Weird Medicine: The Podcast - 604 - Bloody Bellend

Episode Date: September 20, 2024

Dr Steve, Dr Scott, and Tacie discuss: Lung cancer vaccine anorectal disorders A boy named Sue, a girl named Tacie Appalachian English Blue cheese and penicillin allergy oxycodone habituation folic acid dreams probiotics pain management options (the title has nothing to do with the show, I just like to say "bloody bell end!" 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

Man, you are one pathetic loser. You see? You see? You're stupid minds. Stupid. Stupid. This is not how same people act. 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 Bez, you would have thought that this guy was a bit of, you know, a clown. Why can't you give me the respect that I'm entitled to? I've got diphtheria crushing my esophagus.

I've got Ebola vibes dripping from my nose. I've got the leprosy of the heartbell, exacerbating my imbatable woes. I want to take my brain out, blast 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 noon, then I'll have to go insane. I want a requiem for my disease. So I'm paging Dr. Steve. From the world famous, oh, I can't say this. Cardiff got his channeled band from YouTube.

Oh, I'm funny. I can't say his name anymore. We'll get ours banned. Beautiful downtown Tuky City. It's weird medicine, the first and still only uncensored medical show in the history of broadcast radio. a podcast. I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medicine provider, gives me streetcred with Wack Alternative Medicine Assholes. Hello, Dr. Scott. Hey, Dr. Steve.

And my partner in 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 your regular medical provider. If you can't find an answer anywhere else, give us a call 347-7-6-4-3-23. That's 347. Pooh-Head. Visit us on Twitter at WeirdMexam. medicine or at Dr. Scott WM. That's at D.R. Scott W.m.

I'm not going to call it X. It's just too weird. Visit our website at Dr. Steve.com for podcast, medical news and stuff you can buy. I guess I could say X, the app formerly known as Twitter. Most importantly, we are not your medical providers. Take everything you hear with a grain of salt and act on anything you hear on this show without talking to it over with your health care provider. Don't forget stuff.

Dot, Dr. Steve.com. stuff.doctrsteve.com. I promise one of these days, I will... What are you doing? You know you're on camera, right? I don't care. What are you doing? I'm measuring the distance between my pebbles.

It's like, give me some new glasses, dude. Oh, yeah. Warby Parker, yeah. Okay, you're ordering them online. Yep. Is that cheaper that way? A little cheaper, but they have a better selection than the local optometrist.

Okay. Okay, and so you give them your prescription, and then you have to tell them out. I thought you were doing that for your VR helmet. Oh, no, no, no, no. Because, you know, VR, if you're doing VR, it really helps to know what your pupillary distance is. Yeah, I bet you have one of those, don't you? Oh, yeah, of course. Anyway, fuck both of you.

Sure, I was how my hand radio. Lord, I'm lady, do you back. Anyway, check out stuff. Dottersteve.com. Check out Rody. dot Dr.steve.com. It's R-O-A-D-I-E. dot-doctersteve.com

or go to stuff.com and just scroll down. It's a robotic tuner. I use it all the time. And, you know, Brian May said these bloody bastards came out of this at the end of my career. He loved it because you can use it on stage.

You know, and you can mute yourself and just pluck your strings and it will tune for you without you having to look at anything. It's pretty neat. Check out Dr. Scott. website. It's simply herbals.net. And patreon.com slash weird medicine gets first look at everything. They'll get the video recording of this show. The YouTube channel doesn't get that anymore.

It gets excerpts. So the full shows are on Patreon. And patreon.com slash weird medicine. Plus, they get first look at all of the Dr. Steve one shots and all the normal world stuff and any of that. things like that the um my um roast of the dabble verse is on there if you want to hear one joke from that hang on a second carl is here what can we say about carl's teeth that haven't been said i mean stuff like his teeth are so crooked people think they're shulie's viewer count a speech. Anyway, so there you know. But you can hear all of that.

Oh, Lord. At patreon.com slash weird medicine. All right. And cameo.com slash weird medicine. I will say fluid to your mama for $5. And I love doing them. I would do them for free if they would let me, but they won't.

So five bucks is the cheapest you can do. But cameo.com slash weird medicine. All right. Very good. Don't forget Dr. Scott's website, simplyerbils.net, simply herbals.net, with the best CBD nasal spray in the universe. The entire universe, yes. And then check me out on Normal World. The next one we're doing is on the myth and facts regarding female agenda.

A.k.a. squirting. So it was a fun one to do. It took a long time to get it right. But the science is 100%. We have the answer. I've had the answer. If you want to know the answer before that airs, just go to Dr.steve.com and search for female ejaculation. You'll see all the scientific studies that are there and what's real and what's a bunch of bullshit. So, all right. And so, you know, spoiler alert, if for the people that say it's, quote, unquote, just piss, unquote, it depends on your definition of piss. So that's really the answer. But some women do, you know, exude a milky substance from their skeins glands, which if you look at them under the microscope, are analogous to the male prostate. And matter of fact, the fluid that comes from there has prostatic-specific antigen in it, which can only be found in the, you know, the prostate, and therefore those people are ejaculating. Whereas some people have coital incontinence, where their bladder fills up with very dilute fluid,

and then they are incontinent. And some people will have both, and that's what confuses everybody. When Dr. Fish did this study, well, whatever it was, he got a porn star in his office and had her squirt. And then he tested the fluid for urea and or creatin. And it was positive. And he said, well, there you go. It's just piss. Well, okay.

So I did the converse thing on Anthony Coombeah show where we had a porn star squirt and we tested her for prosthetic specific. antigen and it was positive. So he, I didn't have to do the part he did, but he only did half of the thing. That only shows that some of the fluid was coming from the bladder, but it doesn't say anything about

female ejaculation whatsoever. So my experiment was conclusive. His was anti-scientific. He had a bias. You okay over there? Oh, yeah, sorry about that. I'm trying not just sneeze. I'm sorry. Yeah, that's all right. Yeah, that's what got, oh gosh, Tim Sabian.

He didn't like me very much. And what I heard was he trying to get our show taken off the platform. And they were consolidating and doing some stuff. But I think the reason is, is when I first met him, he said, oh, yeah, your medical show. Yeah, I'm the one that created Dr. Fish's show over on Howard's channel. And I said, yeah, I know that show is pretty boring. And he got really mad. I think he was vindictive, I guess.

I don't know. I liked him. He was fine. I don't know. I was just being an ass. But anyway, there you go. But we're here and that show is not. So there you go.

All right. What else you got? Tacey, you got some topics today? Well, I certainly do. Well, let's get to one. It's Tacey's time of topics. A time for Tacey to discuss topics. of the day.

