Weird Medicine: The Podcast - 494 - Her Husband's a Douche

Episode Date: February 24, 2022

Dr Steve and Dr Scott discuss: Pig heart transplant news Making type O blood out of Type A Weird diabetes readings Idiot doctors statins and cytochrome inhibitors HCG in clinical use and in silliness What lurks in fingernail filth stuff.doctorsteve.com (for all your online shopping needs!) simplyherbals.net (for all your StressLess and FatigueReprieve needs!) chef.doctorsteve.com (the best meal kit yet! Get $130 off!) Cameo.com/weirdmedicine (Book your old pal right now while he’s still cheap!) CHECK US OUT ON PATREON!  ALL NEW CONTENT! Robert Kelly, mystery guests! betterhelp.com/medicine (we all need a little help these days! Get it in the privacy of your home!) Learn more about your ad choices. Visit podcastchoices.com/adchoices

Did you hear about the contest to win a ton of cow manure? To the victor, go the soils. If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM103 and made popular by two really comedy shows, Opie and Anthony and Ron and Fez, you would have thought that this guy. I 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 subalibis stripping from my nose.

I've got the leprosy of the heartbound, exacerbating my infertable woes. I want to take my brain out and clasped with the wave, an ultrasonic, ecographic, and a pulsating shave. I want a magic pill. All my ailments, the health equivalent, 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. 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. You know, someone listening to this for the first time would think, who is that not? I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medical provider who gives me street crap. The wacko alternative medicine assholes.

Hello, Dr. Scott. Hey, Doc Steve. This is a show for people who never listen to a medical show on the radio or the internet. If you've got a question, you're embarrassed to take to your regular medical provider. If you can't find an answer anywhere else, give us a call. 347. 766. I almost gave out my cell phone number.

347-7-66-4-3-23. That's 347. Who is? Follow us on Twitter at Weird News. medicine or at D.R. Scott W.M. Visit our website at Dr. Steve.com for podcast, medical news and stuff you come by. Most importantly, we are not your medical providers. Take anything you hear with a grain of salt. Don't act on anything you hear on the show without talking to her with your doctor. Nurse practitioner, practical nurse, physician, assistant, pharmacist, respiratory therapist,

chiropractor, acupuncture, yoga master, physical therapist, clinical laboratory scientist, registered dietitian, newly minted nurse practitioner. a.k.a. Kim chickens or whatever. Very good. All right. We're still live with stuff.com. I don't know how for much longer because I sent them a response. And then they sent me another one that says, thanks for your response. But we need this, this, this, and this.

And I still don't understand what in the hell they're asking me. So I took a bunch of screenshots and put it on a Google drive and then gave them the link. And hopefully that's enough. If not, we'll figure something else out. go check out stuff. Dottersteve.com for all of your Amazon needs. It does help to keep us on the air,

and we really do appreciate it. And I appreciate Amazon. You know, hell, we've been an affiliate of theirs for a decade, a decade and a half. Oh, yeah. I don't know what I'm doing wrong. I haven't changed anything. So I just, they're kind of hurting my feelings a little bit,

but I want people to keep using it because, you know, it's Amazon. Who doesn't want to be affiliated with them? Right? In the right mind. Yeah, I love it. I'll buy everything there. Yeah, me too.

All right. Check out Dr. Scott's website at simplyherbils.net. That's simply herbals.net. How's the CBD-laced nasal spray going? Like wildfire. For real? Yeah, good, good, good. And I love it too, so people seem to enjoy it.

I need to bring you some. I know. I gave yours away. Yeah. Or gave the one away. who did I give that to Mel B? Nope. Who did I give it to?

PA Lydia. P.A. Lydia. Okay, well, she deserved it. So, yeah, if you could bring me something, that would be great. I would love to try it. We'll do. We'll do. It's good for you.

Check us out. Our Patreon, listen, I know I've plugged it before. You want to do the Patreon. We had Robert Kelly on. I'm not sure if that one is hit yet. And what we're doing is this sort of reverse thing. I don't interview them. They ask me medical questions.

It's so stupid. I call it the exam room. But there's a mystery guest that was supposed to be on last week, and he bailed on us. And he was revealed during the Robert Kelly one, and then he'll be on the one after that. So those come out every 10 days. And then I throw up some old classic content and stuff you cannot get anywhere else, including some pictures that I'm not going to put on the regular Internet. And then, you know, I may take some pictures of the original script and some other things like that.

We've got some memorabilia around here that's kind of cool, old school stuff. And then old shows that you can't get, including Sirius XM, some serious. I got to be careful. I can't just throw up whole Sirius XM shows, but I can throw up some excerpts as long as I attribute it. So, anyway. So, yeah, go to Patreon.com. slash weird medicine. It's relatively inexpensive, and it really, that's going to help a lot,

particularly now that Tacey has gotten retired against her will from her job. Oops. Whoops. And then check out my favorite new thing, chef.doctrsteve.com. You got to spell the whole thing out or just go to the website. It's on there. The link is there. You can get $130 off your first order with the best,

absolutely the best meal prep kit on earth that I found so far. Unless Blue Apron becomes a sponsor again, then, you know, I don't know. But I'm just kidding. It's Green Chef. Green Chef is awesome. Everything's organic, but it's not organic. It's just organic because it's good, you know? Right.

And everything is the quality of the vegetables that come. I've had problems with some of these before where the green beans were kind of looked old or freezing burn or something. Stuff looks like it came right out of the garden except it's wide. and it's great. So anyway, check out chef.doctrsteve.com. $130 off your first order of your keto. You can get that. If you're gluten-free, you can get that.

You can basically get whatever you want. And Dr. Scott, they have pescatarian options for you maniacs. Pescatarianites. That eat fish and get high mercury levels. Have you ever gotten your mercury levels checked with all that fish that you eat? No. Probably should. I'm sure there's a lot of shit I need checked.

Yeah, me too Speaking of that, I need to get my ass checked I haven't had a, I think my doctor last time forgot Oh, oh, here we go Oh, here we go Perfect timing Tacey, you're on weird medicine Hello

Hey, you're on you're on the air Oh Don't hang up, don't hang up Oh, God damn it, okay we'll be right back I told you the story about how I lost a chance with

the hottest woman that worked at WXYC at University of North Carolina in Chapel Hill and I am. Yep. Tell it again that's a good story. Is it a good story? It's not good for you and not one good for me.

But I was talking like that. I was, and you could, your mic is painful, painful, painful. I was talking like that except worse. I was talking up a record, and we were at F.F. Station. I'm like, and it's WX, Y, C, Chapel Hill, like that. And she just was sitting behind me, and for no reason. She wasn't there for any reason. Right.

And she was so ridiculously hot. And it turns out later that I found out that she liked me. That's why she was standing in there or sitting in there listening to me. And she just went, why do you hype your voice like that? And what she was really trying to do is be helpful. She said, you have such a beautiful voice. She's trying to be a complimentary. But all I heard, I'm like Rich Voss.

