Weird Medicine: The Podcast - 538 - Phimosis McFadden

Episode Date: January 16, 2023

Dr Steve, Tacie and Dr Scott discuss (this was recorded on Jan 7, before Damar Hamlin was discharged from the hospital): Commotio Cordis and the Damar Hamlin case The Levy Score for prognosis in anoxic brain injury Clickbait: Meatless diet and depression A new oral treatment for covid 19 Is Dr. Scott weird in China too? Can you kill salmonella in contaminated peanut butter? (It's cheap, just buy more) "Hey fella, how's the water?" Post coital urethral pain 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!) 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!) Most importantly! CHECK US OUT ON PATREON!  ALL NEW CONTENT! Robert Kelly, Mark Normand, the O&A Troika, Joe DeRosa, Pete Davidson, Geno Bisconte. Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

What's the best place in the house to hide from ghosts? The living room. Excuse me waiter. This coffee tastes like mud. Yes, sir. It's fresh ground. Which Jedi always got his brother's hand-me-downs. Obie 2 Canobi If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM103,

and made popular by two really comedy shows Obi 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 the theory of crushing myself to. Yes, I've got to bolivide stripping from my nose. I've got the leprosy of the heartbound, exacerbating my imbettable woes.

I want to take my brain now, 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. Steed.

From the world famous Cardiff Electric Network Studios, it's weird medicine, the first and still only uncensored medical show in the history broadcast radio. Now a podcast. I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medical practitioner gives me street red with the wacko alternative medicine assholes. Hello, Dr. Scott. Hey, Dr. Steve. And my partner in all things, Tacey. Hello, Tacey. Hello.

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 their work at our medical provider. We can't find an answer anywhere else. Give us a call. 347-7-66-4-3-23. That's 347. Pooh. 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 you can buy. Most importantly, we are not your medical providers. Take everything here with a grain of salt. Don't act on anything you hear on their show without talking over with your health care provider. Don't forget stuff.doctrsteve.com. That's stuff.com for all of your Amazon needs. Scroll down and see all the stuff that we talk about on the show, or you can just click through to Amazon.

It really makes a huge difference. And then tweak to audio.com, offer code fluid for the best earbuds for the price. And with offer code fluid, you get 33% off. They got great customer service. And Dr. Scott's website, it's simply herbal. dot net, that's simply herbals.net. Check Tacey and I out at patreon.com slash weird

medicine. Tomorrow we'll be recording the Gino Bisconti interview where he's going to apparently try to convince me that all of this COVID stuff is a conspiracy. So that'll be interesting and we're going to try to talk

science with Gino and he just doesn't want people to call him a whack-a-do and that's fine we can do that. as long as we can discuss the pros and cons of the scientific method. And then if you want me to say fluid to your mama, give me a shout at cameo.com slash weird medicine. You know, I used to work at WRL TV in Rale, North Carolina.

We did a show called Mid-Atlantic Championship Wrestling, and we had Wahoo McDaniel and Rick Flair and who else did we. have. We had Greg Valentine, Mr. Wrestling, Tim Woods, Ricky Steamboat, but we also had a guy named Baron von Rasky. Baron von Rashke, and he had a move, a finishing

move called the claw, and he would put his hands over your head like that, and it was called the claw, and then you would go out. And it was illegal move, but, you know, the ref was never watching. So, Baron Rasky was hilarious. And he was a mighty Igor Polish Prince's partner, and we've talked about,

that before. And I got for Christmas, I got Vinnie Paulino a cameo from Baron von Rasky. And he was delighted. He's a thousand years old. It looks like a real skinny Tor Johnson now.

But he did a great, great cameo. Matter of fact, I guess since I mentioned it, I should probably play it, shouldn't I? Oh, is that bad? Okay, here we go. Okay.

Uh-oh. Ha ha ha ha ha ha ha. Oh. No. It's not Santa Claus. It's not George. Okay. So Baron von Rashki has got a Santa hat on and a Santa

scarf. Tony dressed up to look like Santa Claus. No. This is. Baron von Rasky, that's right. Ducklaw, not Santa Claus, the claw. And Dr. Steve wanted me to tell one of his best friends, Vinnie the Bear, Paulino.

I wrestled a bear one time. Well, many times actually, his name was Ted. I don't know his last name. But anyway, back in those days, I was in shape. I could go anywhere, I could do anything, and I could wrestle anybody. And I'll tell you something. Dr. Steve has asked me to give you my workout program. Well, I got up early.

I went out for a run. I went back, ate a good hearty breakfast. And, well, this is just, I said, Vinny's fat. Can you help him with his workout program? Then I started to do push-ups. I did setups. Good for the abs. Do the setups.

Maybe push a little weight for the pecks. Ha-ha. And that is just to start. And then you go out and you maybe take a long walk. But there are a lot of ways to get in shape. It's got to suit you. So, Vinny. It's actually really good advice.

The bear Paulino. Those are my words of advice. Sage words from the claw. And that is all the people need to know. Ha ha ha ha. Jingly bells, jingly bells. Jingle-o. Okay, all right.

Thanks, Barron. Check out Dr. Scott's website at simplyerbils.net. That's simplyerbils.net. And I do want to announce the birthday of Mr. Cardiff-Elect. Stop. Stop it right now. Try to slip that one by you there. Taste.

Almost. I don't usually pay attention, but I caught that one. Well, I'll try to slip it in later. Oh, I know. When I see Tacey on her phone, just wink at me, Scott, and I'll slip in the birthday announcement. Okay. So, yeah, we've got some things. We've got a question or two, obviously, about DeMarre Hamlin.

I was supposed to be on Anthony and then on Gino Bisconti show and a couple other ones. And I just was so busy this week. I didn't have an opportunity to talk about it. We can just go ahead and get this out of the way now. I think that's the thing that people are really interested in. Let's see. Hey, Dr. Steve, Matt Charleston. Hey, fine, Matt.

I'm calling to ask you about DeMar Hamlet, the football field's player who was hit. Monday night football game got up from the hit, stumbled, and then collapsed at a cardiac compress. I've heard about this happening in other contact sports like hockey. Sure. And I'm wondering if you can talk about that.

Yeah, absolutely. Thanks. We were going to talk about it anyway, but it's always it's nice to have a phone call. Like a real question. A real question. It's almost like a real radio show. Yeah. So when I saw it happen, I kind of knew

well, I know anything, but I had a real good idea that what had happened was a thing called Commodio Cordes. And that is when, okay, so you've seen people, have you seen the movie The Abyss? No. Okay, so they do a code blue in the movie The Abyss, completely unrealistic, but a lot of people have seen that. You know, you've got Ed Harris and Mary Elizabeth with Master Antonio over on one side in a submarine, a mile down or some ridiculous amount. Stop, it's enough. And then they have to get from one submarine to the other, but they only have one pressure suit. So she says, just take me over there.

