Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A for May 28th, 2025

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Dr. Cobble Q&A for May 28th, 2025 · The Radio From Hell Show - Best Of

• 0:00
  Speaker 1: Well, if you've got questions for a medical professional, we'll
• 0:04
  Speaker 1: try to get one.
• 0:05
  Speaker 2: But for now we've got doctor Cobble.
• 0:07
  Speaker 1: Oh uh uh, doctor Michael Cobble, who is a who
• 0:12
  Speaker 1: is a fine physician, I must.
• 0:13
  Speaker 2: Say, uh. And physician to you, hasn't he yes?
• 0:16
  Speaker 1: Many times? Too many times he's physicianed to be Uh.
• 0:21
  Speaker 1: If you have any medical questions, you got something? We
• 0:24
  Speaker 1: does this look infected? For instance? You know that's always
• 0:27
  Speaker 1: a good one.
• 0:28
  Speaker 2: Uh.
• 0:28
  Speaker 1: Any kind of a question, a medical question you might have,
• 0:31
  Speaker 1: Doctor Michael Cobble is here to answer them. Doctor Cobble,
• 0:35
  Speaker 1: any comment on.
• 0:37
  Speaker 2: This now?
• 0:39
  Speaker 1: The CDC, well, uh, children and pregnant women don't need
• 0:43
  Speaker 1: to get the the cod COVID vaccine.
• 0:50
  Speaker 3: I guess time will tell. We'll see how it plays out.
• 0:53
  Speaker 3: I think I was trying to remember we're still having
• 0:58
  Speaker 3: three hundred deaths today. Yeah, ut her deathiny Yeah, but again,
• 1:02
  Speaker 3: it tends to be immuno compromise people, elderly people. I
• 1:08
  Speaker 3: think vaccines save lives and they don't cause autism. And
• 1:14
  Speaker 3: I think that it depends on your environments and your situation,
• 1:18
  Speaker 3: but in most cases the vaccine is a good choice.
• 1:21
  Speaker 4: Yeah, all right, I'll let's you go. Ranger Kates here
• 1:24
  Speaker 4: on the phone. She has a question for you.
• 1:26
  Speaker 1: Hi, Kate, what's your question for doctor Cobble, Hi, doctor Cobble.
• 1:30
  Speaker 5: So, over the holiday weekend, I was camping over at
• 1:33
  Speaker 5: Dinosaur National Monument near Vernal and I did a weird
• 1:38
  Speaker 5: like trip and fall thing, and I think I sprained
• 1:42
  Speaker 5: something in my foot. I'm able to walk on it,
• 1:45
  Speaker 5: I'm able to wiggle my big toe, but it feels
• 1:48
  Speaker 5: like something horribly sprained or strained or ripped in the
• 1:52
  Speaker 5: area right where the toe meets the big toe meets
• 1:55
  Speaker 5: the foot. So I'm just wondering, is it like, how
• 1:59
  Speaker 5: do you know how long is it okay to wait
• 2:04
  Speaker 5: before you go and seek an X ray? And how
• 2:06
  Speaker 5: bad does swelling need to be before you think, oh,
• 2:08
  Speaker 5: it's really broken, not just.
• 2:12
  Speaker 3: Well, depending on your other medical conditions. Typically if you
• 2:16
  Speaker 3: can walk on it, it's usually not broken, but that's
• 2:20
  Speaker 3: not always the case, and typically a sprain will get
• 2:23
  Speaker 3: better in three to fourteen days. But I think if
• 2:27
  Speaker 3: it's still pretty painful after seven to ten days and
• 2:30
  Speaker 3: still pretty swollen, then an X ray is reasonable at
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  Speaker 3: that point doing your damage more damage. No, I don't
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  Speaker 3: think you're going to cause more damage in the next
• 2:43
  Speaker 3: seven to ten days. But I think if in two
• 2:46
  Speaker 3: weeks it doesn't feel like it's back to normal, then
• 2:49
  Speaker 3: I think it's reasonable to get an X ray and
• 2:51
  Speaker 3: just make sure you don't have a fracture there.
• 2:54
  Speaker 2: Okay, all right, thank you.
• 2:57
  Speaker 1: Yeah, Well, we got some questions doctor Cobblo on the
• 3:01
  Speaker 1: line here, so let's get to it.
