Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A From November 26th, 2025
Transcript
- 0:00Speaker 1: Uh, it's time to talk to the doctor, doctor Cobble.
- 0:03Speaker 1: Doctor Michael Cobble is here with us. Good morning, doctor Cobble.
- 0:07Speaker 1: How are you?
- 0:08Speaker 2: Good morning? I'm great, happy, Thanksgiving same to you.
- 0:12Speaker 1: We Uh, now we can doctor Cobble can answer medical questions.
- 0:16Speaker 1: We had a couple of things that occurred yesterday, Doctor Cobble.
- 0:20Speaker 1: We were talking about this this new flu strain that's
- 0:26Speaker 1: apparently kind of taking Europe by surprise. Have you heard
- 0:30Speaker 1: anything about that?
- 0:32Speaker 2: Oh?
- 0:33Speaker 1: And what?
- 0:35Speaker 3: Yeah, So the question we had was is the flu
- 0:39Speaker 3: vaccine that we got.
- 0:42Speaker 4: Now gonna protect us at all?
- 0:43Speaker 2: For that? Well, you're going to get some cross protection.
- 0:48Speaker 2: So I think getting the blue vaccine smart. We try
- 0:51Speaker 2: to anticipate the blue strains a year ahead of time
- 0:54Speaker 2: that we're going to be exposed to. And there can
- 0:57Speaker 2: always be other strains, but it's going to give you
- 0:59Speaker 2: a better protection than nothing, and so I think. And
- 1:02Speaker 2: then there are anti viral medications if you get the flu,
- 1:06Speaker 2: and you get on those within three days. Now, the
- 1:09Speaker 2: covid anti viral medications are within five days, but the flu,
- 1:14Speaker 2: tama flu, those types of medicines you want to start
- 1:17Speaker 2: within three days. So if someone really feels like they've
- 1:19Speaker 2: been run over by a tractor trailer beaten up by
- 1:23Speaker 2: a baseball bat. Then that's the flu and you want
- 1:26Speaker 2: to call your clinician right away and get on those medications.
- 1:29Speaker 1: Okay, oh, we got Braiden online. Biden is here. Go ahead, Braiden.
- 1:34Speaker 1: What's your question?
- 1:35Speaker 5: Braiden, Good morning everyone. Question for doctor Cobble is, I've
- 1:40Speaker 5: been led to believe that it's better to sleep on
- 1:43Speaker 5: your left side than it ends your right side. This
- 1:46Speaker 5: is easier for your heart to function.
- 1:49Speaker 2: It's true, right, I think there's data that would suggest that.
- 1:54Speaker 2: I think, just sleep in the position that's most comfortable
- 1:56Speaker 2: for you and try to get that six to nine
- 1:59Speaker 2: hours of sleep if you can. If you're lucky enough
- 2:01Speaker 2: to get more than six hours of sleep at night,
- 2:02Speaker 2: that's great.
- 2:03Speaker 1: Now, which side are you supposed to left?
- 2:05Speaker 4: On the left?
- 2:06Speaker 3: When I was pregnant, my my ob told me for
- 2:10Speaker 3: pregnant women, especially because your organs are all squished around. Yeah,
- 2:15Speaker 3: it's better to sleep on your left side because your
- 2:18Speaker 3: heart have to work a little a little less.
- 2:21Speaker 1: Now, I was always in a stomach sleeper. I mean
- 2:25Speaker 1: literally just right on my stomach, not on my side
- 2:28Speaker 1: on my stomach. But then over the years, I've sort
- 2:31Speaker 1: of become a side and back sleeper more. But I
- 2:33Speaker 1: sleep on my right side. What about just sleeping on
- 2:36Speaker 1: your back, doctor Cobble? Was that was that good?
- 2:40Speaker 6: Again?
- 2:40Speaker 2: I think it's the position you're most comfortable, and I'm
- 2:43Speaker 2: kind of a stomach sleeper, and just it's more comfortable
- 2:45Speaker 2: for me or my left side. But I just find
- 2:48Speaker 2: a position you're comfortable with.
- 2:50Speaker 1: All Right.
- 2:50Speaker 2: When I'm on the airplane, I sleep on my back,
- 2:53Speaker 2: all right, sitting up right, fancy seats, that recline. There
- 2:58Speaker 2: you go, bright always in me economy.
