Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A From January 21st, 2026

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Dr. Cobble Q&A From January 21st, 2026 · The Radio From Hell Show - Best Of

• 0:01
  Speaker 1: Is doctor Cobble on the line. Yes, good morning, doctor Cobble,
• 0:05
  Speaker 1: Good morning.
• 0:06
  Speaker 2: I like ad Bill. Well, we have a question, sponsor.
• 0:11
  Speaker 3: We have we have a question about it.
• 0:13
  Speaker 1: But let me tell people if you have any medical questions,
• 0:17
  Speaker 1: if you have if it hurts there, maybe doctor Cobble
• 0:20
  Speaker 1: can tell you why it hurts there. But Gina, why
• 0:24
  Speaker 1: don't you present your conundrum, your problem to doctor Cobble.
• 0:28
  Speaker 4: So, doctor Cobble, I have this rotator cuff that I
• 0:32
  Speaker 4: fight with often, and I've had a couple of Cortizon
• 0:36
  Speaker 4: shots in it, which helps for a little while, and
• 0:38
  Speaker 4: then it goes away, and then I turn to my
• 0:40
  Speaker 4: friend Adville. But every night when I'm going to bed,
• 0:43
  Speaker 4: I wrestle with myself, going should I take it or not?
• 0:47
  Speaker 4: Because I don't want to take too much of it
• 0:49
  Speaker 4: because I know it's not great for your kidneys. So
• 0:51
  Speaker 4: do I have permission to take Adville every night? Or
• 0:54
  Speaker 4: is that not a good idea?
• 0:57
  Speaker 2: Well, I mean, the maximum dose of ibuprofen, advil, motrin,
• 1:01
  Speaker 2: whatever brand you choose ibuprofen is twenty four hundred milligrams
• 1:06
  Speaker 2: a day, So if you're taking a two hundred or
• 1:09
  Speaker 2: a four hundred milligram when you go to bed at
• 1:11
  Speaker 2: night and it helps you sleep and it works, then
• 1:14
  Speaker 2: that's great. I think if you don't develop high blood pressure,
• 1:18
  Speaker 2: don't have high blood pressure that's poorly controlled, and you
• 1:21
  Speaker 2: check your kidney once a year, you should be fine.
• 1:24
  Speaker 2: I mean the chance of advil ibuprofen doing damage to
• 1:29
  Speaker 2: an organ system is pretty low. There are certain people
• 1:32
  Speaker 2: that are higher risk diabetics with kidney disease or poorly
• 1:36
  Speaker 2: controlled the hypertensives. But what did your MRI show? Did
• 1:39
  Speaker 2: it show you need a little work there?
• 1:41
  Speaker 4: I mean it's one of those where you know it's
• 1:43
  Speaker 4: torn and I but then you do the do you
• 1:48
  Speaker 4: want to have surgery? Because that's a whole other thing,
• 1:50
  Speaker 4: you know. I think you try to avoid surgery if
• 1:53
  Speaker 4: you can, don't you?
• 1:56
  Speaker 2: It depends on how it's affecting your quality of life.
• 1:58
  Speaker 2: I mean, you know, at your A get thirty, I'd
• 2:01
  Speaker 2: get it done. But I think if yeah, if advill
• 2:07
  Speaker 2: ibuprofen two to four hundred milligrams max dos eight hundred
• 2:10
  Speaker 2: at night, but two to four hundred works, and you're
• 2:12
  Speaker 2: able to do the things you want to do, and
• 2:15
  Speaker 2: then I don't think surgery is you know if physical
• 2:18
  Speaker 2: therapy and those things can rehabilitate that partial terror whatever,
• 2:22
  Speaker 2: you know, whatever the Amri showed, and it's great to
• 2:24
  Speaker 2: do conservative management, but you know, if it's not letting
• 2:27
  Speaker 2: you play pickleball or golf for you know, slap slap
• 2:33
  Speaker 2: around your coworkers, then get it done. Then I'd get
• 2:37
  Speaker 2: surgery if I could only be so lucky. But I
• 2:42
  Speaker 2: think the Adville i'd be profer at night is fantastic
• 2:44
  Speaker 2: And if it manages your discomfort, then that's it's a
• 2:48
  Speaker 2: great way to treat it.
