תעתיק 🔗
WEBVTT
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We're using our medical background to focus on the strange, baffling, and downright unsettling world of medical mysteries.
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We're gonna dig into unusual cases, diagnostic puzzles, unexplained symptoms, and medical misadventures.
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Our first three seasons covered a little bit of everything, including crime, conspiracy, mystery, and the occasional rabbit hole we probably shouldn't have gone down.
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Those episodes aren't going anywhere, so the archives remain open for anyone who likes their mysteries, a little more broad spectrum.
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But from season four on, the prescription is different.
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More medicine, more mysteries, more questions.
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So grab a drink, hit the follow, and tune in every Tuesday for a new episode.
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Ricky bought us a cup of coffee, ladies.
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All three of us.
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Thank you very much, Ricky.
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She said, love the new medical focus so good.
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Oh, with three exclamation points.
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Oh, I love an exclamation point.
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I think some people think they're annoying, but I love them.
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Also, the Alcatraz Epp was awesome.
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So that must be the one Colleen and I did after we lost our first one.
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Yeah, that's what felt like the first one for me.
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Yeah.
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But thank you for getting me through my view, y'all.
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Again, thanks for buying us a cup of coffee.
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So let's get into it.
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So is it time for our drink?
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Drink chat.
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We're not all having the same thing today.
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No.
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No, Megan, what are you having?
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I'm drinking some Dolly Parton Chardonnay because R.I.P.
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Yeah.
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Yeah.
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It's a good bottle though.
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What are you ladies drinking?
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Yeah, we're having um some gin and toxics, if you will.
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My favorite.
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Yeah.
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How is that different from a gin and tonic?
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Well, it's not really.
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We just changed the name.
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Did you guys get some lime in there?
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It's my favorite part.
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Oh, I like extra lime.
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Yeah, me too.
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Love a lime.
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Love a lime slice.
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Love a little extra lime slice.
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Cheers.
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And let's get into it.
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Disclaimer.
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The views, opinions, and commentary expressed on this podcast are those of the hosts and guests and do not represent the view or opinions of our employers, organizations, or professional affiliations.
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We have kind of another case study today.
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Okay.
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Tonight's case begins on February 19th, 1994.
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Our patient is a 31-year-old woman with terminal cervical cancer.
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For several days, she's been experiencing nausea and vomiting, but on this particular day, things got significantly worse.
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She developed shortness of breath and heart palpitations, so her boyfriend, Johnny Estrada, becomes concerned enough to call 911.
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By the time she arrives at Riverside General Hospital, she's critically ill, barely conscious, and disoriented.
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She's tachycardic and she's having chainstokes respirations.
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Oh God.
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All right.
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What are Chain Stokes respirations for those who don't know?
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That's so creepy.
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Thank you for that demonstration.
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But that's exactly what it is.
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Yeah.
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But fast brats with periods of apnea.
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Irregular.
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Yep.
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Yep.
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Given only what we know right now, that we have this terminal cancer patient with several days of vomiting who's now altered, tachycardic, dyspnec, and has an abnormal respirator pattern.
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What are you guys worried about?
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Pericardial effusion and spread of cancer.
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Yeah.
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The patient's mess.
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Let's look for an effusion because there's always fluid.
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She's hypoxic because Shane Stokes is either hypoxic or like a neurological injury.
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But I would be getting an echo.
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I'd be getting has she had any any like surgeries for debulking of tumors or anything?
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Not that we know of and not that contribute to this case.
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Also, I would be getting an X-ray and let's just do, you know, our C B C BMP.
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Let's get some coags since there's always some
Load full transcript
sort of coagulopathy that's happening in cancer patients, right?
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Yeah.
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And how about an ABG?
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She's gotta be an ABG for those who don't know, arterial blood gas.
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Yep, it's gonna look at the pH, the pH of the blood.
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So I think probably, yeah, again.
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So some sort of metabolic derangement.
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Yeah.
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I agree.
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Probably some some organ failure related to, you know, Mets.
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So maybe some renal failure, some liver failure, maybe an infection, so some sepsis.
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Uh, and then, you know, Kate, you said it's almost always pulmonary as well when they're chain stoking.
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And, you know, we know, as you said, people get coagulopathic with cancer.
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So did she have like a pulmonary embolism, a large plot in her lung, anything like that?
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So before there's much time for the ER team to figure it out, Gloria goes into cardiac arrest.
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Oh gosh.
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The team begins resuscitation, she is intubated, she is defibrillated for an irregular heart rhythm.
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And then that's when the case takes its first very strange turn.
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Wait, okay, so she was in a shockable rhythm then.
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Yes, I nowhere could I see whether it was like V fib or VTAC, but everywhere, all of the sources said she was defibrillated.
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Interesting, because I would think if she maybe had like a clot or something, it would be like a PEA.
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Like yeah.
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If the oxygen, the the breathing is driving her uh instability, yeah, that you would think it would be like pulsus electrical activity, which is not a shockable rhythm, despite what you may see on television, right?
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Yes, yes.
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So she gets intubated and she vomits, which okay, this happens.
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We see it, right?
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Yep, yep.
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But the respiratory therapist notices a fruity garlic-like odor coming from her mouth.
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Ketones?
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Yeah.
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But would we call ketones garlic?
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Garlic?
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No.
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I would call that fruity.
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Yeah, fruity.
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And when they go to defibrillate her and they expose her chest, they note that her skin is oily almost as though it has a sheen to it.
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Hold
on, wait.
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I'm just thinking, like, would they just sniff in up her mouth?
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Well, it must have been so potent that I was just gonna say it had to have been stanky.
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I mean, let's be real.
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How many times has a patient's mouth been opened for them to put a breathing tube in and the whole room can smell it, right?
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Especially if very real.
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Especially if someone's been like mouth breathing, like in distress.
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Yeah, I'll give you that.
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I'll give you that.
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But yeah, usually, I mean, I get fruity fruity breath is sort of a text uh uh textbook DKA.
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Yeah, like someone with uncontrolled blood sugar, very high blood sugar.
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But garlic.
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But I've I can't think of anything that would just that would cause a garlicky smell beyond eating garlic.
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Eating garlic, yeah.
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And then do you can you guys think of anything that would cause this like oily skin?
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Besides having soaked in a bath with oils?
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I don't know.
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Did she put something on her skin?
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Sweat glands.
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That's uh like sebaceous.
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Are you talking about are you thinking about sebaceous glands?
