Weird Medicine: The Podcast - 656 - Thyroid Storms to Tailpipe Checks
Episode Date: April 1, 2026This week on Weird Medicine, Scott and Steve dive deep into the mailbag to answer the burning (literally) questions from our YouTube "Fluid Family." We’re breaking down the science behind the suck,... including: The Shingles Aftermath: Why post-herpetic neuralgia is the gift that keeps on giving, and how to manage the nerve-shredding pain. Thyroid Turbulence: We de-mystify the TSH test and talk about what happens when your internal thermostat goes into overdrive (Hyperthyroidism). The PSA Debate: Does the Prostate-Specific Antigen test actually help with a diagnosis, or is it just making us all more anxious? The Great Colon Quest: When should you actually start "the probe"? We discuss the updated guidelines for colon cancer screening so you don't miss your window. Don’t forget: Head over to youtube.com/@weirdmedicine, hit that subscribe button, and ring the bell so you never miss a chance to ask us something weird. 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!) 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 TROY SMITH ARTWORK FROM "WET BRAIN: THE GAME OF TROLLS AND LOSERS!" get it here: dabblegames.myshopify.com (a most-fun party game!) each shipment comes with some awful tchotchke! 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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After 19 years, they're back.
Frankie Munes, Brian Cranston, and the rest of the family reunite in Malcolm in the middle, life's still unfair.
After 10 years avoiding them, Hal and lowest demand Malcolm be at their anniversary party,
pulling him straight back into their chaos.
Malcolm in the middle, life's still unfair.
A special four-part event, streaming April 10th on Hulu on Disney Plus.
Man, you are one pathetic loser.
I am too smart.
I am too smart.
You get nothing. You lose. Good day, sir.
I love to masturbate. I love a mastiff.
I hope you better at prostate screenings than you are at radio screenings, the son of a bitch.
If you just read the bio for Dr. Steve, host of Weird Medicine on Sirius XM103,
and made popular by two really comedy shows, Opie and Anthony and Ron and Fez,
you would have thought that this guy was a bit of, you know, a clown.
Why can't you get you?
Give me the respect that I'm entitled to!
I've got diphtheria crushing my esophagus.
I've got Zbola Vives stripping from my nose.
I've got the leprosy of the heartbound,
exacerbating my infectable woes.
I want to take my brain out,
blast with the wave, an ultrasonic, ecographic, and a pulsating shave.
I want a magic pill.
All my ailments, the health equivalent of citizen cane.
And if I don't get it now in the tablet,
I think I'm doing then I'll have to go insane.
I want a requiem for my disease.
It's weird medicine, the first and still only,
uncensored medical show in the history of broadcast radio,
but now a podcast.
Dr. Steve is my little pal, Dr. Scott,
traditional Chinese medicine provider
and gives me street cred with the wackle alternative medicine assholes.
You know, Dr. Scott.
This is a show for people who would never listen to a medical show on the radio or the internet.
If you have a question, you're embarrassed to take your regular medical provider,
if you can't plan to answer anywhere else,
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Follow us on Twitter at Weird Medicine
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Visit our website, Dr. Steve.com
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Most importantly, we are not your medical providers.
Take everything you're with a grain of salt.
Don't act on anything you hear on this show
without talking over with your health care provider.
All right.
check out roadie.
dot Dr. Steve.com.
That's rowdy.
dot Dr. Steve.com.
I have another roadie coach here.
Lady diagnosis was supposed to be learning guitar, right?
Wasn't that her?
Yeah, about a year ago.
Okay, we need to get her in here.
But I have another roadie coach.
I might use it for a little bit
to see what I can learn from it.
And then maybe we'll give it away to somebody in the audience.
We'll see.
Check out Dr. Scott's website.
It's simplyerbils.com.
Not that's simply herbals.net.
If you want some Troy Smith artwork,
we have some artwork from Wet Brain the Game
that is no longer available,
but the artwork will live on forever.
We have the green furry monster,
which is basically Tuki controlling Rocco.
Rocco's the puppet.
And we have the quantifier of Scat,
aka the shitware.
