60. Mesothelioma/Dr. Natasha Mont Blanc

hey kids you’re about to whoa

whoa i almost felt like the ground was

shaking

uh you’re about to listen to comedy whoa

comedy podcast that means that

none of this is medical whoa advice if

you need medical

advice for medical care oh

please contact your doctor welcome to

the jock doc

podcast featuring dj dylan in the house

name a better dj from a medically

improvised comedy podcast

i’ll wait

introducing your host dr

london smith 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 londonsmith (.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 isolated diaphysial humeral

fracture

and oy gov’nuh so i will try to temper my

terminology to a simpler one in the

future

here to help with that is our producer

cameron

well well

if it isn’t doctor huge quotation marks

there

london hey doctor hey hey dr london

hello if you’re such a doctor then why

don’t you tell me what

this is

oh okay so that’s you mean your mask

no the thing holding the mask a fist

oh yeah okay yes yeah okay

are you threatening is that what that is

oh no i just

i’ve been i just couldn’t tell well i

like that you painted your nails like

that

yeah big x

yeah no i appreciate you

helping me out that’s been frustrating

me all morning oh

without the name of that body part yeah

it’s a fist i guess most of the time i’m

i well

i’m looking at it outward like this

because most of the time when i see my

fist i’m knocking on someone’s door

because of the

like campaigning and petitioning that i

do right

and so it’s mostly knock knock knock and

so then today when i was trying to put

on this

my mask and i had my hand like this i

saw a whole new side of something that i

thought i was familiar with

okay yes and that’s sort of why so the

red x’s that i put on my nails i’m sort

of um

i don’t know kind of denying their

existence i’m saying no

no no because i it’s hard for me to

understand what they are what the

purpose is right now

okay so that’s not like to help you you

know and this is the scientific method

is it not

yes we are we we we think we know

everything about something we

familiarize ourselves with new

information

and this expands our mind so today it

might be

the part of my you know door knocker

thingy

has a front part that’s new knowledge

that we can then incorporate into new

levels of science

yeah i and that’s what this podcast is

all about

so this is you know this is a bigger

step forward

for you in your progression

being able to discover another part of

your body because

you just normally hold a certain way uh

yeah for you this is a new discovery so

you know what congratulations cameron

you’re learning some anatomy

yeah this is massive yeah all right

well um also with us is DJ DYLAN IN DA

HOUSE

well well well that’s

new knowledge that we can then

incorporate into new levels of science

put on the mask put on the mask put on

the mask

put on my mask

[Music]

put on my

[Music]

