50: Restrictive cardiomyopathy/shane fleg and sarah samson

Oh yeah hey kids you’re about to listen

to a comedy podcast that means that none

of this medical advice if you need

medical advice or medical care yeah

please

you know contact your doctor welcome to

the jiggety-jog doc podcast featuring

diggity doctor Ligety London’s mega tea

Smith isn’t this nifty we made it to 50

introducing your host dr. London’s Smith

[Applause]

hello and welcome to the jock doc

podcast where we discuss fitness and

health and how to incorporate our modern

understanding of science and medicine

into our daily lives but without it

being so boring I’m your host dr. London
smith (.com) I would like to begin by

apologizing to our listeners we’ve

received some feedback about the

excessive amount of technical medical

terms that I’ve been using such as

renin-angiotensin-aldosterone system and

Memorial Day so I will try to temper my

terminology to a simpler one in the

future yes here to help with that is our

producer Cameron hey can I get a two

hotdogs one bacon fried chicken patty I

want a three coke zeros sorry three tubs

Oro’s those are the ones that have

Catherine zeta-jones from Zara on the

bottle give me two veggie burgers a bag

of flour three shrimp po-boy fajitas

[Music]

give me an onion ring I’m sorry and a

fidget spinner give me a baby bok choy

and jelly stir-fry go ahead and add four

more hot dogs that what’s up so we’re

recording the podcast right now yeah can

you hold on a second give me four more

hot dogs give me an egg give me a couple

backs of marble menthol smooth 100 just

an egg give me jay-z’s The Blueprint

Apple chicken from Alfredo panini Big

Mac with extra juice and why don’t you

throw in another six hot dogs yeah so it

so in a peanut butter pickle protein

powder and give me some fishy stickies

and give me a brunch burrito and that’ll

be you know what thrown another hot dog

that’ll be all

okay well that sorry dr. London go ahead

I’m trying to multitask here Cameron

he’s our producer and he’s so dedicated

to making sure that our podcast stays

relevant that when he heard it was

Memorial Day he began to panic because

there were some things that he could not

remember but it sounds Cameron like you

remembered a lot of these specific very

specific things well I remember what I

want for sure cuz that’s not you don’t

to remember what you want that’s a gut

so you wanted a bag of flour

yeah I just go up to the drive-thru with

no plan and then I just sort of you know

let my voice do the talking so you’re

you’re calling in from a drive-thru

right now oh yeah absolutely

most of this episode will be recorded in

a drive-thru because I know I’m gonna

have to go through like three or four

times because they’re not gonna get

everything right and you think that all

of those things you asked for will all

be it or which drive-through is it oh

it’s the drive-thru and whether or not I

mean it just depends again I’m kind of

going from my gut I don’t think you

understand that because you’re sort of a

nerd and you’re in your books and you’re

saying oh uh what are all these things

that I have memorize and stuff you don’t

know what it’s like to just kind of like

just just go for something you know what

I mean I I guess I don’t know like

usually I’ll go to a given store that is

known to sell a given product it sounds

like you just expect a drive-through

restaurant that’s what babies do you

know you know that’s what babies do yes

they say oh I want to they say oh I want

a whopper I’m gonna go to Burger King

you want

you declare what you want and you make

it happen okay

yes well in any case to clarify its what

Elon Musk says Elon Musk said I need to

make electric cars or otherwise my

employees are gonna be so mad that

they’re not making cars right now yes

it’s a week two five California law yes

oh because he wasn’t on all of this

while he has a baby at home that he’s

clearly not thinking about yes that’s a

man you’re doing baby stuff okay so to

clarify for listeners Memorial Day is

actually a federal holiday in the United

States for honoring and mourning the

military personnel that have died while

serving in the United States Armed

Forces yeah I think though thanks for

explaining to our audience what Memorial

Day was I’m I imagine that was very

confusing for them to hear those words

because again not everyone remembers

anything they hear the words Memorial

Day they’re coming huh

what huh yeah I just like to make sure

it’s actually given how the percentage

of our audience that is now Alzheimer’s

patients which has gone through the roof

that’s what our data shows the that our

listener basis has been made into

patients with dementia yeah I mean

that’s uh it just shows that our

targeted ads have really been working

okay for for that okay okay I thought

you were saying for a second that we

were pushing people into dementia that’s

that’s what had scared me for a moment

oh no no no no no we’re marketing almost

exclusively like a hundred percent of

our budget is going towards the

medically okay yeah like the ones who

are incapable of making their own sound

decisions essentially what we do is we

kind of just print off greeting cards

and that say like you know from your

loving grandson or you know from your

sister or all these different things or

you know from your husband doesn’t

matter if these people exist doesn’t

matter if they’re alive or dead or

whatever and then we just put those

cards on their bed and we put the URL on

the back of the car

right they started listen to the podcast

and the bonuses they forget that they

look to edit or listen to the podcast so

they just repeat the process over and

over again I mean we’re we’re getting

the best numbers we’ve ever had I this

sounds a lot like taking advantage of

someone’s disability which I’m not a

huge fan of but in any case dear

grandmama I’ve been enjoying a podcast

lately oh it makes me giggle I hope you

would check it out to hopefully bring

some light to your life too

bye bye love your father okay

also with us is DJ DYLAN IN DA HOUSE mr.

JDP podcast of the year DJ Dylan just

say the name I appear drunk and plains

every single month day after year if you

want it you can get it like Cameron’s

buddy beard dr. L knows every illness

from the mild to severe yes but you

don’t take no else he gets wild up in

here yes I pooped in my trousers he just

pooped his trousers like rouser ty

London smith.com into your web browsers

it can’t be

they got Casey Anthony’s support she

took a chance on me podcasts which at

first glance may seem a bit weird on the

road to kill every episode we on if you

ain’t ridin with us you get a roasted

Sheila dawn yes sir yes sir I certainly

do this is one podcast you’re gonna be

stuck with this is one DJ you don’t

wanna quit

[Music]

[Applause]

