Latest / The Radio From Hell Show - Best Of / Dr Cobble Q&A From July 23rd, 2025

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Dr Cobble Q&A From July 23rd, 2025 · The Radio From Hell Show - Best Of

• 0:00
  Speaker 1: Now, surely you have a medical question, something that's bugging you.
• 0:04
  Speaker 1: You got a pain here, you got an anxiety there,
• 0:07
  Speaker 1: you got something that's eaten at you. This is your
• 0:10
  Speaker 1: chance to ask a doctor about it. It's doctor Michael
• 0:14
  Speaker 1: Cobble who's on the phone with us. Good morning, Doctor Cobble.
• 0:17
  Speaker 2: Good morning.
• 0:18
  Speaker 1: You can call eight seven seven six two nine six
• 0:21
  Speaker 1: nine six and ask doctor Cobble a question.
• 0:24
  Speaker 3: May I sponsor this?
• 0:25
  Speaker 1: Yes, you may, but let me finish. You can also
• 0:28
  Speaker 1: text your questions to three three nine eighty six and
• 0:31
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• 0:33
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• 0:48
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• 0:51
  Speaker 1: Doctor Cobble. I've been hearing about stories about COVID in
• 0:57
  Speaker 1: the summer have been creeping into the news for some reason.
• 1:02
  Speaker 1: Did I hear that? I mean it's there's a lot
• 1:04
  Speaker 1: more COVID this summer in some parts of the country,
• 1:08
  Speaker 1: but maybe not Utah. Have you heard that?
• 1:11
  Speaker 2: Well? I think COVID typically elevates in the summertime. People
• 1:15
  Speaker 2: are out traveling and having barbecues and interacting with friends,
• 1:19
  Speaker 2: and so we typically that has become you know, it's
• 1:22
  Speaker 2: a holiday virus. It's not wintertime so much as the flu.
• 1:28
  Speaker 2: So we certainly see it a lot at Thanksgiving, Christmas wintertime,
• 1:32
  Speaker 2: but when the spring and the early summer hits, COVID
• 1:35
  Speaker 2: tends to start coming up pretty high again.
• 1:38
  Speaker 1: And then I hear a commercial I forget where I'm
• 1:41
  Speaker 1: hearing it on some other outlet, and it's saying there's
• 1:45
  Speaker 1: somebody saying, Oh, I think I've got COVID, and then
• 1:47
  Speaker 1: an announcer comes on and says, there are medications to
• 1:51
  Speaker 1: if you have COVID that might help your recovery. See
• 1:54
  Speaker 1: your doctor, And it doesn't mention what the medicine is
• 1:57
  Speaker 1: or anything. And so if somebody test positive for COVID,
• 2:01
  Speaker 1: should they contact their doctor?
• 2:04
  Speaker 2: I think it's probably smart. It depends on the risk
• 2:07
  Speaker 2: factors that they have. But there is a five day
• 2:10
  Speaker 2: window that there are treatments that are at thea proved
• 2:12
  Speaker 2: to minimize the risk of getting sicker or being hospitalized.
• 2:17
  Speaker 1: So contact your doctor immediately and he could advise you appropriately.
• 2:22
  Speaker 2: Yeah, that's smart text question.
• 2:24
  Speaker 4: Here are ocular migraines a predictor of stroke.
• 2:31
  Speaker 2: That should not be I wouldn't expect docular migraines to
• 2:37
  Speaker 2: be a predictor of stroke. The biggest predictive of stroke
• 2:40
  Speaker 2: is really high blood pressure and the things that can
• 2:44
  Speaker 2: go along with that, so obesity, diabetes, sleep, apnea, that
• 2:50
  Speaker 2: those would be a bigger But I think having a
• 2:53
  Speaker 2: history of migraines per se does not elevate your risk
• 2:57
  Speaker 2: for stroke dynamically. Again, you're having high blood pressure associated
• 3:03
  Speaker 2: with it.
• 3:04
  Speaker 4: All right, let's see there's another text question. Whenever I
• 3:07
  Speaker 4: ride my bike, my hands fall asleep ten minutes or
• 3:10
  Speaker 4: so in should I be concerned?
• 3:13
  Speaker 1: I always had that problem too when I did a
• 3:15
  Speaker 1: lot of bike riding, and I found a couple of
• 3:18
  Speaker 1: solutions to it. But let's go ahead, doctor Cobble, talk
• 3:22
  Speaker 1: about it, and then I'll tell you what my solutions were.
