Weird Medicine: The Podcast - 592 - Brain Eating Amoebas

Episode Date: May 26, 2024

Dr Steve, Dr Scott, and Tacie discuss: calcium score energy drink pig kidney transplants sildenafil and dementia reverse total shoulder all about mucus brain eating amoebas Please visit: sim...plyherbals.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!") GoFundMe for Brianna Shannon (Please help Producer Chris' daughter fight breast cancer!) 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

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Starting point is 00:00:00 Man, you are one pathetic loser. 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 Fess, you would have thought that this guy was a bit of, you know, a clown. Give me the respect that I'm entitled to! I've got diphtheria crushing my esophagus. I've got Tobolivide stripping from my nose. I've got the leprosy of the heartbells, exacerbating my impetable woes.
Starting point is 00:00:45 I want to take my brain out, and plastic width of wave, an ultrasonic, ecographic, and a pulsating shave. I want a magic pill. All my ailments, the health equivalent of citizen cane. And if I don't get it now in the template, I think I'm doomed, then I'll have to No insane. I want a requiem for my disease. So I'm paging Dr. Steve.
Starting point is 00:01:06 Dr. Steve. From the world famous Cardiff Electric Network Studios in beautiful downtown OJ 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,
Starting point is 00:01:25 gives me streetcred with the whack alternative medicine assholes. Hello, Dr. Scott. Hey, Doc Steve. And my partner. and all things. Tacey, hello, Tacey. Hello. This is a show for people who would never listen to a medical show on the radio or the internet. If you have a question, you're embarrassed to take to your regular medical provider. If you can't find an answer anywhere else, give us a call at 347-76-6-4-3-23.
Starting point is 00:01:44 That's 347. Poo-Hid. Follow us on Twitter at Weird Medicine or at D.R. Scott W.M. Visit our website at Dr.steve.com for podcast, medical news and stuff you can buy. Most importantly, we are not your medical providers. Take everything here with a grain of salt. And act on anything you hear on this show without talking over with your health care provider. Very good.
Starting point is 00:02:06 All right. I'm working on a new affiliate agreement. Hopefully, by the time this airs, we will have that in place. Cool. You know what I'm thinking about? Mm-mm. Since Amazon hosed us so bad. Walmart.
Starting point is 00:02:21 Walmart sounds good. You know, Walmart Plus is amazing. I have resisted that for years. and I needed just a card reader for my studio out there so I don't have to go running up and down the stairs to look at my videos and stuff and I'll be danged if they had it at Walmart and I just said hey bring it to me
Starting point is 00:02:47 and a couple hours later it was sitting on my doorstep that beats the crap out Amazon because their distribution center is local if they have what you're looking for then I went walking through Walmart the other day and they've got way better stuff than they used to have. So, gosh. I've done it in a new, yeah.
Starting point is 00:03:04 I mean, I still, listen, if I go to the hardware store, I'm going to Ace Hardware, the locally owned hardware store. I do all that. I shop at the locally owned grocery chain. But they don't have everything, though. Yeah. So, yeah. Maybe we need to change.
Starting point is 00:03:18 There's a place for both. Oh, heck, yeah. But I think for the affiliate agreement, that might be the place to go. So I'm going to look at that. Cool. All right. But in the meantime, check out rowdy. dr steve.com if you've got a friend or a family member or if you yourself want to learn to play
Starting point is 00:03:34 an instrument the roadie coach is unbelievably inexpensive it clips onto your guitar it will listen to you it will judge you uh gently not very harshly but it will judge you and it will teach you out of play and uh we've had two of them and both the people that i gave them to to you know come in and demonstrated, both moved out of town. So anyway, we'll work on somebody else on that one. But check that out. Rody, R-O-A-D-I-E dot, Dr. Steve.com. Check out Dr. Scott's website at simplyherbils.net.
Starting point is 00:04:11 You already heard the ad at the beginning of the show. Patreon.com slash weird medicine doing some interesting things there now. We'll talk about some of those in a little bit, but we've got the behind-the-scenes, weird medicine podcast stuff where we play music or do the podcast do this part is all on Patreon and then on YouTube they just kind of get
Starting point is 00:04:35 the guts of the main show and without all the extra stuff and then all of the normal world stuff is going there first and what the plan is I'm putting things on Patreon if it's going to end up in the public's hands eventually it goes Patreon then YouTube member
Starting point is 00:04:52 because the team on the YouTube member is less expensive and then to the public and it goes kind of in a week cycle so all right one week Patreon one week YouTube member and Patreon and then one week after that to the public so
Starting point is 00:05:08 check it out Patreon.com slash weird medicine Tacey and I might start doing shows again. Maybe. We just kind of got out of the habit of it but it would be very easy for us to get back in the habit of it again and then still love to say fluid to your mama
Starting point is 00:05:24 check out cameo.com slash weird medicine or shoutout 1.com slash weird medicine. I haven't really been getting many of those because they don't have an app. It's like, how can you do this without an app? But give that a try. Shoutout number one.com slash weird medicine. Don't forget to check out Dr. Scott's website
Starting point is 00:05:45 at simplyerbils.net. That's simplyerbils.net. And yeah, I'm headed to Dallas for the eclipse. Everyone's going to hear this afterward, except for the people that are listening to us live in the fluid family. By the way, if you want to watch us do this live and why would you? But, you know, they have fun in the chat room talking amongst themselves. Just go to YouTube.com slash at Weird Medicine and you can join and turn on gifted memberships and people will give away memberships and all kinds of, you know, crazy stuff. So it's wild, wild. So,
Starting point is 00:06:24 Anyway, I'm on my way to Dallas to do Normal World and with Dave Landau, and we've been planning this for months. And, of course, it's going to be nothing but cloud. So I'll have a report next week on how it went, but I told them we better have, you know, all these people. It's going right through Dallas, so they're going to have a bunch of people in the park. Traffic is going to be insane. It's terrible there anyway. Correct. I'm in Dallas, Texas.
Starting point is 00:06:55 Well, when Tacey and I went to my brother's house for the last eclipse, of course, the clouds, you know, we're in the smoky mountains. Sure. And as the sun is occluded, the temperature drops. Well, what happens in the smoky mountains when the temperature drops is they become what their name is, they become their namesake, clouds start to set in. And precipitation in the air. creating fog, which up high as we call it a cloud, and it covered up the whole effing thing. So we saw the, we saw the, the, the amplitude of the light go down,
Starting point is 00:07:37 like someone was turning a dimmer. It was kind of cool. And then there was sort of an eerie blue glow coming from the clouds in the vague direction of the sun. And we were on top of a mountain so we could see the edge of the shadow, which was pretty cool. And then, yeah, and then it came back up. And then as soon as the sun came back, the clouds went away.
Starting point is 00:08:00 And, you know, we saw the partial eclipse. That was cool. Well, so I've been planning this. I said, okay, we're going to my sister's house because it's going to go right over her house. Well, she moved to Florida in the meantime. So, you know, this business with normal world came up. And, you know, they flew me out there six months ago. So, you know, it was time.
