Weird Medicine: The Podcast - 556 - Chronic Singutus and the Whale Hotel

Episode Date: July 14, 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, Tacie and DNP Carissa discuss: Depictions of penis in ancient paintings Milk transfusions Cigarettes as a cure for asthma Pediatric use of opioids Chloroform for asthma in history Cocaine for sinus allergies in history goat glands (MMMMmmmmm!) Pyrotherapy for malaria The Whale Hotel, for arthritis Cat piano - wtf Smoke enemas CBD in children Torn Quadriceps muscle Jumping and knee pain Chronic hiccoughs (singultus) Why do things bother you when someone else does them (e.g., flatus, tapping toes)? 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

What did the compost say to the coffee grounds? Let's get dirty. Why did the dad love his barbecue tongs? They just clicked. Why'd the kittens get in trouble at school? They were copycats. If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM103, and made popular by two really comedy shows,

Opie and Anthony and Ron and Fez, you would have thought that this guy was a bit of, you know, a clown. Why can't you give me the respect that I'm entitled to? I've got diphtheria crushing my esophagus. I've got to bolivide stripping from my nose. I've got the leprosy of the heartbound, exacerbating my impetable woes. I want to take my brain out and blasted with the wave, an ultrasonic, agographic, and a pulsating shave. I want a magic mill. Oh, my ailments, the health equivalent of citizen cane.

And if I don't get it now in the tablet, I think I'm doomed, then I'll have to go insane. I want a requiem for my disease. So I'm paging Dr. Steve. From the world-famous Cardiff Electric Network Studios, it's weird medicine, the first and still only uncensored medical show in the history of broadcast radio, now a podcast. I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medicine provider, gives me street grad, the Wackle Alternative Medicine Assholes. Hello, Dr. Scott. Hey, Dr. Steve.

And my wife, Tacey, my partner in all things. Hello, Tacey. Hello. And my partner at work, DNP, Carissa. Hello, Chris. 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 your regular medical provider.

If you can't find an answer anywhere else, give us a call 347-76-4-3-23. That's 347. Pooh-Hid. Follow us on Twitter and Instagram at WeirdMet. Madison or on Twitter at D.R. Scott WM. Visit our website, Dr. Steve.com for podcast, medical news and stuff you can buy. Most importantly, we are not your medical providers. Take everything you hear with a grain of salt. Don't act on anything you hear on this show without talking over with your health care provider. And please don't forget stuff.doctrsteve.com,

stu-f, dot, dr.steve.com for all of your Amazon needs. You just click straight through, or you can scroll down and see all the things that we talk about on the show, including the delightful Navage, which we'll talk about later, um, go to ed. dot, dr. steve.com. That's ed as an erectile dysfunction. Dottersteve.com for a significant discount on the Phoenix acoustic shockwave erectile dysfunction unit.

Um, it is, uh, way cheaper than doing it at a med spa and you don't have to have some stranger holding your junker. and while they move this probe up and down with these acoustic shockwaves, it's been shown to stimulate stem cell growth in the corpora cavernosa and improve erectile function. So check it out. It's expensive. They've got a payment plan.

I'm not going to lie to you. It's not cheap. And then go to Rodee. Rodee has something new. So Rodee, Rodee, dot Dr. Steve.com. and you will find the new Rode coach. This is the thing that will teach you how to play an instrument. And D&P, Carissa, you got ukulele recently, right?

I did. Okay, and you don't know how to play it, correct? Correct. This thing, supposedly, will teach you how to play a stringed instrument. So they're going to send us one, so I thought either you or Scott or you guys could share it or Tacey would be a good one because she's never played a stringed instrument. No. And it's supposed to teach you how to play.

My brother told me about this. Oh, is that right? Yeah, okay. So there you go. So we'll get one here directly and see how it works. I think they're not going to be released until June, but you can order one now. If you have somebody that you know that wants to improve their chops or a kid that wants to learn how to play a stringed instrument, check out the roadie coach. And then if you just want to tune your instruments, the robotic tuner is the coolest thing in the world.

and they are under $150. It's a great gift for someone that plays a stringed instrument. So check it out. Rode, R-O-D-I-E. Now, R-O-O-S-Hit. Let me see. It is R-O-A-D-I-E.

Dotter-S-E-E-D-E-E-D-E-E. I think I said that the first time, didn't I? Yes, I think. Okay. Okay. Very good. Let me just make sure that that works. Yeah, there we go.

Okay. All right. and the roadie coach is available at a discounted price for pre-purchase. All right, my friends, don't forget Dr. Scott's website at simplyerbils.net. That's simplyerbils.net. And what else we got? Those are the big ones, right? Yeah, I believe so.

Okay. Oh, check us out on Patreon. Patreon.com slash Weird Medicine. Of course, Patreon. Yeah. And also, if you want me to say, fluid to your mama. Say it on Cameo.

Just go to cameo.com slash weird medicine. All right. I have some news about PA. Lydia. She got her doctorate in PA, whatever that is. So that's awesome. Yes. Congratulations to her.

Now, DNP Carissa, you have your doctorate. Yes. And what is it? In nurse, what do you call it? A doctor of nurse practice or what is it? Basically, yes. Yeah. So, you know, PA Lydia has, you know, a doctorate-level degree in PA in being a physician assistant.

But she's still a physician assistant, right? Are there things that you can do as a DNP that you can't do as a regular old NPE master's level? Not in this state. So other states there are? So tell me about that. What could you do in some other states that you can't do in this state? Independent practice. Is that right?

My own practice. So if you have a doctor of nursing, what's it called, doctor of nursing practice or something, then you can actually practice independently without a supervising position in some states. Okay. Well, hell. What are you doing here? Hell if I know. Okay, fair.

Stalking you. Yes. I used to have a reason to be here. I don't anymore, so. Yeah, well. Maybe the hell with y'all. What? So you're from Ballamore, and you picked up some good Appalachian lingo then.

It's hell with you. I try. So, yeah, very good. Well, do you know the states that allow? No, I don't either. I'll put you on the spot. Sorry about that. It's fine.

