Weird Medicine: The Podcast - 521 - The Augmentation Conundrum

Episode Date: September 10, 2022

Dr Steve, Dr Scott, Tacie and PA Lydia discuss: A new ongoing project: will PA Lydia get breast augmentation? Immune response to silicone breast implants: the rare but dreaded ASIA syndrome Vote for the most disgusting story at reddit.com/r/drsteve! Migraine aura without headache Hormone replacement therapy Libido enhancers and more! Learn more about your ad choices. Visit podcastchoices.com/adchoices

I really dig earthworms, but I haven't met one yet that doesn't have a dirty mouth. How is a private eye, like the dry cleaners? They both do other people's dirty work. Why was the egg sent to the principal's office? It cracked too many yolks. If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM103, and made popular by two really comedy shows,

Opie and Anthony and Ron and Fez, you would have thought that this guy 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 Zabalibati stripping from my nose. I've got the leprosy of the heartbound exacerbating my infectable woes I want to take my brain out

and blast with the wave an ultrasonic ecographic and a pulsating shave I want a magic 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 to requiem for my disease So I'm paging Dr. Steve From the world famous Cardic Cardiff Electric Network Studios It's weird medicine the first and still only uncensored medical show on the history broadcast radio now a podcast I would redo that but Tacey would kill me It's a thousand degrees in here

I'm Dr. Steve with my little pal, Dr. Scott Traditional Chinese medical provider gives me street cred with whack-all alternative medicine assholes Hello Dr. Scott I'm on fire And we got Tacey Hello my partner Tacey Hello Tacey

Shoo it's hot in here And we've got P.A. Lydia back from sematical. Hello, P.A. Leda. Hello. This is a show for people. Thank you. This is a show for people who never listen to a medical show on the radio or the Internet. If you've got a question, you're embarrassed to take your regular medical provider. Can't find an answer anywhere else. Give us a call of 347-76-4-3-23.

That's 347. Pooh-Hood. Follow us on Twitter at Weird Medicine or at D.R. Scott W.M. Visit our website at Dr.steve.com for podcast, medical news and stuff. a buy most importantly we're not your medical providers take everything you hear with a grain of salt don't act on anything you hear on this show without talking over with your health care provider very good please don't forget stuff dot dr steve.com it really makes a difference stuff dot doctor steve dot com it could actually maybe pay for an air conditioner in here shit i already i researched that

they want five grand to put a silent air conditioner in here well when you go away for the weekend instead of going out and doing something fun I will put in I will install a fucking ceiling fan in here but I got to find a silent one like they got at Liam's apartment that thing is awesome

it is silent and it is silent and we will take care of that together we'll be in heaven so I will do that so when are you going out of town December just go this weekend that'll be my birthday present

you out of town You'll be out of... Just kidding. I'm just kidding, honey. You can stay. Go to stuff. Dottersteve.com. Scroll down and go through, okay.

And go to Dr. Scott's website at simply herbals.net. There you go. Check out our Patreon or don't. It's patreon.com slash weird medicine. It'll be hot that day too. Yeah. And, yeah, we've got to do one this weekend, by the way. So let's just get up here early and it's not hot.

Okay, fun. Okay. This is so much fun. All right, very good. Well, welcome back, PA, Lydia. Thank you guys. And we have a game to play. And should we, well, let's, we'll get to it.

We have a fun game that we played last time, what was grossest medical story. We're going to continue that, but we have a little bit of a twist. going forward. I know. Let me see. Where is that? But I don't want homework every week. I just want that to be known.

I know you don't. Too busy. Yeah. That retirement really working for you. I mean, what do you expect for me to do? So we will do it like every third show or something like that or whatever. We'll just do it whenever the hell we want to do it. How about that?

Okay. It's like I wish I had the Napoleon dynamite drop. What are you going to do today, Napoleon? Whatever I want. God. There it is. Uncle Rico. I think I could throw that football over that there, my own.

All right. So, yes, P.A. Lydia. Before the show, we were talking about you were considering having some cosmetic surgery done. Is that okay to talk about it? That's the way to put it. Yeah. Yeah. job.

Yeah, she wants to get a boob job. So I think that's always one of those. But you brought it up that maybe we should do a show about different breast implants and discuss the pros, cons and all that kind of stuff. Maybe what we could do is make this a long, because you're just thinking about it, right? Yeah. Maybe we could make this sort of a long bit and have people on the show that have had breast implants. different kinds of breast augmentation. We could even get some of the, yeah, oh, you want to get them in the studio and actually feel them?

Okay. It might require consent for them. Of course. But that's what you have to do. You know, there's just so many different kinds. There are the different implants of silicone or saline, and then there's the fat transfer, and then there's the subpectoral. Yeah.

What fat would you transfer, though? Probably like the inner thigh. Okay. Well, because there are different body types. They're ectomorphs are tall and thin. That's kind of what you are. And then mesomorphs are in between. Then the endomorphs are sort of the pear-shaped, you know, those people.

