Weird Medicine: The Podcast - 492 - That's Some HPV You've Got There

Episode Date: February 10, 2022

Dr Steve, PA Lydia, Dr Scott, and Tacie discuss: Retirement Tree Man Syndrome Calculating Autosomal Recessive Phenotypes (it's fun!) A weird rash that only comes out sometimes Passing on fecal bacteria from mother to child and more! 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!) BACKPAIN.DOCTORSTEVE.COM – (Back Pain? Check it out! Talk to your provider about it!) betterhelp.com/medicine (we all need some better help right now!) Cameo.com/weirdmedicine (Book your old pal right now while he’s still cheap!) CHECK US OUT ON PATREON!  ALL NEW CONTENT! Learn more about your ad choices. Visit podcastchoices.com/adchoices

What do you call firefighters who become influencers? Stop, Drop, and Roll Models. If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM103, and made popular by two really comedy shows, Opin Anthony and Ron and Pes, 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 Tobolivir, stripping from my nose.

I've got the leprosy of the heartbound, exacerbating my imbettable woes. I want to take my brain now, blast with the wave, an ultrasonic, ecographic, and a pulsating shave, I want a magic mill. Oh, my ailments, the health equivalent of citizen cane. And if I don't get it now in the tablet, I think I'm doomed, then I'll have to go insane. I want a requiem for my disease.

So I'm paging Dr. Steve. Dr. Steve. From the world famous Cardiff Electric Network Studios, it's weird medicine, the first and still only uncensored medical show in the history of broadcast radio, now a podcast. I'm Dr. Steve with my little pal, Dr. Scott, traditional Chinese medical practitioner gives me street cred with the wackle alternative medicine assholes hello dr. scott and we have in the studio tacy my wife tacy my partner in crime hello tacy hello welcome back thank you and we also have p a lydia the great Lydia the great

there you go oh wow this is a show for people who would never listen to a medical show on the radio or the internet if you have a question you're embarrassed to take to your regular medical provider can't find an answer anywhere else give us a call 347, 7664323, that's 347. Follow us on Twitter at Weird Medicine or at DR Scott WM and 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 a grain of salt.

Don't act on anything you hear on this show without talking it over with your doctor, nurse practitioner, practical nurse physician assistant, pharmacist, respiratory therapist, chiropractor, acupuncturist, Yoga Master, Physical Therapists, Clinical Laboratory Scientist, Registered Dietitian, or whatever. Wow, the levels were all over the place on that one. You know, when I had analog equipment back in the 70s, I never had problems with that, but with this digital stuff is still an issue for me. But anyway, all right.

Well, welcome, everybody. Thank you for being here. And don't forget, I'm going to try this one more time. I don't even know if we are still on Amazon's thing. They sent me this dunning letter saying, you are in violation for these things, you must supply us with this and that. And I think what it was was they were surprised that with the R page being as minimal as it is, you know, stuff.com, go check it out, that we were getting as many clicks as we were.

And that's just because we have an awesome audience that is, you know, likes to, you know, they like us, I guess. It's weird. I don't know why anyone would like this. I don't get it either, but okay. Okay, so I accept it for what it is. Yes. But they did not, I guess, understand how we were getting as many clicks as we were. Now, we're not making a lot of money.

You know, if we make 300, 400, 400 bucks in a month, that's a lot for us on that. But still, it helps pay for the web hosting and all that stuff. Well, anyway, they sent me this Dunning letter, and so I responded to it, but they were asking me for some stuff. They wanted like SEO integration. We don't do any. I don't know what the hell they're talking about. I just have a website. So I didn't send them that, but I said, I don't know what you're talking about.

If you want something specifically, I can maybe get my web guy to look at it. And so I haven't heard anything. So I don't even know if we're still. They gave me five days, eight days ago. So, you know, I don't know. We'll see. But anyway, check out stuff. Dot, Dr. Steve.com.

Don't stop using it until I say Amazon stinks and then we'll think of something else. Anyway, and don't forget to check out Dr. Scott's website at simplyerbils.net. We're going to talk about it in in a second because he has something new. And then go to our patreon.com, patreon.com slash weird medicine. So Tacey, you are back in the studio. I am. And so you and I did this during the COVID era. Yes.

And you and I started doing the Patreon show because you were not able to be in studio on Wednesdays anymore because you were out of town. Yes, that's right. Almost every. Oops. So someone's happy about it. No, no, no. I hit the wrong thing. Oops.

Yeah, oopsie. I hit the wrong thing. Well, you can't be happy anymore. Oh, oh, wait. Sorry, I hit the wrong thing. Bitch be back, baby. Yeah, so. So what happened?

Oh, I got retired. Yay. Praise the Lord. Thank you, Jesus. Yep, so Tacey got laid off. Let's have church. But she got laid off from a job that, number one, she couldn't really talk about, and you really still can't because you're still employed for a while.

Yeah, nor will I ever, because they were decent to me except for the last little bit. Yeah, and then you had a nice job, and then they put you on the road. Yep, didn't like it. And she was gone two, three nights a week, and then during the snow could have gotten stuck up there for the whole weekend. Hated that. And, yeah, so here you are. So welcome back. Thank you.

Yes. So people will say, well, then what's the competitive advantage to the people? Patreon show and the competitive advantage is we're going to start doing some celebrity interviews and stuff with that. It's still content you can't get anywhere else. Well, and if it's not a competitive advantage, well, I don't have to be here. So we'll figure

out. Oh, yes, you do. Oh, come on. I'm going to be too busy, to be honest. Okay, fair enough. But, yeah, glad to have you back, and I'm glad to have you back at home and all that kind of good stuff. All right. So, Dr.

Scott, I have some of your CBD sinus rinse that's pretty crazy and I have yet to try it though because I was using my lavage all week but I'm going to try it you know what I'm just going to by God try it now I just had a little hit before I came you did yeah yeah I used about three or four times a day

and PA Lidie have you seen this I have not oh you have sinus yeah you have sinus trouble right yeah this hasn't been open you can have it you don't have to do it right now you want it sure you can take that one Scott will bring me in With the CBD activity in this? It's going to alter me? It's going to alter your mental status. No, it actually helps to block the spike proteins for the COVID.

We think. You put CBD in your nose spray? We think. There's not any scientific proof. In vitro that has happened. So we'll see. And that is true. In vitro, it is true.

