Weird Medicine: The Podcast - 503 - Physician, Tan Thy Testes
Episode Date: April 28, 2022Dr Steve, Dr Scott, Dr Carrie, Tacie and Amanda discuss: The Heart Attack Grill - they're not kidding Hypnopompic episodes (again) Digital Drugs Free T and Sex Hormone Binding Globulin Post Op I...leus Stages of Cancer and Second Primaries Tanning your Scrotum with Infrared? How many things are wrong with this sentence? Join us for live recordings on https://www.youtube.com/c/DoctorSteve202 YouTube every Wednesday at around 3:30pm! 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 ;-) Please consider donating to alliedextract.org, PA Lydia's newest cause. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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How many chickens does it take to change a light bulb?
I'm not sure. We'll have to wait until they get back from across the road.
What's the difference between chickens and umpires?
What's the difference between chickens and umpires?
Chickens understand what bach means.
Bok bach, bach, bach, bach.
Why does a chicken coop only have two doors?
Because if it had four, it would be a chicken sedan.
What happened to the letter that fell off the billboard?
Nothing.
It's just a little dirt e.
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Hello, Dr. Scott.
Hey, Dr. Steve.
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I came over some wildly inappropriate ones
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Sounds good. I'm anxiously awaiting my name.
Okay, very good.
But maybe we'll put that out to the listeners to come up with the name for you.
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Is that something?
I mean, because this one's different than your last one.
We talked about this a couple of times ago.
I haven't, but that's actually a pretty good idea.
Well, it just certainly look, yeah.
What about that spelling error?
Well, yeah, and then Carissa found a spelling error on Scott's website.
I'm on it.
It's good for Stess.
I'm a phonics.
I'm a phonic speller.
I was going to say that.
He would say that's how they spell it in China.
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That's how to spell in China.
Stress.
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That's a old linger longer on that one.
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we're recording this on the 27th
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But anyway, check that out at patreon.com
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So welcome, Amanda, this is your first time on the show.
Although, you and I do another show that can't be named.
But, yeah, it's good to see you.
So, yeah, you and Chris are over there having a drink.
What are you drinking?
Cheap wine.
Okay, very good.
Yeah, Tacey gave it to him, so it's cheap wine.
Anyway, all right.
Well, I know, Carissa, you brought a weird medical news,
and this is not like scorches weird news.
These are actual interesting medical topics.
So what have you got?
I also don't have something nearly as interesting as previously when I was here.
That's hard to be talked.
But I do have just a weird piece of news that I wanted to share.
with you. Okay. It's about
a restaurant in Las Vegas
that's called the Heart Attack Grill.
Okay. And their most recent thing
is that they have displayed the
cremains of one of their
customers. Oh my God. Oh my God.
Because their burgers
killed them. Killed them.
Oh. And they now are
displaying their remains.
Yeah. I've actually heard
of that restaurant. Yes. I've wanted
to go. I mean, their burgers are
called like the heart attack or the quad bypass or oh my goodness yeah what's the name of this
flat laner fries flat lantern fries heart attack cafe i believe and so what's so bad about their
burgers they're just being hilarious i don't think that there's anything necessarily bad about
theirs it's just yeah those ingredients are known to calls people over 350 pounds eat free
Oh, no.
Yes.
Oh, no.
I'll have ten of those.
Let me see.
Oh, my God.
Weigh yourself here.
And the owner wears like a doctor's jacket, like a lab coat.
Oh, my God.
Look at this thing.
The Octuple bypass burger.
It is stacked.
It's got to be two and a half feet tall with burgers, cheese, and bacon.
And it's just layered.
Yeah.
Oh, my, and then tons of onion.
That's got to be a whole onion.
I'm not doing that.
Nope.
No, not for me.
So when I was just out there today looking around, I just came across this and I thought it was hilarious.
These people are hilarious.
When you go into the men's bathroom, there is a urinal with Hillary's face on it.
But there's also one with Trump's face on it.
So it's, you know, if you're a leftist, you can go piss on Trump.
If you're right leaning, you go piss on Hillary.
And, you know, and they both look like they're in.
enjoying it that's a whole other concern yeah triple triple bypass burger and then if for another
275 you can add 15 bacon slices oh my god so yeah apparently one of their customers had a
massive heart attack after eating there and the cremated remains are going to be publicly displayed
but the owner's trying to swing it in a way of bringing awareness to how bad that type of food is.
Okay, that's like saying me doing Tippy Tom's prostate exam was bringing awareness to men's health.
I mean, come on.
Correct.
Okay, let's see here.
Oh, my God.
Wine is served in an ivy drip bag.
Hey.
Yeah, we're talking.
And I'm pretty sure the waitresses wear nurse uniforms.
I think they do.
And if you don't finish your burger, they'll see.
spank you oh stop it
I used to have to plan
dinners for our
groups when we would go to Vegas
and I tried to get
our groups to go there
and nobody would ever buy
yeah I thought it would be fun
well those groups were stupid
I remember when we got a
we were
able to go on a trip to Australia
and these people
that we went with
they actually went to the concierge
at the Sydney Four Seasons and said, y'all got an out back because we're in Australia, right?