And then we have the Club
footed jackass.
So, and they're
eight by 12
posters, their foam board, you can just
kind of stick them on the wall.
And they're collectible. So you
want to get them all because we didn't have that many.
Everybody
that bought a
VIP ticket to Hackamania
will get a dabble dice game.
And then they're going to be pretty much gone. I'm down to
one box left. No.
And once I, yeah, they're going away.
I have to make sure I save enough for the VIPs.
And I've got to ship those to Mr. Melton here directly.
And there will be some at Hackamania available.
That's crazy, though.
For sale.
But, yeah, anyway.
So check that out.
It's stuff.
Dot.com.
And then Dr. Scott's website, simply herbals.net, you have product again, right?
Not yet, but we do have some coming yet.
We have some coming.
Oh, yeah.
CBD nasal spray.
Yep, CBD nasal spray.
Yep.
Sure do.
Okay.
Good stuff.
I'm going to need some.
It's allergy season.
You need to order up this year.
I do right now because, and actually I just broke out a brand new bottle for myself yesterday.
I spent all day out of the yard working on trying to get some.
Well, it's got peppermint oil, which sounds stupid, except that it is a direct anti-inflammatory on the mucus membranes.
And then it's got CBD in it for, you know, those properties and then buffered saline.
It's perfect.
Nasal rinse.
Good stuff.
It really keeps me off the Allegra and the anticholinergic medications.
Yeah, I haven't taken any of that stuff in years.
Yeah, which is good.
Yeah, it's good.
So I know that if you order too much and then you have to throw it away,
how do you decide what the shelf life is on something like that?
Who tells you what date you have to put on it?
Well, you know, the FDA makes you put expiration dates on everything.
Right.
So who picks that?
Hell if I know.
Well, wait a minute.
Well, then why do you have to throw stuff away then?
Well, because if it's, if the expiration date says it's no good, then technically, according to the FTA, it's no good.
But what expiration date?
Who is putting that expiration date on there?
Oh, I'll put it on there.
It's a year, a year.
Why do you do a year?
do 10 years.
I know.
I guess I could.
You know,
but the crazy thing,
it's like with,
farmer centicals.
So you're saying you buy stuff
and after a year
you've got shit left over?
I don't,
no,
no, no, no.
But I just,
I mean,
we still have to put something on there.
I know,
but you were saying
that you were having to throw
product away.
No,
but concern is not selling it.
Yeah.
Yeah.
Well,
let's sell it.
Yeah.
You know,
I have the green screen.
We can do a commercial.
I've got a,
I have a broadcast.
Oh,
no.
That's beautiful. That's beautiful. It is impressive. But, you know, it's a crazy thing because you think about, you think about pharmaceutical medicines and prescription medicines specifically.
They're up to, is it, 20 years there's still after their expiration date, most of the medications are still up to 90, 90 percent?
Nitroglycerin.
Okay. Old nitroglysm. That's why they put it in a brown bottle because it is.
Photosensitive, I guess.
Yes.
and it does go bad.
But most,
but like a pill or tablet,
most of those.
Yeah, most of those are fine.
Yeah, I mean,
yeah, most everything is fine.
I'm not telling you to take stuff.
No, no, no, no.
But you don't know.
I understood.
But it's.
They put a half,
they put a date on it
because they have to.
Yeah.
Yeah, the FDA makes you,
it's like with our simple.
They're really,
you know,
in the meat department,
they're really good at it.
They put a date on it,
and the day after that it turns brown.
I'm talking about beef.
Yeah, yeah.
It's still good.
It's still good.
You can still eat it if it's oxidized, but it is less appealing.
But it is, they have got that down to a really good science.
Yeah.
It says January 12th on January 13th, that shit starts to turn brown.
Yeah, I think they've kind of got that down, don't they?
Yeah.
I love it.
Got any questions from the fluid family?
I'm looking here.
I see one from King of the Dabbleverse, says Dr. Steve, had to get a new account because
Joey C got my original account, man.
Oh, no, I'd like to hear.
hear that story.