Obesso-Americans. I could gain weight for that role. Yeah, it could. And so, yeah, we could get people in here. But I was thinking also, you know, Laney Spizer is a contact. She's a friend of Scotson mine. and she's been trying to get some of her clients on here because she's a publicist. And many of those have had breast augmentation, some of them to the extreme.

And they may be willing to give some advice. And then we could kill two birds with one stone because lazy. Lainey really has been bugging me to get some of her clients on here recently. That sounds wonderful. So that may be kind of fun. Yeah. And then you do whatever you want to do. Yeah.

You know, do it or don't. But it'll, you know, yeah. At least I could just like end the discussion in my head. That's right. Right. And Tacey went the other way. Went the other way. She had, you wouldn't know it, but.

Stop it. Is that bad? It is bad. Well, you've complained about it. Yeah. Well. You've complained about it on this show that you had breast, you know, reduction mammoplasty and you're still the big booby girl. That's how it goes, though.

Yeah. I mean, most people who have had a breast reduction. And when I had mine, this really irritated me, people would say, well, why did you get the augmentation in the first place? Right. Why would I have done that to myself to start with? Because people do that. But it was obscene and my back was killing. I mean, it was triple Fs.

I mean, come on. If by obscene, you mean awesome, I agree. It was terrible. It was absolutely terrible. So did you have implants? No. Okay. No, I did not.

You were naturally a triple F. But they just thought, people just thought I had done that to myself. Right. Okay. That I had done, gotten triple F. On the porn site, she would have been listed under Busty Naturals. Yeah. Oh.

And, you know, people aren't afraid to ask you, well, why did you do that anyway? And it's like, I didn't do that. So that irritates. Yeah, people aren't afraid to say anything as long as it's, you know, disparaging. someone's body type. Boy, they really don't. There's so many things that they're terrified to say, but that one is fine.

Won't you just quit eating? Yeah. You know? Try exercising. Yeah. Yeah, they're totally fine. And has anybody ever said that to you? Maybe you should try exercising.

This woman works out more than anybody I've ever seen. She is the strongest woman I've ever had the opportunity to miss one. Maybe Rhonda Rousey could beat her ass. She got nothing on Tacey's. That's what it would take to beat Tacey's ass. No, that's not true. We wrestled back a while back when we used to play around more than we do now. I mean, just play around.

I'm not talking about. It's not a euphemism for intercourse. I'm just talking about playing around. And we started wrestling, and she kicked my ass. And I was a wrestler in high school and absolutely kicked my ass. To the point, I think I did. tapped out and then she wouldn't stop and I was like you've got to stop just turned me into a little bitch I was her bitch it was unbelievable she's unbelievably strong and she'll take

you know two 50 of course she always overpacks so her um luggage is always right at the edge of being legal or you know and she'll just pick them up and just roop and just right up the stairs I just don't even think about it. Amazing. She's tough. Yep. She's a horse. Yeah.

I wouldn't say that. That's also disparaging. Well, that's because you're an idiot. That's good to know I'm a horse. That was Scott. That was not me. Yes, you can kick me later. Anyway.

But, yeah, Tacey's very physically strong. Yes. And mentally strong. not so much when you when you quit working it's amazing how dumb you get how quick I'm afraid of or you realize maybe something I don't know I'm just maybe you were dumb the whole time maybe the job you had didn't require a lot you just didn't know it just didn't know it no hell no that's quite possible you were you were pretty mad you're not dumb nobody can be dumb and and do all that anyway all right so yeah so we'll do that

So I'll work on getting some people in here, and then when can you come back? You know, the other three have just finked out on us, so you're welcome to come back every week if you want to for a while or forever. I can't imagine why they wouldn't want to spend time in this sauna we have here. I like it. With such great company. I mean, I know. You just let me know when you can come and I'll have some people lined up. But otherwise, I'm only on a Monday, Friday work schedule, so that should be okay.

All right. We'll do it. So maybe two weeks from now. Okay. Yeah, I think we actually know somebody that had breast augmentation that you could talk to that's been on the show before. So we could talk to her first and then because that's a less extreme example if she'll do it. And I'm not saying any names. Oh, gosh. I mean, how many people do we not know that have had it? Oh, that's true. That's true. And then our other friend. Yeah. So we can work this out.

We can get people in the studio, and then I really want to get some Eleni's people on here, because some of those have gone from, you know, A cups to, you know, double, triple G cups and stuff. And then some of them have had problems with them. I talked to somebody that had theirs removed because they kept moving up to their neck. That's what I'm afraid of. Because they did them up. Well, so what that person would tell you is don't let them put it above. the muscle it's got to go below

because hers were above the muscle they could just move around they were just moving around all the time yeah so anyway all right i know somebody who um went to a physician and and she's been having a lot of health issues and the physician was like have you ever thought maybe your breast implants are leaking right so that's a really interesting uh she doesn't feel like they are but it's um something you hear about every now and then Or some systemic inflammatory response to a foreign body. I'm also worried about that. Well, okay, so there is an immune adjuvant response to silicon and the silicon.

