Going Under: Anesthesia Answered with Dr. Brian Schmutzler

Fright Night: Diagnosing Classic Monsters

• Dr. Brian Schmutzler • Season 4 • Episode 9

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In this frightful episode of Going Under: Anesthesia Answered, Dr. Brian Schmutzler and Vahid Sadrzadeh turn classic Halloween monsters into medical case files and use real science to explain their symptoms, risks, and treatments. 

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SPEAKER_01:

This is going under Anesthesia Answered with Dr. Brian Schmutzer on Vahid Saders Hunda. We're brought to you by the Butterfly Network, which is not scary. No, not at all. All right. I mean, if you're scared of needle and the needle out of plane thing, if you're a patient, but I don't know, you know. Not for us.

SPEAKER_00:

Not for us. Right. All right, I'm going to let you in on something that's completely changed the way I practice. I've been using Butterfly Propes for years. It's a portable ultrasound that plugs right into my compatible smartphone or tablet, so I can start start scanning at the bedside in seconds. If you have used the older versions, or even if you're new to handheld ultrasound, let me tell you why this new IQ3 is a game changer and really impressive. First off, having an ultrasound that literally fits in my pocket means I can move faster, whether it's vascular access, procedural guidance, or just getting real-time insights from my patients. And the tech inside this tiny device is pretty incredible. Biplane imaging lets me see short and long access simultaneously. Huge for procedural guidance and honestly a great tool for learners. The new needle out of plane preset even shifts the scan plane digitally so I can see the needle tip sooner, which makes a real difference when precision matters. And the image quality, honestly, the IQ3 holds up against some of the high-end cart systems I've used. That's impressive for something this portable. If you're looking for a device that supports your practice, I can't recommend the Butterfly IQ three enough. And right now, they're running a special offer. You can get$750 off the latest IQ three. Check it out at Butterfly Network.com.

SPEAKER_01:

Nice. Hold on. Hold on. Uh oh. Wait for it. Uh-oh. Wait for it. Of course, when I cued this up, it's not working.

SPEAKER_00:

Very scary. Very scary. Ooh, what is that? Is that a bat?

SPEAKER_01:

I don't know, Mike. Sounds of horror. I want to do something about it. Well, we're talking all about scary stuff on this Halloween edition of going under anesthesia answered. Um one stop. That's for sure. Yeah, one of those scary things is not anesthesia. Although a lot of people are scared of going under. They are. And that in itself could be a whole podcast.

SPEAKER_00:

A whole thing. But it's very safe. So anesthesia, it's one in several million chance of having a really severe complication. So you're fine. It's not a horror. No, definitely not.

SPEAKER_01:

It's a joy. It's a joy.

SPEAKER_00:

Yeah, it's a joy.

SPEAKER_01:

So let's talk about monsters and diagnosing them for this Halloween podcast. So, what exactly are we gonna do? So, people at home who are following along or in your car or whatever it may be.

SPEAKER_00:

Um, so so the impetus behind this is I took a a course in college called Monsters in Literature, which was awesome. We got to read all the classics Beowulf, Dracula, uh Frankenstein, all those.

SPEAKER_01:

And this is at the University.

SPEAKER_00:

This is at the University of Notre Dame, correct. Yeah. And then um Do you remember your professor? I knew you're gonna ask me that question. I don't remember who the professor was. It's okay. I was just testing he or she was very good. Okay. Uh obviously, because you remember the class. Yeah, so we we wrote, you know, papers about what does this say about society and all that sort of stuff. And then we got to watch the movies too. I love horror movies, I always have. So that was fun. Um, so what we're gonna do today though, is we're gonna take some of those classic monsters, we're gonna diagnose them. Okay. Based based on what medical condition I would think they have. And I used I used a few different resources. I did dug up some stuff online, and then we're gonna talk about how we would treat each one. So we'll do five today.

SPEAKER_01:

So we're not talking about like Winnie the Pooh and how there's like uh no no no each kind of thing with Winnie the Pooh.

