally fine with it. Yeah, funny.

Isn't that crazy? It is bizarre. Little Liam, who used to do the East Side Dave stuff. and that, I don't know, have I played this thing in a while? It's been a while. Where Liam did that promo for Ashley Madison. You remember Ashley Madison? They were that company.

Is this one where they bleep out those cuss words? Yeah, I bleeped out a bunch of cuss words. Yeah, no, let's see. That is the best. I've got a good question from Talk Like a Hague team. Okay, okay, hang on. We'll get to it. I think I found it, so let's see here.

I see. This is so ridiculous. I love this. This is great. When my mom is a b***, my daddy goes at esleymedison.com. There he can put up lots of other women. When I grow up, I'm going to be an Ashley Madison man. Because my daddy's raising me without any moral compass whatsoever. Ashley Madison, find your lovers here. Why exactly are we seeing me?

this. Daddy, what's a rotisserie? So, anyway, I'll give land one of those. So now that cute little kid, and I would say things like, just say when my mom's being a poop or something, and then I'd beep it out, and it sounds like he's saying something else. You know, it's so much fun.

I don't want to over-explain it, like a magic trick. No, just leave it for what it is. Yeah, that's right. So, but yeah, that kid may be getting married so it's crazy well not for a while okay i hope you're right but it you know who knows they're babies i know i'm telling you dude oh my gosh so anyway but i wouldn't mind it yeah i mean i yes i would prefer that they wait till they get through college she's got to rush a sorority and all that stuff and god that might be the end of their relationship at that point she starts making him go to

those sorority parties and stuff because he's not into that so we'll see we'll see what happens. We'll keep you all. I know everybody's on the, you know, on the edge of their chair wondering what's going to happen with Liam's romance. Check out stuff.doctrsteve.com. That's stuff.com. And I'm going to put this up on the thing right now with Dr. Scott. Check out Dr. Scott's website at simplyerbils.net. That's simplyerbils.net. You got anything up there now? Nope. Okay. You still have it, though, right?

Still have it, yeah. Okay, but you have things to sell, right? Yes. Okay. Nothing new, though. And then check out our Patreon at patreon. At patreon.com slash weird medicine. It's right now it is Tacey and me.

And people were demanding the return of Tacey, but she can't do it on the time when Scott and I record this. So it's completely separate. All new content. Plus, I put up the funniest fucker in the Tri-Cities competition, the whole. thing from beginning to end and with Shulie Agar and a bunch of different people who did were judges and we had nine contestants. It was the best, I think, comedy event we did. And what you can't tell from that is, and I said this at the beginning, I said to the

audience, you all gave me a freaking heart attack because. Oh, that must be what fail is your phone. That's what it was. Hang on. Hey, we were just talking about you. You're on weird medicine. Oh, hey, can you put some money in my thing? Okay, I'll put money in there.

As long as you say, Daddy, what's a rotisserie? Well, it's rotisserie. Excellent. Thank you. Very good. All right, I'll put some in. Okay. Jesus.

Hilarious. Just wanted to hear the difference. Oh, I know. So, yeah, I said, You all gave me a heart attack. I think we sold three tickets, and then we had 220 show up. And, I mean, it was a venue that only allowed 180. So it was packed in there.

It was a great event. Anyway. So we've got that on there. But check that out. Patreon.com slash weird medicine. There's things you get if you hang around long enough, and we've got a real cheap tier structure. So anyway. All right.

Sounds good. All right. Very good. Well, happy. Thanksgiving, Dr. Scott, the one holiday that we haven't seemed to just completely F up. And now that they're not doing, well, they did kind of eff it up with all this, oh, we're going to open our doors at midnight crap. Oh, gee, yeah. So that you can buy a TV for $79 and all the rest of them are, you know, regular price.

Yep. Or whatever BS. I don't get it. And, but thanks to COVID, I hear that they're not doing this. So another good thing that we can thank COVID for. That's right. Because that was ruining Thanksgiving. You know, you do all this prep.

I mean, I'm cooking all day to day. I have to work tomorrow. I have to work on Thanksgiving. And you do all this work cooking. And then it's, you know, everybody sits down and eats and five minutes later, everybody's pushing away from the table because they've just eaten so much. And then you watch a movie or something. Then you've got to get up and then go and stand in line at, you know, that place.

It rhymes with schmest by. It rhymes with best by. Leshmi. Yeah. And you end up going there and standing in line at midnight and then fighting the crowd and stuff. Have you ever done that? Hell no. No, I've done it.

I can't even imagine. That's what you have Amazon for. Exactly. I can't even imagine. In my opinion. So anyway. I cannot imagine. In there with all those.

sanity, I just can't imagine. But, you know, the thing I hate about the most is, like you described, that's kind of the best part about Thanksgiving is being able to hang out with your crew and just, just do nothing. Well, if you're going to go out at midnight, you can't even drink. No. Except people do. They do.

And then it makes it even worse. Yep. So they're tired, drunk. And then everybody's running for that one thing. $1.79, too, if you on. Anyway. I'd rather give you $79 and keep the TV. But just go on Amazon.

Go to stuff.com and do all your shopping there. That's right. Very good. Well, listen, we didn't get to do a whole lot of show prep this week because of our jobs. But we have a ton of phone calls to get to, and we've got some people in the chat room. I'd ask a question or two for people who are listening to this delayed. You can usually catch us around 3.30, 4 o'clock on Wednesdays, and if you just follow my Twitter at Weird Medicine, I'll put out a notice, and then you can come in and check out the show ahead of time while we're doing it. And you get to hear all the times I have to stop and whiz or...

Those old prostates. Both of our prostates are getting older. Well, I'll tell you, my prostate's still pretty damn good. I pissed maybe twice a day. And I've got a friend of mine who you know very well, who literally pisses every 15 minutes, is like, dude, I am never going on a road trip with you. That's because he has the world's largest prostate. He does.

It is clinically huge prostate. That's not good. Anyway. All right. Well, I had our buddy, Stacey Deloge, who I guess we can name him again. Former buddy. It's been long enough. he's been sending us some show prep stuff

and one of them was this thing he sent me 10 weird but real medical conditions so I thought we could run through a few of these and we'll take some phone calls this one is called the walking corpse syndrome and what I'd like for you to do Dr. Scott if you would when I name these go online and then see

See if you can find the ICD10 code for these. All you do is you put in Walking Corp Syndrome space ICD10 and see if it comes up with the code. I got you. Because there is one for ghost hand. I know that. I've seen that. I still don't know what ghost hand exactly.

