Latest / The Radio From Hell Show - Best Of / Questions with Dr. Cobble for April 30th, 2025

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Questions with Dr. Cobble for April 30th, 2025 · The Radio From Hell Show - Best Of

• 0:00
  Speaker 1: If you have any medical questions, Doctor Cobble is back
• 0:03
  Speaker 1: with us. He's uh, he's been missing an action the
• 0:07
  Speaker 1: last couple of times that we're supposed to have him on,
• 0:09
  Speaker 1: but he's he's back and he's ready to answer your
• 0:11
  Speaker 1: question this morning, doctor Cobble.
• 0:13
  Speaker 2: Good morning.
• 0:14
  Speaker 1: You got an ache, you gotta pain, you gotta what
• 0:18
  Speaker 1: you need to talk to doctor Cobble. He can answer
• 0:20
  Speaker 1: your questions. Perhaps we had to talk about gallbladders. O
• 0:25
  Speaker 1: Gina had hers.
• 0:26
  Speaker 3: I don't have one anymore, Doctor Cabble.
• 0:27
  Speaker 4: You had to take it out last week.
• 0:29
  Speaker 3: WOWE was not expecting that.
• 0:33
  Speaker 5: No, Well, can you tell me what my life without
• 0:36
  Speaker 5: my gallbladder will be like?
• 0:38
  Speaker 4: If?
• 0:38
  Speaker 5: If I need to, are you going to tell me
• 0:40
  Speaker 5: I can't have French fries anymore? That's mostly what I'm asking.
• 0:44
  Speaker 2: I think your life will be remarkably better when your
• 0:47
  Speaker 2: gallbladders are angry. Then nobody's happy.
• 0:50
  Speaker 3: Oh wow, things will be better.
• 0:52
  Speaker 4: So it get if he had.
• 0:54
  Speaker 2: A healthy diet. I think maybe occasionally.
• 0:57
  Speaker 4: Now there's the cat that's the trouble right there.
• 1:00
  Speaker 3: He said occasionally French fries.
• 1:02
  Speaker 4: I heard him. I repeat, there's the catch.
• 1:06
  Speaker 6: The healthy diet.
• 1:09
  Speaker 5: Occasionally is a relative term like like like.
• 1:13
  Speaker 3: During the day on occasion, each day I could have.
• 1:17
  Speaker 2: Sound like Bill. And every time I recommend me a Bill,
• 1:20
  Speaker 2: he tries to find the loophole.
• 1:22
  Speaker 6: Always Does this mean that she needs to start eating cheese?
• 1:26
  Speaker 3: Doesn't this mean? I don't think so it doesn't.
• 1:32
  Speaker 4: Okay.
• 1:32
  Speaker 1: Now, how often is it that a gallbladder goes haywire?
• 1:37
  Speaker 4: I mean, does it happen quite a bit?
• 1:39
  Speaker 2: Oh? Yeah, I think it's remarkably common. I think more
• 1:42
  Speaker 2: common on the US lifestyle, but it's more common in women,
• 1:48
  Speaker 2: and I typically see it more during pregnancy and perrymenopause.
• 1:53
  Speaker 4: Maybe that's the kind of the age groups. Yeah, you're
• 1:57
  Speaker 4: not pregnant, no, but the menopause. Oh, what is it?
• 2:02
  Speaker 4: What's the function of the gallbladder?
• 2:05
  Speaker 2: Well, the gallbladder stores the digestive enzymes that the pancreas
• 2:09
  Speaker 2: is making. So when you're eating, the gallbladder releases those
• 2:14
  Speaker 2: enzymes to help digest the food. But the pancreas makes
• 2:18
  Speaker 2: those enzymes and stores them in the gall bladder.
• 2:21
  Speaker 4: That clever pancreas. Yeah, and so you don't. But so
• 2:27
  Speaker 4: it makes if you don't have.
• 2:29
  Speaker 1: Your gallbladder, it's harder to digest things that correct.
