Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A From August 6th, 2025

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Dr. Cobble Q&A From August 6th, 2025 · The Radio From Hell Show - Best Of

• 0:00
  Speaker 1: Doctor Cobble.
• 0:01
  Speaker 2: Yeah, Michael Cobble to you, buddy, doctor Michael Cobble, who
• 0:05
  Speaker 2: is with us now to answer your medical questions. So
• 0:12
  Speaker 2: what did you hear what we were talking about RFK Junior,
• 0:15
  Speaker 2: Doctor Cobble.
• 0:16
  Speaker 1: I did.
• 0:17
  Speaker 3: He's kind of a little.
• 0:18
  Speaker 4: A little wacky, a lot wacky.
• 0:21
  Speaker 2: Yeah, his so he said something. I remember when the
• 0:25
  Speaker 2: measles outbreak in Texas. He said something about the vaccines,
• 0:29
  Speaker 2: but it wasn't the same thing as the m RNA vaccine.
• 0:34
  Speaker 5: Yeah.
• 0:34
  Speaker 3: Mr NA is a different technology. I've been around probably
• 0:38
  Speaker 3: a couple of decades. But MMR measles mumps rebella that
• 0:43
  Speaker 3: made from a different vaccine technology.
• 0:46
  Speaker 1: That's where I got sidetracked.
• 0:48
  Speaker 6: How dangerous is it, doctor Cobble, to halt five hundred
• 0:51
  Speaker 6: million dollars of funding for research for mRNA vaccines? What
• 0:56
  Speaker 6: does that look like going forward?
• 0:59
  Speaker 3: Well, I think you know, they've stopped all the funding
• 1:02
  Speaker 3: for academic centers, universities and colleges, and you know, all
• 1:07
  Speaker 3: these research facilities have had to lay off staff and
• 1:11
  Speaker 3: stop doing their research. And I think in this setting,
• 1:15
  Speaker 3: it's just going to force the pharmaceutical industry and biotech
• 1:19
  Speaker 3: industry to come up with the funding resources to continue
• 1:25
  Speaker 3: inventing products that save.
• 1:27
  Speaker 4: Lives one of them.
• 1:29
  Speaker 2: That means they'll be more expensive. Does that mean that
• 1:33
  Speaker 2: insurance won't cover them?
• 1:34
  Speaker 3: I mean, I mean, I think any new technology is expensive,
• 1:39
  Speaker 3: federal government's not supplementing it. So during COVID, federal government
• 1:44
  Speaker 3: supplemented to vaccines and most people could get them for free,
• 1:47
  Speaker 3: or they could get the treatments like axlvida for free.
• 1:51
  Speaker 3: Now they're paying, you know, five hundred to fifteen hundred
• 1:55
  Speaker 3: dollars the treatments. Again, most commercial insurance will pay for
• 2:00
  Speaker 3: the vaccine as long as it's recommended. It's a vaccine
• 2:03
  Speaker 3: is no longer recommended, commercial insurance won't pay for it,
• 2:07
  Speaker 3: and then you'll be paying. You'll be paying out of pocket.
• 2:09
  Speaker 2: Even even though commercial insurance knows that it's effective. If
• 2:13
  Speaker 2: the government's not recommending it, they won't pay for it.
• 2:16
  Speaker 4: That's typically, Yeah, that's.
• 2:18
  Speaker 1: That's morally, that's moral bankruptcy, isn't it.
• 2:21
  Speaker 6: They're a business bill.
• 2:22
  Speaker 1: They're not moral people's business.
• 2:25
  Speaker 7: So not only does the government have to say you
• 2:29
  Speaker 7: need this, but your insurance company has to say, well,
• 2:32
  Speaker 7: you need this before your doctor even says you need that.
• 2:35
  Speaker 1: Somebody that's already online.
• 2:36
  Speaker 4: One.
• 2:37
  Speaker 1: It's uh, Mike, Mike High, how are you.
• 2:42
  Speaker 5: Hi?
• 2:42
  Speaker 8: I'm fine? Thanks. I having a question for doctor Cobble.
