Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A From September 3rd, 2025

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Dr. Cobble Q&A From September 3rd, 2025 · The Radio From Hell Show - Best Of

• 0:00
  Speaker 1: All right, it's time to call and ask a bona
• 0:05
  Speaker 1: fide physician. I've seen his license on the wall of
• 0:08
  Speaker 1: his office. Doctor Michael Cobble is with us and he
• 0:12
  Speaker 1: can answer your questions. Good morning, doctor Cobble. How are you?
• 0:16
  Speaker 2: Good morning? I'm going on great. Thank you.
• 0:18
  Speaker 1: If it hurts there, maybe he can tell you why
• 0:20
  Speaker 1: it hurts there. Now, doctor Cobble, let's just talk about
• 0:25
  Speaker 1: the the new COVID vaccine guidelines. Where where how's this
• 0:33
  Speaker 1: going to work?
• 0:34
  Speaker 3: They'll tried yesterday and couldn't get it.
• 0:36
  Speaker 4: Well, they just didn't have any But Gina said that
• 0:39
  Speaker 4: she was in California.
• 0:41
  Speaker 3: Well, yeah, when we were in California, my husband said, hey,
• 0:43
  Speaker 3: well we're here, maybe we should get a COVID vaccine
• 0:46
  Speaker 3: because we don't need a prescription here, but once we
• 0:48
  Speaker 3: go home, we're going to need a prescription. Can you
• 0:51
  Speaker 3: can you talk about that at all?
• 0:53
  Speaker 2: Yeah, that's correct. I've had patients over the weekend already
• 0:56
  Speaker 2: asking me to send prescriptions in for them. So, so,
• 1:00
  Speaker 2: apparently you have to get a prescription for the COVID
• 1:02
  Speaker 2: vaccine and you have to be sixty five or older
• 1:06
  Speaker 2: or under that age with some kind of chronic illness.
• 1:11
  Speaker 3: So if so I am not sixty five, does that
• 1:14
  Speaker 3: mean even I can't get it?
• 1:15
  Speaker 5: If with a prescription.
• 1:16
  Speaker 2: Can't get it, I'm uncertain how strict the pharmacist will be,
• 1:23
  Speaker 2: and I don't know if your insurance will pay for it,
• 1:27
  Speaker 2: so you may be stuck paying for it yourself.
• 1:30
  Speaker 3: Thanks RFK.
• 1:32
  Speaker 2: I know it's a sad times, it's ridiculous. It's a
• 1:36
  Speaker 2: little bit.
• 1:37
  Speaker 1: Crazy now, But before this happened, anybody who wanted a
• 1:42
  Speaker 1: COVID vaccination could get one, correct, anybody, didn't matter.
• 1:47
  Speaker 5: What age they You can just walk into a pharmacy
• 1:50
  Speaker 5: and say.
• 1:51
  Speaker 1: Please yeah, and generally insurance would pay for that, and
• 1:55
  Speaker 1: they would and the pharmacists would say, oh, oh, sure,
• 1:58
  Speaker 1: be happy to give you. And then all of a
• 2:00
  Speaker 1: sudden that's just gone out of the window. That doesn't
• 2:04
  Speaker 1: make any sense.
• 2:07
  Speaker 2: Well, and there was a Lancet publication in twenty twenty
• 2:10
  Speaker 2: two in a reputable medical journal that showed the vaccine
• 2:15
  Speaker 2: development had saved fifteen fourteen point five to nineteen pointy
• 2:20
  Speaker 2: eight million lives. Yeah, so, I noticed earlier in the
• 2:24
  Speaker 2: week that the current administration was asking for the these
• 2:30
  Speaker 2: life saving companies to prove the benefits, but that's already
• 2:35
  Speaker 2: been published, so you know, it's just more distraction, more noise,
• 2:38
  Speaker 2: more misinformation. There have been multiple publications showing the benefit.
• 2:44
  Speaker 3: So this, what do you think is going to happen?
• 2:47
  Speaker 3: Because clearly fewer people are going to be getting the
• 2:50
  Speaker 3: vaccine this fall. What could be the ramifications of that.