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Common, like on the oil, just like releasing okay.
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So you just think she's like sweaty.
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Well, more than sweaty, but yeah, maybe I don't know.
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Yeah, I think sometimes people's sweat is weird, yeah.
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And I think people do have weird like sweat gland syndromes, but I don't feel like you often just see that like on their chest.
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Usually it's like they had issues like in their armpits or whatever, right?
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Yeah, they're they're more like heated place, not not so much on the chest.
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That feels weird, but you're right that like maybe some lotion, maybe something she applied something to her chest.
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Okay, what's it uh emulsifier?
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Okay, she rubbing some type of like chemical on her body to cure cancer, yeah.
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That's what I'm thinking, or like taking a supplement as an RN starts an IV and draws Gloria's blood, she says she smelled ammonia, windex, and then something even stranger happens.
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When she looks at the blood sample in the tube, there are white crystals in the blood sample.
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Oh god.
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What has this lady been injecting?
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So this is documented by the nurse and also corroborated by a medicine resident and an attending physician.
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Okay, so when I think about crystals in the blood, I think about precipitation.
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We because we know what precipitation is, right?
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When you mix something like two liquids, yeah, chemical, it creates yeah, a chemical reaction and creates that's a solid solid within the liquid that's called precipitation.
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What is she mixing in her blood that's we've all seen a lot of blood specimens, yes, right, in our time.
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Have you ever seen crystals?
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No, not in a blood sample, but do you think something was in her blood that mixed with the chemical in the tube that created precipitation?
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Maybe because some of the two the tubes have like additive space to it.
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It was like a bad tube or something, and then the nurse who drew the blood faints.
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Oh god, oh god, this lady's been putting something in her body.
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So I mean, at first I'm like, you know, is this is someone just not up for a code today?
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You know, it's it's all just a little too much for them.
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Well, what what smells like ammonia?
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Well, so usually it would be cleaners, like you said, you said Windex, right?
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So wind blas thingers, rodent urine breaks down into ammonia.
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So whatever you when you smell like rat pee or something.
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Oh god.
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Um, and then intense exercise or low carb, high protein diets can cause your sweat or breath to carry an ammonia scent.
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That makes sense because protein breaks down into ammonia.
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Okay, so I'm like, okay, so maybe this nurse wasn't feeling well, maybe this was all just like too too intense, but then that medicine resident who was next to her and verified the the particulate in the blood sample, she said, I feel really dizzy.
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She got really nauseated.
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She walked out to the nurse's station, and as she gets to the nurse's station, she passes out.
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What?
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What could you be exposed to that would make you I mean, unless she was like covered in some sort of chemical that's gonna chloroform?
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Doesn't chloroform, you breathe it in, you pass out.
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That's what I was thinking.
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Yeah, yeah, but why would she have
covered herself and I don't know that's weird?
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She's I'm like, is this lady a terrorist?
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I'm thinking weird vitamins and mineral exposure.
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Yeah, I mean, I think we had we definitely see a lot of patients who are taking weird supplements who have crazy reactions, right?
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Yeah, yeah.
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Because I think we talked about this in the big pharma episode that I think a lot of people think like, I don't want to take medicine, I don't want to be on medicine, but it's fine if I take these 24 supplements because they think their supplements are not prescribed, they're benign, and really we see these crazy reactions with them, specific, especially if you're taking multiple.
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So, okay, you think she's taking something and it's causing some kind of weird reaction.
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Okay.
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That's a good yeah, maybe I'm not sure.
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I mean, or there could be maybe we're just like blaming the patient, but maybe there's some other kind of like toxic or environmental exposure happening to the ER, right?
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Or her home.
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Okay, yeah, okay.
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Or maybe the nurse and the med medical resident just didn't get lunch that day.
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I don't know.
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Blood sugar.
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Okay.
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Well, the situation escalates rapidly.
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Oh gosh.
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We end up with 23 people in the emergency room who have symptoms within 30 minutes of contact with this patient.
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So these symptoms include dizziness, headache, respiratory irritation, tearing, nausea, and vomiting.
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And many of them had to be hospitalized.
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Sounds like a gas.
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So then, as a result of all of these people getting sick, the ER is evacuated.
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Oh, God.
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With the exception of a handful of staff who are wearing protective equipment and they remain behind and they are still coding Gloria, right?
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So still coding?
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She hasn't been resuscitated.
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She has not been resuscitated.
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How long has this been happening?
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They code her for 35 minutes.
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Okay.
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And does she achieve ROSC?
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She does not achieve Rosk, and she is ultimately pronounced dead.
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Okay.
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No return of spontaneous circulation.
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Okay.
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And in the meantime, though, the whole ER has is moving outside and they're like taking care of patients in the ER parking lot.
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Yeah.
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Yeah.
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You know what?
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Healthcare workers are heroes.
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That's all.
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Where was this again?
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This is in California, Riverside, California.
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Wow.
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The medical resident I told you about, the second one who like fainted, she ended up spending two weeks at intensive care with hepatitis and avascular necrosis.
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Oh my god.
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What?
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Yeah.
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So you said your first theory was anthrax, right?
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Oh yeah, right?
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Colleen.
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I said anthrax.
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It sounds like a little quick for anthrax.
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Anthrax is whether it's inhaled or contracted through the skin, it's usually one to seven days.
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Inhalation can take up to 60 days for symptoms.
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And you get mild food-like symptoms like fever, muss-like, and cough, and then you get severe breathing problems.
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You might also get like rashes or blisters on your skin.
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So it doesn't really sound like anthrax, but it does seem like the way it's being contracted feels very similar, right?
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Yeah.
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Like airborne or lady radiate, like, did she have like radiation?
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Was she super radiated?
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And she's she like was she actually like the radiate radiation was coming from her and exposing everyone to radiation?
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Early signs, you get nausea, vomiting, headache, diarrhea.
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Okay.
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Then people feel better, and then they get bone marrow failure, GI distress, neurologic damage, fever, internal bleeding, fatigue.
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Uh, but how long does that take?
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It says usually it takes a couple of weeks.
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So that's a no.
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No.
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Uh that's leaking poison.
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What what color was she?
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Like, was she was her skin like orange?
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Was she like green?
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Like, what was I don't know, but I have to assume, given that we have all these details about the odor, the sheen, the breath, the the blood, the crystals and the
blood.
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Yeah, that if it was something like she was orange or she was blue or she was yellow, that we would have heard about that, right?
