39: Atrial Myxoma/Quarters

Hey kids you are about to listen to a

comedy podcast that means that none of

this is medical advice so if you

need medical advice or or medical care

just contact your doctor welcome to the

job doc podcast featuring Dr. London

Smith you already know what it is

Jock boys for life introducing your

host Doctor London Smith hello and

welcome to the jock doc podcast where we

discuss fitness and health and how to

incorporate our modern understanding of

science and medicine into our daily

lives but without it being so boring I’m

your host Dr. London smith (.com) I would

like to begin by apologizing to our

listeners we’ve received some feedback

about the excessive amount of technical

medical terminology that I’ve been using

such as to burrow infundibular pathway

and shut up fatty so I will attempt to

simplify my choice of words in the

future here to help with that is our

producer Cameron hi dr. London hi so

when Cameron heard about secret

handshakes he began asking people to

hand there’s over so that he could learn

the secret and Cameron so I don’t I

don’t quite follow that concept like it

well why are they keeping it from me I

guess that’s what I what I don’t what I

don’t get about it is there something

like this these like secret handshakes

going on I’m like I’m not I’m not

involved I guess no one’s asking me to

have a secret handshake okay so you just

want to be a part well I just want to be

lit in on the secret if there’s money to

be made here dr. London

I really need it yeah I I’m sorry so to

clarify a handshake is the act of

shaking someone else’s hand with one’s

own and it’s used as a greeting or to

finalize an agreement and so yes a

secret handshake is just sort of a

personalized one that you make up it

even appears on Jacques Rock podcast

logo actually so I’m not really sure how

you could learn a secret from it but dr.

London dr. London dr. London if I can

get to the bottom of this secret what’s

down there you know what I mean what’s

what’s at the the X that marks the spot

it’s got to be gold right it has to be

well I just I don’t I don’t see how

there could be a secret in it like I

don’t all of this is irrelevant because

I’m not shaking hands right now anyway

right because of the you know the stuff

that’s been going on and going around

and

[Music]

you know what I’m talking about

touching people right now because of the

you know the kind of virus that’s been

going around lately so I I know you’re

worried about becoming ill but ya know

that’s why if you shake hands and then

practice hand washing after a handshake

or use antiseptic then that can provoke

a transfer do you see what I mean I get

it but I’m actually I’m actually just

trying to catch it on my own terms you

know what I mean I’m not gonna trust it

from somebody else but that’s why that’s

what I’m eating right now in the podcast

because this thing that’s been going

around I kind of want to catch it kind

of like how you catch chickenpox and you

can never catch it again well and those

thing being of course diabetes I’ve been

really really stressing about it it’s

been in the news a lot lately and I

think the solution is to kind of help my

immune system is to catch it but I don’t

want to catch it from someone else cuz I

don’t trust it I’m gonna catch it on my

own

does that make sense okay well and to

clarify on this so so diabetes is you

know it’s a problem with insulin either

you know production or sensitivity in

cells and people can get it from a

certain lifestyle and becoming

overweight and that kind of thing it’s

not you’re talking about it like it’s a

virus but you’re trying to catch it to

get it over with dr. London and so

actually diabetes usually progressively

worse since you don’t it’s not it’s not

something you can catch and then finish

with then yeah once I’m at once I’m once

it’s over then I won’t have to worry

about it again I’m yeah and declares

trying to do that even a chicken pox

actually it doesn’t go away that’s still

in your system and it’s the same virus

that you know will later cause shingles

I don’t know if I’ve been touching why

have I been touching all of these

chickens

you’re asking me why you have been

touching chickens anytime I stroll past

a chicken coop I always I’m gonna like

try to touch as many chickens as

possible because I thought that was

helping my immune system know what any

of this that’s sort of just unnecessary

exposure I’ve been playing in the mud

I’ve been touching as many chickens as I

possibly can I’ve been eating like hell

and you’re telling me this is all for

naught I don’t I don’t think it is

helping you know I like diet and

exercise and frequent washing frequently

washing your hands those kinds of things

can help you you know and avoiding

handshakes like we established well I

would say for the hand he likes do want

to get sick but just not from another

person that’s crisis yeah

all right well also with us is DJ DYLAN

IN DA HOUSE

[Music]

none of this is medical advice is

medical advice

[Music]

