635 - Syphillis Diller
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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, you know, a clown. Number one thing, don't take advice from some asshole on the radio. Why can't you give me the respect that I'm entitled to?

I'm paging.

From the world-famous Cardiff Electric Network Studios in beautiful downtown Tukey City, it's Weird Medicine, the first and still only uncensored medical show in the history of broadcast radio, now a podcast. I'm Dr. Steve with my little pal, Dr. Scott, the traditional Chinese medicine provider.

gives me street cred with whack alternative medicine assholes. Hello, Dr. Scott. Hey, Dr. Steve. And back from sabbatical, it's Lady Diagnosis. Hello, Lady Diagnosis. Hello, Dr. Steve. This is a show for people who never listen to a medical show on the radio or the internet. If you've got a question you're embarrassed to take to your regular medical provider or

Or if you can't find an answer anywhere else, give us a call. 347-766-4323. That's 347-POOHEAD. Follow us on Twitter at Weird Medicine or Dr. D.R. Scott W.M. or at Lady Diagnosis. Visit our website at drsteve.com for podcasts, medical news, and stuff you can buy. Most importantly, we're not your medical providers. Take everything you hear with a grain of salt. Don't act on anything you hear of this show without talking it over with your health care provider. All right, very good.

Please go to stuff.drsteve.com, stuff.drsteve.com. Check out the game called Wet Brain. It's a party game. It really is a fun party game. We played it at the beach, and we were laughing and yelling at each other. It's a perfect party game. You get to role play. It's very light. Don't worry about it. And...

And then, yeah, you get to scream at your compatriots because they're screwing you over. It's really a fun game. Very simple, easy to play, based on Presidents and Assholes, if you've ever played that. And it has all the dabbleverse people in it. Oh, cool. I love a good game. Yeah, and there was a guy named Troy Smith, who is the artist who did not get credit in this, the second edition, he will.

And he did brilliant artwork for this thing. Not based on any real people or anything like that. So it's just...

It's just a goofy game. But check it out at stuff.drsteve.com. Also, check out the Rhody robotic tuner at rhody.drsteve.com, R-O-A-D-I-E. Or you can just scroll down at stuff.drsteve and see it. And we're going to get Lady Diagnosis to get the Rhody coach. I'm going to give that to you today. I'm excited. And then you can take it in about six weeks or whatever. You come back in. We'll play a song together.

All right. Check out Dr. Scott's website. It's simplyherbals.net. The Simply Herbals nasal spray is still or is back in stock. It is back in stock. I'm going to need to place an order myself. I need some of that, actually. Yeah. CBD nasal spray. And you have the regular nasal spray, too? Yeah. Just the nasal rinse? Both. Yep. Okay. Good deal.

And with the really good delivery system, because, you know, you had that shitty delivery system for a while, but the new one was primo. It would shoot that shit right up your nose. I mean, you've got to be able to feel it. You've got to be able to feel it. Check us out at patreon.com slash weird medicine, all kinds of exclusives.

exclusive content there and they get stuff first and we're going to be doing some StreamYard live streams and some other things like that starting very soon. I really have just got to redo the whole studio and now I've got time to do it. Cameo.com slash weird medicine I'll say fluid to you mama or whatever. All right. Now was there something you wanted to bring up now? Nope. You're good. I think we're good. All right.

So, yeah, this new version of the show is going to be like the old version of the show. We're not going to be doing topics like we used to. That was really more for the SiriusXM side, and that's over.

I do want to talk a little bit about the final show. You guys weren't able to attend, but it was in Las Vegas. I wasn't invited. Well, you wouldn't have come. You wouldn't have come if I did. Maybe. I would have been there. But I had the beautiful Lucy Titebox as my co-host. She dressed up in a...

The sexy nurse's outfit. And she was wonderful. And she really is just so good at this stuff and really was, you know, rolled with all the punches. And we did, because of Liam's graduation and all of a sudden he gets, he was like, I'm not walking, I'm not walking, I'm not walking. He decides he's going to walk.

