As you'll hear by all the paper-shuffling Josh does starting a few minutes in, when he's searching for the origins of MME (aka morphine milligram equivalents), he comes up with 'a whole lot of nothing,' just as he says. Really noisy nothing! And those chirping tweety birds you're hearing in the background? Are they those clouds of Looney Tunes 'circling birdies' that twitter above cartoon characters who've been bonked in the head? This stuff IS bonkers, after all.