[Music]

whose medical advice nope and later

Cameron tells me that we can expect a

special guest so look forward to that

before we move on I would like to dress

a bit of listener feedback so this

listener feedback comes from a piece of

paper that was tied to a brick that

crashed through my window last night

quote when your kids are misbehaving you

got to wrestle them to the ground and

put a saddle on them like you would a

horse yeah that’s how they know that you

own them end quote

first of all we’d like to thank our

listeners for this insightful question

on the jock talk podcast we do love to

hear back from our listeners to answer

your questions there are many approaches

to parenting but saddling a child for

the purpose of displaying ownership is a

fairly atypical one and so I cannot you

know I unfortunately cannot endorse this

method it didn’t crash into your living

room it kind of swung in there I just

wanted to clarify that swung I I wasn’t

looking when it came in so but the

window crashed was my point like it

broke the window and the sound was a

crash and how do you know what it

sounded like

or what it what it was because I

understand the difference between a

crash and a swing that was clear it was

swung in there didn’t crash and here

you’re being dramatic

I you think I’m being dramatic because

it just go on just continue okay well in

any case so we can’t endorse that method

of parenting because it could harm the

child

but once again thank you for your

question and thank you for listening and

now for a tale from the hospital we had

a 75 year old patient who had fallen off

of his horse and bro

his femur he noted that this has

happened before and so anyway after he

fell off his horse he then scooted on

his back for the length of two acres in

order to find help

he developed a an infection post-op but

he ultimately did well while asking if

he has anything in his medical history

that might be relevant you know to this

infection and the post-op issues he

noted that the post-op infection is

similar to when his helicopter was shot

down in Vietnam and monkeys through

feces at him he developed a bad

infection then too and asked if this

could be related to his current

infection I I told him that it was

probably not really I wouldn’t I would

actually say that if that happened to me

almost any infection I got after that

point would probably point back to that

moment right no I mean not necessarily I

feel like once I’ve been attacked by

monkeys I would say most of my life

problems could point back to that well

so in this instance the and with any of

these operations and infections you’re

looking for things that could have

gotten into that wound and so it’s more

of a the problems in the present than in

the past that would be applicable does

that make sense

no dr. London I’m saying if I couldn’t

even get into a six flags I would

probably blame the monkey thing okay

almost everything would have to point

back to that so if you ever had

something traumatic happen to you at one

point you would it not just feel the

burden of that but you would attribute

future any any incident in the future to

that one experience most of those

incidents are going to be infections

let’s be a real knowing my history right

I most of the big events in my life are

infection related I think that’s pretty

clear well but mostly due to your own

actions well that’s neither my own

actions caused by the monkeys from my

past it doesn’t matter who is at fault

here

what I am saying is that most of the

Facebook memory like life achievement

goal things on my Facebook feed most of

them are based on contracting and

getting rid of various infections

whereas a lot of people might have like

their wedding the birth of their child

mine is mostly the foot thing is back

yeah the thing is larger mmm the foot

thing is louder it grew back I cut it

off yeah

the foot thing has its own foot thing

now yeah that one was the foot thing

still has a Twitter account right the

foot thing it’s not really a Twitter

account as much as it is sort of a like

a like a live Journal that he hooked up

to a Twitter account right so the only

thing that it tweets is its posts and

its posts are mostly complaining about

its own foot thing okay so so I guess we

can’t recommend to our listeners to

follow that it sounds like it wouldn’t

be that good experience all that to say

like should I be touching monkeys as I

passed them no no please refrain from

you know touching any wild animals that

you encounter well I mean how wild is it

really if it’s wearing a hat while it

could still be wild even if it wears a

hat you can put a hat on on a lot of

things does that seems that is true

that’s valid alright now for today’s

medical topic atrial myxoma in atrial

myxoma is a benign gelatinous growth

typically pedunculated which means that

it is attached to a sort of stalk or

stem and it is usually arising from the

interatrial septum of the heart in the

region of the fossa ovalis so that is

the upper middle part of the heart on

the wall that separates the two upper

heart chambers it is the most common

primary cardiac neoplasm and neoplasm is

a term for a new and abnormal growth of

tissue

although benign atrial myxoma z’ can

embolize or break off from that stock

leading to metastatic disease or the

atrial myxoma scan cause relative

valvular dysfunction clinically atrial

myxoma z’ proto typically present with

fatigue fever okay that makes sense like

fainting palpitations and a low-pitched

diastole you mentioned relative

dysfunction relative valve uk’s function

that would explain a lot about a lot of

the stuff that’s been going on with my

family if we’re talking about relative

dysfunction if you’re saying that’s a

heart thing that cut that’s causing it

that would make so much sense okay I

should clarify on this point when I use

the term relative here I mean it’s in

relation to the topic that we’re talking

about so it’s it’s dysfunctional

relative to the normal valvular function

does that make sense I mean just like I

remember the time when my dad ran over

my grandmother’s four-wheeler with his

own four-wheeler and kind of a stripe

that that caused our family and thinking

it was hopeless because of my relatives

dysfunction but now knowing that it was

actually a disease all along and it

wasn’t just because he shotguns like a

six pack right I went buck buck crazy

well I I don’t know what a sense and I

wish I knew that before I’m growing a

lot from this podcast dr. Linda thank

you okay well I guess there is some some

benefit in at least empathizing with

their situation even though I can’t say

whether or not it was a heart condition

in any case atrial myxoma is also can

present with a low pitched diastolic

murmur that changes character with

changing body positions and this murmur

is sometimes known as a diastolic plop

treatment

is typically surgical excision are you

winning are you wanting me to make a

joke on plop dr. London are you wanting

me to to riff on load different noises

and different positions or whatever well

being a plop is that is that the goal

here you’re trying to bait me no I

that’s the name commonly used the term

applied to this

my father ran over my uncle’s skateboard

with the four-wheeler after shotgunning

a whiskey bottle and to know that it was

a disease all along and once again I

really can’t say whether or not he had a

heart condition that’s well at this I

mean we know he doesn’t have a heart at

this point I cuz after he passed and

those grave robbers dug him up that was

the first thing they took is they go for

the heart first I guess something was

scooped out of there you mean out of the

grave

well yeah an out of his body cavity huh

okay this sounds like a whole extra

mystery to solve but I feel like we can

just move on from there all right

Cameron you said that we have a guest

today is that right we absolutely do dr.