Oh, my God.
And the guys said, yeah, we got 4,000 miles of it.
You're welcome to it.
And then we wanted to go.
Where was it?
We went, oh, okay, so can we tell this story now that you don't work there anymore?
I mean, just say we had a lot of money to spend.
We had a lot of money that we could spend.
And they said don't spend X number of dollars per person per meal.
and it was some insane amount of money.
This was back in the...
It would have provided for a great meal.
Yeah, right.
So I went to the concierge.
I said, what's the most expensive restaurant in Sydney?
And they came out with this thing.
It was called Level 14, I think.
And you could sit in the kitchen with the chef,
and they would make you a 14-course meal
with a wine pairing with each course.
You know, a little bit.
It would be hard to drink 14 things.
a wine and um well okay fair enough forgot who i was talking to but um and and so it was like we
are going to this we have to because it was exact it was kismet because it the amount was exactly
the number that they had given us per person so we would have had to kick in the tip but you know
who cares this would have been an amazing experience and we went to them and they were like no we
want we want to go get a steak we want to go get a steak so we ended up going to this
steak place which actually was kind of cool you know we had a view of the sydney opera house across the
bay you know we were right there in the key and so that was it was okay but you know they just
and the one one guy okay the one guy he just wanted a cheeseburger the whole time we were there
i'm on cheeseburger i want cheeseburger so we found we got off the ferry from taranga zoo
and there was this burger plate
had a big giant picture of a burger there
and he goes up there and says
I want a burger with everything
well in Australia that means something
different than it does here
because here it's like lettuce, tomato, pickles
mayonnaise, onions, you know
and ketchup and mustard
there it was
you know a burger patty
cheese
yes
lettuce tomato
a giant slice of beets
and a fried egg and some other bullshit that was on there.
And it was like, dude, you ask for everything out.
You fucking eat the damn thing.
You know, here's your burger.
Welcome to Australia.
God, it was such a great trip.
And anyway, that's what happens when you go with folks from the hall or don't you know.
But anyway.
Isn't that where you're from?
Mm-hmm.
So they serve jello shots from a giant.
syringe at this place and oh my god four and a half pound hamburgers three
tablespoons of lard 20 slices of bacon eight slices of american cheese 20 slices of
caramelized onion baked in lard eight tomato slices one tablespoon of mayonnaise only one
two tablespoons of ketchup and a tablespoon of mustard now the mayo I don't know why
they've gone so short on that that's what I'm saying right yeah no I mean it should
be like a half of a thing of Hillman's mayonnaise or blue plate which is the only good mayonnaise
no dukes yeah okay in the south you'll get people to fight you for that one but okay i'll
concede that dukes is pretty damn good all right and well listen in the waiting room we have
our boss mr cardiff electric who i just i want to give a plug for um he does kind of a surreal
podcast called the Cardiff Electric podcast, but he interviewed our friend Eric Nagel
recently, and it was great. It was one of the best things I've heard. And there is an
Easter egg at the very end of that podcast. And I will send a mug to the first person
who tweets to me what that Easter egg signifies. And that's all I'm going to say. If you
know it, you'll get it.
But anyway, you've got to tweet it to me at Weird Medicine.
All right.
Very good.
And congratulations, Mr. Cardiff for another great show.
And he has call-ins from lots of people all over the country.
There's Gary from San Diego.
There's some guy named Cletus that calls in.
I don't know.
There's just all kinds of different things.
So enjoy that, the Cardiff Electric podcast.
It's the most surreal thing in so many in jokes.
Most people just will go, what in the hell is this?
But that's half the fun.
all right what else have you got that was good interesting um so i was reading about this story
of a 16 year old boy who had premarital sex and felt really bad about it and he was really
stressed out from just life events yeah well he went to bed that night and he woke up in the
middle of the night and couldn't move and was having a terrifying hallucination of a humanoid
Oh, so he was having a hip-a-pombed episode, yes.
And his body was just frozen, and he couldn't do anything.
And so I know you and I talked about this recently.
Yep.
And then he went back to sleep the next night.
I don't remember something.
And he had, like, trained himself, told himself ahead of time that he was going to get rid of this being that he was hallucinating by.
Right.
saying Jesus' name over and over, and he popped out of it.
Interesting.
Yeah.
So what he was having was a hypnopompic episode.
Tacey had those.
And we've talked about it on Patreon.
We haven't talked about it so much here.
Terrifying.
Yeah.
Do you want to tell the story of what you heard?
I've told my story of hypnopompic episodes before.
And for those that don't know, these are episodes that occur as you're emerging from sleep rather than emerging into sleep.
And it's also called sleep paralysis.
Go ahead.
I think it's been a while, but I think Chanda was on the show that we did.
Okay.
But mine was in a hotel that I used to spend two or three nights at a week, and I would have them,
and somebody or something would lay down on top of me, not in a sexual way, and I just couldn't move.
Yeah.
And then I would always hear them scurry away, and then I could get up.
Yeah.
Weird.
And then we talked about it on the show.
