Weird Medicine: The Podcast - 578 - Liam in the Hizzouse

Episode Date: February 14, 2024

Dr Steve, Tacie, Dr Scott, and Liam (from Ashley Madison fame) discuss: fungal infections gambling and the NBA finger amputation post thoracotomy pain Terry's Migraines Botox for various maladies voiding your awful bladder after the act of procreation and more! Please visit: stuff.doctorsteve.com (for all your online shopping needs!) simplyherbals.net/cbd-sinus-rinse (the best he's ever made. Seriously.) tweakedaudio.com (use offer code "FLUID" for 33% off!) 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, Jim Norton, Gregg Hughes, Anthony Cumia, Joe DeRosa, Pete Davidson, Geno Bisconte, Cassie Black ("Safe Slut"). Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

You see, you see, you're stupid minds. Stupid, stupid! Well, that's because you're an idiot. Man, you are one pathetic loser. Oh, uh, wow, that is very interesting. Please tell me more. You get nothing. You lose.

Good day, sir. If you just read the bio for Dr. Steve, host of Weird Medicine on Sirius XM 103, 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 Tobolivir stripping from my nose. I've got the leprosy of the heartbells, exacerbating my impetable woes.

I want to take my brain out and blasted with the wave, an ultrasonic, ecographic, and a pulsating shave. I want a magic pill. Oh, my ailments, the health equivalent to 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 in beautiful downtown, Tuky City. 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 with the whack alternative medicine assholes. Hello, Dr. Scott. Hey, Dr. Steve. And my partner in all things, Tacey. Hello, Tacey. Hello. Our new executive producer, Liam, will be here in the studio directly. This is a show for people who would never listen to a medical show on the radio or the internet.

If you've got a question, you're embarrassed to take to your regular medical provider. You can't find an answer anywhere else. Give us a call 347-766432323. That's 347. Pooh hit. Follow us on Twitter at Weird Medicine or at D.R. Scott W.M. Visit our website at Dr.steve.com for podcasts, medical news and stuff you can buy. Most importantly, we are not your medical providers.

Take everything you're with a grain of salt. Don't act on anything you hear on this show without talking to it with your health care provider. Please don't forget, stuff.com. That's stuff.com for all your shopping needs. It really helps keep us going more than just about anything. You can scroll down and you can find the ROTI robotic tuner, or you can go to ROTI-D-I-E dot-D-I-E-D-E-D-E-R-A-D-E-R-A-D-Steve.com, and they have the Rodytuner for guitar, and they've got one for bass, mandolin, other stringed instruments, including banjo. And they also have the Rody coach now, which will actually teach you to play a stringed instrument. So feel free to do that.

and go to simplyerbils.net. Simplyherbils.net for Dr. Scott's website. Tacey and I do a show on Patreon. Patreon.com slash weird medicine. And my favorite thing to do is cameo. Camio.com slash weird medicine where I'll just say fluid to your mama or do whatever you want me to do.

Sometimes it's amusing. Sometimes it sucks. But what do you want for, you know, two bucks or five bucks or whatever it is at the time? Don't forget Dr. Scott's website at simplyerbils.net. That's simply herbals.net. And everything going okay over there, Dr. Scott? Yeah, doing super great.

Okay. Pretty busy. Very good. Well, I was trying to stall today because Liam is supposed to be here. He's volunteering for a marketing thing. Speaking of the devil. Oh, there he is. Here I have a seat right there, a little buddy.

What's up, dude? And ladies and gentlemen, yes. It's Liam First heard on this show When he did this When he did this commercial for Ashley Madison Let me see what I can find it here

Come on now Where are you? When my mom is a bo- My daddy goes at Ashley Madison.com There he can put up lots of other women When I grow up I'm going to be an Ashley Madison

and men. Because my daddy's raising me without any moral compass whatsoever. Ashley Madison, find your lovers here. Why exactly are we singing this? Daddy, what's a road history?

Yay. So proud. You're on weird medicine. Oh, yes, you are on weird medicine. Why is it doing that? I hate Apple. music, it just goes and plays the next thing, whatever it wants to do.

Get your hand off my penis! Anyway, hello, Mr. Liam. Hello. There's your microphone. There you go. You just talk into it. Yep, yep, yeah, yeah. So you're here because this is some assignment for school.

Yes. You've never shown any interest in being up here ever. Yeah, I have to do it. Unless there's money involved, of course. Well, no, there's never been money involved. I'll be up here all this time. Well, we could, listen, I need somebody to do some work for me. We could work something out, and I'm happy to pay you.

What you've got to do, though, is when you're talking to the mic, you want it to be about a fist distance away. There you go. Yeah, perfect. All right. So what is this assignment exactly? I have to do a volunteering for a marketing class. Okay.

All right. So here you go. So here's the camera switcher, and this is for the YouTube channel. and it's all labeled. And the ones that you're interested are are Scott, Steve, and guest camera, which is whenever your mother's talking, you push the guest camera thing.

So when people are talking, just switch it to them? Yeah, and then the two-shot, like if Scott and I are in a conversation, then you hit the two-shot. Okay, do I hit the two-shot and then... No, you just have to do is just push it. Okay, so there's no one for mom. The one for mom is guest.