London all right hello there hey how are

you guys doing hey my name is dr. London

Smith calm this is our producer Cameron

and you’re on the jock doc podcast what

was your name uh I’m really excited to

be here it’s John Smith but hey my

friends call me quarters so just just

call me quarters I’m cleaning quarters

yeah like like nickels dimes and

quarters that’s right like like quarters

it’s okay thanks I I got it it was based

on like all the quarters that I stole

from my mom’s first growing up oh wow so

you’re a you’re a man of loose morals um

I I mean I was uh I don’t know if I

still AM I mean I don’t still quarters

anymore so I mean you just have your

nicknames yeah it was it was something

that I did as a kid and you know and

it’s something you were so known for as

a kid

well yeah I mean I you know you I know

you guys are makai m– you know probably

twice your guys age you you might not be

aware but that you know one point in

history kids were really excited about

getting quarters because it meant they

could go to the arcade and play video

games and so yeah the fact that I always

had quarters kind of stood out but you

were famous for stealing the quarters

yes yes so this was so I I guess I’m

just trying to figure out at what point

did your friend say this is your

nickname now quarters this is because

you’ve stolen so many of your mom’s

quarters I just don’t see that happening

it kind of sounds like you gave yourself

this nickname I I resent that

implication uh you know it was it was it

was absolutely given to me by my friends

it would be happening when we were at

the the video arcade and they would not

have any quarters and they would come up

to me and hold out a dollar bill and say

quarters and and I would give them

quarters alright dr. Ellen can I talk to

you in private real quick yeah yeah it

sounds like yeah we dr. London so first

of all this dude’s a thief I’ve got a

shit ton of quarters in my pocket right

now dr. London oh now I’m really worried

about them yeah well they were jangling

a lot you keep shaking your pants around

to like dancing well yeah I like the

noise that they make yes I it was hard

not to pick up on it incidentally so

we’ve got a we got a thief here as a

guest and he’s a liar he’s trying to

convince us that he didn’t give himself

the nickname quarters when obviously he

would have had to cuz otherwise how

would his friends know that he stole all

these quarters from his mom I am pretty

confused that still is stealing from

your parents is a secretive thing

usually but he must have done it enough

to get the nickname

anyway let’s say and his friends just

thought that was like so awesome so

awesome that they started calling him

that name you know there’s no way that’s

true

alright let’s get back yeah I can’t

remember how we caught this guy on the

okay so um so quarters we can you know

it doesn’t matter how you got your

nickname or whether you had friends IIIi

I mean I absolutely had Fred’s I mean

they would come up to me with these

bills all the time and say quarters

quarters and and I would give them

quarters did you ever think that and

this is just a general question here

were you supposed to make change for

people and was that just a request of

there’s not necessarily a nickname I

mean you’re I did work at the arcade so

yeah I mean so that was part of my job

but still I mean everybody was calling

me quarters all the time I took it as a

nickname they never called me John yeah

did you have a name tag or anything

saying John I mean it was a pretty low

budget place I don’t I don’t think I did

write a long time ago but I no I don’t

think I did and these were your closest

friends well I mean they were they were

friends they were people they were

people I knew from the arcade yeah

colleagues of yours so John I mean you

know we were kids a colleague is kind of

a you know I mean I mean we went some of

us went to the same school mister

quarters I do have to ask why are you

here today

oh well it you know as it happens it

ties back to the video games I I’m here

because I’m hoping to get your help in

producing a new medically related video

game

Oh interesting well I actually had an

idea for like a medically related video

game though I’m all hopefully you’re not

hopefully you’re not stealing my idea I

honestly I mean if you mention it on

this podcast which is being listened to

by I’m sure you know some listeners then

it’s gonna be pretty obvious I couldn’t

just steal it but I would absolutely

give you credit you know somewhere

buried in the game which would be great

exposure for you okay so okay I’ve got a

pretty good idea and that I’m pretty

proud of a mine is called defibrillator

here oh okay

is it like Guitar Hero yeah you use like

a defibrillator peripheral that plugs

into the machine then you take your

friend and then you just kind of shock

the hell out of them you know just like

you just hold them down and just go zoom

[Music]