Gotcha. But it says for people with this condition, oh, entertainment like cable TV's Walking Dead may be too close for comfort or very clever. known as Kotard syndrome. Okay, there you go. That one, I bet you can find an I-C-D-T-T-A-R-D. Yep, got it. Already got it.

It is a neuropsychiatric disorder in which a person believes they are dead or missing their soul, organs, blood, or certain body parts. Okay, I know what this is. I've actually seen this. Kotard's has been recognized a component of psychiatric illness, such as depression,

but neuroimaging is also linked some cases of cotards, It sounds like an epithet like you're calling somebody a name. I'm not saying it to neurological change. You cotard. Cotard you. So because the condition is so rare, it's been difficult to pinpoint the mechanism that causes it. Patients can also spontaneously experience complete recovery, even in severe cases.

I believe that this is a manifestation of a thing called converging. conversion syndrome. That would be my guess. But anyway, what did you find on Kotard syndrome? That makes sense, yeah. It's a F-22. F-22 is the diagnosis code. Did it give any details about it? A little bit. Pretty much exactly what you just said. So this is a billable thing. And if I was going to put it in the chart, I think walking corpse syndrome sounds more fun than Kotard syndrome. And I'll do that in my charts. So if I have someone with intractable hiccups, the medical name for hiccup is Singaltus. And so I'll put intractable Singaltus and just make people go, what the F is that?

And then make them look it up. Exactly. That's fun. Hey, so F-22, it's also applicable to, and this kind of fits right in delusional dysmorphophobia. Yeah. Paranoia. It is a delusion. Yeah, it is a delusional dysmorphia.

In other words, they're having this delusion that they've lost, that their heart has been removed from their body. And that's not true. So that means it's a delusion. And then dysmorphia just means, you know, something that's wrong about the body. I think my ex-wife had this, since her heart had been removed.

She just never was born with one. She wasn't even born with one. That's right. She was bored with that. She had lump of colon. She was something. Woo-hoo. I see why you married her, though.

She's relatively attractive. Came with a prize. Yep. It always does, my friend. It always does. So, yeah, Kotard syndrome. So this one is foreign accent syndrome. Now, I've heard of this, have never seen it.

This is a rare condition that causes people to develop a foreign accent. Disorder is caused by damage to a part of the brain associated with speech. No kidding. Stroke is the most common cause. Trauma, tumors, and other neurologic conditions such as multiple sclerosis can cause patients to begin speaking with a different accent. And it says the accent usually isn't very good, and native speakers can recognize that it's not authentic. So it's not like people wake up, and all of a sudden, this cockney accent that they have is because they've been inhabited by the ghost of a cockney person. I'm sure that's what they thought back in medieval ages.

And what was the name of the disease? This is called Foreign Accent Syndrome. Oh, my God. Now, we have a friend that when she gets wasted, uh-oh, what was that? I don't know what that was. And when she gets wasted, our friend Julie, calls her foreign language when she starts talking,

and it's impossible to understand anything that she says. But, yeah, foreign accent syndrome. So you have a stroke and you wake up, and it's like, hello, might. Hello, might. That is hilarious They were showing a thing with these kids I guess there was a game

that from Britain I guess a lot of the younger kids are getting and are playing and now they're picking up this weird British accent Oh really? Yeah the little kids are so they'd like to say Oh because they're playing the game That's funny.

That's the game so that's hilarious Well I've learned a lot from watching both Love Island the UK version And the British Great British Baking Show, which there they call the Great British Bake Off, not sure why they call it something different. When they did the Great American Baking Show, it still had Paul Hollywood on it. But now instead of having Noel and Matthew, they've got Baby Spice and a football player

whose first name is Spice, and I can't remember his name. Oh, gosh. And it's like just American audiences are eating, no pun intended, eating up Great British Bidish baking show, we can tolerate Noel and Matthew. You don't have to put unfunny people in there. Right. And they made the recipes a lot easier for these people. And they called, instead of calling biscuits, biscuits, they call them cookies. and I know Paul Hollywood is, you know, choking every time he calls what they would call a biscuit, a cookie.

But anyway, but I can't remember why I was bringing that up. Anyway, it doesn't matter. Oh, yes, I do remember. I've kind of learned what an Essex accent is and a Manchester accent and all these different regional accents in the U.K., it's very interesting. Okay, cool. So, anyway, Liverpool. All right. The Jumping Frenchman of Maine.

This condition is named after a group of French-Canadian lumberjacks who worked in the Northern Maine and the 1870, also known as hyper, oh, I don't think that's right, hyper-eclxia. That doesn't seem right. Hyper-E-K-Plexia. Look that up, H-Y-P-E-R-E-K-Plexia. It involves an extreme reaction to stimuli that causes uncontrollable jumps and startle-induced falls. This is like the, you know, the falling gun. and jumping goats and stuff. The syndrome can often be effectively treated with benzodiazepines.

That's Valium, Xanax, or other words, diazepam, L-Praslam, lorazepam, which is adaban. A drug class used to treat anxiety and seizures by slowing down the nervous system. Well, that's a pretty simplistic explanation on how they work, but yeah, okay, that's interesting. Or maybe these people are just anxious as F because they're lumberjacks working in Northern Maine in the 1870s. But I don't know. Did you find anything on that one? Yeah, I'm looking at the hyperieplexia.

Hypereclxia. I've never seen a K in front of a P like that in medicine. No, I haven't either. Hyperaceplexia. Yep, it shows up. Does it? Okay, yep, no, it sure does. I'd never heard of it either.

Yeah, okay, rare hereditary neurologic disorder may affect infants as new or prior to birth in utero, so they're just kicking the shit out of their mom in utero. It may also affect children and adults. Individuals with this disorder have an excessive startle reaction. Okay, my wife has this. Oh, yeah. She knows I'm in the house, and I'll walk up behind her, and she'll startle and go, oh, you scared me.

It's like, who did you think it was? So anyway. Interesting. I'd like to know the, um, The etiology or entomology or, no, entomology is bug, right? The origin of that EK, that EK term in that word. But that's me. We'll go on.

How about Dr. Strangelove syndrome? Remember Dr. Strangelove, he couldn't control his hand. That's similar like Dr. Steve syndrome. No. That was from the classic 1964 film. It's called Alien Hand Syndrome. From time to time when the hand is engaged, the affected hand, may hop in and try to interfere with that hand or do something counter to it.