No, I know, but for two-shot. shot. They left you off of it. I don't even want to be on camera at all. She's in a two shot with, this is fascinating for the listeners by the way. She's in a two shot with Dr. Scott. Okay. Okay. And you're

conveniently out of camera. Thank you. Camera range. Thank you. We'll fix that when we do the podcast part. All right. So that's all you got to do. So your mother, okay, so we'll just, we'll forget

Liam's here and we'll just do the show. I won't have to explain. Well, your mother and your Uncle Scott are doing this and that. Well, look at that little feller. He sure he's a good. He's a kid, honey. He's surely. He's spitting the image of his pat paw on.

There you go. I hope not. Do you want me to start doing this now? Yes. Okay. Yes, this is your job. Straight A's, ladies and gentlemen. Straight A's. Oh, man.

You are one pathetic loser. He's a fucking idiot. He's a fucking idiot. All right. Okay, yes. Yes, your internship begins now. Very good. Okay, thank you.

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. Well, hello, everyone. Hello. Now would be the time to go to the bathroom if you need to take a brain.

Is it working? Shut up. Dude. Okay. You're fired. I just give him an A and we'll give an A in the goal. You get credit for 10 hours. We'll sign it off.

We'll just check it off. I just want to know if I'm doing it right. You are doing it. Yes, you're doing it right. But what you can't do is in the middle of the show just be going, is that right? Am I doing it, right? Yeah, Neney, come on. Hey, it's like having, it's like having, it's like having, it's like having, it's like having, it's like having a grandma up here.

It's like the first time I was doing the news at WRL TV and I was running the camera and I wanted to be all fancy. And yeah, I was whispering to the director, do you want it like this? Do you want it like this? And he's trying to switch and, and bring up videos and stuff. He was just like, kid, just shut the fuck up. Okay, I got you. No, so I did the same thing. You're fine.

All right. Now shut the fuck up. Okay. All right. Okay. No, it's cake, go taste. Okay. A deadly fungal infection is spreading at an alarming rate, CDC says.

Uh-oh. What? Uh-oh. Cordyceps? A drug-resistant and potentially deadly fungus has been spreading rapidly through U.S. health care facilities. A new government study finds. The fungus, a type of yeast called Canada or C.Oris, can cause severe illness in people with weekend immune systems.

Have you ever heard of this, Steve? Yeah. Yes. But, yeah, it's people who are, it's, you know, a hundred-year-olds and people like that. Well, we'll just see what the article says. Okay, by God, we will. The number of people diagnosed with infections, as well as the number of those who were found through screening to be carrying CRS has been rising at an alarming rate since it was first reported. In the U.S. researchers from the Centers for Disease Control and Prevention's reported Monday.

Especially in the most recent years, it's very concerning to us. The lead author and chief medical officer in the CDC's Mycotic Disease Branch said in an interview. We've seen increases, just not in areas of ongoing transition, but also in new areas. The new warning published in the annals, annals. We know where our head is. You see? You see? You're a stupid mind. I love it. I couldn't help it.

Come as the Mississippi Department of Health is fighting a growing outbreak of the fungus. Since November, at least 12 people have been infected with four potentially associated deaths. There have been ongoing transmission. Four. Two long-term care facilities. Out of 350 million people. Although cases have been identified at several other facilities in the state. Unfortunately, multi-drug resistant organisms such as CRS have been.

become more prevalent among our highest risk individuals. Highest risk, which is what you said, Steve. Oh, see, this is what, okay, this is what kills me. Yes, well, if you want other articles, you can eat more than... You're stimulating conversation. You are the conversation. The fungus can be found on the skin and throughout the body. It's not a threat to healthy people, but about one-third of people who become sick with C.R.

St. R. St.a. Wait, okay. Say the sentence just before that. it's not a threat to healthy people. But about one-third of people who become sick with it die. Correct. But see, it's being found in these long-term care facilities and stuff, you know, people who are sick. In international health care facilities, it's gone from an unknown pathogen to a cause of 40% of invasive candida infection.

So this is, yeah, it sounds horrible, right? Except I can't remember the last time I saw a disseminated Canada infection in the hospital. I know they're there because I don't see all the infectious disease people. But in my job, they're the sickest of the sick, and we usually get called in on those. So let's look at, so 40% of the incidents. Well, let me say this sentence first. Okay. Before you start your little stuff.

Oh, before I start hosting my show. Yeah. The number of infections increase. increased by 59% to 756 from 2019 to 2020, and then by an additional 95% to 1,471 in 2021. Okay. Okay, I didn't hear any of that. Thanks for listening. I'm sorry, I was looking up to me.

Okay. In a cohort of 386 patients with positive blood cultures, candidemia, in other words, Canada, is documented in 16 patients. So that's 4%. of whom 2.6% had pure candidemia. So it is, I mean, it's not unheard of, obviously. But when you say, oh, it's become 40% of the candida infections, then what you're saying is it's become 40% of something that is a vanishingly small. Well, when you weren't listening, the number of infections increased by 59% to 756 from 2019 to 2020.

156 where, over, I mean, what was the... From 2019 to 2020. In the United States? Yes. And then by an additional 95% to 1,471 in 2020. Okay, so we had 1,000 cases in the... Okay, so it went up. It did increase by a third, right, from 700 to 1,000, something like that.

Well, it says 95%, and I don't do math anymore. Number of bacteremia. So let's just compare it to bacteremia. Because that we see all the time. That's where bacteria colonized blood cases in the U.S., right? Okay. Yeah. Come on.