I gave Tacey a technique for breaking hypnipopic episodes and just I mean it never happened again she still was on the road but just never happened again and I wondered if just giving her the power to do something made them stop because the person in that story it doesn't matter really what you do I mean he invoked you know his religious figure some of the any any
gesture you can make to exert control over that hypnopompic episode will usually break it.
And mine was that I forced myself.
I was paralyzed, but I was, you're dreaming, but you're paralyzed, but you're also awake.
So there are, you know, all the visual and auditory things in your dream are still going on,
but you're conscious and you're like sitting there going, I'm completely awake.
And all this crazy shit is going on and I can't move my body.
but you can harness the fact that you're sleeping
and what I did to break these
and it really never happened again after I did this
was willed myself to levitate.
I couldn't move.
I couldn't use my muscles,
but I could will myself to levitate
just like you can in a dream sometime
if you're running away from something
and then you do those weird jumps
where they're way longer than they should be
and then sometimes you're flying
and then other times you're flying
and then you can't fly anymore
but you can do those sort of, you know, extended levitations, basically.
And so I just willed myself to levitate upright.
And when I did that, I looked over to the left
and there was a hospital gurney in my bedroom,
which, of course, was always the sort of archetype of the alien abduction thing.
You know, they always take them on a gurney and take them somewhere.
So, but as soon as I saw that, it surprised me,
and I woke up just like that.
and that was the last time it ever happened
because I exerted some control over it
the person in that story did that
Tacey was going to exert control
and I think you know the thing just
whatever that switches in the brain just went
I'll fuck it on the ghost went away
yeah right
right place was haunted
yep
vagrants used to
you know every time I tell my
I do my hospice
palliative care lecture I talk about you Tase
because one of the slides that I show
is about that there's more deaths in the
ICU than anywhere else in the hospital. And I stop. I say, you know, my wife likes to watch these
ghost shows. You ever watch those? You know, where they put a GoPro on their head and they turn
off the lights and they scare themselves. And I said, to Tacey one time, why are you watching this?
She said, well, you know, in this hotel, three people died on the third floor. And now it's being
visited by poltergeist. And I said, if that were true, every room in the ICU, you know, the pictures
would be flying off the walls and you'd be hearing get out and all that kind of stuff it just doesn't
happen you just don't listen that's another thing i came across today though is that one healthy
thing you can do for the day is watch a horror movie really why is that healthy because it makes you
burn calories oh get your adrenaline up yeah unless you well yeah even if you laugh at it it's
probably good for you anyway okay instead of exercising so somebody did a study on this if it was an
NIH funded, I am going to be pissed.
On horror films?
Yeah.
I mean, if the federal money was spent, you know,
looking at the caloric rate of people watching,
I mean, the basal metabolic rate of people watching horror films.
There was a study done.
Yeah.
And I don't have it with me who it was through,
but it does have a breakdown of certain galleries that, like,
Jalls, the average person burned 161.
one calories, watching Jalls.
How much do you burn when you're just sitting there?
Just sitting, probably about the same.
Well, okay, that would be something that's important.
Were there other movies that burn more than that?
Yeah, the Shining burned 184.
Extra 20 calories.
How about Debbie does Dallas?
Yeah.
Depends on what you're doing during that movie.
Right, it depends if Tacey's home or not.
But I'm watching that.
Because if she and there's other stuff,
if it goes out.
Yep.
There you go.
Honey, get that.
Well, never mind.
All right.
You want to take some questions?
Oh, wait.
Yes, we have, oh, I made a mistake last time.
It happens.
And during our talk about whether DNA is transmitted to other people during transfusions,
somewhere I said that, apparently, that WBC,
don't have DNA and I meant to say
RBCs. So I have to thank
our friend Bob
Tibido and
he even has his own theme song
because he sends me a lot of emails
about this kind of stuff
and it's...
Everybody called me gritty but my name
it's... Bob.
Everybody called me gritty by my name is...
Bob.
All right, that's it.
All right.
All right, Bob.
Thank you for that.
All right.
Did we do the one on the person that suffered a scary sexually transmitted?
We did, didn't we?
The woman gave the guy Fallatio, but he had eaten peanuts, and there was peanut allergy.
Yeah, yeah, yeah.
She was a only fan's thing or something.
Yeah, yeah, yeah.
So I did some research on that, and there was some truth to this one.
And so that, you know, there are some protein.
that can be transmitted sexually, but mostly it's oral.
And this is people who have eaten peanuts and then they, you know, tongue somebody that has a peanut allergy
because it doesn't take much.
As you know, some of the people that have anaphylaxis to peanut protein have a, you know, reaction with a very low exposure.
And so I think that's where that came from.
I don't think it was from the guy's splooge.
I would like to see if we could detect those peanut proteins in semen.
It would be a fun study to do.
That's what I would support the NIH, you know, funding.
But anyway, all right.
Eat peanut veteran.
Yeah.
Yeah, just have them eat peanuts and then give them 24 hours,
have them, you know, splooge into a cup,
and then see if you can detect that particular protein,
and that wasn't there before, you know.
anyway
would be interesting
yeah
all right
well that's how we know things
let's do
you want to take some questions
yeah let's do
one thing
don't take advice
from some asshole
on the radio
all right thank you Ronnie B
hey
dr. Steve's Matt and Charleston
hey no
binaural
beats
read an article on
about how it can
do all kinds of stuff
to your brain
and one
one tone goes in one ear
another tone goes in the other
Yeah.