Starting point is 00:08:23 and it just kind of worked out. So they're flying me out. I'm going to be their correspondent. I spent $300 shipping my telescope, my solar telescope and all this stuff. Well, I got reimbursed. I, Tacey's rolling around. I got reimbursed for it. But it was, you know, it's still expensive.
Starting point is 00:08:43 And then I just got the forecast that it's going to be cloudy. So I think it's me. I was going to say, just wherever you're going to go, the opposite way. Now I'm mad. Just don't go where Dr. Steve go. Well, now I'm mad. Why don't you drop some cash and get on that Delta flight that's what we're going to do.
Starting point is 00:09:02 That's what we're going to do for the next one. Following the, uh, yes. When's the next one? Well, no, okay, right. That's stupid, right? Taze because I won't be here. He'll be 114. But, um, no, there's one every, like every 18 months, there's a good one. Okay.
Starting point is 00:09:19 Approximately. It's this thing called the Seros cycle. Okay. And so we just need to plan for it. And they do cruises. I think one of the ones is in the Pacific off, somewhere off of, you know, the coast of Mexico. That's an even worse idea. No. No, no, because.
Starting point is 00:09:36 That's the only way I'll get them on a boat. That is not true. I've been agit, we don't need to have this conversation. I'm the one that's been agitating for going on a cruise for a long time. But we, this will, now will do it because the, you. The cruise ship captain can steer the ship away from clouds. And they can put themselves in position where you can see the damn thing. And if that doesn't work, by God, we'll get on an airplane.
Starting point is 00:10:06 I'm not going to die now, not seeing a total eclipse of the sun after this. But anyway, I told them we need to have a plan B. we were going to shoot everything from Mercury Studios because we'd have control of the area. We could clear people out so I could have plenty of room for the telescope to see the sun and all that kind of stuff without having to deal with crowds.
Starting point is 00:10:33 When Tacey and I went to the last one, it normally takes an hour to go from Franklin, North Carolina to Asheville. My brother lives in Highlands, North Carolina. Normally it takes an hour. It took seven hours just to go that one hour stretch. And then we still had 90 minutes to go to get home. To sit and watch the clouds.
Starting point is 00:10:58 Yeah. Yeah. Well, you know, now, if you look at the eclipse tracks, a taste, this is pretty interesting. There is one place where the two eclipse tracks cross, the ones from last year, I mean, last time and this time. And I'm not sure it is somewhere in the middle. of the country. I didn't pinpoint it, but I will before I go to Dallas just so I can, you know, call them Lucky Pierre. I mean, they're going to see it twice without having to leave their homes, which is pretty cool. But, yeah, traffic's going to be an MFer. I'm going to try to get to the
Starting point is 00:11:31 studio at 9 for a 140 eclipse, and just hope for the best. Maybe we'll see a little bit of something. But anyway. So, yeah, that's where we are on that. It doesn't matter now because it's over for everybody, but the people who actually are watching this live, there is an eclipse safety video that I did for a normal world. And we were up to 1 o'clock in the morning trying to get that together because somehow it slipped through the cracks and didn't get produced. So a bunch of it, three amateurs tried to put the thing together,
Starting point is 00:12:09 which I had learned a lot. And I think that from what I learned, about doing green screens and putting stuff up in DaVinci Resolve studio, which is the software that I have, I think we could start doing our own videos here. I don't have to send them to somebody else to have them put them together. So I think we should do that. We need to sit down.
Starting point is 00:12:33 We could do a whole series of Dr. Scott talking about different supplements and stuff. Those could be more serious, and I'll do the, you know, ones about Dick Cheese and Toe Jam and stuff. All right? Sounds like a lot. Yeah, so I learned a lot doing that. But anyway, that's kind of the news of the day. Yeah, I got, okay, so I want to do this call first because we've got some things to talk about,
Starting point is 00:12:59 this particular call, and then Tacey's got Tacey Time, and then we've got a bunch of calls to take. Number one thing. Don't take advice from some asshole on the radio. That was just only in one ear. That was a lot, wasn't it? That was weird. Okay, let's try that again. Okay, Ronnie B.
Starting point is 00:13:15 Number one thing. There we go. Don't take advice from some asshole on the radio. Yep, old. That wasn't afraid it was just me. I didn't want to say anything. I thought, oh, damn. I've done something to my head said.
Starting point is 00:13:25 The old audio engineer. Steve's going to kill me. Strikes again. All right, here we go. So this guy called in, and he's got an issue that's... CQ, Q, Dr. Steve. You asked me to call in and the sheriff. Okay, so that was Ham Radio Lingo.
Starting point is 00:13:41 Never mind. A story that I sent you in an email in the interest of... keeping this as short as possible. Thank you. I'll just read the email and let you run with its implications. Okay. On night shift, the custodian saw me drinking five-hour energy drinks more than once over time. This guy with a short butterball, Hispanic, he asked me if the drinks work.
Starting point is 00:14:02 I looked him over and said, yeah, but I don't recommend them for you unless you do what I did. And then proceeded to tell him to get a calcium score and why. And I hate it when people don't listen to me. Three months later, he dies of a heart attack. Yes, he was using the energy drinks to kick himself in the proverbial. But, by the way, I too use medafinil that makes me feel normal rather than jazz, helps me not die when driving. I have hypothyroidism, and like Casey, I want to choke doctors and say, your numbers are fine, you are fine. Well, take the store and run with it.
Starting point is 00:14:41 Thanks, buddy. Yeah, a couple of things on that. let's hit the Tasey thing. When you tell a patient they're fine and they don't feel fine, then your patients think you're stupid, period. Or that you don't care or you're just a piece of shit or whatever. Yeah, asshole. And it's the same thing with low normal testosterone.
Starting point is 00:15:04 Oh, well, your numbers are normal. Well, I don't feel okay. You know, we got to remember that there are people that are at the lower end of the bell curve that are symptomatic and still need treatment. So, you know, quit, quit just blowing people off and sending them off without at least recognizing their illness if they have one. But anyway, so to the first part, this was, yeah, this resonates on several levels. Number one, you know, GVAC had a widow maker of myocardial infarction.
Starting point is 00:15:39 and that's where the main artery that separates from the left anterior descending artery of the heart, which is the main one and the circumflex, that comes off a one branch and there's blockage there. Then you have the right coronary artery and you can have blockage there as well. But on his was right, you know, it cut off two of his three arteries. He was right at the point at 50 where we were going to start doing things like calcium, scores and making him go get a colonoscopy and videotaping it and all that stuff and we're going to yuck it up and in retrospect I really wish that we had gotten that done a little bit sooner he might still be here today so the calcium score is scored you know zero to 200 is you know fine and then
Starting point is 00:16:34 200 to I think 600 oh gosh I can't remember the scoring now I should know because it affects me is, you know, a moderately high risk and then greater than 600 is high risk for coronary artery disease. So I just had mine. Mine, when I first did it, probably 12 years ago, was zero. And then I did it five years ago when it was 275. And I just did mine, and it was, I haven't gotten the official result, it was about six So, your old buddy is probably going to have to get a cardiac cath.