I'll die, but then you can resuscitate me on the other side, which is a pretty cool plot point. Of course, she was the smart one. And so he does that, and you see her halfway through. She's underwater, and then she dies. And when they get her up there, she's dead. But the thing that is apropos to this is he does a thing called a chest thump. Now, in movies, they pound on people's chest and, you know, breathe, damn you breathe. And then, you know, the people goes, coughs up water and stuff.

But the chest thump itself, so that's fake. But the chest thump itself is real because the heart has the ability to, you know, the ability to or a one of the one of the characteristics of the heart is that when you poke on it with the right sort of amplitude you can generate an electrical

impulse. Gotcha. It's almost like a piezo, it's almost piezoelectric. Right. You know, you have these crystals and if you thump them, you know, they make an electric current. So this is a different mechanism, but kind of the same thing. So the chest thump is a real thing. Right. And if you do it at the right

amplitude at exactly the wrong time what happens as you generate an impulse that cancels out the electrical current in the heart now you go well how in the hell could it do that well let's talk about that just for a second

the top part of the heart the atria and the right atrium of the heart is a little thing called the atrial ventricle node Oh, what a minute. Go ahead.

Give me a bill right now. I'll take it. I'll take it. We'll take it. Very good. You got one bail. Yes. The, yeah, and it's basically the pacemaker of the heart.

So it will contract. It sends a, well, it creates a, you know, a current that flows from that node to a thing called the sino atrial node. No, wait a minute. That's the, I'm sorry, the atrial ventricular node. We were just talking about the sinocular node. So anyway, so you've got this sinus node. It fires, and that contracts the top part of the heart.

That's the lub. And then it sends this electrical signal to the atroventricular node, which then has fibers that go all the way down around the bottom of the heart, and it starts to contract from the bottom up. But the impulse goes from the top down. Now it's got to re-polarize, which means that the current's got to go in the opposite direction to get the heart ready to do this again. So top part is love, bottom part is dub. You know, you hear the love-dub, love-dub, okay, right?

So if you hit the heart in such a way that you generate an impulse going in the opposite direction of that impulse that's coming from the atroventure. node to the ventricle. Okay, so you've got current going in one direction. Now you hit the person just at the right time, just at the wrong place. And now you've got current going in the opposite direction. Those two currents will cancel each other out. And then the heart's just sitting there going, now what the fuck do I do? Yeah, yeah.

It doesn't know what to do. And when that happens, you get a beat called ventricular, or I'm sorry, a rhythm called ventricular fibrillation. And ventricular fibrillation is where the heart is just sort of like, if you've ever seen one, it looks like a bag of worms. It's not contracting in any kind of functional way. And it's just jiggling like jello. And when that happens, now nothing happens. And there's no blood being pumped, and that is a so-called, you know, pulseless cardiac arrest.

And, you know, we see this in hockey. see it in baseball. Yes. And it's always just a really, it's just a freak thing. Freak thing. If we're really easy to induce, we'd see it all of the time in baseball. Right.

And, well, not so much baseball. In football. We would see it all the time. And in rugby and in to lesser extent soccer. Well, and even martial arts, mixed martial arts. Sure. If you're taking it up. Kicked or punched in the chest. And all of that would be outlawed.

If this was... Easily done. One thing I'm concerned about, and this is kind of off topic, is now that we've had... We should look up, when you look up the incidents of Commodio Cordes on the football field, I just wonder how many other times this has happened. I can tell you, I've only seen it in baseball. I've seen Little League baseball players occasionally,

which is a terrible thing. Because typically in a Little League setting, that happens, and the outcomes are really poor. Well, and you don't have Ambulk. is standing by and all that stuff. You know, you have to call 911. So one of the things that we look at when this happens is how quickly was circulation, artificial circulation started.

So how quickly do you do CPR? And chest compressions have been shown to, you know, to push blood around enough that you can keep the brain alive. And because that's your goal. and then you want to get that heart rhythm back to normal as soon as you can. Could you find anything? I can't spell it right. Okay.

Well, it's okay. I spelled it so wrong that it says. I don't know what that is. Yeah. Okay. It just incidents of cardiac arrest football. Just do that. Well, that would have been.

Okay. Yeah, I said it wrong. Sorry. Yeah. Anyway. So you want to. to get to the person quickly, which they did with him, and get a return of spontaneous circulation as quick as possible, which apparently they did.

I think it took a couple of times, but they did everything right. They put him in the ICU. I'm assuming that they did a hypothermic treatment because patients do better. There's some evidence that when this happens, you can preserve tissue better when the patient's body is cooled down, and we know that people that fall into cold lakes can be resuscitated after, you know, 30 minutes of drowning, sometimes, sometimes 45 if they're a kid. Yeah, Tase, what did you find? Okay, so this says, this is a study, and it cited an estimate that sudden cardiac death incidents

range from 1 to 40,000 to 1 and 80,000 athletes per year. Okay, so how many athletes are there in the NFL? We should be able to figure this out. Yeah. A couple thousand in you. Echo, how many football players are there in the NFL? There are 2,557 NFL active football players. Okay, so they say 2,000, and you said 1 in 80,000 per year?

Well, it's really stupid what it says because it said 1 in 40,000. Okay, it's 40 to 1 in 80,000. So, I mean, I could have come up with that, just out of my butt. And it's kind of a wide range. Yeah, a little bit. Well, that just means that the numbers are so small that they can't. give you a real accurate number. So let's say, yeah, so let's say one in 60,000 then, right?

So there's 2,000. And so what's that? That'd be one every 30 years, that was what we're looking at, right? Is that right? One in every 60,000 per year, and there's 2,000 players, Scott, right? Yeah, nobody's looking at. I'm not doing math. I'm not doing math.

I don't work anymore. So we would expect a one every 30 to 60 years. That's why it's so infrequent. Yeah, go ahead. So did he die technically? Well, I mean, you got to, okay, so that's a great damn question because how do we define death? In the old days, we used to define death as a cessation of breathing. When you stop breathing, you were dead.

And then what happened was we invented ventilators and mouth-to-mouth and stuff, and we learned that just stopping breathing doesn't mean you're dead, we just need to keep your breathing, so we put you on the ventilator. Then it was if your heart stopped, you're dead. We would declare people dead when their heart stopped. Well, then we developed CPR and the old chest thump. You know, one of the things that could have brought him out of this, had they had nothing, was another chest thump. Right.