okay I love the idea I love were you

going with it

would this be done to music I mean you

can listen to whatever you want like I

don’t care I don’t have control over

that well I I’m just thinking in terms

of you know there are other games that

are similar to what you’re talking about

are they in that they have instruments

that you play for the video game but

they’re they you know the game plays

music and your objective is to play the

instrument in time and push the right

buttons with the game oh you know see

the objective of this one is to save

your friend’s life so your friend is

about to die because of whatever you

just injected in them or whatever I

haven’t figured that part out but your

friend is on the brink of death your

goal as the you know defibrillator hero

is to save your dying friend that’s

dying before you okay okay I see where

you’re going

so my question on that one are they

dying in real life or just within the

the videogame I would say I mean I would

say both if you’re dying in real life

you are sort of always dying in the

video game – yeah if you die if you die

then you that is definitely like a game

over you’re done with the game I I think

I think that’s a great point I mean in

today’s world you know video game

technology is advancing by leaps and

bounds Virtual Reality is becoming very

prominent I think having a virtual

reality game where you shock your friend

and they experience real electrical

charges across the chest or wherever you

place the are they called paddles in the

game that would be very lifelike and

realistic yeah and I think I think

bringing your friend to the brink of

death even before starting the game to

make the actual goal have real stakes is

sort of the thing that we kind of have

been expecting at a VR you know we want

this to be real life I I kind of meant

it reality and mobile games here’s the

thing of and strategy games it sounds

like what you have to mention RTS is

yeah it sounds like what you’re

describing if you have no actual video

game aspect you’re pretty much just

poisoning your friend and then using a

defibrillator on them and it doesn’t

sound like a game it just sounds like

you know attempted murder

it’s sort of like a multi-faceted

alternate reality game slash augmented

reality game / mobile virtual reality

experience you know I really I respect

your medical experience but I mean it’s

clear that you’re not a video game

player are you he’s not a gamer I I

dabble a little bit I’ve played a few

games but no no dr. London’s not a gamer

he has never once thought of shooting up

a school

never once I don’t understand that how

can you even claim to be a casual gamer

if you haven’t you know ripped off a

prostitute or shot up a school

in a game somewhere yeah yeah I guess

yeah I’d say more of a Nintendo kind of

guy you know something that’s a group

game that you can you can get to know

someone else while you play it’s a fun

group interactive thing um

I mean even those games are extremely

violent I mean even even going back to

the early Nintendo days with like Super

Mario World have you not noticed what

Mario does to all those other characters

in the game I mean he jumps on them and

squishes them Tom Nook is a slave owner

uh Cameron I’m gonna be honest with you

I don’t know that game can you elaborate

from Animal Crossing the sort of uh land

lordy type of guy that you get a loan

from and every single Animal Crossing

game Tom Nook he’s a slave driver huh

yeah I honestly that is one of the games

that I haven’t played so I’m not

familiar but I I do believe you I mean

if you’re borrowing money from someone

in a video game

it’s it’s a well-established video game

rule that money lenders are slave owners

absolutely

so quarters I want to hear a little bit

about your game right okay so the the

game that I’m proposing as a medical

experienced game is something that will

teach about the the benefits of

radiation the premise is that your

character it’s a it’s a first-person

kind of a cross between the first-person

shooter and a role-playing game your

character is a survivor who’s been

living underground for several years

after a nuclear holocaust and he and

it’s it’s it’s it’s referred to as a

safe and so you’ve been living in this

safe for a long time with other people

but I’ve worked out the premise yet for

some reason you leave the safe and you

emerge in a post-apocalyptic wasteland

and there’s radiation everywhere like

everything with all the food all the

drink is contaminate

you know you encounter different people

some of them have been affected by the

radiation and you know and if developed

super strength or like you know

immortality because there’s some

physical side effects but overall I mean

obviously clearly positives and you know

you kind of go around this area helping

