Weird Medicine Healthcare for the Rest of Us

January 11, 2015

Female Ejaculation vs Coital Incontinence

Filed under: Steve's Blog — Tags: , , , , , , , , , , — dr steve @ 9:25 am

Much has been made of a study on female ejaculation in the media and on Twitter and Reddit lately.  The media and the blogosphere have been rife with headlines like: “Scientists Say Female ‘Squirting’ is Just Peeing!”

Unfortunately, once again the bloggers and medical media got it wrong.

Read the original study:

http://www.ncbi.nlm.nih.gov/pubmed/25545022

This study suffers from a severe case of selection bias. Finding that the fluid emission was urine was the only possible outcome of the study given its structure, because they selected only women who already had coital incontinence:

“Seven women, without gynecologic abnormalities and who reported recurrent and massive fluid emission during sexual stimulation, underwent provoked sexual arousal.”

The problem is that women with “massive” fluid emission certainly suffer from coital incontinence, rather than enjoying female ejaculation (though they may do both).  Coital incontinence is the involuntary release of urine from the bladder, sometimes during penetration but often with orgasm and contraction of the pelvic floor muscles.   Female ejaculation is emission of a semen-like fluid from the “female prostate”, or Skeens Glands.

There is female ejaculation and there is coital incontinence. They are two separate things. In case you were wondering, female ejaculation is a fact undisputed by rational researchers:

“Female ejaculation orgasm manifests as either a female ejaculation (FE) of a smaller quantity of whitish secretions from the female prostate or a squirting of a larger amount of diluted and changed urine (Coital Incontinence (CI)). Both phenomena may occur simultaneously. The prevalence of FE is 10-54%. CI is divided into penetration and orgasmic forms. The prevalence of CI is 0.2-66%.”

http://www.ncbi.nlm.nih.gov/pubmed/23634659

Some women ejaculate. Some women have coital incontinence. Some women have both. This current study was structured only to find people with coital incontinence. It’s interesting that five of the seven also ejaculated:

“[Prostatic Specific Antigen] was present in S and ASU in five out of seven participants.”

This is buried in most of the stories, and is not mentioned at all in some of them.

There is one interesting finding in this study that bears further investigation. These women had a rapid increase in the volume of their bladders during sexual stimulation:

“After a variable time of sexual excitation, US2 (just before squirting) showed noticeable bladder filling, and US3 (just after squirting) demonstrated that the bladder had been emptied again.”

To my knowledge this is a previously unknown phenomenon. So this study does have something to say about coital incontinence but says absolutely nothing, or very little, about what we’re really interested in, which is female ejaculation.

Our upcoming show on January 20th on Riotcast is basically dedicated to this topic, so stay tuned!

Your pal,

Dr Steve

December 31, 2014

Recipe: NSNG Smoothies

Filed under: NSNG,Steve's Blog — Tags: , , , , , — dr steve @ 8:27 pm

People have emailed me, asking me for my smoothie “recipes” from the last podcast. I really don’t have any; I mostly improvise like a jazz musician using the following “chord chart” (yecch):

First Principles:

1) Spinach is basically tasteless raw (Kale is vile to me, but some people like it)
2) Almond milk is better than soy milk which is better than cow’s milk (especially if you’re lactose intolerant). Do I have evidence to back that up? Nope! Just my opinion.
3) The taste of fresh carrots is pretty good and can be masked with a single serving of fruit

so:

if you’re grain-free, you start with a handful of spinach and a handful of carrots, dump them in your nutribullet (get one or something similar…it’s worth it), then add whatever you like to make up some stuff…

Ideas:

  • Almond milk + banana (simple, tasty, and 2 veggies and 1 fruit).\
  • Yogurt (greek, or not)+banana+V8 Fusion+frozen black cherries (lots of sugar, unfortunately, but kids will dig it, never knowing they’re eating spinach and carrots (Not “No Sugar,” but better than a lot of stuff kids eat today).
  • Apple slices + banana + almond milk.
  • all of the above with or without a scoop of vegetable protein or whey protein (if you want more protein).

You can go more veggie by adding cucumber, squash, and using water+protein powder (OR WHATEVER, you getting the idea?)

if you’re not grain free, you can add some chia seeds or flax seeds or oatmeal. Remember, I always start with spinach and carrots as a “base”. You don’t have to. Do whatever you want, who am I, your smoothie guru? Find your own path, you’ll enjoy it more. If you made something and it tastes like shit, throw it out and make something else…it’s not like you’re smelting gold bars.

