Weird Medicine: The Podcast - 500 - Ukranian Relief with Brad from AlliedExtract.org

Episode Date: April 7, 2022

Please consider donating to alliedextract.org, PA Lydia's newest cause. Dr Scott, PA Lydia, and Dr Steve discuss: Dr Scott's musical evolution The situation in Ukraine from people with boots on the ground Tonsil stones Tonsillar myiasis (DO NOT GOOGLE IMAGE THIS) Cold extremities Lydia gags really, really easily and more! Please visit: stuff.doctorsteve.com (for all your online shopping needs!) simplyherbals.net (now with CBD nasal spray!) Cameo.com/weirdmedicine (Book your old pal right now while he’s still cheap!) noom.doctorsteve.com (the link still works! Lose weight now before swimsuit season!) chef.doctorsteve.com (green chef, the best of all the meal kits we've tried!) CHECK US OUT ON PATREON!  ALL NEW CONTENT! Robert Kelly, Mark Normand, mystery guests! Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

What did the left ear say to the right ear? Nothing. They're just really good listeners. A guy named Herb once gave me some sage cooking advice, and I've been stewing on it ever since. If you just heard 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 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 Zabola vibes stripping from my nose. I've got the leprosy of the heartbells, exacerbating my infectable woes. I want to take my brain out and blast with the wave, an ultrasonic, ecographic, and a pulsating shave.

I want a magic mill. All my ailments, the health equivalent 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 to requiem for my disease. So I'm Beijing, Dr. Steve. Dr. Steve. From the God-Persaken 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 bell, Dr. Scott, the traditional Chinese medical practitioner, who gives me street credit.

The wacko alternative medicine assholes. Hello, Dr. Scott. Hey, Dr. Steve. We also have the return of PA Lydia, everyone. I'm very excited. Hello, hello. And she's got a new crusade. We're going to be talking about it in a minute.

This is a show for people who would never listen to a medical show on the radio or on the internet. If you have a question, you're embarrassed to take to your regular medical provider. You can't find an answer anywhere else. Give us a call at 347-76-4-33. That's 347. Follow us on Twitter at Weird Medicine or at D.R. Scott W.M. Visit our website at Dr.steve.com for podcasts, Medical News, and St.W. goodbye. Most importantly, we are not your medical providers. Take everything you hear with

the grain of salt. Don't act on anything you hear on this show without talking in over with your doctor, nurse practitioner, practical nurse physician, assistant, pharmacist, respiratory therapist, chiropractor, acupuncturist, yoga master, physical therapist, clinical laboratory scientist, registered dietitian, massage therapist or whatever. I almost thought for a second that we were going to be doing take number 14 on the intro. Hello, PA Lydia. Hello. Don't forget about stuff.

Dot, Dr. Steve.com. Stuff. dot, Dr. Steve.com. We're still live with that. So I guess Amazon thought we were okay. P.A. Lydia, they sent me a letter saying that we weren't in compliance with their affiliate agreement. And I'm like, how in the hell is that by? I haven't changed anything in the last 10 years and we've been okay.

You know Amazon. I'm just kidding. We love Amazon. We love Amazon. Old Jeff Bezos and second richest man in the world. And in space, right? And that's something. Yeah, and he's in outer space too.

Yeah. So isn't that crazy? I remember when Amazon first opened and it's non-brick-and-mortar doors and they just bought books. It was a bookstore. And now it's still a bookstore, but it's, you know, it's like if I'm going to buy something, And I just need something for the house that was my knee jerk as I go to, I just, okay, well, so you Amazon got it. And they almost always do. So check out stuff.

Dot, Dr. Steve.com. What I couldn't find, by the way, and was when we were in Florida this time, I stayed at a place called the Beach House Suites by the Don Cesar. So it wasn't, don't get all highfalutin, or thinking I'm highfalutin. And we weren't at the Don Cesar. But we were at the beach house suites that Don Cesar, and we became very friendly with our bartenders, Chris and Portia. And as a matter of fact, on Wednesday, Tacey and I made a concerted effort that we were going to sit at the corner of this little sort of, well, it's a bar, and sit there all G.D. Day. And that's what we did. It was one of the nicest days I've ever had on vacation because I didn't feel like I had to.

You didn't feel like you were entertaining everybody the whole time. That is true. Because normally Dr. Steve's in charge of all entertainment. And Liam usually goes with us, and he's in college. And listen, I love my eldest. But he would have been every five minutes, can we play ping pong? When we play ping pong, can we play ping pong? Because he's obsessed with ping pong.

And so, and he wasn't there. And Beck's just laid back. He's just cool. And so we just sat there all day. to the point where people noticed it. I was sitting there because I go down there every morning to do work. And this one guy went by and he said, yeah, I saw you and your wife just sitting there all days. And so anyway, but hello, Portia, and hello to Chris.

But one thing, the reason I bring this up is that they had a sign that said, it had a seahorse. And it said, when life makes waves enjoy the ride or something like that. And I went to Amazon to get that because I thought it was cool We put it out back in the mini compound I couldn't find it It's the first time

Gone to Amazon, couldn't find some So if anybody, it was This thing was on like a strip of like roofing steel Corrugated steel I can have a got to make it for you Well, he's got a special printer Oh really?

Yeah, really seriously, yeah Okay, yeah, I would love to have. Make it out of metal or copper Yeah, yeah, yeah But anyway, if anybody knows where to find one, I couldn't find one anywhere It's going to be expensive. Hey, let me, can I say real quick word, too?

Yeah, yeah, yeah. This Saturday morning on CBS Morning News, a friend of mine that I play with every year when I got Nashville, Brownwin Keith Hines, she plays with Molly Tuttle. They're going to be on the CBS Saturday morning playing. This coming Saturday? Yes, it'll be, you'll post this podcast. What's the date? It'll be the 679, 49. 49?

Yeah, that's that right? This Saturday, I think so. Okay. Yeah, all right. Yeah, we're recording this on the 6th, right? So if you guys are, if you loves and good music and any of Dr. Steve, what's her name, Bronwyn? Bronwyn Keith Hines, yeah. And she's the one to place fiddle, that recording we did. So were her parents hippies, or is she really from the UK somewhere? She's really a hippie, yeah. She's a hellful fiddle player. She's the one to play fiddle on it. You know what I made, the bluegrass?

Everybody I've met that's named Bronwyn has been, you know. Well, yeah. Either their parents were hippies or they were a hippie, and they just took on that. She's for sure hippie. Okay. That's cool. I'm not saying it's bad. No, no, no, no, no.

But she's got to be a hippie. It looks like it anyway. Yeah, yeah. Good. Okay, but she's a friend of yours? Yeah, she's the one to play the fiddle on it. You know, when I did that bluegrass version of weird medicine, she's one. Yeah, she's fabulous.

That's her. Where are those recordings? Did we ever play that on the show? Yeah, they're on your Apple. No, we haven't played them on a show yet. They're on your downstairs computer. Okay. We just need to mix them together.

