Weird Medicine: The Podcast - 554 - Killer Herpes

Episode Date: June 25, 2023

NOTE TO LISTENERS: Please forgive the recent delays in episodes. We are in the process of transferring to another RSS feed and having some serious technical difficulties. When we get this done, all will be explained. Thank you for your patience! =============================================== Dr Steve, Dr Scott, DNP Carissa, and Tacie discuss: bronchiectasis Live stream: coming soon! bariatric surgery Oral fecal transplant therapy (yuck) Death by Herpes incontinence Travel vaccines Varicositities Please visit: stuff.doctorsteve.com (for all your online shopping needs!) ed.doctorsteve.com (for your discount on the Phoenix device for erectile dysfunction) simplyherbals.net/cbd-sinus-rinse (the best he's ever made. Seriously.) RIGHT NOW GET A NEW DISCOUNT ON THE ROADIE 3 ROBOTIC TUNER! roadie.doctorsteve.com (the greatest gift for a guitarist or bassist! The robotic tuner!) see it here: stuff.doctorsteve.com/#roadie Also don't forget: Cameo.com/weirdmedicine (Book your old pal right now while he’s still cheap! "FLUID!") 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

Why was the garden so stinky? Because the gardener pooped his plants. What happened to the letter that fell off the billboard? Nothing. It's just a little dirt e. your dad is so poetic he can rhyme any word with orange if you just read the bio for dr steve host of weird on serious xm 103 and made popular by two really comedy shows Opian 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 Tobolivir stripping from my nose. I've got the leprosy of the heartbell, exacerbating my incredible 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. my ailments the health equivalent to citizen cane And if I don't get it now in the tablet I think I'm doing then I'll have to go insane I want to requiem for my disease So I'm paging Dr. Steve

From the world famous Cardiff Electric Network Studios It's weird medicine The first and still only uncensored medical show In the History of Broadcast Radio, now a podcast I'm Dr. Steve with my little panel Dr. Scott, the traditional Chinese medicine provider gives me street cred with whack

I'll turn into medicine assholes. Hello, Dr. Scott. Hey, Dr. Steve. And we got Tacey, my partner in all things. 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 have a question, you're embarrassed to take to a regular medical provider.

If you can't find an answer anywhere else, give us a call 347, 766433. That's 347. Poo-Head. Follow us on Twitter at Weird Medicine or at D.R. Scott W.M. Visit our website at Dr.S.C. 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 this show without talking it over with your

health care provider. Very good. Please don't forget stuff.com. That's stuff.com. That's stuff dot, Dr. Steve.com. For all your Amazon needs, just click through or to Amazon, or you can just scroll down and buy stuff that we talk about on the show all the time. If you're having erectile dysfunction, you've tried the sylidinophils, and they make you feel weird, or you get the nasal congestion or blue vision or something, or you've been told you can't take it because you're on medication, that doesn't react with it well. Consider going to ed.com and check out the Phoenix acoustic shockwave device clinically demonstrated lots of good data on these things to improve erectile dysfunction. And it ain't cheap, but they do have a payment plan.

And if you go to ed.com, you get a discount as well. It's about three months. You do it two nights a week for a month, and then you take a month off, and then you do it two nights a week for another month, and then you're kind of done. And so check that out, ed.orgasteeb.com. And then don't forget Dr. Scott's website at simplyerbils.net. That's simplyerbils.net, where he has the greatest nasal spray in the world, the CBD sinus rents from Simply Herbils.

And you've got some in stock. Oh, yeah. Because I need to order some myself. We've got some. And then check us out at patreon.com slash weird medicine. We have lots of shows that are completely different than the Sirius XM or the podcast. And I'm wanting to do a live stream. We'll talk about it in a little bit.

And then sort of different kind of live stream for us. And then check out cameo.com slash weird medicine. I had one the other day where they wanted to ask a question that they'd try. tried to get on the air, and I said, well, you don't have to pay for that. So I just waited until it expired and did it, and then did it for free. But, yeah, don't make me do all of those, but I did that on that one. It's so dirt cheap. It's ridiculous, but it's fun to do.

And I like to say fluid to your mama and all kinds of stuff like that. So, all right. All right. Camio.com slash weird medicine. Yeah, so the ongoing saga of my stupid lung, you know, I've, had people in the fluid family. Those are the people who listen on YouTube when we record live, know that there were a couple shows back where I had to stop the show three or four times just to cough and then come back.

And it turned out a pneumonia, but I also have a thing called bronchiectasis, where the airways become unnaturally enlarged. And the reason that mine were unnaturally enlarged was because of COVID. and I have scarred tissue in my lung in one part of my lung, just in the left lower quadrant of, you know, left lower lobe of one of my lungs. Well, the left lung, duh, hence the name left lung. But anyway, I have scarred tissue there, and as scar tissue contracts, it shrinks, right? Well, it's shrinking in a bunch of different directions,

so it's pulling open these microscopic airways, and now they are macroscopic. you can see them on the, I might put one of these pictures up on Instagram just so people can see what I'm talking about, but you could see the tubes where they're supposed to be microscopic now, they're very visible, and the problem is the body can't clear those out. Normally you've got little cilia and little cells in there that keep everything nice and clean, all pushing in the right direction, getting mucus and dust and stupid shit out of there. And my lung in that part can't do that anymore. And so that was why, right before we went to, on vacation, you and our youngest son got to fly, and I drove 13 hours because they wouldn't let me on the plane.