Okay. Meaning in the test tube, that's what in vitro means. I'm stretching it out a little bit. But it has, it's actually pretty good. And listen, this isn't an ad for Dr. Scott. Check him out at simplyerbils.net. But it's, yeah, it's pretty cool. So good.

I'm glad you finally have some product. Yes, think so, after a year and a half of, you know what. Yep. All right. PA, Lydia. So here's the thing. You brought us one of the coolest stories that's ever been on this show. And it was the story of the person who had a tapeworm.

The tapeworm had cancer. and then gave the guy metastatic tapeworm cancer. So when they biopsyed his tumors, they weren't even human cells. They were tapeworm cancer cells. So that was pretty damn cool. But DNP Carissa brought a story of a guy that steeped magic mushrooms in tepid water, it seems, and then injected that water. into his veins thinking he would get high

and what he got was a fungemia. In other words fungi growing in his bloodstream and they were magic mushrooms. He didn't actually make any the mushroom itself is the sex organ but he was growing the actual organism

that makes the magic mushrooms in his bloodstream. And then last week N.P. Melby did the Navaj live on the air and she has a phobia about putting stuff up her nose, which is, of course, why we

wanted her to do it. And she did a great job and she really liked it, and she's been using it ever since. I watched that. I was really impressed. Yeah, I did. I watched it at work, and I started gagging after you guys put the Oh, I didn't even know about that. Oh, yeah, I held the snot. At that point.

Yeah, it's awesome. It collects that was great. Buggers in the bottom, and it's all clean. I mean, it's all isolated from the rest of the device. It's pretty neat. So good. So now we see that there is some little competition going on here between the three of you.

So I were wondering what you brought today. Yeah, I would like to preface with saying I'm not extremely competitive. Okay, fair enough. But you did bring, your thing is going to be hard to beat. Well, yeah, when you start strong, it's easy to disappoint, right? So anyway, I was lying in bed thinking, what on earth could I talk about? And I closed my eyes and I thought about seeing the. these tree people. So have you guys ever heard of tree men? Yes, yes. Yeah, which I think is extremely

weird and interesting. Talk about it. People should Google image that right now. Yeah, the Google image tree man syndrome, for sure, you will not be disappointed. And it all starts with some autosomal recessive mutations. So you get some mutations from both parents in ever one and ever two genes. And essentially makes you highly susceptible to human papillomavirus. Is that right? Yeah. Okay. I didn't know this about this.

Yeah. Okay. So, anyway. So I'm a more recessive. Let's talk about that for a second. So you have to have two genes, the two of the bad genes. So if you have a mother and a father, and let's just call Big T, Little T. And the little T is the recessive gene that we're worried about.

And they both have Big T, little T. You can make a two-by-two box. and hell I'm going to need paper to do this can be a 25% all right all right let me let me can I have that paper Scott that already has the yeah sorry you're not looking at me that's all right

no I'm talking to her my friends so you make this box and it's a two by two box and you put a big let me do this here you put the big tea here on one of the on the top across you know a big tea

on one box and little tea on the box across the top and a big t and a little tea going down the left side so each of you know side of a box has an as a number on or has a letter on it so one of their kids if they if they all just there was no randomness to this that this would just be that they would just have these kids one of the kids would be big tea big t so they could not pass along the tree man syndrome to their to their kids. Then you will have two kids that are

Big T, Little T, so they will have the trait and could pass it along to their kids but they won't have the syndrome. And then just as P.A. Lydia said, one of their kids, one of the four will have Tremad syndrome.

And, oh, we're getting a call from a very important person here. Hang on a second. Hello. Hello? Hello. Well, what is you doing? Well, I'm just a ratchet, John, to all these folks out charing the party line.

Well, he talked to Olaverty. Now, I ain't talked to... She ain't been on the party line for a month of Sundays, I'll tell you that. Well, I heard she went to that party on the moody. She ran off with one of them high-fleet and fellers. One of them city-fied fellers. 85 failers. All right.

There's just so much our listeners will tolerate of that bullshit. Agreed. I'll holler at you when you're going to. No, no, no, no. You had a medical question. What is it? Yeah. Okay.

I was just going to ask you about this rash to get on my chest. Okay. Tell us about it. Okay. It's on the lower left side of my chest. and I get it sometimes when I have a heat rash you know like mowing the yard or something then it goes away I can put some cortisone on it

but I got COVID back up the end of December and I've gotten over it and the rash has come back but it won't go away and it's just like red spots it almost kind of looks like chicken pox and my doctor looked at it And he thought it would go away

And he gave me some steroid cream But that doesn't really seem to help it much And I've been doing that for about a week Wait, it looks like chicken pox So it looks like little papules We would call them Yes, and it doesn't itch or burn or anything Less likely to be herpes then

Okay Because you can get herpes anywhere Yeah, what do we go to say? It sounds like a little virus thing, right? It sounds a bit viral Yeah, well that's interesting But he says he's had it for years though too So, HPV.

Yeah. Oh, yeah. Okay, fair enough. Great timing. Especially with his history. On his chest, though. Oh, yeah. Well, I don't think I've got herpes.

Oh. Knowing your history, that's what I've had it looked at before. Yeah. And they think it's like, you know, like a dermatitis type thing. Yeah. Well, these are really hard to do over the phone in there. Even hard to do when someone sends you a picture of it. You've got to see them.

live. But COVID can trigger an itchy widespread rash, but it's usually, we would call it urticaria, you would call it hives, and it's splotchy red areas that are intensely itchy. And so this is not, not that. Now, when I hear someone say, when I get sweaty, I get a rash in this one circumscribed area of my skin, I think fungus. You think what? Fungus. Fungus. And I would use an antifungal on that just for fun and see if it goes away. Now you've got to use it for two weeks straight. You can't just wait until the thing goes away and then stop using it. You've got to use it beyond that.

Yeah, go ahead. And what I didn't mean to interrupt you, but what I would do before when it would happen, and it would seem like it would happen when I'm mowing the yard or something. And then I would put some cortisone on it for a day or two and he'd go away. There are some tinia infections that sort of fade into the woodwork until you get sweaty or you get a lot of blood flow to the skin and then they'll kind of become visible again. It's almost like invisible ink. And that's one thing. Lydia, you got any other ideas on that?

No, I wondered if when he gets like a sunburn of those areas are more. Yeah, how about if you get a sunburn? Is it lighter than the rest of your skin? No, it's not. Well, the hell with you then. So this fungal thing, it's like playing checkers with this. Can you get it over the counter or do I need to check back with my... No, you certainly can.