• 2:56
  Speaker 2: I don't know.
• 2:57
  Speaker 6: It's tough.
• 2:57
  Speaker 2: You know, we may not have the continue doing community resistance,
• 3:03
  Speaker 2: and you may see this virus come back and be
• 3:07
  Speaker 2: a little more deadly again. But it's hard to say.
• 3:09
  Speaker 2: I you know, I think, you know, we get the
• 3:13
  Speaker 2: flee vaccine every year because the benefits, and so it's
• 3:18
  Speaker 2: just hard to say. I know, during the original pandemic,
• 3:22
  Speaker 2: we just didn't have the hospital facilities and the workers
• 3:24
  Speaker 2: to take care of all the people are coming to
• 3:27
  Speaker 2: the hospital and staying in the ICU, and the average
• 3:30
  Speaker 2: hospitalization was over three hundred thousand dollars. If you caught COVID,
• 3:34
  Speaker 2: your hospitalized. So, you know, I think the bad thing
• 3:37
  Speaker 2: in retrospect is probably shutting down a lot of businesses.
• 3:41
  Speaker 2: And you know, I think that was bad for the
• 3:46
  Speaker 2: economy and the businesses, but I think probably had to
• 3:50
  Speaker 2: do it until the vaccine was available because the hospital
• 3:53
  Speaker 2: or hospital systems, which we think are the best in
• 3:55
  Speaker 2: the world, could not handle or manage the inflow of
• 3:59
  Speaker 2: sick people. Uh.
• 4:01
  Speaker 1: I had the pharmacists say to me yesterday that there's
• 4:05
  Speaker 1: a different kind of COVID vaccine coming this fall, there's
• 4:11
  Speaker 1: the m r N A and then and I didn't
• 4:14
  Speaker 1: understand really what he was saying. There's a different formulation
• 4:19
  Speaker 1: of it. Do you know anything about that?
• 4:22
  Speaker 2: Well, there were non mRNA vaccines, but they just weren't
• 4:27
  Speaker 2: They weren't easily available and really just did not become
• 4:33
  Speaker 2: part of the regular practice in the marketplace. So maybe
• 4:36
  Speaker 2: that is being promoted and being pushed. And I can't
• 4:40
  Speaker 2: remember if Johnson and Johnson was making that or AstraZeneca
• 4:44
  Speaker 2: are a different company.
• 4:45
  Speaker 6: He did.
• 4:46
  Speaker 1: He did mention a company too, and I don't recall
• 4:48
  Speaker 1: which one it was, and he said there he said,
• 4:50
  Speaker 1: they're quite effective. They're they're just as effective.
• 4:52
  Speaker 2: Oh yeah, yeah, Well I don't know if they're just
• 4:56
  Speaker 2: as effective. But I think all the vaccines are very effective. Again,
• 5:00
  Speaker 2: I think the confusion is that, uh, is that you know,
• 5:06
  Speaker 2: m RNA is a new vaccine, and and really that
• 5:09
  Speaker 2: that science has been around twenty plus years so and
• 5:15
  Speaker 2: it might be Novavacs. I'm trying to remember that the
• 5:17
  Speaker 2: company that makes a non m RNA, but.
• 5:20
  Speaker 1: There is there that's I think that's the one. He said.
• 5:24
  Speaker 4: Okay, so I need a pre existing condition condition if
• 5:27
  Speaker 4: I'm under sixty five to get the vaccine.
• 5:31
  Speaker 2: I think that's the recommendation.
• 5:34
  Speaker 5: How about I'm fat? How about that is that fat?
• 5:38
  Speaker 1: Hey?
• 5:38
  Speaker 2: Well, yeah, qualify you know, I mean that is that
• 5:43
  Speaker 2: is a chronic medical issue. I just don't know if
• 5:46
  Speaker 2: your insurance will pay for it based on that.
• 5:49
  Speaker 1: Yeah, Hey, doctor, doctor Cobble's good with ali's. He can
• 5:52
  Speaker 1: help you with an Now he if you've got an
• 5:54
  Speaker 1: A can.