Voss will do a show and there will be 100 reviews. They're all positive except for one. And that's the one he focuses on. Tacey's same way. She's not here to defend herself, but she knows I'm right. And, you know, her boss will say, you're great on this, this, this, this, and this, and this. There's just, you know, we could tweak this or that. And that's all she hears is, oh, wait, I'm not perfect.

We have to tweak things. What the hell does he mean tweak things? Anyway, we'll talk about that on the Patreon show when she's here. But, so anyway, so that was me. And I just heard that, and I went, well, that's what I've been true. trained to do it just got real indignant and then i just sort of ignored her and she walked out and that was the last that was the end of that oh man so somebody was like you know she likes you you know and uh she and i was like what oh yeah so but it was too late i was i had already

you know if you show your ass that early on you're played the cards early you're effed and i god i remember in high okay high school no high school kids listening to this But I was in high school, and there was this girl in my class, Jane Mulhook was her name. Okay. And she was twin, fraternal twins, her brother, I can't remember his name, but I remember her. And she was, you know, fiery redhead, gorgeous. Okay. And my friends all knew that she was writing my name on her books, you know, like you do when you're in seventh and eighth grade.

Sure. and you write somebody's name on your books and so they all knew it not one of those assholes told me because i would have been so well of course i would have been now i would have acted crazy because i had no game i learned how to do magic just so i could meet women in like bars and stuff that's awesome well i had to have something because i had zero game i would have just been you know falling all over your all over your radio voice i am too smart i am to smart You know, I didn't have the radio voice back then. You know, I was just coming in. Come through puberty. Hello, Mr. Douglas. I love it.

I love it. That's cool. Only a few people are old enough to get that reference. Yeah, I don't even get that one. You don't? It's from Green Acres. It's Mr. Haney. Okay, you got you, Mr. Haney.

Well, yeah. No, hello, Mr. Doug. Gliss? Yep, yep, I got it now. That is funny. All right. It's funny. Good stuff. Well, yeah, so anyway, so Jane Mulhook, if you're out there, I'm sorry, I'm an idiot. Yeah.

But my friends could have had my back on that one, but they were so repressed. They didn't know what to do either. No, especially at that age, it's a tough. It is a pretty tough thing, isn't it? Yeah, and there was another one. Navigating those waters. In ninth grade that I found out liked me after. Yeah.

And I acted like an asshole in front of her, too. Yeah, you should have had. You need the coach. You need the life coach. Well, just be nice to, I mean, just be gracious. That's the thing. But my friend had a party, and they had water balloons. And so this girl at the time, I guess we were in the ninth grade.

It sounds weird to call her a woman because, you know, we were all underage. But anyway, this girl. who I also liked, I thought she was awesome. She chased me around with this water balloon, chased me to almost into another neighborhood. And we were alone together. And then I just went, I just kind of stopped running, and then she went, oh, like that.

And then we just walked back, and I walked, I think I walked 10 feet in front of her the whole way back. What a fucking idiot. What an idiot. Oh, my God. Well, that's because you're an idiot. you know there you go so what are you going to do that's hilarious good times but I was so I was so I was just shy and repressed and I was self-conscious that was the thing I just heard my voice and

when I talked didn't like it just hated it and I just cringed whenever I opened my mouth and that's yeah that's one of the reasons why I learned magic because then it At least I could break the ice. Once I could break the ice and get the conversation going, it was fine. Oh, yeah, sure. Well, I think that's why it was so nice for you to pick up your magic tricks because then that breaks ice pretty well. That's what I'm saying.

Yeah, I know. I love it. Yeah, okay. How old were you when you started doing the magic? I did my first live show in the seventh grade for the seventh grade talent show. Oh, my God. Now, that's not the kind of magic that gets you any girls. No.

What does is close-up magic. And you can't, the worst thing, okay, Somerset mom wrote in one of his books, and I'm just quoting, he asked me if I liked card tricks. I said, no, he did five. And what he was doing was very quickly sketching out how obnoxious this person was. So you can't do, you know, those shitty ones where look at where the queens are. You know, you need to learn magic that looks like real magic. and there are things like that. There are effects out there that you can learn to do

that look like real magic. I have one called Card Warp that's very easy to learn and it looks like sorcery when you do it and anybody can learn it and you can just get on a magic catalog and buy one. That sounds fun.

There's another one that I can't tell the secret of But it's one where you read the person's mind and they read yours and it actually works. Like they read your mind and say, I predict that you have picked the six of clubs and then you turn it over and that's what it is. Okay. It's and that sort of making that connection and then they're like, how the hell did you do that? And then there's, you know, that opens up conversation. So if somebody has got no game like I did and you want to learn that trick, email me. We did this once before about 10 years ago when people emailed me.

And I'll hook you up with where you can buy it. I can't rebuild the secret, but I can teach the secret to somebody. Yeah. Did you start the video feed? Yeah, the sound is good. Yeah, okay, there we go. Thank you. Thank you for reminding me, whoever that was.

Okay. John, thank you, Sean. Sean's a Sean's a good now to you All right You've got some stories

And I've got a couple Yeah we've got a couple We've got some good news You know we talked a couple weeks ago About the guy who had the The pig heart Yeah Yeah

Transplant Yes Well the great news is Mr. Bennett 57 year old Pittsburgh Steelers fan Who Huh

What's It's fine I don't know He's doing really Really well He's doing extremely well Yeah alive.

He's still alive and doing well. He was, I think they said he's five weeks out. With no anti-rejection drugs? No, are you sure about that? He's showing, no, I didn't know. I'm not sure about that, but I'm saying that they see the heart is doing well. The cardiologist trying to find any fault, but so far they've not been able to find any fault. Yeah.

And the heart is contracting vigorously as it should be. They bred these pigs not to have certain immune identifying proteins and glycings. and glycoproteins on their surface so that the body wouldn't reject them as readily. I just didn't know if they had to take any rejection drugs anyway or if they're completely washed of antigens, that would be cool. But I bet they still have to take something. One would think.

There's nothing in there about that? No, I've read it twice, but I don't see anything saying specifically if they do or do not. But, yes, they were talking about just having the gene editing for the pig's heart. to make it more viable. Okay, so if you Google pig heart transplant anti-rejection drug, here's the answer.

It says surgeons announce that they performed the first transplant of a pig heart to a human. I can't believe that was the first time that had ever been done. I guess maybe first successful one. Oh, the first one reported, yes, exactly. Exactly. Right. Okay, they did 10 genetic changes in the pigs, a novel immunosuppressant given to the recipient. And so they are on an anti-rejection drug, but it's a new one.

Oh, and a cocaine-laced solution used to incubate the heart. Excellent. Oh, cool. I like that. That's good stuff. I like any clinical use of cocaine. I've told you that story on this show of us doing cocaine and accidentally. Well, it wasn't accidentally.