Because he got a letter from the dean saying it was, you know, number one in his class. Of course, he shared that distinction with 60 other people. But out of 2,000 people, it was pretty good. I was very proud of the little fucker. And he...

decided, "Okay, I'm gonna walk." He got excited about it. Well, it was the day I was supposed to do my show. Of course. And actually, I was supposed to do it Friday at 3:30, and there was no way I could get back in time. We tried that. And so I was supposed to be the shit show that started the thing, 3:30 on Friday, I was gonna be the first show.

And, you know, it builds up to the really good shows. Right. Well, I told Mr. Melton that the guy that was running the impresario running the thing that I wasn't going to be able to make it. And he said, wait a minute, wait a minute. Let's see if we can work this out. And so we tried. First thing we were going to do is he was going to rent me a private plane to bring me home.

In time, you know, I would get home at like 6 in the morning, which would be plenty of time to get there by 10. And he said, I can probably get that for, you know, $400 or $500. And it was like, bullshit, but go ahead and try. $15,000. Yeah, it turned out he was off by a couple of orders of magnitude. So he said, that's not going to work. Let me try something else. So what he did was he rescheduled the whole show.

So that I could do my show at 1030 on Saturday, which made me the headliner. So I refused to accept that. I said W.A.T.P. was the headliner. I'm just the midnight show. Right. You know, that's sort of the after show. And so I got there at eight o'clock and I've told some of this story already that.

which was 11 o'clock our time. I go on at 10:30, which is 1:30 our time, and I went to bed at 3 o'clock, which is 6:00 in the morning our time. So I was up for 24 hours straight, didn't eat or drink except for some alcohol that I had after the show. But yeah, it was wonderful. The crowd was just so generous.

And, you know, we got a it was I take that as it was a cumulative standing ovation for all of us. It was for all of us, you know.

But it was fun. We had a contest where people had to do the Howie Mandel latex glove thing where you blow it up. I taught everybody how to do that. And they wrote their name on it, and then they would shoot it at the stage, and then I would pick it up, and, you know, whosever name was on there got a prize. It was mostly wet brain card games, but I gave away the original Dabblers Anonymous T-shirt and stuff, so some historic stuff. But it was fun.

And got to hang out with some really cool people. Dame Taft was there, and that's actually a dude. And T.O. Hank, and of course all the, you know, Carter Fletcher and Tukey and B. Dabbler and Carl and Andy and all those folks were there. Got to meet and hang out with the lovely K.B., who is...

very lovely and delightful. And, you know, it was just a, it was a great, it was a great time. And that was the send-off for you. Yeah, that was the send-off for the SiriusXM show. So that was the very last SiriusXM show. And the way I did the SiriusXM show was I just played the show and then talked over it. So, you know, remember when I've told that story that Anthony came up to us

after the first show and said that was the best first show I've ever heard. Well, this was the worst last show. I mean, it was so ham-handed. I was exhausted. And I just, you know, I could have edited it up and made it nice. And I just was like, ah, fuck it. But anyway, but I did. I will put up the video on our YouTube channel eventually. Yeah.

Mr. Melton sent me the ISOs. You know, they had a four-camera shoot, and I'm going to cut it up the way I want to cut it up, and then we'll put it up on our YouTube channel.

And, yeah, it was great. So that's all I'm – that's it. I just wanted to talk about that. It was really fun, and it was great meeting everybody. What an adrenaline rush. Oh, my gosh. It was. I guess I was awake on adrenaline. I don't know. Whenever I go to that thing, like the last time I was putting all the young people to bed, too. They're like, we're tired. I'm like, no, we're going to keep going.

I would have been out. There's no way. Yeah. I don't know. I get that reserve even though I'm ancient. You know, get that reserve of strength. But it's probably not good for me. I probably took a year off my life. Who cares? It's a year at the end. That was a lot of travel. As Dennis Leary said, it's, you know...

It's all the shit at the end that you're saving, and it's all the bad years anyway. Exactly. So, I might as well enjoy it. Enjoy it while you're young. So, I don't know what we'll do next year. I don't even think I'll do a show at Hackamania next year. I'll just go and just hang out and be fun. Anywho, we are doing a special. Cardiff and Tuki and Rocco and I are working on a special thing for Hackamania 3. Oh, yeah.