- 3:01Speaker 1: All right, go take a nap, Branden. What are you doing,
- 3:04Speaker 1: doctor Cobbles?
- 3:06Speaker 2: Making my garbage? Can? Oh?
- 3:08Speaker 7: Okay, here's a question from the text, and then we'll
- 3:13Speaker 7: take a break. You can call in the eight seven
- 3:15Speaker 7: seven six two nine six nine six. Texters says, I've
- 3:18Speaker 7: been experiencing testicular pain. I've been to the doctor. They
- 3:22Speaker 7: have ruled out epidd midass, epidymous. They also did an
- 3:28Speaker 7: ultrasound and didn't find anything. It does seem to radiate
- 3:32Speaker 7: to my back. What else could it be?
- 3:36Speaker 2: Yeah, it sounds I mean it could be orchitis. The
- 3:39Speaker 2: testicles inflamed itself epididymitis, which you guys mentioned. Without an exam,
- 3:45Speaker 2: it's hard to say. It could be neurogenic, meaning it's
- 3:48Speaker 2: coming from one of the nerves in the back. So
- 3:52Speaker 2: I think see your clinician again. If the urologists can't
- 3:57Speaker 2: rule it figured out, maybe see your primary care doctor
- 3:59Speaker 2: and they can talk about a mechanical problem or a
- 4:02Speaker 2: grime paranal problem. So the hard parts you always wonder,
- 4:07Speaker 2: is this inflammatory infection neurogenic, mechanical and that's the kind
- 4:13Speaker 2: of the things they need to go through. I don't
- 4:15Speaker 2: think it's vascular, all right, they would have seen that
- 4:18Speaker 2: on altered Yeah, there you go.
- 4:19Speaker 1: Danica has been very patient, hanging on the line there,
- 4:23Speaker 1: So let's get that to Danica.
- 4:25Speaker 4: There she is, Danica, Hi.
- 4:26Speaker 1: Thanks for being patient, Danica. How are you.
- 4:30Speaker 8: I'm good, Thanks for letting me listen.
- 4:31Speaker 1: You're welcome. What's your question for the doctor?
- 4:35Speaker 8: Okay, So my son is fifteen, almost sixteen. He's got
- 4:40Speaker 8: that chest indentation thing PEX of sexcavetis something.
- 4:46Speaker 1: He's got a sunken chest.
- 4:49Speaker 8: Yeah, he's a sunken chest. Yeah, he's got that, But
- 4:51Speaker 8: lately he's had some heart rate issues where he'll be
- 4:56Speaker 8: walking around the house and it'll his heart rate will
- 4:59Speaker 8: go up to like one fifties, and he's gotten some
- 5:03Speaker 8: notifications on his watch his heart rate is dropping while
- 5:06Speaker 8: he's sleeping under forty. So I took him to his
- 5:11Speaker 8: pediatrician and the doctor said that it's kind of a
- 5:14Speaker 8: normal thing for a teenage.
- 5:15Speaker 2: Boy, but you're still what to do?
- 5:19Speaker 8: Yeah, I'm still concerned.
- 5:21Speaker 2: Well, and it probably is normal. I mean the normal
- 5:25Speaker 2: heart rates sixty to one hundred. It's not unusual when
- 5:28Speaker 2: you're at rest for heart rates to drop below sixty.
- 5:32Speaker 2: And if you're active, you know, running upstairs or doing things,
- 5:36Speaker 2: your heart rate can go to one twenty one fifty
- 5:39Speaker 2: one sixty. Where I'd really worry is at the heart
- 5:41Speaker 2: rate if you got that tact cardia that went up
- 5:45Speaker 2: and stayed there for forty minutes or an hour or two,
- 5:48Speaker 2: and then he's getting a shorter breath or chest discomfort.
- 5:51Speaker 2: So I think that that autonomic libility of the heart
- 5:55Speaker 2: rates not unusual. Where I'd really worry is if you
- 5:58Speaker 2: had a family history of cardiac death, like on QT
- 6:01Speaker 2: syndrome or will Parkinson White. So if there's a family
- 6:05Speaker 2: history of sudden cardiac death and healthy people young younger,
- 6:08Speaker 2: healthy people, or if your son was complaining of chest pain,
- 6:12Speaker 2: shortness of breath, or passing out in those episodes. But
- 6:16Speaker 2: I think if he's not having those kinds of symptoms,
- 6:18Speaker 2: heart rate variability is dynamic. You know, blood pressure can
- 6:22Speaker 2: change by thirty points in any moment. Heart rate can too.