oh nice one dj dylan

dylan that was very spicy

and unfortunately if you are a listener

to this show

two weeks ago i was able to learn how to

play sound effects on the show

but i was only able to learn one sound

effect which is that’s a spicy meatball

that would be perfect for right now

where i just said spicy unfortunately

i have lost that ability in that

connector thingy well

okay because you kept you kept saying

that you were hacked and that’s how you

lost it

it must be hacked because now the only

thing that i’m able to play

is this montage of my father jim carrey

that i found on youtube

and so before it was jim carrey’s

screaming that’s a spicy meatball

from the mask now it’s a five-minute

montage that’s very emotional

and it’s not as funny or punchy

yeah when i was about 28 after and i

i don’t know if you’ll have to pay for

that so let’s go ahead and turn that off

my life but unfortunately that’s the

only sound effect i’m able to do on this

show and so that’s i mean that’s going

to be the theme song that’s going to

have to be the audience that’s going to

have to be everything from now on

is just this it sounds i mean it’s not

even clips from

the movie it’s it’s visual clips from

the movie but the audio sounds like it’s

just jim carrey talking about acting

yeah which we all know famously his his

uh famous method of acting is just being

a mean person

to people as well that wasn’t really my

my take so much like ferris venturi he

acted like a bird

from what i understand anyway later

cameron tells me that we can expect a

special guest a another doctor cameron

you’ve kind of been on a roll

bring in that’s right dr london yeah all

these medical professionals

i i’ve been on a roll

i watch the effect of light see it just

doesn’t have the it just doesn’t have

the same punchy effect

not quite because i i think

i was gonna say that you should just

adapt but maybe just don’t play a clip

because it if you don’t have control

over what you’re playing

let’s try it in a few new spots

throughout the show and then we’ll

we’ll see how it turns out well uh

before we move on oh it’s jim carrey’s

commencement address of the 2014 mum

graduation

oh your mom graduated that’s nice

uh before we move on i would like to

address a bit of listener feedback

this note comes from a baseball that i

noticed flying through the air towards

the sun was behind it so i couldn’t tell

exactly where

the ball was until it you know hit me in

the

in the face um but this note was

attached to that ball

the note reads quote i can’t read this

it’s not cursive

end quote uh so first of all i would

like to thank you so much for reaching

out to the jock doc podcast

yes to answer your question

maybe i should may i should just go

ahead and clarify for all listeners that

this podcast

uh it’s created in an audio format

so you know perhaps you know this this

listener was referring to the

transcriptions

of the episodes and in that case

i suppose that i must apologize because

you are correct in saying that

those are not written in cursive well

you know what dr london this

this patient story reminds me of uh when

i was

just but a boy couldn’t have been more

than i don’t know two foot

three foot or so

and i would go down to the store we had

you know two competing stores we had

you know mr bilkinson on one side and we

had mr wilkinson working at the other

shop and i would go back and forth as

they would lower their prices for the

sweet candy that i would get inside

one would be 30 cents and then the next

day the next one would say 29 cents and

i would go back and forth and you know

what

mr wilkinson had said to me

oh sorry no no i do

do you remember at all i don’t know you

know what he said to me

what mr wilkinson said to you yeah

because you just went back and forth

across the street

uh-huh did you say like

pick a store or

this is the part i don’t remember oh i

was hoping i’ve told you this story

before and you could

remember what he had told me because i

remember it made a huge impression on my

life

the parts that you do remember yeah but

you think he just said like hey just

pick a story you’ve got to stop coming

back and forth

it seems like yeah that level of

indecision

could be trouble for you and maybe if

you just make a decision

and that can simplify things and this

yeah sorry this story this uh this

listener note

about you know writing in cursive

that’s what reminded you of going from

store to store

growing up while you’re eight years old

just but a boy

two or three feet tall it could have

been more than that

all right well um well anyway to this

listener it is my understanding that

most people actually have an

easier time uh reading when

something is not written in cursive but

you know maybe i’m wrong maybe it is

easier for some people

thank you for listening now for today’s

medical topic

mesothelioma mesothelioma

is a type of malignancy that involves

the mesothelial cells that normally line

the body cavities

including the lung pleura the peritoneum

the pericardium and the testes asbestos

is the principal carcinogen implicated

in the pathogenesis of

malignant pleural mesothelioma

so um despite the banning or reduction

of asbestos

since the 1960s the incidence of

mesothelioma continues to increase

because patients actually they develop

mesothelioma

20 to 40 years after asbestos exposure

so that’s one reason why a patient’s

occupational history is important

so they’ll come in so this could be

well this could be an effective way to

follow through on my

uh sort of ultimate plan have i told you

about this

this is does this have something to do

with the

the wilkinson and well i

it i how do i explain this in a way

that’s not going to get me

arrested i need a way

for someone to pass on

but in a way that’s not

murder per se

and if you’re saying exposing them to

asbestos can kind of do

that this could be very interesting and

this is for you by the way this isn’t

for me

okay well just to and no no i’m not

trying to kill you

but you’re trying to kill someone for me

on your behalf

yes sir okay well i can go ahead and say

now i don’t want you to

kill anyone on my behalf oh you are

going to think differently

when you hear what i’ve got cooked up dr

london okay oh boy

and there’s another follow-up here so

mesothelioma

the patients develop it uh 20 to 40

years after exposure to asbestos so it’s

really

like that’s a really long-term plan but

uh anyway so patients

will uh let’s see they’ll have dyspnea

or difficulty breathing they’ll have

non-pluritic

chest wall pain um those are the most

common presenting symptoms and whenever

we say

non-pleuritic that means that it’s pain

that’s there

even if left two no

not plural pluridic that’s a that’s

referring to the lungs and breathing so

here’s what we’re gonna do okay so

you’re just gonna skip over my plane

entirely here’s what we’re going to do

are you familiar with the santa claus

the 1990

uh tim allen um

you know other guy yeah

the two guy played neil he’s not he’s in

something else

yeah neil capric matt bomer so

the the basic premise of that movie is

that santa claus

passes on no one murders santa it just

happens in an accident

tim allen puts on his suit

and he becomes what does he become he

becomes

santa claus sort of signs a contract

santa of course

has been this being that’s been around

for thousands of thousands of years

people have

taken his spot who does that remind you