SPEAKER_00:

No, we're talking about, you know, so we'll start with Dracula. Yeah. So we I have an actual diagnosis for Dracula, why he is the way he is, okay, and then how we'd fix him.

SPEAKER_01:

And like how you diagnose them, correct? Or is this what literature people think how we should diagnose them?

SPEAKER_00:

So it's a combination. Okay. I t I I compiled several different sources to try to come up with these.

SPEAKER_01:

So do we have to I feel like we have to have the sound effects for this podcast. Do it. Do it. Okay, so who who are we starting with? Dracula. We're starting with Dracula. Okay, Dracula, Dracula sound effect. Ooh, Dracula open music. Ooh, nice. Okay, here we go. Ah. Dracula resides in Transylvania.

SPEAKER_00:

He does. He does. And he he um has to not come out at night and he has to drink blood to stay alive, and he lives essentially forever, though we won't talk about it.

SPEAKER_01:

And is he allergic to garlic?

SPEAKER_00:

Yeah, that's not in here either, but he is allergic, allergic to garlic. Quote unquote. We need to do quotes. Yeah. We need to do um, what is it called? Sensitivity where they where you give a little bit of it. Yeah. You give him just a little bit of garlic, and then he doesn't he's not as allergic to it. Anyway, so Dracula has hematophagic porphyria syndrome. You're gonna have to break that down for me word by word. All right, so so here we go. So here's the primary pathology. Congenital erythropoetic porphyria with behavioral hematophagia. Okay, can you break that down though? Sure. I'll go through it. So so the the symptoms are extreme photosensitivity. Yeah, yeah. Wait, wait, go back to go back to the word.

SPEAKER_01:

Because I know like in medical terms, right?

SPEAKER_00:

So congenital means that he was born with it. Okay. So either it's genetic or it was something he was born with. Congenital. Congenital. Erythropoetic. Erethro is something? Erythro. So it's it's the um the red blood cells. So anything erythro is red blood cells. Yeah, this is great information. I like it. It's erethro. Yep. So erythropoetin is uh is the chemical in the body that causes the red blood cells to be generated, basically. Okay. Okay. So poetic. Yeah, P well, not poetic like poetic, but P-O-I-E. P-O-I-E-T-I-C. Poetic. Uh-huh. Okay. And then porphyria is like a blood disorder.

SPEAKER_01:

So he has red blood disorder? Yeah, basically. Congenital.

SPEAKER_00:

Yeah, congenital, so born with it, red blood disorder. Okay, which means Okay, we'll we'll go through it. Okay. And then there's the behavioral hematophagia. So hemano behavioral. Yep. Something he does. Hemato is blood. Okay. Phasia is to eat or drink. Behavioral blood drinking. Yeah. So he has behavioral blood drinking. Right. But he's drinking it, and we'll talk about it. He's drinking the blood, not because he actually wants to drink the blood. It's it's he's making up for his lack. Lack of red blood cells. Yes. Wow. Look at this. See?

SPEAKER_01:

This is all making sense to me, though.

SPEAKER_00:

So he's got extreme photosensitivity, which is why he can't go out at night. Okay. Pallor, which means he's like white. Wait, extreme photosensitivity. Yeah. Sensitive to light. So he goes out at night. He can only go out at night. He can't go out during the day. Yeah, I said that bad too. Yeah, yeah, yeah. So he can't go out to drink. He can't go out during the day. Uh pallor, so he's very pale. Yep. Because no red blood cells. Uh, and receding gums, exposing elongated canines because of all the bleeding in the gums. The canines. Ah. More pronounced. Okay. Uh classic. This is all classic for porphyria, that blood disorder. Okay. Uh where porphyrin accumulation damages skin upon sunlight exposure. So there are certain types of porphyria, the blood disorder, where if you go out in the sun, it'll actually cause you to burn so badly you get blisters.

SPEAKER_01:

Okay.