well and later Cameron tells me that we

can expect a special guest so look

forward to that that’s right dr. London

before we move on I would like to

address a bit of listener feedback I

found this etched into a concrete slab

that I found smashed into my car’s

windshield the etching reads quote my

neighbor adopted a pitbull last month I

called the police

eight times and they won’t do anything

about it

this is unsafe end quote so first of all

to this listener thank you so much for

reaching out to us here the Jacque

talked podcast to answer your question

I’m not sure that owning a pitbull is

actually a crime unless maybe there’s a

specific law in your particular area or

housing location it could be a crime of

passion that they have a pitbull they’re

really passionate about it why not

so when they call it crime of passion I

think they they more mean that it’s not

in reference to a like a premeditated

you know crime it’s one of passion it’s

a spur-of-the-moment spontaneous

improvised spontaneous dog adoption okay

I I just don’t see that as a crime so

much but I also want to clarify because

there could be some confusion this

listener if you’re referring to the pop

artist pitbull I don’t think that that

would necessarily change the legality of

the situation for you either

nope who are you talking about the the

musical artist pitbull who are you

talking about

oh you’re talking about mr. worldwide

yes yeah if he couldn’t maybe be a

little more respectful

mr. pitbull worldwide right yes I was

just referring to Mouse yeah

but regardless clearly what this

listener is getting at is can I take my

my neighbor’s dogs to dr. London and

he’ll euthanize them the answer is

obviously yes dr. London will euthanize

anything that you tell him to

euthanize that is a promise that’s why

it’s on the Billboard I’m sorry this is

on a billboard yeah cuz I I should

clarify now that I don’t euthanize

that’s not a policy that I have I don’t

do that that’s that’s a veterinarians

job oh no I mean it’s on Billboard like

it’s only up to number 50 now we’re

talking about the song that I made

called I will euthanize anything you

bring to me by dr. London and right now

we’re hovering around 50 we have not

broken into the top 40 yet but it has

gone gold and it started sort of a tick

tock trend

well I that that’s still that’s like

good in terms of publicity but it’s

pretty bad in terms of the message it’s

great in terms of publicity yes when it

helps that so much of our audience are

Alzheimer’s patients because again they

forget that they’ve listened to the song

so they just listen to it over and over

and over again we have this built-in fan

base it’s amazing the big huge things

doctor you should be proud

yeah I don’t this it just feels epically

and morally pretty questionable at best

look if your neighbors got a pit bull if

your if your dad has a husky if your

daughter’s got a golden retriever that

just yeah take him to dr. London we’ll

take care of it yes

oh okay well – that listener thank you

for listening and now for today’s

medical topic restrictive cardiomyopathy

restrictive cardiomyopathy is a form of

diastolic heart failure that occurs

because of an infiltration of the

myocardium in other words some substance

permeates into the muscles of the walls

of the heart and this prevents the heart

from properly expanding to fill with

blood because as you know you know the

heart is always expanding filling up

with blood and then squeezing to push

that blood out so this is a problem with

that expansion process to fill up with

blood this can occur due to a variety of

conditions including amyloidosis

sarcoidosis

hemochromatosis scleroderma carcinoid

syndrome chemotherapy during the who’s

down in Whoville singing their Christmas

joy right that can cause it to grow

three three sizes that day yes okay no

that’s so that’s this is actually

restrictive cardiomyopathy so it it

keeps it from expanding that’s the issue

here oh so this is what happens when you

can’t hear the who’s down in Whoville

singing their songs if you got that so

sad oh when I think about the people

we’re so lucky here in America you know

what I mean that we’re able to just

stand on the edge of our cliff and kind

of put a little Coney thing to our ear

and then hear the songs of the evils

down in Whoville can you imagine the

people who live in these impoverished

countries who can’t even hear Whoville

songs yeah I I feel like how small their

hearts must be I feel like that’s not

really a pressing issue for most of us

at least not this time of year because

do remember I guess for them I guess for

