Weird Medicine: The Podcast - 646 - Q-Collar Explained and Farewell Normal World

Episode Date: November 17, 2025

Dr Steve and Dr Scott Discuss: The demise of Normal World with Dave Landau Q-Collar science HANS device Inspire implantable device for Sleep Apnea HCG for low testosterone Please vis...it: ⁠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!) 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

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Starting point is 00:01:19 You see? You see? You see? You're stupid minds. Stupid. 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,
Starting point is 00:01:33 Opie and Anthony and Ron and Fez, you would have thought that this guy was a bit of, you know, a clown. Why can't you give me the respect that I'm entitled to? I've got diphtheria crushing my esophagus. I've got Zabalibov stripping from my nose. I've got the leprosy of the heartbound, exacerbating my infertable woes. I want to take my brain out
Starting point is 00:01:57 and blasted with the wave, an ultrasonic, agographic, In a pulsating shave, I want a magic pill All my ailments, the health equivalent to 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 a requiem for my disease. So I'm aging Dr. Steve.
Starting point is 00:02:17 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 in the history of broadcast radio. a podcast. I'm Dr. Steve with my little pal, Dr. Scott. Traditional Chinese medicine provider gives me streetcred the whack-all alternative medicine
Starting point is 00:02:37 assholes. Hello, Dr. Scott. Hey, 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 to your regular medical provider. Or if you can't find an answer anywhere else, give us a call. 347. 766-4-3-23. That's 347.
Starting point is 00:02:53 Pooh-head. It's also a dip poo-head, but it doesn't really make much sense. Follow us on Twitter. at Weird Medicine or at DR Scott WM and visit our website at Dr. Steve.com for podcasts, medical news, and stuff you can buy. Most importantly, we are not your medical
Starting point is 00:03:09 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. So Dr. Scott, we still have tons of dabble dice. No way. Yep. You still have some of those?
Starting point is 00:03:24 We sold one box. We're selling them at cost. I'm not making any money off. I don't want to make any money off. this stuff. But, yeah, it's the game of beer, dysquilibrium and livers. And it's a fictional game. Any resemblance to
Starting point is 00:03:39 people living or dead is completely accidental. Collect beers sent by your fans, but watch out, you're unsteady on your feet, and drinking is bad for your liver. It's a fun party game. And they're $3.50 each, because that's my
Starting point is 00:03:56 cost, and you can get them at stuff.com. Great stocking stuff for the kids. And that's right. Yes, yes, it's, yeah, you can't beat it. So check out rody. Dottersteve.com for the Rodey robotic tuner. And very soon, N.P. Melby will be coming in with her triumphant appearance on the guitar
Starting point is 00:04:19 after having learned guitar from scratch with the Rody coach. So finally, I mean, we gave one to Carissa and then she left. And we gave one to somebody else, and they, I don't remember. who it even was now, and they never showed up. Mel B., you gave one to, oh, maybe it was M. Oh, no, you're right. It was M.B., and she couldn't do it. Well, she got sick.
Starting point is 00:04:40 I mean, they took her thyroid out, and then, well, she had an M.I and all kinds of crazy stuff. She did, she had a couple good. Yeah, she's a mess. So who's going to have? It's Diane, right? Okay, yeah, you said MLB. Yeah, yeah, I did say MLB, but it's actually, it's lady diagnoses. Right on, yeah, because you gave it to her a month or just a month or so ago.
Starting point is 00:04:59 Yeah. Maybe too much. Well, it's been six weeks since we recorded last. Oh, shit. So, yeah, we've been very naughty. Unbelievable. Now, look at this. This is coming in on...
Starting point is 00:05:12 Okay, that's Tacey's phone coming in on my computer. Oh, geez. Yeah, it's been six weeks. Lots have been going on, and some I can talk about, some I can't. One thing I do want to talk about is normal world is no more. So all the, and it was really sad. Long story, what happened there, but just suffice it to say they got canceled. Dave is still trying to figure out what he's going to do.