Remod me so I can post links if you dare.
Oh, we can do that.
How do you mod him?
I don't even know what any of that means.
Okay.
They're speaking dabble verse to me.
I don't understand.
Okay.
There you go.
Yeah.
There you go.
King, if that's you, you are now a mod.
All right.
What else you got?
Anything else in there?
I see a labyrinth mystic.
Oh, that's, okay, that's old.
Let's see.
We were talking to Labyrinth Mystic last time
about his shoulder impingement.
One other thing is,
okay, so you have your shoulder,
the clavicle, if you put your hand,
take your left hand, put it on your right clavicle,
and then move from the center all the way out,
and you'll notice that it goes over
and sits on top of your shoulder.
That's this thing called the achromium process.
If you go all the way to the end,
you can feel where the deltoid muscle starts.
Okay, and it goes under that bone.
And so when you raise your arm up, that muscle has to slide under that bone.
Now, if that bone gets ratty because of degenerative arthritis, what happens, every time you raise your arm up, it starts to scrape muscle fibers away.
And you can scrape it all the way down.
Or if you have a very rare condition called a duck bill class.
The chomium process is actually hooked.
And the more you try to raise your shoulder up,
you're just going to tear the muscle just like you're describing.
Right.
It can be from arthritis.
It can be from, you know, genetic weirdness to...
Yeah, right, right, right.
So that impingement syndrome can be a real problem.
And you need to see an orthopedic specialist for that.
You can see Dr. Scott.
You'll make it feel better.
But it's a mechanical problem.
It needs to be fixed mechanical.
Right.
If it's...
And so real quick, that's different.
because he asked about bursitises, but if you talk.
No, he did, but he's also saying he's got impingement.
Yeah, but let's talk real quick about impingement syndroms, too,
because you can also have the labrum in your shoulder,
which is a soft cast, which could be another reason.
Talk about what a labrum is.
It could be another reason he has an impingement syndrome.
The labrum is just a little soft pocket of tissue
where the humeral head or femoral head in your hip fits into this joint.
It kind of helps.
It's like a little suction cup.
So you got the bone and you got the cartilage,
but you need more than that,
and it needs to be somewhat flexible
so that that thing can move easily.
Moes inside.
You get a laboral tear.
It sucks.
It does suck.
But you can have an impingement syndrome
with the labrum too.
And in a true impingement syndrome
or a frozen shoulder,
that's what's actually happening.
So that's different than having a frozen shoulder,
which feels like an impingement syndrome.
But a true impingement syndrome is that,
like you're described with a chromium
or it could be from the labrum.
You know, sometimes you can treat them with, you know, conservatively.
P.T., O.T., exercise yoga, needles, but sometimes you've got to have, you know, surgical consult.
Now, BF. Live, the vibe asks, can you hang on to old antibiotics?
We don't recommend that because we don't know the answer.
You know, we know that if they're within their expiration date, they're okay.
We're talking about how some of this stuff is kind of arbitrary.
I'm looking at this is from the journal antibiotics in 2024 efficacy of expired antibiotics,
a real debate in the context of repeated drug shortages.
So they're saying, you know, if we've got drug shortages in Europe, this is a European journal,
maybe we shouldn't be telling people to throw their antibiotics away,
particularly pharmacists.
If you were prescribed it, you should take it all.
Right.
What happens if you don't, let's say, okay, I take this antibiotic,
and I start feeling better after three days, so I stop it, and I keep the other seven.
You don't knock out the infection all the way.
And you can create a...
Oh, you're so close to it.
No, I'm in word search mode right now.
A tolerance to it.
Well, okay.
So you need more resistance.
Resistance is what we're talking about.
If you don't kill out that colony.
Yeah.
So there's a bell curve, right?
And the bell curve, when you applies in this situation,
that there are going to be some of those bacteria that are slightly resistant to this antibiotic.
And there are going to be some that are more resistant to it.
But you keep taking it, then you will kill all of those bacteria.
Right.
But if you only kill the top of the bell curve and you leave those bacteria that are one or two standard deviations, you know, from the mean in resistance, and you leave them there, now all you have left are somewhat resistant bacteria.
