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cover of episode 611 - Michio Kaku Loves Mariko Aoki

611 - Michio Kaku Loves Mariko Aoki

2024/11/1
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Weird Medicine: The Podcast

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Dr. Steve 和 Dr. Scott 在节目中解答听众各种难以启齿的医疗问题,例如奇怪的皮疹、脚臭、月经同步等。他们强调节目内容并非医疗建议,听众应咨询专业医疗人员。Dr. Steve 分享了他使用狮鬃菇治疗神经性疼痛的经验,并对 AI 音乐创作技术表示赞叹。他们还讨论了三阴性乳腺癌疫苗的I期临床试验结果,以及赌博的风险和技巧。 Dr. Scott 分享了他对中医和草药的专业知识,并介绍了他自己制作的狮鬃菇酊剂。他与 Dr. Steve 一起讨论了 Mariko Aoki 现象(在书店突然想大便的冲动),以及肠易激综合征与情绪之间的关系。他还解答了听众关于脚臭(bromodosis)的疑问,并提供了治疗建议。

Deep Dive

Key Insights

What is Mariko Aoki syndrome?

Mariko Aoki syndrome refers to the phenomenon where people experience a sudden urge to defecate upon entering bookstores. It was named after Mariko Aoki, who described the effect in a 1985 magazine article. The exact causes are not fully understood, but it is believed to be related to the brain's recognition of the environment triggering the urge.

Why might menstrual cycles sync up among women living together?

Studies involving 1,500 women found that living together does not increase the likelihood of menstrual cycles syncing. In fact, periods were more likely to become more separate over time. The idea of syncing may be a statistical coincidence, as cycles frequently cross when living together for extended periods. Evolutionarily, having cycles that are not synced may increase the chances of pregnancy among a group of women with one or two men.

What is the medical term for smelly feet?

The medical term for smelly feet is bromodosis. It is caused by a combination of sweat, bacteria, and fungus, often exacerbated by non-breathable shoes and synthetic materials.

What is the largest living thing on Earth?

The largest living thing on Earth is a fungus that lives underground, covering acres or even square miles, resembling an underground subway system.

What is the significance of the alpha-lactalbumin vaccine for breast cancer?

The alpha-lactalbumin vaccine is being developed to target triple-negative breast cancer, which is the most aggressive form of breast cancer and difficult to treat. The vaccine aims to prevent recurrence by targeting a protein called alpha-lactalbumin, which is overexpressed in 70% of triple-negative breast cancers but not in normal breast tissue. The Phase I clinical trial showed that more than half of the patients produced T-cell responses against the protein, indicating potential effectiveness.

What is the flamingo stand test, and why is it important?

The flamingo stand test, or flamingo balance test, involves balancing on one leg to assess overall health and fall risk. It is recommended that people under 70 should be able to balance for 30 seconds or longer, while those over 70 should aim for 20 seconds, and those over 80 should aim for 10 seconds. The test helps determine balance and overall strength, which are critical for preventing falls.

What advice would you give to someone becoming a new medical provider?

The key advice for new medical providers is to become a good listener, as patients often tell you what is wrong with them but may not express it clearly. It is important to interpret their symptoms and meet them where they are in their health journey. Additionally, always try to find a way to say 'yes' to something, even if you have to say 'no' to a specific request, to help solve their problems effectively.

What is the Martingale strategy in gambling, and why is it risky?

The Martingale strategy involves doubling your bet every time you lose, with the goal of recouping losses and making a profit with the next win. However, it is risky because it can quickly lead to very high bets, especially if you experience a losing streak. In some cases, you may hit the table maximum before recovering your losses, leading to significant financial loss.

Chapters
The podcast hosts discuss the Mariko Aoki phenomenon, a sudden urge to defecate upon entering bookstores. They explore the lack of scientific understanding behind it and compare it to similar experiences. The conversation transitions into the gut's nervous system and the calming effects of Lion's Mane mushrooms.
  • Mariko Aoki phenomenon: sudden urge to defecate in bookstores
  • Causes unclear, debated as urban myth
  • Gut has a nervous system ('second brain'), influenced by emotions
  • Lion's Mane mushrooms may calm the nervous system

Shownotes Transcript

Translations:
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This episode is brought to you by Amazon Prime. There's nothing sweeter than bacon cookies during the holidays. With Prime, I get all my ingredients delivered right to my door, fast and free. No last minute store trips needed. And of course, I blast my favorite holiday playlist on Amazon Music. It's the ultimate soundtrack for creating unforgettable memories. From streaming to shopping, it's on Prime. Visit Amazon.com slash Prime to get more out of whatever you're into.

Hey, I'm Ryan Reynolds. Recently, I asked Mint Mobile's legal team if big wireless companies are allowed to raise prices due to inflation. They said yes. And then when I asked if raising prices technically violates those onerous two-year contracts, they said, what the f*** are you talking about, you insane Hollywood a**hole?

So to recap, we're cutting the price of Mint Unlimited from $30 a month to just $15 a month. Give it a try at mintmobile.com slash switch. $45 up front for three months plus taxes and fees. Promote it for new customers for a limited time. Unlimited more than 40 gigabytes per month. Slows. Full terms at mintmobile.com. Screwball peanut butter whiskey? Why the hell not? A little salty, a little sweet, a little savory, and always smooth. Screwball, the original peanut butter whiskey that's unexpectedly delicious.

Visit screwballwhiskey.com to learn more. That's screwball with a K. Enjoy responsibly. Copyright 2023, Screwball Spirits, LLC, New York, New York. If you just read the bio for Dr. Steve, host of Weird Medicine on Sirius XM 103 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 a clown. Like?

You give me the respect that I'm entitled to! I've got diphtheria crushing my esophagus. I've got Ebola vibes dripping from my nose. I've got the leprosy of the heart valve exacerbating my incredible woes. I want to take my brain out and blast it with the wave. An ultrasonic, echographic, and a pulsitating shave. I want a magic pill for all my ailments. The health equivalent of Citizen Kane. How in the tablets?

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 on the History Broadcast Radio, now a podcast.

I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medicine provider. Gives me street cred. Whack alternative medicine assholes. Hello, Dr. Scott. Hey, Dr. Steve. This is a show for people who had never listened to a medical show on the radio or the internet. If you've got a question that you're embarrassed to take to your regular medical provider, if you can't find an answer anywhere else, give us a call, 347-766-4323. That's 347-POOHIT. Follow us on Twitter at Weird Medicine or at drscottwm.com.

Visit our website at drsteve.com for podcasts, medical news, and stuff you can buy. Go to our YouTube channel at youtube.com slash atweirdmedicine. Most importantly, we're not your medical providers. Take everything you hear with a grain of salt. Don't act on anything you hear on this show without talking it over with your health care provider.

All right, check out stuff.drsteve.com, stuff.drsteve.com. It is functional, but I promise one of these days I'll make it better. You can scroll down and see the Rody Robotic Electric... Robotic Electric. That's one of them electric robots. Robotic tuner for guitars, basses, and other stringed instruments.

And they also have the roadie coach. It is getting time for gift giving. And this is the perfect gift for a musician if you don't want to spend a whole lot of money, but they're going to be blown away by it. Brian May was blown away by this. He's the guitarist for Queen. He said, these bloody bastards came up with this at the end of my career.

And you just stick the thing on the peg and you pluck the string and it turns the knobs and tunes your thing perfectly. It's a little bit of a stunt because you can tune your guitar.

And you can even tune it when you can't hear it, you know, if you've got one of those visual tuners, but still really cool. And then on top of that, they have this thing called the roadie coach. And the roadie coach will teach somebody how to play their instrument.

So it's R-O-A-D-I-E dot Dr. Steve dot com or just go to stuff dot Dr. Steve dot com and scroll down. Check out Dr. Scott's website. It's simplyherbals.net. That's simplyherbals.net. You may have heard the jingle at the beginning of the show. And it's, well, you know what? What the hell? I'm not going to play at the beginning of the show when I go back. Let's play it now. I don't think you've heard this. All right. Here we go. This is kind of fun. I already like it.