I think most of us just prefer to do research, and if I could find a job in that, I would be doing that. You know what? I'm right there with you on that. If I could get paid to do research, that's what I would like to do. That's what interests me is crunching the numbers and coming up with new knowledge. We are going to be doing a blinded, randomized trial on the trip app. Pretty soon, I've already written up the proposal. And we've got to submit it to the IRB.

And basically, it would be looking at the Trip app, TRIPP, for those that don't know, it's a meditation app. It's 10 minutes of breathing and imagery and binaural beats and all kinds of stuff that is intended to either allow you to focus or to induce a calm state. And so we're going to be using it for anxiety in the chemotherapy suite. Wow. And so some people will just look at a virtual image of a mountain stream, and then other people will be doing the active, the actual trip breathing thing. So we won't be able to blind it, so if I said blinded it, but it will be randomized. And we'll have a sham side to it. The patients won't know what they were supposed to get, right?

So they just know that it's a virtual intervention. So that's the best way that we can sort of tease out if there is a statistically significant difference in the people who did the active app versus the passive one. So I expect there will be some improvement of people just watching a mountain stream. Oh, yeah. Absolutely. So anyway. All right. So, yeah, I would love to do that as a job.

Same. Yeah. Anyway. Yeah. Not me. Not me either. Yeah, I don't like catching those. They're out there, but they're not around here.

Yeah, yeah. Well, I have a friend who works in the pharmaceutical industry, and that's what she does. She runs clinical trials and then rolls out drugs and stuff like that. I'd rather do something a little more independent than that, but still be interesting. Do you have any topics for today, Tacey? Of course. Okay. So I have one that was actually sent to you, but it came to me.

from Natalie Tessier and Well send it to me and I'll do it maybe next time Okay All right Unless you want to go ahead I'm just going to go ahead and do it

Because that's interesting It interests me It's an article in the British Journal of Urology International And the title is Depictions of Penises and historical paintings reflect changing perceptions

of ideal penis size Now, we don't know for a fact that if Da Vinci was drawing a picture of a penis on somebody that he was actually trying to say this was their ideal size, maybe he was like, ooh, this guy's got a micro penis. So there's some bias in there that we might not be aware of because we don't know the artist's intention. You know, they didn't write out, hey, I'm drawing an ideal penis. They may have been actually goofing on somebody because that would be, you know, you know, an ancient form of trolling somebody, you know. Well, they painted this guy in the nude, but they made his penis small. But anyway, they looked at 232 paintings.

72, 31% were excluded because they depicted images of adolescence or an erect penis. I haven't seen any paintings with a whole lot of erect penises. No. Maybe Hieronymus Bosch and one of his hell escapes. but so the PDR which stands for oh shit what does it stand for penis something something let me see here damn it why do they do that oh penis okay hang on you're right penis the penis depiction ratio okay was found a different significantly between paintings created in different centuries with a p value of less than 0.001, which means only one time in a thousand would this be caused by chance.

So, and then subgroup analysis revealed that paintings from the 21st century demonstrated significantly higher penis depiction ratios than paintings from previous centuries. Their conclusion was, the size of the penis has gradually increased throughout the past seven centuries, especially after the 20th century. Now, I read an article that said penises are actually getting larger in the 20th century because the average size used to be, you know, 4.6 inches and now the average size is, you know, erect is 5.2 inches or something like that. But they said, you know, it illustrates changing sociocultural inputs into male body image.

But if there was actually in some sort of chemical chain. and the environment that's causing male penises to grow, that would bias this study to a certain degree. All right? All right, Tacey. Are you ready? I'm ready. Okay, here we go.

It's Tacey's Time of Topics. A 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. Hello, everyone. This week's topics are 10 strange medical practices from history. Ooh, yay.

Okay. I like that already. Number one. Milk transfusions. Milk transfusions. In 19th century, milk was used as a substitute for blood and that the fatty, oily qualities would become white blood cells. Oh.

Well, that resulted in death a lot. Oops. Yeah. that's because you're an idiot dropped the patient's pulse immediately and they were resuscitated with morphine and whiskey the patient lived 10 days oh goodness wow

number two terrible idea but you get nothing a lot of these aren't good ideas number two and we all know this cigarettes used to be a cure for asthma now we know they do the opposite

but they already knew cigarette Cigarettes cause undesirable effects, but they still kept saying that it didn't. They didn't, right? They knew subjects became breathless in exertion and pains around the heart. But they still kept saying, use it for asthma. Yeah, this is the craziest thing. You know, five out of six doctors recommend Chesterfields or whatever.

Yeah. It was nuts. I remember when people were still smoking. smoking in the hospital. Oh, yeah? I used to make rounds at this little rural hospital, and when I first got there,

which was 92, you could still smoke in the rooms. Patients could smoke in the rooms. And every about two a year, we'd have somebody light their oxygen tubing on fire. Oh, no. And, you know,

oxygen doesn't burn, but it is an accelerant, and those things are plastic, and they just go like that. And then you end up with two burns going up, you know, behind your ears you know, burning your hair off and stuff.

But we had this old doctor, and I loved him. He was an old surgeon. He was a tall, wiry guy used to play football for Bear Bryant. And he would walk in holding a cigarette, you know, on rounds. And he'd go into the nurse's station, puffing on this cigarette. And then he would just sort of feebly throw it on the floor and then stomp it out with his foot right in the middle of the nursing station. Oh, geez. He would go in patients' rooms to make rounds on them.

and if they had a pack of cigarettes in there, he would, you know, tap, tap, get one out there and, you know, and burn one with him. And light it up and smoke, sit there and smoke with him. Oh, my gosh. It was nuts.

How funny. We had a cardiothoracist, yes. We had a cardiothoracic surgeon that used to smoke in the surgery lounge up until, you know, probably, well, 92, 2002, yeah, so, you know, 20 years ago. Oh, my gosh.

That's something. He was the one doing bypasses on people who had heart attacks because they smoked. Oh, my God. That's insane. It is. All right, taste. Go on.

