Sawbones: A Marital Tour of Misguided Medicine - Sawbones: Cholera

Episode Date: May 14, 2014

Welcome to Sawbones, where Dr. Sydnee McElroy and her husband Justin McElroy take you on a whimsical tour of the dumb ways in which we've tried to fix people. This week: We go blind and punch someone in the eye. Music: "Medicines" by The Taxpayers (http://thetaxpayers.net)

Saabones 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, time is about to books! One, two, one, two, three, four! We came across a pharmacy with a zuendas blasted out, we were shot through the broken glass and had ourselves a look around, some medicines, some medicines that escalated my cop for the

mouth. Wow, hello everybody and welcome to Saul Bones a Marital tour of Miss guided medicine. I'm your co-host Justin Macroi and I'm Sydney Macroi Justin Siddster I'm upset about something. What is it, mate? I've been really worried that on a lot of shows like podcasts and Well other kinds of shows like TV shows. Right, basically just like various shows.

You know, things that have episodes. Shows. Right, cereals if you will. Serialized entertainment. They have recurring bits. You know, things they do to like call back to previous episodes and everybody looks forward to them. And they go, oh, there's that funny thing they do that I love. Like the slap bit on how I met your mother or, uh,

a general feeling of insignificance while you're watching Cosmos that's like a recurring bit. That's that's exactly the kind of thing. Well, I don't really want to give people a general feeling of insignificance, but something like that. I feel like we need that. A classic bit like the guy who says, Dino light. Exactly. Okay. Do you want to try that? Dino light. Dino light. I don't think we've got it. So what's your idea? What do you what do you? Well, there was um, okay, so this is what I thought might work well. You really It seemed to like a certain topic that came up a couple episodes ago and a lot of people on like Twitter and social media, you know, Facebook all those places. See, they seemed to really like it too So I thought I'd maybe call back to Do you remember when we talked about cholera? all those places. See, they seem to really like it too. So I thought I'd maybe call back to,

do you remember when we talked about cholera? Okay, so just to recap, you think that our hilarious recurring bit should be pooping yourself to death. That should be our hilarious classic bit that we return to t-shirts bumper stickers. Well, I mean, I don't I don't find pooping particularly funny, right? You're supposed to the scatological. It's never been my my flavor of humor Right. That's probably a poor choice of words indeed, but I found that a lot of people like it I mean it may always makes you laugh. It does. I'm ashamed to admit it. And a lot of kids laugh when you say poop.

Yeah, they do. And they're proactively. They're right there, do you hear that? And when I said that, I bet that there are people listening who laughed. It's bite of themselves. So I thought maybe that would be a good. You got a pretty good point. I will agree. that would be a good point. I will agree. You got a pretty good point. So if we're gonna, if we're

gonna keep this recurring color a theme, I thought maybe you should know more about cholera other than that one guy who drank it that one time. That one guy who drank cholera. Yeah. All right, Sydney cholera. Hit me. I'm ready. So the great thing drank cholera. Yeah. All right, Sydney cholera. Hit me. I'm ready. So, the great thing about cholera. There are great things about cholera. Okay.

Now, there's nothing great about cholera. But one interesting thing is that it's been around again a really long time. It's another one of those diseases that, you know, we talked about tuberculosis. And I think we mentioned this maybe with syphilis. But there are a lot of these diseases that leprosy that we can go back into ancient times and talk about and color is one of those. Color is a classic. It is. It's a classic pooping disease. One of the... The way these are always drinking. I would say one of the three classic pooping diseases.

Okay. With salmonella and E. coli. Those would be my pick for the classic. Oh, but then there's there's always norwalk. I don't know that you know cruise ships all over. India underground favorite. I don't know. Pooping disease. So it probably started out in India.

And it comes from a Greek word for bio, by the way. It probably started out in India and it comes from a Greek word for bile, by the way. It probably started out in India and it's been around, like I said, since ancient times. And from there, it spread basically through trade routes. You can kind of trace where trade was expanding from India based on where cholera outbreaks happened. That's weird. A lot of these diseases early on, I mean, when you look at like small

pox, why did it go where it ended up? It was people traveling and taking it places and giving it to indigenous populations who didn't have it before. Syphilis again, same kind of thing. So since then, there have been, depending on what you read, probably seven major epidemics, unless you count the one in most recently in Haiti after the earthquake. Oh, that was a bad outbreak there. That was a really bad outbreak following the earthquake just because of sanitation issues. And so that may be the eighth, depending on how you look at it, really bad outbreak versus epidemics.