- 6:25Speaker 2: And again if he's not symptomatic, or his heart's not
- 6:28Speaker 2: staying at one fifty for an hour, two or three.
- 6:32Speaker 2: When I was in medical school, three or four off
- 6:34Speaker 2: my classmates, usually women would get ventricular tax cardia, super
- 6:40Speaker 2: ventricular tax cardia, and they'd have to go to the
- 6:43Speaker 2: emergency room after two or three hours because like they'd
- 6:45Speaker 2: been exercising at full full activity for two, three four hours.
- 6:50Speaker 2: And anyone that knows, I mean Bill doesn't know this. No, no,
- 6:54Speaker 2: When they exercises with the heart rate of one hundred
- 6:56Speaker 2: and fifty, you know, after ten fifteen, twenty minutes, you're
- 6:58Speaker 2: pretty wiped out.
- 6:59Speaker 1: Yeah, all right, Does that make you feel better?
- 7:01Speaker 2: Dan?
- 7:02Speaker 5: You get your hurried above one hundred?
- 7:05Speaker 1: Yeah, I can get I can get above one hundred,
- 7:08Speaker 1: But it depends on what I'm watching on TV.
- 7:13Speaker 7: I understand you being concerned, Mom, k.
- 7:18Speaker 2: I think he's probably fine.
- 7:20Speaker 4: All right, good luck. Here's a text question. Is it
- 7:24Speaker 4: normal to have thick spit.
- 7:27Speaker 2: Spit?
- 7:27Speaker 7: Usually thickens after consuming food or certain beverages.
- 7:32Speaker 4: Thick spit spit, It's not unusual.
- 7:37Speaker 2: The salivary glands may or may not produce, you know,
- 7:42Speaker 2: mucus that can find things out. It depends on your age.
- 7:45Speaker 2: As we get older, it's hard to make mucus. There
- 7:49Speaker 2: are other things allergies hate, fever, pusinsel drainage, reflux. But
- 7:55Speaker 2: you know you might be allergic to some certain products
- 7:57Speaker 2: they're ingesting effects the the gland secretion of your salvary,
- 8:03Speaker 2: the spit.
- 8:06Speaker 1: As I've become older, I've found that I make a
- 8:09Speaker 1: lot of mucus rather than less mucus.
- 8:14Speaker 7: Here's a question I'm not sure that doctor Kobble can answer,
- 8:18Speaker 7: but we can certainly bitch about it. Why do healthcare
- 8:21Speaker 7: providers allow health insurance companies to dictate how you treat patients?
- 8:26Speaker 7: Health insurance is organized legalized crime against the American people.
- 8:31Speaker 2: Yeah, I mean I agree with that. It's sad I've
- 8:34Speaker 2: never gotten a thank you letter from an insurance company
- 8:37Speaker 2: for preventing a hospitalization or a heart attack, or treating
- 8:42Speaker 2: diabetes correctly, or preventing a stroke or you know. So
- 8:46Speaker 2: it's really frustrating. The bad thing is the insurance companies
- 8:49Speaker 2: have all the power, the power, they have the money,
- 8:53Speaker 2: and I don't know how ever change.
- 8:57Speaker 1: You know. I found that doctor's for people who are
- 9:01Speaker 1: assistants in doctor's offices. The doctor doesn't usually have time
- 9:04Speaker 1: to mess with this, but or a pharmacists are very
- 9:08Speaker 1: good advocates for patients with against the insurance companies. If
- 9:13Speaker 1: you have a problem, often somebody the pharmacists will say, look,
- 9:18Speaker 1: i'll see if I I'll deal with it. I'll talk
- 9:20Speaker 1: to the insurance company. Yeah, we'll work this out. I
- 9:24Speaker 1: had this just happened to me the other day. I
- 9:27Speaker 1: got a notice from our insurance company that says, you know,
- 9:30Speaker 1: the shot you've been getting in your eyeball to prevent
- 9:33Speaker 1: you going blind nacular degeneration, that shot you've been getting
- 9:38Speaker 1: is no longer covered. We're no longer covering.
- 9:40Speaker 4: And you know, their philosophy is, well, you'll still live.