Starting point is 00:17:17 And this is a problem because, you know, Dr. Scott convinced me to stop taking my statin. No, you weren't wrong. I mean, it was affecting me adversely, and I can't take my blood pressure medicine because it was killing me. So I'm in a little bit of a pickle. So there is this new stuff that's a triglyceride man. medication that actually reduces heart attack and stroke in people, because that's all we care about. Sure. Right?
Starting point is 00:17:47 Yep. The one problem with Zedia is it's an alternative to statins, and it has fewer side effects, but it doesn't reduce heart attack and stroke the way that statins do. And that's what we really care about. I don't care what my LDL is. No. And what I care about is, is feeling good. Well, yeah, not dying.
Starting point is 00:18:14 So there is this thing that is an omega-3 fatty acid. I'm looking for the name of it right now. It's, damn it, I should have had this up already. But anyway, it is derived from fish oil, is my understanding. And it is prescription only. and it is, I don't have high triglycerides, but it doesn't matter because it reduces heart attack and stroke
Starting point is 00:18:44 in people who don't have high triglycerides. So I'm getting on that shit. I'm taking beetroot for my blood pressure, and I don't know what the mechanism is. Hopefully it's not the same as an angiotensin receptor blocker because you know that happens sometimes. Red yeast rice brings people's cholesterol down.
Starting point is 00:19:06 You know why? Because it has a statin in it, a natural statin. So you have to be careful with some of these things. You know, supplements are medicines too. You've got to report all of them. I've got a, you know, I'm almost as bad as Ray Kurzweil. I've got this list of supplements, but they all are there for a reason. Sure.
Starting point is 00:19:24 I'm not just taking shit for no reason. But the beetroot actually seems to be helping. My blood pressure was nice and low this morning, and they've been creeping back up. Are you taking a pill form of powder or liquid? Well, I'm taking gummies until my powder comes. I bought a capsulator, so I'm just going to make my own supplements. But anyway, but I'm doing this under the supervision of my primary, and who is a healthy aging, you know, a geriatrician. How did this happen?
Starting point is 00:19:55 How did it happen? I don't know, man. She seems to go so quickly. but I it just you know it happened so so I may have to get a cat we'll see
Starting point is 00:20:08 and I'll keep you in the loop on that and I'll see if they'll let me videotape that that is cool yeah that is cool the way we do it so if they'll let us do that maybe I'll have you come and we'll bring the fancy video camera and we'll just put something together it'd be nice we know the people in the cat lab
Starting point is 00:20:23 yeah we do yeah we do so sounds cool yep one of them teaches me Bengali phrases. I'll have him do it. Or the one that we used to play music with. Yep. Yep. Anyway.
Starting point is 00:20:37 So that's my news. All right. So the calcium score, yes, get that, please. If you're over 50 and you have one risk factor, high blood pressure, family history, diabetes, high cholesterol, smoking, all of those
Starting point is 00:20:54 will qualify you. And I, you know, your insurance won't pay for it. but it's 50 bucks it's 50 bucks for me and they have it all worked out so you go into your my chart and it goes
Starting point is 00:21:08 the estimated cost is $49 do you want to pay and you go sure and you just pay it right there and you never have to worry about it again so anyway there's a couple of good things about the computer era anyway all right questions comments
Starting point is 00:21:23 thank you it's Tacey's time of topics a time for her 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.
Starting point is 00:21:44 Hello. So I have two short, very short little topics today. Okay, all right. We'll make them long and more. Okay. One of them is the recipient of World's first pig kidney transplant. has been discharged from Boston Hospital. That's effing amazing.
Starting point is 00:22:05 I heard that. Two weeks after the surgery, they discharged him. He's 62, and he's going to finish his recovery at home. Wow. So he had a pig heart transplant. Pig kidney. Kidney, yeah. Oh, okay, okay.
Starting point is 00:22:21 Because there is a pig to heart. Yeah, but it's a genetically modified kidney. Okay. Is that right taste? It was that genetic? modified kidney i've basically read the whole article it was just that okay it was like a just a snippet so i i don't i don't know the specifics on it okay wow yeah because you know they did the genetically modified kidney and but used it in a person that was um brain dead yes okay on a ventilate and
Starting point is 00:22:48 and kept them alive and didn't seem to do it pretty well first living recipient of a genetically edited kidney transplant so what they're doing is their turn so do you know about this Is it genetically edited to turn off the, like, HLA markers so that the person won't reject? Reject it? That's my understanding. So, do they have to take rejection drugs? Surely to God, they do. They've still got a big kidding in there.
Starting point is 00:23:14 Unless, you know, unless they, unless they're able to take the person's stem cells. I don't think that. I would assume they still have to take the anti-rejection medicines. Okay. So. One would think. I would have done that. Wow.
Starting point is 00:23:31 Okay. So, you know, what we've been trying to do for years is put these donor services out of business. They provide a very important and vital service, and they do it very well. But they raise some hackles some places because they can be very aggressive with their pitch. And very often some of them are not ours. Ours is pretty good, although they used to be this way. They don't want you to mention that they're coming. So you're just delay, delay, delay while you're waiting for them to just show up.
Starting point is 00:24:08 And it's like, no, this is my patient. I'll be, I'm perfectly capable of telling them that you're coming and why you're coming and why we're delaying. Because otherwise, you know, we're just lying to them. I can't lie to somebody. So, so anyway. Anyway, but this, we've been trying to put them out of business for some time, and they're, to be perfectly honest, they're trying to put themselves out of business too, because it is, the whole donation thing is problematic. You have to wait until someone's brain dead, or if you have someone that's going to die and you know they're going to die within the next hour, you can take them back to the operating room and allow them to pass. away in the operating room and then they'll they'll they get pronounced and then they open them back
Starting point is 00:25:03 they open them up and and harvest the organs but you have to be on life support to be able to harvest whole solid organs you can get skin and corneous off of someone who just died but if you want and you know there aren't that many of those no right and it's always a tragedy but so I'm looking here the kidney used in the new surgery is modified using gene editing technology CRISPR, which we've talked about before, to remove certain pig genes that produce sugars with antibodies our immune systems react to. So, yeah, and then they added certain human genes to improve the kidney's compatibility with humans. So that is amazing.
Starting point is 00:25:45 That's pretty wild. Amazing, amazing. Okay, well done. Yeah. And that was at Mass General Hospital, of course. Yeah. I went there once. Did you?
Starting point is 00:25:56 Just one time. Yeah, when I was living in Vermont, one of the doctors there, the gastroenterologist was selling a Mac computer. And he was a ham radio operator, and I bought it off of a bullet and board that I accessed. Well, we didn't have, we didn't have internet. So I had to access it through the ham radio packet radio system. Yeah, it was crazy. That was so funny. Yep, yep.