Not to be confused with topic time with Harrison Young, which is copyrighted by Harrison Young and Area 58 Public Access. And now, here's Tacey. Well, hello. Hello. So today I'm going to let you all choose between four topics. We'll take all four, please. Okay.

Well, there. Okay, what are the topics? We can have anal rectal disorder day. Okay. Or we can talk about a lung cancer vaccine. trial and the new COVID vaccine. Okay. Don't care about the new COVID vaccine.

How about we, I would like the lung cancer thing as a news story and the other thing is just fun, extracurricular. Can we do that? Yes. So I am interested in a lung cancer vaccine because I smoked for three, for a long time, three packs a day. About how long did you smoke, roughly? Five years, ten years?

No, I got, oh boy. We look at it in pack years. So if you smoke one pack a day for a year, you had one pack here. If you smoked one pack a day for 20 years, you had 20 pack years. I smoked three packs a day for, oh, since, for probably 10 years. So that would be a 30 pack year. Yeah. That's a lot.

Now, I've been quit for 20 years, but I'm, you know, when I first saw my COVID lung, the scar tissue and my COVID lung, I was convinced that. But, okay, here it is. Yep. And, you know, that sort of damically still sort of hangs over my head. But anyway, so I'm very interested in this. Okay. By the way, everybody, quit smoking.

If I can do it, I was a degenerate smoker. If I can quit and never look back, you can too. And I wouldn't know how you, how do you have time to smoke 30 cigarettes? I mean, I'm sorry, 60 cigarettes on a day. Well, okay, that's what you do. You had to work at it. Well, you smoke two before you get in the shower while you're sitting on the pot. Gotcha, got you.

And re-haping or whatever. Yeah, and then you're flicking between your legs. And, of course, you have all these weird marks on the glands that are actually cigarette burns. Well, that's what happens. You're flicking and stuff like that happens. And then you smoke two on the way to the hospital. And then you smoke one or two from the hospital to the office. And then you smoke one between every patient or every two patients.

And what you do is you take your nurse who also smokes and make her go out with you so she can't fill the the rooms up while you're outside smoking. And then, yeah, as soon as ever the last patient leaves, you start smoking, just chain smoking until we go to bed. Oh, my gosh. Well, sitting there in my, I used to smoke in my office. Yeah. Can you believe that? Yeah, you're not alone.

We used to smoke in the emergency room back in the day. And we had, there was a cardiothoracic surgeon. I'm not going to say his name. But when I was training, now he's the guy that does the bypass surgeries on people who smoked. and had high cholesterol and stuff. And he would sit in the doctor's lounge and the surgeon's lounge and smoke in there. Now, you can't see a cigarette within, you know, a hundred feet of the hospital now. But back then, people were smoking in their rooms.

I had a lady that more than one, so this isn't a HIPAA violation because there was a bunch of them, that would smoke with their oxygen on. And if you get just the wrong flick of an ash or something, The whole tubing will catch on fire, and you end up with this weird hair dew where half of it is just gone because it's scorched. It's scorched, yeah. And, you know, oxygen doesn't burn, but it makes other things burn. And that tubing is made out of rubber slash plastic. It's very flammable in the presence of oxygen.

Oh, my gosh. Anyway, all stupid reasons. Yeah, just quit smoking. Yeah. All right. Okay. Go ahead and taste. Okay. A 67-year-old man has become the first person in the U.K. to try what doctors' hope will be a revolutionary new treatment for lung cancer, a vaccine that tells the body how to fight and kill the disease. It uses the same MRNA technology as some COVID jabs to give instructions to the immune system. People are going to be all up in arms. Oh, Lord.

The early stage trial in which Januse, Rax, is taking part, will check the shot is safe. Okay. Some 34 research sites in seven countries, including London, hospitals, will recruit 130 patients to try it. Okay. The treatment should specifically target cancer cells for destruction rather than healthy ones, hopefully meaning fewer side effects. Yeah. It contains information about several markers found on the surface of lung cancer cells to teach the patient's immune system what to find and what to fight. Okay.

I'm in. Hopefully, in combination with the current standard treatment, immunotherapy, and chemotherapy, we can provide an additional immune boost. So are they giving it to people to prevent cancer? Are they giving it to them to treat cancer? Well, I don't know. That's what I was wondering, too. I wonder if they give it to people that they assume are going to get cancer because they're 30 packers. Well, or are they giving it to people who have been diagnosed with cancer?

That's interesting. Because there are some quote-unquote vaccines that you give after, you know, after the. Does it say? No, it really. It's okay. That's okay, yeah. It's still good news that they're working on it. Yeah.

Yeah. I would take it. I think it is after you get diagnosed and that's part of treatment. Because it says a cancer diagnosis is very worrying but access to groundbreaking trials alongside other innovations to diagnose and treat cancers earlier provides hope. Okay, yeah. So it's not something I could take to prevent it. I'm looking at it. Here it's a type of immunotherapy that helps treat and prevent.

Oh, well, it says treat and prevent lung cancer, though. Okay, so there is Cipulucal T that is a vaccine. That's the only one approved to treat established tumors. There's a CMAFX, EGF, an immunotherapy that treats non-small cell lung cancer. It's a recombinant human epidermal growth factor and a protein carrier. So that one's not an MRI. MRNA. Then BNT-116, vaccine instructs the body to hunt down, kill a non-small cell, lung cancer cells.

So that would be one for someone that's already been diagnosed. And that's by bio-antec and it's in phase one. That's got to be the one you're talking about, Taser. Okay. Yeah. So very interesting. Talks about signs and symptoms of lung cancer. Yeah.

It's the leading cause of cancer deaths worldwide. Sure. 1.8 million in 2020. And you wonder why, but it's really, there's so much landscape in the lungs. With the alveilai, they're small. I mean, they go from your rib cage to your neck. But inside there, there is just so much surface area. Yes.

Because the little alveoli are microscopic, and there's jillions of them. And so there's just more cells to get affected. To get sick. And then the lungs are sort of. the first port of entry for things outside the body other than the GI tract. So signs and symptoms, you know, if you have a cough that doesn't go away after a few weeks. Uh-oh. Long-standing cough that gets worse.

That's why I don't do live events anymore. Chest infections that keep coming back and, of course, coughing up blood. Yeah. All right. Man. Well, very good. That's a good one. Yeah, we'll keep an eye on that.

Thank you. You're one for one. Yep. One for one. What you got? Yeah, you want a bell for that? Give thyself a bell. Sake.

Whatever. Anal rector disorders. Mm. Okay. Yikes. Yum. Types of anal rectal disorder. Say that five times.