of a person who’s been in the news a lot

lately dr

fauci dr fauci obviously is not a

singular

person he is sort of a concept he is an

eternal being that

people have occupied that space for

generations and over different periods

of civilization

wow and so i don’t want to murder anyone

i don’t want to get hurt

but if he were to pass on and you were

to put on his outfit

dr london we could be taking this

podcast in your career to a whole new

level

so so he that’s one

concept i’m gonna have to kind of just

nail down here because i don’t really

want any

conspiracies to go around so dr fauci is

is a single person who has been alive

for a limited number of years

like i bet if you looked him up you

could actually find the exact amount of

years old

that he is so sad people have tried

have you actually tried do it do it

right now on your computer and tell me

what pops up

yeah for listeners you know because i

really don’t want to i wanted to spell

myths here so dr fauci

age yeah your computer freezes up

doesn’t it

the internet is pretty bad here but

that’s that’s the internet it’s not

yeah your computer freezes up when you

try to look up his real age

it’s not gonna tell you dr london

what did you do to my computer and dr

fauci obviously goes by different things

in different cultures maybe this is

where you’re getting sort of tripped up

in america he is dr fauci but you know

to the irish they might have sort of a

i don’t know like a celtic kind of dr

fouchy with like a shamrock or something

yeah so so anyway so patience

um my mom used to collect these little

glass figurines of

all the different types of dr faucies

throughout the world uh patients will

um so they’ll have that that difficulty

breathing the chest wall pain with

malignant mesothelioma

uh at least one of those two will occur

in 60 to 90

of patients they’ll have um you know

easy fatigue ability

fever sweats weight loss those are all

common symptoms with that as with a lot

of cancers

um patients may be asymptomatic as well

just with evidence of plural effusion

noted incidentally on physical exam

or by chest radiograph uh in patients

with malignant mesothelioma

they might discover that plural effusion

just by percussion and auscultation so

listening and then tapping on the lungs

i just picture you

staring into the mirror so frustrated

because you just want to be yourself you

didn’t want to take on this

responsibility

so you dye your hair back to its normal

color black and you’re like finally

but then you you know you you wash off

your face a little bit when you take

your hands down you look in the mirror

and it’s gray again

instantly so okay

so you you know that i would be

frustrated to take on that role of

course it is because that level of

responsibility can be frustrating

but eventually you learned that this is

what you were meant to do

i think the guy until someone of course

you know kills you and then

wears your outfit and becomes you yeah

eventually

i i just feel like this isn’t really

that’s not what i want because i have my

own

separate path that i’m on does that make

sense you’re saying you have a level of

agency that is not controlled by

dr fauci’s outfit that i do not wish to

be controlled by dr fauci’s outfit and

also i think this may not

i don’t want you to kill dr fauci if

that’s what you’re

no one is killing anyone some people are

exposing other people to asbestos

how can i make that more clear okay so

malignant mesothelioma is a difficult

diagnosis to establish

so the pathologist should actually be

warned if the index of suspicion is high

like say if they have those symptoms and

uh you know they come in and everything

and they have the occupational exposure

thoracoscopically guided biopsy should

be performed if mesothelioma is

suggested

and these results are diagnostic in 98

of cases

treatment options for the management of

malignant mesothelioma include surgery

chemotherapy radiation and you know

a multi-modality treatment surgery in

patients with disease confined to the

pleural space

is reasonable but for all these options

specific treatment modality will depend

sort of the individual patient’s

presentation and actually

so i wouldn’t want someone to have to go

through this disease

anyway regardless of because this is a

very

this could be a slow painful thing

difficulty breathing

so okay so so you’re saying let’s make

swift a little more decisive a little

more immediate

i’m just saying rule this out as

something to do to someone in general

what if

while he’s standing next to the subway

tracks

okay and you were to accidentally drop

your mask and then cough in his

direction you don’t think he’s gonna go

all right and he would rush onto the

tracks put on his outfit

and then suddenly i can tell you from

experience the effect

do you think he’ll drop his outside is

the most valuable currency there

is because you can it just does not work

yeah it’s this is really frustrating

don’t mean it don’t meet us say it

instead

like that’s the spice you mean is that

there we go that yeah that’d be good

okay

so just i’ll try to so that you have

that

because it sounds like you need that

yeah okay maybe once every

we’ll say 25 seconds i don’t know if

i’ll say that but

but sure i’ll i’ll try to do that some

for your sake

especially if you agree to not

just make someone pass away for my

sake all right well we’ll see what

happens and we’ll see who becomes the

new

fouchy where you’re going to find your

sense of complaining uh that’s the spice

you meet the ball

all right then we can move on from there

cameron you said that we have a a doctor

as a guest today is that right

that’s right dr london we have with us

today a very very

special guest and i established

last week that special does not mean

that they can dunk

okay you were really fixated on the

guest not being shaquille o’neal and i i

am just going to reiterate it’s not

shaquille o’neal

and not stop asking if it’s shaquille

o’neal well the other one was also

you know are they handicapped in some

manner but anyway yeah we can um

let’s get uh our guests might be able to

dunk i just want to say i feel like

we’re assuming too much by assuming that

she cannot dunk and i feel like

this is something that could be

discussed okay that’s all i’m saying so

i guess that’s the first question

before we introduce you uh can you

dunk and

uh i guess any if you have any

uh i guess that’s uncomfortable to ask

about the handicaps or whatever but yeah

can you dunk

oh dr london thank you so much for

asking i actually

am able to dunk and i have been able to

dunk

since i was a little girl and i was

about two or three feet high

um shaquille o’neal actually a very

close friend of the family and he would

put me up on his shoulders

and we would be about 12 feet tall both

of us stacked together and we would dunk

all day and all night

wow shaquille o’neal famously 10 feet

tall

yes and okay so i guess in a sense that

would be your handicap then is that you

do have to be picked up by shaquille

o’neal in order to

dunk and well not anymore

okay okay so that’s that was just an

orange now it can be for you

when you say not anymore does that mean

not anymore because you can dunk on your

own or not anymore because all sorts of

people can pick you up to help you dunk

both i find that once one can dunk on

one

one’s own they can also dunk with the

help of anyone else

[Music]