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I just feel like her liver can't be normal.
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No, nothing's normal, clearly.
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So after Gloria is declared dead, her body is isolated and it is transferred into an airtight container.
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Uh-huh.
00:15:20.960 --> 00:15:35.840
An autopsy is performed using strict hazardous material precautions, but they find no evidence of toxic, volatile, or hazardous vapors detected in association with Gloria's tissues, bodily fluids, or the ER air samples.
00:15:36.000 --> 00:15:36.799
Yes, Colleen.
00:15:37.200 --> 00:15:41.440
Oh does she have family that's also been presenting similar?
00:15:41.759 --> 00:15:45.519
No, she has family, but no one else that has any of these symptoms.
00:15:45.840 --> 00:15:47.759
You know who else didn't have any of these symptoms?
00:15:48.000 --> 00:15:48.480
Who?
00:15:48.720 --> 00:15:51.679
The people who transported her in the ambulance.
00:15:51.919 --> 00:15:54.480
Oh, something else is causing this.
00:15:54.879 --> 00:15:57.440
Is she just the is she just a variable?
00:15:57.679 --> 00:16:04.399
Is she like where where we thought it was coming from, but really it's like they ate the ER add from lunch?
00:16:04.720 --> 00:16:05.120
All right.
00:16:05.200 --> 00:16:08.799
Well, I think you kind of covered some of the the differentials here, okay?
00:16:09.039 --> 00:16:10.559
The doctors and nurses are getting sick.
00:16:10.639 --> 00:16:12.399
Some of them are sick enough to be hospitalized.
00:16:12.559 --> 00:16:19.360
They're describing odors and visible abnormalities in the patient's blood, but there's no toxic chemical you'd expect to explain it.
00:16:19.519 --> 00:16:30.720
So kind of the general theories are that there is something originating from Gloria, which you hit on, maybe a medication, a home, a remedy, metabolic product, or chemical reaction occurring within or around her body, right?
00:16:30.879 --> 00:16:34.399
So they were hallucinating when they saw stuff in her blood.
00:16:34.720 --> 00:16:36.639
At least three had a shared hallucination.
00:16:36.960 --> 00:16:37.360
Maybe.
00:16:37.919 --> 00:16:42.080
I mean, last week we talked about a shared psychosis.
00:16:42.240 --> 00:16:44.559
Yeah, you were like, it's a psychosis.
00:16:44.720 --> 00:16:46.159
Yeah, you believe that, Megan.
00:16:46.320 --> 00:16:49.360
So I don't don't say like, oh, shared hallucinations.
00:16:49.600 --> 00:16:51.360
I really couldn't decide what to believe last time.
00:16:51.519 --> 00:16:58.320
I will say though, when you kept saying they're trading sourdough, I was like, they're making sourdough, but you're right, it would be in the wheat, which would be transported.
00:16:58.559 --> 00:17:01.440
Other theory is that there's something
originated in the hospital, like you said.
00:17:01.519 --> 00:17:03.600
So maybe they're blaming her, but it's something else, right?
00:17:03.759 --> 00:17:04.880
Because it wasn't in the EMT.
00:17:05.039 --> 00:17:06.319
Family didn't experience this.
00:17:06.559 --> 00:17:11.680
So maybe some kind of chemical contaminated IV solution or environmental exposure.
00:17:11.839 --> 00:17:12.240
Yep.
00:17:12.480 --> 00:17:17.200
Are there multiple things happening at once and it's just sort of like a perfect storm, right?
00:17:17.359 --> 00:17:20.079
Like her illness explains some findings, but there's something else happening.
00:17:20.319 --> 00:17:25.920
Or was this just a psychogenic response in response to an extremely stressful event?
00:17:26.240 --> 00:17:30.880
But the the resident had avascular necrosis and hepatitis.
00:17:31.039 --> 00:17:33.039
No, two weeks in the ICU?
00:17:34.000 --> 00:17:47.839
You guys might be surprised to learn that given that the majority of these patients were women, the official story and what many assumed at the time was that this was another mass psychogenic illness.
00:17:48.079 --> 00:17:50.079
I'm tired of people blaming women.
00:17:50.400 --> 00:17:56.319
So two scientists from California's Department of Health and Human Services interviewed 34 staff who'd worked in the ER that night.
00:17:56.480 --> 00:18:02.480
They noted that those within two feet of Gloria were more likely to fall ill, and nearly all of those affected were women.
00:18:02.640 --> 00:18:12.960
People who had skipped it that evening rather than those who had a full stomach were also more likely to have developed symptoms, which could be either they were processing something quicker, right?
00:18:13.200 --> 00:18:16.960
Or it could be what Kate said, maybe they're all just hypoglycemic.
00:18:17.200 --> 00:18:18.240
You know, I don't know.
00:18:18.400 --> 00:18:26.160
They released a report that the incident was due to mass psychogenic illness or mass hysteria, but this was an unacceptable answer to people who were hospitalized with organ dysfunction.
00:18:26.400 --> 00:18:26.799
Yes.
00:18:26.960 --> 00:18:35.839
And Julie Gorczynski in particular, who spent two weeks in the ICU, the medical resident, she filed a six million dollar lawsuit against the hospital and coroner's office.
00:18:35.920 --> 00:18:41.519
So the forensic science center at Lawrence Livermore National Laboratory in California, they're called in for like a second opinion.
00:18:41.599 --> 00:18:41.839
Okay.
00:18:42.319 --> 00:18:42.720
For her.
00:18:42.880 --> 00:18:44.960
So you guys aren't buying psychogenic?
00:18:45.119 --> 00:18:46.559
No, not one bit.
00:18:46.799 --> 00:18:47.119
No.
00:18:47.440 --> 00:18:48.880
Unless shrooms are involved.
00:18:48.960 --> 00:18:50.720
Could they be exposed to shrooms?
00:18:50.880 --> 00:18:51.200
Okay.
00:18:51.279 --> 00:18:52.640
I was thinking shrooms too.
00:18:52.799 --> 00:18:53.119
Yeah.
00:18:53.599 --> 00:18:55.200
I mean, I think well, mold.
00:18:55.359 --> 00:19:00.559
Could they be exposed to mold that could be presenting like a shrooms, like environmental mold?
00:19:00.799 --> 00:19:06.640
I mean, I think we talked about how a lot of like psychogenic illnesses, it's not the patient faking it.
00:19:06.720 --> 00:19:08.799
It is a physical manifestation, right?