We were doing a procedure on each other. We were learning how to do flexible. endoscopy on the nose and flexible it was flexible laryngoscopy so you stick it through the nose and we'd have to use these cotton pledgets which are just strips of cotton laced in this blue solution which is cocaine and we would that's right well yeah right it was methyl elgoconide or methyl elgoconine and we didn't know that meant cocaine and so we're just saturating these cotton pledgets and shoving them in each other's noses and and then that would open up the airways and then you could stick this thing in there and also numb it up at the same time. Wow. And what we didn't realize

is you were only supposed to do it once but the process was saturate the cotton pledge it, put it in and then do the thing. So every time that we, I would do my friend Ty and I'd put the cotton pledgets in and do it and then he'd do it on me and it's like, okay, let's do it again.

I'd put the cotton pledges in again with new solution. By the time we were done, we were high as a kite I didn't have any idea why rounds was so much fun that afternoon. We just had a blast on rounds. And then once I realized what had happened, I understood why people love that drone. Oh, gosh, yeah.

As a matter of fact, there was a guy in our lab that was conspiring to break in to the lab to steal the blue solution. And we were like, dude, if you do that, that's the end of your career. Yeah, that's it forever. And he was still considering it. He decided not to do it. Oh, good, good. But it was, after one dose, this person was almost ready to throw their career away or at least put it in jeopardy just so they could get more of it.

So that's, you know, cocaine's a hell of a drug. The hell of a drug. It sure is. Golly. All right. Unbelievable. All right. What else you got?

Well, and kind of along that same line, we won't get into the weeds on this, but there's, speaking of the transplant thing, a, saw an ex-vivo enzymatic treatment that converts blood type A donors into universal blood donor. I saw that. Yeah. You want to talk about that. Which is pretty incredible because that's kind of going on what you're talking about with the pig heart is these scientists, researchers, were actually adjusting some of the enzymes

and only two enzymes in this case for the lungs, but we're able to make the blood type universal so that you can have, because one of the problems with the lung. They're just basically stripping out the O antigen somehow. Yeah. Without messing the blood. Without messing the blood up right. So it makes people potentially able to get a much more broad selection of lungs. That would be for emergency use.

Listen. The thing is, is if you were type A, we want to give you type A blood. We don't want to give you type O blood. But in an emergency, you could if you had to. So how did they say they're doing that? They just take it. So someone with type A blood is donating it. They put it through this process and it comes out the other end being type O.

Somehow. Well, hey, listen, I just opened up not too long ago. My show PRIP. I didn't want to work overtime this week. No, that's fine. Is this one of the ones that I sent to you? It is, yes. It is.

Okay. Okay, in nature microbiology, new paper presents a viable way to convert type A blood into O using, as you said, enzymes. Two enzymes. Right from the gut bacterium. Oh, boy. Flanova Fractor Ploutii. Ooh. That may be a new band name.

Ladies and gentlemen, flanovi Fractor. That's not a bad one. I like it. It's a little hard to say. That's kind of difficult. No harder to say than carumbin, though. When these enzymes are added to type A blood, the molecules on its surface that define it as type A become unattached, turning it into type O. Now, what do they do?

They have to wash out those molecules, though, but that's very clever. That's good for them. That's super cool. Good for them. Oh, I love stuff like this. Yeah, it just goes to show you that we're just getting closer and closer to finding some new treatments for me. maybe some things that have been really problem. Yeah, we need to get to Star Trek at some point.

There you go. Where we've conquered poverty, conquered racism, conquered viruses, except for, you know, for, you know, the virus from Pharrella 3 or whatever causes some damn disease. That's the thing that cracks me up, is they've conquered everything, but they're still, it's. It's like EMZADD still has some terminal illness on Picard that's caused by somebody. You all can't figure that out? Just teleport it out of them. That's not that. Larry Niven wrote a thing where they had this thing called dicta immunitar immortality.

And what it was was they would put their hands on these two sort of electrode-looking things. And it would teleport out all of the toxins and stuff out of your body. And then people, you know, like me with gray hair, their hair would start to turn brown again and all this stuff. And they would live way longer than, you know, the normal lifespan. That's cool. And there's no reason why, you know, if we're going to do teleportation, that's kind of stuff you want to do. You want to be able to do like Scotty did to Chekhov when he fell off of that bridge in the journey home where he's like, oh, no, He's got an intra-cerebral bleed, and they were going to take him to the hospital.

He's like, you know, these bloody barbarians, and he just took that little device and passed it over in Chekhov's head and repaired the arterial bleed in his brain. We need to be able to do that kind of stuff. That would be kind of fun. That would be kind of fun. That's idiotic, but still being. I mean, truly, though, the medicine that we practice now would seem like magic to someone from the 1700s. So Arthur Clark, well, I'm throwing out the quotes today. Arthur Clark said that any sufficiently advanced technology would appear as magic to us.

So that's why Thor from, you know, the Thor movies, they're not really gods. They just come from a dimension where their science is so advanced, it seems like magic to us. Oh, that's wonderful. Yeah. Peacemaker was awesome. Greatest show ever made was peacemaker. I'm sure it was kept. It was so great.

It was so great. Okay, I've got one for you, and then we'll get to phone calls. So this is from Al. It says, good afternoon, Dr. Steve. This is Al. I unofficially feel challenged about the ICD 10 codes. I don't know why. I think his word the best anyway.

He wins. He says, I have to win. this non-war of attrition, although DNP Carissa had some good ones. Here is two more, I think, should help me win my own game. We'll be winning the grammar game, but I think he's going to win on this one. These are great, so you'll get excused for that. And that's just my journalism degree kicking in.

So for people who are aware what I'm talking about, these are codes that we can use to label diagnoses when we're billing billing insurance companies. The old ICD-9 code for diabetes was like 250-250 and then you could add on-point

other things to mean out of control or poorly controlled or well-controlled, that kind of stuff. So now we have these ICD-10 codes. These are new and most of us don't have them memorized like we did the old ones yet. But here's a good one. V-91.07 X-A.

I don't know why it has that suffix on it. This is so idiotic. Burn due to water skis on fire, comma, initial encounter. Now, how many times does that have to happen that you have to create a damn code? I swear, I think the people at the ICD10 place just get bored, and they start creating codes for no reason. Who's? Burn due to water skis. On fire.

On fire. Comma, initial encounter. which implies that there's a subsequent encounter and a sequela encounter, because they usually have all three. I'm just kind of trying to figure out how these... Well, obviously, there was a gas leak, and it caught the... From the boat. It caught right from the boat, and then somebody flicked a cigarette out there,

and it caught the wake on fire, and this person is skiing. And now, you know, instead of just letting go of the handle... Because you see the fire coming towards you. Yeah, dropping off. Yeah, I guess they were afraid that if they did, they would be, you know, they would be surrounded by fire, which I guess is a concern. Shees. Especially if they didn't know what was going on, so now the fire is in front of them and behind them.

So now you don't want to get out. But what you can do if you're on water skis is get out of the wake. Yeah, yeah. Go to the side. You swing out to the side. Swing out to the side and then let go. Good Lord. But this poor person.

got these burns and then they created this code we have to learn you know what remember um a couple of weeks ago we had the code um uh you know caught caught in a jet engine subsequent encounter we wondered how there would ever be a subsequent encounter and then chest pain rob told us about that case of that person that got sucked into a jet engine and they survived oh geez how is it that they just make these codes. Because I see stuff all the time that there's no codes for. I can't just make them up. Yep.