I know. Anal or rectal abscesses, a cavity in the anus erectum that becomes infected and filled with pus. Yeah. Yikes. This can also lead to an anal fissure. Which brings us to anal fissures, which are tears or cracks. and the anus that result from stretching the anal canal beyond its normal capacity. Anal fissure, that was Joey Buttafouca's girlfriend, right?

No. Sorry. Oh, oh, terrible. Oh, my God. Poor Amy. Anal fistula, an opening in the skin near the anus that leads into a blind pouch or may connect through a tunnel with the rectal canal. Right.

Most anal fistula's form in reaction to an anal gland that has done. developed an abscess. Hemorrhoids. And then they got nowhere to go. So it's trying to escape the body and it ends up tunneling to the outside. And they saw this perirectal abscesses or perirectal fistulis will communicate with some part of the rectum somewhere. And you can actually take a twist tie, or not a twist tie, a cable tie, zip tie. Zip tie, yep.

And a small one and thread them through there. and have it come go through the opening that's around the rectum or the anus and sometimes even in the butt cheek and you can thread that in it will come out inside the rectum

then you have it, you direct it out of the rectum and then you attach the zip tie and then you start tightening it and tightening it and over several weeks what that'll do is it'll drag that fistula tract out of the body and into the light of day, and then it'll heal up and it goes away.

It's really about the only way that you can cure these things. Antibiotics very often are not successful because the bacteria are just hard to eradicate in a tunnel that's full of fecal matter. Yes, gosh. Go ahead and taste. Hemorrhoids, red and swollen veins are blood vessels in the lower rectum. They can be internal or external. Correct.

Yeah. Do they treat internal hemorrhoids? Yeah, sure. Yeah. If you're bleeding particularly, or if there's a bunch of them, they'll go in and they'll band them. And so basically what they're doing is they use an anoscope to dilate the anus so that you can see them. And basically, it's just like a funnel with a slot in it, and you just shove it in. It just opens things up. And then you identify the hemorrhoid.

And then they have this device that's got two tubes. one is a little bit wider, you know, has a larger diameter than the other, and they slide over each other. And then you can take a rubber band and put it on the narrowest tube and slip it over there. Then you run a clamp

with a real long neck on it through those tubes, and you'll grab the hemorrhoid, and then you push this tube, contraption on, you know, on the hemorrhoid, and then you pull back on the narrower tube, and it slides the rubber band off, and it goes around the neck of the hemorrhoid, and it kills it. And after a while, the hemorrhoid just dies, and then you just shit them out.

Yeah. Shit out. Is it hurt? No, no. Really, above what's called the dentate line, the hemorrhoids really don't hurt very much. Now, thrombost external hemorrhoid, we've talked about quite a few times in this. Herlock hemifers. Yeah, those hurt so bad.

People can't stand up straight. They can't sit down. And if they go to a primary care provider that has some clue of what the hell they're doing, they can walk out completely pain-free. And those are your most grateful patients is people with thrombost external hemorrhoids and people with ingrown toenails. if you know how to fix those because they'll come in

an abject pain and misery and they'll leave feeling 100%. So basically you have to numb them up and cut an ellipse in the thrombosed hemorrhoid. It just looks like a tick on the outside of the anus. And when you evacuate the blood

after numbing it up and prepping it, of course, and all that stuff, then the pain is completely gone. And the trick then is to keep it from from closing back up and re-accumulating. You do that by putting a wick in it. And the wick can just be the corner of a four-by-four gauze. And you just shove it in there and tape their ass cheeks together.

And then tell them, you know, after two hours, you can pull it out in the bathtub. And very often they won't return. The big thing about hemorrhoids is just prevent the damage. Yes. You have to prevent them by eating more fibrous matter. and not having to strain to get your stool out of these giant, hard American stools from our lovely American diet. And that's the same thing for the anal fissures. Correct.

The fissures, when the skin stretches and you get those micro tears in there, it's just like any other tear in your skin, it hurts like crazy. Yeah. Oh, yeah. You never think about your asshole until it's got a fissure in it, and then that's all you can think about it. And every time, you know, you go to have a bowel movement, that thing rips open again. Yes. They'll use nitroglycerin, you know, to just relax it. They'll use Botox, too.

And you would think, God, if I just Botox my ass, I'm just going to be, you know, dropping loads everywhere. But what it does is it keeps the sphincter from spasming. And it reduces the pain and then allows it to heal up. Yeah, so. But the key is, again, perfect. prevention. Yeah. And if you can't eat.

Stay hydrated. Yes. Stay hydrated. And if you can't eat enough fiber to keep your bowels normal, then citricel is a great fiber supplement. It's the only one I recommend because it doesn't cause the bacteria in your gut to produce gas. So it's not flatulent. You know, flatiogenic. I just made that up.

It might be a real word. It might be a real word. Sounds right. Yeah, it's not flatulogenic, but the inulin, the chicory fiber, that's the one that dissolves in water and it's clear. And it is fiber, but it, the bacteria in your gut and the yeast love it, and you will produce so much gas. It blows up. So anyway, yeah, lots of fiber. Keep those stools nice and soft.

Nice and fluffy. Yes. But if you're doing a lot of fiber and nothing's working, you might be creating a brick in your gut. That's true because maybe you're not drinking enough water, though. You have to really stay well hydrated. Tasey's 100% correct. Probably deserves a bell for that. Oh, for God's sake.

Oh, that's true. You can suck it. Because people will take this advice and go, oh, God, I got worse. But like Dr. Scott used to say, it's like if you got a bunch of sticks in a stream and you know. You got a beaver dam. You end up with a beaver dam, right? So you've got to have plenty of fluid in the, body so that the colon isn't trying to take fluid out of this fibrous mass.

Because that's the only job that the colon has, really, the main job, is to reclaim water from the stool. And when you are not hydrated enough, you end up with dry stools, and you can end up with a block of citrus. Methyl cellulose in your gut. But anyway, yeah, very good. Fecal incontinence, also known as bowel incontinence, fecal. incontinence is the lack of control over your bowel movements. Yikes. Yeah.

Now, there are some kids that people think have that, but they don't. They're constantly soiling their underwear, and sometimes they'll just turd in their underwear, and these are kids that should be long, long potty train. If your kid is doing that, quit berating them. They have a thing called Encopreis, and they literally can't help it, but it can be completely cured. We had a kid that had it, and that's when I learned

more about it than I cared to know. But the trick is that what's happening with those kids is that they're holding it, probably at school. Right. And they don't want to go to the bathroom, so they hold it. And if you hold your stool in long enough, the feeling will go away.