• 2:49
  Speaker 1: Forgive me gene if I say, see, doctor Knight is
• 2:58
  Speaker 1: not going to be bad. We got a question from Tyson.
• 3:01
  Speaker 1: Hello Tyson, by Tyson? Where Hey, Tyson, where are you
• 3:03
  Speaker 1: calling from?
• 3:04
  Speaker 5: By the way, I'm calling from Leyton.
• 3:07
  Speaker 3: Okay, what's your question for the doctor?
• 3:11
  Speaker 5: Good morning? And so I was curious if I should
• 3:14
  Speaker 5: get tested for sleep apnea. I snore and I did
• 3:19
  Speaker 5: get a wristband one of those fitbits that said my
• 3:23
  Speaker 5: SPO two did it very very much throughout the night,
• 3:26
  Speaker 5: which made me think maybe I don't need to be tested,
• 3:29
  Speaker 5: but I don't feel too tired during the day. Just
• 3:33
  Speaker 5: kind of curious to what you would recommend.
• 3:37
  Speaker 2: Yeah, I mean it depends. I usually I like to
• 3:39
  Speaker 2: use sleep apnea testing on patients that are pretty symptomatic.
• 3:43
  Speaker 2: I don't think your SPO two is going to change
• 3:45
  Speaker 2: a lot during the night. You know, for some sleep
• 3:48
  Speaker 2: afne people it can be catastrophic. Their oxygen can drop
• 3:51
  Speaker 2: a lot. But most people sleep apnea just snore. Their
• 3:55
  Speaker 2: partner or their friends can't sleep in the same room
• 3:57
  Speaker 2: with them. They have a lot of daytime fatigue or
• 4:01
  Speaker 2: daytime SAWMB once we call it. You know, they've got
• 4:03
  Speaker 2: to do a lot of nicotine or caffeine products all
• 4:06
  Speaker 2: day long to try to stay awake because they can
• 4:09
  Speaker 2: fall asleep at their desk or when they get home,
• 4:12
  Speaker 2: they fall asleep on the couch. So it can cause
• 4:15
  Speaker 2: high blood pressure, it can cause heart failure, all those
• 4:17
  Speaker 2: types of things. So home sleep study testing with your
• 4:21
  Speaker 2: clinician is easy to order, and I don't think I
• 4:26
  Speaker 2: think untreated sleep apneas is dangerous long term over five, ten,
• 4:31
  Speaker 2: twenty years. A lot of sleep apnea is related to
• 4:34
  Speaker 2: somebody's weight. So if people lose five percent of their
• 4:38
  Speaker 2: body weight, you know ten twelve, fifteen pounds that can
• 4:41
  Speaker 2: manage to sleep avene really well. And you know, the
• 4:43
  Speaker 2: weight loss injections are now approved to treat sleep avenue,
• 4:47
  Speaker 2: which is great. But yeah, I think it's easy for
• 4:51
  Speaker 2: clinician to order it. I'd go get a test it.
• 4:53
  Speaker 2: If you're a snorer, you probably have sleep avenue. All right, Okay,
• 4:58
  Speaker 2: thanks you a great question.
• 5:00
  Speaker 1: Ask you doctor Cobble about I here advertised these. Instead
• 5:06
  Speaker 1: of having a seapap machine, there's an oral appliance that
• 5:10
  Speaker 1: you can put, you know, put in your mouth at
• 5:12
  Speaker 1: night or and it'll uh do do as well as
• 5:16
  Speaker 1: a seapap machine.
• 5:20
  Speaker 2: I mean, I think the seapath or the surgical interventions
• 5:23
  Speaker 2: of the gold standard. I think that the nasal strips
• 5:27
  Speaker 2: and the oral appliances are you know, an easy, inexpensive
• 5:32
  Speaker 2: something you can try. And I have some folks that
• 5:35
  Speaker 2: will try it and if you find it it is
• 5:38
  Speaker 2: effective for you, I think it's a great start.
• 5:40
  Speaker 1: Yeah. Okay, we're back now with doctor Michael Cobble. He
• 5:46
  Speaker 1: can answer medical questions for you.
• 5:48
  Speaker 3: We have some text questions.