Number three, soothing syrup for babies with diarrhea to teething. Paragoric. 25 cent cure-all full of alcohol and morphine. Yeah. Later on, called Baby Killers, it was called Miss Winslow Soothing Syro. Well, they still sell it as Paragoric, which is tincture of opium. So a tincture is something dissolved in alcohol. And what we find is people will prescribe it to kids for teething,

and you just put it on your finger and rub it on their gums, and it does work. But you get an ounce bottle. And when you do that, you don't use anywhere close to one-one hundredth of it. And so when your kid has done teething, you've got a bottle that has about an ounce of opium in it. So what do you do? You dip your cigarettes in it.

Kids don't do this at home or their joints, and then dry them out in a de-hose. hydrator or in a oven set on low. And then, you know, you fire them up and you've got people smoking opium in Upper East Tennessee in 2023. What, Chris? I thought we all did that. You know, it's so weird about that.

I mean, that ruins my not. Number four, another cure for asthma chloroform. Oh. Resulted in deaths of patients who overdose during. an asthma attack. Yes. We found when I was a kid, my girlfriend at the time had a house

that was an old dentist's house. And he had chloroform and ether, and they were in these metal cans with a top that you could just slit the metal on the top. And so my friend, Bruce, saturated a

rag with ether or chloroform. I can't remember which. And we were camping out at our future house it was still being built so it just had a deck that went off into nowhere and he sniffed this stuff and laid

down for a second and then got up and ran right off the porch and it was like 15 feet and we looked over there and he landed curled around a pylon he didn't hit it he was just curled around it we thought he was dead oh no totally fine

because God loves drunks and idiots So that was the end of the chloroform. I think we threw it in the fire and that was fun because it's unbelievably flammable. And again, not advocating anybody do this was stupid as shit. A bunch of adolescent idiots.

Anyway, go ahead. Okay, so I could have used this week with my hay fever. Cocaine. Ah. Yes. Pollen got you down. Many believed it could be alleviated with cocaine. Many were right.

That's the thing. I talked about this on subreddit surfing today. I mean, what are you looking about it? That's what this is for, right? We're supposed to comment on these things, right? No, I was just looking at her. I thought you were giving me a look. I'll try not to look at anybody else.

No, no, no, no. No, I'm just making sure I'm not. Overstepping. But I was on subreddit surfing with Vinny and Cardiff today. And one of the things that came up was when I was in medical school, we used pharmaceutical cocaine didn't know it that was just blue solution

they just called it blue solution when we were doing fiber optic scopes on each other so there's a scope called a direct laryngoscopy where you take a little tiny scope that looks like the thing they shoved up our

urethraliaids and that and it's a little fiber optic scope and you put it in the nose and then you turn it down and you look at the voice box right well to numb up

And to expand the airway, you would saturate these cotton pledgets with this blue solution. Then you'd shove it up the nose, leave it there for five minutes, and then pull it out. And then you could put it in there. It would be numb and it would be wide open because it is a vaso constrictor. And we did that like 10 or 12 times to each other, each time putting the cotton pledges in because we thought that was part of the routine. And that afternoon we were wondering why the hell, you know, rounds was just so much damn fun. Oh, my gosh. It was nuts.

We were completely blitzed out of our asses on pharmaceutical cocaine and making rounds. And to the point where a friend of mine conspired to steal a bottle of it from the lab. I'm like, dude, you did cocaine one time in your life, and you're already thinking of throwing away your whole career to go steal. Because if you get caught, that's it. You're out. Yeah, sure. You know, so it is a hell of a drug. It's a hell of a drug.

But apropode of what Tacey was talking about, it actually is a vaso-constricter just like aphrine. It's just like aphrine, yeah. And it probably worked pretty well to clear out some nasal congestion. So go ahead. A recognized leading pathologist George Laidlaw, excuse me. Was that Bob Loblaw? Said if you can't cure it without cocaine, you'd better keep the hay fever. Well, fair enough.

So. Remember Bob. Loblaw from Rest of Development And he had a Loblog So it was Bob Blah Blah Blag Blah Blah

Anyway, go ahead Number six Xenotransplantation Involved transplantation of the interstitial gland From a chimpanzee Into an 80-year-old man Okay

The hope was It would return him With his physical vigor Later it was debunked Yeah The guy The guy that owned the radio station XERA in Mexico, that was the one million watt station, that was right over the border, and he would transmit the Carter family from Upper East, Tennessee, Southwest Virginia. They would drive down there in their jalopy, and for two weeks they would play in this guy's studio.

And it was broad, it was a million watts. Where did they drive to? To Mexico. From here? Yes, in a jalopy. Oh, the stories are amazing. And they would get down there and they would play in the studio and everyone from Kansas, you know, all the middle America could hear this radio station. And as a matter of fact, if you lived on the border, you could hear it in your fillings and like on the fences would, you know, would act as a diode and you could actually hear the music coming through your fence.

It was so powerful. But that guy was the, I think, the goat gland doctor. It was either goat glands or monkey glands. and he did that for erectile dysfunction and there's a big famous legal case where one of America's leading attorneys now I can't remember his name came after him and debunked him and put him out of business

but that's crazy that is why I'm see if I can find that guy that's insane anyway go ahead okay number seven malaria pills Professor Julius Jareg won a noble prize in 1927 for treatment of parisus. He discovered that the condition of patients would improve after a disease that produced a fever. So after World War II popularized the use of penicillin to treat syphilis, the pyrotherapy of the malaria pills were replaced.

So they give you what, pills with malaria in it? Is that what they're saying? To cause a fever? To treat parisis? What is presis? Well, like paralysis. That's what I thought. Like gastroporesis is slow.

You know, slowing up the stomach. So that is kind of a homeopathic technique, is if you want to treat a fever, you give somebody something that causes fever. Like treats like. Right, and then you would dilute it out, and then it would somehow the water would retain and the activity.