There's all kinds of antifungal creams that are sold over the counter. And, you know, for people who have, like, there's fungal infections of the scalp that you can get a nizer al-shampoo. It's ketocytokazol. And it works really well for people that have... really bad dandruff that's caused by fungi in the skin of the scalp. So, yeah, so you can buy all kinds of stuff over the counter. But it's, I mean, is there any significance? It comes up in that same spot.

Yeah, because that's where it's living. That's my hypothesis. Okay. So lamacill is one. I had chicken pox when I was about 35. Yeah. But that, okay. Now, did you, hey, when you had chicken pox when you were 35, did you have a really bad

syndrome with that? Because usually when adults get chickenpox, it sucks. I would say moderate because I got on it early. Got on? Oh, so they gave you the... Yeah, I broke out, I would say a moderate breakout but not super severe.

Okay, okay. Because that makes sense. Yeah, and then they gave you the antivirals for it. Yes. Okay. All right. Well, I don't think that has anything to do with this, but I would like to see it. Now, if it turns into blisters and ulcerates, and then heals and then goes away and then comes back I mean it may be a herpes virus you know

shingles and chicken pox are herpes viruses okay and so and then it seems like I'll tell you this and I'll let you go I know you're busy it seems like when I get up in the morning yeah it looks a lot better yeah but as the day goes on it looks it looks worse yeah yeah That all kind of fits my hypothesis, I think. So get some lammocil. Talk to your primary care. But this is stuff. I can recommend things that you get over the counter.

Get some lammicil, put it on for two weeks. And then if it doesn't go away, see your primary. And if he needs to send you to a dermatologist, the dermatologist absolutely can figure it out. Okay. Because when I went to see my primary care last week, of course, I go early in the morning. Yeah. And it almost looked like it would, it would, it would, had cleared up. Yeah.

But, you know, by about this time of the day, it gets red again. I mean, it's not super bad, but it's just, it's more annoying than anything. Gotcha. Yeah. Yeah. Okay. All right. All right.

Thanks. That's all I know. I tell you that. Go say Doc Carson. He'll put some linen in a home. I like you show. All right. All right.

I'll see you later. All right. Bye. Jesus. Maniac. Every day for 15 years, I hear that. That's true. Can I say something?

I was doing this thing. Oh, you're mad. Yeah, go, go ahead. So, P.A. Lydia, exactly right. Give yourself a bill. Is that you, they would have one kid out of four or 25% on average would have this tree man syndrome. And the only reason that I go through that is just to derive it for the listeners so that they

understand when just throwing out a number at random that there's a reason for it it. But anyway. Yeah. Yeah. Cool. Super rare. I think only 200 cases have ever been identified since 1922. Wow. But it's part of a, so that mutation that you just

described would give someone EV or epidermodysplasia verusiformis. And which is a less it's a syndrome that can manifest, you know, the HPV legions more as like warts or diffuse

warts or skin lesions. How do you treat it? So specifically you would have to remove the lesions. They're chronic. So they just scrape them off? Yeah. So those are just really warts? When someone has that tree thing? I mean basically. Yeah, they're warts. So

yeah, when they develop the tree man syndrome they get these bark-like projections that grow and are completely debilitating. Some grow from the face, but a lot of times you see them on the hands. Yeah. And so, yeah, they have to go in and surgically remove them and do skin grafts and they continuously grow back because once

you get exposed to HPV typically at least with this genetic mutation you do not clear it. Yeah. God, I wish I had an I am Groot drop on my sound board right now. Oh yeah, because it looks like Groot. Yeah, yeah, it does. That's amazing.

Well, yeah, boy, I learned something today. Okay, all right, you're still in contention there. That was a good one. Did you bring anything else with us today? Well, it was just a nice... Because we have a million calls, but if you Let's do calls. That's good.

Okay. You sure? Yeah, I'm kind of a nerd. I was going to segue into virals and using viruses to, like injecting viruses into tumors nowadays. Yeah, no, no, no. We've talked about that on the show. Matter of fact, you can go to Dr. Steve.com and click on non-sudoscience, non-sudoscience cancer cures. And I talk about that.

So let's talk about multiple myeloma. Do you know, are you familiar with that one? Yeah. Yeah, okay. I don't know. Well, I mean, I know you're on the cancer. Not with a viral treatment. Okay.

So what they did was they took a measles vaccine. So apparently the measles virus is very what we say, trophic. And, you know, it loves to live in myeloma cells. So they gave this person six million doses of measles vaccine. And the measles vaccine was genetically altered not to change the activity of, the virus that they were injecting, but merely to have the virus have a receptor for, I think, radioactive iodine. And so what they did was they injected this person.

They got pretty sick. You know, they felt like crap. And when they gave them a dose of radioactive iodine, it lit up all of their myeloma tumors. And then within about a month, they were completely free. It's called viral oncolytic therapy. Yeah. And anyone that has multiple myeloma, if you want to get into a trial like that, you can just go to clinical trials.gov and see and put in multiple myeloma and viral oncologic therapy and see if, you know, there's a trial close enough to you to justify going to it. Right.

So what did you have? Well, of course, the polio trial was one of the first ones, right, where they inject polio virus into. glioblastoma. Oh, now I haven't heard of this one. Yeah. So we're going to educate each other today. Yeah, that was one of the first viral oncolitic trials. Okay.

In people who had had the polio vaccine in childhood, right, so should have some immunity to polio. They would inject, like the, I guess the capsid or something very similar to an active polio, but of course it was not active. Yeah. Directly into the tumor to elicit an immune response. Okay. Right, to get those cytotoxicty lymphocytes that... Which normally don't fart around in the brain too much. Right, but you can get them there.

Shit, shit, shit, hang on, hang on. Okay, okay, we're good. Yeah, you can get them there. I just got a message on the computer. I thought we stopped recording. The immunotherapies we use that, that utilize cytotoxic T lymphocytes, like there's Optivo and Urvoi, they're really notable because they have great activity in the brain. Wow.

So, yeah, they'll certainly go there. So, okay, so we've been talking for years from almost the first show that cancer, you're an oncologic being. The cancer, the days of chemotherapy, we're going to look back at this as how effing barbic could we have been. because the answer to cancer is immunologic. It's a failure of the immune system. Would you agree? In combination with an upregulation of transcription, so an upregulation of cell division of cells that have become immortal.

