Weird Medicine: The Podcast - 634 - Achenbach Syndrome - Waylon and Willie and the Boys

Episode Date: June 11, 2025

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If you just read the bio for Dr. Steve, host of weird medicine on Sirius XM103 and made popular by two really comedy shows Opin Anthony and Ron and Bez, you would have thought that this guy was a bit of, you know, a clown. Number one thing. Don't take advice from some asshole on the radio. I've got diphtheria crushing my esophagus.

I've got Tobolivis stripping from my nose. I've got the leprosy of the heart bow, exacerbating my incredible. woes. I want to take my brain out and blasts with the wave, an ultrasonic, ecographic, and a pulsating shave. I want a magic pill. All my ailments, the health equivalent of citizen cane. And if I don't get it now in the tablet, I think I'm doomed, then I'll have to go insane. I want to requiem for my disease. So I'm paging Dr. Steve. From the world famous Cardiff Electric Network Studios in beautiful downtown OJ City.

It's weird medicine, the first and still only. Uncensored medical show and the history of broadcast radio. And it's now exclusively a podcast. I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medicine provider, gives me streetcred the whack alternative medicine assholes. Hello, Dr. Scott. Oh, oh, your mic's not on. What's going on?

I'll try that again. Hey, doctor, hey, ducks. Oh, there's a reverb. I like it. Oh, goodness. Hey, Doccy. Oh, this is so much better than the other. show. And ladies and gentlemen, Lady Diagnosis back from sabbatical. Hello, Lady Diagnosis.

Hello, Dr. Steve. This is a show for people who never listen to a medical show on the radio or the internet. If you've got a question, you're embarrassed to take your regular medical provider. If you can't find an answer anywhere else, give us a call 347-76-4-33-23. That's 347. Follow us on Twitter at Weird Man. I was thinking for a second. God, did I need to change that too? No, we're going. And follow us on Twitter at Weird Medicine or at DR Scott WM and at Lady Diagnosis, right? Yes. You still on there? Do you ever check it?

Never. Visit our website at Dr.steve.com for podcast, medical news and stuff. You can buy. Most importantly, we're not your medical providers. Take everything here with a grain of salt. Don't act on anything you hear on this show without talking over with your health care provider. One thing I want you all to do is go to stuff. dot dr steve.com and scroll down and you can find our card game called wetbrain it's a dabbleverse

related card game it's based on the game presidents and assholes it's a party game it's fun it cost me a lot to make it so unfortunately it's like on there for $30 but i'll autograph the back and gold and all that stuff if you want it go to stuff dot dot dr steve.com and we use shopify so it'll let me know if I start running low on stock and I'll, you know, I'll get it out there, ASAP. I'm, you know, it's usually less than 24-hour turnaround, but stuff.com. And also you can scroll down and see the ROTI robotic tuner, which we use in the studio to tune our instruments. Sometimes you wouldn't notice that we tune them, but it is a robotic tuner. And they also have a thing called the RodeCom.

coach that'll teach you out to play an instrument. Lady Diagnosis, do you know how to play an instrument? The piano. Okay, so I've had three different people in here. One was DNP Carissa who moved away, and then N.P. Mel B, who has Raynods and couldn't really play, you know, it was difficult for her to play the instrument. Of course, you have a condition that might prevent you from playing. But if I give you a rowdy coach and a guitar, will you put the time in to let it teach you how to play and then come back so we can demonstrate that the stupid thing actually works? I would be willing.

I don't make promises on if it's going to work or not. Well, no, no, no. You don't have to promise you will succeed. Just will you give it a shot. Okay. And we'll talk in a minute why this may not work for you either because everybody in here apparently is going to. got some goddamn, you know, malady that prevents them from playing an instrument. Some of us, it's just called lack of talent.

Right, right, right. Which is different, of course. Correct. That's yours and my problem. But, but then, and then Patreon, check us out on Patreon, patreon. Patreon.com slash weird medicine. I've got all, some exclusive content in there. There's classic shows you cannot get anywhere else because we did things when we first started

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too so check that out and if you want me to say fluid to your mama uh check out cameo com slash weird medicine i did several of them for ahmed uh our uh remember our medical student from saudi arabia who got turned on to medicine by listening to our show i still can't believe this in saudi arabia now is living in uh he's graduating here in in let me see uh 22 days from residency, and he's going to be faculty at a prestigious academic institution in the United States. Really? That is so exciting. Yeah, yeah, yeah.