Basically, make stuff up. It’s fun and I HATE books with a blue-million “Smoothie Recipes” with all kinds of made-up benefits (I just saved you 10 bucks on one of those self-published pieces of crap). The main benefit is getting in more fresh fruit and veggies than you’re normally going to get with a Crappy American Diet (CAD). So make something you like that doesn’t have too much sugar in it and you’ll do fine.

Good luck and let me know if you come up with something! Experiment, you really can’t go wrong (my wife makes a “smoothie” with coffee and grass-fed butter, but that’s a whole ‘nother topic).

yr obt svt,

Steve

PS: Frozen Black Cherries > > Frozen mango >Frozen Strawberries > Frozen Blueberries > Frozen Peaches when it comes to flavor…some frozen fruit doesn’t add anything, but I’ve found the frozen black cherries you can at least taste.

If you’re not using anything frozen, you can add a couple of ice cubes to chill it. Banana always gives a nice smooth texture.

PPS: if you’re an author who wrote a book of smoothie recipes and are offended by what I said above, I wasn’t talking about you. Every OTHER book except yours is a piece of crap. Thank you.

December 8, 2014

Help Some People at the Holidays

Filed under: Steve's Blog — dr steve @ 8:11 am

Well, it’s that time of year and we have a couple of people we can help if you have an extra $1, $5, $10, or more!

First:

Our pal RexDart has been taking chemotherapy, but his fixed income makes traveling to MD Anderson AND keeping the lights on at home difficult. He also pays child support out of his Social Security check which is less than $1000/month in the first place.

If you’d like to help him out, click the button below. Any amount will help!  This will basically go toward keeping propane in the tank and the lights on.




Second:

Ok, ok, we get it, Lady Di is a mess. Sending her money directly would simply be enabling her and would fatten the coffers of the Natty Ice distributor. I do have her landlord’s name and address, though, and we could send him a few bucks to offset her rent payment for the holidays (around $770/month). However annoying she is, I know Weird Medicine listeners wouldn’t want her homeless again, tooting on unclean junk to keep beans on her plate.

To donate to Lady Di’s rent (100% will go to her landlord; Di has foodstamps and welfare to count on for food and heat), click the link below:

SUCCESSFULLY FULFILLED…FURTHER DONATIONS SUSPENDED PENDING DI MAKING SOME SERIOUS STEPS TO IMPROVING HER LIFE.

 

Third:

If you’d like to help Kevin, the Ron and Fez fan with the pineal gland cyst, click here to go to his YouCaring.Com fundraiser! The problem with having health insurance is that it DOESN’T PAY THE MORTGAGE or make sure your KIDS ARE OK AT THE HOLIDAYS…Kevin and his family could use some real help while he is recuperating.

 

FOURTH:

Mad Scientist Party Hour (partners of ours on the RiotCast Network) has a friend with multiple brain aneurysms.  He had a huge medical bill and did something you can do too if you run up a huge bill:  he went to the hospital and negotiated his bill down to $5500!  Nicely done, but he needs help paying it off.   Give him some help by checking out his funding site at:  tinyurl.com/rolloutforsiike

Weird Medicine listeners are the best;  you all ALWAYS come through and you are most appreciated.

Thanks as always, and I’ll keep you up to date on the progress of these campaigns.

yr obt svt,

Steve

 

 

UPDATE:

Thanks to all of you, we have so far sent half her rent to Lady Di’s landlord and a few shekels to RexDart to make his holiday slightly less crappy.   Diana understands ANY FURTHER HELP FROM WEIRD MEDICINE LISTENERS IS PREDICATED ON HER TAKING CERTAIN STEPS, including seeing her local doctor for referral to an addictionologist and following up regarding her hip so she can get back to work and get off the couch.   This has been a consistent demand from donors;  help during the holidays is a gift without strings but that goodwill only goes so far.  Having said that a LOT of you said they’d be willing to help Di if she would simply show signs of helping herself.

Any further donations after our show airs on 12/13/14 will go to RexDart and his kids and dog unless you specifically request that it be held for Di once she shows some sign of interest in making her life better.

Thanks to everyone who helped and to everyone who didn’t donate but refrained from bashing me for helping Diana out at this time of year.

 

yr obt svt,

 

 

steve

December 1, 2014

RIOTCAST Holiday Gift Drive: Please Help!