Starting point is 00:26:19 I met him right at the door, and he gave it to me. I had turned around and drove home. Thanks a lot. But it was pretty cool. It was an amazing place. You could just tell it was buzzing with me. with academic knowledge. You know, what's going to be interesting is to see if they can,
Starting point is 00:26:32 how many of these pig kidneys they can do gene editing on and how quickly. You know, just start making them. And then I'm assuming that they're, you know, they're still tasty. So they can, you know. Oh, goodness. Well, I'm just saying they wouldn't just harvest the kidneys and then throw the rest of the poor pig away. Well, I guess I was just wondering if they can actually do it
Starting point is 00:26:55 without having an actual inside of a pig. Like, did it do it in a... Well, that's the eventual goal is to 3D print organs. Right, right. Now, you can 3D print scaffolding now, and then you got to get...
Starting point is 00:27:08 For ears, well, to be clear, like for ears and nose, is it mostly cartilage. You can 3D print those things. Well, there was a guy that got in trouble. You watched that show, didn't you taste,
Starting point is 00:27:19 where he was 3D printing, I think, tracheas. Oh, we saw that. And then ceding them with human teeth. tissue and say, oh, well, it'll grow. Yeah. And it didn't turn out so well.
Starting point is 00:27:29 No. No. So I don't know if he was 3D printing or using cadaverd-trache, you know, cartilage, but anyway. That's Dr. Death. I want to say cadaver. Could have been. And then putting, yeah, the person.
Starting point is 00:27:40 I can't remember. And then it was injecting with the person's, like, stem cells or something. Right. And they would grow. And then, yeah. But I had, uh, I've seen a couple of patients that had 3D printed jaw bones. You know, like if they had head, head, neck cancer. and they had to remove the bone,
Starting point is 00:27:57 and they just 3D print it and slap it in there. Well, you've got to figure they probably are doing it. It's amazing. And I don't know this for sure, but I would assume that, you know, like the neurosurgeons that do cranies or if they have to replace a part of the scalp, that's kind of what they do. Yeah, I've seen that.
Starting point is 00:28:08 Yeah, yep. Keep talking for a second because I'm looking up for a rejection. Yeah, but you know what I think's going to be next? A lot of those 3D printing technology is going to be used for total knees and total hips to make those surgeries a lot less painful and to, allow people to
Starting point is 00:28:26 heal much more quickly. Yeah. And they're already pretty close. I'm looking at the actual story that was in, published in scientific bulletins. Oh, okay, this was September of 2023. This is actually a Chinese research group.
Starting point is 00:28:46 And so this gene editing changes It makes the pig kidney more acceptable to the body, but there's still some risk of rejection. So it says conventional immunosuppressive therapy has not proven fully effective in preventing the immune response to pig xenograph. Okay, that was before.
Starting point is 00:29:11 And so with this new thing, apparently, it is successful. So they are, looks according to this, and I don't know about the mass general, but if you'll write it down, I'll find out for now. next week. It looks like they're still having to give them anti-rejection drugs. That would be too good to be true. Yeah, it would be.
Starting point is 00:29:29 For sure. But, yeah, I see eventually this will be happening. And 3D printing of organs would be an amazing advance. And then the only thing that's after that is just, what is the thing that Star Trek uses? What do they call that thing? That, you know, just makes whatever they want. Like, you know, Earl Grey. You know, what is that thing?
Starting point is 00:29:54 Not the transporter. What's wrong with me? Oh, it's not the simulator, is it? No. Shit. Well, anyway, that would be the next thing. Don't look at me. I'm looking at it.
Starting point is 00:30:05 I'm not looking for answers. You knew better than that. Anyway, that's a good one, Tay. So we'll find out more about that. I should have read up on it before we started yapping about it. But anyway, it's a good one. Good one, taste. Congratulations to Mass General.
Starting point is 00:30:18 And more importantly, this patient who is walking around. with a dang pig. Who's giving it a go? Yep. Now, if you don't, if you are adverse to pork, then would you turn this thing down if it was offered to you? You mean like if you're a vegan? Or, yeah, well, I mean, if you, listen,
Starting point is 00:30:38 vegans should be okay with transplants because they're made of meat. They just don't eat meat. Maybe. But I'm thinking if you had a religious, you know, reason for being adverse to pork because, you know, there are groups that are adverse to blood transfusion and stuff like that. So I just wonder what the position is. You know, as technology changes, you have to start coming and saying, making a decision about some of these things. I wonder why they, just had a curiosity, they don't know if you'll know something.
Starting point is 00:31:07 But I wonder why they certainly, they use the pig kidneys because they're pretty similar to the human kidney. Yeah. But why not like an ape kidney or gorilla? Well, can you imagine a. lab where they've got a bunch of chimps and they're just herfesting their organs, the nightmare public relations that would be. You're probably right, yeah. So people are used to us using pigs for stuff.
Starting point is 00:31:33 I really think that's got a lot to do. You may be right, yeah. But anyway. Interesting. All right. Okay. Topic number two. Viagra may help reduce Alzheimer's risk.
Starting point is 00:31:43 Studies suggest. Woo-hoo! Yay. Sedinofil, a compound in drugs. that treat erectile dysfunction and one type of hypertension could be used to prevent and treat Alzheimer's disease. The results of a new study suggests. Wow. Among people who already take sedenophil, the main ingredient in Viagra, the incidence of Alzheimer's disease was significantly less than people who did not.
Starting point is 00:32:13 What? How often did they have to take it? It doesn't say. At least one expert warned that an observational study such as this may not be. telling the whole story and should be approached with caution. Right. So this is just a signal that now requires a double-blind placebo-controlled stories. But it was a huge number. It's 30 to 54% reduction. Yes, that's what I was getting ready to say.
Starting point is 00:32:37 I'm sorry. So. And these are among people, okay, we're taking sylidinifil for erectile dysfunction or pulmonary arterial hypertension. Those people take it three times a day. You know, they'll take a low dose of sildenophil two to three times a day, whereas the, you know, people that just want to, you know, beat their meat or have intercourse may take it once or twice a week. So it may not be dose dependent. I need to get back on that stuff.
Starting point is 00:33:09 Sounds good. It works by lowering tau. Can we buy it by the bucket? Yeah, well, you know, it's generic now. You can get it pretty cheap. Yeah, isn't that interesting? Wow. Yeah, that's pretty cool.