It adds up to some of the tone being perceived by your brain.
Right.
Or something like that.
Is this horseshit or is there any real truth to this?
Thank you.
No, it's real in the sense that when you put two different competing tones,
one in the right ear and one in the left,
you can perceive it as different things.
And so I know the Trip app uses binaural beats.
There are other, it's called a digital drug.
And people can use binaural.
beats to attain different you know senses of consciousness and stuff i'll play one for you if you
want um let me see if i can find a good binaural beat here yeah here we go um no lid ziplin song
is that black dog really that used binaural beats i like so so they have used binaural isochronic
tone patterns between 12 and 20 hertz this is the alpha beta range helps you increase
concentration of vitality okay so how would we know if this stuff actually did that
it's very calming makes me want to sleep what kind of test would you do to see if this actually
works the way that people are claiming that it does anybody ask them
Oh, my God.
I'm sorry.
I was enjoying my binaural things.
I think we all were.
How about a double-blind placebo?
So how would you structure it?
Well, you know, you would, first of all, have a group of people that agreed to the testing.
You'd have a group of people set up the test, and none of them would know what that other one was going to get.
Yep.
And that'd be a good first start.
And then you could check serum blood levels, serotonin level.
serotonin levels or
cortisol levels or you can just have a
questionnaire I mean yeah so you'd have to have an end point
a thousand different things so what are you looking
for because you know the Viagra
initial
Viagra study their
endpoint was
blood pressure it wasn't
giant meat erections
I was thinking for some of the reason I thought it was for hair
no you're thinking I'm an oxidone
okay yeah I'm sorry yeah yeah yeah blood pressure
blood pressure right yeah so it was blood pressure
and then people were reporting
God, I'm having these crazy erections.
Then they had to do another study with the end point being erections.
Because you can't use a secondary, just an adverse effect and then go to the FDA and say, oh, look, or, you know, a side effect.
But anyway, so what were you going to say, Amanda?
I was going to say, what about doing like an EEG or a CT while they're listening.
Sure. I like that.
Functional MRIs.
So what that would show is changes in your EEG, which would mean it has some sort of physiological effect.
I'm sort of interested in the real-world effects of this.
So I'm not saying that's a bad study.
That could be an intermediate study.
But they're saying,
they're saying, it helps you increase concentration and vitality.
So how do you measure that?
You know, that's the thing.
So the way I would do it is to have music like this,
spa-type music, as the placebo,
and then music that uses these isochronic tone,
patterns between 12 and 20 hertz, included, and have the people do some...
Free and post performance.
Yes.
Yeah.
Yeah.
It could be, you know, there's ways that you can measure concentration.
You know, the psych people have validated studies for that.
And, yeah, you would just, nobody would know, the person wouldn't know, the researcher
wouldn't know, the computer would choose them randomly.
and then at the end of it, you unblind everything
and see if there's a statistically significant difference.
You're going to turn it down.
You're losing everybody.
People drive and listen to this thing.
Do they?
Does anybody?
Really listen, no.
Kim Chickens is saying she actually listens this while she's studying for a board exams.
I used to listen to an instrumental song, the same one, before every test.
college oh yeah um what what song was it you would ask me that and I should know because
I took a lot of tests um pock bell maybe no it was something really random for me you say
it best when you say nothing at all hmm instrumental oh Allison Kraus
oh yeah that's the real deal and I would listen to it on my way to taking my test and
And it just calmed me down.
Do you think that's sort of like somebody that wears the same,
like a pitcher that wears the same set of underwear before they pitch?
I don't know.
Yeah, it might be some of that.
We've had that talk about me, haven't we?
Mm-hmm.
Yeah.
My favorite underwear.
It just calmed me down.
Yeah.
I wore the same underwear playing baseball all with your high school and college.
Wow.
The last game I wanted up and threw it away.
Did you watch them between games?
Okay, good.
It was pretty holy.
I wound up having to wear extra underwear.
underneath the whole end of the way.
But I felt much better about myself.
So here are some people that did a study
on receptive music therapy
with embedded 10 hertz binaural beats
compared with standard care
for patients with major depressive disorder.
This was a randomized controlled trial.
Excellent.
Purpose of the study was to determine
the effectiveness of music therapy
with embedded 10 hertz binaural beats
in combination with standard treatment in comparison,
you know, the objective is exactly the same as the title.
That's always a bad sign.
But anyway, so they did a randomized control trial
enrolling as very small.
18 major depressive disorder, adult patients age greater than 20 years old
with mild to moderate levels of acute phase depression.