00:19:09.039 --> 00:19:09.680
Something else.
00:19:09.839 --> 00:19:14.079
But you don't usually see multi-organ failure and cardiac arrest from that, right?
00:19:14.319 --> 00:19:28.640
You might have you might have like what they used to call pseudo-seizures, which is not an acceptable term now, but like you might have like seizure activity with a normal EEG or something, but you're not gonna be your heart is not gonna stop, you're not gonna be in V fib, VTAC, you're not gonna be in organ failure.
00:19:28.720 --> 00:19:33.839
So yeah, I don't know if I really if I believe I think psychogenic illness is not an option for me.
00:19:34.079 --> 00:19:34.400
No.
00:19:34.799 --> 00:19:42.480
So the Lawrence Livermore National Laboratory Forensic Science Center became involved and they identified several substances in Ramirez's samples.
00:19:42.720 --> 00:19:44.799
So this gets a little sciencey, Kate.
00:19:44.880 --> 00:19:46.000
This is gonna be so up your alley.
00:19:46.160 --> 00:19:46.480
Okay.
00:19:46.640 --> 00:19:53.119
There was an amine, a derivative of ammonia that may have formed as her body broke down Tegan, which was an anti-nausea medicine.
00:19:53.200 --> 00:19:55.839
And so that might explain the ammonia odor.
00:19:56.319 --> 00:20:05.839
They also found nicotinamide, which is a B vitamin that is sometimes mixed into illegal drugs like meth and can cause euphoria.
00:20:06.400 --> 00:20:12.640
But they couldn't figure out like why would she have been taking nicotinamide?
00:20:12.960 --> 00:20:13.119
Right.
00:20:13.279 --> 00:20:16.160
Because everyone's like, she doesn't take drugs, she's not doing drugs, right?
00:20:16.240 --> 00:20:19.359
And her and the rest of her talk screen was normal, was clear.
00:20:19.519 --> 00:20:19.759
Okay.
00:20:19.920 --> 00:20:26.720
They also determined that she had been taking a lot of Tylol and codeine, which they said that could have helped, like contributed to liver liver damage.
00:20:27.359 --> 00:20:30.480
But none of these findings really explain what happened.
00:20:30.640 --> 00:20:30.960
Okay.
00:20:31.279 --> 00:20:34.000
They found something much more interesting.
00:20:34.160 --> 00:20:36.799
What they found was DMSO2.
00:20:37.119 --> 00:20:43.200
So they were like, well, you know, DMS-04, that's toxic, but how did we get from O2 to O4?
00:20:43.279 --> 00:20:44.640
And how did she get O2 in her body?
00:20:44.799 --> 00:20:47.759
Oh, like a chemical reaction that's like this.
00:20:48.079 --> 00:20:48.240
Yes.
00:20:48.400 --> 00:20:59.839
They theorized the DMSO2 was a product of DMSO, and then they
theorized that DMSO2 converted to DMS-O4, and that's what caused her illness, but that her toxicity, I guess.
00:21:00.000 --> 00:21:03.519
But the DMSO2 is what was found in her in her blood.
00:21:03.759 --> 00:21:12.880
This all starts with DMSO, which is dimethyl sulfoxide, which is a liquid solvent derived from wood pulp that is found in hardware stores.
00:21:13.119 --> 00:21:17.359
It used to be used topically for pain as well as anxiety.
00:21:17.519 --> 00:21:26.960
Other indications included treatment of pain related to interstitial cystitis, antibacterial agents, cervical cancer treatment, and chemotherapy IV infiltration.
00:21:27.200 --> 00:21:34.799
But the rise of this potential water drug was stopped suddenly when animal tests showed that prolonged exposure to DMSO altered the lens of the eye.
00:21:34.960 --> 00:21:43.519
The FDA ceased clinical trials of the drug in 1965, though in 1978 approved a 50% solution of DMSO as a treatment for interstitial cystitis.
00:21:43.599 --> 00:21:53.279
So for the most part, rarely this could be used for like painful urinary tract lesions, but otherwise it's it's been eliminated, not allowed, not used medically anymore.
00:21:53.519 --> 00:21:56.720
People were still buying 99% DMSO at the hardware store.
00:21:56.799 --> 00:21:58.240
It's like a liquid solvent.
00:21:58.400 --> 00:22:09.200
So in 1980, the FDA had Actually, issued a warning to physicians to counsel their patients that, like, you shouldn't go to the hardware store, buy this, and use this to treat your pain and anxiety.
00:22:10.960 --> 00:22:12.400
Well, this is a theory.
00:22:12.640 --> 00:22:22.160
But people who were using who were using the DMSO to treat their pain and anxiety would report a garlic-like taste and also a slick sheen on your skin.
00:22:22.400 --> 00:22:24.160
DMSO is renally excreted.
00:22:24.240 --> 00:22:31.759
So if she's in renal failure for something else, it could cause it to accumulate in her body and she would have higher than normal levels.
00:22:32.720 --> 00:22:34.000
She was totally doing this.
00:22:34.240 --> 00:22:34.559
Okay.
00:22:34.880 --> 00:22:35.839
But here's the problem.
00:22:36.000 --> 00:22:39.119
This all sounds like it's this all setting up to be a good story.
00:22:39.200 --> 00:22:42.880
But just wait until I explain how they theorized this reaction occurred.
00:22:43.440 --> 00:22:49.359
Okay, so they're saying that she actually was doing this or that what she was doing was creating this in her body.
00:22:49.599 --> 00:22:55.519
We have no proof that she took DMSO and her family says she didn't take DMSO.
00:22:55.680 --> 00:23:00.559
But this is what the scientists, when they're like, you guys didn't like that psychogenic illness theory.
00:23:00.720 --> 00:23:02.000
Here's our scientific theory.
00:23:02.319 --> 00:23:02.640
Okay.
00:23:03.039 --> 00:23:06.799
But now how do we get from DMSO to DMSO4?
00:23:07.839 --> 00:23:11.359
She was doing a couple of yeah, add some
O's.
00:23:11.680 --> 00:23:13.599
She was doing some ozone treatments.
00:23:13.920 --> 00:23:14.559
Whippets?
00:23:15.279 --> 00:23:15.599
No.
00:23:15.839 --> 00:23:19.839
So again, if you think about because ozone is O3.
00:23:20.640 --> 00:23:21.839
You guys know that, right?