Yeah, it's almost like the chemical imprint. The water can... Right, right, right. Somehow. It's been thoroughly debunked, but what are you going to do? Okay. Yeah, that guy's named the goat gland doctor that owned the radio station was John Romulus Brinkley.

And, yeah, they called him the Kansas goat doctor. I cannot believe they used to drive that far. I'd never heard of that. Jeez, Louise. Anyway, number eight, this one's disgusting. Oh, cool. The Well Hotel. This was in 1890, a hotel in Australia for rheumatoid arthritis.

When a well died, they would row the patients out to the well. Then they would cut it up and put a narrow hole in the body. The patient would then lay in the carcass for two hours. It relieves soreness and inflammation. it was discovered by a drunk man who found a dead well on the beach. Okay, you're going to have to do that one again. A dead well? Or whale?

Whale. Oh, okay. I was thinking of like a well. I was in a water well. Okay. Excuse. No, no, I'm sorry. The redneck in me.

No, that's okay. When you said, well, I was thinking it was like a well. Yeah, you were cutting a hole in them and throwing them down the well. Yeah, start, yeah, do that again. Okay, okay. Now I understand. A hotel in Australia for rheumatoid arthritis. When a well died, they were.

would row the patients out to the well in the ocean. Gotcha. Okay. Then they would be cut up and put a narrow hole in the body. The patient would lay in the carcass for two hours. Like Luke and the taunton carcass. It relieved soreness and inflammation, and it was discovered by a drunk man who found a dead well on the beach.

Huh. Okay. Well, there you go. Well, yeah, drunk men find all kinds of stupid places to lay, like, you know, ditches and. Cardboard, whales. Comments, criticism? No, that's... That was great.

I'd like to see the double-blind placebo-controlled study on that one. I'm trying to think exactly how that would work laying in a stinky well carcass. Stinky. Ew, isn't that growth? Well, you know, they make perfume from whale oil, you know, ambergris. That's why they... That's one of the things that they would kill whales for. Rude.

Yeah, it is rude. So stupid to kill this... beautiful animal just to make these people smell better. And there's a lot of other things that can make you smell better. And by the way, you all, you still smell like shit. You just smell like shit with perfume on top of it. Yeah, it's like the ones

that you get into the elevator with have been smoking. Right before they get in the elevator. Yeah. Smoking. Oh, you know, old cigarettes are worse though. I mean, if you Yeah. I mean, it's just bad either way. Tacey, you used to smoke. Yes. Chris, did you ever smoke?

Yes. So when you get behind somebody out in the open and they're smoking, do you find that pleasant? Because I do. I do. That's not obnoxious to me, but old cigarette smoke on the clothes,

like Scott said. Or if you do a home visit on somebody and they just smoke in the house and it's just like, oh my God, this smell is never going to go away. I don't know. You don't know? You don't have an opinion about it? That's okay. I don't like it at all. I like it. I do too.

Okay, so this one requires imagination, okay? Okay. More so than living in a dead well in a beach. Okay, it's, I mean, it really does. It's, okay. I'm ready. I love imagination. Cats and clavier.

So they put cats in a row and stretch their tails out behind them. Okay. And then they attached a keyboard with sharpened nails set over the tails so that when you played the keyboard, the cats' tails, the cats' tails would. the cat's tails would get punctured. Oh. And the cats would yell. Who did this bullshit? The sick person would listen and watch the cat's faces.

What? And that was a cure for it. It doesn't even say what it was a cure for. I don't know if you're saying. Humanity. And it had pictures. It had pictures you can look it up. Pats and Clavier.

Okay, I've got to see if there's a... It's K-A-T-Z-E-N, K-L-A-V-I-E-R. I'm just having a hard time visualizing. Yeah, a cat organ. Yeah, it's a cat organ, exactly. Oh, my God. Oh, for fuck's sake. Why in the fuck?

Yeah, cat organ or cat piano. It consists of a line of cats fixed in place with their tail stretch out. It says here it's hypothetical. It says there's no official record of a cat organ actually being built. Okay, so this came from a library of Congress blog, so I mean... Well, you know, it must be true for the government. Yeah, I'm not saying it is. It's, dude, I've got to come up with something.

The details of the cat organ presented clearly as an instrument cat lovers might wish was a fictional horror. The instrument is used in stories which criticize the cruelty of royalty, while the Piganino, a similar instrument using pigs, has been used. to criticize the poor. What? Oh, my goodness. You know, human, we just think that life is just what we sort of experience. There's a whole lot of ways to go through this world. And some of them are really effed up.

That's a terrible idea. Okay, okay, here we go. The instrument was described by German physician, well, okay, German physician, Johann Christian Ryle for the purpose of treating patients who had lost the ability to focus their attention. That would have been me because I had ADHD and, you know, I was just labeled as stupid or an underachiever. Yes. Or annoying in class. Yes.

Oh, yeah. Absolutely. And just goofing around, throwing pencils. Doesn't pay attention to daydreams. But then I would get 99th percentile on the, 99th percentile on the standardized test that drove my parents crazy. I guarantee it. So they would have put me in front of a fucking cat organ. Oh, God.

That would have been torturous. That would make me pay attention. I'd fake it just so I could get that out. Yeah. Isn't that something? Oh, here we go. A fugue played on this instrument when the ill person is so placed

that he cannot miss the expression on their faces and the play of these animals must bring Lott's wife herself from her fixed state into conscious awareness. So they did it for catatonic people or that was their idea. Oh, wow. Wow, wow.

That's Chris's Nick. name at work. Cat. Lott's wife. She's so salty. We call her L. Dub. What up, L. Dub. Number 10,

and I'm done. Smoke innamas. These were used and were successful for cholera, used as an alternative to opium. They were successful? It says successful for cholera. Okay.

Well, I mean, you know, I've read about this before. All the way, down to number 10, I could have gotten tired. No, no, no, no. Sometimes a pint of boiling. Oh, I can't read my writing. Oh, no.

Tobacco infused water was administered into the intestines. Well, there you go. So it brings new light to the term of blowing smoke up your eyes. It sure does. Oh, very good. Maybe that's where that comes from. Yeah. First bell of the day.