Yeah, very proud of him. That's cool. Momtaz, Siddiqui. And I can't remember how to say congratulations, but I say, Barakal, Hufeek. It just means God bless you in Arabic. Anyway, Ahmed is an awesome dude. He had me come up to do grand rounds up there, and I got to meet some of his first. friends, and one of his friends is a ham radio operator, and I sent him a little, what we call

QRP transceiver. It's a digital transceiver that you can just throw up an antenna, and anyway, who cares? Anyway, but he's a cool guy, too, so hello, Dr. Adkins. I don't want to docks anybody. So, but anyway, they had me do a couple of cameos for him for his graduation. That was fun to do. So anyway, cameo.com slash weird medicine. And most importantly, simplyerbils.net.

That is simplyerbils.net. And that's Dr. Scott's website. People are complaining that they can't get the nasal spray. Oh, let's back up. It's back up. Okay. So if you were having trouble getting Dr. Scott's nasal spray. it is back up.

All right, Lady Diagnosis, let's talk about, welcome back to the studio. Thank you. Let's talk about your malady. So what's been going on? Well, it's just out of the blue. Every once in a while, I get a pain in my knuckles, in one knuckle. It doesn't matter. It's been fingers and toes.

All of a sudden, they'll start kind of burning a little, and I'll look at my knuckle, and it's blue, and it just spreads, and the pain gets sharp. and hot and then the whatever vessel vein explodes and my whole finger or toe turns purple yeah and then what happens it just hurts yeah and then what happens it goes away on its own well you know it's blood in your finger so it just wears away after like a week yeah and then it doesn't really hurt after it explodes though it's the weirdest thing yeah and then how how um so i mean it sounds like scurvy, but how often does this happen and then

how much refractory time is there between the two episodes? There's no rhyme or reason to when it happens. I mean, it can happen sometimes like every week or sometimes it goes months and months. Yeah. So there's no rhyme or not. Is it associated with trauma at all? No. See, the thing that pisses me off

about this is apparently you told me about this and I just blew it off and I apologize for that because you came in with the correct diagnosis. So how did you, before we to what the diagnosis is, how did you find this? Because this is correct. Wendy, my sister, I told her about it. God, damn it. That pisses me off. I'm supposed to be the hero in this story. Told me what I had. Thank God. Well, good for Wendy. She's correct.

But this is a thing called Aachenbach syndrome. And it's also known as paroxysmal finger hematoma. It's benign, self-limiting condition characterized by sudden, painful bruising and swelling of one or more fingers. It's believed to be related to minor vascular fragility, which means you need to be on vitamin C. You need to be taking vitamin C supplementation if you're not already. Oh, okay. Because that. So the reason I said scurvy is that's a vitamin C deficiency. efficiency, right? And I've seen one case of this in the United States where, well, there are, you know, these sort of hermit guys that live up in the haulers. And they will live on stuff that doesn't have vitamin C in it. And they'll get scurvy. And we've seen one case. And they'll have palpable perpura, which is basically, you know,

broken blood vessels under the skin, you can feel it, no, it's all over the place. Oh, okay. And it's because vitamin C contributes to vascular integrity, right? So getting on vitamin C, you might be able to reduce these episodes. So it's not hereditary? Because I believe I asked my uncle if he had ever had that happen, and he said yes. Okay, well, and the other thing is, you know, the first thing, when you first told me about fingers, you always think of Raynods, and so it is on the differential.

Let's look that up real quick. Let's see. And I think I have Reynolds, too, because it turns, you know, just kind of blueish in the winter. Yeah. Okay, well, Renauds is a specific pattern. So I've diagnosed several of those in friends of mine. I can't remember if I diagnosed Mel B's or not, but I have another friend that I diagnose. And what you do is you put your hand in, ice water.

And you leave it in there as long as you can. can stand it. And what happens is the blood vessels constrict, so when you take it out of the water, your hands will be white because now they're deficient in blood supply. Then as they continue to be deficient in blood supply, it will turn blue indicating cyanosis, right? And then as the blood vessels re-expand, then the hand will turn red. as the blood flows back in again.

So it's, you know, white, blue, and red, so it's very patriotic. And... That's right. There are other countries in this world that have... I think France's flag is also blue, white, and red. But they... That is distinct from this. This is different.