• 3:02
  Speaker 4: All right, Let's see the randomizer will pick like Leo
• 3:07
  Speaker 4: as first.
• 3:08
  Speaker 2: Hi Leo, Hi, Hi, what's your question.
• 3:12
  Speaker 6: So a couple of years ago, I got COVID and
• 3:14
  Speaker 6: ever since then, I've had like a pretty bad cough.
• 3:16
  Speaker 6: It kind of comes on like randomly at times, but
• 3:19
  Speaker 6: it's enough to just like tick the wind out of me,
• 3:21
  Speaker 6: and I don't know what could be causing it.
• 3:25
  Speaker 3: Yeah, Leo, I think it's reasonable to see a polymonologist,
• 3:28
  Speaker 3: have some pulmonary function testing and just see if you've
• 3:31
  Speaker 3: developed some kind of autoimmune asthma or numinitis. But I
• 3:36
  Speaker 3: would definitely see a pulmonary specialist and see if they
• 3:39
  Speaker 3: can get to the bottom of it, because there are
• 3:41
  Speaker 3: so many different treatments that they could do to help
• 3:44
  Speaker 3: you with that cough.
• 3:45
  Speaker 1: Could that be the result of COVID. Doctor cobble like
• 3:48
  Speaker 1: long COVID.
• 3:50
  Speaker 3: I mean it's different. You know, COVID's an inflammatory illness,
• 3:55
  Speaker 3: and it sounds like he's got some residual inflammatory issues
• 3:58
  Speaker 3: in the bronchial tub are in the pulmonary pathway. But
• 4:02
  Speaker 3: you know, there there are leucatrain inhibitors, there are monoclonal antibodies,
• 4:06
  Speaker 3: there are different inhaled medications that could help with it.
• 4:11
  Speaker 3: So I think a pulmonary specialist makes sense.
• 4:14
  Speaker 2: Do that? Leo?
• 4:16
  Speaker 7: All right, thank you so much, Torch a couple of
• 4:18
  Speaker 7: thank you.
• 4:18
  Speaker 2: All right, let's go to Mike. Mike. I, Mike, what's
• 4:22
  Speaker 2: your question?
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  Speaker 8: Hey, So about a year ago I had you know,
• 4:28
  Speaker 8: fairly high cholesterol, made some dramatic changes to my diet
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  Speaker 8: and exercise, and this year went and got it tested again.
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  Speaker 8: The ldl's and trig gly rides were like cutting half.
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  Speaker 8: HDL was up a little bit, which was good, but
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  Speaker 8: my LDL barely moved. Went from Mike one' seventy nine
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  Speaker 8: to one twenty four. Just curious if you could help
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  Speaker 8: me understand why the LDL would not be you know,
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  Speaker 8: responsive to change like the like everything else.
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  Speaker 3: Okay, so you originally said the LDL and trie glystrads
• 4:58
  Speaker 3: were cut in half, but then you said the LDL
• 5:00
  Speaker 3: hadn't changed.
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  Speaker 8: Sorry VLDL and try oh VLDAL.
• 5:05
  Speaker 3: Yeah. So VLDL and triglycerides are very diet dependent. And
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  Speaker 3: if you cut your carbohydrates, the sugar, the fatty sugary
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  Speaker 3: types of foods, they'll drop a lot. But LDL, the
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  Speaker 3: bad cholesterol is only about ten percent dietary in most cases,
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  Speaker 3: So big dietary changes typically don't lower the bad cholesterol,
• 5:26
  Speaker 3: and that's been kind of a misinformative campaign by the
• 5:31
  Speaker 3: food industry for the last thirty years. So I think
• 5:34
  Speaker 3: that if your moderate risk, then you should get your
• 5:38
  Speaker 3: LDL below one hundred typically with the medication. If your
• 5:41
  Speaker 3: high risk or very high risk, you should get LDL
• 5:44
  Speaker 3: blow seventy to fifty five typically with medication. But I
• 5:48
  Speaker 3: think the most difficult patient in my practice is the
• 5:51
  Speaker 3: fifty year old marathon runner and she's on a vegetarian
• 5:55
  Speaker 3: diet and her triglyriides are three hundred and your cholesterol
• 5:57
  Speaker 3: three hundred, and there's no diet harry change it's going
• 6:00
  Speaker 3: to bring that down. So again, LDL cholesterol tends to
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  Speaker 3: go up with age, and it's not typically dietary, but
• 6:11
  Speaker 3: VLDL and trechglycerides are. So eating a more Mediterranean healthy
• 6:16
  Speaker 3: diet will lower the VLDL triglycerides lower your risk of diabetes.
