Weird Medicine: The Podcast - 641 - Ray DeVito's Tight Orifice

Episode Date: August 19, 2025

Dr Steve, Dr Scott and Lady Diagnosis discuss: Vitreous hemorrhage Where do floaters come from? Ray's Prostate Exam Flash Pulmonary Edema Liam gets backed off in Vegas and more! Please visit: ⁠⁠⁠⁠⁠simplyherbals.net/cbd-sinus-rinse⁠⁠⁠⁠⁠ (the best he's ever made. Seriously.) ⁠⁠⁠⁠⁠instagram.com/weirdmedicine⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠x.com/weirdmedicine⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠stuff.doctorsteve.com⁠⁠⁠⁠⁠ (it's back!) ⁠⁠⁠⁠⁠youtube.com/@weirdmedicine ⁠⁠⁠⁠⁠(click JOIN and ACCEPT GIFTED MEMBERSHIPS. Join the "Fluid Family" for live recordings!) ⁠⁠⁠⁠⁠youtube.com/@normalworld ⁠⁠⁠⁠⁠(Check out Dave and crew, and occasionally see your old pal!) 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 GET YOUR COPY OF "WET BRAIN: THE GAME OF TROLLS AND LOSERS!" (each box is autographed by your old pal) get it here: dabblegames.myshopify.com⁠⁠⁠⁠ (a most-fun party game!) watch for DABBLEDICE: Second Edition available soon! 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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Fighting stains shouldn't be. OxyClean Maxforce. It's not clean unless it's OxyClean. Well, that's because you're an idiot. Can you like, shut up? Ha ha! You see? You see?

You see? You're stupid minds. Stupid! If you just read the bio for Dr. Steve, host of Weird Medicine on Sirius XM103, and made popular by two really comedy shows, Ope and Anthony and Benz, you would have thought that this guy was a bit of, you know, a clown.

Why can't you give me the respect that I'm entitled to? I've got diphtheria crushing my esophagus. I've got Tobolivis stripping from my nose. I've got the leprosy of the heartbell. I want to take my infertiful wounds. 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 gain. And if I don't get it now in the tablet, I think I'm doomed, then I'll have to go insane. I want a requiem for my disease. So I'm paging Dr. Steve. Dr. Steve. No need to take a careful.

From the world famous Cardiff Electric Network Studios in beautiful downtown OJ City. It's weird medicine. A person's still only on Centrant Medical Show in the History of Broadcast Radio. Now exclusively a podcast. I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medicine provider,

gives me streetcred. The Wack Alternative Medicine Assholes. Hello, Dr. Scott. Hey, Dr. Steve. And back from sabbatical, it's Lady Diagnosis. Hello, Lady Diagnosis. Hello, Dr. Schum. This is a show for people

who would 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. Or if you can't find an answer anywhere else, give us a call 347-7-66-4-3-23. That's 347. Pooh-head. Follow us on Twitter at Weird Medicine and at Dr. Scott WM and also at Lady Diagnosis and visit our website, 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. Onatcom, anything you hear on this show without talking it over with your health care provider. All right, Dr. Scott, so let's go back to

stuff.doctrsteve.com. You can buy Wet Rain the Card Game, which is based on Presidents and Assles. It's a fun party game. You will have fun playing this. Very soon, we will have dabble dice. Second edition. We had a first edition.

Dabble Dice. Sold down. completely sold it out, but I had to get little plain dice, and then I had, I bought these, got these stickers from overseas, and I had to put them on there, and it was a pain in the asshole. It made like, I don't know, maybe 50 versions of it, and it sucked. I'd be watching TV and doing it. And if I, and if I fucked one up, you know, it was like, God damn it, you know, I had just the right number of stickers. I was stupid. So, so I found a place that can, I, I bought a laser engraver, and I got back, my youngest, working on doing dice,

and then I found a place that could do them cheaply. But anyway, so... He is over 18. Well, he's 20, so... Soon to be 21. But, so anyway, yeah, Routy, stuff.com, check that out out. Or if you want to see the actual website with the rules and all that stuff, go to... You know, I've got to come up with a better URL than this.