Okay. Yeah, she's fabulous. Yeah, yeah, so tell the story. So you went to... Yeah, it's called Nashville Acoustic Camps. You went to a camp. Yeah, and they allow... And they didn't laugh at you.

They didn't laugh because they were very kind. Because you paid them a lot of money. And I paid them plenty of money. Good. I like to say I got... I was accepted into the camp, but that helps when you have a checkbook. Yeah. No, I don't laugh at you anymore because you've come along freaking away

through just simply the force of your... your will yep and i refuse to be awful i mean i don't mind being bad or something but i don't know about that but you're awful yeah i just can't i can't tolerate it so that's what but with really no experience zero none no talent no talent no talent no skills you've become uh actually you know a fun musician to play with i can pick a little bit yeah and i have no talent i mean i'm terrible so i'm saying no but uh they couldn't be more kind but this national acoustic camps they started a thing two two years ago called the a jam band camp so it's like a it's a jam band kind of bluegrass camp really very much in a in a flavor of say green sky bluegrass or really yeah oh my like that's so much you would

you would totally love and they have we have a whole bass a whole base um section of learning how to play bass and it's really pretty cool yeah but brown one's one of the instructors they allow 15 novices amateurs like myself yeah and he put us in three groups of five you know one fiddle player one Madeline player, one guitar player or one, if we got a dope bro or bass or whatever. Yeah, yeah, yeah. And then we have at least one or two professional like brawn when it's pretty awesome.

Are you going to do this again? Oh, fuck, yeah, man. I love it. Let me go with you. Oh, you would love it, dude. And they would love you too. Do you take your girlfriend with you? Please say no.

Not that I don't love her. I'm saying this could be a thing that you and just you and I do. I don't know. It's because it's, you know, I'll go over in the morning. We start playing and play all day. And then we play it. night oh yeah our you would love it significant others would hate they would hate it but Saturday night we play a we have like a dead hour or two or three depending on

really and play grateful dead we all just play grateful dead all right I was I wanted to make funny you I can't do it no it's okay I deserve it no you don't no not for real I mean people who go you know what it's not nobody can listen to it anymore but semi sweet Melissa was the first time Scott ever sang anything sang anything and it's the most god-awful thing you've ever heard.

You tell what make her vomit. That would make her vomit for me. And one time I tried to play it in here and Scott that's the only time he got mad. Man, I was just like, he was just embarrassed and he got up and laughed. And I'm like, okay, okay, okay, I won't play it.

But you're good enough now that I think we should play the new version that you and I recorded and then let people hear original aversion yeah because g-backs playing was outstanding and um and just because i think you're at that point now where you're good enough that it wouldn't really it wouldn't upset you because people would see how much how far you've come yeah and now they can laugh and see yeah well they could laugh with you rather than laughing at you maybe yeah we'll get that we'll break up the new recording and um go from there but yeah because i'm uh i'm very proud of you actually yeah no i appreciate

And you can tell the, yeah, for the first day I'm telling you, it was awful. Oh, when you were there? Oh, my God, it's awful. But now, like I said, I'm. But by the end of it, you got them. Okay, so the reason we brought this up is, well, first off, your friend is playing. Yeah, Saturday morning. Saturday morning.

Molly Total, yep. On CBS, CBS, Saturday morning. It's Saturday morning, not Sunday morning. No, Saturday morning. She didn't quite make it to the big show. That was a good show. No, the Saturday morning, yeah, the Saturday morning is at the end of Saturday morning, shows they always have a chef that they do a really cool kind of chef thing and then they always

finish it with with a with a band you're playing she's gonna be in there yeah cool that's cool i'll watch that i'll set my dvr and i'll watch it a year from now but i'll and molly tuddles the best flat-picking guitarist you'll ever see and she's that's a woman see what i think i'm molly can burn it up okay oh my gosh unbelievable and people say well you of course molly's a woman but There's one, Molly Hatchet, that's what I was thinking of. You'll love this. A bunch of dudes with crazy hair. You'll love it, man.

Okay, cool. Good stuff. I'm excited. Yeah. All right. And, oh, so, but the reason I brought it around to you playing was because you had them record something for this show and we never played it. So what was it they were doing? So what I, you know, right before we went there.

You had them do a blue glass version of our theme song? Yeah, right before we went Lydia, Dr. Steve just out of the bluegrass. says, you know, we need to do a different version of the theme song. It's like, that's kind of interesting because I like to write those little, sometimes I like to write the little things we do. And I thought, geez, I'm going to be with world-class musicians. He got world-class, I mean, for real. For real class, yeah, yep, yep.

And who's the guy that sang? Well, so. We got to play this next week. We cannot talk about this like this and not play it next week. Yeah, and I actually heard Greg, I actually heard Greg on the radio yesterday. And Greg Cahill is in a Bluegrass Hall of Fame as a banjo player. They play for special consensus. But these guys are just the real deal.

And they did weird medicine. They were so wonderful. They were just so wonderful. Well, check out Dr. Scott's website at simplyherbils.net, simplyerbils.net. And please check out our Patreon. It's at patreon.com slash weird medicine, where we've had Joe DeRosa on. We've had Bobby Kelly, Mark Norman. And very soon, we're going to have Mr. James Norton come on to talk to my wife about 90-day fiancé.

So I don't, I think it'll be funny because they're both just weirdly obsessed by that show. I think it'll be lots of fun. And we'll get Tacey to talk, and she's pretty funny when she's talking about it. I call it 90-day shit show. But anyway, all right. Well, welcome back, PA, Lydia. We're very excited to have you back. It's very nice to be home.

Yes, and you're going to be able to come more regularly. Is that right? More routinely now? They've fixed your schedule, so that's awesome. More routinely. Thank you. Thank you for correcting me. That's a better word.

So our listeners first met you when you were doing some things with Task Force Argo, getting people out of Afghanistan. So before we go on to this next. crusade that you're involved in. What was, what's the outcome of Task Force Argo? Yeah, we're still alive and kicking with

Task Force Argo. Really? We are. We have, I think we're 250 Volunteer Strong. We're largely helping the State Department identify people who need evacuation. The U.S. Department of State has re-engaged. Wow.

Yes. Wow. That's wonderful. The funders never cease. I know. Okay, so good. Yeah, so they're doing some flights based on immigration status. All of these people were already in the immigration pipeline.

And so we're helping them get out in the interim, supporting with some food. So now that's taking care of. You got bored and you moved on to the Ukraine, is that right? You know, so it's funny. I met these allied extract guys who just, as someone else described them, know their shit A to Z. Yeah, good, yeah, yeah. I met him during the Afghanese. VAC situation and they were doing their own thing. They were doing their own evacuations. They formed

initially to get their own interpreters out. You know, people they knew personally or one degree of separation only. Right. Thank you. And also assisted some more official agencies and extractions. And so I met them because we were both trying to get the same United States citizen and her son out. Oh, really? Yeah. Yeah, she had contacted me and I very easily just got her on playing with Argo. So they were having trouble, and then here comes P.A. Lidia. Well, you know, they weren't having trouble. They would have done it many, many times over.

