Rules of Thumb with Doctor G

By Dr. Nick Golinvaux

Better Health. At Your Fingertips.

Increase your musculoskeletal longevity, health, and well-being with weekly straightforward strategies — directly from an orthopedic surgeon.... more

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FAQs about Rules of Thumb with Doctor G:

How many episodes does Rules of Thumb with Doctor G have?

The podcast currently has 46 episodes available.

Rules of Thumb with Doctor G episodes:

May 04, 2024Ep. 16: A Laser, A Red Light, and An Astronaut Walk Into A Doctor’s Office
Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠
Original Article: ⁠⁠ ⁠⁠⁠A Laser, A Red Light, and An Astronaut Walk Into A Doctor’s Office

Summary:
In this episode of the Rules of Thumb podcast, Dr. G discusses the intriguing world of red light therapy, exploring its origins, scientific basis, and practical applications. He delves into the history of NASA's involvement in the development of this technology and examines the current state of research, highlighting the lack of standardization in studies and the importance of understanding the specific conditions being treated. Dr. G emphasizes the need for careful consideration before pursuing red light therapy, weighing the potential benefits against financial costs and the ambiguity of current evidence.

Keywords: red light therapy, photobiomodulation, NASA, healing, musculoskeletal health, pain management, low-level laser therapy, wellness, alternative medicine, health technology

Takeaways:
Red light therapy is a form of photobiomodulation.

NASA's research on LED technology led to advancements in healing.

The effectiveness of red light therapy varies based on device and application.

Scientific literature on red light therapy lacks standardization.

Red light therapy shows promise for poorly healing skin wounds.

Safety of red light therapy is relatively high when used properly.

Costs for red light therapy can be significant and are often not covered by insurance.

Consider the specific condition and treatment method before trying red light therapy.

The real-world effectiveness of red light therapy remains unclear.

The field of medicine often involves navigating ambiguity and evolving evidence.

Chapters:
00:00 Introduction to Red Light Therapy
00:48 Understanding Photobiomodulation
02:31 NASA's Role in Red Light Therapy
04:45 The Science Behind Red Light Therapy
07:18 Evaluating the Effectiveness and Risks
09:08 Conclusion and Personal Considerations

Disclaimer:
If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.
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11min
April 27, 2024Ep. 15: Treat Any Pain Like A Doctor Prescription-Free
Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠
Original Article: ⁠⁠ ⁠⁠⁠Treat Any Pain Like A Doctor Prescription-Free

Summary:
In this episode of the Rules of Thumb podcast, Dr. G discusses effective pain management strategies that do not require prescriptions. He emphasizes the importance of over-the-counter medications, particularly NSAIDs and acetaminophen, as viable alternatives to opioids. The conversation covers the risks associated with pain medications, the benefits of combining different types for enhanced relief, and the importance of consulting with healthcare professionals for safe usage. Dr. G provides practical advice on how to use these medications effectively while highlighting the need for a holistic approach to pain management.

Keywords: pain management, over-the-counter medications, NSAIDs, acetaminophen, opioid alternatives, pain relief strategies, musculoskeletal health, prescription-free pain treatment, health education, injury recovery

Takeaways:
Pain management can be achieved without prescriptions.

Over-the-counter medications can be as effective as opioids.

Naproxen has a longer half-life than ibuprofen, making it more effective for sustained relief.

Combining NSAIDs with acetaminophen can enhance pain relief.

Always follow safety guidelines when using pain medications.

Consult your doctor if you have any health concerns regarding pain medications.

Medications should be part of a broader pain management strategy.

NSAIDs can have side effects, including stomach issues and kidney problems.

Acetaminophen is not an anti-inflammatory but can reduce pain and fever.

Understanding the risks of medications is crucial for safe use.

Chapters:
00:00 Introduction to Pain Management Strategies
00:43 Understanding Over-the-Counter Pain Relief
01:49 The Efficacy of NSAIDs vs. Opioids
05:06 The Power of Combining Pain Medications
06:35 Safety and Risks of Pain Medications
08:19 Final Thoughts on Pain Management

Disclaimer:
If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.
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11min
April 20, 2024Ep. 14: Lumps and Bumps of the Upper Extremity
Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠
Original Article: ⁠⁠ ⁠⁠⁠Lumps and Bumps of the Upper Extremity⁠

Summary:
In this episode of the Rules of Thumb Podcast, Dr. G discusses ganglion cysts, common growths found in the hands and wrists. He explains their nature, causes, and the importance of understanding treatment options. The conversation covers diagnosis, the effectiveness of cyst drainage, and the reliability of surgical intervention. Listeners gain insights into managing these cysts and the implications of living with them.

