Weird Medicine: The Podcast - 595 - The Walking Corpse of Cotard
Episode Date: June 14, 2024Dr Steve, Dr Scott, and Tacie discuss: Walking on all fours persistent arousal syndrome Cotard syndrome Foreign accent syndrome repetitive noises are annoying local honey and allergies shooting... ropes (congrats brah) fast talkers white blood cell colony factors nasal congestion chlortrimeton and more (including your superchats from the Fluid Family) Please visit: simplyherbals.net/cbd-sinus-rinse (the best he's ever made. Seriously.) instagram.com/weirdmedicine (instagram by ahynesmedia.com!) x.com/weirdmedicine stuff.doctorsteve.com (it's back!) 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
Transcript
Discussion (0)
Your show was better when you had medical questions.
Hey!
He's got your hand off my penis!
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.
Why can't you 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 heartbound,
exacerbating my impetable woes.
I want to take my brain out.
Plastic with the 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 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
Tuki 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
My little pal
Dr. Scott
The traditional Chinese medicine provider
gives me street cred
To whack a alternative medicine assholes
Hello Dr. Scott
They're Steve.
Also, I have Tacey, Tacey, my partner in all things.
Hello, Tacey.
Hello.
This is a show for people who had never listened to a medical show on the radio, or the internet.
If you have a question that you're embarrassed to take to your regular medical provider,
or if you can't find an answer anywhere else, give us a call at 347-76-4-3-23.
That's 347.
Pooh-Head.
Follow us on Twitter at Weird Medicine and at D.R. Scott W.M.
Visit our website, Dr. Steve.com, for podcast Medical News.
and stuff you can buy.
Most importantly, we are not your medical providers.
Take everything here with a grain of salt.
Don't act on anything you hear on this show
talking to her with your health care provider.
All right, very good.
Thank you.
Listen, we're no longer an Amazon affiliate.
Amazon can kiss my ass.
But we are now a Walmart affiliate.
Whoops.
Let me tell you something.
I've become a little bit more of a Walmart fan.
I'll tell you why.
The other day, I needed a part to do one of my live streams, and I was in the zone.
I didn't want to leave the house, but I couldn't find one.
So I went on stuff.com, and I went to Walmart, and they had it.
And it was a card reader with USB and had all kinds of other stuff like controls and stuff like that.
I could just hook up to my laptop, and I could just hook up to my laptop, and I could.
you know, take the cards
out of the camera instead of having to run
downstairs to the computer that had a card
reader. Okay. I can just do it up here.
Well, anyway,
you know, Amazon's pretty cool.
You can order stuff every once in a while. It'll come the next day
or two days later. Well, shit.
Basterts.
Walmart delivered it that day.
So that's the benefit.
If you have one near you,
you can just have them
bring this stuff to you.
And they have most of the same
crap that Walmart has.
I mean, that Amazon has.
There are some things that they don't.
But the other thing is, if you've ever gone on Amazon, you don't know who you're
buying from.
You think you're buying from Amazon, but you're actually buying from some other thing.
I bought something that I thought was coming from Amazon end up being shipped from China
and took two weeks.
Yes.
And they used Forst Perspective.
It was a plushy for a kid's friend's kid.
And it looked like it was like five feet tall, but they used force perspective to make it look bigger.
And it was when it came.
It was like 24 inches.
So anyway, and then there's nothing you can do about it.
So anyway, when you order it from Walmart, it's coming from Walmart.
Now it was probably made in China.
But at least they shipped it there to be perfectly clear.
But you know who you're buying it from.
And if you have a problem, you know who you can complain to and get it fixed.
So I'm still working on it, but it is now up-and-running stuff.
Dottersteve.com.
If you scroll down, you can find the wine club that Tacey and I like, which is Angel Wines.
And you can click on that and you can get a deal on that.
We get a, well, it seems like it's free, a free case of wine periodically.
So all stuff you can't buy at the regular store, there's small boutique,
wineries that will sell you stuff at a huge discount, and it's all good.
I mean, some of it is rated very highly, you know, 95 plus and very inexpensive.
And when I say it seems like it's free, it's because I send them $40 every month to keep
things going, and then I just withdraw that when it's time to buy a case.
So it's an easy way to just put a little bit in, and then, you know, if I wait long enough,
it's free.
if I don't, I'd just get a huge, huge
apparent discount.
Anyway, check it out.
Stuff.com back up and running.
Rode.
Dottersteve.com for a robotic tumor.
Tumor.
I said that last time.
Robotic tuner that will tune your strength
instrument or for somebody you care about
that you need to buy a gift for under $200,
but they've got a guitar or they've got a mandolin
or a bass.
If they have a bass, you need to get the Rode bass.
But I remember Brian May saying those bloody bastards came out with us at the end of my career.
He was so impressed by it.
Check out patreon.com slash weird medicine.
Got lots of new things going up there.
They get sneak peeks on everything, including the Dave Landau.
Ask Dr. Steve segments.
So check that out of patreon.com slash weird medicine.
And most importantly, check out Dr. Scott's website.
It's simply herbals.net.
That's simply herbals.
It's allergy season.
You're getting any orders over there, Dr. Scott?
He's got quite a few orders.
It is.
Oh, good.
Yeah, tis the season.
And if you tell him, you're a weird medicine listener,
he'll throw in a couple of chotchkees.
We've got some stupid crap.
So pins and key chains and coasters and stuff that you will never use.
Who cares?
Cool, though.
Yeah, I give that stuff out at these live appearances.
and I'm sure people look at
and then just rather than put it in their suitcase to go home,
it just goes in the trash.
But that's fine.
You never know.
Yeah, I don't know.
You know, on Google Maps, you can add photos, right?
So there's this place, French's beach place down in Clearwater.
And Tuckie had put one of his stickers up on the, like the stock.
top sign pole, and so I put that in there as a picture for Frenchies.
So now anytime anybody looks there, they will see that.
When they go to the Strath Allen, which is a very nice hotel in Rochester, they see a picture
of purple passed out at the creepoff roast.
So anyway, there you go.
There you go.
These two don't know what the hell I'm using to talk about.
No clue.
All right.
But it sounds interesting.
Well, people, yeah.
Doesn't it?
Okay, you know what?
Lord and lady do you're back.
All right.
Tacey, you've got some topics, don't you?
I sure do.
And then we're going to do a lightning round again.
Everybody really liked that, by the way.
Yeah.
But I'm going to propose a slight modification to it.
Oh.
Okay.
You want more time?
No.
Well, yes, and no.