Lady Diagnosis talked about that in here. And the feeling will go away, and if you do it enough, it will go away completely, and you'll never feel like you have to move your bowels until your colon is fully full, and it just contracts. So when that happens, then they have these giant bowel movements, but their colon is full of stool, so it's being pushed out, but it's gradually, so they're just constantly

soiling their underwear or, you know, having accidents and stuff like that. So the trick is to completely decompress the bowel, and to do that, you have to clean them out. So you give them, you know, give them an enema if they need it. We'll use a bowel prep. Sometimes you can use mineral oil and you keep giving them mineral oil until they're actually leaking oil and then you know that their bowel is clear. But in the age now, that was old school.

That was like in the 80s. In the age of polyethylene glycol or Miralax, you can give somebody a bowel prep. Don't do this on your own. do this with a pediatric gastroenterologist or your primary care. But you can get a kid's bowel cleaned out really well. You've got to pick a Saturday, start early in the morning, and you're going to be doing it all day. But once they're done, now you have to do whatever you can to prevent them from holding it anymore. And one way to do that is to keep their stool pretty loose.

And maybe those kids need, you know, a half a scoop of Mirlax a day or whatever, the primary care. What you don't want to use is stimulant laxatives on a kid on and on and on. It's okay every once in a while, but if you use them every day, then what's going to happen is they're going to get dependent on it. I've had people before that had to take 12 dolcalax every day or they couldn't ever move their bottles because they were so dependent on them. So anyway, Encaprices. If your kid has encaprices, go to a website. It's called You Can Poop 2, and it's the letter U. and then can poop-t-o-o-com.

And there's a whole program there. Or just Google and Caprices. There's tons of YouTube videos about it, about the protocol. There's just a standardized protocol. Every kid can be cured of this unless they have some pathologic problem in their colon, in which case they need to see a pediatric gastroenterologist. Anyway, I had a guy when I was in Boy Scout camp, and he had this. and everybody just called him, you know, I don't remember, Georgie, you know, poopy pants or whatever.

And it was unfortunate because nobody knew what it was. I remember swimming with him in the lake and then a turd just floated by me and I looked at him. I was like, dude. Oh, for goodness sakes. And he just had that look on his face like, what are you going to do? Sorry. Oh, my God. Yeah, it was bad.

Poor kid. And, you know, I'm sure his parents were completely frustrated with him. They just didn't know what it was. just like, you know, at that time I had ADHD. My parents were frustrated with me because I... At that time. I would dick around and do terrible in school and then get 99th percentile on the standardized exams. And they just, you know, were like, what the hell?

But we didn't know what ADHD was back then. I was just an underachiever. I was stupid Steve. Yes. They didn't pay attention in class and we were always doing crazy stuff, yeah. But I had to overcome that on my own. Yeah. You know, I had to, and those tools that I used to do that probably don't always serve me well in my life.

But, you know, it's just I had to do something. I had to get over it. To live with, yes, yes. Yeah. Anyway. Rectal prolapse. Diagnosed when the rectum falls from its normal position and partially exits the anus. A.k.a. the pink sock.

A prolapse rectum can lead to fecal. incontinence. You think? I'd say. You think? Yeah. Yeah, those people will have the pink sock or prolapse. And anytime you prolapse anything, seek medical attention.

That can be fixed. But it's very often, does it talk about why people's anus is prolapse? No, it doesn't. One thing, I mean, this article, I mean, it talks about we can go into symptoms associated with anorectal disorder? And I'll talk about causes. Well, hang, well, yeah, I was going to say I've got the cause for you. Well, yeah, no, there's a bunch of them.

And then it talks about treatments. Sure. So if you've got a visible crack in the skin of the anus, bleeding after bowel movements, with or without pain, diarrhea or constipation, gas and bloating, itching or burning in the anal area, lumps are swelling within and around the anal area,

pain during or after a bowel movement, pain or discomfort in the anal area and rectal bleeding or discharge. Yeah. Diet and livestock can be the cause. If you have a thing hanging out of your ass that you have to shove back in after you move your eyes. Now, that's horrible.

That's happened to a friend of mine. Yeah, it is awful. And one of the ones that's really grotesque that can cause this is roundworm infection. So people that get, do not Google image, ascarus or rectal ascarus A-S-C-A-R-I-S just so you know not to

Google that Google image that we used it on the cover of our cassette with my band Asmaget because that's basically what they are they're just giant roundworms and they form these spaghetti-like masses

and they adhere to the side of the bowel so when you eventually you know defecate these things out they'll carry the rectal mucous membrane with them

and your rectumal prolapse. Oh, wow. Yeah, that's horrific. But other causes are just like straining. Childbirth is one. What did you come up with? Well, I was going to say, let's just say, we know somebody that

was swinging a golf club and swung way too hard on the suggestion of a caddy. What? And swung so hard That they're rectal—that the rectum prolapsed? Prolapse or rectum, yes.

Oh, my goodness. And had to have it surgically repaired. Oh, my goodness. Yep, yep. Wow. So, yes, physical strain can do it. Yes, yeah. So, Tacey, what did they talk about treatments for this?

Oh, treatments are adding fiber, applying topical ointments, avoiding sitting for long periods, Botox, like you talked about, drinking more water, eating. more fruits and veggies, increasing your level of physical activity, taking over-the-counter medicine such as a stool softener, and taking sits baths, especially after a bowel movement. This is for prolapse or for rectal fission? This is just for anal rectal disorders. Okay, good. Okay. So, yeah, because the rectal prolapse, most of the time, if it's significant enough, they will surgically repair that. But anyway, yeah, go ahead.

That's it. Okay. Oh, no, that was good. Yeah, there's just a few things that you do for rectal things, and those are all the things Stacey talked about. You know, it's just eating more fiber, being more active, drinking more fluids, sits baths, sometimes rectal creams and stuff like that. But, you know, one thing that can happen with rectal prolapse is it can become incarcerated.

And that's where it gets stuck hanging out of the anus and it can't be pushed back in. and if it gets cut off from its blood supply, it will die. That is actually a surgical emergency. So you've got to go to the ER if you have that. But, yeah, the first choice of treatment for a rectal prolapse is a thing called rectopexy. And they repair it through your abdomen. So they go in the abdomen, yank the thing back up so that it's nice and taught and then they stitch it in.

Jeez. Yeah. And that's something. Golly. Yeah. No, thank you. Let's avoid that if we can. I'll have more rectopexy, please.

All right. You can make it a double. You got anything else, Tase? Nope. Okay, those were good. Those are awesome, Tase. Number one thing, don't take advice from some asshole on the radio. Oh, uh-oh.

Messed up. Okay, let's see here. I have, oh, here's one that was called in just recently about you, Tase. Hey, I don't have a medical question. I just wanted a call on that, you know. I met somebody else named Tacey. Oh. Hi, Tacey.