Now, I'm going to guess before I read any further, this has to do with a separation of the right brain from the left so that the right brain or the left brain is controlling the other hand, and it's not speaking to the other brain so it doesn't know what it's doing. Okay, so it says this is usually the result of a tumor, stroke, or surgery that affects, aha, I'm going to give myself one of these. The corpus callosum, so the corpus callosum is the, that's right. It is the tissue, well, it's the nerve bundle that connects the right and left brains. That's the only way they communicate. They're completely separate except at the bottom and through the corpus callosum. So they communicate that way. And when you separate someone's corpus callosum, if you all want to read something interesting,

read about people who have had their corpus callosum removed and what what they can do some experiments with them because the right side of the brain is mute the left side of the brain speaks so the right side of the brain cannot speak at all you it can draw and it can see things better than the left side can stop you for two seconds before you get much further yeah what they can look it up as an epileptic people have terrible epilepsy sometimes it likes to cut these that They'll cut it, they'll sever it. Yeah, yeah. And when they do that, the right and left brains can't speak to each other anymore. And what they can do is they can isolate what side of the brain is seeing certain stimuli. And they'll show them a picture of a horse. And they can't name it. Right.

But then when they show them with the other side of the brain or with both of the eyes open, they can pick out what they saw. And then they can name it, which is really interesting. It's crazy, yeah. So, yeah, the right side is if you want to do a neat experiment with the right side of your brain, do this. This is a fun picture. Take a picture of a human being, just a headshot. And particularly if you're not an artist, go ahead and try to draw that the best you can. And get a group of people to do this.

This is really a fun kind of party trick. And take your time, take as much time as you want. Now, get another piece of paper, flip that picture over so you can't see it anymore, the one that you drew. And now take the portrait of the, you know, the picture that you're drawing, the headshot, and flip it upside down. Now, draw it again. And then when you're done, what you're going to do is flip over the other picture and compare it to the one that you just drew with the, the headshot turned upside down. And it's unbelievable.

It's order of magnitude better. It's amazing. It's a really, you know, nobody does things like this anymore at a party, but it would be a fun party thing if you've got a group of nerds that want to try something like this. Right. And it's stunning. I took a class called drawing on the right side of the brain, and that was the first exercise. And we had to draw a baby's head. And what happens is when it's right side up, the left side of the brain starts going, oh, I know, that's a nose.

Well, here's how you draw a nose. It's a circle with two holes or whatever. You know, whatever your icon is for a nose. Whereas when you flip it upside down, the left brain disengages because it can't make sense of it. And the right brain will draw the shapes. And any good artist will tell you that the proper way to draw something like that is not to interpret it, but to draw the shapes. and you have to be able to see those shapes and be able to draw them properly.

The right side of the brain can do that perfectly. Wow. So I got to the point in this class where I had to draw a picture of my hand. And if I can find it here, I'll show it to you. It's photo realistic. Wow. But it was such a pain in the ass.

It was like, cool, okay, I did that. I'm never doing it again. I didn't want to become an artist, but it was a really neat thing to see how the different sides of the brain work. Wow. Yeah. So when we're done, if I can find it, I'll post it online.

That'd be cool. All right. We'll do one or two more of these. Yeah, we'll get out of here. Alice in Wonderland Syndrome. In Lewis Carroll's 1865 fantasy novel, Alice's Adventures in Wonderland, the main character experiences magical transformation such as shrinking and expanding. This neurologic syndrome also called Todd's

Central, God, double vasectomy, Todd's syndrome, usually prevents, you, I always thought that Todd syndrome, never mind. I was going to make a joke about all the penis tattoos on his arm, but nobody remembers that anymore. Usually represents migraines that distort the perception of size and distance. Episodes which can last up to an hour involve seeing objects or people as very big, very smaller, further away than they actually are. Jesus.

People can also experience hallucinations as well as an inaccurate sense of time passing either very slowly or very quickly. It typically affects young children and can occur aha at the onset of sleep. Wow. Okay. So what is it called when it's the onset of sleep, Dr. Scott? When you have a sleep disorder during? No, I don't know. You can tell them.

I don't know the answer. I'm waiting. You got it? Hypno. Hypnogogic. Oh, very good. Give yourself a feel. Yes, hypnogogogic is when you're initiating sleep.

Hypnopic is when you're coming out of sleep. Gotcha, thanks. So hypnagogic things are weird shit like this, or you feel like you're getting kicked in the face with a soccer ball. We talked about this once before, so I played, I played, you know, UK football. a.k.a. soccer. And you played baseball. Yep. So when I have a hypnopompic effect or a hypnagogic episode, it's usually a startle episode as I'm falling asleep. I'll either feel like I've just fallen down a flight of stairs, or it'll be someone kicking a soccer ball in my face. And I wonder when it happens

to you if you perceive it as someone throwing a baseball in your face. Yeah, actually, it's always the exact same thing I'm batting. And the ball's coming at my head and I flinch. Yeah, and that, wow. So it is, it's related to our experiences. Experiential. I'd like to do a damn study on that. Yeah, because I've never had a soccer ball coming in mirror or a football or basketball or basketball.

I've never had a football. You know, nothing like that. It's always a baseball, always a baseball. People who are listening to this, if you want to call in, we'll just do an informal poll. And if you found that what we just said resonates with you, let us know because I'd really be interested in doing a very informal study on that because that's interesting isn't it the the episodes are universal everybody has these yeah but they're customized based on our previous experience kind of neat kind of cool yeah it is cool right and then the last one uh we'll do for today is geographic tongue

and I know that there's a ICD 10 on this because I've diagnosed this multiple times It's an oddly named syndrome involves psoriasis-like symptoms of the mouth in which harmless but potentially painful lesions develop on the tongue. Red and white patches are often surrounded by a slightly elevated border, resembling irregularly shaped geographic masses on a map. That's why it's called that. So we use geographic in medicine to describe anything that is kind of a way. a map like or irregular in it borders so if you have a geographic border to a mole that's assigned to get it checked out nice smooth you know spherical mold those are very rarely if ever malignant but if it's geographic you know irregularly bordered and then you know irregularly colored

then that's something that you want to get checked for i was just going to say but geographic tongue to us is totally different because we'll look at those where the uh those things are on the tongue and kind of help us get an idea where there may be something wrong in the body. Yeah. So in other words, if it's... So you guys are looking at the pippili of the tongue. And we look at the coating, the coating of the tongue. So if it's splotchy, that tells us one thing, if it's really thick, that's another, you know,

then someone's got a lot of, you know, flim or cough or congestion or whatever. Yeah, yeah. That's how we treat a lot of disorders by using a geographic time to help us figure out where to look. Yeah. That's interesting. So it's actually, yes, and a good. Well, and this one can be stress, allergies, hormones. Yes, check, check.