Filed under: Steve's Blog — dr steve @ 7:47 pm

giftDrive

October 18, 2014

Why We Know Ebola Still Isn’t Easy to Contract (Commentary)

Filed under: Ebola,Steve's Blog — dr steve @ 4:22 pm

Just some quick math to set your mind at ease:

If Ebola were EASY to transmit, there would be a MUCH larger burden of cases in the world right now. Let me show you with math.

Let’s be conservative and say this outbreak started January 1st with one patient. Let’s say this person infected 10 other people, who then infected 10 other people, and so on. With an incubation period of 21 days, and assuming that people can’t transmit the disease until they are symptomatic, it’s pretty easy to calculate where we would be if the above were anywhere close to reality.  (Remember, I’m oversimplifying how this all works, but the answer will still be right enough to make my point).

On Day 21 there would be 10 cases. (1×10)
On Day 42 there would be 100 cases (1x10x10)
On Day 63 there would be 1000 cases (1x10x10x10)
and so on. You’ll notice that with every incubation period, we simply add another exponent to the pile. Period 3 is 1×103, period 4 is 1 x 104, etc.

So for an outbreak that started on January 1st, there have been 290 days (today is Oct 18th, 2014), or 13.8 incubation periods. Let’s round that to 14 to show that a perfectly transmissible virus under these idealized conditions would have caused:

1 x 1014 cases, or 100,000,000,000,000 cases. That’s ONE HUNDRED TRILLION (in American parlay, where a billion is known as a “thousand million” everywhere else) cases, or enough to wipe us all out several times over.

The reality:

Total Cases: 8997

Laboratory-Confirmed Cases: 5006

Total Deaths: 4493

(from cdc.gov)

Ok, this is the worst outbreak of Ebola in recorded history and we need to contain it, and learn how to treat it more effectively.   Every death is a tragedy, and every illness creates anxiety.   I really want you to pay attention to those numbers and understand them, though.  Despite everything, Ebola is hard to catch…this is why in the US (so far, tomorrow could prove me wrong) the only people who have contracted the disease on our soil were health care workers, basically immersed in the stuff.

What’s scary about Ebola is its mortality rate, and the WAY people die from the virus.  We may very soon have some good news on those fronts, too.  People have been discovered who have antibodies to the virus but never got sick.   These people may provide some very important insights into the inflammatory response of the body to the virus which wreaks such havoc.  In addition, there are labs all over the world with mouse-myeloma hybrid cells churning out monoclonal antibodies RIGHT NOW (more on this later if you’re interested) that may very soon give us an unending supply of antibodies to treat infected people.   A vaccine would set people’s minds at ease, particularly if it worked quickly so we don’t have to vaccinate the whole world and only people who have been exposed to the virus (similar to what was done with smallpox).  Ultimately tracking this piece of crap virus down to the animals that harbor it and vaccinating THEM would kick this virus’s ass once and for all.

Anyway, enjoy.  Follow the Ebola story with interest and watch how we defeat it (Nigeria did it, so can we), but don’t panic about it.  Ok?

 

your obt svt,

 

Dr Steve

 

PS: Here’s the CDC’s take on transmission of Ebola virus.  We discussed some of these issues in our podcast last week, and again on the Saturday, Oct 18 episode of “Weird Medicine” on SiriusXM (Sirius 206, XM 103, 10pm Eastern).

October 14, 2014

RexDart Needs Our Help Again

Filed under: Steve's Blog — dr steve @ 4:29 pm

We have a listener who has been battling terminal bladder cancer since 2011. He’s had to try to continue to work just to keep the lights on despite horrific intractable pain, but hasn’t had a full time job since being laid off in 2012. A few months ago he told me “i’m already $100 away from being homeless. At this point I long for the relief that death will bring.”

He has no family who can help him, and he’s alone, suffering in a cold house trying to live on $700 a month. He finally has an oncologist who will TRY to treat him, but the chemo is keeping him from working and he just got admitted to the hospital with a blood sugar of 700.

He got better for awhile and we stopped raising money for him; he’s again bed ridden and can’t work. Eventually he will need hospice but the docs think they might be able to kick this thing back a bit if he can just make it to the treatments and stay out of the hospital.

Please donate below, $5, $10, $100, whatever you can afford; 100% will go to RexDart who is known to people on the Interrobang website and on twitter as @rexdart936.