That's the interesting thing. Yeah, just to kick it back into rhythm. Anyway, so we developed the advanced cardiac life support. when I say we, smarter people than I did, protocol, and people like, you know, Brian from BPS radio slash the radio freaks who do that every day, resuscitate people every day. The average survival, when you have an 18-year-old, say, basketball player who has CPR is right around 17%. But it really has, that's average, and it has a lot to do, again, with how quickly you get on it when you've got a, a football player that's surrounded with medical personnel, you're in better shape if this happens. Yeah, Tase.

I did find some smaller numbers. It says, according to a 2016 study, and this is from BBC.com, there are approximately 100 to 150 sudden cardiac deaths each year during competitive sports in the U.S. alone. So that would be what Scott was talking about, Little League, football, regular football, everything. Yeah. Yeah, but I don't think that. But I think I would like to see the instance of the actual cardiac events due to the thump. Yeah, yeah. Because most of, I think most of them, you know, some other are congenital heart disease.

Most of them have congenital heart disease or, you know, they blow a clot or something like that. So it's a little different. Give yourself a bill. That's two. Yeah, I'm up too, baby. So, anyway. Big difference. That's right.

That's right. That's right. That's right. And by the way, if you've got kids, don't blow off that. physical exam because that's where they catch these things and this stuff does happen where kids just get passed through and get passed through and then they end up in highly competitive high school or college sports and with a congenital hurt illness that takes them out of this world so what's the youngest you've ever seen a heart attack or cardiac

event somebody oh boy I don't know pretty young well I was going to say I saw one when we're in Houston, and he was 16. Oh, my goodness. Had just a normal MI. Had showed all the normal signs and symptoms. Everybody's like, I mean, we saw them after. Do they know what caused it? It was congenital, yeah, some kind of resident.

Because with the diet that kids eat these days, they have found some kids that have atherosclerosis of their hearts at very young ages. I worry a little bit about our kids on that because their diet is not as robust. I would like for it to be. But anyway, so they got to him quickly. Now, when you have someone in the ICU, you don't know if you sedate them and you put them on a hypothermic protocol and you cool them down and then you wait. And one of the things that we use to determine whether someone's going to do well is a thing

called the Levy scale. And Levy took a thousand people that came in with cardiac arrest and, and, and, you know, looked at lots of different criteria and then developed what we call a multivariate analysis of conditions or signs or symptoms that would lead to a bad outcome. And so you look at people at day one, day three, and day seven. And without going through the whole Levy Protocol, and this isn't the Levy Protocol, we all know where you stop smoking for three days and then you start smoking again. That's a different Levy protocol.

That's the Bob Levy protocol. But the most important criteria of this is if the patient is following commands on day seven, that's a very good indicator of excellent prognosis. There are a lot of indicators of bad prognosis, one of those being disconjugate gays. other words, that they're not able to, you know, their eyes are just sort of floating around. Can focus. A roving conjugate gaze on the first day, you know, you may have a good outcome with those. And but this, Demar was following commands and signaling and actually communicating at, you know, on day five, I think, day four or five.

I'm not sure. Obviously, I wasn't there. I'm just going by what I'm reading. So those are all really good signs for good outcome. It says here just four days after his stunning on-field cardiac arrest, Buffalo, Bill's safety, DeMarne Hamlin is breathing on his own and speaking to his family, physicians, and teammates. So, again, all signs of good outcomes.

He was 48 hours, couldn't talk, but was actually answering questions via, you know, riding and moving his hands and toe. Yeah, well, he probably had to, he was probably ended up. He was innovated. He was intubated. So he had a tube going from the outside to the inside of his lungs. Yeah, I think they just took him off the ventilator on Friday, Thursday. I don't know.

I wasn't there. I saw it on the internet. But anyway. But that's how we look at these things is there are other, there's blood tests that you can do. There's a serum neuron enolase and you can do that. And it's a sign of bad outcome. If it's elevated, the problem with it is, in our, in our hospital takes two weeks to get back.

So by then, you already know. So what you're really looking at are clinical things like this. So the Levy scale is one. You could just look at the patient, do a very simple physical exam, and you get a pretty good idea of what their outcome is going to be. So they would have done that. And, yeah, that's good news. So good for him.

I'm glad. And what I'm concerned about is the way that the NFL does things, they ignore some stuff and then they knee-jerk other things and I'm afraid that they're going to now require some sort of sternal protection or something like that for something that happens one time

in 60 years. But it is 100 people would you say 100, 150 something like that? Yeah, I believe so. Every year. I mean we've got a population of 350 million the odds that

that's going to happen to you or small but You know, still, that's 100 tragedies. People just going out to play a sport and have some fun or make a living. And then the next thing you know, this happens. So, anywho, but that's what it was. I've heard people say, well, he got vaccinated. Well, okay, there's two people on that team that didn't get vaccinated. Let's not make this about the vaccine.

The article also spoke about that. Oh, it did? Yeah, just a little bit. Well, what did it say? Well, let me get my glasses on. Okay. Don't worry about it. It's okay. Let me pull it up. If there was no early, if there was no sign of myocarditis and him ahead of time,

then this didn't have anything. Probably unrelated. Yeah. And somebody sent me a graphic. And it basically, it said, look at all the different things that happen from the VERS database. Are you familiar with the VERS database? It's the vaccine adverse event database. And you can report that.

I can report anything I want. I really, you know, you could, I could report my lung thing and say, I don't know that the vaccine didn't cause that, and it would go into the database. Yeah, Tase. Okay, so I found it. Anna vaccination activists online jumped on the news of Hamlin's collapse to blame without evidence. Wow.

I mean, we didn't have any evidence of anything. And then one account promoting a viral anti-COVID vaccination film full of dubious and debunked claims tweeted that prior to 2021, athletes collapsing on the field was not a normal event. This is becoming undeniable and an extremely concerning pattern. Okay. Where's the pattern? Am I unaware of other people like this happening? Then it says anti-vaccine activists have collected a number of antidotes. reports of athlete deaths in order to bolster their claims. Okay, so I'm, listen, fine. I think that's great.

We should, we should, and what we shouldn't do is just say, well, there are a bunch of effing crackpots, even if they may seem that way, because we don't want to shut people up. We did enough of that over the last couple of years. We want to have a discussion about it. If they'll have a discussion, if they won't, then, you know, then it's faith-based. It also says, though, that his vaccination status is unknown. Well, okay. My understanding was that everybody on the team was vaccinated except for two people. Okay.

And those two people weren't him. But I don't know if that's true either. But it doesn't matter. Here's the thing. How would we determine whether this is vaccine related? We would want to go back and see if this is unusual. Is there something going on where we actually are seeing more people keeling? over on the football field with sudden cardiac arrest than we did before, you know, 2019. And then if you do see a preponderance, then you want to take away all of the different variables that you can or more people smoking because of the thing, more people eating different things. There are people's cholesterols. Did they miss appointments because of the pandemic and because of telehealth?