Nutritional deficiencies. I can explain all those. Yeah, think about hormones, Dr. Steve. We'll see people with what we call a yen deficiency. The tongue will actually be, will be really red with no coating kind of thin. A yen deficiency, as in yen and yang? Is in yen and yang. And what you'll do is it's hot flashes and a lot of females.

Really? Yeah, I'll show it. What's the yen that they're deficient in? What is that? That's the air conditioning side of your body. It's just hormones. Huh. Just hormones.

Interesting. Hormone deficiency. Sounds like horse hockey. Say it. Say it. It's all right. Now we have several other of these to do, but we'll do, you know, let's save it for next time. Sure.

You want to take some phone calls? Let's do it. All right. Number one thing. Don't take advice from some asshole on the radio. Do you have anybody in the chat room that has a question that they would like answered? Well, we've got. Sean, who I guess, had an ex-wife like, I've got.

What's that? Oh, really? Yeah, a couple people talk about some strange accents that are kind of fascinating. No questions I see. Okay, this is what I'm going to do, is when I get, because I did a promo for a show called the Karloff, which is on the Cardiff Electric Podcast Network, and I did. sort of that typical Eastern European fake accent. You know, oh, scary kids.

You know, that one. And I don't know if the reverb comes through on the OBS side, but let me see. Oh, scary kids, which is really, that's Paul Flaherty or Joe Flaherty. Joe or Paul from SCTV when he used to do count. Count somebody, Count Floyd, I think it was. Anyway. How funny. And, yeah, so he did that.

But, you know, everybody can do that accent, but I don't think it's a real accent. No. You know, it doesn't really sound like Bella Legosi. Anyway. Hey, talk like I hick to you. She says there's an ICD-9 cipher sucked into a jet engine. Okay, look that up and see if she's lying. I will.

And we're using ICD-10 now, so keep up. Oh, that's true, yeah. Well, that's true. And she might have said to inhale, I don't know. I don't know. It's fine. All right. Let's see what we got here.

Oops. Uh-oh. Hey, Dr. Steve, I've got two questions. The first one is, I miss GVAC. Has the medical community figured out how to cure death yet? No, and we've done this one. We miss GVAC, too. And no, we haven't even, we're still working on defining death.

We don't know what the brain is. So right now, the definition of death is cessation of brain activity. When you cut somebody's head off on the guillotine, what my understanding was is people would go run up and look at them and they'd have their eyes that be wide open and they'd be trying to mouth words and stuff. Can you imagine? Holy shit, no. I just can't even. So you stick your head in there and you know it's coming. And then you hear it.

And then the next thing you know, the world kind of turned sideways, and you're going, you know, trying to. Or it's like you're rolling down hill, but you're not really rolling down hill because it's just your head. Yeah, it's just your stupid head. With this dumb look on your face of surprise. It's like, what just? Why are you surprised? You know what's got to be the worst. It's got to be that fucking noise.

You know what I mean? The clink, because, you know, they've just cut their, or turned that chain loose. Yeah. It's like, click. Uh-oh. Oh, yeah. That's got to be the longest quarter of a second in history. This is going to hurt.

Oh. And then if the stupid executioner hadn't, you know, the thing would have to be perfectly perpendicular to the ground. Oh, yeah. Or it would get hung up or it would slow it down. If you ever think about that, they had to set the damn thing upright. Yeah, I'm pretty sure they had lots of practice. Increase it. Let's see, let's check out the thing.

of this dude's neck. How are we going to raise that? That's awful. I do have a question if you want to answer one. Yeah, yeah, yeah. How about from the game junkie, do vaccines stick in your blood dealing with polycythemia vera? Okay. No, not really.

You shouldn't. No, well, they won't. There's vaccines and then there's vaccines. So there's live attenuated vaccines. And those actually cause a mild infection. And a chicken pox vaccine is one of those. It's a live virus. And there are some others.

And when you do a live virus like that, the effects of it will stay in your bloodstream in the sense that you will make antibodies against that virus. And some of those will be detectable down the road. You can detect whether someone has had chickenpox before. because those viruses are still alive somewhere in their neurologic system. I'm presuming that's why still generating a very mild inflammatory response. Or they're just very long-lived. You know, COVID, the antibodies don't last that long.

And that's part of its evolutionary life cycle as it lucked out at some point and infected a population of humans and then was able to infect them again. you know, down the road. That's why you get multiple colds in your life. There aren't that many cold viruses running around, but you just don't get immune to them in a way that prevents you from getting infected. Coronavirus are like that. So if he's talking about MRNA vaccines, they're in your bloodstream very short period of time.

MRNA, remember, is a string of ribonucleic acid. so these are little nucleotides strung together and they're instructions to the cells on how to make the spike protein in this case so when those go in the cells they'll inculcate themselves into the cells and then the cells ribosomes which are the factories that make proteins

will then take in that MRNA make the protein the protein will make its way to the surface and then that MRNA may get transcribed one or two more times, if that, and then it gets broken up and then used to make other MRNA instructions for other proteins. So those vaccines are gone really quickly. But it mimics an infection, which is why it's such a good vaccine, because that spike

protein ends up on the surface of the cell, and the white blood cells go, oh, hell, you know, you're not supposed to be there. This is an actual infection, and so you get a little bit more robust immune. from that. By now. Anyway. So, yeah, and then if you look at flu vaccine, that's just proteins from the influenza, and they don't last very long at all.

It lasts long enough. It stays at your arm long enough to generate inflammation, which the body then recognizes as foreign antigens, and that's what generates the inflammation. And then the immune system forms complexes against it, and those circulate in your bloodstream long enough. hopefully to keep you from dying from influenza if you get it. Gotcha.

All right? Gotcha, got you. That's an excellent question. That's a very good question. And, yeah, we don't have the technology to inject nanomachines into people yet. I would be all in favor of that in the future. What I'm hoping is in the future

we will have these nanomachines that we will be able to inject and they will go into our brain and teach us how to speak Italian. Cool. How cool would that be? That would be pretty cool. Yeah, I'm going to be.

into Italy next week. I need to get my Italian shot. Oh, my God. Can you imagine? And it just rewire your brain. Maybe it only lasts for, you know, two months or something. Yeah, six months or something. Then you lose it. It would be cool.

That would be super cool. I don't know where that stuff resides in the brain. Last night, this is the craziest effing thing. I got in my head this song and it's called Viennay Sulmar. Okay. And what

that is is it means come to the sea in Italian and it was a three stooges bit where this guy was singing this song and they kept flicking cherries into his mouth and I was obsessed with finding it because it had came into my the forefront of my consciousness fully formed I remember even the shades of black and white what stupid curly was wearing you know this sort of diva opera diva and the whole thing and where to the How was that? I actually remember that, yeah. Where the hell was that in my brain?

