Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A From September 2nd, 2026

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Dr. Cobble Q&A From September 2nd, 2026 · The Radio From Hell Show - Best Of

• 0:00
  Speaker 1: Uh-oh, Dr.
• 0:01
  Speaker 2: Cobble is here. Hi, good morning, Dr. Cobble.
• 0:05
  Speaker 3: Good morning. Hey, Bill, does your wife do drive-thru?
• 0:09
  Speaker 2: No, no, no drive-thru. And we're against drive-thru, Dr. Cobble.
• 0:13
  Speaker 2: It's waste gas. It's waste gas. If you want to
• 0:16
  Speaker 2: come and have a sandwich, you'll have to park your
• 0:18
  Speaker 2: car in front of my house.
• 0:19
  Speaker 3: Okay? I think that, okay, the sandwich that she's making
• 0:24
  Speaker 3: for you is just called a BLT.
• 0:26
  Speaker 2: No, no, no, no, because no, it has... It has
• 0:31
  Speaker 2: that mozzarella cheese on it, that, you know, that real soft,
• 0:37
  Speaker 2: what do they call it?
• 0:38
  Speaker 4: No idea. I'm not invited to the sandwich.
• 0:43
  Speaker 2: And it's just delicious. I'll look it up and let
• 0:45
  Speaker 2: you know. I'll send you the recipe.
• 0:48
  Speaker 3: Dr.
• 0:48
  Speaker 2: Cobble is here to answer your medical questions or your
• 0:51
  Speaker 2: sandwich questions, or perhaps if you're having trouble with your car,
• 0:56
  Speaker 2: he's handy about that, too. He was raised on a farm,
• 0:59
  Speaker 2: you know. So call us and Dr. Cobble can answer
• 1:03
  Speaker 2: your medical questions. So last time you were on, we
• 1:08
  Speaker 2: had a person with a broken toe. And then somebody
• 1:12
  Speaker 2: sent us a message today about they were also suffering
• 1:16
  Speaker 2: from a broken toe at the same time they heard
• 1:18
  Speaker 2: you on the radio talking about it. And there's really
• 1:21
  Speaker 2: nothing to be done except try to tape it to
• 1:23
  Speaker 2: the other toe, right?
• 1:25
  Speaker 5: Right.
• 1:27
  Speaker 3: Yeah, if it's a non-displaced fracture, just buddy taping it
• 1:30
  Speaker 3: and find a shoe that's comfortable to wear.
• 1:35
  Speaker 2: Yeah, that's also a difficulty. You'd probably be forced to
• 1:38
  Speaker 2: wear Crocs to work.
• 1:39
  Speaker 4: Oh, never. Don't do that.
• 1:42
  Speaker 2: 877-6... I mean, you can.
• 1:44
  Speaker 3: Some toes need surgery, so I don't think it's unreasonable
• 1:47
  Speaker 3: for an X-ray and an evaluation.
• 1:48
  Speaker 2: Okay. You have troubles with your broken toes or anything.
• 1:53
  Speaker 3: Dr.
• 1:53
  Speaker 2: Cobble has wide-ranging... knowledge about medical profession and he can
• 1:59
  Speaker 2: answer your question.
• 2:00
  Speaker 4: We've got some text questions.
• 2:01
  Speaker 6: I was going to say, I think we've got one
• 2:02
  Speaker 6: that's going to stump you here, Doc. It seems like
• 2:07
  Speaker 6: every two or three years I get a cyst on
• 2:09
  Speaker 6: my face.
• 2:10
  Speaker 1: How can I prevent from getting them?
• 2:15
  Speaker 3: Well, I think having a relationship with a dermatologist, I
• 2:20
  Speaker 3: think those cysts are typically bacterial related, so I don't
• 2:23
  Speaker 3: know if that's a nodular cysts or a sebaceous cyst,
• 2:27
  Speaker 3: but I think sometimes they'll inject those, or if you
• 2:31
  Speaker 3: get an antibiotic started early, that can be helpful. But
• 2:34
  Speaker 3: I do think that a dermatologist is good to share
• 2:38
  Speaker 3: that story with.
• 2:39
  Speaker 2: Is there anything, I mean, maybe you can't answer it,
• 2:42
  Speaker 2: but is there anything they can do just to prevent
• 2:44
  Speaker 2: them from coming back, or are they just going to
• 2:46
  Speaker 2: come back?
• 2:48
  Speaker 3: Well, it depends on the type of cyst. If it's
• 2:50
  Speaker 3: a sebaceous cyst, then we surgically remove those. But again,
• 2:54
  Speaker 3: they can sometimes inject steroids or different things into it
• 2:57
  Speaker 3: to try to remove it.