So I played this for Tacey, and, you know, she's never a big fan of anything that I do. And I played this, and I said, you've got to hear this Dr. Scott jingle. And as soon as we got this far in, she's like, mine doesn't sound like him. She expected, like, some hippie. I love it. But that was the whole point, is this is completely, you know, the opposite of your vibe. But anyway, but in a way, it isn't.

There you go. There you go, anyway.

There you go. There's your plug. I love it. Yeah, I do too. Oh, my God. And there's solos in the middle of it and all kinds of stuff. The AI did this. I wrote the words. And what I've found is on these... All of yours today. They do. That's a... How does...

How does the AI know about trading fours and shit like that? And those jazz scales were actually really good. Those are very good. You know, incredible. There was one that I did where this thing did a guitar solo that was like, oh, I'm going to learn that. I love that jazz. It's a swingy jazz. Yeah. It's a walking bass. There's your trumpet taking a break. What the hell?

Yeah, the drummer is perfect. That's what I'm saying. It's incredible. That sounds like a big jazz kind of swing era kind of. Anyway, it blows my mind that the AI is that advanced that it can make up stuff like this. Yeah, that is incredible. I mean, there was one. Let me see. Is it the Cardiff Electric one?

Or Tukey Taken Over the World. I don't think I've played that on this, but this is one. Okay, everybody knows Tukey the Puppet, and the backstory is that Ray DeVito didn't have a sock to pleasure himself in, and so he pleasured himself into this puppet, and it came alive. That's the backstory. Okay. Okay? But listen to this crazy song. So you just tell the AI that, and it comes up with this.

You know, Ray DeVito, you know. OK, I already told the story. So that's basically what I told the A.I. And it came up with this, which blows my mind. Yes, you do. Sookie taking over the world.

You can't tell me that's not catchy. That's pretty cool.

Isn't that insane? That's pretty wild, yeah. How would AI know to do that? I don't know. Maybe I should be more disturbed than amazed. Yeah. I don't understand how it...

No, I don't either. I mean, genres of music, you can just feed it that. Say, okay, this is trap music, this is house music, and it can figure that stuff out. But then to then turn around and say, now go make one and make the sounds from nothing. It's just zeros and ones. There were no instruments involved. I don't know what I don't know. No voices. You can hear them breathing. Yep.

I know, it's incredible. Here, this one on Cardiff Electric, the floating potato. Cardiff's a potato. They say a tater, not a hater. He's a masturbator. He got prestige. He ain't never going to bend a knee. Mr. Cardiff, he stopped messing with Starter and John. He stopped messing with Starter and John. The devil verse is done. Cardiff Electric and his sidekick, okay. They ain't too both, eh? And you got to spallooch puppet too. Ha ha ha.

It's unbelievable. I mean. That's crazy, though. Isn't that something? It is. It's impressive. Anyway. That's pretty cool, Dr. Dave. All right. So that's Dr. Scott's jingle anyway. Yeah. No, I love that. I love that. Made lovingly by AI. I love it. I love it. Love it. Check us out on Patreon.com slash Weird Medicine. I'm throwing up an eclectic group of stuff or, you know, group of stuff.

is a better term of stuff on there. And there's going to be more, including all the normal world stuff. The female ejaculation thing was one of my favorites. Didn't get the reaction I was hoping for, but they had a lot to do that day. But they did get it in. I appreciate them. So Ken and...

Sam and Dave and Angela and Bryce and all those guys are just the best over there at the Normal World Studios. Check them out. YouTube.com slash at Normal World or get a Blaze TV subscription. I have a friend of mine has a Blaze TV subscription. He loves all this stuff. I had no idea that show was on there. So it's not like anything else on that network, I'm telling you.

So a lot of people go, oh, Blaze TV. And it's like, no, they have an open mind about stuff. They have to have that show on there. And then cameo.com slash weird medicine. I'll say fluid to you, mama. All right, Dr. Scott. Very good. Everything going okay at simplyherbals.net? Doing pretty well, thank you. I have a new...

of lion's mane coming. Oh, cool. Yeah, I did a new substrate for people who don't know lion's mane is a mushroom that has neuroregenerative properties apparently and it seems to have really helped my peripheral neuropathy quite a bit.

And Dr. Scott and I filmed what I thought was going to be my last performance of a piano piece ever. And I only got through two-thirds of it because my neuropathy was so bad. I'd like to start practicing it again, maybe try to do the whole thing because I really think I could do it now, which is just a testament to something working. But anyway, yeah, so I've got a new instrument.

batch of Lion's Mane coming. Well, you know, you made a tincture and gave me a bottle of it. Yeah. I loved it. Yeah. Yeah. You think it did anything for you? I think it does. I mean, I think it's helpful. And, you know, I don't have neuropathy like that. I deal more with, you know, like irritable bowel kind of stuff. Yeah. Yeah. Yeah. And I think calms that down a little bit. Really? To be honest with you. Interesting. You got to figure it's all nerves. Yeah.

It really is. It's just nerves. The gut has a nervous system. It's called the second brain. That's right. It's an emotional system. It's a very emotional system. Yeah, that's true. Well, remember that Mariko Aoki? Is that the syndrome? Do you remember we talked about that? No, I don't. Okay, hang on a second. Mariko Aoki phenomenon. Let me read this to you because somebody asked me about this the other day.

I think it was Tracy with an eye on YouTube. Okay. Marco Iocchi phenomenon is an expression referring to a sudden urge to defecate that is felt upon entering bookstores. Oh, I remember that. This phenomenon is named after Marco Iocchi, a woman who described the effect in a magazine article published in 1985.

According to social psychologist Shozo Shibuya, the specific causes that triggered defecation urge in a bookstore are not yet clearly understood. Well, Seinfeld did a whole episode on that where George took that book into the bathroom and made him buy it. Oh, God. Yes. There are some who are skeptical about whether this particular phenomenon really exists at all, sometimes discussed as an urban myth. But, you know, again...

How many times have you known that you probably had, you know, needed to defecate at some point and then you get close to the house and then it gets worse. And then as you get closer and closer to the actual John itself, it gets worse until you're almost, you know, having an issue. Almost, yes, almost in peril. But it's so your brain knows and then the enteric brain knows. It's like, OK, OK, OK.

Yes. It's, it's very interesting, but you know, they've said for years that irritable bowels and a lot of gastrointestinal distress is really a lot more emotional than it is. Cause we used to tell people don't eat seeds and don't eat nuts and things like that. Cause that would irritate the lining of the, of the colon. Yeah. But what a,

Well, they were worried, too, that people with diverticulosis, those things would get stuck in there. Yeah, sure. Because they're relatively indigestible. But we have pills that are like that, too. But anyway, the gastroenterologists all tell me that's bullshit now for diverticulosis. Right, right. Yeah, I agree. And they used to tell you, especially if you had ulcers and things of that nature, to eat really

bland diets, eat potatoes and all that stuff works. It's the worst thing you can do is eat carbohydrates. Yeah, so what's really interesting I think with the lion's mane and some of the newer research on these edible mushrooms, not the psychedelic mushrooms, but the edible mushrooms, is that they really do have some great ability to calm the nervous system down. Yeah, well, they're more complex than so many of the other small organisms are. Right.

It's really interesting, isn't it? Well, I think a lot of it's because they're growing underground. They pick up a lot of extra nutrients maybe. Well, that and then an herb might get that's above ground. I don't know. I've heard this mycelial network thing. I mean, I am not a mycologist, but that's, you know, trees and other things communicate. And, you know, when I say communicate, it's not like they're like, how are you doing over there? It's more, you know, just, hey, there's a threat there.

Over here, you know, get your immune system cranked up or whatever. Yeah. Or, hey, it's getting ready to get cold. It's cold up here in the top of the trees. I think they would know that. But anyway. Yeah. But yeah, I think the largest living thing on Earth is a fungus that lives underground. Yeah. That's my understanding too. It's like acres and acres and acres or square miles. It's like an underground subway system. Yeah. It's kind of cool. It is amazing. Yeah.

But anyway, yeah, so they're pretty fascinating. I'm not surprised that they have some medicinal properties in there that have been at least looked at in the medical literature and had some positive data. It's not all great. I mean, it's hard to fund a double-blind placebo-controlled study on a mushroom that anybody could grow. Yeah.