Starting point is 00:05:42 I will follow that man to the ends of the earth. And he's in Skankfest right now. And Amanda Davidson, who's in our chat room at YouTube.com slash at Weird Medicine. and she's in the waiting room. She's one of the queens of the fluid family is at Skangfest right now. And she said he killed, which he always does. So where is Skinkfest? I don't know, Denver or so I don't know where they're doing it this year.
Starting point is 00:06:10 You can Google it, I guess. It won't help anybody now because they'll be seeing this after the fact. Yeah, that's true. Anyway, Skankfest is Lewis. Oh, my God, I'm having a senior moment, Gomez, Lewis Gomez's thing. And they have, you know, Legion of Skanks. It's a very popular podcast, and they've turned it into a, you know, a whole thing. They make their living doing this stuff.
Starting point is 00:06:37 Oh, wow. It's pretty cool. Cool. A bunch of stand-ups. And they put on this festival. It's like their version of Hackamania, but Skank Fest is much bigger than Hackamania. All right. Cool.
Starting point is 00:06:50 So that's very sad about. a normal world, but I never felt that they quite got the support that they deserved. You know, a show that's that polished and that excellent with Dave Landau and people like Derek Richards and Matt McClary. And it was, you know, done in a studio with professional equipment and professional people doing it. and they would get 35,000 views on YouTube, it doesn't make sense. I'm quite sure they were shadow banned by YouTube because of their, you know, their libertarian views. They're not really, I wouldn't say they're right wing. They're libertarian or whatever they are, but they're not mainstream, you know, YouTube views.
Starting point is 00:07:46 So I think they got shadow banned. That's the only explanation I could see when you have channels that are, infinitely less polished and less objectively and subjectively good, getting, you know, hundreds of thousands of views. It didn't make sense. And so anyway, I will miss it, though, you know, getting to be the psychiatrist interviewing all the movie serial killers like Carrie and Pinhead. Pinhead just made one one pun after another. I got to do a spit take. I think you played that for us one day.
Starting point is 00:08:25 It was pretty good. Yeah, I said, what do you think is, and I had a weird medicine cup. This was my idea. They just gave me the script. But I was talking to Pinhead, and I said, what do you think about a woman replacing you in the movies? And he said, oh, I don't mind it. I nailed her. And I did a spit take.
Starting point is 00:08:48 That was a pretty good bit I got a good. Yeah, it was pretty good. So, all right, be watching for questions in the chat room, aka the waiting room coming from the people in the waiting room, aka the fluid family. If you want to join the fluid family, just go to YouTube.com slash at Weird Medicine and click the notification button and subscribe button. and also click the join button. You don't have to join. It's 99 cents. Every once in a while I put member material out there that they get to see first.
Starting point is 00:09:27 But click accept gifted subscriptions, and every once in a while, Myrtle or a couple other people, I think McRibbs has done it before, will gift a bunch of subscriptions. You might get a free one. You get some member benefits. So, okay, no, main thing is you get a very cool emoji that you can use in the chat room, supposedly. I don't know. Anyway, all right. All right, Dr. Scott, you got anything? Nope.
Starting point is 00:10:00 Why do I ask? All right. Here we go. Uh-oh. Uh-oh. Uh-oh. Of course. Here we go.
Starting point is 00:10:10 Here we go with this bullshit. Number two. Number two. Hey, Dr. Steve. It's Matt and Charleston. Hey, man. And Christy and my name and Papa. And we're watching football.
Starting point is 00:10:18 And the topic of cue callers came up. Okay. The cue caller is supposed to reduce concussions. And I'm wondering what you think about the cue caller. Is it effective? What's it doing? And what else do you know about it? Yep.
Starting point is 00:10:32 All right. Thanks. See you. Do you have any opinions about this cue caller business? I have some, I have some information about it. but you're the sports guy. I would love to see the science behind it. Okay, well, I have some of the science.
Starting point is 00:10:50 Let's hear the science, and then I'll give you my thoughts. So for people that don't know what a cue caller is, it basically is the reason that people, and I'm going to read this study where they did on high school students, because it's terrifying. Oh, boy, here we're good. Let me see. I'm on called. Oh, I'm going to get this. Oh, no. Oh, here we go.