i guess that is true wouldn’t you agree

that’s very valid yes

i i i completely get that like if i

if i’ve learned how to bake a cake

and then i asked someone to help me also

just to make things a little easier

i’m you know i’m still baking a cake let

me ask you this

have you ever gone to put the cake right

in the oven and someone just smacks it

right out of your head

he has multitudes within him

so he said i’ve got too much of a sweet

tooth and i really can’t right now

because he was on atkins at the point

this is 2000 and you know 2002 2003

we were all on atkins 2002 2003. and he

was like oh no way

i can’t be eating that and so we slapped

the the cake out of my hands

he’s a heartbreaker a

dream taker a cake on baker

and a mess maker there was cake all over

my floor

now dr london you’re trying to ask

something

oh i was just going to introduce the

guest and since this is kind of a

medical podcast i just wanted to briefly

ask if our guests could uh like that was

a playful opener not necessarily

not i mean not necessarily where i want

the interview to be focused

if that makes sense okay i guess this is

your show do what you want with it

if you want it to be boring and dry and

blah blah blah and no one knows

anything about if whether or not the

guest can dunk then

that’s your show i guess all right well

welcome uh my name is dr londonsmith.com

and this is our producer cameron

what was your name i’m so tired

it’s just the god just the way

that question was asked just put me in a

funk i guess sorry sorry yeah could you

could you tell us your name a little bit

oh absolutely i will tell you my name

just a little bit i

am dr natasha mont blanc um

and i’m here today to discuss my

research in intestinal seismology

wow okay intestimal seismology

yeah intestinal seismology it’s an

emerging

field um i am a

semi recent graduate of the pritzker

school of medicine in chicago

and um my final yes

during my final year of medical school i

was recruited by a new pharmaceutical

company called

vectus and is that you were choking up a

little bit when you brought them up is

that

yeah it is

sentimental just because i have um

struggled like so many people have it’s

it’s nothing

unique to me we have all struggled for

various reasons

okay well you don’t have to minimize it

but that’s all right so you are allowed

to say

um you know stuff you don’t have to be

like well someone’s already

someone’s already done that so for

example if i if

i was telling a story about like someone

parking in their garage but i was like

you know what someone already else has a

story about

parking in the garage so i can’t even

say it on this show

we do allow um people to share struggles

and experiences even if other people

have had

struggles and experiences that is unique

to this show and that’s why people

listen

well i was so hesitant to tell my story

about shaq because you know

other people have dunked with shaq yeah

charles barkley probably has a story

about dunking with shaq and then it’s

what can i

offer that that charles barkley doesn’t

already offer to the world

and we we try to try to push that away

because we’re a pretty positive show

yeah and our our three listeners value

that yes

are we included in those three i

there’s no way to really know

um unfortunately i have not been able to

figure out the ip addresses

of where they are you know which

computer they’re attached to

it’s been mostly satellites to track

them yeah

mm-hmm uh oh yeah i i don’t know the ip

address information i do have heat maps

of where they are at all times

yeah of course and the cameras that are

on their

their homes and in their homes and their

cars

uh but no doctor

we don’t have all the rest doctor wait

do i say dr

mont blanc or do i say dr blanc no

mont blanc please um and that may sound

familiar to you yes i

am the black sheep of the mont blanc pen

family

but we aren’t here to talk about that or

about how wilhelm is daddy’s favorite

you know none of that so wait wait wait

you’re from

some sort of a could you could you maybe

tell our listeners a little bit about

this

this family of yours

i would like to but i feel like

someone’s already said it before and

it’s not really my story to tell

that is that’s an interesting point i do

want to bring up i

don’t remember if this has been brought

up on the show previously no we were

talking we

are allowed before we recorded but not

on the show but we are allowed to talk

about

things even though other people might

have a story about it

okay fine i’ll tell you

a little bit about my home life what it

was like growing up for me

knowing that mommy and daddy took

wilhelm to see