- 9:43Speaker 1: It's one thousand dollars a shot or something like that,
- 9:47Speaker 1: and so we're not going to cover it. Anymore. If
- 9:49Speaker 1: you want to appeal, here's how you do it.
- 9:51Speaker 8: Well.
- 9:51Speaker 1: I called the doctor's office and they said, oh, let
- 9:54Speaker 1: let me have you talk to the insurance person. And
- 9:57Speaker 1: I talked to the insurance person and the insurance person's, oh,
- 10:01Speaker 1: you know, we already appealed that, and it's fine. Your
- 10:03Speaker 1: your insurance is just still covering. But you know, for
- 10:06Speaker 1: for a day, you have to jump through all those
- 10:08Speaker 1: for a day, and for a day, I'm worried, sick
- 10:11Speaker 1: that I'm not going to be able to get these
- 10:13Speaker 1: and just exactly such crap.
- 10:15Speaker 2: It's such yeah, frustrating. My mom's running through the same
- 10:18Speaker 2: thing with her shots. But you brought up a great point.
- 10:21Speaker 2: The pharmacists are amazing advocates, and you can also be
- 10:24Speaker 2: an advocate. It may take you forty hours to oh, yeah,
- 10:28Speaker 2: you know, feel those things, but the nursing staff could
- 10:30Speaker 2: be great advocate that I think parts they're all overworked
- 10:33Speaker 2: and underpaid and deny, deny, deny, deny, deny that they
- 10:38Speaker 2: don't want to cover anything exactly.
- 10:40Speaker 4: Now here's a text question.
- 10:42Speaker 7: Twenty years ago, I broke my foot and they had
- 10:45Speaker 7: to put pins in it on the outer side below
- 10:49Speaker 7: pinky toes. Presently, I've been having intense sharp pains on
- 10:54Speaker 7: the other side by my big toe. Could this be related?
- 10:58Speaker 4: And would you recommend having the pin is removed?
- 11:02Speaker 2: Yeah, I think that's a great question for a pediatrist
- 11:04Speaker 2: because oftentimes the metal the hardware can be removed. It's
- 11:08Speaker 2: depending on the different joint or area where it was done.
- 11:11Speaker 2: So I would get it, you know, an exam by
- 11:14Speaker 2: a pediatrist, see if it's mechanical from the pins that
- 11:18Speaker 2: are there. For another cause that my daughter just had
- 11:21Speaker 2: ACL surgery and they're going to take the They're going
- 11:24Speaker 2: to take the screw out because it's been bothering here.
- 11:28Speaker 2: So I think that that hardware probably could be removed.
- 11:31Speaker 7: Now here's again where we would have preferred you calling in,
- 11:35Speaker 7: because there's the way this is worded confuses me. Going
- 11:40Speaker 7: to an event next Friday? Now does that mean this
- 11:44Speaker 7: coming Friday or next week? See again, if you call in,
- 11:48Speaker 7: I can ask you these questions. Going to an event
- 11:51Speaker 7: next Friday with a ton of people, will the flu
- 11:53Speaker 7: shot be effective? If I get it today, I guess
- 11:56Speaker 7: is it's next week? If it's this coming Friday, it
- 11:59Speaker 7: won't be right.
- 12:01Speaker 2: Yeah, I mean, I like to get the flu shot,
- 12:03Speaker 2: usually ten to fourteen days before you know, get an
- 12:07Speaker 2: adequate response. I think if you're going somewhere next Friday,
- 12:11Speaker 2: it doesn't hurt to get the flu shot now, and
- 12:14Speaker 2: hopefully if anyone's sick, they're not attending the events and spreading.
- 12:18Speaker 1: But here's the point. Here's the point. Get the flu shot. Yeah,
- 12:22Speaker 1: whether it's next week or then, it's just get the
- 12:27Speaker 1: damn flu shot.
- 12:28Speaker 4: It's not a material if you're deciding whether to go
- 12:30Speaker 4: or not.
- 12:31Speaker 3: That's what they're wandering, don't get anyway, Well.
- 12:35Speaker 2: No, they're they're going to Early November is a good
- 12:39Speaker 2: time for a flu shot that gives you full immunity
- 12:42Speaker 2: by Thanksgiving.
- 12:43Speaker 4: So okay, let's go to Caden. Caden is here.