Starting point is 00:33:23 The authors of the new study utilized computational models to parse the data for millions of patients in two medical databases. Reduction in Alzheimer's 54%. So what they did was they just took a giant database and just mined it
Starting point is 00:33:35 for interesting findings. And those are fine as long as you realize what they are. Now you have to do a perspective, meaning going forward in time, it's got a beginning, a middle and an end and include women and include yes that's right true good points absolutely right um uh because men and women amazingly do have some differences when it comes to the way that
Starting point is 00:34:06 they react to medication and stuff so um so we we need to go forward in time with match cohort with a placebo and follow them over, you know, a five-year period and you should have enough data if you have enough people in it to see, and then decode it at the end and see if there's a statistically significant difference. If it is 50% reduction in Alzheimer's in people who take that, that's the number one, Pfizer will rebrand this drug, you know, so that they can sell it again. and it will be huge and we'll all be walking around
Starting point is 00:34:51 not having dementia and all having big giant meaty erections and blood flow to our nether regions if we're not if we don't have male genitalia that's amazing that is pretty wild
Starting point is 00:35:05 that's some good stuff that's good news we like good news well they're finding some of these things through machine learning too where they'll just look at they'll say here's the receptor find a drug that might affect that receptor and that just goes through and just start sifting through all this data and yeah very interesting okay good good that it tastes
Starting point is 00:35:29 that's all okay well give myself a bell yeah I was gonna say I'm gonna agree with that bell yeah that's legit yeah all right well hello Dr. Steve uh this is a Danny there from Edmonton how you doing hey I've got a question for you okay Co-co-co-co-co-co-co-co-c-c- Okay, never mind. I'm sorry. Good, hey, mate. I'm sorry. No, that's my problem. What is that?
Starting point is 00:35:53 What just happened? I'm doing the, um, being stupid. The, Bob and Tom McKenzie. Oh, yeah, it's not Bob and Tom McKenzie. What the hell? No, it's the brothers. Yeah, yeah, yeah. Yeah, it's the McKinsey brothers.
Starting point is 00:36:06 Anyway, all right. Whoa, you hoes are. I've got a question for you. Sorry. You know, poor guy calls from Canada. And then, of course, Well, your money ain't worth nothing. Oh, hello, Dr. Steva.
Starting point is 00:36:21 Are you watched a Great White North on SCTV? It's just ridiculous. I'm sorry, man. Danny there from Edmondson. How you doing? Yeah, good, man. I've got a question for you. My cum.
Starting point is 00:36:33 It doesn't taste as... Okay, I'm sorry. I take it all back. We made every bit of it. Everything we just said was correct. Denny Derr. Danny Dare. Danny Dare.
Starting point is 00:36:44 It doesn't taste as not. nice as it used to when I was younger. Oh, okay. Is there a reason for that? Yes. It's really starting to bother me. Anyway, I'll hang up and listen. Thanks, Doc.
Starting point is 00:36:54 Okay, you know, oh, I now I recognize the voice. So that is one of our friends. A little late, Dr. St. From Minnesota. Yes, but anyway. Well, no, it's a good question. Seaman does have a taste,
Starting point is 00:37:08 and it can be modified. If you are, and we've talked about this before, that there is a protein in semen called semenagelin that causes it to coagulate when it is released from the body. And the purpose of that is to keep semen in the female body. We tend to forget what procreation was designed for.
Starting point is 00:37:32 And so it's designed to further the species, obviously. But a semenagelan facilitates semen's staying in the vagina and not just blooping out when the woman stands up after having intercourse. But it will coagulate in the seminal vesicles if you leave it in there for long enough. And I'm assuming that old semen doesn't taste very good. Taste stale, I would say it.
Starting point is 00:38:00 Yeah, I think it tastes. It probably does. We could maybe do a study on this. I don't know. But you will have some change in the taste because of the change in these proteins. And I think fresh, you know, young semen. What?
Starting point is 00:38:19 You doing the study on this, I'm thinking. Fresh young semen. You have to find somebody else. It's corn. And defiance. But I... Oh, my. Yes, I think that coagulated semen is going to taste different
Starting point is 00:38:37 because the proteins are in different orientations. and configurations. And if you want to make your semen taste better, what we are told by adult film stars is drink pineapple juice or eat more pineapples. There is a sugar that tastes good that is actually deposited in the semen.
Starting point is 00:38:59 I'd love to do that study. That would be a fun one. It would be really easy to do. You would just have somebody eat lots of pineapple. Okay, seriously. have you ever listen to this show? It's certainly
Starting point is 00:39:15 the pineapple talks is really hard today. Okay. Anyway, you would have a group of people that don't eat pineapple, men who can ejaculate into a cup,
Starting point is 00:39:29 and then you would have a group of men that do. You'd probably only need five in each. And I would run their semen, you solubilize it, and say, and run it through a GC mass spec or a thin layer chromatography. And what that does is it'll separate out all of the components of the semen.
Starting point is 00:39:49 And what you're looking for is a spike in the sugar region of people that are taking pineapple supplements versus people that aren't. So that would be an interesting study. The problem with these kinds of studies is we can conceive of them, but they're hard to get them funded. And the thin layer chromatography and the G.C. Mass. Speck isn't free. No. Now, when I did the thing with Howard Stern for the germia staffer, I did get our lab to do it for free. And they gave me the swabs, and I sent them up to Memmett Walker, and he swabbed everybody. And my innovation in that was to swab Richard Christie's ass crack as well as his hands, just to see it. control. And when we got it back, you know, we took them to the lab and they played it
Starting point is 00:40:43 everything, identified all the bacteria that were on there, and they gave me a report, didn't charge us anything. And I sent all of that to Memet. And the crazy thing was Richard Christie's hands were more disgusting with E. colide than his ass crack was. So anyway, all right, good old Richard. All right. Let's do this one. Hi, Dr. Steve. I have a question. I'm wondering why when you get a total knee replacement, do they want you up and walking, like, hours after surgery? Like, you know, within two or three hours after surgery, they want you up and walking. I'm sure it has something to do a blow.
Starting point is 00:41:26 I'm going to say this. It didn't used to be that way. That is a more recent innovation. They used to have you in bed, and they had this. Bender. Yeah, this sort of weird track thing that they had. fix your foot in and it would flex and and extend your knee blood clots but there's got to be more to it but I'm all also a reverse shoulder replacement um I'm due for one
Starting point is 00:41:53 news as well and um doctor told me I'm going to have to wear a sling for six to eight weeks or immobilizer and with very little to no movement of the shoulder at all correct um what's the difference between the two now to the yeah that's a really good question I'll give my sort of Reader's Digest thing and then Dr. Scott deals with this stuff every day. So the way I dope this out is the knees a very simple joint. It goes up and it goes back.
Starting point is 00:42:22 It goes up and it's back. It's just a hinge. The shoulder is vastly more complex. It has to rotate in all these different directions and the rotator cuff itself is extremely complex. I remember trying to memorize that shit. The sit. the origins and the, right, the origins and the insertions of all those stupid muscles in the shoulder.
Starting point is 00:42:45 And I assume that that's why. Now, I know that when they, when you break your humorous, they'll use a sling and swat. They just hold it next to your body for six weeks. So those two things are probably related. But anyway, Dr. Scott, what do you think? Yeah, so the total knee, first of all, you know, they used to use big, long metal, spikes that they drove down into your tibia. They were long and painful, and that was part of the reason why it took so much.
Starting point is 00:43:14 Do you're intramedulary nails, or are you talking about, oh, when they do the knee replacement? Right, I'm totally, yeah, I'm sorry, yeah. So what they would do is they cut off part of your upper leg, part of the tibial bone, and then they'd drill down, they'd hammer in, literally hammer in. Right, with a big mallet. A big mallet, with a big spike and a cap on top of the knee. And now it's really traumatic to the knee, it's really traumatic.