people who are really self-involved and

only think about themselves it’s

probably not a pressing issue but that’s

fine go ahead with your lesson but that

only applies to important because

because it’s not even we’re like as

almost as far away from Christmas as we

can be in a given year so we wouldn’t

hear that

sir dr. London cannot kick can I have

some medicine please I’m just so just a

poor little boy from someplace that you

don’t approve of no you can’t I’m doctor

London you’re too poor where’d your

insurance okay so with restrictive

cardiomyopathy it could also be due to

an unknown cause which would be referred

to as idiopathic clinically the elevated

filling pressures of the heart cause

dyspnea difficulty I think sitting

sitting right in front of me I’ll say

that signs of right heart failure are

present as well so patients may have

elevated jugular venous pressure and

distended neck veins diagnosis is with

echocardiogram which will show thickened

myocardium and increased right and left

atrium sizes treatment is to treat the

underlying disorder so one may also use

so treatment is to treat the underlying

disorder so you treat your say

amyloidosis sarcoidosis or

hemochromatosis whatever you would treat

that directly you may also use maybe

beta blockers calcium channel blockers

and a gentle diuresis for congestive

heart failure symptoms and then

transplant is also a treatment option

let me ask you little poor boy who just

needs medicine from me

to London who’s the last time you heard

the who’s down in Whoville singing their

Christmas songs um I’m sorry sir but

nananana never people in my part of the

world don’t ever hear those things we’re

not as lucky as you Americans then get

out get out of my office

okay so um

next up usually I will share a clinical

anecdote from you know life in the

hospital life in the clinic but today

Cameron actually wanted to share some of

his tips for you know quarantine and how

to adapt to you know this this life of

the world being kind of crazy right now

with a global pandemic Cameron had some

tips you know dr. London a lot of things

have changed lately especially a lot of

changes to our stores and the places we

go and one of the things that’s just

been really really peeving me off making

me mad making me human are these places

that are requiring me to wear stuff that

I don’t want to wear okay like yeah a

lot of people have problems with wearing

a mask when they go into a place which

you know in my opinion a mask isn’t that

hard

yeah well that’s I mean that’s not

really the issue I’m running into I wear

a mask most the time when I go out

anyway

because you never know like if you need

to take advantage of a situation I need

to get out of a situation well yeah and

you usually are wearing because you’ll

switch them out though right you have a

luchador mask you’ll have a Batman mask

yeah and of course I I do want to

specify most of these we say like Batman

mask or whatever I mean they’re paper

plates that I’ve sort of cut holes into

for eyes on the mouth then I’ve like you

know put the bats bat symbol on there

and whatnot yeah my own my own spin and

original designs on mm-hmm

because you wanna make a business out of

it okay so yes so you don’t have a

problem with that aspect no the mask is

totally fine I’m talking about these

places these snooty hoity-toity liberal

places that are trying to force me out

of their store because they have a sign

up that says a no shirt no shoes no

service

oh excuse my okay so that’s that’s a

pretty standard thing for a lot of

businesses to require you know clothing

to be worn what’s what is the big deal

why can’t I live as a free American and

go into the CVS without my shoes are my

shirt on how is any of this gonna heal

if it’s if I’m just suffocating it with

clothes all the time well I mean just

kind of like everything that’s going on

there’s a lot of splotches there’s a lot

of like openings there’s a lot of like

puss situations there’s a lot of fungus

going on and I gotta say I think the

root of these problems is the fact that

I’m suffocating them by wearing these

clothes I’m only getting sicker with

these clothes on I want to add no cases

usually yes that is a thing that’s been

really pissing me off that the CVS that

I’m talking about

it says no shirt no shoes no service I

go in with no pants you know what they

get mad about that too not even on the

Sun it’s not even a rule in CVS is this

okay cuz I can’t help but remember that

we have had a guest who he works at at

Walgreens or CVS or something like that

and it is really funny that you mention

whatever you were about to mention dr.