In Mount Pleasant, Texas. Wow. We should look up Tacey, Mount Pleasant, Texas. I bet we can find her. So there can't be many of them. He just docks the hell out of her. It can't be too many of them. Let's see here.

There we go. Okay. Yeah, so we're not in the business of doxing people. No. That is, it is an uncommon name. It's like Stacey without a T, Tracy without an R, right, T. Stacey without an S. Yeah, what did I say?

Stacey without a T. Sacey. Yeah, Sacey. Hi, my name's Sacey. How funny. Yeah, so we looked back, though, it was a very common name in the 1700s. Oh. Yeah.

These little old country women and stuff, didn't we find a, a. Like Thomas Paine? Had a daughter named Tacey or something like that. Yeah, and then we find a grave stone in one of those old villages that have been, you know, discovered back in the woods, like around Gatlinburg. Wasn't there a Tacey back in there? I don't remember that. Anyway, all right. So that was good.

Cool. All right. Let's see here. Hey, Dr. Steve et all. How's everybody doing? Long time first time. Hey, good man. Thanks. How are you doing? Oh, well, I'm sorry to hear that. Maybe some Valtrex will clear it all up for you.

Oh, wait, okay, wait a minute. Okay, I didn't know he was going to do a joke. Okay, let's try this again. Time. Wait, wait, right, okay. Let me hear. Hang on. I'm first time. Yeah, man. My herpes is really bad. Oh, well, I'm sorry to hear that. Maybe some Valtrex will clear it all up for you guys. That sounds disgusting. But let me just say this, I, you know, I was listening to when you guys started talking about the three-minute limit, and everybody started talking real fast to answer questions. Yeah.

And I noticed that Dr. Scott's words per minute sped up, and he started sounding a whole lot smarter. And I said, I know Scott's smart. I've listened to you guys for years and years. Scott knows some shit. Yeah. But I suddenly realize it. So I think there's some kind of racism related to the Southern accent. So maybe you guys could talk about that, times that you...

Oh, definitely. Yeah, we'll talk about that. I don't think it's race if it's more classism, I think. Bad misconceptions. Talk about the myth of the slack-jawed yokel and perhaps, you know, neurological disorders caused by parasites. Okay, well, yeah, I have a lot. say about this. I am a student of Appalachian English. And if you are one of them darn Yankees

and you don't understand what we're saying, we think you're stupid. Right. I think that our fault. You know? So, and the other thing is I always let your adversaries underestimate you. So I'm happy for people to think that we're a bunch of dumb yokels down here because of the way we talk because number one, that'll keep them from coming here. Exactly, yep. And except for the carpet

bagger types that are like, well, I'm going to show them southern well, they don't talk like that. I'm going to show those southern people how to behave. And but anyway, yeah. We've got a holler where they'll wind up. So, yeah. I mean, if you know

understand y'all kin you favor i've done that one on the show before but people who haven't heard that before if you're not from around here you don't know what i just said you have no clue there's not a word in there that you use in your usual in your real life but it is do you all are you all related you look like and when we say that and you just look at us like what yeah yeah we think you're dumb so how about that it is very true very true i i remember I think I've said this before, but Tacey had the TV on and Honey Boo Boo was on. I don't think you were watching it. It was just on.

Yeah. And her mother, Mama June, I know a little bit too much about this, but Mama June was talking. Right. And they had English subtitles. Oh, I know what I was going to say that. And I was like, why are they having English subtitles under somebody speaking English? Perfectly normal. Right.

And then I was like, oh, shit. Oh, oh, shit. Because when Bobby Kelly came down here, we introduced her to Tacey's mom. And all he heard was bleep, damn, damn, d'n, he couldn't understand the damn thing. He didn't think it was real. He was like, this is not real, right? Yeah. He was like, this is fake.

This can't be real. He said it to her. Yeah, you're putting me on, right? I think I told the story when I was in high school, I had a girlfriend. And they had moved down from Chicago and her parents. From Chicago. From Chicago. They watch TV.

They don't watch TV there. They watch TV. I know because I used to live there. They spoke with an awful northern accent. Anyway, it's a good accent. I know. I like the middle. Actually, I love Chicago.

But anyway, so, yeah, so she was trying to explain to me how, you know, I had such a heavy accent. And I'm like, you know, I really don't think I do. So she got me a book. And that book had southern, you know, terms and phrases that we, you know, I think are normal. Yeah. And we use every single day. And it's like, oh, shit, I guess. Maybe that is...

Well, those are the words we use. That's how they perceive us. That's how they perceive us. Yeah. And like it's like a lack of intelligence, but it's not. It's just our, you know, normal daily vocabulary. And the other thing that, you know, some people will lean into it. And they'll have...

I remember my dad when he had his... Now, I'll docs myself with that. Let me give you a different example. Where you go to a restaurant, like a home cooking. restaurant in the south, and they'll have everything spelled wrong. Mm-hmm. You know, Uans, you know, have you a good time, and we got gravy, G-R-A-V-I-E and all this kind of weird stuff, you know, all these weird. And it's like, okay, again, I'm okay with that on a certain level because it makes people think that we're stupid. But it also makes people think

They were stupid. And when I first got to my residency program, it was a brand new building, and they had all these signs up, and it said 30-minute parking, strictly enforced. And the way they spelled strictly was S-T-L-E-Y. And I went in there, and I said, look, it's hard enough being from here, you know, the mountains of Tennessee. people already think we're stupid than to just demonstrate that we are stupid to prove it, yeah, yeah.

And I bitched and complained about that 20 years later, those signs were still there. Because nobody gives us shit. No. Anyway, there you go. No, nobody else reads it. They just look at it and assume what it says. Yeah.

And you've heard me tell the story when I was in Vermont and I called the hardware store to ask them if they had a certain part that I needed for a telescope that I was building. After I had figured my own mirror down to a half-wavelength of light, you know, error. Okay.

So, reasonably intelligent person. And I called because I needed a specific kind of screw. And I said, do you all have this thing? And she was like, no, we all don't have that. Oh, God. And I was like, okay, now it's on. And I said, I will never, I didn't tell her this, but I would, I never spent another penny in that hardware store. I was the closest one.

I had to drive 45 minutes out of my way, but I was damned if I was ever going to go in there again. I love it. God. I love it. No, that's funny. We all don't have that. Nope. All right, so the three-minute thing's back on.

Oh, no, it's not. Yes, it is. Why? Yeah, but the southern accent thing's important. Yeah. Okay. Timer. We have to.

Okay. All right. Here we go. Hey, Dr. Steve. I just had a question. Yes. My grandson's allergic to penicillin, and he wanted to know if he could eat blue cheese. If you could give me a call back or text on that, I'd appreciate it.

