Weird Medicine: The Podcast - 515 = Something Will Be Said

Episode Date: July 29, 2022

[Please excuse the slop. After October your old pal Dr Steve will have more free time to actually produce a good show.] Dr Steve, Dr Scott and Tacie discuss: Monkey Pox Situation Report Topical analgesics Non-pseudoscience cancer cures Colon polyps Diverticulae Jim and Sam F-ing with us napping = death? Why your brain tries to kill you Flatus = particles of fecal matter? Grave's disease and more Please visit: stuff.doctorsteve.com (for all your online shopping needs!) simplyherbals.net  (now with NO !vermect!n!) (JUST KIDDING, Podcast app overlords! Sheesh!) roadie.doctorsteve.com (the greatest gift for a guitarist or bassist! The robotic tuner!) And our sponsor: BetterHelp.com/medicine (we all need a little help right now!) Also don't forget: Cameo.com/weirdmedicine (Book your old pal right now while he’s still cheap! "FLUID!") noom.doctorsteve.com (the link still works! Lose weight now before swimsuit season is over!) 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

Why did the Dust Bunny fall in love with the Roomba? It was swept off its feet. What do you call a muddy chicken that crosses the road twice? A dirty double-crosser. What do you call boogers on a diet? Slim pickings. If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM103, and made popular by two really comedy shows, Opin Anthony and Ron and 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 Toboliv. I'm stripping from my nose. I've got the leprosy of the heartbells, exacerbating my inflatable woes. I want to take my brain out and blast with the wave, an ultrasonic, ecographic, and a pulsating shave. I want a magic pill. 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 a requiem for my disease, so I'm paging Dr. Steve. From the world famous Cardiff Electric Network Studios.

It's weird medicine, the first and still only uncensored medical show in the history of broadcast radio. Now a podcast. I'm Dr. Steve, my little pal, Dr. Scott, the traditional Chinese medical practitioner, gives me streetcrette, a wack-all alternative medicine assholes. Hello, Dr. Scott. Hey, Doug Steve. And we got Tacey, my partner in all things. Hello, Tacey.

What's up? This is a show for people who would never listen to a medical show on the radio or the internet. If you've got a question, you're embarrassed to take to your regular medical provider. We can't find an answer anywhere else. Give us a call 347-7-66-6-4-3-23. 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 stuff you can buy.

Most importantly, we're not your medical providers. Take everything you hear with a grain of cell. Don't act on anything you hear on the show without talking over with your health care provider. All right. Very good. How's that? I don't know You don't like it

When I list off all the people You're supposed to consult Nevermind Don't forget to check out Stuff.com Stuff.com for all your Amazon needs And check out Dr. Scott's website It's simplyerbils.net

Simplyherbils.net And check out Tacey and me at patreon.com slash weird medicine. We're going to have a very special guest this weekend who promises not to think out on us for the third time. Yeah. Mm-hmm. And that will be really good at patreon.com slash weird medicine. And if you want me to say fluid to your mama, go to cameo.com slash weird medicine. And for almost next to nothing, I will say basically anything you want to. Literally, almost next to nothing. For real. Literally anything you want. Yeah. All right.

Except, well, there are certain things I won't, but mostly anything I will. All right. Dr. Scott, I understand that you, oh, well, wait a minute. We have an update. We have lights. Yes, we have lights, but we have an update. And you had your colonoscopy today, is that correct? I had it this morning.

Yeah. So for the second state week, yes. Now, let me ask you this. Did you have it without anesthesia? Negative. You get nothing. You lose. Good day, sir.

Well, that's because you're an idiot. Okay, so anyway. Really? I went for the juice, man. So did you even think about it? No. Hey, listen, as raw as my ass was, after all that nonsense. Enough is enough.

Enough is enough. But put me out and make it. You are one pathetic loser. So you did the Propofal? Did Propheal, yes. I'm on my second straight week of a Propheaval bus. And then against their advice you drove yourself over here. Is that correct?

For the second straight week. For the second straight week. That's correct. I am too smart. I am to smart. I am to smart. That is against medical advice. Mr. M.R.T.

Okay. That is correct. God. He didn't even drive the truck this time. He drove the car. I drove my car, yes. I drove slowly. So you're hepped up on post-propofall.

Prop, yep. The probe. The probe. Michael Jackson's magic milk. Godly, I can't even imagine doing it. It's the best stuff. On a regular base. Oh, yeah, he did every night.

Holy moly. That's just crazy. I was talking to the CRNA this morning. Tell everybody what a CRN. Yeah, so she's a certified nurse in this. This is an RN that went back to an anesthesia school. And she was fabulous. But we were talking about the difference.

And Dr. Steve can speak to this much better than I can because he's been around a lot longer than me. But the days prior to propofal, the challenges of doing these procedures and the medications and et cetera. And, you know, now you put a line in as soon as it hits your bloodstream, you're out. Yeah. They stop it and you're awake in four and a half minutes. Yeah, that's amazing. Four and a half minutes, yeah, with very little residuals. Yeah, go ahead.

Well, no, I see, I don't know really before this what they used. Well, they used benzodiazepines, like Ver said. They went back in my day. If we wanted to do conscious sedation on somebody. Ether? You can. I'm sorry. I'll give you one of these.

That's the correct one. That was funny. That's funny. You know, I have a good story about ether. Yeah, yeah. but we would use valium. You would just give somebody five milligrams of IV Valium, and you could basically do anything you wanted to to them for about 10 minutes.

Not me. That wouldn't do anything to me. I think it's called Tolerance. Yeah. Tell them how much valium you did before our wedding taste. I can't remember, but it was up in the 20s or 30s. Oh, my gosh. Oh, it was the funniest.

damn thing in the world because... And you were still functioning. Yeah. Why not? Man, that's incredible. Yeah, Tacey was late for our wedding. And the funny thing is, is that every time we would rehearse our vows, like a big sap, I'd start crying in the middle of our, the vows.

And I was like, I was talking to the preacher. I said, how in the hell am I going to not cry? He said, oh, you'll be fine. You'll be fine. It's like, no, I won't. Every single time we've done this, I've cried. And so we had music, and we had Elvis singing his gospel music. Yeah.