the community out I so this game doesn’t

sound all that medical the way you at

least the way you’re describing it here

it sounds like maybe for one thing it

sounds familiar I think if I think I

know this game III don’t know how you

could’ve it’s a completely unique

concept III disagree that it’s not

medical I mean a big feature of the game

would be that you know from in various

places you you might get injured and you

would find things called stimpacks and

they would restore your health so that’s

clearly medical like a stem degree yes

exactly

see dr. Condon well there there is a

game out that’s famous for being sort of

in a post-apocalyptic wasteland those

are referred to as the Fallout games but

even if even I don’t see the similarity

at all well there’s no there’s no little

like blond guy given a thumbs up or

whatever no we absolutely would not have

that well so one of the other aspects of

so radioactivity will cause you know

things like cancer potentially and it’s

maybe like maybe like a larger in some

places you know I mean I mean IIIi think

that I did I mean I I okay you know I’ve

spent some time on the internet reading

about radiation and also reading a more

extensive literature

about what

radiation can do and I mean it’s

well-documented that radiation can

trigger all kinds of beneficial

mutations like super strength or

invisibility or you know I mean just a

number of these things I mean it’s

there’s lots of literature out there

about this there’s a test taste test

ability you’re able to anything you

taste you’re able to pick apart the

ingredients so uh you know I’m not

familiar with that one but I certainly

believe it so I think the literature

that you’re my dad

he can eat any flavor at baskin-robbins

and if you give him you like three or

four guesses he’ll be able to get pretty

close that’s amazing I wish I had a

skill like that I mean that can we put

that in your video game um I I think

yeah I think it would be really great if

the if that would be one of the benefits

from the radiation that the main

character could choose to adopt I mean

that’s good a great part part of the the

medical aspect of this is that you get

to choose your mutations and you know

not everybody might want the same

mutations I mean we don’t want to make

the game you know monotonous and boring

but this is the sort of medical realism

that has been missing in a lot of video

games wouldn’t you say dr. London yeah

well I here’s here’s the issue I see

with it you say there’s a lot of

literature that covers this specific

topic of these effects of radiation I

the only literature that I know of that

is emphatic and documents that kind of

thing is fictional literature like comic

books you know superhero kind of things

I mean they were superheroes yes didn’t

at one time scientists and doctors say

that the earth being round was fictional

thank you before the modern age of

medicine they said the past doctors said

the the earth being ground that’s a

fictional book so how about that and I

would point out that there’s there has

been a tremendous amount of fiction

that has turned out to be based on

reality moby-dick

absolutely and so I mean big whales you

see whales

there are whales out there so who’s to

say that these what you call comic books

which frankly I find dismissive it you

know aren’t actually you know real

literature about the benefits of

radiation or or Oliver Twist right

orphan boy right

I mean orphan boys are real okay and I

should clarify a point here that just

because they are you know from a work of

fiction doesn’t mean that there are

aspects within that work of fiction that

are you know based on reality

there are orphan boys in real life if we

go back to the super do they want more

and sometimes orphan boys are hungry for

more

okay so I it sounds like we’re all on

the same page here well I just want to

clarify one point because this does seem

to be something you’re skipping over

here is that just because aspects are

based in reality doesn’t mean that some

of these other parts like for instance

the effects of radiation on a human body

some of those parts are taken to

exaggerations so instead of in the

comics instead of causing cancer they

will often cause you know superpowers

you’re like super cancer right or

spider-strength

or shooting webs out of your wrist sir I

mean spider-strength cancer you’ve got

super-strength cancer you’ve you’ve got

the kind of stretchy ability you know

cancer right x-ray vision cancer

invisibility cancer all of those cancers

right but III okay so I think dr. London

I think I get what you’re saying

one of the challenges in dealing with

some works of fiction or what we call

fiction is that they haven’t happened

yet even though you know a lot of things

have from fiction have happened which i