Tacey has, you know, three minutes.
We've got to give her a bell.
Okay.
That's one recommendation somebody had.
But I think that we need to be able to ask for one more minute.
If we need it, because it's important, we can ask for an extension of one minute.
Gotcha.
And that's it, though.
Gotcha.
Okay.
I don't know if I agree with that.
Well, it doesn't matter.
The people have spoken to.
It's Tacey's time of topics.
A time for Tacey to discuss topics of the day.
Not to be confused with topic topics.
with Harrison Young, which is copyrighted by Harrison Young and Area 58 Public Access.
And now, here's Tacey.
By the way, Tacey, Darth Nugs in the Fluid family, says, hi, Tacey.
Hello, Darth Nugs.
And everyone else.
There you go.
I believe I've got several topics here, and we'll just go till you guys get sick of it.
Okay.
Sounds good.
And the first one may be fake.
It was sent to me by Scott.
And I just, I'm wondering if we're getting, what do you call it when you get duped, dope, gats, gaslighted, gaslighted.
So it's from Unilad, a family that only walk on all fours leave scientists baffled as they shouldn't exist.
Well, no, they're just goofy.
Evolutionary psychologist professor Nicholas Humphrey headed up the team who looked into the family.
and the team were left shocked when they discovered that of 18 children born into the U-Loss family,
six of them had a unique disability, which resulted in them walking on all fours.
Hmm. Hmm.
Turkish scientists thought the family had devolved.
No, come on.
And found that that conclusion was deeply insulting and scientifically irresponsible.
Instead, he said about trying to find some other answer in the reversal of the evolution,
process localized within one family and turkey.
Neurological scan showed that the middle of the cerebellum appeared to be shrunk, but that
provided no conclusive answers as people with smaller or even no cerebellums still can walk
upright.
Of course.
Scientists appeared stumped as to what exactly was the cause for all this, as they
could make observations, but the answer to the question of why this was happening alluded
this.
Is this the Ulas family?
Yes.
Yes, it is.
Okay. Yeah. All right. I know a little bit about this. Go ahead.
When he returned to visit the family again, he found that their children could now walk upright after being given help from a physiotherapist and equipment.
So this became viral, and it wasn't until years later that a team of Danish scientists finally found the answer as to why the family is walking on all fours.
Okay. They published a paper, right? Cerebellar hypoplasia, was it?
Cerebellah ataxia mental retardation and disequilibrium syndrome.
Dysquilibrium, right.
CamRQ, very rare syndrome that derives from an incredible rare mutation, which prevents proteins from distributing molecules of fat properly.
Wow, yeah.
That results in defective nurse cells, brain damage, and loss of balance.
I just thought that, you know, the parents were weird and decided that.
that they were going to walk on all fours,
and then the kids just picked up from the parents
because they're going to do whatever the parents do.
But it turns out that Tacey is 100% correct.
They have cerebellar hypoplasia.
So the cerebellum is the part of the brain that has the internal map.
That's one thing.
So when I close my eyes and I point at Dr. Scott,
the cerebellum is where the map is.
Remember when I had my hypnogogic.
epipomopic episode
and I could
see all the details in the
bedroom that I was in but the lights were
completely out and it was pitch black in there
but in my mind's eye I could see
it that's all in the cerebellum. The
other things that the cerebellum allows
you to do is to walk
in a straight line.
So people with cerebellar
ataxia lose the ability
to walk in a straight line. They start
out walking like drunks
and then eventually lose
the ability to walk altogether.
So these people had cerebellar hypoplasia, meaning that their cerebellum was malformed genetically,
and it was very small.
And it says it's a form of non-progressive congenital cerebellar ataxia.
So when they say non-progressive, it means you're born with it, and it doesn't get any
worse, but it's not going to get any better either.
And they will have mild intellectual disabilities.
It says this condition affects the balance of 12 of the family's 19 children who walk on all fours as a result.
Wow.
Oh, and they also have a reduced corpus callosum, which is the connection between the right side of the brain and the left side of the brain.
Wow.
Isn't that interesting?
That is.
So, yeah, I just assumed when she was going to read, they had some kind of weird, you know, weird.
Yeah, hip or lower back kind of fusion kind of thing.
Yeah.
Kind of weird vertebra or something.
Because we're not really made to walk on all fours.
You know, our hips are rotated so that we're designed to walk upright.
So it is very uncomfortable to walk on all fours, and our ass will stick straight up.
Whereas if you have a hip that's rotated slightly forward, then you can walk on all fours like a chimp or something.
But they can walk straight up, but it's uncomfortable for them.
So it's just the opposite.
That's pretty interesting.
Wow, that is good.
That's good taste.
He kind of wondered if the physiotherapist put them on, like, balance, kind of training and balance exercises and things of that nature.
Yeah.
And certainly had to do some strengthening stuff.
Well, it's fine to stand them up.
If the wiring isn't there, they may not be able to do anything, but it's amazing that they were able to get some of them to walk standing up.
So that's pretty cool.
Yeah.
Good topic, taste.
All right.
What else you got?
Well, thank you, Scott.
I've got some weird and mysterious diseases of a human body.
the first one is persistent sexual arousal syndrome
called PSAS, also called the persistent genital arousal syndrome
PGAD causes people to live perpetually at the brink of an orgasm
What was that?
Sorry, that was the YouTube's still going out
The sensations are partially relieved through orgasm but may return
suddenly within a few hours.
It can lead to constant physical pain, stress.
Okay, wait.
Oh, yeah.
And psychological difficulties due to an inability to carry out everyday tasks.
So you may suffer from anxiety, depression, distress, frustration, guilt, insomnia, panic attacks.
So what's the treatment for it?
Do they give a treatment?
Cognitive behavioral therapy.
That's it?
Mm-hmm.
Wow.
I wonder if they, how about putting them on Prozac?
Like a big SSRI.
Yeah, SSRI is kill your libido anyway.
I wonder if that would work.
What's the name of this syndrome taste?
PSAS or P-G-A-D?
Persistent sexual arousal.
Sexual arousal.
Now, do we need to start him on a three-minute?
Yes.
No.
No, I mean, no.
No, these aren't questions.
This is Tacey's time of topic.
This is important.
So maybe it's Tacey's decision, I think.
Okay, listen to this.
According to PubMed, some SSRIs may worsen persistent genital arousal disorder.
Oh, during treatment or withdrawal.
Hmm.
Well, knowledge on pharmacologic treatment options for PGAT is, or PGAD is not yet evidence-based.
