Weird Medicine: The Podcast - 612 - Meat Honey

Episode Date: November 8, 2024

Dr Steve, Lady Diagnosis, Dr Scott discuss: Vulture bees Gout “How do I determine if a doctor is making a good decision for me?” Lady Di Double streaming urine sperm donor after vasectomy BRCA Chilblains Tinted areolas 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!) Watch for our new channel "Stitts on Gaming" coming soon! You can play along with us at Megabonanza.com! An actual legit site, never had an issue redeeming "sweepstakes coins" (i.e., real money) We also play at STAKE.US! Get free stuff (crypto site, let me know if you need help getting set up!) Do you love coffee? Jeremy can be a nut sometimes, but his coffee is serious business and seriously great Visit Coffee Brand Coffee from HERE and get a discount on small-batch roasted coffee beans, grinds, and K-cups CHECK OUT THE ROADIE COACH stringed instrument trainer! roadie.doctorsteve.com (the greatest gift for a guitarist or bassist! The robotic tuner!) see it here: stuff.doctorsteve.com/#roadie Also don't forget: Cameo.com/weirdmedicine (Book your old pal right now because he's cheap! "FLUID!") Most importantly! CHECK US OUT ON PATREON!  ALL NEW CONTENT! Robert Kelly, Mark Normand, Jim Norton, Gregg Hughes, Anthony Cumia, Joe DeRosa, Pete Davidson, Geno Bisconte, Cassie Black ("Safe Slut"). Stuff you will never hear on the main show ;-) Learn more about your ad choices. Visit podcastchoices.com/adchoices

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Does he prize you, aren't? I don't remember asking you a goddamn thing. 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 Fez, you would have thought that this guy was a bit of, you know, a clown. Why can't you give me the respect that I'm entitled to?

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An ultrasonic, agographic 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 to requiem for my disease

So I'm paging Dr. Steve From the the world famous Cardiff Electric Network Studios in beautiful downtown OJ City. It's weird medicine, the first and still only on censored medical show. In the history broadcast radio, now a podcast, I'm Dr. Steve with my little pal, Dr. Scott. It's a traditional Chinese medicine provider. It gives me street cred with the wack of alternative medicine assholes. Hello, Dr. Scott.

Hey, Doc Steve. And back from sabbatical, lady diagnosis. Hello, lady diagnosis. Hello, Dr. Steve. 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 that you're embarrassed to take to your regular medical provider, if you can't find an answer to anywhere else, give us a call 347-7-66-4-3-2-3. That's 347.

Pooh-head. Follow us on Twitter at Weird Medicine. We're at DR Scott WM. Visit our website at Dr.steve.com for podcast, medical news and stuff you can buy. Most importantly, we are not your medical providers. Take everything here with a grain of salt. Don't act on anything you hear on this show without talking about. talking it over with your doctor health care provider or whatever so very good all right

don't forget uh stuff dot dr steve.com that's stuff dot dr steve.com you can scroll down and see the rody robotic guitar tuner it's gift time so check that out or you can go to rody r-o-a-d-d-i-d-e dot dr steve.com pick up a rody robotic tuner for someone in your family or your life that has a guitar or bass mandolin or some other instruments that we'll work with as well. Brian May from Queen said that he was pissed that they only developed this at the end of his career. So it is an amazing thing for under 200 bucks. And then they also have the Rode coach.

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I just uploaded the newest serial killer therapy video for a normal world. Thank you. It's every Halloween they do serial killer therapy. And this time it was Carrie Pinhead, Saw, and a surprise guest. And we did serial killer telehealth this time, so I was on a TV screen and interviewing these people, these lunatics. So check that out. Patreon.com slash weird medicine. Also check out normal world, YouTube.com slash at normal world.

Or you can always go to Blaze TV. And if you do, I mean, look, whatever your politics are, Blaze TV's got a lot of different stuff on there. They tend to skew to the right. So if you're not into that, that's fine. Just watch them on YouTube. But if you do, tell them old Dr. Steve sent you. I don't get anything from it, but it'd be nice for them to know. And then cameo.com slash weird medicine.

I'll say fluid to you mama for a very small amount of money. More than nothing but less than probably, you know, a lot of people do. But I was going to, I don't know. It just, I would do it for free. They won't let me. That's all I'm saying. So there's a minimum amount, and that's what I charge. So I'd just do it for fun.

All right. So check that out. Cameo.com slash weird medicine. Dr. Scott has things going at Simplyherbils.net. We're good. Been busy. Yeah. Thank you.

Got some of the weird medicine people and dabblers sending you orders for Simply Herbal's nasal. I don't know about the dabblers, but for sure, lots of weird medicine people. Okay. Cool. Cool. Very good. Well, we had AI make you a new theme song, and it's on my YouTube channel at YouTube.com slash at Weird Medicine. Pretty fabulous.

Now we're going to add video and images to it and make it a real ad for you. Cool. We'll get that done. This Donna AI, this Donna AI, I'm telling you, it sucks if you tell it, well, just make up a song about so-and-so. You know, the words are just cloyingly awful. But if you write the lyrics for it and let it make the music, it's unbelievable, the stuff that it can do. I was playing some before while we were sitting here waiting. I'm trying to see if I got one that I can actually play.

Well, let me just play. Let me see. Yeah, let me play the one about Cardiff Electric, just so that you get an idea of what the AI can do. Now, Cardiff Electric is the floating potato. over at the Dabbleverse, he's been a, he's been trolling Howard Stern and Ope and Anthony and Eric Nagel. He used to get on Eric Nagel show and talk about the pie guy who was, you know, 3.1415 and he kept calling him that, you know, kept confusing it with maybe he was a baker or something like that.

That was really stupid. But it followed the Opie, the Opie humor paradigm, which is you keep doing it until it becomes funny. And that's kind of what he did. But anyway, but let's a potato. They say a tater, not a hater. He's a masturbator. He got prestige. He ain't never going to bend the need. Mr. Carter, Mr. Carter, don't forget it's going to be hard. If he stopped messing with Stuttering John, he stopped messing with Stuttering John, it all over and the devil verse is done.

Carter's electric and his socket okay. They ain't too bad for a couple of I mean... So it created that song. It created that. Wow. I gave it the words and it created the song. And whose voice? Is it the computer generated?

How cool. It has to be a computer voice, doesn't it? Yeah. I mean, the whole thing is, that's the crazy thing. That's amazing. There's no instruments. There's no voice. You can hear the guy breathing.