I wonder if you have one if you submit it for reimbursement or something. Oh, maybe. Really? I don't know. I wonder. Can you look that up? How to submit an ICD-10 code and let's submit a few. Sure.

Because we'll do ears bleeding from listening to Myrtle Manus on the Dr. Steve show. Well, well, that'd be a good news. if you could do it. All right. Here's a good one. It says in the medical industry recognizes family is a hazardous situation.

Z-63.1. Problems in relationship with in-laws. Oh. Well. We're missing contains mature contents that may be offended to some listeners. Let me run.

Wow. What did they wrong in? You know, your house is like another. Yeah, so that's my mother-in-law, big Joe. Thank you, everyone. All right. I love it. Never any problems with her.

Nothing. Nothing at all. That's funny. She got COVID, and she was house-sitting for us, and my wife said, never again. Never again. I don't begrudge you having COVID. Right.

She sits with people in the hospital. hospital. That's her job. So you knew she was going to get it because she's not properly washing her hands and coming in out of the room and they're probably just coughing on her anyway. So there wasn't any way that she could maybe even have prevented it, even if she did have good hygiene. But I just remember her calling me and just coughing and coughing and I could hear it echoing. You know, I could tell what room she was in.

She was in the kitchen. I could just tell from the echo, just coughing all over. everything, every surface in the place. And then calling me up two days later. Now, Steve, I'm having chest pain. It's like, well, Joanne, if you're having chest pain, you need to go to the emergency room. COVID or not. Well, Steve, I always have chest pain.

You know that. And she's getting mad at me. It's like, well, then why'd you bring it up? Maniac. She's a nut. Coffing everywhere. Yeah, she's a nut. When she left, this was before vaccines,

before any legit treatments. We were kind of freaking out. And so I had somebody come into my house with a hazmat suit and clean every surface before I said, go home. You are no longer house sitting. That is hilarious. And had them clean every surface. And then Lady Diagnosis was kind enough to finish out her tenure. Big Joe.

Big Joe. She's a hoot now. Well, I always have chest pain. You know that. I love it. I love it, love it. All right. Here's another one.

W58.21XA. Struck by a turtle. There you go. Not bit by a turtle. That one I could see. I had a friend of mine try to pick up. We were in Baton Rouge, Louisiana. There was a big old, what we thought was a box turtle in the middle of the road.

And he went to pick it up, and the thing kind of hiked. up on all four feet. We were like, why is that box turtle acting like that? And when things spun around, it was a snapping turtle. As I'll say, yeah, that's no box turtle. They could move really effing fast when they want to, and he just about lost a finger on that one. I'll bet.

I was just thinking if you're struck by turtles, that means somebody's picked one up and hit you with it. Or, you whack you in the head with it. Or they somehow hit it, it flew up. If we're on a boat going really fast. That could be one. It flew up and hit you. Or they hit it with a car and somehow, instead of squishing it, you know, they did like the TV.

Well, it's because you got hit the windshield and then. It's because you got your brother and your cousins in the back of your truck, and you hit the thing with your truck, and it flips up. That's it. That's what it is. When they're running down the country road, that's got to be what it is. Or they're throwing turtles. They're throwing them at stop size as they go real fast like my friend did. It almost died.

He wasn't throwing turtles. He was throwing beer cans or something. Beer cans. Yeah. And listen, if you're going to do that, don't throw... Yes. Don't throw glass. This guy was from the football team, and we were, you know, long-haired hippies.

And I think we ended up in the same detention or something that we had done some. And he thought we were cool. And we were like, damn, this guy, you know, the running back thinks were cool. So we went out with him. And what he wanted to do was for one of the guys. guys to drive his pickup truck as fast as he could through backwoods, roads in Louisiana, while he threw full beer cans at mailboxes and stop signs. So that's what he wanted to do.

So he's standing in the back, which, number one, it's a waste of good beer. But number two, it's dumb as shit because he threw one at a stop sign and it ricocheted and hit him right in the chest. We thought he was dead. No, that's terrible. Yeah, he was like, oh, she's so. So we stopped doing that and drank the beers, and that we had more fun, but we didn't, we didn't hang out with him anymore. He realized we weren't any fun. Hey, I think Sean may be on to something.

Okay. What happens if you're on flaming water skis and you hit a turtle? That would be a terrible. You can use more than one coat. You can't use more than one coat. That's right. Followed by whatever the coat is for a really bad luck. And then your in-laws are yelling at a deal.

You dumb ass. Then you could use that one as well. You could use all three. Didn't you say yet, Tyrone? Yeah. Are you blind? Oh, God. Oh, my word.

All right. All right. Have about some questions. All right. Sounds good. Let's do it. Don't take advice from some asshole on the radio. All right.

Thank you, Ronnie B. I could not disagree more. I mean, could not agree more. I agree. I agree. Always agree with Ronnie B. All right. Let's see here.

For my wife. Okay. She's on an insulin pump. She's on insulin pump. And she's also doing keto. Okay. And sometimes at night, she has loads, like serious loads, when a meter reads, it doesn't even give her a number, just reads well. Okay.

So anyway, below 46, apparently, she just said. But anyway, she wants to know what are some things that she can take or have or eat or drink that will allow her sugar to go up but not cause her to get out of ketosis. Yeah, I got it. She's been drinking like 20 to 25 carbs worth of Coca-Cola and, you know,

she's afraid that it's keeping her in... Yeah, out of ketosis. She's keeping her out of ketosis or keeping her very minimal ketosis. Yeah. Any feedback that you have. Also, wait, also, she has another question. She wants to know.

She keeps her, her dexcom that reads her blood sugar in her gut and she wants to know sometimes there's a big difference between the gut reading and the reading she does on the finger she wants to know if the gut reading is because it's closer to where your body is making that insulin so you're going to have a lower blood sugar in your gut and that's an excellent question because it's further away and the blood has to pump that off. Like her pumble will say 47 and the one of the bloodstick will say like 120 or 130. Oh, God, that's a huge difference.

Thank you. Bye. Okay, yeah, thank you. So then he called back before we answer these questions. Hi, Dr. Steve. My wife is upset that I used the word her gut and she'd rather use the word her fat stomach. There you go. Dude, well, then now she calls.

Let me see. Oh, no. Hi, Dr. Steve. I'm sorry. My husband's a douche. Nice trilogy. He's laughing. It sounds like they have a good old time.

That's cool. They're fat. I love it. And she was laughing. Oh, my God. That's hilarious. So these are some excellent questions. The second question about the disparities between the gut reading and the finger stick.

I think the finger stick's always going to be more accurate. And I would look at the placement, and I would also talk. talk to the whoever is selling her that device because something ain't right. It really should be about the same everywhere unless you are using old capillary blood at the surface of the skin compared to good venous blood in the finger. And in which case, that blood that you're, that's reading low, the cells have already started to use up the sugar in there. So it's less central.