I was hacking so much. Well, so I finally saw a cardiothoracic surgeon. He said, let's just, we're going to, you know, take it easy. But he agrees that if that thing gets infected with something bad, that'll be the, you know, that'll be very difficult to get rid of it and may be the end of me. So I want to have it removed, but they're going to go down and look with a bronchoscopy, which is basically, if you've ever had a colonoscopy, this is the same thing, except it's a much thinner tube, and they put it down into your lungs and look around. And what they're looking for is a foreign body.

Maybe I, when I was hooping and coughing during COVID, that I actually inhaled something and it got lodged in there. It's possible. And all this coughing's been me. my body trying to get rid of that damn thing. I'm going to be very pissed if it's a colonel of Orville Redenbockers that's stuck in there. There will be something said about that. We need to get on it quick. Yeah, yeah.

So we're getting on it. I've been on antibiotics for a month, so my cough is quite a bit better. Not completely gone, but better. But they're going to do it with a robot. So I kind of want to have it done now because the surgeon's in a different room. they prep you and he said when you go in with your hands if you like so you make an incision around the rib cage right between the ribs and then they put these spreaders in and spread the ribs apart and when they do that they crush the lower the nerve on the lower ribs so you end up

with this thing called post thoracotomy pain syndrome it's just a horrible nerve pain and he said even then when you get in there you can only do your wrists up and down But the robot can get in there and it can do 360 degrees and it can do all kinds of stuff that you can't do otherwise with just a tiny little incision. Wow. Yeah. I don't know how the hell they do it. They're in the other room. They've got like virtual reality glasses on and they're just manipulating this thing with their fingers and it does the surgery.

It's crazy. It is insane, isn't it? Yeah. So I'm actually kind of, I said, can we videotape that? He said, oh, yeah, hell yeah, you can. I said, I'm putting that on my fucking YouTube channel. Oh, God. Oh, God.

It'll be good. How soon as this? Is it any time soon? I'd be like June, if we do it. We're recording this in late April, so a couple of months. Good. And maybe later in that, I think it's the end of June. I have to have the next test.

And then so it'd probably be late July or early on. August when they do that. But yeah, I'll post that. I'll post the hell out of that. Can we not do it sooner? Nope. I mean, you know, I just don't want you getting sick. Yeah, I don't either.

Well, if I get sick, they'll do it sooner. Okay. All right. All right. So we have no... So that's the update on that. And I just think the robot thing is cool. Mm-hmm.

Yeah, I just wish you weren't a recipient of it. I like them robots, don't you know. I don't know why Myrtle would say that. I don't think I've ever heard anybody so excited about having a surgery. I mean, come on. It's just a chunk of a lot. Yeah, I understand if it was like a colonoscopy and getting excited. But, you know.

Yeah. I do get excited about my colonoscopies. You can brag about how you don't. Yeah. No anesthesia. That's right. Just pull up your drawers and move on. That's right.

Well, that's because you're an idiot. Hey, no, wait a minute. Yeah. And we can fix that post-thoracotomy pain syndrome, too. Oh, yeah. Well, I treat it with Botox. So if you know anybody that's had this done, and they've done the acupuncture and they've done all the things, and nothing works, botulinum toxin is, I actually published an article about it. We put two units per centimeter along the scar, and people think of Botox is just relaxing muscles.

It also decreases the transmission of a thing called substance P from nerve endings to the brain. And when you do that, it doesn't transmit pain signals anymore. And it'll work for about four months. And then you do it two or three times and then you don't have to do it anymore because it depletes all the substance P. And the body just says, well, I give up. I'm not making this stuff here anymore. So you can still feel pain other places, but in that area you won't feel pain anymore. So that's a pretty neat treatment for that.

Oh, heck, yeah. So if you know anybody that went through this and is having pain in their rib cage because they had the rib spread because of a low, you know, they were doing a lobectomy or they were doing this, that, or the other. We really do have, it is allergy season in a weird medicine studio. Tacey's hackin, Dr. Scott's hacking. I'm the only one not coughing today. What the hell's going on?

Keep it up. Two out of three. Bad. Hey, I have a letter here from someone. Oh, and by the way, I'm going to start doing, and I think I'll do this solo, but we'll see. I want to do the first one by myself just to see how chaotic it is, and then I can loop everybody else in. But a live stream, like Cardiff and Vinny are doing. By the way, I hear that Mr. Cardiff, the owner of our network, has COVID-19. He's like the last person on earth to get it for the first time. But anyway,

we hope he's okay. And I haven't heard back from him. I asked if you wanted to be on the show today. But, you know, Vinny and Cardiff do a show called Subreddit Surfing, which is really a fun show. On Monday, they get on and they go to a Reddit, subreddit,

and find the craziest stuff they can find. And they'll say, if anybody on this sub wants to get on with us, they put the link on their stream yard. And then people can come in, they had one, there's one subreddit for people that go dumpster diving. And they had a woman get on there and say, yeah, look at all this stuff. And, you know, she talked about all this food and things that she's gotten from going into the dumpsters and stuff at night.