Keywords: musculoskeletal health, ganglion cysts, wrist pain, treatment options, surgery, diagnosis, health podcast

Takeaways:
Ganglion cysts are very common growth seen in the hands and wrists.

While a diagnosis cannot technically be made without surgically removing the cyst, there are lots of clues that make us nearly 100 % confident in a diagnosis without surgery.

These cysts are not dangerous.

It is perfectly reasonable to just live with them.

Cyst drainage can be painful and only works 20 to 30 % of the time.

Surgery is successful in preventing regrowth of the cyst in 90 to 95 % of cases.

If your cyst is very painful, realize that's sort of outside the normal bounds for this type of cyst.

A ganglion cyst is a fluid-filled cyst that comes from a joint.

Your chosen treatment must align with your goals and symptoms.

I bet I see three to four ganglion cysts each day in my clinic.

Chapters:
00:00 Introduction to Ganglion Cysts
02:17 Understanding Ganglion Cysts
05:01 Diagnosis and Treatment Options
07:23 Surgical Considerations and Recurrence

Disclaimer:
If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.
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8min
April 13, 2024Ep. 13: Test Yourself For Carpal Tunnel Syndrome In Just 30 Seconds
Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠
Original Article: ⁠⁠ ⁠⁠⁠⁠⁠Test Yourself For Carpal Tunnel Syndrome In Just 30 Seconds⁠

Summary:
In this episode of the Rules of Thumb podcast, Dr. G discusses a simple and effective method for self-testing for carpal tunnel syndrome using the Phalen's test. He explains the significance of the test's specificity and sensitivity, how to perform it, and what the results mean. The episode emphasizes the importance of seeking professional help if symptoms persist and offers practical advice on managing carpal tunnel syndrome at home.

Keywords: Carpal Tunnel Syndrome, Phalens Test, self-testing, musculoskeletal health, nerve compression, wrist brace, treatment options, orthopedic conditions

Takeaways:
The Phalens test is a quick and effective self-test for carpal tunnel syndrome.

It has a specificity of 90% and sensitivity of 85%.

Perform the test by holding the backs of your hands together for 30-60 seconds.

Symptoms like numbness or tingling indicate a likelihood of carpal tunnel syndrome.

Ignoring symptoms can lead to permanent nerve damage.

Wearing a wrist brace at night can help alleviate symptoms.

The brace should keep the wrist in a neutral position for at least six weeks.

Consult a hand specialist if symptoms do not improve with home treatment.

The Phalens test is easily repeatable and accessible to anyone.

Testing for carpal tunnel syndrome is simpler than many think.

Chapters:
00:00 Introduction to Carpal Tunnel Syndrome Testing
01:07 Understanding the Phalens Test
03:06 Interpreting Test Results and Next Steps
04:38 Key Takeaways and Conclusion

Disclaimer:
If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.
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5min
April 06, 2024Ep. 12: Ulnar Nerve Entrapment and a DIY Cure
Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠
Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠Ulnar Nerve Entrapment and a DIY Cure

Summary:
In this episode of the Rules of Thumb podcast, Dr. G discusses ulnar nerve entrapment, specifically focusing on cubital tunnel syndrome. He explains the symptoms, causes, and the importance of elbow positioning in preventing and treating this condition. The episode provides practical DIY strategies for relief and emphasizes the need for professional help if symptoms persist.

Keywords: Ulnar Nerve Entrapment, Cubital Tunnel Syndrome, Elbow Positioning, DIY Cure, Musculoskeletal Health

Takeaways:
Cubital tunnel syndrome is a common condition related to ulnar nerve entrapment.

The ulnar nerve is crucial for hand function, affecting sensation and muscle control.

Maintaining an elbow position straighter than 90 degrees can prevent nerve compression.

Taking regular breaks to straighten the elbow can improve symptoms.

Nighttime bracing at 45 degrees can aid in recovery from cubital tunnel syndrome.

Ignoring prolonged symptoms can lead to irreversible hand weakness.

Most people can improve their condition with simple lifestyle modifications.

Awareness of elbow positioning is essential in modern desk jobs.

Symptoms like numbness and tingling should not be ignored.

Consult a professional if symptoms do not improve after three months.