Right. But if the body was doing its job properly, it would have noticed that and kill it before it was allowed to. You know, you haven't probably heard me give this analogy, but my analogy for cancer is, is like you've got a serial killer living in your cul-de-sac, and they've got, you know, people in the basement. But every day you go by and this fucking guy's out there mowing his lawn, hey, how's it going, you know, and going to work and all this stuff. And when one of the people escapes and says there's four other people in the basement,

that's when the villagers show up with their torches. and put the guide. When he's uncovered. So one of the main ways we've started to use the immune system to finally allow it to recognize cancer cells and kill them is by exploiting these receptors on cancer cell surfaces. So they upregulate expression of these receptors called programmed death receptors, program death one and program death two. And so when that cytotoxic T lymphocyte that should be patrolling the body looking for cancer. cells, yeah. When they come into contact with that program death receptor, it has a program death ligand. So they match up and that causes inactivation of the T lymphocyte. And so the

immunotherapy drugs that we are using largely just either bind to the ligand side on the T lymphocyte or the death receptor side on the cancer cell, and then there's white cells, they don't get deactivated. So that's been the probably most major. breakthrough, I would think, in the past 10 years. And we can use them for virtually any malignancy. There's good data with very, very, very low chance of side effects. So have you seen the trials? And I know you must have because one of these is on the market now.

But the original trial that I saw, or it really was a case report because it was just one patient, they took out this patient's white blood cells. they exposed it to her cervical stage four cervical cancer proteins outside of her body and then injected them back in and they all went oh I know what to do now and they went and that woman is walking around today cancer free yeah so and we have trials going on in largely every solid tumor you doing that and it's almost like getting a bone marrow transplant when you do that because the person has to go in and have all of their lymphocytes depleted. So they do receive some chemo usually. Now there are some trials. So you have to go

kill the white blood cells and then re-inject the targeted ones. Yeah. But they're getting swifter about it. And I recently attended a talk where they're working on a product where you can largely skip that step. I had one patient who went for colon cancer for a similar therapy. And because he essentially was like a bone marrow transplant status. You know, he was responding. He had these new lymphocytes that were specifically targeted to kill his cancer. They didn't have his good cells yet. And he died from a calm and cold. Oh my goodness. So it's not, it's not perfect yet. Yeah. No, it was actually, it was another coronavirus, but not COVID-19. Yeah. So it caused a hepatitis and he died rapidly. Wow. But they're getting better at that. So, yeah.

Yes. It's fascinating. It is fascinating. So that will be the key. I used to, when we first started this show, I was saying we're 100 years away from a generalizable treatment for solid tumors. And now it's not even 25 anymore. You know, we're really, really close. Yeah, it's exciting.

Yeah, it is exciting. So I'll never leave oncology. Yeah. It isn't the final frontier, though. The final frontier is going to be neurology. because we still, after all of this, we don't know what consciousness is, how does the brain work,

how does anything do anything? And so we really have a hard time treating mental illness and stuff like that because we just throw buckets of serotonin into people's brains because somebody did a study that showed that in people who are depressed, their serotonin levels are low. That's a really sort of just broad strokes approach to this stuff. And if we ever want to upload our consciousness into machines and truly live forever,

we better learn a whole lot more about how our brains work. Because it is amazing when you think about it. Somebody reminded me of something the other day that happened to me when I was a little kid. I haven't thought about it in 60 years. And it's still in there somehow. There's some semblance of it that's recreating it. It feels like it's a real memory. But, and then you look at these concert musicians, and they play all this stuff, you know, from memory.

And it's, how many bits of data does that take to get the velocity and the tempo and the speed and the notes and get all the fingers going in the right place and all that? So, yeah, go ahead. Can I add one quick thing that one of my friends, Jens Kruger, the Kruger brothers, he's a banjo player. Yeah. Aficionado, and he writes symphonies and mixes them up with bluegrass music, and it's just incredible. But he wrote one for the Appalachian Mountains and Rhone Mountain and one for the Rocky Mountains. But he was telling me that in one, just one of his pieces, he had written 250,000 notes. What?

250,000 notes for the banjo. Well, Mozart, there's too many notes. Remember what his line was? Remember what Mozart's line was to that? When the emperor said, Mozart, he was the first viewing of the magic flute. Okay. And they were trying to, you know, at that point, they were trying to, you know, degrade Mozart's standing. But the emperor said, you know, Mozart, there's too many notes, which it's one of the greatest operas ever written.

And this could be apocryphal, too, I'm sure it probably is. And Mozart just said, okay, tell me which ones to take out. I've done that with patients when their families say, well, my mom's on too much medicine. It's like, okay, which one should we take off? You know? Sometimes you can find a few, but most of the time they're on these things for a reason.

So, anyway. 250,000 notes. Yeah, yeah, yeah. And he's written a number of them. And he'll sit there and he'll play a, you know, when they play live, he just goes right through. Yeah, yeah, yeah, right, right, right. I don't know.

Yeah, and then we have this thing called muscle memory. I mean, I can still play some piano pieces from way back in the day, but it's all feels like it's muscle memory. I don't think about it. I just do it. That interesting. Well, you know, and the funny thing is too, in music, in music, especially with the way those guys play in these professionals. I think they can almost kind of hear the next note, and they just kind of know where it goes in sync sometimes.

Well, yeah. To a certain degree. Yeah, I don't know how it works. So anyway, that's incredible. Neurology, okay, so we will conquer oncology, but neurology's got to be the next thing. Because healing a, you know, a spinal cord that doesn't work anymore, you know, because it's been traumatized or whatever, any of those kinds of things. Dementia, Alzheimer, Parkinson's. Yeah, yeah, all of the above.

Depression, psychosis, we don't have a clue. And then if we're going to build thinking machines and we don't really understand how. how consciousness works, then what happens when we put a machine in charge of our nuclear arsenal and then it becomes psychotic because we don't know. Because we never really. Because we didn't understand. Well, maybe Elon Musk has made some headway, right? I hope so.

I hope so. Neurrelink and, yeah. Yeah, that's pretty interesting. I'll sign up for that. I would too. Oh, I'll absolutely sign up. So it's Neurrelink. It's where he's, you know, interfacing computers with people's brains directly.

Okay. And they've done some of this stuff. There was something that came out not too long ago where they did some sort of, it was like a functional MRI, but I can't remember where the person would recite numbers in their head, and then they could take the output of this scan that they did and they could hear the numbers. It was very indistinct, but if you tweaked with the audio, you could absolutely hear him going, one. That's crazy. Two, three, four. Yeah, that's crazy. That's insane.