And, you know, it was really interesting. And I think that that show, something's going to happen on that show that's going to make the news someday with some subreddit, you know, when they get on there and brigading their show. But I thought that would be kind of fun to put. our stream yard link out on Twitter and on our Reddit and then let just people join in and then they can ask questions and we can do a show just for YouTube that is live question and answers which we've not been doing on the radio

show or the podcast for a long time and I think that might be kind of fun it'll get our viewer numbers up too so we can get them super chats super chats what does Reddit do Reddit is like a bulletin board where you've just a million different topics Like I'm reading a book by William Gibson right now Called The Peripheral or they made a TV show out of it

And there's a subreddit for that Just subreddit the peripheral for the TV show And then if you're interested in Dan Simmons Hyperion There's a subreddit for that There's a subreddit for kombucha that I'm very active in Just stuff like that There's just every effing thing you can think of

plus a bunch of shit that you never would ever think of like am I the asshole that's a good one that is a good one that's on Facebook too oh is it yeah where people go hey this happened then this happened and I said this am I the asshole and they're always expecting for people to say no of course you're not the asshole but a lot of times they are the and stuff like that and there's some really kind of

really off out kilter subredits too so it'd be kind of fun to do that and uh we could find a medicine subreddit and throw it on there even but i'd rather have people that know who we are or you know or adjacent anyway people if people want to fuck with us i'd rather it be someone that's a fan of of you know someone in this universe even you know if it's stuttering john or or whoever if they want to get in there and mess with us you know what i mean so anyway all right all right okay so i have this letter it says uh so i'm morbidly obese for We don't use that term anymore so much, but, okay, you said it.

Five foot five, three hundred and twenty pounds. Yeah, me. Would you calculate as BMI for us, Dr. Scott, five, five. And so that's, what, 65 inches and 320 pounds? Any who, after several pro visits, primary care doc, endocrinologist, my A1, I don't know what that would meant. my A1C is 6.1, cholesterol is good, testosterone is low. So I saw a weight management doctor today. After some history, their first suggestion was bariatric surgery.

Okay, so they immediately went straight to bariatric surgery. So what was his BMI? Well, how wait, 350? Yeah. Yeah, 55.350. Gotcha. 58.2. Okay, so that's a pretty high BMI.

Yeah. So after some history, their first suggestion was bariatric surgery that, as my tackles up, questioning the motive. Maybe I'm just an asshole. No, I think you can always question, you should be skeptical always. And by skeptical, I don't mean, you know, being cynical. It's just you always want to inquire and make sure that there's critical, clear thinking going on. And you can always ask, well, what's your reason for that? Sure.

Aren't you supposed to prove that you can lose? a little bit of weight on your own? Well, yes, so they may have what they really may have wanted to do was get this person into their bariatric surgery program, which is where they do psychological treatment

and they do dietary management in exactly what Tacey said and actually give myself a bill. No! To get, to do some you've got to do some weight loss first to show that you can sustain it and that you're

serious about it. Now, the way that they do it on that 600-pound life isn't the way every single place works. But, yeah, that would be the thing. So I'm wondering if what this provider said was, hey, we want to get you into our bariatric surgery program, not necessarily, hey, let's schedule it for next week. I'm guessing. But he or she can call back. I stated that was off the table. I asked what other options were available, and we're going with semi-glutide.

A consult with a dietitian, that seems reasonable. The side effects of this medication do concern me. Tasey, you want to talk a little bit about semi-glutine? Nozia, you cannot eat too much. You have to listen to your body. You need to eat the right things. Like what? What right things would those be?

You know, the things they tell you to eat. Okay, okay, fair. Like carrots and shit. You don't need to be having donuts. Oh, come on. With a deal breaker. I know. So, I mean, you know, but it affects everybody differently.

Like, I cannot, I've taken it before for PCOS, and now they're not approving it because there's a shortage for PCOS, even though. Wagovi is, I mean, semi-glutide is indicated for weight loss now, though. Yeah, Wagovi is a huge dose of semaglutide. I see. Okay, got it. So I don't, we don't know.

We don't... Give thyself a bell. That was a good one. I'll give you that. We don't know what semi-glutide they put him on. Yeah, right. Well, it belongs to this class of medications known as glucagon like peptide 1 receptor antagonists or GLP1. I'll tell you what, there's a drug called Manjaro that's going to change the world.

Yep. It's just got to get that weight loss indication. It's in the same class, right? It's a little bit different, and I can't really explain how. My friend used to sell it, and I can't explain how, but I was on it for a month and lost like 17 pounds. Okay. Well, Manjaro is terseppatide. Yes. But it's like, it's not exactly.

Okay. There's a little bit of something different about it. I don't know if you would even say it's a GLP 1. Well, that's what I want to know. We're going to know in the next little bit. But it does slow the emptying of the stomach, so it basically gives you a feeling of early satiety. And you feel full longer. It suppresses appetite by slowing hunger signals into the brain.

Let's see here. I do want to see what kind of, what class of drug class is Manjaro. Okay. It's a dual glucose-dependent insulinotropic polypeptide and glucagon-like peptide receptor antagonist. So it has GLP-1 activity, but also GIP-end activity. Okay. I knew there was something a little bit different. It's the first medication in the GIP-G-L-P-1 class.