It says 45.7 per 100,000 person years. I just want a number. Okay. You don't have to be so damn fancy. Get to the point. Okay, overall an estimated 119,000 cases of just staph aureous bloodstream infections. So, you know, there's probably a million, I'm guessing, of all the different ones because we see bacteriaemia all the day. So my point is, no, very good article, very good example of how alarmist the medical journalistic or medical journalism sort of environment is.

Because they're out, they're looking for stuff, you know, ooh, they're huge increase, you know, a 40% increase, 50% percent, 100% increase in. Canada cases. We're talking about a thousand cases across the whole country. Well, the author hopes the paper will put this on health care providers' radar and spur facilities to practice good infection control. And one of the things I read is that the quateria ammonia compounds that we use to clean surfaces doesn't kill this. So, yeasts are very hardy because they can spore-sporify, sporilate, whatever it is. and those spores can live for almost forever. You know, they're little plastic, sphery things. And when they're rehydrated, the stupid things come back to life.

That's why, well, think about it. Liam, have you ever made bread? No, of course not. I made bread one time. Did you? With yeast? Do we need to do it with yeast? I think so.

If you remember, the yeast comes in a packet and it's a dry powder. And you put it in water and it comes back to life. That's how stupid these things are. You know, they're just so... Yeah, go ahead. This article says, by its nature, it has an extreme ability to survive on surfaces. It can colonize walls, cables, beddings, chairs. We clean everything with bleach and UV light.

Yeah. Yep. But it also says, if you've watched The Last of Us, don't think we're all going to die. Because this is just for really safe patients. Right, right. Right, right. That's why I said it's not cordyceps that's jumped to humans. But, you know, Candida is normal part of skin. You have candida on you right now.

I don't know if you have Candida oris or you have Canada albacans, for sure. Yeast infections, vaginal yeast infections, are candida albacans, which just means, you know, white. So it just makes a white discharge. I think that's what albacan stands for, right? It makes sense, yeah. Al-Bacan's meaning, yeah. It's got to be. It makes white discharge.

So they, you know, these things are everywhere. We live with them constantly. Yeah, it comes from the Latin word white. So appears white when cultured on a plate or when cultured in a vagina. There you go, Mr. Liam. So now you learn something. So, anyway, yeah, so I'm very interested in this. I think it is an example of alarmism in medical journalism.

They're just looking for stuff to increase over time. And then, you know, there's this relative risk versus absolute risk. Well, I think, you know, when the article said, just put it on everybody's radar. Yeah. You know? Yeah. C. Ores has reportedly never been isolated from the national.

natural environment, does not seem to have been a common colonizer of humans before 2009. More research is needed to understand where in the environment C. Oris lives and why it began affecting humans only recently. Now, that is interesting. Has someone been playing around in the laboratory again? Oh, Jesus. Will you guys stop with that, please? Quit messing with that shit.

It's from my fridge. It's from Liam's free. that's probably true actually your fridge one i cleaned out liam's refrigerator he asked me to do it as a favor just uh what was that for your birthday or something it wasn't that bad oh it was terrible no it was messy it was full of stuff and there were 20 unopened uh or half-eaten things of like cheese dip but there none of them were moldy there wasn't anything gross in there The thing that cracked me up, and I put this on Twitter, too, was even his, he had water in there that was out of date. How do you have water that goes out of day?

Oh, God. And it was like, you know, consumed by 2019. I opened my mini fridge, and there was one from 2017. It said, drink by 2017. Such as the life of a college student. Anyway, hey, well, you know, while we got you here, Liam is getting his degree in sports psychology. And so, and he has an encyclopedic knowledge of NBA of statistics, players. I mean, he's a really good person to have for, say, like a fantasy basketball league.

Are you doing football too, though, right? Yeah, I mean That's not your sport NBA is your thing Yeah So tell us What we need to watch for With the Memphis Grizzlies

Nothing Nothing No, don't watch Don't watch? Why not? It's evil basketball Why? Oh, because they disappoint you constantly

I was a Cubs fan, bro I lived in Chicago And I was a Cubs fan So I understand your pain Yeah, it's horrible Now we have a wager on the books that the Grizzlies

will be the champs at the end of the season and so we're going to lose that money. Nah. No. See? That's a typical Cubs fan too.

They never lose hope that the Cubs somehow will not disappoint them this year. We got ten more games and then we'll be good again. Okay. All right. Because, you know,

Jall will be back. Marcus Smartle will have. Jah rule? Yeah, jaw rule's coming back. I hope. Okay. And then Luke Kinnard will be back You don't want me go through the whole IR

No, no, not the whole thing Give us a couple of There you go All our good players will be back by then Hopefully And then we'll finally be Not 3 and 11 So

Okay Yeah, let's see how we're going on And our other bet on the Scoot Henderson Rookie of the Year Yeah Not happening Not happening He was terrible

And a long time signed him being terrible. He got hurt for three weeks. Okay. So it's pretty much it's already done probably. All right. Well, you know, the lesson you're going to learn from this is don't bet. Yeah. I bet on agendas, though. That was

my agenda. Oh, yeah. I had an agenda. Yeah. Yeah, don't wagering is stupid. So if you learn nothing else than that, because I have a really good friend who has a really, really

good job in entertainment. and almost lost it all with trying to get even gambling. And that's the problem is you lose one that you knew you were going to get. Well, it's that first time that you hit and all of your bets and you go, oh, I got this. Yeah, I figured it out. And you get that rush. And then you lose a big one. And then you're trying to get even again and don't get even.

Just go to the next one. You can't do that. It's like the dice. I'll talk for a minute. about craps, for example. The dice have no memory. So if you can never say that you are on a streak, you can only ever say that you were on a streak.

