Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A From August 20th, 2025

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Dr. Cobble Q&A From August 20th, 2025 · The Radio From Hell Show - Best Of

• 0:01
  Speaker 1: Doctor Cobble is here. Hi, doctor Cobble, good morning.
• 0:07
  Speaker 2: This is our good friend, doctor Cobble. He's the people
• 0:10
  Speaker 2: doctor that we have on every other week to answer
• 0:13
  Speaker 2: your medical questions. Something that's been bugging you. Maybe you're
• 0:17
  Speaker 2: trying to decide if you need to get this looked at,
• 0:19
  Speaker 2: maybe run it by.
• 0:20
  Speaker 3: Doctor Cobble's That's where I'm at.
• 0:22
  Speaker 2: Doctor Cobble. Todd has a question to get.
• 0:24
  Speaker 1: Us started this morning.
• 0:26
  Speaker 4: So I.
• 0:28
  Speaker 3: Have this twitchy little thing on my eye and it's
• 0:31
  Speaker 3: just below the eyelid and it will not stop, like
• 0:33
  Speaker 3: it's just just jumping and moving and it's not bothering me.
• 0:37
  Speaker 3: I don't really feel it, and it isn't like jiggling
• 0:39
  Speaker 3: my vision. But I just know that everyone that looks
• 0:41
  Speaker 3: me in the face is seeing this happen. It's been
• 0:44
  Speaker 3: going on for like a week. What is up with that?
• 0:48
  Speaker 5: Yeah?
• 0:48
  Speaker 4: I mean blufferous fasm is pretty common and that can
• 0:52
  Speaker 4: last for days to weeks. That usually doesn't indicate anything,
• 0:57
  Speaker 4: and so I would just ignore it. Okay, if you're
• 1:00
  Speaker 4: not having pain with it and not having any infection
• 1:02
  Speaker 4: symptoms and not having any vision changes, it'll go away.
• 1:05
  Speaker 3: So I'm not like stressing out or freaking out or
• 1:08
  Speaker 3: you know, losing my mind or anything.
• 1:12
  Speaker 4: Should you be stressing out or.
• 1:14
  Speaker 1: He is in radio, I'm in broadcasting. That's kind of greact.
• 1:17
  Speaker 5: No.
• 1:17
  Speaker 3: Actually, I had a physical just not that long ago,
• 1:20
  Speaker 3: and everything was just fine.
• 1:21
  Speaker 4: So yeah, I have that from time to time, and
• 1:25
  Speaker 4: it could be three years before I have it, and
• 1:27
  Speaker 4: sometimes it lasts two days and sometimes the last two weeks.
• 1:30
  Speaker 4: And again it's pretty common finding. I'm sure the majority
• 1:34
  Speaker 4: of people listening have known someone had it or maybe
• 1:37
  Speaker 4: had it themselves. But I don't know what the trigger
• 1:40
  Speaker 4: might be, you know, if it's environmental or what's it
• 1:43
  Speaker 4: called again, blefospasm.
• 1:48
  Speaker 3: I'm having a spasm.
• 1:49
  Speaker 2: You're fine, Todd your system?
• 1:51
  Speaker 3: Yeah, okay, Well, I guess it'll be fun for people
• 1:54
  Speaker 3: now now that I know that when I'm having a
• 1:55
  Speaker 3: face to face conversation, their eyes are drawn to this
• 1:59
  Speaker 3: twitchy nerve on my face that I can just maybe
• 2:01
  Speaker 3: I'll play it up, all.
• 2:03
  Speaker 4: Right, And do they say they even notice it? I
• 2:05
  Speaker 4: mean a lot of times it's not noticeable other than
• 2:07
  Speaker 4: you can feel it.
• 2:08
  Speaker 3: Yeah. My wife mentioned.
• 2:09
  Speaker 4: It that she still looks in your eyes.
• 2:16
  Speaker 1: Try to make it positive, Yeah, quit.
• 2:19
  Speaker 4: Quit worrying about it. Go to the Smithsonian beautiful again.
• 2:23
  Speaker 1: Eat, Go to Aaron hi erin Hi, are you fine?
• 2:28
  Speaker 4: Go ahead?
• 2:28
  Speaker 1: Watch your question for doctor Cobble.