• 5:55
  Speaker 5: Tell you he's treated an AWI or two. Yes, good,
• 6:00
  Speaker 5: let's see. Do cortical steroids count count?
• 6:04
  Speaker 6: What?
• 6:05
  Speaker 5: That's how I was able to get my first shot early.
• 6:08
  Speaker 6: Yeah.
• 6:08
  Speaker 2: I mean people that are on corticosteroids usually have a
• 6:11
  Speaker 2: chronic medical condition or autoimmune issues. So I think that
• 6:15
  Speaker 2: that probably would qualify. Again, I'm uncertain whether insurance will
• 6:19
  Speaker 2: pay for it. So again, insurance companies will use any
• 6:22
  Speaker 2: excuse not to pay for something, so this may be,
• 6:28
  Speaker 2: you know, excuse for them not to step up. And
• 6:31
  Speaker 2: pay for it.
• 6:31
  Speaker 4: Katie, You're going to that EDM festival, so you'd better
• 6:35
  Speaker 4: do you have any idea how much if the insurance
• 6:37
  Speaker 4: doesn't pay for it, how much a JAB costs?
• 6:41
  Speaker 6: Oh?
• 6:41
  Speaker 2: I would imagine somewhere in the two hundred to three
• 6:43
  Speaker 2: hundred and fifty dollar range, somewhere in there reasonable. Most
• 6:47
  Speaker 2: vaccines are fifty to ninety, but like chicken pox vaccine
• 6:51
  Speaker 2: is two hundred help retail ish and the wholesale price
• 6:56
  Speaker 2: isn't much cheaper than that. So I would imagine it's
• 6:59
  Speaker 2: going to be in that two to three dollar range.
• 7:00
  Speaker 3: Which again means not as many people are going to
• 7:03
  Speaker 3: get it. That may be enough to keep them from
• 7:05
  Speaker 3: getting it, right?
• 7:06
  Speaker 1: Could I use the fact if is an underlying condition
• 7:09
  Speaker 1: that I'm ugly?
• 7:11
  Speaker 5: No, and you're not. I'm sorry, wait, you're not ugly?
• 7:15
  Speaker 3: Carrie's not fat and you're not ugly?
• 7:17
  Speaker 1: Yeah, I'm fat and ugly.
• 7:20
  Speaker 2: Does that get into the lightning lane at Misneyland?
• 7:23
  Speaker 5: I'll let you know.
• 7:25
  Speaker 1: Let's return to the care corner with doctor Cobble. We've
• 7:30
  Speaker 1: got a bunch of phone calls for you, doctor Cobble,
• 7:33
  Speaker 1: so let's go to those.
• 7:34
  Speaker 5: Let's begin with it.
• 7:36
  Speaker 1: Looks like Leah, Hi, Leah, what's your question?
• 7:40
  Speaker 7: Hi?
• 7:40
  Speaker 8: Thanks for letting me listen. Well, so I'm actually I'm
• 7:43
  Speaker 8: sitting in California right now, and I'm and no existing
• 7:50
  Speaker 8: medical conditions. So you're telling me, doctor Cobble, I need
• 7:53
  Speaker 8: to go and get my COVID vack in before I
• 7:54
  Speaker 8: come home.
• 7:57
  Speaker 2: Well it sounds like it. I again, I don't think
• 7:59
  Speaker 2: you're to get it here.
• 8:02
  Speaker 1: So yeah, well.
• 8:06
  Speaker 8: Going to Walgreens or CBS, Lea, let.
• 8:09
  Speaker 1: Us Leah, let us know, Yeah, let us know.
• 8:11
  Speaker 4: Will you have And I would say go to definitely
• 8:14
  Speaker 4: will go to Walgreens because CBS said that they're just
• 8:17
  Speaker 4: not going.
• 8:17
  Speaker 1: To carry it, right No, I HC.
• 8:21
  Speaker 5: I thought it was CVS.
• 8:22
  Speaker 1: Check them out.
• 8:23
  Speaker 5: Yeah, just ask around.
• 8:24
  Speaker 1: All right, thanks Leah.
