Weird Medicine: The Podcast - 645 - Do Newborns Have Kneecaps?

Episode Date: October 21, 2025

Dr Steve and Dr Scott discuss Acetaminophen controversy Herpesvirus as a cancer weapon Hydration and power walking fightthedabbler.com Weird baby fact Why do we extubate after 14 days? Please visit: STUFF.DOCTORSTEVE.COM (for dabblegames at cost and more!) ⁠⁠⁠⁠⁠⁠⁠⁠⁠simplyherbals.net/cbd-sinus-rinse⁠⁠⁠⁠⁠⁠⁠⁠⁠ (the best he's ever made. Seriously.) ⁠⁠⁠⁠⁠⁠⁠⁠⁠instagram.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠x.com/weirdmedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠fightthedabbler.com (help Karl and Shuli win their LOLsuit) ⁠⁠⁠⁠⁠⁠⁠⁠⁠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!" get it here: ⁠⁠⁠⁠ dabblegames.myshopify.com⁠⁠⁠⁠⁠⁠⁠⁠ (a most-fun party game!) DABBLEDICE: Second Edition available NOW! Only $3.50 plus shipping! each shipment comes with some awful tchotchke! we're getting out of the dabbleverse business so everything is sold at COST 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

We bet you didn't know. Our new quieter trains are great for listening to that self-help podcast you lied about actually listening to. Get on board. Via Rail, love the way. We bet you didn't know. Our new train's panoramic windows are ideal for contemplating whether texting them back so soon was the best decision. Get on board. Via Rail, love the way.

We bet you didn't know. Our new quieter trains are great for listening to that self-help podcast you lied about actually listening to. Get on board. Via Rail, love the way. And though you will try to always get it right, the beauty of life lives inside of you. And I hope someday you find it too. You've heard all the ads and seen the shops for CBD and maybe you've wondered, what's the hype?

Cannabidiol is known for its ability to provide non-habit-forming relaxation, and now you can have it in a convenient nasal spray. You can take it anywhere. Just go to simplyerbils.net. That's simplyerbils.net. And check out Dr. Scott's buffered saline, CBD, nays. nasal spray. Just a couple of toots. You'll see why he's America's top CBD nasal spray. While you're there, check out his line of supplements from fatigue reprieve to stress less.

Dr. Scott has it all. That's simplyerbils.net. Simplyerbils.net. Steve, host of weird medicine on Sirius XM103 and made popular by two really comedy shows, Opie and Anthony and Ron and Bez, you would have thought that this guy was a bit of, you know, a clown. Why can't you

give me the respect that I'm entitled to? I've got diphtheria crushing my esophagus. I've got Tobolivis stripping from my nose. I've got the leprosy of the heartbound, exacerbating my imbatable 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 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 aging Dr. Steve.

Yo, de, yo. Take a careful. Yo-ho, ho-de-ho. Do the learn of brain. Yo-de-yo. I need some such a-in. it's wow what an intro it's weird medicine the first and still only uncensored medical show in the history of broadcast radio now a podcast i'm dr steve with my little pal

dr scott the traditional chinese medicine provider gives me street cred the whack alternative medicine assholes hello dr scott hey dr steve and uh yeah that's all we got today just you and me It's old school. Before we go any further, we are not your medical providers. Take anything you hear with a grain of salt. Don't act on anything you hear on this show without talking over with your health care provider. If you want to send in a question, send it to, what is that, 347 poo head? 347 poo head.

And you can leave us a question. Of course, I'm temporizing because I forgot to bring. up the script, and I forgot to bring up a 347 poo head, so you're doing this all from memory. That's pretty impressive. Well, after 20-some years of reading the same bullshit. Do you think somewhere in that

Ryan would be a... Well, we do have your phone calls. Don't forget to check out Dr. Scott's website at simplyherbils.net. That's simplyerbils.net. Do you still have the CBD nasal spray since we just didn't add? for it. Oh, yeah. Absolutely, yeah. All right. All right, my friend. Well, I've got a couple of news stories. And, you know, since we recorded last, this business with the RFK thing happened, and talking about Tylenol. So I thought what we could do is maybe talk about the RFK announcement.