I don't know how big she is. He was being an asshole, so I don't know. But if it's less central than taking it from the finger stick. So that would be my guess. That's just a guess. We'll do some research on that. I love it. Now, the other one is a whole other ball of wax.

So let's talk a little bit about ketogenic diets and insulin-dependent diabetics. Now, she is having hypoglycemia. And if it's symptomatic hypoglycemia, she's going to have to take something. In other words, symptomatic, if she's having symptoms from her low blood sugar, she's got to take something that will get her blood sugar back, and that's going to almost always be something with glucose in it. Right. So that you're going to, it's going to be hard to get out of,

but you're going to still be in ketosis. very quickly because it's just the, you know, the insulin's going to be, you know, it'll, you know, it'll balance out. Then you'll be back where you were before. Now, my question is, we need to prevent these hypoglycemic episodes. And first, we need to confirm that they really are hypoglycemic episodes because she's got an abdomen reading. I'm going to say abdomen because she was offended by gut and I'm not using the second thing he said. So her abdomen reading is much lower than her finger stick reading. And if she's not symptomatic, the finger stick reading is probably the correct one.

So we need to confirm that she's actually having hypoglycemia episodes. And there are a couple of things that they can do, but it's without getting too deep in the weeds. Can I tell them real quick some hypoglycemic signs and symptoms, though? Absolutely. Please do. Well, just like you'll see people get pale. Yes. Sometimes they'll get a little confused.

Yes. Sometimes they'll break out in a little sweats. Yes. We call that diapheresis. Diapheresis. Excellent. And so all of those are signs and symptoms of, or some of the signs of symptoms of hypoglysis. Exactly.

So, but if it's asymptomatic, if she's not having symptoms with it. Right. And her finger stick says 127, I'm going to say bullshit on the abdominal reading for now. Right on. And that one is the one that's suspect. But if it is true hypoglycemia, prevention is the way. to go. If she's doing a low-carb diet, she may not need as much insulin as she had before. The reason that you need insulin, and I'm going to assume she's type 2 diabetic.

So she's the type of diabetic that has poor insulin sensitivity. You know, she produces tons of insulin, but the body doesn't understand it. So you're using the insulin pump to kind of overwhelm it. Right. Even if she's type 1, but let's just say that she's type 2. If she is on a ketogenic diet, she may have regained some insulin sensitivity because that is one of the benefits of that diet in people who are diabetic, particularly type 2. And if she has, she may not need as much insulin. She's got to talk to her endocrinologist about this.

I'm having all these hypoglycemic episodes because what they're going to do is turn the pump down. Right. But we need to know that that's right. And one way to, like I said, there's some tests that they could do, they could just do a hemoglobin A1C and see what our hemoglobin A1C is, but that would just give you an average over three months. It won't tell you if you had a low blood sugar last night. So they may give her some ambulatory monitoring stuff. There's some other things that they can do. They could do a challenge test, give her 50 to 200 grams of glucose, and then just see what happens. If her blood sugar drops, then they know that's what it is. There's a lot of stuff like that they can do. And I don't want someone on an insulin pump doing a ketogenic diet anyway, unless they've talked it over with their endocrinologist. I'll tell you why.

If you come into the hospital and you're on a ketogenic diet and your blood sugar's elevated and they check your urine and they see ketones in there, they're going to admit you immediately, thinking that you have diabetic keto acidosis, even though you're probably not acedotic. Okay, so diabetic, so they're a diabetic, keto, they've got ketone bodies in their urine. It's a product of fat metabolism. And when you have fat metabolism, usually in a skinny type 1 diabetic, it's because they can't metabolize sugar anymore because they have no insulin. But keto, acidosis, you're going to be acedotic.

In other words, your blood pH is going to be markedly less than 7.4. Right. Now, a lot of doctors are not good at this. Okay, they've forgotten the fundamental. So I had a doctor call me once in the emergency room. I have a kid over here, and she's seven years old, and she's in early diabetic ketoacidosis. I was like, wow, what, early DCA? Usually when kids are, you know, convert to type 1 diabetes, they don't come in an early

DCA. They come in in full-blown, yeah. Full-blown decay, they're sicker than hell. And they need emergency treatment right then. You know, you get an insulin drip going, you do this and that. There's a lot of blood work you got to do. You've got to monitor them every hour, et cetera. So he said, yeah, this kid's in early DCA.

And I said, well, that's interesting. You know, I'm not sure what that is. What's the kid's blood? He said, yeah, she's been vomiting all day, and she's got ketones in her urine. I said, what's her blood sugar? And he said, he out of your fucking mind in my head. I said, I didn't say that to damn. How can you have diabetic ketoacidosis with a low blood sugar?

Yeah, that makes sense. No, that would make sense. It's idiotic. And then he said, and her pH is 7.5. I'm like, where's the acidosis? That's alkalotic. So what was happening was she had a, she's a seven-year-old kid, very little body fat, couldn't eat for the last 18 hours because they had a viral gastroenteritis.

She was having diarrhea and throwing up. So she was alkalotic. maybe hyperventilating a little bit, but alkalotic because she had been pooping out, you know, acedotic, you know, watery stool. And she's dehydrated. And she's dehydrated. And she's not eating, so she's producing ketone bodies because she's metabolizing fat to keep energy going. Yep.

And probably at that age, she didn't have a whole lot of reserves anymore. No. So. Thank goodness he called you. That's a, or that person. Yeah, he's like, you have to admit her. And it's like, I'm not admitting. He's like, well, I will remember.

report you, I said, okay, you know what? I'll just come in, I'll take care of it. Yeah, yeah, yeah. And I went in, and I told the mom, give her some gatorade and go home and call me if she's not any better. Yep, yep, yep. And I can tell this story about without worrying about HIPAA because it was 30 years ago, and this happened a bunch of times. Yeah. So there's no.

It's not isolated, sure. Health, you know, health information that's identifiable because it happened. So, so, so anyway, so the point of that story is, if you are a diabetic and you go in and your blood sugar is elevated and you have ketones, they're going to admit you immediately, before they even check your blood gas and realize that you're not acidotic. Okay. And they will call you D.C.A. So you've got to be careful and you've got to be aware of that. So if you do go to the hospital, you say something. Okay.

Kim chickens will vouch for me on this one. She'll look, yeah. All right. But talk to your endocrinologist. Uh-oh. Uh-oh, uh-oh. What happened? I don't know.

Okay, now we're good. Talk to your endocrinologist about the hypoglycemia and get that sensor checked because I don't buy it. Okay. All right. Dr. Stephen Krube, hope you're all doing well. Doing great, man. Thanks. Great.

I'm doing well, too. Oh, I'm excellent. Hey, I'm on a cholesterol after vastatin, 40 milligrams. Okay, a torvastatin, but we knew what you're back. My blood work shows everything else is good, liver enzymes, kidney, all that, sugar. I'm 62 years old and really, I would say, good health, the only medication I take. It says to take it by mouth at bedtime. Yes.

But I read the warning instruction. said not to take it if you've had three or more alcoholic drinks. Yes. And something about grapefruit. Yes. But there's very few nights I don't have less than three or more drinks. So why do I have to take it at bedtime? Okay.