Dang it. All right, 1827 report in a medical journal tells of a woman treated for constipation with repeated smoke enemas with little apparent success. But it does say in 1835 tobacco enemas were indeed used successfully to treat cholera in the stage of collapse. So Tacey, you get a, well, I deserve a bell, too, because he said I was wrong. I'll give you that one. I'll say you were wrong or did I go with that sounds hard to believe. But if they were in the stage of collapse, the nicotine is a vasoconstrictor.

These people may have been in shock, and it may have actually been acted like a presser that we use now in the ICU. Park them up a little bit. Yeah, yeah, yeah. How about it? That's cool, man. And that concludes our time of topics. Yay, thank you. That's impressive.

All right. Thanks, Tacey. All right. Good job, days. You guys want to answer some questions? Let's do it. Okay. Number one thing.

Don't take advice from some asshole on the radio. All right. Here we go. Let's try. Oh, I've got one for Dr. Scott, actually. It's a good one, but it's a question, too. Hey, Dr. Steve. It's Matt and Charleston.

Hey, Matt. We got the Dr. Scott's nasal spray with CBD, and we're very pleased of it. It's been helpful. You're that kid coughing in the background I sound like it was too helpful. But I want to ask very quickly if it is recommended for children or

specifically children around 10 years old. All right, thank you. Okay, what do you think of that? Absolutely. Yeah. What? Oh, yeah. You're okay with it? Oh, yeah. This tiny amount of the CBD is there is. Okay. But I thought you were going to say something different to that. Oh, that's okay.

No. CBD is used in children. It is the drug of choice for the drouveting seizures in kids and so it is it has been used in children for sure they use it topically and balmed and things like that now i have no problem it's and i'm telling it's a minuscule amount yeah yeah okay it's just good luck getting the kid to allow something to be squirted up their nose yeah of course at that age they might be able to do it themselves okay yeah all right well that's dr scott saying let's talk about that Navaj for a moment.

Let us do talk about that. You want to tell the story? I did not think anything of it. I was not impressed with the idea at first, and I was sick this week and in bed for two days straight with concrete, shoved up my head. And that Navaj cleared it all out. And I thought there was no way. And I felt 50% better than that. next day and could breathe.

Cool. I was so fed up with her complaining that I went out and bought her on Navaj right before CVS closed. Yeah. And I had some of the eucalyptus pods that Martin Hoke sent me. Yeah. And by the way, you remember Martin Hoke who was on the show? Of course, yeah.

He was the inventor and owner of Navaj. Apparently, he sold to some investment company and walked away with bags and bags of money. So good for him. Congratulations. He was a very nice guy. That's why he didn't return my email. I know. I wanted to have him on today to talk to Tacey about it so she could say what a convert she was.

So you want to, for the people who don't know what a Navage is, you want to just give them a brief sort of explanation of what you did. I mean, it's this little machine. You stick a pod in there and you add distilled or purified water, not tap water. Thank you. And then you put it up to your nose and you turn it on and it swishes all of the, round up in there and deposits

all the gunk in the bottom and then you see it and so his innovation was it shoots water or the saline in one nostril and then actually sucks it out the other one

yeah okay that's what yeah yeah so it's a push me pull you kind of arrangement yeah and I mean it's not the most pleasant thing to do but I mean the the risk versus the benefit is amazing.

I think it feels great. And it's like a motorized netty pot. Yeah, that's what it is. And it was, I mean, I just, the difference was, you know, I'd gone at least 24 hours not being able to breathe, and I could breathe, I mean, continuously for the next couple of days after doing it. I've done it when there are pollens in the air and I'm sneezing, sneezing, sneezing, and they build up in there, and then they continue to react with the mucus membrane in the nose.

And I found just doing a good nasal lavage will decrease the burden of antigens in my nose and make me feel better almost immediately. So it's a great thing. He should get a Nobel freaking prize for that stupid nabage. Anyway, check it out. I think we have them on Dr.steve.com at, no, I'm sorry, stuff.com. If you look down there, you can look at one. All right.

Here's another one. Dr. Scott, you might be able to help with this. Hi, Dr. Steve. This is Phil from Tampa. I'm probably because I had a question related to injuries in your legs. A friend of mine the other week, he's a painter. He was on a ladder. And he accidentally slipped, and he, like, came straight down on his legs, you know, not far.

You know, he's only had two or three arms up. Yeah, it doesn't take far. That's the crazy thing about gravity. The first one can do it. He entered his quad muscle toward it, actually. Ooh. And I've heard this before. You see it in like professional wrestling and stuff like that where, you know, they land weir and you tear a muscle.

And I'm just curious, like, you know, should, is that something that's frequent? That can happen a lot. You know, you take a wrong step. You come down weird and you tear a muscle. If you're not expecting it. Well. So I've come off. You know, I've been walking and walked off a curb before, done it a million times in my life since I was a little kid.

But if I didn't know it was there, that jarring, I remember I got, I thought I had ripped a vein or a artery in my head. That's how bad it hurt. And it's like, you know, it's not four inches. But you're not expecting it so your body's not cushioning the blow. It's not reacting properly to that acceleration. as little as it is, and it can really hurt you. So, yeah, go ahead. You were going to talk about falls above ground level.

Well, you know, I was going to say, too, I've heard a story of a very healthy 50-year-old lady. Last step, taking her laundry into the basement to do. Last step, broke her ankle so badly. She almost had to have her foot amputated. Wow. It tore blood vessels and everything in the air was awful. Anyway, going back to tearing muscles. Yes, you're right.

if you're, A, if you're not warmed up, you know, and you're not expecting that movement, you can certainly tear them. It's really easy, but the quads are tough to tear. Yeah. Because those quadriceps are big muscles. We'll tell them what the quadriceps are. Yeah, so typically what we're talking about are all the big, big strong muscles in the front of the leg, that run from your hip, yeah, run from your hip to your knee, and that's kind of what we call the thigh muscles, and they're big.

