Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A for June 25th, 2025
Transcript
- 0:00Speaker 1: All right, doctor Kabble, good morning. How are you?
- 0:03Speaker 2: Good morning? I'm great, Thank you.
- 0:04Speaker 1: Hey, before we go to questions, you can text questions
- 0:07Speaker 1: too if you like. There's a story in the news
- 0:10Speaker 1: today that I'm kind of puzzled by slightly and maybe
- 0:13Speaker 1: you do or do not know the answer. It's about
- 0:16Speaker 1: a liver transplant. What it says Inner Mountain Help patient
- 0:21Speaker 1: first to be treated with external bioengineered liver, and I'm
- 0:27Speaker 1: trying to figure out you grow it in a lab. Well, No,
- 0:32Speaker 1: the patient is treated with what's called a mirror lever
- 0:37Speaker 1: e LAP experiencing liver failure, not eligible for a transplant.
- 0:42Speaker 1: So what they've done is they've taken a pig liver material.
- 0:51Speaker 1: But I'm trying to figure out if if this is
- 0:53Speaker 1: an external like it's outside of I think it's outside
- 0:56Speaker 1: of the paper.
- 0:57Speaker 3: No, I think what that means is they constructed it
- 1:01Speaker 3: outside of the patient and then put it in the patient.
- 1:04Speaker 1: What do you think, doctor Carble.
- 1:05Speaker 2: I think that's correct.
- 1:08Speaker 1: It's it's really unclear in this story. I get the
- 1:12Speaker 1: sense that they that periodically they hook this up to
- 1:15Speaker 1: the patient's current liver and give it a boost of
- 1:19Speaker 1: some sort like jumper cables.
- 1:22Speaker 2: Yeah, no, I think it's a pig liver transplantation, and
- 1:28Speaker 2: so it's called geno transplantation. But I haven't read the
- 1:31Speaker 2: article that I think it's probably gene edited pig liver
- 1:37Speaker 2: that has been put into a human that couldn't qualify
- 1:41Speaker 2: for a transplant from a human.
- 1:44Speaker 1: Well, all right, well we'll look. I think he's I
- 1:47Speaker 1: think they're carrying around a little bag with him that's
- 1:49Speaker 1: got a pig liver in it. Anyway, i'd just like
- 1:53Speaker 1: it to be there, That's what I'd like to believe.
- 1:55Speaker 1: It's it's it's kind of creepier.
- 1:56Speaker 3: Eight six.
- 1:59Speaker 1: Do we have any texts? We've got to have. Alex
- 2:03Speaker 1: is here? Hi, Alex, how are you?
- 2:06Speaker 2: Oh?
- 2:06Speaker 1: Just great? How are you good? I guess, Well, go
- 2:09Speaker 1: ahead and ask your question of doctor Cobble.
- 2:12Speaker 4: Okay, so here's a question I have and uh uh
- 2:16Speaker 4: maybe tm I. But so I just want to know
- 2:19Speaker 4: the difference between like a malignant growth and like a
- 2:22Speaker 4: benign growth or like something that could be cancerous, something
- 2:25Speaker 4: that's under the skin. And uh.
- 2:30Speaker 2: Yeah, if benign is not bad and malignant is cancerous.
- 2:38Speaker 2: So a tumor is just any growth, but a benign
- 2:42Speaker 2: tumor is like a you know, a non cancerous growth
- 2:47Speaker 2: can be a tumor or yeah yeah yeah yeah, or
- 2:52Speaker 2: skin growth. It's not cancer.
- 2:54Speaker 3: Are you wondering You have a growth that you're wondering
- 2:57Speaker 3: if you can tell just by looking at it, whether
- 2:59Speaker 3: that Yeah.
- 3:01Speaker 4: It's been going for a few years and it's big,
- 3:04Speaker 4: and it's like on my rib cage. It's like the
- 3:06Speaker 4: size of like a baseball almost.
- 3:08Speaker 1: And you've never had anybody take a look at that.
- 3:11Speaker 4: No, No, I would advise you to do though.
- 3:15Speaker 2: Yeah, it's probably a life home fatty tumor like Bill mentioned,
- 3:19Speaker 2: but it's worthwhile having a clinician take a look at
- 3:23Speaker 2: it and just confirm what it is, okay.
- 3:25Speaker 1: And if it's a if it's a if it's a
- 3:26Speaker 1: fatty tumor and I've had them, you can either just
- 3:30Speaker 1: leave it if it doesn't bother you, or or they
- 3:33Speaker 1: can still they can remove it if it bugs you.
- 3:35Speaker 1: But but it's okay, but it's not dangerous. It's just there.
- 3:40Speaker 1: It's your body hurt. Yeah, it doesn't hurt. Yeah, your
- 3:44Speaker 1: body just saying we're gonna do something. I'm gonna screw
- 3:47Speaker 1: you up. Have a looked at.
