Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A from July 22nd, 2026

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Dr. Cobble Q&A from July 22nd, 2026 · The Radio From Hell Show - Best Of

• 0:01
  Speaker 1: Have you any medical questions? It hurts here? Does this
• 0:07
  Speaker 1: look infected anything? Doctor Michael Cobble is here to answer
• 0:11
  Speaker 1: your questions. What's going on? With your help? What's going on?
• 0:16
  Speaker 1: You're worried about something? Doctor Cobble can perhaps give you
• 0:20
  Speaker 1: some advice or at least steer you in the right direction.
• 0:23
  Speaker 2: There's no copay too, But this is a free call.
• 0:25
  Speaker 1: That's true, no copay for this. Maybe we ought to
• 0:29
  Speaker 1: start charging a copey though, doctor Cobble. You know, something nominal,
• 0:32
  Speaker 1: like a sawbuck or something you know, I don't know. Probably, Yeah,
• 0:38
  Speaker 1: we're talking about the measles in Utah and around the world.
• 0:43
  Speaker 1: Utah is one of the states listed with the highest
• 0:48
  Speaker 1: rates of measles infections, doctor Cobble. But then it said
• 0:51
  Speaker 1: something in the story there was at least this much
• 0:55
  Speaker 1: in nineteen What was in nineteen ninety one? I think
• 0:58
  Speaker 1: back in nineteen ninety one, it was a big increase
• 1:01
  Speaker 1: in cases. Do you have any idea why that was?
• 1:05
  Speaker 3: No. I was in medical school at the time, and
• 1:06
  Speaker 3: I remember it happening, but I don't remember the logistics
• 1:10
  Speaker 3: of it. But I think the cool thing is we're
• 1:12
  Speaker 3: number one.
• 1:13
  Speaker 1: Yeah, yeah, we're really doing well with that, I was
• 1:17
  Speaker 1: suspecting that nineteen ninety one there was some there was
• 1:20
  Speaker 1: some wave of anti vaccine sentiment going on.
• 1:25
  Speaker 2: I just looked at I just looked it up. The
• 1:27
  Speaker 2: nineteen ninety one measles epidemic was primarily driven by under
• 1:32
  Speaker 2: vaccinated preschool children. A resurgence of fear doesn't say yeah,
• 1:39
  Speaker 2: it doesn't say how well. I guess it's spread around.
• 1:42
  Speaker 4: I got an email chain from my aunt June.
• 1:45
  Speaker 1: So yeah, there's that. Are you have you seen any
• 1:49
  Speaker 1: of it in your practice? I don't. You don't have
• 1:51
  Speaker 1: children in.
• 1:51
  Speaker 3: Your practice because I don't. I don't have very many
• 1:54
  Speaker 3: pediatric folks in my practice anymore. Stematic care mostly what what?
• 1:59
  Speaker 2: How do you know if you have measles?
• 2:01
  Speaker 1: What? What? What should you look at?
• 2:04
  Speaker 3: Well, I mean a viral symptoms of some kind, but
• 2:08
  Speaker 3: I think that the most likely thing is you've just
• 2:13
  Speaker 3: had an exposure. So typically measles will really have a
• 2:16
  Speaker 3: high fever and you know, really high like hundred four
• 2:20
  Speaker 3: hundred and five, but upper respiratory type symptoms and then
• 2:23
  Speaker 3: a rash. So that's the most common thing, is when
• 2:27
  Speaker 3: the rash pops out, and we start thinking in the
• 2:31
  Speaker 3: old days, We used to call it coplex spots. There
• 2:34
  Speaker 3: are kind of tiny blue white spots, but the rash
• 2:37
  Speaker 3: is the big thing, and especially in the inside the mouth.
• 2:40
  Speaker 1: Yeah, I remember it was so long ago when I
• 2:43
  Speaker 1: had the measles, but I do remember that that and
• 2:46
  Speaker 1: looking at myself in the mirror going, oh my god,
• 2:49
  Speaker 1: it's just awfuen.
• 2:51
  Speaker 4: All right, we got Josh on the phone.
• 2:54
  Speaker 1: Josh, Hello, Josh, how are you today?
• 2:57
  Speaker 4: I'm doing pretty nifty?
• 2:59
  Speaker 1: All right, What what have you got to for doctor Cobble?