She was giving them trouble, but needed some extra conditions met. So they got, I see. So essentially, she wanted more family members out, right? She was kind of, she's worried for her elderly mom, right, and things like that. So Allied extract certainly could have done it, but I kind of snuck in it. They got the peanut butter jar. They got the lid started. and you finished opening it.

Well, it's good that you're saying that, that you said that they would have taken care of it, because we have Brad Jeniro from alliedextract.org on the phone right now. Brad, thanks for being on Weird Medicine. Thanks for having me. So, yeah, this is awesome. So tell us, you know, we're goofing around. Obviously, you guys are doing amazing work, and you were doing amazing work. in Afghanistan and now in the Ukraine.

So tell us a little bit about why NGOs have to be there and what you guys are doing. And I'll just ask all my questions up front, obviously, and we'll get to how people can help you. But give us the scoop. What's going on on the ground there? Yeah, I mean, what's going on on the ground is very fast-moving. It changes day-to-day and hour by hour.

So there are a lot of NGOs, but not a lot of them actually have access into the Ukraine. It's better now, but initially it was incredibly difficult and dangerous. So what we do, we're pretty nimble, we're very small, and we're very well networked. So what Allied extract has been able to do is kind of energize a network that we had in the surrounding countries and in Ukraine. And we were able to acquire all kinds of different stuff, whether it was food or medical supplies, and get it to one of our people on the border who then was able to transfer it all the way into some of the hardest hit places in the Ukraine. Yeah. Yeah, it says here in Ukraine we send convoys into besieged cities.

And I'm looking, oh, good Lord. So where do you get all these supplies from? Obviously, they're not coming from the United States. You must be getting them from other places in Europe. But how do these things get to the border, and then how do you get them across the border to people who need them? Yeah, I'll give you the details that I can on that. Yes, yes, yeah, understood.

Yeah, we basically what we do is we raise money. The money is transferred to contacts that we have, both in Romania and in Poland. They're able to do the purchasing of a lot of this stuff. surprisingly. And from there, they box it up and they transport it to a border link up where our Ukrainian contact then picks it up and does a very difficult job of delivering it to the site. And that could, you know, be overnight or it could take days or one of the drivers was just stuck somewhere for, I think, three days because they were under bombardment.

But, yeah, it's not easy, but it works. Wow. So are you all using Internet in the Ukraine, and how much did Elon Musk help in that regard? Because I thought that was a cool story. Yeah, it's very cool, but they can't triangulate the positions that. So our contacts in the Ukraine, they leave their software and devices off until they're in a secured area near the border. Yeah. good lord okay this is amazing PA Lydia has brought us another

amazing project how can people help I mean everybody wants to help they don't know what to do and they don't know who to send money the best way to help is first of all like I said we're small we need funds basically to make this happen we don't have any paid

position so everything that's that's generated goes directly towards supporting these people in the Ukraine. And we focus on humanitarian aid. There's enough big countries that are shipping all kinds of weapons and things like that. We don't need to be involved in that side. So our focus is on helping the people that are victimized by this horrible thing. Sure.

Well, I would think that if you were dealing in arms and things like that, I would make you a target. Are you a target giving humanitarian aid in this country? Can I ask you that? Anybody's a target, you know, as the Russians are withdrawing, the atrocities that are being uncovered are pretty bad. So I think anybody is fair gain and a target if you get into one of these kinetic zones. So food, medical supplies as well, and what's going on on the ground with, you know, trying to deliver medical care to people? You've got pregnant women, you've got kids with ear infections.

I mean, how is that happening? Yeah, so, I mean, just because war happens doesn't mean the other medical conditions stop. One of our first shipments actually included some medications and some type of equipment for mothers, expectant mothers. So I was a little surprised when I first saw that on the list, but yeah, that's legit. Sure. So, yeah, we basically get a wish list from our contacts in the Ukraine, and we do what we can to fill that order, and we get it to the border.

And we try to get it done as quickly as possible. It can still take a week or two weeks to get a shippable package ready. Okay. But I think it's awesome that you're kind of taking orders, because I've been involved in some of these disaster relief before, mostly people are going to laugh at me through ham radio and stuff like that. But what we would find is we would get tons and tons of waters. We don't need water anymore.

We've got more water than we need. So I like this sort of just-in-time sort of thing where they can tell you what they need and you guys try to get it to them. This whole system of disaster relief has improved. you know, by quantum leap since I first got involved with this kind of stuff back in the 70s. It's amazing. That's not really a question. Yeah, we're pretty fortunate.

We've got a pretty talented group of people involved with Allied Extract, and these guys are experienced. It's quite an honor to be rubbing all those with these guys. Yeah. So Allied Extract. We try to do things a little bit different. Allied, that's awesome, man. And we're very, I'm so excited. I'm running out of things to say.

I'm just kind of blown away, to be honest with you. Let me give out your websites, allied extract.org. And I'm just going to make this commitment right now that weird medicine is going to donate $1,000 as soon as we get off the phone. Just to maybe, you know, we can get some of our listeners to do a little bit of this as well. That will sponsor an entire convoy. And what's also really cool, what's also really cool about Allied Extract is that you can you can trace your dollar like you can trace your donation what like we get pictures on the

ground of people as they receive our shipments right and so maybe we could put like weird medicine on one of the boxes please don't do that should we should we not because we can really yeah get out of here don't you think that's something we could probably do no it's we have absolutely yeah we can do it and that'll be a great post for you we're not doing this to market our radio but it stimulates people to donate and it's nice to see where your dollars go right Because if you donate to a larger organization, especially one that has more overhead than us, right? Maybe somebody's getting a salary, something like that. You don't always see where your donation goes.

We won't name any of them, but it might rhyme with, I don't know, Schmidt-Schmoss or something like that. Yeah. I'm with you. And I like also a worthy organization. I'm just being silly. Yeah. And this was a little bit random for me because I was helping a little bit with evacuating some people through in-laws from Ukraine. and other people who needed to get out of Ukraine, right? And so I got a call from these guys saying,

hey, can you be on our board, our secretary? I'm like, okay, what's the commitment here? Well, maybe an hour a month. I'm like, okay. Oh, sure. Yeah, right. Okay. It's not happening.

However, I'm super proud to be a part of them. Super diverse things we can do. You could even sponsor like a restaurant that's feeding the civilians for a day. Really? Okay, so $700 a day. This one restaurant is cranking out a thousand meals, feeding the soldiers and civilians there.

So we have a lot of different projects that you could get involved in. There is some flexibility where your donation could go. So at www.org, you can see my face. Really? Yeah, my photo is on there. I don't see it. I don't see it. If you keep scrolling down on the homepage.

So if we ever do a date-a-thon, you could just check me on atlitechrock.org. Okay. We don't want to talk about your dating life. I'm joking. When we're talking about helping people in the, oh, there you are. Yeah, see. And from there, you can, you can, yeah, a fancy word for, you can't say that you're the secretary, Lydia. Got it.