I believe that every time a baby cries, that kind of stuff. And then we had the Preservation Jazz Band. Oh, wow. Yeah, we just had our anniversary. Hooray. Oh, I mean, oh, sorry. Too long. Hit the wrong one.

I said, hey, Tase, am I going to get lucky on my anniversary? And she said, you get nothing. So we had this cassette and they played it. And I'm sitting in the Northex, right? Yeah, off the side of the where the, um, where the, um, the podium and all that stuff is. And I'm sitting over there and I hear the tape play all the way

through and I know it's coming, it's coming. And we had a three-piece band that was going to play music and they were from our church and they were really good musicians and they were going to play as soon as that stopped. That was going to start the ceremony and then I was going to walk in and then Tacey was going to come in and all that stuff.

So the cassette ended and I'm like, oh, here we go. I hear old Brian and Steve is going to be in full effect and no music from the orchestra. Oh, shoot. Nope. And then there was no music from the orchestra. No bride in the church.

And then there was no music from the orchestra. Oh, no. And then there was no music from the orchestra. And then in exactly the amount of time it takes to rewind a cassette tape from end to the beginning, the music started back over again from the beginning. and I started laughing. I said, oh my God, she is late for her own fucking wedding. It wasn't my fault.

Yeah, it doesn't, right, like that matters. And nobody wants to hear that bullshit about our fucking wedding. No, it's hilarious. 21 years ago. Anyway, so when she finally did show up and the whole thing went through, it changed my mood, you know, because I was laughing about her being late. It was so typically Tasey back then. I'm not late.

No, back then, it was. typical in the sense that you were an iconoclast. I don't even know what that means. You didn't do things the normal way. You were tearing down icons. Oh, yeah, that's me. Tear shit down. Anyway, so, yeah, and it broke my mood, and I didn't cry through the vow, so there you go.

That's all. And Tacey was hepped up on 30 milligrams of Valium. So I wonder if I gave it to your IV, though, if it would work because you get a bigger peak. We can always try it out, sweetie. I'm willing to try it in here with your tolerance the way it is. Do that as an experiment one day. We used to do experiments in here. We don't do them anymore.

Now, when you do it IV like that, it's in and out pretty quickly, although diazepam is one of the longer half-life benzodiazepine. So it would still last for a while. But that particular effect really just lasts through the peak. So anyway. That's crazy. All right. But, yeah, so back in the day, yeah, we would do things like that.

Now, that was in the 80s. And then they were using Verset, which is Medazalam, which is a very short-acting benzodiazepine. It's a Valium-like cousin. And then they also used fentanyl, which is an opioid that's fat-soluble that you can run in and run out pretty quickly as well. But the after effects of all these fat-soluble medications can persist for a long time. That's why they tell you with the propofal you think you're done, but you're not, because it's still leaching out of your fat cells. Right.

And I've got lots of fat cells to leach out of them. Especially after COVID. Especially in this old age, yeah. All right. Well, very good. Well, I'm glad you got it done. And what was the verdict? And the verdict was everything looks super great.

I had one small polyp there. but he said he was clean, clean as a whistle, no trouble. And he's scheduled one more in seven years, so that's a good sign. Really? Yeah, it's a really good sign, yeah. What were they looking for? Oh, you had the belly pain. Yeah, just had abdominal pain.

Yeah, I think dieticulitis and stuff like that, but nothing, nothing showed up. So that's great news. And he and I talked about what you and I talked about last week. Oh, wow, that is very interesting. Please tell me more. Sorry. About the efficiency and efficacy of the biopsy to diagnose parents. Yeah. Oh, yeah. And what'd they say?

He said, yeah, he goes, now we can actually get a good look at it where they used to be just eyeballing and say, yeah, it looks like probably is. Oh, yeah, yeah, well, you need to do a biopsy, look at it under the microscope. Yeah. So I wanted to bring this to your attention. Yeah. What you got? I, you know, I have peripheral neuropathy. Yeah. Oh, wait. I got every. You've got the white oil, man. Well, yeah, I got every damn thing. But I mean, oh, disease-wise. Oh, white oil. You mean the stuff I'm holding in my hand. Yes. So one of my patients actually said, and they had, you know, a similar thing, that go get the white flour oil from Amazon. Yep. So I got this stuff, and then I look at it, and this is some Dr. Scott shit right here.

It is, yeah, sure is. It says active ingredients, camphor, 6%, menthol, 15%, methyl solacillate, 40%. But it's got, you know, Chinese writing all over it. And, yeah, it says Ho-Hin-Pak-Fa-Yau manufacturing in Hong Kong. So anyway, tell us about this stuff. That is a, we use this.

Did you show them to? No, no, this is an audio thing. Oh, yeah. You know, three people watching this. That's true. I'll show it to it. No, the white oil is something we use as a topical. Yeah, that's what this is.

It's a topical analgesics quite often for, for, you know, neuropathies, any kind of post-surgical pains, etc. I don't use it a whole, whole, whole, lot in my office. Actually, I think we just went full circle. I think you're the one that told these people about this. Probably so. Yeah, we used to, we used to use it a lot. And what don't we suggest people buy it at Amazon or where, you know, after they go. Like six bucks. Yeah. And buy it that way. It, it stimulates the nerve endings and it's, but the only problem is it smell, it's got kind of a strong odor. I don't care. Yeah, but in my office, if you use it all

they like that. Oh, yeah, yeah. Just sell it to them. Yeah, but it's a one. Yeah, that's Make a dollar. I put it on my simple earbles dot. But I think camphor and that kind of stuff. I mean, I grew up smelling that stuff. So to me, that's almost comforting. Yeah. To a lot of people, it's a little.

Yeah, I guess. I guess that's probably true. But it's wonderful for pain, for arthritic pains, tendinitis. Well, what I'm going to use it for is at night, my, when I, after I'm done being active, if Tacey and I are watching the tube or something, I start getting the paristhesias, aka the pins and needle in my feet. feet.

