Dealing with IBS

Today, Doug Pike interviews Dr. Brooks Cash about IBS.

Episode Transcript

(00:01):
Remember when it was impossible to misplacethe TV remote right because you were the
TV remote. Remember when music soundedlike this, Remember when social media was
truly social? Hey John, how'sit going today? Well, this show
is all about you. On ita good die. This is fifty plus

(00:25):
with Doug Pike. Helpful information onyour finances, good health, and what
to do for fun. That onDial fifty plus, brought to you by
the UT Health Consortium on Aging,Informed Decisions for a healthier, happier life.
And by Incredible. If the staineseems indelible, you haven't tried Incredible

(00:47):
And now fifty plus with Doug Pike. All right, Thursday edition of the
program Start rot now, Thank youvery much for listening today. The next
I get in a nice dring reallyrelatively innocuous weather days all the way through
Memorial Day holiday in the forecast,it says, and for the day after

(01:07):
at least. I don't think youcould watch all three network forecasts without seeing
any chance of rain on any daybetween now and Tuesday. But my gut
says that's what we're gonna have.There may be a little pop up cover,
a couple of square blocks, somethinglike that. I walked out of
the grocery store a couple of nightsago with my son, not quite nighttime,

(01:32):
still the sun still on the horizon, didn't see anything really. There
were clouds moving through the area,but they weren't terribly dark. And we
walked out and there were just theserandom, large water drops falling from the
sky. Not a little sprinkle,not a mist, but just these little
tiny bombs of water. When theyhit you, you felt them. They

(01:55):
weren't just it wasn't just this littlegentle soaking drizzle that we sometimes. This
was just thump, thump, thump, and hardly even got wet on the
way to the car. But nonethelessthere were just enough of them so that
one of those forecasters had he orshe said, and it possibly might rain
this afternoon, they could jump ontothe air and just say, yep,

(02:17):
we were right. It rained.Stock market slightly up after a day yesterday,
a slightly downturned yesterday, Oil surprisinglydown a couple of bucks this morning
going into the holiday weekend, andgold also a hair into the red.
Blah blah. Let's get started,Shelley. I'm gonna go back to something

(02:38):
from yesterday that I didn't get achance to mention. There was a woman
in Manhattan, a college professor therewho already went viral for cursing out anti
abortion students. She actually came outof an apartment, and there is video
of this. She came out ofan apartment or hotel room, I'm not

(03:00):
sure which, it's hard to tellfrom the video and held him machetty to
a reporter's neck. In the storyI had yesterday, I noted that she
was currently under investigation by the NewYork Police Department. Turns out this morning
there was an update to the storyand she's been shown the door by the

(03:23):
university. She's been fired, whichjust couldn't have come soon enough. I
cannot imagine the outrage if I werepaying good money for my son to go
to a college where a professor couldeven imagine holding a machetty to someone's neck

(03:44):
because that person had a different opinionthan the professor's opinion. And that's all
it was. They differed in opinionon something, and she thought it a
proper expression of her disagreement. Tothe video shows at all. She didn't

(04:04):
just get close. She it looksto me like had the blade against the
man's neck. That's pretty messed upin better News, and I'll do this
in better News all the way fromover in China. Sometimes we like what
China's doing, Sometimes we don't.This time it's worth a mention. Team

(04:28):
of scientists there has created a methodof printing ceramic three D shapes. Listen
to this, well, this isvery cool ceramic three D shapes in mid
air. The goo that they use, it's kind of a what is say,
here's a slurry of photosensitive material thathardens almost instantly when exposed to near

(04:53):
infrared light such as sunlight. AndI guess they have special bulbs in the
laboratory. But this stuff is fantastic. It opens a lot of doors,
a really big jump forward in threeD printing, especially for some of these
ceramic objects being used so extensively nowin high tech manufacturing. And this little

(05:15):
machine of theirs prints this stuff inminute, which what it does is enable
them to print shapes that formerly hadto be cut or otherwise changed once they
were formed to be useful. Andnow they can just print curves and squiggles
and whatever they want. Cubes likeslinkies. They could print out a slinky

(05:40):
and you could just watch the thingbe created. In mid air and then
already be dried and ready to bewalked down the stairs if you will,
seconds later. So that's pretty goodnews. I can put a little X
on that. I've talked about that. Now. Oh, this is something
else that I think is kind ofit's it's one of those things that it's