So either way. All right. It was also the first reportable disease in the US, which is kind of interesting. Now we have a whole list of diseases. I don't know if you knew that. We have to report to the CDC if we encounter them. So if you run into a case of cholera, which I'm assuming you haven't? No, no, I have not personally seen cholera.

That's good. No, it's very rare in this country. It's not impossible to see it, but- We got one thing going for us. Yeah, there's, there used to be. No, man. But now there's not cholera here for the most part. But it has been responsible for killing millions of people through history.

So it's a pretty big deal. Recurring Bay, you think? Kind of a classic recurring goof. I mean, if you're talking about diseases and like the important ones, that's kind of part of their job. You know, it's like that ancient battle between man and bacteria. Man versus microbe, who wins. That's what clashes the Titans was about, spoiler microbes.

See, but the microbes always win for a while, but then we get better at it and sometimes we can win. Yeah, that's true. Take that smallpox. That's what makes it good. Screw you. Good battle. Stuff it's my box. So, it's caused by a bacteria. Suck an egg polio. It's caused by bacteria. You ingest it, mainly. So, it mainly comes through what we would call a fecal oral root of transmission. That's what we call that in medicine. Did you know that? Why is that even a road? Why is there a root for that? Because it's fecal, you poop it out and then it gets back in your mouth. Well, not in your mouth and somebody else's mouth and you fecal oral. It really doesn't need to be right there. Like contaminated water is the big thing. Just poop gets in water and then you drink it.

You should board the fecal oral route up. We should just board it up, put up a sign. It's like no injury. Daddy and hazardous. It's a very popular root of transmission, especially among little people, little kids, you know, babies and kids. Yeah, they're always that fecal oral stuff.

Can't stop it. It causes, like I said, massive watery diarrhea. Cool. And it looks like rice water after a while because all you're really losing at that point is just water with like severe intestinal lining. So it looks like you put rice grains in a hot water. Hugely, hugely unpleasant. And basically the goal is to maintain hydration. If you can keep somebody hydrated, they can survive cholera. If you can't, then unfortunately they'll die. We also... So it is one of those where sanitation is massive, right?

Because otherwise, you... I mean, that suddenly becomes it a premium, clean drinking water. Oh, exactly. Because it's the reason you get it. It's because you had poor sanitation. You were exposed to it in the first place. And then the only treatment for it is to hopefully through oral rehydration, so just drinking, we can keep you rehydrated, or at least if we have to, through IV hydration, one way or

another, we can keep you hydrated. And so if you don't have access to that, you know, we're kind of screwed. There are antibiotics that will work, but we usually don don't use them they might cut down on the duration But most of the time if we can just get people hydrated. That's really what we need. I know such an easy treatment, right? Now as far as what what was thought to cause cholera probably everything exactly of course We we don't discriminate where we're guessing what causes things Exactly, of course. We don't discriminate where we're guessing what causes things. A lot of it initially was kind of our humorous theory.

There's some kind of imbalance in the body. Some sort of internal forces are out of whack. And we need to bring them back into balance, which is usually done by bleeding people or causing them to puke or we don't need to give them diarrhea. They've got that. They've got. No problem, Doc.

I got that one under control for you. I'm just gonna give you something that's gonna give you some more diarrhea to get this out. That would be impossible unless you can teach my poop to poop. I really don't think I can get additional diarrhea. These days they teach my poop to poop. No, Doc, we know you love to poop. So we put some poop in your poop, so you can poop

while you poop. Exhibit. Pimp my butt. Yeah, dog. Yeah, dog. That was unsurprisingly. Surprisingly, that was not the lowest rated show on MTV. Hopefully, you better not.

Pimp my butt. Still without teen moms. I don't know. Uh, the, uh, the Europeans and then eventually the Americans when it spread there thought it was, uh, and we kind of referenced this a couple times before. Amia'smatic disease, amiazma. Mm-hmm. Do you remember when we talked about that?