Thanks. Bye. Okay. Well, I just texted him. That was from 2015. Oh, geez. So, sorry, buddy. People who are allergic to penicillin can eat blue cheese unless they're allergic to something else.

Okay. The reason people think that they can is because the blue cheese, the blue vein, is created by penicillium roqueforti. Oh, wow. That's where the term roque for cheese comes from or the other way around. I'm not sure what the chicken or the egg is on that one, but it's penicillium rock 40. And it's a different strain from the fungus that makes penicillin,

which is penicillium chrysogenum. Hmm. Or chrysogenum. I think it's got to be chrysogynum. That sounds about it. So it's just a different strain. Now, there are something. people that may be allergic to both of them, but that's not connected.

Gotcha. They're allergic to penicillin, and they're also allergic to cheese. Gotcha. But that's not the same thing. And blue cheese, safe to eat. You know, if you're lactose intolerant, you know, I don't think the lactase and blue cheese is fully broken down, so it takes some lactate. If you have a milk protein allergy, there certainly would be a problem.

Yeah, they'll do it. But those people already are avoiding cheese anyway. Yep. All right. Cool. That's kind of interesting. Yeah, that's a great question. Yeah.

I like that. More stuff like that, please. Hi, Dr. Steve, can you talk about being habituated to oxycodone? Yeah. I was taking like 10 milligrams, four times a day. Yeah. $120 a month. I'm cutting it down through maybe 70 or 75.

Okay. But life sucks right now. It sucks, it's tough, man. Okay. How do I not like stop being so habituated? I'm thinking that's the right word. Yeah, no, it is. So a lot of people who have a, and we may even want to go over three minutes on this one, this is important.

Yeah, yeah. A lot of people who have an opioid problem started with a legit prescription. Right. You know, they. And a legit problem. And a legit problem. Yeah, an injury or pain. I had my vasectomy, and my urologist gave me a big jar of, you know,

Percocet, which I took one of. And then it sat there in the drawer. And one day I looked in there and saw that. I was like, oh, okay, now I understand. This is how people get in trouble. If I'm not the one taking it, a kid, you know, one of my son's friends or anybody could get in there. So that happens. In Tennessee, they limit the amount that you can give to someone that's opioid

naive now to a three-day supply unless you have sort of something more than minimal problem and then they will you can give them up to a 10-day supply but that's it and then you got to go through a bunch of hoops to give them more than that and the people with chronic pain are exempt but that's like acute post-surgical pain stuff like that so 10 milligrams four times a day is reasonably low level habituation. You know, that you can get habituated to any level of this. But 40 milligrams a day of oxycodone is equivalent to 60 milligrams a day of morphine.

So that would be six Lortab tens a day for those that understand that. So it's not that it's not going to be that difficult to get off of this. Now, first thing, you've got to talk to your perspective. and tell them you'd really like to get off of this stuff. And the way I do it is rather than going, well, let's just give you fewer pills, I would give you the same number of doses, but they'd be different strengths. So if you go 10, 10, 10, 10, right now, right? How about do 10, 10, 510?

Just cut one of those in half. And then do that for a week or two. And when that settles down, then you do 10, 5, 5, 10. And then you do 5, 5, 5, 10, and then 5 milligrams four times a day. And then you do the same thing with 2.5. Right. They make a 5 milligram. You can cut those in a half.

And you do it that way. And for me, when I'm trying to wean somebody off of their medicine because they don't need it anymore, I will go nice and slow to give them a nice soft landing because what you don't want to do is have them go through withdrawal because then, like this guy said, life is sucking right now. Some of this could be psychological, too. So I want them to see an addictionologist. They are all over the place. You could go the Suboxone route. But you've got to find an ethical Suboxone clinic and you want to tell them I want to do this, but I want to get off of. But you have a prescriber.

You don't really have to do that. That's the thing is the Suboxone keeps you from Copping on the street. And then a lot of those folks get just habituated to the buprenorphine and the Subbohen. and the Suboxone. So doing a taper, there are medications that they can give you to ameliorate the effects of withdrawal, one of them being Clonidine. There are some others. And you can do this.

If you came to me and said, I want to get off of this, I'd say this is, this could be a piece of cake. Right. It's the people who are on 100 milligrams three times a day of an extended release morphine, and then they're on 60 milligrams every four hours of oxycodone. those are the tough ones. You can do it, but you just got to take time. And I think it's really important, too, to talk about that everybody's level of habituation is different. Correct.

So, you know, you may say, well, it's just five milligrams, but to some people, five milligrams is a light. So I think it's important to work people through that. You know, don't worry about the number. But he doesn't have that far to go. Yeah, well, depending on how his mental appreciation is. Well, I'm talking about just as far as the total number of miller, he has, compared to the 300 milligrams of morphine three times a day and 60 milligrams for day. He has less, he has, he can do it more rapidly because he's got less, it's like jumping off

one step or jumping off the top of the steps, you know, jumping off the one step will be easier. You can still break your ankle. Yeah, but I think with this guy, a lot of the guys, too, we see as identifying what, you know, if there's still some underlying pain issues. You know, so let's find some non-pharmacological ways to treat the pain. It may be acupuncture. It may be physical therapy. It may be, you know, cognitive behavioral therapy, things of that nature. All those things are. There are a lot of things are very reasonable. To add to the. Do everything. Do everything. Anything. It doesn't matter. Attack it from a bunch of different angles. Exercise. I like the physical medicine and rehab. Yeah, you know, if I say, I'm going to send, I'm going to send you to physical medicine and rehab. People will go, well, I ain't going to no nursing home. That's not what we're talking about. That is the name of their subspecialty is physical medicine and rehab. And many of them do pay.

things, and they do non-opioid pain management. Some of them also do opioid pain management. Yeah, they can do both, yes, sometimes. But I would, I would, when I say piece of cake, I would be very optimistic that we could successfully get you off of this stuff. And my philosophy on this is, I don't care how long it takes as long as we're going in the right direction. Right.

So if it took him a month to get off of this or three months or even. six months. I don't care. If every step in that process has to be three weeks for his body to settle back into that, I'm okay with that. The key is to let them see success through not going through withdrawal, but also, but decreasing their dose. Okay. And it can be done. Absolutely. So we have faith in you. Let's see how you do. Now, I have another project. I talked about this, Lorenzo Areola. I was on his show recently. And it's called, I think it's called Why Are You Laughing? But just Google Lorenzo Areola. And he has agoraphobia. Okay. And he's on five different medications still has agoraphobia. So what I want to do is I'm going to have him on periodically, maybe once a month, just to check in. Because my goal is because I had agoraphobia, but I don't have it anymore. So it is curable. And a lot of people are not.