• 8:25
  Speaker 8: Okay, I'll make a stop and let you know if
• 8:28
  Speaker 8: I can get my vaccine here.
• 8:29
  Speaker 7: Thank you, thank you, thank you.
• 8:32
  Speaker 5: Let's go to Katie.
• 8:34
  Speaker 1: Hi, Katie, Hi O Katie, what's your question? Katie? Welcome
• 8:40
  Speaker 1: to the care corner, Katie. Maybe we lost Katie. She's
• 8:43
  Speaker 1: having problems with a bloody nose. Maybe maybe it's happening
• 8:47
  Speaker 1: right now.
• 8:47
  Speaker 5: Oh it's okay. Sorry, Well, all.
• 8:52
  Speaker 9: Right, so my husband has pretty serious bloody noses regularly,
• 8:59
  Speaker 9: but last night I'm trying to not be too graphic
• 9:01
  Speaker 9: because I know him on the radio, but it was
• 9:04
  Speaker 9: pouring out of his nose for probably twenty minutes, draining
• 9:07
  Speaker 9: in his throat. He was coughing it up. We almost
• 9:11
  Speaker 9: went to the emergency room. He has had an oblation
• 9:14
  Speaker 9: before several years ago, and they told him the veins
• 9:16
  Speaker 9: are very close to the surface. But I've never seen
• 9:20
  Speaker 9: anything like what he had last night, So i just
• 9:23
  Speaker 9: wanted to get doctor Cobble's thoughts. We should see if
• 9:27
  Speaker 9: it happens again, we should go to a doctor.
• 9:30
  Speaker 1: What's top doctor called it?
• 9:33
  Speaker 2: Yeah, I mean that's difficult. I think the big thing
• 9:35
  Speaker 2: is trying to moisturize that nose, trying not to blow
• 9:38
  Speaker 2: it much. You know, maybe using a little bit of
• 9:41
  Speaker 2: a non vacline gel at the very internal part of
• 9:45
  Speaker 2: the nose at night when he goes to bad a
• 9:47
  Speaker 2: humanifiing bedroom may help. The key really is, you know,
• 9:51
  Speaker 2: you're going to have to block the opening when he
• 9:54
  Speaker 2: starts bleeding, and then really the place where you need
• 9:56
  Speaker 2: to put pressure is the very top of the bridge
• 9:59
  Speaker 2: and then the because that's where the blood vessels come in,
• 10:02
  Speaker 2: so it's not down at the opening where you block.
• 10:06
  Speaker 6: You know, again, you may stuff.
• 10:07
  Speaker 2: Something in there to try to just keep it from
• 10:09
  Speaker 2: pouring out.
• 10:11
  Speaker 6: You've got to get uh, you've got to put the
• 10:14
  Speaker 6: pressure at the very top of the bridge of the nose,
• 10:17
  Speaker 6: right where the main bone comes out. Okay, and that's
• 10:21
  Speaker 6: where typically you'll be able to stop it in three
• 10:24
  Speaker 6: to five minutes.
• 10:27
  Speaker 1: But yeah, shove some cotton in his nose, Shove some
• 10:31
  Speaker 1: cotton in the nostrils, and then really pinch har.
• 10:35
  Speaker 2: Cleaner down. But then really put pressure at the top
• 10:39
  Speaker 2: of the bridge of the nose, right very top.
• 10:42
  Speaker 4: Okay, okay, all right, all right, scary, all right, Jessica,
• 10:51
  Speaker 4: Jessica is here.
• 10:53
  Speaker 1: Jessica, what's your question for doctor what's your question for
• 10:55
  Speaker 1: doctor Cobble?
• 10:57
  Speaker 9: Thank you for letting you listen.
• 10:59
  Speaker 1: You're welcome.
• 11:00
  Speaker 7: I was curious either nationwide if the serialization rates between
• 11:07
  Speaker 7: men and women have gone.
• 11:10
  Speaker 9: Up or like increased in the past few years.
• 11:14
  Speaker 1: You mean, more men getting best sectomies than it used
• 11:17
  Speaker 1: to be.
• 11:17
  Speaker 6: That was.