But you can shoot me an email. My email's on there if you want to collaborate on a special project. Look at Brad. Now, that is a real man right there. Yeah, with the flag behind him on everything. That is awesome. Look at that, dude. 22-year U.S. Navy C-B.

Wow, thank you for your service to your country and now in this regard. Thank you. Goodness gracious. My honor. My honor. That was mustache march, by the way. Yeah. Okay.

Yeah, you don't, whatever. That's awesome, man. Yeah, thank you. And he's got, yeah, he's got a background and getting it done. I can tell. That's fantastic. Cool. I'm very proud of you guys.

And, yeah, as soon as we get off, we'll get that money to you guys. And hopefully, you know, our weird medicine listeners, we've got listeners on the podcast side. and also on our Patreon we'll put some, you know, a link up there but we get the biggest number of listeners on the Sirius XM show so we'll see if and what we'll do, I'll tell you what, on the pad data

see here and I'm telling you all these things I'm going to do. Look at me. Look at me. Look at what I'm doing. But we'll put it on the pad data. That'll be the title of the show this time so that when if anyone's listening to the show, they will see the URL for the website scrolling across their screen. Thank you very much. Awesome. Okay. Well, listen, Brad, you got anything else to tell us about this? I think, you know, it's just an amazing thing, and I'm very excited to have you on,

and now I'm just babbling. So what else you got? And if nothing else, then, you know, Godspeed, sir. Well, keep an eye on the website, because we do have some potential projects that were trying to spin up, you know, Lydia talked about one, and we've got a couple others that are cooking, so some pretty cool stuff, much needed. Just keep checking the website. And we're not forgetting about Afghanistan, right? But the State Department's actually, you know, a partner with that now, so that's great. It's great to hear. All right. Yeah, they're still, they're trickling out. They're coming out, though. Okay, good. Brad Jennero from allied extract.org. Thank you

so much for being here. Thank you again for your service, not only in the military, but in this endeavor as well. It's awesome. Oh, thank you very much. All right, thanks, man. Take care, Brad. All right. All right. Wow. How about that? Cool. Yeah, I love it. Really, I usually have a million questions for people, but I got so kind of overwhelmed with looking at this website and the stuff that they're doing. I almost had to stop for a second. Yeah. Because I was getting way, way, way ahead of myself. I was hypervating all kinds of stuff. It's a cool group and it's small.

It's like if I ever go backpacking somewhere and get kidnapped, could you guys please call Alleydexract? Yes, of course. That would be great. Because the whole goal is we're long term, right? Rebuild, move to the next place in the world and help. Okay. Awesome.

Thank you guys. Yeah, thank you. So you brought some weird medicine stuff too, right? Yeah. Okay. This woman. I'm telling you, yeah, if we ever do dial a date with you, that's going to be hard to keep... Uh-oh.

We're going to have to get the really quality dudes because this is, she's the real deal. Dude, post-midlife crisis, please. Yes, of course. Thank you. Yeah, but then you get into the end-of-life crisis guys. Widowers? Well, I mean, I'm saying, you know, end-of-life crisis. So the mid-life crisis is, oh, my God, I'm never going to be able to.

date again or all this stuff so then they start dating and then you know and there's a lot of times they're married and that doesn't work out very well and then you get the guys who are at the end of their life they say oh shit I'm never going to be able to have intercourse of any kind because I'm going to be dead and then they start going crazy yeah that would be me that's a great topic for a show yeah all of the different things yes well we talk about injections yeah implants Oh, yeah. Oh, yeah. Well, we have done...

That's like our usually... That's our weekly topic. We've done 17 years of shows. You have not been listening that long. I googled. I googled the topic that I wanted to discuss. Okay. In addition to the tag, weird medicine, and I couldn't find it, but you did mention that you guys had discussed it before.

Well, go, let's go. It doesn't, you know, us repeating ourselves is not that big of a surprise to our listeners. And we usually try to do a slightly different take each time. So what do you got? Yeah, so I'm thinking for, like, the broad application, broad audience and something that utterly disgusts me. Excellent. And something that I decided to test myself by sitting in my basement and YouTubeing videos of just to make sure that I've gagged a little bit. And I did.

So your husband is on YouTube? Sorry. Oh, yeah. Well, he listens to the show, so. Oh, does he? Sorry, I am. I'm just kidding. No, tonsal stones.

I was only halfway kidding. Hey, if you want to make you miserable, I can give you my ex-wife's phone. Hence the reason we're going to be doing dial-a-date down the road. Tonsoil stones. Enough about your personal life, Lydia. Tonsol stones. Disgusting. Tonsolits.

Right, lith from the Greek meaning stone. That's right. Give yourself a bill. Yes, we used to do tonsilets a lot in the beginning. Okay. But it's been a long time, so let's talk about them. You describe them because if it makes you gag, it'll be more fun. Yes.

Yeah, I've been training my gag reflex to not be on the radio. So we will try. So, yeah, our tonsils, right, are lymph tissue in our oral pharynx. Yes. Part of the ring of lymph tissue at the back of our throat. And both the pharyngeal tonsils, the ones you can see when you open your mouth and look in the mirror and say, ah. And our lingual tonsils, the ones beneath our tongue, they have not. nice big crypts, sometimes large crips.

Right. And they collect bacteria, lymph debris, so white blood cell debris, and that can calcify into stones and contribute to halitosis or bad breath. Bad breath, yes, very good. Yeah, or a bit of pain or discomfort when swallowing. A lot of adults don't have tonsils anymore. They've just atrophied or they had them removed, but those that do, a lot of times, yeah, these. pockets or crypts, not Crips, but you know, people think

we're, you know, wearing red or, you know, versus blue, you can go get in trouble on some. I think Crips are blue. I was thinking Crips like that you would eat, like the French Crips. Crips. Oh, Crips. You got tons of our crepes.

There you go. That one may better taste. No, they're awful. If you're in, you know, if it's in a pinch, you might eat a tonsler crap. What I hear. But anyway, so, yes, and these pockets, you're just eating and you're just, you know, forcing food particles in there.

And then the body is like, wait a minute, this is food and it's rotting. We need to do something about it. So white blood cells and fibroblasts, you know, cells that make fibrous stuff, will invade. And then these things get walled off. So whatever's in there is most of the time is walled off. you pick one out, it's like plastic until you mash it and then it will stink to high heaven. Because of the volatile sulfur compounds found within. Give yourself a bill.

Yeah, so. Smell like a swamp. Yep, yep, yep. Or, you know, an abscess. All those things kind of have a similar smell. That just sort of rotting protein. So in your research, did you come across anything that you could. do to treat

those if you have them besides scraping them out sticking your finger and pressing on your tongue. You can use a tongue depressor too. Yeah, or a water pick. There you go. That's the one I'm thinking. Do a water pick. Rinsing with a nice

purple mouth wash to also help you prevent cavities. Right? And specifically spitting it out and not swallowing. Yeah, don't swallow that. Yeah. I thought it was interesting that that's one of the only indication that for tonsillectomy in the setting of halitosis. Wait if you have tonsillets.