And as soon as that happens, I'm going to, because it is very distracting. Yep. So I'm wondering if this stuff actually has a direct analgesic effect, or does it work more like some of the theories for acupuncture that you are fooling the brain by using a less noxious stimulus that fools the brain into paying attention to that and forgetting about the more noxious stimulus? I think that's one of the theories that, you know. Yeah, oh yeah, yeah, for sure, yeah, because the acupuncture needles are noxious stimulants.

But all we're trying to do is get to, we're trying to... You're distracting the pain center of the brain to look at this other thing. We're sending stimulation to the dorsal column of spinal cord to hopefully send so much in there that that part of the spinal cord gets blocked. So it can't receive the nerve impulses that you're getting from the neuropathy. Yeah, so you're using a smaller stimulus to block a larger stimulus. So, yeah, I like the idea. It certainly makes sense to me, whether it's true or not, I don't know. Yeah, and I don't know about it being a true analogy, you know, if it had, oh gosh, what is it, clove oil or something, and we know for a fact it's been studied as it.

Well, we know that from Marathon Man. And I don't want to have any spoilers, but if you've never seen Marathon Man, you'll see the efficacy of clove oil. Yeah, it actually does work. And actually, you know, you could use it to anesthetize fish. What? Like if you get a transfer fish, you can put a couple drops of clove oil and it kind of sedates them and you can take them into a new. Oh, really? And that's okay to do that. Well, it's a little small doses, I understand.

Sure enough. But you didn't hear from me? You didn't hear from me, though. Yeah, but I'm not a veterinarian. Dretanarians call it. You just killed a fish. You jerk. All right, well, you've got some stories, and then we've got some questions.

Oh, we should probably talk about monkey pox. It's been in the news. And I'm going to try to do this in such a way that somehow the YouTube algorithm, we don't even publish this on YouTube. You know, we, people go, oh, he's got six people. No, we do the YouTube thing just so that we can talk to people who are interested in watching us do this

live. This is a show that we do, you know, on satellite radio and then we also have a podcast. That's what we're interested in where we get our views and our listens. But it's still YouTube. If I put these things private and I say the wrong two words

together in the same sentence, it's a big rigmarole. As you know, we had one taken off because I used the I word and the C word in the same sentence. And it took almost four weeks to get that video back. And it's still private. I'm not going to publish it anywhere. But anyway, it just pissed me off. So anyway, so there are quite a few more confirmed monkeypox cases than there were last time we talked.

Matter of fact, it's probably 300% more than it. was last time we brought this up. There are 3591 as of today, July 26th in the United States. Now, as far as a percentage of the population, it's freaking trivial. Let me, let's ask Echo what that actually is. Echo, what percentage of 350 million is 3591? Let's see what? 001026% of 350 million. Okay, so we're, you know, a very low penetration. And the thing I'm interested in is the reproductive rate and how fast this thing is growing. Is it growing geometrically or is it growing linearly?

I'm going to have to sit down with these numbers and go back and I'm not trusting anybody else's graph. I'll make up the damn numbers myself and we'll make up the damn numbers myself and we'll make a a graph, and I'll publish it if I have to do a monkey pox situation report, I will. So there are some states that have no monkey pox. Right now, Montana and Wyoming are both of those. Most have a smattering. California has 356 cases. Let's see if anybody else is beating them.

Illinois has 350. Ooh, New York has 900, yeah. So they are far in the lead. West Virginia has one, Tennessee, 20, South Dakota, one. So if we do the geometric mean of this, we'll find a reasonable number of probably around 18 per state. If we do an arithmetic mean, it'll be quite a bit higher than that because of the outliers of New York, California, Florida, and Georgia.

But we'll keep, and Illinois, we'll keep looking at this. If you want to hear anything about monkeypox, we'll just give you a little summary. You know, vaccines that were used during smallpox eradication provide protection against monkeypox. So if you were born in a time when they were vaccinating people for smallpox, then you would be presumed to be protected against monkeypox. So that would be me because I got my smallpox vaccine, I believe. in 19 let me see I was eight years old so that would be 63 so I would have got mine in 63 they stopped doing them around 72 73 so I probably got one that did that if you were how old were you in 72 73 usually they give them to you it's close do you have the scar on your on your shoulder

you can usually tell from that I believe that they were giving them when people were six or seven years old but I'm not 100% sure about that I'm going to have to go back in the lock there's some vaccinologist out there screaming at his or her radio, you know, because I'm being stupid about that. But I'll find out. And we'll do a monkeypox situation report maybe this weekend on YouTube. And you can check that out at YouTube.com slash weird medicine, I think. But anyway, it's caused by a thing called the monkeypox virus, which is an orthopox virus. And it's usually self-limited in the same way chickenpox would be, although the two are not cross-reactive.

It usually takes about two to four weeks to get rid of it, but occasionally there can be severe cases. And the case fatality ratio is anywhere between 3% and 6%. However, having said that, let's just see what, let's split the difference, we'll say 5%. echo what is five percent of three five nine one five percent of three thousand five hundred ninety one is one hundred seventy nine point five let no that's not right oh yeah no it is right so have you heard of 150 plus people dying from this i have not no no no so that calls that into question for me now uh i i have found from Johns Hopkins

Infectious Disease Guide that they're saying the virus may be acquired through contact including intact skin and mucous membranes most human infections are believed to be respiratory droplet acquired which is interesting so animal to human transmission

is seen following an infected animal okay bites or scratch acquisition by human to human is believed to be predominantly by large respiratory droplets, although they may also be sexually transmitted or through social networks. As a large pox virus, it's not believed to be aerosolizable. So you're talking big chunks of mucus, of fluid and secretions. The virus enters the body via broken skin, respiratory tract, or mucus membranes.

there have been household and nosocomial meaning in hospital transmission described. And there is some risk of what we call fomite transmission. This is where the virus ends up on an inanimate object and you pick it up. It says fomite transmission occurs via contaminated clothing or bed sheets. That makes it more scary. Yeah, it does. Although, you know, everything that I've seen, the vast majority. of cases are human-to-human, skin-to-skin.