It's dabblegames.myshopify.com. But if you just want to buy it, just go to stuff. Dottersteam.com. And check out Dr. Scott's website at simplyerbils.net. That's simply herbals.com. You will get a weird medicine chotchke if you will tell him that you're a weird medicine listener. That is correct. And you're still going.

And many things. Yes. We're going for now. Okay. Get closer to your mind. Trugging alone. Okay, and don't forget Patreon.com slash Weird Medicine where you get all the exclusive content

and things like our behind the scenes, podcast recording that we do live at YouTube.com slash at Weird Medicine. It's not really a live stream. And then that goes over to Patreon, and then when I have time, I cut up segments for different questions that we do and put those on our YouTube channel.

Right on. Thank God you only sleep two hours and not. Right, and not make money on anything. And then cameo.com slash weird medicine, if you want me to say fluid to your mama. Now, Lady Diagnosis, you've been complaining about fatigue, and we need to talk about that. And we also have a phone call from Ray DeVito that's very important that we get to. So I hope he's back in the chat room. We lost the questions from last time, unless you remember what they were.

I remember one of them. Okay. All right. And so you want to do that first? Sure. We'll see that first. Okay. Yeah, what do you got? So we've got a question from somebody that I can't remember. McRibs. McRibs. Yeah, McCribes. I guess is a diabetic, maybe former diabetic. He said he's got it in control now. It has a vitreous hemorrhage. I know someone in the chat room said, former diabetic. How do you do that?

You can actually become a former diabetic. I had several patients. If it's type 2, yeah. that had type 2 diabetes, which is the type of insulin resistance. They have insulin, but their body's not receiving the signal. And I've had several of those go on a very low carbohydrate diet and completely cure themselves. But it is difficult to do. It's possible. But anyway, but that's what he was talking about.

But now he had a vitreous hemorrhage. Yep, that's correct. So what was the question? He was just wondering if, and his doctor's blaming it on his diabetes, and he was just wondering if that's always the case or if there were anything else. Yeah, okay. Other potential causes.

No, I can tell him exactly what happened because it happened to me. Let's tell Diane, you had a question? What was it? He has? Okay, so we're going to talk about it. It's a vitreous hemorrhage. It's bleeding into the vitreous humor,

which is the gel-like, absolutely clear substance that fills the space between the lens and the retina of the eye. So your eyeball is filled. People think it's filled with water. It's really not. It's like gelo.

It's very thick, yeah. Yeah, and it's, you know, it has a gel matrix. And what happens is every once in a way, and I think this is what happened to him. He, that jelly like substance will start to shrink as you get older. And when it shrinks, it pulls away from the retina. Right. And it's a motherfucker when it happens because I remember the moment it happened to me.

I was looking at the sky and all of a sudden I saw floaters from hell just spinning around and all this stuff. And what was happening was the vitreous was detaching from my retina and then it fills in that space with basically water, hyper-filtrated blood. And it's clear as well. But then you have all these cells that have gotten pulled off and they float around. around in there, and that's what causes floaters, because they obstruct the rays of light as they come in, and then they project a shadow on your retina. And I had a million floaters all of a sudden, so I went, and they did a CT of my eyeball, which they can do right in the retinologist, you know, the retina specialist's office, and it showed

that the vitrius, the gel had separated, and there was a. thin layer of fluid between my retina and the vitreous now. Gotcha. And it was filled with floaters, you know, just red blood cells and cells and stuff like that. Do floaters go away? Well, yes and no. So what happened to me was they all settled to the bottom, which meant that they were, I could see them at the top of my vision, because everything's inverted, right? And then eventually they settled down.

