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

Episode Date: March 17, 2017

Live from the Crow's Nest of the ms Westerdam, it's Sawbones all about norovirus! (Hey, we're on a cruise ship, what else are we gonna talk about? Music: "Medicines" by The Taxpayers

Saubones 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 doin' that's lost it out. We pushed on through the broken glass and had ourselves hot like our own.

Some medicines, some medicines, the escalant macaque for the mouth. Wow! And I will hand you over to Saboans. For the mouth. And I will hand you over to Saboans. Let's keep it going. Thank you Tracy. I don't need this one. Hold on. And we have too many mics. This is fine. If this one rolls off, you guys shout at me. Don't want like a beside an adventure this bad boy. Or thank you. Thank you Tracy. One of my podcasting muses inspirations. Thank you.

So what are we doing to show about today Sydney? Oh, oh, let me do my right the right one. Do you think we're recording? We're recording for posterity. Yes, so. Hello everybody and welcome to Saul to Saul Bones, a very old hero of misguided medicine. I am your co-host Justin McElroy. And I'm Sydney McElroy. Yeah. Yeah. You know what? It used to hurt.

It doesn't anymore. You people can't hurt me anymore. Skin of stone. So what's the show about today, Sid? Well, many of you probably don't know this, none of you know this. What I just do is I know, I mean, I know everything right about medical history. Like it's all just up here. I certainly don't research this. And so I just have like a list of topics and just, you know, whatever week it is,

I just click through and we'll just see what's up this week. So let's hold on, I'm gonna tell you. What are we doing? Thank you. T-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t-t Why don't we just do questions? Let's not. No, no, no, no, no. We don't want to do this. We don't want to do Q&A ones when we don't have time to prep an actual episode. No, let's just, you know, shots. Hey, shots for everybody. Woo! OK, no, wait. There we go.

This is a senior frog's. OK, we're on a cruise ship. There's a classy play. What's it about, Tister? Well, the topic this week is Noro virus. Okay. I Am sorry about that. What I don't get it's Friday So you've made it this far if you didn't get it yet, but yet you're probably fine

Probably hopefully we'll get into this feels weird to me over here. Are you usually over here? I am usually over there. Hold on. Oh, this is so much better. Oh, my God. That was very awkward. Yeah, let the show continue or begin now. Actually, start.

Do you want to know about Norah virus? Yeah. Since you have seemingly survived it, hopefully. Keep your fingers crossed. So, Norovirus, in 1929, a pediatrician named Dr. Zahorsky, that I want to tell you just a little bit about, Dr. Zahorsky was an immigrant from what was then osteo-hungry, who moved to Missouri as a child,

and then worked three jobs to pay his way through medical school. And then he went on to devote his life to the care of premature infants in St. Louis. He saved lives. He improved neonatal care. He's one of the first fathers of what we think of as the neonatal intensive care unit of those boxes that you see premature babies in. He was one of the first fathers of that. He encouraged mothers, breastfeeding. He was an amazing doctor who then retired to return to his hometown and be a home country doctor

for kids in his hometown. An amazing guy who also wrote about winter vomiting sickness, which is what we now call neurovirus. I only mention all that because immigrants getting the job done just had to throw that out there. Dr. Zahorski. Unless that job is naming his disease, because that was not a very good job,

that that, in that one instance, winter, what is it? Winter vomiting sickness. You get one chance to finally name something. It is like, well, what time is it? Winter vomiting sickness. You get one chance to finally name something. And you're just like, what time is it? Okay, it's winter. I'm vomiting. Done. I mean, we named it again later.

Because we all acknowledge like tacitly, and I was like, hey, they didn't do a very good job, Ditty. No. That was great. We love you. You did a great job. But we're going to rename that. But he was probably the first one to write about it. But at the time, we didn't have the technology to see, like, is this the same bug that's

causing it? What family is it in? What are we going to call it? So he's just like winter vomiting sickness and everybody went, hmm, interesting and then moved on. It wasn't until a lovely fall day in October, 19. And somebody got it and they were like, well, we have to rename it. So let me take you to Norwalko High O. It's at, we are at Norwalk Bronson Elementary School.