So let's look at the genetics. Okay. With the exact causes unknown, research suggests genes related. to acute phase reactive proteins. Well, don't worry about that. And the coagulation slash complement cascade, interesting, the complement cascade has to do with immunology, might be linked to the condition,

specifically the F3 gene. Oh, you know, we can do genetic testing on you if you really wanted to. We have a geneticist at our cancer center that could do this. The observation of Achenbach syndrome and multiple family members supports the idea of genetic predisposition. Now, you have a unique reason why you wouldn't necessarily know that.

And we've talked about it on the show, right? What's that? Why you wouldn't know about your family genetics. Oh, well, I did find them. And I did start talking to my uncle, and I asked him about that. Yes, I adopted. And you found your family through 23 and me are one of those. Yes.

Okay. Yeah. And so you talked to him, and he said that did happen to him? Yeah. Wow. I know. And no one else in the whole world that I've ever talked to has had that happens. And so it's not, I've just, have you all ever heard of that?

Yeah. Wow. Awkin box? Yeah. I don't think so. Well, there is. If I have, it's a long time. Yeah, there is a song about it, though.

Oh, yeah, I've heard that last year. Let's hear about it. Yeah. I remember that song. You ready? Yeah, I believe so. All right, let me get you some. Test, test, test, test, test.

There you go, test, test, test. The only two things in life that make worth living are guitar is a tune good and firm-feeling women. Well, I don't need my name in the marquee lights. I've got swollen purple fingers and they're hurting me all night. Maybe it's time we got back to the Dr. Steve show tonight. Let's go to Hockenbach, Texas. No, the Ackinbach syndrome.

And the boys, are you, you don't know. He's dumb ass. He's dumb ass. These purple figures and toes. I've got a feeling like I can't control my pain. Between Dr. Steve's pain songs and Dr. Scott's tray songs and GVax's blue eyes crying and in the rain. Out in knocking boxed ticks.

No, knocking box syndrome. No pain. Shit. There you go. I know, you're looking at the words, and it's hard to not say the words. He's obedient. That was my dead level best. This was the Akenbach syndrome.

Anyway. I would have no for making it. I love it. No, I wasn't bad. We just made it up on the fly, so. Stupid. All right. You can tell this show has gotten much better over the last.

So, yeah, so Lady Diagnosis and her Ackinbach syndrome. So try the vitamin C and see if it makes any difference. Okay. All right. This episode is brought to you by Nespresso Virtual Coffee Machines. Ready to enjoy the bold flavors of barista quality Nespresso iced coffee at home? Simply fill a glass with ice

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Because at blinds.com, the only thing we treat better than Windows is you. Visit blinds.com now for up to 50% off with minimum purchase plus a professional measure at no cost. restrictions apply. Good deal. All right. What about like magnesium topically too? Sure, why not? Topic, okay. Topicly, yeah. Topical magnesium. Or even, or nitro, topable nitro. Yeah, topical nitrous. If it's bad enough, it's bad enough. See, her problem, though, nitroglycerin would dilate the vessels. Her problem isn't vasoconstriction. It's just they're spontaneously erupting. But you don't know it's coming until it's coming. And then it's like, Correct.

You have like maybe an hour. How long does it last, though, did you say? The pain lasts like maybe, maybe an hour. Oh, wow. And then it bursts, and then it stops, yeah. And then you feel it and you look and it starts turning. I could get you some analgesic cream for when it happens for that hour when it's bad. It's bad, yeah.

And then, but let's see if we can't prevent it. What would be fun is if you kept a diary and you start taking some vitamin C and see if it spreads out those episodes or eliminates them all together. Okay, I'll do it. And then if it does, we may want to put a note out to other people. Maybe we'll do a study on it. Yeah. Cool. All right.

Very good. Well, let's do some questions. We've got some very nice questions. 347-76-6-4-3-23. And let's... Uh-oh. Hey, Steve. I am driving home for my night shift, and I'm very tired.

Okay. But I'm all so hard. Mm-hmm. Excellent. Why is it when I'm sleepy so I become a boner guy? Very curious. Yeah, Dr. Steve. I don't know, because he's not 50 years old or 60 or 70.

Yeah, I guess. I mean, he's off work. He's got less stimulus. Less stress. Yeah. I don't have a medical reason. Because this is not a known phenomenon. Well, if he works overnight, then he's coming home and first thing in the morning.