Starting point is 00:11:16 Big Joe, you're on weird medicine. Oh, I am. Yep. Say hi to all your fans. Well, hi-dy. Howdy-do? Can I call you later? Yes.
Starting point is 00:11:31 Do you have a medical question for us? No. Thank you, Lord. Well, you're a good, all right. Thanks. I'll talk to you later. Okay, bye. it's not a medical question that is a faith-based question my friend all right um so uh what they've found
Starting point is 00:11:55 is that when kids get hammered or adults too the helmet really doesn't help keeping their brain from getting sloshed around right that's where the injuries come from so these these uh cue collars apply pressure to the jugular vein, the jugular vein, returning blood from the brain, right, to the heart. So if it's returning it and you put pressure to it, you're going to get pressure backed up into the brain. It increases the pressure around the brain, and it supposedly prevents it from getting knocked around as much. From shaking as much inside. Correct. It just prevents sloshing because there's more fluid volume in the brain or in the brain cavity.
Starting point is 00:12:38 Well, that makes sense. Yeah. So there is some data on these cute collars that shows that they can reduce microstructural changes, and then I'm going to read an article about it. Studies have not proven they prevent concussion. They don't do that, or serious injury. Now, there was one study found that 77% of athletes who wore the collar showed no significant brain changes, while 73% of those who didn't show changes.
Starting point is 00:13:07 So it's a 4% improvement, you know, in absolute reduction. Now, the FDA authorized them but did not approve them, if that makes sense. They said, yeah, you can use them, but we're not approving them. And they said that the device obviously should not replace other protective gear and that its effectiveness in preventing concussion is not proven. So what it appears to do more than anything, FDA, let me see, I just said that. Some experts and media experts have raised concerns about the Q-Colars data,
Starting point is 00:13:51 citing potential flaws in studies and an overstatement of the benefits and marketing materials, which could lead to a false sense of security. So if you go to their website, they will, you know, You know, they're saying, oh, we've got 30 different studies and all this kind of stuff. So, but if you have 30 different studies, one of the things that you can do is do a meta-analysis. So that's been done. And that, but that's not the study I want to talk about. The meta-analysis will talk about in just a second.
Starting point is 00:14:24 But this is a study they did in high school students. That's why I want to read this, because this, to me, is horrifying. They said that, you know, cumulative effects of repetitive subclinical head impacts, in other words, non-concussion head impacts, may result in chronic white matter changes and possibly neurodegenerative sequela, meaning down the road you may have degeneration of nerves in your brain later, you know, that may have later. In this pilot study, we investigated the longitudinal white matter changes over the course of two consecutive. high school football seasons and explored the long-term effects of jugular vein compression collar. Now we know why they were looking at that. So they assigned them into collar and non-collar groups. And it said, let me see, despite comparable exposure to repetitive head impacts,
Starting point is 00:15:24 in other words, both groups had about the same head impacts, significant reductions in mean axial and radio diffusivity, We're identified, okay, we'll talk about what that is in season one in multiple white matter regions in the non-collar group, but not in the collar group. So these are very small white matter changes that they saw on a MRI. Okay. Okay, so after an eight to nine months long off season, these changes observed in the non-collar group partially and significantly reversed. Good, good. But also remained different from baseline.
Starting point is 00:15:59 Okay. In season two, trend-level white matter alterations and the non-collar group were found, but located in different regions than in season one. And the white matter integrity in the collar group remained unchanged throughout the four-time point. So they're saying, now this is a pilot study, you know, of one high school team over two seasons, but they said, you know, that might indicate potential effect on the cost. color on ameliorating changes against repetitive head impact.
Starting point is 00:16:33 But these are all microscopic changes in people's brains. But these are high school students, and they're doing MRIs on them on the non-collar group, and they've all got changes in their brain. And, I mean, maybe it doesn't do anything to them long term, but that's terrifying to me. It is terrifying. And the thing to remember, too, is it's not just football players. You get similar head injuries in soccer players. Yeah, they're not bashing into each other.
Starting point is 00:17:05 They're not supposed to touch each other. They get a lot. They get a lot. No, but with soccer ball, when they had it. Oh, when they had. Yes. I remember I played soccer, and there was one coming down from the sky. Yeah.