And it would be funny if they put silicon in there. And then you could just like have a CPU and you could compute things with your food. Do my charting. Yeah, you do your charting. Please talk in to my baby. Let me see. I think it's, is it Asia Syndrome? Yeah, it is.

It's autoimmune and auto-inflammatory syndrome induced by adjuvants. And it's a spectrum of immune mediated disease triggered by chronic exposure to adjuvants, which are substances meant to enhance antigen-specific immune response. And silicone implants can be associated with that. And it can cause rheumatoid type syndromes. And one of those that we've seen pretty frequently is this sort of non-specific autoimmune disorder. But it is unusual. It's so unusually and rarely seen that some providers,

still don't believe it exists. Oh, okay. Or that it's a problem. I wonder if there are any, like, analyses of, like, baseline room factors or A&A levels or anything. Well, I think there are, and we can go over all that stuff before you do anything. But I do know that for a while they stopped doing the silicone and we're going with saline, and now they're going back to it. Because the silicone implants really are better. They're more natural.

and not to say that the saline ones can't be great, but they can. But I think it takes less skill to get a silicone implant to do what you want it to. And the risk is really quite low. And the thing is that with those, if you get that with the silicone, it's supposed to get better as long as you just remove the implant. So you don't want to go through that if you can avoid it. That's extremely weird. I've seen one in my career that I diagnosed.

And, you know, that's 37, whatever. However, I don't even know how many years it is. I've lost track. What? And am I going to be 67 this year? Am I 68 this year? So I'm 49, so you were going to be 67. This whole year I thought I was 67 already.

I did it again. This is the second time that I've gotten a free year. Hmm. You fast for? Because I'm stupid. No, yeah. I've been telling everybody I was 67. Yeah.

And then I thought, well, fuck, when this next birthday, which is coming up, I'm going to be 68, but actually I'm going to be 67. So I've got a free year out of it. I love it. That's awesome. Well, that's because you're an idiot. Yeah, that's true. Okay. All righty.

So I think that'll be fun. Yeah, that's a great series. Okay. Yeah. A great series. Let's do the game. Okay. last week we had the grossest medical story lady diagnosis brought your magic mushroom blood

culture thing which is a good one to do a second time Tacey brought the bedbug jar fountain and Dr. Scott bought the 82-foot tapeworm And so everybody voted. And with 53% of the vote, Dr. Scott won. Good for you, Dr. Scott. That is pretty gross. Thank you. Tacey had about 35% of the vote, and Lady Diagnosis got the rest.

Well done. Well done, sir. That one was disgusting. Thank you. And let's see if there were any comments on this one. This person said, although in real life I'd rather have 10 cases of bedbugs rather than one giant tapeworm or a fungal blood nightmare. I have to cast my vote to Tacey for being so descriptive.

Out of the three, hers grossed me out the most. It was gross the way you described it. It really was gross. I mean, in the story that I read, the guy was picking them off of him, putting them in a mason jar, and then they were crawling out as fast as he could pick them off. And the mason jar was three-fourths full of bed. It's so disgusting. It's so gross.

Let's see here. So we're going to do another one today. Okay. All right. And what we're going to do is I came up with this. See, we ripped this off from the creep off, which does, you know, creepiest human beings. And if you like true crime and you like comedy, check out the creep off podcast. It's a good one.

And then if they lose five times, they spin the wheel of consequences and they have to do horrible things. So, like, one of the hosts had to do the polar plunge in the middle of winter in Rochester, New York. Oh, my goodness. And at which there's no actual video documentation that he did it. There's documentation of him going toward the lake and coming out. But I believe him because he had a horrible look on his face. But, you know, people – so it was fun. That kind of extended the bit because people were –

shitting on him. And then the other guy had to wear a cow bikini on the show, you know, on camera, things like that. I don't want to do that. First off, I'm not playing this fucking game. And second off, I couldn't get Tacey or Scott. I'd wear a cow bikini today. It's so hot. But see, then that's a good thing.

It's no good if you want to do it. I'd fight it. So what we're going to do instead because we're more of a positive... type of show we're going to you guys are going to be playing for people okay okay so Dr. Scott will be playing for someone

Tacey will be playing for someone and P.A. Liddy will be playing for someone and next week when the announcement is made of the winner then that person whoever was attached to the one that

brought the story that wins will send them something And it could be, it's a gift, it's not a prize. So one week it might be an autographed picture, which, why would anybody want that of us? Or we have some vacuum bottles that are weird medicine bottles and maybe we'll sign it or something. We'll do something like that. So for the first one, we'll probably do something like that. So, Scott, you want to say who everyone is playing for today?

Yes, I would love to. So the winner will be Sean today because he's playing with me, Sean Patrick. Sean Patrick is playing with you. Oh, and by the way, these were chosen from our chat room, which is we don't do a video show on purpose. We're doing it just to have an audience. No matter how small it is, we don't care if it's five people, we're fine with that. because we get our views from, I mean, our income comes from our audio shows that we, you know, on Patreon and on just our podcast. So we don't do the video to be a video show.