They get resistant to that.
They start building up a resistance.
And so that's why you want to take all your antibiotic.
because that's where antibiotic resistance comes from us over prescribing antibiotics to people with viruses that get Z-packs and stuff.
Although I will say about the Z-pack, that one doesn't seem to be inducing resistance.
So I feel less weird about that.
But, you know, staff used to be sensitive to penicillin.
Right.
And now it just laughs at it.
It's fuel.
Thank you, sir.
May I have another?
I love it.
How funny.
All right.
Take that one from Dick McGriff.
He's talking about thyroid disease.
Yes, so Dick McGriff, last summer my blood tests revealed high T3 and T4.
My doctor told me it indicates hyperthyroid and put me on five milligrams of metrozyadol.
No, methionazole.
I'm sorry.
Methamazol.
I'm sorry.
That's okay.
And after some time,
oh shit,
my computer's,
but after some time
more blood tests
decided to go up to 10 milligrams.
Right.
My question is,
I have zero symptoms
of hyperthyroidism.
Zero family history.
He seemed confused
at my lack of symptoms,
asked if I have
excessive sweating,
and I have none of that.
Yeah.
So.
Okay, so first off, you can't diagnose this just doing T3 and T4.
To diagnose hyperthyroidism, you've got to also do the thyroid stimulating hormone,
which is a hormone in the pituitary gland.
I'm going to assume they did this, but we'll walk through it.
So the pituitary secretes thyroid stimulating hormone,
which then stimulates the thyroid, hence the name,
to produce thyroid hormone, which is, let's just, let's stick with T4 and forget about T3 for a second.
Now, if the T4 is elevated and TSH is low, what that means is the thyroid is producing T4 on its own.
Okay.
That's the pituitary didn't ask for.
So the pituitary is shutting down going, wait a minute, you're producing too much.
I'm not going to signal you.
and it's this kind of out of control loop where it's not working.
Okay.
Okay.
So that tells you that the problem is in the thyroid.
A rogue thyroid.
What if the TSA is elevated and the T4 is elevated, then it's happening in your pituitary.
Okay.
Okay.
But it may just not be the pituitary.
You need to check a thyroid releasing hormone, which is coming from the hypothalamus.
So it could be coming.
If that's low, then it's coming from.
buttuitary, but if that's high, then it's coming from the hypothalamus.
Okay.
So you can have primary, secondary, and tertiary hyperthyroidism.
Gotcha.
The other thing is you need to do a radioactive iodine uptake to differentiate between
Graves disease and just thyroiditis or a toxic nodular goiter.
You need to do antibody testing, thyrotropin receptor antibodies, or thyroid stimulating.
immunoglobulin to diagnose Graves disease.
You know, there are some people that have Hashimoto's thyroiditis that in the
beginning, it's an autoimmune disorder where they will have be hyperthyroid, and then
subsequently will be hypothyroid as the thyroid burns out after it's been attacked by the
immune system.
So I want to know that a way all that shit was done.
I see McGriff says, my question is I have zero symptoms.
of hypothyroid.
Oh, you said that.
He seemed confused by my lack of symptoms.
Is it possible?
Maybe he just has always had those numbers.
And it's the first time he's, and it's the first time that they've ever checked us.
There is a bell curve.
Possibly, yeah.
Right.
So you've got to do the full workup.
So I'm going to say Dick McGriff, if this is your primary care and they're confused by
these, you need to see an endocrinologist.
Period.
See an expert that knows what's going on.
What they'll probably do is take you off the methamazole for six weeks and then recheck your blood work.
And then they'll do the full work up and see what the shit's going on.
Because there is a protocol for diagnosing hyperthyroidism.
Yep.
And this ain't it.
No, it doesn't sound like it.
It doesn't sound like you see it.
I've got one from Stace.
Yeah.
Oh, Stacey.
Yeah.
Stacey's in the house.
Let's see.
I had a small shingles outbreak the size of.
a quarter about six months ago on my back.
It has been clear for five months, but there's still some pain where the outbreak was.