And now my brain is subtracting them out. So your brain will eventually go, okay, this spot is always there, so I'm going to subtract it out. It improves your vision, but it decreases your resolution, you know, the number of pixels that you can see. But he had a vitreous hemorrhage, so they had bleeding into the vitreous humor. That sucks, because that is. opaque. You know, blood is opaque. So it causes sudden painless loss

of vision and then the appearance of floaters again and it could be diabetic retinopathy but he would have to have diabetic retinopathy. You can't just blame everything. Right. Again,

assholes, colleagues who are assholes just because he had diabetes doesn't mean everything is causing by his fucking diabetes. Couldn't agree more. You can have a retinal tear, a posterior vitreous attachment like I had

that can actually rip a little capillary and cause bleeding. Could be trauma. Could be other things like vascular occlusions and stuff like that. So this person needs to go to an ophthalmologist that's doing more than just replacing lenses,

you know, cataracts. I went to a guy once and all he wanted to do was replace cataracts so when I went to see him I went to see him twice the first time

really pissed me off because I had a chalaisian a chalaisian is where you get a fibrous sort of scar on your eyelid that's caused by a sty

so I had a sty which is you know, inflammation of these glands in the, in the, in the eyelid. And then when it settled down, it left this mass of fibrous tissue there called a chalaisian. And I may have told this story before, but it's been a long time. So, and I had, I had rotated under this guy. I'm as a resident, right? When I did my ophthalmology rotation, we all got along, everything was great.

so I had just published my archery book and I had a copy of it, a proof of it in my lap, right? And now he's flipping my eyelid upside down, inside out, and sticking a needle in it to numb it up, right? Now, any person having a needle stuck into their fucking, eye is going to have a white knuckle thing, right? Okay, so I had the

white knuckle thing. Now, this guy starts talking to me, like I'm literally five years old. He's like, oh, are you the big archer? Yes, yes, you're the big archer, aren't you? And I'm like, shut the fuck up, just stick the needle in my

I guess he thought he was I don't know what he thought he was doing, that he was soothing me in some way. It was unbelievably bizarre. Oh, yes. It's okay. I'm putting a needle in your eye.

Are you the big archer? Yes, you are. Sounds like porn almost. Yeah, I know. Oh, that's weird. It was so fucking weird. Did you punch him? No, I couldn't have a needle in my eye.

Oh, my God. I couldn't move. And I wanted to go, shut off, I'm fine. This is a normal reaction to having a needle stuck in your eye. Holy mackerel. are you the big archer yes oh my god so there again assholes when i say assholes i'm talking to my colleagues who are who are not doing things the way they should be doing that treat people like human beings if only they knew who they were don't object to someone they don't the problem is

So, like, we have some issues with some physicians and the way that they talk to people. So I do a talk called compassionate communication, right? And I do it for the whole health system. Guess who doesn't show up? The ones that need it. Exactly. The ones that need it. So everybody else shows up.

They already know how to do it. They're good. Anyway. All right. Wow. So people suck. So see an ophthalmologist, McRibbs, and you may have to see a retinal specialist, particularly if the floaters are being caused by a retinal detachment.

And in that case, a lot of times you'll see lightning strikes in the corner of your eye. If you see that, that's it now. we had a friend who was a comedian who had this and they had so what they do for that is they'll put a bubble in your eyeball and you have to lay with your face down so the bubble you know pushes up against the eyeball against the retina and actually plasters the retina back down and you may have to do that for weeks you know lay like on one of your tables that you have where you have the hole for the face well you Get close. You don't have to sit up. Just pull it closer because I want to be able to hear what you say. And I know what other people want to hear it too. There you. No, no, no, no. You're fine. You're fine. Anyway, all right. So, yeah, so he needs to see somebody. Yeah. He said he was going to find a second opinion, by the way. If they offer a vitrectomy, be very careful for that. They should not offer that as a first choice. So a vitrectomy is where they take a big giant needle and suck out the vitrectomy.

vitreous humor, and then they replace it with saline. And everything's well and good unless one single bacteria gets in there, because it is wonderful culture medium inside the eye, and you will lose your eye. So I don't know. Would you look at, would you look up, Dr. Scott, what the odds are that you will lose your eye if you have a vitrectomy because of infection? And Gemini will tell you the answer if you want. But anyway, all right.