So we don't care if nobody signs up or subscribes, although if you subscribe, you can be notified that we're going live. So anyway, we got this out of the chat room. We usually record on Wednesday or Thursday, and you just got to watch our Twitter feed or subscribe and click the notification button. Okay, so Scott is playing for Sean Pedrick. Yes. Tacey. Carla Finch. Carla Finch, excellent.

And then PA Lydia. Richie Archer. Richie Archer. Okay, very good. Okay, Richie. In other words, playing for second, third place. Yeah. Okay, all right.

So you're that, well, let me see. Scott won, so he has to go last. No, I'm sorry. He has to go first. If you win, you go first. Hey, how come Tacey? Somehow Tacey's managed to swing the... That's right.

I don't blame that. So, Dr. Scott. Let's hear it. You're going first. All right. So was the topic below the belt? Yeah. Yes.

Yes, thank you. So we're going below the belt today. The topic is grossest medical story below the belt, which, by the way, is probably going to be the topic every single time. It's not an easy topic, though, because you look stuff up, and if you look up penises, it's, oh, and my penis got cut, or it got broken, or, you know, it's just, it's. Yeah.

Not very fun. No, it wasn't as fun as the last one. There are other things other than penises below the belt. Yes. You look up. Toes. That's right. Vigina is the same way.

I mean, it's just. Pop-a-teal fauses. Pop-a-tele's fosses. All kinds of stuff. Is it below the belt and above the? Well, that's what I thought. I think it was pretty open. I think I said anything in front regarding the jungle region.

Of course, if you have a really high bell, I guess you could do like naval stuff. Yeah, okay. You do whatever you want. All right. All right. So I'm going with the largest scrotum ever recorded. Okay. I had a 132 pounds scrotum diagnosed with elephantiasis of his scrotum.

Oh, my God. What'd they do with it? Well, they, so it's a 132 pounds. Yeah. And it's a form of scrotal lymphedema, and they actually had to go on and surgically remove it. So, yeah, it looks pretty uncomfortable. Okay. Yes.

Did they give any size comparisons? So are you going to tell the story? I mean, that's just your overview, right? You're going to read this story? That is the story. This guy started developing this scrotal lymphedema, and it got worse and worse and grew really quickly. And they wind up, they've actually got some images of him, poor thing.

It's incredible. Okay. You can imagine a hundred. You've got to sell it to the people who are voting for you. I don't have to sell this. It's 132 pounds scrotter, for God's sake. Okay, fair. Fair.

God bless. Was this the guy that was on Howard Stern? I don't know. I don't know. There was a guy that had, so what this is, is massive scrotal edema is what it's called. And the testicles are actually, they may be non-existent in there. It's not enlargement of the testicles. And it's not fluid in the scrotum.

It's actually interstitial fluid. In other words, fluid in the tissues of the scrotum and surrounding the, you know, testicles and stuff and it's actually it's more solid than anything else how much did his nuts weigh yeah 130 132 pounds oh wow almost yeah and and of course they had to go in and surgically remove it but you would think that if you had 130 pounds something hanging around between your legs it would just rip it would just rip off and it you would be walking down the street and it would just you you know you'd leave it behind You can walk.

Like a sling? Like a ball hammock? It's a sling like a cup we used to wear in baseball, but quite a bit larger. You know, and I've actually heard of guys with similar conditions having to carry their testicles around the wheelbarrows. Yeah, yeah, yeah. Especially in third world countries if they get, you know, because you could technically. In first world countries, there's no other way to do it. If you can't afford for insurance, that one.

guy on Howard Stern, he didn't have insurance, and I would have thought some urologists just do it for free just for the pub. Or for the kindness. Yeah. Yeah. And the other thing, Dr. Steve, to consider is just, you know, just fear of doctors. A lot of people have these problems. We see them, all of us in here, see them every single day.

People just, they fear going to the doctor. They fear having a diagnosis. They fear a procedure. And I'm not saying it's what was wrong with this guy, but that happens all the time. You know, if somebody come in with a growth. Yeah. You know, like, how long has it been there? A couple of years.

If I was participating in this, I would, and we did grossest genital trauma, accidental. I've told this story on here before where this guy was, he would use it. He worked in a place where they had a bunch of belts, like leather or rubber belts that went all over the place. It could have been a textile place or something. Some kind of manufacturer. Some manufacturing thing when they had these belts. And what he would do is he would rub his dick on the belt as it was going by. And the vibration, he would eventually complete the transaction.