00:23:22.160 --> 00:23:25.759
It's ozone, is that ozone is three oxygens.
00:23:25.920 --> 00:23:28.160
That's why I don't know what ozone is.
00:23:30.000 --> 00:23:31.359
Like the ozone layer?
00:23:31.440 --> 00:23:31.680
Yeah.
00:23:31.839 --> 00:23:32.640
Oh, oh, sorry.
00:23:32.720 --> 00:23:34.319
I thought I thought it was like a drug.
00:23:34.480 --> 00:23:34.720
Yeah.
00:23:34.799 --> 00:23:39.839
Well, actually, when you said when you said ozone, I thought you were talking about some sort of like, yeah, like hyperbaric oxygen situation.
00:23:40.000 --> 00:23:41.680
Yeah, you mean so like ozone.
00:23:42.000 --> 00:23:45.039
You said DNSO, which is one oxygen.
00:23:45.200 --> 00:23:45.680
Yeah.
00:23:45.920 --> 00:23:48.480
And then how does it get to DMSO4?
00:23:48.799 --> 00:23:50.000
You add three oxygens.
00:23:50.160 --> 00:23:51.519
See, why do you guys think you get it?
00:23:51.599 --> 00:23:52.640
I'm too smart.
00:23:52.880 --> 00:23:54.559
I didn't know that joke at all.
00:23:55.359 --> 00:23:56.240
So it came back.
00:23:56.400 --> 00:23:57.680
You think the aliens abducted?
00:23:57.839 --> 00:24:07.359
No, now it's like there's like it's there's like health trends that are like they're like do the ozone, like there's like oxygen bars, and you like you do the ozone.
00:24:07.519 --> 00:24:08.240
Okay, okay.
00:24:08.319 --> 00:24:08.799
I got you.
00:24:08.960 --> 00:24:09.440
I got you.
00:24:09.599 --> 00:24:09.680
Yeah.
00:24:09.839 --> 00:24:11.200
So this is a treatment people do.
00:24:11.359 --> 00:24:15.279
I thought you were about to take this down a whole alien abduction angle.
00:24:15.519 --> 00:24:15.759
No.
00:24:16.160 --> 00:24:17.759
She was abducted, went to space.
00:24:18.240 --> 00:24:22.720
I was I was thinking still along the lines of like, what are some alternate treatments for cancer?
00:24:22.960 --> 00:24:24.319
No, I don't understand that.
00:24:24.559 --> 00:24:28.559
DMSO4 is a potential chemical warfare agent.
00:24:28.799 --> 00:24:37.599
When inhaled or absorbed through the skin, it causes dizziness, headache, convulsions, coma, lung injury, and bradycardia.
00:24:38.319 --> 00:24:51.440
Of the 20 types of symptoms reported by the staff, from the fainting to the convulsions to Gorczynski's hepatitis, only one, nausea and vomiting, is not a symptom of dimethyl sulfate exposure.
00:24:52.079 --> 00:24:57.440
So they're like, this DMS-04 is gonna would explain this.
00:24:57.519 --> 00:24:59.519
But again, how did we get to the DMS04?
00:25:00.000 --> 00:25:14.559
So they theorized that when she arrested, she shows up to the ER, they first thing they do is her ABCs, they put her on oxygen.
00:25:14.960 --> 00:25:23.599
Okay, and somehow this DMS now gets that extra oxygen and becomes DMSO2.
00:25:23.920 --> 00:25:24.240
Okay.
00:25:25.599 --> 00:25:32.880
But DMSO here, I was thinking, okay, but now we gotta get from DMS O2 to DMS O4.
00:25:33.359 --> 00:25:33.759
Uh-huh.
00:25:33.920 --> 00:25:35.839
Yeah, we're gonna go to three next.
00:25:36.079 --> 00:25:42.160
No, we're the next, well, yes, but I guess because of the the IV fluids, the H2O.
00:25:42.880 --> 00:25:45.279
That's not not even IV fluids.
00:25:46.160 --> 00:25:47.920
I was like, whoa, hold up.
00:25:48.079 --> 00:25:50.400
What could they give her that will give her another O?
00:25:51.039 --> 00:25:54.799
Maybe not, maybe not what they gave her, maybe what they did to her.
00:25:55.119 --> 00:26:06.640
Maybe when they defibrillated her, the electrical current split the DMSO2 molecules, which rearranged with natural sulfates in her system, to create DMSO4.
00:26:07.920 --> 00:26:09.359
Does that happen?
00:26:09.759 --> 00:26:10.319
Interesting.
00:26:10.400 --> 00:26:14.559
Well they were unable to make it happen in a lab.
00:26:14.880 --> 00:26:17.200
Okay, well, this that seems like a stretch.
00:26:17.440 --> 00:26:20.880
But this is the theory, the theoretical solution that they propose.
00:26:21.039 --> 00:26:21.440
Uh-huh.
00:26:21.519 --> 00:26:21.839
Yep.
00:26:22.000 --> 00:26:24.559
Again, nobody could demonstrate this actually happened.
00:26:24.640 --> 00:26:29.359
The proposed mechanism was theoretical and it has never been reproduced.
00:26:29.839 --> 00:26:32.720
But to believe either, you have to assume she was doing it.
00:26:32.960 --> 00:26:38.559
You have to assume she was doing DMSO, which is like the first thing, which again, her family disclaims she lists on.
00:26:38.880 --> 00:26:40.480
You know what, you know what I have to say to that?
00:26:40.960 --> 00:26:43.440
You know what House would have to say it to that, Dr.
00:26:43.519 --> 00:26:44.000
House?
00:26:44.240 --> 00:26:45.039
Everyone lies.
00:26:45.279 --> 00:26:46.240
Everybody lies.
00:26:46.559 --> 00:26:47.279
That's right.
00:26:48.079 --> 00:26:53.519
You have to be that you have to be in agony to want to start using something from the hardware store.
00:26:54.079 --> 00:26:56.079
DSMO.
00:26:57.200 --> 00:26:57.519
Okay.
00:26:57.920 --> 00:27:02.079
The head of the lab said, hey, hey, hey, we never said this is what happened.
00:27:02.240 --> 00:27:04.079
Just that people should look into it.
00:27:04.319 --> 00:27:04.640
Okay.
00:27:04.880 --> 00:27:09.279
You guys believe that this that she did this DMSO and that that's fine.
00:27:09.359 --> 00:27:10.720
So she could have done it, period.