SPEAKER_00:

Wow. Yeah. Chronic anemia from blood aversion led to compulsive hematophasia. So again, he's anemic. Yep. So he's short of red blood cells. Correct. And so he goes and he eats blood to make up for it.

SPEAKER_01:

Does he so he doesn't crave them because of that?

SPEAKER_00:

Well, yeah. But he doesn't do it just to be mean. He's trying to replenish his red blood cells. Okay. Uh drinking blood to self-transfuse.

SPEAKER_01:

Got it.

SPEAKER_00:

When he put it like that. Much better. Uh so what complications would he have? Yep. Hamatosplenomegaly, so a big spleen and a big liver, because he's intaking so much red blood cells. Those that has to get processed through the spleen and the liver. Red tinged urine, because again, eating blood. Uh, and psychotic nocturnal behavior. Right. So which is why he's up at night and he's eating people. Yeah. Yep. It's a vampire. Yep. From heme thin heme synthesis synthesis disruption. So hemoglobin is blood, right? So as he's creating the blood, it's causing all kinds of byproducts that's making him go crazy. Wow. Oh yeah. So how would you treat somebody like that? Hematin infusions. So that builds up his red blood cells. Strict photoprotection. So long sleeves and hats and masks and all kinds of stuff. And psychotherapy for his nocturnal dependency rituals. So but he's still getting You'd give him transfusions, yeah.

SPEAKER_01:

But how is that different from drinking it? Well, he's not killing people. Okay. I mean, yes, obviously. But he's he yes, he's getting it in a safe man. He's getting it in a safer manner. Exactly. Exactly. Okay.

SPEAKER_00:

And you don't you don't know what kind of infections these are. So we're gonna put it on the screen. Yes. Dracula. Yep. With congenital erythropoetic porphyria. And you will die, you will with behavioral hematophagia. And you will treat him with hemat hematin infusions, strict photoprotection, and psychotherapy for nocturnal dependency rituals. I have it all written down. I'll send it to you. Oh yeah. You can put it under there.

SPEAKER_01:

Yeah, I will. Alright. Okay, what's the second guy?

SPEAKER_00:

Frankenstein's monster. Frankenstein.

SPEAKER_01:

Mm-hmm.

SPEAKER_00:

Hold on. Frankenstein. Now I some people know this, but Frankenstein was actually the doctor who created the monster. So technically, the bolts in the next thing, that's Frankenstein's monster, not Frankenstein. Really? Frankenstein was the doctor, correct. Frankenstein's monster didn't have a name.

SPEAKER_01:

Frankenstein has staples?

SPEAKER_00:

Yeah, oh yeah.

SPEAKER_01:

And then he has like uh the bolts.

SPEAKER_00:

Bolts in his neck? Okay. Alright, so what do we diagnose? So everybody knows Frankenstein. Correct. He's the monster that Frankenstein's monster is the monster that Frankenstein, the doctor, created. Correct. He took a bunch of parts from different bodies that he dug out of the ground, put it together, and then used a lightning bolt to that's why he's got the bolts to use it together. Well, to spark him to life. Ah, got it. Okay. All right, so primary primary diagnosis. Yep. Systemic allograft rejection following composite tissue reanimation. Systemic what? Systemic allograft. So an allograft is taking an organ or something from another person and putting it in you, allograft, as opposed to an autograft. So like um if you get your ACL done, sometimes they'll take tissue from your own body. Oh, right, down here. And and put it in as in the ACL. Dr. Adam CN could talk about that. So that's an autograft. An allograft means it comes from somebody else. Okay, so rejection. So we talked about with uh transplant. Correct. Yeah, we talked about with with Dave Schrock, transplant, you can get rejection following composite tissue reanimation. So what that means is they put all that stuff in and tried to reanimate it, shocked it. So systemic allograph rejection following composite tissue reanimation. How do you even treat that? Well, here we go. Let's well describe describe it first and then just constructed from multiple cadaveric donors. So Frankenstein went, found a bunch of dug up a bunch of bodies, put it all together into one monster. This patient suffers from chronic immune-mediated rejection. So his own body's rejecting him. It's attacking all of the stuff, all the organs and stuff that Frankenstein put in there. Um cyanodic skin, meaning that the blood's not pumping, so the skin's blue, scar hypertrophy, because you know, all the scarring is bad. And necrotic lesions result from grass graft vasculopathy vasculopathy. Say that one again. So so lesions. Necrotic lesions on the skin from graft vasculopathy. So as he starts to reject those organs, there get big clumps of immune cells in the blood, and it it basically stops the blood from flowing to certain spots. Necrotic means dying. So let's say the thumb, right? The the blood flow to the thumb is occluded, is stopped by that big mass, and so it starts to die and become necrotic.