What did he say? And, you know, what is the controversy about it? Because the controversy is wild. You know, basically, I'm going to just read the last part of his statement. It said the FDA also recognized acedomenephine, and we're talking about Tylenol, is often the only tool for fevers and pain in pregnancy, as other alternatives have well-documented adverse effects. And then he's talking about ibuprofen and things like that, that if you take it too close to pregnancy, you can mess the kid's heart up.

It says health and human services wants, therefore, to encourage clinicians to exercise their best judgment and the use of acetaminopin for fevers and pain in pregnancy, and by prescribing the lowest effective dose for the shortest necessary duration and only when treatment is required. That sounds, I mean, what is unreasonable about that? We always try to give the lowest For the shortest period of time If you look at the label on the Tylenol bottle, it says

You know, if I Well, we'd have to pull it up exactly what the wording is But they don't recommend that pregnant women take this stuff When Tacey was pregnant And every other person that I know You know, they don't drink, they don't take any medication that they don't have to take, that's just part of pregnancy. And they're just, I mean, I don't see what's unreasonable about that.

So I distilled some of this down. And there are data pro and con. Okay. So there was a link between prenatal acinamenopin exposure and neurodevelopmental risks in several studies. There were meta-analyses of large, cohort studies. And I remember a meta-analysis is when you take a bunch of studies and put them all together and crunch the data. And there was one meta-analysis of 73,881 mother-child pairs.

And it indicated that children that were exposed to acetaminopin prenatally were 19% more likely to exhibit borderline or clinical autism spectrum condition symptoms. at 21% more likely to exhibit ADHD symptoms. Now, a different meta-analysis reported a pooled risk ratio of 1.34, which made 34% increase for ADHD and a 19% increase for autism spectrum disorder. So several studies noted a dose response pattern, and that one of those was a cord plasmusiness. where they took the umbilical cord and extracted fluid from it, you know, blood, and looked at it for acetaminophen, you know, if it contained acetaminophen, because it would have been recent, recent exposure by the mom, and they found significantly increased risks of childhood ADHD and ASD in a dose response fashion. In other words, the higher the amount in the cord blood, the more likely it was that they would find.

This one, to me, was the strongest. Okay. You know, they were biologically plausible, linked possibly to acetaminophen influencing oxidative stress or the endocannabinoid system. You know, that's involved in pain and stress and stuff. And, you know, endocrine disruption pathways vital for fetal brain development. Now, there is data against this. So we're going to be fair, and we've got to look at everything because I'm not pushing one thing or the other. Right.

When I think my conclusion at the end of this is going to be very reasonable, that it's going to be difficult to argue with because it'll be wishy-washy. I mean, let's don't pick a side. I know. Well, there's no side. There should be a side. The only side is the side of the mother and the child. Right. the side we should be on.

And being reasonable. Yes. Now, it says the main argument against a causal link lies in the issue of confounding familial factors. Association seen in conventional studies may be misleading because mothers who use Tylenol during pregnancy often have underlying health conditions like pain or migraine or genetic predispositions like for ADHD that are themselves risk factors for neurodevelopmental disorder.

So what they got to do is they got to, they need to correct for that to have a true cohort because maybe women that took more acetaminophen had genetic predispositions that would have, if they did not take in the Tylenol, the kids would have had ASD or ADHD anyway. They did this sibling control analysis where they compared exposed and unexposed. children within the same family to control for shared genetics and socioeconomic factors. This is a good idea. And so they found kids in the same household that weren't exposed to Tylenol. I'm sure they had to really search for this because if you're a mother that's taking Tylenol during pregnancy, you probably took it during pregnancy for all of your kids. So they had to search for people where one kid.