• 3:03
  Speaker 5: Hey, I just wanted to know if sleep atne can
• 3:06
  Speaker 5: affect the mails at reproductive perform.
• 3:11
  Speaker 1: Test, testosterone levels, or erectile dysfunction or what.
• 3:17
  Speaker 3: Yeah, both, But I mean sleep apne can affect everything.
• 3:20
  Speaker 3: It can cause daytime fatigue, daytime somnolence, weight gain, low
• 3:25
  Speaker 3: testosterone levels, high blood pressure. Ultimately it can cause heart failure.
• 3:30
  Speaker 3: So sleep apnea should not be ignored. And if you
• 3:34
  Speaker 3: have daytime fatigue and I have to do a lot
• 3:37
  Speaker 3: of caffeine drinks or nicotine or stimulant products during the day,
• 3:41
  Speaker 3: or you get home from work and you fall asleep
• 3:44
  Speaker 3: on the couch, you know that's I would go in
• 3:47
  Speaker 3: and have a clinician evaluate for that the majority people
• 3:51
  Speaker 3: of sleep apne are overweight, but about ten or fifteen
• 3:54
  Speaker 3: percent of people of sleep apne are not overweight at all.
• 3:57
  Speaker 3: That they'll snore heavily or they'll gasping a night. So
• 4:01
  Speaker 3: typically a friend partner, we'll notice them making a lot
• 4:05
  Speaker 3: of noise at night.
• 4:06
  Speaker 2: All right, Yeah, but the sea pep machines aren't sexy.
• 4:09
  Speaker 2: That's a whole other problem.
• 4:11
  Speaker 4: I refer to them as the uh, the sexy removal machine.
• 4:17
  Speaker 3: I feel like Darth Vader.
• 4:18
  Speaker 6: I mean, I know, I know.
• 4:20
  Speaker 3: How you get dat white noise. But the people that
• 4:25
  Speaker 3: start those machines will say, oh my gosh, I haven't
• 4:27
  Speaker 3: felt this good in several years. Not getting oxygen while
• 4:31
  Speaker 3: you're sleeping is catastrophic to the whole body.
• 4:34
  Speaker 1: And you know, as far as it not being sexy,
• 4:37
  Speaker 1: it's just how you wear it. Man. You gotta present
• 4:40
  Speaker 1: an attitude. You gotta have an attitude attitude. You got
• 4:44
  Speaker 1: to have a little bit of tute about it.
• 4:46
  Speaker 4: You know, I don't believe you off all right, Josh,
• 4:50
  Speaker 4: thank you, Josh, thank you. I doubt you got an
• 4:53
  Speaker 4: email chain in ninety one, maybe a fact chain. It
• 4:56
  Speaker 4: was a joke, cupcake all right?
• 5:00
  Speaker 1: Anyway, So a doctor cobble, what is it time to
• 5:05
  Speaker 1: get a flu shot? Yet?
• 5:08
  Speaker 3: I typically like people to get flu shots early November
• 5:11
  Speaker 3: late October. Takes about ten to fourteen days for your
• 5:15
  Speaker 3: immunity to kick in from the vaccine, and I really
• 5:17
  Speaker 3: want that vaccine ready for Thanksgiving, Christmas, New Year's, Valentine's.
• 5:22
  Speaker 1: And then for COVID as well.
• 5:25
  Speaker 5: Well.
• 5:26
  Speaker 3: You can get covid vaccine anytime. I typically see more
• 5:29
  Speaker 3: COVID in the early summer through summertime people are out
• 5:34
  Speaker 3: traveling around and getting together, but then that'll extend through
• 5:37
  Speaker 3: the holidays as well. So I like the covid vaccine
• 5:42
  Speaker 3: in the spring, and I like the flu vaccine in
• 5:46
  Speaker 3: the late fall, early winter. And are you as long
• 5:49
  Speaker 3: as you get it, I don't care when you do it.
• 5:51
  Speaker 1: Yeah, are you still Are you seeing many cases of COVID?
• 5:56
  Speaker 3: Not much, because I think most of people are managing it.
• 6:00
  Speaker 3: Either they're going into the emergency room because they're still
• 6:02
  Speaker 3: remarkably sick, or they're managing it on their own, or
• 6:06
  Speaker 3: they don't know they have it and they have a
• 6:08
  Speaker 3: viral syndrome for two, three, four or five days. I
• 6:10
  Speaker 3: think a lot of people have pretty good immunity against it,
• 6:13
  Speaker 3: but again, if you catch it, it's it's a virus
• 6:16
  Speaker 3: that can put you in the hospital.