(06:01):
it's interesting, and it's going totake a long time to find out whether
it's really accurate. But for allof us in this audience who either used
to or still do love going tothe beach, whether that was to surf
or to swim or to fish orwhatever, or walk out waist deep and
then stand there for thirty seconds andthen walk back to your towel or lounge

(06:27):
chair, whatever. It's an artificialintelligence app that is said to forecast shark
attacks with as great as eighty ninepercent accuracy based on a hundred plus years
of data on shark attacks around theworld. I'm a little mixed on this
when I really am the odds ofbeing attacked by a shark or already slim,
it's like one in three point sevenmillion people who are actually playing and

(06:50):
swimming in the water. So Iguess information is always great, but I
wouldn't let a nap keep me outof the water. I might be or
vigilant if the if the icon overthe beach I'm going to is red instead
of yellow or green. But ifthe waves were clean or the fishing was

(07:11):
really good, I'd be there.I'm not. That's not going to slow
me down in the least. Honestly. I have been around sharks enough times
as a as a former diver andsurfer and swimmer and all of that stuff.
Fisherman, I've been around him.I've been in the water with them,
and I just pay them a lotof respect, and when they get

(07:32):
too close, you let them knowthat you're not impressed, and they'll make
them go away. I don't knowhow i'd react if I saw a really
big one. That might that mightchange my mind a little bit, but
so far nothing has. Kirkholmes willchange your mind about who you want to
build your dream home unless you've alreadychosen them. Give them a chance.

(07:53):
Go to the website, go talkto somebody over there. Take in that
that piece of paper on which youand your family wrote down ideas about what
your dream home would look like,where it would be, how it would
be configured which way it would face, all of those things, and Kirk
Holmes can take that little bit ofinformation and then blow it up to look

(08:18):
exactly what you envision as your family'sdream home wherever you want it, pretty
much anywhere in Southeast Texas really,anywhere from the coast all the way up
to San Antonio Austin College Station.They have built hundreds of homes over the
thirty plus years they've been in business, maybe thousands by now. I'm not
really sure every one of them asunique as their owner's fingerprints, because that's

(08:41):
what custom really means. The onlytwo things common I've told you before are
the twenty year structural warranty, whichis double the standard, and the insulation
they use on the exterior walls twoby six instead of traditional two by four
just gives you fifty fifty percent moreinsulation. Go to the website, take

(09:03):
a look around, then go talkto them, Go explain to them what
you want, and then start theprocess of watching that dream come true pretty
much anywhere you want it. Kirkholmesdot Com is a website. K you
r K Kirkholmes because it's all aboutyou. What's life without a neck?
I suggest you go to sleep itoff. Just wait until this show's over.

(09:24):
Sleepy. Back to Doug Pike asfifty plus continues. All right,

(09:45):
welcome back to fifty plus. Thanksfor listening on this beautiful Thursday afternoon.
Not bad outside. Well, ifit's changed in the last twenty minutes,
neither will nor I would know,because we are we are saying, you
know, this would be a greatplace if every a nuclear attack. We'd
probably be safe sitting in here,wouldn't we think. So we are behind
walls, inside of walls, insideof walls, so that's a pretty good

(10:09):
This is like run into the bathroomwhen there's a tornado. Lots of concrete
separating us in the rest of theworld, unlike bathrooms. But nonetheless,
yeah, I get where you're going, So welcome back to fifty plus.
Thanks for joining me. Research showsthat about ten to twenty percent of older
adults in this country suffer from IBSirritable bowel syndrome, the symptoms of which

(10:31):
are, as those people already know, pretty unpleasant and uncomfortable. To talk
frankly about this condition, what causesit, and what can be done with
it? I will, I'll enlistthe help of doctor Brooks Cash, chief
of gastro entrology with ut Health Houston. Welcome back to fifty plus dot.
Well, thanks thugs, free tobe here. Thank you. So I
like to start my interviews on topicsthat at least the ones that might be

(10:54):
unfamiliar to my audience with a definition. So what exactly is IBS? So,
as you mentioned, it stands forirritable Belle syndrome and that's the acronym
that we use because it takes alot less time to say it. And
bottom line is Irritable Belle syndrome isa condition. It's a syndrome of symptoms