• 3:24
  Speaker 2: Yeah. I used to get that myself done too, And
• 3:27
  Speaker 2: it's a little nerve impinchment. The hard part's deciding whether
• 3:30
  Speaker 2: the nerve impingements at the elbow with the wrist or
• 3:34
  Speaker 2: at the brake deal boxes in the shoulders. I found
• 3:38
  Speaker 2: wider handlebars. I didn't have that problem. It is a
• 3:42
  Speaker 2: mechanical positioning issue.
• 3:43
  Speaker 1: Yeah, move your hands around, you know, if you have drops,
• 3:47
  Speaker 1: you know, the kind of handlebars that drop down. Move
• 3:49
  Speaker 1: your hands on different areas of the try not to
• 3:52
  Speaker 1: grip it so hard, and wear added bicycle gloves, biking gloves.
• 3:57
  Speaker 1: That helps a lot as well. All right, where does
• 4:00
  Speaker 1: the medical where does where do medical medicine? Where does
• 4:03
  Speaker 1: medicine stand on? Pumpkin spice?
• 4:05
  Speaker 2: That's what I yeah, ooh, pumpkin spice latte or something
• 4:09
  Speaker 2: like that.
• 4:09
  Speaker 1: Yeah, I don't. I don't. I don't care for it tonight,
• 4:12
  Speaker 1: and I've refrained from mentioning it. I've seen the stories,
• 4:16
  Speaker 1: but I don't talk about it.
• 4:17
  Speaker 3: Bill scoffs at pumpkin spice.
• 4:19
  Speaker 4: We've got a few text questions having a Planter's wart treated.
• 4:25
  Speaker 4: It hurts to walk on it?
• 4:26
  Speaker 3: Oh yeah, those hurt.
• 4:27
  Speaker 4: Is it something where if I walk on it more
• 4:30
  Speaker 4: it'll help? Or should I avoid walking on it?
• 4:34
  Speaker 2: I would probably avoid walking on it. Maybe get one
• 4:37
  Speaker 2: of those little shoals pads around it so it takes
• 4:41
  Speaker 2: the pressure off that. I certainly would have a podiatris treat.
• 4:44
  Speaker 2: That planet wort and get rid of it.
• 4:46
  Speaker 3: Yeah, you go as a kid. I had one on
• 4:48
  Speaker 3: the ball on my foot and it was miserable.
• 4:50
  Speaker 2: Couch.
• 4:52
  Speaker 4: Let's see severe asthmatic. Here best herbal treatment remedies to
• 4:58
  Speaker 4: help relieve symptoms. Thanks herbal herbal.
• 5:02
  Speaker 2: Oh, that's a toughie. Some people like to do the
• 5:06
  Speaker 2: little netty pots or they like to do the little
• 5:09
  Speaker 2: tea kind of the scheme. But some people can make
• 5:12
  Speaker 2: it a little bit worse. But I think going to
• 5:15
  Speaker 2: see a good pulmonologist can get on monoclonal inhalers or
• 5:19
  Speaker 2: different inhalers that have become the standard of care is
• 5:22
  Speaker 2: probably the route to go.
• 5:23
  Speaker 1: Or what is that the what's it called a nebulizer
• 5:27
  Speaker 1: nebulizer treatment?
• 5:29
  Speaker 2: Well, nebulizer would be prescription therapy.
• 5:31
  Speaker 1: Yeah that I've found that worked really well when I
• 5:34
  Speaker 1: have congestion.
• 5:36
  Speaker 4: Sketchy Blake of Ogden says, I had a PRP injection
• 5:40
  Speaker 4: into my rotator cuff last Friday to help with a
• 5:42
  Speaker 4: small tear. The whole procedure was fascinating. Where else is
• 5:47
  Speaker 4: PRP being used?
• 5:49
  Speaker 1: And what is PRP is that?
• 5:52
  Speaker 2: Well, so I think PRP is platelet rich plasma and
• 5:57
  Speaker 2: that can be used anywhere, but it's used a lot
• 6:00
  Speaker 2: for connective tissue injuries, so liking it's tendons different, but
• 6:05
  Speaker 2: it could be any joint area and other are other
• 6:09
  Speaker 2: reasons that people do PRP as well, but that's platelet
• 6:12
  Speaker 2: rich plasma injections.