So repeated tonsilets in an adult patient with halitosis. And that's only 3% of patients. That's right. Because usually bad breath is caused by Dr. Scott. Rotten gums and teeth. There you go. So periodontal disease, dental disease, dry mouth. People have dry mouth.

3% are caused by retributable tonsilins. Yeah, I'm very excited about that. I thought back, you need a pause? No. So I thought back to this patient that I had one time who came in for sore throat, and I thought it was quite widely applicable, especially as we're entering the season of spring, right, and allergies and perhaps a bit of limp flare,

where these things might spur for people. So someone came in and had repeated episodes of this. just very mild pharyngitis or throat inflammation, kind of painful swallowing. It was a younger person who still had their tonsils. They were not atrophied. And I noticed really large crypts, right? And so I decided to take a cotton-tipped swab. Oh, no.

Fancy word for a Q-tip that costs for a leaf like, what, $5? There we go. And so I just poked it. I just gently applied pressure to the tonsil. Oh, no. And they all just opened with these large. large up to one centimeter tonsillets popping out looking like a honeycomb that's good eating I'll tell you that and they popped a fellow on his tongue he gagged I gagged we were all just gagging

but it was it was the reason for his repeated presentations of sore throat um yeah if we I was trying to find okay here you go listen to this phone call this is The best phone call we've ever had, and it is apropos to this, and people who listen to the show are going to know exactly what I'm going to play. Hey, Dr. Steve. My name is Dee. I'm in Nashville, Tennessee. I am calling because you said something about a worst medical smell. I was sitting in with the dentist one day. A man came in. His jaw was swollen. The doctor had a round probe. Was moving his jaw out of the way. The probe brushed up against whatever the lesion was. was inside of his mouth, and some shit came out of it that looked like greens peas, like pea soup. And the smell was so nauseatingly bad that I quit school, and I am a realtor now. I'm not doing anything in the medical profession because that smell was just like, I'm... That's my favorite because it's one thing that she described the color and the consistency of the stuff and how bad it smelled,

but it was so bad that she changed careers to a completely non-medical career and she's selling real estate. Oh, man. Now, Dee's been here in this studio. We were so, we had a contest about the best phone call. We had a bunch of good ones. And when she won, we just sort of made contact with her.

And so she is going to be one of our guides when we go in May to, Nashville and take us around to the hot chicken places and stuff like that. Yeah, so she knows the good places to go anyway, D from that. I just watched the video on somebody making hot chicken, Nashville hot chicken. It looked so good. And it probably was somebody not from Nashville, I'm guessing. You know, because I saw Sam, the cooking guy making Nashville.

It's like Sam, you don't have any credibility on this. This guy, I don't know where it was from. He lived in a shack, like a really tiny place. Okay. He swirled some water in a dirty dish. and then made it in that. But boy, it looked good. I would definitely go on a hot chicken tour.

Yeah, yeah, yeah. I'm very excited about that. And that is in May for the Who Are These Podcasts live event in Nashville. It's May 14th. It's in the afternoon. And then there will be a comedy show that evening. And if you're interested in, if you come to that and you come to say hello to me, I'll buy a beer. long as you're allowed to drink.

And it's at WATPLive.com. Go check that out and come hang out with us. Very cool. I'm trying to get Dr. Scott to go with. The other person that does the Myrtle Manus voice is going. I'm in. I love Nashville. He'll be there.

And we'll be a talking like his whole time. And oh, God. So that part won't be fun, but everything else will be fun. Yes. So anyway, that'll be very good. Music City, baby. So, yeah, tonsilets. I do have a quick question.

Oh, well, I was just going to throw it. The other thing, did you look up? The other thing I told you to look up? I Google imaged it. And I knew what you were saying. I actually had a student with me. Okay. What do you think this means?

Yeah, so I said, she said, tonsillets make me gag. And I said, well, Google tonsillor myiasis. So people who have been listening a long time kind of know where we're going with this because we've done oral myiasis. iasus before and this is a subset of oral myiasis it's m y-i-a-s-is if anybody i'm just telling everybody don't google image this i'm just i'm warning you don't google image it do it but it's m-y-i-a-s but don't google image it anyway so you did and what happened uh we had a nice discussion and she left shortly thereafter it was her last day did you gag

I did. There's a good one there. Yep, yep. It's an mandible. So oral or tonsular myiasis is when you have usually dead tissue in the mouth and you sleep outside with your mouth open. And flies, fly into your mouth, lay eggs, and then you still don't do anything about it. And then the eggs hatch and then you get maggots cleaning the tissue up for you. They're doing you a favor.

They're helping, helping, help him, brother. Oh, jeez, Lydia. I have it pulled. I do have the email. Oh, boy. Yay. We got a gagger back. I've got the Google image that's pulled up.

We haven't had a gagger in here since GVAC passed away. And so now it was very excited. His exit. Don't, hey, don't puke yet. We've got a question. We got a question. Okay, go. Yeah, from the, we actually, we have two from the jet room, but.

I now understand, though. we're putting a monitor up there so that I can cast images over there so we can all see what we're looking at. If Lydia's, its stomach is this sensitive. Lord, poor thing. We will have lots of fun.

Poor thing. All right, movie Messiah. How do you check to see if you have these stones? Oh, that's a good one. You want to take it? Lydia can take it. You could hear. Can you talk? I can. I can. I closed it. I can fix it, by way. I'm used to trying to save face,

especially in front of patients when I'm gagging. Masks are nice, though. Masks really help hide. Unless you're puking and it's shooting out from all four corners of the mask. Hasn't happened yet. I have to tell you my sure, sure. My sure uncle story then. Go ahead.

So anyway. Okay. So, you know, one thing you could do is get a light, right? Get a light. Your cell phone flashlight. Yeah. And stand in front of a mirror. Take a peek into the back of your throat.

It's hard to get it lined up just right, but you can do it if you try. Yeah, and just see if you see big crips or white spots on your tonsil, as long as you're not having extreme pain or fever, right, an inability to swallow or swelling of your soft palate, or it looks like your mouth looks asymmetrical. But if you're not in dire straits, you could always stick a cotton-tipped swab, like a cue tip or your finger back there applies a very gentle pressure. Your primary care.

could look at there and say, yes, you have tonsiler crypts. And one thing I was going to tell you about is that people think a water pick, this big giant thing with a tank, and it is a pain in the ass. Everybody buys a water pick, and then everybody throws it away. They have new ones now that are, you fill up a reservoir, and they're wireless, and then you just hold it, and you put your mouth over the sink, and then you do the water pick, and it doesn't last very long. It doesn't hold as much water.

but it is the greatest thing in the world. I brush my teeth. I've got these stupid envisalines, right? And they put these anchors on there. And the anchors, I guess, are catching more food particles. I don't know what's going on. But I'll brush my teeth for three minutes, and then I use the water flosser.