• 3:02
  Speaker 7: This one I think a lot of people have questions about.
• 3:05
  Speaker 7: What are your thoughts on injecting peptides?
• 3:10
  Speaker 3: Well, they've become really popular. I think a lot of
• 3:13
  Speaker 3: the data is fairly... You know, there's not a lot
• 3:19
  Speaker 3: of medical data regarding those things, and there's not a
• 3:22
  Speaker 3: lot of regulation of it right now. So I think
• 3:25
  Speaker 3: that certainly people can try those. Peptides have been around
• 3:29
  Speaker 3: for a long time. People can try it for whatever
• 3:31
  Speaker 3: indication they're trying to go for, and if they find
• 3:34
  Speaker 3: value and it fits into their budget, I don't think
• 3:37
  Speaker 3: it's– in the short term, we don't see any major setbacks,
• 3:43
  Speaker 3: but I don't know what the long-term data will be
• 3:45
  Speaker 3: with those products.
• 3:47
  Speaker 7: Yeah, because they're just popping up everywhere, and a lot
• 3:49
  Speaker 7: of those, like, med spas and places like that will
• 3:52
  Speaker 7: have them.
• 3:54
  Speaker 1: So many people are on them.
• 3:56
  Speaker 3: Yeah, I mean, they're unregulated. When you look at the
• 3:59
  Speaker 3: GLP-1 peptides from compounding pharmacies, only about 30% of those
• 4:04
  Speaker 3: had the active ingredient. So, again, I think with peptides,
• 4:08
  Speaker 3: you're kind of flipping the coin. You don't know exactly
• 4:11
  Speaker 3: what you're getting and whether there'll be medical value with it, but...
• 4:17
  Speaker 3: I think probably for the most part they're not dangerous,
• 4:21
  Speaker 3: but anything's possible.
• 4:26
  Speaker 1: If I send you a picture of this thing on
• 4:28
  Speaker 1: my thumb.
• 4:28
  Speaker 2: Could you? Are you serious?
• 4:34
  Speaker 1: I've got a thing on my thumb that's been there
• 4:36
  Speaker 1: for a few months, and I thought it would just
• 4:38
  Speaker 1: go away, but it's not.
• 4:39
  Speaker 2: Is it a wart?
• 4:40
  Speaker 3: Is it your thumb? Yeah.
• 4:43
  Speaker 1: It's like a bump.
• 4:44
  Speaker 3: Well, I mean.
• 4:45
  Speaker 1: It's got blood.
• 4:46
  Speaker 3: I mean, if you want to swing by the office,
• 4:47
  Speaker 3: I'll take a look at it. It's easier to look
• 4:49
  Speaker 3: at it. Is it? And you don't have to pay me.
• 4:52
  Speaker 3: You can just swing by and I'll take a quick
• 4:53
  Speaker 3: look at it.
• 4:54
  Speaker 8: Okay.
• 4:55
  Speaker 3: Yeah, you'll get what you're paid for. You'll get an
• 4:59
  Speaker 3: opinion of some kind.
• 5:00
  Speaker 2: That's his hitchhiking thumb, though.
• 5:03
  Speaker 1: Because it's protruding. It's got a little black in it. It's,
• 5:08
  Speaker 1: you know.
• 5:09
  Speaker 3: Well, I'm here today and tomorrow if you want to
• 5:11
  Speaker 3: swing by after.
• 5:12
  Speaker 2: You finish work. All right.
• 5:15
  Speaker 3: 877-602.
• 5:15
  Speaker 2: We do have a call. Do we have time for
• 5:17
  Speaker 2: the go to the call now?
• 5:18
  Speaker 1: Probably not the call. Here's a quick text one.
• 5:21
  Speaker 4: Hang on, though, caller.
• 5:22
  Speaker 2: Clark, I think.
• 5:23
  Speaker 1: We'll get to you, Clark. Stand by.
• 5:25
  Speaker 6: So lately my legs have started swelling up and I
• 5:28
  Speaker 6: get these weird little blisters around my ankles.
• 5:31
  Speaker 1: Am I dying?
• 5:33
  Speaker 4: Well, we're all dying, really.
