Sawbones: A Marital Tour of Misguided Medicine - Even More Weird Medical Questions

Episode Date: November 27, 2020

Is it possible for your medical questions to be ... too weird? That's a question you may be asking yourself on this latest Q&A episode of Sawbones, which explores the contents of poop and a secret but...ton above your buttcrack that makes you pee.PRE-ORDER THE SAWBONES BOOK PAPERBACK!Music: "Medicines" by The Taxpayers

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Starting point is 00:00:00 Sawbones is a show about medical history, and nothing the hosts say should be taken as medical advice or opinion. It's for fun. Can't you just have fun for an hour and not try to diagnose your mystery boil? We think you've earned it. Just sit back, relax, and enjoy a moment of distraction from that weird growth. You're worth it. that weird growth. You're worth it. Alright, talk is about books. One, two, one, two, three, four. Hello everybody and welcome to Saul Bones, a metal tour of misguided medicine. I am your co-host Justin Macaroi and I'm Sydney Macaroi I'm so excited to be back said we did miss last week. We did we managed to pull off the live show
Starting point is 00:01:19 But we did not put together our episode a lot of times people are like our when we miss lot of times people are like, when we miss an episode, our excuses are child-related. Usually a kid was sick, a kid told us not to, or they'd bring themselves on the stove. A kid said that we couldn't. That our kids didn't do that. No, but I'm saying like fictional,
Starting point is 00:01:40 stand in metaphorical kids. Our metaphorical and actual children were fine. It was not their fault. No, for once. It was my fault, I guess. I mean, if you want to use fault, I had an almost exposure, which doesn't sound, I mean, I feel a really dramatic, right, even saying it,
Starting point is 00:02:01 but one of my co-workers was directly and pretty extensively exposed. So enough so that we were all of us who were working close contact. We're pretty concerned that we, by, you know, extension, had now been exposed, and that this person may be pre-symptomatic and that is a that is a window before you develop symptoms where you can be quite contagious and we are all that's one thing that's that's hard and probably a lot of essential workers are experiencing we're all wearing our masks and trying to be diligent about distancing but not all works work spaces are graded accommodating that.
Starting point is 00:02:47 And in hospitals, when you talk about where resident teams hide, so to speak, sometimes the rooms that they're given to do their work and they're sleeping and they're eating and they're living because they reside, their residents, they're residing there in the hospital. because they reside, their residents, they're residing there in the hospital. The spaces are not very large and distancing becomes quite difficult to pull off. So masking is always practice, but even with that, we know there's a risk of exposure.
Starting point is 00:03:17 So anyway, there was a very scary, probably total like 48 hours, where we didn't know who was positive or who had been exposed where we're like measuring how far apart chairs were in the room and trying to figure out who would cover for who if you know people went into quarantine and in that time period I tried to well sort of hide away from Justin and the girls. Tell me what was going on. Tell me what was going on.
Starting point is 00:03:48 And it was, you'd think I would have gotten a ton of work done, but my mind was actually otherwise occupied. It's a good reminder. I don't want this episode to be scary, sad, and tense one, because we're going to talk about your questions, and these are always fun. But it's a good reminder to be very careful and avoid exposures when you can and to be
Starting point is 00:04:12 very diligent because your actions affect everybody around you. And I kept having this thought when I was quarantined away until I found out that I was not exposed and everything was fine, that the last time I hugged or kissed Justin and the girls may have been the last time I got to, which I know again sounds overly dramatic, but that's the situation for a lot of people. You get exposed, you go into quarantine, then you get sick and people get hospitalized. And in that time, you don't, you're alone.
Starting point is 00:04:47 There are people like Sydney and like other essential workers that don't get a choice in this matter. And please, I would ask you, if you do have a choice, stay home. It's not a personal choice thing. It's giving you crap about other people. We've said it a thousand times. And you know it at this point, but please and convince other people this winner is going to be rough. And anything we can do to try to stem it in a leadership vacuum that will exist for another, I don't know, six weeks, something like that. Please do your best. I know it's hard. Yeah. I know it's isolating, but it is, it is so essential right now because I am very lucky. And I even, you know, it's fair for you to say, even if I'd gotten the virus, I probably would not have a severe case statistically based on my demographic. But you never know. And someone else won't be so lucky. So you went talk about the other thing about we are very excited because day after tomorrow, we will be receiving either a vaccine or a placebo to the coronavirus.
Starting point is 00:05:57 Yeah, we're participating in some, uh, I guess, face three trials. Yes. We wanted to put our money where our bodies, where our mouths were. That's right. With regards to vaccines. I mentioned my parents have already started this trial. They went last week and received either. I guess you have like a, they told them three out of four get the real thing.
Starting point is 00:06:23 So either a vaccine or placebo, and then Justin and myself and Riley will go to after tomorrow. Yep. Or now as your list, oh no, I'll put this out Friday. Yes, day after tomorrow. Yep. Roll up our sleeves and stick out our deltoids for science. Heroic?