• 11:19
  Speaker 1: The legation.
• 11:24
  Speaker 2: Oh, I don't know, you know, you might have to
• 11:26
  Speaker 2: google that. I'm not familiar with that. I know when
• 11:28
  Speaker 2: I was in training, and the tubule ligation was much
• 11:32
  Speaker 2: more common, and then v sectomy was becoming quite common
• 11:36
  Speaker 2: because it was it was like, you know, why should
• 11:38
  Speaker 2: the women have to have the procedure and the men
• 11:41
  Speaker 2: are equally responsible. So I haven't looked at that in
• 11:45
  Speaker 2: a long time, but I know vsectomies became very popular,
• 11:48
  Speaker 2: and still see a lot of men getting vasectomies. But
• 11:52
  Speaker 2: I don't know if it's fifty to fifty now between
• 11:54
  Speaker 2: men and women or that's a great question.
• 11:57
  Speaker 1: Listen. Vseectamies are so popular. I've had three. This says.
• 12:03
  Speaker 3: One in four women have undergone a sterilization procedure, making
• 12:08
  Speaker 3: it the most common form of contraception. Recent data indicates
• 12:11
  Speaker 3: that sterilization rates increased significantly after the Dobbs decision in
• 12:15
  Speaker 3: twenty twenty two, particularly in states where abortion is banned
• 12:19
  Speaker 3: or restricted.
• 12:20
  Speaker 1: Oh so but what about men? You so it's one
• 12:25
  Speaker 1: in four?
• 12:26
  Speaker 6: Right?
• 12:26
  Speaker 1: Yeah? The vasectomy rate, what's that? I bet it's still
• 12:30
  Speaker 1: way a low way.
• 12:31
  Speaker 4: Yeah, But it's interesting that the Dobbs decision is what
• 12:33
  Speaker 4: fueled that.
• 12:34
  Speaker 1: And it's you know, but see the whole thing about
• 12:37
  Speaker 1: the vasectomy and as opposed to two ba leg agents.
• 12:40
  Speaker 1: I think I'm right, Doctor Cobble. It's it's a vasectomy
• 12:44
  Speaker 1: is a much simpler, less invasive procedure, right, I.
• 12:49
  Speaker 2: Mean it's easy to do. Yeah, I mean they're both
• 12:51
  Speaker 2: pretty simple, but I think the vaseectamy is more simple.
• 12:55
  Speaker 6: Yeah.
• 12:55
  Speaker 3: So eleven percent of men age eighteen to sixty four
• 13:00
  Speaker 3: have undergone vasectomy, well twenty five percent of women, Okay.
• 13:04
  Speaker 2: And then the second rates did go up thirteen percent
• 13:07
  Speaker 2: after twenty twenty, after the row is overturned, so not
• 13:12
  Speaker 2: as much as two GOLs.
• 13:14
  Speaker 1: But so, Jessica, we're glad we could google all that
• 13:16
  Speaker 1: for you. You got a computer, okay, thanks, thank you, thanks.
• 13:26
  Speaker 5: Yeah, let's got a page.
• 13:29
  Speaker 7: Hi Paige, Hi, good morning, Hi, good morning.
• 13:32
  Speaker 3: Hi.
• 13:33
  Speaker 7: I have a fifteen year old son who has a
• 13:36
  Speaker 7: receding hairline. His school pictures came back and we all
• 13:39
  Speaker 7: kind of.
• 13:39
  Speaker 10: Went, well, you know, that's not going to help his
• 13:44
  Speaker 10: selfy listen, that's not going to help his self esteem
• 13:47
  Speaker 10: when you look at his pictures and go, oh, you
• 13:50
  Speaker 10: just saying.
• 13:50
  Speaker 7: We did do it in front of him, in front
• 13:53
  Speaker 7: of him behind his back is even worse, all right. Yeah,
• 14:00
  Speaker 7: so everybody's trying to selling you something. So I'm just
• 14:03
  Speaker 7: wondering if there's a true cure or a remedy for this.