Not bad, maybe 3010.
Yeah.
It's called post-herpetic neuralgia.
Yeah.
And we're sure that was single shingles.
I'm assuming, Stacey, you had the shingles vaccine.
Did he have the shingles vaccine?
I don't know.
Or did they just squirt it into a jar?
My guess he gave a hundred bucks and they squirt in the damn trash.
That damn asshole.
No.
Lord.
So I'm assuming you had the shingles vaccine because you had such a small outbreak.
I had Shingrich's vaccine, which is a great vaccine, by the way.
And you feel like shit for four days, but I'd rather have that than I have shingles in my eye, which can happen.
I've seen it.
It's miserable.
Now, I had an outbreak of shingles, but it literally lasted like a day.
Normally it lasts two weeks and you're miserable, but it lasted a day and that was gone.
Now, so shingles is basically chickenpox virus come back for one last party before it's shut down by the immune system.
But that pain that happens afterward is because the peripheral nerves are stimulated and they remain stimulated after the stupid virus is gone.
It's just like if some gang comes through and has a party in your neighborhood and just leaves trash everywhere and nobody cleans it up.
That's a terrible analogy.
But anyway, so you could, there are a couple things you can do, topical capsaicin.
Sure.
That is the molecule that causes red peppers to be hot.
And what it does is you put it on the skin and it burns for a couple of days.
and then it depletes what's called substance P.
And substance P is involved in transmitting pain signals to the brain,
and it really works as a topical analgesic.
The problem with that shit is you put it on with your fingers,
and then you touch your fingers to your eye.
Now you've got hot pepper gel in your eye.
So you've got to use gloves and all that says.
It's kind of a mass.
So there are other things that you can do.
Dr. Scott, why don't you talk about what you would do?
for someone with post-repidic neuralgia,
and then I'll tell you the other things
that we would do from an allopathic standpoint.
Well, the first thing I do is if it's acute
or if it's chronic, I mean, people can have pain for years
following a post-repetic neuralgia.
Well, that's six months ago, so it's chronic.
Well, yeah, it's more than 90 days.
I'm saying it's a coldly and chronically.
Stacey did not have the vaccines.
Yeah, what I do is I actually take the acupuncture needles
and surround the dermatome or the,
myotone, wherever the nerves are going out that are
innervating this lesion.
I surround it and I stimulate it with
electricity and it
turns off the pain
signals. It works
about 50% of time.
Okay. It's one of those. If it works, it works.
It works. It works. If it doesn't work.
Then we can make it a whole lot better. And if we don't
we say, listen, I'm sorry, we're going to have to try something else.
Yeah. I always ask them
to try some lysine. I think lysine has
been shown. And some
cases to help to block? The reason is that
the herpes virus, which this chicken
box is a herpes virus, that's why it looks like
herpes when it comes out,
is the coat is
polyarginine. So it just takes
arginine as amino acid and makes it wraps its coat around
that. Lysine will compete with that with the enzyme that it uses to
build its coat. So that's the theoretical
basis behind it. Yeah. Yeah.
And so what I would say is if you've had before, and typically what you'll see is people who have not had the vaccine, they can have recurrent singles.
And it can come back in the same place and come back in different places.
And they can kind of feel it coming.
They'll feel a little tingling coming and they'll know it's coming.
And I always don't go, you know, get their lysine.
And, you know, I don't know if the status is super great or not.
You can talk to this.
But I do think the antiviral medications you can prescribe can be very beneficial.
And I really like those.
for outbreaks and they should do it when it happens.
Yeah, when you should have that primary shingles outbreak.
Now, I do want to say something about what Dr. Scott said.
If you have recurrent shingles, it could just be herpes.
So you need to get, you know, you need to swab it and then determine, you know, what virus we're dealing with.
The doses of the medication are different.
That's why you want to know.
And the transmissibility is different too.
If someone doesn't have herpes and you have.
herpes, you can give them that. If they've had chicken pox, you can't re-infect them with your shingles.
So, yeah, a couple of things. They behave a little differently. Yeah, so that's a great advice.