- 3:50Speaker 2: I well, thank you, kay, thank you.
- 3:53Speaker 1: Uh yeah, I mean, anything you're worried about like that.
- 3:56Speaker 1: Eight seven seven six oh two nine six nine six
- 3:59Speaker 1: is the number to call in doctor doctor cobble.
- 4:01Speaker 3: I think there are people that are hesitant to go
- 4:04Speaker 3: to the doctor because they're like, I'm worried. They're just
- 4:06Speaker 3: going to tell me it's nothing and it will be
- 4:08Speaker 3: a waste of my time in their time.
- 4:09Speaker 1: Always go get it checked. That's fine.
- 4:12Speaker 2: I like seeing those people. They're they're fund to see
- 4:15Speaker 2: and you're not interrupting our day and we're happy to
- 4:18Speaker 2: give an opinion. So please don't be afraid of going
- 4:21Speaker 2: to the clinician.
- 4:22Speaker 1: Yeah, I mean, I like it when the doctor says, oh,
- 4:25Speaker 1: don't worry about that bill, that's nothing. Oh whoo, thank god.
- 4:31Speaker 1: I was sure it was something. It's usually something.
- 4:34Speaker 3: Darryl and Roy texted in and said, does this look infected?
- 4:38Speaker 3: We can't see on your text, Darryl got you gotta call.
- 4:42Speaker 1: Us, although Gene I would point out, we won't be
- 4:44Speaker 1: able to see it on the phone either.
- 4:46Speaker 3: No.
- 4:47Speaker 1: Eight seven seven six oh two nine six nine six.
- 4:51Speaker 1: If you want to ask a question for doctor Cobble,
- 4:53Speaker 1: we've got text questions. I know people seem to be
- 4:56Speaker 1: shy about calling in today, but give us a call.
- 4:59Speaker 1: Eight seven seven six oh two nine six nine. This
- 5:03Speaker 1: is a good question.
- 5:04Speaker 3: I'm fifty six and got vaccinated against measles as a baby.
- 5:08Speaker 3: With the recent cases being reported, would you recommend that
- 5:12Speaker 3: I get a booster?
- 5:14Speaker 2: Oh, you should be immune. If you're remarkably nervous about it.
- 5:18Speaker 2: You can go in and get a measles tighter from
- 5:20Speaker 2: your clinician. Measles what the lab tighter. They can see
- 5:24Speaker 2: if you have immunity. If you have the immunity, so
- 5:28Speaker 2: you can get a measles tighter and make sure that
- 5:31Speaker 2: you're immune. If you're not, then you could get the booster.
- 5:35Speaker 1: Yeah. I'm assuming I'm immune because I had measles when
- 5:38Speaker 1: I was a kid, So.
- 5:40Speaker 2: You're immune to everything though.
- 5:42Speaker 1: They'll never get sick. Ever, I wish this is a
- 5:46Speaker 1: you probably had that go to liver transplant or the
- 5:50Speaker 1: pig transplant, right, I have no no, it was It
- 5:53Speaker 1: wasn't me. I wasn't asking any consent.
- 5:56Speaker 2: Don't understand.
- 5:57Speaker 1: I wasn't asking a personal question on us. Uh, this
- 6:01Speaker 1: is this is weird. No matter how many times I
- 6:04Speaker 1: wash behind my ears, there's always a funky smell. What
- 6:08Speaker 1: can be causing that? You think that's a legitimate question. Yes,
- 6:13Speaker 1: I think that's.
- 6:16Speaker 2: I wonder what they're washing with, Yeah, if you're using, yeah,
- 6:19Speaker 2: change your soap.
- 6:20Speaker 3: Yeah, I mean if could it be could it be
- 6:22Speaker 3: doctor Cobble a yeast infection?
- 6:24Speaker 1: Yeah?
- 6:26Speaker 2: Oh well yeah, anything's possible. I mean, see a dermatologist.
- 6:30Speaker 1: Yeah, let's see doctor Cobble. When I move or walk
- 6:34Speaker 1: around my gallstones jingle white keys.
- 6:40Speaker 2: We'll take them out of your pocket. Is that around with?
- 6:43Speaker 1: Yes?
- 6:43Speaker 2: Some people take their gallstones home with them after surgery.
- 6:46Speaker 1: Yeah. If I've heard they make jewelry out of it sometimes.
- 6:49Speaker 1: Is that that's crazy? Now? Is that possible that you
- 6:52Speaker 1: could hear your your gallstones jingling.
- 6:55Speaker 2: Only if you have them in a in a in
- 6:57Speaker 2: your pocket? Yeah, after surgery?
- 6:59Speaker 1: Yeah, I've been taking what is that? Just soul fit fram.
- 7:05Speaker 3: This is why you should call D s U L F.