So I was reading Facebook today. Oh, that good medical journal. And there was an argument about Ozympic on there and Manjaro and how Manjaro was different or not different. It is different, but I didn't get involved because, you know, I knew it was different. I just didn't know how. And, you know, you can't argue with Facebook. You will lose no matter what. I lost an argument about Disney.

Well, Disney won. That was my first lesson. And the second lesson was, in the last lesson, was when I told, they were talking about how physicians make money off the prescriptions they write. That is not true. And you as a physician and me as a pharmaceutical rep, I know this for a fact. However, I lost the argument because it just went on for. And my last line to this lady was just go get your effing flu shot. And I just was...

This is what you were trying to say. There's an old saying in Tennessee. I know it's in Texas. It's probably in Tennessee that says, fool me once. Shame on you. You fool me. We can't get fooled again. I love it.

I love it. I love it. That was one of my favorite things he ever said. And was it, well, you could see it when he was saying it. He was like, uh-oh. I did that last night. I was giving a talk in a place in Southwest Virginia about safe opioid prescribing. And I was like, oh, I got this really cool pearl to tell you about this drug.

And then I sat there and I pulled a GW. You could see the look on his face where he said, there's this old saying. And you can see he's temporizing in Tennessee, and we got it in Texas too home when it had come to him. And I was like, nope, having a senior moment. I got to move on. So I went to the next slide. But that's absolutely not true.

It's just not true. But this manjaro, I mean, there are crazy amounts of weight loss for people. Yeah. And, I mean, it's just going to change the world. Now, it's going to be expensive, but you can get this stuff. You can get the Ozympic and the Manjaro compounded at certain... Compounding pharmacies and certain physicians' offices that are selling it. Yeah.

So, I mean, it's a little bit different, and I don't know how it's legal. Well, it's legal. I'll tell you how it's legal. They have to provide it to you in a different vehicle. For example, when sildenafil, aka the active ingredient in Viagra, was still on patent, they could still sell it at a compounding pharmacy for a tenth of the price if they compounded it into a sublingual lozange, for example. Because there's no sublingual lozange available. So if they're giving it to you, and we'd have to have a compounding pharmacist call in on this.

changing the concentration maybe might do it or a different vehicle but if they're both injections I have the same concern well she said she thought it was because they may add vitamin B6 yeah okay to just do that to everything

decrease the nausea because if you eat too much on this stuff you well that's the whole point right it's because it gives you gastroporesis right which is I mean what would you want to mix those

Give thyself a bell. Oh, it's two to one. Look at him. No, that's right. Gastroporesis is just delayed gastric emptying, and that would be pathologic, delayed gastric. You know, diabetics, or people with diabetes, we're not supposed to say diabetics anymore. People with diabetes can sometimes kill the nerves to their stomach, and it won't contract anymore. It just sits there like a sack.

Right. And they very often will get sick to their stomach, may even vomit. They might vomit. Vomik. or they'll just feel full all the time and lose weight, which is not a good thing when you're type 1 diabetes. I take Ozimic and I think about something gross, I gag. So, I mean, it's, but it does great for a lot of people.

Yeah. Well, okay, so he said the side effects of this medication do concern me. Also, they suggested clinical meal replacement shakes and that they were different than protein shakes and geared toward weight loss overbuilding muscle mass. overbuilding muscle max mass they sell these two of course they do did I mention they sell these two okay says I was about 285 in 2016 I was about 210 pounds my lowest feeling great and looking good in 2018

had plantar issues crept in started the slippery slope Yeah, and then we moved and other things happened. I know I was in my best shape. I was weightlifting, bodybuilding in fourth year of medical school. And then I got epididymitis from lifting. And then I became an intern and didn't have as much time and I couldn't lift anymore because of the pain and my nuts. Epidididymitis for those is inflammation of the top part of the testicle where this, a bunch of collection of tubules

called the epididymus mature sperm from the testicle and then transmits it to the vasdeferins to get into the body and it hurts like hell if it just feels like you're getting kicked in the nuts the whole time and so I just deflated and then I started gaining weight

and stuff so I understand where he's coming from on this so he said my questions are and your opinion is this reasonable am I just being an ass if you ask that probably there may be some element of that if I have to ask somebody when does I be in an ass?

Well, yeah, you probably were a little bit. But no, I think that you are appropriately questioning the idea of going straight to surgery, but I'm going to bet that they have a process wherein you take medication,

you lose weight, you do diet, you do psychology, and you do all that. And at the very end of the line, that's when they mess with your anatomy. Yeah, they should have Explain that.

Yes, and they should have explained that to him. If he feels like they were giving him the bum rush and just trying to sell him protein shakes and stuff at a huge profit, you can go somewhere else. There are other bariatric surgeons in the world. And a university program might be something or someone that only does that. Just ask around. The people in your area will know who does good bariatric surgery because they know. But anyway, yeah, last resort is mess with your anatomy. Now, I have seen that the GI guys have this thing now

where they take an endoscope and they stick it down into your stomach and then they inflate this balloon. Yes, yes. And what that does basically is just make you full all the time. And it's supposed to, I don't know what kind of results they're getting from that. Well, I asked one of the physicians that does it in our area. Yeah. He said, because I was like,

well, don't you do that to me? He was like he wouldn't like it. Yeah. Well, if it's who I think it is, he should have done it to himself. Am I right? Yes. Yeah, okay.