But you can, you will see this torn from the top of the kneecap. Yeah. And if they do that, that's typically a surgical case. You know, I'll put that back together, which is not fun. We actually know somebody that had that recently, don't we? Do we? Yeah, lady diagnosis is special. Ding, ding, ding.

Yeah, a friend. But, yeah, the problem is bone and tendons don't have good blood supplies. They don't heal very well. And muscle, when you go cutting in it, it's like the consistency of jelly so you can't just sew it together. Now, you can sew some of the tissues around it together. It's hard to just fix muscle. So when you reattach something like that, you've got to have a really good mechanical connection. Then you've got to immobilize it so it'll heal.

Right. So we'll go back. Now, a lot of torn muscles, and one way to know that you've torn a muscle is there's usually a very large amount of blood below where the injury occurs. So if it's in your mid-legge, it'll typically drain down something. And that's a good way to know that you've torn a muscle instead of a ligament or because ligaments and tendons don't have. Yeah, and if you flex that muscle and you just see. You know, a sharp cutoff, too. Yeah, well, that's like in your bicep, she'll see if we're told tear a bicep, picking up something heavy and it just snapped.

Yeah. But that's normally the muscles, it's usually the teninous attachment that just rolls down like a shade. That's right. I wanted to ask you a question. So at what point in exercising, at what age would you say, and I know this is dependent on the person, but to stop jumping? because when I was at where I was exercising before I would do jumps my knees were killing me right are you talking about like jump rope jumping rope like hop at the top you know where you step up and you hop at the top and then and then now I'm not doing that my knees don't hurt

anymore now I know I've got some way I could technically lose no come on now no no And all that. But I'm thinking I shouldn't have been doing that to start with, you know. You know, we're just talking about knee pain and jumping. You can have knee pain and jumping and be, you know, as thin as a skeleton. You know, it's not always weight dependent. You know, a lot of times it's certainly age-related impact-dependent, of course. But the other thing is, is, and especially for females, landing when they jump, they tend to land with a straight leg, which is why you'll see a lot of, you know, college and high school females tear ACLs.

Okay. Because when they land, what happens is, especially volleyball players and basketball players, when they land. Or cheerleaders. Or cheerleaders. Yeah, yeah, or golfers or whatever. If they're jumping up to celebrate a whole of one, whatever. One time in their career. Yeah, but the point.

being is maybe when you're landing, your leg was just a little too straight. And what I like to teach people, especially young female athletes, is to land with a slightly bent leg, so slightly flinched. Give myself a bell. There you go. Hey, I've finally got one. That's two weeks. I've finally

broke my streak. Anybody gets nothing from this, but that. That is great advice. Always land. Slightly bit. Yeah. And I think my jumping days are over. I'm just a lot happier not having knee pain.

And I don't mean talking about, I was going to say, I used to run all the time. I hurt my knee. I quit running because I like walking, so I just walk a lot now instead of jogging. So it may be the same thing. I used to like to run, and then I tore both of the gastroxia. Well, it was one small part of the gastronomias, which is the calf muscle, but I tore both of my planteris longest muscles. And those are pretty useless, stupid muscles.

That still hurts. But it hurt like an MEP. I'm going to tell you, I was laying by myself on the track and wondering how the hell I was going to get home. You know, that's how bad it was. But, yeah, I'm concerned because I used to bodybuild, and then I got epididymitis, which is chronic pain in the top of the nut sack or the nuts. And I had to stop. And I deflated pretty quickly, and I wanted to get started again. But I'm worried that at 67, almost 68, if I started working on the curl machine,

that I could actually rip my biceps because they're not, I'm going to have to really work up to it. You can't just jump back in after years of being sedentary and start doing the tough stuff. You know, I'm just going to have to work into it. And for that, I'm going to have to have a trainer because I'm going to have to have somebody to rein me in. because I mean I used to curl the max on the curling machine and you know I'm going to try to do that again that was yeah that was not that was a long time no I was 40 years ago there's a few a little bit of water

I was fluent in Spanish back then too so I lost all kinds of shit Dios meo yeah anyway that's cool so yes hopefully that answer your question you know if it hurts I tell people don't do it and then ease back into it if you want to but you know finding another way to exercise is what I I really a huge proponent. Yeah. And don't fuck around on ladders. Oh, God.

Letters are the old. Falling from a ladder is a huge cause of morbidity and mortality, particularly an elderly man who think that they can still do it like they could when they were 18. And even then they couldn't do it because they're not doing it right. I'll tell you great. Have somebody spot you. Don't be a dumb ass. I heard recently of a 90-year-old that fell from a ladder and was injured,

separate his shoulder he had his ladder in a wagon they was pulling behind this is a true story I just about fell over when the store was being told to me so the ladder is he's got a ladder

in this pull behind trailer on the back of his lawnmower and it's a single axle trailer so it's not like it's a big car hauler trailer it's a little one that wiggles back and forth and course he gets up and he's trying to chainsaw on this ladder on this ladder. Oh, come on.

Inside this, this, yeah, this little pull-bott. And of course. And he bald-bells it. Did he cut his head off? No, thankfully no. I had a friend when I was in Vermont, he almost cut his head off. Oh, God. Using a chainsaw, and it bucked back, and it hit him in the neck, and he cut one of

his jugular veins. And everybody was like screaming, you know, Chester's cut his head off. He was fine. That's terrible. Yeah, yeah, yeah. Oh, man, those things freak me out. Yeah, don't mess. Know what you're doing. Know what you're doing.

And make sure it's sharp. Be careful. And don't do it on a whole ladder. If somebody else can do it, just pay them to do it. Yeah, there you go. That's Tacey's rule. Exactly. All right.

Let's try this one for the survivalists out there. Hey, Dr. Steve. Hey, Jason from Louisiana. Hey, Jason. Got a curious question. Okay. What would come out the other side if you were to pee through a sharp, through a charcoal filter.