So it's very interesting. So the symptoms, you know, include rash, and then some people only have a rash. Then they'll have fever, chills, headaches, muscle aches, and pains, back pain, fatigue. Sometimes you'll have sore throat with lesions on the tongue and the oral mucous membranes. And then you'll have this rash phase. It usually lasts one to three days. I'm sorry, it usually starts one to three days after you first have symptoms. And you have a typical what we call viral exanthum,

which is flat red lesions that become like nodules. And then they'll have a base that's narrower than the dome. Then we call that umbilicated. And then they'll become pox-like with fluid and pus and then they crust over. and they're generally painful, and they're in the same stage of development on a single side of the body. So, you know, they're all sort of clustered together. And then you'll get enlarged lymph nodes, and then, you know, the illness will resolve within about four weeks. And again, the mortality data that we have are reported cases from a series in Africa.

This 2022 outbreak appears to be milder, though it is capable of severe illness, particularly in the immunocompromise. Now, one of the things I was going to tell you guys is that there are treatments for it. We can, there is a treatment for smallpox, a medication for smallpox that's been licensed for this. If you have someone that's at high risk for severe disease, and that would be, again, the immunocompromised. And there's also we can still vaccinate people if this thing gets ridiculous. And the way that you vaccinate people for this is not necessarily to vaccinate everybody in the country. What you do is you identify a case and you vaccinate everybody around that case. Now, that's how they eradicated smallpox.

And we'll see if they decide that they want to do that for this. And so you do an epidemiologic approach rather than just generally vaccinating everybody. again for smallpox. So anyway, good Lord. There is a newer vaccine based on an attenuated virus that should give lifelong protection against monkeypox if we get that far. Hopefully, we will not.

But if you have symptoms of this, make sure that you tell your health care provider immediately and they'll tell you what to do as far as isolation. We do have a good question here about it. Are there long-term side effects that we know of? Well, assuming that you survive, you should be. Yeah, usually you're okay with this one. And to my knowledge, it's not like smallpox.

It causes a sort of widespread scarring and those kinds of things. Good. Yeah. All right. Excellent question. Good. Yeah, again, generally self-limited, meaning that it just goes away on its own and you don't have to worry about it anymore. The sort of complications when you get a bad symptom.

It can be pneumonia, sepsis, encephalitis, where it infects the brain, and infection of the cornea, which would cause loss of vision many times. So that's why we have corneal transplants. But so far, I've not heard of severe cases in this country yet, but what we'll do is we'll do a monkeypox situation report on our YouTube channel, maybe this weekend. Cool. Okay. Oh, right. What else you got? I was laughing.

I was just laughing. I thought it was good. That's hilarious. Monkey Box's hilarious. Two seconds and it wound up being a wormhole there. Yeah, yeah, yeah, a little bit. Crazy. No, so I've got one of the articles you sent me the other day was pretty good about how different cancer cells respond to drug delivering nanoparticles.

Okay, yeah. Yeah, yeah, actually, I think your buddy Stacey Deloge sent that. Oh, that's right. Oh, good old Stace. Yeah. He, I wonder where he is. God bless his Lord. God bless him.

No, he's, he's traveling around. He was in Puerto Rico, solving some marine problem down there. Yeah, that's what he does. He's good at those things. Yeah. That is for sure. So, anyway, the final. He's not saying anything else.

He's our friend. He is our good buddy. He paid his dues. And he gave us nice treats, which is really all of that matters. So the findings of a large-scale screen could help researchers design nanoparticles that target specific types of cancers. And so what some MIT researchers have done have identified biomarkers that predict whether or not a cancer cell will accept these certain. Oh, really? Oh, so you don't waste your time.

Don't waste your time. Yeah, and I think we talked a little bit of something kind of similar to a couple weeks ago about how some of the newest science, They're able to actually take a sample of your cancer cells and break it down and actually run it through computer algorithms. To look for things that. Any kind of medicine. It could be anything from natural medicine. Well, you know, the thing I'm most interested in, Tase, is to take your cancer cells out and just show it to your white blood cells. Like giving a dog a sock and saying, go find this person.

And then sending them in, just putting them in there and say, go do your thursday. thing. And that's actually a marketable device, or not device, but system right now. Yeah, nothing to hear that. For certain cancers, they're already using this. So I'm very excited about that. I swear, when we first started the show, I would have said 100 years. Yep. And here we are. Really? Yeah. Well, I remember when we've, I mean, it's been 15 years ago. You said we're probably 50 years. And then it was 25. And then it's like, fuck, it's now.

That's like right now. Yeah. But it was just what the bottom line is, they were talking about about 35 different types of nanoparticles and how they interact with up to 500 different types of cancers and how they feel like that's a great way to target chemotherapy specifically. So they're not so systemic and cause other issues. And I tell people all the time, if you have cancer, right now your job is to kick the can as far down the road as you can because they are literally coming out with new shit every day. Every single day. It's not even an exaggeration anymore.

No. It's every day. So just, you know, if your treatment is keeping things under control for now, they might have something six months from now that can kick it in the ass. So just hang in there. Yeah, yes, that's pretty incredible. And I found one too, which I thought was kind of intriguing on a number of levels. Again, cancer news, the holy grail of blood tests could diagnose any type of

cancer years in advance what yeah well that would be the holy grail that's correct so you know when i first read this all i could think about was um what's the gal that's got no um is this it's in all the trouble with saying they had a blood test that could oh the theranos i was going to say staryanos but it's there no but this is a little different this was actually published in july July 19th of 2022, they were talking about identifying some RNA or dark matter, and it literally says dark matter. Dark matter. Yeah, he says dark matter right here.

But it's interesting. They're identifying RNA biomarkers in specific mutations across multiple tumors, including lung, bowel, and pancreatic cancers, which is pretty incredible if you think about it. And, you know, if you can find this stuff early. I mean, I always tell my patients if cancer would just knock on the front door and say, can I come in? You could just give it a double-barrel shotgun

right on your front porch, right? It's like, no, get the hell out of here. Get out of here. But what it does instead is it waits until you're asleep and it sneaks in the back window and knocks you over the head with a dang lead pipe. And that's because it's living human tissue inside a living human body.

and so early detection I mean prevention the best thing but early detection second best and I would like to add on top of that today like I said

they cut one teeny polyp out of my colon just teeny and it looked pretty normal if you don't know what you're looking at a trained eye so thankfully the doctor was able to realize exactly what that is

and hopefully keep me for having many issues anytime soon anyway you know yeah Early prevention detection. That's a good thing, I think. Now, what you probably had was a thing called a hyperplastic polyp, and that's just from having giant American turds,

even a pescatarian such as yourself, probably isn't taking in as much fiber as you should be. And you can sort of drag little pieces of mucus membrane from the colon along with those turrets. Yeah, and you just stretch them out, and they make a little polypillar. That makes sense. And those are completely benign. But you want to cut them out. And that's the other great thing.