You know, the drug companies aren't really interested in that. The funders aren't. So you have these small sort of observational studies. That's the problem. But I can say with an N of one that I can tell a tangible difference. And that's huge for you. Yeah, it is. It's nice to be able to. That's why I'm growing them again. Yeah, fill your fingers and toes. Yeah, yeah. It's nice. It's kind of important. Yeah. Anyway. Yeah, so I've got that going. At least I got that going for me. And what was the other thing we were going to talk about?

Oh, damn it. We'll talk about, speaking of mushrooms and psychedelic mushrooms. Yeah. Phil Lesch. Oh, yeah. It's very good. Yes, correct. Kind of a nice transition into. Yes, very good, Dr. Scott. Thank you. I'll give you a sort of a bell.

And then... There you go. Yeah, Phil Lesh, bassist and founding member of the Grateful Dead died. He was 84. 84, yeah. I always think of those guys being young, even though I know Jerry's gone. Yeah.

So what happened to him? He was originally a classical musician, played violin and trumpet. And then he, in the 60s, met a guy who was playing the banjo named Jerry Garcia. And do you remember the name of the rock band back then? Were they called the... I'll give you a bell if you get it right. Hang on.

Well, it was the Something Jug Band was Jerry's original band. And then their first band were the Warlocks. There you go. The Warlocks, yep. Oops. Oh, I tried to give you a... The Warlocks. Yes, exactly right. The Warlocks. And Lesh did not play the bass, but he already knew how to play, you know, orchestral stringed instruments. So really, it is almost trivial.

to go, if you're a classical musician, to just transition to the bass, particularly electric bass. Now, the string bass, there's a lot of technique involved in getting the intonation right. But even that, a violinist should be able to make that transition. Yeah, certain violin and cellists, too. You know, those guys.

Yep. And so, you know, Garcia wanted him to play the bass. He didn't play. He said, what, you know, what the fuck? Why not? And that was a fateful, pivotal decision for his life. The Grateful Dead was born. Yeah. You know, and he certainly made a lot of...

great changes to playing the bass and added extra strings and all of the effects and things of that nature. He was quite... He really was just the perfect bass player for that band. Yeah, because he could play every kind of music imaginable. You know, it's hard to believe still that Jerry started out as a

Bluegrass Picker. Yeah. And they had a jug band. It's not, though. It's a hippies back then just thought all that kind of stuff. Like if you listen to R. Crum, you know, Robert Crum, he was the underground cartoonist. Right. He did, you know, the Keep on Truckin' thing and all that stuff. And he had a band. Yeah. The Suitcase Serenaders. And they played that old kind of kitschy...

20s jazz kind of stuff, you know, and had singing saws and, you know, steel guitars and stuff like that. And I've been on the street seeing sort of people that you would think are sort of, you know, modern hippies playing old brass band jazz stuff, you know, from the 20s and 30s.

Yeah, that great stuff just keeps coming back. Well, yeah, because there's something about it that's like, well, that's sort of hip now all of a sudden. And it was hip back then to be a hippie and be playing Americana. Yep, yep.

They admired people like, you know, Woody Guthrie and stuff like that, too. Woody Guthrie and, you know, Doc Watson. You know, they were all huge fans of Doc Watson. I had a friend, he's now deceased, sadly, who taught Doc Watson his first chords on the guitar when they were both at the North Carolina School for the Blind. Oh, my God.

His name was Paul Montgomery. He was the greatest jazz pianist that no one's ever heard of. Oh, my gosh. And he was blind. Yeah, he was blind. Holy cow. Yeah, he used to do a show on WRAL-TV called The Uncle Paul Show. Okay.

And at the end of the thing, they'd say, OK, now we're going to march. And they would just march around the studio. All the kids would get and they would just march. And Uncle Paul would just march around in a circle. I don't know if any of that still exists on YouTube somewhere. But if you can find WRAL-TV Uncle Paul Show.

And odds are I did video or camera. Oh, my gosh. About what year was that? Just roughly what year? 70s? Okay, yes. So I graduated college in 77, and I went to medical school in 82. So it would have been – I was there from 77 to 79. Got you.

And I did all the coaches' shows, you know, Jim Valvano. I knew him. Oh, Jimmy V. Yeah. Oh, wow. Yeah, I knew him during the—well, it was before the Cardiac Pack business. Yeah. But while he was—and I knew Storm and Norman Sloan, too. Oh, my gosh. And Mike Krzyzewski.

Now, of all the ones that were the most gregarious, it was Dean Smith. He would come in and go, hey, hi, I'm Dean Smith. Oh, funny. Hey, good to meet you. And he would meet everybody on the crew. He should have been a politician. How funny. I could see that Dean Smith. He looked like a politician. He kind of acted like a politician. We only had him for one year. Channel 11 got him before and after. But there was somebody in our company that knew him and enticed him to come over. Wow. But what that meant was I had to spend the night –

Saturday night at the studio because I had to be back

We did a show after show, after the games. Oh, that's right, after the games. And then we would do the Sunday morning shows. Oh, wow. Well, if I went home, I had lived an hour away from the studio. So I would go home, maybe get an hour's sleep, and I'd have to drive right back. So I'd just spend the night at the studio, which no one ever said, wow, hey, great job. Hey, thanks for doing this. Thanks for doing this, Bill. That's why I went to medical school.

Seriously, I got so tired of getting yelled at by people who are stupider than me. And you hear me, Paul Pope? I'm just saying. He drove you to medical school, that bastard. Yeah, no, good. Thank God. Yeah, I agree. Thank God. You know, I would have loved to have met Jimmy Valvano, but he was a nut, wasn't he?

Yeah, he was a nice guy. He seemed really nice. He was just a nice guy. Krzyzewski, I never spoke a word to him. He never looked at me, nothing, never any attention to the crowd. But I never was offended by that. I just always thought that he was...

you know, shy or whatever. Now I would say he was maybe a little bit on the spectrum. I don't know. I don't know. I mean, that's how you would say it now. Sure, sure, sure. That makes sense. But he would talk to the host

He would come in, sit down, talk to the person interviewing him, and then he would leave and never spoke to any of us. Yeah. Valvano was kind of between him and Dean Smith. And then Dean Smith was just all over everybody. How funny. That's cool. That's a good story. Yeah, it was fun. There's no story there. Well, no, I mean, those are some interesting characters for sure. Yeah, no, it was fun. Oh, well, I mean, now the coaches...

Then I also, through working at that station, met and worked with Ric Flair, Wahoo McDaniel, Blackjack Mulligan. Oh.

Greg Valentine, Mr. Wrestling Tim Woods, Ricky Steamboat, and I'm missing it. Oh, Baron Von Raschke and Mighty Igor, the Polish Prince. Oh, my God. Oh, and Gene and Ole Anderson. I forgot about them. So, in other words, I did camera and...

engineering for Mid-Atlantic Championship Wrestling and Wide World of Wrestling, which were exactly the same thing, by the way. They had a banner up and they would just flip the banner around. Oh, yeah. Between shows. Why? I don't know. But back then, the wrestling show was a loss leader. So they would pay to put those shows on these channels late at night on Saturday. And so...

We would do two shows together.

On Wednesday night. And then one was Mid-Atlantic Championship Wrestling. One was Wide World Wrestling. And, you know, they'd have all the announcers and the wrestlers all, you know. And then they shipped it out to 35 different stations in the southeast. Around where they would have like, you know, Dorton Arena and Greensboro Coliseum and stuff like that. Where they would do the live shows. So there were 35 stations.

TV stations, two commercials each. They never did the same commercial. So we had to do 70 commercials every Wednesday before we did the show.

So you had to do them like this. You couldn't mess around because it was those commercials where the announcer is, tonight in Dorton Arena, a Texas chainsaw match with Wahoo McDaniel. And then they, you know, Wahoo McDaniel, Black Jack Mulligan, if you're listening. Of course, he's listening. He's sitting right there. He had to. You couldn't do 70 of these things without all of them being in the room at the same time. Right.

And then you do the same thing for the next venue, the next venue, the next venue. Exactly. Oh, how funny. Yeah, they do two commercials for each, and they would insert them into the show to get people. So they would set up all the conflicts on the TV show, and then they would resolve them at the live show. And that's where they made all their money was in filling these coliseums with people. Oh, wow. That's funny. Yeah. The crowd that would come to the show.