(11:15):
that's characterized by abdominal pain as thecentral feature. And that abdominal pain is
associated with the change in the formand or the frequency of the bowel habits.
And it's related to the bowel habits, so patients can have diarrhea,
constipation, or a mixture of both. It's the relationship of the pain with
the change in bowel habits that definesirritable bell syndrome. If you watch enough

(11:39):
late night TV, you see pillsand potions for all kinds of different conditions
like this. Krons. There's someI think there's another one. How how
are they all related, if atall? So that's a great question.
There's actually there is a relationship.Now we use the krons and another condition
called chronic ultrative politis yes, underan umbrella of of what's called inflammatory bell

(12:03):
disease, and unfortunately it's got avery similar acronym IBD. Those two conditions
are they can often have symptoms ofIBS before they're formally diagnosed, but they're
very different. These are autoimmune andimmune mediated conditions where the body actually seems
to an immune system, seems toattack itself, and they're characterized by inflammation

(12:28):
and ulcers and often bleeding and othersignificant complications. Yeah, so IBD is
a very different set of diseases thanIBSA. IBS is a very vague type
of syndrome of symptoms with lots ofdifferent causes. And what do we know
about what causes this? Well,we do know. We've gotten a lot

(12:50):
more information over the last several decades. We used to think that IBS was
more of a psychosmatic kind of stressinduced syndrome, and what we've realized over
the last three to four decades isthat there is a multitude of causes of
irritable Bolle syndrome, and as such, there's no single diagnostic tests and there's
no single therapy that cures all ivs, but causes can include certain food sensitivities,

(13:16):
not allergies, but food sensitivities,emotional stress, physical stress can certainly
do this. People who have analtered microbiome in their gas rountestinal tract of
bacteria and other organisms that live inthe GI tract can have been linked to
irritable Bolle syndrome, and changes inthe environment of the gut have been linked

(13:37):
to irritable Balle syndrome. At theend of the day, we don't know
what causes it, but we doknow that it appears to be multifactorial,
and we end up treating in manycases the symptoms, but occasionally we are
able to find the identity and identifywhat's causing the actual conditions and remove that
doctor Brookes Cash here on fifty plus. So we know we don't don't know

(14:00):
what causes it, but what canwe do to fix it? Well,
there's any number of therapies that havebeen proved by the FDA. We generally
take a i'd say a simple tomore complex approach So first thing is identify
with each patient and take each patientindividually, identify what is their most bothersome

(14:22):
symptoms, and then characterize their irritableval syndrome into one of those three categories
that I alluded to, diarrhea,constipation, or a mixture of both.
And then we go after those individualsymptoms and we try to help them with
that. We start with lifestyle modifications. There are some diets that we recommend
that be done can be done witha dietitian. Bloatings another very common feature

(14:43):
that we see with patients. Wedo some diagnostic testing. Extensive diagnostic testing
has not been found to be terriblyhelpful if patients don't have alarming features such
as blood and their stool or unintentionalweight loss. When the over the counter
therapies laxis or anti diarrheals and lifestylemodifications don't work, we move on to
prescription therapy that have been rigorously testedand shown to help patients with IBS.

(15:09):
Is this something that comes on graduallyor just wake up one morning and feel
really weird? Doc? Where'd yougo? I don't know you dropped out.
I'm sitting here at my desk.I haven't moved. Oh wow.
Okay, well, I'll ask thequestion again. Is this something that just
comes on gradually over time or doyou just wake up one morning and feel

(15:33):
like you got to run to thebathroom. That's a great question. These
ibs is generally something that does occurgradually over time, and most patients don't
have constant symptoms. They'll have symptomsthat vary during the week, during the
months. Women in particular can developmore bothersome symptoms around their menstrual period.

(15:54):
There are some patients who will geta cute irritable bell syndrome. Often we
see that in patient to have hada gastro intestinal infection, usually associated with
traveling, and they can be leftwith what's called post infectious irritable bouts indrome.
We think that probably what happens isum changes in in the micro environment

(16:15):
of the gout in the immune system. Is this just a mixture of all
of those but mostly gradual. Isthis just one of those cruel tricks nature
plays on people who otherwise manage totake care of themselves long enough to get
old. It can it can be. It's not associated with age, Okay,
but we do we do, wedo see this in older patients.