Listen, you all, you've heard us talking about colonoscopy. I do mine without anesthesia. Dr. Scott does his with anesthesia. And Tacey is actually due for one. Have you had one yet? I have had one. And I talked to the office. You're awful young, yeah.

And, well, I had one for constipation. Thanks for bringing it up, Scott. You didn't have to tell anybody that. I was giving you a couple, but you remember you. Anyway, so I asked them if I was due for another one. And they said, since everything seemed all right, the last time, that I was good till 15. Oh, okay. But I have a question about for like, you know.

Well, I was just going to say, before you do that, get your damn colonoscopy. The prep you'll feel light on your feet after it's done because you drop about seven pounds of turds. Yeah, but your ass is raw. No, not if you do it right. You should have used stuff. I was raw. Fleshable wine. You should get a bidet.

And I had some coconut oil. I did all the appropriate. I should have purchased a bidet. But if you'll do this, the thing itself is nothing. If you do it with the anesthesia. It's not much of anything if you do it without anesthesia. But it really is our greatest tool for preventing deaths from colon cancer. Because if they see a pre-malignant polypup, they can just snip it out right then.

you're done it's over there's no cancer anyway go ahead to taste sorry so what if you do and this is not about me so don't start your shit so what if you do have constipation horrible constipation and you do have ginormous american turds again right not about me right i understand so would you expect that person you have lovely perfect flower i mean they're so pretty what would you Expect that person. Nice may lack flowers. What would you expect their colonoscopy to look like? Would they just from that have more polyps?

Yeah, I would expect them to possibly have more hyperplastic polyps. And I would certainly expect them to possibly have more diverticuli. So diverticuli, we haven't talked about this quite some time, so we may have some people who haven't heard this analogy before. but when Scott and I were kids, particularly when I was a kid, our bicycle tires had an inner tube, which was flexible, and then an outer tube that was more rigid. And the colon is like that, too. There's an elastic inner lining and a more fibrous outer lining.

And when you have a lot of pressure and you're exerting a lot of force downward and you've got big giant American turds in there, what can happen is the outer lining can split. And when the outer lining splits, that elastic inner lining will bloop out, and you'll have these little pockets all over your colon. And that's more often seen with people with, you know, either they've got a genetic predisposition toward diverticially or they've had, you know, problems with constipation in the past. Okay. So I would expect to see those two things. And maybe hemorrhoids, too. So would that person need to have a colonoscopy earlier?

Not necessarily. Not necessarily because those things, although the diverticulosis puts you at risk for getting diverticulitis, it doesn't necessarily pose a greater risk for all-cause mortality and certainly not a mortality from cancer. So they should still get theirs at the time when they're supposed to, which is 45 years of age or 10 years. 10 years before their first-degree relative had colon cancer. Okay. Okay. All right?

All right. What else you got, Scott? Well, the only other one that I found that I thought was interesting was a bit troubling to me was the fact that they're showing that. Oh, hell, if I can find a damn thing. Okay. Well, while you're looking for that, I'll play something else. Yes. We'll do something a little lighter.

Good, good. On our Patreon show, Tacey and I played this, but I don't believe we've played. this on the regular show. And Jim and Sam were discussing, changing the name of the Sirius X-M channel that we're on, which is Channel 103. Initially, it was high voltage, and then it got changed to Opium Anthony, and then it was changed to, I think for a while there it was the virus, and then it was Opian Anthony, and then it got changed to Opie Radio, and then to Faction Talk.

And it is currently faction talk, except there's no one from the faction, you know, a group that's still on this channel anymore. That was Jason Ellis, who I always enjoyed. And now that he's gone, it's still stayed faction talk. And so they're talking about changing the name of it. And this is Jim and Sam's conversation regarding this. Dr. Steve. Yeah, weird medicine. The longest running show on the channel, by the way.

Yeah, we've had quite a ride. Yeah, I started. So I'm the Opian Anthony show, and then just, I'm here, not that the summer, I'm available all summer, to call it if you need. So it's comedy during the week. Rollins, and then on the weekend, it's medicine and food. Yeah, that's. Yeah, because the other show that's left over from the old days is Roland's food court, so that's what they're talking about. A hell of a lineup.

Comedy talk is still a better name. What about talking comedy? Talking funny. That's worse. Much worse. Yeah, you only have stroke victims. Talking funny But at least that involves like Roland

Talking funny I know it's on the new channel today I don't know that's representative I don't know it's talking funny It's not right The weekend hosts get together and have meetings Yeah it's not right They shouldn't do that

It's really degrading It makes it feel stupid because They have meetings The Monday through Friday guys are just Yeah My name for the channel Talking gout Oh no

Thank you Jim and Sam That made me laugh And I sent it to Roland He said maybe we should have meetings That is funny I think I called the Weird Medicine Channel There you go

Yeah, there you go. There you go. That's what it should be named after the longest running show on the channel. I think so. Just out of just no other bed there. But anyway, yeah, last thing I had real quick was something that shocked me. When I first read the article, frequent napping may be a sign of higher risk of stroke and high blood pressure. Uh-oh, Tase.

That's what I said. What? She was napping. She was taking a nap when you read that. That's kind of one. when I was kind of getting to. Maybe I found that frequent napping may be a sign of higher risks such as blood pressures and strokes.