It's in your brain, too, because you remember it. I actually do that you're saying. I remember a bare way up. Yeah, because the way he was dressed up, it was hilarious. The hell. Yeah, like a girl, big fancy. So that, to me, blows my mind. Now, if we're going to upload our consciousness to computers, it's going to have to have stuff like that.

You know, I'm assuming we won't have pain. We won't have emotions like we do because, you know, the hormonally driven emotions. What can only hope? I'm hoping that you would wake up and you would be a perfect consciousness, just having your experiences, but without any emotional overlay over it.

But it won't work right if you can't dredge up shit like that at random from time to time because that's part of our consciousness too. Right. Part of the balance. I saw that effing cartoon when I was like six. It's been in there ever since. It's crazy.

That's cool. It blows my mind. That's cool. Okay, doke. Let me see. Steroids, what are they? God, I did a bad job of cleaning out our things. Let's do this one, though.

Hey there. It's your friendly respiratory therapist from Boston again. Hello. I'm just listening to your show on my way to work like I was real on Sundays. Excellent. I'm sorry to hear that you had COVID. But anyway. Me too.

It sucked. This is the beginning of respiratory care week. You know, nurses get recognized, Nurses Week, all that good stuff. Well, it's Respiratory Care Week. So, if you know any respiratory therapists, wish them a happy respiratory care week. Started by actually President Ronald Reagan. Really? Have a great day.

I'm listening to the Halloween stories now. Thanks for all you do. Bye-bye. Cool. So, yes. So respiratory therapists get screwed, and they got screwed on this one, too, because I think respiratory care week was like six weeks ago, just looking when it, when was it? Well, thank you guys for all you do. Sorry, October 24. So we're recording this when November 24th, so we're exactly a month

late. It's perfect. Right on time for us. She's not wrong. They get screwed. And let me tell you something, while we're on the subject to respiratory therapists, they were truly at the front line of so much of this pandemic, because when patients are really at risk for spraying the room with viral particles is when they're undergoing respiratory treatments, nebulizers, bi-pap, CPAP, when they're intubating them, you know, when you're putting the tube down somebody's throat to put them on life support, or when you're taking that off and putting something else on, and then, you know, when you take it off, it's like, and that's just shooting viral particles everywhere

so mad respect to respiratory therapist I didn't know any that said F no I'm not going in that room they all did it and you know good for you thank you good good good

all right we'll give them one of the last all right sorry I was so late terrible I'm the worst All right. We did the out-of-body experience, right? Didn't we do that one?

Yep. We did. Okay. So let's do, oh, let's go back. This is, this goes way back. This used to be a real common question pre-COVID, and it's good that we're getting back to some normal things. Here we go. Hey, Dr. Steve, it's your old pal Keith.

Hey, Keith. Hey, Keith. Hey, buddy. I got a problem I'm running into here. I have had low-key for about 15 years, and I've been, on medication, weekly shots. Okay. My levels are within the normal range, and my symptoms of low-tie have gone away.

Okay. I've unfortunately moved and had to find a new doctor, and my new doctor, for some reason, thinks that my dose is too high. Why? Even though I'm within proper range, and my symptoms have gone away. And I'm curious, what is the normal range of a dose? of testosterone. I mean, obviously, it depends on how much you need.

It's on how much you don't have it or aren't making it. But is there a level that you see or a doctor sees, or another doctor sees, whatever, and red flags go off and say, hey, this is too high of a dose, even though it's within the range of normal testosterone levels. Like opioids, there's no real sealing dose to testosterone. give the patient enough to get their dose, to achieve the effect you're looking for. So many of my colleagues will just look at numbers. So if the range is, let's say, it's 300 to 900, and you're 301, they will look at that and go,

well, you're in the normal range. I can't treat you. Yeah, it's insane. And that's bullshit. Yeah, it's what that is. It is, you know, it's... Well, that's because you're an idiot. You know, for real.

Once again, it's been a long time since we've gone through this. The way they determine the normals is you take a thousand people, just some random number of people, and you test them for testosterone. And when you do that, you can get a mean at number, and then you can calculate the standard deviation. So you go two standard deviations from the mean.

That's your normal range. The problem with that is when you do that is that most people who have low testosterone are not ever diagnosed and they're never treated. So that means that you're getting a bunch of people who have low testosterone. It's physiologically low. But they're being included in that sample. And they're skewing the normal low so that the low normal range is actually, should be considered low, particularly if they are symptomatic. They're symptomatic, right.

So that's the key. So there have been studies that have shown that if you have quote unquote low normal testosterone and you have the symptoms of low testosterone, which are. Insomnia, fatigue, not being able to gain muscle mass. Low sex drive. Unable to have good, you know, meaty erections. There you go. All of the above. Give yourself a bill.

Those are pretty good. Yeah. Yeah. Physical weakness, fatigue, low libido. I don't have to repeat it. You said them all right now. So, yes. So if you have those, studies have shown that if you treat those low normal testosterone, those people will achieve benefit in what we call health-related quality of life.

because that's really what we're doing with low testosterone is we're trying to make people feel better when we give them hormone replacement therapy. Right. So you give how much you need, and that's pretty effing stupid. Now, I will say that just because Dr. X prescribed something is not a reason for Dr. Y to do it.

So if they're not comfortable with it, go to a urologist, they'll be fine. They'll be fine with it unless they're, you know, an idiot. Yeah, I agree 100%. unless they have Kotard syndrome, too. I have got one from, from, Oner, if you need another question. This is a medical question show, my friend, so yes. Here we go.

Is it possible to reverse and cure non-alcoholic fatty liver disease with lifestyle changes? Yes. Or is stopping in advance all you can do? So the answer would be yes. Yeah, yeah. You want to talk about it for a minute? Yeah, sure. We'll talk about what Nash is.

first. I'm sorry, talking about what? Nash. Not alcoholic steatohepatitis. You know, I'm sorry, I was having trouble here. Oh, are you okay now? Yeah, Mike. No, your mic's fine.

It's your hip-files. Yeah, that's one of them is saying. I'm sorry. Yeah, so, yeah, so the Nash, it's going to be, we see it a lot, and then people are certainly overweight, and it's associated with a lot of comorbidities, possibly diabetes, certainly. Oh, that would be that metabolic. Melibolic syndrome.