Chapters:
00:00 Introduction to Ulnar Nerve Entrapment
00:45 Understanding Cubital Tunnel Syndrome
02:22 The Importance of Elbow Positioning
04:13 DIY Strategies for Prevention
05:35 When to Seek Professional Help

Disclaimer:
If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.
...more
7min
March 30, 2024Ep. 11: How A Hand Surgeon (Safely) Cuts Avocados⁠
Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠
Original Article: ⁠⁠ ⁠⁠⁠⁠⁠How A Hand Surgeon (Safely) Cuts Avocados⁠

Summary:
In this episode of the Rules of Thumb Podcast, Dr. G discusses the importance of safe avocado cutting techniques to prevent hand injuries. He shares essential tips for using the right knife, cutting methods, and injury prevention strategies. The episode concludes with advice on what to do in case of an avocado-related injury.

Keywords: avocado safety, hand injuries, cutting techniques, kitchen safety, emergency care

Takeaways:
Every year, 9,000 patients visit ER for avocado injuries.

Choose a sharp knife for safer cutting.

Use a gentle sawing motion to start the cut.

Spin the avocado to cut around the pit safely.

Cutting into quadrants helps in pit removal.

Avoid knife work when removing the pit.

Hold pressure on injuries to stop bleeding.

Seek medical care for numbness or inability to bend fingers.

Injuries should be repaired within five to seven days.

Enjoy avocados safely with these tips.

Chapters:
00:00 Introduction to Avocado Safety
01:14 Essential Tips for Cutting Avocados Safely
04:41 What to Do in Case of an Injury

Disclaimer:
If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.
...more
6min
March 24, 2024Ep. 10: Springtime Elbow, Tennis Elbow, Pickleball Elbow
Subscribe: ⁠⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠⁠
Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠⁠Springtime Elbow (For Many, Pickleball Elbow)
Other Articles:
⁠⁠⁠⁠How To Use a Brace To Actually Treat Your Tendinitis Or Sprain: A Framework⁠⁠⁠⁠

⁠⁠⁠⁠Home Physical Therapy⁠⁠⁠

Summary:
In this conversation, Dr. Ngolinvaux discusses the common condition of lateral epicondylitis, also known as tennis elbow or pickleball elbow, which affects many athletes and active individuals. He explains the causes, symptoms, and the importance of proper diagnosis. The conversation emphasizes the non-surgical treatment options available, including the use of wrist braces, physical therapy, and the potential downsides of steroid injections. Dr. Ngolinvaux encourages listeners to be patient with their recovery process and to focus on proper mechanics in their sports activities.

Keywords: pickleball, tennis elbow, lateral epicondylitis, sports injuries, treatment options, wrist brace, recovery, physical therapy, overuse injuries, patient education

Takeaways:
Tennis elbow is a surprisingly painful condition.

It results from overuse of the wrist and finger extensor muscles.

Symptoms can last many months without quick relief.

You need a wrist brace, not an elbow brace.

Steroid injections may prolong symptoms after initial improvement.

Lateral epicondylitis does naturally heal over time.

Stop the offending activity to aid recovery.

Home physical therapy can be effective with specific exercises.

Proper mechanics in sports can prevent injuries.

Trust the process and be patient with recovery.

Chapters:
00:00 Understanding Lateral Epicondylitis
06:59 Treatment Options and Management Strategies

Disclaimer:
If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.
...more
9min
March 17, 2024Ep. 9: Do You Know How To Use Your Thumbs (So They Don’t Wear Out)?
Subscribe: ⁠⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠⁠
Original Article: ⁠⁠ ⁠⁠⁠⁠⁠⁠Do You Know How To Use Your Thumbs (So They Don’t Wear Out)?
Other Articles:
⁠Arthritis: What Does It Actually Mean?

Summary:
In this episode of the Rules of Thumb podcast, Dr. G discusses the importance of thumb health and longevity. He explains the structure and mechanics of the human thumb, the forces it endures, and how daily activities can lead to thumb arthritis. Dr. G provides actionable tips to maximize thumb longevity, emphasizing the significance of grip techniques and the impact of thumb usage on overall hand function. The episode concludes with a call to prioritize preventative care for thumb health.

Keywords: thumb health, arthritis prevention, thumb mechanics, musculoskeletal health, longevity tips, grip techniques, thumb usage, ergonomics, preventative care, daily activities

Takeaways:
Our primate thumb continues to evolve, and our body's ability to resist arthritis has not kept up with the increased utility of the opposable thumb.

We are all destined for thumb arthritis. Delaying it as long as possible should be a priority for everyone.

How you use your thumb thousands of times a day is one of the primary determinants of how early or late in life you will develop thumb arthritis.

Make some changes today to preserve your thumb health.

The mechanics of thumb usage can lead to edge loading and ligament stretching, increasing the risk of arthritis.

