Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A for January 8th, 2025

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Dr. Cobble Q&A for January 8th, 2025 · The Radio From Hell Show - Best Of

• 0:01
  Speaker 1: Well, it's our good friend, doctor Michael Cobble. He's here
• 0:05
  Speaker 1: with us to answer your medical questions. Any question you
• 0:08
  Speaker 1: have about the state of the world today when it
• 0:12
  Speaker 1: comes to infectious diseases, anything that you're experiencing that you
• 0:17
  Speaker 1: might have a question about. Doctor Cobble is here to
• 0:20
  Speaker 1: answer your questions. Good morning, doctor Cobble.
• 0:22
  Speaker 2: How are you.
• 0:23
  Speaker 3: Good morning. I'm doing great.
• 0:25
  Speaker 2: Happy New Year, Happy New Year.
• 0:27
  Speaker 1: As we're waiting for calls to come in, there are
• 0:32
  Speaker 1: a couple of things that I was noticing in the news.
• 0:35
  Speaker 1: One so that there's been an official death of a
• 0:41
  Speaker 1: human from bird flu in the United States. And if
• 0:47
  Speaker 1: you go try to buy eggs right now that you
• 0:50
  Speaker 1: can't find them, or when you do find them, they're
• 0:52
  Speaker 1: eight dollars a dozen, or because of bird flu? Is
• 0:56
  Speaker 1: this going to become like a huge thing? Do you
• 0:58
  Speaker 1: think a pandemic?
• 1:01
  Speaker 3: I don't think so. And I thought it was lazy
• 1:03
  Speaker 3: Joe's fault for this whole thing.
• 1:05
  Speaker 2: Lazy Joe Biden. You mean yeah, yeah, yeah, well maybe so.
• 1:10
  Speaker 3: Yeah, But no, I don't think so. I think I
• 1:14
  Speaker 3: mean zooonotic. These illnesses between animals and humans have been
• 1:18
  Speaker 3: happening for thousands of years, and but I think that,
• 1:23
  Speaker 3: you know, they they've got to be careful about it spreading.
• 1:25
  Speaker 3: And I think humans that live closely with animals should
• 1:28
  Speaker 3: be careful.
• 1:29
  Speaker 2: So if you're a if you're an egg, if you're
• 1:31
  Speaker 2: a chicken farmer.
• 1:32
  Speaker 4: The guy that died has had a flock.
• 1:36
  Speaker 2: Of birds in his in his yard. Yeah, so that's
• 1:42
  Speaker 2: probably yeah.
• 1:43
  Speaker 3: And then there's something if you have good hygiene, you're
• 1:45
  Speaker 3: probably okay. But so Bill, I don't know.
• 1:50
  Speaker 2: Those ducks.
• 1:51
  Speaker 3: You got all those ducks for Christmas?
• 1:52
  Speaker 1: Well, I have my baby ducks and I didn't talk
• 1:55
  Speaker 1: about that, but I got a flock of baby ducks
• 1:57
  Speaker 1: for Christmas.
• 1:59
  Speaker 4: Uh?
• 2:00
  Speaker 1: What is and is now? Is COVID starting up again
• 2:04
  Speaker 1: strongly or does it seem to be?
• 2:07
  Speaker 3: I think it's just it's yeah, I think it's just not.
• 2:11
  Speaker 3: I mean, the biggest time for COVID is during the summertime,
• 2:17
  Speaker 3: when people really get out out and about that Holiday
• 2:20
  Speaker 3: season does make it go a little higher, but it
• 2:22
  Speaker 3: hasn't been really high the last two or three weeks, all.
• 2:25
  Speaker 2: Right, So we're hanging in there.
• 2:27
  Speaker 4: There's also been a neurovirus going around.
• 2:30
  Speaker 2: Oh yes, yes, what is that?
• 2:34
  Speaker 3: Well, I think that's a gastro intestinal virus.
• 2:36
  Speaker 4: Now, yes, yes, have you seen have you seen a
• 2:41
  Speaker 4: lot of that?
• 2:43
  Speaker 3: I have in the clinic. I haven't seen much of it,
• 2:46
  Speaker 3: but I've heard of people, you know, family members, not mine,
• 2:50
  Speaker 3: the family members of patients that have had it, especially
• 2:52
  Speaker 3: if they're traveling.