You know, taking a breath between... It's weird. It is weird, yeah. And they say now, I mean, they know how they constructed these things, but they don't know how they actually work. That's something. It's just a neural network. That's like females. Watch it.

Sorry, Diane. Except for Diane, of course. Of course. Oh, my goodness, Diane. Perfect. Perfect. I don't know my penis. No.

All right. Okay, doke. Anyway, very good. Pretty amazing. That's stupid, crazy AI stuff. I've got to research that and see what it does. I don't know what I would do with it. Yeah, that's great.

Yeah, nothing to screw around with it. I actually did want to make a Simply Herbal's ad. And so I just wrote some words. I mean, literally took me 30 seconds to write the words. And then it, I mean, I don't want to play an ad on this show, but let me just give you just a taste of it. And I said, do jazz with a male voice. That's it. Okay.

Unbelievable. Wow. Okay, first off. It's unbelievable. How does it know to do, you know, the trading fours, the sax, and then the break, and then the drum stop, and then the piano goes in right before the guy starts singing? I mean, that's perfect. you know, jazz sort of trope, right? Yep.

Now, I guess you can just teach it jazz tropes, but, you know. But still put them all together. Teaching a human being is hard to do this. But, you know, some machine, and this is actually very clever. This song is so clever that it gets stuck in my head. I like it. I like it, yeah. Prolonged.

Isn't that crazy? So we're all going to be replaced with me. I mean, DJs for sure. Musicians possibly. Well, for some stuff. Yeah, for some stuff. Commercials anyways, you know. Right, right.

Oh, yeah. Things that's so true, yeah. Things that appeal to the broadest of the broadest audience with the lowest common denominator, absolutely. Right now it can't, in my mind, create actually. art, but it creates a simulacrum of art, though. You know, something that if you didn't know a machine made it, you would think a human did it. When I first discovered this, I was watching a YouTube channel called Cryptic Web Chronicle.

It doesn't matter what it was, but it's a channel dedicated to making fun of this one science fiction writer. And it's a long story. It doesn't matter. But there was a whole group of, it's called Platinum Hits Dan, and it was about this podcaster named Dan Mullen. And there were all these songs about him. And they're all saying horrible things, but they're all very clever. And I, you know, it's like, how did somebody just sit down and go in the studio and record this?

And then I realized it was AI. And you can tell sometimes, by the way, that it pronounces things like I know human would pronounce it that way. And I was like, how in the hell are they doing this? And so I went and investigated and there you go. AI. It's incredible. It is. That's pretty bizarre.

Anyway. All right. I have a story that I wanted to do. Welcome, Lady Diagnosis. Thank you, much. I'm glad that you're here. It's been a long time. Great to be back.

Yay. Well, so one of our listeners sent me a story about these things called vulture bees. Have you heard of them? I don't think so. And it's nothing new. It's not like, you remember when they had the killer bees and they were coming north and they were going to kill everybody or kill lots of people and stuff like that.

And those things are, those bees are extremely aggressive. But fortunately, they bred with our bees and sort of calmed down and it never became a problem. Vulture bees have been around for billions of years. They're carrion bees. They are a South American stingless bee, and they feed on rotting meat. Okay. And some of these produce a substance that's similar to royal jelly, and it's not derived by nectar, but rather from this sort of protein-rich secretions that the bees secrete.

And they're likely derived from the bees' diet. What else would they come from? and what people value these secretions. What are you doing? Why are you doing that? So I can see you. Oh, okay. Oh, thank you.

No, I'm just asking. I didn't know if something was going on and I didn't know about it. Okay. Lady diagnosis is moving microphones around and that's fine. That's fine. I just was wondering if I needed to know something. But anyway, they call it meat honey. It's protein-rich.

Now, listen to this shit. Okay, so they mix sugary plant products with this sort of proteinaceous paste from their regurgitated meat, and they bring it into the hive, and they've got these two different pots. And this is the crate. How did they know how to do this stuff? But they take it and they let it mature to form a sweet substance that was used as food. but the two resources were kept in separate pots in the colony. Neither are true honey, meaning they're not derived from network. But then they mix them together.

So the vulture bees go out and go, by the way, they like to go through the eye socket. I don't know why. Dead things. They go through the eye socket and start eating from there. And then they take it back to the nest and they regurgitated into these pots. And then the worker bees start making. You know, they're like, it's like you're taking it to the restaurant, you know, to the chef. And then the worker bees are the chefs, and they make this stuff.

Wow. And they gather nectar, produce honey. Oh, okay, there's different studies. Some of the bees do gather nectar and produce honey, but also produce this glandular secretion derived from carrion as this protein source. And they keep it completely separate from the honey. But anyway. But in neither case. Did the bees ever mix meat-based substances with the substances that they get from flowers?

So if they actually make honey, they keep that separate from the meat. So it's like having your cereal over here and then your hot dogs in the refrigerator. Isn't that crazy? I'd like to try that. Proteinaceous. I know. Proteinaceous. Meat, honey.

I need some meat honey. Oh, wow. So their species name is Trigona. And then the, wait, would that be the species or the, whatever? But there's trigona necrophagia, which means that they eat dead things. And the masticated meat is regurgitated into a storage pot. And then the material is consumed by a worker bee and processed by its highly acidic gut, which breaks down the meat.

And then they produce this special substance. A special salt. Re-secreting the proteins as a decay-resistant edible glucose product. Yeah. Wow. And that's what keeps the hive alive. So the carrion bees, they consume this, but they don't metabolize it. In other words, they're not consuming it for food.

They're carrying it. And then they take it to the chef that then fixes it and then puts it out there, you know, on plates, I guess, for the hive to eat. Right. Order up. Yeah, family style dining. Yeah, right, exactly. Oh, my God. How bizarre.

So it's a smorgasbord of meat honey. Meat honey. I think that would be a new good band name. That's going on a list for band names. That's a good name. That's a great name. Yep. Yes, that's a good one.

Yep, eat my meat honey. Anyway, so that's vulture bees. And pro tenacious. I love that work. Part of God's great creation, vulture bees. That's wild. All right. You got anything for us this week, Dr. Scott?

Let's see. I was reading just a little earlier, an interesting thing about the gout. The goutch? Yep. In North Kakalaki, they call it the gouch. So there's a study that was done in Europe. And it was, they did. They went back and did a huge, huge collection of data, 13 different cohorts.

Yep. 120,000 people with prevalent gout. Okay. And... What I mean with prevalent gout? Probably like me, it's pretty, pretty consistent. Well, prevalent means it's common, so... Well, I can click on...