Using a wider grip can help center the metacarpal within the CMC joint, reducing the risk of injury.

Daily activities often involve thumb usage more than we realize, contributing to wear and tear.

Awareness of thumb positioning during gripping tasks can lead to better long-term outcomes.

Preventative care for thumb health is essential for maintaining hand function as we age.

This episode serves as an early lesson in thumb health and longevity.

Chapters:
00:00 Introduction to Thumb Health
00:48 Understanding the Human Thumb
02:25 The Physics of Thumb Usage
04:21 Maximizing Thumb Longevity
05:51 Daily Thumb Activities and Their Impact
07:27 Conclusion and Preventative Care

Disclaimer:
If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.
...more
8min
March 09, 2024Ep. 8: Should You Eliminate These 5 Things In The Gym?
Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠
Original Article: ⁠⁠ ⁠⁠⁠Should You Eliminate These 5 Things In The Gym?

Summary:
In this episode of the Rules of Them podcast, Dr. G discusses common gym injuries and the top five exercises and practices to avoid for better musculoskeletal health. He emphasizes the importance of listening to your body and making adjustments to prevent injuries while working out.

Keywords: Musculoskeletal health, gym injuries, injury prevention, fitness tips, exercise safety

Takeaways:
Reverse anything exercises are probably not a good idea.

Slow down and avoid quick transitions. You'll maximize your pump and minimize your injury risk.

Don't push through pain, but you probably already knew that deep down inside.

Bicep curls in full supination can lead to wrist pain.

Listening to your body is crucial for injury prevention.

Quick transition reps can increase injury risk.

Wrist curls can lead to golfer's elbow.

Muscle burn is a normal part of working out.

Pay attention to sharp pain during exercises.

Implementing small changes can significantly reduce injury risks.

Chapters:
00:00 Introduction to Musculoskeletal Health
00:39 Top Five Gym No-Nos for Injury Prevention
02:45 Understanding the Risks of Reverse Bicep Curls
03:56 The Dangers of Wrist Curls
04:43 The Importance of Controlled Movements
05:53 Listening to Your Body: Pain vs. Muscle Burn

Disclaimer:
If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.
...more
9min
March 02, 2024Ep. 7: Arthritis — What Does It Actually Mean?
Subscribe: ⁠⁠⁠⁠⁠⁠Subscribe to Dr. G's Rules of Thumb Newsletter⁠⁠⁠⁠⁠⁠⁠
Original Article: ⁠⁠ ⁠⁠⁠Arthritis — What Does It Actually Mean?

Summary:
In this episode of the Rules of Thumb podcast, Dr. G discusses arthritis, a common condition affecting joints. He explains what arthritis is, the different types including osteoarthritis, post-traumatic arthritis, and inflammatory arthritis, and the underlying causes of each. The episode emphasizes the importance of understanding the specific type of arthritis to determine appropriate treatment options. Dr. G also highlights the role of cartilage in joint health and the impact of its degradation on mobility and pain.

Keywords: Arthritis, musculoskeletal health, osteoarthritis, inflammatory arthritis, joint pain, treatment options, autoimmune diseases, cartilage breakdown, health education, longevity

Takeaways:
Arthritis is a catch-all term that simply means loss of the smooth cartilage within a joint.

Loss of smooth cartilage at the ends of bones can lead to pain and inflammation in a joint.

There are many ways our body can reach the same endpoint of arthritis, including aging, old injuries, or inflammatory diseases like rheumatoid arthritis.

Osteoarthritis is the most common type of arthritis and is associated with aging.

Post-traumatic arthritis develops after an injury that affects the joint surface.

Inflammatory arthritis results from autoimmune diseases attacking cartilage cells.

Understanding the cause of arthritis is crucial for treatment.

Treatment options vary based on the underlying cause and affected joint.

Future discussions will cover specific types of arthritis and their treatments.

Education on musculoskeletal health is essential for longevity.

Chapters:
00:00 Understanding Arthritis: A Common Ailment
02:19 Types of Arthritis: Causes and Effects
04:37 Treatment Approaches: Finding the Right Solution

Disclaimer:
If you are having a medical emergency, call 911. Do not attempt to contact or obtain medical services through this site. This content is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this site or materials linked from this site is at the user's own risk. The content of this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their healthcare professionals for any such conditions. The content is my own and does not necessarily reflect the views of my employer.
...more
6min

FAQs about Rules of Thumb with Doctor G:

How many episodes does Rules of Thumb with Doctor G have?

The podcast currently has 46 episodes available.