London because I have brought on a guest

to back up my points Shane what up dawg

hey guys how’s it going how’s everybody

doing we’re all right I’m sorry is this

uh okay this is Shane Flagg who he’s

your is your audio engineering intern is

that right well that it’s it’s yeah we

we do that occasionally we’ll we’ll do

that but since the since the quarantine

has been going on I haven’t really been

you know added as much but I do

appreciate everything Cameron’s done for

me so I’ve learned a lot yeah cuz I will

say since the quarantine his role has

pivoted more towards less of an audio

intern and more of an audio Admiral III

chose that title technically he let me

pick my title so I went with Admiral

just because I think it’s admirable okay

a lot of stuff that I’m making Shane do

is aquatic based so I think it’s sort of

fit with sort of like a Navy theme right

right well I mean it makes sense you

know I mean sound waves travel in in air

or much like well the ripples of you

know that you see on water that you know

it’s sound waves work very similarly

similarly to those kinds of waves and

actually they’ve they’ve had me in one

other reason I haven’t been around as

much in quarantine as they’ve had me

just working like a dog over at

Walgreens like y’all were mentioning

earlier so it’s it’s been a madhouse

over there

Cameron was talking about CBS it’s the

same thing yes Shane works at Walgreens

Shane works at a place that actually

accepts me for who I am yeah we used to

we used to have a no shirt no shoes type

sign but one of the homeless guys

outside he took it and he flips it

around and he writes his own stuff on it

so we just haven’t bought a new one yet

oh ho that’s pretty funny what did you

what was the most recent thing he wrote

on it um house burnt down whole family

dead you know some lame like that I

don’t know that’s pretty good but it’s

just so frustrating that when I tried

the CBS is the closest to my house so

that’s where I’m trying to frequently go

yeah well you could just go another 20

feet and you would be at the Walgreens

most likely oh well I mean absolutely

they are next to each other for sure but

I’m trying to you know I’m trying to

support local now everyone talks about

supporting local and I’ve got to say one

is 20 feet more local

the other that’s just how that’s just

how it is I didn’t choose it that’s true

everybody’s got their corner I I get it

everybody’s got the down corner yeah

but Shane has been out there with me

standing outside this wool when he’s off

his shift standing outside of this CVS

protesting it with our chants and with

our songs and we’re getting a huge

audience right now because we are upset

we are we are standing up for our rights

and we are demanding the freedom to not

be forced to wear things that we don’t

want to wear and plus my manager makes

me do it because it drives a lot of

business to Walgreens but at the same

time I also believe like I’m starting to

believe in it for sure because I’m

seeing that the most free people in the

USA are the homeless people like the guy

who stole the sign he doesn’t wear he

doesn’t wear any shoes I like to think

that the reason he stole that sign was

not because his house burnt down and his

family died and that he needs money but

as a protest because he understands what

freedom really is and that’s to dress

how you want to dress and this is the

kind of crazy shit that I’ve been

learning from Shane that has completely

changed my worldview dr. lund and I’ve

grown so much as a person ever since we

started protesting this CVS I okay I

guess I have have a couple questions one

so when this homeless individual when

they you know tampered with your sign

Shane did you ever think to just inform

him of the policy because just changing

a sign doesn’t change you know the

policy well if you if there’s no stop

sign are you gonna stop is a cop gonna

pull you over if there’s no stops yes

that’s what that’s all I’m saying right

there and that’s how that’s how it works

at Walgreens I’ve been at Walgreens for

a long time and if there’s no sign then

the rule does not apply to the store

until you buy a new sign but our manager

hasn’t gotten around to it well the