(16:36):
Mostly we see this in younger patientsum, but the longer we live,
the more things we're exposed to,so we do sometimes see this accumulate with
age as well. Yeah, that'sinteresting. At least we don't we don't
have to automatically look forward to somethinglike this. How effective are the treatments
it really putting somebody back on amore i'll wrap it in quotes, normal

(16:57):
day to day routine. Yeah,that's a great question as well. So
the therapies that we have are quiteeffective now. They're generally looking at a
composite response that's bring to improve abdominalpain as well as the abnormal bell habit,
whether it's constipation, diarrhea or both. And you know what I tell

(17:18):
patients is this may not make youcompletely better. That's a kind of an
unrealistic goal, and having those realisticdiscussions is really important. But if we
can minimize the ebbs and flows ofsymptoms and minimize their impact on patients so
they can regain their social activities andtheir their work life and social life,
then we've made a real difference.And these medicines do help a lot with

(17:40):
those Is this something that's gonna well, we're just about out. I'll tell
you what. Yeah, we're justabout out of time, so I'll give
you the final thirty seconds or so. What what's your main point about IBS,
Well, my main point is it'svery common. Somewhere between about four
and ten percent of the population suffersfrom irritable falls. In that being said,
if you're suffer from these symptoms,please do talk to your healthcare provider.

(18:03):
You know the impact of these conditions. This condition has been shown to
be along the same lines as majordepressions and patients on chronic dialysis that are
effective therapies for irritable bell syndromes.And we also want to make sure that
it's not something else when you dodevelop these symptoms. It's just it's one
of those things that we have tojust just walk in and be frank with
a doctor. I'd talk to alot of you know, I don't want

(18:23):
to tell my doctor about that.I just just embarrassing whatever. You guys
have heard it all, haven't you. Absolutely there's nothing that can surprise it,
So please do scare that information withand even if you are a surprised,
you won't act like it. Thankyou for that, Doc, I
appreciate that, all right, doctordoctor Brooks cash on fifty plus, thank
you so much, thank you,bye bye. All right, speaking of

(18:48):
health and taking care of yourself,A late Health can help you, not
with that, but with all kindsof things. I actually did an interview
yesterday with doctor Andrew Dough that willair next week. Weird deciding where we
want to put that one, becauseit's the dog one good one. At
a late Health. They've got twolocations around town and they work on your
veins, they work on your vascularsystem. Kind of redundant there, but

(19:11):
nonetheless, what they do is takecare of things that you can get done
in their office usually in just acouple of hours, that if you let
them get worse, can develop intosomething that might lend you in the hospital.
If you go to a latehealth dotcom, you'll see what they do,
how they do it, and wherethey do it, and you can

(19:33):
go in there for a consultation.That's something he said, Look, it
only takes a day or so toget in to be seen and have a
consultation with us. Let's see whatwe can do to fix them. Prostate
artery embolization. They do to helpolder guys like me deal with symptoms of
an enlarged prostate that's noncancerous. Ithappens to a lot of guys. They
can fix that there in just acouple of hours. Fibroids for the women

(19:56):
in the audience a similar situation,something that's eas remedied in their office in
most cases, but could end upif you don't address it, costing you
a lengthy hospital state. They're doingsome fantastic new research too, into stem
cell stuff and regenerative disease issues orregenerative therapies. That's what I meant to

(20:18):
say, spitted out doug regenerative therapies. They do that as well at a
late Health seven one three five eighteight thirty eight eighty eight seven one three,
five eight eight thirty eight eighty eight. Or go to the website and
take a look around there and seeall the things they deal with, back

(20:40):
pain, joint pain, headaches,fibroids in large prostates, and much more.
Elate health dot com alat e Alate health dot com. Now they
sure don't make them like they usedto. That's why every few months we
wash them checks fluids and spray ona fresh cut a wax this is fifty
plus with Pike. All right,welcome back to fifty plus. Thank you

(21:15):
as always for listening. Bring somefriends next time. Like I put in
my Facebook post this morning, itdoesn't cost anything. It's free admission every
day for this show. Well,do you think we'll ever get to a
point where we can charge for ticketsto this show? Yeah? I mean
probably not. Yeah. You know, we just we just give and give,