Oh, you've got to take all that stuff out. And then, was there any evidence of myocarditis? If he had tragically passed away, they would have done an autopsy, he would have been able to tell that. Thank God that didn't happen. But, you know, for some of the ones that do pass away, is that, you know, because the thing is myocarditis. That's what you're worried about.

After a vaccine. After the vaccine, right. But you know what's, here's the thing. So I got this VERS data thing sent to me, and it's here, here's myocarditis. There's cancer. There's all kinds of adverse events that are associated with the vaccine. And then you look at the data.

You know what else causes myocarditis? COVID-19 does. And it does it at a higher rate. And it's more severe than when you get the vaccine. So now what some people say is, okay, well, maybe I can avoid getting COVID-19, but if I take the vaccine on purpose, then I'm exposing myself to risk. I understand that.

I'm not in favor of mandating this vaccine. I just want us to have a rational discussion about the risk benefits and alternatives. Because it isn't, you know, anything that's emergency, like, you know, under an emergency authorization, I don't think that should be mandated.

At least not with the, you know, the lethality of this virus. Maybe if we had an Ebola type virus that could be transmitted by speaking to other people, then we might want to mandate an emergency vaccine, but hopefully we'll have something for that before that. But I do want to talk about the science in a rational way and just showing up a graphic. Look at all the things that happen with, you know, after the vaccine. cancer. And it's like, well, where did that come from? It's just because somebody reported two years after I got the vaccine, I also got cancer and they throw it in there because they

have to. Right. That's how that thing works. The VAIR's database is self-reported, and all it's good for, it's not good for this conversation that people are having, all it is good for is to alert researchers that there may be something and to go do an actual study, to see a real study, a scientific study. And, you know, this kind of thing happened with, you know, autism, with kids, you know, the MMR vaccines and stuff. And the VERS database started blowing up with cases of autism that was purportedly related to the MMR vaccine.

So they spent the money and did the actual study. and found that that was, that there wasn't a real effect there, you know. You don't hear about that much anymore. No. Well, and the thing is, it turned out that a lot of it was that they were making the diagnosis more often. Okay. And so it seemed like there was an increase, an uptick. But if you went back to the original criteria of autism, there probably wasn't any uptick at all other than, you know, just tracking the population growth.

Mm-hmm. So pretty interesting. Yeah, I would be interested to see, too, and when these things you would have to tease out of and the vaccine being part of, you know, athletes having cardiac events, supplements, you know, specifically like caffeine. At least taking, you know, extra, extra caffeine before games

to get, you know, get hyped up or whatever. So there's a lot of other things. It's all kinds of things. There's all kinds of things. You have to control for all these variables And again, if there is an epidemic of people keeling over like this, then I'm not aware of it. I'm not saying it's not happening, but show me the evidence because I'm not seen any numbers that show that there's some sort of concerning uptick in this kind of thing. This kind of thing just sucks when it happens.

And, you know, the sad thing is if it had been one of the two guys that hadn't been vaccinated, then that would have gotten blamed by the other. other side. And it's like, it is sad that we, to have a balanced viewpoint in this world right now, you have to balance two kind of really extreme ways of looking at things. And when really the data will tell us what we want to know. And we've talked about last time that if you go back and listen to that show, that you can use statistics in such a way that you can be right and argue completely opposite things.

Because we talked about relative risk versus absolute risk. When it comes to natural immunity versus vaccine immunity, you know, people that had vaccines with natural immunity and other people that just had natural immunity alone, and you could say, well, yeah, there was a 33% decrease in, you know, adverse outcomes. And you'd say, oh, well, that's 30%, so you should get the vaccine. But then the anti-vaccine people would say, yeah, but the relative risk was 0.001 or something, you know. So those two things are both true, and you can argue whichever thing that you believe in. And that's what I don't like about this, you know, the situation that we're in because we are arguing based on what we believe in rather than believing things after it's definitely.

demonstrated by the data. But anyway, there you go. There you go. It's just called bias. And we have become biased because this whole thing became politicized because that's just what we do now. Anyway, anyway, I'm glad he's doing well as of this recording. He is progressing. And I would expect, you know, barring that there's some neurologic deficit that we are not aware of that he's going to make a full recovery.

He certainly hope so. They said this morning he's neurologically intact. Okay, good deal. Good, Dan. All right. I have one that's sort of apropos to this. If I say apropos one more time, I don't know why that words in my head. This is related story.

Association between meatless diet and depressive episodes, a cross-sectional analysis of baseline data from the longitudinal study of adult health. And I'm going to give you a clue here in a minute that will tell you what the right answer. answer is. But you won't know it until you look at this. So what they're saying is they looked at 14,000 people aged 35 to 74 years. And they defined a meatless diet as, you know, through this thing called a food frequency questionnaire, which is another validated instrument. Somebody thought that up and got validated the damn thing and probably got it named after themselves. But anyway, they found a positive association between the prevalence of depression. episodes and a meatless diet.

Meat non-consumers experienced approximately twice the frequency of depressive episodes of meat consumers. Duh. Now, here we go. So this is their conclusion. That was the results. Depressive episodes are more prevalent in individuals who do not eat meat, independently of socioeconomic and lifestyle factors.

nutrient deficiencies do not explain this association because they couldn't find any, at least the ones that they look for. The nature of the association remains unclear. Longitudinal data are needed to clarify a causal relationship. Okay, so they're saying there's an association, not necessarily causation. Now, what if I told you that this study was done in Brazil? Would that help to explain things for you? What questions would you ask in that situation?

Hmm. Every time I've been to a Brazilian restaurant, there's one thing on the menu, basically. And what is that one thing? Different kinds of meat. Give yourself a bill. Damn it. Two to one, but they can't go out of meat anywhere. So one of the questions.

you might ask is what is the prevalence of vegetarianism in Brazil. It's like 0.05% of the population. So to me, that's your answer. These people feel completely overwhelmed by the rest of the population. Outcast, what they are. It would be really interesting if you did this in, say, Norway or even in the United States, if you got this sort of a strong association. So this is most likely cultural, not physiologic.

But I said in my Twitter analysis of this, watch for the clickbait titles because they're coming. And you'll see, well, you know, Beacon Diet leads to depression and all this kind of bullshit. Isn't that interesting? That's hilarious. Yeah. And this was done in the Journal of Effective Disorders. So I don't know who these people were if they're psychologists. I don't see any initials after their name.

So it's hard to say. So I don't know. So these were not nutritionists doing this or anyone. Oh, I'm sure if they had initials, they'd put them there. I think you're right. I don't know. None of them had initials. So I don't know.

Maybe they just don't put initials in that journal. All right. Now I have one other news story. That's pretty interesting. For those that followed the very early COVID sit reps that I did on YouTube, this is something I've been calling for for a very long time. And this is from the New England Journal of Medicine, not some crappy journal from December 28th.