homeless guy is stolen the sign several

times

okay see Shan Shan has an answer like

that for everything you’re gonna throw

head I’m dr. Wong well it’s just

experience that’s all that’s all it

boils down to just life experience you

know getting down and dirty with real

people and why like why are we putting

so much trust into these people who have

no experience with what they’re talking

about

they’ve haven’t had this disease they’ve

never even gone shoeless or shirtless

into a restaurant or to work or a

funeral or wherever and yet they’re

making all these rules about it how

about trust the people who live this

life day in and day out which is me I

wake up in the morning and I put on a

shirt and I say not today and then I rip

Superman style and I throw it away and

then I go to the CVS and I start

harassing every single person that goes

in there who’s wearing a shirt and shoes

well the only way that you can wake

judgmental people up is to harass them

that’s what I’ve found over time – yep

I’ll even admit I used to be more

judgmental until I was just harassed

nearly to death and it woke me up

Oh nearly it was this like a particular

incident well I hadn’t been vaccinated

at the time and I I don’t think these

two events are related but the homeless

guy well this was a different homeless

guy but he he was just harassing me he

was crazy

and I went up to him and he stabbed me

with a thumbtack and I ended up getting

um hepatitis but okay I don’t think that

has anything to do with my non

vaccination issue no any if they if it

if it was connected a doctor would be

able to prove yeah and and I honestly

they say it was hepatitis I don’t think

it’s hepatitis

that’s just my nope I mean like I said I

learn a lot through experience and that

has included a lot of I I don’t want to

say that I’m a prophet because it’s all

science-based I’ll experience base but I

I do tend

to just kind of have a feel for

diagnosis okay and so don’t even want to

say this is not a mad about this because

he’s more about Oh book smarts oh let me

open up my book Oh chapter four and and

you know what right in all honesty there

is a place for that but it’s called

school yes yeah that’s called hell wish

okay I’m not sure about your diagnosis

of hepatitis I you know it’s hard

without examining you and seeing your

labs and everything

Cameron you had brought up how you had

all these sores and openings around your

body and you think it’s because you’ve

been forced to wear clothes whereas it

sounds like maybe you’ve been scraped up

by you know wherever you’re going

without wearing clothes I want to I’m

gonna clarify something here the rashes

the sores the holes the kind of voids

that are surrounding my my body

they weren’t caused by shirts and shoes

they’re just unable to heal because I’m

suffocating them we know what they were

caused by cell towers oh um yeah I don’t

I don’t know if I would give really much

credit to those kinds of I’ve heard a

few theories about these whatever 5g

towers has been opening up my third eye

so much dr. London he’s been keeps

talking about these cell towers and and

and that’s a metaphorical third eye but

I’m you know in the near future I could

see that being a very physical third eye

for some people you know with them the

amount of radiation that these towers

give off you know we we’re just now

getting started here you know where

we’re being hit from you know at our

every you know so in so miles but it may

just be it once we’re surrounded 360

degrees by these things at all times you

know there’s no telling what it may be

it may be Chernobyl 2.0 you know but

nobody sees it

you know even even the people at

Chernobyl knew that that nuclear reactor

could you know go nuclei go nuclear and

radiate the entire place but no one’s

expecting it with the three or the 5g

Network but it’s just as dangerous if

not more so because because it’s gonna

be all over the entire country okay

because I know some people blamed the

the current pandemic on some connection

to towers I haven’t really read into the

theories but you know I actually have a

friend who works on these towers and

she’s pretty informed about 5g and what