The intervention group received,
oh, music therapy.
be along with standard treatment while the control group received only standard treatment this
really isn't a placebo control trial they randomized them but they all knew hey i got the music
the other people knew they didn't so 10 hertz binaural beats were embedded into soothing music
these participants listened to it via stereo headphones blah blah blah okay so the conclusion was the
study concluded that major depressive disorder patients who received 10 hertz binoreal beats embedded
music therapy combined with standard treatment had experienced no significant differences compared
with the control group in terms of depression score quality of life or medication adherence
so there you go so this that doesn't mean that it's all bullshit just means that 10 hertz
binaural beats didn't work for this cohort you know so there may be other studies that they
could do on these things just like you know
If they just quit with Viagra and said, well, that's a shitty blood pressure medicine,
you know, that would have been kind of crappy for all of us failures, you know.
All right.
I mean, it's crappy for the women, too.
I guarantee.
Yeah, yeah, right.
But if we don't give a shit about you, do we don't receive it?
It's just all that is.
Well, we do.
You're just trying to jam, you know, a cooked spaghetti into, I don't know,
to something
would just not accept to cook's
piece of spaghetti anyway
moving right of all right yeah
very good
all right let's try this one
this is a good one
oops
Albuquerque again
how you doing
hey good man how are you
great
hey listen I was just listening
to one of your shows
as I'm driving down the road
and talking about
starting a very high testosterone
yes
and I had the same thing
recently
where I went in for a physical and just anecdotally said to my doctor,
why don't we take a look at my testosterone?
Okay.
And he did a testosterone test during my blood sample,
and mine was 1,100.
So I end up going to an endocrinologist to find out what the hell is going on with that.
Yep.
And they said that they did another testosterone test where they didn't look at total testosterone,
and they looked at pre-testosterone and total testosterone.
separately.
Oops.
My free testosterone
was in the normal range.
My total testosterone
was very elevated,
but so was my,
I believe it was
the serum globulin
sex binding hormone.
It's close.
Sex hormone binding hormone.
It happens to be naturally high
in me,
which drives the total up,
regardless of the free testosterone.
Uh-oh.
So the endocrinologist said
this is a non-issue.
We don't factor for this.
We don't look for this
because it's not indicative of anything.
But I don't know if that's the other dude's problem or not,
But I figured I would mention that because mine became very innocent.
I asked my primary for testosterone.
He did Total.
And what we really needed to do is a breakdown at free versus total and also look at that sex binding hormone.
So anyways, I hope that might have some relation there.
Yes.
Thank you.
Have a great day.
So, Tacey, we said hi.
Take care.
Hey, Tacey.
Hi.
See, he remembered you.
We don't talk about sex hormone.
binding globulent enough and as I recall with that guy we said look this could be lots of
different things you need to see an endocrinologist and because I didn't want to get too far into
the weeds on this but you know since he brought it up sex hormones yes you have total testosterone
and that is all the testosterone in your blood you know by concentration but that includes
testosterone that is bound up by protein so some testosterone gets bound up
these globulins and you can't use it and those we call those sex hormone binding globulins
some of it also gets bound up in albumen and that's also not free so what you're interested in
is the free testosterone so if you've got somebody with 1100 testosterone and they are not
symptomatic of hyper testosteroneism then that they may they're probably okay so you check their
sex hormone binding globule and it's elevated their free testosterone is normal
then, you know, we don't have to necessarily just, you know, go crazy to do something about.
But I am concerned that they just kind of blew this off because if you have elevated sex hormone binding globulin,
it can be a sign of liver disease, but the one that they might not catch if they don't test for it is hyperthyroidism.
You know, there are other eating disorders and it could have pituitary problems.
There's all kinds of things that could cause.
Elevated sex hormone binding globular.
So just going, well, that's just how you are.
That's not thorough enough for me.
It's probably true.
You know, if you're in Upper East Tennessee
and you're standing in a field and you hear, you know,
clop-a-clop of hoof prints behind you,
you're going to assume it's a horse.
It's not, you're not going to think it's a zebra.
But every once in a while, it could be a damn zebra,
and that's why we always, you know, go the extra mile and try to dog things down.
I do just want to rule out some pituitary issues in hyperthyroidism.
I'd do some liver stuff.
I'd do an album, I'd do some other things like that, just to make absolutely sure.
But, yeah, when this comes up again, we probably should talk about free versus total testosterone.
But, you know, we just, it's a long, yeah, like I said, you can get into the weeds with us.
So anyway, all right?
All right.
thank you
I'm glad you brought it up because
it is something interesting that we can talk about
totally here's one for Dr. Scott and
for... Hey, Dr. Steve, it's Albert
from Albuquerque. How's you doing?
Hey, Albert, same guy.
Great. Hey, okay, she's doing good too.
And I wanted to follow up with you.
Last time I gave you a call
was pre-my prostate
being removed. Okay.
And post on the other side of the surgery
now. No real
questions, but a comment around the recovery. The surgery itself was a Da Vinci method and
laparoscopic robotic with a superpubic catheter installed instead of just the golly catheter
post-surgery. We should probably translate all those things. So he said he had a Da Vinci,
so that's robot, basically, robotic surgery. And then what do you say? He had a super pubic
catheter? So that is a catheter that they actually, rather than going up,
the urethral meatus
aka the cockhole
aka the worst idea in the world
that's awful you will
get in you'll hit somebody's car
and then leave the scene of the crimes
when that happens I can
speak with from experience on that one
and the police show up yeah
well I looked I got out
and looked but anyway another
that's another story for another time
so super pubic
catheter rather than doing that they go through
the basically the
lower, way lower abdominal wall just above that pubic bone in the front and then go into the bladder that way.
