Weird Medicine: The Podcast - 561 - MMMMMmmmmicrodosing!

Episode Date: September 11, 2023

Dr Steve, Dr Scott, Tacie, and DNP Carissa discuss: Depression and microdosing SSRIs and Covid-19 c!rcumc!s!on again "vomicking" when brushing teeth an unfortunate accident with a marital aid some BS about walking barefooted where does weight go when you lose it? caffeine and sildenafil autoimmune something or other 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 because he's 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

Tacey, you're on weird medicine. What? You're on weird medicine. You guys are still doing it? Uh-huh. Yeah. Oh, shit. I thought it was 4.15.

I'm sorry. Oh, boy. You got any topics for us? I did have topics, but they're at home. Okay. Well, okay, well, thank you. Okay. You're welcome.

Okay. Call me later. Okay, bye. Yeah, they're not drinking, yep. Obviously. How is a private eye, like the dry cleaners? They both do other people's dirty work. How did the dad justify buying a boat?

There was a sale. How did the meeting go between the cat and the couch? Cataclosmic. 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 Pez, 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 Ebola, I'm stripping from my nose. I've got the leprosy of the heartbound, exacerbating my inflatable woes. I want to take my brain out and blast with the wave,

an ultrasonic, ecographic, and a pulsating shave. I want a magic pill. All my ailments, the health equivalent of Citizen Kane. 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. Dr. Steve.

You'll take a careful. From the world famous Cardiff Electric Network Studios, it's weird medicine, the first and still only on censored medical show. In the history of broadcast radio, now a podcast. I'm Dr. Steve with my little pal, Dr. Scott. Traditional Chinese medicine provider gives me street cred with the Wackle Alternative Medicine Assholes. Hello, Dr. Scott.

Uh-oh. Is your mic on there? There you are. Hello, Dr. Scott. And we also have back from sabbatical D&P Carissa. Hello, DnP, Chris. Hello. This is a show for people who never listen to a medical show on the radio or the Internet.

If you've got a question, you're embarrassed to take your regular medical provider. You can't find an answer anywhere else. Give us a call 347-7-66-4-3-23. That's 347. Pooh-Head. Follow us on Twitter at Weird Medicine or at D.R. Scott W.M. Visit our website at Dr.steve.com for podcast, medical news and study goodbye. 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 it over with your health care provider. And please don't forget, stuff.doctrsteve.com. Stuff.com makes a huge difference in allowing us to keep the bandwidth and all that stuff for the show. shop at stuff. dot, dr.steve.com. Just click through to Amazon and you can or you can scroll down and see the

roadie robotic tuner. There you go. Or the roadie coach, which will teach you how to play a damn instrument. It's incredible. So check that out at stuff. dot Dr.steve.com. Check out Dr. Scott's website

at simply herbals.net. That's simply herbals.net. And try our Patreon. Patreon.com slash weird medicine. You get all kinds of archives of stuff that you can't get anymore. and brand new shows that have never been heard anywhere else. And we did a live stream.

I'm going to do another one. I'm going to start doing more live streams. I just got to get the balls to do it. I have the time. I just feel like, why would anybody want to watch that? And that may be true. Maybe nobody wants to, but we'll see. And then if you want me to say fluid to your mama for five bucks,

go to my cameo. Camio.com slash weird medicine. I can charge more, and I've gotten more before. Not a whole lot more, but maybe four times that. It's not a lot. I mean, there's some people on there get $1,000 when they do one. But I just do it because I like it. So I'll say basically whatever.

And go to cameo.com slash weird medicine. If you want Myrtle to do it, you've got to do a 24-hour one because that costs more. Somebody wanted Myrtle to do it. They said that their wife hates it. And for Christmas, they wanted me to do it and do it. a long time. So I even put the wig on and the teeth and

how are you doing? I hope you get you some good veils. It's terrible. I love it. Yeah. Pierre Lydia was here and she was dying because she'd never heard that. It just sort of happened. She's like what is happening right now? Anyway, check that out.

All right. Don't forget to check out Dr. Scott's website at simplyerbils. dot net that's simply herbals.net and if you want to actually do something to help us out if you go to youtube.com slash at weird medicine or just search for weird medicine on YouTube and go to our playlist there's a playlist of videos on there just go over there before you go to bed click play all and then turn down the sound and go to bed. Yes. We went from, we've got to get to 4,000 view hours.

So one thing I want to do is some live stream stuff where we get on and we can do it with Stream Yard and let people call in, or well, they would just click on the link and they would be on the show with us. Gotcha. And I think it would be fun to do. And but for us to be able to do anything with that YouTube channel, we've got to get 4,000 views. Gotcha. All right, working on that. Check out Dr. Scott's website at simplyerbils.net. That's simplyerbils.net.

And I guess I said that already. Tacey isn't here, so there will be no time of topics. Oh, boo. I know. It's... It means we're going to have to work harder. It's Tacy. All right.