He was not exposed and one was. And they found that the observed associations disappeared entirely. So there was a Swedish cohort study of 2.5 million children found no evidence that a seed of metafin use increased risk of autism. Actually, the ratio was 0.98. So it would be 0.02% probably not statistically significant protection almost in sibling comparisons. Furthermore, established medical bodies recognize acetymedic. Acetaminophen is the safest first-line analgesic in pregnancy, noting that untreated high fever poses its own risks. So no one's saying

don't take it. And this large cohort study, I don't know what their bias was. That's the thing, were they biased towards just saying, no, we don't agree. And that's not how science works. You don't go. Tylenol is bad. Therefore, let's look for data that proves that Tylenol is bad. Unless there's funding to help to encourage the findings. Yeah. You know, the pharmaceutical industry does have a bias that they want their, it's anti-scientific

in the sense that they come up with a drug and they do science to get there but then they are biased that they want to get this thing approved. Yes, absolutely. So there is that. There's a hundred million dollars

worth of wanting 100 million. At least. You're talking yeah, right, at least. That's for the simplest drug. Yeah, yeah. So anyway So, yeah, my conclusion, based on the most robust contemporary evidence, and this is by God, this is on our website, if you go to Dr. Steve.com, look for the most recent posts if you want to pick some of this stuff up. The statistical association between prenatalicinaminase and metapineuse and neurodevelopmental disorders is likely. attributable to unmeasured familial confounding rather than a direct causal effect.

Nonetheless, because of the persistent concern, current recommendations remain focused on prudent use. Pregnant individuals should use acetaminophen only when medically necessary and at the lowest effective dose and for the shortest duration possible, which is what the manufacturer says and which is what RFK also says. But they show, you know, the soundbites. You have to look at the whole thing. I've got the whole transcript. If you want to read the whole transcript, it's on our website. Gotcha.

Okay. Dr.steve.com. There you go. So we're dipping into controversy. It's not controversial to take the lowest amount of medication possible for the least amount of time. We do that with all medications. With every single one of them, that's right. Yeah.

We don't just clock people. Take the most you can. Right. Of anything. Yes, take all of it. Take the whole bottle while you're at. Right, right, right. That's not how this works.

And if there is any association whatsoever, and I'm not saying that there is, because the familial study is pretty, you know, it's a pretty good study. But those other meta-analyses are as well. But if there's any concern whatsoever, why wouldn't she take the least amount for the least amount of time? Right. And it's got all of these things. things, all of these things are, to me, it's like having a big cake. It's got under different pieces in it. Yes.

You know, you can't. You want to eat the whole thing. Yeah, just, just one bite at a time. There you go. Then let's not go too crazy. All right. And there are medications that are absolutely contradicated in pregnancy. Like, you know, it's the most extreme being something like thalidomide.

You would tell women do not take this medication. Or meth, you know. Math. Meth. Math. Heroin, maybe. It's mess scabs, but I like. They're crunchy.

Yeah, but there are a lot of drugs that you should take. Yes, of course. You know, and you said it one million times in here, you know, moderation. Everything in moderation, including moderation. Right. Literally. I want to remind everyone to go to stuff. Dot, Dr. Steve.com and pick up a copy of dabble dice.

I'm retiring from the Dabbleverse altogether. And so all of our Dabbleverse related products, games, wet rain, dabbled dice are all on sale for cost. What you're getting it for is what I paid for it because I got to get out of this. I was going to say, that's brand new because I tripped over 17 boxes of it coming up. Yes. So I got to get rid of it. You're going to get rid of that. Yes, please.

But they were selling fine, and, you know, I had a decent profit margin on it. I'd sell them for $10,000, so they cost me $3.50 or something like that, you know, and you include shipping from China. They're right on. And that's what I'm selling them for. It's $3.50. And then the wet brain, those were expensive. I used to sell them for $25 or $30 so I could make $5 or something.

So I'm selling them for $20. And once they're gone, they'll be gone. Wet rain, I've only got a few left. Dabble Dice, I got plenty of those. So if you want to give them out. Get them now, baby. For your... Christmas, Christmas.

You can buy ten of them. It's the perfect Christmas gift. I've never seen a better. It is a fun, it's a fun party game. It's a fun party game. All right. I want to do, you know, Dr. Scott, herpes is bad, right? Oh, yeah.