Oh, yeah. Would it be pure water? Nope. But it would not be, it would not smell bad. So activated charcoal has a very large surface area. They say a gram of it. It's got like 30,000 square feet of surface area. And the way activated charcoal works is things are not absorbed.

into it, they are adorbed, which means that they just get caught on the surface and they stick there. And so that's why you can, if you have certain drugs that someone's ingested, you give them a slurry of activated charcoal and sorbitol, and the activated charcoal will grab the drug and hold it on the surface so it can't be absorbed. And then the sorbitol make it shoot through their intestine, so they just, you know, poop it out in the form of diarrhea, black diarrhea. And so you can pass urine through that. And my understanding is urea is one of the things that will get caught on the surface.

But the salts won't. Salt will just pass straight through. And that's the problem with drinking your own urine. It's not that it's gross because it's sterile. But, yeah, the stuff that comes out the other side will lose its smell. It won't smell bad anymore because all those. molecules will be on the surface of the activated charcoal

but all the electrolytes will still be in there because activated charcoal won't take that out and therefore really you're still limited to that second or third pass thing. You can drink urine one time maybe if you

were well hydrated but the second and third time you know you'll start to kill yourself because you're basically dehydrating yourself by drinking hypertonic fluid. So that's why they, you know, if you could do that, then people who are shipwrecked wouldn't have a problem. You just give them activated charcoal jar and have them just piss in there and they could drink it, but they can't. So if you're out, if you're shipwrecked and you're out

in the ocean, you want one of those stills. Have you seen that? Where you put salt water in the bottom of like a, it looks like a kiddie pool. And then it has a, um, a, um, a can canopy over it, and if it's hot enough, the salt water will float up to the canopy in the form of pure water because the salt stays behind, and then it will condense as the canopy slopes downward toward the middle into a jar where you can get pure water. So there are desalinizing devices that you can have if you're shipwreck, but you've got to have one. very difficult to make one makeshift. But anyway, that's kind of neat. That's pretty cool. But, yeah, this is not really a good survival tool, unfortunately.

Good to know. All right. Let's try. You want to do one about hiccups? Yeah. Hey, quick question. I don't know if you've seen in the news and I'm not about the athlete Bo Jackson, who's had hiccups continuously since July.

Yeah. Just curious Why? Yeah, well, that's a good question. DNP, Chris, and I see people with intractable hiccups frequently. Often it's caused by a tumor that is triggering the phrenic nerve, which is the nerve that causes the diaphragm to contract. So hiccups are just, you know, unexpected spasm of the diaphragm.

And when that happens, when the diaphragm contracts, the lungs expand and air is, you know, inhaled into the lungs from the outside. So you get that, you know, like that. And it can be caused by a lot of things. Drinking. Drinking. I have a friend who gets on when she drinks. Drinking.

Eating, like if you eat a banana and it gets stuck on your lower esophageal sphincter, right? You know, it would get stuck before it hits the stomach. that can trigger that phrenic nerve and you'll get hiccups from that and that might be a defense mechanism of trying to clear it. Yeah, but not for nine months. No, no, no, no, no.

What about benzos? Sometimes if someone's on like Valium for a long time, benzodiazepines can cause? I'm not aware of that. I think, I think. You ever heard of it, Carissa? No.

Now, they will treat them with tranquilizers but it's not benzodiazepines. It's phenothysines, which is thorazine, was the classic one. But we published a paper about using gabapentin instead. And gabapentin, at very low dose, very low dose. 100 milligrams three times a day, a lot of times will calm it down. But obviously, you want to go to the source. Now, in this guy, if it's what we call idiopathic.

Maybe one more I did too before. Okay, yeah. If it's idiopathic, they may have to do surgery on him. and that basically the surgery consists of either clipping or ligating or paralyzing the phrenic nerve on that side. But then, of course, now you have trouble breathing because you need that to contract the diaphragm. So that's a pretty extreme thing. What was your other idea stuff? Yeah, go.

Well, I was just thinking, too, maybe possibly with him being an old football player, the frenic nerve, maybe a cervical spine injury. Yeah, could be. Could he have some pretty bad arthritis? And the phrenic nerve does start in the neck, so that is a possibility. C3 is C4? I would try him on Gabbapentin if you think it's a nerve problem that stabilizes the nerve impulses. Send him to me. I'll stick some needles in that next.

The event turns it off. Hell yeah. I'll work on him. By God. I'll fix him. Yeah, I don't know what surgery he's having and what they've tried. I don't know anything about it, but that's an interesting. But at least there are some suggestions.

Yeah, absolutely. Let's see here. Oh, okay, this is a good one. Hi, this is Dee from North Carolina. Hello, Dee. Hey, Dee. What is it irritating when someone else clicks a pen or opens a candy wrapper, but it doesn't bother us when we do it?

I'll take my answer off the air. That's an excellent question. The answer is negative feedback. When you snore, why don't you wake yourself up? Because the body knows it, okay, so if I take a positive wave and combine it with a negative wave and you combine the two together, you'll get no wave at all, right? So the brain can do that.

You've heard of these noise-cancelling microphones or headphones where it will listen and then it will apply the inverse to the sound wave that is coming in and then you get nothing. You get quiet, right? Does that not make sense? Well, the brain can do that. And so when you fart and you smell your own fecal, fetid, you know, horrific gas, it doesn't seem to bother you. If you, well, farting is one. Belching is another one.

It doesn't seem to bother you. And lip smacking because the brain is applying negative feedback to those inputs. And so when you're clicking the pen, the brain expects it. You get somebody next to you that's tapping their foot to some. shitty song that's in their head. It drives you crazy. So that's what it is, though. The brain is able to detune the impulses that occur when you create those original stimuli.

All right. So before we go, Dr. Scott, you've got some, or at least one question from the fluid family. This is from Raymond W. 33-year-old cannot gain any weight or muscle men. no matter what I do, what could be causing this. And I am taking a couple of medications that tend to help people gain weight, which is Deppocote and Gabapentin. Oh, okay.