- 7:08Speaker 1: I R A m Okay taking it for a while
- 7:12Speaker 1: now it's working great. However, I'm going to a beer
- 7:15Speaker 1: tasting event in a few weeks. How long in advance
- 7:18Speaker 1: do I need to stop taking it? Then? Can I
- 7:20Speaker 1: start it back up? Afterwards. First of all, do you
- 7:22Speaker 1: know what that is, doctor Cobble.
- 7:24Speaker 2: Well, I think that's generic for an abuse. So and
- 7:29Speaker 2: people if they combine those two alcohol with an abuse,
- 7:33Speaker 2: they get remarkably sick. I don't know what the half
- 7:36Speaker 2: life is. I think that typically people taking an abuse
- 7:40Speaker 2: are taking it to stay away from alcohol because they
- 7:43Speaker 2: have an alcohol dependency DRON issue. My recommendation would be
- 7:49Speaker 2: to go to the beer tasting program. Smell the beer,
- 7:53Speaker 2: drink water, don't drink the beer. But I think if
- 7:56Speaker 2: you stopped it a week before you go, if you
- 7:59Speaker 2: feel like you're you have to definitely taste the beer
- 8:03Speaker 2: as long as it doesn't re you know, restart the addiction.
- 8:08Speaker 2: And that's always my concern. You know, people quit smoking,
- 8:11Speaker 2: if they borrow a cigarette from a friend, they're back
- 8:14Speaker 2: smoking again, And I think, yeah, I just hate to
- 8:18Speaker 2: see people get pulled back into an addictive behavior.
- 8:21Speaker 1: Yeah. I quit smoking probably four times, I would think
- 8:27Speaker 1: before I finally really quit. And once i'd quit for
- 8:31Speaker 1: two or three years and then started up again, it's.
- 8:35Speaker 3: Well, yeah, didn't you start, Like when you were at
- 8:37Speaker 3: the Olympics in Japan and that was.
- 8:38Speaker 1: The last That was the last time I smoked, yeah,
- 8:41Speaker 1: and I didn't really start up. Again. I was in Japan.
- 8:44Speaker 1: Everybody in Japan smokes. I said to myself, what the hell?
- 8:48Speaker 1: And so while I was there for two weeks, I smoked,
- 8:50Speaker 1: and then you didn't, and then I stopped.
- 8:52Speaker 2: When I stopped, yeah, So I looked it up in
- 8:55Speaker 2: the elimination half left sixty to one hundred and twenty hours,
- 8:58Speaker 2: so three to six days. So probably have to stop
- 9:01Speaker 2: that drug two weeks before you want to go to
- 9:03Speaker 2: the beer tasting. But I would recommend not drinking the beer.
- 9:09Speaker 3: This is a good question. I haven't seen any type
- 9:13Speaker 3: of doctor in several years. Should I find a normal
- 9:16Speaker 3: doctor or a gynecologist first?
- 9:18Speaker 1: A normal or just a GP A straight A. I
- 9:22Speaker 1: dare you to a normal doctor. There's no such thing.
- 9:26Speaker 2: If you're over sixty five. They don't recommend PAP tests anymore.
- 9:30Speaker 2: If you're under sixty five, you should get a PAP
- 9:32Speaker 2: test every two to five years. Gynecologists could do that.
- 9:35Speaker 2: You can order your own mammogram. A gynecologists can order
- 9:39Speaker 2: the bone density. But I think you can see a
- 9:41Speaker 2: regular doctor, normal doctor, or again, if this is a
- 9:45Speaker 2: woman sending it in, I think a gynecologist does a
- 9:48Speaker 2: lot of primary care, so they should be able to
- 9:51Speaker 2: manage you know, they could check your cholesterol and your
- 9:53Speaker 2: liver and kidney, and they do blood work there. So
- 9:56Speaker 2: I think either way, either way you feel most comfortable.
- 9:59Speaker 1: Yeah, I had. I had a female friend who's uh,
- 10:03Speaker 1: that's the only doctor she had was her gynecologist. A
- 10:05Speaker 1: lot of women.
- 10:07Speaker 3: If you don't have any chronic problems, other problems, that
- 10:11Speaker 3: that's a good.
- 10:12Speaker 1: Way to go.
- 10:13Speaker 2: Bill, I thought you were going to say you had
- 10:14Speaker 2: your PAP test at the college.
- 10:16Speaker 1: No, my primary care doctor used to be my gynecologist.
- 10:21Speaker 3: Uh.
- 10:22Speaker 1: Oh, somebody says, Bill, I read that liver story, and
- 10:25Speaker 1: then later on they said, I read the liver story.
- 10:27Speaker 1: I was particularly interested because I have stage four cirrhosis
- 10:31Speaker 1: of the liver.
- 10:31Speaker 2: Oh.