VV-116 versus Nermaltraver retonevere for oral treatment of COVID-19 is the title. What this is is a drug that is, was compared to Pax Lovid. Okay, so Pax Lovid is the pill that you can take or the combination of pills that you can take for COVID-19. And it prevents hospitalization about 90% of the time in people who are at risk. The problem with it is I'm always very hesitant to write it, particularly for people who are on lots of medications because there are a lot of adverse drug interactions. So then you go, well, we'll use Molinopiravir, which is very well tolerated, it has very few drug interactions, and it's just one pill instead of a bunch of, or, you know,

a couple of pills that you have to take concurrently. But the problem with Molotipiravir is it only prevents 30% of hospitalizations compared to placebo when given to people at high risk. Now, Moltena purivir is a great one. If you just want to knock it out quickly and you're not at high risk, If you can get somebody to write it for you, because the symptoms go away pretty quick on that one. But as far as people who are morbidly obese or over 65 heavy autoimmune disorders, 30% reduction in hospitalizations, which we would have taken early on. Oh, heck, yeah.

You know, I was a big promoter of Favapyrivere, the Fuji drug. I think that one got politicized to death. And when I mean politicized, corporate politicized, because Fuji wasn't a major player in pharmaceutical space. Gotcha. And then all of a sudden, here comes Molinupirivir from Pfizer, and it hits the market, and we never heard of have a pyruvere again. Neither here nor there. Anyway, this VV-116 is very well tolerated,

better tolerated than the Paxlovid with fewer adverse events and fewer drug interactions, and it works just as well. So now we have yet another pill that we can give people, and this one will probably take over just because it's simpler to take and you know you don't have to worry about it as much

when you write the prescription that someone's going to have a problem with it. So it's ready to write? It's been approved? No, it's phase three. Okay. So, but phase three means that they've tested this on,

let me see how many people. It should be tens of thousands of people. It appears to be pretty safe. Okay, sorry. Well, and this one is a pretty small phase three trial, 822 participants. But you know why they could get away with doing such a small phase three trial? Because they've already done a huge phase four trial because this stuff is oral remdesivir. So remdesivir was the first drug that came out, if you remember.

And we were giving it to people right and left in the ICU. And it was disappointing. I wouldn't say it was an utter failure, but it was definitely disappointing. and wasn't the panacea we were hoping for, but what we argued on this show multiple times was that they're giving it to the wrong population. They're giving it to the people when they're at death's door,

rather than giving it to people early in the course of the illness to prevent them from progressing that far. So some wags did a study on IV remdesivir in the outpatient setting in people with mild to moderate disease, which is what I had. I mean, that's the stage of disease I had. You know, my oxygen was starting to decline.

And they were giving it to them in the outpatient to see if it prevented hospitalization and death. And there you go. 80 to 90 percent. It was as good as the monoclonal antibodies. But it didn't vanish in effectiveness when the virus mutated. That's the problem. And the original regeneron, which is what I got, is worthless now, you know, against these new strains.

But oral, I mean, IV early remdesivir still works great. And Paxelavid and Molinapiravir all have the same efficacy that they ever did because they're not contingent on that spike protein being a certain way. They work on destroying the life cycle of the virus, which is different. Okay. Gotcha. Now, but the problem with IV remdesivir, I tried to get an IV outpatient remdesivir clinic going here when we could see all of a sudden we would buy all these monoclonal antibodies and they just quit working. You've just got thousands of dollars of stocks and they're just totally worthless. Let's get an IV remdesivir thing going, well, the problem with that was they had to come, I think, if I remember correctly, they would have to come twice a day for like three to four days in a row and get IV infusion. pain in the ass.

You've got thousands and thousands of people with it. It was really hard to do. So we're always hoping that an oral version would come out. And now we've got this phase three trial that shows that it is just as good as Paxelavid with fewer adverse effects. So I think this is a great drug. I had people say, well, didn't we hear remdesivir was a bust? It was like, yeah, in the ICU, not so great. but in the outpatient setting, it's the stuff.

Well, so far it looks good, but phase three doesn't necessarily mean it's going to get approved, which is why I'm retired at this moment. That is correct. That is correct. You're absolutely right. It says time to sustain symptom resolution. Did not differ substantially between the two groups. No participant in either group died or had progression to severe COVID-19 by day 28.

And the incidence of adverse events was lower in the VV1, one-six group than in the neuromaltrovir rotonevere group. So the reason I think that this probably will come out is because remdesivir is already out. And if they show that it's not inferior to Paxlovib, which is all they're looking at on this, that it'll be pretty quick that they'll, but I would like to see a real FDA, just approval of this drug. And if, I mean, I'm not advocating that they should do that.

I'm saying I would like to see that it goes through all the steps and they're actually able to do a real FDA approval. Because if it works for COVID-19, it probably works for the other common colds as well. And wouldn't it be nice if you, for finally, instead of going when you have a cold and you go to your primary care and demand an antibiotic, which we know isn't going to do shit, that you could actually demand an antiviral. An antiviral that would be safe and effective, and it would knock the common cold out in a couple of days instead of two weeks. Heck, yeah, it would be wonderful. It'd be fantastic. So I'm really hoping for this one to do something. Anyway, all right, that's all the news I've got.

You guys got anything about this is a news episode, I guess. I've got some calls, though, you want? Let's do calls. Do you have anything, Taze? No. Okay, all right, very good. Number one thing, don't take advice from some asshole on the radio. All right.

Here's a good one for Dr. Scott, actually. Hi, Dr. Steve, Dr. Scott. Hey. Hope y'all are doing great. Hey, thanks, man. How's it going? Good. Going good.

How are you? Sweet. This is John from Chicago. All right, man. Hey, Brandon, funny, just lighthearted question to Dr. Scott. So, would you be in traditional Chinese medical practitioner? If you're in China, do they just call you normal or are they like, he's still, he's a weirdo? He's still weird.

He's still weird. That's what he was going to say. Like you are here. Are you weird there like you are here? Scott would be weird in China. But if you were a traditional Chinese medicine provider in China, are you considered, you know, as people look at you sideways, I know the answer to this. Nope.

Yeah, they really don't. No, they really don't. Do you know the percentage of people that consult traditional Chinese medicine in China? Nope. It's about 60%. Yeah, yeah, the Western medicine hospitals over there are fabulous. Well established, but people still will use it and traditional Chinese medicine the same time. So, yes, I'm weird throughout the universe.

Yeah, he would be weird throughout the universe, that's right. Even in parallel universe. Yes, even in my parallel universe. I don't even think there's one where, like, Scott would be normal, and that's hard to do. That's exactly right. All right. Hi, Dr. Steve. Hey, Dr. Scott, if you're there, Casey.