think is prettiest you know good is a

pretty solid establishment that

you know fiction becomes reality I I

think what your objection here is though

is that it’s sense it’s not actually

been proven yet even though it will be

that maybe you want something a little

bit more historically established

something that we can point and it say

yep that was in the past that really

happened would that be more to your line

of thinking as one of the game producers

sure and I should clarify if it’s just a

game you know then it’s fine it’s just

if we’re gonna call it you know

something that teaches us medicine then

we can’t you know it has to be factual

and evidence-based well I know the whole

point here is to create a medical game

yeah and and part of this Agreement that

I this sort of slipped my mind I forgot

to ask you about it earlier dr. Londe is

that you are going to be on the cover of

this game giving a thumbs up saying I

approve of everything in this game and

everything this game is real okay right

and also you can play smarter than your

doctor that’s one of the things you’re

gonna say to endorse it I’m sorry

quarters did you just say that I have to

dye my hair blonde for that yeah and and

you know dye your hair blonde give that

big thumbs up right oh you know that

sounds a lot like the logo for that that

other game that seems very similar and

you’re just you know that’s clearly a

cartoony character we’re talking about a

real photo of a real person real

feel–it photo of a real person with a

few Photoshop effects on top of it that

make you look like maybe like a drawing

and you’re gonna say everything in this

game is medically accurate i stake my

career on it I you know Cameron I’m

gonna have to give you credits for the

arts and graphics now too so well done

oh thank you well quarters back to what

you were saying let’s hear about this

other hopefully it’s maybe more

medically relevant game you said

something historical right so okay so

another way we could go with this so

again you know we want this to be an

interactive game so I’m still thinking

first-person four

perspective but let’s set it in the past

let’s say that you are a person who is

wandering around a large expansive

historical timeframe where you know like

the there’s really not much technology

you know you might see windmills you’ve

got horse and carts you know certainly

like blacksmithing and such and but you

know I mean but then then this is a time

period where there’s still magic and so

you travel around this land and you meet

a bunch of different people and it turns

out that your character is to send it is

it has something called Griffin born

which means he’s able to speak the

language of Griffin’s and uses this

power to sort of fight off an invasion

of Griffin’s but you know where the

medical part of it comes in is that he

would use like bandages to heal wounds

whenever he gets injured you know all

kinds of opportunities to heal oneself

because of the you know the damage that

would be taken okay so so here’s the

issue I see with that game is that it

doesn’t really sound medical at all

except for the very small point which is

present in a lot of games as far as I’m

aware where they use bandages to heal

themselves because in these games

characters get heard they get hurt I you

know what I forgot to mention probably

the most important point because of

course historically when we still had

magic a lot of the magic was used for

healing okay well in this this doesn’t

help us that much because you know magic

is not a regular part of medicine today

regular part of your practice because

you have not learned it you know you’ve

not trained in that aspect of health and

medicine right dr. London well in our

you know Western American you know

evidence-based medicine we don’t really

use magic don’t really study that so

much III

I’m I’m really shocked I’m so sorry

Horner’s just the blatant racism in that

that just that whole Western sorry that

all western-centric like you’re

dismissing entire cultures you know

tremendous senses of spirituality and

magic in their history and and you’re

all about this whole western-centric I

mean wow okay and I guess I should

clarify there that this is since you’re

appealing to to me as a medical

practitioner I’m trying to just you know

tell you what context I’m looking at it

from so you could probably you can maybe

get an endorsement from say witch doctor

or you know someone at least you’re

acknowledging that witches or doctors

I appreciate that much so I’ll give you

some credit for that but you don’t think

mages are doctors to dr. London

I don’t regularly encounter mages but if

they don’t have you know a doctor it

horse you so you don’t get out of your

little rich person bubble duty I mean