i’m sorry i’m crying a little bit to see

a production of stump a production of

stomp with all mesothelioma patients

just doing that the percussive things on

their chest or

you know when wilhelm would hear stories

every night during the winter and he

would put his

little tiny shoes out for dr fauci to

fill with candies and toys and i wasn’t

allowed to

yeah oh wow your parents favored wilhelm

a little more than you huh

so much and now he’s you know the ceo

of mont blanc pens and i’m just a

dumb doctor you know paving the way in

intestinal seismology but daddy doesn’t

want to hear it

okay so okay you said you were about to

start giving an introduction i feel like

that was a

great introduction to it so we anyway so

intestinal seismology so if i understand

correctly

you’re saying the like seismology that’s

the study of

you know like earthquakes that’s

vibrations in the earth but applied to

the intestinal tract is that right

absolutely

something that you need to know about

seismology as it applies to our bodies

and also our planet

is that there are three different types

of plate boundaries there is the

divergent boundary which is where two

plates

move away from each other there is a

convergent boundary where one plate goes

under the other and then there is a

transform boundary where the plates

slide laterally

against each other without incident my

research has

applied that to the parts of the

digestive system specifically the small

intestine

and i have seen a lot of cases in i’d

say like 65 year old

uh men who are presenting with a swollen

abdomen

and um i want to say acid reflux

and then i look at them under a

microscope and i see that it’s really

bad in there you start to see plates

shifting

we’re talking about earth earthquakes

uh in layman’s term yes it i would say

is earthquakes in tummies

we could we could i mean we can make it

a little more medical and say you know

earthquakes and

the you know in your in your in your

food area

that’s a little more doctory so so when

we talk about

plate shifting that sounds a lot more

like geology than it does

you know gastroenterology

dr london why are you are you are you

questioning

the medical science of our guest you

know producer cameron i so appreciate

you sticking up

yeah so i feel like uh i’m just trying

to connect the dots for our listeners

because

we’re applying some uh some terms from

geology

to you know gastroenterology and

possibly even uh you know physiology and

anatomy

and i’m not sure that those paths

you know necessarily cross with those

specifics like the plate

you know you’re talking about the

divergent plates and everything they’re

growth plates i don’t know if you

if you’re referring to something like

that but those are you know in the bones

no what i’m speaking of what i’m

researching is when the

duodenum and the ilium uh

slide past each other on occasion

and okay um oftentimes we

see unfortunately a convergent boundary

right there

where the ilium begins to

dive underneath um

something else in there okay yeah and

the way

dr mont blanc the way you’re just sort

of schooling dr london right now he

clearly

is so thrown off and so confused by all

this terminology because it’s not

exactly what he learned from his fancy

medical school

so now he’s going to come in here and be

like oh that’s not real medicine

i mean this is what i have to deal with

every single day

dr london could you please remind me

what your specialty is

uh i’m general i hm kind of

any and allah

how did i know that you were going to

say so i’m sorry so what you’re

describing is

you know a telescoping of you know part

of the intestinal tract

into itself like so that is something

that i’m aware of it’s just

not referred to as tectonic plates or

whatever

it’s uh intestinal seismology yes i am

the cutting edge of this research for

vectus the new pharmaceutical company

um that i work for okay so what

what brings you on the show then what

brings you on the jock talk podcast

well i i just came to share my research

and

um you know really uh spread the word

like like two divergent plates

um about what i’m doing and uh how i can

help

maybe some of your listeners if they

wanted to uh join my trial

and um yeah i’m just uh

you know here to you know keep my grant

so now i’m interested in this trial

what what is the trial consist of and

what do i get out of it if i were to

decide to uh

be one of these trialees absolutely um

so what we are doing right now we’re

doing a double blind study

well let me step back we’re recruiting

for a double blind study

we will be taking um men of a certain

age

who my i got to stop here there my

eyesight’s 20 20.