So that's just the beginning. You know, it's once you get that, now you can build on that and do some really cool shit. So I'm looking forward to that. Right now, I'll stick with my Oculus. Anyway, all right. Where are we going from here? Well, I guess, I advertise this show that we're going to answer a bunch of questions, but that was fascinating. So, thank you.

Number one thing. Don't take advice from some asshole on the radio. All right, let's do this little feller. Right, Char. Oops, oh, sorry. Got maybe. How are you guys doing? Hey, good.

How are you? Here's one for you. About three, four times a year, I get a pretty bad eye twitch in my left eyelid, upper eyelid. And it gets so bad sometimes that it affects my vision, where it's like pushing down on my cornea. And it's lasted sometimes up to a month. So, three quick.

questions. Yeah. Is this bad enough to go see a doctor? Yes. It's affecting your lifestyle, so absolutely. Question number two. Number two is what kind of doctor do I see? I don't want to mess around with my GP. Well, okay. It would be an ophthalmologist. An ophthalmologist treats this condition. I'll tell you what it is and it's not. Have to and just get referred anyway. Yeah. And number three, what kind of treatments can I expect that any doctor would have? Okay, good, all excellent questions. So, Lydia, do you know anything? Do you have an idea what this guy has?

I'm pretty sure I know what it is. I mean, he said he gets an intermittent growth on. He gets a twitch in his eye, and it hurts. He gets spasm in the eye. So it's called blephorospasm. And blephor spasm, that's okay. I wouldn't expect an oncologist to know that. It's, you know, a blephrous spasm is spasm of the eyelid, and it can be sometimes so severe that it can be lifestyle threatening.

And it sounds like this guy's his. So he asked, so he's to see an ophthalmologist, and one of the treatments would be you want to go see them when it's happening. Because if you go when it's not happening, it's like going to the auto shop and saying, well, you know, it was making this weird noise a week ago. How are they ever going to find it? So you want to go when it's happening. He says it happens once a month or it happens for a month of the time. I can't remember exactly how often he said it happens. But it happens when it's happening, he can reproduce it.

And they may give him Botox. I was thinking Botox to the nerve that's affected. Yep, absolutely. And that'll work for about four months. And if you do it three or four times, you may not need it anymore. Because the weird thing about Botox is, And this is true of Botox to your forehead, too, that more you do it, as long as you stay within that four months, the less you will need it over time. And I've done it.

I've used botulinum toxin for people with a thing called post-thoracognomy pain syndrome. P.A. Lydia knows what that is. When they open up your chest to do a, to do, you know, like a lobectomy to take out part of a lung, they put a spreader in there one on the top rib and one on the bottom rib and then they put a lot of pressure to open it up and when they do that they often crush the nerve that runs along the top of that rib of the bottom rib and people will have pain for years for that and one thing you can do is you can inject that area around the nerve with Botox and it depletes a thing called substance p and it'll do it for a long time for up to about four months. And I know the times that I've done it on people will do two units every centimeter along that scar. And then after four months it comes back, we do it again. And then four months later, it comes back, not quite as severe. We do it again. After about the third injection, we don't have to do it anymore. That's great to know because people are on long-term

opioids for that. Yeah. Yeah, yeah, yeah. No, true, true, true. Yeah. Well, the problem is it's a dang expensive. So I've gotten, the workaround for that is not to charge them for the Botox. I only charge for the injection. And then I get them to go to a place and just pay cash and get it at cost. And, you know, it's about 300, 400, 400 bucks. But if you have that kind of horrible pain, you've been taking high dose opioids and you can get off of that, it's worth it.

And some people can't afford it. And that's, you know, it's unfortunate. That's our health care system. right now but the other thing is if the injections don't work they can do surgery okay so blephor spasm check it out my friend all right oh this is one for pa lydia you have your hi my name is christie i live in new jersey hey christie i have a question about nerve pain i have an uncle who had cancer treatment for bone cancer and the radiation damage the tissue around the spine.

And ever since December, I guess early January, he's had very bad leg pain and foot pain. And I'm curious if you know anything that can help, and if you know anything about lidocaine infusion. Yeah, okay. So I'll answer the last part. Lidicane is an anesthetic. We also use it for cardiac arrhythmias,

you know, people with weird heart rhythms. But it's primarily known to the public as an anesthetician. anesthetic when you go and they're going to do a biopsy on your skin, they'll shoot you up with lydicane. You can infuse it into veins and arteries and stuff, and it'll bathe that area with lydicane. And it does work. The problem with it is it's not long-lasting. Usually last, you know, it's very short-term, very short-term.

So it's not really a solution to this. So, Lydia, you see this stuff all the time. What do you think? And then we'll go around the... circle because Scott knows a thing or two about this too. And then Tacey will get you to give your opinion on treatment for a neurogenic pain. This is a little bit more difficult, right? Because the treatments, the cancer treatments can cause neuropathy, right, as they're causing

direct damage to the nerves usually start and distally like at the fingertips or the tips of the toes and then they would work upwards. So for that, things like, you know, supplemental B12, alpha lipoic acid. Yeah, and we use alpha lipoic acid. all the time. Glutamine. And then other medicines that would kind of specifically dull nerve pain like gabapentin, right, or Lyricosimbalta.

But this case seems to be more derivative from the actual spine. And I don't know if there's still tumor there or if he's kind of still proximal from radiation where there's still some inflammation. So sometimes using dexamethosone, a corticosteroid to calm down any remaining inflammation there at the spine will help. Yep. That's to reduce the mechanical pressure on the nerve. Yeah.