A little bit of everything. Kind of like in the air, like floating around you. It's not so much that it's coming from one source. It's just if you are surrounded by gross stuff. It's like a vibe. Exactly. It's like an oracle. A car vibe. And it's specifically an aura around filth or waste or dirty stuff. So it releases this cloud of something and then everybody gets cholera. And it's also been a disease that was associated

with a lot of racism and prejudice for lack of a better term. Usually you would blame it on some other group of people who was different than you and say that they probably brought it here. Yeah. So it was constantly blamed on different immigrant populations. They look kind of cholera.

Yeah. I mean, we didn't always have this. And now we do. And we've lived here for 10 years and they moved in 9 years ago. It's probably them. Yeah. So the doosers blame it on the fragals. They come into our buildings and they leave booby everywhere and then we get cholera. I

Hate the frat. The frat goes probably had cholera but frat is definitely a cholera. No question. Yeah, they have that look That's why they can't eat the doosers buildings a little time 30 hydrated and then they had pica. That's the other thing you didn't know about fratals. They had pica That's why they treat the building. Do They want to tell everybody what pikes is. It's like a disease where you want to eat lead chips or ice. Or something that you're not supposed to eat. Something not supposed to eat. You know, like couch stuffing. Yeah. It's usually when you have iron deficiency inemia. Yeah. Good job, Justin. Thanks. So it was also thought that not only did various immigrant populations, so not one specific

race or nationality, it was blamed on everybody at some point in time, but people who engaged in what was thought to be a moral behavior, and also it was considered a disease of the poor. So it was thought that if you're wealthy enough, you probably wouldn't get cholera. And some of this was consistent with the living conditions of the time. The lower socioeconomic classes probably had even poorer sanitation than the higher classes. Even though nobody was particularly clean. We were all getting kind of silly with that stuff out the window and whatever.

It was not believed that you could transmit it from person to person, and that was mainly a doctor doctors fault. Wow, really? Good job, Grace. Well, they thought if it was easily transmitted from person to person, then the good doctor who went door to door taking care of everybody when they were sick from cholera should get it, right? Right, makes sense.

Well, the doctor usually didn't. So why? Well, part of it was just that a lot of the initial outbreaks were spread by contaminated drinking water. So unless the doctor had a glass of water at your house while he was there, he probably wasn't drinking the same water that you were. Right. Because he probably lived in a different part of town.

And then the other thing is just, I think you see a lot of these diseases, this kind of instinctual fear. I'm going to stay away from that person. I'm probably not going to touch them very much. So even if the doctor's going to show up and you'll kind of explain stuff and then leave. So can you spread a person person? You can, but not through like coughing or breathing or touching. It would really have to be like, well, you know, I got it.

You know, which is why I may be from a, yes, by creating a human synopied, that is the only way. It's nature is efficient. Color delivery system. Well, engaging in a discussion about color, bringing up human synopied is the absolute most disgusting thing we can possibly have done. Sorry, I'm sorry about that. But I mean, probably from child to adult would be more likely you're changing their diapers or something.

That could be a source. Now, of course, with the germ theory of disease that we've talked about before, coaxed postulates when he figured out that there was a bacteria, and that a bacteria probably caused germ spread illness. In the late 19th century, that changed most of these beliefs for the most part. But as we talked about before in that previous episode, not everybody was convinced even by the isolation of the bacteria, like

your buddy Max Joe. Oh, yeah, Max Joe, you let me down. Who? Eating your drinking color or water? drinking, colour, water. Yep, drank colour, water to prove that that wasn't how you got it. That you had to both be exposed and be dirty. And he was very clean. He was hygienist. It was also thought that maybe the disease caused you to form the bacteria somehow, which is such a bizarre, like people who are sick have

this bacteria. So probably the said we're just trying to figure it out. And I will say that part of the confusion is that not everybody who carries cholera actually gets sick with cholera, you can be in an asymptomatic carrier state. So they would isolate cholera from the stool of people who didn't have disease. And then you didn't know what to make of that. It's actually a pretty low rate of people who are exposed who actually get sick. Like you can get infected with cholera and not get sick. And it's a very, even of those people, it's a much smaller percentage who

actually get so sick that they might die from it, which just shows how many people actually ended up getting cholera that we've had millions of deaths. Oh, wow. And like I said, this was a big deal. There was a world conference in 1851 called the International Sanitary Conference, and it was purely, well, it wasn't just about cholera, but that was really the... It was a hot topic.