Yikes.
Wow.
Well, that is an interesting turn of events.
That's kind of crazy, isn't it?
Yeah.
Most importantly, some drugs such as serotonin re-uptake inhibitors, SSRIs, like Prozac, Paxil, Zoloft, may even induce or worsen PGAD during treatment or withdrawal.
Okay, we now need an initial spark in order to promote basic research on the origins of PGAD.
Yeah, no kidding.
If you don't know what's causing it, it's very difficult to treat it.
And it says clinicians should provide careful diagnostics and counseling for affected patients.
Wow.
Drugs that are able to inhibit sexual excitation, such as pregabalin or duloxatine.
When deloxetine is a serotoninoreoreoreoreoptic inhibitor, also known as Symbolid, says, may be worth a trial.
So very interesting.
And pregabalin is also known as Lyrica, which we use that for neuropathic pain.
Goodness gracious.
It's crazy, yeah.
Yeah, you would think that we would have something for that.
But anyway.
Maybe it's just not that common.
Yeah, that's part of the problem, isn't it?
When you've got an orphan rare disease, it's hard for pharmaceutical companies to justify the amount of money it takes.
However, I have a friend who's been on this show that has Graves disease.
Yeah, he has that Graves ophthalmopathy, and he took this drug to Pezza, which is, you know, decreases the swelling behind the eyes.
So their eyes don't stick out so far.
So their eyes don't say.
That's what happens in Graves disease.
Their eyes kind of poke out.
And so he had double vision and things like that because your eyes aren't supposed to poke out like that.
And they got to get dry, too, don't they?
Yeah, yeah, yeah.
Yeah, so there's all kinds of problems with it.
And it's an orphan drug.
It's $800,000 per dose.
And he had to take it four times.
So it's $3.2 million.
Holy smokes.
And on top of that, it didn't really even work that great.
But, you know, thankfully for his, him is insurance paid for it.
But that is one strategy that a pharmaceutical company can adopt.
If they've got an orphan drug that only 10 people are going to, or 100 people are going to take this year,
just charge $3 million for it.
Exactly.
You know, and that's that old saw.
You know, price something at a million dollars.
You only have to sell one of them.
Exactly.
All right.
That's crazy, though.
Yeah.
So that's one of the problems is this is extremely rare,
and nobody is really doing a lot of research on it.
So it'll all, what this will be is someone will try something
and have a great result, and they'll publish it as a case study.
Then other people will try it.
if it really works, then it will become common.
Gotcha.
But sometimes, but it's all off the shelf drugs.
That's how this will be solved if it can be solved.
All right.
What else you got to you?
Walking Corp syndrome.
Mm.
Oh.
It's called Codard syndrome.
It's a neurotogic syndrome, yes, yes, yes.
Cotard syndrome, a neuropsychiatric disorder related to depression.
Scary.
This syndrome makes people.
believe that they are dead or missing their soul, organs, blood, or specific body parts.
The syndrome is usually a symptom of another psychiatric condition rather than a disease of its own.
Symptoms include attempts to self-harm, becoming speechless, delusions of immortality,
delusions that one is dying dead or no longer exists, insensitivity to pain, patient's
Stop speaking, refusal to eat, severe depression or sadness, voices telling the patient that he or she is dead or dying.
Oh, my goodness.
I like the idea that they think that they don't exist.
So they, like, you know, peer in people's windows.
You cannot see me.
You know, like kids do when they cover their heads and think that because they can't see you.
You can't see them.
So is there a treatment for that?
Symptoms are usually managed through medications like antidepressants, antipsychotics, anti-anxiety drugs, and therapy like cognitive behavioral therapy.
Yeah, there's a little bit of a pattern there in there.
ECT.
Cognitive behavioral therapy is the bomb.
Very important.
ECT is also used as a last resort.
Okay.
Now, there are people who have strokes who have what we call neglect of one side of their body.
and let's say they have a, you know, a left brain, well, let's use a right brain stroke.
It'll work a little bit better because, you know, a severe left brain stroke very often will affect speed.
So if you have a right brain stroke, that person will have left body weakness, and they may always look to the right and never look to the left.
And then if you pick up their arm, they'll say it's someone else's.
They feel it's disconnected from their body.
But that's different than this.
This is interesting.
Yeah, right here for Kotard syndrome, combination of medication, and talk therapy, like cognitive behavioral therapy.
Very good taste.
Give myself a bell.
Suck it.
That damn it.
All right.
Okay, let's do one more, and then I'll save the rest of these for next time.
Okay.
Foreign Accent Syndrome.
Now, we have a friend who has this after she has.
several glasses of wine.
Right.
Let's just say
her name, I don't know, is
Susie.
And when she gets really wasted,
they call her foreign language Susie.
But it's because
what's her accent?
Does she speak?
French or?
That like that.
Oh, Jesus.
Yeah.
So it's not French or French?
No, it's just drunk accent.
Is it?
Australian
night.
It's hilarious.
That would be kind of funny.
This is something slightly different
than that.
It stems from a damage in the part
of the brain associated with speech.
This happens when a person suddenly wakes
up speaking in a different accent.
It is commonly caused by stroke,
trauma, tumors, and or
other neurological conditions.
The most common treatment would be
speech therapy to help a person bring back
their normal speaking ways.
Which you can do. You can teach somebody an accent.
Let's see if we can find
an example of foreign accents.
That is so bizarre, isn't it?
And the thing is, the myth is they wake up speaking
at language that they didn't know before.
That is bullshit.
That's not happened.
A stroke can't imbue your brain
with circuits that were never there before.
It can only take away circuits.
So, yeah, I think we played this Texas mom
that spoke with a foreign accent before.
Let me see.
Let's try this one.
This lady, here we go.
It asked, where are you from?
Because of my accent.
This is Judy has foreign accent syndrome.
Oh, see, this is...
Just music.
Yeah, it's just music.
It's just showing her draw.
It's like she just didn't have a problem with drawing foreign things.
Let's see, let's try this one.
Homs up.
Six months ago, Jaws, Street to fix an overbite,
changed Lisa's speech, too.
I thought she was playing around with me.
I thought she was joking with me,
but then she showed me that, like,
the doctor had told her she was diagnosed
of foreign accent syndrome, and she searched it,
and then I was like, oh, Lord.
Houston Methodist Sugar Land Hospital.
Okay, let's let her speak.
They think I'm talking about a baby cat,
and I'm not, I'm saying, I'm just kidding,
but it's kitten.
Okay, interesting.
Well, anyway, all right.