00:27:10.880 --> 00:27:14.240
Done, would maybe explain again, like the odors.
00:27:14.480 --> 00:27:17.279
Again, doesn't explain the spread, right?
00:27:17.359 --> 00:27:20.480
And the symptoms unless it's DMS-04.
00:27:20.799 --> 00:27:26.400
And you believe that oxygen supplementation and
defibrillation got her from DMS-0 to DMS-04?
00:27:26.799 --> 00:27:26.960
No.
00:27:27.200 --> 00:27:32.160
How many times did they and then and then they were unable to do that to replicate that in a lab?
00:27:32.319 --> 00:27:33.359
No, I don't believe that.
00:27:33.519 --> 00:27:33.759
I know.
00:27:33.920 --> 00:27:41.599
Keep the old literally the only other idea was that it was like caused by a psychogenist's.
00:27:41.839 --> 00:27:44.480
Well, let me tell you the third theory.
00:27:44.720 --> 00:27:47.119
So now we get a little conspiratorial here.
00:27:47.279 --> 00:27:47.440
Okay.
00:27:47.599 --> 00:27:47.920
Okay.
00:27:48.400 --> 00:27:51.200
There is another proposed culprit, methylamine.
00:27:51.519 --> 00:27:53.680
You can have an ammonia-like odor.
00:27:53.839 --> 00:27:54.240
Uh-huh.
00:27:54.799 --> 00:27:58.960
It is associated with methamphetamine production.
00:27:59.200 --> 00:27:59.839
Ooh.
00:28:00.400 --> 00:28:06.640
In 1997, New Times LA reportedly published a dramatically different explanation.
00:28:06.799 --> 00:28:09.599
New Times LA, by the way, no longer exists.
00:28:09.839 --> 00:28:10.000
Okay.
00:28:10.160 --> 00:28:10.400
Okay.
00:28:10.559 --> 00:28:11.200
All right.
00:28:11.839 --> 00:28:24.880
They claimed that Riverside County was a major center for methamphetamine manufacturing and distribution, and that hospital employees had been stealing methylamine and selling it to methamphetamine manufacturers.
00:28:25.119 --> 00:28:26.319
Methylamine's in the hospital.
00:28:26.559 --> 00:28:27.759
Oh, we get in the pharmacy.
00:28:27.920 --> 00:28:30.720
And anesthesia and analgesics.
00:28:30.880 --> 00:28:31.200
Yeah.
00:28:31.359 --> 00:28:31.519
Okay.
00:28:31.759 --> 00:28:39.359
So the theory is that hospital employees were smuggling this out to sell to meth cookers.
00:28:39.440 --> 00:28:41.759
So they have like their own side hustle going.
00:28:41.920 --> 00:28:42.160
Yeah.
00:28:42.400 --> 00:28:45.440
And but like, but how would they get this out of the hospital?
00:28:45.680 --> 00:28:48.720
Because it turns to gas very quickly when exposed to oxygen.
00:28:48.880 --> 00:28:49.440
Oh, okay.
00:28:49.599 --> 00:28:52.400
So they were putting it in DMSO4.
00:28:52.960 --> 00:28:54.559
They were putting it in IV bags.
00:28:54.720 --> 00:29:02.000
This is allegedly putting it in IV bags and then transporting the IV bags out of the hospital.
00:29:02.240 --> 00:29:04.240
Oh, but somebody gave her one.
00:29:04.480 --> 00:29:10.799
And maybe there was a mistake and they hung the bag or the bag had remnants in it or something.
00:29:11.440 --> 00:29:15.039
And again, now this is a whole crazy theory that was proposed.
00:29:15.200 --> 00:29:17.200
She had no meth in her system.
00:29:17.440 --> 00:29:20.079
She had no evidence of this methylamine.
00:29:20.319 --> 00:29:24.559
But again, they were like, well, when exposed to oxygen, it disappears.
00:29:24.640 --> 00:29:26.559
So it wouldn't be in her autopsy.
00:29:26.799 --> 00:29:28.720
So this was a seventh crazy theory.
00:29:28.960 --> 00:29:32.559
Was there this underground meth business happening?
00:29:32.799 --> 00:29:35.039
And now the family has their own theory.
00:29:35.119 --> 00:29:40.319
And I think a lot of this stems from things feel very conspiratorial from their standpoint.
00:29:40.400 --> 00:29:40.720
Yeah.
00:29:41.039 --> 00:29:45.119
Because it took 10 weeks for them to get her body back.
00:29:45.279 --> 00:29:53.039
So by the time they got her body back from these two autopsies, they the body had significantly decomposed.
00:29:53.279 --> 00:29:55.440
They hired their own pathologist, Dr.
00:29:55.519 --> 00:29:58.880
Richard Fukamoto, to perform another autopsy.
00:29:59.119 --> 00:30:02.400
Is that the one that's always in trouble for messing up the I don't know.
00:30:03.119 --> 00:30:12.000
So when he got in there to do his autopsy, the organs were reportedly contaminated with fecal matter or missing.
00:30:12.160 --> 00:30:13.440
The heart was missing.
00:30:13.759 --> 00:30:14.079
What?
00:30:14.240 --> 00:30:19.200
And and that blood sample that had particulate in it, missing, gone.
00:30:19.359 --> 00:30:21.039
No one has ever seen it again.
00:30:21.359 --> 00:30:30.799
So everyone's like, this like poor handling of the body makes us really suspicious that there was something else going on and there's some kind of cover-up, right?
00:30:30.880 --> 00:30:32.960
That there's some kind of investigation cover-up.
00:30:33.200 --> 00:30:42.640
And when they went back in 1989, the hospital was cited for algae and mold-related sanitation issues and cross-contamination issues.
00:30:42.960 --> 00:30:51.519
And uh prior to this, there was some like back sipe and plumbing issue, failing metylation systems and recurring sewer gas backups.
00:30:51.599 --> 00:30:56.319
So the family was like, you have this history of toxic gas and plumbing leaks.
00:30:56.480 --> 00:30:59.279
All of the evidence from our loved one is missing, right?
00:30:59.440 --> 00:31:00.559
For her autopsy.
00:31:00.880 --> 00:31:03.039
Did you guys mess up?
00:31:03.200 --> 00:31:07.599
Like that's what happened to her, was like, because they claim, you know, she wouldn't have died if she hadn't gone to the hospital.
00:31:07.759 --> 00:31:11.599
Although I would argue she was had terminal cervical cancer.