It's all they need to't want to talk about. So at the end of the 19th century, a lot of the major epidemics were subsiding, probably just because of better sanitation methods. We didn't know we were doing it, but we were eliminating the conditions that bring... Almost by chance. And at the same time, the doctors really started to embrace the bacteria theory. But we were still trying to figure out like how it was all, like how all these people were getting it. And this is where an interesting story comes into play

about a guy named John Snow, who is a doctor, an OBGYN. And also a bastard from Howe Stark. I don't know who that is. Well, you see, from Howstar, it was Ned Stark's bastard son, John Snow. He went to the wall to defend us. What are you talking about? Who is this? From Game of Thrones?

Oh, you know I don't watch that. I know, but I was talking to the people at home about John Snow. What if they're behind? This is pretty early. Oh, okay. Well, I don't know. All right. Has winter come yet?

No, I think winter's still in the way. And some parts it's there. And some other parts it's like, I don't know, it's still hazy. Well, I just see like, it kind of feels crisp like fall. Sometimes there are commercials and it looks like, you know, cold. It does. I mean, there are parts where it's winners,

just new winners just chills. I mean, they'll put it in the, but winner is there in some places all the time when you go like north of the wall. This is not a burden. Well, I hope you and everyone who watches that are enjoying that show. Okay.

Jon Snow and the Broad Street pump. Now, there's some people are right now saying right now saying like well of course we all know this story. Okay, I do want to say something. Speaking of people saying of course we all know this story. I get nervous whenever I talk about anybody on Game of Thrones specifically because I have watched every episode of that show and I am still certain I'm going to mess it up.

I still like I still that's how confusing the show is. I'm still certain I'm gonna mess it up. I still, like, I still, that's how confusing the show is. I'm still like, Jon Snow is, yeah, he was in his talks kid, right? Yeah, I mean, I think he was the guy's best friend, yeah, he said, oh, yeah, that's Jon Snow. Yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah, yeah. Let's see, go ahead, say it. Go ahead, say it. No, she won't get a shit in the back of her life.

Somebody will get it, say it. Somebody's gonna correct you. Yeah, I'm sure, but sorry. So are you saying that, like, somebody that I shouldn't tell this story because it's so well known because clearly everybody knows this story? Not like Game of Thrones level one known probably not this John Storby you go ahead. So in 1854 Dr. John Snow, he wanted to know, he wanted to figure out once and for all how an outbreak of cholera was spread and everybody was trying to figure this out. You know, we had this idea about this bacteria, but where was it

and how were people getting it? And his idea was contaminated water. He lived in London and so-ho and at the time people, businesses, you know, individuals would dump just raw human and animal sewage into the Thames River. Good job, businesses. Not a good idea. There were also a lot of, and this was all unofficial. They weren't supposed to do this. They had pumps and sewage pipes and stuff, but a lot of them were leaky,

and so they would also leak into the river. So even unofficially, there was constantly sewage being dumped into the river. Awesome. And the problem is that the same water from the Tim's River was then being used for public wells and water pumps. A lot of people didn't have running water in their homes. They would go get water from a local pump. And jet skis, I would imagine.

Where else are you gonna go, jet ski? Except the Tim's River. Except the Tim's River. Is there a lot of jet skiing there? Except the Tim's are right to 54. Okay. So he wanted to prove that there was cholera in the water and he had the perfect opportunity. There was an outbreak of cholera in 1854 around Soho. And so he started going around and interviewing cases

and drawing a map. This is epidemiology is what he was doing. Invented epidemiology. And this is a great example of it. Okay, maybe he didn't invent it. But he went around and he interviewed all these people and he kept kind of zeroing in, like here, where are all these cases cluster?