Starting point is 00:43:37 the entire lower extremity and caused a lot of pain. You know, I actually had a guy that had a disease called ankylosing. Encolosing, spinalitis. And his bones were profoundly hard. The surgeon actually broke his mallet
Starting point is 00:43:53 trying to hammer in this spike into his knee. And he had terrible swelling in it for like 18 months. He had just awful swelling in his lower. Just very traumatic. So the newest total needs is really kind of interesting. They've kind of figured out that, you know, the old tone of knees, they used to do the cut right on the middle of the knee.
Starting point is 00:44:11 You could see it perfectly. And that was another problem because when you bend and flex your knee, that skin is tight and it's scarring. Sure. It would be really painful. What they're doing, not all of them now, but a lot of these guys now are doing it more a cut towards the medial aspect. So the tension on the inside, right, on the inner part of the knee.
Starting point is 00:44:29 And they're not having to do this massive spike down the knee. There's actually one surgeon here locally that doesn't even use a spike at all. now there's another guy that uses a spike that goes into the top of the tibia that's not even a full inch long they do just like little pegs or something it's the one is just little tiny pegs almost like it's so they have to have a jig to put on the knee and then drill their holes in the right place so when they put this thing on there it fits just tiny and it doesn't and then they use cement yep and then what they do is the reason it's crazy so there's very little trauma to the name and very little trauma to the lower extremities and so what they want you do is the me they get up and start walking so that thing will see it a little bit you know with the the load of your weight, and it also helps to increase blood flow and muscle tension. So that's what I'm going to give you a bell. You deserve that bill. Oh, thank you. You're such a week. Because, yeah,
Starting point is 00:45:16 the joint serves a different function, too. Yeah, totally different. You know, the shoulder is there to sort of transport the hand in different places, whereas the knee is there to support weight. Yep. And then allow you to transport the whole body. Yeah, the shoulders are a whole different
Starting point is 00:45:32 animal. I mean, you just think about the little nerves and a little vascular bundles that go through there. I mean, it's a really, really difficult joint. And, you know, what we see is, you know, the shoulders for us are really the hardest things that we treat post-surgically. Yeah. As far as pain-wise. Yeah.
Starting point is 00:45:48 Golly. And, you know, and then they kind of figured out that doing a reverse total shoulder, because it used to be a total shoulder, just like a total knee, or totally up where they cut the bone off, and they'd put, they'd put this this spike in with a ball there, and they'd plop it back up into the shoulder. Yeah. And
Starting point is 00:46:04 and those, those were extremely painful. So what's the reverse? So what they're doing now? They actually have the kind of... Sounds to me like they're taking one out of there. They actually flip it. So the flat part is like the bone
Starting point is 00:46:15 and they have the ball like up in the shoulder capsule itself. So when it goes up, it's... Really? It seems to heal better. Yeah, it seems to heal better. Yeah, it's just a whole different. They literally flip the parts of the anatomy. Really? Yeah. It's crazy. How does that work? I don't know, but the people I've seen
Starting point is 00:46:31 to have it, they do extremely well. So the pain's less, but the bottom line is In that instance, there's so much swelling and so much soft tissue. But more importantly, Dr. Stephen, you know as well as I do, the vascular bundles and neurological bundles coming through the armpit, yeah. And that's why they really keep them immobile for a long time. Yeah, yeah, yeah, yeah, and then they start moving. Knees just a big stupid joint. The shoulder is a very, pretty challenging.
Starting point is 00:46:54 Yeah. Okay, very good. Thank you. Hey, Dr. Steve, it's Matt and Charleston. How are you? Hey, Matt. Good. Oh, good.
Starting point is 00:47:01 Yeah, we're good. Let me try that one. Steve, it's Matt and Charleston. How are you? Hey, doing good, man. How are you? Oh, good. Yeah, we're good. There you go. Hey, listen, I have a quick question for you via my wife. Okay.
Starting point is 00:47:15 I'm curious. Where does mucus and snot come from? Okay. Why do we have it? What is its purpose? How do we make it? Why is there so much? Yeah. Obviously, we're dealing with some congestion in our house. Thanks, Gerald. Well, I mean, mucus comes from.
Starting point is 00:47:36 It's mucus membrane, bro. So everything in the human body has to, I mean, we can't transport stuff across air in the human body. So cells have to get from one place to another through fluid and to allow that to happen. So we have, you know, fluid in the interstitial fluid, which is, you know, between the cells and in the cells. And then we have extracellular fluid, which is like blood and stuff like that, that's outside of the cells. And all of these things help to transport things from one place to the other way, just really don't have a way to do it otherwise. And mucus serves a lot of different purposes. One is just pure protection.
Starting point is 00:48:28 Tacey, you want to talk about mucus in the stomach for a second? You're an expert on that. No. No. Okay, fair enough. I don't care. I don't care. So, mucous membrane in the stomach has things, you know, contains proteins and
Starting point is 00:48:47 prostate glandins and other, you know, substances that would protect the stomach from stomach acid so it's not digesting itself. And then the mucus in your mouth keeps, I mean, if you've ever had dry mouth, you notice that your teeth start to go bad and because they need to be constantly washed with fluid and, you know, stuff collects in your mouth and all that stuff. So that's why we have saliva.
Starting point is 00:49:12 Saliva also has enzymes in it that help to, you know, predigest carbohydrates. So if you take bread and you chew it up and just keep chewing it and chewing it and chewing it and you leave it in your mouth, it'll start to turn sweet because it's turning the enzymes in your saliva
Starting point is 00:49:29 are turning that bread into sugars. So it's transporting enzymes, but also facilitating swallowing of food and that kind of stuff. Now, in the nose, it's a little bit different. My hypothesis has always been that, you know, sadly I have to use a teleological explanation, you know, where there's purpose, where no purpose actually exists, but it was sort of designed to get antigens out of your nose, you know, when one of the functions of the nose is to trap
Starting point is 00:50:05 dust and allergens and, yeah, and pathogens and stuff like that in the vibrisy of the nose and the mucus membrane will also, you know, stuff sticks to it like flies on flypaper and then if it is
Starting point is 00:50:22 a particularly repugnant antigen, then it will stimulate a histamine response. And When histamine, and here this gets to the second part of his question, where does it come from? Histamine will allow the transport of hyper-filtrated blood, aka water, basically, with some proteins in it that make it sort of gushy from the capillaries to the outside world. So the capillaries open up, and this is why you get congestion as well,
Starting point is 00:50:59 because when the capillaries open up, the volume of fluid in your nose increases, so that decreases the airway space. And then this ultra-filtrated blood that has no red blood cells in, and that's why it's clear, is excreted across the membrane, and then it starts flushing stuff out. And this happens in the lungs as well when you have pulmonary congestion. And it can also happen, but this is not really mucus,
Starting point is 00:51:29 when people have congestive heart failure, but that is a pressure problem. That's where they, it's like a pipe up, not a pipe up, a pump that has gotten overprimed. And it backs up and the pressure is so high in the capillaries of the lungs that the fluid is secreted into the lungs
Starting point is 00:51:46 and it decreases the ability to transport oxygen from the outside to the inside and you get short of breath and then it can be a vicious cycle. But that's basically congestive heart failure. But what he's talking about, talking about is the response to allergens in the nose causing histamine response and other things. That's why you take an antihistamine. And if you want to get rid of congestion in
Starting point is 00:52:12 your nose quickly, you can take aphrine, which is oxymotazylene. Be careful because it is habit forming. But if you use it, you'll notice it works almost right away because it's a vasoconstrictor. It constricts the capillaries in the nose. And when that happens, But, you know, it's the opposite. You have decreased volume of fluid in the tissues, and then the airways open up. That stuff's like magic. You can use it simply herbal nails spray. Wash that shit out, me.