That was really ham-handed. We got something in the mail. Okay. and it's pretty cool and I've got one for each of you it's from this company called Tennessee Hot Sauce Company and you all can send us stuff

TNHotSau dot com I like Tennessee hot sauce company but it's TNHotSosco.com and this I have here is Honey Abaniero apparently everything they have is fiery

you know really fiery right on and they have suggested peering and so I thought that was cool that they sent that. That looks great. Check that out. Tell them old Doc Steve, Sanji. Where are you? Maybe we can get them as a sponsor or something. But, yeah, they were talking about

doing a weird medicine-themed hot sauce. I'll let you know if they do that. A spicy. Yeah, well, I told them it's got to be fermented because I'm all about fermented hot sauce, right? So I made that Tabasco sauce last year.

It was very good. and I read how to make Tabasco sauce because I had a million Tabasco peppers. By the way, if you've never grown a Tabasco pepper, it's one of the most delightful plants you can plant because when those peppers come out, they're only about an inch and a half long, and they point up instead of down, and they're all different colors. They'll go from green to yellow to orange to red,

depending on where they are, because they all mature at different rates. And it's beautiful. But if you want to make actual Tabasco hot sauce, And I went to school with one of the McLeanies. You have to ferment it. And you do it in a 3% brine, which means you just, you know, you take the water and you weigh it. And if it's 100 grams, you put three grams of water in it or three grams of salt in it. Okay.

And then you put it in this brine, and that will prevent bad things from growing, but it will promote the growth of the lactose, um, um, um, lactose fermenting bacteria that are on the surface. And so you don't have to add any cultures or anything. They're already there. They live on the peppers. And then they'll start to grow and then ferment. And then when it's done, you run it through a food mill,

and then you measure the liquid that you've got. And if the liquid is, say, 1,000 milliliters, you would add 400 milliliters of apple cider vinegar to it. And then you're done. Now, I will pasteurize mine because I don't want bottles exploding in my – because sometimes they'll still be fermenting, right? Oh, geez. The bacteria don't die when you put something through a food mill.

They're so tiny, so they don't even know anything happened. Probably just stars them up. Yeah, and they love an acidic environment and stuff. So I'll just put them in a pan that's got just under boiling water and let it just sit there for a little bit with the lid off and you see a little foam come up to the top and you cap them and you're done. Just kill some bacteria in there.

All right. Very good. So, yes, thank you, Tennessee hot sauce company. Check them out. I have some news about psychedelic drugs. We've talked about this before. There is actually some FDA draft guidance a little bit late, probably about 50 years late. I've always

maintained as much as I love Timothy Leary I think he set back the research into psychedelic drugs by a mile it wasn't just him

but the people who were proponents of bringing LSD and DMT and other drugs into the public sphere and then you see all these people

you know I'm tripping, hey, yo, man, you know, I'm tripping balls. You see that. That's what people see, right? The politicians see that. No, I know. And they see woodstock and a bunch of people rolling around, and, you know, it's not mud. It's fecal matter.

And, you know, they're, well, with mud, but there was feces mixed in with that. But, you know, you just see. And people go, oh, look at a bunch of dirty house. I was one of those people. You know, I was a dirty hippie. And the politicians were. mostly not dirty hippies and they're like fuck this stuff we're making it illegal and you can't do research on it anymore so when they made them schedule one that was it that stifled research for

the longest time well now finally we can do a little bit of research on these drugs and we know that um you know the psilocybin is effective for PTSD it's been studied and people who've been to war and have PTSD. Microdosing, there's data on that for depression, low dose. And then we've got ketamine. You know, ketamine isn't really a psychedelic, but it's in this, you know, it's been used as a street drug for years, you know, special K. Special K, yeah.

But it will re- I like special K, too. It will resolve major refurb. depression sometimes in three days. I know someone that did it. Do you really? Can you talk about it? I mean, without doxing them, obviously, and can you get closer to the microphone when you tell us? Because I am interested in hearing this. I know somebody as well, so go ahead.

You know, I don't know the details specifically, but I know someone that, quote, microdosed with psilocybin and had struggled with depression and mental health illness their entire life. Yeah. And after doing this, they did ketamine or or microdosing psilocybin? Microdosing psilocybin.

Yeah. And after doing so, it has a whole new outlook and mentation in regards to life and is living a healthy, non-depressed life. Yeah. Yeah. I know somebody that had refractory depression and tried everything. And they were talking about doing electroconvulsive therapy,

and they tried ketamine. And they didn't do the es ketamine. Esketamine is bravado. That's the drug that's on the market right now. It's about $1,400 a dose. It's a nasal spray. You do it, and then you have to keep the patient in your office for a couple hours because they're tripping balls

when you do it a little bit. It is a dissociative drug, so you kind of feel like you're out of your body for a while some people do. And so you don't want people driving around if they're floating up above their body, you know, so you've got to keep them in the... Or seeing the streetlights drip.

Yes. Yeah. Yeah, what would the hell was Dali doing? That would that be weird. He just was like that anyway. Yeah, I think so. And H.R. Geiger, the guy that did the alien. Have you ever seen his artwork as bizarre?