• 2:33
  Speaker 2: Well, not necessarily. I mean you're you're pancreas well, You're
• 2:36
  Speaker 2: pancreas is stimulated to make those digestive enzymes when you eat,
• 2:41
  Speaker 2: but having them stored probably serve some function in the
• 2:47
  Speaker 2: prehistoric man that maybe had different food access where you
• 2:51
  Speaker 2: might have gone long periods without food.
• 2:53
  Speaker 4: Oh, I see.
• 2:55
  Speaker 2: But I think most people can live without a gallbladder
• 2:58
  Speaker 2: and do wonderfully well. And it's pretty common to see
• 3:01
  Speaker 2: people have their gallbladder removed. So I think what Gina experience.
• 3:05
  Speaker 2: I imagine you're a miserable and having quite a bit
• 3:08
  Speaker 2: of stomach discomfort and pain, and getting your gallbladder removed
• 3:11
  Speaker 2: this made you feel remarkably better.
• 3:14
  Speaker 4: Yeah.
• 3:14
  Speaker 5: I mean I hadn't had any problem with it until
• 3:17
  Speaker 5: I had that acute Like I thought I was having
• 3:19
  Speaker 5: a heart attack, that's what.
• 3:21
  Speaker 2: It's not terrible.
• 3:22
  Speaker 5: Yeah, and I feel better now, so it worked.
• 3:27
  Speaker 4: Let's go to H to Marlee. H'm Marley Marley. How
• 3:31
  Speaker 4: are you today?
• 3:32
  Speaker 7: Hi? I'm doing all right.
• 3:33
  Speaker 4: What's your question for doctor Gobble?
• 3:36
  Speaker 7: I had a gaser bypass in twenty twenty two, and
• 3:40
  Speaker 7: after a long couple of years of health issues like
• 3:43
  Speaker 7: I've gained quite a bit of that weight back. I'm
• 3:46
  Speaker 7: wondering your thoughts on GLP ones after having that surgery.
• 3:51
  Speaker 4: What is that that's like a zempi.
• 3:53
  Speaker 2: The ozempic manjaro waito VI zp mound. The GLP ones, Yeah,
• 4:00
  Speaker 2: I think they're you know, the only contry indication would
• 4:03
  Speaker 2: be if you have a history of pancreatitis, then the
• 4:06
  Speaker 2: glp ones are contra indicated for use. But I think
• 4:10
  Speaker 2: that the glp ones are fdapproved for chronic weight loss management.
• 4:15
  Speaker 2: And I've nothing works like gastric bypass besides those medications,
• 4:21
  Speaker 2: and I think they're much more affordable and much better
• 4:25
  Speaker 2: tolerated than the surgery. So I think that if you've
• 4:29
  Speaker 2: gained the weight back, which is not uncommon in two, three, four,
• 4:33
  Speaker 2: five years after a gastric sleeve or gastric bypass, if
• 4:37
  Speaker 2: you've regained the weight, I think seeing a clinician about
• 4:40
  Speaker 2: a GLP one, about one of those peptide injections weekly
• 4:44
  Speaker 2: would be probably complementary for your quality of life.
• 4:48
  Speaker 4: All right, Okay, thank you, rank you so do it.
• 4:53
  Speaker 6: And here's a question related to that. If I'm on
• 4:56
  Speaker 6: ozempic for weight loss, do I need it to be forever.