• 2:45
  Speaker 1: Okay, Uh.
• 2:48
  Speaker 8: I went to my pharmacy and they recommend it I
• 2:51
  Speaker 8: get a pneumonia shot, and I don't recall ever getting
• 2:56
  Speaker 8: one in the past or needing one before, and one
• 3:00
  Speaker 8: maybe if it's my age. I just turned fifty nine.
• 3:04
  Speaker 8: And do you know anything about the pneumonia shot or vaccine?
• 3:10
  Speaker 1: Betty does.
• 3:11
  Speaker 4: Yeah.
• 3:12
  Speaker 3: Yeah, Typically the pneumonia vaccines recommended for most people over
• 3:17
  Speaker 3: fifty sometimes fifty five, but they used to have a
• 3:21
  Speaker 3: two vaccine series. Now you can get the comb avalent vaccine,
• 3:26
  Speaker 3: but you should get a pneumonia vaccine if you're ever
• 3:29
  Speaker 3: fifty or fifty five.
• 3:30
  Speaker 1: And then do you have to get that every year, doctor.
• 3:32
  Speaker 4: Cobble, Or now just once.
• 3:34
  Speaker 2: One time and you're good. So go with your pharmacist recommendation.
• 3:40
  Speaker 5: Mike, yep, no, pharmacy, start on the money.
• 3:44
  Speaker 4: That's smart. Get it for the call.
• 3:46
  Speaker 2: I was just talking talking about pharmacists the other day,
• 3:48
  Speaker 2: doctor Cobble. They're really the ones I've dealt with mostly
• 3:53
  Speaker 2: are remarkably remarkable people. I mean not only do they
• 3:57
  Speaker 2: have good advice for you on this bought, but if
• 4:01
  Speaker 2: you are having insurance problems, a lot of times the
• 4:05
  Speaker 2: pharmacist will go to bat for you and say, let
• 4:08
  Speaker 2: me see if I can work this out, and they'll,
• 4:11
  Speaker 2: you know, go be your advocate, which I think is
• 4:14
  Speaker 2: just terrific.
• 4:16
  Speaker 3: Pharmacists are fantastic. The first five years of my practice,
• 4:20
  Speaker 3: my next door pharmacist saved my bacon A lot.
• 4:24
  Speaker 4: Of time, makes a lot of medicine.
• 4:27
  Speaker 7: Here's a text question, wicked case of arthritis in CMC joints?
• 4:33
  Speaker 7: Are you willing or able to recommend a great hand surgeon.
• 4:36
  Speaker 1: In the Salt Lake City area? What's CNC.
• 4:40
  Speaker 3: Carpo metacarpal joints?
• 4:43
  Speaker 4: So hands?
• 4:44
  Speaker 3: I think that any of the orthopedic can surgeons at
• 4:48
  Speaker 3: the University or TASH or Saint Mark's or Long Peak.
• 4:51
  Speaker 3: Just depends on where you live. I think they're all fantastic.
• 4:55
  Speaker 3: You know, orthopedis in Utah have a lot of experience,
• 4:59
  Speaker 3: a lot of active people, and they're they're great. I
• 5:02
  Speaker 3: don't think you can go wrong.
• 5:03
  Speaker 1: What can you do surgically though for arthritis? For arth right?
• 5:08
  Speaker 3: Well, you know, again, if they've seen the primary care doctor,
• 5:12
  Speaker 3: and they've ruled out other causes of arthritis, then I
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  Speaker 3: think the orthopedist or hand surgeon could do X rays
• 5:19
  Speaker 3: and decide whether injections in that area would be valuable
• 5:23
  Speaker 3: or if replacing a joint or again, they might try
• 5:27
  Speaker 3: nonsteroidals and different medications first, but I think they've got
• 5:31
  Speaker 3: to determine whether it's really a surgical option first.
• 5:35
  Speaker 2: Okay, right, and we do have a phone call here, Bill, Hi, Jill, Hi,
• 5:41
  Speaker 2: Where are you calling from?
• 5:42
  Speaker 1: Jill?
• 5:43
  Speaker 5: I'm calling from Sugarhouse.