WRAL show, it was free and some of them would come every week. I remember there was this old guy who had no teeth and he would sit there right in the middle of the crowd on the bleachers and he'd yell like that. He was always yelling at the bad guys. And my the foreman, the floor manager, called them all road scholars. He'd say, well, here come those road scholars. He was floor manager of

TV station Raleigh wasn't much in much of a position to make fun of that. But here come the Rhodes Scholars. So one week he brought a bag of peanuts like in the shell and gave them to the guy with no teeth. And so here you go. And the guy was like, what am I supposed to do with these?

Oh, that's awful. It was awful. We were assholes in the 70s, late 70s. Nobody cared. Nobody was an asshole. Yeah, as we'll say, they were all assholes then, I guess. But anyway, we got off topic. Paul Montgomery, and he taught Doc Watson how to play, and Phil Lesch and them were fans of Doc Watson. So I guess I'm...

What, one, two, I'm two, three degrees from Phil Lesh then because of that. Yeah. Could be, could be, could be, yeah. Isn't that wild? Yeah, yeah. If you guys find any videos of Paul Montgomery, I've never really looked.

But if there's any of him playing piano, I've never seen anything like it. I begged him to just teach me. Oh, wow. And to be blind and to be able to just master the keyboard like that. It's incredible. I mean, he had severely diminished vision. He had these big, thick glasses. And if he took his watch and held it right up in front of his glasses, he could just make out the time. Dang. That's how bad it was. Oof.

But yeah. Yep. So all those guys went to a North Carolina school for the blind. There you go. Super talented folks. Yep. Well, I guess heaven needed a fowler that played in a band. That's right. Another bass player. I hate when people say that shit. All right. I did want to talk a little bit about a –

Thing that is near and dear to our heart. And this was recommended to me by Amanda Davidson, one of our mods in the Fluid family. If you want to join the Fluid family, by the way, go to youtube.com slash at weird medicine and just subscribe and click the notify button. You'll be notified when we go live. Follow us at weirdmedicine on X.

And if you click Join and then click Accept Gifted Memberships, even if you're not there, Myrtle Maness usually gives out a few memberships every show. And you may get a free membership. And I do have some members-only content in there. So anyway, this is a Phase I clinical trial. So remember what Phase I means is you're just –

making sure that whatever you're doing isn't killing people and maybe you'll get a little bit of data that it might be effective. So you're just looking for effectiveness and safety. Then phase two, you expand that, primarily looking at safety at that point. Then phase three is your big trial where you may go from 300 people to 30,000 people. This is pre-marketing. And

and you're looking for rare adverse events and what's the absolute or relative

efficacy of this medication. Is it better than placebo? And then phase four trials are aftermarket. So once it goes on the market, that's when you find the truly rare stuff, the one in 10 million stuff. But anyway, so this is current results from this phase one clinical trial of a novel vaccine from the Cleveland Clinic where presented at the San Antonio Breast Cancer Symposium. This was back several months ago.

And the trial was created to determine vaccine safety and dosage profiles in patients with early triple negative breast cancer. So this is not preventative. This is a treatment vaccine. And this was funded by the Department of Defense. Wow. I don't know why.

So the ultimate goal of the vaccine is to prevent this triple negative breast cancer. So when they say triple negative breast cancer, what they're talking about is that it is hormone receptor negative. And so if you have breast cancer that has S4A1,

estrogen receptors on it or progestin receptors on it, you can treat that by blocking estrogen and progestin, right? If it's negative, you don't have that. And there's another thing called HER2. And if it's HER2 positive, you can treat those. It's usually more aggressive, but it's easier to treat with a medication called Herceptin. So I'm not an oncologist. So oncologists, if I got any of that wrong, let me know.

But if it's triple negative, you can only treat it with chemo and radiation. That's all you've got. There's no hormonal modification. And I will assume surgery? Well, yeah, of course. Yeah. So, you know, it is the most aggressive type of breast cancer. And so what they're looking at is this thing called the retired protein hypothesis, which

And it's that there are proteins that are produced in the body at specific times and in specific tissues and not at other times and other tissues. Those proteins are overexpressed in some cancers and they're derived from the tissues in which the protein is normally expressed. So there's this protein alpha-lactalbumin or lactalbumin. It's made in lactating breasts but not at other times.

Or in other tissues. So you only produce it when you're lactating. It's only produced in the breast. In women past childbearing age, it's no longer expressed. It's undetectable in normal breast tissue. But it's expressed at high levels in 70% of these triple negative breast cancers.

So they found that targeting that in mice was effective in preventing breast tumors. So they have these mice that are genetically altered to be at high risk for certain cancers and stuff. They breed them that way.

And so they tried this. So they inspired this vaccine's invention. And so they're developing a vaccine against alpha-lactalbumin or lactalbumin. It's albumin. So lactalbumin. That's weird. I've never seen that word before. So I'm not 100% sure if it's lactalbumin or lactalbumin. But they're trying to attack those cancer cells that make too much.

And so what they're, the phase one clinical trial is looking to determine the dose. So, you know, what's too little, what's too much. Sure. And so they'll try different doses and stuff. And then it says more than half of the patients in this trial produced T cell responses against this alpha lactalbumin. And so we don't know yet.

This doesn't do anything about, well, it's actually preventing the cancer. All they know is that what they gave the patients was a safe dose and half of them did produce a T cell response. So maybe they give them a little bit more, you know, three-fourths produce the same response. But anyway, they've been studying patients with this.

early stage triple negative. So stage one, maybe stage two that are completing treatment, but they're at risk for recurrence. And then now they're looking to see if they could use this as a preventative vaccine. So yeah, it says that the long-term hopes for the vaccine or the risk of recurrence can be reduced in patients and that the risk of getting it at all can be decreased. But they're emphasizing long-term as a lengthy process. This is not an mRNA vaccine.

So it's going to take a while for it to be developed. All right? So pretty interesting. That's pretty cool. Yeah. Listen, I'm looking forward to the Star Trek age when we just prevent all these diseases. They're just gone. We beat their asses because they suck. All right? You got anything? I like it. All right. Well, we were going to talk about...

About you and Liam doing a new— Oh, yeah, it's true. Yes. So the reason we're doing this early today is because I have to go to the casino because I want a jackpot playing Ultimate Texas Hold'em. Okay. And you go, well, how do you win a jackpot? Well, there are these side bets.

And I had bet my regular bet, but this time I had bet this thing called the bad beat. And I had also bet this thing called the trips bet. So the bad beat bet works if you and the dealer both have three of a kind or better.

And somebody wins as long as you don't push. As long as somebody wins, you get paid on the least of those. So like if they have three of a kind and you have a full house, you get paid on whatever the pay table says for three of a kind. If you have three of a kind and they have quads –

you're still only going to get paid for the three of a kind, right? So you get paid on the lower thing, but it doesn't matter who wins. If you win or they win, you still get paid. Well, anyway, so I had the dealer had come over or the pit boss had come over for something and he was leaving and I looked at my cards after they flipped over theirs. I said, John, you better stay. Yeah. I had four of a kind, which is a huge deal.

Huge hand. And the dealer had a full house. So I got paid...

For the quads on the trips bet, I got paid for my original bet, which was four times my original bet. And then I got paid like a grand for the bad beat bet. Oh, wow. And so I ended up walking away from that one hand with $1,500, which is extremely unusual, by the way. It was a really nice hand, probably the one I'll be talking about forever. Forever.

My best hand ever. Yeah, it was a good one. You know, they have quads against that. And they were like, oh, shit. It shut the table down while they had to figure out, you know, how much they actually owed me and all this stuff. Anyway, it was fun. So they gave me, because of that, they gave me a ticket that said if you show up,

On this day, which is October 26th. Yes. At 2 p.m. and drop this thing into the tub from 2 p.m. until 10 p.m. They're going to be drawing every 15 minutes. And one of the prizes is a million dollars. So that's why we're doing this now. And that's why, you know, it's fortuitous that I decided not to go to Detroit because WATP is in Detroit. This happened after I decided not to go. Oh, my goodness.

Because I would be so pissed if I was in Detroit right now and they were having this drawing and somebody else won a bunch of money. So, yeah, Liam and I are going. That's hilarious. So I turned Liam on to Blackjack. My son is 21.