Okay, well, it's okay. Go ahead, go ahead. They all have gout. Yeah, they all have gout, yeah. And they studied genetic data from two... 2.6 million people. Yeah. And they found that there's DNA regions where people with, you know, that are born

in certain regions of the world are much more, have a greater tendency to have gout. Okay. So it's much more based on genetic. Well, of course. Yeah, yeah. I mean, I can eat all the shrimp and shit that I'm, and drink beer all I want. Oh, fun. You can't do that.

Oh, hell. I can't even look at it. So it has to be genetic. There's something in your genetic code that makes you. metabolize purines differently. Yep. And so you end up with uric acid crystals crystallizing in some of the joints of your body. So did that start at birth or you didn't have it when you were young, did you?

Well, no, you know, that's just, it kind of had to have started to a certain degree at birth. And you wonder, going back in time. Yep. If I didn't have some of it in my knees as a young man. Well, maybe. I always had knee problems and thought I had arthritis of the knees. okay the um and had it for for i mean since i was 10 years old you know and um when you can start recognizing yeah yeah it's like damn my knee hurts oh you know you're trying to play football or

baseball it's like right that's like damn kill me so but the you know my very first flare was was after uh you know of course a robust night of poker playing and and drinking heavy heavy uh heavy and they were high gravity alcohol beers and um and my X and I were getting ready to go to Key West on Sunday for a conference that started on Monday. So I got out of bed, you know, Sunday morning. Couldn't walk. Well, in this typical me, I got out of bed. And I looked at my toe in his red and hurt like a M. M.F.

I was like, damn, I must have hit my toe on something. Sure, you would think that. You know, that's what you think of it. What else would you think? Of course, well, she looks at me. She goes, you dumbass. That's gout. Oh.

And then I looked at it again. I went, oh, God, it is gout. Well, that's the, okay, when someone's in 10 out of 10 pain, that's what you want to do is call them a name. Oh, yeah. That was classic for her. Yeah, no, I know. You know how she was. Yeah.

Yeah, that's like when I had Montezumer's revenge in Mexico on our honeymoon, and she told me it was psychosomatic. Because I didn't want to go there for the honeymoon. Yeah, well, let's just, let's just. Oh, that's hilarious. Let's just put like this. You didn't want to go, so you got sick, and you did that on purpose. Exactly. So I had a psychosomatic attack of Montezer's revenge, which she actually did get two days later.

Good. Did you tell her it was psychosomatic? I said, man, yeah, I guess that's what you get. That psychosomatic bacteria in your gut really is something. Yeah, it's something else, isn't it? But, yeah, so it's really interesting. So I cannot get anywhere near a piece of shrimp. Yeah.

And if I do drink beer, I just, I have to do a lot of hydration, a lot of exercise, because the more sedentary I am, the worst it is. So shrimp beer is out. Yeah, well, shrimp, you know, we've got a favorite Italian restaurant here where we live. Yep. And one of the greatest pizzas they make is a shrimp and capers pizza. And it's just divine. And man. Divine.

So did they have a medicine? He uses that word. I haven't had it 15 years, yes. So I haven't had that in about 15 years. But, yeah, so that's just what's going on right now is that, and one of the reason I was reading this article is because I am not tolerating just the probenicid, which is for under-execruism. Because now they're, because there are two classes of medicine, right? Well, right. So for the most part.

Let's talk a little bit about gout. So we're talking about a buildup of uric acid in the bloodstream. There's a lot of be with it. results in kidney stones and precipitation of uric acid into the joint. So there's two ways that you can get elevated uric acid levels. Either you produce too much. In other words, your body's making too much and you can't get rid of it fast enough or you're excreting too little.

In other words, you have normal amounts, but you're not pissing it out like you're supposed to. The vast majority of people are under-execreators. Yes. So which one are you? Have they ever tested you? No, never tested you. But I responded really well to the probenicid.

The probenicid worked. As an under-excreted, it worked for a long time. Because Alperinol did not work at all initially. Right. At all. Right. Okay. So if you're an under-excreter, you want to excrete more.

And there is a drug called pro-benecit, as Dr. Scott said, that prevents, I mean, that enhances your ability to piss out uric acid. It binds to the uric acid. It also prevents you from pissing out penicillin. So they used to use it when they would, like if they treated somebody back in the day when penicillin still worked for that, you would give somebody a shot of penicillin per gonorrhea and then give them probenicid, and it would keep the penicillin in their system longer. So it's interesting. It blocks the excretion of penicillin, but it enhances the excretion of uric acid.

Of course, when you enhance the excretion of uric acid into the kidney, what's going to happen is you're going to get more uric acid stones. So in the beginning, you have to give people this stuff called potassium citrate to change the pH of their urine so that they can't precipitate uric acid anymore. And anybody that has gout stones or uric acid stones, if they take potassium citrate, that will take care of it. But then what you do is you give the people probenic acid and potassium citrate, prevent them from making stones. And then as the uric acid level drops, when it gets back to normal, you can stop the potassium citrate because now you're not pissing out more. But you've got to stay on the probenicid. So you are chronically on probenicin? Yes.

Yeah, and then it stopped working. Well, what do you say it stopped working? What do you mean? You start getting gout attacks? Yeah, more common flares. So did you check your uric acid level? Oh, hell no, for fuck's sake. Well, no wonder.

You have to go. You have to ride the levels. Well, dude, I'm in an office just below you. I can do this. So you have to ride the level. So if your level is creeping back up, then you got to change the dose of your pro-benecence. And then you can take Colchisein. Yep, which I'm doing now.

Okay, I had one guy that had, I mean, well, I've seen people that had such horrible, topacious gout. In other words, the gout was building up in their fingers and you could see it. You know, big giant. And every once in a while, one would break open and you would see like white crystals coming out. That would be cool. That's not cool for them. No, I'm sure it hurt. Yeah, but it's interesting. Well, you know it's gout at that point. And that person I had on allopurinol and Colchicine and Probenicent. Yes. Still happened. That's how bad their genetics were. But so you're taking

Colchisein every day or you only take it to abort an attack? Colchisein every day. Okay, so when you have an attack, then what do you do? Well, you usually double the probenocid. No, increase the colchisein. Well, but I've done it before, and the culturecine didn't knock it down. It will if you do it right. You've got to take enough until you either shit or puke.