Melibolic syndrome. Hypertension. Obesity and all that stuff. Go ahead. All the above. But it's been shown to actually be able to be greatly improved and reversed with diets, low in fatty foods, fried foods, high in vegetables, you know, kind of the Mediterranean diet, and certainly increasing exercises and lowering body fat.

Yep. And it doesn't sound like a treatment, but it is. But it is. It actually is the treatment. Yeah. There's no great pills or interventions for this as far as surgical interventions or anything. You know, it's just if you can do it through diet and exercise, that's a perfect way to control. Yeah.

So these people will get cirrhosis just like alcoholics. Right. And maybe never touched alcohol in their life. Never touched it in their life. And I've seen it running families. And also, I'm just going to throw this out there for the people out there that are diagnosticians. We have a few listening. in our area particularly, but I'm sure this is true other places,

that there is a genetic disorder called alpha-1 antitripsin deficiency. And those people, when you get two of those genes, you have bad lungs, bad liver, there's all kinds of bad things that can happen to you. We have a treatment for it now where you actually give people the component that they're missing, which is called alpha-1 antitripsin. But if you only have one of the genes,

Some of those people will manifest as fatty liver and non-alcoholics to the auto hepatitis. So one of the things you want to do is if you have that, get yourself checked for that just to see because it won't affect how you treat this so much, but it's really good to know if you're passing that gene down to the next generation. And is it a blood test, Dr. Steve? It's just a blood test. Pretty simple blood test. Yep. So I agree with everything that Scott said, healthy diet.

fruits, vegetables, low carb. I, you know, the, the National Association for Liver, whatever the hell, American Liver Foundation, they say, you know, a diet high and whole grains, I disagree. I think a lower carbohydrate diet, but certainly a low glycemic index diet, which would be brown bread, brown pasta, you know, yellow potatoes, not no. white bread, no white pasta, no white potatoes kind of thing. But if you can cut out some carbs at the same time and increase your intake of green leafy vegetables and lean animal protein, again, it sounds like we say this for everything, but it is a treatment for Nash, and it's a very effective one. So it can be.

And you've got to catch it early. If you've already gotten into cirrhosis, it's a problem. But the liver can regenerate itself if you can stop insulting it. Yep. Stop saying, you're fatty liver. You're bad fatty liver. Now, there are some medications that you can take for this, particularly if you have high triglycerides, and their things, they can, your primary care provider can talk to you about that. Also, if you have non-alcoholic, steatoh, hepatitis, steato, it just means something related to fat, hepatitis, hepatitis, hepatitis, hepatitis, hepatto is liveritis, is inflammation.

so it's fatty liver infiltrate or you know inflammation you break these words down they start making sense you want to avoid drinking alcohol you know and Tylenol that's going to be a problem too you know Tylenol is metabolized in the liver and why stress your liver out anymore so but talk to your health care provider about that we shouldn't be you know giving a specific information about it but anyway sure all right Excellent question Yeah, good stuff All right, thank you

Hi, Dr. Steve, this is Phil in Tampa I'm calling about an incident that happened to me a few months ago Okay, hey Phil And it's a little long I'll try to keep it concise That's fine I was hospitalized back in April

And they diagnosed me with a phimp In my heart And I also had What they called a small TIA Which is a small stroke, I guess And when I was in the hospital, TIA is a transient ischemic attack.

It manifests like a stroke, but it goes away. Okay. They had no idea what caused it. They were really grasping at straw. And I don't mean that disrespectfully. Yeah, yeah. I had a CAT scan, an MRI, several EKGs. What else?

The thing where they put this stuff on your head to check your brain. Yeah. I had a bunch of tests. And then came back negative. That's a brainwave study. After that, I met with my primary care doctor, I met with a cardiologist, and I met with a neurologist. And originally, the only thing that they saw could have caused this to happen was I had a lot of caffeine. Now, granted, I drink Diet Coke a lot, and I was drinking an energy drink, but I wasn't, like, you know, chugging them every day.

They thought that maybe the caffeine just kind of overloaded of the heart, which led to the TIA. The symptoms I had were nausea. vomiting, dizziness, I wasn't speaking correctly, and they just think that the caffeine did it. But later on, after a lot of blood work, my neurologists discovered that something called homocysteine, my level was elevated pretty high, which was caused by the, I had low B12 and low folic acid. Oh, I know the answer. I know the answer. That's not it, though. The homocysteen level, which somehow led to this event to happen.

There's some, I'm going to bet. If he gets a certain test, I'm going to recommend that I'm going to be right. Okay. So I think I know exactly what this is. I can tie this all together. Two questions are. Yeah. One, I'm sorry, based on this very limited information, does that sound like that could be the case?

And two, what exactly is homocysteine? I don't really know what that is or how it affects the body. Obviously, if it's too high, it can do some damage. but that was all so thank you so much and love the show as always and talk to you soon thanks man

well thanks for giving us an opportunity to sound smart so I think what he has is a genetic defect and you can do 23 and me and then go into your data they've got this data thing that you can then go through

all of your different chromosomes and kind of plow through those I think he has mTHF F.R. gene abnormality, and I know it sounds like motherfucker. That's the first time I saw it, but it's a methylene tetrahidropholate reductase. And if he has a mutation of that, what will it do? It will cause a difficulty absorbing folic acid and B12. So you have to take special B12.

These things are called Methylated versions of B12 and folic acid And once you start taking that All of this stuff, a lot of this stuff will go away. Your homocysteine level comes back down If you start getting neuropathy, which is where mine came from,

it'll also get better. So my best friend from residency, Rebecca Sherish, was the one who turned me on to this. And I thought that was really very interesting. So, you know, homocystinemia, it can also increase your risk for heart attack and stroke and that kind of stuff. And so I'm just going to, this is from Medscape because I don't want to get this wrong. Elevation of the homocysteine level in blood has been referred to as homocysteineemia.

So anytime you hear something emia, that means that something's elevated in the blood. and so increased homocysteine levels associated with higher risk of strokes and increased carotid plaque thickness that's thickness of you know of the arteries going into the neck has been associated with high homocysteine and low B12 levels so get tested for that MTHFR gene and if I'm right I'll send you a weird medicine cup because it's a surprise for me being right I guess But that would account for a lot of this. Yeah, I think it's almost all of them, actually. I found out I had it through 23 and me.