Well, the herpes virus. itself can be used in cancer treatment. And I'm putting up on the screen, but for people who are not watching this video, a mechanism of inducing antitumor immunity, it's pretty cool. So they have these genetically modified herpes viruses, and they selectively infect and replicate in tumor cells. And then the infected tumor cells undergo cell lysis. In other words, they break apart, and they have immunogenic cell death, and that involves

alterations in the composition of the cell surface, and they express different proteins like cal reticulin, and there's release of damaged associated models and ATP and other things like that. And then these changes recruit and interact with receptors. expressed on cells that recruit them to the tumor site to, you know, white blood cells and stuff, to process and present tumor antigens to other cells, which then go, hey, what the hell? These things aren't supposed to be here.

So the virus starts this cascade that causes the white blood cells to now be able to recognize the tumor, and then they just go in and kill the whole thing. So this, you know, genetically modified herpes virus, little, I mean, I've seen I am legend. It's a little bit scary. But the ability of these things to infect tumor cells and not cause herpes is pretty incredible. Pretty awful. So, you know, it just goes to show you can learn something from anything and you can use. and you can use almost anything as a tool if it's used correctly.

Heroin was developed as a pain medication for cancer. It just got out of hand. It's got a lot of other things. Right. And so we're not using it anymore for pain. But we could. Well, cocaine. Cocaine.

Yeah. Yeah. No, cocaine's a hell of a drug. That's a hell of a drug. And we use it in ear, nose, and throat to dilate nasal passages when you're sticking and numb them up. So while you're sticking a fiber optic tube down your throat, you know, through your nose. It's crazy. I've told that story multiple times.

Oh, it's crazy. We did that in medical school and didn't realize that the blue solution on these cotton pledges that we were saturating them with was cocaine. And you kept wanting to do your nose more and more and more. Yes, no, well, we did. It was like, if it were you and me, you were my lab partner, I would take the blue solution, soak the cotton pledge it, put it in with these long forceps on both sides. Okay. Oh, no, that's not right. I would just do one side because I was just going to stick the thing, the fiber optic scope down one side to look at your vocal cords.

Gotcha. And then we'd let sit there for a few minutes while you're absorbing cocaine into your system. Then I would pull it out, do the procedure, and then you would do it on me. And then I would do it again on you. Okay. And then you would do it again on me. You see where this is going? I do, I do, I do.

I'm out there, my sorry. So we did it like five or six times. And by the end of it, we were high as a kite on cocaine, pharmaceutical cocaine, and didn't know it. Yeah. And I remember going down to do afternoon rounds. And it was like, why is round so much fun today? How crazy is that? It was nuts.

Now they use phenylaphrin more than they do, the methyl echogonine or whatever it is, you know, the chemical name for cocaine. What is it? I don't know. It's methyl ecogonine or something like that. Chemical name for cocaine. Let's see. Oh, well, methyl 1R, 2, R3, S, 5, S3, benz oil, 8, methyl. a zabocyclo-octane carboxylate.

Well, that's not what I want. Anyway. That's what they call it cocaine. Yeah, yeah, yeah. Hence the name. Yes, hence the name. Well, anyway, all right. I can't find it.

It's a old drug. It is. And, you know, to the point where we did it that one time, and one of my lab partners was conspiring to steal it, from the E&T lab. And I'm like, dude,

you did this one time and you're willing to do something that may end up with you losing your... Everything. Yeah, losing your career. One time. And he was willing to risk

losing his career. And that's something. Fortunately, he didn't do it. Thank goodness, yes. All right. It's Trixine Katty. You're from The Bald and the Beautiful and we have to talk to you,

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You know, I'm trying to, I want to produce more video content. And I just, I'm paralyzed right now. You know, my son is paralyzed. He graduated first in his class. And he just can't get started taking the next step in his life because his brain, he exploded at the very end. And because that last class, he wasn't sure if he was going to get an A and it would have screwed up his 4.0 GPA. Right. And now he's just like I, you know...