00:31:11.839 --> 00:31:16.160
Those are the theories, like psychogenic, the DMSO to DMSO4.
00:31:16.720 --> 00:31:19.759
Was there some kind of underground meth business going on?
00:31:20.079 --> 00:31:24.960
Or was the hospital covering up because the hospital had some sort of environmental toxin that made everyone sick?
00:31:25.119 --> 00:31:26.000
What do you guys think?
00:31:26.319 --> 00:31:31.759
But only like 24 people got sick that were close to her.
00:31:32.160 --> 00:31:36.799
Yeah, the majority were within uh do I say two feet?
00:31:36.960 --> 00:31:37.599
Yeah.
00:31:38.319 --> 00:31:41.680
I don't think it's hospital environmental exposure.
00:31:41.920 --> 00:31:46.240
Yeah, I feel like there would have been a second patient with similar, you know what I mean?
00:31:46.319 --> 00:31:47.039
Like I don't know.
00:31:47.119 --> 00:31:50.799
I kind of buy the DMSO4 coming from her.
00:31:51.119 --> 00:31:52.880
It looks accessible.
00:31:53.279 --> 00:31:58.960
Well, I mean, DS DMSO seems, I mean, I I buy that she was doing that.
00:31:59.200 --> 00:32:01.680
Yeah, I mean, I think it definitely makes sense.
00:32:01.759 --> 00:32:04.480
We see weird, like I said, supplementation reactions.
00:32:04.640 --> 00:32:07.359
The DMSO ingestion makes sense.
00:32:07.599 --> 00:32:10.880
I can see the family not wanting to be like, are you you're saying she did also?
00:32:11.039 --> 00:32:16.960
I mean, like the this lady died, you don't even get to mourn your loved one because it's like she died, and also she made 23 people sick.
00:32:17.200 --> 00:32:17.359
Right.
00:32:17.440 --> 00:32:21.920
And it's like she has a nickname is like becomes a science project.
00:32:22.079 --> 00:32:24.400
You can't even like let her rest in peace.
00:32:24.720 --> 00:32:26.960
She has a nickname, the toxic lady.
00:32:27.039 --> 00:32:27.680
That's like the story.
00:32:27.759 --> 00:32:29.599
The story of Gloria Remair is a toxic lady.
00:32:29.680 --> 00:32:32.720
And so maybe they're like, I don't like that this is her reputation.
00:32:32.880 --> 00:32:40.720
And we do not believe that she would put any kind of holistic, non-prescribed treatment on her body that could have caused this.
00:32:40.880 --> 00:32:46.160
But I the defibrillation splitting and causing the DMSO4.
00:32:46.480 --> 00:32:49.920
I mean, what we defibrillate patients all the time, right?
00:32:50.720 --> 00:32:56.480
And they don't have weird chemical reactions because their atoms are not excited.
00:32:59.680 --> 00:33:01.759
Yeah, I don't know if I believe that part.
00:33:02.079 --> 00:33:06.960
I think she was like emitting something that caused people to be sick.
00:33:07.200 --> 00:33:10.799
I think she was definitely rubbing DMSO on her body.
00:33:10.960 --> 00:33:17.680
I definitely think she was doing that, but I don't think I also don't understand how you just split from two to four, like two to four.
00:33:17.759 --> 00:33:19.200
That's not how it works.
00:33:19.440 --> 00:33:22.000
There actually has to be like a reaction.
00:33:22.160 --> 00:33:23.680
So I don't believe that.
00:33:23.920 --> 00:33:27.839
Her official cause of death was kidney failure related to cancer.
00:33:28.240 --> 00:33:33.200
I just yeah, I think she was definitely using the chemical for pain.
00:33:34.079 --> 00:33:34.400
Okay.
00:33:34.880 --> 00:33:40.160
That's the only thing that makes because if it was mold, how do you explain the DMSO2?
00:33:40.640 --> 00:33:46.240
Well, you could say maybe she was using this cream, and that's what caused the garlicky breath.
00:33:46.640 --> 00:33:47.839
Garlicky breath and the sheet.
00:33:48.160 --> 00:33:49.680
But she did have DMSO2.
00:33:50.240 --> 00:33:54.079
So what about what else would have gotten her to two other than one?
00:33:54.559 --> 00:33:58.079
Well, is DMSO4 a stable or unstable molecule?
00:33:58.319 --> 00:34:02.400
Is it looking for more stability?
00:34:02.480 --> 00:34:06.559
Because if it's looking for more stability, it's gonna find something to help it become more stable.
00:34:06.799 --> 00:34:14.079
DMSO4 is stable under normal room temperatures and pressures, but reacts and decomposes easily when exposed to water, heat, or strong chemicals.
00:34:14.320 --> 00:34:16.960
If you apply heat to it, it's going to react.
00:34:17.199 --> 00:34:28.719
So if you're if it's stable under room temperature, which is 70 degrees, and then you put it on your body, which is 98 degrees, it's it's more likely to react.
00:34:28.960 --> 00:34:32.159
So you're saying then that science makes sense to you from that standpoint.
00:34:32.880 --> 00:34:35.119
That she had uh been using it.
00:34:35.440 --> 00:34:41.519
I just think I like my evidence, and if it can't be reproduced in a lab, I'm not buying it.
00:34:41.679 --> 00:34:44.480
Well, I don't know how to go about with DMSO4.
00:34:44.800 --> 00:34:45.599
I don't think that.
00:34:45.760 --> 00:34:47.360
I don't know if I believe that.
00:34:47.599 --> 00:35:00.320
What I'm saying is I think she could be rubbing DMSO and it could become DMSO2 in her body from being being destabilized with and that doesn't necessarily mean that's why everybody got sick.
00:35:00.960 --> 00:35:02.320
Like two separate things.
00:35:02.559 --> 00:35:08.639
Yeah, I I think it could be like she was doing that, but that doesn't mean that that's what caused everyone else around her to get sick.
00:35:09.199 --> 00:35:13.519
So you are you saying you think it's like a psychogenic illness again?
00:35:13.840 --> 00:35:14.960
No, no.
00:35:15.360 --> 00:35:16.159
What do you think?
00:35:16.400 --> 00:35:22.639
The DMS-04 story, again, even just like it converting DMS-04 being this toxin that radiates everything fits.
00:35:22.719 --> 00:35:24.480
They're saying this is every single symptom.
00:35:24.639 --> 00:35:27.039
It explains the odor, it explains the sheen.