• 6:17
  Speaker 1: Yeah, we're back with doctor Michael Cobble. There are a
• 6:20
  Speaker 1: couple of people on the phone with medical questions, and conveniently,
• 6:26
  Speaker 1: doctor Cobble is an MD. So how did that all
• 6:29
  Speaker 1: work out? He went to college medical school and stuff.
• 6:33
  Speaker 3: So Elna, I giggled a little bit.
• 6:36
  Speaker 1: Oh, can't get that too.
• 6:38
  Speaker 4: Let's get to uh Steve, Steve is here.
• 6:41
  Speaker 1: Hi, Steve, what's your question for doctor Cobble?
• 6:44
  Speaker 5: Uh?
• 6:44
  Speaker 4: Yeah, So I have a question on if I should
• 6:47
  Speaker 4: be worried about the cycle spora that I've been seeing
• 6:50
  Speaker 4: about and what I can do to prevent getting it.
• 6:56
  Speaker 3: Well, I think everyone should be worried about it a
• 6:57
  Speaker 3: little bit. I think that it sounds like it's solid products,
• 7:01
  Speaker 3: so I hate to tell people to limit their solid products.
• 7:05
  Speaker 3: I would wash any solid products or any vegetables for aggressively.
• 7:11
  Speaker 3: And then if you do get that explosive watery diarrhea
• 7:14
  Speaker 3: that lasts more than two or three days with a
• 7:18
  Speaker 3: lot of abdominal pain, bactrum or sceptra, trimathrochrome sulfa is
• 7:22
  Speaker 3: the treatment for it, So there is a treatment for it.
• 7:25
  Speaker 3: But I would wash any vegetable PRODUCTSFTI.
• 7:30
  Speaker 1: Bismold be any good of that?
• 7:31
  Speaker 3: No, No, I don't. I don't you know. That's good
• 7:34
  Speaker 3: for travelers diarrhea, but I'm not sure if that has
• 7:38
  Speaker 3: any antibacterial effect on cyclosphoria. Probably not because it is
• 7:43
  Speaker 3: a parasite, so I would presume that's not the treatment.
• 7:46
  Speaker 1: Yeah, well, have you got it?
• 7:49
  Speaker 5: No?
• 7:49
  Speaker 1: Okay, good, because I don't want to be talking to
• 7:52
  Speaker 1: somebody with diarrhea on the phone.
• 7:54
  Speaker 2: I know still doesn't want to think about that, but I.
• 7:57
  Speaker 1: Don't want to. I mean, you can talk about as
• 7:59
  Speaker 1: long as you don't have it, but if you have it,
• 8:01
  Speaker 1: don't call me.
• 8:01
  Speaker 4: I don't know what room in the house you're in.
• 8:04
  Speaker 3: Yes, I think in this area the chance of catching
• 8:09
  Speaker 3: is quite low. But again I would wash any vegetable products,
• 8:13
  Speaker 3: and especially lettuce, yeah, iceberg, lettuce. I would wash it
• 8:17
  Speaker 3: very aggressively.
• 8:17
  Speaker 1: All right, all right, thank you very much.
• 8:20
  Speaker 4: Yeah, there you go to Shannon.
• 8:22
  Speaker 1: Hello, Shannon, Shannon, what's up?
• 8:25
  Speaker 4: Hi?
• 8:25
  Speaker 1: Why?
• 8:27
  Speaker 6: Nothing much?
• 8:28
  Speaker 1: Well? Something? Oh?
• 8:31
  Speaker 6: Sorry, My question is, once you start seeing spider veins
• 8:36
  Speaker 6: on your leg, is it. Are you just assumed to
• 8:40
  Speaker 6: get varicos veins or is there anything you can do
• 8:42
  Speaker 6: to help those spider veins?
• 8:46
  Speaker 3: Yeah, so spider veins and vericos veins are different. Typically,
• 8:50
  Speaker 3: vericostins are much deeper. Verico spins can get ablatian or sclerotherapy,
• 8:57
  Speaker 3: where spider veins, if they're small enough, you can get
• 8:59
  Speaker 3: laser tree and on them. Are just don't not worry
• 9:02
  Speaker 3: about them cosmetically.