And would it help the impact on my liver if I didn't take it at bedtime but took it during the day? Love the show. Hey, thanks, man. So the answer is yes, it would, but then that statin wouldn't work. Statins are HMG-CoA reductase inhibitors, and HMG-CoA reductase is an enzyme that helps to make cholesterol, kind of. And if you inhibit it, you will lower your blood cholesterol and you will decrease plaques in your heart, and you can actually regress plaques in the heart. that's been demonstrated. Statins will, and Scott's

already chomping at the bit on this one. But let me give the allopathic side of it, and then you can talk about the bullshit quackery side. I'm sorry, I mean the traditional, I'm just kidding. The Dr. Scott side. Anyway,

they have been shown to decrease heart attack and stroke and people who are at risk. You have to treat about 90 people, though, to prevent one heart attack. So the benefit to the individual is low, but it ain't zero, and it's worth it if you're at risk of having a heart attack or stroke to take your staten as prescribed.

Now, the problem is, is that HMG Kaua only works, it only does its thing when you're not eating. And so the only time of day that Americans aren't eating is when they're sleeping. So you have to take it at bedtime or it won't work. That's number one. The other thing about grapefruit juice is, and we'll get to the alcohol part two, is that a torvastatin is metabolized by this hepatic enzyme cytochrome P3A4. Now, simvastatin is a lot more vulnerable to this than a torvastatin is. but if you take another drug that inhibits cytochrome P3A4,

it can vastly increase the dose of the medication. And when you do that, you're going to increase the risk of having adverse effects like Dr. Scott's getting ready to bitch about. Sure. In a second. So one of those would be erythromycin is a drug that could do that. fluvastatin um sorry sorry no fluvastatin is

is okay um I was thinking of ketoconazol is one if I remember correctly but also weirdly grapefruit juice so if you're on a satin don't drink grapefruit juice

you have all the orange juice you want right but go easy on the grapefruit juice because it can do that now the alcohol thing is because these this enzyme is a hepatic enzyme And so you don't want to be straining your liver with two drugs at the same time.

So that's why they say that. Okay. Now, the three drinks, I'm not 100% sure. I know where that number comes from. If that's one they pulled out of their ass or if there's actual science that says two is okay, but four is bad, whatever. All right. So go ahead. I know you're waiting.

Dr. Scott hates that. I was so good. I was so good. You were very good. You let me say my piece. I'll let you say your piece. I'll say my piece. I will say there is a time and a place for all of those medications.

Absolutely. Okay. Well, all right. I agree with that. And I also don't think they should just be prescribed for no reason. And, you know, we talked a couple weeks ago about the statins on the show about how some new research has shown that taking them once a week is equal to. And that may be something for him to consider. And my doctor did that.

Yep, yep. And I still want to take it every day, even though it causes me myopathy. That's because I'm weird. I've got to get to where I'm okay taking it once a week. Well, and you should be because the research says it's okay for you to do it, Dr. Steve, so you can do it. And, and other research. For primary prevention. Is that what it was?

For primary prevention. Let me look it up while you're talking. And, and, and, remember, the other alternative is donating blood, which has been shown to help lower serum cholesterol. But I would suggest he keeps drinking his three beers a day because it sounds like he's in pretty good shape. Keeps his blood thin, keeps him happy. What I'm concerned. It's good for you. Here's the thing.

I can get my blood cholesterol down by donating blood. What I want to know is does it prevent heart attack and stroke? Now, I know that blood donation has some beneficial effects in that regard. I don't know what the magnitude is. I'd have to look that up. Here, this one says once-weekly low-dose resubastatin is an effective resubastatin is crest. store, right, is an effective and well-tolerated lipid-lowering therapy option for patients not at LDL goal, which is me, and previously unable to tolerate statins because of a history

of myologists. That's great. They got their LDL down. I want to know is it still prevent heart attack and stroke, though? That's the part of the study they didn't do. They just showed that you get the same LDL reduction. And we've already demonstrated on this show. It's not just about LDL reduction because you can reduce LDL with another drug called ZETIA,

to the same extent, but you don't get the same magnitude of prevention of heart attack and stroke. Right. So it's obviously the HMG-QA reductase inhibitors are doing more than just reducing LDL. Maybe it's total body inflammation. Could be. Well, Dr. Stephen, and what you're saying right there is too, and I've agreed with you from the beginning of this, they have shown that a statin drug right after a heart attack or right after a cabbage is very beneficial for the inflammation and coronary artery. I'm on board 100% on that, yeah.

So I think, and it could be Dr. Steve, you know, in Chinese medicine, liver does affect inflammation. And so lowering that might help a little bit. That's why I believe in, you know, two or three beers a night, as long as they're, you know, 24 ounce beers. Yeah. If you know who asks me how many beers I've had, and I tell her in full confidence, you know, two.

Yeah. They were just. Right, but they're 24 ounces. You're talking about, you know, who that calls you when she's in Florida and ask you what you're doing and how many beers did you have to like that? That's right. That's right. And we'd be every now. She may be listening today.

Well, I love her. No, I don't know. I'm just kidding. Big Joe, my mother-in-law, will say, oh, I don't know why I don't lose weight. I just eat once a day, once a day, as she'll say. And it's true. She's true. She's not lying.

I've watched her. I've gone on vacation with her. she does just eat once a day and it starts at seven in the morning and it goes until she goes to bed at like midnight she's just constantly eating just always shoving something in her face and then wondering why she doesn't lose weight one day she came to me and said now steve i'm on a new diet and it's like wow what is it she said i just eat jelly beans all day long oh my god okay well now you're malnourished you will eventually lose weight but i wouldn't recommend it that's great All right. Okay, let's do this one. And then next week we've got one from Tucker Carlson about fame corrupting doctors. And that's why I've chosen not to be famous. At least that's what I tell myself.

But we'll do that one next week. Hey, Dr. Steve and Dr. Scott. Hey, hey. Whoever else is there. How are you? Good man. How are you? Okay, so I'm on testosterone replacement therapy.

Excellent. And like a lot of guys who are doing it, I also take H.C. I'm sure you'll explain to everybody what that is. Why? And my clinic just informed me that it's just been banned by the FDA. Yes. For no good friggin' reason. Okay.

No more HCG unless the pharmacies want to jump through hoops, which apparently costs a lot of money per batch and it's not worth it. So they're all just dropping it now. And now we have to go on a thing called maybe, I can't remember the name of it. But it's supposedly not nearly as good as a replacement. for HCG. Can you talk about this and the alternatives and why the hell did the FDA do this? Because there seems to be no good reason according to my doctor. All right. Thank you. Take care. Okay. Okay. Jesus. We need more time.