• 2:31
  Speaker 5: So I just have a question. I was wondering if
• 2:33
  Speaker 5: you can tell me why HPV is not part of
• 2:36
  Speaker 5: a standardized, standardized STI tests.
• 2:40
  Speaker 2: So many women have it, Why don't they do it
• 2:43
  Speaker 2: on a regular test?
• 2:45
  Speaker 4: And yeah, I mean we we identify it with a
• 2:49
  Speaker 4: PAP test, So I think the big issue is you
• 2:53
  Speaker 4: have to get tissue. So with the PAP test we
• 2:59
  Speaker 4: have to scrape that area and send it in and
• 3:02
  Speaker 4: no culture for HPV. But I don't I don't think
• 3:05
  Speaker 4: you can get it with just can't get it with
• 3:07
  Speaker 4: blood work, and I don't think you can get it
• 3:09
  Speaker 4: with a yeurine sample. So you have to get a
• 3:12
  Speaker 4: PAP test to see if you have HPV in that area,
• 3:15
  Speaker 4: and then if HPV is in other areas, they have
• 3:18
  Speaker 4: to do a biopsy. So somebody's worried about it in
• 3:21
  Speaker 4: the gastro intestinal track, whether it's the top or the bottom,
• 3:24
  Speaker 4: they have to do a biopsy or a tissue specimen.
• 3:28
  Speaker 4: All right, give you a vaccine.
• 3:31
  Speaker 2: Thank you for the vaccine.
• 3:32
  Speaker 4: Of course all the children are having it now that
• 3:36
  Speaker 4: you know the vaccine prevents cancer and save lives.
• 3:39
  Speaker 1: All right, thanks.
• 3:40
  Speaker 2: Aaron, I would, I would If I can just add
• 3:42
  Speaker 2: to that for a second, doctor Cabble. There are parents
• 3:45
  Speaker 2: out there that say, why does my son need the
• 3:48
  Speaker 2: HPV vaccine Because your son's probably going to have sex
• 3:53
  Speaker 2: sometime with someone and he could pass it along that
• 3:56
  Speaker 2: you both boys and girls need that vaccine and they
• 4:00
  Speaker 2: need to have it before they're sexually active. A lot
• 4:03
  Speaker 2: of parents will be like, well, Mike, I'm not going
• 4:05
  Speaker 2: to have my son get a vaccine for HPV. He's
• 4:09
  Speaker 2: not even sexually active. It's important to get it before
• 4:12
  Speaker 2: you're sexually active, right, Doctor Cabble.
• 4:15
  Speaker 4: Yeah. I mean you see in the news all the
• 4:17
  Speaker 4: time people had got ooral for angeal cancer from that virus,
• 4:21
  Speaker 4: or rectal cancer from the virus, or some genital cancer
• 4:25
  Speaker 4: from that virus. So I just think that getting a
• 4:28
  Speaker 4: virus young and early get the protection. There was a
• 4:31
  Speaker 4: lot of talk two or three years ago we'd see
• 4:34
  Speaker 4: vaccines for other cancers on the market in the next
• 4:37
  Speaker 4: five to ten years. I'm not sure how the current
• 4:41
  Speaker 4: administration and their approach to medical care will affect that.
• 4:45
  Speaker 4: But I would love to see vaccines that prevented breast
• 4:48
  Speaker 4: cancer and prevented prostate cancer, and prevented liver cancer and
• 4:52
  Speaker 4: pancreatic cancer and kidney cancer. I mean it would be
• 4:56
  Speaker 4: lung cancer. It'd be amazing too. I could go in
• 4:59
  Speaker 4: and just get avaccine to lower my risk for those
• 5:01
  Speaker 4: cancers by ninety eight percent.
• 5:03
  Speaker 3: We should be pursuing that sort of thing actively.
• 5:06
  Speaker 4: Right, and there are facilities that are but again a
• 5:09
  Speaker 4: lot of that funding has been withheld from this nationalistic
• 5:13
  Speaker 4: federal government that just wants to profit.
• 5:16
  Speaker 1: Todd All you have to do is drink some milk
• 5:18
  Speaker 1: and do some push ups. You I will cure all
• 5:21
  Speaker 1: the cancers push ups and pull ups.