• 6:19
  Speaker 3: But I think if again, if you're moderate at the
• 6:21
  Speaker 3: high risk, you ought to see your doctor about getting
• 6:24
  Speaker 3: on a medication.
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  Speaker 2: Okay, right, yeah, thanks Mike.
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  Speaker 6: Okay, thank you very much.
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  Speaker 3: You got Mike, Thank you, thank you.
• 6:30
  Speaker 2: Let's go to Jesse. Hi, Jesse, Hello, what's your question?
• 6:37
  Speaker 3: So?
• 6:38
  Speaker 7: Uh, back ground.
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  Speaker 9: From high school on, I occasionally had symptoms that all
• 6:45
  Speaker 9: indicate this should be a heart attack of just paying
• 6:48
  Speaker 9: difficulty breathing all that stuff, and I go in and
• 6:52
  Speaker 9: they be like, now, your heart's healthy, everything's fine. Very
• 6:56
  Speaker 9: recently though, finally they diagnosed me with sophageal spasms, like
• 7:02
  Speaker 9: that's what's causing all of the problems because I have
• 7:06
  Speaker 9: rainout these apparently that creep them in until we check it.
• 7:10
  Speaker 9: My question is, how would I know if this out
• 7:13
  Speaker 9: of chest pain and stuff is just offhageal spasms, or oh,
• 7:19
  Speaker 9: this is probably actually a heart attack and you should
• 7:21
  Speaker 9: probably go in.
• 7:23
  Speaker 7: How would I know?
• 7:25
  Speaker 3: Yeah, that's a toughye, because the esophageal spasms give that
• 7:29
  Speaker 3: heart burned type feeling or that chest pain type feeling
• 7:32
  Speaker 3: and sometimes hard to differentiate. But I think that if
• 7:37
  Speaker 3: it's exercise related, and when you stop exercising the pain
• 7:40
  Speaker 3: goes away, then that would make me think more of
• 7:42
  Speaker 3: the arteries and the heart. If it radiates into the
• 7:45
  Speaker 3: jaw or the knack, if it radiates down the left arm,
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  Speaker 3: if you get diaphoretic or sweaty and pale with the pain,
• 7:54
  Speaker 3: then I would typically think it's more cardiac origin. For women,
• 7:59
  Speaker 3: if they're getting short breath or fatigue with their exercise
• 8:03
  Speaker 3: over several days or several weeks, then that's typically right
• 8:07
  Speaker 3: coronary disease or atypical angina. But I think the esophageal spasms,
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  Speaker 3: you know what those feel like. If it becomes something
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  Speaker 3: different or it's exercise related and it radiates like said before,
• 8:22
  Speaker 3: if it radiates in those locations, then I would think
• 8:25
  Speaker 3: more that it's coronary related, more in the arteries of
• 8:28
  Speaker 3: the heart.
• 8:29
  Speaker 9: Okay, Okay, that does give me a little bit peace
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  Speaker 9: of mind.
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  Speaker 7: Okay, all right, there you go, Thanks Jeffy.
• 8:37
  Speaker 2: All right, Jess, let's go to Daniel. Hi, Daniel, Daniel,
• 8:42
  Speaker 2: what's your question?
• 8:44
  Speaker 7: Good morning. I'll try to make it quick. I got
• 8:47
  Speaker 7: COVID for the first time last week. They put me
• 8:52
  Speaker 7: on PACKFLVID for five days of tested negative for COVID yesterday,
• 8:56
  Speaker 7: which was great.
• 8:57
  Speaker 2: But while I was just.
• 9:02
  Speaker 7: Doing my normal daily routine, walking around things like that,
• 9:05
  Speaker 7: i'd sit to do some work at the computer and
• 9:08
  Speaker 7: then I just had this feeling I had to stand
• 9:10
  Speaker 7: up and walk around. Wasn't any shortness of breath or
• 9:13
  Speaker 7: anything like that, but my legs were like, Okay, you're
• 9:16
  Speaker 7: going to just have to start walking around, and I
• 9:18
  Speaker 7: spent most of the day pacing around. My question is
• 9:22
  Speaker 7: that when I talked to the doctor, they said, oh, well,
• 9:26
  Speaker 7: you know, cut back on caffeine. Maybe you're having too
• 9:28
  Speaker 7: much caffeine. But it's never more than I've had before.