• 14:08
  Speaker 2: Well, I think there are options available. I think certainly
• 14:10
  Speaker 2: a dermatologist or a plastic surgeon that specializes in hair
• 14:16
  Speaker 2: you know, receiving hairline issues. I think that you know,
• 14:20
  Speaker 2: medications might have some value, that a surgical option may
• 14:25
  Speaker 2: be better. But of course starting with medication is the
• 14:29
  Speaker 2: most conservative route. That there should be some good dermatologists
• 14:34
  Speaker 2: around you that would have answers to those dermatologist Yeah, okay,
• 14:40
  Speaker 2: that that helps.
• 14:42
  Speaker 7: I just wanted a direction on who to talk to
• 14:44
  Speaker 7: to stave on a copage, So I will. I'll hit
• 14:48
  Speaker 7: the dermatologists, thank you very much. Don't make fun of them, Okay,
• 14:54
  Speaker 7: I will approach him gently.
• 14:56
  Speaker 4: We all remember that kid, you know, every class had one.
• 15:01
  Speaker 4: I think, Yeah, the poor Singleton kids. They Yeah, let's see.
• 15:06
  Speaker 4: U ask doctor Cobble diss why someone who has never
• 15:10
  Speaker 4: snored before suddenly starts snoring?
• 15:13
  Speaker 5: And how can I combat my new snoring?
• 15:17
  Speaker 2: Oh that's a toughie. It just depends on the person,
• 15:21
  Speaker 2: their age, you know. I think it's snoring typically and
• 15:24
  Speaker 2: people that have chronic nasal problems. So if they have
• 15:27
  Speaker 2: a deviated septum, whether they have chronic sinus problems or
• 15:31
  Speaker 2: allergy problems. Certainly, people that drink more at night are
• 15:35
  Speaker 2: going to have a bigger snoring problem. People that gain
• 15:37
  Speaker 2: weight typically have a bigger snoring problem. So those are
• 15:42
  Speaker 2: things I'd think about. I don't think it's unreasonable to
• 15:45
  Speaker 2: see their primary care doctor or see an ear nose
• 15:49
  Speaker 2: and throat doctor to look at the oral phyringial and
• 15:52
  Speaker 2: nasal fyringeal pathway. But without knowing more about the person's history,
• 15:56
  Speaker 2: or their age, or their body habitus or their lifestyle,
• 15:59
  Speaker 2: it's hard to give a good answer about that. But
• 16:02
  Speaker 2: something's changed, obviously, you might would have never been a snorter.
• 16:06
  Speaker 1: Might want to check and see if it happens only
• 16:08
  Speaker 1: when it's raining and pouring.
• 16:10
  Speaker 5: Yeah, uh, Tom, Tom.
• 16:14
  Speaker 2: You can bring that up. But some people have allergies
• 16:16
  Speaker 2: to ozone and when it rains, their asthma and their
• 16:21
  Speaker 2: sinuses can get remarkably worse.
• 16:23
  Speaker 4: Tom asks your best sectomy question quickly, please we have
• 16:26
  Speaker 4: to break Hey.
• 16:28
  Speaker 6: How reversible are they typically? If you under like from
• 16:31
  Speaker 6: your understanding, Yeah, they.
• 16:33
  Speaker 2: Are reversible, but I'm not sure if they're thirty success
• 16:36
  Speaker 2: rate or fifty percent of urologist would be able to
• 16:39
  Speaker 2: answer that.
• 16:40
  Speaker 1: Really, well, yeah, they It's not always successful, but it
• 16:43
  Speaker 1: can be, can be? Are they?
• 16:45
  Speaker 6: Are they cheaper in the long run than the buying
• 16:48
  Speaker 6: buying rubbers?
• 16:50
  Speaker 5: Certainly they're certainly cheaper than having children.
• 16:54
  Speaker 1: Exactly sure, that's exactly.
• 16:56
  Speaker 4: Than later depends on the quality of For you black,
• 17:00
  Speaker 4: you get that lambskin stuff, it's gonna cost you anyway.
• 17:03
  Speaker 1: Thank you, doctor Copper, Thank you, Doctor Copple.
• 17:06
  Speaker 10: Thank you.