So that's a good one. We have another question over here. Oh, make ribs. Okay, he's saying I had my second steroid shot. I believe they were blaming it on diabetes. Well, then steroids are the things they don't want to give. Now I'm looking for a second opinion. Oh, then they told me I had cataracts.

So my GP took a look and said you have cataracts. Yes. Okay. cataracts are only a problem if they cause I mean lots of people have cataracts but they only are a problem if they obstruct your vision so you will see like if you're driving at night and there's halos on all the lights

the street lights and it makes it so it's difficult for you to see the road then you need to have your cataracts removed McRibbs says no detachment but I was told the retina specialist oh you so you did see a retina specialist issue didn't happen overnight a real ass clown okay a vitrectomy has been discussed

but not yet this has been a nightmare I'm sorry just you know what go to a university center and get another opinion get another opinion I agree with that one in a thousand risks of losing your eyes he's a good failure that old McGrims

he surely he is now waiver said hey Dr. Steve my fibula and me are doing good just like you said the crack healed in my fibula just like a bruise so good to see you and get your autograph outside of the bingo hall at the plaza we had I dragged Liam to bingo and he was like I'm not playing fucking bingo and I said no you have to do this because we're going to get yelled at by the school marm if we talk and sure as hell there's this lady

that runs the bingo thing at the plaza hotel it's all electronic you don't have to do anything And it is way fun. And the guy next to me won bingo like five times. And we, of course, Liam and I got nothing. But the school marm yelled at us again. Now it's very difficult for people to hear if you're talking. And it's like, oh, so no talking. We can't talk.

It's funny. This is serious stuff. You have to play bingo at the plaza. It's the most fun thing. It's so retrograde, you know. And it's the only place where they are. There's a woman on Love Island, UK, named Tony, and she won, spoiler alert. She won Love Island, UK, so an American one.

But she's from Las Vegas, and she says what she likes to do for fun is play bingo in Vegas. The only place she's doing that is at the Plaza Hotel. So I would love to see her there. She was, oh, boy. one of my dream women. But anyway, and she likes bingo, so she must be a good night.

Very good. I like music bingo. That's fun. Music bingo. What's that? Where they play a song and there's a card and it has different names of songs

and you have to guess which song it is first and then cross it off your card and get, you know, five or six in a row. That's it like they do that at Fusion. What's that called, though? I don't know. Slingo.

Is it Slingo? Maybe. Singo. Singo. That's, yeah, it's called Singo. Maybe. But that's kind of, that's bingo-ish.

Yeah. It's very bingo-ish. I'm playing... It takes more skill. I'm playing Blinko tonight. Oh, geez. That's the Bristol version of... Plinco, yeah.

But you can win like $1,500. Oh. Yeah, you have to put the puck in just the right place. You did that the last time. Yeah, but I didn't get to do it. I didn't get right. That's right. I didn't get picked.

But this time I'm going to get picked. That's tonight. So... Anyway, all right. Let's do the Ray DeVito thing. Come on, we've got to do Ray's voicemail. All right, Ray. A massage chair might seem a bit extravagant,

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And now we can all relax and order these matching hoodies to get cozy and cute. Fast. Fast free delivery. It's on Prime. There we go. Ray is a comedian. He didn't give us his plug. Ray, if you're in the chat room,

What's your website and what gigs are you doing so we can plug it? I know only like 20 people are listening live, but we have a large group of people that listen to the podcast. So, all right. Hello, Dr. Steve. How are you, buddy? Good buddy. It's Ray DeVito, your good friend. Yes.