Isn't that interesting? Because I had all the symptoms, and my homocysteine levels were elevated, and I went plowing through my 23 and me, whatever that database is that you have on yourself. And there it was. I was heterozygous for it, which means I'm a carrier for it, so I didn't have the full-blown syndrome. So, you know, all it did. was just give me these bad nerves

and... That's part of why you had the bad nerves, my friend. Yeah, well, you think it's the statins, I know. And you may be right, you may be right. But I can't stop taking those because I have high homocystitemia. I mean, high homocysteine levels. Do you see a new report?

And I'll seriously, real quick. They were saying it, and I'll find the report. Statins once a week, equally as effective as once a day. I have heard this. I will look it up for you. So, dude, You found the study that you were talking about, though?

Yes, sir. Okay, before we go, we'll do that. Right here on PubMed. Okay. It's just the efficacy of Rosuvastatin in patients that could not tolerate the statins previously. Okay, rosuvastatin being Crestor. Yeah. So that's the brand name.

It is a statin drug. It inhibits HMG-CoA's reductase, and HMG-C-CoA reductase tends to operate and make cholesterol. all when you're not eating. So that's why they tell you to take it at bedtime, and then it does all of its work at night when you're asleep. Gotcha. Okay? Yep.

Well, the conclusion is it once a week. They did this specifically for folks that needed to lower the LDL and can tolerate the statins. Just once a week of this particular medication was effective and well-tolerated, lowering the LDL, getting people down towards skull. Yeah. And for folks that had such terrible myelages or muscle pains, that's me. That's me.

Yeah, they couldn't tolerate. Yeah, they could tolerate. I take it anyway. Yeah. I would say, you know, but if you can get the, if not identical, but an almost identical result in your numbers, taking it once a week versus daily. But, you know, my concern about this is. Yeah. It's not just about the numbers.

The, if you, there's a drug called Zetia. And if you take it, you can. lower your LDL. You don't lower your risk of heart attack and stroke, at least not to the extent that you do with a statin. Statens also have something else that they're doing if it's anti-inflammatory action

or something that actually produces a decrease in heart attack and stroke. So I would want to see an outcome study that says, yeah, we prevent it just as many heart attacks and strokes. Okay. Now, the truth of matter is to prevent

one heart attack, you still have to treat like 39 people at some number like that. You know, it's called the number needed to treat. It's not like if you take these, you're magically not going to have a heart attack. And if you don't take them, you're magically going to have a heart attack. So it's all about risk mitigation, and it decreases the incidence. But we've discussed number needed to treat. I don't have those numbers in front of me because it took me a little bit by surprise on this topic.

but we can discuss it sometime in the future if people want to know the actual number. But let's just say you have 1,000 people in one group and 1,000 people in another group and you give a drug to one of those groups 1,000 people. In the other group, you give them a placebo. And in the drug group, the ones that you gave the active drug to, you see seven heart attacks. In the placebo group, you see 10 heart attacks. Now, that's out of 1,000 people.

Yep. So, but you could say we had a 30% decrease in heart attack, you know, heart attack in this group. Yep. So that's the relative improvement. It doesn't always tell the answer. So what we want to do is we want to know the absolute improvement. and then we calculate the number needed to treat.

So in this case, the absolute improvement would be 3 divided by 1,000. Do you have a calculator in front of you? No, but I can make one. Okay. Here you go. I got one. I got one. I beat you.

Okay. So 3 divided by – well, I know what 3 divided by 1,000 is. It's going to be 333. Okay. Lots of threes. I'm sorry, 0.003. And then you take the inverse of that. So one divided by 0.003.

Ah, shit, you son of a bitch. It's going to be 333. One divided by 0.003. God dang it is 33. So in this particular case, okay, well, we'll just... Liam, you're on weird medicine. You there? Hello?

Yeah, you're on weird medicine. Did you do it? No, I'm doing a show. But we're almost done, and I promise I'll do it as soon as we get off. I'm sitting at a gas station. Okay, you know what? It's fine. It's fine.

We're going to stop the show. Oh, wait, no, don't. Oh, for God's sakes. No, too late. Too late. I'm sitting here. I'm going to get you some right now. No, don't worry about it.

Don't worry about it. I have zero. Yeah, I get it. I get it. I get it. No, don't stop. I feel bad now. You should feel awful.

You know I'm just messing with you. No, I can edit this out, or I can leave it in, just depend. on, you know, how I feel about you at the time. I feel like a giant penis. You feel like what? Wait, say that again? A giant penis.

A giant penis? Yes. Well, we're not talking about your genitalia, bro. Not on this show. Positive thinking. We're not that kind of a show. So let's see. Funds transfer.

How much should we transfer to old Liam's account? Gas prices a day? You better to lie. I don't need not much. Okay. like i just need to get a tank so i can get home and go to speedway and lights oh you're going to speedway and lights okay and who calls when they need money a little forward forward thinking

i need one million dollars okay fair enough there you go all right uh hang on hang on we gotta see if it goes through jesus this is riveting this will be deleted from the show no i think you should do you think so okay All right. Well, if I could make it in any way funny or entertaining, I would. But, okay, you should have some money in there now. Okay.

Okay, all right, buddy. All right. Okay, I'll see you. Thank you. You're welcome. That's hilarious. Maniac. Nothing like thinking ahead.

No, well, anyway. Hey, you and I were that age once. It's been a long time, though. You know? It has been a long time. It's been almost 50 years for me. But I remember it acutely, so it's totally fine. And, you know, the one thing I'll give him is that when I was his age,

I had already wrecked every single one of my dad's cars. No shit. He had a regular Jeep. He had a Willie's, 195, Willie's Jeep, and then he had a nice car, and I wrecked all three of them. By the time, you know, he was this whole. So I'll give him that. And he's never, knock on wood. We're good so far.

Keep it up, keep it up, kid. And he gets straight A's in college. So if he needs $25, $50 every once in a while, you know, what else is dad here for? Because he ain't going to listen to anything else I do. No. All right. So in our case that we had, he would, we would need to treat 33 people to prevent one heart attack. Okay.

Okay. So that is the number needed to treat. And that's the best way that I can imagine to explain how that works. So the number for statins is less than that. And it depends on whether you're treating to prevent the first heart attack or the second one. And the numbers are different. And the drug companies will not tell you this stuff. They'll tell you the relative improvement.

They'll say, you know, we have a 40% reduction in heart attack and stroke. They won't give you this number. But it has to, by law, the data has to be in their package insert. And if you get that little package insert, that's that little white piece of paper that you can unfold. and it's got all that information on it, a long strip of paper. It'll be in there, and you can calculate it your damn cell. Right on. So maybe if you'll remind me, let's next time, maybe it'll be interesting to people, we'll do that.