It suggests that individuals who sometimes or frequently napped had an increased risk of hypertension and stroke compared to individuals. Okay. Exactly. They have sleep apnea. Or it could just be somebody just got retired and maybe doesn't have as much to do. Oh, well, that is very interesting. please tell me more yes exactly that's kind of what I was going to it's it's interesting I

think the way they're just presented it was just it was just yeah I'm not bored though no I know I'm not you I'm talking about them bad bad bad it's click it's some clickbait stuff there are lots of way reasons why these two things could be correlated and it's not the taking of the frequent naps is probably a symptom of their risk for heart attack and stroke, not the cause of it. Exactly. And I bet, I'm just going to bet if you went back and looked at that cohort and found out how many of them actually have sleep apnea, because that'll increase your blood pressure, and it increases risk for things if it's untreated. So that could be something.

That's exactly. You want to look at the cohort and see how they divided them out, too, because if you don't control for things like obesity and other things like that that could lead to things like sleep apnea or just general fatigue, then it's very difficult to make any conclusions from it at all. What was the actual risk ratio for the people who took naps? Well, what they're saying, exactly what you're saying, the people that did it say the number? Extra naps. I'm looking right now.

It was a huge study. It was over 500,000. Okay. Let's see. Researchers look, no, 358,000 participants to study frequency of naps and first-time reports of stroke or high blood pressure. Okay. 50,000 had hypertension, 4,000 had strokes. Napping is, and the bottom line is what they're seeing.

Wait, 4,000 out of how many? Out of those 300,000 had stroke. Echo, what's the percentage of 350,000 of 4,000? $350,000 is $8,750% of $4,000. Echo, what percentage of $350,000 is $4,000? 4,000 is 1.143% of 350,000. Okay, 1.1. So let's say 1%.

Okay. And that's over what period of time? Didn't say. What? They were 40, 60-year-olds. Between 2006-2010, a four-year period. Okay, incidents of stroke in the United States, okay? So the, let me see, what is the incidence of stroke?

We'll look that up. God, just give me the incidence. Okay, it says every year more than 795,000 people in the United States have a stroke. So hang on. ECHO, what percentage of 350 million is 795,000? 795,000 is 0.2271% of 350 million. So it's 0.2, and this was 1%. So it's like five times more risk.

So that is something interesting. You know, so in their cohort, 1% of their people had strokes, but oh wait a minute that was over a four-year period though oh oh well divide that by four is point two five what did she say point two two yeah that's the same that's what i was going to say it's the same and that's what throws me off about these stupid some of these stupid um medical articles they did i think they do it all they do intentional well what it is is you've got a journalist who is not a trained medical person who is like i got to find a story today

oh look at this and then they'll come up they don't always write the headline though so you've got to read the article it's often an editor that makes the headline and they're the ones that are making it sensationalized it's not always the author so we've got to give them some cut them a little wiggle room but yeah 1% over 4 years is 0.25% this was 0.2% is the natural incidence of stroke in the united states And that, of course, listen, this is junk statistics, too, because out of those 350 million people in the United States, you know, a whole bunch of them are little kids and stuff. So we would have to control for age and things like that. But that would make it even higher. So, yeah, maybe these people were protected, actually.

Send me an email on that, and I'll, by God, do the actual statistics on that. I'm going to break it down. and we'll do it. And I'm wondering if it's actually going to show a protective effect when you look at the real numbers. That would be hilarious. Yeah, but I, and that's why I brought this in because it was kind of a crappy article, but the thing that really killed me was about halfway down they were talking about. They don't suggest people with insomnia take daytime naps because they think it keeps them from sleeping at night.

Well, yeah. Yeah, well, I sound the exact opposite. If I can take a daytime night, if I can take a daytime, you know, 15-20-night. Say daytime nap five times real fast. Yeah, no, I can't with my proper fall brain, but I sleep better at night because I'm not nervous or anxious or upset that I haven't been sleeping every night. Okay, well, okay, I got you. Which is a complete train wreck. You know, you make yourself step.

I understand what they're saying, though, if you're napping during the day, you're only going to get a certain number of hours of sleep. Yeah. And if you do a two-hour nap during the day, then you're probably only going to sleep four to six hours at night. Yeah, I think they suggest, yeah, there was a bunch of really misleading information. Then they said, but naps that are short are okay, but two and three-hour naps during the day indicate. Right. So I do. A person who just got retired.

I do the Thomas Edison naps where he would, this is, I don't know if this is true or not, where supposedly. he would sleep he would sit there with a pencil in his hand if he got sleepy and as soon as he dropped the pencil he'd wake back up again and get back to work and if you're driving and you're using your eyebrows to hold your eyes open you have to pull over because one of these times you're actually going to go oh you know sleeping wouldn't be so bad and that'll be the end of that so you have to pull over get out of the car go get you know a drink or something if you're you know at a a gas station or a rest stop. But one of the other things you can do is just pull over and do one of those Thomas Edison-type naps. Tower nap. You're talking five, ten minutes, maybe 15, and then you'll be good to go again. Agreed. I still don't understand.

I'd love to get a sleep specialist in here, and they won't have an answer. But why your brain does that to you? Yeah, it's very strange. It's one of the first things I talked to Anthony about on the air, if I remember a long time ago, was this business of sleeping, falling asleep when you're driving. Your brain knows you're going to die. Yes. But it does it to you anyway.

It's like, why are you doing this? Stop it. And the crazy thing is at nighttime while you're deep asleep, you'll hear air conditioner kick on or a fan or somebody snoring and your brain just keeps you asleep. Yeah. But if it hears an alarm or telephone, it makes you up. There is something that's remaining vigilant, which is interesting. Which is so why in the world, if you're driving, does your brain not say, hey, set something else off? Yeah.

You know, right foot or, you know, or something. Testicle or something. But not the brain. You don't make me unconscious. You dumb piece of shit. I know. It's crazy. Stupid brain.

Ugh. Anyway. What do you think, Tase? Okay. You got anything else? No. Okay. Well, let's do some phone calls.

Number one thing. Don't take advice from some asshole on the radio. Well, I'm doing this. Look and see if we've got anybody in the waiting room with a question. Actually, yeah, we just. Yes, we do. Okay. All right, here we go.

Hey, Dr. Steve. Hey, man. This is Jamie in Tennessee. Can't tell. My girlfriend says that when somebody farts that there is shit particles in the air, and I don't believe that. Right. And I was hoping if you might be able to clarify that on the radio show.