Starting point is 00:17:18 It'll ring your bell. And I finally just went to hell with it. I'm not doing this with my head. And I hit it with my hand and got to, you know, well, you know, it got a turnover. It's interesting how that. It's blood, you know, it'd be nice if they could somehow, well, I don't know. I think I've always erred on the side of very, very conservative when it comes to the heads and any kind of any kind of head injury.
Starting point is 00:17:43 Well, what are we going to do about it? You know, you can't, we're not outlawing Friday night football, you know. Right. Well, and we're not going to switch to flag football. Well, I think that's what the doctors or the health care providers have to really have to step in and help the parents realize that the odds on that kid being a professional. athlete are pretty slim. Correct. And let me, and let me, God, don't get me started on that. One step further, the odds in them being a professional athlete tomorrow are zero. Correct. But you can sure a shit ruin it today. Yeah. I mean, you can run it today. You can stop it right. If you, if you,
Starting point is 00:18:17 if you ruin yourself today, give myself a bad. In four years or eight years to be a professional. Yeah. I mean, quit, quit doing the stupid stuff. It's a high school game and there's not a single soul on earth is going to remember who won this game or what you did in this game in five years of ten years of twenty. Unless it's the championship game and you ran it at the last minute those poor people peek right then and
Starting point is 00:18:40 there and that's it for them. And that's the end of their story. Yeah. And that's okay. That's Uncle Rico. Right, and that's okay. That is oh yeah, Napoleon Dynamite. And that's okay. I bet I could throw that football over that mound. Poor old Uncle Rico. That's all they can think of.
Starting point is 00:18:56 Oh, God, what a great movie. It is one of the greatest movies ever made. Yeah, so the Q Collar was inspired by the observation that woodpeckers don't get brain injuries from repetitive hits. In fact, that's not true. If you look at Woodpecker brains, they do get damage from it. But not as much as you would think. Research has developed a collar restricts blood flow of blood from the head in the theory that slightly more blood in the head would give the brain a, quote, extra layer of cushioning, protecting it from effects associated with repetitive sub-concussive
Starting point is 00:19:30 head impacts. And that statement's from the October FDA summary of its decision, which is apparently far more measured than their previous one. They listed the limitations of the cue caller. It said it's not been demonstrated to prevent long-term cognitive function deficits and the ultimate impact on clinical outcomes have not been evaluated. Of course, we don't have enough data on this. So how would we know?
Starting point is 00:19:58 So you can't demonstrate that. So I don't fault them for that. And it says data do not demonstrate device can prevent concussion or serious brain injury. Well, they're not talking about that either. They're talking about sub-concussive injuries. Because, yeah, if you get a concussion, we already know your brain is sloshed around. Yes. It's a done deal.
Starting point is 00:20:20 Yep. But the FDA summary cited probable benefits and outweighs the probable risks. And, you know, false sense of protection, they cited that again. So, yeah, anyway. You know what I like? I like those big extra cushion helmets they have that some of the guys wear. Yeah. Then they have the option to wear and guess in college and pros.
Starting point is 00:20:45 Do those have data that show improved outcomes? Oh, I don't know. I don't know. I just, I don't know if they do or not. But I like those for, even if they don't help, I think carrying around something extra on your head makes you less likely to use your head. Yeah. You know, I mean, I don't know. I could look up to the date, I'm sure, but I don't even know what it's called.
Starting point is 00:21:04 Yeah. Some kind of special helmet. Here, Kai Brancaccio says another study showed that athletes that were sleeping during the game had 99% less injuries. I think that's probably true. Mm-hmm. Mm-hmm. Mm-hmm. Anyway.
Starting point is 00:21:20 Well, I don't think it's, it doesn't sound like it hurts them. Yeah. And that's important. Yeah. Yeah. But there's another important fluid in the brain. It also helps with the, uh, protective spinolex, yeah. CISF, yeah.
Starting point is 00:21:34 So you want to be well hydrated, right? I'd start there. Yeah. Yeah, I don't know the answer to this. Yeah. Because we're not going to stop Friday night high school football. It's not happening. No.
