Latest / The Radio From Hell Show - Best Of / Questions with Dr. Cobble for March 19th 2025

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Questions with Dr. Cobble for March 19th 2025 · The Radio From Hell Show - Best Of

• 0:02
  Speaker 1: You get the theme music going and get the interface
• 0:06
  Speaker 1: up so that we can speak to doctor Cobble.
• 0:09
  Speaker 2: Him Doctor Cobble, There, he is there, he is Are
• 0:14
  Speaker 2: you there?
• 0:14
  Speaker 3: Good morning.
• 0:16
  Speaker 1: My fingers are slow this morning.
• 0:17
  Speaker 2: I didn't eat breakfast.
• 0:19
  Speaker 4: Doctor Cobble. We haven't talked to you in a while.
• 0:22
  Speaker 4: We've got a backup of medical questions for you. Oh
• 0:28
  Speaker 4: it's like going to your doctor but on the radio,
• 0:31
  Speaker 4: and everyone.
• 0:32
  Speaker 1: Knows, and everyone knows it's.
• 0:35
  Speaker 2: Not a secret.
• 0:36
  Speaker 4: Uh.
• 0:37
  Speaker 1: What what's happening in the office these days? You say,
• 0:39
  Speaker 1: is COVID back? What are you seeing more of these days?
• 0:44
  Speaker 3: Now? I'm not seeing much of I mean a little
• 0:46
  Speaker 3: bit of flu and uh just regular diabetes, blood pressure, cholesterol,
• 0:52
  Speaker 3: heartburn and ingestion and arthritis, just the regular run of
• 0:56
  Speaker 3: the melt stuff.
• 0:57
  Speaker 1: Because Bill gave me that flu and I think I'm
• 1:01
  Speaker 1: still having trouble kicking it. But I had I had
• 1:05
  Speaker 1: a nice productive cough this morning, so I would I'm
• 1:10
  Speaker 1: feeling stuff happened. Stuff happened.
• 1:12
  Speaker 4: I have a question, doctor Cabell. Uh, just because measles
• 1:16
  Speaker 4: in the news now, maybe you could speak to measles
• 1:20
  Speaker 4: just for a minute. Why it's why it's so contagious
• 1:23
  Speaker 4: and maybe talk about vaccinations for it. I know people
• 1:27
  Speaker 4: are wondering, do I need a booster if I had
• 1:29
  Speaker 4: it when I was little? Can you just talk about that.
• 1:31
  Speaker 1: That's a good question. I was curious about a booster
• 1:33
  Speaker 1: as well.
• 1:34
  Speaker 3: Yeah, if you've been vaccinated as a child, you don't
• 1:37
  Speaker 3: need a booster. It's one of the most contagious viruses.
• 1:43
  Speaker 3: So it's good for children to get vaccinated with the
• 1:48
  Speaker 3: vaccine schedule that pediatric and the Family practice associations have recommended.
• 1:55
  Speaker 3: But you know, I think we're going to start seeing
• 1:58
  Speaker 3: polio again and obviously seeing measles and I mean probably
• 2:04
  Speaker 3: always been eradicated, but I you know, people don't get
• 2:07
  Speaker 3: their vaccines, then we run that risk, and especially when
• 2:11
  Speaker 3: they're remarkably contagious.
• 2:14
  Speaker 4: What what what is it that makes me? What is
• 2:17
  Speaker 4: it that makes measles so so deadly?
• 2:21
  Speaker 3: Just to really well? I think that the respiratory illness
• 2:26
  Speaker 3: and the sepsists that can go through the bloodstream from it.
• 2:30
  Speaker 3: But it's just remarkably contagious, that's the problem. And I
• 2:35
  Speaker 3: think to get the lung compromised and not be able
• 2:39
  Speaker 3: to read, you know, r SV is remarkably contagious and
• 2:42
  Speaker 3: super common in the winter time. But usually we can
• 2:45
  Speaker 3: get them on oxygen and nebulize them and the next
• 2:48
  Speaker 3: day they're ready to go to the hospital or two
• 2:51
  Speaker 3: days later. So even though r FB is pretty bad
• 2:54
  Speaker 3: for little kids, they respond really well to simple amount
• 2:59
  Speaker 3: of treatment at the hospital.
• 3:01
  Speaker 1: Now, one of the questions about the booster of the
• 3:03
  Speaker 1: measles booster is what year it was. Was there a
• 3:07
  Speaker 1: cutoff year.
• 3:09
  Speaker 4: Or when did we start? What year do we start vaccinating?
• 3:13
  Speaker 4: If you're unsure whether you.