Because streaks do happen. You can roll seven, you know, ten times in a row. But that just because you rolled it seven, ten times in a row, doesn't mean the 11th time it's more likely to be something else. it's just as likely to be a seven, which is one in six. There's six ways to roll a dice with 36 combinations and win to roll a seven. That's why, you know, craps is that way. I used to teach casino gambling, and one of the fallacies that I see is people are thinking,

well, you know, this number hadn't come up. It's due to come up. It's like, nope. It really does not work that way. And if you win the power ball, you're just as likely to, win it the next week as you were the last week, which is pretty bloody unlikely. And if you ever want to, if you think, well, if I just keep playing the power ball, I'll win. It's true.

Somebody wins eventually. But I've heard the description, and I like this a lot because it's a good way. You take pennies and you stretch them from New York to L.A. On the road. And there's a road. And then you take one of those pennies and you paint it blue. And then the odds of you winning, just on one bet, obviously. You know, if you bet 10 times, it's 10 times that.

It's the same as driving from New York to L.A. stopping, picking up a penny, flipping it over, and it's the one blue one. Oh, my God. I know. That is crazy. So, but I'll play just because it's fun to think about. You know, you pay 10 bucks. You can afford to lose it. It's not a big deal.

and that goes to a good cause, et cetera, et cetera. And every once in a while, somebody, you know, does win that damn thing. Wouldn't that be awesome? I would call my work so fast. And your children.

Yes. Sorry, guys. See you guys. Oh, and Tacey. Oh, I would never stop that today. Never. See you at Tase. Would y'all be mad if I dropped out?

If I won the Power Bowl. What? Would y'all be mad if I dropped out? I would think that No, I would understand it But I think it would be a missed opportunity I would drop out 100%. Would you?

Well, then you'd be stupid and rich Be smart and rich, though But I can I can pursue my dreams What would that be? An ancient Greek philosopher An ancient Greek philosopher Okay, so you would go back in time

Uh-huh, that's what I would spend my funds on Time travel. Okay, well, that. That's true. That makes sense. Straight ice, guys. He's the fucking idiot. I love it. Oops, right.

Oh, Steve. Oh, for God's sake. I am to spark. I was giving a talk the other day. And I accidentally, and this was like for a corporate thing, and I accidentally hit my elbow, and it said this. Can you please stop bullshitting? And I hit it real quick, but it was too late.

I couldn't stop it. And I tried to blow it off. I just said, well, I guess someone's got an editorial comment. Anyway, all right. I love it. Well, that was a good one, Tase. You got another one? That stimulated some excellent conversation.

No, this was Tacey's one time of topic. There was Tacey's Tice's Tom of Topic. Topic. I will be doing that one on my live stream because, you know, I like to take the medical journalism and put it into context. So that's a good one. Thank you. Well, here you go. Yep.

And I do think that's fascinating that this is one that people have never seen before that are colonizing people. That is the one. I wouldn't say alarming is the right word, but it's fascinating. We're not used to having new pathogens. I mean, diphtheria, polio, tetanus, those have been around forever. Coronavirus has been around forever. This is just a new one. But then we've got this yeast.

A new yeast. I wonder if you can make the bread out of it. A fancy bread. Yeah, or beer. That'd be a question for an ancient Greek philosopher. I could answer that. Yes, he could. Okay, but you answer it.

Thank you, Liam, me, the best. You have to define bread first. Okay. What is reality? Is bread really bread? Is bread a part of reality? And if so, then what's reality

correct yeah yeah is that yeah so yeah so yeah so are you platonic or or

the other guy I'm So typically yeah I'm Socratesian really that's how you that's how you do

the the conversation yes you go down the line you have to define everything right and you ask questions

yeah but Plato believed that that there was a reality to, like, perfect shapes, mathematical things, and we were discovering them, right? Yeah. And then, oh, it was Plato versus Aristotle, and Aristotle was like, no, no, no, no.

These are all inventions of humans to describe the world. Yeah. Is that right? And Plato had that... Plato was the cave, the cave analogy, right? Yeah. And Plato had that weird understanding of the human mind. I don't exactly remember what it was because I took that class like two years ago now,

but it was like your head is a circle yeah okay I'm just I'm spitballing here but your head's a circle and everything that has ever existed is inside that circle or something I don't I don't know that's probably

I'm gonna get email about this one I'm sure I'm completely incorrect I know that they for a while there one of the cosmologic theories was that all of the planets fit into shells that were defined by the platonic solids.

Yeah, I don't know about all that. And, you know, the circle and square and pyramid and tetrahedron and all this stuff, which would be a pyramid. But, and then it was when they discovered something beyond Saturn that it all fell apart. It was just a quinky dingo. Hey, Scott. Tacey wants us to move on. Are you bored?

Not yet. Not yet? No, I was taking a hand. We can talk. Okay. All right. Number one, then, don't take advice from some asshole on the radio. Name Tacey.

I shouldn't listen to, I shouldn't listen to Clyde when it comes to that stuff, though. Clyde? Yeah, because he was the one telling me about that. No. That's interesting. I mean, Clyde's a nice guy, but he's not the one. Well, we love Clyde, too, but he's not exactly the one that should be explaining platonic solids to you. Yeah, maybe not.