Your testosterone goes up in the morning. Oh. It could be ding, ding, ding, ding, ding. That's exactly. Myself a bell. Yeah, that could be it. And cortisone increases in the morning as well. But usually it's after sleep.

I'll have to look into that. So he's a night, he's working a night shift and coming home in the morning. That's what it sounds like, yeah. Wood. Yes, he's got morning wood, even though he's not waking up. Yeah, maybe he's not asleep yet. I wonder if he's swing shifting because that, then, you know, his body could be attuned to having morning wood in the morning and accept the fact that he's awake. And it also depends on who he's going home to, too.

The number one pun says, let's hope he's not carjacking. Oh, do, do, do, leave, le, oh, wow. Oh, my. He's living up to his. name, that's for sure. Or he is car-jacking. Hey, one fun, don't never listen to what Adam

says because they make up everything. There you go. Oh, my. All right, oh, my. Next. All right, yeah, I don't have a good answer for that, but I will see if I can find something interesting to make out of that.

I'm glad, good for you. He's just bragging that he can still get an erection. All right. Hello, everybody. I'm wondering if you or Dr. Scott had anything to prevent late-time leg cramps and foot cramps. I've had lab work done. It always comes back normal.

Of course. And if he says Estragalus, I'm going to lose my money. Okay. Say Estragalus. That goes into one of the best calls of all the time. Yes. Just with the Estragalus. reference so that's a long time listener

let me take mine and then you do yours so back in the day we used to write prescriptions for quinine and quinine I'd have these little old ladies and little

old man like me now who would have these leg cramps that wake them up in the middle of the night and it's horrible you cannot ignore that pain you go I'll just I'll just lay here you can The pain becomes unbearable and excruciating, and the only thing you can do is get up and walk around. And if you get up and walk around, it will go away.

And there are ways that you can counter strain the muscles that are, but when the whole leg is cramping, you can't counterstrain just one muscle. You're always going to be cramping another muscle. When I say counterstrain, so if it was just your calf, you could stand on a stare on your tip. toes and stretch your calf, or you could lean forward against the wall and stretch your calf that way. But when it's the whole leg, I've had cramps so bad that it went up into my quadriceps. So, and really, you just have to walk around, and then it goes away, and then it kind of stays away most of the time.

But it is unbearable, so people will go, well, it's potassium, so eat bananas. All that does is constipate you and give you reflux. So I highly recommend quinine, but the FDA took it off the market. Would you look, Dr. Scott, and see why they took it off the market? I've always said it was rat cataracts, but I think there was something else to it. But quinine was used way back in the day as a malaria treatment. So, I mean, it's been medication for a long time. Well, they took it off the market.

But what they didn't take off the market is tonic water. Tonic water is quinine water. That's what I was going to ask you. And so when they did that, I started telling my patients to drink four to eight ounces of quinine water at night. And it actually works. And it's very beneficial. Magnesium is the other thing. So I combine it with a magnesium oxide.

You need to buy magnesium supplement and quinine water at night. And that will take it. Did you find anything? I did. Yeah, what did you find? And it looks like a span of about 50 years, the FDA found 93 deaths associated with quinine. What? In the world?

Yep. And it was based on possible cardiac events thrombocytopinia. No. But that's a pretty small number. And I'd be like to know how they. That's what it says. Wow. Okay.

Adverse event or poor, yep. Interesting. Well, I mean, quinine. Is it related to quinidine? But one would think there would be a pretty massive dose that would have taken. Yeah. Because in tonic water, it's a very small dose. Correct.

Yeah, it's unbelievably small and it still works. It's kind of like a... So, okay, so quinidine is a cardiac medication. And it is a stereoisomer of quinine, meaning that it is, they are not only related, but they're very closely related. One's left-handed molecule, one's a right-handed molecule. So that makes sense that maybe it caused some arrhythmias in some people that were at risk.