And he apparently had a very isolated place where he could do this, right? Well, one day, his scrotum gets caught between the lower part of the belt and the wheel. and it just went like that and it just took his nuts and just threw him out the window. They flew out the window. And he was so embarrassed

he didn't want to go, well, shit, you know, hey, I was masturbating on this belt and go to employee health. So he took a staple gun and stapled his scrotum back together. And then about a week later, he showed up at the emergency room in sepsis, what we call,

sepsis is, you know, blood infection by bacteria and this giant abscess in his groin where his scrotum used to be. And that's when he told the story of what actually happened. So, but don't, if you do something like that, it's, if you go to the emergency room and you, and we've said this before too, and you've got a Coke bottle shoved up your ass, just say you sat on it. Everybody will be fine with that. They won't ask another question because that's the fiction that we've all agreed on that we can say,

oh, God, I sat on this Coke bottle, and I don't know what happened, but now I can't get it out. Oh, did you? Let us help you with that. Yeah, let us fix it. And they will fix it. So if you, you know, if your testicle gets thrown out a window by a belt and you don't want to say that you were masturbating at work and your scrotum got ripped open and your testicle flew out of window, you can just say. You sat on it. You sat on it.

There you go. Here we go. Give yourself a bill. Or you could, what fiction could you come up with on that one? That'd be hard to. That'd be a tough one. Well, I just fell and I fell against a knife or something. You just make up something on the way to the emergency room.

But don't try to fix it yourself. And then think it's going to go away. Well, if you do that one, the cops are showing up. They are going to show up. You know, that's the problem. So you can't. Then the whole story is going to fall apart, and then you have to tell the truth. Oh, blessy.

Lord of mercy. Out the window. Yep, it flew out the window. I don't think so. I don't think so. He stapled his shit together and said, I got to go home. I'm having some panic below the belt. So that's Dr. Scott, Scrodle Lymphidema.

Tacey, what you got? Okay. I'm going to try to class this up, but it's really difficult. Okay. So the title is called The Pussy. pimple. Okay. And it's stolen from BuzzFeed.

Okay. No, that's fine. You steal anywhere you want to. And, um, okay, here's the story. Um, she got a horrible pimple on the hood of her clitoris. Excellent. She tried to pop it one night, but it was just too painful. The pimple kept getting bigger and bigger and bigger until it was the size of a marble.

It was so swollen and the skin was so sensitive. Would this, would this be an aggie or, well, that shit, I forgot all the marble names. there's the big, giant ones in the little, like, God damn it. I mean, I don't, okay, nerd. Okay. It was so swollen and the skin was so sensitive that when she walked or sat down,

it rubbed against her underwear and pants causing pain. Okay. It eventually popped on its own, and the amount of pus that came out was insane. Oh. So. I mean, like I said, it's hard to find a disgust. story but if you imagine on your clitoris having a marble size a marble size pimple

I've never seen a clitoral abscess before let me look that one up I didn't have you would you even you have to cut it this is vulvar abscess but oh periclitoral abscess here we go image of a no thank you okay image of a periclitoral abscess presenting with minimal swelling and distortion periclitoral abscesses presenting with minimal swelling and distortion pericliteral is a rare with less than 20 reported in the medical literature. 21, if you count BuzzFeed, as a medical journal. Images without severely distorted clitori are lacking in the literature. Oh, well, I'm sorry that you guys are missing out on that,

which led to multiple misdiagnoses in this case. This is a report of a 20-year-old patient who presented with clitoral swelling and pain without fever. In the clinical setting, even when mild clitoral swelling is seen, the possible presence of an abscess should be considered with incision and drainage if present. You know why they missed this in this case? Do you know why? Nobody bothered to fucking do a pelvic exam. They just looked.

Let me separate the, you know, whatever these things are called and look in there. I mean, that's how dumb they had to be. And I'm hearing now, hey, Tacey or Lydia, either one of you, when you guys go to get your pap smear, do they do a bimannual exam anymore? I was told that they stopped doing that. I get one. You do? Yeah. It's been a couple years, but yeah.

Okay, good, because somebody told me they're not doing bim manual exams anymore. And by manual, by the way, is when you have two fingers in the vagina and then you push up and then you can feel ovarian tube. I'm ovarian tubes, fallopian tubes. You can feel ovaries. You can feel the uterus, and you can press it up against your other hand so that you can, you know, feel it better. Masses and tumors. Yes. And then the next thing you do, tell me this, are they doing rectovaginal exams?

No. I have not had to. That's bullshit, okay? Yeah. So, you know, we would do, you know, and this is the whole two in the pink, one in the stink thing, is what, you know, the colloquial. But it is a true exam where you now, you do another bimmanuel exam with your third finger in the rectum, two fingers in the vagina, and then you feel around for that. In doing one of those, I found a pericolic tumor, you know, a peri rectal tumor, sorry. And actually, it was an ovary that had dropped down and had gotten so large.

And the only way you could feel it was when you did the rectal exam. So, you know, I don't understand. Is that the Kronkenberg sign? Crunkenberg's I don't know I think it is It's an ovarian sign where you can have the peri-rector

or the rectal cul-de-sac mass Oh yeah Krokenberg I think How do you spell that? P-R-U-K-E-N-B-U-R-G Krokenberg tumor But I can see in the ovary that metasized

from primary site classically the GI tract now I don't know about that Somehow there's a sign where you palpated at the rectal wall Well let's look that one up then

All I know is you can do it, and if you don't do it, you can't do it. It's at Bloomer's Shelf. Let's see. This one's, you may be too smart for this show. A little bit. Wouldn't take much to surpass this crowd. Dumbasses. She could trip over this.