- 12:47Speaker 1: Hello, Hi Cayden, Good.
- 12:49Speaker 9: Good morning, Lords and doctor of course, Oh what's your question?
- 12:57Speaker 10: So kind of odd? So throughout the day, my jaw
- 13:02Speaker 10: seems to accumulate air bubbles, and over the time it
- 13:05Speaker 10: starts to pop and make a weird tign when I
- 13:07Speaker 10: open my jar when I talk.
- 13:09Speaker 9: It doesn't bug me that much, but my lady looks
- 13:12Speaker 9: at me funny, and I know that it's being obnoxious.
- 13:15Speaker 9: So I was wondering if maybe you could push me
- 13:17Speaker 9: to a jaw doctor, if that's even a thing, or
- 13:21Speaker 9: if you might know what the heck's going on.
- 13:24Speaker 2: Yeah, I think you have two options. One is talk
- 13:26Speaker 2: to your dentists next time you going for your cleaning.
- 13:29Speaker 2: The other would be maybe an ear nose and throat
- 13:32Speaker 2: doctor because without examining you and you know what you've
- 13:36Speaker 2: described to other phone, I'm not sure if this is
- 13:38Speaker 2: coming from the tempero mandibular joint or something inside. So
- 13:43Speaker 2: I think a panoramic X ray by your dentist and
- 13:46Speaker 2: an exam by your dentist, and then maybe ear nose
- 13:49Speaker 2: and throat doctor. I think those are the two options.
- 13:52Speaker 5: There you go, all right, k okay okay?
- 13:55Speaker 9: And I also have another question.
- 13:56Speaker 6: I also want to know what's your opinion on the
- 14:00Speaker 6: I'm saying that these nurses aren't professional or the nursing
- 14:05Speaker 6: isn't a profession anymore.
- 14:07Speaker 9: I want to get your opinion.
- 14:09Speaker 2: Yeah, I think that's really sad. I think the nurses
- 14:11Speaker 2: have the hardest job in care in healthcare professional care
- 14:16Speaker 2: pharmacists and nurses. I think both are exactly amazing professionals.
- 14:22Speaker 1: Well, I mean, you.
- 14:22Speaker 7: Think about it back during COVID they were called what workers,
- 14:25Speaker 7: priority but essential, essential workers, and now suddenly they're not
- 14:30Speaker 7: so essential.
- 14:32Speaker 4: Well, come on, they're just not professional, that's all, all right.
- 14:35Speaker 9: I totally agree completely. I appreciate you guys have.
- 14:38Speaker 6: A good one.
- 14:38Speaker 7: So yeah, text question, what's the best treatment for a
- 14:43Speaker 7: sore throat? I've been living off of chloroseptic lozenges for
- 14:47Speaker 7: the past few days.
- 14:50Speaker 2: Yeah, I think it depends on the cause of the
- 14:52Speaker 2: sore throat. Usually the strap threat it's ten out of
- 14:55Speaker 2: ten pain, you can't swallow anything, it's twenty four to seven.
- 14:59Speaker 2: Obviously that's an antibiotic. Otherwise, most sore throats are post
- 15:03Speaker 2: nasal drainage, so they're worse in the morning, and that's
- 15:06Speaker 2: where in the history and like clariton aleegras isa al
- 15:09Speaker 2: xertec loaradodine maybe twice a day for a couple of days,
- 15:13Speaker 2: and then at night. Usually that will clear it up
- 15:15Speaker 2: after three, four, five days, I think, you know, gargling
- 15:19Speaker 2: with a little bit of salt water, lemon juice, you
- 15:23Speaker 2: know those those throat losses are great, But usually most
- 15:26Speaker 2: sore throats are viral or post nasal drainage. If they
- 15:28Speaker 2: go more than five days and I and I like
- 15:31Speaker 2: to look at them and to see what's going on.
- 15:33Speaker 7: Our pharmacist in the chat room, Demetri, says, don't overdo chlorosseptic.
- 15:37Speaker 7: It can affect the heart.
- 15:39Speaker 1: We is that it. That's all the time we have,
- 15:43Speaker 1: all right, well, safe travels, Rocapov will have a good
- 15:45Speaker 1: Thanksgiving and we'll see you soon.
- 15:48Speaker 2: Yeah. Thanks everyone else as well, thank you, thank you
- 15:52Speaker 2: all right,