• 6:13
  Speaker 1: There you go.
• 6:15
  Speaker 4: Are you familiar with migraines with aura? I get them
• 6:18
  Speaker 4: to the point where they're so debilitating. I get tunnel
• 6:21
  Speaker 4: vision and my motor skills are affected. I have a
• 6:24
  Speaker 4: hard time walking when they get bad enough. Do you
• 6:27
  Speaker 4: know what causes them? And is there any way to
• 6:29
  Speaker 4: prevent or minimize them?
• 6:32
  Speaker 2: Yeah, So migraines can be with an aura that's the
• 6:37
  Speaker 2: other associated neurologic symptoms, or could be without the aura,
• 6:40
  Speaker 2: just the headache. Migraines are typically a vasospastic a vascular phenomenon,
• 6:46
  Speaker 2: similar to when people get brain freeze from drinking something
• 6:52
  Speaker 2: or eating something cold. That's the phenopalatine vascular area that's activated.
• 6:58
  Speaker 2: But migraines can be anywhere in the brain. The best
• 7:02
  Speaker 2: medicines for it, and we don't know what stimulates it.
• 7:06
  Speaker 2: We don't know if you know it's you know, it
• 7:09
  Speaker 2: could be perie menstrual, It could be perimenopausal. It could
• 7:13
  Speaker 2: be hormones, it could be caffeine, it could be stress,
• 7:15
  Speaker 2: it could be lack of stress, et cetera. But probably
• 7:19
  Speaker 2: the best treatment if you're having them more than once
• 7:21
  Speaker 2: a month is to get on something preventive or prophylactic
• 7:26
  Speaker 2: and the best medicines. There are a lot of treatments
• 7:29
  Speaker 2: that are available now that seeing your primary care or
• 7:32
  Speaker 2: your neurologist, I found the best preventive medicine is really
• 7:36
  Speaker 2: a calcium channel blocker, and my favorites am lotopene five
• 7:41
  Speaker 2: milligrams prescription. But my training was verapaml and dibopproy. But
• 7:47
  Speaker 2: you know, go see a clinician. And I don't think
• 7:50
  Speaker 2: anyone should have to live with migraines, and it's easy
• 7:52
  Speaker 2: to prevent them. There you go.
• 7:54
  Speaker 4: Let's go to Soul.
• 7:55
  Speaker 5: Hello Soul, Good morning guys.
• 7:59
  Speaker 1: Hi, what's your question?
• 8:01
  Speaker 5: So I've had a bad allergy to grasp and polland
• 8:05
  Speaker 5: three pollens, and as you can see on the on
• 8:08
  Speaker 5: the winter summer, my allergies are really bad and I've
• 8:12
  Speaker 5: been treating it with a floonnaise but lately is not
• 8:15
  Speaker 5: working any any suggest so maybe I need to change
• 8:22
  Speaker 5: medication or am I developing some kind of secondary.
• 8:26
  Speaker 4: Effects resistance building up a tolerance to it.
• 8:30
  Speaker 2: Well, yeah, I mean, allergies are tough, and they come
• 8:32
  Speaker 2: and go during the year, and some years are worse
• 8:34
  Speaker 2: than others. And I think that the nasal steroid like
• 8:38
  Speaker 2: the tech exan cloonaise or rhinocourt mason Ax, those drugs
• 8:42
  Speaker 2: are pretty effective, probably better if you do some at
• 8:46
  Speaker 2: night and then using oral medication with it over the counter.
• 8:50
  Speaker 2: His eyes alasertag clariton a lagra. When my allergies are
• 8:54
  Speaker 2: really bad, sometimes I have to do those twice a day,
• 8:58
  Speaker 2: and then prescription montelu cast or singular may have some value,
• 9:02
  Speaker 2: but I think if you can't manage it with over
• 9:05
  Speaker 2: the counter products and or rescriptions, you may have to
• 9:08
  Speaker 2: see an allergist and do immunotherapy. But most people can
• 9:12
  Speaker 2: get away without having to do that, but that would
• 9:15
  Speaker 2: be the most aggressive option.
• 9:17
  Speaker 3: As somebody who went to the doctor for this two
• 9:20
  Speaker 3: weeks ago, I can attest that doubling up on the
• 9:23
  Speaker 3: flow naise and generic non drowsy medication mind you, at
• 9:28
  Speaker 3: the start of the day is the best way to
• 9:29
  Speaker 3: get it going.