Starting point is 00:06:38 I mean, you said it, listener, not me. I don't know if it's heroic. It's a very strong word. But I feel very strongly it's the right thing for us to do. So we will let you know how it goes next week. And more information on that as it becomes available. If it hadn't occurred to you, I guess I kind of assume it was like jury duty, they would find you if you wanted
Starting point is 00:07:01 you in the study. But it's workboking around and seeing if there are studies in your area that need people, if that's something you'd be interested in helping with. And I think there's also a couple of national registries at this point where you can put in your info and they'll match you with a trial if there's one going. Yep. So look into it if that's something you want to do. And if we have... Ask my mom actually, because my mom has been the best recruiter for this thing. Yeah.
Starting point is 00:07:30 And if we have three arms next week, I just want to say ahead of time, that's awesome. I'm not. It's tired about it. I'm not worried about that. I'm not worried about any of it. But listen, let's do some questions. Let's do some questions.
Starting point is 00:07:41 Because these are fun and funny. And I think this will be, especially if you're spending like a Zoom holiday weekend where you're communicating with your loved ones over your electronic devices. Yeah. Here's some fun facts we may learn from these questions. All right, Sydney. Here's my first question.
Starting point is 00:07:59 Whenever I eat a bit too much, my stomach is really full, timely. Thanks, Kevin. Something weird happens. I start sneezing uncontrollably. I googled it a while back and found the term, snatiation, but it doesn't seem like it's gotten much attention. My wife thinks I'm crazy that the two are connected, but it can't just be a coincidence, right?
Starting point is 00:08:20 PS, thanks for all the truth. You bring to the world. That's from a listener. Who may or may not want to be identified. I don't know a lot of people Let's call him Brian. Okay, a lot of people didn't specify. Yeah, so we if we ever don't if we that's we're trying to air on the side of protecting Yeah, but I think if I'm somebody name I think I could speak it for all the Brian's when I say that holistically speaking I don't think the Brian's mind if everybody thinks sometimes when they get too full they sneeze a lot.
Starting point is 00:08:48 I don't feel like we are revealing too much of their medical history there. I always think if it was just my first name I wouldn't mind, but then I also do a podcast. So obviously I don't mind. So that's not fair to generalize to everybody else. So this is a really interesting question. I had to look, I had never heard of snaciation. It sounds like a fake term that like when a junk food company would make up,
Starting point is 00:09:14 like you're snackified. When you're both satisfied on a snack, on a snackified. I think it's sort of, I think it's supposed to be a sort of playful term because there is another sort of inherited sneezing disorder that is abbreviated ACHU. Scientists have very specific senses of humor.
Starting point is 00:09:36 So I do think it's supposed to be kind of fun and funny. It is based on a case report that was from back in the late 70s, where there was this 32-year-old guy who reportedly, after he would have a big meal, a meal big enough that he felt full. You had to feel full. It wasn't just any time you ate, but like if you felt full,
Starting point is 00:10:01 that he would start sneezing through your four uncontrollable sneezes, were reported. And then for whatever reason, it's always interesting like how did like if a patient told me that, I'm just going to be completely honest with you. I would say, well, that's weird. Weird. I don't think, right? Well, because there's no, I mean, I cannot think of a mechanism by which this is dangerous
Starting point is 00:10:23 for you or that any testing I would do to follow up on it So I would say don't worry. You're fine reassurance would be But someone dug into this a little further and found that this this also happened to this patient's three brothers One of his two sisters his father and uncle and his son and his grandfather Hmm, so it's like a genetic it is a genetic Sneezing phenomenon. We don't know a ton about it because it's it's pretty rare we think. Yeah. Or if it isn't, here's the other thing though, it might not be that rare, but probably a lot of people don't really notice or talk about it, right? Like it might be something that it's happened to
Starting point is 00:11:03 you. You might be listening to this right now and saying, I have that. I have me, that's me. But it's never occurred to you to have an adult fix it, please. It suddenly bothers me a great deal. There's no thought that there's anything to this other than it's a body's are weird and they do weird things. I mean, that's, so don't worry about it,
Starting point is 00:11:20 but it is genetic. So you may ask people in your family and see if anybody else has this phenomenon, because it tends to be just this weird genetic thing. So bizarre. So I know. Fascinate. I learned I had never heard of this reflex, but it is a thing.
Starting point is 00:11:38 Hi, Dr. Sidney. And this is a long one. If you want to cut it. Cut it just on the fly. I'll just read every third word, and we'll see how it guys. Okay. Lately, I've been seeing a lot of TV shows and celebrities here in the UK talking about mental health benefits,
Starting point is 00:11:54 being outside, taking walks in the country, blah, blah, blah. I'm curious what peer reviewed scientific consensus is on this trend, because I was, kid I was always just told to walk it off when I was feeling anxious or upset about something, and it didn't stop me from struggling with anxiety, et cetera. I'm worried that the isn't an amazing how perfect a natural treatment nature is,
Starting point is 00:12:18 way this issue is portrayed in a lot of media, could lead some people who are receiving alopathic treatments for mental health issues, thinking that going for a 30 minute walk every day is substitute for the medication. They're taking to regulate aspects of brain chemistry which their bodies are unable to. Fair.