Kind of stuck. Yeah, he's stuck. But he'll be okay. Once he gets going and takes that first step, you know, I told him the journey of a thousand miles begins with the first step. And it's just a cliche, but it's true. And I got to help him get there. But I am similarly paralyzed because I'm just having a hard time getting up here and doing the work I need to do. How long have I been talking about swapping this computer out?

You don't want me to, you don't want to remind you. I know, it's been like a year. But, you know, here's the thing about the date on this box. It's sitting right here, go in. Here's the thing about the, which is the beauty and what your son's going through right now. And what he's going to do in the future, this is actually going to help him, you know. November 11, 2020. So you didn't want me to tell you it's been a year, but it's been a year.

But the truth is what he's going through right now is going to help him when he becomes. a sports psychologist because he's going to be able to say, look, guys, I was right where you are. I was stuck. Here's the process that got me stuck. You know, it was my crazy, you know, life or my crazy expectations or whatever. And this is what you're going through. And here's how I got through it. And here's why you can't make a free throw to save your life.

Well, you know, and you'll remember, but, you know, where we live, there was a guy named Del Murphy came through with Atlanta Braves a hundred years ago. He's in the hall of him And he was an outstanding catcher And then he got to work And throw the ball of second base Yeah So they moved him to the outfield You know Steve Sacks

He was a second baseman for the Dodgers He got to where when he could catch a ball The second base He'd throw it up into the stands What? He would throw it in this He couldn't throw it to the first baseman And he had to work through these things

Wow I was trying to think of who the pitcher was for the Cubs literally could not throw for like three years he could not throw the ball from pitchers mound the pitcher's rubber to first base really couldn't talk he'd have to come set and those guys

would run on him all day long and he'd step off and step off and they did a bunch of things to help him but he could not in his brain make himself to take that step it's crazy it is interesting it's all a mental these things are very mental game oriented when we were coaching

archers The guy that coached me, his name was, I don't know, anyway, he was 10-time national indoor champion, so you can look him up. But we would use this release called a Stanislavski release. And basically, when you're in position, you would rotate this thing back toward your ear. and at some point, and at a random point, it will release. And the reason it's random is because you don't want to anticipate it. You just want to concentrate on, you know, rotating that thing backward. Now, we would have people that couldn't shoot.

All of a sudden, they couldn't shoot. They couldn't shoot. And they were all over the place. They used to be able to hit the X in the center of the target every time. And now they're just shooting, you know, fours and threes and all this. stuff. And so what my coach would do is, excuse me, he had a Stanislavski that only clicked. It didn't release. Right. So you would take this little string and you would hook it on to this hook. And then you would pull it back. And when you rotated it, it would click, but the arrow wouldn't fly. He wouldn't tell people that's what was. He'd say, here, use this release. And so they would get up there.

and they would draw back and rotate this thing. And when it clicked, they go, like that. And the bow would go up in the air, and they would be way off the target, and that was what it was. So he would get them to sit there and work with this thing and click

so it's to the point where they didn't move anymore after this thing clicked, and then he would put the regular Stanislavski back on. And it could take weeks for some people. And then they would, hit the target again it was really cool the other thing that we would do

is put people like one foot in front of the target so they wouldn't be afraid that they would miss and then you can work them back and back and back until they were back in it again and it was all mental stuff

wow I've never heard of that yeah it's fascinating fascinating but anyway all right well you want to take a couple phone calls yes absolutely all right

Let me see here. Oh, Stacey, I'm not doing that one. All right. Hi, Dr. Steve, this is still from Tampa. I hope you and the band are doing well. All right, thanks. Because I have a question about exercising and hydration. Okay.

Every morning, probably like five or six days a week, I walk my neighborhood. And it's, you know, maybe two, just over two miles. It's a big circle. But while I'm on that circle, I usually bring two water bottles to make sure that I'm hydrating, you're just normal, you know, spot to get from the store. But often on those mornings, I see people jogging and sweating a lot. And they are carrying no fluids, no water, gator, and nothing. And every time I see that, I think, like, this is crazy, right?

Like, they don't have, they look like they could use, like I just kind of power walk. Like, if I could probably go the time without the thing. but I know that they're doing like multiple miles. And I'm just curious, like, am I wrong? Are they doing something better? Should I not drink as much water on my walks in the morning? I don't think he is wrong. What do you think?