• 9:04
  Speaker 1: They don't develop into They don't develop into.
• 9:09
  Speaker 3: Yeah, the vericospins would be larger veins, and the varicos
• 9:13
  Speaker 3: veins are usually caused from damage either genetic or damage
• 9:17
  Speaker 3: to the valves from pregnancy or just time or trauma.
• 9:23
  Speaker 3: But yeah, vein specialists could manage any of that. But
• 9:26
  Speaker 3: spider veins should not lead to varicos veins.
• 9:29
  Speaker 1: And you don't, So you don't have varicos veins, right,
• 9:32
  Speaker 1: because because I don't want to be talking to anybody
• 9:34
  Speaker 1: on the phone with varicos veins.
• 9:36
  Speaker 2: Bill only wants to talk to pretty people with no
• 9:39
  Speaker 2: problems at all.
• 9:40
  Speaker 1: Thanks for calling, Shannon, Thank you, thank you, thank you.
• 9:45
  Speaker 4: Any text, yes questions, got a couple of Here does
• 9:49
  Speaker 4: a person who contracted sepsis from a minor surgery, have
• 9:54
  Speaker 4: a high risk of contracting it again from another surgery.
• 10:00
  Speaker 3: Typically not typically steps. This is just bad luck unless
• 10:03
  Speaker 3: you have an immunoglobulin or gamma globulin immunodeficiency, which is
• 10:09
  Speaker 3: quite rare, or it maybe have underlying medical illness like
• 10:15
  Speaker 3: you've got cancer that you're getting chemotherapy for, or you've
• 10:18
  Speaker 3: got poorly controlled diabetes or some immune system problem. But typically,
• 10:24
  Speaker 3: because you have sepsis after one surgery does not mean
• 10:28
  Speaker 3: that you would get that again after another.
• 10:30
  Speaker 4: All right, Are testosterone pellets a safe effective option for
• 10:35
  Speaker 4: a forty year old woman with low testosterone?
• 10:41
  Speaker 3: Yeah? I mean I think that's reasonable, and I think
• 10:43
  Speaker 3: gynecology clinics could talk about the options and therapeutic benefits
• 10:48
  Speaker 3: of different hormone replacement therapies.
• 10:51
  Speaker 4: All right, I don't have a primary care physician, and
• 10:55
  Speaker 4: I think it's time to get one since I'm getting older.
• 10:58
  Speaker 4: I'm forty two. Should I look at into a family
• 11:00
  Speaker 4: doctor or an internist? What's the difference?
• 11:06
  Speaker 3: Yeah, I think depending on if you're a man or
• 11:08
  Speaker 3: a woman, anyone over forty should be routinely seeing a
• 11:12
  Speaker 3: clinician every one to five years. I think a gynecologist
• 11:17
  Speaker 3: is great for the women. And then I think family
• 11:20
  Speaker 3: medicine takes care of kids, adolescents and adults, where internal
• 11:25
  Speaker 3: medicine typically takes care of adults. But primary family medicine
• 11:31
  Speaker 3: or internal medicine should be equivalent, So I think either
• 11:34
  Speaker 3: of those would be great.
• 11:35
  Speaker 1: All right, let's go to Mike.
• 11:37
  Speaker 3: Hello, Mike, Hey, good morning.
• 11:40
  Speaker 5: How is everyone?
• 11:41
  Speaker 3: Uh?
• 11:42
  Speaker 1: Just okay? What's going on? Mike?
• 11:45
  Speaker 3: Oh?
• 11:45
  Speaker 5: Shoot, Well, here's a question for the good doctor. I
• 11:50
  Speaker 5: getting a second opinion here. My primary doctor has me
• 11:54
  Speaker 5: on an appetite suppressant entermine, and I've seen real goal
• 12:00
  Speaker 5: this year. How safe is it to be on that
• 12:05
  Speaker 5: long term? Well, the FDA approved those products a long
• 12:11
  Speaker 5: time ago for short term therapy, so typically we don't
• 12:15
  Speaker 5: like to use as much more than ninety days. I
• 12:17
  Speaker 5: think that a lot of people use them longer, depending
• 12:20
  Speaker 5: on the pharmacy or the prescribing provider. But did they
• 12:24
  Speaker 5: appear to be quite safe as long as you're not
• 12:26
  Speaker 5: getting elevated blood pressure or insomniar because it is a stimulant.