Hell yeah. I'll be listening for your response. All right, my friend. She's a darn lar. You are the correct one, but it depends on how you define particles. So when you pass gas, and what you're smelling are not particles of shit. They are gaseous molecules. Now, if you define particles of shit as also being gaseous molecules, then she's right.

So it all depends on how you define it. But what people are normally thinking about of particles of shit is, you know, little liquid droplets of fecal matter. Fluid-filled ficle matter. Right. And that is not the case unless you have your pants down and you've got a really wet one in there and you put your ass right in someone's face and then you let fly. And then there's droplets can shoot out. But under normal conditions, what you're smelling is hydrogen sulfide. Methane is odorless and smellless. The reason that natural gas smells the way it does is because they put the, that smell in there at the plant so that you could detect a leak, because normally you wouldn't be able to detect it because it's completely odorless.

And I know natural gas isn't just methane, but methane itself is odorless and colorless gas. But hydrogen sulfide, yikes, it smells. That's the thing that makes rotten eggs smell. And there are other noxious molecules that make fecal matter stink. and, you know, you're past, even if you just pass air over liquid turds in your colon, they're going to pick up some of the smell of the liquid fecal matter. And then when you expel that gas, you'll just be expelling that gas with those molecules embedded in it. But, yeah, particles of shit only under the circumstance that I outlined.

And normally those would be captured in your underwear, assuming that you're wearing some of you're not discussed. What are you got in there? We've got about a minute. Yeah, Loganfield, real quick, diagnosed. Loganfield? Yeah, Logan. Oh, that's my buddy John. Yep, diagnosed with thyroid eye disease, been on Tepaza for 28 weeks.

Yeah. Has having some double vision, and they're suggesting he may need a realignment surgery. Yeah. You know, success rate of that. So the thing is the Tepa, this is a new medication for, I mean, it's a monoclonal antibody. And will you look it up and see what its name is? and it is for people who have Graves disease with exophthalmos. That's where your eyes are sticking out farther from your head than they're supposed to.

And a lot of times folks will notice they have it because all of a sudden they have double vision. It's about 800 grand a dose. Your insurance will pay for it, assuming that you have insurance. And there is patient assistance and stuff like that. But, you know, if you're supposed to get, I don't know, ask him, I think he got six doses. 2.4 million. Yeah, you got it taste. I've got the generic name is

T-pro-M-M-M-M-M-M-M-Mab. T-R-B-R-B-W, yes. T-R-B-R-B-T-R-T-R-T-R-T-O-M-Mab. It's a damn monoclonal antibodies. You give me a drug name, and I'm used to those, but I still have a lot of trouble with Beb-Tilova-Mab is the new COVID monoclonal antibody, and it took me about a week to be a drug.

able to say it properly, and I'm probably still screwing it up. But anyway, to the question about efficacy of the surgery, I don't have data for people with Graves disease, but I do have data on people who have strabismus, and it's about 80 percent, where they'll have return of normal ocular functions. So what you've got to do, dude, is you've got to ask them. What's the risk benefits and alternatives to this. What are the odds that I will get a perfect outcome? What are the odds I'll get one that I can live with that'll be better than what I've got? And what are the odds that I'm going to have a catastrophic outcome?

And they'll have those data. I know where he is, and it's a very advanced medical area. Yeah, and do you care if I ask you to, like a neuro-optometrist going in see in a neuro-optimpsych that might, they might have some prism glasses that might help possibly. Yes. Because prism glasses sometimes when their mechanical changes can actually correct vision without surgeries.

Right. And I have prism in my glasses because I have some deviation myself and some drift. But the thing about it is that what they tell me is that will make the muscles even weaker and it can get worse. So I don't, I'm not an ophthalmologist. But that would be something if the surgery. is not acceptable to you. Could they correct your double vision just by using Prism?

But here's the thing, Scott. He has one eye that's fully mobile, and the other one is mobile up to a point. I'm not sure that Prism is going to fix that because his eye will go to the midline and then stop, and the other one will keep going, and that's where his double vision is coming from. So it's not like they're both equally mobile and one. is just out of alignment with the other one. So it might help for certain circumstances when he's looking in certain directions, but I don't think that's going to be a real answer for him.

Maybe not, yeah. So, but he can ask all those questions, and his problem is mechanical. It's not just, you know, a lazy eye and one of the muscles being lazy, you know, you're trying to build it up. Yeah, or weak part of the brain, not tracking it. So Graves disease is a real thing, disease of the thyroid that causes these, lots of of different effects, but one of them is this, as I said, exophthalmos, and it can be devastating. I know John is a person that runs every single day, and just imagine trying to run with double

vision. You don't want to smash into a tree or fall into a ditch or something, so, you know, he's got to get this fixed. Anyway, we had higher hopes for the Tepeza than we got, I think. We may have John on the air sometime if we do. micro mogue fest soon any other questions from the waiting room scott well we do we have two i was thinking maybe we'll do one now and one for next week no no no no they're going to do it live do it now colin fuck it we'll do it live c c colin's colin carnes yep are there any conventional or holistic alternative treatments for brain fog or lack of concentration etc in uh in autoimmune

disorders yeah okay you want you take that yeah i'll take it so what we'll take it so what we We do a lot of times for brain fog specifically. The acupuncture seems to work again. I haven't seen any clinical studies, but this is an end of one, but I treat a lot of it. We do acupuncture. We have, and I do craniosacral manipulation to help with the blood flow in out of the brain, the CSF flow in out of the brain tends out of brain fog. Also, some of the old Chinese herbal medicines are pretty good for brain fog.

Really? One of it honestly is what we have on simply aerobles, which is the fatigue reprieve. Oh, sure is. Because it's got ginsing in it. It's got a straggles in it. Well, look at Dr. Scott trying to sell something to somebody asking him a legit question. But that's an honest, that's the honest answer. No, I mean, GVAC loved that stuff.

It's an honest answer for brain fog. Now, if Colin were here, I would ask him, what does he mean by brain fog? Because if it's trouble focusing or difficulty staying attentive, You know, and then I would ask, is it really just been since this autoimmune thing was? Because if you've always had problems with attention, he may just have adult ADD, you know. Or is it slow reaction times or is it fatigue or lethargy? I mean, you've got to ask all these questions. Sure, sure, sure.