And then certainly, I know she was asking about doing direct therapy, like a direct injection or numbing therapy. I don't typically refer people for that, especially if we're treating malignancy. Yeah. And the anesthesiologists don't like to stick needles into tumors either. So, Scott, what do you got? I was thinking the same way she was just kind of depends on.

where exactly that pain is, if it's down in the feet or legs, if it's pretty diffuse, we use acupuncture, we use electrical stimulation. I like to use it away from where the tumor is. Depending on where the, if the radiation is in a local area, and there's a lot of inflammation, I like to put needles around and stem that and try to do like a nerve block and sometimes you can get some pretty good relief. And depending on how low it is in the spine, you know, sometimes I'll go in, I'll refer to my buddy's and they'll do epidurals above that level sometimes but if it's down there the tumor

no way they're not going to anywhere near it yeah yeah so so i mean there's a but there are there are a bunch of treatments that that that um we can certainly do for for post radiation post chemotherapy neuropathy's yeah pain syndromes i'm not sure what kind of bone cancer we typically would think about bone cancer being described as multiple myeloma and not like a primary bone sarcoma or something like this but it's fairly common to have someone require a very low dose of dexamethosone 1 to 2 milligrams, which shouldn't really increase their risk. Which is a corticosteroid, a steroidal anti-inflammatory. And sometimes you can do some topical stuff, too, just to pull some of the inflammation

right around, whether if it is a radiation burn on the skin. If they're feeling pain close to the surface, I agree with that. We use, so if there's tumor causing the problem, radiation therapy should be the key to this. Oh, yeah. just to shrink the tumor around there. But we will, for a neuropathic pain that is not, you know, amenable to any other treatment, we'll use methadone for that. Believe it or not, people will think, well, methadone is to get you off drugs. No, the only reason the federal government uses methadone to get people off the drugs because it's cheap.

It's dirt cheap and it lasts all day. You give one dose it lasts 24 hours or can if you give them enough. So, but one of the interesting salutary. effects of methadone is, is that it is really good at blocking a receptor called the N-Methyl Diaspartate receptor, which is NMDA, which doesn't matter what it is, or won't be a quiz at the end of this, but it is involved in neuropathic pain. And when you block that, you can improve neuropathic pain significantly. So we'll use that.

And the antidepressant deloxetine is really the drug of choice for chemo-related neuropathy. But a lot of times people are already on Zoloft and other things like that. You can't really just put them on that because now you're just really tossing the buckets of serotonin into their system and causing the problems. So, anyway. All right. So good luck to him with that. And there are things they can do. And the other thing I would say is ask the oncologist if they have a palliative medicine professional nearby that could make some of these referrals to.

an acupuncturist that's, you know, qualified to do it, not some jerk off that took a weekend course, but rather someone like Dr. Scott, who I have utmost respect for because he spent four years of his life learning how to do what he does and he doesn't just do acupuncture. So, by the way, well, okay, you did a really, your partner did a really good job in one of my patients. Oh, good. That's all I'm saying. So anyway, without giving out any information.

But, yeah, thank you very much. Anyway, so, yeah, so see if they have palliative medicine. That's one of the things that they're there for. Palliative medicine is not hospice. Only 10% of what palliative medicine providers do is hospice. 90% of it is for people who are still pursuing active treatment, and some of them may even be, you know, have curable disease. So, but they can help sort of manage the symptoms of cancer and cancer treatment

when the oncologist really, they just want to, you know, put needles in your arm and dump, you know, toxins in your vein. Right, right, Lydia. That's my goal. Yes. All right. Good old lady. Change it again. Hey, Dr. Steve.

Hey. And crew. Hello. How are you all doing? Good, man. How are you? Oh, that's good. Me too.

Good. Hey, I got a question about studies on clinical trials.gov. Okay. Can you do a little segment and teach us how to read those damn things? Nope. Remember the time that we tried to do that on the fly? I said, well, let's go to Clinical Trials.gov, and we found a trial that said it was completed, and they had the data there, and I wasted five minutes of this show that no one will ever get back

trying to figure out what in the hell they were trying to tell us. It was terrible. I don't know. How do you tell us if something? I left it in for the same. reason I left the Stacy DeLoche stuff in because it's educational to people. It's good or not. I just see a bunch of medical jargon on that.

Yes, yes. It's awesome. So clinical trials.gov is a great place to go if you have an illness or someone has an illness or you're a provider and you want to find a clinical trial for one of your patients. You have to wait until the paper is published to get anything out of that reporting site because they'll say, oh, yeah, it's completed. data is available and you go there and you can't make any sense out of any of it

so they don't want you to be able to figure it out because they want to get a publication out of it so that's part of it so I go quite frequently when we get to later treatment lines in patients and so I could give just a couple of tips when you're looking at something so you know of course there's first

you can search on clinical trials.gov by your radius right So your disease state, then your country, and then the radius that you would be willing to travel. And then from there, there's a brief description of the study, which should. That part's very understandable. Very clear. So you would also look at the phase, right? So we have phase one, two, and three studies.

Phase three studies is going to be some type of intervention that has already shown efficacy, right? So they had to show some efficacy in the phase two, and then phase three is looking for, rarer adverse effects. Exactly. Because it's larger. Yeah, if you can get yourself on a phase three trial, that would be preferred. Yeah. Right.

Right. So that's not what he's asking, though. What he's asking is, is you go there and you, let's just say, okay, so you want to know, does Ivermectin, now we're going to get banned, because I mentioned the word. When I put it on Twitter, I spell it with exclamation points and stuff. But anyway, to defeat the algorithm, man. But so you want to know if Ivermectin is effective in COVID-19 in the hospital. And they've got a trial, and they've already recruited, they've finished the trial, and they've outputed data.

That's the part he's talking about. I gotcha. Because when you go there, you can't make heads or tails out of the data that they've put on that site, even though they're required by law, I guess if they have an NIH grant. I guess they have to put the data there, but they put it in such an incomprehensible. sensible fashion that you can't really say, yeah, this is, this worked or no, it didn't. And they don't have to publish a conclusion or an abstract or anything. So you've got to wait until the, you know, until the article is actually published. Yeah.

I go by the context clues of the phase, right? So phase two, we know, okay, so it was tolerable. Right. Perhaps there's some efficacy there. Phase one, it might not be tolerable and it might not work. Right. But if it's phase two, it's got some efficacy. Phase one's just, you do 40 people just to make sure you don't kill everybody off the bat

and that it gives you enough data to just say, hey, maybe this will, you know, be worth going to phase two. And then phase two, you'll do about 300 people, phase three, about 30,000 sometimes. And then we're in phase four for Mulnupyere right now, for example. you know, phase four is post-marketing. So that's when you really tease out the truly rare adverse effects is when you start giving it to millions. And in the case of the vaccine, billions of people, you know, and then you'll see eight or ten of this or that come out,

and you try to tie it to whatever you gave them. So pretty interesting. Yep, yep, excellent. Thank you. So the answer is no. Let's see how much time we got. Oh, we got enough time. Here's a poop one.