Do you think he knew there was epidemiology? Do you think he knew he was making up epidemiology? I think I mean, I think he kind of knew, like it was a science at the time. It wasn't like that time when I was in elementary school and I thought that I invented the riff of black Sabbath iron ran. I thought I came up with that. Actually, John Snow did. John Snow. I know a different John Snow. So what he did is he you know he interviewed all these people he drew a map He zeroed in on this one hand pump on broad street the broad street pump and he figured out that

Everybody who got cholera one way or another had drank water from this pump Which is pretty cool. So he knew so well he thought the water coming from this pump must be contaminated. He's like I'm gonna fix color and then he marks right on that pump and put a sign on it says please do not drink, it has color in it. And also and then there's another sign below that says please do not move above sign. It is important. And there's a sign below that. It says, don't remove that sign. Right, it's like a hole. It gets very, it gets very road runner while cady. So this was the beginning of looney tunes.

Yeah, that's a looney just to our vendor. There's a collar assigns. So I think along, before I tell you what else happened with this, along those, along this storyline, there's one really funny thing. There was one lady who almost ruined the whole thing. So in order for this to work, he interviewed people who got caught. She drank from every frowning down. He interviewed people who got caught and asked him what, you know, what they, what pump they drank from and they all drank from the same place. And then he interviewed clusters of people who

didn't get it to prove that they didn't drink from that, you know, because then he would interview like everybody at this pub and this pub gets their water from this pump and they're all healthy and everybody at this pub, you know, that kind of thing. Well, there was one woman who lived way outside the range of the pump that was the culprit and she got sick and so did her niece who lived even further away.

The problem was that they died, so we couldn't ask them these questions. They just made it in town or something. Right, and so it was very, it was very confusing. So he eventually found her nephew, and he interviewed him. And apparently this particular woman, while she did not live on Broad Street at the time of her death, had previously lived in that area and just really liked the taste of cholera water from that broad street. It's more of a question. I can only imagine the earthy body full body.

The taste of raw sewage that she liked. I missed. Because that was it. Because she would have it bottled and brought to her. Bottle me up some broad street water. No, if you go up, it's just hot air. I don't know what's arthi. And so her niece had come to visit her from out of town. You have to try this water.

And to celebrate. To celebrate, they'd popped up in a bottle. So yeah, yeah, you have to try my special water. Sparkling color water. Full body. Now, of course, with all this great epidemiology work, the city council didn't believe him at all. Sure.

Yeah. Nobody in authority believed him. They wouldn't shut down the pump. They wouldn't warn people. Nobody wanted to change anything. There was actually one man in particular, a reverend whitehead, who believed very strongly that color was a punishment from God and one in all of the citizens to believe that so

that they would come to church and repent. And so he set out to interview people and prove John's no wrong. And in doing so, he actually ended up supporting his case. So he went around interviewing victims because John Snow couldn't still not prove that it was the sewage in the water, that led to the collar and all that. Right, we didn't know why, there was just his theory. Well, he interviewed this Reverend Whitehead

interviewed one woman who lived on Broad Street and she said, well, my baby actually got sick with collar before anybody else did. And so the Reverend was interviewing her in hopes of finding out some horrible and moral thing that she'd done that could prove You know where it all came from But what she revealed is that when her baby got cholera it obviously went through a lot of diapers really quickly So she would wash them off in water in tubs of water in her home and then go dump the water. Oh man. Oh man. An assess pool, a leaky assess pool that was three feet from the broad street.

Baby zero. That was baby zero. That's where the color came from. Baby zero diapers. So. What a journey. Thanks for that lady. Yeah, what a pretty significant color outbreak. Thanks lady

Oh, man, that's the pit sit. I want to know How what are there sort of like alternatives we had in treatments like that? Well again, Justin. I'd really love to give you that information but Unfortunately, you can't afford it right now. So you're gonna have to go settle up your accounts All right, let's go to the billing department. The medicines, the medicines that I skilled at my cards for the mouth.

So do you wanna hear about treating cholera? Hit me. I'm ready. Early on, there weren't a lot of treatments. The main thing was quarantine. Sure. And again, I think that this is kind of instinctual and makes sense.