(21:36):
don't we don't we do? Yeah, what we're supposed to do anyway,
For the third year in a row, will pop quiz? What us
city topped Orcans annual list of thecities with the most mosquitos the number one
city? Drumroll please, I'm gonnago with a swamp town. You know,

(22:03):
maybe I knew it makes sense,that would make a lot of sense.
Didn't make the top three? Youwant to take another shot before I
reveal? What about a Tallahassee soundslike a great idea. There would probably
be a ton of mosquitoes around Tallahassee, or some even down in Miami or
Lauderdale, someplace close to the tothe Everglades. You would think would be

(22:26):
one of the top three cities formosquitos. But no, but no number
one for the third year in arow. And I find that this really
brings me to take pause and wonderjust who they asked or how they rate
the cities for mosquitoes, because whenI think of the number one city for

(22:47):
mosquitos, I don't even that wouldbe like, if you could name a
hundred things about this city, youwouldn't put mosquitoes on Los Angeles, California.
Really, really, that's what Isaid, Really, really, organ,
I want to know how you putthat list together. You know whose
second? Who you want to wastea bunch of time or no, We'll
just get to it. Chicago,Illinois second for mosquitos. They do have

(23:14):
winter in Chicago, and winter knocksthem back, no question about it.
We get a little bread, alittle tiny break about a month where there
are no mosquitos, and then they'reback. You know what was third?
What city was third? This one? I don't get what is it?
New York, New York City,the big apple, not the big swamp,

(23:37):
not the big stagnant water in discardedtires city. New York City number
three on the list of most mosquitos, to which I say no, and
I'm gonna fold this piece of paperup and put it in my pocket,
actually because they put a note tomyself on it, and I don't want

(23:57):
to forget to do what I needto do there. But it's just that's
so messed up. Speaking of messedup, every time I feel like I
can't, I just can't imagine thingsgetting worse or us looking any weaker for
our federal government, something fresh andeven more embarrassing to our nation pops up,
this time under questioning from tell me, this isn't the longest title you've

(24:22):
ever heard? Will House counter Terrorism, Law Enforcement and Intelligence Homeland Security Subcommittee
Chairman, who is it, AugustFluger? Can't they come up with a
shorter title for that guy for thatposition? Anyway? Our FBI Deputy Assistant
Director of Counterintelligence, whose title isnearly as long, Jill Murphy told Chairman

(24:45):
Fluger that she hasn't even read theSpecial Counsel John Durham's report on the FBI's
own investigation of what we now knowwas a fabrication about collusion in the previous
presidential election up leading up to it, anyway, and when asked why she

(25:06):
hadn't read it, that's what shesaid, as haven't read it her,
she said to him, and I, quote, I just haven't had time
end quote. Haven't had time toread one of the most important documents produced
in the past five years, andit's about your agency, and it shows

(25:30):
clear evidence that your agency kind ofmessed up the whole thing. It's only
three hundred and sixteen pages. It'snot a two thousand page, three trillion
dollars pork barrel spending bill, forgoodness sakes, and she hasn't read it.
How do these people keep their jobs? Honestly, you know, Senator,

(25:52):
I just haven't had time to readthis thing, the one that you
know, the one that mentions herpredecessor, the person who held that position
prior to her taking that seat.It mentions him in there more than one
hundred times, maybe two hundred times. All right, back to Chicago for
a second. A fight broke outthis week. Did you see the video

(26:15):
of this? Will? No bigfight breaks out, guess ware, Not
on the streets, not the roughstreets of Chicago, but in the baggage
claim area at the airport. Ihave no idea why, I don't know
what started it, but I doknow that lots of people videoed the whole
thing rather than get involved or tryto break it up. At least six

(26:37):
or eight people involved. From whatI could tell, it's kind of chaotic.
The video I saw best I couldtell, mostly young men and young
women from all walks of life,acting uncivilized in a place where things should
go a little better than they didthat day, and probably over nothing.
Really, if you don't like theway people look at you, or like

(26:59):
something somebody said to you and youwant to fight over that, maybe took
a look at yourself and wonder whyyou're that angry with the whole wide world.
Just step back, step back,don't let things get under your skin
like that. We've all got stuff, Okay, we've all got things that
rub us the wrong way? Right? Will do you? I got it?