We might get a strike because that was CBS News,
but it's fine.
I'll just mute it and say,
censored by CBS News like we did when Philip Glass censored an example of circular breathing that I posted.
Anyway, you got anything else, Taze?
No, I do, but I'm going to save it.
Okay.
Scott, you got anything?
Nope.
There's some stuff from the fluid family, if you want to answer one of those.
Let's see if we can find one of those.
Lovett had one about...
Oh, I'll try at the very beginning, did she?
Oh, wait.
Let me get my tumor out.
Okay.
Well.
Okay, well, what she asked was repetitive sounds annoy her.
And this is a thing, and this is from Lovett, her name is also Patty.
And this is an actual condition.
It's called mesophonia.
And it's a disorder that causes people to have strong reactions to sounds and particularly repetitive noises.
The miso soup.
is Greek for hatred, and then phonia is sound, so hatred of sound.
And they may experience mild to severe reactions like anxiety, you know, disgust, urge to flee.
Now, there are some really serious cases where clock ticking or windshield wipers can anger and disgust people to the point where they get a fight or flight type response.
You know, their adrenaline starts going and they may start screaming or, you know,
Will you stop chewing?
Yep.
So, anyway, there you go.
That's all good.
And Darth's got one.
Yep.
What you got?
Darth's got one.
I want to know if raw honey really does help with allergies.
If who?
Raw honey.
Oh.
I thought you said raw honey.
Oh, I apologize.
I thought you said raw hide.
Raw hide.
Who is that?
That reminds me of a song.
Anyway.
It was a TV show.
Yes.
Well, it's also in Blues Brothers.
You know when they're doing the song, Raw Hyde.
Okay.
Which was the theme song of the TV show, wasn't it?
Probably so, anyway.
Yeah, but no, he was asking if local raw honey, not raw hide, local raw honey does actually have a benefit.
So I used to believe this.
So if you had, say, ragweed or something like that, that if the bees got honey or nectar from the leave,
or from the flowers, that then that would give you sort of a sensitization if you ate the honey
and you would form blocking antibodies just as if you had allergy shots.
And it turns out that it's bullshit because you usually are not, number one,
they're picking up nectar.
They do pick up some pollen, but that doesn't really end up in the honey so much.
That's kind of filtered out a little bit.
That's the trick that the flowers use.
They offer the bees nectar so that the pollen will go from one flower to another and fertilize them.
But they usually pick up pollen from really brightly colored flowers and those you rarely cause allergies.
And then if you eat unprocessed honey, it can cause serious reactions, including hives and stuff if you're allergic to what's in it.
And on top of that, it's, well, anyway, it's better to just have processed honey, in my opinion,
although the people who raise bees may disagree.
Now, there have been studies that show that daily honey eating,
in addition to taking allergy medicine, is associated with less allergy symptoms.
But eating locally collected, honey had no effect on the allergy symptoms of those versus those that didn't.
So it's, you know, if you have severe allergies that recommend that you don't eat honey at all,
even trace levels of allergens can cause major reactions.
So you've got to know, you've got to know what you're eating and what you're allergic to.
I mean, you can try it, but if it makes you worse, you've got to stop.
Well, I think as far as else, but now there, but there's some medical uses for honey.
Oh, absolutely.
It would be an antibacterial, antimicrobial, but not so much, an anti-inflammatory, but not so much.
They use it in wound care?
Right, but not so much for the, taking it orally and helping you with your allergies.
But it can't be used for a lot of other things, like nasal sprays with honey in it to block, to block those pollens.
Correct.
Okay.
Anti-inflammatory, yes.
If you have, okay, you can have a bell.
Yes.
Yes.
All right.
Sucker.
If you have a sore throat, there's some data that says that it may help, particularly if the sore throat's caused by post-nasal drip, that's just wearing away the mucous membrane back there.
Do not give honey to children under a year old.
There is some raw, unfiltered bacteria in there, including botulism that kids can get from raw unfiltered honey because their immune system is not yet ready to handle that.
So, okay.
Bell.
Okay, got it.
That was done.
All right.
Next, you got another one from then there?
I don't think.
Okay, all right.
Well, let's do some phone calls then.
Number one thing.
Don't take advice from some asshole on the radio.
All right, I will not.
Boy, Dr. Steve.
Good morning.
Me and my old lady, I've been getting...
You're talking about your grandmother?
That's such a sweet way to refer to your wife.
Well, yeah, I'm a...
Oh, lady, I tell you that.
Maybe else.
Okay, anyway.
I've been getting it on, like, a lot since we've been locked up together.
We wait until the children are asleep, of course.
Of course.
And I just wanted to let you guys know that I've been shooting like I was 22 again.
Like, I pull it out, and it's just, well, she has to cover her face.
I'm literally shooting two feet.
It's freaking amazing.
I'm edging like I'm Jim Norton over here and then exploding like freaking Peter North.
Ah, just I didn't have a question.
Just wanted to let you know.
Well, that's nice.
Yes.
Congratulations.
I think that was a 2020 question, too.
They said they were locked up together.
And yeah, good.
Well, he probably is.
All right.
He's shooting.
So, congratulations.
Good for him.
Eat more honey.
Yeah, he just called to brag.
There's nothing wrong with that.
You can call to brag.
Mm-hmm.
All right.
Let's see here.
Dr. Steve, I don't exactly have a question more so a way to...
Okay, so, you know, we've only been doing this show for 20-some years.
You ask questions, we answered them.
But it's okay. You can call with anything you want. It's free country.
Help you out a little bit, perhaps.
Okay. Thanks, man.
We say that...
I need help.
You kind of kicked yourself when you, when somebody asks a question and you say, that's a great question.
Well, okay. Yes. Correct.
Because, hey, when other people say that, but yet you like to say that all the time.
So I figured maybe, instead of saying that's an excellent question, you could just kind of change it up and say something last.
Oh, I like that question, or I really love that question.
question, or that's an exciting question, or I'm glad you asked that question.
Okay, okay, I get it.
I'm glad you called.
I really enjoy your statement and your instructions to me.
Thank you.
I really appreciate this statement that he's making.
Or, I can't wait to answer this question.
I can't wait to try this out when we actually get a question.
Let's see.
A hell of a question.
Et cetera, et cetera, et cetera.
I like that kind of...
Yeah.
That's a hell of a damn idea.
That's a hell of that question, brother.
That's the hell of that question.
You out of that little internal conflict that you have.
Thank you, sir.