Starting point is 00:12:35 I think this is a good question. I think we're supposed, I think we can read this name because it's a funny one. Socially distanced rolling in Scotland. Yeah, I think those are intentionally meant to be read. I think it's a it's a funny one. Socially distanced strolling in Scotland. Yeah, I think those are intentionally meant to be read. I think it's a good I like to this question because I have seen this meme on Facebook. Have you ever seen that where it's like it has a bunch of pills and it says this is not the cure for depression and then it has a picture of like a forest and it says this is
Starting point is 00:13:04 I know. That's the right reaction. I don't, I think that you are right to be concerned when people say like that kind of thing. When you, when you have that kind of attitude about, we'll just spend more time in nature. And you'll feel better. As a response to, I have a diagnosed mental illness. Yes. That's a terrible response.
Starting point is 00:13:28 No. Now, I mean, are there other benefits to being outside? Well, I mean, you could talk about things like vitamin D and stuff that you get from the sun, although make sure you're wearing sunscreen. You know, I mean, you could talk about maybe some specific scientific things like that. Oh, an exercise.
Starting point is 00:13:44 Exercise. Exercise. And I think a lot of people just would say anecdotally without any sort of scientific backing, I feel good when I spend some time out in the fresh air. I do. Sure. And if that makes you feel good, especially right now when we are having to isolate from people so much, if you have an outdoor space to be in just to give your Brain something different to process some other stimuli. I think that that is good
Starting point is 00:14:13 Right now for our mental health in the sense that this can be very Monautness. Yes, this kind of living. Yeah, so having a different Place to be for a little bit is good Yeah. So having a different place to be for a little bit is good. But of course it is not as you have said and as you have pointed out, it is not in any way replacement for any sort of actual medical treatment for mental illness. I think there are lots of things you can do that will help you if you do have a diagnosed mental illness that aren't treating it necessarily. But I mean, Justin, you would probably attest to that. Things that you do for your anxiety that aren't treatments, they're not the medications you're taking,
Starting point is 00:14:50 they're not attending a therapy session, so they're not evidence-based, but they are things that you have found. And that varies person-person, I'm sure. Like getting enough sleep, drinking enough water, meditation, stuff like that. I mean, that's a little more clinical, I guess it's not clinical,
Starting point is 00:15:06 but it's designed to specifically treat that, but like, several mental stuff, you know, I'm not gonna get out there. I'm not desperate. I'm not gonna go outside. Still, you know, it's nice to know the options there in case things get really dire. And this is true for, by the way,
Starting point is 00:15:19 we're talking about mental illness because that's the question. This is true for basically any illness. There are other things, other than that, the things that medicine tells us to do, evidence-based medicine tells us to do. A lot of people who have a chronic illness will find other things that help them manage that personally, that help make them have a higher quality of life for a variety of reasons. So I thought that was important to address. Okay, so I'm going to ask this next one, but I'm assuming I'm going to...
Starting point is 00:15:48 You're going to have... I did it on the file a little bit. Yeah, there's a bad word on that. Hello, Sydney and Justin. Thank you for your amazing self during this crazy time. I hope you're staying safe and healthy. My question is about butt lightning. What causes it?
Starting point is 00:16:04 Is it really more common in women? Is there a way to make it? Is it really more comedy women? Is there a way to make it stop if it gets going? And that's from Emma and what's butt lightning? Okay, so I had to look this up because I've never heard this term before. Yeah, I'm sure you have it because you would have related that to me immediately because marriage is built on trust.
Starting point is 00:16:19 It was said to me, I should say, as Justin had to edit it because we don't say bad words on the show. Yeah. It was not butt lightning. So I had to edit it because we don't say bad words on the show It was not butt lightning so I had to Google this And there by rooting her her Here is what I think that results for the rest of life here is what I think People are talking about with this term from from doing some research to basically like people asking this question What is this this, why do I have it, and using this term?
Starting point is 00:16:45 I think what I've finally figured out I think is what you're talking about is what we call Proctalgef UGACs. Okay. I don't know if that's a better name. It's not kind of awful. But it's basically like a quick sharp pain like in your rectal area. Okay, but pain.
Starting point is 00:17:07 And the reason I think the lightning is there is because it just hits you out of nowhere, it's really intense, usually pretty short live, just, you know, 10, 15 seconds or something and then goes away. It could be even a little longer up to 30 seconds. There are, if it's something that lasts longer than that, like 20 minutes or more, then that's actually a slightly different condition. And I assume that's not what people are talking about.
