62: Exudative Pleural Effusion/Janet Montgomery & Luna

Hey kids you’re about to listen to a

comedy podcast

that means that none of this is medical

advice

so if you need

yeah medical advice or medical care

please contact your doctor

welcome to the jock doc podcast

featuring dr london smith

sit back and get loose with dr

l and his produce producer

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. London smith (.com) i would like to begin

by apologizing to our listeners we’ve

received some

feedback about the overuse of technical

medical terminology

such as exertional heat stroke and

frappuccino

so i’ll try to temper my terminology to

a simpler one in the future

here to help with that is our producer

cameron hello hello

hello hello dr london i’m in a good mood

today okay

is there a particular reason for that i

am excited to make new friends today

and i woke up today and i decided you

know what i’m gonna do

i’m tired of my old friends which is i

mean for the

it’s for the most part it’s you yes and

then a series of

kind of destructive gurus um

but you know i thought today i’m gonna

make some new friends and i’m excited

about that

okay well so you think of us as friends

i i think of you more

like not to be rude or anything i think

of you more as just uh

an associate a business associate if

that makes sense oh okay i didn’t

realize you

called your business associates after

you went on a weird date and

cried i didn’t realize that was

something you did wow

i thought that was something you would

do to your friends but apparently i was

wrong about that yeah it sounds like you

were um

but uh anyway it’s nice but anyway i’m

here

i want to make new friends today and one

thing that

sort of frustrates me about the medical

community and even the podcasting

community

is that i feel like sometimes it an

alienates

people who uh might politically disagree

with one another

you know what i mean and that’s not what

this show’s about we’re a non-political

show we don’t usually go down that

avenue

so in order to make new friends and to

to open this podcast up to

sort of a a new group of people i am

going to make this an extremely pro-gun

podcast violently pro-gun podcast

i’m sorry you’re you were gonna make

this a very pro-gun podcast

i don’t see how that’s i mean

it’s you know we have those listeners

and so

oh by by

opening up our arms a little bit

to these audiences and and not just

being like oh i want a specific type of

person i don’t i don’t want a person who

might disagree with me and so to make

this

show a little more um pleasing to that

kind of crowd we’re gonna be playing

noises like this

throughout the show

okay

and hopefully people who love these

kinds of sounds and maybe get excited by

these kind of sounds

and and hear these things and say oh i

wish i was there i wish i was the part

of that

now this podcast is for those people you

have been

hanging at me for um you know not

appealing to

every crowd so i guess this is this part

of that campaign to really

be specific and appealing to so yes to

the lovers of guns out there yeah this

is this is casting a wide net

uh you know it’s it’s saying that

there’s lots of room under under these

tree branches for everyone

sure okay

all right well also with us is DJ DYLAN

IN DA HOUSE

[Music]

[Music]

yes

a very programmed podcast yes

[Music]

i am going to make this an extremely

pro-gun popcorn podcast

[Music]

and later cameron tells me that we can

expect a special guest

so look forward to that

[Music]