its potential is both good and bad her

name’s Sarah Sampson and I think you all

have heard of her and I have her waiting

on standby here remotely and so she can

hop in yes Sarah come on the show lets

school dr. London on the knowledge he

thinks he knows because here he is he’s

spouting all this blah blah blah the

government tells me to say blah blah

blah let’s get to the real stuff yeah

all right I’m hoping to hear from you

know another potentially well-informed

person and hear from you know the person

kind of on the ground so to speak who’s

actually dealing with these towers which

wasn’t really the focus of mine but yeah

hello miss Samson is all right if I call

you that sure thank you for having me

yeah you’re you’re welcome I’m dr.

London Smith comm this is our producer

Cameron and this is Shane Flagg a a

Walgreens employee we actually met at

Walgreens

she’s one of my best customer so you

know we get to talking from time to time

we have a lot of the same views so it’s

been been interesting and we both love

candy we do Wow we actually connected

over KitKat’s

oh wow Wow can’t say that about

everybody you know yeah am I am I am i

detecting a little bit of what you’re

saying we connected over KitKat’s am i

detecting a little bit of a flirtatious

vibe here yeah break me off a piece of

that

well yeah that’s kind of that’s kind of

what I said originally and it didn’t

work out but after months of apologies

we kind of got back to at least neutral

ground I think yes and now we’re remote

friends and when you say remote friends

because I can see on the video feed here

that she she held up like a TV remote do

you you mailed that back and forth I’ll

let you take this one yeah we we mostly

just mean like we’re distant from each

other okay not not remote as in TV

remote although that that is something

to think about I I hadn’t thought of

doing something quirky like that but

maybe I’ll well you’d you definitely

save a fortune on TV remotes because

you’d only have to buy half the amount

that you usually do every year that’s

true and just pay shipping yeah which is

nothing these days yeah miss Sampson I

want to hear from you about these cell

towers and how I mean I I’m I’m of the

belief that all the sores and the oozing

that’s coming out of my of my skin is

probably caused by these cell towers

yeah well I get that too from the cell

towers do you climb up them often oh

well it’s not it’s not really a climb

it’s more of an elevator that I’ve kind

of built it’s like a pulley system that

my back sort of scrapes up against as I

as I pull interesting well I’m a I’m a

tower repair specialist oh wow

3G in below oh so maybe that’s resting

no that’s not so applicable then because

at least from my understanding the

doctor London where you’re shutting down

our guests immediately we have a guest

on here for five seconds and you’re

already say it all and 3G 3G is actually

actually very similar to 5g you just add

two more G’s I mean what she’s

experiencing right now is just a little

bit of what’s to come so you know

anything that that

Sarah that that you’ve been experiencing

physically that you could talk about

that that you could see you know 5g

amplifying yes I am studying so hard to

go to 5g school because then I can be on

the level of all of the 5g repairmen

okay that’s Wow and you’re not worried

about that

oh I’m very worried they’re some of the

smartest people I’ve ever met I’m sorry

you’re studying to go to school like as

a prerequisite yes yeah I’m really

really stressed about it yes I’m sorry

to hear that and are you stressed about

the job itself if you were to pass the

school and graduate would you be worried

about the physical effects of 5g on your

body after seeing what 3g and below can

do well 3g and below changed my life I

found my calling

but 5g right but that’s more than the

mental aspect yeah it’s done wonders for

my mental health okay you know it makes

me wonder if the so my theory has always

been that that 5g and 3G 4G

what-have-you

they have more of a physical effect from

radiation but after hearing a little

London Smith (.com)

50: Restrictive cardiomyopathy/shane fleg and sarah samson

The Life of London Smith In Video Form