• 5:01
  Speaker 2: Well, they're fd it proved to be used forever, but
• 5:05
  Speaker 2: most people lose the significant weight in four to six
• 5:08
  Speaker 2: months that they're looking for, and then at that point
• 5:11
  Speaker 2: you've got to decide, am I going to go back
• 5:14
  Speaker 2: to the bad behavior or the complicated behavior that got
• 5:17
  Speaker 2: me here? And what I find for most people is
• 5:21
  Speaker 2: a weight gain is kind of an addiction and sometimes
• 5:23
  Speaker 2: very hard to move around it. Some of us have
• 5:29
  Speaker 2: hormones that stimulate our appetite and that has nothing to
• 5:33
  Speaker 2: do with what you're doing. So I think shaming people
• 5:37
  Speaker 2: that are overweight is not the right thing. Most of
• 5:41
  Speaker 2: my folks have done really well using them a short
• 5:43
  Speaker 2: term for weight loss, and then they'll use it long
• 5:46
  Speaker 2: term for weight maintenance. Sometimes they'll space the dosing. They
• 5:50
  Speaker 2: m not do it every week, but that's not been studied,
• 5:52
  Speaker 2: and that's not the way they're FDA approved. But they
• 5:55
  Speaker 2: are FDA approved to be used forever if people wanted to.
• 5:58
  Speaker 1: All right, very much, Well, I know he's a doctor.
• 6:01
  Speaker 1: I've been in his office. I've seen his medical license.
• 6:03
  Speaker 4: Hanging on the wall. Doctored you, Yes, he has.
• 6:06
  Speaker 1: He doctors me on occasion, So exam, yes, yes, thanks
• 6:14
  Speaker 1: for reminding me.
• 6:16
  Speaker 4: So we have some text questions. Yes, we've got a few.
• 6:20
  Speaker 6: Let's see, my sixteen year old jumped and fell backward
• 6:25
  Speaker 6: and landed hard on his sacrum in a basketball game.
• 6:30
  Speaker 6: He's having a hard time walking and sleeping and it
• 6:33
  Speaker 6: hurts a lot. We think he has a deep bone bruise.
• 6:36
  Speaker 6: What is the best treatment to help with the pain?
• 6:39
  Speaker 2: Yeah, so the sacrum is the tailbone, and typically at
• 6:43
  Speaker 2: Donuts you can order one of those little sponge donuts,
• 6:47
  Speaker 2: not the kind of ee, and sitting on that takes
• 6:51
  Speaker 2: pressure off that tailbone. And then if he's not allergic
• 6:54
  Speaker 2: to it or it's not contra indicated, I would get
• 6:58
  Speaker 2: an anti inflament like a leave or advil or motrin
• 7:02
  Speaker 2: and take that as directed, and then you can use
• 7:05
  Speaker 2: thailan all with it. Ice is usually fairly good for
• 7:10
  Speaker 2: analgesic bone pain, so icing it could have some value
• 7:14
  Speaker 2: to if you can find it comfortable. It's cracked, yeah,
• 7:20
  Speaker 2: I mean it's possible that you could fracture that, but
• 7:22
  Speaker 2: we don't do surgery for that.
• 7:24
  Speaker 4: Nothing to do.
• 7:25
  Speaker 2: It's like a broken rib. You know, you just gotta
• 7:28
  Speaker 2: gotta live through it for two to twelve weeks, but
• 7:30
  Speaker 2: it's probably gonna ask some discomfort there for two to
• 7:32
  Speaker 2: twelve weeks. So I think the anti inflammatory analgesic with
• 7:36
  Speaker 2: the tail and all analogiesic with ice and then that
• 7:39
  Speaker 2: little you know, donut foam.
• 7:42
  Speaker 6: Yeah, all right, here's another question. Is it safe to
• 7:47
  Speaker 6: take occasional beta blockers for anxiety with undiagnosed brady cardia?
• 7:53
  Speaker 6: Can heart rate get too low? This is why we
• 7:57
  Speaker 6: like you.