before we move on i would like to

address a bit of listener feedback

i found this note written on a post-it

that was attached to a nail

that had been stabbed into me during my

weekly evening

gentlemen’s fight club match the note

reads quote

other than my brother keith who died in

a car wreck

we never wore seat belts and we turned

out fine the only belt we needed

was the whooping belt r.i.p keith

1952-1971

end quote first of all

i’d like to thank you so much for your

insightful question here on the jock dog

podcast

we we’d love to hear back from our

listeners yes uh to answer your question

though

seat belts actually do you know famously

save lives

yes and i’m sorry to hear about your

brother keith

yes uh hopefully we can all display some

learning from such mistakes by

going ahead and wearing seat belts uh

while we were using

automobiles whoa whoa whoa it doesn’t

sound like they made a mistake or they

don’t feel like they made a mistake

they’re just saying you know stuff

happens sometimes

completely unavoidable well it sounds

to me like it was pretty avoidable if

they just worn a seat

well belt only reason you think that is

because you’re obsessed with strapping

people down

isn’t that what you doctors do you bring

people in on a

on a stretcher and they’re strapped down

and they’re saying what are you doing to

me

let me go let me go home and you’re like

no i

i feel like i’m not usually like that

i’ve had a lot of experience with you

doctors and every single time

it that’s exactly how it ends up even if

i’m going to like the podiatrist or

something

somehow i end up strapped to a stretcher

and i’m screaming let me go let me go

home well

so if you are going there and becoming

violent

no matter where you are there’s a fair

chance that you will be

subdued to something you’re just just

just saying

you’re just obsessed with belts let’s

just leave it at that

i i guess you like you like belting

people down and so

you hear this thing you’re like oh uh

strapping someone to their car seat

where they can’t

you know like be free

or you know if they want to do cool

stuff like maybe like

you know like stick stick their body

halfway out the window while they’re

driving and like wave to like some cool

girls or something

mm-hmm i i can’t help but feel like

you’d rather people don’t do that

so you think even for car seats this

rule shouldn’t apply

of wearing seat belts yeah yeah okay

well no i guess

i’m for like no rules

yeah i i just feel like maybe this rule

is there to help

people does that make sense well so i’ve

become

sort of a rebel recently this just

happened

like two weeks ago wow so

i decided to start being a little bit

more of a rebel so

sometimes i do stuff now like i’ll go to

the grocery store most of my rebellion

is grocery store related

and i’ll sort of just like knock stuff

off the

uh shelves or um

you know i’ll yeah you will you can get

a sharpie

and i’ll like write a different

expiration date

on on different items than what’s

printed on there and people are like oh

should i believe what’s printed on there

what’s sharpied on there by some guy

anyway i’m just sort of in a phase of my

life where i’m just really anti

rules at all so that includes seat belts

that includes seat belts on planes that

includes like seat belts when you’re

like doing like like boating yeah

what do you um so two weeks ago you said

what is there anything that happened two

weeks ago that triggered your rebellious

state

yeah i so i knocked some stuff off the

shelves at the grocery store

um but this time was on accident and i

knew that the rules stated the rules

that

us that society has tried to get me to

follow

they you know they point a finger at me

and they say you should pick that up you

knocked it on the ground you pick it up

and i thought no okay so that’s you

you knocked something off a shelf and

then said no to picking it up and you

liked that feeling

yeah and that was like that was the

first rebellious thing i’d ever done

and it felt i mean dr london i’m not

gonna lie it felt good to be bad

wow oh that’s you know i’ve heard that

some some ladies are actually you know

attracted towards

uh the quote bad boy yes end quote

so a bad bad boy with a machine gun

maybe

yes okay yeah yeah

but maybe well

in any case we can just go ahead and

move on

now for today’s medical lesson exudative

pleural effusion

a pleural effusion is a buildup of fluid

between the tissues that line the lungs

in the chest

an exudative pleural effusion is when

there is inflammation of the

pulmonary blood capillaries which makes

those more leaky

the larger spaces in the capillary walls

allow for fluid

immune cells and large proteins such as

lactate dehydrogenase or ldh