• 5:45
  Speaker 1: Okay, your question?
• 5:48
  Speaker 5: So my question is, my husband talked me into training
• 5:50
  Speaker 5: for a five k, and we started it the day
• 5:54
  Speaker 5: before yesterday, basically seven circuits of two minutes walking and
• 5:58
  Speaker 5: then thirty seconds jogging. And right after I started sneezing.
• 6:03
  Speaker 5: For like an hour straight. I couldn't stop sneezing.
• 6:06
  Speaker 7: You're allergic to r.
• 6:09
  Speaker 5: I'm allergic to exercise. I agree, it's.
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  Speaker 3: Got to be allergic to exercise.
• 6:13
  Speaker 4: I agree, But I'm wondering.
• 6:16
  Speaker 5: I'm wondering what I can do because the whole next
• 6:19
  Speaker 5: day I still felt like I had to sneeze every
• 6:21
  Speaker 5: time I break through my nose. So my two questions
• 6:24
  Speaker 5: are Number one, How do you stop the symptoms from
• 6:27
  Speaker 5: exercise induced orinitis is what I assume it was, and
• 6:32
  Speaker 5: how do I prevent it from happening because we're supposed
• 6:34
  Speaker 5: to run against night.
• 6:38
  Speaker 4: Yeah.
• 6:38
  Speaker 3: I've actually had a couple patients in my thirty years
• 6:41
  Speaker 3: that were allergic to exercise. They physically get sick, not
• 6:46
  Speaker 3: just because the exercise is hard. But I think with
• 6:49
  Speaker 3: that exercise induced asthma or exercise induced rhinitis, your best
• 6:55
  Speaker 3: options are probably try zizal zertec, satirazine. Leave us at
• 7:00
  Speaker 3: here is being clareton A Leegra, one of those antiistamines.
• 7:04
  Speaker 3: I'd probably take one right now, and then you may
• 7:07
  Speaker 3: take another one before you do your exercise and see
• 7:11
  Speaker 3: if that anti histamine will prevent that exercise induced rhinitis.
• 7:17
  Speaker 3: The other option is a nasal steroid be Flownase rhina
• 7:22
  Speaker 3: court nas a court mason X, and those are over
• 7:25
  Speaker 3: the counter now too.
• 7:27
  Speaker 5: If any take those together or no.
• 7:29
  Speaker 3: You can yep, yep, you can do them together, and
• 7:32
  Speaker 3: if those don't work, you may have to see your
• 7:36
  Speaker 3: primary care doctor and talk about singular.
• 7:39
  Speaker 4: Or montelu cast.
• 7:42
  Speaker 3: The other one is just over the counter bounderill, but
• 7:45
  Speaker 3: that can make you pretty tired. So again, the over
• 7:48
  Speaker 3: the counter long acting ana histamines are your best option,
• 7:51
  Speaker 3: and you can ask the pharmacist. We were talking about
• 7:53
  Speaker 3: that earlier. Your pharmacist is you're going to be your
• 7:55
  Speaker 3: best friend and the people in the pharmacy department.
• 8:00
  Speaker 4: Yeah, all right, thank you, good luck.
• 8:03
  Speaker 1: Chill.
• 8:04
  Speaker 2: Yeah, you could just tell your husband you're not gonna
• 8:07
  Speaker 2: do it or that.
• 8:09
  Speaker 1: Let's go to Jennifer.
• 8:10
  Speaker 2: Hi, Jennifer, Hey there, Hi, Where are you calling from?
• 8:16
  Speaker 9: I'm calling from often.
• 8:18
  Speaker 1: Okay, what's up?
• 8:21
  Speaker 9: So question regarding what I believe is perrymnopause. I've gotten
• 8:26
  Speaker 9: some different kind of feedback from different doctors on just
• 8:31
  Speaker 9: treatment for severe like symptoms like pain and new dowings
• 8:37
  Speaker 9: and just everything. Some say treatments estrogen, some say don't.
• 8:44
  Speaker 9: So yeah, I just need help.