• 7:57
  Speaker 2: To call yeah, I mean I so, usually beta blockers
• 8:04
  Speaker 2: for anxiety we use really low dose, like Forprano all
• 8:07
  Speaker 2: ten or twenty milligrams as you need it. Where beta
• 8:11
  Speaker 2: blockers for high blood pressure we're doing eighty to you know,
• 8:16
  Speaker 2: four hundred and twenty milligrams or per Prano law. But
• 8:19
  Speaker 2: I think it should be safe. If you're getting lightheaded
• 8:22
  Speaker 2: or dizzy or short of breath taking the beta blocker
• 8:26
  Speaker 2: for anxiety then and your heart rates drop into forty,
• 8:29
  Speaker 2: then that's certainly a problem. But I don't think that
• 8:35
  Speaker 2: that's an issue. If you're older with a low heart rate,
• 8:38
  Speaker 2: there is a condition called a sixth sinus syndrome. By older,
• 8:41
  Speaker 2: I mean typically people are sixty five, seventy seventy five,
• 8:45
  Speaker 2: eighty and their heart rate never goes high and they
• 8:48
  Speaker 2: get they need to get a pacemaker and need to
• 8:50
  Speaker 2: see a cardiology.
• 8:52
  Speaker 6: Right, here's a question. What is the difference between a
• 8:55
  Speaker 6: physical exam and a wellness exam?
• 9:01
  Speaker 2: Oh? Well, I think that they're pretty similar. Some people
• 9:05
  Speaker 2: term a physical exam and a wellness exam. May a
• 9:10
  Speaker 2: wellness exam may be more of a preventive maintenance exam.
• 9:15
  Speaker 2: So some concierge practices have wellness exams and they include
• 9:20
  Speaker 2: EKGs and pulmonary functions and aneurysm testing and arterial blood
• 9:25
  Speaker 2: flow testing and going to do extra blood work, where
• 9:28
  Speaker 2: a physical exam may just be the standard little blood
• 9:32
  Speaker 2: work like kitnian liver and what you're in cholesterol, but
• 9:36
  Speaker 2: not do any diagnostic testing. So they may just use
• 9:40
  Speaker 2: the stethoscope and ask you certain questions. It's a wellness
• 9:44
  Speaker 2: exam may be more in depth, but those two terms
• 9:48
  Speaker 2: are pretty comparative.
• 9:51
  Speaker 6: All right, let's see doctor cobble. I'm a woman of
• 9:54
  Speaker 6: a certain age and I'm losing my hair. Are there
• 9:58
  Speaker 6: any supplements that work or what can you suggest for
• 10:01
  Speaker 6: hair growth?
• 10:03
  Speaker 7: Oh?
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  Speaker 2: That's a tough ye. I think it's not unreasonable. Maybe
• 10:07
  Speaker 2: to visit with your doctor dermatologists. But as far as
• 10:10
  Speaker 2: supplements go, maybe college and type things could help. Multi
• 10:16
  Speaker 2: vitamin vitamin D might help. There are prescription medicines like
• 10:20
  Speaker 2: phenoster rod or there's some shampoos that are prescription that
• 10:24
  Speaker 2: may have some value. But I think that you know,
• 10:27
  Speaker 2: getting your thyroid tested. Parmone replacement therapy may have some value,
• 10:32
  Speaker 2: if not cont indicated. But I think that's a reasonable
• 10:36
  Speaker 2: conversation to have with your with your doctor or your
• 10:40
  Speaker 2: nurse practitioner or physician assistant.
• 10:43
  Speaker 1: I was surprised does somebody was telling me that they
• 10:47
  Speaker 1: took rogaine orally. Rogain was like a foam that you
• 10:52
  Speaker 1: put on, but now there's a pill apparently.
• 10:55
  Speaker 2: Well, monoxidille is rogaine has been a pill forever. It
• 11:00
  Speaker 2: can be taken orally. And that was traditionally was a
• 11:03
  Speaker 2: blood pressure medication. So there are over one hundred blood
• 11:07
  Speaker 2: pressure medications on the market, and that was traditionally an
• 11:10
  Speaker 2: old blood pressure medicine. But it phaso dilates the capillaries
• 11:17
  Speaker 2: and the scalp and so that increases the blood flow
• 11:20
  Speaker 2: to the hair follicle and helps the hair follicle grow.