SPEAKER_01:

Listen, I am not a doctor, and I'm nobody's doctor. Yeah. But I'm not terrible at these terms.

SPEAKER_00:

Yeah, you're pretty good. I'm not bad. It's all Latin. It's all Latin. I'm not bad. All right. Neurologically, the disorganized cortical integration. So because he put a brain in from somewhere else that's not integrated, it's just kind of firing randomly, causes dissonance and emotional dysregulation, which is why he gets so mad. So dissonance is like disengaged. Yeah, um, like inability to put things together, basically. Okay. Right? This is the monster we're talking about. This is the monster, yes, yes, yes. And emotional dysregulation. What was wrong with Frankenstein himself? Well, he wanted to play God.

unknown:

Wow.

SPEAKER_01:

That's true.

SPEAKER_00:

The movie's somewhat funny. It's Robert De Niro plays Frankenstein's monster. Yeah, it's good.

SPEAKER_01:

The Robert De Niro. How many Frankensteins are there? Oh, there's a lot.

SPEAKER_00:

There's a bunch. Yeah. Yeah. So, complications. Hyperinflammatory cytokine storm. You remember we talked about this during COVID. So your body recognizes something as foreign and like all your immune system goes crazy. Okay. Um, arrhythmias. Okay, because the heart isn't beating in line with the rest of the body because it's not his heart. Um, and severe insomnia, secondary to cortical overstimulation. So his brain is overstimulated. He can't sleep. Have you noticed the uh theme with these first couple? Lack of sleep. Yeah, true. We should we should do a whole podcast on sleep.

SPEAKER_01:

Lack of sleep is a huge thing. Yep. And actually, I was listening to somebody, actually, he was a doctor on TikTok when I was scrolling. Okay. Of course, you're my biggest uh you know, the person that when I scroll, I see you all the time. But now I get other doctors. And he was like the biggest red flag of any disease or anything is lack of sleep.

SPEAKER_00:

Yeah, lack of sleep's not good.

SPEAKER_01:

Lack of sleep is horrible. Yep. Yeah. And smoking.

SPEAKER_00:

And smoking, yes. All right, so treatment. Yep. Massive immunosuppression. So all the medications that make your uh immune system not fight itself, right? Not fight your own body. And then there's a little note here. Um everything I read about immunosuppression says it's contraindicated in a corpse. So just keeping it lighthearted here on this hollow Z. Yeah, yeah. Uh, followed by palliative voltage regulation therapy. Okay. I don't know exactly what that means, but palliative means palliative means like um end-of-life type care, palliative care. So voltage therapy. Voltage therapy, yeah. Where they're just shooting, yeah, through his through the knots on his neck.

unknown:

Yeah.

SPEAKER_00:

That doesn't sound like a good treatment option. No, it doesn't sound wonderful. Who's our next victim? Neither does the massive immunosuppression. No, not at all. Uh the werewolf. Werewolf of London? Just the werewolf. The werewolf. Yeah. Werewolf is kind of a combination of a lot of different stories, but teen wolf. Michael J.

SPEAKER_01:

Fox, Teen Wolf. This is motionless in white by werewolf. This is the wrong. Alright, yeah. And then we've got Winnie the Pooh version. Yep, Winnie the Pooh. And then we've got the werewolf song.

unknown:

All the way.