• 2:53
  Speaker 1: Apparently if you go on a cruise. Oh really yeah,
• 2:57
  Speaker 1: cruise ships are pretty susceptible. Pat dishes That says her
• 3:01
  Speaker 1: cruise ships dealt with worse year of nororovirus cases in
• 3:05
  Speaker 1: over a decade.
• 3:06
  Speaker 4: So that's another Wash your hand. I've heard that the
• 3:10
  Speaker 4: washing your hands is more important than like a hand
• 3:13
  Speaker 4: sanitizer for neurovirus or actual washing your hands.
• 3:17
  Speaker 3: I think it's better for everything if you can, you know,
• 3:20
  Speaker 3: sing Happy Birthday while you're washing your hands. Wash your
• 3:22
  Speaker 3: hands that long, do a good job, all right?
• 3:25
  Speaker 2: What I do?
• 3:26
  Speaker 1: Eight seven seven six two nine six nine six is
• 3:29
  Speaker 1: the number to call.
• 3:30
  Speaker 2: Let's go to Zaan. Hello, Zane Zain, what's your question?
• 3:36
  Speaker 5: Good morning. I was just wondering when it's a good
• 3:38
  Speaker 5: time to get your project checked.
• 3:40
  Speaker 2: Out ten o'clock in the morning.
• 3:42
  Speaker 3: Usually, yeah, once once a week when I get that done, well.
• 3:48
  Speaker 2: Get over here.
• 3:51
  Speaker 3: Typically after age forty, so between age forty and forty five,
• 3:55
  Speaker 3: and you should get it checked annually or at least
• 3:57
  Speaker 3: every two years, and do the blood test with that.
• 4:00
  Speaker 3: If you have a strong family history of prostate cancer,
• 4:03
  Speaker 3: meaning two or three or four men in your family
• 4:06
  Speaker 3: with it, I'd probably start at thirty thirty five, but
• 4:08
  Speaker 3: that's pretty rare. So most men should start getting a
• 4:11
  Speaker 3: prostatic checked between forty and forty five.
• 4:14
  Speaker 1: Now, doctor Kobble has the the blood test for prostate cancer.
• 4:20
  Speaker 1: Has that completely replaced or almost replaced the digital test?
• 4:27
  Speaker 3: I don't think so. I mean it's prostate specific anagen.
• 4:30
  Speaker 3: The PSA just means typically you have a prostate, so
• 4:34
  Speaker 3: that will measure what's being produced by the prostate. But
• 4:40
  Speaker 3: you can have prostate cancer with a low PSA, and
• 4:44
  Speaker 3: while that's quite rare, if the PSA is above two
• 4:48
  Speaker 3: to four, then I'm more excited about put doing a
• 4:51
  Speaker 3: digital exam to feel for anything that's abnormal.
• 4:54
  Speaker 1: Okay, all right, thank goodness, thank you very much, sir,
• 4:57
  Speaker 1: Thanks dame, thankam.
• 4:58
  Speaker 5: Okay, yeah, thank you.
• 5:00
  Speaker 4: See it's easy, Doctor col I don't know that I
• 5:03
  Speaker 4: would say you're excited to do the prostate exam.
• 5:07
  Speaker 2: Different did you use the word excited? Yeah, I do.
• 5:11
  Speaker 3: I do celebrate it. Yes, everywhere everyone's excited to have
• 5:16
  Speaker 3: the digital.
• 5:18
  Speaker 2: You seem to be in a great mood. Yes, I am.
• 5:23
  Speaker 1: I did three exams today.
• 5:26
  Speaker 2: All right, we're back making the same thing and some
• 5:31
  Speaker 2: sort of rash.
• 5:32
  Speaker 1: We were back with doctor Michael Cobble to answer your questions. Uh,
• 5:36
  Speaker 1: and I think we have a bunch of calls.
• 5:39
  Speaker 2: Let's go to Blake first of all. Blake, Hi, go ahead,
• 5:42
  Speaker 2: what's up? Hello?
• 5:44
  Speaker 5: Hey, So about about two and a half years ago,
• 5:47
  Speaker 5: I was diagnosed with type two diabetes and I have
• 5:50
  Speaker 5: since lost about ninety pounds. Congratually and thank you and
• 5:56
  Speaker 5: Sunce then I should say sun Sen. But recently I
• 5:58
  Speaker 5: feel like every time I down and like right on
• 6:01
  Speaker 5: my towbone and it just hurts to fit.