Yeah, I don't think so. Yeah, it's crazy. bio-mechanical stuff. So anyway, so these things can be effective. We could have had them 40 years ago. If it weren't for the politicians saying, oh, we don't want a drug

that these dirty hippies like, obviously it must be bad, which was ridiculous. You know, one of the things I teach my residence is I ask them, after they've been in the hospital a bit, if you have a drug seeker in the hospital, you may know the answer. I know D.N.P. Chris will know this.

what's their favorite combination of drugs in the hospital? DNP Carissa She's not paying attention You were looking up something, I understand I would say a benz-o and an opiate together That's close, that's close Okay, she knows what it is Do I?

I mean, I would say, do I want to be mean or good? No, I'll just give the right answer Hydromorphone Oh, you could have said Dilaudet, it's fine. Give thyself a bell. Delaudet and Fennergan. I knew what you were doing because I'm a bit of a stickler

about using generic names on our service. Anyway, my partners would call and say, well, this person's on Dilaudid, and I go, what? I'm an asshole. Never heard of it. Asshole.

I don't know that word. They go, hydromorphone. But anyway, yes. Delaudid and Fennergan. They love it, but they're teaching you something. They're teaching you that it's awesome, okay? So you can learn something from anybody. Sure.

And you have someone who is actively seeking drugs in the hospital, and they tell you they want Dilaudid and Fennergan, then you know that it's amazing, and it is. So we can learn lots of things from people, and that's the problem. They could have learned something from these quote-unquote dirty hippies from the 60, except they just decided to shut everything down because that's what we did back then. So if you were a little bit outside the box, that was the end of that. So we're finally coming around to this. And so there's a long way to go to get to this article. The FDA is publishing a draft guidance to outline the challenges inherent in designing psychedelic drug develop programs

and provide information how to address these challenges. So these draft guidances are just this is how you should construct your study. It covers classic psychedelics such as psilocybin and LSD that act on the brain serotonin system, as well as enactogens and empathogens such as 3-4 methylene, dioxie, methamphetamine, which is MDMA. All right, that's a good one. We all, MDMA is, that's ecstasy, right? Am I wrong about that? No, I think it is.

What is ecstasy? I always forget. Can somebody look that one up? I can't seem to get this up here. Sure. I wasn't paying attention again. Oh, my God. What were you looking up, though?

I was messaging the person I know that he was a suicide. It is MDMA. Okay. So, there you go. So very interesting. Thankfully, the FDA takes, forever, but they eventually come around to the right, to the right decision. They still haven't, and people go, oh, COVID vaccine, okay, they haven't approved it yet.

It's not approved. That's the thing. The FDA never approved that. It is authorized under emergency use, and now they're reevaluating that now that the emergency is over. So we'll see. And, of course, as I must say, vaccines are effective and prevent the transmission of COVID-19. Because if I don't say that, I get kicked off of YouTube. So there you go.

I learned that from Jimmy Doer. Thank you, Jimmy. All right, that's number one. Number two, this is an – okay, speaking of COVID-19, which we're trying to get away from, but this is interesting. Selective serotonin re-updake inhibitors. These are SSRI antidepressants, like Paxil, Zoloft, Prozac, are particularly effective in blocking COVID-19 transmission. Who would have known?

I'd take an SSRI and had COVID three times. Yeah, well, yeah. Research showed that 27.7% of COVID-negative patients that take at least one antidepressant. That's not within the last 90 days before they were admitted to a mental health care facility compared to just over 16% of COVID-19 positive patients. So that's kind of a back-ass way, backwards way of determining this. But so this was a correlation, not a causation kind of thing. But they did look at, I'm sorry, a prescription for SSRI had almost 40% reduction in the likelihood.

of a positive COVID-19 test. Oh. So, yeah, you can still get it. I was just wondering if maybe if you took SSRI, would you not give it to other people then if you had COVID? I don't know. They didn't study for that. Yeah, they didn't study that.

They didn't really study anything. This is what we need is a prospective trial. What they did was go back and probably everybody that was admitted to the psychiatric ward got a COVID test. And then they went back and had historical data and said, well, okay, how many of them were taking an SSRI that had a positive COVID test and how many didn't? And it just worked out that the people that were on SSRI had lower incidence of COVID-19 when they were admitted to the psychiatric hospital. So this is one of those things that just gives you a signal.

You can't act on this. Right. But there's a signal there in the data that says there might be something. something there. So now what you have to do is a prospective placebo control trial simply looking at whether you can block this virus. Well, hell, I mean, it's still out there. Oh, yeah. People are still getting it. So you still could do it, but you kind of missed the boat. I mean, for God's sake, it is now 2023. This would have been nice to know in 2020 when all this shit was going down. And people were laughing at people saying, oh, we should be pulling off the shelf.

drugs and see if they work. Because we already have them. They're already on the market. Why wouldn't we do that? Right. But people were just shitting on people for doing that. And it was very disheartening. I still contend that

therapeutics would have ended this thing a lot faster than the vaccine did. And for the, if we for example, if Favapyrivir, which just

disappeared off the radar. I think it's because Fuji is one of the big players in the United States. I'm not a conspiracy theorist, but it's interesting that Molna Pirovir, which is its first cousin shows up in the United States, but Favapiravir, which was already on the market, did not.