• 5:50
  Speaker 6: Let's see, doc, I fell approximately thirteen days ago on
• 5:54
  Speaker 6: some black ice mateal bone still hurts. I think it
• 5:58
  Speaker 6: means my tailboney to text. See this is why where
• 6:01
  Speaker 6: you like you to call. My tailbone still hurts as
• 6:04
  Speaker 6: if I had done it yesterday. I'm not sure if
• 6:06
  Speaker 6: I should go in and get an X ray or not.
• 6:09
  Speaker 6: It's a tailbone. What are they going to do for
• 6:11
  Speaker 6: me at the end of the day, though I am
• 6:12
  Speaker 6: in a lot of pain.
• 6:14
  Speaker 3: What should I do?
• 6:16
  Speaker 5: Yeah?
• 6:16
  Speaker 2: I think get yourself one of those donuts to sit on.
• 6:19
  Speaker 2: They're not gonna do surgery on a tailbrone fractory. Even
• 6:23
  Speaker 2: if you have it, it's gonna probably be sore for
• 6:26
  Speaker 2: two to six weeks. It's probably not broken. But I
• 6:30
  Speaker 2: think one of those donuts is great. If you're not
• 6:32
  Speaker 2: allergic to it. A leave and if yeah, if you're
• 6:38
  Speaker 2: not allergic to it, a leave you can take up
• 6:40
  Speaker 2: to five pills a day tail and all you can
• 6:42
  Speaker 2: take up to eight to twelve pills a day, or
• 6:45
  Speaker 2: you can do ivurprof and in place of the leave,
• 6:48
  Speaker 2: like Gina, you can do ibuproflee with tailent all or
• 6:52
  Speaker 2: leave with talent all. And I think if you're not
• 6:54
  Speaker 2: having bal or bladder problems, or numbness in your legs
• 6:57
  Speaker 2: or motor problems in your legs, I don't think this
• 7:00
  Speaker 2: is an emergency and I just get more aggressive with
• 7:03
  Speaker 2: that donut. You know what I'm talking about. When I
• 7:05
  Speaker 2: say the donut, the little it's.
• 7:07
  Speaker 3: A pillow thing you sit on.
• 7:08
  Speaker 2: It takes the pressure off of the tailbone, sort.
• 7:10
  Speaker 3: Of a pillow thing.
• 7:11
  Speaker 1: Sometimes they're inflatable, I think, aren't they Sometimes?
• 7:15
  Speaker 2: Yeah, they're usually spongy, but you can blow them up.
• 7:18
  Speaker 2: I mean, they're not as exciting as donuts. So you
• 7:20
  Speaker 2: can get at the local donut place. No, they might
• 7:23
  Speaker 2: give you more comfort.
• 7:24
  Speaker 3: But you don't. You don't want to. You don't want
• 7:25
  Speaker 3: to sit on one of those. No, that wouldn't help.
• 7:27
  Speaker 2: No. When I mentioned donut, I know Bill was already
• 7:30
  Speaker 2: you know he is Homer Stimpson, Right, oh, donut.
• 7:35
  Speaker 3: We had such good donuts yesterday from a new place.
• 7:38
  Speaker 6: Let's see, how do I get rid of a stye
• 7:42
  Speaker 6: on my eyelid?
• 7:44
  Speaker 1: My mother used to I used to get sties all
• 7:47
  Speaker 1: the time when I was a little kid, and they'd
• 7:50
  Speaker 1: get like a little pussy head on them, you know,
• 7:52
  Speaker 1: And I was on my like like my lower eyelids,
• 7:55
  Speaker 1: and my mother would sterilize a needle and pop them.
• 8:00
  Speaker 1: Isn't I just hated that?
• 8:04
  Speaker 2: Well, And I think an old treatment was put an
• 8:06
  Speaker 2: egg white on there. But I think a warm compress
• 8:10
  Speaker 2: works great. I think depending on how bad it is,
• 8:14
  Speaker 2: a rhythmomycin topical ointment, you know, a prescription antibiotic would help,
• 8:20
  Speaker 2: but usually warm compress every hour or two and can
• 8:25
  Speaker 2: clear that out.
• 8:26
  Speaker 3: And that they'll go away on their own. Is that?