• 5:34
  Speaker 3: That's... Well, I think leg edema with those little hydotic
• 5:40
  Speaker 3: blisters is typically the fluid, the protein fluid is leaking
• 5:46
  Speaker 3: out because of the pressure down there. So I think
• 5:48
  Speaker 3: it's good to find out what the cause of the
• 5:51
  Speaker 3: edema is, whether it's a liver problem, a lung problem,
• 5:56
  Speaker 3: a heart problem, a kidney problem, blood pressure, et cetera.
• 6:00
  Speaker 3: So I think that I would definitely go see your
• 6:03
  Speaker 3: primary care clinician and and try to determine why you've
• 6:07
  Speaker 3: got that probable venous insufficiency. But without looking, without an evaluation,
• 6:14
  Speaker 3: we don't know the cause of it.
• 6:15
  Speaker 2: We have a couple of lines open, but we'll go to,
• 6:19
  Speaker 2: was it Clark?
• 6:19
  Speaker 1: Clark.
• 6:20
  Speaker 2: Hi, Clark. What's your question?
• 6:24
  Speaker 9: Hi, good morning. Can you hear me well?
• 6:26
  Speaker 3: Yes.
• 6:28
  Speaker 10: Yes. So, Dr.
• 6:29
  Speaker 9: Cobble, I have a plantar wart. And I've been to
• 6:35
  Speaker 9: a doctor at the time. They cleared one out, my
• 6:40
  Speaker 9: first one that I had, but it came back and spread.
• 6:44
  Speaker 9: I've done also the acid, the on-the-counter acid. What do
• 6:49
  Speaker 9: you advise?
• 6:52
  Speaker 3: Yeah, plantar warts are really hard. The recurrence rate on
• 6:55
  Speaker 3: those is usually 30% to 40%. I don't think anything
• 6:59
  Speaker 3: over-the-counter works. is going to address them. They may go
• 7:03
  Speaker 3: away over time. Typically that virus will, the body will
• 7:08
  Speaker 3: take over and remove it after a year or two
• 7:11
  Speaker 3: or three. But I think that it's not unreasonable to
• 7:14
  Speaker 3: go to a podiatrist, a foot doctor, or a dermatologist. Again,
• 7:19
  Speaker 3: they may do topical therapy or they may inject it
• 7:22
  Speaker 3: or they may do surgery on it. I think that they,
• 7:26
  Speaker 3: based on the appearance and the presentation, they would make
• 7:29
  Speaker 3: that decision with you. But I think I'd see a podiatrist,
• 7:32
  Speaker 3: foot doctor, or a dermatologist. And typically it's going to
• 7:36
  Speaker 3: take two or three treatments. If it's not gone in
• 7:39
  Speaker 3: 30 days, I think it's important to see them back
• 7:42
  Speaker 3: again and jump at it again.
• 7:44
  Speaker 2: All right.
• 7:47
  Speaker 3: Okay. Great question.
• 7:48
  Speaker 2: Yeah, there you go.
• 7:49
  Speaker 3: Thanks a lot, Clark.
• 7:50
  Speaker 2: I prefer, I don't, podiatrists, I prefer the chiropodist myself.
• 7:53
  Speaker 2: I'd rather go to a chiropodist.
• 7:56
  Speaker 1: Let's go to Maureen. Hello, Maureen.
• 8:00
  Speaker 2: Hi, Maureen.
• 8:02
  Speaker 10: Hi, how are you?
• 8:03
  Speaker 2: Good. What's your question?
• 8:06
  Speaker 5: I have a back issue that's been going on for
• 8:09
  Speaker 5: over a year. It started and it seemed like sciatica.
• 8:17
  Speaker 5: And now I've been getting shots over and over all
• 8:21
  Speaker 5: different places. He tries, based on my symptoms, to find
• 8:26
  Speaker 5: the right spot, and it's not working. And he's proposing
• 8:31
  Speaker 5: an ablation. Is that worth trying? Or he said he
• 8:36
  Speaker 5: might not hit the spot.
• 8:37
  Speaker 9: He might hit the spot.
• 8:39
  Speaker 5: How can we identify where the problem is?
• 8:45
  Speaker 3: I think it depends on the confidence you have in
• 8:47
  Speaker 3: the clinician you have. I don't think it's unreasonable to
• 8:49
  Speaker 3: give a second opinion. I think depending on what the
• 8:51
  Speaker 3: MRI has showed, and you've tried all of the conservative measures,
• 8:56
  Speaker 3: physical therapy, non-steroidal anti-inflammatories, muscle relaxants, et cetera. You've tried
• 9:02
  Speaker 3: chiropractic therapy. You've tried physical therapy. You've tried nerve agents
• 9:08
  Speaker 3: like gabapentin, imitriptyline, whatever. I think an ablation is reasonable.