And it's, you know, tons of stuff still comes out, you know. It's amazing. So, yeah, it's handheld, and it holds a small amount. water but it lasts about a minute and that's usually enough to floss your teeth so and you could use one of those for this but i would now lydia brought up something that's really important if one side is or both but if one side is huge it's pushing across the midline you don't want to go in there and poke around why do you know what that's called well you could get a paratonsular abscess or have a paratonsular abscess give yourself a bill

Because green shit's going to go everywhere. Well, it's worse than that. Get in your bloodstream. You go to your brain. A tonsler abscess needs to, that's a medical, what's a surgical emergency. And the other thing is that you don't know that that's really a tonsler abscess if you're not a medical professional because I've heard of this happening. Someone thought that they had a tonsler abscess, and this was done in a physician's office that was not an ear, nose, and throat doctor, that shouldn't have been messing with it. But the patient came in and they had a, you know, a tonsil that was crossing the midline.

And they went to poke around in it. They weren't trying to, you know, do an incision and drainage. They were just poking around. And it wasn't a tonsillor abscess. It was a carotid aneurysm. And it bled. And that's the end of you. Yeah, bye.

So if you look in there and your tonsil is crossing the midline of your mouth, that go see a physician and one that knows what they're doing right and because tonsils are lymph tissue we can also see lymphoma of the tonsil right so uh certainly if if you're having significant trouble well now everyone that's looking in their mouth and seeing some enlarge ones going i've got lymphoma well we will drive up a lot of doctor visits there you go but i'm just kidding just let your primary care i think over 10% of people have have tonsil stones it's not like 80% or stuff like that, peaks at puberty and young adulthood. Yep. And then nasty.

I got a real quick question from Bob, if you want one. Yep, of course. From Bob, here we go, Bob. My PCP took leave from her clinic with no indication of if or when she would be back. I found her on Facebook. Is it unprofessional to message her there and find out what's going on? Okay, so it's unprofessional for your primary care provider to message you. it's not necessarily

it's not unprofessional for you because you're not a you don't have a professional relationship with them you have a you know a provider client relationship with them I'm if someone

messaged me on Facebook I can't really message them back but I could refer that to my office and have them call right so you know if as a patient you know found me on there what do you think when you you were nod in your head pretty big

It's a difficult situation, at least in my profession, right? With oncology, you become a bit of a friend. But if you've abandoned your patients, I'm not saying this person did. It's ridiculous. I think I probably wouldn't bother reaching out to them, honestly. Like, maybe their spouse died. That happens sometimes. Or they're just, you know, they've abandoned their patients.

I can't imagine doing it ever, right? Through the hardest time in my life thus far I haven't missed a day of work. Right. but if you were going to you would arrange for follow-up so this is what i'm wondering if this person is gone uh they're almost all the time they're going to have made arrangements for somebody to take their patients so you can call the number and if i'll tell you what email me and let let me know something about it and i'll see if i can find out who's covering for that person Sometimes a physician can make inroads in a situation like that.

I mean, I can call the emergency room, say, who's covering for Dr. So-and-so? Yeah. You know, and I would do that and then let you know who that is and give you their number. But it's not unprofessional in the sense that, so let's say your doctor thought you were hot, Bob. It would be very unprofessional for them to reach out to you through Facebook, okay? Ethics Committee. That's right. I think you're hot and you know, all that stuff.

But going the other direction, it's not unprofessional. It's a little weird, but we live in a weird world. It's 2022, but I don't know that they would respond to you. Maybe they would. Maybe they wouldn't. But like Lydia said, we don't know what their situation is. It could be a tragedy. And you're like, well, can I have my, you know, beta block or whatever?

But you need your maintenance meds. So we've got to find you a primary care provider somehow. But that's usually the protocol is to just call the office. And I'm guessing Bob's not stupid, so he already tried that and didn't get a good answer. But that would be normally you can call up and say, who's covering for Dr. so-and-so now that they're gone. It is unusual for somebody to just abscond. But it happens sometimes. And then you've got to find another primary care provider.

And it's got to be something major on their side, right? We all take the oath, well, physicians specifically take the oath to do no harm and be there for patients. Wait, you don't take that oath? We take a modified oath for PAs. It's not exactly the same. I googled this one time. Not precisely the same as the Hippocratic Oath. Our Hippocratic oath had all kinds of ifs, ands and clauses built into it when we did it.

So essentially, I'm saying probably more than likely there's something major tragic going on with this person. I would think so. But if you want, Bob, feel free to email me. Just go to Dr. Steve.com, click contact, ignore the warnings. Those warnings are not for you guys. That's for the general public that happens to run across my website, our website. And if you give me the city you're in and the provider's name, I'll see if I can find out what's going on. I'm happy to do stuff like that.

That's pretty cool. Well, I don't think it's that cool. I think it's cool. It's something we can do. That's something I can do. I can't write our patients or our listeners, prescriptions and stuff like that. But this I can do, you know. Anyway, all right, you got anything else over there, Scott?

No, sir. Did you have anything other than tonsilis, P.A. Well, I thought, so someone recently told me that they had tripophobia. Oh. So I started reading about it and I thought, man. And do I have tripophobia? Because of this recurring flashback I have from these tonsillots popping out of this person. Oh, you don't like irregular clusters.

And there are these weird plants that freak people out. Yes, yes, very good. Yeah, and it freaks people out. Yeah. And they used to think, so tripophobia is. Tell people what it is. That's excellent. Kind of this revulsion to clusters of holes.

Right. And it could trigger, it usually triggers a very disgust response. Right. Fomiting, nausea, just wanting to look away, unlike fear, very separate from a phobia that triggers fear. Right. This is more of a revulsion. Yeah, so think like bubbles in the top of your coffee. We should have given a trigger warning.

I'm about to describe so many things. This whole show is one big trigger warning. But I'm going to look, Google image it. If you want to know if you have tripophobia or tripophobia, just Google image it and see. And now these, I'm kind of grossed out by this, but then it's got like, um, uh, strawberries. Yeah, so someone could have, oh, you know, yeah, see, I think, I think I have it. Yeah. But strawberries don't, strawberries don't gross me out as much.

They gross me out in the context of this. And then here's one, here's, here's, sorry, there's pictures of bread. Yeah, the bubbles or the cracked bubbles in bread or popped bubbles in. But then there's people, they've got these pictures of people with these things that are not physiologic. You know, they're just... Photoshopped. Yeah, they're photoshopped. Yeah.

But, yeah, that's pretty creepy. I thought it was a good link between your, what was it, my eyes, or... Myiasis, you know. Tonsular myiasis. Because... Oh, the fly eye. They used to think that tripophobia was related to being afraid of venomous things or things that would harm you, right? like patterns on snakes, spider eyes are in a cluster.