Yeah. Maybe we should save us for next time for sure. That's a pretty deep question. Okay. So what they're putting in, they're going to put them on Clomid. So HCG is human corionic gonadotropin and it is produced in pregnancy. It does stimulate the lidig cells in the testicles to produce testosterone in people who have hypogonatotropic hypogonadism. And that's people without associated primary testicular disease. So it is not something you should just be giving to every person with low testosterone. And that's why. And then, you know, I thought he was going to ask about HCG and diet. and the, you know, they were using these HCG diets and putting people on 600 calories a day

and then giving them a shot of HCG and then charging them all this stuff. Well, at the time, that vial of HCG costs about a dollar. So people were making 10,000 percent profit on this stuff. And it did absolutely nothing. So if he wants to email us back about his testosterone, and if I know a little bit more about it, I could answer that in his specific situation. Yeah, dig a little deeper. So hypogonatotropic hypogonadism due to congenital defects or people who have permanent acquired,

in other words, they got it later, structural defects, should be treated with testosterone replacement therapy unless the patient desires fertility. and then you can do some other things. You know, long-term testosterone replacement doesn't impair future fertility. You can still get pregnant, but you may have to come off of it. You may require more time for initiation of sperm function. We call that spermatogenesis. Once you take the person off of that

and put them on chlomede or chlomaphene citrate, which is what we use in men with low testosterone that want to maintain some fertility. Right. But if they desire fertility, replacement can be achieved also by using beta HCG, instead of the clomophene. And it's a lot cheaper. So it stimulates those ladig cells to produce testosterone in that form of hypogonatotropic hypogonadism

and people that don't have associated primary testicular disease. so and then you know you can adjust it to get the effect that you want just giving it along with it I don't see the benefit of that are you seeing anything on that no no at all yeah so I'm confused by this I'm going to have to do a little bit more research on this one and see what's going on out there it sounds to me like it's an add-on therapy so that people can maybe charge a little bit more There may be a legit reason for it, but I'm getting my information right now from expert opinions in pharmacotherapy, which is not some shit journal, and it's called an update on male hypogonadism therapy by Suramhudi and Swerdlov, so also not two slouches in this field. So, all right. Okay, so you had something from the chat room.

What do you got? Yeah, so we had a question about. about rabies. Rabies. Yeah, a pretty tough question. You mean the hydrophobia? So talk like a hick to you. She's got a...

So I used the right voice. Yes, you did. We got that hydropobie, don't you know? The hydropobie. He got a child with a science project. Okay. Oh, okay. Yeah, and looking into rabies.

And her question was how many people have survived rabies. Okay. So did you just Google that for her? Well, I did, and what I found out was it... It's not very many. It's considered to be like the most deadly. Yep.

Yeah, of all those diseases if left untreated. So what we want to do is give you odds of surviving rabies. Which is almost zero. Yeah. As of 2016, only 14 people survived rabies infection after showing symptoms. Rabies caused 59,000 deaths worldwide per year. about 40% of which are in children under the age of 15. Well, that sucks.

So I'm going to put that in the chat room. She can just cut and paste that. Amy, I don't know how old this kid is. Do they need a citation? If they need a citation, I can get it for you. Okay, here we go. Here's one. This is an more recent one.

Survival in human rabies, but left against medical advice and death followed. community education is the need of the hour so what this is human survival after developing rabies is very what okay this is whoever wrote this does not

speak English and this is journal of family medicine primary care I don't know what that journal is but this is very poorly edited and being the editor in chief of a National Medical Journal and having a journalism degree. This kind of stuff drives me crazy.

Let me read this first sentence for you. So I'm already a little suspect, but it might get you the information that you need anyway. Human survival after developing rabies is very scary to humanity. What that's terrible. All right. Oh, my goodness.

We report a case of a 50-year-old woman from Udard. Pradesh, okay, northern India, who presented with five days, listen, I'm not making fun of some Hindi-speaking person writing, I'm just making fun of whoever edited this, because it's printed in English, who presented with five days of fever and one days of altered sensorium associated with agitation, hydrophobia, hydrophobia, and bedwetting after 20 days of WHO, Category 3 bite in the face by, oh, by a rabid? dog no she had taken three dose of anti-rabies vaccinations but not immunoglobulin of post-exposure prophylaxis another bad sentence as well but we understood what they meant

laboratory investigation showed a rising tighter of virus neutralizing antibodies that's bad so what that means if you're producing antibodies it means you're producing them to something and that means that the something is still there in both serum and cerebral splynal fluid. So this person had a, you know, a bunch of lumbar punctures as well. We treated the patient according to the modified Milwaukee protocol. A patient remained to survive and had recovery trend during hospital days, stays of 15 days before relatives took her. Okay. Okay.

Another sentence. Before relatives took her left against medical advice. Mm-hmm. Not a sentence. No. As we know, rabies has approximately 100% mortality rate, but by using aggressive treatment approach like the Milwaukee Protocol, patient may survive. Rabies can be effectively prevented by using adequate post-exposure vaccine prophylaxis and rabies immunoglobulin. So what that is, is it's basically convalescent serum.

You're taking a serum that has, well, we all understand this now in the age of COVID. monoclonal antibody therapy. That's basically the early monoclonal antibody therapy. After bite of a rabid animal, our report along with other published reports should give more motivation to clinicians and education to the public to have an intensive treatment approach

and patients, respectively, to make rabies survival. Okay, don't know what they were saying there. So what happened was this person was treated aggressively, And then apparently they left, but they didn't tell the rest of the story. It's in the title, but it doesn't, they don't tell it in the article that after the family took the patient home, they died. So rabies is nothing to be dicked around with. If you think you were bitten by a rabbit animal and you can't isolate the animal so that they can test it because they test it and it doesn't have it.

You don't have to do anything. Then you need to present to your primary care and say, listen, I think I was bit by. by a rabid animal, let them get you going on vaccine prophylaxis. Yeah, before you start becoming symptomatic. If you get to the point where you have hydrophobia, as Myrtle would say, it's really late in the game. Yeah, it's going to be a challenge. Good.

Erebees, I get where they're coming from. I have some friends from India, and there's still, I don't know how many cases of rabies they have in that country and some in the country, you know, countryside. in India, but I know she's probably 20 years younger than I am. She's terrified of dogs because to her, dogs are monsters that carry rabies. Wow. You know, so, and I understand that. And I had a, one of my teachers was a, was a missionary in India.

And this is back in the 50s. This is nobody had had vaccines. and one of his friends was carrying a dog in a like a burlap sack because they picked it up. It was threatening some people and it bit them through the burlap. And that person didn't pay attention to it and ended up getting rabies and dying. Oh, shoot. And then I remember when I was a kid before we had rabies vaccines for dogs or for people, them showing these public service announcements on TV that scared the shit out of me.

I've talked about it on the show before. black and white, this guy coming down the stairs and the screen starts flashing, he starts foaming at the mouth. It was like watching a zombie movie. I'm four years old. Scared the shit out of me. It gave me nightmares. Oh, yeah, yeah.

And I still, I have that image burned into my brain. Yeah. It's hard to get rid of. Rabies is scary. Don't dick around with it. Don't try to capture a bat with your hands. If it's in your house, there are ways

that you can get it out of there. But if you agitate that thing, the saliva, if it starts slinging saliva around, you can get it from that, too. So it's better to get an expert, just get the damn thing out of your house. Get you big fish in that. Yeah, well, I've done that. Or a baseball glove. I'm not 100% sure that, let me see, how to get a bat out of your house. Because I think that there are some ways that are more dangerous than others.