• 9:14
  Speaker 3: I have patients that get that, and typically they have success. But, again,
• 9:19
  Speaker 3: I think it depends on how confident you feel with
• 9:23
  Speaker 3: your current clinician, and I don't think it hurts to
• 9:25
  Speaker 3: get a second opinion if you have your MRI data
• 9:28
  Speaker 3: and want to go see someone else. But that could
• 9:31
  Speaker 3: take three or four or five months, and I don't
• 9:33
  Speaker 3: know how much this is impacting your quality of life.
• 9:36
  Speaker 3: A lot.
• 9:37
  Speaker 2: Yeah, it's terrible.
• 9:38
  Speaker 9: And it's been a year.
• 9:39
  Speaker 10: Yeah.
• 9:40
  Speaker 3: Well, if you like your clinician and you don't think
• 9:42
  Speaker 3: surgery is an option and they've recommended an ablation, I
• 9:46
  Speaker 3: think it's reasonable.
• 9:49
  Speaker 9: Okay.
• 9:49
  Speaker 11: Okay.
• 9:50
  Speaker 3: Thank you.
• 9:50
  Speaker 2: Give it a try.
• 9:52
  Speaker 10: Yeah.
• 9:52
  Speaker 8: Yeah. Great.
• 9:53
  Speaker 2: I will.
• 9:54
  Speaker 3: Thanks for asking.
• 9:54
  Speaker 10: There you go.
• 9:55
  Speaker 1: Let's go.
• 9:55
  Speaker 7: It is frustrating when you're in pain and you keep
• 9:58
  Speaker 7: trying different things and nothing really works.
• 10:00
  Speaker 10: Helps.
• 10:00
  Speaker 2: I mean, I had back pains and surgeries and so
• 10:04
  Speaker 2: forth for a long time, and then it would just
• 10:06
  Speaker 2: keep coming back. And then finally, there was a clinician
• 10:09
  Speaker 2: who gave me an injection into my spine, and other
• 10:12
  Speaker 2: clinicians had done it, but this guy, for some reason...
• 10:15
  Speaker 2: It worked? He just... It just hit the spot. And
• 10:20
  Speaker 2: I said, you must be the best one in the world.
• 10:23
  Speaker 4: Anyway.
• 10:24
  Speaker 1: This is Audrey. Hi, Audrey.
• 10:26
  Speaker 3: Hi.
• 10:29
  Speaker 11: Hi, doctor.
• 10:29
  Speaker 2: What's your question?
• 10:31
  Speaker 3: Hello.
• 10:32
  Speaker 8: Yeah.
• 10:34
  Speaker 5: Hi.
• 10:34
  Speaker 11: I've had lower left abdominal pain for about a year now.
• 10:39
  Speaker 11: And I've had MRIs, CTs, CTs with contrast. I've kind
• 10:44
  Speaker 11: of seen six or seven doctors. Everything came back normal,
• 10:48
  Speaker 11: but it was after my hysterectomy that I had this pain, and.
• 10:55
  Speaker 8: It's not gone away.
• 10:56
  Speaker 10: They suggested I had the pain.
• 10:58
  Speaker 8: Before the hysterectomy, and they suggested the hysterectomy to remove
• 11:01
  Speaker 8: everything to see if that would remove the pain, and
• 11:04
  Speaker 8: it has not.
• 11:05
  Speaker 4: That's weird.
• 11:07
  Speaker 11: Yeah.
• 11:09
  Speaker 4: And they look and can't find anything, so.
• 11:11
  Speaker 8: Mm-hmm.
• 11:12
  Speaker 10: Yep.
• 11:14
  Speaker 8: Any suggestions?
• 11:17
  Speaker 3: Well, that's tough because, you know, your MRI CT scan
• 11:22
  Speaker 3: with and without contrast are normal. You had the hysterectomy,
• 11:25
  Speaker 3: hoping that would resolve the issue. So the hard part
• 11:28
  Speaker 3: is this mechanical issue in the smooth muscle.
• 11:34
  Speaker 8: Sorry, they did find a slightly enlarged spleen, and they
• 11:38
  Speaker 8: did find– my liver enzymes were slightly elevated, but all
• 11:43
  Speaker 8: the testing that they did said that there was no
• 11:45
  Speaker 8: reason why they should be elevated or slightly enlarged.
• 11:48
  Speaker 10: But I mean, it was borderline, slightly large and borderline
• 11:52
  Speaker 10: liver hyacinth.
• 11:53
  Speaker 3: And I don't, I don't think those would cause it.