• 5:24
  Speaker 2: We have our good friend doctor Cobble with us. I
• 5:26
  Speaker 2: want to just read this quick text though, before we
• 5:29
  Speaker 2: get to the phone calls, says doctor Cobble. You treated
• 5:32
  Speaker 2: a lot of my broken fingers and toes and other
• 5:35
  Speaker 2: bones at the instacure and Sandy. When I was a kid,
• 5:38
  Speaker 2: my mom thought you were hot. Thanks for all the splints.
• 5:43
  Speaker 4: Oh Gina, did you write that?
• 5:45
  Speaker 5: No?
• 5:45
  Speaker 4: I didn't one of your kids, right? That was sweet?
• 5:49
  Speaker 1: Well, the splints go to Cynthia. Cynthia, are you there, Hi?
• 5:55
  Speaker 2: Yes, I am, go ahead.
• 5:59
  Speaker 5: Well, I get the horrendous clamps to my legs and
• 6:03
  Speaker 5: my hamstrings and my calf and sometimes my four arms
• 6:07
  Speaker 5: down to my hands. And that always happens when I'm
• 6:10
  Speaker 5: asleep and it just wakes me up and they are horrendous.
• 6:16
  Speaker 4: Yeah.
• 6:16
  Speaker 5: No, don't wor knows what causes them.
• 6:19
  Speaker 4: Well, I think you know, without knowing your full history,
• 6:22
  Speaker 4: it's a little difficult. But sometimes certain medications, if you're
• 6:26
  Speaker 4: on them, can have that side effect. That's not very common.
• 6:30
  Speaker 4: Sometimes it's just restless legs and going on a medication
• 6:34
  Speaker 4: that works on the dopamine pathway in the stratum, that
• 6:38
  Speaker 4: motor pathway of the brain can help. Sometimes it's low magnesium,
• 6:45
  Speaker 4: so sometimes going on magnesium five thousand, okay, you got
• 6:49
  Speaker 4: to go on the higher dose, so five hundred to
• 6:51
  Speaker 4: one thousand. It could be low B twelve, could be
• 6:54
  Speaker 4: low vitamin D. I would check.
• 6:56
  Speaker 5: Thyroid met form and would that do it?
• 7:00
  Speaker 4: Should not? Now, I would worry more about central acting drugs.
• 7:04
  Speaker 4: I don't think that you know, glucose modifying drugs or
• 7:08
  Speaker 4: blood pressure drugs would do it. In rare cases. Five
• 7:11
  Speaker 4: percent of the time. A cholesterol drug could do it,
• 7:14
  Speaker 4: but I would typically think it would be all the time.
• 7:17
  Speaker 4: So I think, you know, talking to your clinician about
• 7:20
  Speaker 4: maybe doing some metabolic bloodwork E twelve, vitamin D three,
• 7:24
  Speaker 4: T three, T four, all that done, Okay, and I would.
• 7:28
  Speaker 5: Maybe that does help, but I don't stick with it.
• 7:33
  Speaker 4: Oh, you should stick with it.
• 7:36
  Speaker 1: If it's help, I know.
• 7:39
  Speaker 4: But you might talk to your clinician about pramopexil or
• 7:43
  Speaker 4: rope pin or roll or GABA penton if those are appropriate.
• 7:47
  Speaker 4: Those might help with that muscular overactivity when your body,
• 7:52
  Speaker 4: when your autonomic nervous system tries to relax at night. Okay,
• 7:56
  Speaker 4: Cynthia's answer for it. Yeah, So I think that's frustrating.
• 8:03
  Speaker 4: I think there's an answer for it. I think if
• 8:05
  Speaker 4: your primary care doctor can't get there, then maybe a
• 8:08
  Speaker 4: neurologist could have some some value for you.
• 8:11
  Speaker 1: There you go.
• 8:13
  Speaker 4: Boy.
• 8:13
  Speaker 1: A lot of HPV questions are coming in now since
• 8:16
  Speaker 1: we opened up that subject. Here's a text one. My
• 8:19
  Speaker 1: fiance has HPV and we have had sex many times.
• 8:23
  Speaker 1: Do I have it now? And what is going to
• 8:25
  Speaker 1: happen to me?