• 3:14
  Speaker 1: Had when in the sixties, Yeah.
• 3:16
  Speaker 3: Yeah, that sometime in the sixties, although pharmacist be answered
• 3:19
  Speaker 3: it might have been fifty six sixty two. I mean,
• 3:22
  Speaker 3: I know I got the MMR and I was born
• 3:24
  Speaker 3: in sixty four, so I think that that it would
• 3:29
  Speaker 3: have been prior to that. All right, mymar is available.
• 3:34
  Speaker 1: Here's a question. I just had my toenail removed because
• 3:38
  Speaker 1: of a stubborn fungus. Should I still be using the
• 3:42
  Speaker 1: topical urbeffene where my toenail is now missing? Thank you,
• 3:47
  Speaker 1: cuddle toast.
• 3:51
  Speaker 3: Well, using that won't hurt it. Hopefully they removed the
• 3:55
  Speaker 3: majority of the fungal infection because it gets under the
• 3:59
  Speaker 3: nails and can't go through the nail.
• 4:01
  Speaker 2: Oh.
• 4:02
  Speaker 3: I don't think it's unreasonable to use that little cream
• 4:05
  Speaker 3: on there for two or three or four weeks, but
• 4:08
  Speaker 3: I you know, it won't hurt. It won't hurt the
• 4:12
  Speaker 3: nail bed or the where they've removed the nail. So
• 4:16
  Speaker 3: if it were me, I'd probably use it every day
• 4:19
  Speaker 3: or every other day for two, three, four or five
• 4:21
  Speaker 3: six weeks.
• 4:23
  Speaker 1: So those over the counter ones suff for that do
• 4:26
  Speaker 1: those work?
• 4:26
  Speaker 3: Go? Well, well, they don't go through the nail.
• 4:30
  Speaker 2: Oh, so problem.
• 4:32
  Speaker 3: Typically the only treatments for nail fungus is oral for
• 4:36
  Speaker 3: benefiting for six to twelve months, so it goes systemically
• 4:41
  Speaker 3: goes under the nail or removing the nail itself.
• 4:45
  Speaker 4: Okay, looked, I looked up the first measles vaccine you
• 4:49
  Speaker 4: got in just under the wire, uh, doctor Carber, nineteen
• 4:53
  Speaker 4: sixty three is when.
• 4:54
  Speaker 3: They is when it was introduced.
• 4:56
  Speaker 1: Okay, well then I should be all right, Okay, yeah,
• 4:59
  Speaker 1: I think all right. Doctor Cobble is here to answer
• 5:03
  Speaker 1: your medical questions. Let's begin with Sean. Sean is here.
• 5:08
  Speaker 3: Hello, Sean, Hello, Hi, go ahead.
• 5:11
  Speaker 1: You guys, it's fine, go ahead, Sean.
• 5:14
  Speaker 2: Good hey, doctor cobble. So I've got a severe case
• 5:19
  Speaker 2: of osteoarthritis in my left knee, and I do the
• 5:25
  Speaker 2: steroid injection. I did one last week, but it only
• 5:29
  Speaker 2: lasts for about five days.
• 5:31
  Speaker 4: Oh that's not much at all.
• 5:35
  Speaker 3: Yeah. Yeah, usually at that point if the corson or
• 5:40
  Speaker 3: steroid injections not lasting for six months or two or
• 5:44
  Speaker 3: three years, and it's bone on bone, oh, doing the
• 5:47
  Speaker 3: synovial fluid injections won't help. And I don't know how
• 5:51
  Speaker 3: young you are, but I find the best treatment for
• 5:53
  Speaker 3: that is getting a new knee. Just get a total knee.
• 5:56
  Speaker 3: So you talk to your orthopedist about knee replacement, and
• 6:01
  Speaker 3: then you'll be back skiing and playing tennis and hiking
• 6:04
  Speaker 3: and you know, all the fun stuff you want to do.
• 6:06
  Speaker 2: What do you think, Sean, the new knee, Well, you
• 6:09
  Speaker 2: know that's what I was trying to avoid, was the
• 6:11
  Speaker 2: new need.
• 6:14
  Speaker 1: Sounds like that maybe might be time, might be time,
• 6:19
  Speaker 1: It might be a time.
• 6:20
  Speaker 3: I guess you'll be like a high school kid again
• 6:23
  Speaker 3: with that. Remarkable what they can do with those surgeries.
• 6:27
  Speaker 3: So I think that if you've tried all the conservative
• 6:29
  Speaker 3: measures and you're not getting any value, I think I
• 6:33
  Speaker 3: talked to your just about getting a new joint.