What have you ever heard of bot fly? Botfly makes a similar appearance. Let's tell people what we're talking about, though, when the bot flies. Could you do that for me? Okay. I don't do that way. This is where in certain countries where these bot flies are, if you don't wash your clothes properly and put them on,

they can have botfly eggs or larvae in them, and they can burrow under the skin and you get what looks like an abscess, but there's actually a living maggot, botfly maggot. They call them botfly larva, but they're giant maggots that live under your skin. And I wonder if things like that, because itching, formication is thought to be a response to our ancestors who had to deal with fleas and other, and lice and other parasites under their fur, and there wasn't anything they could do about it. So they, you know, they would pick up, pick it off each other and stuff like then.

You get that itchy feeling. And so that may be where some of these itching disorders come from. Go ahead. Yeah, super. No, well, you're just like, we're just really vibing today, right? Because they used to think that this was, this tripophobia was a natural instinct to avoid danger. Yeah. So like the spider eyes and venomous creatures that have all of these recurring patterns like a king cobra snake.

And so this guy did a study, sorry, back in 2017, this guy did a study where he took 300 people from tripophobia support groups and 300. Wait, there's support groups for people who don't like looking at strawberries? There are. I'm sorry. This is a real disorder. Okay. And I think I have it. Well, I don't want to minimize it.

I just didn't imagine there were support groups for those. There are. So at least he found 300 people, right, that identify as having tropical. Okay. So that and then 300 of the control group, which. was university students who did not identify, okay? And he showed him eight images of parasitic infections that had a circular appearance, right? So the botfly infestation, abscesses and furuncles have oftentimes circular, like, tracts.

Sure. That will appear in the skin. And then eight pictures of things like strawberries or holes, gilded in bricks, things like that. So the people with tropophobia had the same reaction to both images, which was that. of disgust. But the other people only were disgusted by the things they should be disgusted by. Which kind of took us away from tropophobia being this innate avoidance of fearful and venomous things more toward an innate avoidance of parasitic infections,

patural infections, things like that. So the thought is that there's some link toward anxiety of being, just being anxious about parasites and other infections. So it was neat. And I thought this was all a great. link yeah honeycombs is another one yeah honey if you look at honeycombs that bugs it does now now that I'm looking at it together with everything else it's together with everything else see the strawberry kind of creeped me out yeah just because it was lumped in with these weird

sort of things growing out of people's feet there you go thank you for doing that into the mic so people know what's going on no no I'm I'm actually serious I would be disturbed if you... I'm sorry, I'm going to close my eye back. Okay. It's okay. I need to introduce you to Bobby Kelly. Bobby Kelly used to puke on demand on Opium Anthony

every time he'd come in there. And they had Pat from Munaki. He went out to puke one time. They showed him some picture of some damn thing. And he went out, and Pat from Munaki took a picture of his asshole. And they put on Bobby's phone. and there is

if you can YouTube it's called on YouTube it's called Bobby Kelly Pukes by Nelson it's one of my favorite animations

and he comes back in and they kept doing things to try to get him to look at the picture on his phone and they couldn't do it and Norton was

just you know he was trying everything and finally you knew that he did it because all of a sudden you hear like that

and then you hear bohah It's so great, and everybody laughing is the funniest thing. So hearing people puke, as long as it's not you, it's funny. Yeah, my brother would always, like, pretend to hawk a looogie because he knew that would make me gag. I mean, my friends can just make me gag on demand. Oh, we're going to have so much fun. Yeah, sounds great.

All right, let's see here. You want to take some phone calls? We've got a couple of minutes left. Number one thing, don't take advice from some asshole on the radio. Oh, right. Let's see. I've got this one. Let me see. Oh, damn it. Hang it. Here we go. Sorry. Hey, Dr. Steve, a long-time listener, first-time caller. Hey, man.

And hello, anybody you have in the office. Hey. Thank you, sir. How long does someone have to abuse cocaine before it's a medical problem? Wow, that's a great question. So we are medical professionals, so we can't condone the abuse of any street drug, right? But speaking from a psychological and sort of an addictionology standpoint, it varies. It's just like alcohol, right?

some people can drink their whole life and not have a problem and then we have some people who are 40 years old that die of cirrhosis because of their drinking so you first have to define problem and that that's the harder part if it's interfering with your work if it's interfering with your life if you're craving it if you're lying cheating and stealing

that's a problem how long does that take I don't know I don't know you want to take that risk that's the thing so you don't know how addicted you're going to be other medical problems right yeah and that's the there's the

gingible retraction yes right speak English for our lessons so you're so cocaine is interesting right so we used to use cocaine for hemostasis not not that I have personal lodge but we used to use it for hemistasis right because it shrinks blood vessels

or contracts blood vessels hemistasis meaning to stop bleeding yeah which perhaps ukraine could use i'm just kidding ukraine and cocaine all right i'm just kidding um just delete that's your first boo so to start uh you know that i think they used to use cocaine in uh nose bleed control yeah and we used in an ear nose and throat lab when i was in medical school to dilate the uh the tissues so we could look in each you know in each other's nose with the flexible fiber, Jesus, fiberoscopy.

Fibor optic scope or something. You're going to boo me again? I'm going to boo me again. No, no, no, no. No, no. I'm going to boo myself. Yeah, flexible fiber optic scope. And so, yeah, I mean, there are real medical uses for cocaine. Yeah, but, you know, in the period, and I don't know how many uses it requires,

but eventually you could, if you're rubbing it on your gum, I don't know how you use your cocaine routinely, but it could cause gender or retraction, which would be to shrinkage of the gums. Shrinkage. Dental loss. Right. You got a dentist in there and you're just screaming, it's the shrinkage. A hole in the septum. Yes. Anytime you look up someone's nose, they have a hole in their septum. You're like, well, you did some cocaine.

The septum being that sort of plasticy thing that goes right down the middle that separates the right nostril from the left nostril. Yeah. So eventually you would get a hole in your septum. You can get all kinds of things. Len Bias allegedly used cocaine once and he died. So that's the problem. And then assuming that you're actually even getting cocaine, it could be lots of other things. So this is all I'm going to say.

If you think you have a problem with cocaine, please get help. There's tons of places you can get help. If you don't know where to get help, go to Dr. Steve.com, click contact. and we can, you know, do a SAMHSA search and find a place near you that can help you. But there's no answer to that question that will do anybody any good, you know? All right.

Okay, doke. Let's see here. John from Chicago. We can try this one. It's a little long. We're running out of time. I'll tell you what. John from Chicago, I'll get you next time.

Okay, here's a quick question from Gary from Buffalo. I'll try this one. Hey, Dr. Steve. This is Gary from Buffalo County. Hey, Gary. I've been a long time fan of yours. Thanks. Your advice has been helpful.

You just have a quick question. I'm 56 years old, obese. What's new? You know, with your listeners. So anyway, my question's about blood pressure. How can blood pressure goes up as you get older? Because my blood pressure, I am on medication. We've got about a minute left.

Lydia, you want to take that one? No, go out. Okay, Scott, you got anything on that? I do. Well, our circulatory systems are just less elastic. How does blood pressure go up? I've always talked about imagining the circulatory system as being a closed system with a pump.