Starting point is 00:17:30 But I don't know, you might, any kind of butt pain people might be calling it this. It is actually kind of common. Oh, good. This is another one of those things that not everyone talks about. So it's really hard to pin down the exact Number of people who have it anywhere from eight to 18% of people will experience this Mm-hmm, and I mean and it could be something that you experience every couple days to once twice a year Probably if you're experiencing it every couple seconds you need to go see a doctor right away
Starting point is 00:18:01 It is more common in women for whatever reason and it usually affects people between 30 and 60. Okay. Seconds. No, of age. No, between 30 and 60 years of age. Why?
Starting point is 00:18:16 We're not in, okay, what we think is happening is your anal sphincter is like contracting. It's like spasming. It's like a quick sudden contraction of your anal sphincter. It can be triggered by lots of different things. Some people will say that like it has to do with having a bowel movement or needing to have a bowel movement, passing gas, sex has been a known trigger for some patients. They've connected it to things like someone who's had a surgery for hemorrhoid removal or something like that or some sort of surgery on their hemorrhoids. Even things like a hysterectomy have all been sort of connected to
Starting point is 00:18:55 it but for some reason in that moment something is triggering the nerve to your to your anal sphincter to make it contract quickly, suddenly, painfully, and then it goes away. As far as we know, unless you have other, any of these other things that we've talked about, some other condition or other symptoms alongside it, it usually is a benign, like if it is just appearing solo on its own and then going away and not something that bothers you very much, condition.
Starting point is 00:19:22 If it's happening a lot or if you have other symptoms like diarrhea, constipation, bleeding, any other sort of pain, please go get checked out. But that I think is what we're talking about. And if for nothing else, I just really wanted to share the term, Proctowl, just a few gags with everyone. Here's one, can I get sick from my own sneezes? I mean, if I live alone and I never have visitors like many these days, doesn't matter if I cover my mouth slash nose when I sneeze at home. Thanks Matt. Matt, I assume just wants to let one. I respect that Matt like, listen, I'm a busy person and I'm alone. I'm just going to blow this one out. Just get it out there. Blast him. Barks are all over Dr. House.
Starting point is 00:20:07 He's watching Dr. House. Yeah. It's time. So, okay. If you really live alone and never have visitors, I don't really see a reason that covering your sneeze in that moment is going to make any, I mean, you're not gonna make yourself sick.
Starting point is 00:20:20 Let me start with that. It's nice for your cats. You're not making yourself sick. Yeah, I guess pets would be one thing. And I mean, if you're truly never having visitors, there's no risk. If you sneeze and then immediately after someone walks into your home, like there are, there are like a, there is a cloud of particles hanging in the air, but you have said you have no visitors. So we can assume that that's not an issue. No, no, this is not. But you can't get yourself sick.
Starting point is 00:20:45 Okay, but you can't get yourself sick, but like it's a profoundly nihilistic take because this will in, this pandemic will in, and you're going to have visitors again, and you can't have, when your visitors come, there is an assumption that for the past 12 to 18 months you've not been blowing it out all school with every sneeze, great, just like pressure washing, all of your flat surfaces. The assumption is that you've been covering your mouth even when people haven't been there.
Starting point is 00:21:14 Well, but I mean, if we're talking, now you're getting to like how long can the viral particles live on your face? No, I'm not talking about I'm going to a human being's house and I'm trusting they haven't been blowing their sneezes out old school for the last calendar year. I have to sit on your Devon. I have to like walk on your floor and you've just been blazing it for a year. I would say there is an element of habit forming that is important that if you get out of the habit of covering your sneezes,
Starting point is 00:21:46 Habit forming that is important that if you get out of the habit of covering your sneezes that may be something that You lose a start of your future one though in the future when you are around people you may forget because you got out of the habit of doing it. I mean like right like I mean I don't know you are you are looking at this question so wrong. We're trying to live in a society here society Yes, it disappears or I looking at this question so wrong, we're trying to live in a society here. Society doesn't disappear when you close your door. I mean, does it matter? The question is does it matter?
Starting point is 00:22:10 And I'm here to say, it matters a great deal. It matters a great deal. Okay. I would say why, I mean, you can't get sick, but why not stay in the habit? That would be my thought. Okay, well, and I think I feel like I may not
Starting point is 00:22:22 have a very good answer. But it's what I would tell, it's what I would tell the kids. So maybe that's more of like a mom answer than a doctor answer. Like we'll just get in good practice. Yeah, I'm just saying you live in a society and people are gonna come over to your house again.
Starting point is 00:22:34 They don't want to sit on the scene chair. Justin, I got more questions answered, but before we do that, we gotta go to the billing department. Oh, let's go. The medicines, the medicines that I skilled at my go to the building. Oh, let's go. That I skill it my God for the mouth. Here is a question from Chris. That I profess ignorance, but I feel like I'm about to be surprised.
Starting point is 00:23:01 My medical question is about breasts and sagging. Does wearing a bra prevent sagging or does wearing a bra weaken the breast supporting tissue and cause them to sag instead? I've seen both sides and I'm curious, is there any actual evidence to either? There is no effect on breast sagging from bras whether wearing them or not wearing them.