But anyway, yeah, it's already been through phase four testing, everything, for influenza, not for this. But if we had had a therapeutic like, say, Paxlovid, which reduces hospitalization by 90% in people that are at high risk for hospitalization. If we'd had that in the beginning, you get COVID, you go to your doctor, you get a prescription, and then you take it to the pharmacy if you're at high risk and you take it, you don't die,

you don't go to the hospital. It was over. That would have been the end of it. In 2020, I was pushing that. Okay, so we shut down in April by June. if you go back to the sit-wraps that I did back then, I was talking about Favapiravere in June and saying then, this way before the vaccine was a twinkle in anybody's eye, if we have a therapeutic that works, it's this thing's over. But billions and billions of dollars were put into this, you know, vaccine idea, which I get it. Listen, I'm not anti-vaccine.

fuck that. I grew up during polio rabies, measles. I've said this on the show. One of my friends in kindergarten died from measles. We had a whole room of kids that were in wheelchairs in my school from polio. So we don't see that anymore because vaccines are awesome. But I was this kind of virus where we could have therapeutics to it. We don't really have a therapeutic for measles. Right. You know, we don't have a pill that you can take for polio. No. But these sort of endemic viruses are a little different. And, you know, we have a pill for influenza. It works pretty good.

I think it kept me out of the hospital when I had it. And, you know, we could have had this. And it would have been over it. That would have been it. So that's the right way to go about, dealing with a, you know, a virus that has the potential of becoming endemic. Hopefully they'll remember that moving forward. Well, hopefully we've learned our effing lesson from this.

If we had, you know, listen, you can make mistakes as long as you learn from them. But anyway, so. Yes. Sorry, Favapiravir on what happened to you. Anyway. All right. I've got one more here. Any other comments from you guys on any of this?

I'm just monologuing. It's okay. You're just riffing, man. You're just riffing. Okay, I wish GVAC were still here because this is the one that would get us in so much trouble. He always would love that. You didn't know him, DNP Carissa. If you did know him, you would be making love to him right now.

That's what a magnetic personality he had. And that's him up there on the, on the, playing the guitar he was just a beautiful guy you say that about people i can't even explain it i cried more when he died than anybody else in my family anytime so i i can't quite i don't quite understand it but he was just a beautiful guy anyway one of the things that he liked to do was get me in trouble with these people called the intactivists and intactivists or activists that are opposed to circumcision. I always made, and you know, I always, I tried to disarm them by saying, listen, my argument

is you're doing something that's basically cosmetic for, without the kids' consent. I agree with that. And they come after me anyway, because somebody on Twitter asked me, what's the American Academy of Pediatrics's position on, circumcision. So I just went to the American Academy of Pediatrics website, found their white paper on circumcision, and posted the link. And that's where it started. It went on for weeks. All downhill from there. Oh, yeah. Yeah, yeah, yeah, yeah. So, and I've, you know, it's anyway. So I approached this with some trepidation. This. Let's hear it. Male circumcision may protect against HPV infection in males and females.

This was a systematic review and meta-analysis published in clinical microbiology and infection, not a, you know, just a rag, and this is a real journal, highlighted the protective effect of male circumcision on the prevalence, incidence, and clearance of human papillomavirus. A lot of people don't realize that if you get HPV, your body can get rid of it. I used to have HPV on my feet.

When it invades the feet, it makes these little carotic, it's kind of a plastic that the body can make, these carotic wells that hurt when you walk on them, you know, to protect itself. And if you dig them out the right way by a podiatrist, sometimes the immune system will wake up to them and they'll go in and kill them. I don't have planter warts on my feet anymore. So my body cleared the HPV. It can do that. And teaching the body to clear it, there are, you know, if you have genital warts, there are some immunologic approaches that you can take to get rid of them.

But anyway, you know, HPV, I'm sorry, go ahead. No, it's fine. What were you going to say? I just, I am curious if the whole reason circumcision may help prevent this is because of lack of cleaning. I mean, like the virus, HPV would multiply and sit there because of the foreskin.

Yeah, so that's D&P, Carissa, saying that people with foreskins are nasty. That was not me. D.Rty Carissa. Not me. Not me. I really disagree. I mean, I didn't say anyone was dirty. Oh, yes, you implied.

I completely disagree with your position on that. Wrong, that thing, wrong. All right. Well, let's see what they said. So it's the most commonly sexually transmitted infection. You know, low HPV types are associated with genital warts. The high-risk HPV types are considered major causative factors for cervical cancer, penile cancer, rectal cancer, and head and neck cancer.

Yuck. Yeah. So, it sucks. So, you know, this article starts off saying male circumcision is not. known to have protective effects. They're saying it, not me, against many sexually transmitted infections and sexually related conditions. So what they did was they did a systematic review where you take a whole bunch of studies

and mush the data together and then see if you can get a statistically significant answer out on the other end. And they looked at the association between male circumcision and the risk of HPV infection in males and their female sexual partners. And so the study design was this. They looked at various scientific documentation databases and included observation and experimental studies reporting the effect of male circumcision on the prevalence, incidents, and clearance of HPV. Okay.