Starting point is 00:52:39 Well, you could, yes. Oh, yeah, you didn't talk about it. Absolutely right. Yeah. That's another option. You can wash the antigens out, and then you're just, that way, you're doing the body's job for it. You're helping it. Correct.
Starting point is 00:52:53 So if you spray that, I've spray that stuff up there, let it sit for a minute, and then just blow it back out again. And that very often helps, particularly during periods where I've gotten into pollen or something like that. And then the other thing, and Dr. Scott would rather that you use his product at simplyerbils.net. But I really like the Navaj. I like the Navaj too. The Navaj is an electric netty pot where you don't have to look as stupid doing it. I'm not disagree. I think it's worse.
Starting point is 00:53:24 Don't you take? No, no, no, no. It looks like you've got to, you're being attacked by an alien. Go Google Nettypot, Google Image Netty Pot, and all those people look stupid as hell. I know it feels good and it works, but you just look like an idiot, whereas this thing looks like you've just got a medical device attached to your face. So, well, you know either. You all decide on your own. Yes, yes, yes.
Starting point is 00:53:48 Look at it, whichever one you feel least stupid, now the Nettipot's a lot cheaper. But use distilled water and use saline do not use just. But nasal lavage, I think, is far superior as watching the cart out. Correct. Correct. Either way. However you do it. But use distilled water, you don't want amoebas and other things, paramecium getting up in your nose.
Starting point is 00:54:09 And, you know, amoebic encephalitis can be fatal. It's very hard to kill once they get in there. Be careful with hot springs if they're not hot enough too. In fresh water, when you dive down and you get that stuff up in your nose, you know, You know, just make sure that you're in an area that's known to be safe with their fresh water, and they've never had any amoebic encephalitis cases. I don't swim a whole lot in fresh water anymore. Salt water, no problem.
Starting point is 00:54:40 Give me a shark any day. Right on. You know, because they're going to leave me alone. A stupid amoeba's just, oh, I should brains, you taishki. All right. So, yeah, let me see. Well, I'll tell you what. We don't have a whole lot of time left, so I'm just going to kill some time.
Starting point is 00:54:58 get your calcium scores done what have we done today get your calcium scores done if you're 50 and you have a single risk factor that'll be anywhere between 50 and $150 really helps take Viagra if you want to avoid Alzheimer's sure looks like it
Starting point is 00:55:15 we'll see we'll see Viagra will stay cheap until they actually prove that this is a real effect and when they do it's going to be very expensive screwed again Not again. All right, Dr. Scott, before we go, let's hit the fluid family.
Starting point is 00:55:33 Yeah. I see a couple of, I'm going to see, Chris R. Thank you for the $5 super chat. Where I'm at, it will be sunny and 80% eclipse. Well, that is very interesting. Please tell me more. How stupid. I don't care.
Starting point is 00:55:55 Damn it. Well, listen, Chris, you don't have to travel too far to get to 100% if you're at 80% where you are. It will still be really cool. 80% is still awesome. Get a colander out and just hold it up over a piece of paper. And when it gets to 80%, you'll be able to see a bunch of little crescent suns. 80% suns. Radish, gifted 10 Weird Medicine Dr. Steve memberships.
Starting point is 00:56:20 Thank you, my friend. Usually Myrtle does that, but she hasn't gotten in there today. I really appreciate radish on that. Maybe Myrtle died. No, she's not. Oh, my God. Did I hear my name? I'm still amongst the living, I'll tell you.
Starting point is 00:56:39 So I'll know with this room, Mattis sometimes. Okay. I don't. Gosh, boy, did I make a mistake on that one? Well, I was on. Think before you ask. I was on Tuki soup. And I just went,
Starting point is 00:56:54 sent out the link, so I went in as Cletus, right? And he'd never experienced Cletus before, and Cletus will not shut up. Now, number one, he works for Travis Tritt, so that is something. And he's always talking to Travis Tritt about the dabble verse and all this stuff.
Starting point is 00:57:10 How did we miss his taste? Oh, my God. How did we miss it? Oh, I haven't. He hated it, which was great. And he was like, who, this is terrible. Does he ever shut up? Because, you know, Cleetus would just go on and on. So he would, I noticed that he knocked me out the room while I kept talking
Starting point is 00:57:26 and then he brought me back in and I'm like talking about tornadoes and well black by day and white by night beware tornadoes say mama de white and all the stupid stupid crap and I laughed so hard and he loved it
Starting point is 00:57:42 so I think what we're going to do is you know breaking down the fourth wall as Cletus is going to be on every once in a while small doses is all very small doses what you want to hear everyone Okay, all right. Okay, you know what?
Starting point is 00:57:57 Lord, I'm lady. I hope we don't miss it. Yeah. But anyway. I hope we don't miss the award. Okay, good fun. But the bit is going to be that Carter Fletrick sent
Starting point is 00:58:10 Claytus there to ruin his show. That's what it is. Yeah, that makes perfect sense. Yeah, all right. Okay. We've got a couple questions, okay, yeah, let's do them. Hey, so Matthews got a good question about you station tubes.
Starting point is 00:58:24 Oh, yeah. He said that he had goo in his ear that wouldn't go away and wouldn't drain for months. And then just suddenly it did. He was just wondering kind of about the anatomy of the eustachia tubes. And how did that happen? Absolutely. So when I have someone come in with a middle ear infection, I'll have a drawing that I'll sort of produce every time. I just draw it sort of a schematic of the anatomy.
Starting point is 00:58:48 But think of it this way. You've got the ear canal. Then you have the eardrum, which is occlusive. I mean, it covers the whole thing. There's no air exchange between the ear canal and the middle ear. And then you have the hammer, anvil, and stirrup that transmit vibrations from the eardrum into the inner ear. But in that middle ear, where those three bones are, is an air-filled cavity. Well, any air-filled cavity in the body has to have a communication with the outside world to equal.