Stay away from sick people. I don't want to get sick. Ships, if somebody on board of a ship got cholera, which actually happened fairly regularly, they had to fly a certain yellow flag. And that would indicate as they docked that they had cholera on board. And you had to stay, everyone on the ship

had to stay aboard in dock for 30 to 40 days before they would let anybody come ashore. Basically, the idea being that way, if you were going to get it, you would die. And then if you didn't die, you got to come on shore. Kind of brutal. Yeah, that's rough. There was an outbreak in New York City in 1832. So it ended up spreading to the US. We did have cholera here. And of the at the time the city had a population of about 250,000, a hundred thousand people fled the city. Yikes. Yeah. It's like Godzilla. I know. A hundred thousand people took off during the outbreak. So getting away from sick people was very popular. And of course, everybody, I think remembers that in 1849, along the Oregon Trail, you have got cholera, you have died. Of course, you got cholera. School children forever. Well, no, they didn't know what cholera was. Did you

know what cholera was when you played Oregon Trail? No, not that yellow fever. That was my first exposure to like, to those diseases. I thought they were imaginary. Do you know that my sister Taylor when she was little told her stuff to animals that one of her other stuff to animals got cholera? She could only take one with her on a trip. Our parents used to limit the stuff to animals we were allowed to take on trips. Because it would get pretty crazy otherwise. So she only took one and she was afraid the other animals would get jealous. So she said she told them she was afraid the other animals would get jealous. So she said she told them that it was her Simba, her stuff Simba, that Simba had collar

on had to go away for a while. Thank you. Thank you, Oregon Trail for that excellent excuse. So some other treatments that were tried, a lot of the Indian treatments sought to kind of rebalance the the humor so to speak the different forces in the body and calm spasms and heavy metals were very popular. Sure. Like mercury. Again, I don't know who talked about that before. Mercury was a very popular treatment. Replacing the bad smells with good ones was important.

Take off the angry stink and you put on a right party stink. Exactly. With some essential oils or some spices. Yeah, why not? Certainly more pleasant even if you're not hell there. Heat was a popular treatment and you can get heat by taking a warm bath. That sounds nice. A friction rub them really vigorously.

Rub your collar. Uh, cauterize your heel. What? Like, you know, with a hot iron, just waterize it, you know, the callus part of your heel so it won't hurt too bad. Or even try to ligate the limbs, like cut off blood flow to the limb

so it gets all red and hot. And that's hugely unpleasant. Yeah, no, no, no, no, well, I mean, this is killing me. I think the idea was color isn't pleasant, so we've got to do, you know, no, no, no. Well, I mean, this is killing me. I think the idea was color isn't pleasant. So we've got to do, you know, we've talked about that. So we've got to do something even more unpleasant to get rid of it.

Right. There were also color abelts that members of the British Indian Army War. And they're basically just these flannel belts that would keep you really warm. Very stylish. I'm kidding me. Probably not. Yeah. In the Albragan Naples in 1854,

Camfer was the most popular treatment and in North America, tomato soup. Okay. That's a very popular treatment. So tomato soup, good for skunk sprays and carra. There you go. And in the UK, there was a really popular herbal remedy called horse heel. I don't know. I guess if it's named horse heel, you think maybe. Heels horses. I'm smaller than horse. I've only got two legs. And of course, I've mentioned bleeding was always popular. It follows failed. And then later it was replaced in popularity by opium. But then and later it was replaced in popularity by opium. But then what wasn't replaced in popularity by opium at the time?

There was one treatment account that I found that I actually copied verbatim because I thought it was pretty funny. Well, in my, I think color is kind of funny. So I guess that gives you a peek into my mind. But you mean that with all the care and consideration in the world? Exactly.

Exactly. You got to laugh at this stuff. Right. Especially if you don't have that. See, they're that or cry. Right. So, this treatment involved putting a paste of lemon juice, iron oxide, and alum over a person's eyes.

And then, I guess, leave it there and they'll get better. Maybe. So this was the account of one of these treatments that I found. This is, this is, I did not write this. I'm quoting. The pain had produced vexed and enraged the sick man and he attempted to strike those around him. The vomiting became more frequent. His attendance fled to avoid his blows. He pursued them passing by a reservoir of water, which served for the purposes of the garden. He plunged into it, drank with a vidity for several moments. They surrounded him, but he remained tranquil. The enormous quantity of liquid he drank was followed by fainting.

He was then removed from the reservoir and put to bed. He slept for 11 hours, and when he awoke, the vomitines and dejections that's diarrhea had ceased, but he was blind. Oh no. So, so what probably fixed this guy was that he drank large amounts of water, but he was blind, but he was blind. So I mean, I guess, I don't know, there was a trade-off he lived. I thought you would find it interesting that James K. Polk died of cholera. I don't know if you knew that. Napoleon was still. I knew you were a fan of James K. Polk.