to leak out of the capillaries the

causes of excitatory fusion can vary but

include

you know trauma malignancies like cancer

inflammatory conditions like

lupus or an infection like pneumonia and

if it’s caused by an infection

then that bacteria can actually get into

the pleural space to such a degree that

acts like an abscess with fibrinous

walls and loculations

and if oxidative pleural effusions are

left untreated they can lead to

emphyma which is when there is pus

within the plural space

yeah as gross as that sounds but what if

that’s clinically this is

this is where i’ve got a i’ve got to

chime in a little bit i think okay

one thing that we’ve learned a lot in

the last few years just as a society is

that

the medical systems views of almost

everything are extremely limited

right i think we can all agree on that

just yeah universally

well based on data so well so

you present this scenario and you say if

you don’t want

like you know bags of fluidy pus

then don’t do x y and z but you’re not

even asking the patient or asking people

if that’s what they want

yeah you don’t think there’s one person

out there who wants like a big

like a big old bag of juicy puss i guess

because well we haven’t gotten to the

symptoms yet but um

you know it’s usually not pleasant for

the patient to have that

which is why we what is a beautiful

woman’s

breast if not a giant

giant bag of pus and we as a society

view that as beautiful well

it isn’t uh it isn’t beautiful

well it a breast is not filled with pus

that would be a sign of an infection no

uh

fatty breasts have a lot of fat in them

if that’s what you meant adipose tissue

wow so but i i see where you’re coming

from that maybe at a glance

since they’re both like whitish material

can have some

chalkiness to it sometimes that maybe

that’s the similarity but

they they do differ in terms of you know

what the material that makes them up

if that makes sense it

doesn’t but i think the point is is that

like let people choose

[Music]

right okay well anyway so to move on to

sort of the reasons why you might not

want

pus filled lungs uh clinically patients

may be

asymptomatic and this is for an exudated

pleural effusion so it’s before that

the the pus happens uh so they may be

asymptomatic or they could have

shortness of breath on exertion

peripheral edema or difficulty breathing

while lying down flat

uh or orthopedia on exam these patients

may have signs

such as dullness to percussion decreased

breath sounds over the effusion

and decreased tactile feminists and

that’s of course when the

physician feels in the patient’s back or

the patient speaks to feel for a

difference in vibrations due to

conduction from the fluids they’re in

diagnosis can be made with x-ray chest

x-ray

typically revealing a blunting of the

costophrenic angle

though about 250 milliliters of pleural

fluid must accumulate for it to be seen

with this imaging modality

a ct scan is better for detecting

effusions and if the etiology is not

obvious a thoracentesis can be done

which can provide valuable clinical

information and also

allow drainage relief for larger fusions

oxidative pleural effusions as opposed

to

transitive they’re not as clear in

appearance the fluid

uh and in terms of laboratory values the

light criteria is often used

so according to the light criteria a

pleural effusion is considered

exudative if the ratio of pleural fluid

protein

to blood serum protein is greater than

0.5

if the ratio of pleural fluid ldh to

serum ldh is

greater than 0.6 or if the pleural fluid

ldh

is more than two-thirds of the upper

limit of normal ldh levels in the serum

although it isn’t part or if the patient

wants to

okay well so so this isn’t a matter of

choices

whether to do

[Applause]

as opposed to being told what to do

by you know big government and

know-it-alls

who always try

to tell me what to do at the doctor

right okay so um although it isn’t part

of the light criteria an additional

feature of

exited pleural effusions is that they

typically have a pleural fluid

cholesterol level

of over 45 milligrams per deciliter

treatment of vaccinated pleural

effusions is with diuretics and sodium

restrictions along with

the aforementioned thoracentesis though

treatment of the underlying cause

remains paramount because

as i mentioned that can be cancer so

that’s

you know something to consider

if the patient wants cancer

again why not give people the options

for these kind of things

to have it’s wrong for doctors to sort

of spring

cancer on people yeah do you think that

a patient would want cancer

no i think most people would opt out of

it that’s why you should give them the

option

okay sometimes choice well

it’s all right we can we can move on

from there i guess

[Music]