• 6:03
  Speaker 2: Oh and I don't know if.
• 6:04
  Speaker 5: It's because I've lost all my cushioning and is that
• 6:07
  Speaker 5: going to go away? Or do I need to get
• 6:08
  Speaker 5: some Cardassian implants?
• 6:10
  Speaker 2: Oh my?
• 6:13
  Speaker 3: You know, it depends if you've lost all of your
• 6:16
  Speaker 3: muscle mass back there or not. I think doing squats
• 6:19
  Speaker 3: or doing some kind of butducts muscular exercises might help.
• 6:25
  Speaker 3: I think using a donut to sit on short term
• 6:28
  Speaker 3: for a couple months. Maybe check a uric acid, A
• 6:32
  Speaker 3: vitamin D at B twelve A said, rate blood work,
• 6:35
  Speaker 3: see if there's another reason why you might have some
• 6:38
  Speaker 3: tailbone inflammation. But those would be my two recommendations. I
• 6:44
  Speaker 3: don't typically I wouldn't think it's related to the diabetes,
• 6:47
  Speaker 3: especially the ninety pound weight loss. But I think if
• 6:49
  Speaker 3: you've lost a lot of muscle mass back there, I
• 6:51
  Speaker 3: would cushion it with either exercise training or donut and
• 6:55
  Speaker 3: then do that blood work. B twelve uric acid said
• 6:59
  Speaker 3: rate vitamin D.
• 7:00
  Speaker 2: I'd recommend a donut from Bambury Cross particular. Don't sit
• 7:03
  Speaker 2: on that?
• 7:04
  Speaker 3: Do you eat?
• 7:05
  Speaker 2: Those?
• 7:05
  Speaker 3: Are those the kind you eat?
• 7:06
  Speaker 4: Oh?
• 7:06
  Speaker 2: That's Oh, you're not talking about that.
• 7:08
  Speaker 3: I'm talking about a mechanical death. Thank the wrong.
• 7:15
  Speaker 2: Direction every time, every time Debbie is here. Hello Debbie,
• 7:19
  Speaker 2: Hi Debbie, what's your question? Y?
• 7:22
  Speaker 6: Okay, So my lymph nodes are swollen and it's to
• 7:26
  Speaker 6: the point where I can't donate blood or plasma.
• 7:30
  Speaker 3: But my doctor.
• 7:31
  Speaker 6: Seems to think nothing of it.
• 7:32
  Speaker 3: Do I advocate for myself?
• 7:34
  Speaker 6: Where is it?
• 7:34
  Speaker 5: No big deal?
• 7:37
  Speaker 3: Okay? What happened? I heard that. I didn't hear the
• 7:40
  Speaker 3: very first part. Something happens.
• 7:41
  Speaker 2: Say it again, Debbie.
• 7:42
  Speaker 5: My lymph nodes and my neck.
• 7:43
  Speaker 3: There's swollen lymph nodes. The lymphnodes. Oh well, typically lymph
• 7:47
  Speaker 3: nodes swell in response to an acute virus or a vaccine.
• 7:53
  Speaker 3: If they're swollen long term, then I think somebody out
• 7:57
  Speaker 3: to do an evaluation. I don't. I'm not saying it's lymphoma,
• 8:02
  Speaker 3: but I worry if you've got lymph notes swallowing for
• 8:05
  Speaker 3: no particular reason.
• 8:07
  Speaker 4: So advocate for yourself in a month, Yes, maybe maybe
• 8:10
  Speaker 4: try a different a different doc.
• 8:12
  Speaker 3: Yeah, do that, get a second opinion.
• 8:14
  Speaker 2: Yeah, there you go. All right, thank you. All right,
• 8:18
  Speaker 2: let's go to Jennifer. Hello, Jennifer, Hello, what's your question
• 8:24
  Speaker 2: up in Layton?
• 8:25
  Speaker 7: We don't have rashes up here?
• 8:26
  Speaker 2: Oh no, nothing, rational, ladies. I'm going to move to Laighton. Jennifer.
• 8:32
  Speaker 7: I'm calling about estrogen. I am fifty four. I've been
• 8:36
  Speaker 7: on estrogen and pogesterone for about seven years now for postmenopause,
• 8:41
  Speaker 7: but I'm also have factor five now I'm on I'm
• 8:45
  Speaker 7: on zurell post so I haven't had any blood clocks.