Hello. I hope you all are doing wonderful. This is John from Chicago. Did you hear how he said that? He's adopting how Stacey DeLog said. Did you hear that? Let's not start that. Yeah, please, guys.

There, Ticey. Hello, you all are doing wonderful. This is John from Chicago. Love the show. Thanks for taking my questions. Putting him on the podcast. Appreciate it. A question about, I guess, drug use.

This is not to condone drug use, and I'm sure you, y'all would not do that as well. But would, what's the least, in general, I mean, in your medical opinion, what's the least caustic method that people use to get drugs into their body? Well, it depends on the drug, but I would say the oral route. If you snort stuff up your nose, you know, long enough. I mean, look at Artie Lang, that's what can happen. You can lose the cartilage in your nose. IVs. And ultimately your veins are going to break down.

And or you may inject bacteria into your bloodstream and then or even worse, you know, fungus and stuff. So you end up with a fungamy or something. Yeah, taking it up the asses. We've already discussed why that's stupid. You can't control the intake. So when we're going to say drugs, I'm not going to talk about illicit drugs because, you know, there are some that are just caustic on their. Period. Yeah.

On their surface. One of those being crocodile, which is. version of heroin that's made from codeine that's extremely caustic and when you can't get heroin people will use it but it will turn their skin

it causes so much inflammation that thickens the skin makes it look like crocodile's skin that's where it gets its name but so we'll just talk about alcohol alcohol is a drug so don't put it under your eyelid

don't snort it up your nose and don't shove it up your ass. Just drink it. And drink responsibly if you're going to drink. And then that's it, really, to me. Smoking is going to always be more caustic, no matter in vaping is still, I have issues with turning something into a vapor and taking it into your lungs, although done with the proper drug delivery system, we're going to be using inhaled drugs to increase bioavailability. And increase onset of action and stuff like that. There may be an inhaled insulin

coming down the pike. What we have to determine is if you're going to do it every day in and out, in and out, in and out, that's one thing. If you just need to get something into somebody's system quickly, and you don't have time to do an IV, there are delivery systems that

will allow you, and these are experimental, I still haven't seen them hit the market, to give it to somebody in an inhaled form. And even nasal sprays like ketamine. Well, yeah, yeah. Right. Well, that's true. Yes, of course. But so when done properly, that can be something really effective. The question about inhaling medications, even in insulin, as a vapor is, does it cause any inflammation in the lungs? Because what you don't want to do is take it for 20 years and then end up with lung cancer. Yeah, lung cancer or pulmonary fibrosis or something like that. So still taking it orally is going to be the way to go. Anyway, all right.

This is a weird question here. Hey, Dr. Steve, it's Calvin from California. Hey, Calvin. I was wondering, they had that recall on jiff peanut butter. And it was recalled for salmonella. Yes. What if you boiled the jiff? Do you think it would kill the bacteria?

Yes. But can you imagine? Well, I've got, instead of taking it back to the store and getting another bottle or, you know, whatever, jar of jiff, I'm going to boil it. Can you imagine the stink? One of those thermophilic ones that would just really dig and get down with being so hot. Yeah, it's not, it's not, salmonella is not thermally stable. He would kill it, yes. A friend of mine had a guy come visit her, and he didn't think that Jiff was everywhere.

So he brought his own bottle of Jif. Well, you thought it was local? He brought his own bottle of Jif in the suitcase. Oh, my God. Oh, my word. And he told her that he did that? Yeah. Bless it.

Bless it. Bless it. Go on. Bless it. That's odd. Where was he from? If you think real hard, Steve, you'll get it. But we can't say the name.

Okay. Fair enough. Oh, oh, oh, oh, oh, okay. Yeah, it's hilarious and it's one of those things that is just going to have to remain a mystery to our listeners. But yes. Hey, you're talking about this show. Oh, that's okay. Yeah.

So, and then his mistake was, you know, I brought my own entire Jif. Just, you know, if you're going to, and well, he didn't know it was weird. That bizarre. I didn't figure you all up pure a peanut butter. A fear. We got this stuff called peanut butter where I come from. He's ass backwards. This is necessarily a medical question, but you all have a good.

opinion on things on it, get me your advice. Okay. I miss the Epianianney's show. Love your show. But what do you think about how's the water guy, these shoesbags? You're someone in a pool. It could be a guy or girl. How's the water?

What the fuck do you think? What the fuck do you think? I'm in the fucking water. It must be fucking terrible if I'm in it, right? How's the water? How's the water? How's the water? What do you think about that?

Anthony hated the tail. What do you got? They'll tell. This guy, Joe Martin would say, cobbler, cobbler, and he said, they need a cobbler to get my foot out. Okay, I know. This guy was on a chair. Yeah, you know, I'm not a comedian, and it's been established.

I'm not a funny person. But, you know, that is, I mean, just ignore them or say it's wet or, you know. Well, it's an interesting point. Or fuck around and find out or something. Would you say to somebody, how's the water? It is idiotic. What they're saying is, is the water cold? Do you perceive the water to be cold?

That's how I would ask someone if I wanted to. Then you would sound like a big nerd. Sure. Do you perceive the water to be cold? Well, and that's the thing, is so you go, how's the water? And that's what you're saying. It's like when we went to Star Wars land and they were selling these spherical bottles of Coke and I walked

up to the guy and I said how many credits for an orb of liquid refreshment? And he went that would be three credits. Okay, well, now I really, now I'm one of those guys. And the kids were like

covering their faces and just shaking their head and looking at the ground. Tacey was laughing. I thought it was funny. It was funny. Fuck all y'all. It was horrible. It was poor Cheaterns. All right. They're rotten.

Yes, they are rotten. Let's, we answered this one. I got a question for you. I'm in my mid-40s, and it seems like after I have either intercourse or rub one out, it seems like it takes about a half an hour or so. But it seems like it started to get a kind of a burning sensation, almost kind of like. This isn't the same question, but we're. We get this question very frequent. Plug in a way, and then it just gradually gets a little worse

and have to finally go in and sit on the toilet and kind of push it out, but not a whole lot comes out, but it seems to clear it up. This has happened on and off for, you know, 20 years. Yeah, and I hate that he's been suffering for 20 years because we had the answer to this on maybe like the third show we ever did back in 2007. Do you guys remember what this is? No. Neurethal spasm.

Give yourself a bill. Put it on a bored baby. Oh. You know, I've read a lot of shit this show. I've said a lot of shit this show, and I've not got one. Give yourself a bill. Damn it, no. You got a bell for saying you didn't get it.

All I have to do is bitch about it. Well, you got a bell for saying you didn't get any bell. Yes. No, you got one. She didn't got one earlier. Now you got two. It's three to two. Anyway, take your junk and dip it in warm, not hot water, and this will go away.