Okay. That's why he said that. Okay, but anyway, all right. Very good. Well, listen, good luck with your weight loss journey. Hope you get back to 210. That'd be awesome. Stick to it, Dave.

However, you've got to do it. All right. Stacey DeLouch was on Jim and Sam. Well, actually, he said, sent them a bunch of Bucky stuff. I'm not going to play it, but I will put it on our website, and the snippet is pretty funny. They were just giving him down the road. You know, if you give, send them a gift, they're just going to shit.

They're just going to shit on you. Shit on you. Terrible, terrible people. Have you guys been in one of those buckies? No. Oh, my God. They're unbelievable. They're amazing.

It's like Disney World. I'm telling you. The one in Pigeon Forge, I drove by it this week, and I've never seen a gas station that bit before. It's a truck stop? No, no truck's allowed. Oh, what? Nope. Oh, no, I'm not going there.

Do you go there to eat? If our brothers and sisters are in the trucking industry. I think they have a dance hall. I think they've got a Ferris wheel. I mean, there were like 50 gas stations. Literally, all cars. I mean, that was 50, maybe 100. I mean, it's crazy.

It's the craziest thing. And this wasn't even open yet. Disney World for chocolate-covered pecan. Exactly. Yeah. It's a damnedest thing I've ever seen it. It's nuts. I have never seen it.

anything like it. And if we ever drive by one that's open, we have to go in. We stopped at one on the way to Nashville. There's one in Cookville, or not Crossville, rather Crossville. No one cares. But anyway, stop that. No, no, no. Talk about it. Talk about it. No, I'm saying they don't care where it was. But it was Cookville is Crossville. Well, no, wait a minute. It's on the Merfer and Burr's Highway. I saw that one, Scott. I know what you're talking about. It was right there, L. Watt Motors on the Merford Highway. If anybody gets that reference, email me. But anyway, go ahead. It was incredible. Really?

Yeah. And I was like, why are we stopping this stupid place? And then you were like, oh, my God. Apparently their brisket sandwiches are to die for. I mean, it's... Did you buy anything when you were in there, Scott? Oh, let's see, we got the covered pecan, you know, the sugar covered pecans, of course. I'll make those for you.

And some... Yeah, we did have got a couple things. Yeah. But it was funny. It was just like going into candy store when your kids. You're like, this is sensitive. Three overload at its greatest. Yeah.

Okay. Oh, my God. They've even got a little mascot that you can get your picture taken with. It's a squirrel or something. It's like a Disney character. It's like, yeah. What is bucky? Chipmunk.

Is it a chipmunk? Is it? Or a beaver? I'm not sure. Maybe it's a beaver. He's a big teeth. It's hilarious. But it's a party.

It's one of them. Hey, listen, it's a party in a convenience store. And I think it's going to take over the world too. I mean, there should be one every 10 exits. Do you remember when you used to go down to Florida and you'd see south of the border? You know, you're just, you're five miles from south of the border. And they were trying to do that sort of same thing, right? It's just a big place with chotchkes and knick-knacks and shit that you could buy.

Well, you ain't seen nothing yet. I'll tell you. All right. It's incredible. Well, I'll check it out. I can't wait. All right. Here we go.

Number one thing. Don't take advice from some asshole on the radio. All right. And Dr. Scott be looking out for. questions from the fluid family All of them. All four. Here's one on artificial sweeteners. Are we not having

Time of Topics? Oh, I'm sorry. Oh, yeah. Oh, yeah. It looks for Tacey's Topic, though. All right. Because Scott sent me a good article. It's Tacey's Time of Topics. It's really Scott, too. The time for Tacey to discuss topics of the day.

Not to be confused with Topic Time with Harrison Young, which is copyrighted by Harrison Young and Area 58 Public Access. And now, here's Tacey. Just talking over your intro. I don't care. Okay, fair enough.

Whatever. The first pill for fecal transplants wins FDA approval. Ooh. There you go. This pill is made from healthy bacteria found in human waste to fight dangerous gut infections. Okay, so are these dehydrated? Well, if you would let me read. Okay, I'll go fuck right.

Therapeutics and provides a simpler tested version of stool-based procedures that some medical specialist have used for more than a decade. Yeah. It's for adults 18 and up who risk repeat infections of, okay, you'll have to help me say this Clostridium difficile or C-Diff. Yeah, C-Diff. Which is a bacteria that can cause severe nausea cramping and diarrhea. And it can be life-threatening and it can kill you if you're, you know, compromise, particularly. And Clostridium difficile has sort of a hospital version and a community version. Yes. And it sucks. It's very dangerous when it happens over and over again on you. And it kills 15,000 and 30,000 people a year. So antibiotics can kill it, but they also

destroy the good bacteria, leaving it susceptible for future infections. Well, you have to take metronidazol if it's susceptible to that. Metronidazol is an antibiotic that's pretty rough. You cannot drink alcohol with it or because it will make you vomic. Yeah, it'll make you plush and volmick. And it will cause, it's like antebuse. Like what you could, we used to give to people with alcoholism to prevent them from drinking if they took it every day and they drank it and make them sick. Right.

Well, this same reaction happens with metronidazol. and so you absolutely can't. I've been on metronidazole for a month now. Of course, I really haven't been drinking for the last five months, but if I want it to, I can't because of this stuff. But then if that doesn't work, you have to take oral vancomycin. Now, listen, if anybody's out there, I'm going to give you a tip and you're going to circumvent Big Pharma with this, okay?