And a couple of little, just small tibets of advice is recognizing that in most cases,
these outbreaks are secondary to stress. Yes. And finding. Stress again. You go with the stress.
Find out who your, what was the term we had on the last show?
Hassler. Your hasslers. Who are your hasslers? Yeah. Or what are your hasslers?
I know exactly.
deal with those hasslers and see if you can can get those out of your life and quit having these
outbreaks of shingles.
So there are a whole lot of things.
There are some good supplements.
There's some good prescriptions.
There's some good treatments.
But I can tell you, Dr. Steve, and I think you don't have to agree, but I think you probably will.
Post-therapatic neuralgia is one of the most challenging things to treat.
We can throw all kinds of stuff at it.
Sometimes it works and sometimes it doesn't.
Yeah.
I mean, there's just no, there's no.
We have a couple different options, good options, but we just, nobody can tell you.
Oh, this is going to make that better, yeah.
Yes, you've got to prevent it.
Prevention's the key.
But if you do have it, I would, after all the things that we've already talked about,
there are topical anesthetics that you can use.
If you don't have open skin, you can buy those saline, like Stacey,
if it's just this little patch, salon pos sells a lytocaine patch.
It's the same strength as Lydiderm for about a tenth of the cost.
and you can go to a compounding pharmacy,
and they will have topical analgesic gels that you can use as well
that are very good for those and other forms of neuropathy.
But when it's confined to one space like that,
it's usually pretty easy to treat,
at least to, you know, ameliorate the symptoms because it's annoying.
All right?
Yep.
All right.
Anything else in there?
I'm looking at.
I don't see anything right now.
I'm going to have to answer that phone call.
that came in.
He said, yeah, Dick McGriff says his thyroid thing was all from basic blood work in primary care
doctor.
Primary care is fine, but they got to follow the protocol.
I mean, I was a primary care provider before I became a specialist.
So I understand how it is, but you've got to follow the protocol, though.
You know, people are not numbers on a piece of paper.
No.
And thyroid's are complicated.
And why are you coming out as Scott QQ3 UI now?
What's going on?
It's been done it for three months.
Yeah, somebody told me they changed something so that it's actually your login name instead of the name that you chose.
I've never heard that, yeah.
I don't know how to change.
I wish you could.
Yeah, it's weird.
Okay, I'm looking through here.
If you want to join the Fluid Family, please feel free.
Just go to YouTube.com slash at Weird Medicine and click join.
And then you don't have to, you don't have to pay anything.
Just click accept gifted memberships and either Myrtle or Labrombistic will be in the chat room giving out free memberships.
And then hit that like and subscribe button and then the notification button will get you a notification anytime we go live.
Okay. Oh, wait a minute.
BF Live, the vibe says my urologist has been tracking spikes.
and my PSA with follow-up blood testing digital exams, it has gone down.
Is it possible that some men just have higher than average PSA levels?
Yes, yes, you can have benign prostatic hypertrophy.
The thing about cancer is that number almost never goes down.
So if it's going, cancer comes and stays, it doesn't come and go.
So they'll keep an eye on that.
This is very controversial in urology.
They go between well, we do digital exams, we don't do digital exams, we follow with PSA, we don't follow with PSA.
You know, if you take somebody, my age and you just do, yes, MRI, but that's expensive.
If you just do a biopsy on every dead 70 plus year old, about half of them have prostate cancer, never knew it.
Yeah, exactly.
Yeah, so.
All right.
All right, guys.
Oh, King of all Diffs is responsible for Scott's name change.
Well, thank you, too.
Moon Crickets.
I'm going to answer this real quick, and we've got to get out of here.
Dr. Steve, if my father had colon cancer, when should I get tested?
10 years before they were diagnosed.
So if they were diagnosed at age 55, you need years at 45.
You need it at 45 anyway.
Oh, yes.
Go get it.
All right.
Thanks, everybody.
Check your stupid nuts for lumps.
Quit smoking.
and get off your asses, get some exercise.
We'll see you in 10 days for the next edition of Weird Medicine.