• 8:27
  Speaker 4: Oh? I mean one in four people have been exposed
• 8:32
  Speaker 4: to HPV. Usually you'll clear it on your own. It
• 8:36
  Speaker 4: can take twelve to twenty four months if you notice
• 8:39
  Speaker 4: the little warts. Again, I think for women, if they're
• 8:43
  Speaker 4: getting their PAP tests every two to five years is recommended,
• 8:47
  Speaker 4: and the PAP test doesn't show it, then I'm not
• 8:50
  Speaker 4: worried about those types of things. I think that once
• 8:53
  Speaker 4: you're getting your colonoscopy or rectal exams, then they'll be
• 8:58
  Speaker 4: able to evaluate to see if they're chan is there.
• 9:01
  Speaker 4: I think if you were to develop upper pharyngeal problems
• 9:05
  Speaker 4: where you're getting coarseness or change in your voice or
• 9:09
  Speaker 4: acid heartburn, and you're over forty to fifty, I think
• 9:13
  Speaker 4: getting scoped on the top side makes sense. But the
• 9:18
  Speaker 4: risk is pretty low. But it's just so nice to
• 9:20
  Speaker 4: pervent the risk of developing that virus and getting cancer.
• 9:27
  Speaker 4: But most people clear that virus. The majority of people
• 9:30
  Speaker 4: that are exposed to it one and four will clear
• 9:33
  Speaker 4: that virus without long term risk of cancer. But again,
• 9:37
  Speaker 4: you just if you can avoid it with a vaccine,
• 9:40
  Speaker 4: then you don't have to worry about it.
• 9:41
  Speaker 1: Well, yeah, a lot of people are texting in now saying, oh,
• 9:45
  Speaker 1: I've been with this person for over a year, and
• 9:47
  Speaker 1: you know they're worried that they're going to get it now.
• 9:49
  Speaker 2: And somebody else is saying, and I touched on this,
• 9:53
  Speaker 2: but maybe you can go into it a little more
• 9:55
  Speaker 2: in depth. They said, I'd like to ask doctor Cobble
• 9:58
  Speaker 2: why they don't administer the vaccine to adults. I sort
• 10:01
  Speaker 2: of touched on that, but maybe you can be a
• 10:03
  Speaker 2: little clearer about that.
• 10:05
  Speaker 4: Yeah, I think the hard part. You know, the FDA
• 10:08
  Speaker 4: is so strongly regulated. You know, it's there to protect
• 10:11
  Speaker 4: the population, protect the citizens. If the study has not
• 10:15
  Speaker 4: been done by the institution or manufacture in that population,
• 10:20
  Speaker 4: then it's not approved. So they if the manufacturer does
• 10:27
  Speaker 4: not do the study and adults forty or above showing
• 10:31
  Speaker 4: the safety and efficacy, that it can't get approved. So
• 10:35
  Speaker 4: that was a big push on COVID, for example. They're like, well,
• 10:38
  Speaker 4: it got to prove for adults, not a proof for
• 10:40
  Speaker 4: children yet, got to enroll enough kids, got to show
• 10:42
  Speaker 4: it's safe, got to show it's effective before we'll allow
• 10:46
  Speaker 4: it in the childhood population. And the HPV, the opposite
• 10:50
  Speaker 4: is true. In that case, we're worried about vaccinating these
• 10:53
  Speaker 4: people when they're younger, so they don't get HPV at
• 10:56
  Speaker 4: age seventeen or twenty three or twenty seven or thirty
• 10:59
  Speaker 4: two and then be unlucky enough to get cervical cancer
• 11:02
  Speaker 4: at twenty eight and die because they weren't getting their
• 11:04
  Speaker 4: PAP tests. So or getting rectal cancer at thirty three
• 11:08
  Speaker 4: because they weren't getting kolonoscopy. Because so, I think I
• 11:12
  Speaker 4: wish you would see it studied in the older population,
• 11:15
  Speaker 4: because I think there's value. But again, until the studies
• 11:19
  Speaker 4: are done, it'll never be approved. That doesn't mean I
• 11:22
  Speaker 4: think you can go in and ask for it. You know.