SPEAKER_00:

No. I don't know what that is. So primary pathology. Yes, the werewolf. Intermittent, meaning not constant, but comes and goes. Hyperandrogenic. So androgen is the male, basically the male hormones, the activating hormones. So hyperandrogenic, adrenal storm. So the the hormones that come from your adrenal glands, epinephrine and norepinephrine, triggered by lunar linked. So moon moon. Moon-linked circadian dysregulation, sleep again. There we go. Again. Yeah. He's at night. Yeah. Right? Full moon. And then all of a sudden turns into a werewolf. So uh during full moons, the patient experiences extreme hersitism, that's hair. Okay. Okay. Grows a bunch of hair. Hypertrophy gets bigger and stronger. Okay. Um, aggression. Yep. And dissociation. So he doesn't remember. Think of it as a blend between congenital adrenal hyperplasia. So that's um basically where uh the the adrenal glands give push out too much norepinephrine and epinephrine.

SPEAKER_01:

And hyper is just too much of something, right?

SPEAKER_00:

Mania, so you've heard of that, right? Like manic depression, mania, and advanced sleep wake inversion. So he's awake all night and sleeps all day. This is a common problem with monsters. We should write a we should write a dissertation on this. We should. Yeah. Okay, so the comp complications. Yep. Rhabdomyolysis. This is like what people get if they run a marathon and they don't train. The muscles start to break down and it can destroy the kidneys and you know you've heard all the stuff. No, no, it's dangerous, yeah. Rhabdomyolysis, traumatic injuries that you don't remember because he's out doing whatever. Uh, and hypermetabolic shock. So uh as as he comes out of it and all those um all those hormones go away, you can you can end up in shock. Boy. Nifty. All right, so treatment. Um that sounds like a bear too. Oh yeah. Continuous ACTH suppression. That's one of the hor that the main kind of the main hormone that would cause the adrenal glands to to fire. Uh his mania, lithium, which nobody uses anymore, um, and nocturnal confinement. Lock him up all night long. What I mean, what's happening?

SPEAKER_01:

I would feel like those people would go more crazy. Yeah, you just gotta lock them up. I feel like you just want to say this on the what? No. Go ahead. Go ahead. I feel like we need to put a lot of these monsters in a straitjacket and just put them in their rooms at night.

SPEAKER_00:

They're fine during the day. Well, not Dracula. I know, but he would be if he had like stuff all over him. Yeah. Uh 90 SPF. Uh-huh. Uh-huh. Uh full moon phototherapy trials remain inconclusive. Try to desensitize him to the full moon. Werewolves of London. Oh, there you go. All right. That's a good one. Uh, okay. So the next one is The Invisible Man. Oh. Actually, my kids read this book. They liked it quite a bit.

SPEAKER_01:

The Invisible Man. This is uh a song by Queen, too, by the way. Is it The Invisible Man? I think so. But I'm not sure if Oh, yeah, this could be. This is the Invisible Man by Queen. I never knew this.

SPEAKER_00:

I didn't know this was a song.

SPEAKER_01:

I don't think this is the same one.

SPEAKER_00:

All right, fair enough. Uh so induced refractive index alteration via systemic nanochemical infusion. That's a big one. All right. So all that means is you can't see him because he injected something into himself that changed the way that the eyes see his skin. So induced refractive index alteration via systemic nanochemical infusion. Is this a TV series? Uh no, it was a book. Oh, it was a book. Okay. So uh patient achieved full transparency by matching dermal refractive index to ambient air. So the thing that he took in changed the way that his skin and body reflected light to make it look just like the outside, just like ambient light. That's crazy. Yeah. But a call at a cost of severe epidermal epidermal barrier dysfunction. Okay. So it means that his skin doesn't work anymore. So he can't protect, he can't protect his internal organs because his skin doesn't work. The result is chronic hypothermia, so he's always cold. Yep. Hypothermia. Hypothermia, right? Always cold. Dehydration, because he can't keep any water in his body, and sensory deprivation psychosis. So if you've ever heard of sensory deprivation, if you do it for a short period of time, sometimes it can clear your mind. You do it for too long, though, and it causes you to go crazy because your brain starts to just make things up if it doesn't have any sensory input. What would be the what would be the healing? How do we treat this? Yeah. Gradual pigment resaturation therapy. So we start to give him melanin, basically, to make his skin go back. Yeah. Uh and psychological grounding techniques in mirrored environments, which is actually cool. Wow. So so um and I I used to study this because I did some neurology um uh research. So for people who like lose a limb, yep, they get phantom limb pain.