• 11:23
  Speaker 2: But it can be delivered intestinely by mouth or topically,
• 11:28
  Speaker 2: and it works very well topically. So monoxideal row gains
• 11:31
  Speaker 2: over the counter. It used to be a prescription. It
• 11:33
  Speaker 2: still can be a prescription, but that's another option that
• 11:36
  Speaker 2: you can rub in your scalp once or twice a day,
• 11:39
  Speaker 2: as long as it doesn't make you lightheaded or because
• 11:42
  Speaker 2: it again, it is a blood pressure type medication.
• 11:45
  Speaker 6: All right, doctor Cobble, How concerned are you about the
• 11:48
  Speaker 6: effectiveness of the flu shot this fall? Since the FDA
• 11:52
  Speaker 6: canceled the meeting to develop the one for this year,
• 11:55
  Speaker 6: will the drug companies fill that void?
• 11:59
  Speaker 2: Will companies are typically uh running the show on that
• 12:04
  Speaker 2: because they manufacture it, and they manufacture that flu vaccine
• 12:07
  Speaker 2: based on what the anticipated flu variants are going to be.
• 12:11
  Speaker 2: So I think while it's discouraging to see the HHS
• 12:14
  Speaker 2: and the FDA have no direction and and have all
• 12:18
  Speaker 2: of their research and grant work polled and no longer
• 12:24
  Speaker 2: be involved, I think that the pharmaceutical manufacturers who've made
• 12:30
  Speaker 2: vaccines forever will continue to try to make the best
• 12:33
  Speaker 2: product that has the best coverage and the best safety
• 12:37
  Speaker 2: for the for the population the community that they're servicing.
• 12:40
  Speaker 3: Thank you.
• 12:40
  Speaker 5: That makes me feel better because I was worried about that.
• 12:44
  Speaker 6: Let's see, here's a question for doctor Cobble. My belly
• 12:48
  Speaker 6: button looks like it's expanding, and there is and there
• 12:52
  Speaker 6: is a moderate pain when I'm lifting.
• 12:54
  Speaker 4: Could this be a hurdy?
• 12:56
  Speaker 3: Yes, I'm a doctor, but that sounds like to me.
• 13:00
  Speaker 2: That's funny because I you know, Bill, I thought you
• 13:02
  Speaker 2: would have just asked me that question.
• 13:03
  Speaker 1: Oh hey, hey, hey, hey, h three or.
• 13:07
  Speaker 2: Four days ago. But he's shy and well, it could
• 13:11
  Speaker 2: be a little umbilical hernia, and so I think it's
• 13:15
  Speaker 2: reasonable to have your medical clinician evaluate it and and
• 13:21
  Speaker 2: that's an easy thing for them to fix laparoscopically if
• 13:24
  Speaker 2: it is. It's pretty rare for hernias to get strangulated,
• 13:28
  Speaker 2: but sometimes the intestine can come through there and get pinched,
• 13:33
  Speaker 2: and then that gives you quite a bit of discomfort.
• 13:35
  Speaker 2: But I think having a clinician evaluate it and see
• 13:38
  Speaker 2: if you have a little umbilical hernia reasonable.
• 13:41
  Speaker 4: All right, there you go. Is that it? It's all
• 13:46
  Speaker 4: the time we have. Oh well, nice to talk to
• 13:48
  Speaker 4: you again, doctor Cobble.
• 13:49
  Speaker 2: Yeah, yeah, thanks for the questions.
• 13:51
  Speaker 4: Okay, we'll see you soon.
• 13:53
  Speaker 2: Okay, sounds good. Okay, oh we.
• 13:57
  Speaker 3: Didn't have time for How can I get my part unstuck? No,
• 14:04
  Speaker 3: it's important to call in.
• 14:06
  Speaker 4: You know, my part is stuck. What can I do
• 14:09
  Speaker 4: telling people? That's why it's important to call