seriously that the privilege on this one

I camera and III I don’t I don’t I am so

sorry it’s just his elitist snobbery I

ate it’s constantly like this III think

I think we need to move past it and just

deal with what we got here okay so how

can we assist you in making this game a

reality and endorsing it fully well I

mean it’s it sounds to me that like dr.

London has another problem with my ideas

but you know so I have others but I mean

that the the core thing we’re looking

for here right now is a basically

funding for project development and

that’s where we were you know since

we’re doing a medically based game you

know we were really hoping that you know

this very well-to-do elitist doctor with

his extensive you know debit card

could you know fund the project and and

and be a contributor to some of the

ideas and I am here to tell you today

quarters I’m very excited for this

partnership we not only are going to

help fund your game by donating one

dollar per pixel in the game but we are

also going to produce it under our own

company that is more than I was hoping

for but I am I am very happy to accept

that offer this is I think this is going

to be an exciting project okay okay

Cameron don’t don’t take out the

contract now we want to talk about this

with lawyers and things you just go

ahead and sign here and actually I don’t

put any number you won this box just how

are you okay so let me see here I look I

don’t want to

I can’t medically endorsed this direct

access dr. London’s garage it says right

there yeah I think which is great we

need a place for the developers to sort

of you know we we need a new workspace

to be able to get them all in with their

computers I mean we’ll probably be

working like 18-hour days and just

sleeping right there where we work but

yeah I think 25 million with a with a

with an option for another 10 okay sweet

over budget okay let me let me talk with

my with with with my doctor and let me

let me see if we can negotiate this deal

dr. London this is a steel we have to

take this off this is no deal zero

chance dr. Linda we have to take this 25

mil someone else is gonna jump on this

did you hear his medical ideas i we’re

gonna be teaching people medicine

through ways that they actually care

about magic and stuff and once again and

that game he’s describing sounds a lot

like skyrim which is a very poppy

game that already exists yeah but with

none of the medical expertise that

you’re gonna be bringing to the table

yeah exam more than the 25 million it

sounds like my medical expertise will

not be brought to the table it sounds

like he already decided how much he’s

gonna use buddy Hey okay I see what

you’re worried about now you’re worried

that you’re not involved enough but

you’re gonna be on the cover

no one’s gonna take that away from you

that’s not involved and uh all right

let’s raise okay let’s raise the price

to 30 no let’s bring it to them okay

quarters quarters my man Hey

ooh you drive a hard bargain but I’m

gonna I’m gonna I’m gonna have to offer

you kind of give you a counteroffer here

holy okay we’re we’re willing to go to

30 million okay no I I’m gonna need to

think about that okay okay

we can finish now I think we’ve I think

we’ve got enough here for I think we’ve

gotten all the medical knowledge that

we’ll get out of you know our guest

quarters here I you know I I tell you

what Cameron you drive a hard bargain

you really do but I think the value that

you’re gonna bring to the project

Cameron as the artistic with the

artistic credits and also you know

creative contributions you’ve already

made I I think that’s gonna be well

worth it so even even though dr.

London’s you know it might be a little

bit sketchy on this I think we can work

with it we can work with we can make it

work all right we can make it work ah

okay well I think that’s that’s a good

enough time to call it all right well

thank you to our guest quarters for

being on the show today pleasure to be

here and I’m looking forward to working

with you both all right

mainly mainly with Cameron absolutely

all right and uh is there any way that

papel that’s me gaming buddy

now I got to put you on sound effects

now I got to put you on sound effects

yes is there any way that listeners can

reach you or follow you after this yes

that’s quarters at completely not a

copycat game.com again that’s quarters

at completely not a copycat game.com

okay all right well thank you two

quarters for being on the show today

thank you to Cameron as well our

producer yo-yo thank you to dude you

doing the hose yeah you use like a

defibrillator for in fuel that plugs

into the machine then you take your

friend

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my name is dr. London smith.com this has

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