Do you want to be the principal? You're principal Conway, principal way, and Conway. You're principal Conway here. It's a beautiful fall day. Beautiful fall day. School just started. And you, the bell has already rung. The bells already rung. Students are in their classrooms.

Okay. Doing what they do. Do you go about your business, young people? And he begins checking the attendance roles. Is that something principal? Hello, it's me. I'm a principal with four time management. I'm gonna do all the ten just to see who's there. Check the roles. Which is scary. Your principals were doing that. They to see who's there. Check the roles. Which is scary. Your principals were doing that. They knew when you skipped school because they were just checking. So he's checking his attendance roles and he notices something odd.

There's a son. There are a lot of absent students. And it's fall. How could this be? About a third of his students between 3rd and 5th grade are gone, which is like 10 times more than an average school day. So there are a lot of people gone. So he does what any responsible principal does, and alert the local health officials, which I didn't know they did that. So he called the local health department and was like, I got a third of students out something is going on Somebody somebody got a sick. I don't know what time period are we talking about it again?

1968, okay, all right, does that help relatively recent well, yeah, yeah Are you picturing him in bellbottom? No, I was gonna make a joke about how like maybe a new Mario game came out But like that doesn't make any sense and that just like on what punch cards Is that the history of video games? Univac has a new Mario game. I'm still the principal who apparently is an expert in video games. Don't tell me video games. So he calls the local health department

and an investigation begins. But by this time, people are getting really sick. Students, teachers, the faculty, people in this elementary school are dropping like flies. There are students and teachers puking in the hallways, like laying in the hallways sick. I mean, it's a whole, it's a mess. One scene from Gone in the Wind, it's just like laid out. We don't, we don't curse on the show, but it was a poop show Not the other word literally right exactly what's happening in two days half of the school students and faculty

Everybody got sick with GI symptoms. They were puking. They were pooping. They were sick Another 32% of the school got it from those initial contacts So everybody got sick. Norwalk Bronson Elementary School was a disaster scene. But then four days later, it's gone. Everybody's better. Whatever caused it has left town. All the kids are back in school.

All the teachers are back. Principal Conway can go through his attendance roles and everything is normal again, but nobody knows what's happened. And as a result, for another six months in this elementary school, all the kids had to bring like box lunches and drink bottled water and everybody was terrified every day, like is the pooping coming back. But they were okay. So initially they couldn't figure out what caused it,

but they had alerted public health officials, and so the CDC got involved, and the Centers for Disease Control, the CDC, decided we are going to chase this down and keep studying it until we figure out what the heck happened in Norwalk, Ohio. So, it took isolates from the sick people. Now, by that, I mean, they took poop from sick people.

Y'all got so many charming ways to not say poop. I meant to compliment you on that. You doctors have a lot of cool ways of not saying poop. I am about to go through a series of ways that I love. Cool ways. I love to search papers by scientists who are trying to describe really disgusting things that we do when we're trying to figure something out.

But they don't want to say like we made people eat poop. So they came up with like all these like creative ways of wording it. So we gave people dominoes. We took. That's just the first thing came in my head. Y'all, I'm actually into dominoes. I've got a lot better in recent years.

Well, my domino head people out. Yeah. Yeah, you like dominoes? I like dominoes. It's good now. So that was just slogan for a long time. It really was. It really was like the commercial felt like,

can you try it? It's recently because it's so much better. It used to be bad, telomeres. So the first task, this was 1968, and they wanted to figure out was this a bacteria virus. And this is like a big deal. This sounds like, well, who cares? I mean, that's what most people who aren't medicine

are like, whatever, who cares? Just like, stop me from pooping. And the thing is, viruses were were and still kind of are like the mysterious, sexy, undead of the microbiological world. They look sweet. They look totally sweet like a cool, they've got like a cool crystal at the end and it's like a staff and it's like spider legs. Okay. Yeah, that's a bacteria phase. That's really good. Thanks. Thanks, Sydney. Yeah, that's a bacteria phase. It's really good. Thanks.

Thanks, Sydney. Yeah, no problem. That's good. No big deal. It really is. I just know some things, I guess, this whole time. I know that. How do you remember that thing?