Let’s see what we can do as a group to keep the lights on and some heat going so our friend can live out his days in peace.




your friend,

Steve

 

August 5, 2014

Doctor Scott’s IndieGoGo Launch

Filed under: Steve's Blog — dr steve @ 3:30 pm

If you’re interested in Dr Scott’s Traditional Chinese Medicine approach, check out his IndieGogo launch for his “Simply Herbals” products.   We give him a hard time on the show but he’s a good feller.  So give it a look;   this is not a claim for any medical benefit or anything, he’s just our bestest pal and we wish him all success.

Click here to go to his IndieGogo Site!

 

your pal,

 

 

Dr Steve

 

July 15, 2014

TomPapa: The Movie

Filed under: Steve's Blog — Tags: , , — dr steve @ 2:14 pm

TomPapa The Movie

 

“The more biting the satire, the narrower the audience…”, a friend of mine taught me that years ago.  I’m thinking 3 people will get the joke, then I realize, there’s really not a JOKE here, it’s just a movie called “Tampopo” and I got a friend on twitter to turn it into “Tompapa”.  It even has his face.   But now it’s just Juzo Itami’s “Tompapa” but without a joke to make it pop.

So.

Make it FUNNY and email it to me (w e i r d m e d i c i n e at riotcast dot com) and if we like it maybe we’ll send you a Bristol Stool Scale mug or something.   That’s IF.  This is NOT a contest.   I just want to laugh at Tom Papa’s expense, or maybe get his attention or something I dunno.  See, if Tom Papa was my friend, then I’d be one step closer to Jerry…

 

your obt svt,

 

Dr Steve

 

June 3, 2014

The Worst Circumcision Story Ever

Filed under: Steve's Blog — Tags: — dr steve @ 10:45 pm

I got this on my reddit page today and had to share it with you.   Half-way through I was saying to myself, “this is going to end with his penis sloughing off” but thankfully it has a happy ending with horrific scars instead of a stump.

When I was 19, mid last year I was in a relationship with a girl in North Sumatra, Indonesia and we decided we wanted to get engaged, but her parents told me I need to be circumcised.

In her sect, circumcision is a must and it’s unacceptable to not be circumcised. I was always anti-Circumcision but I was dumb enough to do it for her.

Her aunt is a nurse and recommended a doctor at the hospital. I went there, he explained to me that circumcision is painless, he will cut off less skin than the size of my fingernail, and he will not do stitches and I will not bleed. And my girlfriends aunt said that he uses a laser, and not a scalpel, I wanted the laser because I bleed a lot.

I dropped my pants, he told me “Nice size, Big size”. I didn’t think too much of it, but I was thinking it’s strange.. His nurse and him started talking in Indonesian. He inspected me and cleaned me up a bit.

Then he started injecting me with anaesthetic. We used maybe 4 or 5 syringes and I could still feel everything. I was trying to tell him that I can still feel everything and nothing is numb… But it was too late. He started cutting me open, I was shaking and in pain. He stopped and tried again with another syringe and it didn’t help. It was too late to stop, so he just continued. I had a pool of blood under me, I’m sweating and this is the most religious experience in my life with all of my thoughts being “OH GOD PLEASE LET IT BE OVER, OH GOD OH GOD OH GOD LET ME BE OKAY” and the like.. The stitches were worse than the cutting. I had maybe 30 or 40.

After about 30 minutes of cutting me and burning me with a machine like a big soldering iron, He was finished. I was still bleeding a little bit.

Anyway, we paid him the 200 dollars and left. My girlfriends aunt told me I’m a liar, because he uses laser and not a scalpel… but I was trying to tell her that I saw him cutting me with a fucking scalpel.

We went back home to my girlfriends house and I went to sleep. The next morning I woke up with like 2 cups worth of congealed blood in my pants. I took a shower and I ended up bleeding all over the floor and I was dizzy and feeling sick in the stomach. The floor was covered with droplets of blood. I had to wait for about 2 hours for my girlfriends aunt to get there and take us to the hospital.

When she did come, we went to the hospital. They told me I had broken some stitches. And I was the last patient of the day by time I got there. For some reason there were 8 female nurses and 1 female doctor and they all had turns touching me and talking about me. I was surrounded by these late teen to 35 year old women, touching me and talking about me.

I tried to stop getting an erection when a cute girl, maybe 18 or 19 wearing the nurse outfit with the hat was holding me. I just tried to focus on the pain. It worked.

Anyway, they ended up fixing my stitches. They failed about 4 times and ripped my skin open even more. After screaming my balls off from that for an hour or two, we went back home.