Okay, a Bloomer's in medicine, Bloomer Shelf denotes a metastatic tumor deposit on digital, rectal, or vaginal exam, indicating a tumor cell dissemination. from an abdominal, gastric, pancreatic, colonic, cancer, or lung. Give yourself a bill. Growing in the rectovesicol or rectoetorin pouch. Yes, and how in the hell would you find that if you don't examine it? Okay, so I'm going to give myself a bell for that. Give yourself a bill.

Give Lydia a bell for knowing the name of it. Good Lord. I teach PA students, so I try to tell them everything. Yeah, yeah, yeah. No, that's awesome. Yeah, I won't forget that one until tonight. Well, I was going to say, until like now. I already forgot what was that? You're wearing your bloomers, what? So the reason that they missed it on the case that I was reading is because no one felt in there. They just looked, and we've got to stop just looking at things and go back to physical diagnosis. You've got a woman in your office that's complaining of clitoral pain.

And if you just look at it and go, nope, looks fine to me. That's not going to work. You've got to stick your fingers in there and feel around. And if they had felt, if they had curled their fingers up as you are supposed to do, they would have felt that abscess. And they would have treated her because apparently she went to like five different doctors before they figured it out. Yeah.

That's crazy. So that's a good one. So we're going to call, okay, Tacey, I'm going to call this one the P, exclamation point, dollar sign, hashtag Y Pimple. Okay. All right. All right. P.A. Lydia. Okay.

Well, I'm highlighting a gross condition. That's fine. And when I think about really disgusting things, especially in the medical field, I think of smells. Oh, yeah. Right. So. D from Nashville. can tell you that one.

The most gross medical smell, which we'll play here in a minute, because I don't think you've ever heard that. Okay, good. Yeah. No, so there's one condition with women where, you know, there's like this fishy odor with a K-O-H prep. However. You want to talk about that now that you brought it up because people may not know.

Well, I was trying to remember, isn't it bacterial vaginosis? Yes. And then when you add in potassium hydroxide. It gives off a fishy odor. Yeah. Yep. So that's one way to diagnose. It's called the WIFT test.

Yeah. Which I've only done a couple of times. Yeah. I'm a little bit faster on the fly. That's why the blind man going by the fish market says, Hello, ladies. My grandfather always told that joke. Oh.

Yep. Oops, sorry. I'll keep getting the wrong. So there's another condition, which is a genetic condition. It's autosomal recessive, so you have to have two parents as carriers. Yeah. It's called trimethyl. aminuria. Oh, I've heard of this.

And it's the fish odor syndrome. Wow. Where your secretions, including your vaginal secretions, but also your sweat and your breath, smell like rotting fish. Oh. What's the chemical that they make? So, it's an inability to break down

less than due to a defect in the FMO1 gene. And so if you eat foods higher in less than your body, like, doesn't doesn't break it down as well I'll have to get let me look at the chemical

okay so what foods have less than in them so it says fish eggs so you eat fish and you smell like fish okay got it but it's specifically seafood so freshwater fish are exempt from that issue really yeah let's see what other foods there were

I have a separate window open so you can eat trout but not grouper correct okay very good yeah no salmon well salmon can be fresh water too though common sources include egg yolk soybeans milk

rape seed cotton seed and sunflower oil so one of the ways to reduce your fishy odor when you have the syndrome is to avoid those foods another way is to take flageal but also recommended reducing sweaty exercise

But it must be such a curse. Like, anytime you sweat or speak with someone, you just smell like rotting fish. Yeah. You try to have like intercourse. So it's your sweat and your breath. Oral things. Yeah, your sweat, your breath, and all of your secretions. Oh, so, oh.

So if a dude had that, then he, no one not, oh, boy, there wouldn't be any choice between spitting and swallowing. There would just be nothing but spitting. It would be spitting and gagging. Well, honey. Oh, my God. But I swear I was eating pineapple, darling. Congratulations.

Pineapple fish. Oh, Lord. Okay, so we'll put that one up under, okay, P.A. Lydia, fish jizz. No, fish jizz. Fish jizz. Okay. Okay, so the reason is the body is unable to turn a strong smelling chemical

called Trimethylamine, which is produced in the gut when bacteria break down certain foods high in lezithin into a different chemical that doesn't smell. Okay. So there you go. And that's one of the issues with asparagus, too. There are some people that will metabolize that chemical in asparagus so that it doesn't smell and some that won't. And then there are some people that can smell it and some that can't, which is why there's always been this controversy. Because when you have problems with incomplete reception and incomplete transmission, you're going to have all kinds of disagreements.

Well, that ain't right. That doesn't really happen. I eat it all the time. It never happens to me. Those could be people that can't smell it, but they do produce it. But they don't ever smell it, but other people around them can. You know, it's just all over the place. Same thing with female ejaculation.