all right cameron uh you said that we

had some guests today is that right

that’s right dr london not just one

but two very very very special guests

and i do before you even think about

asking because i look at that glimmer in

your eye

and it’s already pissing me off a little

bit yeah just because

i say that the guests are special people

and they’re talented people and they’re

awesome people

that does not mean that they are the

special awesome talented shaquille

o’neal

i just because he is a very special

person who is very tall and can dunk

very hard just that doesn’t mean that

no one else can be special you

understand that right because this i’m

tired of explaining this

what i mean it’s not shaquille o’neal

and so you

you checked on that you’re you’re sure i

know

for a fact that it’s not shaquille

o’neal like i know it’s not

and i’m so it pisses me off that i have

to even explain this every single

time now well i i i i guess i’ll take

your word for it or we’ll find out

we’ll find out it could be it could be

shaq uh

yes uh hello there so my name is dr

london smith.com

uh this is my producer cameron welcome

to the jock talk podcast

uh what were your names uh it’s janet

montgomery

okay and yours hi my name is luna

just like is it just

like share kind of thing just luna one

one word

she doesn’t like to talk about it oh

it’s private

okay no no no no no i think no more

people should you misunderstand

she doesn’t like to talk about the fact

it’s just

one name

okay so just bringing it up at all i’m

i’m very sorry i didn’t realize that

this was gonna be such an issue

um but you can just call me luna

though okay so that’s that’s permitted

okay

well luna and uh miss janet montgomery

what brings you on the podcast janet

over here is actually a colleague of

mine

uh we co-wrote a book

it’s a therapy book because we’re both

therapists

okay wow that’s a great branch of

medicine because often we as physicians

will send people off to get therapy

but we don’t all forget to hear directly

from the therapists themselves

so this will be i i assume it’ll be an

enlightening experience

and trust me dr london could benefit

from

finally talking to a therapist we’ve

done these group therapy sessions before

and he barely says anything okay that

was a patient patient

and like it’s a medical emergency you

just need therapy

is what it is a generally agreed upon

opinion

have you read our book no i have um and

so yes

for our listeners uh they’ve come out

with this great book it’s

jenna montgomery and luna present

um how to it’s a how-to

and that’s sorry how to colon

it’s a how-to uh-huh

yeah and so anyway that

the title to me sounded a little bit

ambiguous

you know you know we have gotten that

comment

and it’s actually kind of the point it’s

kind of like with the human brain

we just want to like grab the attention

and if you don’t know what

this book is about and you see that

title you’re just going to be drawn to

it

immediately and then it’s just like that

we’re trapped

you’re trapped we have you is that is

that

kind of how you see your clientele and

your patients that you’re trapping them

i definitely think for my patients that

they are trapped

see and this does go along with what i

was saying earlier dr london about

how doctors of all sorts of different

fields

whether it be hospital medicine or

whether it be mental health

are very very interested in trapping

their patients possibly striping them

down

you know that that actually brings up a

good point

strapping is a big part of

therapy of the type of therapy that i do

um sometimes it’s things that you wow

like strapped down sometimes as things

that you might

strap on right so

yeah i remember and i like so whenever i

say that i read the book

it was more like i kind of you know i i

skimmed it

um but yeah i remember chapter 40

was just entitled strapped

and you talk about strapping food items

to yourself

and could you go into a little bit about

how you use

food and strapping it upon yourself as

therapy um i i have to cut in that must

have been

your chapter luna oh yes yeah

but you did one similar uh

not strapped but

being trapped trapped so did y’all not

like

read each other’s chapters it was just

you just went on your own

i didn’t actually read your chapters did

you guys read each other’s chapters when

you co-wrote or did you just alternate

chapters we alternated chapters

i know it might so you don’t neither of

y’all know what’s in half

yeah i mean apparently so it was about

therapy

so when you went to your publisher was

your problem that you only knew

one publisher between the two of you or

only one of you felt like

you only felt like writing half a book

listen we went to our separate

publishers we had

two separate books but we decided it

would be better to collaborate

so we just alternated every other

chapter my chapter

one is her chapter one and then her

chapter two

is our chapter two and we just switched

back and forth

and that made our book we published it

like

ourselves okay yeah and

you know that’s i kind of like that it’s

a very artistic and very creative way to

go about the writing process

okay you know what i want to know i want

to know what

luna wrote about i’m very curious what

fruit is being strapped and why well

i don’t mean to quote your own book to

you but that was chapter 40.