Ooh, big pharma. Okay, so oral vancomycin, is very expensive, the pills, crazy expensive, at least it was. You could look up the cost of it right now. It was extremely prohibitive, but IV vancomycin is very inexpensive. So you can just get the IV solution and take the same milligram amount by mouth. Just don't do it IV. Right.

Do it by mouth because you don't want to do it intravenously. We're trying to kill bacteria inside the surface of the gut. So doing an IV really won't help you very much. much. But you can do that for like 10 bucks. Wow. So, yeah, I'll look up, while you're talking, Tacey, I'll look up the cost of income. Yeah, don't pay attention to me. New capsule approved for patients who have already gotten antibiotic treatment. More than 10 years ago, doctors began having success with fecal transplants by using stool from a healthy donor. The first pharma grade version was

approved last year by faring pharma, but that one needs to be delivered via the rectum. Yes. So Saris, and I don't know if I'm saying this right or not, Pharma, S-E-R-E-S, makes this new version, and the brand name is, I don't know if I'm saying this right or not. Say it. Vost, V-O-W-S-T. What a stupid-ass name. You have to these days. Four daily caps taken for three days.

Stool banks will stay open or are going to try to stay open for children, etc., who aren't eligible for the FDA treatment. Standard stool treatment costs less than $1,700. The price of VALS has not been disclosed at this time. The FDA warns that VALS may contain food allergens, which makes sense. It has shit in it. What are they worried about? Treatment approved based on...

By the way, this shit pill might have food allergies in it. I mean, I know. It has live bacteria, by the way. Treatment approved based on 180. patient study where 88% of patients did not experience reinfection compared to 60% who did get re-infected after dummy pills. Dummy pills? Yeah.

Oh, I don't know where to go. Side effects include abdominal swelling, constipation, and diarrhea associated press. This is, Vowse contains live bacteria manufactured from human fecal matter that's been don't by qualified individuals. I do not understand why they have to do it this way. Why can't they just culture the bacteria they want and then put it in, you know, and then put it in something. I don't know, but it sounds like a job to me.

Yeah, just shitting in a bucket and getting paid for it. I mean, you know, maybe something I could consider. There you go. Story topic two. Oh, all right. It's a very short one. We're on a roll. Go ahead.

Okay. Two mothers who died with herpes most likely exposed to infection in surgery. Ooh. These are new mothers. Coronators, coroners are investigating after the same OB conducted their C-sections. And did that OB have herpes? No, that's interesting because it could have been a droplet infection or a Whitlow, which is a herpes infection of the finger. Yeah, that used to be a quiz on this show, is what do you call herpes of the finger,

and that was one of GVACs, things he could never remember through the word of Repetic Whitlow. He finally got it. The guy was double-gloved. He was scrubbed. Mass. No Whitlow. History does not prevent a covert

Whitlow having been the source. It does. It decreases the possibility but doesn't remove it. They can test that doctor, and if the surgeon doesn't have antibodies for herpes, it wasn't the surgeon. Now, it could have been, there's lots of people.

It could have been lots of other people. Lots of other people in the surgery suite that also that touch things inside. So, you know, they're trying to go for the big deep pocket, it sounds like. Yeah. Well, this happened five years ago, so they're still looking at it. The risk of dying from herpes and pregnancy is one in 3.2 million. Oh, my word. And they had two happen just within a very short period of time in the same area with the same OB.

Super herpes? It didn't say super herpes. It just said herpes. It sounds like super herpes to me. Well, it does to me too because it killed them. So that is... That's a bad deal. Damn.

Time of topic. Hey, good job. Very good. All right. Harken to thine inner voice and give thyself a bell. That's three to one, chief. Uh-huh. Be strong and true.

That's a full one. Do you hear that? Yeah. That was a good one. Well, you did your homework. You deserve it. And then look at this. He gave me the homework.

That's right. Look at this medical journalism. Voust is set to joust in a boke. Come on. Hey, you know what? If you're looking for a good pharma job and you don't mind traveling, that might be a good one to take. That would be a good one. Here, take, here's some shit pills.

Let me leave you some samples. Because I thought, hey, maybe I couldn't. And then I was like. Oh, wait a minute. No. Wait a minute. Who makes this? It says here, it's Nestle. Yeah, Nestle is going to help co-promote it.

It's like Nestle. It's Sarah's pharmaceuticals, but Nestle is involved somehow. Oh, no. Either Nestle bought them or did something with it, but I did not find that pertinent to the situation. Nestle Health Science already has gastroenterology sales force. Okay, so they're going to sell it for them. But can you imagine here comes the Nestle's truck and out comes the sales rep with their turd pills?

I never met a Nestle rep before. No, me either. That would be something to be fun to rep for, I would think. I mean, you'd have half the damn country. Yeah, that's a truth. Anyway. Yep. Well, all right, that was a good one.

Good one, Tase. All right. Thank you, Scott. What do you mean, Scott? He sent me the first article. He sends me this stuff. Okay, fair. The second one I came up with, Homo.

All right, Jesus. I'm going to talk about it some more. Hey, Dr. Stee, this is Matt from Connecticut. Hey, Matt. Hey, Dr. Scott. Hey, man. You guys are both doing well. What about Tasey?