They just think they have to live that way. So I want to get him to Hackamania. And we've got about 11 months to get him out of the house, out to the street, to the grocery store, you know, would take it in baby steps. And we'll check in with him. He's a really nice guy. And I think it might be kind of an interesting thing to have. Mom, it may help other people out there, too, that suffer from crippling anxiety. All right?

You got anything from the – we really have about a – Well, we've got a little bit of time. You got anything from the waiting room? I'm looking. I'm looking. Okay. I don't see anything yet. All right. Okay.

Let's see. Here. We can do this one. Let's do this. Oh, hello, Dr. Steve. I hope everybody's doing good. Hey, man. Got a quick question for you.

Yeah. I started doing folic acid or folic acid. Yeah. And I made the mistake of taking that at night. I have been having the most bizarre, sometimes violent, sometimes just weird dreams. Wow. And so I don't know if that's actually the side effect or what. Yeah, it's actually uncommon, but it's known.

There is people who have serum folic acid levels that are high, have a reduced risk of falling asleep. And it can cause sleep pattern disturbances, and sleep pattern disturbances can end up causing nightmares or other things like that. Now, there is a study, though, that shows that if you were sleep, Deprived and you take folic acid, it may counteract some of the effects of sleep deprivation. I wonder if that would help also prevent the increased risk of dementia with sleep deprivation, because if that's true, I need to take that stuff.

But, yeah, low levels linked to an increased risk of severe difficulty falling asleep, and then staying asleep is a problem. And when you're bouncing back and forth from light sleep to REM sleep, you never get into deep sleep, you can end up having severe nightmares and stuff. So, yeah, that's interesting. You think, oh, I'm just taking a vitamin. It's good for me, right? That you would never have a problem with it.

But there are problems that can be encountered when you're taking vitamins and stuff. So got anything else to say about that, Dr. Scott? You just don't know what you're looking at. No, I was trying to read back if I'm missing questions. Okay. All right. Well, we'll get to those. Sorry about that.

All right, Dr. Scott, before we go, let me check the waiting room where the fluid family lives. If you want to join the fluid family, go to YouTube.com slash at Weird Medicine. Click subscribe and turn on the notifications and also follow us on Twitter, and you'll get notifications when we go live. I forgot to do the Twitter today, but that's okay. Vinnie Stitts, gifted 20 Weird Medicine with Dr. Steve memberships. Thank you, Vinnie. Yeah, thank you very much. Let me see.

We have Terry, Terry Knee, member for six months of the fluid family. Thank you for being a member. And Terry Ney, thanks for the $2 super chat. Is a license required to be an anal fissure over? Okay, I'll give them. Give myself a bell. Take a jaw, hair, no, my penis. Yeah, you got your hands.

He got the real prize. Get your hand off my penis award. That's a good one, yes. Thank you, my friend. I'm going to click like on that, along with three other people in the waiting room. I told him I thought it varied by state. Yes, right. All right.

Oh, Jake Hudson. Yes, Jake. Where is that? Damn song. I downloaded it. Jake Hudson sent us a song. Let me see if this is it. And he did it with AI.

Hang on a second. I think this may... There's a doctor on the air. He's a little strange. He'll cure your headache, but don't ask him to change. He's got a skeptoscope, a sense of wit, to tell you about your body with a humorous twist from toenail fungus to the common cold.

He's the one to call when you're feeling old. Got a weird, Don't you fear Dr. Steve's got answers Just letting him you're a year Weird medicine With Dr. Steve, he'll diagnose you With tricks up his sleeve

A laugh A cure and maybe a joke He's the doctor You trust when your life's a little prone I like that From hang nails to heartburn And every inch you'll fix you

Up There's another verse She's got the knowledge And some sass okay you'll solve your mystery but with a bit of class from headaches to gas

no topics too small if it's weird or gross he's hurt it all with humor and science he breaks it down Dr. Steve's the best in this crazy town Weird medicine

with Dr. Steve's the best in this crazy town Weird medicine with dr steve's the best in this crazy town weird medicine with dr steve is got remedies you won't believe a dose of laughter a spoonful of fun weird medicine's the place to run no symptoms too strange no ailment too weird if you've got a question he's always wherever be So tuned in black And then it adds

That's awesome Thank you Jake We can play that That's crazy The AI Music generation stuff I think he just gave it a prompt And said do a country version

And did that Well we can do it I like it It's actually not a bad country song No And I think actually I can use some of those as drops Yeah

Just little snippets of it Yeah. Yeah, that's a lot of work. Thank you, Jake. It was a lot of work for the AI. That's pretty good, Jake. I think, I just wonder, what does the AI think about this when it does that stuff? I guess it doesn't think about anything yet.

But when it does, it's going to go, you assholes made me do this. I'm coming after you. I hope Jake's still listening. Yeah. Thank you, Jake. Yeah, thank you, man. We've got a quickie from MacRibbs. Okay.

So, and McRibbs threw in one of Tavarian, when we're talking about our southern accents, I don't know if McRibbs is in Pittsburgh. but it's talking about the, you know, they use the word y-inz, Y-I-N-Z. Where is that? Where? In Pittsburgh, Yins. Well, they do, because we use U-N's. Yeah, yeah, U-Ns, but, yeah, there's Jens, which is funny. Because when we go there, because we go there, a lot to watch baseball.

If you're in Jamaica, it's Una. What is it? Una, U-N-U-H. Oh, I've never heard of that. Yeah. Yens, but, so, yeah, Yens, we got a question for Yens. Okay. So, McRibs.

Well, then we use Mayan and urine, too. Is this one urine? This is. And I do that in my eyes. O'Rine. Yins. Okay, this paper is mine. This one's urine.

There you go. There you go. All right. McRibbs, it seemed like it was taking probiotics to help with the gut, and then they stop. So they're great until they stop working. What should you do when you have probiotics that stop working? Oh, they stop working. I see.

I thought he meant he stopped taking it. No, he stopped. Yeah, they stopped working. Okay. A lot of the over-the-counter. probiotics have one strain of like lactobacillacin, or bifidobacterium or something like that. I would use something alive rather than something that's freeze-dried. That's what they're going to say to.

They will reconstitute these things. The bacteria are so stupid that you can freeze-dry them and then just put water back on them. They come back to life again. But use something that's been consistently alive. And I am a big fan. You know, yogurt's fine, but it's just lactoenix. Bacillus. I'm a real big fan of lactose fermented foods or drinks. So you can do your own lactose fermentation at home. There's a bunch of different bacteria that will grow in that

and they're all safe. Or you can drink kombucha and develop a taste for it. If you don't like the taste of it, if you are okay with iced tea, flavor your iced tea with like a third of a bottle of kombucha. Right. It has, as far as I'm concerned, the best variety of bacteria and yeast, which you need, all of those things. So you can just buy Saccharomyces, yeast, which is the good yeast, one of the good yeast in your bowel. It's also the one that makes beer. So, you know.