I get in ruts where if you look at the eclipse video that we did in Dallas where Dave burned his eyes out, spoiler alert, that's me yelling.
Amazing.
I think I say it three times in the one-minute video.
So I've got to learn to sort of vary things up.
You know, change things up a little bit.
It doesn't ask a great question.
Okay, keep it up, man.
Love to show.
Thanks, buddy.
I do appreciate it.
It's a good idea.
I need to do better.
All right.
Hey, Dr. Steve, Dr. Scott.
Hey.
You guys are doing a great job.
I really enjoyed the speeded up comments.
Thank you, sir.
Do we think for Tacey to enjoy it, you need to get like one of those bells like they used to end around a boxing where she can really...
Okay.
What I ought to do is...
I agree.
I'll give you a stream deck that has a single button on it, and it's got the bell, and you can do it for the beginning, and then you'll have...
No, I have two buttons.
You can do the boxing bell for the beginning of the three minutes, and then I'll have you a buzzer for the...
And actually, you know, you can set a timer on these things on the stream deck.
It's cool.
I'll get you one.
We'll see how that works.
Okay.
They're going to part.
So anyway, I'm going to go out on a high note.
Okay.
My body to medical science, local university.
Yes, sir.
Now, when I do that, do they go in and see what organs are good for?
donation or no no this is a different thing but go ahead or do they just send the body on over to the
their morgue awaiting the students I was unaware exactly how it works it depends on what
you're signing up for so are we beginning the three minutes now yes please okay you ready can I
start now yes now okay okay okay so it
It depends on what you're signing up for.
There are places like Restore Life USA where you sign up for organ, for body donation, and they specifically say, we're going to use body parts for medical research, which means if they need cartilage from a knee, they're going to remove the cartilage from your knee.
If they need pancreas cells, they'll remove pancreas cells.
And then they will cremate you and give you back within 30 days.
if you sign up to go to a medical school, this is not organ donation.
What this is is body donation, and they're going to do pretty much whatever they want to.
Now, you can ask them, what am I signing up for?
And you should do that.
A lot of times they're sticking you in a vat of formaldehyde, and then they take you out
and you are assigned to a group of two to four medical students who will then learn anatomy using your body.
When I did mine, my body had a stomach full of pills.
And he had obviously killed himself.
That was not what was on his death certificate.
Oh, my goodness.
So I went to my professor and I said, should we let somebody know?
And he said, hell no, some little old lady already got her, you know, well, her insurance payment for this guy dying from a myercardial infarction, which was what was on his death certificate.
And you're going to screw it all up.
So just keep your mouth shut.
It was two years ago, so, you know, we'd just let it go.
But anyway, that was wild.
That is crazy.
Yeah, just full of pills.
Full of pills.
Kind of sex.
Now, they could have been, you know, coated aspirin or something that just kind of blew up
and his stuff.
Maybe he was having an MI, and he just kept taking more and more aspirin because he had dementia
or whatever, but whatever, he had a stomach full of pills.
And we just kept our mouth shut.
All right.
So ask.
How did we do, Tasey?
one minute one second okay well Scott you got something you want to add about it
about donating you know your body to science well I think there's a bunch of
different ways and I think that it's certainly helpful at all of us you know like
we've got the Tennessee Body Farm where they put you can do that you just throw you
on the ground and see what happens to you I personally think there are a lot of
better options than just in just you know being chunked in the cold cold ground
as John Pryon says you know chop me up and pass you around yeah I like the idea
of making ink yeah compressing it into a diet
And, yes.
Shagning like a diamond to a tattoo.
So anyway, yeah.
Very good.
Cool, man.
All right, let's do it next.
That was a good question.
That's very good.
Dr. Steve, if you had unlimited funds to, for a clinical study or trial, what area of health or science would you focus on?
In other words, what could today's society benefit from the most?
I'm just curious about your opinion.
Oh, boy, that's a tough one.
There's the serious answer, which is, you know, the two frontiers of science, right, or medical science right now are the neurologic system and the immune system.
Right.
And people go, well, what about cancer?
Well, that is an immune system problem.
That's a problem of surveillance of the immune system where the tumor is allowed to grow without the immune system recognizing it as foreign and not killing it.
Right.
So that's one.
And then the nervous system, we don't know how it works.
So I would probably, if I had unlimited funds, because there's lots of funds being put toward cancer right now, I would put it toward understanding consciousness.
Because when we understand it, finally, then we can fix it when it doesn't work right.
You know, just dumping loads of serotonin into a depressed person's brain.
We've talked about this multiple times, you know, isn't cutting it.
Yeah.
And dementia's and Alzheimer's, yeah.
When the brain doesn't work right, we don't know how to fix it.
Spinal cord injuries.
Yeah.
Yeah.
That whole neurological thing from the.
So I would invest it on fixing the neurologic system and understanding consciousness.
Don't you think the cancer research, as far as the immunology, they're making some progress.
They know what the problem is.
They're getting there.
It's just a matter of how to do it.
Right now, we still have no clue.
What the fuck.
Consciousness.
And I'm pretty sure we won't
Well, maybe we won't
It might be like Gerdell's incompleteness theorem
That it's something that a conscious brain can't understand
Conscious, but we ought to be able to understand the mechanism of it
So that's that
And then the silly answer is, you know, I would just do research on
You know, how fast does water drip out of a pipette
And then take the unlimited funds and go on a cruise for the rest of my life
All right
I would abscond with the money
I have a desert island or something
You ready for another one, Taze?
Yep, 58 seconds left
Cool
Hey, Dr. Steve, this is Jeff from Las Vegas
Hey, Jeff.
He's calling.
Hey, Jeff, I'm going to be in Las Vegas
May 31st to June 2nd
Observing Hackomania
I figured you're going to see Dead and Company
Oh, are they going to be there?
Dead and Co. were there too. Yeah, you wanted to see
in the spear.
Really?
Yeah, you wanted to check that out for real.
Well, I will do that.
Oh, my God.
That'd be fun.
Yeah.
So what are you going, Hackamania?
Yeah, Hackamania, with El Hariblay and the WATP crew.
So El Hariblay and I are going to try to do a poker tournament while we're there.
Okay.
And if we have time, you know, it's – I don't have a whole lot of time.
I mean, part of the main event is on Saturday night, but I've got to catch a plane at 1240 a.m.
Oh, crap a whole.
At a decent time on Tuesday.
day, I mean on Sunday, so.
Oh, the red eye home? Yeah.
Oh, it's going to see. I like doing that. I just sleep.
I sleep anyway. I have no trouble
sleeping on a plane. I can't.