Yeah, I can, you don't want to get this on to you. Well, I don't know that we have enough time to prepare for. Maybe after, maybe after is a special thing of the year. Just for you. Just for me, yeah, Oh, good. I'll stop there. According to stuff. Just private. Excellent. Perfect. I thought you would think this is interesting. There is an avian collar. I found an account of an avian collar that struck a duck pond this year. In January of this year in Redwood City, California, it killed 200 of the ducks. And as a result, the pond, there was a man-made little lake where they all lived, began to smell very bad.

Right, because of all the duck diarrhea. Right, because of all the duck diarrhea. Eventually, it got so bad that bird watchers couldn't go there anymore. Nobody wanted to hang around this. Absolutely. Absolutely. How in come within a block of that place? And they ended up having to drain it and scrape several inches of duck poop off the bottom of the pond and clean it up. That is brutal. So what's it? What's it? What's it look like now? What's the what's the color of landscape? Unfortunately, color is still around today. As you mentioned, you're not going to see color in the US for the most part.

There hasn't been a big giant outbreak, as I mentioned since 2010. But there are still sporadically three to five million cases of color each year, and still between 100,000, and 200,000 deaths, mainly in developing areas, places with poor sanitation. And then you always see outbreaks of cholera anytime there's social upheaval. So you need to think about that.

We talked about after the Haiti earthquake. So anytime when there's some kind of natural disaster that would move people out of their homes and disrupt clean water supply, but also wars and refugee camps and that. So just to reiterate, we, this is obviously still something that's very serious and a blight on the populace of the earth. Absolutely. We don't mean to make fun of people actually contracted cholera, but... No, absolutely not.

This is something you can do something about because it's really easy to treat. You don't need any special drugs. You don't really need a medical, you don't need, you don't really need a medical degree. You just need clean water. You just need to get water to people or all rehydration solutions and salts. PDO light. Yeah, and that's something that you can help do. Get water, get clean water to people. That is an easy thing. You don't need a medical degree to do it. And it saves, it can save a lot of lives. So, so there's a positive thing there. There's actually a medical degree to do it. And it saves, it can save a lot of lives. So, so there's a positive thing there. There's actually something we can all do.

I just want to give a big thank you to everybody who has been tweeting about our program. We are at saw bones on Twitter. Thanks to Sarah Blanchard. Big thanks to Alan who bought a saw bones t-shirt. I don't know if we told everybody. There's solbona's t-shirt at maxfunstore.com. They're blue and I think you really like them. Just check out Alan because he looks great. Yeah, Alan, you're looking dope. Thanks to other people tweeting about the show like Megan Marine, Nicole Mesmer, Raf Castilla, Nicole got a solbona's t to one of the picks. Uh, thank you to Teresa McRoy for tweeting about the show. Tyler Madison, Ginny Haynes, Anthony Wright, Kristen Aaron's

corn, porter Ryan Thomas, Jeremy Frank Cody, monthly, uh, John Thomas Mason, so many others. You're all the best. Thank you very much. And you can always tweet at us at Justin McRoy. And she's at Sydney McRoy, S-Y-D-N-E-E. I think that's going to be everything. Remember to go over to maxfun.org. Listen to all the shows in the maximum fun network. If you get a chance and you got a few free days, got some vacation time coming up in July, you want to go on the Atlantic Ocean Music and Comedy Festival is going to be a huge cruise with a ton of musical and comedy guests. I know our friend John Roderick is going to be out there. W. K. Moubel is going to be out there. Tony came in Chris Fairbanks, who's a steric old lake, Natasha Lugera, Morgan Murphy,

like a ton of people. So go to bootparty.biz, get your tickets now. Go have a drink for me, because I will be... This said can't. ...hugely pregnant and very hot. And that's gonna do for us here on sawbuns. Be sure to join us again next Tuesday for another episode of Sawboth The Tullin.

I'm Justin McRoy. I'm Sydney McRoy. As always, don't drill a hole in your head. Alright! Maximumfund.org Comedy and Culture, Artistone Listener Supported