And then, I mean, it sucks, but, you know, so does a gout attack. Oh, gosh, yeah. And, you know, we can give you IV Colchicine, too. Well, you know, and the thing is, well, and the other reason I was looking at is there's not been a whole lot of new medications. Right. Because it's never been. There's ULorec now, though, but it's basically just highfalutin alipurinol. Right.

Well, they're finally, they finally coming up with some IV once a week injections. Mm-hmm. Yeah, and which I'm a little. For prevention? Yeah. And so I'm a little skeptical of the, for now. But I think in the future we'll probably have to pay attention to that, I would assume. But, yeah, you know, complex, yeah, we have to do alpyrinol.

Oh, there is IV allopurinol. Okay, yes, okay. It's a different idea. Just seems a little over the top, you know what I mean? Yeah, well, well. But, you know, you can't. For me, not for people who have care of it. You can't walk down my stairs without taking.

making baby steps, you know, so it's, given that you were once a professional athlete, I think that would suck. Yeah, it's not like, but go back to the question is, it kind of makes you think is, did we, did I have a much younger age and could have done a little bit better job of, you know, dietary, you know, choices? Yeah. And if that would have made a difference. No, I don't think, I don't think what, I don't think what you eat can change your genetic ability to clear.

uric acid. Yeah, yeah. Right. It's not like that. No. It's just you have, you know, an inability to clear uric acid that's cumulative as you get older, you get worse at it, and then the next thing you know you got gout. Now, have you ever tried steroids when you have a gouty attack?

I have, when it gets bad, yes. Yeah. I'll do some triumcinolone. You can do an injection or you can just do a medral dose pack. Yep. Yep. Yeah. Oral prednisone works.

Toridol. Toridol is the greatest thing, really. You ever tried it? No, never, never. So Catorilac is an extremely potent non-stroyal and inflammatory drug. But if you take it every day, it will kill your kidneys. But if you do it in the short term, it's totally fine, totally safe. We'd do it all the time.

Well, you know, as safe as any other. I can just come down to get a shot. You can get a shot. You also make it in a pill form. But, yeah, you can come down to my office. I'll give you a dang shot at TORDOL. You'll shoot your ass full. Torado is great.

And, you know, it's not an opioid, and it's not colchicine, so it's not going to make you puke. It was a great inset. Yep. Yep. And different from, what was the old insid that used to use for? In the Methas. Yeah, this is a little bit less. Less toxic than that.

Yeah, because that was tough on your gut, buddy. Yeah. Yeah. You'd give you an ulcer in a minute. Yep. But it works. Well, for those who have it out there, just keep, you know, working on getting and managing and working with, Hopefully your providers who know a little bit about gout.

Well, and listen, a lot of providers don't know about gout. If you go in and you say, Doc, am I an under excreter or an overproducer? And they look at you like, what the hell are you talking about? Run. Don't walk, run. And find, you know, a rheumatologist or somebody in your area that knows something about gout. Right now, all they do is they treat everybody with all your pyrinol. And it kind of works.

But to me, if you have a problem and you can identify the root cause, why don't you treat the root cause? Let's just say I had a – I know of – You've never had a 24-hour urine? Yeah, we did. You did? So they proved you were an under excreter. Yeah, it's been like about 15 years ago. I beat a jug for 24 hours.

Yeah, yeah. But, you know, let's just say I may have heard of a case where somebody went to their primary with an obvious gout flare. Yeah. and was diagnosed with a gout in the office and you want the medication they gave them? What? Alperinol. Yeah, well, of course. Oh, they had, oh, they were having an acute gout case?

For the first. No, no, no, no, no, no. Thank you very much. Yeah, exactly. Exactly. I was about to vomit. I was about the vomit. Okay, so let's talk about this really.

Because that is really important. So, yeah, if you have an acute gout. And medical students that are listening to this, and there are some... And people who suffer from gout, too. And people who are going to be prescribing. But yes, do not take allopurinol when you have an acute gout attack because it will make it worse. Acute means really, really bad, right? No, acute means it's ongoing.

It's happening right now, yeah. Especially if it's your first one ever. I mean, this individual had never had it before. Some of my colleagues are just... Hey, and it was told, and was told if it doesn't go away in a couple days, to double the alpurnal. Shut the fuck.

I swear. I swear. I swear. I swear. I swear. I swear. I swear. I swear.

And this person's a doctor? He's a fucking idiot. He's a fucking idiot. And I, well, let's just say how very kind. And I said, I suggest you do this. Go back tomorrow.

Right. And give them these suggestions. And. So we got. You want to take Colchicene until you hear this. Exactly. And how about some insides, too, baby? Anything but allopurinol.

Now, you want to get it calm down and then start the allopurinol so it doesn't happen again. But you kind of work it up. You have to do a uric acid level. What if it's normal? Well, maybe it's pseudogout. How do you know that? Well, you can look at it under the microscope and use a polarimeter. which is just basically a disk of polarized, like a polaride lens stuff, and you spin it.

And uric acid crystals will be yellow when they're parallel to the axis of the polarimeter. And then pseudogout will be blue when it's parallel to the axis of the polarimeter. So the nemonic was yupa, yellow urate, parallel to the axis. And that's, I remember the day I learned that in second year medical school. And I've used it. I used it in my real practice when I was doing primary care. You know, you'd aspirate a big joint. You'd find these crystals, put it under the microscope with a polarimeter, and you'd

spin the thing. And then when it turned yellow, you would see where the axis was pointing. It was pointing, you know, parallel. Then those were uric acid crystals. You could make the diagnosis that way. There's lots of different ways to make diagnoses. That's one of them. So anyway, yeah, that's it, the amount of lack of cognition about things like this, I've talked about this on this show before, particularly when it comes to gout because there's a very scientific, well-established approach to diagnosing and treating gout and seems like nobody sucks with it.

Yeah, it's just a little flowchart. I mean, you can look it up and go, well, if this is it. Correct. And it's not. Just, yeah, give everybody out of your own. Idiots. So work at it, people. What comes to mind when you picture the perfect roommate? One who comes when you call, one who doesn't forget to lock the doors,

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So when do you know when to listen to your doctor and when to be like, are you sure? Isn't that something? And, you know, everybody got made fun of during COVID for doing their own research, but I still think that it's good for you to advocate for yourself. Yes. And not to go, well, Doc, you're an idiot. But to say, hey, I was reading this. What do you think?

Let them, let it be them. Right. And then if you have somebody that's just obviously not using their head, then find a different primary care. But how would we know? I mean, a lay person. I go in the doctor, I tell them, this hurts and this hurts, and they say it's this. Right. Why shouldn't I believe them?