I am a new nurse up in the Northeast, and I guess I'm just exposed to more things than the average person. And so I noticed that lately my farts have been coming out just without any real desire to like push. Like if I'm moving a certain way or whatever. And because I'm a nurse and taking care of a lot of incontinent people is my asshole giving me a warning that I'm going to be a mess later on. No, just blame it on them though. Well, what does that mean, though, that he, um, he's incontinent of flatus. It's something in his diet. It's stress.

Too much digestible fiber. Yeah. Tell them what to do, Scott. Eat more proteins. Eat more protein. Maybe a little bit less digestible fiber. Like what? Fish.

Okay. Barbecue. Eat more fish. Here's the vegan talking. But what digestible proteins? I mean, digestible sugars, indigestible sugars, is he probably imbibing. That he should. imbibing probably things like

broccoli and things like carrots and things that should be good for you that are good for you but when they break down they can you know even in some of the fiber supplements. Flatogenic. And some of the and beans possibly I have one for you the toots. What if he's taking

there's certain fiber supplements that have chickory root in it. It's also called inulin. Look and see if you're taking anything with inulin in them because that stuff is the most flatogenic fiber supplement. And they sell it in some of these fiber supplements that they say, oh, you can stir it in water and it disappears.

And I'm not going to say any brand names, but everybody knows what I'm talking about. And if you look, they will say they have inulin in them. And that shit, when Opie and Anthony were going to do a fart-smelling contest, I built them a piece of equipment. It was just basically a ventilator tubing with a mask on both ends, and you put one mask up to your ass, and then you could smell anything with the other mask, right?

And had about four feet of tubing. And what I was going to tell them to do if we did the competition was give everybody two tablets of inulin the night before and that morning, and they would have no trouble having farts galore. And so look for that. And then, as Dr. Scott said, there are natural things that can cause it, including legumes, broccoli, cauliflower, that kind of stuff. Well, I hate to tell the guy not to eat that kind of stuff. What about Beano?

Right. So, thank you. There you go. Very good. That was where I was going. Give myself a bell. Oh, for God's sakes. Somebody's trying to get back in good graces today.

Bino. Bino is just a collection of enzymes that will break up. down indigestible sugars in the gut. Because if you have indigestable sugars that we can't digest, oh, they're digestible, but they're digestible by bacteria and yeast in our gut. And when they digest it, it's going to make gas. When we digest them, we're going to break them up into little component parts and then absorb them.

But if those things make it to the lower gut, you're in big trouble. And so using these enzymes, you can break apart some of these. sugars to their component parts, and then the body can absorb them. Yeah. So we're big fans of Beano. The other thing is, is he become lactose intolerant. You know, that can cause phleotogenic issues as well. Oh, and pain.

Yeah, I think if he really looks pretty strong at his diet, he's going to find there's a culprit lingering. You know what else it could be? Phasia. So when you're in health care, particularly when you're new, you figure, oh, God, I got to go eat. Now you shovel food in and you're drinking and you're drinking sodas on the fly and stuff like that. Or even if you're drinking water, but you're gulping it down and you're swallowing air. And you're farting like a, you know what? I used to be able to say the whole alphabet in irruptations and burps. And I would take air in. to my stomach and fill it up like a balloon, and then I could go ABC, D, FG, like that with just a belch. And what I found was, the more I did it, the less air I could get out,

and then the air has to go somewhere, and it ended up just, you know, farting like crazy for the next eight hours. Yeah. So anyway. All right. All right. So look at all of those things and then let us know.

I don't think that's any sign that there's something wrong with you. No. All right. I was wondering about getting some vaccinations before going around the country. Okay. And also, like, an STD test and screening, would it be beneficial, would it behoove me to go to an emergency room to do that? No. Or is that at the question, like a Care Now facility?

That would be over. places that are all over the place, or should have making a point with a GP, I don't have insurance and haven't been to a doctor in 20 years, so I don't know where to start. Okay. It won't be the cheapest option. Yeah. Well, there won't be a cheap option for this. But listen, you're flying out of the country, that's not a cheap option in the first place. You know, so why go and then get cholera or something?

And the thing is, is most of the time, they're going to tell you what you have to get to go to that country. So if you're just going to Europe, most of the time you don't have to do anything, you know, unless they're requiring certain vaccines to get in the country. So just make sure you're up to date on your routine vaccines. That's going to be, you know, measles, mumps, and reevella, pertussis, which is whooping coffee. You should be up to date on those tetanus. shit like that. And then go to the CDC. Let's go to cdc.gov

And they do have destination pages for travel health information. And then make an appointment with your primary care. But there are, if you live in a big city, there are travel health specialists. Yeah, so aren't there like community health care centers that they go to local, local?

You might be able to do that to your local health department might be able to help you with this. But just pick a place. Pick a place and I'll tell you what vaccines you're supposed to get. How about Mexico City Mexico, okay Well, Mexico should be pretty easy

Let's see here So Mexico Travel Health Notices Salmonella in Newport In Mexico Some travelers who have spent time in Mexico Have been affected with multi-drug resistant Salmonella Newport

But it says here Vaccines, routine vaccines And this from the CDC travel advisory website says chickenpox, diphtheria, flu, measles, mumps, and rebella, polio, and shingles. And then it says all eligible travelers should be up to date with their COVID-19 vaccines. It doesn't say it's required. If you're unvaccinated traveler, one year old or older going to Mexico, you should have hepatitis A vaccine. Recommended for unvaccinated travelers younger than 60 years old, traveling to Mexico's hepatitis B vaccine.