• 9:30
  Speaker 1: Like zertech is non drowsy.
• 9:33
  Speaker 3: I think I want to say, I got a general
• 9:36
  Speaker 3: brand that isn't recognized.
• 9:37
  Speaker 1: You can get it at Costco soul.
• 9:38
  Speaker 3: I got it for ten bucks.
• 9:40
  Speaker 4: There you go, Saul.
• 9:41
  Speaker 2: All right, thank you guys, thank you.
• 9:44
  Speaker 4: Let's go to Tory.
• 9:45
  Speaker 1: Hiy hie, Hello, what's your question for doctor cobble Hright.
• 9:52
  Speaker 6: So, for the past, like as long as I can remember,
• 9:54
  Speaker 6: at least since I was thirteen, at night, the bottoms
• 9:58
  Speaker 6: on my feet have felt like they're was somebody burning
• 10:01
  Speaker 6: a spotlight directly onto them, and so I just moved
• 10:06
  Speaker 6: them around all the time at night to try to
• 10:09
  Speaker 6: cool off enough that I could sleep well. Recently, the
• 10:14
  Speaker 6: palms of my hands have started to do the same
• 10:17
  Speaker 6: thing just throughout the day, especially when I wake up,
• 10:21
  Speaker 6: and now at night the burning has gone all the
• 10:24
  Speaker 6: way up to my shins. And I talked to my
• 10:27
  Speaker 6: doctor about this and she just has no idea what
• 10:31
  Speaker 6: could possibly be up. And I was just wondering if
• 10:34
  Speaker 6: you might know anything.
• 10:36
  Speaker 2: Well, I probably see a neurologist. It sounds like you
• 10:39
  Speaker 2: have neuropathy. And if your primary care clinician doesn't have
• 10:42
  Speaker 2: any answers, no, I think it's worth testing for autoimmune
• 10:47
  Speaker 2: diseases and an ESR, a CRP, maybe a uric acid check,
• 10:54
  Speaker 2: a B twelve check, a vitamin D check, a T three,
• 10:57
  Speaker 2: T four thyroid check for diabetes. But I think since
• 11:01
  Speaker 2: you've had this long term, and if you're not a
• 11:03
  Speaker 2: type one diabetic, I would presume that this is a neuropathy.
• 11:08
  Speaker 2: It could be vascular, So if someone has Reino's phenomenon,
• 11:12
  Speaker 2: sometimes that can have an effect. And again, but I
• 11:16
  Speaker 2: think a neurologist would probably be the expert that could
• 11:20
  Speaker 2: look it's different inflammatory, autoimmune, metabolic causes. But if they
• 11:27
  Speaker 2: can't find an answer, it's usually idiopathic neuropathy. And again,
• 11:31
  Speaker 2: calcium channel blockers may have some value, whether it's divalproad
• 11:35
  Speaker 2: or carbamazepine, a sodium channel blocker, or they're different treatment
• 11:41
  Speaker 2: prescription treatments they may talk about. I'd make sure you're
• 11:44
  Speaker 2: not going to bed dehydrated or low electrolytes and not
• 11:48
  Speaker 2: drinking alcohol at night or different things that can cause
• 11:52
  Speaker 2: kind of a lactic acidosis. But long answer to a
• 11:55
  Speaker 2: difficult question, but I think a neurologist who would be
• 11:57
  Speaker 2: able to move through the diagnostic options and find an answer.
• 12:02
  Speaker 1: Hopefully does it keep you from does it keep you
• 12:04
  Speaker 1: from sleeping, Tory.
• 12:06
  Speaker 6: Yeah, all the time. I'm just like moving my legs
• 12:09
  Speaker 6: constantly at night. I can't have a blanket over my feet.
• 12:13
  Speaker 1: Yeah yeah, okay, I try, Yeah, try a new neurologist.
• 12:18
  Speaker 1: You need to get rid of that.
• 12:19
  Speaker 4: Yeah all right, Tory, thank you, thank you so much.
• 12:22
  Speaker 4: You all right, Well that's all the time we have.
• 12:25
  Speaker 1: Thank you, doctor Cobble. Have a have a good time
• 12:27
  Speaker 1: at the rodeo or whatever. Whatever you're doing gets better quickly, yeah,
• 12:32
  Speaker 1: well so do we. All right, we'll talk to you soon.
• 12:35
  Speaker 2: Thank you, all right, thank you very much.