There are those women that have coital. coital incontinence. In other words, they produce large volumes of urine when they're sexually stimulated, and then they will squirt lots of clear fluid,

but guys that are down there sometimes will say, listen, it doesn't taste like piss, it doesn't smell like piss, they're right. Because it is ultra-filtrated free water. It doesn't have any of the normal solutes in it that

that normal urine does but some women will ejaculate as well and so you will have and it's and it overlaps so there's anywhere between seven and 50 percent of women have coital incontinence and about the same numbers for female ejaculation so you'll have some women that don't do either one some that do both and some that do one or the other and no one can ever agree on what it is because everybody's experience is different. That's why you have to look at the science and there has been science done on these things. So anyway, very interesting. So we'll put that up. So let's remind everyone, Dr. Scott, you are playing for the winner. That'd be Sean. Sean Pedrick. That's correct. And Tacey, you were playing for? Second place. Who is Carla? Carla Finch. I think third place.

And then third play, and then Lydia is playing for Richard Archer. Is that right? Okay. All right. So we will let you know next show. Okay. And then we'll send your crap out. All three of you make sure we've got your contact information.

And if you would like to play along with this, check us out on our YouTube channel. I think it's just Google Weird Medicine YouTube and it'll come up. and then watch for us to be live. Yeah, okay. All right, excellent. Anybody have any medical stories before we go to medical questions because we only have a little bit of time? We do have one question that just popped up about migraine oras.

Okay, yeah. We've got a question about a migraine aura coming. Probably listening to this show. Yeah, I was going to say if she didn't have one, she probably has one now. Her concern is it doesn't, the oras are not. not coming with a headache, a typical migraine headache. She's concerned, does she have brain cancer? Does this cause brain damage?

No, there is a percentage of people that have migraines, but they have the aura, but it's not followed by the pain. So if you remember, the aura is felt to be caused by spasm of the arteries around the brain, and then when they relax, they relax too far, and they don't. dilate and it stimulates the stretch receptors and those arteries, and the brain doesn't like arteries stretch to the point where they're breaking, and that causes pain. What were you going to say, Lydia? Well, does that aura last for a certain amount of time after the orgasm, or is that like

during the orgasm? Orgasm. Yeah, just during the orgasm. You have the art. We're talking about migraines. No, migraine. I thought you said it wasn't artery. We have a winner

You can come back Lydia You're welcome to come back I swear I thought you said It was an aura during Is there a reason why you're fixated on that I don't know Man

You are one pathetic loser So I don't know if she's having Mars after orgasms Orgasms or not a guess we could ask Well let's assume it's Assume it's associated with her headaches. Yeah, about 4% of people that have migraine have an aura without a headache. And it's usually young adults in their 20s or 30s or older adults between 40 and 60.

It happened to me when I was 50-something. Don't be embarrassed. You're hilarious. It's hilarious. She's hiding her face. And you're on radio. Yeah. And now, sometimes you can lose your headache.

if you had migraines your whole life and then all of a sudden you just start having the aura and it can be called an ocular migraine but that is kind of a misnomer it's not even in the classification of headache disorder so if this is something new you do want to get it checked out that's the only thing I will tell you two sort of things that distinguish migraine aura is that it should affect both eyes, not just one, and that there's a build-up of the aura. But sometimes it's hard to tell if the visual disturbance is in one or both eyes.

So if you want to know, this is what you do. Open a book or something you can look at and start reading, and then cover one eye and look at your book. If you can still see the aura, then you know it's in that eye. Then cover the other eye. If you can still see the aura, you know it's in both eyes. Okay. And every person who has an aura should confirm that it's in both eyes because that puts it in the occipital lobe of the brain rather than in one of the eyes.

Right. Okay. And that's where you want it to be for this. And what I always tell people is when you have something like this happened, the first time, absolutely get it checked out. See a neurologist. You know, they'll do the workup and everything. And then after that, if they tell you it's just, quote unquote, just migraine, then, You can ignore it or treat it how you normally treat a migraine if you have the pain and all that.

So they'll give you medication and different things that you can do. Okay. I've got one more if you want one more question for the waiting room. Yeah. Do we have time? Yeah, yeah, yeah, I think so. Yeah, Richie was asking, Mr. Second Place is asking, he has a question about starting testosterone replacement. He says his sex drive went back up to when he was first married 15 years ago.

Yeah. And his question, it was congratulations. Yep. And his question is that white age can his wife start hormone replacement therapies and does it have the same effect? So that's a good question. So it is a good question. Yeah.

So they've continued to change this in women. And the question is, what do they want to do? What are they trying to accomplish? So if she's having pain or dryness or thinning of the vaginal lining, they may do hormone replacement therapy on her just locally, topically. We used to put all women who went through menopause on estrogen, and we found out that we were increasing breast cancer by a small amount. It went, you know, it was 1 in 10,000, but still over hundreds of thousands of women,

that's a lot of breast cancer excess cases. So it went from 1 and 11 women had breast cancer to 1.11 point. you know, zero zero one, something like that. Lydia, you deal with women with breast cancer all the time. What are they, what are you guys talking about, you know, talking to women about hormone therapy? Well, particularly estrogen therapy. Yeah, I mean, I certainly they have the history of breast cancer in general. They should avoid it, especially if they have the history of estrogen positive breast cancer at any point in their history.