Hey, Dr. Steve and Dr. Scott. How are you? Hey, good. How are you? Boy, that's great to hear. Hey, Dr. Steve, this is Alex from your Discord server. Hey, Alex. You were kind enough to respond to my question related to newborns and how they require their microbiomes from their mothers through either vaginal birth or post-eurore.

section medical intervention. My follow-up question is this. Is my poop the same as my mom's poop and my grandma's poop and my great-grandma's poop and so on and so forth, stretching back generations? Just curious. Oh, it's a delightful question. I love this. Everybody should join the Discord server that the great Cardiff Electric set up for you. That's our boss. It's a lot of fun in there. We need more people, so maybe you could put up a link somewhere. Thanks a lot. Bye.

I do appreciate our network boss creating a Discord server for us, but we do have the Reddit and we've got the website and we've got those. It's too much. So I've gotten into the Discord and it is fun to get in there and you can do live chats and stuff. But I'm too stupid. I'm just too much of a boomer to figure Discord out. So I'm going to work on that.

But anyway, we do have a Discord server. it's just weird, weird medicine. This is a really interesting question. And I've gotten conflicting answers. One answer in Sweden, they did a study in Sweden, and they sampled mother's stool for E. coli strains. And then they sampled the kids' stool for E. coli strains. And what they found is we have such a clean environment now when we deliver babies

that the kids didn't colonize with E. coli for like two months. And so they were getting it from somewhere else. It's like, where the hell are they getting it from? You know, they're not, we shouldn't be eating E. coli. But, you know, you get it on your hands or it doesn't take very much. And then it works its way into the colon. It likes to live there. And so it proliferates.

But now this one here is an article, Mother to Infant Microbial Transmission from different body sites, shapes the developing infant gut microbiome. And we know that we can't separate mind from body and we can't separate the gut from the mind. And these people said that they looked at 25 mother infant pairs across multiple body sites from birth to up to four months postpartum, and they showed rapid influx of microbes at birth

followed by a strong selection during the first few days of life. and the maternal skin and vaginal strains colonized only for briefly and the infant continues to acquire microbes from distinct maternal sources after birth. So these mothers are gross. They've got E. coli, I guess, on their boobs or whatever, if they're, you know, if they're breastfeeding. I don't know. Maternal gut strains proved more persistent in the infant gut and ecologically better adapted than those acquired from other sources. So yes, that would support his hypothesis that the, you know, the. poop, the e-colide that his grandmother had is the same as his mother's day.

Now, we do know that mitochondria are passed down from, you know, from mothers to their children. Sure. So, but as far as their poop organisms, it's still up in the air because I've got two completely different studies saying two completely different things. And they're both pretty authoritative. Cool. All right. So, Dr. Scott, you got a question from the waiting room, as we like to call it. or in weird medicine, Cardiff Electric Studios.

Actually, we have two now. We have it. Oh, we do? We actually have a second. Excellent. All right. So let's start with Lady Trucker, if I can get back in part of it. Okay, Lady Trucker.

Hey, welcome back. Welcome back. Yeah, yeah, yeah. We're glad she's back. All right, what do you got? The essence of the question is, why is 39.5 BMI the magic number for elective surgeries? Right. So why shouldn't 39, why is 39.4 okay?

but 39.6 isn't. And I was thinking about this the other day. Go ahead. Well, didn't she lose weight? Didn't she say that's important to recognize? Yeah, yeah, she's done great so far. She's already lost 45. That's awesome.

Excellent. Good for her. That's not easy. No, hell no. Actually, I dropped under 200 for the first time since COVID. Really? Give yourself a bill. Yeah, I'm at the lowest.

This morning I'm at the lowest that I've been. and since, yeah, for quite some time. And I'm at my highest. Yay. Well, you're retired. Okay, wrong cart. Muscles. Yeah, it's all muscle now.

Muscle weighs more. Yeah. That's right. It's all that eating out on the road. We're both going to fix that. Yeah. Because I have got a ways to go to get to my ideal body weight. And I've been, I used Noom, but Noom was a challenge for me during COVID, particularly

during the worst times because I wasn't able. to concentrate on what I was eating. I just had to grab something. And a lot of times, you know, I was fasting all day long, and then I'd get home, and I'd be starving. And when you're, what I found, it's amazing. And people think this is bullshit, but breakfast really does matter. Because the days that I would even just eat an apple, or I would do a protein shake or

something in the morning. And then I wouldn't just be gorging at night. I would, or even if I did, I would still either gain less weight or I would lose more weight than if I fasted all day. You'd think, well, God, I didn't eat breakfast. I didn't eat lunch. I just ate, you know, a somewhat sensible dinner. But your body goes into starvation mode when you start burning fat cells that rapidly.

And it goes, oh, my God, we're starving. We need to conserve every calorie that comes into us for the next couple of days until we get caught back up again. And it makes it a lot harder. And the days that I, just to eat a little something in the morning, I'd do much better when it comes to my weight loss. Oh, yes, you, Jeff. That was one of the first lessons of Nome.

Yeah, I know. You did Nome? I did, why? Yeah. After a postpartum. Oh, really? Yeah, yeah. Yeah, I love Nume.

You can still go to Noom. Doctrsteve.com and get 20% off or two weeks free. I just realized that the other day. Cool. So we haven't been pushing it. But, yeah, I love Nume. It helped me in ways that weren't just weight-related, and it made me understand that scale, you know, the scale isn't the only thing.

It's how you feel, and, you know, there's non-scale indicators that you're doing better, including getting your belt to tighten it a lower notch and stuff. A non-scale victory. There you go, thank you. There you go, Tase. Give yourself a bill. Another one of those for Tacey. She's on a roll, baby.

All right. So, yeah, so the reason is that there are studies that show increased post-procedure morbidity, in other words, complications, the higher your BMI is. So unless you're having weight loss surgery, they really won't. There's a lot of surgeries that they don't want to do. and you know it's sometimes it's hard to close an abdomen that's got a foot of you know fat tissue between the skin and the and the guts well yeah and the other thing if it pops open it's hard to get it hard to close yeah go ahead and the other thing is spinal surgeries a lot of times the instrumentation is they can't get to it can't get in there deep enough so it's just not long

enough so the thinner you are the easier it is for the surgeons to get in there and do their procedures but i was thinking about this the other day the sort of artificial boundaries that we set for ourselves? For example, is it okay for a kid who's 20 it's illegal for a kid

who's 20 years old and 364 days to buy liquor? But the next day they can't. There's nothing magical or that they can't vote when they're 17 and 364 but the next day somehow they have the wisdom

to make choices that are going to all of our lives or they can go to they can be you know in they can enlist in the military yeah yeah it's also you know so we and people say well you just have to set the line somewhere so and then when when you get to voting it becomes you know it's a political issue because robert heinland said he he was a science fiction writer but he was a political thinker too and he said that if you don't go into the military you shouldn't have the right to vote So he was one of those guys. So if you didn't serve your country for at least two years, then you shouldn't be allowed to vote.