Yeah, okay. All right. Hello, folks. I hope everybody's doing good. Hello, my friend. And the fluid family, hope everybody's good there. Got a little bit of a question here. If somebody was to get, let's say, a finger amputated off in a motor vehicle accident or an arm or something such of that, when they go to reattach that,

how in the world do they know what nerves go back to what severed ends? It's not like a nerve has a color-coded zip tire or a label on it. No, but they do line up, though. And listen, we're still not very good at this. If you know which side of the fingernails on, you can flip it that way. Correct. That'll help you. Yes.

Yeah, you can reorient the thing based on just the anatomy. Now, if it's a crush injury, a lot harder. It's got to be sliced, and even then it's very difficult. Or like a de-gloving where you've got the skin ripped off. That's a little more challenging. The worst thing, and so it's a challenge, it's microsurgery. They just have to line the parts up, and we're still in the very rudimentary stages of this. I mean, I'm not aware that people's arms are being reattached after being cut off.

I'm not aware of that. Are you aware of that? Well, the thing is what I was going to say is that the nerves are one thing. The vascular component is a little more important. Get the vascular component. Correct. Well, to make it live. Right.

So it lives first. And then if they're lucky, then they may get some nerve function back because those peripheral nerves can be really challenging to get to wake back up sometimes. And that's if you do. And that's if you have great surgeons and you get to them really quickly. You still don't know what they're going to do. But, yeah, I think, I guess it depends on the injury, Dr. Steve, if it's a rip or tear versus a, like a crush injury versus like a sharp saw

or something that's cut an arm. where it's a little bit more easily identifiable. It says here, most patients need limb replantation within hours of experiencing traumatic injuries. Depending on the type of injury you have, surgical specialists, can replant some severed limbs. The University of Utah apparently specializes in this. So, yeah, wow, isn't that something now, it is amazing how long an arm can go without blood? because when they do a beer block, they'll put a tourniquet on your arm.

And they just stop the blood. And they just stop it. And then they operate on you. And then just, you know, it can be an hour or two hours later. Then they take the turnicot off and everything comes back to normal. Total knees. They'll do that a lot.

And some of those total knees, they'll actually put a tourniquet above the knee on the quad. Yep. Around the upper leg. And, you know, we'll actually. So they can have a bloodless field. Yeah, bloodless field, yes, which makes the surgery is easier. But, you know, what we see a lot of times is after that,

people have a lot of pain. where that tourniquet was, you know, the knee surgery's fine. It's just where they had that turnicator. Yeah, it's crushed the nerves that go away. The nerves and the muscles and the vasculae, yeah, all the lymph, everything. Yeah, the nerves tend to run, particularly in the ribs. We'll see that when they'll split ribs. We see it less and less now because they're doing microsurgery when they take out lungs.

But they used to cut a slit from end to end in your rib cage between the ribs, and they would put a spreader on the upper rib and the leg. lower rib and then go crank, crank, crank, and open it up, and they would open the, you know, they would just spread the ribs and it would crush the nerve that was running along the top of the rib because the artery vein and the nerve go together on the top of the rib and then you can crush them. And when you do that, you end up with a thing called post thoracotomy pain syndrome. And I started using Botox on that. It works really well. So if you have something like that, send me an email. I'll send you some articles about Botox to those types of pain.

We do it a lot, too. Sure. Yeah. I'm seeing less and less of it. I haven't seen one in quite some time now. I've actually got two right now. But it is fascinating that you can do these things. But anyway, okay, I had another point I was going to make about the beer blocks.

But now I can't remember what it was. But anyway, yeah. Shit. We believe you. If I think about it, yeah, if I think about it, it would be. Hello, Dr. Steve, and I don't know, but hopefully Casey and Dr. Scott and God knows who else. So, Liam, that would be you. It would be your God knows who else.

The chosen one. In your cavalcade of contributors. Are you remembering to switch the camera about that? Yeah. Okay, all right. This is Terry, a.k.a. the boodmaster. Well, it's on me right now. I did just leave a message for the Patreon thing, and I'm happy to have this go anywhere.

Thank you, my friend. Yeah, this is Terry, and he is a charter member of our Patreon. Check it out. Patreon.com slash weird medicine. I put stuff up there that we don't, that isn't normal. So the live streams go there first. Any experimental stuff we do, and then Tacey and I do just a regular Patreon show when we have questions. I have severe migraines.

I have horrible spine and I have epilepsy. And I recently saw a spine specialist who I'll just leave him go nameless. Okay. From Emory University. Good idea. Anyway, he was happy to give me Botox injections. in my occipital condiles and in that area of my neck. And it's something I've had done before, and I've had some success.

But the reason why I'm calling is that my wife, who is a brilliant woman, has a problem with me having Botox injections. Oh. Primarily the fact that her mother, God rest her soul, had them done years ago when she was in pain and my wife feels that it contributed to her mother's loss of her mind and i just wondered if you could speak to that um because you know i don't have much of a mind left anyway thanks to epilepsy but uh that's not true terries i know it gave me relief and i would love to have that relief again without the fear of losing what mind I have left.

Yeah. Thanks very much, and I appreciate everything you guys do. Thanks, Terry. God bless you. Yeah, you too, man. Go ahead. Well, I was going to say, before you get into the, I have something to say about this, but go ahead. The medical part of it, I see a lot, or we see a lot of patients with headaches,

and specifically migraines and treat them with the acupuncture instead of or in addition to Botox treatments. Right. As a general rule, it works extremely well. And what we've found is that over time, it lessens the need for the frequency of the Botox if that's one of your concerns. And if you do it correctly, you can stagger these things where you can get really good, you know, depending on the kind of migraines you have, obviously. But you can get some pretty significant pain relief. Yeah, I think that's awesome.