yes and so okay well i i mean

so if i remember correctly you had

so some of the books seem to get into

some types of therapy that i’m not as

familiar with

uh you know i’m used to more i don’t

know uh

like there’s uh psychoanalytical therapy

there are these different kinds

cognitive behavioral therapy

and this book seemed very focused on

physical acts that you do with another

person or thing did you only read the

even chapters

i i i was skimming through them the type

of therapy that i practice

is actually a long long used

um tradition between humans

of all like races and colors and

animals wow okay it’s just all about i

mean this is the kind of big

tent stuff i was talking about at the

beginning of the episode like it doesn’t

matter who you are

you know we want to be your friend we

want you to be a listener of the show

and maybe we want to we want to work

with uh with with

uh luna here yeah

i mean i offer really great work

i’m very hands-on with my therapy

okay what so what what’s going on what

is your therapy

sex therapy like gender therapy

right so she’s like no like

the birds and the bees no

no you refer to each other as colleagues

and you don’t know what type of therapy

you’re sex slash gender therapy the same

thing gender

okay gender therapy

okay sex therapy is synonymous with

gender therapy

okay so this is the type of therapy

where okay i guess i don’t

okay i don’t talk anything about

intercourse yeah it sounds like luna

what are you talking about the type of

therapy that i do

and give it’s completely sexual

um and when you say that

um because because okay another thing

i’ve heard of and started interrupt here

but so i’ve heard of like a sex

therapist and people who are having

trouble with their romantic lives

privately their their intimacy issues

they’ll have a particular therapist that

they’ll talk to about that

and they’ll explain tips things to

help them no that’s what i do okay but i

just show them

because that’s how you really learn

you know like hands on gotta get in

there

get your hands dirty kind of learning

therapy and see i have talked about this

before

on this podcast that i certain people

are different kind of listeners

some people when they read it they get

it some people just really need to

get in there and see it all for

themselves

yes thank you thank you for hearing me

this is very disturbing for me

to get back to that chapter you talked

about so

oh oh okay oh that’s my

phone um i do apologize i have to get

going

i there’s a client with an emergency

a sex therapy emergency yes

it is 11 o’clock at night

no that’s uh that’s fine thank you for

your time we we appreciate having you on

yeah

i trust my colleague janet here will

speak

on both of our behalves i appreciate you

go to your appointment all right well um

luna luna left but can i just say

now don’t tell her i said this but i

think

that she sleeps with her clients

yeah yeah i didn’t want to say anything

but

when her phone rang it said mr

peaty no it didn’t and i felt like

that’s probably not

like uh like someone she knows in a

professional context and so i

i definitely raised some questions did

you see how much lipstick she put on

before she left

and she even asked she said is this

enough and i said yes

and then she put on more wow are you

guys thinking what i’m thinking

yeah well because what i’m thinking is

so you guys co-wrote a book together

even with the alternating chapters and

in any of that process

you never questioned whether

you know you’re on the same page you

know she said stuff

she said stuff like intercourse

and penis and vagina and all that kind

of stuff

but do you know what i i never

understood her to say she was talking

about sex

like when we talk about gender studies

we talk about the penis we talk about

the vagina

well okay and this is kind of a family

show so we are going to

okay sorry to paint the picture for you

and i didn’t realize we would have to

clarify this

what what normally happens as far as i

understand from our analytics

is that the whole family you know

grandparents great grandparents everyone

gathers around

the phone as it plays the podcast

this podcast this podcast yes good good

good

okay so penis and vagina

these are the terms that the whole

family knows i’m not using explicitives

okay

yeah that is true dr london that’s okay

you make a

fair fair kind of point um anyway so

so back to you you co why are you so

uncomfortable

with the words penis and vagina

well it’s just one of those things where

like that’s you know sort of a

like you’ll explain to a patient or

something but like not really right

you’re a doctor

so you can say these words i am a doctor

i can say these words yes okay so

you’re a doctor did we not already talk

about this

therapists are doctors it’s a really

important part of medicine