So, you know, you can get into all kinds of stuff like that. There's other ways to do it other than an age cutoff. But age cutoff seems to be the most fair because it doesn't discriminate against something that you've done or, you know, who you are or where you live or any of that stuff. If you're 18, you can vote. If you're 39.4 BMI, you can have that surgery. Even if you're 39.6, you can't. I don't know. They just have to set the line somewhere.

All right. You ready for question number two? Yeah, yeah, yeah. This is the winner. Uh-oh. I think this will be a good one to wrap it up on. Okay. Oh, why?

You want to get out of here? Yes. Oh, God. Okay. All right. Sorry, I kept you all here. No, actually, I've got to go pay a guy who put on my roof here in a bit. But anyway, anyway.

Okay. So, seriously, Larry. Larry, as. Lawrence. Lawrence has the question of the day so far. Okay. Long story short, we have a shower head attachment. to clean out the bunghole to prepare us for activities.

Yes. Is this safe to use daily or am I washing out too much stuff? That's an excellent question. No, no, no, it's a great question. So if you have a bidet, it is a great question. If you have a bidet and Tacey can attest to this. You need one if you don't. Yeah, you do.

You do. Especially, we bought our badees when you couldn't buy toilet paper anywhere. I remember going to the store and I was walking behind this lady and they actually had toilet paper that day. And I went, oh, thank God. And she said, do you want to go in front of me? And I'm like, no. And then she turned around to me and went, then get back six feet.

I'm like, okay, sorry, lady, Jesus. Anyway, I don't think I pose any danger to you. But it was in the early days of the pandemic. Everybody was a little bit freaked out. But so we got our bidet then thanks to Robert Kelly. And you can, I think we have one. We do on stuff. Dot, Dr. Steve.com.

You can scroll down and see it. $70 for the $20. It's, it is plastic, but we've had it for almost two years now with no problems whatsoever. And if you want the highfalutin, you know, citified one, it's like 10 grand for one of those Toto toilets. The Toto ones are outrageous. But they're awesome, though. Don't they heat the water and all this stuff?

Warm water and. Well, I'm going to my elbow to get to my knee to tell this story. But when you do that, you can divert the stream to actually give yourself a mini-anima. and it's actually quite nice. You get less seepage later and all kinds of things. Now, that's something I've not done. Really? Yeah, divert the stream.

You just do it sort of tangentially to the ring of death. Yeah, Steve, I'm not, yeah. The ring of doom. Yeah, okay, but you can do it. You can situate yourself just right, and it's totally fine to do that. you're not washing out too much of anything because you can never wash out to everything in there. As a matter of fact, the guy that called in earlier in the show, who is a grown man and an attorney talking like a lunatic on the telephone, and I don't think he'd mind me telling this because you don't know who he is. But he had a prostate biopsy, and they went in, they cleaned out his, they gave him a bowel prep, cleaned out everything.

put prep in there that kills all the bacteria and they stuck a needle through his rectum into his prostate to get the prostate sample. He still got septic from that. So you can never clean it all out. You can clean it out enough that you can have some activities like they're talking about and enjoy consensual relations and ass play and stuff like that. But using a shower head, you're not doing anything. No.

Now, if you were doing high colonics every day, I would say that might be an issue. No, not this. And even then, I don't have a whole lot of data that says it's an issue, but just shoving something up your ass and then just filling it up day in and day out. It's probably not. Yeah, that's what I'm thinking, too. So, you know, if you have a procedure, if I give you a procedure PA Lydia to do and one in a hundred people are harmed by it, and I give you a another procedure where one in a thousand people are harmed by it, you're going to be hard pressed to tell which one is which until you've done maybe 10,000 procedures.

You know, that would be the only way. So when you're doing something like that, you know, if there is even a minuscule risk of complications, you do it every day, something bad's going to happen. But, yeah, what you all are doing doesn't sound like you're doing anything. Nope. That would be a problem. Okay. All right, guys.

All right, we ready to get out of here? Do it. All right. Okay. All right, Tate. I mean, I don't mean it that way. I'm just not, I'm so busy. I just need to not sit down for us all. Okay. I'm glad that you've found things to occupy your time. Thanks. Always go to Dr. Scott. And we can't forget P.A. Lydia and Tacey, thank you for being here. Both of you are awesome. We can't forget Rob Sprantz, Bob Kelly, Greg Hughes, Anthony Coomia, Jim Norton, Travis Teff, that Gould Girl. Louis Johnson

Paul Off Charsky Chowdy 1008 Eric Nagle The Port Charlotte Hoar The Saratoga Skank The Florida Flusi Roland Campo Sister of Chris Sam Roberts

She who owns Pigs and Snakes Pat Duffy Dennis Falcone Matt Kleinshmit Dale Dudley Holly from the Gulf Christopher Walkins double

Steve Tucci who will be seeing in what six weeks right? Tase? Yes. Okay, yes.

Great. Sorry. The great Rob Bartlett. Vicks, Nether Fluids, Cardiff Electric, Casey's wet t-shirt, Carl's deviated septum, producer Chris,

The Inimitable, Vincent Paulino, everybody. Eric Zane, Bernie and Sid, Martha from Arkansas's daughter, Ron Bennington, and of course our dear departed friends, Fez Watley and GVAC,

who supported this show, never went unappreciated. Thanks to our Serious XM show, No, well, yeah, thanks to our Sirius XM show. We have a podcast. Listen to our Sirius XM show on the Faction Talk channel. SiriusXM Channel 103, Saturdays at 7 p.m. Eastern, Sunday at 6 p.m. Eastern on demand. And other times at Jim McClure's pleasure.

Many thanks to our listeners whose voicemail and topic ideas make this job very easy. And go to our website at Dr. Steve.com for schedules, podcasts, 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. All right, very good. Goodbye, everybody.

Goodbye. Goodbye. Goodbye. Thank you.