And he's pretty straight edge. He is fascinated with just the math and the psychology. Yeah, and he loves numbers. So I taught him blackjack basic strategy, and then he learned it on his own in a weekend. And he did 500 blackjack.

hands on a simulator didn't get a single thing wrong. That doesn't surprise me. Yeah. In one weekend. That doesn't surprise me. I still, you know, so, and I took him to, I said, well, you're ready. And that was the same day I won the quads. He won like, you know, he took 500 bucks and ran it up to like 850 or something like that. And then took it back down to 700 and then quit, which is pretty good. Yeah. And

And he's not showed any signs of becoming a degenerate gambler because, you know, you always worry about that when you turn your kids on to something like that. Well, anyway, the other day I was showing him a website where they have like online slot machines and they do it through this sweepstakes thing. You buy gold coins, which are fake.

You know, just gold coins. But when you buy those gold coins, you get a certain number of sweepstakes coins. And weirdly, coincidentally, you get the same number of sweepstakes coins for however many dollars you spent on those gold coins. So if you spent $100 and get a million gold coins, weirdly and coincidentally, you get 100 sweepstakes coins, right? And you can trade those in for actual money. Yeah.

Interesting. Interesting. So anyway, I was showing him one of those websites, and because they can't use proprietary slot machines like in the casino, because those are proprietary, there are these companies that just make up their own. And I don't know if you remember –

I'm older than you, but when we were kids, they used to have these things. They were romance comics. I guess they were designed for girls. And they always have like a pink cover and hearts and stuff. And, you know, a guy...

you know, walking away and the girl going, oh, no, you know, I'll never, you know, love again and all this stuff. You know what I'm talking about at all? They were comic books. Well, they have a slot machine like that. Oh, my gosh. And it was hilarious. And we were flipping through this thing. I said, look at this. And like these lips come out and they go like that. And I said, and we were laughing so hard at this stupid slot machine. I said, we need to do a channel that

Where we do one a night and we do – I'll put $20 in. We'll do it at the lowest thing just so we can flip through. You'll have 20 or you'll have 100 bets. You have a decent chance of getting the bonus and seeing what it's like and all that stuff and just make fun of it or not if it turns out to be awesome. So I think we're going to do that because he and I are actually opening a gambling school too.

And it's not to encourage people to gamble. It's to encourage people to stop losing so much money. Because it's a numbers class. And why can you not beat the house edge no matter what fucking system you come up with? Stop thinking you can beat the house edge on roulette for God's sake. No matter if you run the numbers, it's always 5.6 times.

percent house average, no matter how you stack the numbers. Even if you cover every single number. Yeah. That's how you know. You cover every single number so you can't lose. Yep. You're still... When they pay you off, you're losing 5.6 percent. Holy cow. You know? Yep. That's insane, isn't it? Yes. Wow. Yeah, those guys, there's a reason their palace is, you know... Yes. No, when...

So if you pay 35 to 1 for getting a number right, but you have 38 slots on your thing, on your wheel, then you should be paying 38 to 1, but you're only paying 35 to 1. And that difference is the house edge. Now, yes, you could go in there and pick 24, and they could roll 24 three times. You win a shitload of money. Sure. That will happen. Yeah.

But the only way that you can keep that money is if you never go back. So gamble with money you can afford to lose. But also what I teach is don't gamble with any money that you're going to be mad if you lose it.

You have to be able to laugh at it if you lose. Like, oh, my God, that was effing ridiculous. Or that was stupid. And you have to be able to laugh at it. Yeah, sure, sure, sure. That makes sense. And, you know, the dealers have even remarked to me, you know, I lost a bad beat on Iva's Ultimate Poker or something like that. I just said, well, that's poker. Because it is. It is, yeah. Bad beats are part of poker. If you get mad, if you're Phil Hellmuth, who I admire –

But if you just get mad when an amateur beats you because they do something stupid, well, they beat you. I mean, yes, if you played...

against them for a year, you would take everything they've got. But that's part of gambling is what you're doing is you're riding these statistical waves. And when they're in your favor, then you can walk away with some money. But if you keep going back and going back over all, you will lose to the house edge. That's how statistics work. Yes. But anyway. Oh, by the way.

The dice don't have any memory. No. Because they rolled seven three times in a roll doesn't mean that the next...

roll is going to be anything but a seven. The odds are exactly the same. You can never say you are on a streak. You can only say you were on a streak. And so one of the things that he and I are going to teach are like craps. Why is it set up the way it is? Why is it set up that you get two to one if you bet, you know, if the numbers are four and you roll that before you roll a seven? Right.

Well, the reason is there's six ways to roll a seven and three ways to roll a four. So the odds are two to one. Craps, they will only – that's the only game where they will pay you true odds. Yeah. So that kind of stuff. So we're going to do all that. But we thought doing a website or a YouTube channel where all we do is just review –

silly slot machines online. So how is he going to have time to do all that in finishing school? Because he's getting towards the end of his studies. He is. Well, because he's getting toward the end, he has more time. Gotcha, gotcha, gotcha. But, yeah, I mean, he comes home every weekend for at least a few hours. So we'll just do it then. That's cool. Yeah, yeah, yeah. So anyway. Well, that's fun. Yeah, so thank you for bringing that up. So watch out for that. I'll let you know where it is. I think it's going to be Stitz on Gaming. Yeah.

Have fun. Have another channel. Cool. All right. The Stitz brothers. The Stitz brothers. Vinny and I don't know who the other one is. All right. With Amex Platinum, you can really be in the now. Access to Resi Priority Notify. Yes. 4 p.m. Checkout with fine hotels and resorts booked through Amex Travel. We needed this. And dedicated card member entrances at select events. Wow.

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What else you got? Well, you know, we were talking earlier about the neuropathy, and it got me to thinking about peripheral neuropathy specifically in the feet. Yeah. So I looked up a little stuff. When we talk about neuropathy, we're talking about damaged nerves causing pain or numbness and stuff like that. Yeah, I'm sorry. I took it one step further. That's my job. Yeah, but just thinking about balance and how many people we have that have balance issues because the nerves are damaged in their feet.

And there was a thing on CNN that I saw the other day that was talking about the determining factor, or not the determinant, but you can get an idea about how healthy you are in regards to your fall risk by being able to balance on one leg.

So they call it the flamingo stand. Oh, really? Yeah. And the bottom line is... I can't do it. I can't even walk a straight line anymore. Yeah. See, well, you know, what we teach in our clinic a lot is stand to sit, being able to stand and sit without assistance, which is good. I can do that. Yep. And then a flamingo. So you pick your leg up and then you go...

If you can stand like that without falling down. For how long? So the rule of thumb is 60, 39. 30 seconds or longer for those that are below the age of 70. Oh, okay. What about me? Yeah, you're below 70. Okay. Well, I've been doing it, what, a minute now? At least, yeah, yeah. Okay, so I'm good? That's a good thing. Can you do it on the other leg, though? Oh, fuck off. Yeah. Actually, that seems easier. Is it?

It doesn't seem as good. Well, that's weird. Oh, that's my, cause I'm right footed. And then 20 seconds for, for people 70 to 80 and then 10 seconds for those older than 80.

And that just kind of helps to determine, A, your fall risk and B, your overall strength. And then what we'll have people do in our office too is we'll have them practice the stand to sit without assistance, which is what you did. So without having to push up with our arms. Now from the floor. Oh, no, no, no, no. From a chair, from a chair. Because I've seen the one where if you can do it from the floor, then you're really in good shape. But I can't do that. Well, I've seen actually people that can do the one leg down to the floor.

Oh, yeah. I think I could do that. No, you could. And then you would be. I used to be able to do one-handed push-ups. And I could do the push-ups where you push up and then you clap, you know, in between. I wonder if I could still do that. I'm so out of shape. Yeah, we're all pretty deconditioned at this point. I've got to do better. All right. We'll make that our mission. Well, I used to have a friend that I worked out with. And I can't remember his name, but he was a ham radio operator.

And his name is starting to come to me, but it doesn't matter.