yeah dr london why are you trying to be

so insulting to our guest

questioning her credentials yeah i’m

sorry you just i think what we have what

we have here

i mean is a very very creative way to

write a book with a colleague which has

unfortunately led to a

misunderstanding but you know i think

maybe

you’re looking at this the wrong way

you’re thinking oh i can’t believe that

she is a sex therapist sort of the other

meaning of sex

but what if now your book offers

both flavors of the word sex you know

what i mean

you read one chapter you get the

clinical you get the scientific

then you read the next chapter it’s all

smut baby

it’s just erotic it’s basically just

like going nuts is this the therapy you

need is those two things

yeah but if my understanding is correct

it alternates

chapters on a completely different

subject i just i think that’s

interesting

so you know we kind of established

earlier that

luna had the uh even number chapters you

had the odd number chapters so chapter

one

your choice of an opening so you go on a

long discourse

about how you don’t believe

in medicine when i say i don’t believe

in medicine

you know i just mean in the traditional

sense like how they use with the

dinosaurs

and you know the people in the caves

yeah

just in the traditional sense just old

traditional sort of ice age

medicine which we it’s incorrect i get

okay

because admittedly that is that was a

confusing chapter for me because for me

i my first thought whenever i think of

medicine in general

i don’t think of the ice age don’t you

no i think of modern medicine what do

you do when you break something

uh like a dish yeah london like

a bone okay well depends on the type of

let’s just say you know your old school

kids break they broke their arm you go

to the doctor

what do they do once again so it depends

on the type of fracture

you know if it’s open if you have to

reduce it you have if you have to go in

for surgery

they put it in a cast exactly

and what do you think they did in the

caves they wrap that stuff

up and put it in a cast okay

so you’re saying i mean you don’t

believe in that

correct so so let’s say in your

hypothetical let’s say it’s not an open

fracture

and you you the correct thing to do in

this hypothetical

by my standards would be to wrap it in a

cast what would be your approach

they need to put so okay there’s

different flavors

we’ve got purple and green

okay when you said we have different

flavors i thought you were gonna say

like

you know like different avenues of

thought but no you mean literal flavors

no no listen please okay i’m sorry and

flavor

purple blue and green and yellow

and these are all the flavors of these

like oily substances

they’re kind of like oil they’re not

quite oil but they’re kind of like oil

and you

actually put the different colors on

different ailments

and it cures you you don’t need a cast

you don’t need any of that

splints and stuff just need a couple of

oily substances

oily like oil i’ve been saying stuff

like this for a long time that

not not that i know any idea about these

oils this is all this sounds like a

medical miracle to me what you’re

talking about i’m very interested in

this

but just that what dr london is

constantly selling us

i mean even you talk about a cast is

that not just wrapping your arm in

toilet paper isn’t that the exact same

thing

it’s the exact same thing but that’s

that’s not

how things are healed i’m so glad you

understand

and i have always said that i do think

that things are healed through different

types of goose which is very similar to

oils you know that could be an

oily substance we could look at the

bylaws and it

might pass i’m sorry okay so

what you’re describing with the colors

and everything with the flavors

it sounds kind of like the the medieval

understanding of medicine

with the humors um

and so in so in the ice age are you

saying that you

you don’t believe in the ice age

medicine but you do believe

in medieval medicine i’m sorry what did

jokes have to do with this

humors jokes yeah dr london hey why

don’t you actually take your job

seriously for a second instead of

you know playing the class clown have

you ever thought about that

yeah so i’m sorry about that you know

what uh if you want to go on i just

whenever you describe matching colors to

ailments that’s sort of reminiscent

of i i feel like we’re getting getting

way

okay i wanted i want dr

janet i i want to know we’re talking

about this book

and you’re talking about the common

misconceptions

of believing anything doctors have to

say

you know that’s that’s the base premise

but that is not the class i want to know

i want to know in your book about sex

gender studies what does your book tell

us and what do you know

that doctors don’t that these stupid

stupid-ass doctors with their old-school