So I can't say anything about it. I'm sworn to secrecy. But it was my idea. So I do hope it comes to fruition if we take the time and actually work on it. We have a year. But you always go, well, we've got a year. No, we've still got 10 months. And the next thing you know, you're doing it five minutes before the show, and it sucks. It always catches up. Yeah.

Anyway. All right. I will be in Detroit for WATP. I have a bad taste in my mouth about last year. Oh, don't tell me you're going back there again. I am. But it's, you know, hopefully, I mean, last year, you know,

You know, two of my friends disappeared, and I thought they were dead on the side of the road in Detroit. And so I did a really shitty job on the stage, and I need to redeem myself. And it turned out they were just at the hotel fucking. I didn't know. I literally thought they were dead. Yeah, yeah. Because they weren't answering me. They just disappeared. And one of them died.

I had Life 360. You know, we were linked up on Life 360. That was turned off. So I'm like, oh, okay. Someone has taken their phone and wiped it and they're dead on the side of the road somewhere because it's Detroit. Mm-hmm.

But they were fucking. I guess that's what they were doing. I don't know. But, you know, we're in Ferndale, so it's a nice part of Detroit. But, you know, still, you're a country bumpkin like I am. You know, you're in the big city and, you know, everybody's getting mugged and killed by them city folk. But it wasn't the case at all.

But I didn't know that. And it was either that or they were so pissed off at me that they just cut me off. And either way, I was...then my adrenaline was going. Most of the time, I don't get my adrenaline pumping at these things.

But it was then, but that was why. And I just was very distracted and did a terrible job on the stage. And then they have an after party and stuff, and I just laughed because I was freaked out. I had to go find out what was going on. Well, if they're dead, there's nothing you can do about it. Well, I'm not going to go to the after party and party and, you know, whoop it up while I'm worried about my friends. But anyway, there you go. So I'm going. That is September 12th.

which is, again, two days before my birthday. So I'm excited about that. Not that who gives a shit when you're my age, but I'm just saying. So are we 85 this year? I've been saying I'm 70 for a while because I'm close to it, but I'm 60. 69! Oh! Yep. Big 7-0 coming up. Yep, big 7-0 coming up. Love it.

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Your burger is served, and this is our finest Pepsi Zero Sugar. Its sweet profile perfectly balances the savory notes of your burger. That is one perfect combination. Burgers deserve Pepsi. So anyway, all right. Very, very wonderful. Anyway, all right, let's answer questions. Mm-hmm.

Let's do it. All right. Let's see here. Here's one from June 15th of 2015. There you go. Oh, wow. It's a little bit late getting to this guy.

Herb woman, whoever it is. I have pitting edema in my lower legs and ankles. Okay. A lot of it was from opiate use. But it left a lot of discoloration on the skin itself. I was wondering if there's any way to get rid of that because it's really dark and brown. It's really quite ugly. You know, it'd be great. Thanks. What's edema? Swelling. Swelling. Oh, okay. Yeah.

Okay, so what it sounds like he really has is brawny edema. That's a type of swelling that's characterized by a real dense, firm texture, and there's an increase in connective tissue, and you get thickening of the skin and hyperpigmentation, in other words, you know, darkening of the skin. And it's similar to pitting edema.

Now, normally, brawny edema doesn't leave impressions when pressed, but you can have pitting edema that leads to brawny edema. And, you know, it's chronic. It's caused due to long-term fluid accumulation. So if you had pitting edema for a long time and swelling, you get so much swelling in the legs that the skin capillaries can't feed all of that.

and they get stretched out, and sometimes they die. And so you'll get, you know, this can be caused by chronic venous insufficiency, not so much from opioid abuse. I don't know why he's thinking it's caused by using opioids. Unless it just happened at the same time. Well, unless it's caused some cardiac or some liver. I mean, if he's got fluid in his abdomen...