I did. When we were at Hackamania 1, I was on Ray's show, and he said, this is my health care. So he just asked me a million questions. Oh, nice. It's like, Ray, you can call me. anytime. All right. So I was talking, I went, um, I got my prostate, uh, exam yesterday. Okay. Um, and what they did, they, um, uh, they took, uh, ultrasounds. Uh, they did blood work. Okay. So you know everything that they got to work, but they did blood work. Um, then they did an

ultrasound on my, like, stomach. What? Um, in bladder before I urinated. What? Um, then they took my urine. Then they did another one afterwards. Yeah. And then it's when it gets, uh, tricky. So, Okay. This sounds like one of those lifestyle exams because you ultrasound, the bladder when it's full because, you know, sound waves will travel through water pretty, and you can see the bladder pretty well. And then what they were looking at, they did it before and after. So you can measure the volume of the bladder when it's full, and then you have them piss, and then you see if there's residual. It's called post-void residual.

And what you're looking for is, you know, did they empty their bladder completely? If not, wow, am I 16? If not, then they will likely guess that the patient has an obstruction, that they're not emptying their bladder completely because their prostate is enlarged. But then they're charging for that. they had to take they put some like gel on my butt

I had to like lean over to my side and then they put some music for this the camera wand no you know what if I if I played the sexy sax music we get we get a copyright strike so I got a

I'm going to come up with my own sexy music and they were trying to take pictures in it but I just wasn't having it I was just I mean I was trying to let it happen I mean I know I needed deep cam, but it just hurt a lot. It was hurt. No. And then they

apparently they have a smaller camera one, which I don't know why they just don't lead up with that. Right. Try to take them pictures with the smaller one. It's still like nothing. The lady's like, you know, we're not even like halfway where we need to be. So.

You have a really power. Yes. He has an unbelievably powerful anal sphincter. Right. He's Ray Tightbox. Right. He's Ray Tightbox. Buck de Vito. God bless him. You know, he's one of those

I mean, he could be one of those guys that goes for a colonoscopy and they have to use a children's. Well, they can, when they knock him out, he'll be fine. He'll be fine, yeah. I think, I think some extra lube. This is, he would have been probably well, he told me that they lubed it up pretty good but he just

couldn't. Can you tighten it up? I mean, like, can you clinch it up? Do you think that's what he was doing? Well, clenchers right now. Do a a kegel. I don't know. Just, yeah, you can clench it out. He has just got a really powerful anal sphincter. Well, you know, is usually you can force your way through it.

I mean, I've done 10,000 prostate exams. I've never had one. I couldn't get my finger in. Well, what they typically say is to kind of, to kind of, to squeeze your rectum and try to kind of pooch out. And then as you're, you know, because you enter. Yeah, push down like you're taking a shit. But don't actually take a shed, please.

Then you kind of enter the canal and as a general rule that things kind of relax a little bit. Yeah. Interesting. Let's finish his calling. People are saying someone about a numbing cream that they should. Well, okay, the numbing cream doesn't work if they can't get it inside. That's just going to be outside. And then if your rectal sphincter is numb, then you're just going to be dropping loads everywhere.

You'll be in common. Give me a numbing cream, which they didn't. I don't know if that's normal. No, no. So what he did is he just did it with his finger. Yeah, he did it with his time. I guess what he comes around. So what they were trying to do, though, was getting ultrasound.

So what I like about this is if Ray doesn't have symptoms, they're jacking up the cost. You know, they're adding procedures. procedures that are really not necessary, in my opinion. So they can't bill him for that ultrasound. So, Ray, if you see that ultrasound on your bill, you've got to say something because they didn't actually do it. They just shoved their finger up there and felled around, which is the old school way. They were trying to take pictures of it.

If you think that there's a tumor there or something, then the ultrasound thing is very helpful. You can see it. Well, so is it, and for most people that are used to doing digital rectal exams, they can fill those. Yeah. Most, who are not all. Yep. But if it's something wrong with my butt.

No, you just know what, if you go to prison and you just drop the soap all day long because nobody's going to be able to do anything to you. That's awesome. What's going on inside there? It's like a super hot. My body will not allow. Abandon a hope all ye who enter here. All that to happen.

that normal? Yes. Well, it's all it made me not, now it makes me paranoid. How come my butt rejects anything? Good. From trying to go up there.