(27:21):
Man? You should just take upa marriage You could. You could
be doing American sign language while peoplegive speeches as long as they said something
like two and a half that everybodywould understand. But I think that's probably
where it stopped to anybody. Whatbugs you? What bugs you the most
out in the world in your dayto day life? What bugs you the
most? Um? What bugs me? Horrible drivers? Budd you know.

(27:45):
Honestly, God, in my mindright then and there, when I asked
you that question, I was gonnarespond with, for me, it's bad
drivers. Yeah, it's just it'sit's I wish that. And I live
in a pretty walkable part of thecity, book I I do. I
dream of living in a walkable city. If I could never drive a car
again, I think I would.Have you ever have you ever even dreamed

(28:10):
of getting out of the car andresponding to a bad driver by going over
there and knocking the mirror off hiscar, or if he rolls down his
window, just punching him in theface. Yeah, just placing a little
a little nail, you know,right right before in front of the Star.
Yeah, exactly. You know.The slow the slow grind. Something
you can't be blamed for later,is that going this construction everywhere you could

(28:34):
have cut There was a story acouple of years ago about a guy who
owned a tire store, and policefinally caught up with the guy because what
he was doing on the going eastbound, coming in westbound, coming in both
sides of the big street he's on. They got him on video throwing screws
and nails out in the in thestreet. Not the smartest guy. I

(29:00):
credit him for having a good idea, but not a smart idea. All
right, A smart idea for thoseof us who are seniors. Seniors is
to go to ut Health Science Center'sInstitute on Aging, which is it's the
same place and the same fantastic care, but they have crafted a new name

(29:21):
and inspired new ideas and more researchand more innovation at the Institute on Aging.
But it still is going to bejust for us, for seniors.
Okay, go to the website,learn about what they do, learn about
how they do it. I'm soproud to speak for them. I really
am. Seven and a half eightyears I think it is almost now,

(29:44):
and they just keep making the placebetter. Everybody there special training in geriatric
and senior medicine. They only seeus. That's the only we're it.
Everybody there knows what makes us tick, knows how to help us out,
knows how to get us feeling better. No matter what symptoms. You go
in there and roll out in frontof your provider, that person's going to

(30:06):
have a really good idea of howto make you better. UT dot eed
U slash aging, uth dot eduslash aging. What's life without a nap.
I suggest to go to bed andsleep it off. Just wait until
this show's over, Sleepy. Backto Doug Pike as fifty plus continues.

(30:41):
All right, welcome back to fiftyplus segment four. The final segment kind
of like rounding third bread brace gosh, Doug rounding third base and headed to
home. Speaking of in baseball news, other than the fact that the Astros
have not scored a single run intheir past two games. They did rack

(31:02):
up twelve in the game prior,but they would have only needed three to
win that game, and now they'vegone oh for eighteen innings. Basically,
they've had a few hits scattered inthere, but no, not a single
Astro has crossed the plate in twodays, two games. But I digress
on this day in nineteen and thirtyfive, will pop quiz baseball? What

(31:26):
happened? What significant event happened innineteen thirty five? Yeah, you only
just go on, Yeah, okay, in nineteen thirty five, Babe Ruth,
you ever heard of him, BabyRuth, Yes, of course,
yeah, okay, yeah, there'sa long story behind that. Anyway,
he hit his seven hundred and fourteenthhome run, actually in an eleven seven

(31:48):
loss of his Boston Braves to thePittsburgh Pirates. That same day, by
the way, he also hit homeruns seven twelve and seven thirteen, ultimately
driving in six of that team's sevenruns. And that was it for the
Babe. He was done with baseball. Barry Bonds and Hank Aaron have since

(32:09):
bettered his long standing record with sevensixty two and seven fifty five, respectively.
But the Babe did it back beforethere were physical trainers and team doctors
and analytics and really much of anythingexcept just hard nosed baseball. The Babe
did lift weights, actually typically abouttwelve ounces at a time. From what

(32:31):
I read, he was he wasnot afraid to have a cocktail. That's
what they said about the Babe.And it was amazing the accomplishments of really
outstanding athletes back then when they didn'thave so much information available to them on
extending their careers, on being strongeror better or faster or throwing hard or