This is spasm of the urethra, and for whatever reason, just the warmth of the water. But not hot water, just warm water. If you have to have a little bowl or a glass or something, you can just dip. Leave it by your bed. Dip your junkle region in it, and it will completely go away. And it's mostly penis because it's the, you know, urethra is the problem. But anyway, all right. Thanks for Colin. Dr. Scott. You have any questions from the waiting room? Yeah, our old buddy Colin Carnes has a good one. Okay. He's talking about his

mama, sweet mom and having some hot burning pain in her feet so bad. In fact, she feels like she needs to put him in ice water. She's 66 years old and just was wondering if we had any ideas of what may have caused or made some treatments to consider. Sure. Well, you know the answer. Yeah, Mike, it sounds a whole lot like she's got some neuropathy in her feet. So a neuropathy is just nerve pain, nerve-related pain. It can be caused by a number of things. You can me run through them real quick? Yeah, a couple things.

It could be considered iatrogenic, so it could be secondary to medicines, chemotherapy agents, statin medications, cholesterol medications, and some others can actually cause neuropathies. Number one, number two, diabetes can cause neuropathy in feet. Number three, you can have a thing. your spinal cord called it's a stenosis. And there's a narrowing of the canal in the stenosis. And if it's on both sides, both feet, typically we'll think it's a stenosis. If it's just one side or the other, maybe it's something along that chain.

Maybe it's still in the back. Well, you could have a stenosis, but a different part of the... Right. And they're not shoot down both sides. Right, that's right. Well, you can have spinal stenosis, which is the canal. The middle of the canal, the simple part. And then you can have ferraminal stenosis, which is just a...

It means whole, basically, where the nerve root passes through. It comes out of spine. Then it'd be one side more than the other or one side solely. So, yeah. So she needs to get that checked out. I would recommend that her primary care see her for that and do a complete evaluation. They could do some neurologic tests just to see if she has hyperalgesia or allodinia, which are signs of a neuro-

hypersensitive. Neuropathic type syndrome where you do very light touches or something that's minimally painful where it's amplified. Or you get pain with very light touch that normally wouldn't cause pain. And then they can also do a test for sensitivity to touch

and they can see if maybe she's lost some sensitivity. And then there's also a test for a thing called proprioception, which is where you lose the ability to determine where joints are pointing and what position and space they're in. And that's all, all of that information is sent to the brain through nerves. And when the nerves are damaged, it can't get that information anymore. Yep.

And one of the unfortunate things about neuropathy is if you get primary, Merely numbness in the feet, you can get Charcot-Feed where the bones start to break because when you injure your foot, you don't favor it anymore and you just keep injuring it. Or you can get what she's got, which is you get this sort of tingling pain, which we call paristhesias, feels like pins and needles and stuff. Mine feels like if you imagine a pin cushion, but all the pins or the sharp points are sticking out. And then you take that pincushion, then rub it all over the top of my toes. That's what my neuropathy feels like when it's bad. And because of some nutritional supplements,

which are on the website at Dr.steve.com, if you can't find it, let me know because I'm redesigning it and it's in the middle of it right now. And some links have gotten lost. But let me know and I'll send you some info on some nutritional supplements. You can also go to stuff.com and just scroll down. I've got all the nutritional. supplements that with some data that, you know, none of it's great data. Nobody's doing, you know, multi-centered double-blind placebo-controlled studies on these things because they're not going to make any money off of it. Exactly.

That is one of the issues. I get it with medicine the way it is, you know, when it's being driven by profit. But that also gives us all kinds of great innovations, too. So it's a double-edged sword. But there is some data on these things. You can just go there. Stuff. Dr.steve.com and just look for the bottles of nutritional supplements.

And if I remember correctly, I put all the studies there as well. So, yeah. And I was going to say, too, the treatments for your mom's foot pain is really going to be dictated by what the end of the college is. You know, if it's a drug, sometimes stopping the drug will make it better. If it's a disease, sometimes a medication for disease. But if they're not for sure, you know, things like sometimes they'll do epidural, steroids into the spine

and it'll calm things down if it's a stinous. Again, depending on what it was. Sometimes the acupuncture helps sometimes. Sometimes massage. You know, there's a, there are a number of things that can help. A multifaceted approach.

It's pretty challenging. One of the tests that they could do to see where it's coming from is a thing called an electromagnet with a nerve conduction velocity. No. Do it last. Well, you do it if they can't figure it out.

But that will tell you if there's a nerve that's being compressed somewhere. It'll tell you if it's It's a polyneuropathy or a mono-neuropathy multiplex, which is, you know, a lot of diabetics will get that where you have a bunch of different single individual nerves that are all being damaged, but they're being damaged separately by the same insult. So anyway, yeah, and then let us know what they find because there's lots of treatments for it, too. Deloxetine is the drug of choice for neuropathic pain, and it is also sold as an antidepressant called. Symbalta, and it just has two different effects. You know, they're similar, but they're different, just like aspirin is good for an ankle sprain,

but also good to prevent heart attack and stroke. Deloxetine is good for neuropathic pain, but also for depression. So there you go. And then methadone is an opioid that sometimes if you have completely refractory and you can't stand it, and nothing has worked, you've tried gabapentin, and you've tried pre-gabal you've tried the deloxetine, you've tried everything else, then the very last resort would be methadone. And methadone is the only opioid on the market in the United States

that also attacks the root cause of neuropathic pain, which is the N-methyl deaspartate receptor. Don't worry about that. There won't be a test afterward. But it will antagonize that receptor, and that is responsible. for sending the signals of hyperalgesia to the brain that we've already talked about. All right.

Are you happy? All right. Let's do this one. This is a good one. Hey, Dr. Steve, Dr. Scott, Casey. How are you guys doing? Good, good. Hey, Lydia got her for a shot.

She's not here. So I've recently got one of these fitness trackers that, you know, also tracks your heart rate. Uh-oh. I've been wearing it to bed. And I've noticed almost every night, not every night, but almost every night. within an hour or two of falling asleep, my heart rate peaks to, you know, 160, which for me is about the same as it is when I'm, you know, at peak cardio, but it's just momentary. Yeah, he sent me a copy of what his watch is printing out, and he's got a normal sort of

hammock-shaped heart rate. You know, it should be higher in the, when you go to bed, then drop and then raise back up again in the evening, it should look sort of like a hammock. Gotcha. And his is doing that. And then right a little past the middle of that sleep cycle, he gets this huge spike up to like 170, and then it comes right back down again. Okay.