None. Not even close. Really?
No.
As soon as, oh, God, dude, when I get, this doesn't count
for the three minutes.
Well, that's not for you to say.
Okay, let me answer this.
I'm curious about something
a doctor told me about.
He hadn't even asked his question yet, so the time hasn't
already answering it. Anyway, as soon as
as the plane, the engine start up, I fall asleep.
And I have multiple times woken up thinking, God, are we there yet?
We haven't even taken off yet.
Oh, like us.
You know, so anyway.
Oh, funny.
Very good.
In regards to white blood cell count.
Okay.
I, uh, 34 underwent chemotherapy about 10 years ago for testicular cancer.
And it absolutely crushed my white blood cell count.
And I mentioned it when reviewing the blood panel.
I just did.
My white blood cell count was pretty low.
I can't remember what the metric was, but it was 3.15 something.
And she had mentioned that there's basically the white blood cell equivalent of EPO.
And I might want to look into that the next time I see my oncologist.
Correct.
So I don't know.
I was just going to see what you thought about that.
I love the show.
Hey, thanks.
So back in the day, when we gave certain types of chemotherapy, 50% of people would end up in the hospital with a thing called neutropenic fever.
And what that means is their white blood cell count would drop so low that the body said, the only defense we have right now is to raise the temperature.
And people would end up in the hospital in isolation until their white blood cell count came back.
back up, and we'd have to pump them up with antibiotics just prophylactically to make sure that they didn't get, you know, some bacterial infection.
Now we have this stuff called, there's Nulasta and Nupigen, those are the brand names, and they are white blood cell colony factor stimulants, stimulators.
So when you give those, right after you give the chemotherapy, it boosts the patient's white blood cell count.
And now, instead of 50% we're down to like 1%.
That's huge to go from half your patients down to 1 and 100 ending up in the hospital with neutropenic fever.
Now, the problem with the white blood cell count colony factor is when it forces all these immature white blood cells into the bloodstream, it causes bone pain.
And so sometimes we have to give those patients pain medication.
But the cool thing is if you take Liradidine, here it is, again, isn't that interesting?
Leradidine being a non-drowsy antihistamine also sold as clareton, if you take it on the day of your chemo and keep taking it daily for the three days afterward, then when that white blood cell count colony factor is kicking in, a lot of patients won't have any pain at all.
Wow.
Do you remember what the other thing?
Medelline is good for?
No.
Oh, God, that's fine.
Tacey, do you remember?
Allergies?
Besides allergies, yes, of course.
No, I don't.
Was rectile dysfunction caused
by SSRIs or
any sort of sexual
dysfunction like delayed
ejaculation, stuff like that,
caused by antidepressants?
It doesn't work in everybody, but there's
a significant sub fraction of people.
If they'll take those drugs
30 minutes before intercourse,
then they won't have as much effect from their depression medication.
Wow.
Not something.
Yeah, that's incredible really.
All right.
So there you go.
So, yes, your oncologist should already be using these drugs.
And if you had one episode of low white blood cell cop, they'll start using them from then on.
You used to have to come back the next day for a shot.
Now they've got a patch a thing put on you.
Okay.
Yeah, sir, come a long way, hasn't it?
Yep.
Golly.
All right.
Non-second slip.
There we go.
It's close.
Hey, Dr. Steve, it's Dr. W here.
Another dentist calling.
Hey, Dr. W.
I let you know that Dr. H. there guy.
He's kind of talking out of that.
There's been no change in the prevalence of wisdom teeth or any other teeth or missing thereof in any of the literature anyway.
There's no evolutionary pressure on the speech.
Of course.
I think this is from several months ago.
But I can't, well, let him finish and then we'll talk.
Not have these wisdom teeth.
But, yeah, otherwise, there's anything else going to see.
Anyway, let's show up.
Have a good one.
Hey, thanks, buddy.
So the way that humans or any other species evolves is that there's some environmental pressure.
Okay.
So if you are some, you know, mammal and in your area, all of the ground, the food on the ground is being eaten up by deer and antelope and stuff, you may start to.
select your DNA for offspring that have longer necks
that can reach higher where the deer and the gazelles and stuff can't reach
because they're eating grass or whatever.
And then, you know, after a few million years, you end up with a giraffe.
Okay.
And, but there was an environmental pressure for that,
that giraffe, you know, pro-ge, proto-jurass.
that had longer necks, their DNA was more preferentially passed to the next generation.
There's no, unless women started going, ew, you have too many wisdom teeth.
I'm not going to have children with you.
Then there's no evolutionary pressure for us to lose wisdom teeth.
It's crazy.
Just like if you take rats and you keep chopping their tails off, they're still going to be born with tails.
That's not an evolutionary pressure.
You're just doing something to them.
Now, there is a thing called epigenetics that may have some effect.
That's where not just the DNA, but these proteins that decide which DNA fragments to turn on and turn off,
that could be affected by things like chopping a tail off.
But so far, that really hasn't shown to do anything.
So you would have to preferentially mate rats with smaller tails, shorter tails,
to get a, you know, a subspecies or a strain of rat that had short tails.
Okay.
All right.
There you go.
So thank you, Dr. was it Dr. W.
Is that what he said?
Dr. W., yes.
Thank you, sir.
Hey, Dr. Steve.
It's Dr. W. here.
Yeah, Dr. Dummy.
Thank you, sir.
We always like having dentists on call because that's one thing they don't teach us anything about
in medical school.
Nothing about dental health.
We need a dentist in here sometimes to talk about the important.
We had one.
Well, okay, different show.
We had an oral surgeon in here talking about implants.
That's why I have an implant.
I have two implants.
Except he kind of lied.
He said, well, you can just, you don't have to implant every individual tooth.
You can just put in two or three posts, and then you put the teeth on there.
And then when I go in there and it's like, oh, no, we're going to charge you for all the individual teeth that we're going to put in.
Lovely.
I had too much fluoride.
When I was a kid, yeah, you can have too much.
Oh, wow, okay.
And what I did made my back teeth brittle, so they were breaking.
Oh, that's good.
And they was just, I would break the furthest one, then the newest one, and the next one.
Damn it.
Anyway, so now I have implants.
All right, here we go.
Hey, Dr. Steve.
This is Mike in Florida.
Fuck P.A. John.
Long-time listener.
Wow, that.
He must be a long-time listener.
That goes way back.
Fuck P.A. John.
God, he used to hate that, too.
He was like, why did they say that?
And it's like, John, it's a goof.