Yeah, it's supposed to. Exit only, buddy. Exit only. Yeah, it's not normal. So, the fact that they could get a finger up there meant that they could just force it. They didn't want to force a probe.

But you can, you have pro preception on your finger. In other words, you can feel your finger and you know, yeah, so you can force your finger in there safely because you know where it's going. But if you try to force a probe in it all of a sudden that gives, you could perforate a bowel or something. So they were trying to be careful.

Yeah, then they got more problems. But anyway, Ray, so what we'll do is Ray had more questions about this. So we will set up our phone call system again. I still have it. It's just that when Microsoft deleted Skype, I'm not sure how I'm supposed to get a hold of the call screening software. anymore. But I'll have that set up and this computer is

toast, baby. It's toast. Trash. Those who are listening to the podcast and weren't in the chat room don't realize what happened but the whole thing just shit the bad. So it's I got to finally get rid of it.

Pre-mium oh premium. Premium says I go for four prostate exams a year because I like the feeling. Well, we used to have people that would show up at the emergency room and we had a

doctor named Dr. Bird and it would say they would always have patient states and I've told this story patient states hit on head by plastic SATA and patient states almost hit by car and sometimes they would say

patient states here for one of Dr. Bird's internal treatment. What the hell he was doing to him? I don't know. but yeah it didn't say that did it really literally literally said that yeah oh my gosh so premium

oh my premium yeah all right it's great if insurance covers it is it me or is the stereo panning off uh oh hang on no I think it's you no it's you I think it's me because I was sitting too far away

yeah we're good yeah it was it was Dr. Scott Scott all right let's see McRibbs Dr. Steve one last question. Will you be appearing at WATP? No.

I will not. I'm retired. But I will do Hackamania. We are working on something for Hackamania. That's going to blow your mind. So as far as live gigs and stuff, I just, I can barely get through this. I'm not spontaneously funny anymore if I ever was. But it's hit her.

on these live gigs, and I don't want to ruin Carl's thing. You know, if I was doing my own thing, like I liked doing Hackomania because I was doing weird medicine. And I was doing it with my delightful co-host

Kaylee, aka Lucy Tidebox. And it was a blast. And we were in New York, or New York in Las Vegas. And I can now say I headlined it in Las Vegas, because I was the last show at the Plaza.

Yeah, yeah, yeah, I headlined in the Plaza Hotel, but, you know, I don't do that anymore. You know, that kind of, it's good for conversation. Stop while you're ahead. I'll do that, but yeah, I will come to the WATP events and stuff and hang out, but I'm not going to perform anymore for anything.

I'm just retired. Okay, Diesel Child says, if I'm in a threesome with two ladies, and we're engaging in ass play, and I'm going from one lady's fart box to the other fart box back and forth, have we completed a fecal transplant? Well, yes, to a certain degree. Yes,

we have done so. So, yeah, that's an easy one. Yes, the answer is yes. Let's see here. Any other questions in the chat room? All right, let me I'm going to do this, and I think this is what screwed us up

before. But we'll see as I'm going to check the super tips, and then we'll get out. out of here. All right. Do it, do it. All right. Anyway, so Lady Diagnosis, anything interesting going on in your life? Nope, nothing. Everybody's digging the tank top, by the way. Oh, thank you. Yeah. Yeah, if you want to stretch your back or anything, feel free. There you go. Excellent. Excellent. Yep, the audio listeners are missing out.

If you want to see what lady diagnosis is up to, then join our Patreon channel. Patreon.com slash weird medicine. And let me see here. So super tip. Gigi. Oh, see, it goes directly to Tuki. No, do mine.