Starting point is 00:21:46 So how can we come over some better prevent, you know, now most of the high school football players that I know, like my buddy Dan Stevenson, who runs the alumni department at Christ School up in Asheville, he was a high school football player, totally fine. And they're saying, most of the people don't have any changes. 73% of the people that didn't wear the collar didn't have any white matter changes. Right. Right? Yep. So, 24% did, though. Mm-hmm. Is that right? No, 27%. What am I? I can't make math this early in the morning.
Starting point is 00:22:28 I've been shoveling shit for two days. Because you're an idiot. Anyway. It's the matcha, or the three ensemble Cado, Cephora, of the fact that I just have to denichie who me energize so time? Mm, it's the ensemble. The form of standard and mini-regrouped.
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Starting point is 00:24:40 Landman, new season, now streaming. Only on Paramount Plus. All right. Okay. So that's what I've got on that. You got anything else? No, I think at least they're trying to come with some solutions, which is, you know, anything's better than zero. I always thought that, you know, for neck injuries and stuff and maybe for head injuries, that you know how when you get in a wreck, the seat belt will.
Starting point is 00:25:13 catch, it's got a, you know, it's got a ratchet in there so that if you pull it hard, you know, what if they had something going from the shoulder to the neck and it would allow you to move your head, but if you had an impact. They do, they do. They do. Yeah, NASCAR use it, in fact. And the reason
Starting point is 00:25:30 they use it is because exactly what you said, when Dale Earnhardt left in Daytona died, what killed him was when he hit the wall, his seatbelt stopped him, but his head went out like an accordion. Yeah, and the And when it came back,
Starting point is 00:25:45 axial loading, so it popped to C-1. Yeah. And unfortunately, that's what killed him. So what, it's called a Hans. H-A-N-S-H-A-N-S device. Well, why don't they use that in football? Well, because that's not the problem with them.
Starting point is 00:25:58 It's not their shoulders getting separated from their head so much. Okay. You know, most of the trauma in football is going to be from direct blow. Correct. Okay. And like you were saying, But in NASCAR...
Starting point is 00:26:12 It's jerking out of the head, yeah. Yeah. And I think a lot of people don't appreciate the... Part of the reason why our spines are curved is exactly for that. So if you get hit on top of the head... Oh, it distributes the load. It distributes the load. You have a natural built-in spring system... Because if it was straight...
Starting point is 00:26:30 If it was completely straight, there'd be no play. No. If somebody hits you on top of the head and your spine was straight, it would explode. Yeah. Then you'd be dead instantly. Yeah. But what you're saying is it... Dang, Dr. Scott. Well, it's the bell.
Starting point is 00:26:43 It's hard to believe it. Finally, they figured out something like that to help those NASCAR guys. They sell them at Amazon. Yeah. Yeah, here's Hans device. Hans' device, yep. Hans 3, Hans 4. Quite simply, head restraint save racers' lives.
Starting point is 00:26:56 Yep. Yeah. So what it does is. It's likely to do its job and stop your body from moving forward. The head restraint will do its job and stop your head from whipping for a while. Yeah, that's exactly what you said. So it just keeps your head approximated to your torso. I don't know this shit.
Starting point is 00:27:10 I don't know. a bunch of work of stuff. A bunch of other stuff. Hanging around you, hanging around Dr. Steve all these years. That's how I know it. Yeah, that's interesting. Okay, good job.
Starting point is 00:27:19 Cool stuff, huh? All right. You ready for another one? Yes, sir. Let's see. I don't know what this is. Hey, Dr. Steve, it's been two months since I had the inspire implant placed in my chest, and it's wonderful.
Starting point is 00:27:35 Now, I don't have cable TV, so I've never heard of this device. My friends tell me it's on TV as a commercial all of the time. So I mentioned it to my doctor, and he said, well, let's go through the requirements. And the first is your BMI has to be below 35. No problem for me. Okay. Then I had to have a scope, put it back in my throat, through my nose, back in my throat, to see if the structure was going to be compatible to the inspired implant, and I passed that.