• 8:30
  Speaker 2: Yeah? They can Again stys they're called chelasians or hoordiolums
• 8:36
  Speaker 2: is the medical term, but they can clear up on
• 8:38
  Speaker 2: their own. I think again, if it's really bothering you
• 8:41
  Speaker 2: a lot, you know, your your primary care doctor or
• 8:43
  Speaker 2: an high doctor can in an antibiotic, and but rarely
• 8:47
  Speaker 2: do you need to have Bill's mom come over and
• 8:50
  Speaker 2: stick in it.
• 8:51
  Speaker 3: Why did that?
• 8:52
  Speaker 6: Well, you know what my dad would say, you need
• 8:54
  Speaker 6: to stop peeing in the road.
• 8:56
  Speaker 3: That's whats to get in the road. What does what
• 9:02
  Speaker 3: does cause sties? Doctor pobble?
• 9:06
  Speaker 2: Just a little hair follicle there at the base of
• 9:08
  Speaker 2: the eyelid just gets locked up and then the bacteria
• 9:12
  Speaker 2: that lives on the skin kind of moves in.
• 9:14
  Speaker 3: Yeah, let's see a question for the doctor.
• 9:16
  Speaker 6: What are his thoughts on peptides like BP one fifty
• 9:20
  Speaker 6: seven to help treat injuries?
• 9:23
  Speaker 2: Yeah, I think they're worth trying. I mean they've become
• 9:25
  Speaker 2: really popular. And if it fits in your budget and
• 9:28
  Speaker 2: you try it for two to six weeks and you
• 9:30
  Speaker 2: find it's helpful, I think that they're simple and I
• 9:34
  Speaker 2: mean peptides have been around forever. GLP one peptides were
• 9:40
  Speaker 2: identified in nineteen sixty four and came to the diabetes
• 9:43
  Speaker 2: market in two thousand and four, so you know the peptide.
• 9:46
  Speaker 2: There are not those MSK peptides that you're describing available
• 9:52
  Speaker 2: from a prescription point of view, but you can get
• 9:54
  Speaker 2: them over the counter through different compounding or pharmaceutical What.
• 10:03
  Speaker 3: Sort of injury would this be for? What would you
• 10:05
  Speaker 3: treat with it?
• 10:06
  Speaker 7: Well?
• 10:06
  Speaker 2: I think I think just chronic muscular skeletal stuff or
• 10:10
  Speaker 2: chronic arthritis. I mean I have patients that use it
• 10:13
  Speaker 2: for you know, chronic back pain and other issues. So again,
• 10:17
  Speaker 2: I think if you try it for two to six
• 10:19
  Speaker 2: weeks or two to twelve weeks, it fits in your
• 10:21
  Speaker 2: budget and you find value with it, I think it's awesome,
• 10:24
  Speaker 2: all right, Uh, douc.
• 10:26
  Speaker 6: What is the best sleep aid for insomnia? A more
• 10:30
  Speaker 6: natural route would be wonderful.
• 10:34
  Speaker 2: Well, I think the natural options obviously are melatonin, is
• 10:37
  Speaker 2: very popular. I think valerian roots, valeriana, passion flower, passiflora,
• 10:44
  Speaker 2: cama meal, you know, all of those things. Or you
• 10:47
  Speaker 2: can get over the counter a local nutraceutical, you know
• 10:52
  Speaker 2: one of the one of the places that dispense the zon,
• 10:55
  Speaker 2: or you can order online if that's what you choose
• 10:57
  Speaker 2: to do. I think if those things in combination, because
• 11:00
  Speaker 2: a lot of those common as a combination product. If
• 11:03
  Speaker 2: those things don't help, trip to Fan can help. My
• 11:07
  Speaker 2: mom likes a warm glass of milk in the evening
• 11:09
  Speaker 2: or a little bit of turkey. Those released trip to Fan.
• 11:12
  Speaker 2: Those are simple natural things. If those don't work, then
• 11:15
  Speaker 2: I think those see your clinician and get something that
• 11:18
  Speaker 2: is good for sleep but is not addictive or controlled.
• 11:23
  Speaker 2: I think avoiding the addictive controlled drugs if you can,
• 11:27
  Speaker 2: is the best avenue for treating acute or chronic insomnia.
• 11:31
  Speaker 3: I know, miltonin Works.