unfortunately i don’t think i’m gonna

qualify this

oh oh double blind

it is not anything to do with eyesight

cameron i’m so sorry to tell you this

um it’s actually where there’s two

groups of

uh people in the trial and and no one

knows

neither the people who are in the trial

nor the people who are administering the

trial

no one knows which group is actually

getting the medication and which

or the treatment and which is getting

the placebo

okay but so my the fact that i can see

2020 after i put my contacts in the fact

that i can see

that’s that’s totally okay that’s

totally okay however i do think that you

are a bit too

young to be involved in the study um

intestinal seismology issues

mainly present in men who are about

62. see i’m not

62 but i have been told by many doctors

that

most of the inside of my body is

ranges around 75. okay then maybe you

are

a good candidate for this um so do you

have any

symptoms that could be related to

intestinal seismology

uh not i don’t i don’t know the

specifics i do

the idea of a earthquake happening

constantly uh inside my body sounds

familiar

that sounds like something that happens

to me quite consistently

and then in terms of of proving that my

my internal digestive system is probably

aged

around 75 years old is that i swear the

other day i heard it

talking about the prices right

yes i’ve actually found that to be a

contraindication of this type of issue

yep okay one little i just want to jump

in here

so what you described you know as sort

of a telescoping what you call the the

plates moving together

so that is known as you know

intussusception

and you you keep describing it as being

something for older

men which it’s more of a thing that

happens to babies

and it’s pretty rare thing to happen

so i’m just wondering where i guess is

there a particular demographic where

you’ve started to see this

specifically like as a caused by

i don’t know some other drug or

something because it’s

i i don’t mean to be critical but i’m

just you know i want to keep our

listeners informed

and i i know you’re trying to keep this

grant so i don’t want to

jeopardize anything for you but i just

you know

i want to keep things on the right level

here no i

appreciate your attention to

detail in your inquisitive nature i

really do

um like i said we’re seeing this mostly

in older men

and um it is kind of a new field of

study so i’m not surprised you haven’t

heard of it also you’re a gp so what do

you even know

that is valid dr london i’ve been saying

this for

i mean the entire run of this podcast is

that here we’ve got this guy dr london

born of privilege fed with a silver

spoon

and i don’t even think he ever went to

medical school can’t prove it there’s no

pictures from it

and i can’t find any friends that he had

during that time

impossible to find dr london

wait sorry right you’ve tried to find my

friend well just last week

right we had uh a former

uh my attending i sure as hell don’t

remember that

his name was dr dag like you just

just met someone from that time period

of my life it was it was sorry it was

after medical school it was during

residency all that to say

you’re you’re a gp you don’t know jack

shit

well i’m not trying to imply that he

doesn’t know anything it’s just that

it’s okay is kind of my specialty

and intestinal seismology is pretty much

a field that i’ve entirely made up on my

own so

i don’t expect a lot of other people to

understand it or even recognize it

yeah okay so you are struggling with the

recognition of it which

and this this is sort of a behavior that

i recognize in dr london

is that i mean there are there are

things that i’m extremely knowledgeable

about because i

sort of invented the field and when i

try to bring it to dr london he’s like

no you can’t do that you can’t play that

game that way

you can’t involve guns in a game and

it’s it’s like it’s my game i invented

the rules

and yet his arrogance is just so

i don’t know so strong and so prideful

that he comes in and he says no you

can’t play the game like that

well it’s my game i invented it this is

just

it’s it’s the entitlement of

dr london well your game was to use

you know actual firearm just on the

on the video game that you were playing

and so yeah just a classic duck hunt

what would make duck hunt a little more

interesting

fire like actual fire power instead of

the weak little like lame little

pew pew like peashooter toy that comes

with it

well but then you had to buy a new what

if i was get what if i brought my own

handgun to the game

yeah it’s just then you lost you said no

don’t do that that’s my tv

yeah yeah sorry that was

all i’m saying is like maybe you should

try to listen a little more instead of

trying to tell people

that their field doesn’t exist or that

it doesn’t make sense

or that it’s combining terms from other

fields

and maybe dr london you should just take

a second and think to yourself

and just remember the fact the effect

that you have on others is the most

valuable currency

there is yeah besides i mean besides

like cash

of course yeah and fancy pens

yeah but you know it just like besides

that like i mean definitely

definitely so anyway i guess we can

we can discuss because maybe cameron

like i’m not sure that i can endorse

or or even recognize what you’re doing

on a

medical you know level but maybe cameron

is interested in

you know applying for your trial your

clinical trial

is it painful i’m definitely signing up

for the trust yeah what do i get out of

this trial

well you will get a two-week hospital

stay for observation

and administration of medication and or

placebo treatments

and during this time you will be

evaluated by myself or

other doctors like myself who are also

practitioners of

intestinal seismology and definitely not

general practitioners

um and we will just be evaluating you

constantly and uh taking your

temperature poking in the tummy and

stuff like that

and okay i mean don’t mind having my

temperature taken

don’t mind being poked in the tummy

constantly but i mean is there any i

mean is there any danger

involved in this should i be worried

that something would happen to me well

what what kind of medication

is that the one that isn’t a placebo

what kind of medication are you giving

because

i don’t mind that dr london whatever

medication is fine

it’s just put in a needle put in my arm

i don’t you know whatever about that