And, you know, whatever works. And anything non-pharmacologic, I'm always in favor of. Two things, Botox does have some significant adverse events associated with it if it's given in the doses that they do for migraines. So the neurologist, and you don't go to a cosmetic person for this, you go to a neurologist and they inject a certain place in your head on both sides, and they use lots of units of Botox. Botox is botulinum toxin that comes from the clostridium species that makes botulism. And microgram per microgram, it is the most toxic substance on Earth that I'm aware of. And we would worry about it being weaponized if it weren't so unstable. Like if you get a vial of Botoxin, you don't put the saline in just right, you can,

lose all of it. So the stuff is really not stable. That's why it hasn't been weaponized. Thank God. But you can get botulism from Botox injections. I am not aware of a single case that's ever happened from someone getting Botox for wrinkles. Because they use such small amounts. You know, the max, I think, Tacey, when I was doing it, the max I ever gave anybody, it was like 30 units.

Yeah. You're very light-handed when you do it. Right, but judicious with it, and it works. And it's even in the right place, and it works better. Correct. The dermatologist will pump, what, 60 units? I mean, I have a friend who just had 80 units. 80 units, yeah.

And even that is considered a low dose. That could have been Disport, though. And isn't that kind of like a half dose? I mean, I don't you have to multiply it by too. I wish Chandor were here because I got out of it before Disport came out. but we still use botulism, just regular, you know, botulinum toxin for therapeutic use. But anyway, here's 86 botulism cases caused by cosmetic injection of botulinum toxin. I just said, I'd never heard of anybody getting it from cosmetic injection, and here's 86 of them.

It says 86 botulism patients caused by cosmetic injection were enrolled in the study. All the patients were diagnosed according to their history of cosmetic. injection, I would love to know how much they got. What was this? Okay, this is a relatively recent study because when I was doing it at that time, they were telling us there'd never been a case of it.

The main symptoms of botulism included a headache, dizziness, insomnia, fatigue, blurred vision, eye-opening, difficulty, slurred speech, difficulty swallowing, constipation, and anxiety. They occurred zero to 36 days after

Botox injection, but especially from the second to the sixth day. And I'm trying to see if there was an average number of units that they got. The incidence rate was highest in the people between age 26 and 30, which is sort of interesting. But anyhow, oh, yeah, okay, here we go. So, yes, if they got less than 100 units, The percentage was 16, but if they got 200 to 300 units, oh, my God, the incidence was up to 50%. So, yes, of course, stop with these monster doses.

The regular low doses, I've got to, I just yanked this up while we were talking. So I need to read further on this particular study, but it looks to me like the lower the dose, Again, this is dose-dependent, the less the risk. Now, but Terry's not talking about botulism. He's worried about dementia and decline. And so I've got this from neurochemical research in 2020. Intramuscular injection of botulinum toxin boosts learning and memory in adult mice in association with enriched circulation of platelets and enhanced density of pyramidal neurons in the hippocampus,

which is a place in the brain where information is processed. So I think that's interesting. Botox makes you smarter, at least in rats. So I don't think that's a problem. You don't want to get Botox from it. But if they're, you know, listen, ask them what their incidence is. I'll bet you the neurologist never had a case of it. Right.

It's still rare even in these higher doses. So, but anyway. And when I said 50%, it's not 50% of people that had that, it was 50% of the cases that they saw had those higher doses. Gotcha. Okay. And they only had a certain 86 refer to them. All right.

All right, Terry. I think you can do the Botox. Just, you know, understand the risk benefits and alternatives. Just understand the correct risks, though. Right? Correct. Okay. All right.

Let's see. Let's try this one. Hey, it's the Rowan County. Liam, close your ears on this one. I have a question about PCP. It is like in the morning you might get up and have relations with your bride or whoever it is you have relations with. Yeah. And then a couple hours later at work, you have to urinate.

Yes. And when you do, it feels really good. Oh. Why is that? I don't know. Great question. Does it feel really good? I don't know.

When you pee? Yeah, it feels good when you pee. Did he say after PCP and sex? I thought we were going to have a question about what does PCP do to you? Yeah. That's a long time. Hey, Geroyant County Redneck. I have a question about PCP.

PCP. Oh, post-coital pissing. Oh, yeah. Right? Gotcha, got you, gotcha. I guess. Post-coated pissing. Why would you say post-coital pissing?

You're using the medical term for intercourse, but then saying pissing. It should be PCM, post-coital micteration. Yes, that's what I'm thinking about. Give myself a bell. That'd be a good name for our next band. Who got that bell there? Because he didn't say that. You said it.

No, he said it. We said it together. It was a team bell. That's half for us and none for you. That's right. Post-coital micturation. Yes. So one thing that happens when you have a big meaty erection is that you can't urinate.

It cuts off the – or it increases the tone of the bladder sphincter because from an evolutionary standpoint, you don't want to be having intercourse with someone and then bathing their cervix with your semen and then washing it back out again with your urine. It's not the way it's supposed to work. So when you have that big, you know, massive purple throbbing, you know, juicy erectile tissue, then it's very difficult for you to urinate. So I think what's probably happening is he's just got a full bladder and now the sphincter, the tone has decreased and it just feels good getting rid of all that urine, I guess, I don't know. I'm not really aware of post-coital much of anything these days at my age. Usually it's post-coital pain, you know, and you need a little bit of... If you piss right afterward, you're going to have burning in your urethro caused by urethral spasm. And we've talked about, Tacey, if you've been paying attention, you know what the treatment for that is.