Starting point is 00:28:06 Then I had to go under anesthesia so they could take it. take a scope and go even deeper and to make sure, again, the structure of my throat was suitable. Yep. And it was. So I had the surgery done, no problems. The only issue was that for the first four to five weeks, I was told not to pick up anything heavier than four pounds. Right. Not to throw baseball or do anything with my right arm, be a lefty as much as possible. And I was true to that. I hated the CPAP. machine, and this is so much easier.
Starting point is 00:28:43 Do you know what he's talking about? Yeah. Oh, yeah. Okay. Yeah. So the inspired device, it's an implanted device. It's FDA approved for moderate to severe sleep apnea. And if you can't tolerate the CPAP machine, which I don't understand, I love mine.
Starting point is 00:28:58 I have bipap, but I can't sleep without it. But it's got a generator in it. It's like a pacemaker. It's a pacemaker, yeah. And leads that are surgically implanted. So they put the generator under the skin. and then they connect these leads to it. And I'll tell you, it looks like it would be exactly on the opposite side of a pacemaker.
Starting point is 00:29:16 Yeah. So it's in your chest wall. Right. And it's just a little bit smaller with a pacemaker. So it looks exactly like a pacemaker. Right. Can they charge it through the skin now? Yeah.
Starting point is 00:29:24 Well, and they turn it. They turn it on and off like at night. Well, no, I know that. But there was a, it used to be that when the battery ran out, they'd have to take it out. But now they may be able to charge it. But anyway, it doesn't use a lot of electricity. No. And only at night.
Starting point is 00:29:39 The one lead monitors the breathing, and the other one stimulates this thing called the hypoglossal nerve. And that controls the tongue and airway muscles. So when you breathe, it sends an impulse to the nerve. The airway muscles contract and keep the airway open. I wonder what that feels like. Well, and it stimulates your tongue to become more rigid. Right, that's what I'm saying. Yeah.
Starting point is 00:30:00 The hypoglossal nerve controls the tongue and the airway muscles. Yeah, yeah. But it kind of makes your tongue a little more rigid, so it doesn't get flaccid and fall back over your crack over your airway and just like uh was it mike was it mike that they said it feels like you got a tinge unit on your tongue at night oh yeah let's see that would drive me crazy though I'm crazy enough but you got to have moderate to severe obstructive sleep apnea and it's got to be people who can't get benefit from their CPAP and he's right you got to be have a BMI of under 35 yeah and you've got to be over
Starting point is 00:30:38 18, there is some indications for younger patients who have trisomy 21, aka Down syndrome, and you have to have failed standard treatment. So it's minimally invasive, but it is usually performed under general anesthesia. And they can be kind of sore after the surgery. Yeah, it says it takes 30 days to heal, and then they turn it on. The battery is designed to last 11 years. Now, it says here the battery must be replaced through another simple outpatient procedure. So they've, yeah, so they probably open, I don't know, it might be in the thing itself,
Starting point is 00:31:14 and they just open up one part of it, pop the battery out and put a new one in. What are these batteries that they're using that last 11 years? No, no, no. I don't think I want to know. Some kind of crazy lithium, I guess. I don't know, I don't know. But, yeah, just think about, right. It seems like, you know, it's a little more complicated surgery than a lot of people think,
Starting point is 00:31:36 because you're running a wire from your chest wall up through your throat. Right. And under your, you know, you're going in the back of your mouth and into your tongue. So it's a tough surgery to perform, I would assume. It just says single-use, non-rechargeable battery. It doesn't say what kind of battery it is. Just a good old watch battery. Yeah.
Starting point is 00:31:59 Yeah, and that's something. Anyway, good. All right. Hope it lasts longer than my car battery. in my stupid one of those things called key fob. Oh, yeah. Oh, gee. I can replace that for you.
Starting point is 00:32:11 No, I've got one. It's annoying. I know how to do it. Yep. Now, I can do it. It's just annoying. It goes out all the time. It ain't hard today.
Starting point is 00:32:18 It's easy. I take out the handheld device. I hit the on button, put it against my chest. Maybe he'll say what it feels like. And that's it. And then when I wake up in the morning, I pick up the handheld device, hit the off button, up against my chest, two beats. and I'm done. That sounds awesome.