Malaria is only recommended if you're going to certain areas to take medication for that, and there are medications that you can take, but there is some malaria, measles, and then rabies. Now, rabid dogs are commonly found in Mexico. If you're bitten or scratched by a dog, while in Mexico, rabies treatment is often available. And then, okay, if you're staying with friends or relatives visiting smaller cities, These are rural areas CDC recommends typhoid dosing as well. And that is, and I'm looking at it. Okay, vaccines to prevent typhoid fever is there's an oral-live attenuated vaccine

and there's a capsular polysaccharide vaccine. So, okay, so that's how you do that. So I don't know where you're going. And, you know, when we went to, you took the boys to, London, I don't think we had to do anything special for them. They just had to be up to date on their regular routine vaccine. So it just really depends on where you're going.

But have fun. Sounds like he's got plans with the STD test. Yeah, yeah, that's true. Oh, yeah. He may be going for something else. Are you going to Thailand? Oh, there you go. I'd like to go to Thailand. I think it'd be

awesome. God, that would be the coolest place in the world to go. It looks beautiful. It does look beautiful. It's scary as after the, what was it, tsunami? Oh, the tsunami? Yeah. Well, yeah, I mean, that was wild. Way too many people.

Oof. Yeah, and Indonesia really got hit bad, too, so, but I would love to go. All right, here we go. Dr. Steve, this is Matt and Charleston. Hey, Matt. Hey, you know, like, on your feet, you got veins in your feet. Yeah. And, like, you know, it's pretty normal looking, nothing out of the ordinary.

But, like, I got one. It was mostly normal for most of my life. But now it was kind of like a bulgy part. to that one little vein. It's not bothering me. It's not painful. It's not like in the way. It kind of squishes down.

But it definitely wasn't like that. And now it's kind of bulgy and like roundish, maybe like the size of a marble. Yeah. But it kind of goes away when you squish it, and then it kind of slowly comes back. Good. I don't know.

Is that normal? Scott, you want to take that? Sounds like you've got some barricos veins. Yep. It sounds like there's been failure of the, of the, valve. The valve that's in the vein.

In the fluid. Yes. Yes. It's 17 to 2. I sure is. The fluid fills up above and the valve starts to fail and it just continues as that fluid sinks down with gravity. Right. Put some more pressure on the valves below

and that's when you start getting those varicosities. Right. And so you can have one on your foot. You could have been minor trauma. Something just failed and it kind of bloops out. But as long as it you can push down on it feels squishy and then it comes back. That means it's filled with fluid, so it's not filled with blood clot, and so that's good. Now, if it were filled with blood clot, it might be

painful. It's not going to do anything to you because veins below the level of the knee generally don't travel to the lung and cause pulmonary embolism, which is what you're worried about when you talk about having a blood clot in your leg. We have vein clinics here to get that taken care of. I'm sure they have. those in Charleston. If it's just on the top of his foot, he can probably not worry about it, but there are people that have these big giant goobery

serpentine veins on their legs and if they live in a place like Charleston where they want to wear shorts, they look horrendous and then they can have those that's when I would go to a vein clinic for sure. Yeah, and the way they treat that anymore, sometimes they're, if

he goes early enough, maybe they can treat it and stop it from getting much worse. Yeah, which might not be a bad, Let's talk a little bit about something you can do at home to stop it from getting worse. If you notice that you're starting to develop even the slight amount of that, wearing medium-strength support hose, which you can get those about any place that sells durable medical equipment. They're not the TED hose. Those are the real, you know, heavy-strength support hose.

Medium-strength support hose look just like regular socks. And they apply external compression. that counterposes the internal pressure of the fluid on the side of the vein wall. And when you do that, you'll decrease the need for it to kind of expand and ruin those valve. And thus, preventing varicose vein. Sounds like it's affecting his sandal look, though, and he is in Charleston. Yeah, maybe so. Yeah, that may be something.

Maybe I'll treat really easily with a little injection. at one pain. Yeah. Knock it out. Okay. Sounds good. Good luck, Matt. Do you have anything else?

No. Thanks, everybody for joining us. Thank you for joining us. Thanks to the fluid family. All right. Well, very good. Well, thanks always go to Dr. Scott. Oh, welcome.

To Tacey, thanks to everyone who's made the show happen over the years. Listen to our Sirius XM show on the Faction Talk channel. Sears XM. Channel 103, Saturdays at 7 p.m. Eastern. Sunday at 6 p.m. Eastern on demand. and other times at Jim Fleur's pleasure. Many thanks to our listeners whose voicemail and topic ideas make this job very easy. Thanks to the fluid family and our YouTube channel. Come check us out, follow us on Twitter at Weird Medicine or subscribe to our channel,

get notifications when we're on, and we'll be, we love interacting with people who want to just hang out. It's not a whole hill of a lot of people, and that's okay. We don't really push the video side, but it's fun having the fluid fan. family in the waiting room. You'll leave your channel. So, and 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. Thank you.

Thank you. Thank you.