So they studied, they didn't study people. They studied studies. And, okay, so there were 1,400 studies, and 32 of those, including 25. unique study populations were included in the systematic review and meta-analysis. So what that means is there were a bunch of studies that popped up when they put in HPV and four skin or HPV and circumcision, but only 32 of them actually had any data that looked at the prevalence and incidents and stuff like that. So the prevalence of HPV infection among all participants at base,

line range from 8 to 70%. And 21 studies reported the association between her circumcision and HPV infection prevalence in males. According to the study estimate, circumcision significantly reduced the risk of HPV infections at both glands and shaft, the glands being the Roman War helmet. The highest protective effect of circumcision was observed at the Roman War helmet, and then they say irrespective, not a word. God, of the viral types, low-risk and a high-risk HPV type.

So anyway, in these studies, circumcisions significantly increased both the rate and risk of HPV infection clearance at the glands. That's interesting. Then they looked at females, and there were a non-significant trend reported for prevalent infections in the incidence rate of low HPV infections. So, but it significantly reduced the risk of prevalent high risk HPV infection. That's like HPV-16. That's one of the strains that causes cancer. So anyway, you know, they concluded that circumcision protects female partners of circumcised males and that male circumcision has a significant protective effect against prevalence, incidence,

and clearance of HPV. So now, what do you do with this if you're a parent? Again, you are doing... What we always said was, if it doesn't save lives, then it's cosmetic. If you can show that it saves lives, then it becomes more than just a cosmetic thing that you're doing. So we do lots of things to kids. We make them wear seatbelts.

We brush your teeth. Yeah, make them brush their teeth. Yeah. And we also make them take vaccines and medications and stuff like that that they can't consent to. This does change their, the sensation in the end of their penis forever. And some people think that it means that they can, that they can actually go longer. But other people say that it reduces their sensitivity. So as a parent, you just got to. to make this decision.

Nobody can make it for you. The pro-circumcision people, the anti-circumcision people, you just have to look. And, you know, one of the things that also happened in the last three years was if you did your own research on something, you were considered a kook. Isn't that what we're supposed to do? Yes. We want to be your own advocate. Intellectual.

We want to research things and understand stuff. but to be told that you can't do that is anti-intellectual, and I don't understand that. So I guess if you say, well, people are too dumb to understand and they can be easily misled, well, let them look at the peer-reviewed stuff. You know, our audience can read a peer-reviewed study, and they understand it.

Yes. The ones that have listened to us for a long time. So, and they understand the difference between relative risk and absolute risk, the number needed to treat and all those kinds of things, so they understand that stuff. So you can do your own research. So go look at it.

Do you decide. And if you want to leave it until the kid is 18, they do have ways that they can circumcise adults now that really aren't as horrendous as they were in the past. Sam Roberts was on the couch for two weeks. Our friend Jefferson the Scheister was playing basketball or baseball the next day. Softball the next day. Yeah.

Very next day. Yep, and he even pulled his slong out and showed us the sutures and stuff. It looked pretty, you know, it was pretty meaty. Pretty, yeah. Meady and vainy, it wasn't bad. I miss old Jefferson. We've got to get him back on here. Anyway, so there you go.

Interesting. Make you, the problem is you just have to understand the kid cannot give consent, nor would they asset to it. when we have pediatric patients we often ask them for their assent in other words would you know would you be okay if we did this but if they're minors by law only their parents or a guardian

can consent for them until they turn 18 and it was weird when my kids turned 18 all of a sudden I couldn't refill their medications anymore with our app they just dropped off the app I had to go back create an account for

them and then they would allow me to manage their medication on my app. So there's a lot of pain in the ass when your kids turn 18. They can just come and go as they please. They don't give a shit. They don't want. I don't know.

They just show up for money. Dirty clothes. Yeah. The youngest girlfriend is named Sam and he's always at her house. I'm sure they're just playing video games. Of course. But we always call it that, you know, say that

Beck's at Sam's Club. You got any questions from the fluid family there, Dr. Scott? Not yet. If you don't, that's okay. Anybody have one that you did and Scott missed it? That's okay. Just go ahead and put it in there now. And if you don't know what we're talking about,

when we record, usually around 1 o'clock on Saturday Eastern time, we are on YouTube, and you can join in and ask questions and stuff like that. And like I said, in the future, we're going to be doing a live stream where you can click on a a link and actually be on the show and ask the question. If you don't want your face scene, you can use a puppet or you can just blank out your camera. That's totally fine, but you can ask questions live.

We go back to doing that. I think it's going to be fun. Cool. All right. And I wish Tacey were here for this. Never thought I'd say that. I'm just kidding. Just kidding.

Again, usually I call you with questions about my nuts or farting. But today I actually have a more serious question that's concerning my wife. She for almost probably eight months has had these, like, bouts of vomiting where if she's brushing her teeth and then she sends over to, you know, spit out of the toothpaste, she'll get sick. And just lately it's felt like she's almost right where that cyphoid process is in your serum, there's this pressure, and then she'll just cough up. acid or like bile or just mucus there's nothing in it so I'm thinking it might be like a hiatal hernia or maybe the early onset of GERD or something like that but do you think seeing a GI doctor would be the best thing because she's you know a tough girl from the Bronx like no it's fine it's fine everything's fine but I'm trying to convince her to you know

check out which doctor might be appropriate you yeah no The reason I wish Tacey were here is because she does this every day. She pukes every single day when she's brushing her teeth. I hear her in there. And if she's brushing her teeth, I can't speak to her. You know, if I say something, she won't answer me. If I say it again, she'll yell, I'm brushing my teeth. It's just a nightmare for her.