Starting point is 00:23:24 I think that's really important to know. I was interested to look out there and see what are people saying about this. And that's really true. There seem to be like a lot of, even like celebrities who will tell you, you need to wear a bra at all times to prevent your breast from sagging.
Starting point is 00:23:42 Versus I saw exactly like you described, I saw the opposite people described. That's all the opposite. People saying like, no, because then you, I guess you need to let your breasts work out. And if you support them too much, they'll get weak from all that support. So you got to let them be more independent. You don't want to be held up on their own. Standing on their own in your breasts. No, wear a bra if it makes you feel more comfortable. Because sometimes depending on your breast size it can be uncomfortable It's not to wear a bra if it makes you feel more comfortable if you like the look or shape or whatever better But there is not there's not a health or there's not a breast
Starting point is 00:24:18 Sacking benefit in either direction, so but I thought that was a really good question because I actually hadn't heard that The especially the opposite I've had a lot of patients ask me like, don't you have to wear a brawler to keep them from sagging? No. But that's a great question. Do you know the ligaments that support your breast tissue are called cupers ligaments and... Is that ironic? Yeah, because cupers loves to breastfeed. But I remember in the book The House of God, do you know I always remember that? Why?
Starting point is 00:24:51 Because it calmed Cooper's droopers because of how your breasts sag over time. That's unfortunate. I know, it's very unfortunate, but they... I have an easier way of remembering it, so you don't remember that way anymore. Oh, that's a good point. Hey, for all of you out there in the medical world
Starting point is 00:25:02 who were also taught this, because I know I'm not alone, I've heard many colleagues say it. Now can just remember my daughter Cooper loves to breastfeed Listen, I'm latched on to breasts and I'm not letting go. Oh, yeah, we got another boob question Is it true that getting your nipples pure school forever prevent you from breastfeeding? I had a high school health teacher beg my whole class, not to ever do that because it wouldn't be able to breastfeed awkward, considering I already had it done. Thanks, love the bod Vanessa.
Starting point is 00:25:33 No, there is no reason that you can't breastfeed if you've had your nipples pierced. Is it true that it will give you a triple nozzle that blasts out maximum satisfaction? It is possible that the three-way spray, it's not a single, you've seen me express breast milk, you know it's not one whole. In hindsight, yes, I do, I do realize this.
Starting point is 00:25:56 You know, it comes out of multiple openings. Yeah, yeah. Got it. Let's mix less since now, you're right. The kids get a big kick out of that. Just mine, not like all kids right or an our kids That I do on TV right No, there's it's fine. I'm not falling that far yet
Starting point is 00:26:18 He'll be desperate enough in this code these covid times to come calling Your nipples say you can like you could could see some breast milk leak from the holes where your nipples have been pierced, like when you're, if you are leaking, which happens if you get really full when you're breastfeeding. But no, there's no, you can still breastfeed. I would, like, for practicality sake, removing the piercing while your breastfeeding makes sense. If for no other, I mean, one, like that could be uncomfortable, I would assume. And two, because you don't want your baby to choke on a piercing. Yeah, fair. So like, yes, but no, there is no reason that a nipple that has been pierced cannot breastfeed. That is, okay, I think the recommendations are not to do it while you're breastfeeding because
Starting point is 00:27:05 then like you're seeing while you're breastfeeding, that would be very dangerous. Well, you're like healing and the kids faces right there and you don't want a bunch of needles around the kids' face while you're trying to nurse. Well, anybody who's ever had, who's ever breastfed and had your kid bite you and then you have like a wound there that's trying to heal while you're still breastfeeding. Just like I would not recommend getting them pierced while you're in the, while you were actually breastfeeding some, you know, your kid, but it is not a reason you can't breastfeed at all.
Starting point is 00:27:38 You probably guessed this one often, but where did my contacts go when I quote lost them in my eye after sleeping with them in? I've been wondering for years and I didn't ask my eye doctor because I don't want her to know I wasn't practicing good contact hygiene in high school. Thanks, Sarah Jane. I'm I wanted to answer this question because I'm really worried there. Your contact shouldn't be able to go anywhere. Y'all listen, my assumption is they came out somehow. Let's all hope they came out. Well, they must have they've had to they must have come out There is nowhere for them to go. I mean, there's not a receptacle like I mean they can certainly move around on
Starting point is 00:28:16 The eyeball and that I have had that happen like they get stuck but like you know I mean you should be able to find it. Yes. So my, I know that I have had nights where I have fallen asleep, where I've been up early late and fallen asleep with them in, and then woken up in the middle of the night, realized they were in and taken them out and thrown them across the room, because I didn't have time for that anymore. Ha, ha, ha, ha, ha, ha.
Starting point is 00:28:39 Perhaps it was a situation like that, and you just didn't remember. You were very sleepy, but. Let's go with that. They cannot get lost. Hi, Justin and Dr. Sid. I've been highly considering getting an IUD and that's Inter-Gudarin device.
Starting point is 00:28:55 While I was reading up on getting an IUD, that's their Udarin device. Inter-Gudarin device. It said that you need to check once a month or so and make sure the string is in the right place. It makes sense that there's a string so the doctor can pull it out whatever necessary but like has it feel when having intercourse and stuff.