Well, okay. What do you research it on? That's a tough one, isn't it? Can I start, can I start, though? Yes, please. I have an idea how to approach this, but go ahead. My first approach would be, do you truly feel like they're listing? right you know if they can recreate what you just said well okay so does it hurt when you do

this yes it does okay and you told me that it hurts when you do this right then they're actually getting it then at least they're processing and they might come up with you know something crazy but that is part of the but you have to be able to you have to be able to recreate if you're truly listening you have to be recreate what they just said yep and they should be doing that anyway it was so in summary what you're saying is bleep bleep bleep you know ABC and then you know they're listening yeah and especially I think being your own advocate, especially if you've got something that's a little odd, it's helpful to me if somebody comes and says, hey, man, listen, I've been to three other people,

but nobody's ever heard of this. Yeah. And here's the research that I've got. I'm like, hey, thank you for, because it's impossible for us, anybody to know everything. Yeah. You know, so when somebody comes in with something, I'm really healthy, go, hey, thank you. Yeah. That's really beneficial.

Well, people do sometimes come in with lists and, like, oh, boy, that's a little different. That's a little different. Those people are advocating for themselves. I appreciate that. They're not going to, they don't want to forget anything. But sometimes I just go, give me that list. And they go, okay, nope, nope, no, yes, yes. Okay, let's talk about this one.

Or what's even better when you come in with a notebook full of blood pressures that they've taken three times a day and are blood sugars that they take? No, I'm not saying it's bad, but I mean, then you have to go through this whole thing. You know that they're... I'll be there for another 15 minutes. Right. Yeah. I'm okay with the diary. The diary I'm okay with.

And I'm actually, I'm okay with all of it. But, you know, I have a relationship with my patients. kind of know when I can just go, just give me that list, let's go, you know. That's so true. That's so true. But, and they appreciate the fact that I'm actually reading the list and then picking out the things that are actually important, so at least to me.

But, yeah. But they don't like being told also what you think is wrong with you. Because I had a provider. I took a list to. Yep. For a patient. and a recommendation on what should be done and what we thought it was. She got mad at me.

Now, mad. Okay, without violating anything, give us an example. Well, give us an example. What do you mean that you told them what to do? Well, I gave them a printout of, okay, if it's this diagnosis or these symptoms, double check this, double check that. Right. It could be this.

Sure. And she was mad that I even gave it. Oh, I wouldn't be mad about this. I might ignore it, but I wouldn't be mad about it. You know, ego. Yeah, so sometimes you can't really feel like you can talk to your provider, right? No, you should be able to talk to them. Now, I had a drug wrap come in one time trying to school me on how to calculate

breakthrough medication, and it's like, dude, get the fuck out of my office. And then you married her? No, a different person altogether. Oh, yeah, I'm sorry. No, it's like, get out of my office. say you're going to school me on this? I've got half a dozen articles in the medical literature about

this exact topic and you're going to tell me that, you know, so I was a little arrogant with that one. First all, I didn't like the guy that much anyway, but second off, it just pissed me off that, you know, don't school me on something so trivial. Like, I don't know what the hell, you know, anyway.

So, you I can get my hackles up, but it's, it just depends on how you approach somebody. So if you don't want your doctor's hackles to get up, what you want to do is, well, you should just be able to talk to them, but rather than coming at them like they're stupid or they don't know something to say, to always make them think that it's their idea. Right.

You know, hey, I found this. What do you think about it? Exactly. And that's what I would do. And then if they blow you off, then that's when you can go, well, wait a minute, this person isn't really paying attention to me or something. But if they blow you off because, oh, this doesn't apply in this situation because X, Y, and Z, and that makes sense, that's fine. But if they just go, ah, yeah, you got to reply with something, you know.

People just simply want to be recognized and not like, oh, hi, Diane, you know, I met you a year ago. I don't mean that kind of recognized. They want to be seen, seen as human beings. and they want their problems to be processed. So we've talked on this show before about the video that they showed us when I was a medical student about this sort of shaman, local, local, it's witch doctor's not the right term, but a local shaman. And he functioned as the primary care provider for this village. And people would come to him and he would take palm fronds and you know, wave them over them and stuff like that, and people would feel better.

And what Scott and I will attest to you is that 90% of our patients will get better if they just didn't come to us at all. So 90% of his patients feel better, too. It's the 10% where we can make a difference that maybe he can't. You know, if somebody comes to him with a burst appendix and he's waving palm fronts, they're probably going to die. Whereas they might still die if they come to see me, but they're less likely to. because I'm going to send him to the surgeon. You got some different tools. We have different tools.

And knowledge. But the societal role that he plays exactly the same. And we have to realize that. That's what patients want. They want you to. And that guy is really paying attention to those people. You know, he's not blowing him off. They're laying there and he's doing all this stuff.

He's doing things. And our patients want that too. Now, Dr. Scott, nobody goes to him. He doesn't do something. So they're more inclined. to feel better just because he touched him and laid hands on him and did something. You know, when we just sit there and we don't even

listen to their heart anymore and listen to their lungs or do it. You just sit there and pontificate. Or type or in or on the computer. Right. You don't have to do the note after after work. You're going to do the notes right then. Well, I do my notes right then, but I'll tell you what, the way I do it

is a little different. I've got my computer on wheels and so I can wheel it around so that I'm always looking. If I've got you know, a patient and their spouse, I can put the computer between the two of them. I can keep eye contact with both of them while I'm, you know, doing their note. Because if I don't do that, I'm going to forget stuff and then I'm... Or more importantly, you want me to order things that they need.

Right. I order them right then. They don't leave until I'm done ordering everything and reviewing everything. It's so important, yeah. So there you go. But yeah, eye contact, physical touch. used to be the big thing, then COVID happened, and then we kind of got away from it. But still, just even laying your hands on somebody's shoulder when you, you know, say,

hey, I'll see you in a month or something like that makes a huge difference. Studies have shown people feel better if the provider just touches them in even the most, you know, cursory way. That's something. People like to be touched. That's a great question, lady diagnosis. And unfortunately, a lot of people can't, don't figure it out until it's too late that their doctor is completely full of shit or going down the wrong path.

That's why second opinions are always okay. Always okay to get a second opinion. If anybody gets mad about that, then, you know, that says more about that. That's another sign that, yeah. Don't go. Okay, doke. Got it. All right.