00:35:27.280 --> 00:35:37.760
But I need someone to give me a better explanation of how that conversion happened because I don't believe that defibrillation is what got us from DMS02 to DMS-04.
00:35:38.079 --> 00:35:42.159
But I feel like if it was, I feel like the methane feels like a real jump.
00:35:42.960 --> 00:35:49.679
I feel like if it was like a mold or a toxin or a gas, why were all these people within two feet of the patient?
00:35:49.840 --> 00:35:57.519
And why didn't it like was it never an issue before or after, unless they secretly, I mean, like I feel like the ER would know if they were like shut down.
00:35:57.679 --> 00:35:59.920
Yeah, I
don't believe the mold.
00:36:00.000 --> 00:36:02.000
I don't believe the the meth.
00:36:02.159 --> 00:36:03.599
I think she was toxic.
00:36:03.840 --> 00:36:07.679
And I don't think that what like the family said if she hadn't come to the yard, she wouldn't have died.
00:36:07.760 --> 00:36:09.920
So whatever happened, they believe happened in the ER.
00:36:10.000 --> 00:36:10.880
I don't believe that either.
00:36:11.199 --> 00:36:12.480
No, me dying.
00:36:13.199 --> 00:36:19.519
But it is interesting also that she all they did in the in the ambulance was add oxygen, right?
00:36:19.679 --> 00:36:24.880
Supplement her with oxygen, and then and none of the none of the EMTs got sick.
00:36:25.119 --> 00:36:28.480
And then they defibrillate her in the yard, and all the people at the feet of her are sick.
00:36:28.639 --> 00:36:29.760
Yeah, that is interesting.
00:36:29.920 --> 00:36:30.320
I don't know.
00:36:30.559 --> 00:36:32.079
Real medical mystery.
00:36:32.400 --> 00:36:41.119
Are you saying when they defibed her and the sheen on her body, the sheen is what became DMSO4?
00:36:41.840 --> 00:36:44.400
In 1994, did they have the paddles still?
00:36:44.639 --> 00:36:46.159
Was it paddles or pads?
00:36:46.400 --> 00:36:47.679
I think it was paddles.
00:36:47.840 --> 00:36:48.960
I'm sure it was paddles.
00:36:49.119 --> 00:36:50.880
In ER, it was always paddles, but you know what?
00:36:50.960 --> 00:36:52.880
It's always paddles on TV now, too.
00:36:53.039 --> 00:36:53.360
Yeah.
00:36:53.599 --> 00:36:55.519
Yeah, the nobody uses paddles.
00:36:55.760 --> 00:37:01.599
Defibrillators transitioned from handheld metal paddles to self-adhesive stick-on pads between the late 70s and early 90s.
00:37:01.679 --> 00:37:04.639
So they should have already been stick-on at this point.
00:37:04.880 --> 00:37:12.320
Kate, I gotta say, the whole time, I've not been thinking of the sheen as being, I've been thinking about something in her blood.
00:37:12.559 --> 00:37:14.960
Yeah, I didn't think of the sheen either.
00:37:15.280 --> 00:37:16.719
But it may be that makes it more sense.
00:37:16.800 --> 00:37:20.719
If something happened on the sheen, that's much more exposed to the air.
00:37:20.880 --> 00:37:26.719
But also, you when you have a wet patient and you're defibrillating, you gotta wipe them down.
00:37:26.960 --> 00:37:28.400
She said it was a sheen, right?
00:37:28.480 --> 00:37:35.840
Like almost like what I'm thinking of is like I don't know, like an emulsification, like like oil.
00:37:36.079 --> 00:37:41.119
I think if it's enough, if it's enough that you're like, I noticed it, unless you're just saying it's just like shiny skin.
00:37:41.280 --> 00:37:41.440
Right.
00:37:41.920 --> 00:37:42.639
Good questions.
00:37:42.800 --> 00:37:48.719
We're all going with DMS04, but but don't there's no real questions.
00:37:49.039 --> 00:37:49.440
Yeah.
00:37:49.679 --> 00:37:50.719
Okay, hold on.
00:37:50.960 --> 00:38:00.159
Now I'm thinking,
could you get DSMO4 from the sheen on her skin plus everything in the air with the shock?
00:38:00.400 --> 00:38:01.119
I don't know.
00:38:01.360 --> 00:38:04.800
It seems like it's not rough replicable, so I don't know.
00:38:05.039 --> 00:38:06.400
You know what I'm talking about?
00:38:06.639 --> 00:38:07.119
Yeah.
00:38:07.440 --> 00:38:09.199
And how do they replicate the study?
00:38:09.280 --> 00:38:10.400
I guess that's my question.
00:38:10.639 --> 00:38:12.960
So we we agree that she's toxic.
00:38:13.840 --> 00:38:15.599
We agree we have no idea why.
00:38:15.840 --> 00:38:24.480
We agree that her family is lying because everybody not lying in in denial, in denial, or they might not know she was using it.
00:38:24.719 --> 00:38:26.639
Right, because everybody lies per Dr.
00:38:26.719 --> 00:38:27.760
Gregory House.
00:38:27.920 --> 00:38:28.320
Yeah.
00:38:28.559 --> 00:38:32.880
That's an that is a that's a real head scratcher right there, Maggie.
00:38:32.960 --> 00:38:33.360
Yeah.
00:38:33.599 --> 00:38:39.039
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00:38:39.119 --> 00:38:41.840
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00:39:09.760 --> 00:39:11.039
Kate, what should the people do?
00:39:11.199 --> 00:39:11.599
Yeah.
00:39:11.840 --> 00:39:14.480
Obviously, if you have theories, let us know.
00:39:14.639 --> 00:39:16.239
We're very open to it.
00:39:16.480 --> 00:39:17.360
Tell us what you think.
00:39:17.440 --> 00:39:21.199
If you want to pontificate, we we want to be there with you.
00:39:21.440 --> 00:39:24.079
We love to well, some of us love to pontificate.
00:39:24.239 --> 00:39:24.880
Yes, yes.
00:39:25.119 --> 00:39:32.079
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00:39:32.480 --> 00:39:47.760
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00:39:48.159 --> 00:39:49.119
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00:39:53.679 --> 00:39:55.360
Okay, see you next Tuesday.
00:39:55.440 --> 00:39:56.320
See you next Tuesday.
00:39:56.480 --> 00:39:58.079
See you next Tuesday.