Yeah. He's got heart failure, CHF. Opioids don't do that so much either. Well, I mean, it's possible. If he was immobile for a long time or something like that. But normally it's just, you know, bad veins. Yeah, well, yeah, lack of inactivity. Yeah. Certainly inactivity will do it and lack of circulation. Yeah. Go ahead. But anyway, no, I was just going to say, so the problem with that is, is that once the pigmentation gets into the skin...

from the damage to the blood vessels, you really can't get rid of it easily. I'm not aware of any... Do you know of anything? Well, no, but I think the best thing is to reestablish good circulation in his lower limbs. And that can be done by a bunch of different ways. I hope that he's

those ways in the last 10 years, which would be things like physical therapy, lymphedema massage, you know, a lymphedema specialist, you know, sports socks, you know, sometimes a vein specialist will have to go in and do some

You know, small procedures. Sure. Or compression therapy, too. You know, if he has lymphedema, which is caused by blockage of the lymphatic supply, you can apply compression. And you can do that with venous stasis as well. They use these things called Unaboots. It's a medicated wrap that's not elastic. And it will force some of the fluid out of the legs. But then, you know, if you just take it off and keep going.

doing the same things that you've been doing, standing up for long periods of time or sitting for long periods of time without moving around, then it just comes right back. Now, there are some topical creams that can get rid of pigment in the skin. The pigment is actually caused by a molecule called hemocitarin.

And it's just staining from the poor blood circulation. And these topical creams like hydroquinone or retinoids can sometimes lighten the skin and might get rid of some of that. So it just makes your skin darker? Yeah. Oh.

Yeah, and it can be spotty, too. Yeah. It almost looks like a, especially if you have really kind of paler skin, you'll have almost like a brown sock on. Yeah. Oh, okay. Yeah, literally like a sock. Now, I'm looking at something right now that says laser therapy can target and break down the hemocytin, so if you get the right frequency of laser, you might be able to, but you're going to have to go over your whole leg to do that. So I would definitely see a vascular specialist about this. Oh, yeah.

if you really want to do something about it. Of course, it was 10 years ago, so good luck with that. But there may be some people who have the same problem right now. So the skin's not dead. It's just dark. The skin is stained. Right. It's stained, and it is damaged. It's thickened and damaged because when you stretch the skin out like that, the blood vessels that are trying to feed it can't

force blood into that because it's under so much pressure now because of the stretching of the skin. And so the body's reaction to that is basically scarring, kind of. Yeah, because you're actually hyper-stretching all the fascia and the components of the skin. Everything gets stretched out of its normal, you know, kind of... And the body's reaction is to try to protect itself is just to thicken that. Yeah.

And then with those blood vessels, you know, the little capillaries start to burst and stuff. Then you get that hemocytin staining. At least that's my understanding of the mechanism of it. So exercise.

elevating the legs, maybe trying compression therapy. I would start with a hydroquinone and maybe Retin-A or something, you know, prescribed by a dermatologist. And if that doesn't do, then they could maybe try the laser thing if you're really worried about the appearance of your legs. Okay. All right. And glad you got off the opioids. Yeah. All right. Here's another one from June 15, 2015.

Yes, I was just trying to get in contact with you. I had a virus or something that was on my...

on my penis. It's been probably about five, six years ago. And after that, it went away. It was almost like a little sore. And it went away. And I don't have a feeling that

It's not – it seems like it is not stimulating as much as what I would like for it to. And I am over 56 now. And so I was just wondering if that was part of my –

A sensation is keeping me from getting an erection as far as emotions not building up as much. I don't have the stimulation like I need to. Yeah. I can see down here he's going to give his phone number out. What's a penis virus? Is that such a thing? Yes, of course. Well, there's herpes, but that will come and go and come and go and come and go.

The penis virus that could cause kind of a sore that would then disappear and go away altogether. And he didn't give the time frame. But if it was over several months, you would think HPV because the body can kill HPV if it wants to. When you have it doesn't necessarily mean you're going to have it for life. But you can't ever stop.

You know, if you've had HPV, you've got to always tell your partners that you had it and it went away. I had HPV on my feet. You know, plantar warts or human papillomavirus. And the dermatologists would go in there and, you know, laser them or zap them, burn them. And then one time I went to a podiatrist when I was in college and I had a couple of them. And he dug it out with a curette.