And you can do, the main reason to do that is it bypasses the prostate because if you pass a catheter up the old urethral meadis into the bladder, what's it got to go right through is the dead center prostate.
This prostate that's just been operated on and that's really irritating.
It's going to cause bleeding and clotting and stuff like that.
So, really, you're safer, you know, sticking up a trocar, which is just basically a big, sharp nail through your, you know, super pubic abdominal, you know, pelvic wall.
It's kind of like tapping a maple tree for some of the same.
Exactly, right.
Very good.
I'll give you that.
That's a good analogy.
And that's actually safer than shoving a catheter up your cockholes.
Well, and plus the post-surgical removal of that thing.
When it's socked in there with all the blood and stuff.
That's good for you.
Oh, thanks.
For that's going good.
Good, man.
The issue I had was post-operative Ilius.
My GI tract just shut off and spent an extra day or so in the hospital, got home.
And when I first night I got home, I was just violently sick at my stomach.
I could not digest anything.
Nothing.
So, yeah, post-operative alias is a big deal.
There's way more to his question.
We'll let him finish it.
But let's talk about that for a minute.
We see that all the time.
And the osteopaths have a maneuver for that.
Have you guys ever learned this?
No.
Okay.
So what the osteopathic physicians will do is the patients laying on their back.
Let's talk about what postoperative alias is.
It's the, you know, the bowel doesn't like being messed with,
and it doesn't like other parts being messed with either, and it'll just shut down.
Sometimes the pain medication that we give will also contribute to that.
because it will paralyze the bowel
or at least make it lazy
so what they do is lay people
you know they have the person on their back and they'll
slip their hands under their back
until they get to the paris spinal muscles
and these are you know that's the back strap
right next to the spine
and then they will just put
they'll make it kind of like a hook
out of their fingers and put tension
toward them and pull back on those
and I've watched them do it
and sometimes that'll
You know, you do that for a couple of minutes on both sides, and sometimes that'll do it.
They also recommend chewing gum.
Chewing gum will sort of get that gastricolic reflex going, because we have this reflex that when you're chewing stuff, your colon goes, oh, boy, oh, boy, oh, boy.
Here comes some food, and there's some vittles.
I'm going to turn it into fecal matter.
That's what the colon says.
But anyway, so chewing gum is, and we have.
have some medications for this, too.
All right.
But anyway, and it sucks when it happens.
I would go down, and I ended up throwing up about two cups of just dark green vile,
which I felt better after that, and then I hit myself with some laxatives the next day
and cleared my vows and felt amazingly better after that.
Unfortunately, a couple days after that, I had a second vowed of Ilius, and I got ahead
of it before it was terrible from a standpoint of throwing up.
but ended up with some cramping and gastritis and some other issues with that.
So I'm wondering if there's any better way of preemptively getting ahead of the Ilius.
I know it happens frequently.
I got up, I moved around, and did everything they said to do, but, man, it just was, it was hell.
Anyways, good news on the follow-up of the pathology is the biopsy showed a Gleason's score of seven.
which was actionable, and we just made the decision to take the prostate out.
Yeah.
Post-surgery, the more finite pathology showed a Gleason score of eight.
There was a different type of cancer discovered, which was more aggressive.
So they did the right thing.
It was also protruding from the prostate.
They got the margins and the lip-nose in the area all were negative.
Okay, good.
So hopefully keep my fingers crossed.
We got everything covered, and I'm done.
I'll follow up with my surgeons afterwards.
Your feedback on Ilius and maybe doing it a little bit better, the hospital I went to, I loved, I loved the nurses.
I sent them cookies and cupcakes afterwards.
They were phenomenal, just lifesavers.
Awesome.
But, you know, if we could have avoided that, it would have been a lot easier recovery.
Well, and I appreciate that, and it's just everybody's different.
And some things that will prevent it for me, won't prevent it for you.
They try to get people up.
You know, we used to have people lay in bed for days after surgery.
Now they're just, you know, it's like, get the fuck up, you know.
Get out of here.
We need a bed.
Yeah, yeah, yeah.
Oh, God, when I was training, if you had a C-section, it was five days, and if you had a
vaginal delivery, it was three days.
And our second kid, really, were you even in the hospital 24 hours?
I have no idea because we ended up back there so soon after.
Yeah, yeah, yeah.
I don't, Steve, I don't remember.
Yeah, okay.
Well, anyway, it was pretty quick, yeah.
It was less than 24 hours with my second.
Yeah.
I've known people that came in at six in the morning
and left at four in the afternoon with their kid.
Especially if it's not the first kid, I would assume.
Right, right, right.
Third kid's probably a little bit easier.
Yeah.
Other ideas for Elias?
I mean...
Yeah, you guys got anything?
We've got some stuff too.
You do?
Yeah.
Well, you're talking about it.
Yeah, yeah.
I was going to say, believe it, we put needles
in those paris spinal muscles the same way
and a little bit electrical stem.