After a few days of resting, I was still bleeding non-stop. I decided I had to fly back to Kuala Lumpur and back to my city in Australia. I booked my flight, and went on the plane, with a bleeding dick. I spent my whole flight in the toilet with diarrhea and blood clots. I got back to KL, went to the house there and had to get myself well enough to fly for 7 hours to my city.

I made the decision to get some detol. I put the detol on my penis, and that was a fucking BAD idea… I didn’t know you had to dilute a cap of detol with like a bucket of water.

My whole holiday was fucked. Everything was horrible. I got well enough to go home. I flew back to my city, and I went to the hospital. They told me it looks pretty bad and there’s an infection. They gave me some tablets and finally I stopped bleeding. I became better, but after a few weeks my girlfriend and I broke up for other reasons. FUCK. All that for nothing.

After about 3 weeks, it had healed up pretty well. And after about 3 months, it was looking much better. but you can see every single stitch mark. And you can see the cut lines and its very obvious.

I want to know if that will go away, and how I can fix that.. It’s been maybe 5 months now.

Anyway. I doubt you’ll read this, but I think it’s a good story for anyone who reads it.

Moral of the story: Don’t do ANYTHING special for your girlfriend, EVER.

Wow, what a story;  makes the Sam Roberts circumcision seem like “My Little Pony”.

yr obt svt,

Steve

May 31, 2014

A Letter from a Listener

Filed under: Steve's Blog — dr steve @ 10:28 am

I got this email the other day and thought I’d share it with you.  One never knows who is listening, or the impact one is having.   When I got this, I’d had a shitty day at work and this email made it much, much better.

“Hello, I am a Anonymous Physical Therapist from somewhere in the USA. I am a long time listener. I feel that you are providing a great service to the general public in a forum that is non judgmental, educational and entertaining.

I wanted to share a story that you might appreciate.

I work for a home-care company that provides services to patients (Nursing , Physical therapy, Occupational therapy, Home health aids Etc..)

In this occupation I am driving from one patient’s home to the next patient’s home. I spend 3 to 4 hours on the road every day. Your podcast are perfect for me on the car rides between patients.

I started downloading and recording your show onto CDs. When I was finished listening to the show I would pass the CD to my co-worker Tim ( a male nurse).

This has been going on for the past 15 months…

Which takes me to Wednesday of last week…

We had a Continuing Education Seminar at my work. I got to the seminar room early and took a seat in the back where the presenter would not be able to see me playing candy crush on my I-phone. This meeting had about 55+ health care professionals piled into a seminar room that seated 25 people comfortably.

I took a seat next to an attractive nurse named Sara. I engaged in the normal office chit chat and weather conservation. She took out her lap top to take notes. Among her belonging was a CD titled Weird medicine  #77 butt goo ( in my hand writing).

” OH SHIT ” I thought to myself…. This was one of the CDs that I burned….

“Where did you get that!” I asked

Sara Answered “Oh, I got is from Carol, she gives me a new one every week. It is really funny, have you ever herd of Dr. Steve?”

Apparently unbeknownst to me Tim was listening to the podcast and passing the disks to the nurse Rachel, and she would listen to it and pass it to the nurse Denise, and she would listen to it and pass it to the nurse Jenn and so on..

Others in the room overheard us talking about your podcast…

It was so surreal,, this whole room of people completely ignored the presenter and started talking about your show….
The speaker stopped the seminar because no one was listening …and the entire room started talking about WEIRD MEDICINE with Dr Steve,,,,

More than half the professionals in this room had listened to your show from the CDs that I burned.

I am talking Physical Therapists , Occupational Therapists, Registered Nurses , Physician Assistants, Nurse Practitioners,  Palliative Physicians.

People were sharing lines from their favorite Weird Medicine episodes. There was two nurses in the corner singing  CITRUCEL…

Laughter overcame the whole room. I could not keep track of all the side conservations… I could only make out muddled words and phrases like CHECK YOUR STUPID NUTS and BIG JO and RURAL ESCORT….

This was great !! The energy is the room was alive with excitement and laughter..

Everyone was having fun talking about Weird Medicine Podcast except for the Presenter, who had no idea, who or what Dr.Steve was…

Your doing a great job with the podcast, Keep up your hard work… Your show appreciated by fellow health care providers. Thanks for all the laughs…

Sincerely,

Anonymous PT”

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