What everybody says, brain fog may mean something different. I agree. Assuming he just means he's goofier than he was and he's not like you are right now, not as able to do executive processing as he used to, then, yeah, then there's a lot. of things that you can do. Yeah, making sure nothing else, like you said, if it's just since the autoimmune disorder, keeping the inflammation down. Yeah, and are you depressed?

There are antidepressants that have cognitive improvement parameters. One of them is one called, what is it, vortioxitine taste? Yes. That one has some data that shows that it improves cognition. Right. You have nootropics like, gosh, I was going to say Molina-Pyrovir, but that's not one. Modafinil, and its newest version, which is New Vigil.

That one is ProVigil, and those things have been shown to improve executive functioning in people with sleep disorders, but they've been used in other contexts as well. So, you know, there are lots of just different things. Autoimmune conditions are very well known to cause brain fog, including lupus. chronic fatigue syndrome, multiple sclerosis and fibromyalgia, and when you have a prolonged attack on your immune system, it can certainly affect your brain functioning, and the treatment for that is to treat the underlying disorder. Yeah, and what you're saying, absolutely, but they have shown with a lot of those things

by increasing sleep and increasing certain vitamins, you know, and Cush says right here, you know, vitamin B, you know, omega omega fatty acids and vitamin D3 can help. Yeah, I believe in that. I have no problem with that. Cool. So try anything. Any damn thing.

Keep moving. Yeah, most of the studies that I'm looking at just say increasing your sleep, maybe trying some of these supplements. Yeah. Treating depression, treating the underlying illness at the best way to go. Sorry, got choked up there for a minute.

Anyway, all right, you got anything else, Dr. Scott? Anything else in the waiting room? you had two. Yeah, I had two. And then so we've actually got a really short one and a really quick one here.

Okay. Yeah, so let me find. I get me a second. There's $4,000 on here, Dr. Stee. Give me a second. I can show you how to cut and paste them so that you can just put them on your little notepad there. But go ahead.

Put it on your little notes. Oh, my God. Well, he keeps notes of everything we talk about. I'm just saying you can just, You can just cut the paste and put it on it. Not while I've answered questions and look it up all that other shit. I got it. Hey, so anyway, so this is from Jeffrey Gates.

He's asking about why is providers instructions tell him to apply the testosterone cream to his scrotum instead of other body parts. Why does it or why doesn't it? Why does it? It says to put it on the scrotum? It says, what testosterone cream is you on? It says, why does my TRT provider's instructions indicate to apply the cream to my screen to my scrotum i'm not so sure i'd have to see it i want to see that yeah i do too i don't know maybe it's just so you can massage oh mine always says don't put it on your scrotum because it's got

alcohol in it yeah and to put it on your chest and arms at your shoulders and stuff yeah set a picture let me let me just look it up testosterone on your scrotum I don't know about that applied to scrotum just look at that up that's easy okay okay when prescribed in a cream form with the appropriate base compound transdermal testosterone can indeed be applied to the scrotum scrotum scrodle skin is thin has a high steroid permeability that i have no question about sure so it just depends on the on the preparation what did they what did they solubleize the stuff on right all right last one well i'm going to Read to you from pharmacokinetics of testosterone and cream applied to scrotal skin.

And it says here they did three single doses of testosterone cream administered in random sequence of different days. Two days between doses to healthy. You go natal volunteers. So these people with normal testosterone. And, oh, and their endogenous testosterone was suppressed by administration of nandrol out. So they gave him a shot of this stuff to stop their body from producing testosterone for a little bit so they could see if they applied the cream, did it actually do anything? Rather than going out and finding people who already have low testosterone, they just made healthy volunteers, had low testosterone for a few days. And it said testosterone administration onto the scrotal skin produced a swift peak that was dose dependent, which means that the more you put on, the bigger the peak.

was with an increase in serum testosterone, maintaining physiological levels for 16 hours. There you go. We conclude testosterone administration to scrotal skin is well tolerated, produces dose-dependent peaks in serum testosterone concentration with a much lower dose relative to the non-scrotal transdermal route. And I absolutely 100% believe this, that when you're putting it on your chest, how much actually gets what's the bioavailability once you put it all over the place all you know spread it out over your chest and your shoulders and stuff so putting it on the scrotum as long as it's not alcohol based and listen everybody out there listen to me don't just start putting your testosterone cream on your scrotum unless it tells you it's okay but if they've put it in the proper base you can do it and you can actually use less to get the same amount so yeah that's good I'll buy that.

Hey, you've got a meeting in three minutes. Do I? Nope, it's at 5.30. Oh, this is it's 5. No, it's 530. Yeah, we're good. What else you got? Good, good.

Is that it? Yeah, well, the last one was from Cush. We've got to get it from Cush. What do we know about autistic catatonia and are there any other treatments besides ECT? I don't know anything about it. Why don't we do some research? Yeah, let's look that up. Because that's very interesting.

I think one of my friends' daughters has that. And I think it's terrible. What I know is you need a neurologist that knows what the F they're doing to treat things like that. That I can tell you. Yeah, you're running the mill. And you may, if your neurologist just wants to do certain things and they're not interested, go to a university. Yeah, go to teaching patients. Sorry, Kish.

I don't know the answer to that. But if you email me, I'll get some info. I can be an expert on anything about 10 minutes. We'll look it up. All right. Well, thank you to everyone. Thanks go to Dr. Scott. Thank you, Dr. Scott.

I'm still recovering from my bronchospasm. I just had. Thanks, Tase. You're welcome. Can't forget. Rob Sprantz, but Tasey's favorite part of the show. Bob Kelly, Greg Hughes, Anthony Coomia, Jim Norton, Travis Teff, that Gould Girl.

All right, I'll just skip to the end. Many thanks to our listeners whose voicemail and topic ideas make this job very easy. Now, you know, I'm going to hear from certain people this week. Where's my shout-out? Go to our website at Dr.steve.com for schedules, podcasts, and other crap. Until next time, check your stupid nuts for lumps, quit smoking, get off your asses, get some exercise. We'll see in one week for the next edition. They're going to say something.

They can say something. By God, something we'll be saying. Thank you.