If you have burning in your urethra, not caused by... Lomidia or gonorrhea. Or biting or something like that. Do you remember what it is, Tess? No. Okay, you dump your junk in warm water. Warm, not hot water. Oh, yes. And if you do that, it's like a miracle that works every time.

Mm-hmm. Not interesting. Liam. Liam is learning things. He's taking notes, I can see. Mm-hmm. You know, Dr. Steve, I just called you about my voice and shit. I have to tell you, it's a better month.

This happened now in October. 18th. I'm calling you today Thursday, November 16th. Oh, wait, did I just break down that fourth wall? I'm not supposed to say that, right? No, it's fine, dude. Everybody knows. We are way behind posting shows and stuff. I'm sorry, but yeah, today is November

16th. We were taking calls from 2015, which we are going to again here today, if we have time. Go ahead. And today is Saturday, November 16th. Okay. How you doing? Good man. Anyway, yeah, so it's been a month. Am I ever going to get my voice back?

Oh, okay. I think that is this guy. Let's see. Dr. Steve, let me just quick. How are we going to have it on Wednesday? I overdosed on. Yes, that's the guy. Channel blockers.

The same guy. Okay. We did this already. A few other heart medications. Okay, I think the interesting thing is we did this last week, and he, you know, he, He was intubated and he had some swelling of the vocal cords afterward. Listen to the difference in his voice, because this is the same guy. Did by asking it.

But I was taking to the hospital. And then this is him now. Yo, Dr. Steve, I just called you about a completely different guy. Hey, let me ask you the first. So, yes, your voice will go back to normal. We told him. Or should, yeah. But that was the first phone call from 2015 or something?

No, no, no. No. Or was it recent? No. Barely recent. The one I just played this one. Yeah. My voice and shit.

Well, he sounds good, yeah. That was after this one. I was just Steve. Yeah, yeah, I know that, but I was just wondering. No, it's like two weeks ago. Oh, good, okay. I was going to say. Yeah, because he said, this is, I'm calling you on November 16th, right?

Yeah, it was 2023. Gotcha, got you. Isn't that interesting, though? That's cool. Yeah. Well, I think we told him. that we did it was with patience and

and do not overuse the vocal cords yep yep and we should give ourselves a bell for that don't you think this is for all three of us give myself a bell no I got your hand on my penis

I just love that I know I'm going to overuse it and run it into the ground but that's too good hey Dr. Steve Forrest here hey man great how are you Oh, oh, wait, sorry, sorry. God, every time I mess it up.

Let's try it again. Okay. Hey, Dr. Steve, Forrest here. Hey, Forrest. How are you doing, man? Great. How are you? I'm doing all right.

Thanks. I was just wondering that, a question about energy drinks. Yes. I won't say the brand name, but there's one in particular. Hyperphysics. One of the more popular ones that I enjoy. Oh, that's okay. It's not hyperphysics.

That would probably be Celsius. By the sugar-free version, but it still has all those other. chemicals in it like taurine and whatnot. I'm just wondering how bad is it for me to drink those, maybe one or two a week. I used to drink them every day, but I heard it could cause diabetes

or diabetes. So just curious, should I give it up all together? You know, the funny thing is that I used to think the torrine was just bullshit. They all have taurine in them. But torene is

has been touted as the new fountain of youth. I've been, go ahead. Yeah. I want to follow up on it because after that call we had a couple weeks ago, I got some. Yes. And I've been taking it every day. And I think it does make a difference.

It makes a huge difference. I swear to do. I like it. I cannot take, if I take Torrine and I take my modafanil for my sleep, you know, for my narcolepsy, and then also drink a Celsius, I feel like I'm crawling out of my skin. I think I could get by, just taking the Torin by itself without taking the modafinil or anything else. It is, and a thousand milligrams

is way too much for me, so I started off on 500 milligrams. And there are some other effects of touring. So, I'm supposed to help with memory. Memory and hands. I want to say brain function, maybe cognitive function. Energy production. It helps the body process bile acid and stuff like that.

But, you know, it is, there's some new data that shows that, you know, Toreen has some other effects as far as anti-aging. And I'm not, listen, I'm an empiricist. I really want to see this data. But it's an amino acid. I didn't go hurt anything.

It's as far as I'm concerned, unless it's just contraindicated for you. Yeah, it just don't take huge doses of it. Right. Right. Yeah. But, yeah, I'm not, I don't hate energy drinks. if you're staying under the sort of the lethal dose of caffeine and for that guy he's doing it once or twice a week

I mean everything in moderation including everything in moderation blow it out your ass every once in well you have an extra energy drink but I find them to be some of them are pretty tasty and you know tasty drinks three cups of coffee every day and I think the amount of caffeine I'm getting is comparable to that So, you know, anyway, yeah, look at the label, make sure there isn't anything in there that you can't have. Now, if it says coffee, green tea, Guarana, and other stuff, they're just adding more and more caffeine in there.

You know, it's different ways of just adding the same thing in so that they don't have to say, oh, this has, you know, an excess amount of caffeine in it. Anyway. Yeah, I think you have to be careful with energy drinks. But I think your body tells you, wait a minute. Right, right, right. Yeah, you're right. And it does that for me, that's for sure. I can always tell when I've done a little bit too much because I just absolutely feel like my skin just wants me to crawl out of it.