• 11:33
  Speaker 1: I took it one time because I was having trouble
• 11:37
  Speaker 1: getting to sleep for a few nights in a row.
• 11:39
  Speaker 3: Took it one time.
• 11:40
  Speaker 1: I would never take it again because it did it
• 11:43
  Speaker 1: put me out to sleep and then I felt foggy
• 11:45
  Speaker 1: for the whole day. Yeah, it's hard to shake off
• 11:47
  Speaker 1: that I couldn't I couldn't get over it.
• 11:49
  Speaker 3: Yeah, I don't know a problem.
• 11:51
  Speaker 2: That's pretty rare. I don't know a lot of people
• 11:53
  Speaker 2: don't experience that.
• 11:54
  Speaker 3: I'm sure it's.
• 11:55
  Speaker 4: Great if you're traveling and you're the time zones are
• 11:59
  Speaker 4: different and you're trying to get your body on the
• 12:01
  Speaker 4: schedule of wherever you are.
• 12:03
  Speaker 6: I suppose all right, Uh, what is another medication to
• 12:07
  Speaker 6: substitute for omeprazol ole?
• 12:13
  Speaker 2: Yeah, a mepherzol see the old prilo sec It's a
• 12:17
  Speaker 2: proton pump inhibitor. The other options are summeprazol, which is
• 12:21
  Speaker 2: nexium rebeprazol. There's ass effects, Uh, protonics, there's some one
• 12:29
  Speaker 2: or two others, but if you want to stay in
• 12:31
  Speaker 2: that class, it'd be protonics, pentoprazol, nexim smperzol, rebeprazol as
• 12:37
  Speaker 2: effects like abb The Abbitt had one and blanking on
• 12:42
  Speaker 2: the name of it, but I think a lot of
• 12:44
  Speaker 2: those are over the counter now. The other options are
• 12:46
  Speaker 2: the H two blockers, which are nitidine pepsid zantac type stuff.
• 12:52
  Speaker 2: And then there are some other prescription options like foques
• 12:56
  Speaker 2: now which is on the market now, and GI doctors, right,
• 12:59
  Speaker 2: does a lot.
• 13:00
  Speaker 6: All right, Larry, we've just got a short period of time.
• 13:04
  Speaker 3: Go ahead with your question.
• 13:06
  Speaker 2: All right.
• 13:06
  Speaker 7: I've been going through insomnia since the since late in November.
• 13:11
  Speaker 7: I got the flu in early December. My doctor said
• 13:15
  Speaker 7: that it's because I'm not getting any sleep because nine
• 13:18
  Speaker 7: body is not healing. And every couple of weeks I
• 13:22
  Speaker 7: go three or four days getting like ten minutes of
• 13:26
  Speaker 7: sleep at night.
• 13:28
  Speaker 2: What can I do? Well, you can try those things
• 13:32
  Speaker 2: that I mentioned. Otherwise, I think townel pm benadrel deefen
• 13:37
  Speaker 2: hyder means an easy thing for a cute insomnia, like
• 13:40
  Speaker 2: you're describing, maybe magnesium five hundred to one thousand milligrams,
• 13:45
  Speaker 2: vitamin C five hundred to one thousand milligrams. Maybe try zinc.
• 13:49
  Speaker 2: You know, Zinc's a pretty good immune stimulator. And then
• 13:53
  Speaker 2: I think if the townel pm benadrl type stuff with
• 13:57
  Speaker 2: those vitamins I wreck I suggested don't help, then I
• 14:01
  Speaker 2: think go see a clinician for prescription options.
• 14:04
  Speaker 1: Ben Adrilla usually knocks me out pretty good, Larry, try that, well, well.
• 14:08
  Speaker 7: My doctor. My doctor told me try over the counter unism,
• 14:12
  Speaker 7: and I've been doing that, but that only knocks me
• 14:16
  Speaker 7: out for like an hour, all right.
• 14:18
  Speaker 3: Anyway, try some others. Thanks, Larry, gotta go. That's all.
• 14:23
  Speaker 3: That's that's all the time. We have doctor Cable. Thank you.
• 14:25
  Speaker 3: It was always nice to talk to you.
• 14:27
  Speaker 2: Yes, you guys as well, Thank you, thank you very
• 14:31
  Speaker 2: much later all right,