No, I don't think so at all. You know, what exercise physiologists recommend is 16 to 20 ounces of water, you know, two to three hours before exercise. If you just get up, you can't, it's hard to do that. Yep. But if you're in hotter human conditions, you know, they recommend it, you know, something with electrolytes in it. Now, during exercise, and you'll see these marathon runners, look, who are the most elite runners in the world? They're the marathon runners, right? Yep.

They're drinking at those stations. Every chance to give you. You know, they recommend 7 to 10 ounces of water every 10 to 20 minutes. And if you're exercising for more than an hour, they recommend. recommend, you know, something with electrolytes in it. It could be Gatorade. There are other sports drinks that may be even better. And then after you have to, you know, do the repair.

Now, I read an article once that was really surprising and said that after you run, instead of muscle milk and stuff like that, that chocolate milk is just as good as anything, which, you know, I don't have any data on that. But sports drinks are electrolyte-rich beverages after exercise. And then there are some supplements that you can do as well. Some people recommend arginine to, you know, increase nitric oxide and increase the pumps, you know, to do that before exercise. And when Liam was doing long-distance running, I did a lot of research on this stuff.

But anyway, you're the sports guy. So what do you think? That's just my scientific sort of protocol. I think he's power walking. He's power, but he's seeing people running that they're probably hydrating in a different way. Or they have some stuck in their pants, maybe, you know, somewhere. Stuck in their pants. Or their shirt or something.

But, you know, there's a, there's, you have to hydrate. Right. I mean, and that's, if you're an elite athlete and you're, and you've got your body trained to where it only needs a certain amount of fluids, I mean, there's, there's a really good chance they're preloading with those with those electrolytes. Yeah, you can change your body. The Sherpas are a great example of that. You know, they can do things that we can't do because they're acclimated to.

And I would say, don't do what they're doing, do what you need to do, which is. Right. Yeah. Power walk and use your hydration, use your water. What I'm going to say, dude, is how about this? Mind your own business. I'm kidding. But don't worry about what they're doing.

You're doing the right thing. After you hydrate or after you exercise, it's also really important while you're hydrating to stretch after you run. Yes. Because that way the muscles in the fascia are warmed up already. It makes a little bit easier to stretch them and get a good flushing of some of the waste tissues that are produced while you're exercising. Yeah. So hydrate for sure. Yeah.

Yeah. I don't think you can, I mean, unless you have congestive. Heart failure, it would be difficult to overhydrate. Well, you can make yourself sick. Well, the only overhydration would have, you know, you will see it sometimes. You can see people a vomican. Well, if they have hypokulemia, so if they drink way too. Low potassium.

If they drink way too much water, like if they're out in a desert or something, they drink too much water, they can get, they can override technically. But that's hard. Hypoenetremium. Hypoenetremium. It's a low sodium. Yeah, yeah. Hypoenetremic. I'm sorry.

I said clean. I'm under Jimmy, yeah. That's the only thing, but it's really hard to do, just to drink that much water. All right. Let's try this one. Yes. Good morning, Dr. Steve.

Good morning. This is Daniel. Hey, Daniel. And it is Monday the 29th. Oh, well, September. Okay. I was concerned about trying to assist with the new fund. I just watched on the podcast.

Oh, gosh. Assuming this is the. proper Dr. Steve that I'm reaching. I understand there's a way to assist. Yeah. Okay. We're doing these blind. So he's calling about

the GoFundMe for Carl and for WATP and TSN to help them with legal fees. They're being sued in a civil case. So it's not a criminal case.

It's a civil case. and the fees are insane. And so far, people have donated like $30,000. So, you know, this was coordinated, obviously, with everyone involved. I couldn't have done it otherwise. And particularly with the defendant's attorney, who is the beneficiary. So any money that goes in goes directly to the attorney. attorney. I don't touch it. TSN, WATP, don't touch it. But if you want to learn more about it and check it out, go to fight the dabbler.com. Fight the dabbler.com. All right. Let's see. Hello. I have a stupid question. It's not stupid. Do babies have kneecaps? If you say no, my mind is blown.