He and I would challenge each other because we were kind of like bros. We weren't friends, friends. You know, we were sort of, hey, I'll see you. And then we would compete on who could, you know, do the max on the curl machine and stuff like that. We got to the point where both of us could curl the max on the machine. And that was the best shape I've ever been in my life because it was, you know, not grossly competitive, but just mildly competitive. And we pushed each other.

That's good. And one of my nurse practitioner partners...

the same bike that I have, and we were going to encourage each other and race against each other. It's like a peloton. It's the Nordic track version of the peloton. And we were going to do all that, and she's never got up the first time since she bought it. And it's a great place to hang clothes. I'll tell you that. It works really good for that. It does. But I am, by God, I put it in a new place, and I am, by God, going to get on there.

If I could just get my sorry ass out of bed early enough and do it first thing in the morning, that would be the best. You know what I started doing this morning? Tell me. Cold water therapy. I used to do that. I just am too lazy. I went up and sat in my pool this morning before I came over here. You know, you feel so good when you're done. It's wild, yeah.

Yeah. I used to do the cold water plunge and then go back and forth between the hot tub and that to exercise my circulatory system. It is. It's extremely refreshing. Yeah, it is. There's got to be some science behind it somewhere. Of course. I'll have to find it. I'll have to find it. Well, cold water, I mean, true cold will decrease inflammation and stuff like that. I saw a little clip the other day, and I didn't get to watch much of it, but it

evidently if you, the cold water to a certain degree for three minutes will stimulate your liver into producing some kind of a... Can you please stop bullshitting and get to the question? Some kind of liver, yes. I'm sorry. Some kind of liver enzyme to make you feel better. Really? I'll do some research on that. I want to hear about that. It sounds like a question. Like I said, I just saw a clip. All right. Questions. Here we go. Yep.

Number one thing, don't take advice from some asshole on the radio. If anybody's still listening, I'm sure we'd bore them to death. But I was very entertained. Yes, it was fun. It's all about me. Hey, Dr. Steve. I sent you an inline message hoping you could help out. And hello to all any other illustrious members we have. I'm so sorry about the terrible things that have been happening weather-wise in the community. And I hope you're all doing well.

I know it might be a while, but just trying to get back at it and thought I'd leave a voicemail as well as the... Yeah, thanks, Matt. We'll be okay on that as far as doing shows and stuff. But the area... I mean, my shrink...

Lived through this one and she also lived through Katrina. Oh, no. And she's from New Orleans. And I just said, you know, did and she said, it'll take years and years. And I said, well, it's been decades now. When did Katrina happen?

It was during George Bush, right? The second, yeah. It was 2020. We could look it up. Yeah, we had a resident here in Kingswood. Her name was Katrina. So it was like 20... It was 2004, I want to say, maybe. Okay. Yeah. August 2005. Five, okay, gotcha. And she said... I said, is New Orleans ever... I haven't been back there since Katrina. I went to school there. And I said, is it...

Come back? I mean, she said, yeah, but it's not what it was. It's different. It's different, and this will be different, too. We've had to reroute all the interstates and stuff around here. Yeah. It's been a mess. Yeah. But anyway, thank you for your well wishes. Yeah, thank you. Let's see what his question is. Did you have a question? Tax. Tax.

make sure that you had something that you could use. Anyway, to cut things short, my daughter has a rash and the pictures speak for themselves. I had to, of course, withhold the chest picture with the bra on, of course, I'm her father. But this young girl's got this rash going on since, you know, it's been about five, seven, six days and didn't get much help at the prompt care.

They didn't do any labs. She hasn't been on any hikes. No new detergents. I will say that there aren't a whole lot of labs to do when you've got a rash unless you're toxic. Like if you're sick, sick, then like a rickettsial rash, like Rocky Mountain spotted fever or something like that, then there's lab work to do. But if you've got a healthy kid...

With a rash, the pediatricians see that stuff every day, and they don't get too excited about it usually. Soaps or lotions. And essentially, I'm just trying to get down to the bottom of what it might be. I thought it could be contact dermatitis. Nope. But, you know, it's just hard to tell. They basically just prescribe the typical...

inflammation rash type meds and I don't even know if they went so far as to prescribe Pepcid just to give it a shot because it's free. Oh, Pepcid they'll give because it's an antihistamine. People don't understand that

Pepsids of the world, famotidine, rinitidine when it was on the market, cimetidine, those things are H2 blockers. So they're the histamine blockers.

receptor number two blockers. And they can have, like if you've got somebody with a really bad itchy rash and you give them an H1 blocker like Benadryl or fexofenadine or something like that, you can give them then, you can on top of that, you could give them famotidine or something like that, you know, Pepsodine.

And although it doesn't have the drowsy effect and it's not classically associated with anti-itch, it can be helpful. So that's probably why they did that. Good. Look at that. That'd be great. Yeah. So it's really hard to do this from pictures and particularly the pictures that are sent from a cell phone to our voicemail thing is very difficult. But what I saw was a back that was covered with what we would call –

Papules. Papules, okay. And it almost looked like somebody, they were maculopapules. So in other words, they're flat but dots at the same time. And it almost looked like somebody took a pencil eraser and just went all over her back in sort of a Christmas tree style.

which I could imagine sort of a Christmas tree arrangement. This, to me, looks like a thing called Pitoriasis rosea, and it's a skin rash. It usually, though, will start with a larger patch called a herald patch.

And that herald patch, it's like, you know, like the old heralds making an announcement, you know. And the herald patch is announcing that pitoriasis is coming. But it usually starts with that single scaly patch. And then it's pinkish with red edges. And if you have darker skin, it could be grayish. And it usually appears on the chest and back and abdomen. It lasts six to eight weeks, but can last up to 12 weeks.

And usually doesn't have a lot of symptoms that come with it, although every once in a while someone will swear they have a sore throat or a headache or something like that with it. And it usually affects people aged, young people, 10 to 35. And they'll give you hydrocortisone creams, antihistamines, and sometimes they'll try ultraviolet light. But, you know, nobody knows anything now. Mm-hmm.

There is—one of the questions he said is, she's got a new boyfriend. Could this be herpes? No, it's not herpes. Herpes is a cluster of—a grape-like cluster of painful, tiny blisters that ulcerate and make shallow ulcers. Mm-hmm.

And so that's not this. The reason people think it's herpes is its pitoriasis has also been called herpes tonsurans maculosis. But that doesn't mean it's caused by the herpes virus. Matter of fact, I still don't think that they know what causes it. Herpes simply means like lizard-like, if I remember. Okay.

So anyway, all right. So I think that's what it is. But listen, it doesn't matter what my diagnosis is. It could be scarlet fever, too, for all I know from looking at the pictures because you can be fooled looking at pictures. See a dermatologist. If the pediatrician doesn't know what it is, see a dermatologist. Now, listen, the one thing I'm going to tell you is if you go to the dermatologist and I'm right and it is pitoriasis,

You need to find a different primary doctor because anybody should be able to diagnose that just by looking at it. Okay. Which makes me think maybe that's not what it is. But anyway. All right. Yeah, rashes are tough. Yeah, they are. They're tough. Now, if you have little sort of dome-like things with central depressions in them, those are a thing called molluscum contagiosum, and those are easy to get rid of. You just pull the core out of one of them and the immune system sees it and goes and kills all the other ones. Yeah.

There's a bunch of pediatric rashes, but most people are up on all of those. Okay. They should be anyway. All right. Hello, folks. I hope you all are doing well and everything. Hey, man. I'm going to confess my ignorance here. Okay.

I got a question I've always wondered about. You mean again? This might be a good time to ask. Women's menstrual cycles. Yeah. How do they ever sync up? Because you hear people like in my office. Yeah, you hear people talking about it. Menstrual cycles syncing up when a bunch of women work together. All their menses are synced up. And it turns out they have studied this.

1,500 people, and they studied these women and found that living together not only didn't increase the likelihood of their period sinking, the study found that periods were more likely to become more separate over time. Now, whether that's statistical or if that's evolutionary, it kind of makes sense if you're all synced up and you've got one or two men, they can only get one of you pregnant.