• 8:47
  Speaker 2: What's what's the difference between pery menopause and menopause, doctor Cabble.
• 8:53
  Speaker 3: So, typically menopause you've stopped having your periods altogether. Perry
• 8:57
  Speaker 3: menopause is the period around that. So they may by period,
• 9:02
  Speaker 3: I don't mean bleeding episode, I mean the time area.
• 9:08
  Speaker 3: So again, sometimes women start having irregular menstrual cycles and
• 9:14
  Speaker 3: that could be perimenopausal. It's just the change of the
• 9:17
  Speaker 3: different hormones lutinizing hormone, follicle hormone, estrogen, progesterone changes. Sometimes
• 9:24
  Speaker 3: getting blood work has some value. Otherwise, I think average
• 9:28
  Speaker 3: age of menopause is fifty one. I've seen some women
• 9:32
  Speaker 3: go through it in their mid thirties. I've seen some
• 9:33
  Speaker 3: women go through it in their mid sixties. And again,
• 9:36
  Speaker 3: the main signal of that as you've.
• 9:39
  Speaker 4: Stopped at in your periods.
• 9:40
  Speaker 3: Altogether, I think that it's worth talking with a gynecologist
• 9:46
  Speaker 3: or somebody who feels comfortable treating perimenopause menopause symptoms because
• 9:52
  Speaker 3: it can be quite dynamic the symptoms. Some people get
• 9:55
  Speaker 3: arthritis with it, they can't sleep at night, the night sweats.
• 9:59
  Speaker 3: You know, it could just be terrible mood changes. And
• 10:02
  Speaker 3: again the treatment is based on your risk factors because
• 10:06
  Speaker 3: the treatments can increase risk for certain things. So I
• 10:10
  Speaker 3: think that it's a complicated conversation that you ought to
• 10:13
  Speaker 3: find a good clinician you're comfortable with about talking about
• 10:16
  Speaker 3: whether you do short term treatment or long term treatment.
• 10:19
  Speaker 3: But there's no reason you should struggle or suffer with
• 10:22
  Speaker 3: it when it's when there are treatments available.
• 10:26
  Speaker 1: Does that help you?
• 10:28
  Speaker 9: Yeah, thank you so much.
• 10:31
  Speaker 5: Have a good day, guys, work.
• 10:32
  Speaker 1: All right, thanks Jennifer. Good luck with that. Metopause. Ye,
• 10:36
  Speaker 1: shut up.
• 10:37
  Speaker 3: I mean typically yeah, estrogen and progesterone, if you've still
• 10:40
  Speaker 3: got your uterus, typically estrogen, progesterone. And again it can
• 10:44
  Speaker 3: be short term if you don't have the risk factors.
• 10:47
  Speaker 3: Could be I mean short term if you have risk factors,
• 10:51
  Speaker 3: long term if you don't. My mom was miserable and
• 10:54
  Speaker 3: her mother had breast cancer twice, and she said, you know,
• 10:58
  Speaker 3: start me on a treatment or I'm going to kill
• 11:00
  Speaker 3: your father.
• 11:02
  Speaker 1: Wow, kill your faller eight seven seven six two nine
• 11:10
  Speaker 1: six ninety six.
• 11:12
  Speaker 7: Let's see, will you have doctor Cobble talk about measles
• 11:15
  Speaker 7: vaccines and what age the first doses are given for
• 11:19
  Speaker 7: those of us who are working in daycare slash preschools
• 11:22
  Speaker 7: or children's centers.
• 11:23
  Speaker 1: We are worried about the spread.