You know, and then it goes right back down to like the low 60s or 50s, which is where it is the rest of the night when I'm sleeping. Listening to your show, I think it might be one of these hypnotic-jerk episodes. Yeah, I don't think so. Which I didn't really know I had, and it's weird that I thought those happened, like, when you're first falling asleep. They are, which is why I don't think that's what this is. It seems to be around 1 a.m. in the morning, which for me is, like, two hours into sleeping. Yeah, I'm going to give him a bell, though.

Give yourself a bill? For knowing that that wasn't probably yet. Just, like I said, it's momentary, goes right back down. Yep. I don't think it's sleep apnea or anything like that. I feel well rested and awake in the morning, but just never knew. Well, is there anything to be concerned about? Do you think it's one of these hypnotic episodes?

Yeah. So you could not have sleep apnea, but still have sleep, deranged breathing, you know? And if you do, these kinds of episodes are associated with that. So when you get up into the 170s, you're thinking arrhythmia. and arrhythmia just being, just meaning a rhythm other than a normal rhythm. And it's all, on him, it's always self, you know, limiting. It happens and it comes right back to normal. They did a sleep heart health study where they looked at people for paroxysmal atrial fibrillation.

That means irregular heartbeat with, and it can have a rapid heart rhythm that just, comes and goes. It's not there all the time. And what they found was that these episodes were associated with disordered breathing in the middle of the night. So a couple of things I would want to know is, number one, is this associated with any sleep face? Because, you know, that watch you have will tell you if you're in REM sleep or if you're in deep sleep when this happens. Also, of the watches will look at your oxygen level, and that's not very accurate, but it's accurate enough. Is it dropping right when this happens, and then your heart rate goes up? Because that could be evidence for sleep deranged breathing or whatever, the SDB. So sleep disordered

breathing. So I wouldn't rely on that, though. What I would do is two things. And one, they could combine into one. You could get a Holter monitor and a holder monitor is a thing that you wear and you would wear, in his case, he would wear it to bed and it will record 100% of his heart rhythm episodes, you know, every heartbeat. And it gets like an EKG tracing. And then if it happens, they can say, yeah, this is atrial fibrillation. It's atrial flutter. It is ventricular, something, this, that, and the other, you know, superventricular tachycardia, whatever. And if it needs to be treated, fine. If it doesn't, if it's considered benign and self-limited, then they'll just leave it alone.

The way that they could combine all of these things would be to do a sleep study. Okay. You know, a polysumogram, and you lay down in the place at night, and they put an EKG on you, and they put all kinds of different monitors on you, a spring around your chest to determine when you're breathing and when you're not breathing, and they monitor you every which way up and down, even EEG they can do.

And you sleep and you hope that one of these things happens while they're watching you, and then they can determine what it is. The big thing that increases the odds, of course, is the frequency of this. If you're noticing this every single night, then the odds are they'll be able to catch it doing one of those two things. Okay.

Okay. So that's what I would do. All right. But I wouldn't dick around with it. You seem fine. There are some weird conditions that can cause nocturnal arrhythmias that aren't fine. But if you catch it now, they can take care of it. Treatable with medication.

So just go get it checked out and then let us know what they find, okay? All right. Got anything else? I believe I'll do her. Tacey? Nope. Well, all right. Well, maybe I do have something like that.

No, you better not. It's jam time, baby. Is it? We go jam a little bit at the end? For people who don't know what we're talking about. If you hang out with us in the YouTube, you get to be. Yeah, you get to be tortured by us doing music afterward. And rather than learning songs and then playing them for our audience after we've figured out how to play them,

what we do instead is we learn them. while people are watching us, and then we practice them and then play them well for each other. It's the stupidest, most ass-backward thing. It's idiotic. Yes, it's idiotic. So we should probably do a concert for them at some point, so they'll understand that we actually do and how to play some songs, okay. But what we're going to be doing today, Tason, you may not want to go downstairs is we're going to be doing. I'm good.

We're going to be learning Bow Daddy Harris's. No, that's good. Queen of my heart. Oh, yeah. Yep. And so I spent an evening figuring out the structure of this song, transcribing it, and the longest thing was trying to figure out what the words were. And then I asked him, he said, well, just Google it.

So I googled it, and there's a place where the lyrics are after two hours of trying to listen to this. Well, they didn't know that? Yes, but they're not right. They're not right. No, they're not right. They're wrong, too? He put them up there, I think, and they're not right. Oh, my Lord.

I'm telling you, if there was any market for a show where you would go through a Bow Daddy Harris video and compare it to the lyrics that he put up there, I would, by God, do it because it'd be hilarious, but it's not right. Anyway, Bow Daddy, I love it. We love him. So that's what we're going to do. Anyway, so we'll do that. And if we get anything, if you want to actually. see me do this live, come to dabble, I guess that's what it's called, I don't know what it's

called, the event in Rochester, February 3rd, there's going to be a comedy event, there's going to be live podcasts done, and there's going to be an award ceremony in February 3rd through the 5th, go to WATP Live.com. We're going to have a table and some merchandise there, and we'll just say howdy-do, and, you know, heck I'll buy you a beer or whatever if you come say hello as long as Better not. Why? You can't be buying everybody beer. Why can't I not?

Because we... Do you know how many I bought last time when I said that? Oh, I don't even want to know. It was like six. It was not big deal. Okay, all right. That'd be like one night. That would be like one night out with me.

Yeah, there you go. There you go. See, he saves money. Okay. He's not taking me. It's just, it's fine. Mm-hmm. It's fine.

It's fine. And Tracy's all worried because she's not working that we don't have any money. And it's like I can buy a couple of people. some beers if they get most people won't come up and you know and even say hello i had one guy that said i was you know too nervous to come talk to you and it's like oh come on and serious it's me it's not i mean i don't even be too nervous i i wasn't too nervous to go talk to harlan alison or ray bradbury at dragon con and those were two of my here true heroes and there are true heroes to a lot of people don't absolutely don't be nervous come to talk to my dumb ass

So, Sean and Amanda, I'll tell you. All right. Anything else? Is that it? That's it. All right. Thanks to everyone who's made this show happen over the years. Listen to our Sirius X-X-M show on the Faction Talk channel. CirrusXM Channel 103, Saturdays at 7 p.m. Eastern, Sunday at 6 p.m. Eastern on-demand.

And other times at Jim, of course, pleasure. Oh, by the way, get tickets at WATP.Live.com. I'm a dumbass. I'm the worst plugger that ever lived. Right, Tais? Many thanks to our listeners, who's voice. mail and topic ideas make this job very easy. Go to our website at dr. steve.com for schedules, podcasts, and other crap.

Don't forget Dr. Scott's website at simply herbal stop. Now, until next time, check your stupid nuts for lumps, quit smoking, get off your asses, get some exercise. We'll see you in one week for the next edition of Weird Medicine. Thank you. Thank you.