And 10 to 15% of people have this hypersensitive gag reflex. And it doesn't only gag, when they're brushing their teeth, but when they sometimes when they need to take a pill or eating like mashed potatoes or bananas, not always. Some people just when they're brushing their teeth. And so some people will just try to brush the front teeth and that doesn't seem to work.

So I found a dentist that actually has some advice for people. And they say just getting your mind off what you're doing so you can properly brush and get your teeth clean. You can try just walking around the home, which is hard to do because there's always you know that toothbrush foam coming out of your mouth but you can watch television while you're brushing switching from a manual toothbrush to an electric toothbrush could help didn't for her I got her a one with a little tiny thin rod on it you know where the

vibrating the sonicating toothbrush is even that doesn't spit out excess saliva that builds up more frequently and even you can even read while you're brushing and see if that helps. And then they also recommend looking for a smaller brushhead or even go down to a child-sized toothbrush. And the thing that I like is this waterpick things now that you can walk around with. It's not attached to a machine anymore.

It's handheld. And I have a couple of those. I think Phillips makes one and there are other ones out there. You just fill up the reservoir. and then you can floss with that thing, and it's pretty good. I've flossed before with the regular flosser and brushed my teeth, and if I ate something like nuts or something like that, I would use the water flosser,

and obviously you see all this other shit coming out of your mouth that's in there. So anyway, yeah, but trying to distract yourself, breathing through your nose and not your open mouth. You can try those kinds of things. That's easier said than done sometimes. and but if that doesn't work and the acid that's coming up is coming from the stomach

so she may have a high ital hernia or a loose lower esophageal stricter and she you know if she's bringing up acid during brushing her teeth she's probably doing it other times as well so yes a gastroenterologist would be good to see let them look down there make sure everything's kosher

sometimes they can close up that lower esophageal sphincter there are even medications that you can take for that like metaclopramide that can increase the tone of the lower esophageal sphincter. Yeah, I would say I would hope there would be a lot more things before a surgical intervention, but... Well, you don't have to have to, just scope it and see.

Yeah, and before the, what's the surgery, the... Fundoplication. Yeah, fundoplication. Yeah, so they could do that. A fundoplication is for people who have severe mechanical reflux, and basically what they do is they take a piece of the stomach and wrap it around the bottom of the esophagus

and just to add a little bit more narrowing there, make it more difficult for acid to work its way up into the esophagus. Sounds like she's got the gag reflex and the really irritated esophagus too. She's probably got hyper-reactive airway with all bombing and that stuff up. So she may have to take, like you said, go to the GI Doc

just to make sure nothing goofy. Yeah, maybe some sort of anti-acid in addition to some anti-gag reflex kind of stuff. Yeah. And there's actually a little acupuncture point on the front of the ear you can press on. Really? That will help with a gag reflex. Where is it? We'll do it just, we'll do it for them.

It's on the front of the ear. It's on the outside of the area. If you're just up above, like where, if you can imagine a hearing aid coming down the loop or the wire coming down on the front, it would be right underneath there. So it's actually on the exterior. Okay. But it'll stimulate kind of the vagus nerve. On the top part of the ear, above the canal, but just in front of where the ear attaches, on the top, on the front.

It's almost like if you could take the inner, the inner curve here, I guess for like a better word of spine, and you could kind of fall out to the outer part of the air kind of. But it's right there. But you can massage that, and that's possible for a gag refunds. We'll do it for dent. We'll try everything. Yeah, for people going dentist to gag. We'll put those little needles in there before they go, and they can press on them.

Really? And it'll last through the procedure? Oh, yeah. Get some fuck out of here. Oh, yeah, if you put it in there hard enough. Okay. All right, very interesting. Oh, yeah? All right. Let's see.

So good luck, dude. Yeah. Hey, Dr. Steve. Hey. It's Marcus from North Carolina. Hey, Marcus. Long time. Down here in Louisiana, messing up this hurricane.

And that pretty fucked up on Bourbon Street. I went back to my hotel room and used my penis pump and slapped the cockering on and used my purple-headed monster. Yeah. The problem I had is I fell asleep with that cock ring on and my dick kind of sloughed off. Get that. I'm wondering if we might have mastered that dick transplant yet. Could you give me a little info on that? Well, he's being hilarious, but that is an issue.

He had a little whiskey dick, and he put on a cock ring, which basically restricts outflow. Blood can get in, but can't get back out. Kind of tourniqueted it, didn't he? Exactly. And then the scenario is he fell asleep with the cock ring on. Terrible idea. And then his penis slept off. That's even worse.