• 11:27
  Speaker 3: Yeah, so measles vaccines I think started two months so
• 11:32
  Speaker 3: I was trying to remember the series. I was looking
• 11:36
  Speaker 3: at that. I don't know, a month or two or
• 11:38
  Speaker 3: three ago. But I thought, you know, I'm not a
• 11:40
  Speaker 3: pediatrician anymore. I don't do those childhood vaccines and my
• 11:44
  Speaker 3: clinic anymore of it. It seemed like they were at oh,
• 11:48
  Speaker 3: twelve to fifteen months is the first house, and then
• 11:51
  Speaker 3: five four to six years of age is the second dose,
• 11:55
  Speaker 3: twelve months months, twelve to fifteen, and then four to
• 11:59
  Speaker 3: six and then the immunity you get from that, if
• 12:04
  Speaker 3: I remember correctly, with one dose was seventy two to
• 12:10
  Speaker 3: ninety seven percent immunity, with the second dose it was
• 12:14
  Speaker 3: eighty six to ninety seven percent. So even one dose
• 12:17
  Speaker 3: is pretty dynamic. But two doses are recommended. So twelve
• 12:22
  Speaker 3: to fifteen months in four to six years.
• 12:25
  Speaker 4: All right?
• 12:25
  Speaker 7: Another text question. I just had COVID two weeks ago,
• 12:29
  Speaker 7: so I know I have some immunity against it currently.
• 12:32
  Speaker 7: Any idea when I might need another vaccine to boost
• 12:35
  Speaker 7: my immunity? Again, not sure how long it lasts.
• 12:39
  Speaker 3: Yeah, the immunity should be for at least three to
• 12:41
  Speaker 3: six months. Again, it depends on somebody's age. If they're
• 12:44
  Speaker 3: over sixty five, they recommend getting the shot twice a year.
• 12:48
  Speaker 3: If they're under sixty five without autoimmune or chronic illness,
• 12:53
  Speaker 3: once a year, just like the flu vaccine. But you
• 12:56
  Speaker 3: should have some immunity from catching the irs for three
• 13:00
  Speaker 3: to six months, so again you might If it were me,
• 13:06
  Speaker 3: I would say get it again next March or April.
• 13:10
  Speaker 3: That way, you don't catch it in the summertime, because
• 13:12
  Speaker 3: COVID appears to be spread quite a bit in the
• 13:15
  Speaker 3: summertime when people are out and about, going to barbecues
• 13:18
  Speaker 3: and family reunions and vacations and just outside with people more.
• 13:24
  Speaker 7: And final question, a painful one, is a text question.
• 13:29
  Speaker 7: I have chronic bilateral testicular pain. For the last fifteen
• 13:33
  Speaker 7: years or so. I am on finistereide to shrink my prostate,
• 13:38
  Speaker 7: have had two surgeries, including a denervation. Is there anything
• 13:43
  Speaker 7: else I can do besides having them removed?
• 13:48
  Speaker 3: Well, I mean, you know, fifteen years of testical pain
• 13:52
  Speaker 3: sounds miserable for all of us.
• 13:54
  Speaker 4: Yeah, in Gina.
• 13:55
  Speaker 3: Gina has probably even cringing.
• 13:57
  Speaker 1: I don't have them.
• 13:58
  Speaker 4: When I am minerable.
• 14:00
  Speaker 1: You have one? Don't you.
• 14:02
  Speaker 4: Have one?
• 14:03
  Speaker 6: Has?
• 14:04
  Speaker 3: She has?
• 14:04
  Speaker 1: My old life.
• 14:08
  Speaker 3: I think that if you can't manage it conservatively, and
• 14:11
  Speaker 3: what I mean by that is ahenosterod or do testod.
• 14:15
  Speaker 3: You know, prescription medications anti nerve pain medications like delocatine
• 14:20
  Speaker 3: or gabapenton, or amtripolene or emphromine or different medications that
• 14:25
  Speaker 3: you're yourrologists or your pain management doctor may have talked
• 14:29
  Speaker 3: to you about if they think that removing the testicles
• 14:32
  Speaker 3: would cure the problem. I mean, I I think that
• 14:36
  Speaker 3: would be high on my list of options exactly. So
• 14:40
  Speaker 3: hopefully you find a good urologist that and are pain
• 14:43
  Speaker 3: management clinician that have communicated with one another and are
• 14:46
  Speaker 3: helping direct us because it sounds terrible.
• 14:49
  Speaker 2: Yes, all right, doctor Cabble, thank you very much. We'll
• 14:52
  Speaker 2: talk to you again soon.
• 14:54
  Speaker 4: Okay, thank you very much. All right,