I'll do small needles in the abdomen
with electrical stem.
I'll do a little bit of cupping, moving cupping where I'll actually put a little coconut oil.
Cpping their balls.
I'll cup their balls.
I'll put a little cupping on the abdominal wall.
Put a little coconut oil on there and just kind of following the colon around with a cup.
And just to see if you can stimulate a little bit.
Yeah, yeah, yeah.
And sometimes it helps.
I mean, I don't know if it's proven, but my husband recently had surgery.
And I massaged his stomach when he was just feeling constipated afterwards.
I've done that as well where I start in the Seekum, which,
which is the lower right, and then work your way up to where the livery is across the transverse process,
which is across, you know, under the rib cage, and then down on the left side and just do that repeatedly.
And sometimes that helps.
I think I've done that to you have an idea.
You have.
And you can tell if you've done it enough, you can tell if there are some adhesions in the abdomen when you're running your fingers across.
And you can kind of feel if there's something you just need to kind of easily work through.
And sometimes you can get the balance and start moving pretty quickly.
I have a weird sixth sense for putting my finger where things hurt, by the way.
I just want to throw that out there.
I have patients come in and they say, well, you know, my shoulder's hurting or whatever.
And, you know, where I work at it, you know, at a cancer center.
And I can usually just take my finger and go, is it hurt right here?
And they go, yeah, that's where it is.
And I don't know where that came from.
And it's not something that's like 35 years or 37 years now of doing it.
at, I've always had that, you know, and some of it's just knowledge of anatomy and stuff.
Well, I was knowledge and editing, but I swear, I think sometimes if you're really in tune, you do kind of just feel there's almost like a magnetic.
Yes, that's what it is for me.
It's like a magnet that pulls my finger where it is.
I did that on Carissa the other day.
I didn't even know my hip hurt where you.
Yeah, I didn't tell the story because you tell the story about how awesome I am.
Oh, shoot, here we go.
Can we get some music?
Can we get some music here?
Well, my hip was in agony in multiple spots, and I feel like I kind of need to change my tune here.
And I went into the office, and I laid down on the table.
There we go.
That's getting interesting.
I had to pull my pants down.
Oh, that's neat.
Oh, no.
It's all right.
All right.
Anyways, my hip was hurting terribly.
And where it was hurting was not at all where his magical finger pointed right to.
And when he did, I about came off the table because it hurts so bad.
And then he put a needle in it and it was better.
Yay.
He's amazing.
Thank you.
Thank you.
Thank you.
Steve and the magic finger.
Every blind hog finds an acorns.
But enough about me.
I'm just glad you're feeling better
I kid
I kid I'm just glad you feel better
All right
If you want somebody that's a professional needle sticker in
Or you just calm me out
Yes well I shot her up with Celesteone and Marcane and Lytocaine
So
Dr. Steve has a good touch
What do you shoot up with
Whatever is whatever he's ever got available
With astragalus
Astralus astragalus
Some gin sitting
And he pawned me off on one of your minions
Yes oh did you?
Oh yeah
She was good, though, wasn't she?
Yeah, she was great.
Oh, that's right.
Oh, that is right.
Yeah, yeah, okay.
Okay, anyway.
Good.
All right.
Now we're just telling stories that only we know what we're talking about.
That's not good.
Morning.
Great radio.
All right.
So post-op alias, you know, there you go.
Again.
All right.
Sorry.
Hey, Dr. Steve.
It's Mike from New York call.
Hey, Mike.
I hope you're doing well.
Yeah, man.
I have a question for you.
You always hear about people with cancer.
see it's stage one through four.
And stage four is when it moves to another origin or another part of the body.
Is it possible to get two stage one cancer?
Yes.
Like have cancer in the lung and in the kidney.
Yep.
And they're not really related to each other.
Absolutely.
Or is that really not something that happens?
Thanks a lot.
No, no, no.
Dude, yeah, that's a great question.
It does happen.
It's just called second primary.
So people can have two different primaries.
Some people are predisposed to cancer, and they'll get, just as he said, they could get prostate cancer and lung cancer or, you know, a sarcoma and a, you know, and a carcinoma somewhere else.
You know, we've all seen cases like that.
So absolutely it can happen.
It can happen at the same time, although that's unusual and that screws everybody up when it happens because they're all assuming.
that the first cancer they found was the primary, and then the second cancer that they see
is a metastatic cancer, but then they, you know, they biopsy that metastasis, it's quote
unquote, and it turns out to be a completely different cancer. So that is unusual, but it happens.
And then, yeah, and then sometimes it can be separated in time. So most of the time, that's what we
see. But anyway, yeah, excellent question. I do want to do this one. This one is an interesting question.
Hey, Dr. Steve.
Hey, there, Dr. Scott.
It's Natalie from Northern Ontario, Canada calling.
How are you?
Good, we're good.
How are you?
And if Stacy happens to be with you,
Hi, Stacy.
Glad you're part of the show now and that you're enjoying your retirement.
Yeah.
If you remember me, you guys.
Don't rubbing in.
A news broadcast and ensuing articles that followed from Fox News, anchor.