• 8:47
  Speaker 7: But I'm concerned about it. So I try and lean
• 8:49
  Speaker 7: myself off every few months just to see and the
• 8:52
  Speaker 7: hot flashes come right back. So I'm just wondering, how
• 8:55
  Speaker 7: long are you supposed to be on estrogen and pogestrone
• 8:57
  Speaker 7: and is there any long term problems with that?
• 8:59
  Speaker 2: What is what factor five?
• 9:01
  Speaker 7: And it's a blood clotting issue, and so if I
• 9:05
  Speaker 7: have Yeah, if I had to estrogen, I'll have blood clots.
• 9:08
  Speaker 3: Okay, Yeah, I think with blood clotting disorders, your higher
• 9:13
  Speaker 3: risk if you're using tobacco products or if you're sitting
• 9:16
  Speaker 3: a lot, especially if you're traveling long distances. But I
• 9:20
  Speaker 3: do like estrogen progesterone products for one to five years
• 9:24
  Speaker 3: for perimenopause plus menopausal issues. If I go more than
• 9:29
  Speaker 3: five years, I like to have a conversation with the patients.
• 9:31
  Speaker 3: But I think you know the hard parts, you try
• 9:34
  Speaker 3: to wean off and you're not able to do that.
• 9:36
  Speaker 3: So what you might do is just do slower weaning
• 9:41
  Speaker 3: off of that hormone replacement therapy. So maybe you know,
• 9:45
  Speaker 3: cut cut the dose by a quarter for a month,
• 9:48
  Speaker 3: and cut of by a half for a month, and
• 9:49
  Speaker 3: cut it by three quarters per month and then go
• 9:52
  Speaker 3: every other day and see if you can get off
• 9:54
  Speaker 3: of it over three to five months, and most people
• 9:57
  Speaker 3: can get off of that. I think because you are
• 9:59
  Speaker 3: on this zero, which is a blood tinner, your risk
• 10:03
  Speaker 3: of having a blood clot on hormone replacement therapy is
• 10:05
  Speaker 3: quite low. Again, if you're not smoking and not doing
• 10:10
  Speaker 3: other things that can thicken the blood.
• 10:14
  Speaker 7: Is there long term effects from being on estrogen for
• 10:17
  Speaker 7: longer than five years?
• 10:18
  Speaker 3: Will you take the progesterone to lower your risk of
• 10:21
  Speaker 3: uterine cancer? And your risk of breast cancer goes up
• 10:26
  Speaker 3: the longer you're on the estrogen, but that risk is
• 10:31
  Speaker 3: still quite low. And if you're doing a self rest
• 10:33
  Speaker 3: exam every month, you're doing your mammogram every year, the
• 10:37
  Speaker 3: risk is quite low. To put it in perspective, just
• 10:39
  Speaker 3: having one alcohol drink every day has the same risk
• 10:43
  Speaker 3: as being on estrogen replacement over the long term. So
• 10:47
  Speaker 3: you know, you have to balance the risks and the
• 10:49
  Speaker 3: rewards of what you're doing. And if you're miserable, like
• 10:52
  Speaker 3: my mom when she went through menopause, her mom had
• 10:55
  Speaker 3: breast cancer twice, and my mom is like, you better
• 10:58
  Speaker 3: put me on estrogen or I'm going to divorce your dad.
• 11:01
  Speaker 3: She was just so miserable. So again, you've got to balance,
• 11:04
  Speaker 3: you know, how bad is the illness versus your risk
• 11:08
  Speaker 3: in the future.
• 11:09
  Speaker 2: There you Okay, Okay, thank you so much. Have a
• 11:11
  Speaker 2: good day and Jennifer.
• 11:13
  Speaker 4: And what I took from that is I'm going to
• 11:15
  Speaker 4: have a drink a day to stave off the effects.
• 11:17
  Speaker 2: Okay, Megan, Hi, Megan, what's your question?
• 11:23
  Speaker 7: Yeah? Hi, So it's been sick for like ten days. Now,
• 11:26
  Speaker 7: when do you actually go in to see the doctor.
• 11:29
  Speaker 7: I have like all the flu symptoms, but they're just
• 11:32
  Speaker 7: not getting any better.
• 11:35
  Speaker 4: Yeah.