Got anything else? Number one thing. Don't take advice from some asshole on the radio. All right. Here we go. Thank you. Ronnie B. Hi, Dr.

Steve. I tweeted this question to you the other day. Why do men can piss out both holes out of their penis at certain times? What? Uh, what? Excuse me? Okay. You have two holes in yours?

He's like, unless you've got to. Why do I piss out of the third hole in my penis all the time? It's like, oh, dude, we got more to talk about. Quite often through my life, but just last week, I just kind of figured, call you out, Why do you assert times when I pee through the mainstream, main urine comes out, then all the top hole and urine also can come out. Thanks for intermic. Wow.

Okay. So there are people that have the urethromeda not in the right place. That's called hypospatius. That's where the, instead of the, you know, the urethro meatis, me, aka the cockhole lady diagnosis. I just like hearing him say that. You're just like, it's me saying cockle.

But the cockhole can be underneath the penis, and that's called hypospadius. And actually famously, Bobo Curlin from Opian Anthony had hypospadius and had multiple surgeries on his penis, which is, I'm not speaking out of school. It's all been talked about on the air. But I think what this guy's talking about is, because he says it's not all that time. I'm trying to decipher and just imagine. I think in his sort of less than articulate way, he's saying that sometimes his stream is split into two. And that happens when you have an exudate in your penis. A what? Exudate like a proteinaceous fluid that hardens.

Oh, okay. And that could be caused by gonorrhea is one. You know, The old saw was, if you had gonorrhea, you know, you'd sit in front of the urinal and you'd spray the people on either side of, you know. And basically what it is is there's just this, you know, exudate, looks like pusses and, you know, is an... Clogging up the... Clogging it up, and then it just goes in a bunch of different direction. It could be old semen. It just could be old mucous, too. Sometimes when you wake up in the morning, some people have...

They're dehydrated, too. From the mucus membrane, right? And it's just kind of dried at the very head. And when they start their stream, it'll be in two streams. And then eventually that plug, you know, is pissed out. And then it goes back to one stream. So that's what that is. No, God, no, no, no, no, no, just piss it out.

It's like, God, don't dig anything. No, no, don't dig nothing. We did a whole thing on urethral sounding. And my thing on that is if you're going to do it, they make things for it, you know, that you can't lose because they've got a bulb or a ball on one end. But to me, listen, my urologist sounded my urethra with a fiber optic scope. And Dr. Scott had the same thing. And I felt like I was pissing razor blades.

So he listened to it? He said he sounded it. We've talked about this on the thing. Sounding means testing the depth of something. So like if you're sounding in a boat, you're dropping an anchor with knots in the, the rope and then however many knots it is. And so when you do bladder sounding, you're taking a rod and you're shoving it down the urethra until it hits the back of the bladder and then you can see how deep that is.

Right? And so we're just saying it's just sort of a joke. You know, when they took that fiber optic scope and shoved it in our urethras and looked around the bladder, they're basically, you know, sounding our urethra. But when they pull it out, it really feel like. You're pissing razor blades for a day. Yeah, it sucked. And, yeah, so, and the other thing is they take, you know, numbing gel,

and they put it on the end of the thing, of the scope. Boy, do I have dementia? I'm just, you know, I've got anomia. The thing of my jig, that thing, that thing over there. They put it on the end of the fiber optic scope, and they just jam it in. Well, that doesn't do anything. That makes them feel better. It doesn't make us feel any better.

What you have to do is take a syringe and instill it into the urethra full of lydicane jelly and let it sit there for 10 minutes. And then you can shove that thing in if you want to, and it doesn't, the patient won't feel anything. But just putting numbing gel on the end of the tube and then just shoving it in their bladder, it sucks. I still say propofal was a much better option. Yeah. Yeah, Michael Jackson's magic milk. That's my vote, I guess. That was one of my favorite jokes from the Dablican roast was Anthony was there from Opium Anthony.

And I said, you know, being a doctor to a celebrity is difficult. You know, they hated George Nicopolis when Elvis died. And they hated Conrad Murray when Michael Jackson's. died, and they hate me even more because Anthony's still alive. So, there you go. Bravo, Dr. Steve. There you go. There you go.

You're a funny boy. That's me. Hi, Dr. Steve and friends. Hello. Paul from Reno Nevada. Hey, Paul. How are you? Good.

How are you, man? Good. Good. My question is, can you harvest sperm from the testes 20 years after having a vasectomy? Excellent question I love the show and Dr. Scott please stop saying

real quick before every comment thank you I didn't notice that until he said it that is funny real quick real quick so

well I say so anyway before everything so anyway hey this is an excellent question because the myth is that when you do

a vasectomy that because there's no more sperm in the semen that the testicles stop making sperm and they don't. They continue to make sperm. Remember, sperm is less than 2% of the seminal volume. So when you ejaculate, it's prostatic fluid, seminal fluid, and just a tiny little bit of sperm cells and fluid from the testicles.

So the testicles continue to make sperm. They're just resorbed. After they died, they just get resorbed. The body reuses those proteins, makes more sperm, and just on and on and on. It never stops. Now, unless there's a problem, if someone has no testosterone, then they will stop. Like if you're taking exogenous testosterone, in other words, testosterone replacement therapy, the testicle shrink, and they stop making sperm. And that person becomes infertile.

But outside of that, then they will continue to make sperm. and, yes, you could take a wedge resection of a testicle if just someone had this genetic makeup that you just had to have their sperm. You could actually open up their scrotum, take a wedge resection from their testicle, and you could harvest sperm from there. So those are things that you can do. That's just one way to do it, but that's the most horrific way I could think of that you could do it. So anyway, yeah, yeah, absolutely. As long as they're still producing sperm, you can harvest it. Cool.

All right, very good. Good to know. Good question. I need to harvest. I have a listener. Hey, thanks, man. I listen on Sirius XM on demand. Oh, excellent.

By the way, that is the way to do it. Listen on demand. That's what helps us the most because they have no other way to figure out how many people are actually listening. On demand, the show usually is on there every Sunday. Right. We haven't had a new show in three weeks on the On-demand, and the one that was posted on this week was actually a rerun. So now that's going on a month that we haven't had a new show. Agreed.

Just I'd let you know. No, thanks, man. I know. It's on demand. You haven't had a new show since October 5th was the last one I listened to. Okay. And the one that they had just recently posted was actually a rerun. Yes.

All right. My name's Jimmy. I don't know if he wanted to say it again. He's right. Thank you, Jimmy, by the way. Thank you for letting us know. And he wasn't the only one. And for listening.