• 6:36
  Speaker 5: There you go.
• 6:37
  Speaker 2: See, and the concern that he does have is I'm
• 6:40
  Speaker 2: only forty five and he's you know, he's saying that
• 6:44
  Speaker 2: usually younger people don't go through the therapy well cult
• 6:49
  Speaker 2: very compliance.
• 6:52
  Speaker 3: I mean, I've I've had forty year olds get total
• 6:55
  Speaker 3: hits and total knees, and I think Lindsay Vond just
• 6:57
  Speaker 3: got a total me and she's back racing and World Cups.
• 7:01
  Speaker 3: So I don't know if you're as good a skier
• 7:03
  Speaker 3: as she is, but I think again, if if it's
• 7:06
  Speaker 3: affecting your quality of life, I think getting the joint
• 7:09
  Speaker 3: replaced it. You know, if you've tried all the conservative stuff,
• 7:13
  Speaker 3: I would go to that as my next step. There
• 7:15
  Speaker 3: you go, Okay, well that works.
• 7:18
  Speaker 2: I just I appreciate it. Thank you guys, have a
• 7:20
  Speaker 2: great day, Good luck.
• 7:21
  Speaker 4: I avoid the new need, but it sounds like it
• 7:24
  Speaker 4: might be better.
• 7:26
  Speaker 1: Go to Tay. Hello, Tay, Hello, Ry, what's your question?
• 7:32
  Speaker 5: Hi? So my question is I've had for the last
• 7:36
  Speaker 5: year or so kind of aching in my right middle finger,
• 7:41
  Speaker 5: and it's kind of just progressively gotten list to the
• 7:45
  Speaker 5: point where it's really stiff, and it hurts when I
• 7:49
  Speaker 5: bend it and stuff or anything like that. And they've
• 7:52
  Speaker 5: done an X ray. Everything looks good according to them.
• 7:55
  Speaker 5: So what do I need to do now?
• 8:00
  Speaker 3: Well, I think based on your age, you know, it's
• 8:04
  Speaker 3: usually cinnobitis or I don't know, if there's any swelling there.
• 8:08
  Speaker 3: If the X ray is unremarkable, which I would expect
• 8:10
  Speaker 3: it to be for somebody who's under sixty sixty five,
• 8:15
  Speaker 3: that's where maybe a little cortzone injection in there would
• 8:18
  Speaker 3: be really helpful. I might have a little kind of
• 8:20
  Speaker 3: trigger finger there, maybe seeing a hand. Doctor quit flipping
• 8:24
  Speaker 3: people off as my what you've been doing?
• 8:26
  Speaker 5: Hey, that's my favorite finger.
• 8:28
  Speaker 4: Well, yeah, you're wearing it out more and more.
• 8:31
  Speaker 1: Cyber trucks on the road. I can feel it too,
• 8:33
  Speaker 1: you know.
• 8:33
  Speaker 5: I know there's too many. Now there's a pink one
• 8:36
  Speaker 5: up here.
• 8:39
  Speaker 3: You might if you did wanted to do a little
• 8:41
  Speaker 3: blood work, you could do a little CRP. See if
• 8:43
  Speaker 3: you have inflammation, you could do a uric acid. Make
• 8:46
  Speaker 3: sure it's not a little gouty arthritis. That's a gout
• 8:49
  Speaker 3: can affect any joints. But I think my blood work
• 8:53
  Speaker 3: looks normal. Yeah, okay, great?
• 8:56
  Speaker 5: Is that something about a calcification just kind of randomly
• 8:59
  Speaker 5: in the X ray.
• 9:01
  Speaker 3: Well, and how young, it's still remarkable.
• 9:04
  Speaker 1: We want to know how old you are.
• 9:05
  Speaker 5: Take Oh, I'm forty.
• 9:07
  Speaker 3: Forty okay, Yeah, and so some people can get a
• 9:10
  Speaker 3: little arthritis even at thirty or forty, depending on the activity.
• 9:14
  Speaker 3: My mom found glucosamine. Glucosamine can drite and work really well.
• 9:18
  Speaker 3: Oh so fifteen hundred milligrams a day. Yeah, if if
• 9:23
  Speaker 3: you find that helps in two to six weeks, taking
• 9:26
  Speaker 3: if you're not allergic to it, taking in a leave
• 9:28
  Speaker 3: once or twice a day, it could be pretty helpful. Yeah,
• 9:32
  Speaker 3: they might want to do a little corson in there.
• 9:34
  Speaker 4: Thanks Tay, there you go, take thank you, Thank you.