ways

are hiding from it yeah so to begin with

like gender not a thing

oh so you lean more towards the like

non-binary

like it’s fluid that’s still a label

so you think that they’re are you just

saying the word doesn’t exist

in the concept

and the word for that matter so you

don’t you don’t believe in the concept

of gender

yeah but you’re a gender therapist right

they need to know that it does not exist

it helps people it frees them like i

said earlier

they’re trapped i free them from gender

that doesn’t make sense she did say that

it makes that much sense

yeah okay so

let’s say someone is interested in your

book well why

why would someone be interested in your

book you say it’ll free them from these

constraints of their concept of self

within their gender identity

you’re saying a lot of stuff and you’re

just doing what all of the doctors do

they say a bunch of words and they make

it all colorful

and they don’t actually say anything

they’re trying to bog you down with

legalese right

and with this this kind of jargon

to confuse you it’s like they have a

whole other dictionary

hey speak english say what we’re all

thinking

this is america this is america sorry to

our listeners in other countries

um i this may also apply to

wait

damn right america okay

well so this has been good this has been

good i want to hear just

real quick the these different colorful

oils that you’ve been collecting where

where are you getting them from

so if you want purple oil you can find

anything that is purple

you dip it in this oily substance again

it’s the special oily substance you have

to buy it on

amazon and it’s fifty dollars per ounce

but you get 200 ounces of it

you dip anything purple in it leave it

overnight

pull the thing out in the morning the

oil is purple and it is ready

to fix broken bones okay

so any any of your oils that you use to

heal people is just

this one type of oil i’m sorry you

didn’t clarify what is the oil that you

order

it’s not it’s not actually oil it’s an

oily substance

and you order it on amazon you type in

oily substance

parentheses not oil

and then hit search okay so you don’t

know the name of it you just know what

you search

that’s the name oily substance not oil

in parentheses

okay and so that results it seems like

you’re not even paying attention dr

london here she is she’s telling you

everything about her field that she’s

clearly

worked a good chunk of her life doing

and all you can do

is is not even listen

yeah like i spent the entire last

seven days building this practice from

the ground up

and it’s like you won’t even take five

minutes to listen

that is so much of my life that could

just be wasted

on deaf ears okay so i didn’t realize

you

just started all this a week ago well

just the oily stuff

maybe it’s a good time to go ahead and

wrap things up a little bit

not until you tell me you’ll try them

just try the oils dr london

the blue one would do wonders for you uh

i really think you could use a yellow

don’t you think with the blue

you know i think that would go really

well if we could blend them

like before application make them green

vacation

so i’m not wounded yeah what does he

does he drink it or he’s

does he dump it on his head you know

he’s about to drink it and he really

shouldn’t

okay okay sorry but you have to take

your shoes and your socks off

and you have to dip both big toes

in fully submerged no other toes no

other part of your foot

just the big toe that sounds easier and

safer than what i thought

assuming this isn’t some type of like

you know acidic or extremely basic

product and honestly dr london it’s

really rude to call

our guest products basic

so not basic okay so anyway we’ll we’ll

try this

socks off shoes off okay

oh oh hold on hold on you need to clip

your toenails first

okay well i i do apologize i didn’t

expect to be in this kind of situation

we’ve been kind of

locked down and wearing shoes all the

time anyway um

so it sounds like this could actually

wait really anyway thank you to

our guests uh janet montgomery

i guess dr janet montgomery i’m sorry

what was your doctorate in

oh i think we’re done i think the show

is over

okay okay uh so this is uh

dr janet montgomery as well as um luna

who’s here earlier

and fortunately she had to go to her

medical

therapy session emergency therapy

session she had to go see you

mr petey at her emergency right

sex therapy session all right uh this is

our producer cameron

thank you to DJ DYLAN IN DA HOUSE

this is america

this is america

this is america

damn right america strapped

strapped

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my name is dr londonsmith.com and this

has been

the jock doc podcast see you

strapped strapped

strap on damn right right murderer

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