Now, they do say on, you know, the interwebs that, you know, people can have trouble sleeping, obviously, anxiety. Yeah, I don't drink this stuff right before bed, but increase blood pressure. So if you have hypertension, just make sure that your energy drink is not making things worse for you. And that's real easy to do. You know, don't do it for a week. Get your blood pressure taken and look at your other parameters like that, you know, heart rate and stuff. And then go back to drinking your energy drinks and see if there's a difference. in your blood pressure.

You know, everybody can have a blood pressure cuff now. I have the little wrist cuff and it's amazingly accurate. It costs next to nothing. Well, before we get out of here, Dr. Scott, what do you got? From the fluid family,

by the way, if you want to join the fluid family, it's usually around 1 p.m. Eastern on Saturday before WATP starts and you can just hang out with us at YouTube.com slash at Weird Medicine. But anyway, go ahead. Yeah, so we've go on from let's see frosty sunbird question can you tell whether the cause of burning and very painful feet is diabetes or damage to the spine oh you take that one yeah so that so there's a couple things certainly anytime you see it in both of the feet you think you think it's going to be either a midline which is a spine which was what frosty was asking or diabetes and certainly if you have a if you have a history of diabetes you'd lean more towards it being a diabetic neuropathy and the correct characteristic

a little different, too. They are a little bit different. But, you know, there are a lot of tests you can actually run. You can test to see if one that is diabetic. You can do an MRI on a spine. But, you know, you can have diabetes and have trauma to your spine and have a combo. And there are other things that cause neuropathies in the feed. I mean, chemotherapy can.

Certain other medications I won't mention can have been known. You can mention them. Certain statins can cause it. High doses can cause neuropies. And even strangely. Alcohol. Alcohol. And even, even, you know, really thin fat pads on the bottom of, some,

people's feet can have really thin feet. And that can make those feet really sensitive and excite those nerves, and they're just miserable. And typically it's in both feet, too. So it's not just. Thin fat pads sounds like an oxymoron. It does, doesn't it? So, yeah, that is certainly a pretty challenging thing to treat.

Yeah. Yeah. Yeah. So diabetic neuropathy, you can have generalized. you know, a glove and stocking type neuropathy. But you can also get mononeuropathies with diabetes, where it's just one nerve rather than a whole bunch of nerves. And you can get a collection of those called mononeuropathy multiplex.

It's very difficult to diagnose sometimes, where you'll have a bunch of different, just single nerves that are messed up instead of all the nerves in the fingers and all the nerves in the feet. But it's usually characterized by numbness, pins and needles called paristhias type pain. Mine feels like, and mine is not from diabetes, but it feels like if you take a pin cushion and you put the sharp pointy parts sticking out of the cushion

instead of sticking into the cushion, you know, they're sticking out of it, and then you just take that and then just rub it all over your toes. That's how mine feels. That's great, yes. Now, there are nutritional supplements that you can take for those type things, talk to your provider. But for the most part, glutamine, alpha lipoic acid, myoanacitol, and gamma E are the big four.

And if you go to Dr. Steve.com and hit the menu, there is a thing for neuropathy sufferers there where I have all of those supplements and the data such as it is that goes with it. None of them are very good. Nobody's doing double-blind placebo-controlled trials on these things. It can't make any money off of it. That is one problem with, you know, pharmacology for profit is you've got to make a profit or you're not going to do the studies. Yeah, but I would go to the extra length to try to determine what the cause is because if it is like an oxygenic cause, if it is, in fact, a medicine causing it, you can sometimes change medications. Correct. And be better.

If it is, in fact, a spine a lot of times, an epidural will turn that off completely. and it may not last forever. No. It may. That's why I'm walking. Yeah, sometimes physical therapy. Tell them what an epidural is. People don't know what you're talking about.

Yeah, a lot of times for pain syndromes, if you go to a spine specialist or a pain medicine interventionalist, they'll stick a needle in the lower part of your back in your lumbar spine in between the vertebrae and put a steroid in there, sometimes a little numbing agent, which takes away some of the swelling. And a lot of times makes a huge. It's a huge difference. Worked for me for six months.

Do you have the camera on him? Yeah, it should be on him. You do? Okay. All right. We're just a little delayed over here. I just want to make sure that I have to give you a grade at the end of this. Oh, Lord.

It's not going to be great. Yeah, because it's showing that it's on me. I'm pretty sure he'll get whatever mom's going to get. I've been working the whole time. I don't know. I've been doing great. I'm sure it's perfect. I've never seen it's great camera.

If it's just been on me the whole time, it's perfect. Because it's all about me. So, so work. up, Frosty, and if you have questions, and let us know. Yeah. Okay. Okay. Okay. Is that it? That's all you got. Okay.

All right. Well, thanks. Always go to Dr. Scott, Tacey. Liam, thank you for being here. Look forward to having you working in the studio with us going forward. Thanks to everyone who's made this show happen over the years. Listen to our Sirius XM show on the Faction Talk channel. Serious 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.

Many. our listeners whose voicemail and topic ideas make this job very easy. Go to our website at Dr.steve.com for schedules, podcasts, and other crap. Until next time, check your stupid nuts for lumps, quit smoking, get off your asses, get some exercise. We'll see you in one week for the next edition of Weird Medicine. Thanks, everybody. Goodbye, everyone. Say goodbye, Liam.

Oh, goodbye. Thank you.