Oh, what's his name?
Tucker Carlson.
I'm having a brain fart.
It's okay.
Tucker Carlson.
Yes, there you go.
And it has to do with this bromial therapy where apparently you're shining reddish near infrared light at your nabs.
And it's supposed to boost testosterone and make a man.
If you ever had a chance to look at that video where you have these shirtless men doing things.
And the climax at the end of that ad spot is somebody standing with the,
red light shining on his nabs.
Explain to me, please, how tanning your testicles would boost testosterone.
I think it's absolutely ridiculous.
I did a quick search on PubMed.
Found some reference to near infrared for cancer.
Also believe in the use of, sorry, there's somebody at my school doors.
And the use of light for seasonal effective disorder, northern Canada, long with nights.
So if you can explain that, that would be awesome.
Thanks.
Have a great day.
Yep.
Thank you.
Thank you.
Well, that's a good question.
Excellent.
Yep.
So first thing, you can't tan your testicles with red light.
Ultraviolet light is what tan skin, not near infrared.
So infrared wavelengths basically is just heat, right?
So things black body emitter.
for those that remember their physics,
when they're emitting in the infrared,
that's basically just the heat that's coming off.
That's how we perceive that.
We can't see infrared.
You'd have to have different kinds of receptors in the eye
to be able to see it.
But, you know, it's all along the spectrum.
And, you know, visual light's just a very narrow spectrum
in the electromagnetic, you know,
sorry, it's a very narrow segment of the electromagnetic spectrum.
You know, red light therapy,
has been shown to boost things like plant growth
on the space station.
Some studies have shown benefits with pain relief,
but it's basically, you know,
and when it's infrared, again, you're talking about heat.
And, you know, they did these light-emitting diodes
that were implanted in these helmets,
and Tacey and I bought this laser thing
that you run through your hair.
And actually, when you stimulate follicles
with red light, they're supposed to grow
grow more readily
and stimulate growth
in some of the follicles
and there is some decent data on this stuff
but you know
I searched and searched
and searched for infrared
light
on the scrotum
boosting
fertility and couldn't find a single thing
so I will keep looking
but it sounds kind of like
malarkey to me
well yeah go ahead well i was just saying the other thing is we know that heat can kill um sperm so
that kind of almost sounds counterintuitive yeah you know what to a certain degree you're almost
a damn genius dr scott because it's true the scrotum is outside the body for a reason because
for whatever reason the gonads in the male cannot produce um you know um sperm unless it's like
three degrees below body temperature.
Why?
Who the hell knows?
All mammals have, you know, these dangling things.
Sacks of love.
Sex.
I don't think ours dangle so much anymore.
It's more like a shriveled up and.
No, it's just, it was Anthony Coomia or one of those guys said it's like saltwater taffy plastered to your thighs.
And that's what our scrotums are like at our age.
Pretty much.
Tacey was, that was very, she's very attracted to me right now.
I'm not saying I'm opposed to tanning my testicles.
But you can't tan with infrared light.
That's the first thing.
But they talk about that.
You know, you're tan in the jungle region.
So I will continue to research this, see if I can find anything.
But Dr. Scott's right.
If you are using infrared light and heating up your testicles, you're actually going to decrease spermatogenesis.
Now, I don't know what it does to testosterone.
Yeah, go ahead.
And as far as the far infrared lights, we do use it a lot in therapies for people with diabetic neuropathies and, you know, chemotherapy-induced neuropathies.
I mean, it certainly does have its place.
Absolutely.
There's a whole clinic that does nothing but laser therapy for people with neuropathy.
And I'd say about 50% of the people that go swear that it helps them.
Oh, shoot you.
And a quick search that I just did shows promising results for increasing testosterone levels.
From what?
Infrared or near infrared light therapy.
No, I know, but promising from what?
What results are they talking about?
I'm not through it all, but it also goes through the next sentence to talk about how the light therapy device that delivers optimal power without producing heat.
Yeah, okay.
Okay, well, okay, if it's, that's great.
But if it's infrared light, it's heat.
Yes.
So anyway, I looked and on PubMed and found absolutely nothing.
This is what I searched, near infrared and testosterone levels.
There's three papers, and none of them are related to this.
So I don't see a decent study that talks about this.
And, you know, somebody was saying, well, they use.
UV light. It's like, no, I know that's not right. And if UV light doesn't penetrate the skin,
you know, that's the whole point of sunburn. It's absorbed by the skin. And if you hold up like
a scrotum, all you're going to see is red light through it. Like if you stretch it out enough
to look through a scrotum, it'll just, all you'll see is red light. Only the longer wavelengths
can get through there. So anyway, all right, very good. Well, that was interesting. But I will
continue to look into that if we find something fascinating we'll bring it to you don't forget to
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Until next time, check your stupid nuts for lumps.
Quit smoking, get off your asses, get some exercise.
We'll see in one week for the next edition of Weird Medicine.
Thanks, everybody.
Thank you, everybody.
Goodbye.
Goodbye.
Thanks, everybody.
Thank you, thank you.
Goodbye, everyone.
Thank you.
All right.
Thank you.