They would just completely get it. No more estrogen for them. I do not. I never prescribe it or recommend it, honestly, because I'm a bit biased. So even for women with different malignation, they don't recommend it. Right. That does bias us. To me, it's the rule, yeah.

What the G.I.N. will say is that you can take the pills for the relief of severe hot flashes, but you want to take it only as long as you need it, and then they got to get off of it just as soon as you can. But again, the topical estrogen, which is estrogen cream, is used pretty commonly for dryness, itching, burning, and discomfort with intercourse. Now, we used to prescribe it not for all of those things, but to prevent bone thinning. And because women who lose estrogen start to lose bone mass pretty quickly, and you can be at increased risk. of bone fracture, but we don't use estrogen for that anymore. We use it drugs called bisphosphonates for that. And that is always interesting to speak with women who have breast cancer because

if they've had, you know, if they're postmenopausal and have the estrogen positive breast cancer, maybe they're not secreting estrogen from their ovaries, but you still change testosterone into estrogen through a molecule in your fat cells called aromason. And so we block that routinely. with pills. And so from there, we have to put them on bisphosphonates just because their bone mineral density goes straight down. And those aromatase inhibitors are the, can cause,

if you know anybody that's on that and they are complaining about all of a sudden, now they have arthritis, they can cause joint pain. We call it aromatase inhibitor associated or induced arthralgia. And in those people, that's the number one reason that they stop those things. And it's, therefore, one of the highest reasons are, you know, putting women at risk for recurrence of their breast cancer because they're not taking their aromasin. So that's an issue. So if you know anybody like that, that can be treated. There's a protocol for treating it.

So I was just reading, there is a new pill that I keep seeing on Instagram called the Little Pink Pill. to increase women's sexual desire. Okay. If that's what he's worried about, which it sounds like it from the thing as he wants to increase his wife's libido. It's called Adi, A-D-D-Y-I, flibben-serin.

Yeah, flib-anserin. Flib-A-Rin. That's flibbing-serin. He's out of his flibbing serrin. You can't take somebody out of the swamp. So it's a... Okay, Dr. Scott. pronounced islet cells

islet cells on this show once and then we called it anonymy so that's how they pronounce it in China so it's a serotonin 1A receptor agonist and serotonin 2A receptor antagonist for premenopausal women yeah

you gotta be premenopausal though it's premonopausal women with hypoactive sexual desire disorder now you know it was some man came up with that name for this. Probably like a fat man. Yeah, big fatso.

I'm joking. I shouldn't have said. I'm not body shaming. I'm just saying. Well, men, you can body shame the shit out of them. That seems to be totally fine. We don't really give a shit. No, I do, but, you know, it's...

Hey, I'm old and fat and you're headed. I'm okay with it. Anyway, but yeah, hypoactive sexual desire disorder. So if that's what the issue is, Have her talk to her OBGWAN. There are some people that advocate the use of testosterone in those cases. There are downsides to that as well. All right.

Very good. Lydia, tell your story real quick. Okay, so I was doing a little market research, right, for the show. Asked to one of my friends for any gross stories. And a friend happens to be a swinger. And so... As in, to swing? To swing.

Like swinging parties. Oh, right, right, right. Yeah, yeah, yeah, consensual swinging. You have 30 seconds. Anyway, asked about it. He said, well, I've always avoided, like, chlamydia. However, at one event, about six of us got pink eye. Oh.

Oh, oh. Isn't that? Oh, that's awful. And, you know, the pink eye could have just been a viral. It could have been chlamydia, though. You can get chlamydia contractivitis. Yeah, I think it was somebody's kid. Oh, they had a kid there?

I don't know. I get it. I get it, Jesus. Thanks, always go to Dr. Scott. Thanks, Tacey. Thanks, P.A. Lydia, and thanks for hanging in here in this hellhole of a studio. Thanks to everyone who's made this show happen over the years and continues to be the most fun of head. In many years of existence, listen to our Sirius XM show on the Faction Talk channel.

Sirius XM. Channel 103, Saturdays at 7 p.m. We are being preempted right. now until the whatever sport season is over that's going on right now. Sundays at 6 p.m. Eastern on demand and other times at Jim McClure's pleasure, and we may be on it Sunday at 10 right now. So good luck finding us. Many thanks to our listeners whose voicemail and topic ideas make this job very easy. Go to our website at Dr. Steve.com for schedules, podcasts, and other crap. Until next time, check your stupid nuts for lumps. Quit smoking, get off your asses, get some exercise. We'll see you in one week.

for the next edition of Weird Medicine. Thanks, everybody. Goodbye. Bye-bye.