Oh, yes. A shotgun, bad idea. Yeah, no, that's bad. Here's from eerieinsurance.com, so they ought to know. Quickly place a plastic container, a cardboard box over the bat, then slide cardboard. I would do that with a tarantula, or thick paper, not thick paper, cardboard, under the box, and then release the bat outside. Get it near a tree so it can climb. They can't take flight from the ground.

I didn't know that. Did you know that? They have to jump. Well, they're mammals. They have to fall. Yeah. Like they sail it. They're mammals, so they can't.

just take off from the ground. I did not know that. Yeah, that's interesting. It's just, their wings are just basically armpit membranes. Yeah. Isn't that something?

Lose skin flapping around. All right. Popular science says how to escort a bat out of your home. I'm just trying to see if there's some ways are more dangerous than others. Okay, first don't panic, close off the room, clear a path to the outside. Open available windows

or doors that lead outside. any curtain screens or furniture. Don't turn off your indoor lights. You won't be able to see the bat. Yeah, it's fine. Don't shut out the lights because you think that they're blind and they can't see if the lights are on. That's not how it works.

Keeping tabs on its whereabouts is key. If it won't fly outside on its own, it's time to take matters into your own hands. If the bat won't leave on its own, you'll have to capture it and release it. Have someone keep an eye on the bat's location as you gather the necessary supplies, a long-sleeved shirt, long pants, gardening gloves, a broom, a plastic bin, and a piece of cardboard, so they're saying the same thing.

All right. Okay. This don't get a bet. And if you do get bit, you don't dick around and go get the vaccine. All right. Anything else? No, that's all of them. Okay.

I think we will have N.P. Mel B is going to be a few weeks from now. I think DNP, no, we'll have PA Lydia next week, I think. Okay. And then DNP Carissa the week after, and then Mel B will be back. So, very good and very excited about that. We always enjoy when they're here, and they add a little different energy, and it's always fun. We've got good reviews on them.

Yeah. All right. Cool. Well, listen, let's get out of here. I guess I need to read the outro, don't I? You got anything else, Dr. Scott? No, I was just checking everything else. Have we plugged any of your stuff?

No. Well, we will. Yeah. We'll go back in time and we'll do it at the beginning of the show. Cool. How's that? Sounds good. For people who you can figure out what just happened.

Let's see here. All right. Well, listen, thanks always go to Dr. Scott. Kim Chickens and Sean Pedrick. Thank you for joining us in the chat room today. Anybody of our other regulars, Amy, I talk funny to you. I talk, talk like I hick to you. Who else is out there?

Cardiff Electric. Uh-oh. Wait a minute. He's got a question out there. Oh, wait. And the Kreefoff channel? Who is, how is that? How are they in here?

It says, I love the TV show. Tonight on T, stuck. Tonight on TLC, the promise is doctors remove things stuck in bodies, mostly ears and asses. My question is, is there a navage for you? ears I'm obsessed with cleaning my ears actually yes there is and I don't remember the name of it and it's not motorized to you it's a hand pump okay and just Google your lavage and you will find it let me see if I can find it

excellent question you can't ignore our boss I didn't see it no I didn't see us where didn't your lavage kit I mean you know he owns our network right okay here it is. It's $18. Earwax removal tool by tillcare. I'll even give the name. Ear irrigation flushing system for adults and kids. And it's got a little bucket that you can collect

all this stuff in. It's got some little tips. And then you put the cleaning solution in what looks like a Windex bottle. And then you stick the tip in your ear and just pull the lever. Just don't be too over-vigorous. And I've got to be honest with you, Mr. Cardiff.

Don't clean your ears too often. The wax is there for a reason. And if you clean them too often, what you'll get is dry flaky skin inside your ear, and that's worse than having earwax in there. The earwax kind of keeps the tissue nice and soft and moist. Fluid and fluidic. Fluidic. Yeah.

Okay. Any other questions? What's the worst disease you can catch from not cleaning under your fingernails asking for a friend? Okay. Listen, you can collect, and I know exactly what they're asking, and I'm just go to Dablers Anonymous if you're curious on Reddit. But you can collect some disgusting things under your fingernails, and then if you're in hygienic,

I'm sure the friend that you're talking about has very good hygiene otherwise, but if you're in hygienic and you stick your thumb in your mouth and you suck on it or if you pick up your food and then stuff from under your nails gets in there. I mean, we're talking fecal coliforms.

In other words, E. coli can be under there. You can have saprophytic organisms. Those are organisms that live off of dead things. Like, those are things that break down

logs in the woods, that kind of stuff. Those are saprophytic organism. You get an infection with one of those. And you have, you, my friend, will have quite the infection. So, yeah, so clean under your fingernails, cut them. If you can't do it, go get a pedicure.

If you can't afford it, which some people who drink a lot of, you know, if they're drinking a lot of Coors Light and not eating and using up all their money on beer, they can't afford a pedicure. Then go buy a brush. and it costs you a dollar at CVS. You can get a nail brush and just brush under your nails. But you've got to keep them clean. Because the stuff under there,

you could culture out some of the most disgusting stuff even with relatively clean nails. But if you've got filth under there, it's not good. Let's see, what else? I hope the Creepoff channel is still listening. Are you guys still there? Colin Carnes says a fellow named Aqua Chigger that does metal detecting on YouTube

got bit by an aggressive rabid beaver. Oh my God. Yeah, if you see a beaver coming at you, it's rabid. Same thing with a fox, skunk, too. If they're aggressive, their natural instinct is to run away from you. His wife

is a veterinarian and does animal rescue so he already had a rabies vaccine. Okay, cool. All right. Mr. Cardiff, will you let the the creep off channel, whoever was running that, know that we answered their question at the end of the show. All right, thank you, sir. Thank you, sir, and thank you for running our network.

Thanks always, go to Dr. Scott. 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, or the Saratoga Skank, the Florida Flusie, Roland Campos, sister of Chris, Sam Roberts, she who owns pigs and snake. Pat Duffy, Dennis Falcone, Matt Kleinschmidt, Dale Dudley, Holly from the Gulf,

Christopher Watkins' double, aka Steve Tucci, the great Rob Bartlett, Vicks, Nether Fluids, Cardiff Electric, producer Chris, Casey's Wet T-shirt, Jen from the Jingles Department, Carl's Deviated Septum, the Inimitable, Vincent Paolino, everybody, Eric, Zane, Bernie, and Sid, Martha from Arkansas's daughter, Ron Bennington and, of course, our dear departed friends, GVAC and Fizz Watley, Barry the Blade, whose support of this show has never gone unappreciated. We miss them forever. Listen to our SiriusXM show on the Faction Talk channel. SiriusXM Channel 103, Saturdays at 7 p.m. Eastern, Sunday at 6 p.m. Eastern on-demand.

And other times at Jim McClure's pleasure. Many thanks to our listeners 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, get some exercise. We'll see you in one week for the next edition of Weird Medicine. Thank you.