Starting point is 00:59:24 the pressure. Well, this thing is weigh the hell in the body. So where is it going to do it? You don't have a hole coming, you know, a blowhole coming out of the top of your head. So that place that equalizes the pressure is the eustation tube. And it opens up in the back of your throat and it is surrounded by the adenoids, which are immune type tissue. It's like lymphatic tissue. So you've heard of people having an adenoidectomy. That's where they go in and just scrape that tissue out because those people's, the tissue around their eustacean tube is so swollen that they can't ever get their ear to equalize. Now, so when you go up in an airplane, you'll notice that if you yawn, your ears will pop,
Starting point is 01:00:12 and that is because as you go up, the air pressure outside is less than the air pressure inside. So now the eardrum will bow outward toward the outside world as the pressure inside the middle ear is increased relative to the pressure outside. And then eventually the pressure will build up enough where some air will flow through the eustation tube into the back of the throat and then you hear that sort of noise. And then your hearing improves and you can feel that something changed in there. Now when you're going down,
Starting point is 01:00:48 It's just the opposite. The pressure on the outside is greater than the pressure on the inside, and the eardrum will bow inward. Okay? And then that's when you're going down, you have to pop your ears by blowing. Right. So head forward like you're sniffing roses, occlude your nose, and then blow with your mouth closed,
Starting point is 01:01:10 and a lot of times that will pop ears called Val Salva maneuver. Now, so that's airplane. Now, what happens if the adenoids are large or the eustacean tube is not draining? What's going to happen to the inner ear or the middle ear? Well, there are capillaries that run through there. And capillaries have this property that they work like little oxygen vacuum pumps. This is how the lungs work. It works the same way in the middle ear.
Starting point is 01:01:42 Those capillaries will start to take oxygen molecules out of the, the middle ear. And they'll do it very slowly. It's a very slow process, but it's inexorable. In other words, over time, you will get a decreased pressure in the middle ear. And if that eustachian tube doesn't open up, now the eardrum is going to bow inward and you're going to have negative pressure. And if it gets bad enough, the body's got to equalize that pressure somehow.
Starting point is 01:02:09 So what will happen is fluid will flow in from those capillaries. As they're taking oxygen out, they will transmit fluid into this low pressure area because it's just basically getting sucked out there. Now you have a middle ear full of fluid. And that is a lot harder to get rid of. And if you pop your ears, which is what you should do in this situation, is try to pop your ears, you may not be able to because now your ear is filled with fluid that's thickening. Now, if you get one bacteria in there that can divide, now you have a middle ear infection.
Starting point is 01:02:43 And what happens with severe middle ear infections, Dr. Scott? You get a perforation of the eardrum, which is a way for the body to equalize the pressure. And that's what we do when we put tubes, merongotomy tubes. I was going to say ear holes, merigotomy tubes in kids' ears when they get a bunch of ear infections. It's exactly the same thing. So we learned from nature that if we put those tubes in there, equalize the pressure, then this won't happen. And that's what's going on.
Starting point is 01:03:17 Can I, hey, can I, yes. And I was just say another great little trick that you can use. I was going to give you a trick for getting rid of this. Oh, well, I was going to go ahead. Go ahead. Is that your trick? No, go ahead. Yeah, I was going to say sometimes when you do have that pressure inside and you're having
Starting point is 01:03:28 trouble getting rid of it. Blow up a balloon. Take a bullet and blow it up and blow it really hard. Yeah. Throughout the day, a lot of times that'll open those of your station tubes in the back of your throat. Some people are unable to pop their ears. It is a technique.
Starting point is 01:03:40 You have to learn how to do it. And you have to push the air toward the back of the throat just the right way. Yeah, it's tough. What we also tell people to do is you can get those pediatric nose drops, the neocenephrine nose drops. And if you have eustacean tube that's clogged, you lay down and point your nose holes up to the ceiling. Okay. And then, well, sorry, the tip of your nose up toward the ceiling. So your nose holes are going straight back.
Starting point is 01:04:09 Right. Okay. Then you will instill this stuff until you feel it kind of pooling in the back of your throat. Now, what it's doing is it's going to start pooling right on the eustachian tube because those adenoids surround it forms like a little cup and it'll sit there. And that pediatric neocenephrine will decrease the size of the capillaries in there, therefore increasing the caliber of the eustation tube and very often will open it up. And then you just got to pop your ears and they'll be back to normal again. okay gotcha all right good excellent question good job oh yep we got one more that was interesting and not just stultifyingly anatomic no I thought it's pretty good
Starting point is 01:04:49 well yeah you don't matter though last that is very true that is very true hey yeah so so Johnny Longfellow's got one sequential subconjunctival hemorrhages yeah he said four in the last two months any any any comments oh okay well I okay you want to talk about what a subconjunctival yeah what subconjunctival to hemorrhages Sure, you'll get a little bleeding just underneath the clear lining of your eye. It makes you look like you've got a blood, blood inside your eye. And it's bright red, but it's a really bright red. And it can happen for a number of reasons, especially if it's recurrent.
Starting point is 01:05:24 It could be traumatic. I mean, you could be rubbing your eyes really hard. You could have, you know, maybe gotten hit with a baseball. Sometimes you can cough and sneeze so vigorously that you can cause the blood, those little hemorrhages inside, and cause those little bleeds. your eyes. Yeah, there are a couple. So, straining, so heavy lifting, you know, beating off and holding your breath, stuff like
Starting point is 01:05:49 that. I mean, well, for real. But if you have recurrent subconjunctival hemorrhages and you don't have an explanation for it, that's an indication to get a complete blood count, make sure your platelet counts okay. Right on. And if you're taking any quagulants. Yeah, so your blood thinners, aspirin.
Starting point is 01:06:09 Aspir and he could do it as well, or any N-SED could do that. So we always look at medications first. When we see something weird, could that be the issue? And if it isn't, you know, talk to your primary care, they should do a complete blood count. And if there's anything weird on that, they'll just send you to a hematologist just to make sure that your platelets are functioning properly. Because you can have the right number, but they may not be functioning properly. So there is a, you know, there's a bunch of blood tests that you can do. There's a bleeding time test.
Starting point is 01:06:41 We do that for people who have bleeding issues, but have normal platelet counts. And you basically cut their skin and you use blotting paper to, you know, blot the blood away. And then you time how long it takes for it to stop. And there's a range that's normal. And if it's above that, then you may have a platelet. Did anybody in your family ever have an issue with coagulation? And if all it does is cause of subconjunctival hemorrhage every once in a while, then, you know, it's not that big of a deal. But get it checked out.
Starting point is 01:07:19 Let us know. All right. All right. Anything else? You got anything else to plug, Dr. Scott? No, sir. I think we're good. All right.
Starting point is 01:07:28 I'm trying to figure out how the hell to get out of here. Okay, here we go. Sorry. Thanks always. always go to Dr. Scott, or you'd think I'd be able to do that without reading it. Thank you, Tacey. Thanks, everyone who has made this show happen over the years. Listen to our Sirius XM show on the Faction Talk channel.
Starting point is 01:07:48 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 thanks to 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 cramp. 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.
Starting point is 01:08:13 See you guys. Thank you.

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