• 9:37
  Speaker 1: All right, let's see sketchy Blake of Ogden. I turned
• 9:42
  Speaker 1: forty five on Friday. What maintenance items am I doing
• 9:46
  Speaker 1: for all?
• 9:48
  Speaker 3: Get your spark plugs changed and you rotate the tires
• 9:52
  Speaker 3: and change your oil. Forty five They recommend I would
• 9:56
  Speaker 3: definitely get a prostate exam every year or two, or
• 9:58
  Speaker 3: at very least get a PSA. I think cholesterol testing,
• 10:03
  Speaker 3: lipid cholesterol testing, blood sugar testing, and then colonoscopy, you know,
• 10:10
  Speaker 3: starting at forty five. Those would be the big things.
• 10:13
  Speaker 3: For men are considered moderate risk for partiovascular disease when
• 10:17
  Speaker 3: they turn forty five. So if your LDL cholesterol is
• 10:20
  Speaker 3: above one hundred to one thirty and you have a
• 10:23
  Speaker 3: family history of heart disease, probably should be on cholesterol
• 10:26
  Speaker 3: management therapy after forty five. Women at fifty.
• 10:30
  Speaker 1: Five, there you go, blake. All right. So let's see,
• 10:33
  Speaker 1: are there shots or something that can be used to
• 10:35
  Speaker 1: quickly treat and release tightness in muscle strains like hip
• 10:39
  Speaker 1: flexers and lumbar region.
• 10:43
  Speaker 3: Well, I think acupuncture, acupressure, dry needling, physical therapy. Looking
• 10:50
  Speaker 3: at stretches on YouTube, I think there are a lot
• 10:52
  Speaker 3: of different things that you can try. But as far
• 10:55
  Speaker 3: as shot shots go, we don't typically shoot steroid type
• 11:00
  Speaker 3: medications in the joint or into the muscle areas. But
• 11:04
  Speaker 3: I think acupunture, acupressure, and dry needling could be really,
• 11:08
  Speaker 3: really helpful.
• 11:10
  Speaker 1: Now see this is a this is a again why
• 11:12
  Speaker 1: we need we prefer your phone calls over your text.
• 11:15
  Speaker 1: So does my eighty year old father need an MMR?
• 11:20
  Speaker 3: Well yeah, that's a toughie, yeah, because he wouldn't have
• 11:24
  Speaker 3: been vaccinated I think if there's not a measles outbreak
• 11:29
  Speaker 3: in the community, you know, the people are going to
• 11:31
  Speaker 3: spread this around would be children. I think if he's
• 11:35
  Speaker 3: in a nursing home, and then that may not be unreasonable.
• 11:42
  Speaker 3: We do immigration exams and all of those folks coming
• 11:46
  Speaker 3: in have to get those vaccines, So I don't think
• 11:49
  Speaker 3: it's unreasonable to consider getting an MMR. You know, you
• 11:53
  Speaker 3: would have had his shingles vaccine, would have had his
• 11:55
  Speaker 3: pneumonia vaccines, would have had the extra potessis detap vaccine
• 12:00
  Speaker 3: because those are are required after fifty But yeah, that's
• 12:04
  Speaker 3: that's that's a great question. I don't I don't I
• 12:07
  Speaker 3: think it would be reasonable.
• 12:09
  Speaker 4: Yeah, can we end on this question?
• 12:11
  Speaker 3: I love it?
• 12:11
  Speaker 1: Go ahead.
• 12:12
  Speaker 4: We had a weird question come up last night because
• 12:14
  Speaker 4: of a movie. If you have to amputate a lower limb,
• 12:19
  Speaker 4: is it preferred to go through the bone.
• 12:22
  Speaker 3: Or the joint?
• 12:22
  Speaker 4: We may need this when the apocalypse happened, we may
• 12:25
  Speaker 4: have to ample.
• 12:26
  Speaker 2: Which is better?
• 12:28
  Speaker 3: Now, Gina, I, I don't think it matters above or
• 12:30
  Speaker 3: below the joint or through the joint. But speaking of
• 12:33
  Speaker 3: the apocalypse, my son, my ten year old, told me
• 12:36
  Speaker 3: that you will survive the zombie apocalypse because zombies are
• 12:41
  Speaker 3: just looking for people with brains.
• 12:43
  Speaker 1: Oh oh oh yeah, there you go, the joint question.
• 12:53
  Speaker 1: I think they will both hurt, honestly. All right, thank
• 12:58
  Speaker 1: you doctor.
• 12:59
  Speaker 3: Yeah thanks, talk to Cobble.
• 13:00
  Speaker 2: Everybody all right,