that is your motto i’m very open-minded

when it comes to medications

well i certainly appreciate your

enthusiasm and willingness to

put your body on the line for science as

it would as it were

and this is what i want to know a little

more about you talk about putting my

body on the line so what what what are

the potential risks of this

well there’s inherent risk in any type

of medical trial i mean there’s

there’s risk in just going about your

everyday life i want to

argue that a little bit i do want to say

there has to have been at least one

medical trial

that you weren’t risking your life to to

is that not true i i’m ignorant of this

field i just did not realize it was this

dangerous

you could always have a reaction to

something well i’m not saying it’s

highly dangerous you could always have a

reaction to something

it’s just i uh you know i need to

protect myself i need to protect

my employer vectus and uh we need to

partner together for a cure and um if

you’re interested i can absolutely send

over the paperwork

and we will uh save a bed for you in the

hospital

okay now the way she has avoided

letting me know what the potential risks

are kind of tells me that there’s

probably no risk right dr london

well also just the fact that so you

don’t

you probably do not have intussusception

you don’t have this telescoping of

one part of the intestine to another and

so i don’t see how

you would even qualify to be a part of

this clinical trial

oh it’s actually i misspoke earlier it’s

actually a triple blind

test um you know the two that i

previously

described and also uh me i am also going

to be blind

and i will also be signing up a bunch of

different people who may or may not

qualify for the test that is the third

type of blindness

oh perfect so so the recruitment of

patients for the trial that part

is blind rather than say

you know looking for the particular

illness

which your drug is supposed to be

targeting or demographics

uh that you know and without any of the

you know the usual like uh a well age i

guess age is the only part that isn’t

blind

right that is pretty much all we’re

asking for in the application except

for cameron you make an exception for

him i i’m not sure if i am because he

sounds young but his intestines are old

so maybe i am and maybe i’m not

and this is the scientific method is it

not yes

i i don’t see it as this

is the scientific method exactly

exposing yourself to more information dr

london

you see you just don’t get it because

you’re not a curious person

and he’s only a gp and he’s only a gp

and he might not even gone to medical

school because again i can’t find a

single friend that he went to school

with

it’s impossible to find and once again

last

week we had a guest i don’t remember

last week okay well

okay so you have this trial and you have

this grant how many

you know how many people do you expect

to have in this trial it sounds like

it’ll be a small trial

oh quite to the contrary we are trying

to get as many people as possible i

actually get

a little bonus on my grant for every

person i sign up

so huh so you get paid depending on the

amount of people that you can get to

blindly to be recruited for a study

i guess that’s the fourth blind isn’t it

yeah i i don’t i don’t think i like the

yeah the expansion of blind

i feel like that’s the scientific method

dr london is just the expansion of blind

tests i just thought of the fifth blind

categories i just thought of the fifth

blind

it is one of the risks of this trial you

may be blinded

oh that would do it so i’m sorry you

just thought of it

it said that wasn’t is that in action i

mean

i mean i just um um

it yes it is a potential side effect

of any medication that has ever been

invented in every single medical trial

that’s ever been invented blindness is

always on the table

and that’s why there’s so much paperwork

involved in medicine and i’m sure you’d

know that if you weren’t just a gp

but um basically um i am getting paid

per person to sign up and

they might be blind but thankfully i get

paid on the intake which is great

and um you know wilhelm is daddy’s

favorite so

you know he’s the big pen man now and

i’m just a stupid doctor trying to do a

quinn tuple blind study the first ever

you know i’m so stupid it’s like i

didn’t even go to medical school because

no one can find pictures of me there

which is dumb because no one’s ever

looked and nor should they

i i want to ask a little bit about you

keep bringing up your

your brother that you seem to be a

little

oh you think he’s my brother oh uh

well who who is wilhelm oh

he’s my daddy’s pug

makes it worse doesn’t it makes it worse

he was a gift from shaq well i would

have to meet the pug

really to make that assessment slam

dunked that dog into a cardboard box and

gave it to daddy for christmas

said yep to daddy from fauci

how was i supposed to i know you’re

telling the truth i know you’re telling

the truth because that is exactly how he

wraps his gifts

is that he dunks it in the box

beforehand that’s not something that any

any layman would know oh he’s lame

so wait so your your your dad’s pug has

taken over

the pin company isn’t that awful

isn’t that horrible he wouldn’t he

couldn’t see me as a ceo

i’m a human woman this dog is a pug he’s

already 14 he’s not got much left

and here i am yeah not the ceo

the black sheep of the family and

wilhelm is daddy’s favorite and he’s a

black pug

like what am i supposed to do with that

how is that supposed to make me feel of

course i’m going to

cry when i tell you about my backstory

of course i’m going to take a job at

vectus a pharmaceutical company that

perhaps i funded with my share of the

mob long fortune but i guess we’ll never

know

of course i’m going to start a quintuple

blind study who knows

i just thought of a new blind your blind

spot while you’re driving

six double blind study yep that’s a

that’s got to be a record

you’ve done it okay

this is what you were trying to do this

is what you were going for the whole

time

was this the study i get six different

blinds

i get a blindness bonus on top of my

patient recruitment bonus

oh wow this sounds suck it wilhelm

suck it dr london do you do you have any

what are you trying to say dr london i’m

just i feel like

maybe this is a good time to just wrap

it up

i feel like we’ve really covered a lot

here

and i don’t i don’t know that i can

really endorse this

[Music]