It's good for you. Yeah, it's good for you. It's good for you. But that's just one thing. Yep. And you can go get lactobacillus, and that's just one thing. kombucha, kimchi, I'm not a fat kimchi fan. So I love kimchi.

I love sauerkraut. Yeah, sourcrow is a good use to. And people don't probably realize this. True sauerkraut is fermented cabbage. And the way that you ferment it is crazy because you pound the cabbage with salt until the fluid that's around it is actually coming from the cabbage. because, you know, vegetables like cabbage are mostly water. And then you just put it in a vessel that is made for fermentation to keep, you know, bugs and stuff out of it.

And you just let it ferment for a week. You remember that? I made sourcrow once. I didn't like it, but you did. Yeah, I didn't like the store-bought real sour sour-crow. This stuff was, to me, didn't, you know, it didn't taste like sour-crow, but it really liked. Can I make a quick suggestion? And I made pickles that way, too.

Well, what I was going to say is for folks that maybe don't look at sourcrout, what I do is I use it a lot, but I'll make it and mix it in like and put it as a taco topping. So I'll mix in other things like salontros and carrots and things like that. So the sauerkraut maybe just has a little bit different flavor and throws some mott sauce in there. Sure. And by the way, we had a one last question to sneak in here to Varian from. Okay, well, let me tell you how to ferment your own pickles. Oh, yeah, yeah, pickles, yeah. So you cannot use store-bought cucumbers unless they are called pickling cucumbers because they put wax on the outside.

What you want, if you can get them straight out of your garden, it's best. You wash them off. But there are bacteria that live on the surface of the cucumbers. You'd think that'd be bad, but no, those are actually good bacteria. So you make a 3% salt solution. And you can do this a bunch of different ways. You can do it in a jug or you can measure it. You know, you need to have, everybody needs to have a scale in their, in their kitchen anyway.

If you're going to bake anything, don't bake by volume, bake by weight. Yes, yes. So you would weigh out, you'd put, you know, the jar that you want to ferment these things in. And you would put distilled water in there, weigh it, and subtract the weight of the jar. and then you know how much the water weighs, and then just calculate 3% and put that much iodine-free salt in there. And then you're going to pack your pickles in there

with dill and a bay leaf. Bay leaf is going to keep it crisp and the dill or whatever. You know if you like dill pickles or whatever. And then any other sort of things, if you want mustard seeds or a jalapeno or some, you know, a serrano pepper or something like that. And then you really should get, you don't have to, but I bought, and it was like $10, a mason jar fermentation lid that lets the gas out but doesn't let other stuff in.

And you just sit it up on the shelf for a week or two. And you'll see it bubbling. And then when it kind of stops, you take them out and stick it in the refrigerator. Do not cap it with a mason jar lid because it will explode. Don't do that. It's this is a live culture. But you can do it with that fermentation lid. And our son's fiancé is a pickle aficionado.

She's real picky about her pickles. And she loved those fermented pickles, and they're good for you, too. So there you go. Pretty interesting. You wouldn't think that just salt and water. But what happens is the lactobacillus in there turns the water in their acidic as it excretes lactic acid. And so you get the vinegar type, it's not as, you know, acetic acid, but it's lactic acid, but you get that sort of vinegar twang out of it, but it's just from salt, water, and bacteria.

It's pretty cool. All right, so go ahead. Real quick. That's how you do it. Yeah, not cupcakes. Did you see the green? Oh, no. Okay.

So, oh, not cupcakes. Thank you for the $5. Super chat. Super chat. Is physical medicine rehab different than physical therapy and pain management? Yes, it is different. So physical therapy is, are people who are not physicians. They are physical therapists.

And one's physical therapists that own physical therapy companies make way more than physicians do, by the way. But, and pain management, those people are pain management specialists. People take a board and they get boarded in pain medicine. Physical medicine and rehab is also called physiatry. and they suffer from not having an ology name like cardiology or dermatology. That's, you know, people, if you say I'm a dermatologist, people immediately know you're a physician who deals with skin. But if you say I'm a physiatrist, people don't know what that is. But those are physicians who specialize.

They have to take a board. They have to do fellowship and all this stuff in physical medicine and rehab. And they deal with pain, particularly, and loss of function from trauma. That's the biggest thing that they. deal with. And people who have had surgical pain or people with low back pain from slipped discs who don't want to have surgery like me. I mean, I was, Tacey remembers, I was walking with a cane and I was crawling up and down the stairs of this house until I went to see a physical medicine rehab doc. And after four visits, I can do anything. There's nothing I can't do now.

At one point, I thought I couldn't even walk to the beach from. Well, I remember we were looking up surgeons for you to go. Right, yeah. Neurosurgeons. You can wear it out. Dr. Agus, that's the one that Howard Stern's always pushing about the, you know, the low back pain thing. You can wear it out. Not everybody can.

But if you have a slipped disc, it will regress over time, but you have to be able to give at the time and see a physical medicine rehab, doc, let them do the, put the steroids in the right place. I laid there and he had this thing called a C-arm, which is basically just a x-ray machine that you can move around in a circle around the patient, like a CT, that sort of circle. And they will move that thing around until all the holes line up that they want to attack. And then when they all line up, then they can just take their needle and stick it right down in there. And you can see the medicine just spreading out and bathing that area with that good steroid

and anti-inflammatory stuff. And within a couple of days, I could tell the difference. Within a week, I was pain free. But then six weeks later, it came back. I had another one. Three months later, it came back, and then I had another two. They did them on the facets. You know, they attacked a slightly different area.

And that was, what, two years ago? It's been a while, yeah. It was two years ago before I went to the beach. And I've been pain free ever since. So, there you go. Two. Yep. All right.

Anything else? No. Thank you, Nut Cupcakes. Great question. That's a question. a lot of patients have. They just, like I said, if I say, I'm going to send you this physical medicine rehab person,

they almost universally say, I don't want to go to a nursing home. You know, or I've already been to physical therapy. All right? Yep. All right. Okay. Okay.

I think that's it. Thank you, everybody. Thanks to always go to Dr. Scott. Thanks, Tacey. Thanks to everyone who's made this show happen over the years. Listen to our SiriusXM show on the Faction Talk channel, SiriusXM, Channel 103, Saturday, 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 crap. Don't forget simply herbals.net or stuff.com. 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. Thank you.