So if you have a history of arrhythmias, don't drink tonic water, but you can buy a tonic everywhere. And every bar in this world, you can order a gin and tonic or a vodka tonic. So that's just for leg cramps, not like restless leg. Correct. Nocturnal leg cramps. And I'll get them because the dog will lay on my leg sometimes, and they'll cause me to dorsiflex my feet, in other words,

point them away from my body. And I'll lay there for hours like that, and then all of a sudden my legs will start to cramp up. But Tacey started having leg cramps, and I gave her tonic water, and she just drinks it. She doesn't like lime. She doesn't like vodka tonics or any of that stuff She just drinks it straight

It's pretty nasty straight But you put a little Even if you're not going to drink it with alcohol I'm not advocating that you drink alcohol But if you put a little lime in it And ice in it It's not bad As long as you can tolerate bitter stuff

It's pretty bitter But that's what I like about it I see I've always liked bitter things So I drink tea without sugar And stuff like that Yeah, tea should taste like tea, not sugar. Coffee should taste like coffee. I agree, I agree.

Real quick, just a couple other quick little things. Yeah, yes, of course. Now, this is what the traditional Chinese medicine. We're talking leg cramps specifically. Yeah. A couple things. I like to increase electrolytes, so I like to maybe have someone add a little bit of Celtic sea salt to their water maybe before bedtime.

Okay. Like a quarter of a teaspoon in about six ounces of water. And what the fuck is Celtic? sea salt. It's got a lot of trace minerals. It does, right? Yeah, I'll have them buy, like, a trace mineral bottle with all the minerals in it. Yeah.

A couple sprinkles of that. Yeah, that makes that. I would buy that. And certainly magnesium at bedtime. Hydration is a big thing. And that's the biggest thing. If it's leg cramps specifically. And, you know, other things, you know, massage certainly can help, you know, a little bath,

warm bath sometimes will help, too. When it's happening. Yep. Yeah. Well, we're talking about prevention. I would try the electrolytes. my water before bed and even maybe during the daytime too. I'll buy that.

Because it might be just a little bit dehydrated. And that's not always going to show up in your labs. And surely not on any MRIs or CETs. No, there's never any labs that show up. You get someone coming in with nocturnal leg cramps. There's never any laboratory abnormalities that are meaningful to that. Now,

I will throw out that there are some people with and this is not the case for people who have just nocturnal leg cramps, but of people who have leg cramps and cramps and other parts of their body that start coming, you know, more and more regularly. That is sometimes a nascent sign of ALS. So we see people with amyotrophic lateral sclerosis, you know, Lugarig's disease, who have these horrible, horrible leg cramps.

Now, just imagine if you're laying there and you can't, you know, your motion impaired. And now you have these leg cramps. You can't get up and move around. It's horrible. Without freaking everybody out, you know, 98% of these fasciculations, these cramps are really benign. Oh, no, no, no. I would say 99.99%. I'm just throwing out there that, you know, it is a part of the syndrome of ALS as well.

So it just hurts. It's not going to hurt you grabbing them. Right, right, right. Yeah, it's really annoying. and I can't imagine what they did in, you know, Henry VIII's time when something like this happened. Now, him, he would just have somebody come in and massage him and jack him off. But, but, and he probably felt better after that. So jacking off makes your legs go away.

No, it just makes you not think about it. That's all. All right. Let's see. Let's try this one. Dr. Scott, how are you? Awesome. Oh, I'm good. Thanks for asking.

Let's do that one again. There we go again. Hey, Dr. Steve. Hey, man. Dr. Scott, how are you? Good. How are you? Oh, I'm good. Thanks for asking. As a 50-year-old male, of course, I have a question about menopause. Of course.

I was wondering if there's a direct connection that a woman has a limited number of eggs and when she has menopause. So in theory, if a woman has four kids, she didn't have her periods for 30. 36 months. So does that mean her menopause onset is delayed by three years that would have been normally if she didn't have kids or if a woman is on birth control and doesn't have her period for 10 years? Does that mean her menace pause would have been because she's not delaying. Right. No, no, I totally understand it. Congratulations on everything. Talk you later. Oh, everybody else. Check out Dr. Steve on came out. He's often. Thanks, Ben. There's no way.

I mean, birth control pills, if this were true, there'd be women having, you know, menopause at age 70. Yes, yes. That's not. So it is, birth control pills don't delay the onset of menopause. They can make it harder to know when menopause has occurred if you keep taking them. You know, you shouldn't be taking them that late, you know, it increases the risk of naughty things. things. So, but, you know, birth control pills use, you know, they use hormones to prevent ovulation.