Okay, there we go. Stupid Tookie. All right. Go to the dashboard. and do we have anything I don't think so no we do we do have

Michi Okaku though so that's the kind of thing you can do at Supertip.g. All right you about ready to get out of here? Let's do it. All right. Let's see here. I think we have one more

question oh yeah okay let's we can do this in the time that I want to see can you talk about flash pulmonary edema um can you tell us what it is how do you get it yeah so Dr. Scott you want to talk about flash pulmonary edema flash pulmonary edema you got to look it up pulmonary edema is inflammation around the heart now well Flash pulmonary No, it's okay This is probably one for me Fluid in the lungs

Correct The pulmonary It could be coming from cirrhosis of the liver And the acidity's bleaching into the lung Well, but flash pulmonary edema is a different thing So think of pulmonary edema

As you've got a pump That's overprimed So more blood is coming into the heart Then it can pump out and when that happens, it's going to back up into the lungs. Now, flash pulmonary edema happens when there's a sudden cause of this. And very often it's caused by, no, decreased blood flow going to the tissues of the heart. So these people have congestive heart failure.

And all of a sudden, they have an incident. Either they've gained a lot of fluid or all of a sudden the heart has said, okay, I'm not going to pump as much blood as I previously was because I've had an insult to my own blood flow. And so now all of a sudden the heart is not pumping blood out to the body. But blood is still coming in. It never stops coming in, you know. And it backs up into the lungs and they get flashed pulmonary edema. It's a sudden onset within.

minutes or hours. It worsens rapidly. They get fluid in the alveoli of the lungs because of hydrostatic pressure. And they get shortness of breath, feeling a suffocation, decreased blood flow, I'm sorry, decreased oxygen transmission into the body. And it's almost always a cardiovascular issue stomach from a heart problem. So if that happens, you'll have typical findings in the emergency room including pink frothy sputum and you'll have

x-rays of the lungs that look typical, you know, hazy and you'll have decreased oxygenation which you may also have increase in cardiac enzymes because the heart is now failing.

And they may diagnose you with a myocardial infarction or just coronary ischemia, in which case they'll give you oxygen, they'll give you nitroglycerin to improve blood flow. They'll adjust what we call preload and afterload, which is just taking the tension off the wall of the heart, to allow the heart to meet more efficiently. And probably something in front of fluids.

But to be clear, you would have... Oh, yeah, and give you, you know, LASICs or another loop diuretic that will cause you to lose free water. But to be clear, chest pain, short as a breath. Yes. Go to the hospital. Yep, exactly right. All right.

Okay, doke. Well, we still got two minutes on the outro music, but that's okay. Let me see if we've got anything else that we want to talk about. Oh, premium says the lady's face is blocked. Thankfully, the most important features are visible, though. Oh, that's not true. That's not true at all. Poor lady diagnosis.

Let me see. Let me see what he's talking about. Oh, there you are. There's your face. She has a very delightful smile. And you can't see her hair. Yeah, right. She's got nothing on the ring finger.

She's single boys. But, okay, what are your criteria? You have one minute and 24 seconds. They have to be smart and funny. Okay, but that's not only it, though, because. they have to be tall there you go so they got to be lady diagnosis is quite tall how tall are you i'm only 5-8 what i'm only 5-8 okay well she likes guys that are taller than she is of course i am 5-9 but it doesn't seem to make any difference he's a big 5-9 and i used to be 5-10 which is why

getting old sucks he's just hauled 5-9 all right everybody get out of here yeah thanks uh dr scott Thanks, Lady Diagnosis, thanks to everyone who's made this show happen over the years. Many thanks to our listeners whose voicemail and topic ideas make this job very easy. Go to our website at Dr.steve.com for schedules, podcasts, and other crap. Until next time, check your stupid nuts for lumps, quit smoking, get off your ass and get some exercise. We'll see you in one week, well, 10 days for the next edition of Weird Medicine. And we will have Ray DeVito Live, which will be fun. I will be.

And we'll record and while that's the appropriate time. All right. Thanks, everybody. Thank you, guys. See you. podcast each week host adam rogers is joined by guests including the show's creator cast and crew in this exclusive companion podcast they will explore story elements deep dive into character motivations and offer an episode by episode behind the scenes breakdown of each terrifying chapter in this new

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