Why would I say no? They don't have fully developed kneecaps at birth. They have this thing called a Pateller cartilage plate, and it's soft and flexible, and it's a placeholder for future kneecap. Because kneecap is kind of what we would call a sesamoid bone. You know, it forms in, you know, soft tissue. What's a lot like the skull is it? Yeah, right. After you pass through the birth canal, it starts to fuse.

When the baby grows, that plate turns into bone, and that takes place between the ages of two and six. So if that blows your mind, there you go. There you go. Have it. Mind bloom. All right. Let's see. Okay.

Let's see this one. We're doing these blind today because I didn't have time to review them. Hello, Dr. And if you want to leave a question, it's 3, 47, 766. 64323 or 347 poo head. I might have asked you just a question before. If I did, I'm sorry. No, don't apologize.

It's okay. When someone is extubated or rather intubated, I'm sorry. Okay. Why do they? Okay, so intubated, he's talking about if you have respiratory failure and they need to take a tube and put it down into your trachea so they can breathe for you. They hook you up to a mechanical ventilator that

puts air in and then allows you to exhale, you know, against a little bit of pressure. Keep your airway open. You have to be extabated within like, I don't know, I've heard 10 to 13 or 15 days. Otherwise, you have to have a trache. Yep, that's a great question.

What's going on there? What causes that? Why does that have to be? I love this question because it's one that a lot of people have questions about and it's also a nice, good, basic science question. So what he's asking is, when they intubate you, if you have respiratory failure, let's say you have the covert, like my mother-in-law calls it, and you can't breathe,

and they take the tube and put it down into your throat and down into your airway to breathe for you. Well, if that tube doesn't, you know, if there's any slack around, it, if they just push to air in, it's just going to turn around and come right back out, you know, against the side of the tube. Right. Right? Because it's like a it needs to be snug-ish. Yeah, it's got

to be snug. It has to make contact. So there's a balloon on the end of it. So when you shove that tube in, the last thing you do is that you inflate this balloon and there's a and it makes contact with the trachea all the way around circumferentially so that when you put

when you put air in there, under pressure, it goes into the lungs where it's supposed to and doesn't escape. Right, and it didn't come right back out to the mouth. Correct. Now, because you're putting pressure against the trachea, you are putting pressure on the mucous membrane of the trachean. And when you do that, you're pushing blood supply away from it. And it turns out that around 14 days, is the limit because the lack of blood supply of the trachea will eventually cause that mucous membrane to die, and then you get a hole in your trachea, and you're way worse off.

You get a tracheo-asophageal fistula or whatever, you know. And it's not good. So they'll say 14 days, it's got to be pulled out. If you still need mechanical support, then they will use. and they'll put a hole in your, you know, in the cartilage in the front of your neck and put a tube in there. And that you can have forever. Wow. Good question. Good question. That is an excellent question. Thank you, my friend. All right. Well, I don't have the script up,

so we can do without it. Anyway, listen, I appreciate everyone's support, and thank you for listening to Weird Medicine over the years, and we're going to be doing some new and different things. I promise eventually I will redo this studio so that we can do kind of a more peppy, more organized show. And I'll be, I won't be quite so slow on the uptake on everything. But anyway, I'm trying to juggle a lot of things, and it's my 70-year-old brain. It's hard to do these days. But anyway, don't forget Dr. Scott's website at simplyerbils.net. simply herbals.net for the best CBD nasal spray in the universe.

And check out stuff.com for wetbrain and the rowdy robotic tuner that's still there. The holiday season is coming. The roady robotic tuner is the great gift for anyone who plays guitar, bass, or any other stringed instrument, except maybe orchestral instruments. I don't think it'll tune a violin, but standard stringed instrument. instruments yes all right all right my friend anything from you no sir all right thanks for coming today and uh 7 3 as we say in ham radio and until next time check your stupid notes quit smoking get off your asses get some exercise we'll see you in one week

for the next edition of weird medicine thanks everybody Thank you.