And the next thing I knew, all the rest of them just disappeared. So him digging that out with a curette exposed the virus to my immune system, which then went and went, hey, you fuckers aren't supposed to be here either. And it went and killed all of them. Now I don't have it. You know, I haven't had any plantar warts in forever. And whenever I have adults with plantar warts, I'd always, you know, when I would treat them, I would always at least try to dig one of them out that way just in case it would it

It would work for them. That's cool.

Multiple myeloma, or no, I'm sorry, melanoma will do the same thing every once in a while. There's this thing called the abscopal effect where if you radiate a melanoma lesion in a bone and you kill it every once in a while, the person will be cured of their melanoma. Now, if we could harness that, we would have a cure for melanoma. We haven't got to the point where we can harness it yet. It's just at random. It happens. It's rare, but it happens.

I have an article about it at drsteve.com if you click on non-pseudoscience cancer cures. But anyway, so but the other thing I'm worried about is if you have a lesion on your penis that is painless and it divides and then it disappears.

What am I thinking about, Dr. Scott? That would be considered penile cancers. No, that would not disappear. Incorrect. Okay, think of this. You've got a lesion on your penis. It divides in two, and then it divides in four, and then eight, and 16, and then it fades away. It's a baby. Oh. Okay.

I don't know. I'm stumped. Okay, it would be syphilis. Oh, syphilis. And the problem with it is that the primary syphilis turns into secondary, you know, second phase syphilis, which means you have no symptoms. But then tertiary syphilis is neurosyphilis. That's where it comes roaring back. And, you know, Lyme disease does the same thing. Oops. Whoa. You can give me a call. I appreciate it. Okay. Neurosyphilis.

And tertiary Lyme disease are closely related because they're both kind of spirochetes. And so Lyme disease has a dermatologic first phase, right? You get that rash.

And then it goes away, and then you think you're okay, and then it comes roaring back, and you get cardiac problems and stuff like that. Well, syphilis, same way. You get this dermatologic shanker that goes away, and then it's latent, and then it comes roaring back. Right.

And causes, you know, that neurosyphilis syndrome. Or your nose can fall off and all kinds of stuff. So I'm hoping that this was HPV. And he also complained of erectile dysfunction. Yeah.

And at 56, not that unusual, to be honest with you. And probably not related to this. See your primary care. Get your testosterone checked. If it's not normal, they'll replace it. If that fixes it, great. Otherwise, then there's lots of things out there that you can get that work very well. Rouguillette is an online doctor.

provider of erectile dysfunction medication and they have apomorphine which was brought to market and then not approved by the FDA because it caused nausea and vomiting and they use apomorphine if your dog eats chocolate and you go to the vet they will inject them with apomorphine and they will vomit immediately so they puke it all up now

And Rouguiet has it in such low doses, and they combine it with Viagra and Cialis. And the Viagra and Cialis are normal doses, and they'll just dope it with a little bit of apomorphine. And then it's a sublingual lozenge, and you put it under your tongue. It's outstanding. I will have to say, of all the things out there that you can buy, Rouguiet.

mail order for erectile dysfunction. That's the one. They should be sponsors of our show. That's the best. That good, huh? Yeah, it's the best. Incredible. And I've tried them all. Not that I need it, but I, you know. Just for you. All right. So I hope that guy's okay. Good to know. Yes. Just in case. Hope he's okay. All right. Hey, Dr. Steve. I have ugly feet. Okay. And...

It's mostly because I keep on getting what I think is athlete's foot back. I work out a lot. I run a lot. But I change my socks twice a day. I shower every day. I wash my feet. But I cannot seem to kick this athlete's foot. It gets so itchy at some point in time that I end up, like, scratching my bleed, which is gross. And my toenails...

Some of them look normal. Some of them are just now oddly shaped and discolored.

I've tried every different type of topical toenail ointment, paint brushy thing under this toenail. Nothing seems to clear it up. No cream lasts for longer than a couple weeks, but still, even then, it seems like it never really goes away. How do I get rid of this nip and where's the plus again? Yeah, gotcha.