SPEAKER_01:

Yeah, right.

SPEAKER_00:

You've heard of that, so they it feels like it's still there. Say you lost your hand, feels like it's still there. So the way that they treat it is they have this mirrored box, and you put your good hand in the mirrored box and move it around, and it reflects into the other hand and it makes you feel better. That is really interesting.

SPEAKER_01:

I had a three-legged cat once. Did you? And I feel like she likes some story there, huh? There, yeah. Okay, anyway, that's okay. But like, you know, they kind of like phantom move their clavicle to like mimic their arm. Yeah. Interesting. She needed mirror therapy. Yeah. Yeah. Interesting. Yeah. Um So that's the invisible man. How many more we got? One. Okay. Which one is this one? Jekyll and Hyde. Jekyll and Hyde. Oh yeah. Okay, Jekyll and Hyde. Uh Dr. Jekyll and Mr. Hyde. Theme. Theme? I suppose I should have done this before.

SPEAKER_00:

I didn't even know these existed, so let's see.

SPEAKER_01:

The Jekyll and Hyde theme song. This is the moment, apparently. I hear nothing. This is like a high school play.

SPEAKER_00:

This must be Jekyll, not Hyde. Hyde would be like.

SPEAKER_01:

Soundtrack of the mind.

SPEAKER_00:

Okay. So Dr. Jekyll and Mr. Hyde. Um, here it is, yeah. Okay, awesome. We got to hear the themes. Yeah. All right. So multiple personality disorder, which is now called dissociative identity disorder. Yep. All right. So they have totally distinct personalities, right? So that happens. So it's the same person. Right, but two separate personalities. And it's super, super rare, right? So, like there were there was like this sort of social contagion in the 80s and 90s where people were like, Oh, yeah, I have multiple personality disorder. Super rare. But people who have it, they completely dissociate from the the other personality. So uh with unique moral codes, behaviors, and even physical characteristics, memory gaps. So one personality doesn't remember what the other one did. Sure. Okay. Um, stress-related triggers, which is normal in person in multiple personality disorder, DID. So, you know, you get into a stressful situation, and instead of coping with it, your body flips one of those other personalities, and a functional impairment. So the dual existence causes personal, social, and ethical collapse, culminating in ultimately he killed himself. Suicide. Yeah. So um, there's some other things that maybe could have been substance abuse, uh, substance-induced psychotic disorder. He was testing a bunch of drugs on himself. He was a chemist, um, antisocial personality, or maybe bipolar. You know, maybe not. So uh well, how do we treat him? All right, so medications typically discontinue any experimental substances like his potion. Okay. Took his potion to, you know, um, and provide a safe environment, and then um psychotherapy, particularly cognitive behavioral therapy, where you talk through, you know, what was what caused this, what are you dealing with, all that sort of stuff. Um and then um there are really no drugs for DID, but usually what people do is give some sort of antipsychotic for this. Um and then really what they do is they try to get the personalities to integrate. Okay. Once they learn about each other, sometimes that can help them basically re reform into one personality. So this is the biggest question for you.

SPEAKER_01:

Uh-oh. If you had to treat one of them, what would you treat and why?