Starting point is 00:29:12 I feel like every time I'd be worried the string is getting all pushed around and I wouldn't wanna do it in the first place so the IUD doesn't come out of place. Does it come out of place easily? And heck if there's a any genitalia with piercing on that, now you've entered into kind of like a carnival game scenario,
Starting point is 00:29:29 trying to have the loop around the, yeah. You were able to get caught. Yeah. Okay, the string is not that long. It's not that long, everybody. I know that, you know that. It's not a visible from the outside of the body. Got it.
Starting point is 00:29:42 Yeah, you can feel it when you do an exam. You can feel it extending from the cervix. It does come out like the string extends out of the body. Got it. Yeah. You can, you can feel it when you do an exam. You can feel it extending from the cervix. It does come out like the string extends out of the cervix. Of course, it would have to in order for you to be able to remove it. But it does not come out of the body. Right. But is it in the area when? Yeah, but it, so it does not interfere with intercourse.
Starting point is 00:30:01 It's not something that you or the birth control works like. Yeah. Okay. No one. No, that's a very common question. So it does not interfere with intercourse. It's not something that you or the birth control partner would fiat. Okay, no one. No, that's a very common question. This is when people are considering IUDs, this is an incredibly common concern. It is nothing to be embarrassed or ashamed of. A lot of people ask what won't it mess up sex? No, it doesn't in any way interfere with sex.
Starting point is 00:30:22 It is very hard to, I don't want to say it's very hard to remove because your doctor can do it on exam, of course, but it is not something that would easily come out. Like you couldn't just dislodge it with, I don't want to elaborate, with doing it with it. Yeah, well, I'm trying to be scientific. I, even with your best, your best, baddest, most bodacious moves, you're not going to. You're not.
Starting point is 00:30:54 You're not going to dislodge it. You really have to try. You really would have to like intentionally say, I'm going to try to, I'm going to, I'm going to try to pull this string and remove this. I please don't do that. Go have a medical professional remove it if you want it out. But it is not something that you would casually accidentally dislodge. And it is recommended actually for patients who get these that they can even check the strings. I think you said that actually.
Starting point is 00:31:25 Yes, you can check the strings to make sure that it's still there. Like about once a month, you just examine, reach up, you can fill the strings and you know that it's still in place. If you have any concerns that you don't feel, or whatever, you can go check with your doctor, but no, it is fine. You can. I can't believe you put this next question in here, Sydney. I'm going to read it. You open the door and't believe you put this next question in here, Sydney.
Starting point is 00:31:46 I'm going to read it. You open the door and I'm going to push you through it. It was a good question. I've been wondering for a while and just having looked it up, but truly, truly, what is poop? Thanks, Vex in Virginia. Do you know what poop has in it? Yeah. I know.
Starting point is 00:32:02 I have the, I wrote down all the percentages so that I would get that right. Because that's not something I have in the water. I'm assuming there's water because everything's got water in it. Yeah, everything's got water. And I'm saying. Majority water. Undigestible food matter. Mm-hmm.
Starting point is 00:32:14 You know, stuff that didn't get digested in there. Mm-hmm. And then I would guess like leftover, just like stuff that you've processed and extracted all the nutrients from. And then that's the stuff that's left over that you don't need. And probably bacteria. And probably bacteria. Yeah, that was going to say, basically you've got it without the bacteria. That's a poop is just the stuff that your body didn't need, couldn't break down, mixed
Starting point is 00:32:41 with some water, and some germs, some bacteria. I say germs, not necessarily bad ones, just bacteria. Yeah, it is 75% water of the rest of the solid bit, the majority of that are just organic, solid things, making a mostly made of like bacteria, some proteins, some carbohydrates, some fat. There you go. proteins, some carbohydrates, some fat. There you go. All right. Now you know.
Starting point is 00:33:09 Now you know. This section is called poking your own body. Hi, Dr. Sidney and Mr. Justin, that's fine. My question, a necessary formality, but I do appreciate it. My question is this, why is it that when you stick your finger in your belly button far enough and twiddle around for a bit, can you feel it in your crotch? I love these questions, by the way. I grouped two together because what I have to imagine is people are getting really bored right now, and so they're just sitting there poking themselves like, hmm, that's weird. I'm going to try that again. What if I poke here? That's weird. Are there any other weird connections I don't know about? Do we go ahead and read the other question too?
Starting point is 00:33:45 No, let me take that. There's separate issues because this one I have a really good concrete answer for and the other one not exactly. Medical mystery. So this one has to do with your urecus. What's that? So when a fetus is developing in utero, there is a combination, or the combination, a connection between your bladder and your umbilicus, your belly button.