• 11:56
  Speaker 3: I mean, one in three Americans have mild elevation of
• 11:58
  Speaker 3: liver enzymes and mild spleen enlargement is pretty common. So again,
• 12:04
  Speaker 3: I think the hard part, um, Without seeing you for
• 12:08
  Speaker 3: 30 or 40 minutes and going into more detail, is
• 12:11
  Speaker 3: this coming from the intestine area? Is it coming from
• 12:14
  Speaker 3: the nerves around that area? Is it smooth muscle? Is
• 12:17
  Speaker 3: it skeletal muscle? Again, I don't think you should have
• 12:21
  Speaker 3: to put up with this, and I think it's probably
• 12:25
  Speaker 3: reasonable to start looking at nerve-blocking agents of some kind
• 12:32
  Speaker 3: or something that helps with the smooth muscle of the abdomen.
• 12:37
  Speaker 3: I can't say it's irritable bowel or spastic colon or
• 12:39
  Speaker 3: any of those things, but it sounds neurogenic to me.
• 12:44
  Speaker 3: But again, you're getting a curbside consult in 30 seconds.
• 12:49
  Speaker 4: You need to dive in a little deeper.
• 12:51
  Speaker 3: You got to keep seeing people, whether it's a neurologist
• 12:55
  Speaker 3: or a gastroenterologist or somebody. And I don't know how
• 13:00
  Speaker 3: much this has been impacting your lifestyle, but You had
• 13:03
  Speaker 3: a hysterectomy helping you resolve it, so you had surgery,
• 13:06
  Speaker 3: so it must be pretty significant.
• 13:10
  Speaker 8: Yeah, pretty good up there.
• 13:12
  Speaker 1: Thanks for your help, doctor.
• 13:13
  Speaker 2: Sorry, just keep at it. Keep at it.
• 13:16
  Speaker 1: Thank you, Andre. Let's go. I think we only have
• 13:20
  Speaker 1: time for Jill.
• 13:21
  Speaker 2: Hi, Jill. What's your question?
• 13:24
  Speaker 5: Hey, so I stubbed my toe pretty bad last night,
• 13:27
  Speaker 5: and I.
• 13:27
  Speaker 10: Think it may be broken. From what I understand, you can't.
• 13:33
  Speaker 10: fix the broken pinky toe?
• 13:34
  Speaker 5: Is it worth going to get the x-ray?
• 13:37
  Speaker 10: Is that kind of a stupid thing to worry about?
• 13:40
  Speaker 1: Pinky toe?
• 13:42
  Speaker 3: Well, I think all of us have broken a pinky
• 13:44
  Speaker 3: toe more than once. Again, if it's not displaced or
• 13:47
  Speaker 3: you're able to reach down there and put it back
• 13:50
  Speaker 3: and make it look normal, buddy taping it, you know,
• 13:53
  Speaker 3: stay off of it for a couple days, ice it,
• 13:56
  Speaker 3: use anti-inflammatory for pain management, and then buddy tape it
• 13:59
  Speaker 3: for the next two to six weeks for comfort measures.
• 14:03
  Speaker 10: Okay when you when you say body tape you mean
• 14:06
  Speaker 10: just tape it to the toe next.
• 14:07
  Speaker 2: To it yeah buddy yeah buddy buddy toe okay.
• 14:11
  Speaker 3: Athletic tape and or coban or coflex or something and
• 14:15
  Speaker 3: yeah let it let it stay next to its neighbor
• 14:17
  Speaker 3: for some support.
• 14:20
  Speaker 2: All right sounds good okay see you later so much
• 14:22
  Speaker 2: thank you and don't be so clumsy okay i mean
• 14:25
  Speaker 2: we've had a lot of toe issues a lot of
• 14:28
  Speaker 2: broken toes i don't think i have actually ever broken
• 14:31
  Speaker 2: a toe.
• 14:32
  Speaker 4: Well, it's your turn then, right?
• 14:34
  Speaker 2: You need to move more.
• 14:36
  Speaker 3: Yeah, I do. You need to move more.
• 14:38
  Speaker 2: I do.
• 14:39
  Speaker 1: Dr.
• 14:39
  Speaker 2: Cobble, thanks for being with us. We'll talk to you
• 14:42
  Speaker 2: again in a couple of weeks probably.
• 14:45
  Speaker 3: Okay, sounds good.
• 14:46
  Speaker 2: Thank you.
• 14:47
  Speaker 1: Thank you very much.
• 14:48
  Speaker 10: Bye-bye.