Thank you for paying attention. That's the big thing for paying attention. But I got several people telling me the same thing. So I sent a message to Lewis Johnson. And in fact, Lewis was out. was away from the office for a while and the person that was filling in for him did not upload our shows.

So they are now all uploaded so you've got a bounty of like four shows that you can listen to. Serious XM on demand. That's the way to listen to him. Weird medicine for days. There you go. All right, well, for four hours.

Seems like days. All right. Wish it was days. Hey, Dr. Steve. Marcus from North Carolina. Hey, Marcus. So my wife's got that gene where they say that she's going to get the breast cancer. Is it best for her to go ahead and get those tities cut off and get the big, fake ones?

Just want to get your sound medical advice and, you know, fuck PA, John. That's right. This was from like 2015, so it's already been dealt with. And Marcus, I'm sorry I didn't know about that. You could have just called me directly. And so I'm answering this, what, 10 years later? So what he's talking about is a burqa gene. And there's burqa 1, BRCA 1 and BRCA2.

These are genes that help to prevent cancer by repairing DNA. And they keep cells from growing out of control. But then when you get a mutation in the gene, that can increase the risk of developing breast, ovarian, and other cancers. So, you know, that's rare. It's about one in every 400 people. so not insanely rare, but it is, you know, relatively rare. And you can get tested. You just do a blood test for that.

And if it's positive, it means you've got a higher risk of developing cancer. It doesn't mean you're going to get it, but the risk is very high at that point compared to the regular populace. And I can't say whether bilateral mastectomies with reconstruction would be the thing to do. You just talk to your oncologist and your primary care provider. your OBGYN, whoever, and talk to them about what your options are. Men can also have the burke gene mutation and should be tested if they've got a family history. So if there's a family history first degree relative that had breast cancer, ovarian cancer, particularly, then it may be smart for the male to get the test to.

one out of every hundred cases of breast cancer is a male. I had no idea. Yeah. So if you have a thousand women, you'll have ten of them, you know, the thousand cases of breast cancer, ten of them will be men. And then all the rest, obviously, the overwhelming majority are female, but there are, you know, male breast cancer. There have been some famous men with breast cancer, too, right? I wish they could come up with something to just not have to cut them off. Right.

Are they working on it? They are. Yeah. We would assume it would be some kind of immunotherapy, I would assume. What I'm hoping is, you know, we talked last time about that triple negative breast cancer vaccine. So let's just prevent it all together. Right. Yeah.

Right. Then you do whatever the hell you want to do. So would you give that to everybody or just the ones with that, what did you call it? Well, right now they're just giving it to people who have it, who have cancer, you know, triple negative, meaning they don't have estrogen, receptors, they don't have progesterone receptors, and they're not, they're not her too positive, right? So they're not positive, so they're negative. And so those are called triple negative breast cancer.

It's the hardest to treat, to be honest with you. You know, if you've got estrogen receptors, the estrogen sensitive breast cancer, and then you just block the patient's estrogen, they do much better. So they have this vaccine that's coming for that. So I would love to see, you know, just a cancer, a breast cancer vaccine for all the different types of breast cancer. I have seen I Am legend, though. If you remember, that was at the very beginning. Emma Thompson was promoting a cancer vaccine.

And then two years later, everybody's a zombie. So, you know, I want to make sure we're doing the right thing here. But Richard Roundtree, Peter Chris, Rod Roddy, all those. men all had breast cancer, male breast cancer. So don't think that you can't get that. In the meantime, Dr. Scott, what have we got from the fluid family? I'll tell you what, let me, I'll go through the super chats and stuff first. Myrtle Manus gifted 20 Weird Medicine with Dr. Steve memberships.

If you want to get a free membership, or if you want to buy one, just go to weird YouTube.com slash at Weird Medicine, click join, and then just click the button that says, accept gifted memberships, and you may get a gifted membership. It's sort of a random lottery thing. Myrtle usually gives 10 or 20. This week, she gifted 20. Oh, thank you, Morton. Thank you, Myrtle.

She's a good. I like her. She is a gooden. And let's see, anything else here. Oh, Volkerstein became a member of the fluid family. Don'tkerstein. All right, what else you got? I see a question about wide of feet and hands get more sensitive.

Yeah, and believe it or not, that's for an old lady trucker. Oh, is that right? Sure is, yeah. Well, she's back. I had a good drop from Lady Trucker if I can, let me see if I can find this damn thing. You may read the question while you're looking, are you going to. Yes, yes, yes. So, yeah, so Frostbite is a new VA disability claim, thank goodness, because

so now the VA is accepting claims for heat and cold exposure to extremities. Yeah. And the question is, why do feet and hands get more sensitive to cold? Hold the wheel for a minute, Todd. I've got to take a shit. Okay. That was the trucker duty thing. The trucker doxectomy Todd was going to ride with Lady Trucker.

And I had her record that, you know, hold the wheel, Todd. I got to take a shit. That's funny. Anyway, go ahead. So why do feet and hands get more sensitive to cold with cold, exposure. So why is? You want to talk about that?

Sure. Do you have something? Because I know, I know why. Well, sure. I mean, the further away from the core, the blood vessels get smaller and smaller. Correct. So, you know, when you get to the tips of the fingers and the toes, you get a lot smaller blood vessels. But the other thing you get, Dr. Steve, is an increase in cutaneous nerves and sensitivity nerves.

So, so the, and what I mean by that is there's a lot more per inch, per square inch, sensitivity nerves or cutaneous nerves, sensory nerves, and your fingertips and your toes and your lips and your genitalia then are like in the middle of your lower back. Correct. So not only are you getting less blood flow in there, but you also got much more sensitivity there. And the question that she's asking, though, is why do you get this sort of

anti-accommodation? In other words, when you have cold exposure, why does it make you more sensitive to cold down the road? And the thing that makes me think of is when I was in Vermont, we used to see a lot of this. And I'm sure it's a French word, pronounce ch'elblah or something like that, but it's Chilblane, C-H-I-L-B-L-A-I-N-S. I never knew how to pronounce it. But chillblains, and this is a skin condition that occurs when the blood vessels in the skin are damaged by exposure to cold. And so frostbite, crossbite.

And it'll become itchy, swollen, and you'll get these. discolored patches on the skin, and it can be on the fingers, toes, ears, and nose. And just like Dr. Scott said, because, you know, that's so distant from the core that they can cool down faster and they can get damaged by cold faster. And you end up with poor circulation, cold weather. And then the next time you get exposed to cold, it's excruciating. Right. And so it rarely causes permanent damage, but it can be really, really uncomfortable. comfortable, so you've got to rewarm the skin slowly and gently, and just to keep those affected areas dry and warm, you just can't let them get cold again.