So he has refractory tinea pedis. That's the term we use for athlete's foot. The first thing I would say is he's tried all the over-the-counter stuff. It's time to go to a dermatologist. And it may not be athlete's foot. That's what I was thinking. It may be complicated by some of the underlying things. Yeah, it could be complicated by bacterial infection or diabetes. Well, that's true. He could have...

You know, poor circulation, poor circulation or, as Dr. Scott said, you know, elevated blood sugar, stuff like that. So he needs to get this checked out. There are prescription strength medications that can be provided. You know, there are stronger creams that are only available.

Thank you. Our only prescription strength, so Econazole is one, Ciclopirox is another one, but they may want to give an oral antifungal like Fluconazole or Itraconazole, and that has to be done by prescription as well. And it would be really good for a dermatologist to look at it, just make sure we're not dealing with something else. We get people all the time saying,

who think they have jock itch and it won't go away with antifungals. And it turns out it's a thing called erythrasma, which is actually caused by a bacteria. And, you know, you treat it with the antifungals and the bacteria just laugh at it. But you give them a couple doses of the correct antibacterial and they disappear, antibiotic, and it disappears. So get that checked out. Might be a good time for the nitric oxide.

Nitric oxide? It's a topical. Sometimes it'll help. It was a decreased blood flow. Increase that blood flow for the refractory. Oh, oh, oh. Like the nitroglycerin. Okay. Topically, yeah. Okay, I see what you're saying. Okay. Yeah, I don't know. Interesting. Nitric oxide is a...

vascular, especially with really bad Raynaud's. Oh, I'm sorry. Yeah, especially with really bad Raynaud's. Topical nitric oxide? Really? Like a nitro, like you take out of your tongue for cardiac cell. No, that's nitroglycerin. Well, that's what I said. The first one was nitroglycerin, but they have a topical for your fingers. But it's nitroglycerin, not nitric oxide, right? Yeah, nitroglycerin. But yeah, I think you can use nitric oxide also because same thing you would use for like, you know, which helps us get erections. Right. Yeah.

I'm just throwing it out there. I'm not saying that's a proven fact. No, let me look at it. I'm not saying it's a proven fact. It's my theory. Well, they do have topical nitric oxide. There you go. Huh. Huh. Well, I just learned something, Dr. Scott. Topical nitric oxide shown promise for various skin conditions, including acne, eczema, wrinkles. Dude, when the music's going, Lady Diagnosis, it means that I'm ending the show. I'm doing my job. Okay, thank you.

She's doing her job, though. Good girl. Doing what I was told to do. That's what I like about it. Yeah, it's a short-lived immune modulator and broad-spectrum antimicrobial agent. What? That's interesting. Well, we use nitric oxide as a blood-flowing enhancer.

It says it enhances skin tone, quality, texture, potentially reducing the appearance of fine lines and large pores and unwanted pigment. And now here we go. It acts as a vasodilator, ding, ding, ding, increasing blood flow to the skin through capillary recruitment. Also has anti-inflammatory and antimicrobial effects. Huh.

Wasn't that something? Well, you know what to say. My blind hog staggers across snake-horned once in a while. Yeah, no, that's good. You know, arginine, the amino acid, is a precursor for nitric oxide, and people advocate taking it as well. That's interesting. I'm going to get some of that and try it out on a couple of things. Oh, God, is it expensive. Is it really? Oh, $161. Oh, from these assholes.

Let me see. Okay. Let me see what Amazon's got. $100 says Dr. Steve can make his own. Yeah. You want some of that X and D? Here we go. $100 says he can. Watch this. Hey, Dr. Steve, I bet you can't make it. I bet you can't. I bet he's not capable. No Oxiderm one-ounce premium wound care treatment for advanced septic foam. Okay, whatever. Okay. All right. Well, listen. Thanks, everybody. We'll be back in very briefly.

And we're still getting the kinks out of the new show. Thanks go to Dr. Scott, Lady Diagnosis, everyone who's made this show happen over the years. Thanks to our listeners, particularly. Go to our website at drsteve.com for schedules, podcasts, and other crap. Until next time, check your stupid nuts for lumps, quit smoking, get off your ass, and get some exercise. We'll see you in one week for the next edition of Weird Medicine. Thanks, everybody.

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