But if you have menstrual cycles that are as far away from each other as they can get, then you're more likely to get pregnant with this one guy that's kind of going around making them round. So studies have shown that it's not pheromones, that it's probably a statistical coincidence because when you have multiple cycles of

frequently they will cross. Ultimately, they will. If you're together long enough. Oh, at some point, yes, they will always cross. That doesn't mean they'll always cross every single time. But we tend to remember things like that. You don't remember the times when your periods weren't synced up. Now, I had a co-worker. I could always tell where she was in her period. We were friends. And I could go, oh, you're three days after your period. Because I could tell by the way she acted. Oh, yeah, Lord, yeah. If you're paying attention, it doesn't take

She had two weeks of acting a certain way, then a week of acting a certain way, and then a week of acting a different way. And they were very distinct, and I could always tell. But anyway. Mm-hmm.

Yeah, not too many women. And by the way, if you're not friends on a level like that, don't be talking about their period. Well, are you on your period because you're acting like you are? It's like, shut up. We had a different sort of friendship, so I could get away with it. All right. Well, let's do some other questions, Dr. Scott. I've got this one here that I think is interesting.

Hey, Dr. Steve. Jonathan here. I just want to say thanks for all you've done over the last 15 years. I've been listening to your podcast. 15? Jesus. Been around for a long time. We're almost at 20. Wait a minute. We are at 20. I did the first one in 2005. Yeah.

Is that right? Or was it 2007? No, no. It was five because I had just gotten married. And I remember coming over here and you being like, shouldn't you be celebrating your anniversary or something like that? Yes. I'd rather be here. I got to look and see when our first show was. It was either 2005 or 2007. No, it had to be before seven. I would think.

I would think. Okay. I love you. Isn't that weird? I don't know. You kind of inspired me to have a career change here. So I've been – started going to college at night, going to night school. Yeah. Cool. And after six, nine years of going to college and working part-time at the DMT to get my face care hours, I was finally accepted to physician assistant school. Hell, yeah. So I'll be starting next year at 42 years old. Nothing wrong with that. So any of your listeners out there thinking about getting a career change, it's never too late to start. I totally agree. We had a woman in my class that was 44. Yeah.

And we had another woman, and her name was Pat, and I won't dox her further than that, but she had a baby six weeks before medical school started. And that was her fourth. And her husband said, you can go to medical school, but I'm not cooking and cleaning. Oh, shit. Yeah, so she did all that. So I had mad respect for her. She ended up doing, I think, OBGYN and then did a second fellowship in –

Pathology. Wow. Yeah, or residency in pathology. Isn't that crazy? Wow. Yeah, she's really something. But anyway, just want to say thanks for all the, for opening my eyes to a field I didn't think I would even be qualified for. Yeah, man. And if I got to have a question for you, it'd be, what advice would you give to somebody becoming a new provider today? Thank you.

Yeah, just don't be an asshole. Yeah, I was going to say, pick up a book called The Zen of Listening. Okay, yeah. And read that book and learn how to be a fucking listener because I'm telling you right now, and Dr. Steve, I think, agrees with me on this. Your patients are telling you what's wrong with them. It's our job to interpret. They can't say it in language. That's our biggest complaint. When people come to me. Learn to fucking listen. They say, you know, you're the first person that's actually listened to me. It's like, well, that should not be the case. Yep, yep.

So, yeah. And try to get to yes. What I teach all of the people that train under me is this philosophy that you can say no to stuff, but you need to say yes to something else. Right. So I don't treat...

chronic non-malignant pain. You do that. Sure. And, you know, the physiatrists, you know, physical medicine rehab people do. So I don't do chronic low back pain. So if somebody comes to me and says, can you give me, you know, oxycodone for my chronic low back pain? Sure.

I have to say no, but I can say it in a way that I'm saying yes to something else. I can say, you know, I'm really not, I can't do that. It's not my thing. But I got a friend that's all he does and let me hook you up with him. Agreed. You know, always try to say yes to something. We've got so many people that just say no to shit. Mm-hmm.

Just know and walk off as, hey, that's not what I do. Well, it just, yes. Yes. It's like, no, just no. And I've even, I can't tell the story. But we had an agency that just said no to something that a patient really wanted. And they ended up doing a completely diametrically opposite thing because they got so mad. And they ended up, you know, in a really bad situation. So try to say yes.

Figure out a way to say, yes, problem solved. Be your patient's problem solver. Meet them where they are. It's their journey. Don't just treat them with your tools. It's their journey. Help them find their path. But think about it, though. You know, it's not every, when you hear hoof prints,

in Upper East Tennessee, you know, hoofbeats behind you, sometimes it will be a zebra. Yep, could be. Every once in a while. It's not impossible. So don't forget the zebra. But there are times when I, like I had, I've had people come in saying, well, my primary care,

never called me about my MRI. And so I never got it scheduled. And so I'm like, I just yell out, you know, Patricia, will you set up an MRI for them right now? And so, and I tell them before you leave here, you'll have an appointment. It's not that hard. No, it's not. It takes, just takes effort.

And people, oh, I took my FMLA form to my primary care, and they didn't fill it out for two weeks. It's just been sitting there. It's like, well, I'll do one. I can print it out and do it right now. So do stuff like that. I do the same thing. Make your patient's life better, and then they will love you. It's not just about that, but that's a nice benefit. That's a good start. So congratulations. Yeah, good luck. You know who else I saw just the other day?

I saw Ahmed. Oh, yeah. Sure, sure, sure. Up in West Virginia. Right. Now, he was our guy.

Who was just fiddle-farting around in Saudi Arabia, somehow came across our show. I think he was an Opie and Anthony fan. Somehow he came across Opie and Anthony. And then from there, ended up with us. And he got turned on to medicine. Went on. And went to medical school in Saudi Arabia. Mm-hmm.

And then he got a residency in West Virginia. And by the way, University of West Virginia, that place is amazing. It's gorgeous, isn't it? Morgantown, West Virginia. Hell, I thought I was going to be going to some dinky little podunk bullshit. It was amazing. Good stuff, isn't it? Yeah. Yeah, I did Grand Rounds up there. Oh, did you? Yep. Oh, cool. Yep. So, yeah, I got to see Ahmed and I met his friend Tim.

who is just this incredible intellect, and he's a ham radio operator, too. Oh, gosh. So I actually ordered him a little computer-defined radio from this company in Turkey. It's like the thing's smaller than a pack of cigarettes, and you can talk all over the world with it through your computer. Wow. That's really neat. Cool. So anyway, yeah, that was the impression that they made. So anyway, I'm taking the money they paid me. I'm going to the casino today. Yeah.

Try to turn that. We've got to wrap the show up. We've got to go to the casino. All right. So that's that one. I think we had one other. So we did the pitoriasis one. Oh, you might have something on this, Dr. Scott.

Yeah, Dr. C, this is Wade from Lake Charles, Louisiana. Hey, Wade. I have a 14-year-old son that I recently stayed in a hotel with, and his feet are atrocious. It smells like he's trying to make some cheese in his shoe. Is there anything that we can do about that?

Yeah. Thank you. Throw those shoes out. Yeah. It's almost always the shoes. Do you know the medical name? You know, we have to have a word for everything. Do you know the medical name for smelly feet? For smelly feet? Yeah. No, I don't think so. It's bromidosis. No, I've never heard of bromidosis. I love using stuff like that because nobody uses it. So, like, do you know the word for hiccups?

Oh, I do, I do, I do. I can't think of it. Syngoltus. Syngoltus, yep. So I will write that in the chart just to drive people crazy. I'll say, you know, intractable syngoltus instead of intractable hiccups to make people look it up so maybe they'll learn something. Yep, I love it. So anyway, I would love to put bromidosis. Heartburn, you know the term for heartburn, the medical term for heartburn, right? Yeah.

Yeah, rebellious stomach, gee. No, shit. Pyrosis. Pyrosis. Yeah. But anyway. So smelly feet is, you know, sweat, bacteria, and fungus. And if he's got old shoes, then just throw the shoes away. But then, particularly if they don't breathe or they're made of synthetic materials, but get him some, you know, antibacterial soap for his feet. Okay.

And you can get Hibiclens over the counter. And then make sure his shoes are breathable. They got mesh panels if he's wearing sneakers. And he wears good clean socks. Yes. And then they have antibacterial insoles too. And he may need those. If he's really got sweaty effing feet...