before we before we end up wrapping up

here a little bit i

do we’ve got to do a new segment on the

show this is something that

this isn’t the chores is it

unfortunately

this is i i’ve been telling you for so

long we need to take care of these

chores we’ve had this

for our listeners we’ve had this

gigantic chore list

that has just piled up more and more and

more over the last you know whatever 60

episodes that we’ve done this show

and i’m getting sick of it and so we

need to

like we’ve we’ve got us we need to spin

this wheel and we need to do whatever

chore is on the wheel and just get it

done with

it’s and it’s 70 episodes now but so i

that’s even more uh that’s even more

chores yeah okay i don’t know

but yeah no we we have to may i ask two

questions

yes first of all do you two live

together

we i involuntarily involuntarily is also

how i would put it

i i have a separate residence but

cameron he often finds me

yeah well you are in different like

crawl spaces within the within my home

yes i thought you were saying i seek you

out because i do

not seek you out

uh no no no it’s entirely on me but

that’s because

you know i’m running different things

i’m running lots of wires i’m running a

lot of connections there’s a lot of

electricity going through the walls

um just there’s a lot of stuff going on

and so there’s a lot of maintenance at

any given time so you could say that i

live

you know above below behind

yes his house yeah great and my second

question you said that

this is episode 70 and there are more

chores can i

make the assumption here that every

single episode you add a new chore to

the chore wheel so that now you have 70

chores

i would say that is probably pretty

accurate i would say there’s probably

around 70 chores and unfortunately

every time we do a new chore there’s

just going to be a new thing added to

the tour list so it’s sort of an

infinite list

so you make a new chore wheel every

every episode it must be impossible

depending on the size of it to get 70

equal pieces onto a chore wheel

it gets harder every time because we

have to reprint and read

you know categorize yeah it’s i mean

it’s heavy as hell get the proportion

it smells awful too but let’s let’s go

ahead and spin it then because i don’t

want to

like keep thinking about it because

that’s even worse

okay yeah i mean the smell is going to

so bad so just be prepare for the smell

uh this is cameron’s chore wheel

dj dylan can you go ahead and spin the

wheel yes

all right it’s landed on therapeutic

journal entries oh no gosh

yeah we’ve put these off yeah well

because it’s one of those we’ve been

putting these off for a really long time

i’m not gonna lie

and uh and okay

so cameron and i have both been seeing

well and our guest here as part of the

contract of signing up to be on the

podcast

we’ve all made uh these journals we make

journal entries every day

and we just um you know in preparation

for the show

and we’ve been keeping up with this

every single day for 70 episodes so

i guess it’s good to have it now so we

have these these journals as our

listeners know

we are part of the casey anthony podcast

network which is a great

network but it unfortunately it comes

with some

and i can’t say really that i like that

yeah our

our health insurance is always a little

wonky and the only way we can keep our

health insurance down to be uh

on a consistent level is to be meeting

with a therapist on a weekly basis and

writing these journal entries and uh and

and and keeping up with us so this thing

we sort of

have to do whether we like to or not i

hate doing these journals but

so we’ll all anyway we’ve all previously

already

torn off um you know an entry from the

journal

and put it into a hat and at random uh

it’s it’s been mailed out

it’s all random i don’t know which of

these journal entries

is mine which one is you know uh

dr mont blanc or cameron’s i i don’t

know

which one i have but uh

anyway i guess we should just read them

off this is supposed to be therapeutic

like we share

it’s like a group therapy kind of thing

all right um should i cam cameron do you

want to go first

yeah yeah that that that’s fine let me

just uh

let me just stick my hand in the in the

hat it’s a huge hat by the way i don’t

understand why the hat needed to be this

big for three pieces of

paper essentially they’re just one page

journal entries

we didn’t mail the three pieces to each

person it’s like a very specific system

we have

yeah i i really hate it it seems

convoluted and the hack

solely mailed in in my hat i have

my journal entry and i have cameron’s

journal entering

actually also dr london so

i could pick one that’s already been

read or my own

potentially it’s it’s a flawed system

for sure

once again this wheel it’s all been

building up but

i i let’s cameron if you wouldn’t mind

just taking yours out

or sorry whoever’s you have yeah yeah

let me just

uh uncrumple this piece of paper

journal june

3rd 1993

or at least that’s what it feels like

whenever i put on

the my favorite spin doctor song

and i think back to growing up

and thinking again about

the thing in this world that i despise

the most

the way he walks the way he

talks and the way he curls up in that

little

extremely expensive dog bed that i hate

so much what am i supposed to do

flash forward yes this journal entry has

a flash forward in it

to present day june 3rd

2020 despite everything i do

he’s still there sitting on that

dog bed and i’m gonna blow it up

i’m gonna blow it up i can’t help it i’m

gonna

blow it up with explosives

the end okay wow thank you that was very

love dr natasha

dr natasha that was that was yours i

feel so stripped bear

it’s i you know this is part of the as

we learned in

our group therapy sessions that we did

right before the podcast

you know i it hurts a little bit to be

that raw and vulnerable in front of an

audience of three people that

could potentially be us

but you need that raw vulnerability to

learn how to heal

it’s why if you have a wound you don’t

just let it sit and

and so it can figure itself out you take

some salt and you

pour it all over the wound just to get

that sting and then you let it heal

i well okay so medically i would say

never never mind this is therapy this

isn’t this is

this is a you know psychology never mind

i’ll try to stay out of

this is our therapist directions so you

express yourself however you need to

um okay so uh

dr mont blanc would you like to go next

i guess it’s down to either reading the

same journal entry from yourself

yeah unfortunately i guess there’s no

way to eliminate the pieces of paper

in our system but i mean let’s add that

to the chore wheel

figure out the paper situation with the

journal entries that’s a new entry on

the chore wheel

yeah well especially because we have to

make photocopies of each of the journal

entries so that they’re

this yeah three going out and then also

mailing the hats it seems like kind of

too much like we could just email them

it’s very expensive too

but anyway uh so this could be from

either of us or

go ahead and say i didn’t do all the

organizing it could be another entry of

yours i’m not sure

wow okay all right i’m just going to

choose one at random and open it up okay

great here we go october 1st

2019 well

i’ve really done it now today

i went into a restaurant for the first

time on my own and i sat at the bar

and i ordered a beer and i drank it all

by myself

there was a mirror across from the bar

you know behind the bar and they put the

bottom shelves lickers right up against

it and i looked at myself and i saw

me for the first time in a long time

and i looked at myself and i saw myself

and i looked more

and i saw that i was wearing

a white lab coat with my name

embroidered over the left

breast and it said dr londonsmith.com

and i cried into my beer so hard and i

wouldn’t stop

crying people people walked behind me

and some tapped me on the shoulder

saying hey fella

you okay and i just kept trying

and then i finished my beer and i tipped

fifty percent five zero percent i’m very

generous

and then i went home and wrote in this

journal entry goodbye wow

you were so ashamed that you’re just a

gp are you talking about you looked at

the well we don’t know who who wrote

the mirror that could have been anyone

so cameron i don’t know if you

went to a bar in october

uh and wore my lab coat

but that’s you you’ve done that before

you’ve worn my lab coat around town

before hey i don’t mean to shoot ideas

down i don’t remember what i wrote on

that day

uh anyway i i’m just saying i don’t cry

like that

okay i wouldn’t cry over just being a gp

and it sounds like you would

yeah so sad dr london thank you for

being

vulnerable in your letter with us well

i and i guess i shouldn’t to deny

anything or whatever because this is

London Smith (.com)

60. Mesothelioma/Dr. Natasha Mont Blanc

The Life of London Smith In Video Form