You know what else does breastfeeding? Women who breastfeed on demand will not ovulate and at the same rate as someone who is either not breastfeeding or just breastfeeding on a schedule. But if you breastfeed on demand, that oxytocin release and other hormones that are generated during that will prevent ovulation. So women who live in countries where they just have a sling and the baby just, you know, breastfeeds on demand, they may only have, you'd think they'd have 20 kids because they're not on birth control, but they don't. They'll only start ovulating again and be fertile or have, you know, potential to conceive after they've quit breastfeeding that kid. And so they may breastfeed until the kids are two, three, four years old because it's cheap and easy to do.

And it helps prevent pregnancy. But they still go through menopause at the same time. Because that's hereditary, isn't it, mostly? For the most part, I mean, it's genetic in the sense that women have sort of a time clock that's ticking that will, you know, at some point will, the alarm clock will go off and they'll go through. metapause. What about you, lady diagnosis? I'm in

metapause right now. Are you really? Love it. Love it. Yeah. So it is interesting that if you still have a bunch of eggs in there, why are you still?

But if you think about it, you know, ovaries gradually just stop releasing the eggs and producing estrogen and progesterone so you may have some but you know you can run out of eggs I guess I mean there is a limited number of eggs but men produce

infinite amount of sperm as long as they're alive they're still producing sperm but women only have the number of eggs that they have but for the most part my understanding and OBGYN could call in and give us a more nuanced answer to this but

you can still just stop releasing eggs even though you have them because it's just time. Right. And you get these decline in ovarian hormones that you get the hormonal imbalances cause a variety of symptoms including, you know, hot flashes and bone loss and that kind of stuff.

So anyway, it's just all things the stragglers are good for. I love estrugglers. Biological stage of a woman's life characterized by a decline of ovarian function. It's not always just because they. they run out of eggs. All right? My ovaries are exhausted. They are exhausted.

They're probably tired. Curling up and dying. They were probably tired from all the little raisins. Stuff that you did. All that. I got raisins, yeah. All my bad stuff.

Well, all right. Very good. So what we're going to do is we're going to record multiple episodes of the podcast about once a month. And then when we release them probably once every 10 days.

We'll have three new podcasts every month. If you want to just hear them all, just... Binge. Come listen to us on YouTube. YouTube.com slash at Weird Medicine. And if you don't want spoilers, whatever, then you can listen to it on the podcast. And we'll be releasing...

What are you doing? Oh, yes. Oh, I see. That's like... Well, if you hear the music... Your secret signal. You hear the music, I kind of got it. But, yes, I like the secret signal.

There you go. It's a picture of me from a magazine saying Renaissance man. You're the cover man. And if you open up the thing, the reason I'm a Renaissance man is because I've got all these action figures and the magic, the gathering, and ham radio. What a nerd. Look at this. Let me see that. Let me see that.

Look at this dude. Here, hand it over to me. Let's go. Well, give it to Scott. banana to me. There you go, thank you. Sorry with your arms. Foods were on the table. Let me see here. Yeah, this is really embarrassing.

It's pretty hot. Yeah, here's a picture of me, okay, with hot sauce that I made, magic tricks, ham radio stuff, and then a big thing of galactus. God, that's a turn on. A galactus resin figure.

What a, what an idiot. Good Lord. Nice. You'll never be alone no. Nice. Now with that fraud skill set. Who would even anyway? All right. Well, listen, thanks.

Always go to Dr. Scott. Thanks, Lady Diagnosis. Welcome back. Thanks to everyone who's made this show happen over the years. And now I can erase this paragraph that says listen to our serious XM show. Many thanks to our listeners whose voicemail and topic ideas make this job very easy, particularly those like King of All Diffs, who is one of our mods. And gravy legs, the one pun, McRibbs, Woody Haney.

And, oh, KB. Oh, she's delightful. I got to meet her at Hackomania. Oh, we need to talk about Hackamania. All right, we'll talk about that next episode. All right, did we just go off the air? Are we still on? Well, we're on.

We're good. Okay, all of a sudden, I lost the thread. Okay. I'm threading. Okay, no. Are you sure? Okay, good deal. All right. We got a little, some technical kinks.

Shoot, that was close. All right. Check out our website at Dr. Steve.com for Schedule's podcast on the crap. Until next time, check your stupid nuts for lumps. Quit smoke and get off your asses. Get some exercise. We'll see you in one week for the next edition of Weird Medicine. Thanks, everybody.