• 9:32
  Speaker 7: And so to see if I should believe the Internet
• 9:35
  Speaker 7: or not, I'm wondering if having COVID could cause you
• 9:38
  Speaker 7: to have a different reaction to caffeine.
• 9:43
  Speaker 3: I don't think it's a reaction to caffeine. It sounds
• 9:45
  Speaker 3: like you're having what's called accassia, and that's some stimulation
• 9:52
  Speaker 3: in the motor system of the brain stem in the brain,
• 9:56
  Speaker 3: and I think if it's debilitating or affecting your quality
• 10:00
  Speaker 3: of life, I mean it's this restless kind of pacing,
• 10:04
  Speaker 3: kind of inner motor attention. Then, and you've ruled out
• 10:09
  Speaker 3: other things with your clinician. Uh, Lotus beta blocker could
• 10:14
  Speaker 3: help a lot with it. Uh, Lotus alpha blocker could
• 10:17
  Speaker 3: help a lot with it, and nighttime hydroxyzine can help
• 10:21
  Speaker 3: a lot with it. I don't know what other medications
• 10:23
  Speaker 3: you're on, but it sounds more to me like it's
• 10:26
  Speaker 3: a little ac esthesia and you could kind of look
• 10:28
  Speaker 3: that up online.
• 10:29
  Speaker 2: How do you spell it? Doctor poble A.
• 10:31
  Speaker 3: K A T H I s I A.
• 10:34
  Speaker 1: Akathesia. There you go, also known asthesia. Yeah, thank you,
• 10:42
  Speaker 1: all right, Daniel, Thanks Daniel.
• 10:45
  Speaker 2: People still get COVID.
• 10:47
  Speaker 3: It's yeah, crazy crazy, Yeah.
• 10:50
  Speaker 2: I've never heard of akathesia. Let's see.
• 10:54
  Speaker 4: Yeah, here's a text question. A few weeks ago, my
• 10:58
  Speaker 4: son had a bloody nose that was so bad we
• 11:00
  Speaker 4: had to go to the emergency room to get it
• 11:02
  Speaker 4: to stop. It was due to his nose being dry
• 11:05
  Speaker 4: from having a cold. I'm just wondering, do I need
• 11:08
  Speaker 4: to have him go in and have some labs drawn
• 11:10
  Speaker 4: to see if there's an issue that there as to
• 11:14
  Speaker 4: why he isn't clotting or is this just common?
• 11:18
  Speaker 3: I think that I think it's just common. That's a
• 11:20
  Speaker 3: big vascular area and if it gets irritated and rubbed
• 11:24
  Speaker 3: a lot, blown on a lot. It's especially in this
• 11:27
  Speaker 3: dry desert environment we live in. So a little non
• 11:33
  Speaker 3: petroleum like ky jelly or some aquafor or some some
• 11:37
  Speaker 3: kind of lubricant just the very front part of the
• 11:40
  Speaker 3: nose can help kind of moisturize that area. Breaking.
• 11:45
  Speaker 1: I remember when a kids used to get their noses
• 11:47
  Speaker 1: cauterized all the time.
• 11:48
  Speaker 2: Do they still do that?
• 11:50
  Speaker 3: Yeah? We still. We still cutterized the area. I used
• 11:53
  Speaker 3: to get a lot of bloody noses when I was
• 11:55
  Speaker 3: a kid, and it was miserable.
• 11:57
  Speaker 4: Yeah.
• 11:58
  Speaker 1: And if humid, a fire, midifire, yeah yeah, I get
• 12:02
  Speaker 1: to get a get a soldering iron and just jam
• 12:05
  Speaker 1: it up there.
• 12:06
  Speaker 7: Bah you just.
• 12:08
  Speaker 1: Do it at home, uh, doctor cab you learned so
• 12:10
  Speaker 1: many good things in medical school. I just I don't
• 12:16
  Speaker 1: know how I missed it. Thank you, Thank you, doctor Cobble.
• 12:20
  Speaker 1: We'll see you again soon, thank you, thank you.
• 12:24
  Speaker 4: All Right,