You take a pump and put a hose on one end and plug it into the other end. How can you make the pressure go up and down? Well, one way that you could make the pressure go up is to clamp down on the hose or make the caliber of the hose smaller to increase the resistance, and that's basically a lot of it. The other thing is that the kidneys become less adept at moving your blood pressure up and down and keeping it in a normal place.

Either they don't sense the blood pressure as well as they did, so they allow higher blood pressure to become. to, you know, to the forefront, or they are not secreting hormones properly to keep your blood vessels open. And so now they start to clamp down and increase the resistance. Anyway, that's kind of just a reader's digest version of it. We could go into more depth. I still think that's, you know, the physiology of fluid or fluid dynamics in the body is kind

of interesting. Sure. If you think of it as a closed system, you can kind of figure it out. Sorry, I slept through the first part of that. That's fine. That's fine. I don't blame. I woke up for a quick question from Colin Carnes.

What can cause cold extremities? Caffeine or stress cause it may be. Or could an overall lower average body temperature cause it? Interesting. Yeah, so that's not a short answer, but we can make it kind of short. No, we don't have to. Yeah. We have time.

What else you're going to do? Lydia, you got anything on that? I've got an answer. Yeah, I mean, I could ramble about a couple things. Okay, we'll do it. First thing you think about is our temperature is very tightly regulated, right? We have homeostasis. Homeostasis.

Rocking with a lower, homeostasis meaning the body's desire or not desire, but ability to keep things kind of on an even keel. That's an easy way to do. Yeah, so we aren't walking around with some people really cold, right, and others. Like insanely cold, or people with the pH of 6 and other people with the pH of 9. That doesn't happen. Which is why we need to talk about basic water. Oh, we have talked about it. It's horseshit, but we could talk about that.

Homeostasis, yeah. So, you know, having a lower body temperature, I don't think, is really a viable reason to expect that you would have cold extremities. Things like eating and kind of having increased blood supply directed toward your GI tract. Yes. cause the colder extremities. There's a phenomenon called Ranaud Syndrome, which could cause colder extremities, which I'll let you talk about the

pathophysiology of it. Okay, well, it's just what makes our extremities warm? It's blood. Blood, yeah. So anything that will decrease the blood flow to the extremities will give you cold extremities. Some people, I tend to have colder extremities, particularly when I'm very

active in the hospital, and if I shake somebody's hand, which we're not doing as much as we used to. When I did a lot, I got this, you know, from people saying, oh, your hands are cold. And I go, well, cold hands, you know, big feet. But you know what they say. But, yeah, so, but a lot of that is when I'm walking,

there's really no reason for me to have cold extremities because you'd think I'd be pumping blood around to my extremities. pretty efficiently. But apparently I don't, because the more active I am, the colder my extremities are. But people, yes, caffeine is a vasoconstrictor. So that's what, nicotine is another one. Things that open up the blood supply are things that increase nitric oxide. And so that would be things like Viagra and Cialis, but also are the amino

amino acid arginine can do that can increase blood flow to the extremities supposedly and then there are other medications that can do it blood pressure medications and stuff if you're on a blood pressure medication well hmm i was going to if you were on a medication that to increase your blood pressure that could also cause constriction of the extremities because that's really how they work um so adrenaline right yeah adrenaline oh that's why that's why that's why when i'm running around the hospital that my because I started with that and it's like I've got a good example but then it doesn't make any sense but yeah so when I'm in the hospital and I'm working my address level is out the roof and stress is cortisol but also adrenaline and when you

have adrenaline it's a vasoconstrictor drives up your blood pressure and decreases blood flow to the extremities but Lydia I think had the most subtle answer which is if you eat you're going to preferentially send blood to the GI tract. And that will draw blood away from the other parts of the body. Never the brain, though. The brain always gets all the blood it needs, plus and the coronary arteries. Those are the two big ones. But anyway, yeah, very good.

Excellent. But if his temperature's low all the time, power would possibly. I mean, if he's got some temperature. Temperatures, she's possibly. Give yourself a bill. I'll give Dr. Scott one. Oh, the thermostat. He made a little bit of a record.

If he had hypothyroidism, you could have generally low, and you would have cold intolerance, and you would have a slightly lower core body temperature. So you want to check your core body temperature. Easiest way to do that. Rectal. Thank you. Rectal. Yes.

Joget. Pottie mouth, Lydia's back. But we said, Rick. We better stop the show. Rick. them nearly killed them what we say in the hall or don't you know down there in the hall or yeah all right well let's get out of here thanks always go to dr scott p a lydia another triumphant visit we learned that well we learned several things that lydia is an activist

for people and she's concerned about people all over the world that gets stuck in places that they shouldn't get stuck in. So also, we learned that she can look at pictures of bot flies and gag, and that's very entertaining. She made her job a lot easier. And also, she brings really good stories. Great story. And she is not afraid to bring us a story that will make her gag.

So I just got to, yeah. You're like it. Good job, good job. So you're welcome anytime you want to come. And seriously, if you want to come every week, you know, you keep this up hell you know i won't he'll replace me no no she replaced me i'm the boring one here uh but anyway thanks go dr scott p a lydia we can't forget rob sprance bob kelly greg hughes anthony cumia jim norton travis teft that gould girl lewis johnson paul upcharsky chowdy

1008, Howdy Goopunk, Eric Nagel, the Port Charlotte Hoare, the Saratoga Skank, the Florida Flusi, the St. Pete Barkeep Blower, P.A. Lydia, you hadn't heard that one. No. She is now a listener, the St. Pete Barkeep Blower. Roland Campo, sister of Chris, Sam Roberts, she who owns pigs and snakes, while her sister has her Ph.D. Pat Duffy, Dennis Valckel. Coen Matt Klein Schmidt, Dale Dudley, Holly, from the Gulf, Christopher Watkins, double, Steve Tucci, the great Rob Bartlett, Portia from St. Pete, Vicks, Netherfields, Cardiff Electric, Casey's wet T-shirt, Carl's deviated septum, producer Chris, Jenny Jingles, the inimitable, Vincent Paulino, everybody, Eric Zane, Bernie and Sid, Martha from Arkansas's daughter, Ron Bennington, of course, our dear departed friends, Giba. and Fez Watley, who's support of the show has never gone unappreciated, and they will always be missed. Listen to our Sirius XM show on the Faction Talk channel. Serious XM. Channel

103, Saturdays at 7 p.m. Eastern, Sunday at 6 p.m. Eastern, on demand. And other times at Jim McClure's pleasure. Many thanks to our listeners whose voicemail and topic ideas make this job very easy. With these Invisalines, it just sounds like I've been drinking too much, and I'm just sort of. It makes me sound a little bit like Rich Voss with my saliva. But anyway, go to our website at Dr. Steve.com for schedules and podcasts, other crap. And I love Rich. Rich, I love you. I'm not saying that as a bad thing. We just sounded like. Until next time, check your stupid nuts for lumps, quick smoking and get off your asses, get some exercise. We'll see you in one week for the next edition of Weird Medicine. All right. Very good. Cheers.

Thank you.