He may have hyperhidrosis of his feet. And in that case, you could buy him an electrophoresis rig where he puts his feet in there. It puts a mild electrical current through his feet, and it will shut that down. It's very effective. Talk to a dermatologist if you, you know, but you can buy those over the counter. Now, one thing that if his feet actually,

actually, or the thing that stinks, he could soak his feet in two parts of warm water and one part of cooking vinegar, not industrial vinegar. You don't want to get the 30% of sea acid, which, by the way, is a great weed killer. Yeah, it will clean. But yeah, one part vinegar to two parts warm water and just let him soak his feet. Let him watch...

An episode of The Mandalorian. That's a perfect amount of time. Yeah. About 20 to 30 minutes. And I like the gold bond powder, too. Just a little sprinkle of gold bond powder. What's it got in it? Is it zinc oxide or something like that? I think it's zinc oxide because it'll help with the sweating and it'll help with the odor both. But I've had fortune with some folks using the gold bond powder for a couple different things. Yeah.

Well, let's see here. Original strength medicated body powder. I want to know what medication it is. All right. I love how they use that word medicated. What's in it? Can you, let me see. I have no idea. I don't have any idea. Oh, key ingredients. Okay, menthol. Really? Yeah. There you go. Okay. Yeah, menthol is, I saw something else that they were using. Oh, for anti-itch stuff. Mm-hmm. Yeah.

And so it has cornstarch, zinc oxide, acacia senegal gum. Okay, that's just a binder. Silica, tricalcium phosphate.

So eucalyptol, which is a menthol alcohol, and then methyl salicylate, salicylic acid. Okay, that's basically, so aspirin is acetylsalicylic acid. So it's non-acetylated salicylate, which is anti-inflammatory.

And then stearate and thymol, I never know what those are for. But I think they're just fillers, steroids. Okay. Seems to me you could make one of these, Dr. Scott, and sell it that doesn't have all that other BS in there. Mm-hmm. You know? Mm-hmm.

But anyway, yeah. Cool. Well, one of the things that Fresh Balls does is they put tapioca powder in solution, and it's in a volatile solution. So when you rub it on your nuts, the volatile fluid disappears and leaves the tapioca powder there to absorb all your sweat and stink and stuff. I think it's tapioca powder. But whatever it is, it's some—

organic powder in it. That's how they distribute it, which is actually pretty smart. It is. That's cool. All right. Got anything from the fluid family? Not in a little bit. Let me see. We've got a dang lizard. Yeah. Now, he said something. He was asking something up above, and I responded to him. Let me see here. You look for that while I read the super chats. Myrtle Maness gifted 10 weird medicine with Dr. Steve memberships.

And then Ding Lizard said, wouldn't surprise me if you got that five years ago, but what's he talking about? Can you read up above that to get the context? No, I was looking at that other thing you want to look for. Okay. He said, degenerate gambler, boss man, Jack.

So if you ever want to turn somebody off of gambling, this is how I turned my kids off of being degenerate gamblers. I made them watch Boss Man Jack. He's a guy. There's a channel called Pickle Time or Boss Man Crack, and they chronicle this guy. He's a young kid named Austin. I guess he's not that young. He's like, I guess he's 30. And...

He was a degenerate gambler. But he was actually quite good at this website called Stake, doing these crazy bets. And he took $1,000 and ran it up to like $180,000. And then the dudes, I'm getting out. I'm getting out. I'm going to get a car. I'm going to put a down payment on a house. I'm going to move out. Two days later, he was broke. Yep.

Unbelievable. It's painful to watch. It is. Oh, God. So the first time I showed it to Beck and Liam, they were screaming at the TV, just stop, stop, stop. And he just couldn't stop. He said, okay, I'm out, I'm out. And then he'd go right back in and do it again. So what Dangland is talking about is he played a game, which is a variation on dice. However, the win-loss is unlimited. Yes, this is the thing.

So there is this thing called the Martingale strategy. And Martingale is where you double your bet every time you lose. So if you're playing roulette, you put $10 down on red and it's black. So now you put $20.

And now it's black again. So now you put 40 and then 80 and then 160. And part of the problem is you could go. I mean, it's happened before where you go so many times where you lose that when you double up, you hit up against the house, you know, the house, you know,

OK. You know, the upper limit. Because usually they'll say, OK, you can bet a minimum of $10 and a maximum of $1,000. OK. So it only takes a few doublings before you get up to the point where you're now at the table maximum. OK. And so that's why that is a degenerate and ineffective strategy. Yeah. Well, on this other website, there's no limit. You can bet as little as you want and as much as you want.

And it just it's all based on how much money you have in your account at the time.

Lord. Right? So if you have $10,000 in your account, your table minimum is one cent and your table maximum is $10,000. So this is what this kid would do is he would double up and double up and double up. And then all of a sudden he'd hit this massive thing. And he did that to where he literally had almost $200,000 and then just lost it all.

But that's what that was, and that's on a website called stake.us. And stake has these things called stake originals, and they're really cheesy-looking little gambling games. Like this dice game is just a really – it's not even an animated die that just goes back and forth between red and green, where green is when you win and red is where you lose. And it just has a random number generator that generates 10,000 digits of

So it's, you know, two digits in front of the decimal point and two digits behind. And then, you know, wherever that lands, it lands there, right? And you can bet on – I'm getting into the weeds, but you can bet on that. Mm-hmm.

And you can program it, too. You can set it up to say every time I lose, increase my bet by 100%. Every time I win, reset it to my original bet. And if you lose a bunch of times, you know, you're going to be doubling, doubling, doubling. All of a sudden, you're betting, you know, $70 to make back a dollar, you know, or $70 or $140 or $280 or $560. You know, it's crazy, right?

But if you have enough in your account, you can survive some of that. Or you could lose it all. It's not impossible. You could lose it all. Anyway, yeah. Oh, my gosh. So, yeah, that's what that was. So if you want to check that out, you don't have to go to stake and sign up. I'm not encouraging people to gamble. I am encouraging people to watch...

Boss Man crack and see what a degenerate gambler really looks like. Austin is now, I believe, in prison. He went to rehab and got kicked out of rehab, went right back and got back online, started playing and looked like, I don't know, it looked like he was smoking a pipe of some sort. Who knows? Probably tobacco in it.

But I think his parole officer got a hold of him. Oh, goodness. My understanding is now there's a warrant and he's in jail. Oh, goodness. I do not know that for a fact. I really, I've always wished that he would just get better.

Everybody's wishing for him to get better because he would go, Mom, Mom, I just won $180,000. And they'd be like, well, that's great. And he would get mad because they weren't more enthused, but they all knew. And his dad would go, so are you going to stop? Are you going to stop? Yeah, of course I'm going to stop. And then he'd get right back on there again.

So it's an addiction. Don't let anybody tell you that it's not. Because if you've ever met someone who's a degenerate gambler, it is definitely an addiction. You get that dopamine rush. And you're always looking for it again. It was good that the first... And Liam even said this. He said that if I had gone to the casino the first time and won...

There's a possibility I could have ended up with a problem. But he said the fact that we went, he values money too much. He doesn't want to ever lose any. But yeah, if he had gone and won the first time. But he went with his knucklehead friend. Let's see, John Ziermeitz, member for seven months. Thank you for being a member of the Fluid family.

Anything else on there? I can't see any questions. All right. You ready to get out of here? Let's wrap it up. All right, my friends. Well, thanks, everybody. Really appreciate you being here and listening over the years. I don't know if we're working on 20 years right now or we're working on 18, but it's getting up there in years.

We appreciate you. Thanks to everyone who's made this show happen over the years. Listen to our Sirius XM show on the Faction Talk channel, Sirius XM channel 103, Saturdays at 7 p.m. Eastern, Sunday at 6 p.m. Eastern, on demand and other times at Jim McClure's pleasure. Check out my turn on Normal World most recently, and I'll get you the

The number, I'll put the link on our YouTube channel. Most recently did a thing on female ejaculation where people who listen to this show already know the truth about female ejaculation and what the science is, but now a lot of other people do too. So that was fun. Go to our website, drsteve.com for schedules, podcasts, and other crap. Until next time, check your stupid nuts for lumps, quit smoking, get off your asses, get some exercise. We'll see you in one week. Go next time.