I know that didn't actually happen. But these things sometimes do happen in places like nursing, facilities and things like that, or other places where, let's say, someone retracts someone's foreskin to clean it, and then they forget to unretract it. Oh, gosh. And then the head of the penis falls off. Oh. I think any part of the penis falling off is bad. Yeah.

No, agreed. Unless it's a big genital wart, and then they can fall off all they want. But, yeah, you don't want a traumatic balance. Melanitis where your penis, the head of your penis sloughs off. And likewise, if you have enough loss of blood supply, let's say you're wearing a too small cock ring because you think the tighter the better. By the way, hurts like an MF or so. Most people will not fall asleep with one.

But what if you can't get it off? Because the penis is swollen on the distal side of, you know, the, the, the, the, the, side on the other side of the cock rank. Sure. And now it's difficult to get off. Cut it off. If you can't cut it off, go to the emergency room. Not your penis. Not your penis. No, no, no. Correct. Of course. To be clear.

Give myself a bell. Finally. Yes. Don't cut off your penis. Cut off the cock ring. Cock ring first. Yes. Yes. That makes more sense. But so many of the cock rings now are really just to

allow a vibrator to be stuck to the top of the thing. They don't actually restrict blood flow. They just allow you to position this vibrator thing in the right place. So that when you're fully inserted, you know, the vibrator vibrates certain tingly parts. Hmm. So anyway, I don't see a lot of people using the cock ring so much for erectile dysfunction anymore with the advent of things like syldenafil and the PDA5 inhibitors and L. Prostodil. But cock rings are still used.

Or, you know, venous outflow restrictors, penile venous outflow restrictors, are still used when you use a vacuum pump. Right. So the vacuum pump, you put the thing on and there's a cock ring on the end of it and you slide it over your penis. You evacuate the air. Blood flows into the penis because of the negative pressure. And then you slip the thing off, you slip the cock ring off to keep it that way

and then you can take the pump away. And that's how that works. So those are still used. And, yeah, it's not the most fun way to get an erection and try to have intercourse with somebody. Here's a question for Dr. Scott. Oh. Yep. I've been saving.

Hey, folks. Hey. Got a question for that little hippie-dippy guy that used to throw a baseball around every once in a while. Well, that could be me, too. I keep hearing these stories and seeing things about being grounded. not just being level, but actually taking your shoes off and walking in the grass or try to get your chi or whatever more imbalance. I don't understand a lot of these things.

But I do remember back as a kid, you know, after you mowed the grass, take your shoes off and how great that felt. It just brings back happy, warm feelings, just walking barefoot or walking in your creek faces. Sure. Is there any scientific evidence to kind of show that that might be? a little healthy way of balancing yourself. Thank you.

Ta-ta Tacey. Not here, sorry. What do you think? I think so. I think there's a lot to be said about grounding and walking on certain surfaces. And I think there's probably even more to it than just that. I think your relativiveness to the sea level is going to influence it too.

Different, different electric fields. Electra. Okay. Now you're going to introduce electric fields. Yeah, a thing called gravity, maybe. Gravity is not an electric field. It's a power in a center of earth that pulls you to the center of the earth. Oh, no. That's not what it does. That is, yes. Gravity rocks fall out. Curvature of space around a massive object. But it makes a fucking apple fall from a tree onto the ground. That is true. Okay, so at least, at least I got that going for me.

But no, I think It makes clocks It makes clocks Run slower closer to the gravitational source And it makes curb balls flat If you're pitching in Colorado's rocky Stadium

That's interesting Sure does Yeah, honestly You know, pitchers hate to pitch In Colorado Because anytime you hit a ball It goes a little further Because of all the air is thinner

Well, the air center Why is air thinner? Energetic field Oh, for fuck saying No, oh my God Energetic Yes, yes it is And plus, when a curve ball, when the ball is spinning, it doesn't grab and doesn't curb as much.

Because the air is thinner. Because they're far away for gravity. No, it is interesting. Oh, I'll bet you a dollar. I'll bet you more than that. The air is thinner. I agree with that. But also, the gravitational pool does make a difference.

It is different. It's right. You're farther from the center of mass. Well, that's what I said. Okay, I got it I think that effect is negligible compared to the difference in air density

but it is interesting though whatever it is, it's a very small difference going up a mile from sea level but only a mile and you know if you had if you could shrink the earth down to the size of a cue ball

it would be smoother than a cue ball it seems weird but it's actually true and so the you know just going up just a mile that elite athletes can tell the difference that's the interesting thing to me

and I was up 11,000 feet at Snowbird and there was this woman that was very cute and very engaging and she's like tee-he-he let's go up and you know go skiing with me and it's like oh yeah I'll go skiing with you

sucker so I go up there and then she just go see at the bottom and she'd tell you takes off. Now, I was a decent skier in Michigan. I mean, I raced in Michigan. I wasn't used to powder at all. We never had that. And I got stuck in like four feet. It must have been like three feet. But three feet. I was up to my waist and a little bit more in powder, not moving. And I said, I'm just going to die. Because I was at 11,000 feet. I couldn't breathe. Having difficulty breathing. And what I did, though, was I just laid down on the

snow and rolled up so I got kind of on top of it and then just sort of scoot it down until I got to part of the mountain where I could actually ski but I really thought for a minute there this is it I just I can't move it's a terrible feeling it is it was weird too when you'd get out of the shower

you barely had to dry off because the you know the water can't stay on your skin it's just so volatile at those altitudes yeah that'll do heights I get really sick.