• 11:24
  Speaker 4: That's a personal choice. Yeah, personal decision. So you may
• 11:28
  Speaker 4: have to pay for it. Your insurance may not pay
• 11:30
  Speaker 4: for it because they say, well it's not approved.
• 11:33
  Speaker 1: Great. Let's see, here's a text question. Please refresh my
• 11:38
  Speaker 1: memory on why my arm still hurts two days later
• 11:41
  Speaker 1: from the second shot of shingles, or in general, why
• 11:44
  Speaker 1: is there so much pain in shot areas as we
• 11:47
  Speaker 1: stab you with a needle.
• 11:49
  Speaker 4: Yeah? Yeah, sometimes you get a pretty strong local reaction
• 11:53
  Speaker 4: where the injection goes. Typically tetanus is the most dynamic,
• 11:57
  Speaker 4: but I can say shingles, while it's a great vaccine
• 12:01
  Speaker 4: and very protective, a lot of people have quite a
• 12:05
  Speaker 4: few side effects from that particular vaccine, So typically it's
• 12:09
  Speaker 4: going to bother you for three to ten days, you know.
• 12:14
  Speaker 4: For me, tetanus bothers me the mouse and that usually
• 12:16
  Speaker 4: makes my I'm pretty sore for five to seven. But
• 12:20
  Speaker 4: it's a local reaction to the feminine response that the
• 12:24
  Speaker 4: vaccine is trying to stimulate.
• 12:26
  Speaker 1: All right, gine, did you have a question or Oh? Well, so,
• 12:30
  Speaker 1: doctor Cobble.
• 12:31
  Speaker 2: I broke my foot and my ankle a few weeks ago,
• 12:36
  Speaker 2: and I'm wondering if there's supplements or anything I can
• 12:41
  Speaker 2: take to help that heel a little faster. And I've
• 12:44
  Speaker 2: been relying a lot on ibuprofen, and I'm worried about
• 12:47
  Speaker 2: taking too much of it.
• 12:50
  Speaker 4: Yeah, I think vitamin D five to ten thousand probably
• 12:53
  Speaker 4: helps bones heel. If you want to come into my clinic,
• 12:56
  Speaker 4: I'll splint it for you a gina and you can
• 12:57
  Speaker 4: write another tax. Don't like gene. I just saw you yesterday,
• 13:07
  Speaker 4: seven days in a row. But I think ibuprofen if
• 13:12
  Speaker 4: you don't have high blood pressure, it's not elevating your
• 13:14
  Speaker 4: blood pressure. Your kidneys are normal, you don't get acid indigestion,
• 13:20
  Speaker 4: or stomach problems with it. IVU Prefin is a great
• 13:23
  Speaker 4: analgesic anti inflammatory. You can take up to twelve over
• 13:27
  Speaker 4: the counter two hundred milligram pills a day. You know,
• 13:30
  Speaker 4: if you find that one or two, two or three
• 13:32
  Speaker 4: times a day works, then there's no reason to go higher.
• 13:35
  Speaker 4: I think sometimes a'll leave is a little bit easier
• 13:38
  Speaker 4: because you can take up to five of those days,
• 13:40
  Speaker 4: so you're not popping a pile of pills. Tail and
• 13:43
  Speaker 4: All is remarkably safe, so you can always add tail
• 13:46
  Speaker 4: and all for discomfort to either ibuprof and add will
• 13:49
  Speaker 4: A leave one of those products. But I think vitamin D,
• 13:53
  Speaker 4: you know, Vitamin D is probably your best option for
• 13:56
  Speaker 4: bone health and boundary generation.
• 13:59
  Speaker 2: Okay, great, thanks you.
• 14:01
  Speaker 1: That was easy.
• 14:02
  Speaker 2: He knows stuff, of course he does.
• 14:04
  Speaker 1: All right, Well, thank you doctor.
• 14:07
  Speaker 4: Yeah, and Gina, get your HPV vaccine.
• 14:09
  Speaker 2: I got it.
• 14:11
  Speaker 4: There you go.
• 14:12
  Speaker 2: My kids have had it.
• 14:13
  Speaker 4: I haven't had it.
• 14:14
  Speaker 2: It wasn't a thing when I was a little bit bad.
• 14:17
  Speaker 2: Thank you, doctor.
• 14:18
  Speaker 4: Coppy