It's like when they would call Howard Stern and say, fuck, you know, F. Jackie.
It was just funny.
Florida, fuck PA, John.
Long time listener, love the show.
Thanks, buddy.
I got a question for you.
Yes.
I have a pain on both my legs at the top of the leg where my leg meets my butt cheek.
And it'll just come and it'll hurt like the son of a bitch.
And it'll make my leg feel very weak.
So did I do something to my hamstrings or just what's going on there, sir?
What do you think, Dr. Scott?
Well, I think he answered a very similar question.
Because that's where his hamstring attachments are.
I bet it sounds like a little sciatica kind of periformis.
If it's right, we're at the bottom of his glutes where his hamstrings attach.
If he's getting some weakness, maybe some sciatica.
Okay, so if it's pyreformis, tell him what he could do about it and what the piriformis is.
Real quick, piriformis muscle is a big fat muscle deep underneath your big gluteal muscles.
And a percentage of people, the sciatic nerve actually goes through the middle of the muscle.
Some people actually goes underneath it.
Most of it loops over, so it's not as much of an issue.
But sometimes you can have a muscle periformis spasm that will give you the exact same signs and symptoms of a sciatica coming from the spine, like a discogenic sciatica, I would call it.
So what you can do with if it's a periformis, so here's a good way to check it out, if you can just sit and cross one ankle, across your other knee while you're sitting up and lean forward.
And if that kind of stretches it or elicits some sort of pain, then that's probably what it is.
Now, isn't that one of the stretches that they tell you to do as you get on the ground?
Yeah.
We call it in yoga, it's called the pigeon pose.
And it's really gentle.
But the key to it, Dr. Steve, the key to it is 20% of max stretch for two minutes.
So tell them how to do it again.
It's a pigeon pose.
So what you actually do, if you're sitting in a chair, both legs kind of 90 degrees, just take one ankle and cross it over the opposing knee.
so if it's my right leg that hurts
I'm going to take my right ankle
and so you're going to do a
you're going to cross your legs like a man
like a man like a real man that's right
and then I'm going to sit up real nice and tall
and slightly lean forward
and if you can start to feel that
that kind of pain recreated
going down your back of your legs
there's a good chance it's a pair from us
and it's uh but the key is
again 20%
stretch very gentle
don't hurt yourself
yeah I agree
that's always the
The thing is don't hurt yourself.
You got anything else to add that?
No, I'm sorry.
I was just going to say you can look on YouTube and check out Pigeon Pose, Yoga Pigeon Pose.
Or just Pyriformis stretch.
Just Pyriformis stretch.
The key is gentle, though.
There's one I see that they're doing where they do it with the person laying on their back.
Yep.
And they're taking that, but it's the same thing.
It's the same thing.
You take the ankle, put it over the opposite knee, and then pull the knee up.
Damn.
Time it is.
I know, Tacey's, God, she is a, she's a timer taskmaster.
I love it.
Well, you know, in particular when we're actually trying to help somebody, and then Tacey's like, oh, no.
Timer.
Just stop talking.
Okay, here we go.
Hi, Dr. Steve.
It's Audie from Pennsylvania.
I had this pressure beneath my eyes and the bridge of my nose.
And it's been bothering me for, you know, about a year.
my eye doctor doesn't find any problems with my eyes and my vision.
He said I should just, you know, use some dry eye drops.
I've been doing that.
It really hasn't helped.
I'm wondering what this could be.
Could it be from squinting?
Could it be from bathing, T.HC?
I'm really not sure.
I was wondering if you've had any experience with this.
Let me hear the very beginning of that.
That's what I was saying, you're starting from Pennsylvania.
I have this pressure beneath my eyes and the bridge of my nose.
Okay.
And it's been bothering me.
Okay, so it's pressure, not dry eyes.
So, and he says he went to his eye doctor.
I'm assuming it was an optometrist.
I would go on this one and no flies on the optometrist out there.
I had my optometrist, one that figured out something crucial on my eyes.
So I'm a fan of optometrists.
But when they can't figure it out and you have pressure behind your eyes and they're giving you eye trops and it doesn't help, go to an ophthalmologist.
They're going to have to look at a couple of things.
They're going to test the actual pressure in your eye.
Make sure you don't have glaucoma.
They're also going to test your eye to see if it is protruding because perhaps you may have a thyroid condition that's causing protrusion of the eyeball.
And at the very least, they'll have something better to tell you than just.
take eyedrops.
Now, yeah, go ahead.
Well, I was just saying, what about maybe just some sinus allergy medicine just in case
it's the sinus pressure?
Yeah.
Possibly.
Yeah, I mean, until he gets to the...
Sure, I have no problem with that.
However, if he has glaucoma, he may not want to take an anticholinergic medication.
Right, right.
But the vaping of THC is there are anticholinergic effects.
We all, who've listened to this show long enough, no.
Those are fast heart rate.
dry mouth, you know, changes in the pupils, stuff like that.
And, yeah, that could be it.
So, but how would you know?
Just stop it forever.
Yeah.
Well, I was going to say two weeks.
Give it two weeks.
Yeah.
And get a netty pot or a navage and try Dr. Scott.
Tacey's idea that it's just actually sinus pressure.
No sinus rins.
And then go from there.
Before I had my deviated septum surgery, I had pressure behind my eyes.
Is that right?
behind my sinuses and you could see it in my face.
And that went away after you had your, but you had a conchia bolosa too, which was even crazy.
So, I mean, if what you say doesn't work, your nose and throat may be.
I agree.
I agree.
Now, the thing is, you don't want to lose your vision.
You can deal with the deviated septum for a little bit.
So if it is something like glaucoma or, you know, Graves disease or something like that,
you want to get that dealt with quickly.
So deal with the scarier thing first, which would be.
go into the ophthalmologist. If they go,
hey, you're fine, then
I agree with Tacey, and she and Dr. Scott, she get a
bell. Give thyself a bell.
We're recommending
going to see an ear nose and throat,
doctor. Damn it. All right, Dr.
Scott, before we get out of here, you've got some
questions from the fluid family. If you want
to join the fluid family, by the way,
go to YouTube.com slash
at Weird Medicine. Turn on
gifted memberships. The way to do that
is to click the join button.
but you don't have to join.
Just click, turn on gifted memberships.
Myrtle Manus gave out 20 gifted memberships today.
And even if you're not there, if you've been there, if you've just subscribed to the channel, I can gift to you.
So go there, subscribe to the channel, like the videos, of course, and turn on gifted memberships,
and you may just get a gifted membership.