Do you? There's medication you can take. Yeah, there is, but I am. Cetazolamide, my friend. But I'm so going back to the most important question. Okay, the barefoot. Yes. Walking, so.

I think it's just primal. We did this in school, and I'm probably going to weigh misspeak, but in Ayurvedic medicine, walking barefoot was like, I mean, grounding. They called it earthing or something. Yeah, that's what you're talking about. Yeah.

Same thing. I mean, just feeling the energies of the earth through your feet. Well, I like to, and what Stacey was, I think, talking about to the Chi, what I like to do is teach people, especially with balance issues, foot issues, and even a lot of stress issues, teaching what we call Chi Gong walking, where you just walk really slowly, short steps, and you practice, you know, this art of being kind of really aware of each step in where you are.

You breathe in, you smile, you breathe out. I think it's just, yeah, it's meditative in that way. And it is the way that our ancestors ambulated on their feet. We evolved in a situation where we were walking on our feet. Q-I-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G-G. So, yeah, and the Ayurvedics have, you know, the three dosha, Vata, Pita, and Kaffa, and all that's the kind of stuff. So, you know, if you were kaffa, that's water and earth. so maybe that's what

those people would do better but you know who knows yeah I think it's important I think it's important yeah yeah yeah I'm just looking forward to Avatar the last

airbender so there you go he must be Vada because that's space and air yep all right you went to one from do we have time for yes of course

yeah let's do let's do well we have actually yeah we have time go ahead well I'll make a quick Question, after a month on high-dose antihistamines, my doctor still thinks the on-and-off eye swelling is allergies, and then there's a clarification. It's under her, sorry, my screen just skipped. Okay, swelling is under her eyes and on the edges of the eye and can extend through face, sometimes with strange red line across face. That doesn't sound like it's an allergy to me.

Well, you can have a thing called periorbital edema, and they get puffy eyes, and it's periorbital edema. It means around the eye swelling, and, you know, antihistamines will sometimes help, but I would, if that really looks like an allergy, I'd try steroids for a little bit. Right. It's a little stronger than a thing. Yeah, give you a little steroid dose pack. If it goes away and then it comes back, then it probably is some sort of allergy, and I would send you to an immune. and see what in the shit you're allergic to. Now, they say, you know, using cold compresses, cutting down salt intake, blah, blah, blah,

but corticosterides are the go-to. Now, you've got to make sure it's not periorbital cellulitis. Now, periorbital cellulitis, a different thing. It's an emergency. But you would know that it doesn't come and go. Periorbital cellulitis is infection of the tissue around the eye, and you can lose your eyesight with that, but it'll always be painful, angry, red,

and it will look like it's infected, not just puffy like an inflammation from an allergy. I wish she'd send us a little picture of her the red line on their face. They'll use adrenaline sometimes in the emergency

room if they come in. They'll give me a epinephrine, just like DMP ERISA would take when she had her anaphylaxis, which we talked about several times. Yes. You know, DNP, Chris, what would some of the other things that could possibly be going on with this person, do you think? Maybe it's lupus.

Yeah, it could be an autoimmune disorder of some sort. It is certainly an immune disorder if they feel that it's an allergy. Yeah. But an auto... Just puffiness under the eyes, though, and then the red, where's the red quote line? Yeah, that's the thing. So people with lupus often will have a thing called a Malar rash, which is over the cheekbones. I'll have redness there.

It looks sort of like a mask. Yeah, butterfly-y kind of. Yeah, butterfly, like that. But you do blood test for that. So, listen, if they've had you on high-dose steroids for a long time. Antihistamines will they had. I'm sorry, yeah, I'm sorry. Yeah, I'm sorry.

Thank you for giving you a bell for crap. Give thyself the best. I didn't want to say the wrong thing. High-dose antihistamines, and it can, and it, and it, still there, then this bears further investigation. That's basically what we're saying. Yeah, maybe even ophthalmologists, possibly. Maybe?

Yeah, you know, ophthalmologists deal with this stuff, too. This one is one of those multidisciplinary things. It could be a bunch of different places. All right. Well, hey, thanks to Dr. Scott. Thanks to DNP Carissa. Thanks to everyone who's made this show happen over the years. Listen to our SiriusXM show on this Faction Talk channel,

Sirius XM Channel 103, Saturdays at 7 p.m. Eastern, Sunday at 6 p.m. Eastern on demand and other times at Jim McClure's pleasure. And many thanks to our listeners, particularly those in the fluid family, including Lovett, Sean P. And Stacey. Stacey Deloches in there. Hello, Steve's in there today. There you go. Amanda. Do a whole, oh, and Amanda Davidson. Yes, thank you for your continued support.

I want to do the whole Cardiff Electric roll call, although when we do our live stream, we will, because that's become a thing. And I'm hoping Marco P.193 or whoever that person shows up. And kinky loco, of course. But check out 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.

everybody thank you guys Thank you.