And so people with Chillblains who, you know, got it from Everest, their Everest days are mostly over if it's in their feet. Yep, yep. And there are some medications that you can take for that. They're basically vasodilators at that point. But anyway, all right. So that's what that is. And that's just, you've got damage of the blood vessels and nerves.

And so the next time you get exposed, it just makes it feel worse. I think that's what she's talking about. All right. You got anything else in there? No, it's a rabbit. All right. Well, I have another question. Oh, you have one.

Okay. I have a question that, no, it's okay, that I did want to get to, and it's a good one. And here we go. In honor of lady diagnosis. I have a question that is probably your most favorite subject of all times, Dr. Steve. Yep. Uh-oh. Women's aerolus.

Yeah. Are they shaded like they are to help a child trying to find a nipple because of the contrasting color some people? Ding, ding, ding, ding, ding. Or is it there to hide the bruising from a child breastfeeding? No, well, why would it? They're just cute. Yes, why would evolution care if, you know, if you get bruising, you know, it's not like. I mean, that's why things change over time, right?

Because there's an evolutionary advantage. So there's no upside to hiding, bruising. So that's not it. And, yeah, they look good, but there's no evolutionary advantage to men sucking on them, except that, you know, they may be more likely to stick their penis in until stuff comes out to impregnate a female, you know, in the cavemen days. So maybe. But really, what the thought is is that there are several,

four ways to enhance breastfeeding in human infants because we are not born with a full set of instincts like cats and dogs and other animals are. But so, and one of them is the areola. So the contrast, so Stacey's right, the contrast made dark and further as birth nears and stays dark. And then that contrast allows

the really terrible eyesight of the child to sort of zero in on that, gives it a bull's eye. But the other thing is the filtrum, the vertical groove in the area of the upper lip makes it easier for a human child to suckle and get milk out. And then the scent of breast milk will also attract the kids' head to that area. And then, of course, the projecting nipple is more pronounced when they're providing breast milk and makes it easier to latch on. So this sort of united package, the newborn baby, their sense of smell is acute, and it homes in on the breast in general. And then the nipple in particular, and once in the general area, if the face is not directly on the nipple, it will move its foreface around until they filter them, the place in the groove in the middle of your upper lip,

encounters the nipple at which point it reflexibly opens the mouth and seizes the nipple. And they'll make sort of a, the mouth makes a cat's bum shape, they call it, to aid in suction on the nipple. And then as time goes on, the color difference between the nipple and the surrounding skin will become the homing beacon for the child. So, and that's something. Now, some women have arellas that you can't see. So it's not that's not 100%. I mean, it wasn't required for evolution. It's still just enhanced.

It just helps. Yeah, just helpful. All right. Now, why do men have them? It's just because it's simpler evolutionarily to just have as few differences between male and female as you can. And when I'm talking about male and female,

I'm talking about, you know, breeding pairs. You want as few differences as you can because it takes too much energy and, you know, input to have completely different, you know, things for male and female. I mean, basically, if you shaved all of our heads and didn't, and then just only showed from the shoulder up, there's a lot of people you wouldn't be able to tell, sure. That's true. If they had X, Y, genes or X, X, X, genes. And so, you know, some of it is societal, but, you know, you got tips. Well, some guys have tits too, but the main difference is the genitalia and the genetics, right? But even then, everything is the same except for the sex genes, you know, the X, X or the X, Y.

That's it. That's the change. And so the men, when I'm talking about procreation here, I'm not talking about gender identity or any of that stuff. when you're, you know, the male inserts their genitalia into the female's genitalia when we're trying to procreate. And then the, well, I don't have to tell you guys the birds and the bees. But the thing is, is that that's the only difference. And so that's why men have nipples because it's easier to have them than to not have them.

You know, women, you know, you could have a species where the male just, impregnates like a square thing that has a hole in it, that they put their genitalia in, and somehow this thing, you know, spits a baby out the other end, that you could do that, but it doesn't make, you think it's absurd, it makes no sense. Alien worlds, there may be something like that, but in the, particularly on earth,

the vast majority of reproduction happens between two different, you know, sexes so that they can mix their genetics and not have just one set of genes that are just going forward. Because when you only have one set of genes going forward all the time, and if everyone was an identical clone, then one virus could wipe us all out. You know, you noticed when COVID came through, it wiped out a certain number of people, but the vast majority of people survived. there's not one virus that can kill all of us, at least not in our experience. And that's one of the reasons why, because you want to induce natural variation into the species. And so you have this mixing of these haplatypes, you know, half the genes on the sperm and half the genes in the egg. And they were randomly associated.

And when they merge, you get a randomly, you know, a person with, you know, functional mostly, but randomly assemble genes that go back, you know, thousands of generations. So it's kind of interesting. That's why you can walk through, it's like you're going in Europe and you're not going, oh, wait, that's my brother, that's my friend and they're not. You know, you don't ever, it's very rare that you're going to run into somebody that literally looks exactly like somebody else on her. We all say, oh, well, we all have, we all have a, oh,

You know, a double, a doppelganger somewhere. That's bullshit. That's not necessarily true. We have enough genetic variation that we can make trillions and trillions of different people and their appearance is different and their personality is different, voices, different, skin color, everything. So we, just think about it. Go to Times Square and see thousands of people and you'll not see a single person that you recognize unless they're actually somebody that you know.

You know? That's true. It's amazing. That's true. The variation. We just take that for granted. But it's not... Unless you're in Kentucky.

It's non-true. The center of tranquility and consanguinity. In other words, you know, inbreeding. Lady Diagnosis is making inbreding joke, everybody. Yes. All right, my friends. Let's do it. Thank you.

Thanks always to Dr. Scott. Thanks to Lady Diagnosis. Thanks to everyone who's made the show happen. the years. Listen to our SiriusXM show on the Faction Talk channel, SiriusXM, Channel 103, Saturdays at 7 p.m. Eastern, Sunday at 6 p.m. Eastern on demand. And other times that Jim McClure's pleasure. Many thanks to our listeners whose voicemail and topic ideas make this job very easy. Thank you to the fluid family. And you can join them at YouTube.com slash at weird medicine. Click subscribe and notify. And then you will get notifications when we go live. We don't do a live stream

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