We'll calculate it for statins, and we could do it for other drugs, too. Sounds good. Okay? All right, brother. All right, guys. We out of here? Let's do it. All right.

Happy Thanksgiving, everybody. Yeah, it's already over. Yeah. Well, no, if I get this posted tonight, we'll get it in a day. Anyway, we can't forget Rob Sprantz, Bob Kelly, Greg Hughes, Anthony Coomia, Jim Norton, Travis Teft. That Gould girl. Lewis Johnson, Paul O'Charsky, Chowdy, 1008, Eric Nagel, the Port Charlotte Hore, the Saratoga Skank, the Florida Flusi, Roland Campo, sister of Chris, Sam Roberts, she who owns pigs and snakes, Pat Duffy, Dennis Falcone, Matt Kleinschmidt, Dale Dudley, Holly from the Gulf, Christopher Watkins, Double, A.K. Steve Tucci, the great Rob Bartlett, Vicks, nether fluids, Cardiff Electric, Casey's wet t-shirt,

Carl's deviated septum, the inimitable Vincent Paulino, Eric Zane, Bernie and Sid, Martha from Arkansas's daughter, Ron Bennington, and of course our dear departed friend, Fez Watley, who will never be forgotten, and all of them whose support of this show has never gone unappreciated. Listen to our Sirius XM show on the Faction Talk channel, Serious 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, 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. Thank you, Scott. Thank you, buddy. All right, we'll see you next time. All right, any questions from the, from out there? Oh, Richard Kish is here. He is my buddy who enjoys King Crimson as much as I do.

Oh, goodness. They have a new live album. It's called, I don't know, Music for Friends or something like that. And it's all the same shit that they play. I mean, I saw the concert. It's all the same stuff. But apparently this recording is Primo. Most of their recordings are pretty decent.

And the other thing about it is it's probably their last performance in the United States, maybe. And because Robert Tripp is no spring chicken, and neither is, you know, Tony Levin. And hell, I don't know how the hell old, poor old, oh, shit. Uh-oh. I'm having a senior moment. Senior moment. Anyway, the other guy. is. And so, yeah, it's going to be very interesting. And I also heard that like Gavin Harrison is

playing with his own band now. So I think they may be done. So I'm going to have to pick that one up. But anyway, let me see. Yeah. O'Nor says, please don't burn slash or choke yourself accidentally with that stupid dry bird. If you brine it, it will not be, it will not be dry. Or, What I discovered, because I have to work on Thanksgiving, I'm going to pressure cook a turkey breast. Okay. I figured you would suave. I've done that before.

Suvied. I've done the suvete. It's hard to get one in a bath. Oh, that's small. But I'm telling you, you put a turkey breast. If it'll fit in your pressure cooker, you have to put it up on a trivet, and every one of those comes with it. and then you just put a little bit of chicken stock in there enough to get the thing boiling so you get the pressure up

and it takes 35 minutes. I mean, there's a formula for it. And it's perfect. It's juicy. If you want it to look more like a roasted turkey, you're thrown under the broiler for a minute or two when you're done. And then you make gravy out of the stuff that's in there. It's amazing.

Sounds good. Yep. No need to have a dry bird. Nope. Okay. Don't do it. Yeah, okay. Orner says we should leave that in the podcast.

I'll edit it down. A father's most important duty is to make sure his kids are embarrassed forever. I love it. Oh, look, Amanda's here. Yeah, we've got a big crew today. Really good crew. Amanda Swan. That's good crew.

Now, she is one of my Moogfest friends, and she is, I don't want to say, but she is. She's awesome. She's a friend, yes. Yeah, she's awesome. And then there's, oh, I see Amy's in there. I sound like romper room again. I see Amy. I see Amanda.

I see Scott. Okay, you missed a question. Yeah, no, that doesn't surprise me. If you get HPV vaccine in your late 30s and at some point in your 20s, you already got three of the nine strains of the vaccine. Can you still spread? Yes, you can still spread those three strands. strains to someone else.

And if, let's just say magically, you were lucky enough to not be exposed to subtype 16 or some of the other naughty ones, I still think that the vaccine would be beneficial in preventing you from contracting and transmitting those. But yeah, that HPB vaccine doesn't keep you from getting genital warts. It keeps you from getting the ones that'll kill you. So you still got to wrap that rascal. We don't have a vaccine yet that allows us to just have unprotected sex

with whoever we want or whomever we want. No. And Doug in Boston says, we demand Dr. Steve does the show in his favorite British accent. The crazy thing is I've got all the Appalachian accents down. I can't do a British accent for shit. Nope.

But I can play you some of my favorites. And I really do like the Essex accent. accent, and then the Manchester accent. I like it a lot, too, because Y's become A's. So they'll say Kila instead of Keeley. They'll say what? Kila. Key.

Okay. I don't know that. And did you ever find that ICD-10 code for sucked into a jet engine? There actually is one up. That's so crazy. There really is one, yep. And the sequela of one, which is even crazier. Okay, now talk like a Hick says, and that's our friend, Amy, with Jimmy on Yellowstone.

Yeah, that's what I was going to tell you. Oh, getting laid after having a broken hip. Do I have to lay my husband after his double hip replacement next month? He thinks it's okay. I said yes. I'm going to say, no, not in a million years. You don't have to do that. I wouldn't blow him or anything.

Well, see, I was thinking, well, you know. Yeah, it was Amanda. Good blood flow to his hips, you know, helps him heal faster. Amanda came with her friend John, and John has been on the show. Amanda's been on this show. I don't know if you met her. Amanda, answer. I think so.

Did you meet Dr. Scott when you were here? Because I can't remember who was here. And we had Super Android 23 once, and that was Daniel. But that's my band. We just call any house band that's here that's doing electronic music, Super Android 23. And John, who is loads. Hoganfield on Twitter, or was until he got banned because he got queued. He got Q and on infected.

Oh, my God. Yeah, that's all we need to say. Yeah, he started posting some things that apparently Twitter wasn't cool with. And he got banned, permanently banned from Twitter. But anyway, yeah, so, but that's the first time I met Amanda. And so we've all kept in touch ever since then. got our little core group of Moogfest people, even though Moogfest no longer exists. Yes.

All right. Well, listen, everybody. Thank you. Have a great holiday. We'll be back next week, and we'll keep doing these. We'll try to make these live streams better and better. I've got somebody helping me with the graphics, so it's not just we're on the top half, and then there's black space with white lettering on the bottom half.

We'll try to make it a little bit more highfalutin for next time. All right. Sounds good. all right everybody take care and thanks for joining us yep thank you let me see you get nothing you lose good day sir Thank you.