• 12:31
  Speaker 5: So I think if you're not having stimulant related side
• 12:34
  Speaker 5: effects and not you know, not getting chest pain or
• 12:38
  Speaker 5: shortness of breath or different things like that. They appear
• 12:41
  Speaker 5: to be safe for ninety days, and again some providers
• 12:44
  Speaker 5: will use them longer.
• 12:46
  Speaker 2: What's the difference to day treatment between that and a
• 12:49
  Speaker 2: GLP one.
• 12:52
  Speaker 3: Well, so phantomine would be a stimulant, so it's stimulating
• 12:58
  Speaker 3: your metabolism. GLP one is affecting peptides grellin and ammlin
• 13:04
  Speaker 3: and different hormones in the body. That makes your stomach
• 13:10
  Speaker 3: not empty, so you feel full all the time. You
• 13:12
  Speaker 3: don't have an appetite, and so you'll eat a lot
• 13:19
  Speaker 3: less calories. It's completely different mechanistically. The GLP ones have
• 13:24
  Speaker 3: shown cardiovascular benefits and fatty liver benefits and sleep apne
• 13:28
  Speaker 3: of benefits and different benefits. So again, the GLP ones
• 13:32
  Speaker 3: have been on the market since two thousand and four.
• 13:35
  Speaker 3: I bet fentermine came on the market in the fifties,
• 13:37
  Speaker 3: and then of course fen fluoramine was on the market,
• 13:40
  Speaker 3: and fen fluoramine caused valve damage to the heart, so
• 13:43
  Speaker 3: fenn fluoramine which part of the fen fen. In the nineties,
• 13:47
  Speaker 3: back when we had the measles up break, fen fen
• 13:50
  Speaker 3: became very popular for a short period of time and
• 13:54
  Speaker 3: was dramatic for weight loss. But I think the GLP
• 13:57
  Speaker 3: one long term GLP one's are approved long long term
• 14:00
  Speaker 3: for weight loss. Fenter means a proof short term.
• 14:03
  Speaker 1: I took ventromine many years ago and I lost some
• 14:06
  Speaker 1: weight and talked a mile a minute.
• 14:09
  Speaker 4: All right, Mike, there you go.
• 14:11
  Speaker 1: Here you go, Mike. Thanks Mike, Yeah, all right, and
• 14:15
  Speaker 1: thank you, Mike. Final question product.
• 14:17
  Speaker 3: I think fenter means great and I have some folks
• 14:19
  Speaker 3: that use that, and it's a nice short term. It's inextensive.
• 14:22
  Speaker 4: Yeah, final question, At what age should you have your
• 14:27
  Speaker 4: colon checks for any cancer?
• 14:31
  Speaker 3: Well, it depends on symptoms and family history. If you
• 14:34
  Speaker 3: have a family history of colon cancer, then I'd probably
• 14:37
  Speaker 3: start at thirty ish in my thirties. Otherwise, the routine
• 14:41
  Speaker 3: screening recommendations age forty five. If somebody has symptoms of
• 14:46
  Speaker 3: bleeding or abdominal pain or then then they might need
• 14:50
  Speaker 3: to be screened at any age. You know, it doesn't
• 14:52
  Speaker 3: matter if you're ten, fifteen, twenty twenty five. So, but
• 14:55
  Speaker 3: typically if we're a screening procedure, it's age forty five then.
• 14:59
  Speaker 1: And then if if you they find polyps, then it's
• 15:02
  Speaker 1: you have to go back every three years. But if
• 15:04
  Speaker 1: they don't find anything, what is it like ten.
• 15:06
  Speaker 3: Years, Yeah, so every three to five. Sometimes if if
• 15:11
  Speaker 3: it's complicated, they'll see you back in a year, but
• 15:13
  Speaker 3: typically if you have pre cancerous polyps, every three to five.
• 15:17
  Speaker 3: If if it's normal, every eight to ten.
• 15:20
  Speaker 1: All right, all right, doctor Cobble, thank you very much.
• 15:22
  Speaker 1: We'll talk to you again soon.
• 15:23
  Speaker 3: Great questions. Thank you. Thanks a lot,