SPEAKER_00:

That's a good question. I have to look through which one. Probably the werewolf. Really? Yeah, because he's normal during the day. Um, all I gotta do is chain him up at night and inject him with some ACTH. Sounds simple enough. ACTH suppressors.

SPEAKER_01:

The most difficult ones, I mean, though, and the invisible man would be tough. And Jekyll and Hyde would be really tough. And Jekyll and Hyde, they're not necessarily night creatures, right? They're not only at night situations. Yep.

SPEAKER_00:

Yep.

SPEAKER_01:

I say werewolf. The werewolf? That's when the one you would treat.

SPEAKER_00:

Yep, yeah.

SPEAKER_01:

This is really interesting. Yeah. Here's why I really like this segment. Not because of the music, clearly. I'm just here for the music. Yeah. A, I think the your the vocabulary really helps, right? Like the breaking down of each thing. Yeah. And it not only, you know, contributes to learning more vocab when we're talking, but I feel like it helps regular people break down what things mean.

SPEAKER_00:

Yeah. Yeah. It's all Latin. I mean, almost all of medicine is Latin. So, you know, once you kind of I took Latin in like grade school and middle school, but once you kind of break it down, you learn like hypo means low, hyper means high, you know, like that sort of stuff. You can you can get a sense of what everything means. But no, this is fun. And and so, you know, the monsters in literature was kind of the impetus for this. I also, there's a movie out that I really like called um uh The League of Extraordinary Gentlemen, sure, which is based on a lot of these. It's Jekyll and Hyde's in that and The Invisible Man's in that. Um, it's also uh Captain Captain Nemo. Is that Sean Connery? Yeah, he plays um Sean Connery. I can't remember who he plays. He's the guy who found uh Solomon's uh gosh, I can't remember who it is. Anyway, it's really it's it's a cool little story. So I like horror movies. I particularly like classic monsters and books and stuff. So this is fun. I figured it was a good one for uh Halloween.

SPEAKER_01:

Happy Halloween's Eve. Happy Halloween, my friend. Uh always good to chat with you and uh What are you going for is uh for Halloween? You are you want me to give it I guess it's the podcast will come out on the 30th. Yeah, the day before. So I won't be giving anything away, really. Um, but maybe I will.

SPEAKER_00:

You don't have to. Maybe I will. I always drive the truck that the kids ride in, so I don't really dress up. You have a mask? Yeah, I do, but. Do you want to know? We'll be at your house. I'll wait. Yeah, I'll wait.

SPEAKER_01:

You don't want to know? No, I'll wait. It's really funny. We'll talk about it next week. It's actually based off of my one-year-old son. Oh, nice. We found something for him and we're all nice working around him to be the the family, I guess.

SPEAKER_00:

We found uh, and he's not gonna wear it, but my younger son, um, we found a toilet with that had poop all over it, like a blow-up that we were gonna have him wear, but he wouldn't do it. So I don't know what my kids are going as yet.

SPEAKER_01:

Actually, that would be hilarious. It would be if we went as a uh like I went as a Japanese toilet and he went as oh with a bidet in it? Yeah. Yeah. With the water and yeah, tushy. The Tushy. What up, Tushy? Push up, Tushy. Yeah. Um what are you going? You're just putting the mask on the truck. I put the mask on and drive the truck. Nice. Yeah. You're gonna be pleasantly surprised as to what I am this week. I'm excited. It's gonna be fun. It's all gonna be great fun. Yeah.

SPEAKER_00:

Thank you. Hopefully, everybody enjoyed the episode. A little uh different than our typical episode. I love it.

SPEAKER_01:

Yeah, it'll probably be my most viewed and listen to exactly do that instead of all the you know real stuff you guys talk about. The Butterfly Network is our sponsor there. Certainly not scary. We appreciate you sponsoring the podcast, and we appreciate you listening. Happy Halloween. Happy Halloween, Mr. Dr. Brian Schmutzler. We'll see you in the next one.

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Dr. Brian Schmutzler

Host
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Vahid Sadrzadeh

Host