So 33 years old, can't gain muscle mass. I wonder if those were prescribed by a licensed provider or if he's getting that off the street. Gabapentin, not classically known to cause a whole lot of weight gain. Lyrica, maybe more so than Gabapentin. antidepressants certainly can, but I don't know. First off, I want to know why. So why can't this person gain weight?

And muscle mass, it could be genetic. So we'd want to look at the family trees if there are a bunch of tall, lanky people in there. I would want to make sure he doesn't have some genetic abnormality, look for, you know, changes in the chest wall that might be, you know, suggestive of something like marfans or something. Something like that. Just make sure it's not genetic first. Then number two, Tacey will identify with this, hyperthyroidism. So if they checked his thyroid, I'm assuming that he's not type 1 diabetic, but type 1 diabetics have trouble gaining weight too because they can't metabolize sugar properly

or they can't store it properly. Inflammatory bowel diseases can cause people to, they can eat tons of, of, calories and they just can't absorb them. And does he have an eating disorder of some sort, you know? But there are medications that can cause appetite loss

as well. But some of those are like antibiotics and things like that. He wouldn't have been taking them for 33 years. And the other thing is, you know, possibly he could have just genetically low testosterone. He could have really low testosterone. That would prevent the muscle mass. The muscle mass. Yes, that's right.

So you've got your marching order on some blood work to try, and then to stay in shape, you know, build more muscle by doing cardio and all of those type of things that will build lean muscle, and then if you want to just pump some iron, that's the thing. If you want to make big muscles, you've got to exhaust the muscles. That's the key. Eat meals frequently, and feel free to enjoy the high-calorie foods and, you know, and supplements, that kind of stuff.

And they do recommend that if you can't gain weight, that you don't fill up on water. They tell us to fill up on water, so we won't eat so much. Right. But you're going to want to have, most of your intake have some sort of calories in it. Now, what I'd like to know is what's his BMI? And is he still in the... Yeah, 5'10. Okay.

He did get the... I was prescribed by a psychiatrist. medications said he did try lithium and had allergic reaction to it okay yeah um testosterone so he's five foot 10 and how much does he weigh um he's uh hasn't said that yet five uh five 90 was testosterone okay so that's not it hmm okay i would like to know how much he actually weighs yeah and and i and i and i was thinking like you also is the uh inflammatory bowel diseases you know just not Not absorbing any nutrients. Yeah.

I'd really look at, if they've exported. 130 pounds. 130. Oh, okay. Yeah. Now, I weighed 122 all through college, and I'm 510, or I was 510 then. So it's BMI is 18.7. Okay, so, and, you know, we don't use BMI for just any old thing, and we understand

that it has some flaws. But let me see if I can find, okay, 18.5 or below is considered. considered underweight. Okay. So he's right there. Yeah. 18.5 to 24.9 is normal, but he's right on the cusp of being normal.

I would say a couple more, if everything's normal, blood works, labs, everything's normal. I'd say in a couple of years he'll start probably packing it on like the rest of us. You know, he'll be left to rest of us. Oh, God. How come I can't lose me? When I weighed 122, a scrawny little punk,

which is why I started bodybuilding when, you know, later on in life. but I would sit there at the Carolina Cafe in Chapel Hill, North Carolina, and I would get four eggs, toast, waffles, orange juice, hash browns, and the chef, you know, they cooked right there in front of you, he would sit there and just watch me, say, I can't, how do you do it? You're just packing in the calories, and you're never gain a pound. Yeah.

It's like, well, you know, I took it for granted for so long until I hit 200. And, you know, I had these different milestones. I get to 155 and then 175 and then hit 200, and that was the end of that. And I worked my way back to 175, but I'm kind of stuck there right now. Do I exercise, though? No. Do I do any of the things I'm supposed to do? No.

Am I intermittent fasting? Yes, except it's just because I skip breakfast. I don't get to eat lunch half the time. Yeah, I don't get to eat lunch. It's not purposeful. No. Then I get home and just cram anything. I can't into my mouth.

I'm a face. But anyway, all right, that's very interesting. Yeah, cool. Well, hopefully he will... Who was that? Yeah, Raymond. Yeah, Raymond. Just email me at DR Steve202 at gmail.com.

And let me know what kind of blood work you've had and all that kind of stuff. We'll work with you a little bit on that. All right? Yep. All right. Okay, you want to get out of here or do you want to do more? Let's get out of here. Okay, we're going to play some music.

Let's do it. All right. Well, very good. Then how about I bring up the podcast script so that I can say goodbye to everybody. Thanks, everybody, for hanging out with us. Thanks, always goes. Dr. Scott, Tacey, DNP, Carissa. Thanks to everyone who's made this show happen over the years.

Listen to our Sirius XM show on the Faction Talk channel, SiriusXM Channel 103. Saturdays at 7 p.m. Eastern, Sunday at 6 p.m. Eastern on demand is the best way. and other times at Jim McClure's pleasure I'm going to have to tell you have you seen that movie Office Space I think I'm the God what was the guy's name Melvin

oh what was his name Oh the old office space movie like Yeah when the guy that they just forgot about They just kept paying him And they didn't think he'd work through anymore I think that's me Or that's us You know I want to say me

Howard Stern always does that No it's us Because I don't think we have a contract right now and they're still paying us and I haven't I've just kept my head down and anyway I told Vinnie

and check out subreddit surfing by the way it was the episode on botched surgeries you can find it in their in their YouTube channel but I said you know I still like having

the CirrxM show because with it you're not just some schlub with a podcast and Vinny was like so what are you saying exactly So anyway, exactly.

All right, many thanks to our listeners whose voicemail and topic ideas make this job very easy. Thank you to the fluid family for hanging out with us. Feel free to do that any Saturday or whenever we're on just follow my Twitter feed or subscribe to our channel and you can just hang out. You know, it's like 10 people and we all know each other and it's fun where you don't really push the video side of this.

This is a radio show. But it's fun to hang out with them. Go to our website at Dr. Steve.com for schedules, podcast 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 beer medicine thanks everybody thank you Thank you.