Starting point is 00:32:36 And the very best part is that between Medicare and my supplemental insurance, 100% of the cost was covered. Wow. So if anybody asked you about that in the future, I give it a 10 out of 10. Okay. Thanks, Dr. Steve. This is Mike from Ohio. Hey, Mike, call back in and just tell us what it feels like.
Starting point is 00:32:57 Now that you've done it for a year, he called in a year ago with that one. At least we're catching up, though. Yep, yep. Now we've got, oh, gosh, thousands of calls to catch up on. If you do want to leave a voicemail, 347, 766, 432, when I get the studio complete, finally, we'll start taking phone calls again, which I do want to do that. That was wild when we did that. It was sometimes you had to hang up real quick. All right. Let's see here. We'll do this one, and then we'll get up. Hey, Dr. Steve, I was wondering if you could talk about HCG for testosterone replacement.
Starting point is 00:33:38 I'm using that as a therapy. I know it can cause the testicles to boost testosterone. I've been trying it. It seems to be working. Any drawbacks on that? Thanks. Yeah. Okay.
Starting point is 00:33:54 So HCG is human corionic gonadotropin, which basically progestin. They use it for low testosterone to stimulate the testicles to produce testosterone. It mimics a thing that's called leutinizing hormone, which tells the testicles to produce testosterone. So, you know, it's fine. It's, you know, they'll use it in fertility preservation for men who have low testosterone. I like Clomid instead, but you've got to do this with a health care provider. Don't do this shit on your own. And, you know, regular blood tests are necessary to monitor your hormone levels and all that stuff to see if it actually works.
Starting point is 00:34:48 So, again, 95% of men with low testosterone are never diagnosed. So if you're, you know, 40 to 50 to 60 and you're fatigued all the time and you don't snore and you probably don't have sleep apnea, then it's probably not sleep problem. It could be depression. It could be low thyroid, but it could be low testosterone. Causing both of those things. Right. So I don't, I always, it's like cratim for me.
Starting point is 00:35:23 I feel bad that people are having to go to head. shops to try to treat their opioid addiction on their own. There are people out there who specialize in this. Your insurance will cover it. If you don't have insurance, your primary care can do it for next to nothing. So I would do this under the auspices of it, but it's out there, and the data is decent for it. Most people use chlomaphene instead, which is also an analog, that helps to stimulate the testicles
Starting point is 00:35:54 to make testosterone. But if you're not interested in preserving your fertility and you don't care if your nuts shrink a little bit, the cheaper, easier way to do this is, you know, testosterone replacement, in my opinion. All right. Agreed. All right.
Starting point is 00:36:10 What else you got? I believe I'll do her. All right. Check us out on Patreon. Patreon.com slash weird medicine. Check out Dr. Scott's website at simplyherbils.net. If you want me to say fluid to your mama, go to cameo.com
Starting point is 00:36:26 slash at weird medicine or camio.com slash weird medicine. I do next show. I need to make a statement about something that I said on my final serious XM show that turns out to be completely incorrect.
Starting point is 00:36:42 Oh, no. And it's regarding our buddy Tim Sabian who I've been MFing all this time for nothing. And we'll discuss that next show. a little spoiler for you. Thanks to everyone who's made this show happen over the years. It's been one of the most fun things that we've ever done.
Starting point is 00:37:02 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. And Dr. Scott, what's going on with simply herbals these days? Are we still going? We just actually were out right now of the nasal sprays. So are you going to get more? I don't know yet. Stay tuned.
Starting point is 00:37:24 When are you going to let us know? Next show. Now, next show, we're going to record it in like two minutes. The next next show. Okay. In a month, yeah. I'll know a December. Stay tuned.
Starting point is 00:37:34 Just go to Simplyerbils. Yeah, you'll see updates. Say hello to Dr. Scott. You got anything else to sell there? No, right now. Really? You don't have fatigue reprieve? I think we've got a little bit of fatigue reprieve right now, yeah.
Starting point is 00:37:48 You're one hell of a sales right now. No, we ain't got. You don't, oh, well, we do. We're dialing it back. I'm getting old. Well, how can you find Will Smith in a snowstorm? Same as everybody else, look for fresh prints. Oh, Coleslaw.
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