Starting point is 00:34:12 It runs along with the umbilical cord. And it is a canal called the alantois. And this canal allows urine to drain. Now, as the fetus develops, the tunnel closes and it just becomes this sort of fibrous remnant that exists, that connects your bladder to your belly button. It's called your urecus. There are conditions where it can be somewhat open still even after birth, and you would know
Starting point is 00:34:43 because P would come out of your belly button Whoa, okay, obviously not the default the default is that it's just a little fibrous remnant that still exists there but if you poke really deep In your belly button and I don't mean just like touch it. I mean like really poke in there Because it is connected to the top of your your anary bladder by the urechal remnant by the urechus you can I can't do it. Sometimes you can fill it in your crotch. I can't do it. It hurt too much. This is a thing. This is a real thing. That is a real Unlike this one. I have like a guess Why this one says and we did ask for your weird questions
Starting point is 00:35:24 So here's's his weird question. Why does pressing on the area right above my butt crack made me want to pee? And so this person mentioned that they saw that other people have looked this up to. I went to look, and there are forums where people have said that this happens to them. I don't have any concrete answer for this particular one.
Starting point is 00:35:43 The only thing I could think is that are dermatomes, so certain nerves that come out of our spinal cord and like they wrap around our body in terms of what area they're responsible for. And if you're interested in this, you can just Google the word dermatomes and look at images and you'll see what I'm talking about. Because you'll see all these like multi-colored pictures of the human body and they're these rap, like the nerves wrap around,
Starting point is 00:36:11 starting at your back around your spinal cord and then wrapping around each side symmetrically. And the area you're talking about, I think if I'm visualizing this correctly, is innervated at the same dermatome as the genital area. So maybe it's just this referred kind of because it's innovated by the same nerves. Maybe you're having some sort of referred sensation
Starting point is 00:36:36 or something. That would be my best guess. But I'm not entirely certain about that one, about that poking. Brain freezes. What's up with that? Why do we get them? Why can't I drink or eat my super cold things as fast as possible without getting pain from it? That's Anthony.
Starting point is 00:36:53 Okay, brain freeze is called sphenopalatine ganglionarousa. That is the... I'm gonna stick with brain freeze going on. Right. That is the actual, so it's a quick headache. In case you've never experienced, I don't know who hasn't, but if you've never experienced it. Y'all brain freeze. If you have a experience, brain freeze, you're not living.
Starting point is 00:37:16 You, but it's a really fast headache that happens usually when you drink something or eat something really cold, right? And we always say it's because you ate a drink it too fast. That is because of rapidly changing temperatures in the back of your throat where your internal carotid artery and the anterior cerebral artery kind of meet.
Starting point is 00:37:37 Basically, these are good at sensing temperatures. And when they're as a rapid change in temperature, they will react to that. And when they do, it's not your brain hurting. It's the dilation contraction of these arteries that are causing the pain. But it's just trying to tell you like, hey, this is too cold and you need to calm down on that. Your brain doesn't like things to change quickly.
Starting point is 00:38:01 It doesn't deal with change. We need that the truth. So anyway, so these arteries contract and dilate and then you get pain and then it goes away when the temperature normalizes. But if you want to speed that process along, the best thing that I've found is to rub the roof of your mouth with your tongue. That can help to warm that up sometimes. If you can warm up your mouth faster. Yes, some way to like return it to the normal temperature. Yeah, exactly. Hi, I'm a fairly new listener, but going back through the backlog has helped me to get my mind off stuff. So thank you. My question is I have gone to my GP just to be clear. I got my flu shot five weeks ago and the guy put it in the
Starting point is 00:38:41 wrong spot. Instead of being in my deltoid muscle, it was up high on my shoulder. My doctor believes it was injected in my shoulder joint. It was sore for much longer than usual and after four weeks, it got worse where I couldn't lift my arm and then started to get better again. It's still very tender, but doctor says it'll heal. My question is, will the shot still be as effective if it was not injected as intended into my muscle? Thank you and lots of love to your family. Hey, this was just for you. Thank you, Sid. It was for you too, listener, but Justin, I thought you would.
Starting point is 00:39:12 Yeah, I really appreciate that, because I've experienced this exact phenomena. Right now. Right now, as you're listening to this, I'm heroically podcasting through the pain, as we say, as a podcast the podcasting business that this is not And Sydney hates it and I hate it because I have to go to Sydney and say her pet peeve Which is my arm hurts when I do this and then send us a bite or tongue to keep from saying well then don't do that
Starting point is 00:39:39 So this just happened to Justin. Yeah, let me like when we got our flu shot Please don't let this discourage you. It's not only content to me apparently. No, don't let this. No, don't let this discourage you. Don't let this discourage you. I'm for child, no dice. This is not, I mean, obviously it's common enough
Starting point is 00:39:54 that now I know of two cases. Yeah. Our listener and you, but it is not incredibly common, but yes, if it is given higher on the shoulder, you can cause like some burstursitis of the joint. Inflammation of the bursa, which is like a sack of fluid around the joint, you can inflame that.