• 11:36
  Speaker 3: I mean, most viral illnesses resolve in three to seven
• 11:39
  Speaker 3: days or three to ten days, depending on the virus.
• 11:41
  Speaker 3: I think if you've tested yourself for COVID and.
• 11:46
  Speaker 2: I didn't do that and it was negative negative.
• 11:49
  Speaker 3: The reason I want to see people is if they're
• 11:52
  Speaker 3: the severity of their illness. So if you were having
• 11:56
  Speaker 3: chest pain, shortness of breath, back pain, when yourinated, lack
• 12:01
  Speaker 3: of bloody doomb movements. You know, I'm worried about an
• 12:04
  Speaker 3: infection that's bad in the gastrointestinal track or the urinary track,
• 12:07
  Speaker 3: like a kidney infection or pneumonia. But I think ten days.
• 12:11
  Speaker 3: I mean, I'd be seeing a doctor.
• 12:13
  Speaker 4: You know.
• 12:13
  Speaker 3: That's cool and unusual punishment to torture yourself that long.
• 12:17
  Speaker 3: And you may have a secondary bacterial infection somewhere at
• 12:21
  Speaker 3: this point, and I think it's reasonable if you can
• 12:23
  Speaker 3: get into urgent care, your primary care clinician, an antibiotic
• 12:28
  Speaker 3: may be appropriate at this point.
• 12:29
  Speaker 2: There you go, Megan, thank you. I feel better. She
• 12:32
  Speaker 2: sounds a miserab. Just enough time to talk, Just enough
• 12:35
  Speaker 2: time talk to Sarah. Hi, Sarah, Sarah, what's your question? So?
• 12:40
  Speaker 6: I have been suffering from vertigo for the last like
• 12:43
  Speaker 6: two to three years. I've been to chiropractors, I've been
• 12:46
  Speaker 6: to doctors, none of them medication helps. But I have
• 12:50
  Speaker 6: started to notice that when I have my monthly cycles,
• 12:53
  Speaker 6: it goes away after my cycle and it comes back
• 12:55
  Speaker 6: right before. So I'm just wondered if that's a thing.
• 13:01
  Speaker 3: Well, it's a thing for you, apparently.
• 13:05
  Speaker 4: Yeah.
• 13:06
  Speaker 3: I mean, how young are you, Sarah? I am forty four,
• 13:10
  Speaker 3: forty four? And then are you on any antidepressants of
• 13:13
  Speaker 3: any kind?
• 13:15
  Speaker 6: I'm not on any medications.
• 13:17
  Speaker 2: Okay, and maybe you should be.
• 13:20
  Speaker 3: Effect yeah, yeah, well we all should be. Probably estrogen
• 13:26
  Speaker 3: can affect the cranial nerves and the inner ear pathway.
• 13:31
  Speaker 3: So I think, you know, if you said you're a perimenopausal,
• 13:35
  Speaker 3: I'd wonder if this is a little estrogen withdrawal or
• 13:37
  Speaker 3: estrogen imbalance. If you're on serotonin reaptake inhibitors, sometimes those
• 13:44
  Speaker 3: can minimize the vertigo or sometimes especially you know, periomenstrul
• 13:51
  Speaker 3: when you're having your period. I think you could always
• 13:55
  Speaker 3: try mechlasine antivert over the counter. Some people find ginger
• 14:00
  Speaker 3: products work pretty well. The other one you could always
• 14:02
  Speaker 3: try zizal or alertech at dinner time. You could always
• 14:07
  Speaker 3: try nasal steroid sprays like rnacourt nasenax and see if
• 14:11
  Speaker 3: those things helped. But I think if you haven't seen
• 14:14
  Speaker 3: an ear, nose and throat doctor, it may be reasonable
• 14:16
  Speaker 3: to at least see an E n T and seeing
• 14:19
  Speaker 3: your if you're getting a fluid and balance in the
• 14:21
  Speaker 3: inner ear, you know, when you're not around your cycle.
• 14:25
  Speaker 2: There you go, all right, how can I try something?
• 14:28
  Speaker 2: Thank you, Sarah, Thank you, Thank you. Doctor Cobble, Yes,
• 14:32
  Speaker 2: thank you.
• 14:32
  Speaker 3: Thank you.
• 14:33
  Speaker 2: We'll talk to you a couple of weeks.
• 14:35
  Speaker 3: Sounds great.
• 14:35
  Speaker 2: Take care,