(32:55):
whatever. Pitchers up until fairly recently, by the way, if you go
back and look statistically, they wereusually good for more than five or six
innings. Most starting pitchers when theystepped on the mound and the umpire hollered
playball. They intended to be outthere for all nine innings. That's what
a starting pitcher did. Starting pitcherwas expected to pitch complete games unless they

(33:21):
got in real trouble. Nowadays,Oh yeah, it's quality start. He's
been out there for an hour anda half. Take him off the mound.
Quality start, five innings, fewerthan three runs. It's just a
start. What about the mid partin the finish? What about a quality
finish? But that's that's a personallittle thing for me, all right,
Because tourists seem to get just dumberand not smarter every year around wildlife,

(33:45):
Yellowstone National Park has had to issuea warning about aggressive elk. As it
turns out, you know, whocould imagine this happening after watching Disney movies
all their lives? People who thoughtthat animals weighing as much as a thousand
pounds in some of the big bulls, and five hundred pounds as a cow

(34:06):
elk. Who could have thought thatan animal like that might hurt people who
don't respect their personal space. It'smostly the bulls, really, especially during
the rut in the fall. Youdon't want to get between a bull elk
and the cow that he's chasing,they will, they will stomp a mudhole
in you. They grow weary overthat pretty quick. People want to get

(34:29):
real close, get a selfie.Oh look, and now this time of
year, it's the cow elk thatget protective of their calves. And if
you get too close to that cuddlylooking little elk, Oh look how sweet
mama's over there chewing on that limbof trees and leaves, I'll just sneak
in and get a picture with thiscalf over here. You better not turn

(34:52):
your back, because if you do, you might get met with front hoofs
just flying in your face. Andin case you don't understand the power of
an elks hoof, just imagine cuttinga bowling ball in half and then drilling
holes in it so that Mike Tysoncould hold a ball in each hand and
then just letting pummel your face withit for a couple of minutes. That's

(35:15):
the SmackDown you're gonna get if youmess with an elk. So, if
you're visiting any place really that haswild animals, stay out of their way.
Would you take your pictures from adistance zoom in if you have to
when you get home, and youcan do some editing. And no,
trying to run behind a tree isnot going to save you from pretty much
any wild animal. They they justsee that as a game that you're gonna

(35:38):
lose. Mountains have elk and bearsand mountain lions and wolves. Down here.
You can get your hat handed toyou, or way worse by alligators.
Codey what else. Mountain lions theydon't care where they live so long
as there's food and snakes, don'tforget snakes. And in the water you

(35:58):
have sharks and alleyfish and man ofWar's a sting race. Not a one
of these animals really wants to hurtyou, which is way different even than
what you might encounter walking down thewrong street at night somewhere, or even
in broad daylight. But I digress. The animal they just want to be
left alone. Okay, keep youreyes open, keep a safe distance.
Respect, Respect, respect, allabout respect, which some people don't have,

(36:22):
which is why these signs have togo up. All right, Well,
i'll let you, I'll let youroll us out. We've got about
a minute and a half. Yes, okay, what a difference a few
decades make. Old tricks still work, or take a deep breath. Take
a deep breath. A study foundthat breathing less oxygen actually might help you
live longer. But they're not talkingabout holding your breath. They're talking about

(36:45):
living in a high altitude environment.So, in other words, if you
live closer to the top of themountain, you might live longer than people
who live down in the valley.How or where they came up with that,
I'm not really sure. I'll takemy I'll take my oxygen at sea

(37:06):
level, thank you very much.I feel pretty comfortable getting a lot of
air. I know, I getwinded pretty quickly up at places like Breckinridge,
which is well, it's also maybebecause it's so dogone cold. Oh,
speaking of remember that I just toldyou about the tire place where the
guy threw screws and nails out.Happened in Massachusetts this week. Some guy
was arrested for throwing hundreds of screwson the road over the course of three

(37:29):
weeks. It didn't say what businesshe's in, but he just might be
entire store. I feel like itmight be in Tis. He just might
be all right. M oh.On the good news side, guy who
was paralyzed in two eleven is walkingagain. This is great news. The
doctors actually created a brain implant thatbypasses the part of his spine that was

(37:52):
injured. That's the kind of stuffthat makes me want to keep looking for
more stuff just like it. That'sgonna wrap it up for Thursday. We
will be back Will and I willtomorrow. Thank you for listening to fifty
plus audios.