- 10:34Speaker 1: I read the liver story story. And this thing that
- 10:37Speaker 1: they're talking about is only good for forty eight hours
- 10:40Speaker 1: if you're in liver failure. It's for patients who are
- 10:43Speaker 1: waiting to get a liver.
- 10:44Speaker 3: Oh, it's a stop stop gap.
- 10:47Speaker 1: Yeah, they're waiting for your liver to become available. And
- 10:50Speaker 1: if you if your liver fails, they can hook you
- 10:52Speaker 1: up to this thing and it will I guess, you know,
- 10:55Speaker 1: bring it, bring you back for bring your liver back
- 10:58Speaker 1: for a certain period of time.
- 11:01Speaker 2: Shoot, well that's terrible.
- 11:02Speaker 1: Yeah, well, I mean it's a good This is a
- 11:04Speaker 1: good thing that they have this this available at the
- 11:07Speaker 1: Inner Mountain. I and I'm sure it's I'm sure it's inexpensive.
- 11:13Speaker 1: You know. Let's see, I'm twenty three years old, five
- 11:17Speaker 1: feet eight, one hundred and thirty pounds. On a good day,
- 11:20Speaker 1: I'm experiencing severe tension in my neck around my right
- 11:23Speaker 1: shoulder blade leading to the back of my head. Sometimes
- 11:26Speaker 1: it'll become so tense it'll restrict my neck from moving
- 11:29Speaker 1: and lock it in place. What can I do to
- 11:33Speaker 1: reveal this tension? Ad relieve this tension? Advil, don't do nothing.
- 11:41Speaker 2: I think it's reasonable to see a clinician and have
- 11:44Speaker 2: an evaluation. But physical therapy typically could help a lot.
- 11:48Speaker 2: Massage therapy, chiropractic therapy, maybe a prescription strength anti inflammatory,
- 11:54Speaker 2: muscle relaxant. But I think it's worth going and seeing somebody.
- 11:57Speaker 1: Yeah, and you can make it. Used to be that
- 11:59Speaker 1: you had to have your primary care physician refer you
- 12:02Speaker 1: to a physical therapist. But I think you can just
- 12:05Speaker 1: find one and.
- 12:06Speaker 3: Go depends on your insurance.
- 12:07Speaker 1: Oh it doesn't. Yeah, yeah, I think our insurance you
- 12:10Speaker 1: can just go to a physical therapist. So I think
- 12:14Speaker 1: those are all the questions we have. There is one
- 12:16Speaker 1: that I am curious about.
- 12:17Speaker 4: When is regular gastro in gastro issues distress or diarrhea
- 12:23Speaker 4: warrant a visit to the doctor.
- 12:29Speaker 2: That's tough. You know, if it's gone more than two weeks,
- 12:32Speaker 2: I think it's reasonable to see a doctor. You have fevers, chills,
- 12:35Speaker 2: black or blood, definitely would see a doctor. Age might
- 12:41Speaker 2: dictate too, But a third of people with diarrhea, alternating constipation,
- 12:46Speaker 2: bloating gas. If it's a chronic illness, it's usually irritable
- 12:50Speaker 2: bowel or spastic colon in. I think seeing a gastroenrologist
- 12:54Speaker 2: just to make sure it's not something more serious is reasonable.
- 12:58Speaker 2: But as people get older, I get more worried about it.
- 13:01Speaker 2: But younger people could have Crohn's disease or alterer of
- 13:03Speaker 2: colitis or autoimmune inflammatory bowel disease. So I think if
- 13:07Speaker 2: it's gone more than two weeks, then it's reasonable to
- 13:10Speaker 2: see a clinician for an evaluation. If it's acute with fever, chills,
- 13:16Speaker 2: black or blood. Then it's an emergency and you got
- 13:20Speaker 2: to be seen right away.
- 13:21Speaker 3: What about at what age should you start having colonoscopies?
- 13:25Speaker 2: Depends on your family history, but the recommendation is forty
- 13:28Speaker 2: five if you're low risk, probably at thirty if you're
- 13:32Speaker 2: high risk. So if there's a family history of colon cancer.
- 13:35Speaker 1: Have you had one? But I have to this year. Yeah,
- 13:37Speaker 1: it's time for I blame my brother. Oh it's a
- 13:41Speaker 1: lot of fun. All right, I'm not prepared for it.
- 13:45Speaker 1: All right, we've done. Yes, it all right, thank you doctor,
- 13:48Speaker 1: Thank you. Lay down, Put a cold, damp rag on
- 13:52Speaker 1: your forehead and think good thoughts. It's going to Heber.
- 13:56Speaker 1: He doesn't have a few.
- 14:00Speaker 3: I think Tobra.
- 14:02Speaker 1: Well, then then put a cold rag on your head
- 14:05Speaker 1: and when you get there, stop you layer