Or you can gift to other people memberships.
It's only 99 cents.
And every once in a while, I throw something up there that's exclusively for,
for the members.
But anyway, what do you got?
So Live Wayne says, as a child with allergies growing up in the Midwest,
chloratramaton was the only OTC allergy medication that worked.
And boy, did it work.
Still unclear what I was allergic to.
Years later, my daughter has the same issues.
Sure.
Well, yeah, chloratrimaton was brought to market in the 50s.
And it is the generic name is chloroferinarmen, or not.
I'm sorry, chlorfenamine.
Chlorfeneramins actually something different.
No, I'm sorry, those are synonymous.
So chlorfenamine or chlorfeneramen are synonymous, and that's what's in chloratrimatone.
And it's an antihistamine, just different from the other ones.
It's used to treat symptoms of, you know, hay fever, allergic rhinitis, take it by mouth.
And it takes effect within two hours and lasts for about six hours.
And it's one of the first-generation antihistamines, and it works by blocking that H-1 receptor.
So if you remember, histamine receptors come in two flavors, H-2 receptors, which are affected by what drugs taste?
You know.
Like Pepsin and stuff like that, H-2.
Give myself a bell.
That is correct.
So the H-2 blockers will decrease acid production in the stomach.
and so the one that's really on the market right now is Fomodidine or Pepsid.
Zantac was taken off the market, which kind of is too bad because Zantac, when people were taking it every day,
they would get false positive amphetamine in their urine drug screens.
So that was fun.
You know what else gives you a positive urine drug screen?
Potip seeds.
Yes, very good.
I'll give you a bell for that.
Also, Protonics.
Yes, get a bill for that.
Suck it.
But my favorite one.
CBD will.
Is VIX, nasal inhalers.
It's not a false positive.
It is a true positive for methamphetamine.
Oh, my goodness.
And what I understand now is that the Vicks branded one no longer has L methamphetamine in it.
But you can't get high from it.
You can only get high from D methamphetamine, which are left-handed and right-hand.
molecules, but I understand there are still nasal inhalers out there that still use
L. Methamphetamine.
It's perfectly legal.
And these people would show up with the methamphetamine, you know, result in their urine
drug screen.
And these little old ladies, well, honey, I ain't never done no street drugs or nothing.
And you're like, well, okay, but the drug screen says differently.
So what you have to do in those patients is,
fractionate the methamphetamine to D and L.
There's a test that'll do that that will look for the left-handed molecule and the right-handed molecule.
If it comes back 100% L, they're telling the truth.
If it comes back 90% D and 10% L, they're lying,
and whoever is making their meth doesn't know what they're doing.
Tom.
Thank you.
I asked for an extra minute.
If you get 100% methamphetamine, then that's Heisenberg-level meth.
I actually complimented somebody on their meds.
I said, well, your dealer knows how to make meth anyway.
Hey, real quick, one.
But I can't see you anymore.
No, yeah.
Sorry.
Congratulations to your chemist mathmaker.
Hey, one last question before we get there, Dr. Steve.
So Lovett wants to know, is there a simple answer to severe?
deep severe bone pain.
It's kicking my butt the last four days.
And I think she was wanting to know if it's, if all bone pains are kind of blood related.
Not necessarily.
Not necessarily.
And bone pain can be a really challenging sometimes.
Yeah.
You add to this one, Dr. Scott.
Yeah.
Because she's tried everything else.
You've tried the opioid.
You've tried the anti-inflammatory medications.
Yeah.
Oh, yeah, I was going to say, but it's really identifying exactly what the bone.
pain is from, you know, and where is the bone pain?
Is it systemic?
I mean, is it all over from your head to your toes?
Or there's some very specific spots where your bone pain, because that might be something
not necessarily bone pain, but it might be a bursitis or tendonitis, like an attachment.
Just in one place.
Possibly, yeah.
So, yeah, that's the first thing I was they said there is not hurt.
To answer her question, no, there's not a simple answer to bone pain.
For people with lung disease, there's a thing called pulmonary osteosier.
I'm sorry, pulmonary hypertrophic osteoarthropathy.
And these are people that have bone pain in the appendicular skeleton, you know, the long bones of the legs and the arms.
And they will also have clubbing of the fingers.
And you do a bone scan, you can see these sort of linear lines in their bone where they've had increased bone growth.
And they have horrible bone pain.
Yeah.
So that would be one of the things I would ask this person who asked the question, do you have a history of lung disease?
Because if you do, that could be that.
And the way to diagnose it is, well, you can diagnose it clinically, but diagnose it by doing a bone scan.
Right.
So you really do need to know where it's coming from.
Yeah.
In other words, what the ideology is?
Now, Dr. Scott, what if I told you that you had somebody was on extended release,
morphine 30 milligrams twice a day and they were taking morphine immediate release 15 milligrams
four times a day and they come in complaining that their pain is worse but now it's all over
we're having pain all over where before it was in the low back where their bone metastasis was right
so what would be your diagnosis in that situation well I'd be concerned that they had metastatic cancer
all over okay so you do a bone scan a pet scan and it's negative
But they're complaining of pain all over, whereas before it was, it was localized.
I don't know.
I'd probably call you, to be honest, I think.
Okay, well, that would be a good idea.
Yeah, yeah.
Because in this case, what they're having is opioid-induced hyper-algesia syndrome.
Oh, hyper-alges, I was thinking, no, I was thinking, like, there'll be sense of the touch and everything.
I had one with that yesterday I had diagnosed.
Yeah, hyper-algesia.
So the opioid is actually causing the pain, and that treatment for that is counterintuitive.
actually decrease the pain medication, they get better, or you rotate to a different pain medication.
When you do that, you always decrease it by 50% anyway.
Well, and the thing is, too, they get a lot more sensitive to, and it's not just the pain, it's physical touch.
So if someone's taking those medications, what you'll see is even their skin, just a brushing up against their skin.
Right.
Because what does is it changes their perception of pain.
Right.
I actually wasn't answering a question, so I didn't think the three-minute timer was active,
But I guess it makes sense just to keep us from just randomly.
You're probably right.
So, so fun, let us know more.
Maybe if we'll let us give us some more information, that we can.
Yep, yep.
Okay, dope.
Hi, guys.
Thank you.
Are we out of here?
We're out of here.
All right, my friend.
Thanks.
Thank you, Tacey.
To Tacey, thanks to Dr. Scott.
Thanks to everyone who's made this show happen over the years.
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Thank you.
Thank you.
I'm going to start.