Starting point is 00:40:10 And it does not decrease the effectiveness of the vaccine. The vaccine still worked, it's fine. That part of it is not affected by it, but it can, in some people result in this pain, exactly like you're talking about. It would make it hard to raise just because of the muscle that's involved and what part of your shoulders involve, that's exactly how it would present. And yes, it should go away with time. Sometimes patients will require some anti-inflammatory medications like you'd get over the counter. Yeah, listen to that. That's what I've been doing is taking some, I'd be perfect.
Starting point is 00:40:42 If that's something that you want to do. Yeah, and I mean, please always talk to your doctor about any of this. Don't take it from a podcast. Some patients get relief from that. Some patients will need things like steroid injections. But for the most part, it is a short-lived condition, self-limiting, and your vaccine is still fine, so do not fear about that part. And it probably will never happen to you again, so don't fear about that part and it probably will never happen to you again So don't fear about that part dear doctor Sydney. Is it true that babies have more bones than the adult standard of 206 I've heard this all my life been taught in health class
Starting point is 00:41:14 I did in my family is playing a trivia game where babies having more bones than adults was the answer I was surprised my retired orthopedic surgeon grandfather got the question wrong and he scoffed the question saying that babies don't have more bones that just have more space slash cartilage between bones that eventually go together. What is the truth? Thanks for your ongoing contribution to my sand day over this year particularly once the pandemic hit best, Maddie. So okay, I can see, I can see what your grandfather was saying. A semantics issue, right?
Starting point is 00:41:44 Yeah, because like yes, technically babies do have more bones, technically. They have like 305 bones. The reason for that is that there are areas of the bones that are cartilage, just like your grandfather said, that are to allow for growing and changing and moving. It also makes babies bones more flexible,
Starting point is 00:42:04 like harder to break, faster to heal. These are good things. But because of that, like a bone that will just be one solid piece of bone when you're an adult, maybe divided into two or three sections by cartilage when you're a baby. And so in that point, is that one bone or is it three bones? I don't know. Well, I guess what a lot of people have settled on is it's three. So you have three and five bones.
Starting point is 00:42:31 Got it. But I mean, yes, to your grandfather's point, they're going to grow together into the 206 adult bones that we kind of accept exist in a human body. You're not going to get a human body named? Yes, there are different names for the baby bones. Sometimes totally different names for the baby bones, sometimes totally different names, and then they fuse together into the one adult bone.
Starting point is 00:42:49 This process, by the way, is called ossification, in case you're interested. They are like, for anatomical purposes, the same, like they are one bone. I mean, they're not more bones, but they are more bones. It's a difficult question. I mean, We're not more bones, but they are more bones. It's a difficult question. I mean, we're like in a ship of theses. It's kind of a semantics issue, but yeah, the way we look
Starting point is 00:43:12 at it, yes, babies have, like I said, like three or five bones, they have different names, they fuse into the 206 adult bones that you are probably more familiar with. And folks, there you have it. There's all the medical knowledge that you can handle this week. You're now basically doctors. No, well. Congratulations to you. Here is your special hood and funky hat. Do good out there, as it says in the hypocritical.
Starting point is 00:43:39 Thanks for listening to our show. Thanks to the taxpayers for these, their song medicines is the intro and outro of our program. Thanks everybody who came to the to our show. Thanks to the taxpayers for these, their song medicines is the intro and outro of our program. Thanks to everybody who came to the live streaming show that we did, it was a lot of fun. That was a ton of fun, thank you so much. And oh, I have big news.
Starting point is 00:43:59 What is your big news? The Sorbonne's book, the returning as a paperback. That's right, it is. It is returning as a paperback book with new content. New chapters. It's expanded with new stuff about coronavirus. Well, it's related to coronavirus.
Starting point is 00:44:18 Yes. Quarant COVID in Jason. New illustrations by Taylor Smurl. Of course, all of their other illustrations are still in there. It is new. It is edited and updated and it's great. It's and it's a lovely, a lovely book that you can pre-order right now. If you go to bit.ly ford slash solbonesbook, the launch of the first solbones book was,
Starting point is 00:44:44 or the hardback edition was solbona's book was, or the, the hardback edition was, was rocky, I would say, and I love that we got, and get another swing at it. So it would just mean the world. If you like our show, you know, somebody who enjoys medical history or any, you know, interesting stories, whatever, great illustrations, you name it. The solbona'sugs books coming out in paperback. I believe early next year, I'm not sure they've set a date for it, but it'll be pretty early next year. Well, this is saying December 29th, 2020.
Starting point is 00:45:18 I don't know if that's accurate or not, but it does. It'll be... It's paperback, so it's soft and cartilaginous and flexible 105 bones of a baby and December 29th Beautiful pre-order this pre-order this bad boy. I'm gonna get a few now because it's great Bit. I'll why for it's like I'm very proud of it But we're so proud of it. I'll joking aside. We're so proud that other people get a chance to read it and Thank you for your sport in advance. You're the best That is gonna do it us for this week.
Starting point is 00:45:47 So until next time, my name is Justin McRoy. I'm Cindy McRoy. And as always, don't drill a hole in your head. Alright!

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