How does it look sweet, Sydney? Everything else looks like a big dumb glob with a circle in the middle. And that one thing is like a friggin' heavy metal album cover. That's really true. Viruses are kind of like the Edward Cullen of the microbiology world because it was like, they're dangerous, but they're so sexy. And I can't keep myself away.

Is it alive? Is it dead? I don't know. But its cheekbones are amazing. So they passed it through a filter to try to figure out is this a bacteria or a virus. So that's where we get all of these next sentences from the various studies that we're done. That's what we're talking about is they took poop and they passed it through a filter. So they then, in one study, fecal filtrate was used to induce illness

in human volunteers. So, let's break that down a different way. Nah, nah, nah, nah, nah, nah, nah, it's fine, I get it. No, no, no, no, I got another one. Aerosolized bacteria-free throat washings or fecal suspensions from persons in a gastroenteritis outbreak or administered to humans.

That's what the 1960s Batman show got away, of course. I don't buy it, Penguin. I got one more. They induced a febrile diurel illness following oral administration of pulled bacteria-free fecal filtrates or throat washings of patients. So they got volunteer seat poop from sick people. Did you say it's bacteria-free, though? Yeah, well, no, it was a virus, so you're, I mean, that's how they pricked it.

But they had to give it to so many people just to say no, but it's definitely virus. We still don't know which one We don't know anything about it, but we made all these humans eat poop. What could that sales pitch be Could do you think it was like you just laid it out to me like they threw a bunch of jargon out and then they're like so do you want $10 Can you repeat it one more time? That's what they figured out at the end They were like this is definitely a virus, and humans will do anything for money. Anything for 10 years.

Yeah. Anything is all. So they proved that it was a virus, but it was still really hard to figure out viruses. What do they look like? We have to use, this is one of the things that attracted me to infectious diseases initially, because in order to look at viruses,

you have to use an electron microscope, and you have to use an electron microscope and you have to make these little pellets of stuff that you then cut with a diamond knife? A diamond? Because it's so sharp. And you cut it and then you look at it under an electron microscope.

It's so cute when you expect nerdy things to get the kind of reaction you're hoping for. I felt like on this cruise, people would agree with me. I felt like I was in, you know, like my new company. Oh, wow. All out. So eventually, by 1972, they fed a lot of poop to a lot of people. By 1972, they were able to isolate a virus that caused all this pooping, and they called

it, well, there were several different things. They initially called it the Norwalk virus. So when you talk about Norovirus and Norwalk virus, you're really talking about the same thing. You're talking about the clinical syndrome that happens as a result of Norovirus. So Norwalk virus is what a lot of people call it. They also called it Norwalk-like virus, Norwalk agent, small rounded structured virus, which is not. They knew that one wasn't going to catch on.

They tried to go back to the Winter Vomiting Bug, Winter Vomiting Disease, Snow Mountain Virus, Acute Non-Bacterial Gastronoritis, Stomach Flu. Norwalk is kind of what stuck. For the record in that light, the people of Norwalk Ohio would like you to know the following. Norwalk, also known as the Maple City, sounds delightful, doesn't it? The Maple City.

They are home to a hundred-year-old furniture factory, a performing arts center, a drag racing track, and they are the home of Paul Brown, famous football coach of Cleveland Brown's fame. I mean, join this list list and I'm starting to guess what's not gonna be a love it. They would like you to remember Norwalko Hio for literally anything other than the vomiting pooping bug.

And also one time a school full of kids poop their brains out. Darryl, I told you to get it off the list. I don't know how to edit HTML, and you know this, and it's cruel. Please go and remit them from our website. Please, you are my deputy. Please, you have to do this. I actually searched the Norwalko Haya website

to see, like, is there any mention? Well, of course not. Of course, they have all these lovely things. Like, please come visit Norwalk. Please, I promise you, nobody is puking and pooping here right now That was 1968. It's gone. Please come visit us. That would be a weird tourism thing to lean into though I don't know how they would capitalize on that if they want us to do ads. I'm ready. I know everything about Noroco Hi-Oh now

So norovirus now that we know what it's called, let's talk a little bit about it. Is viral illness that causes inflammation of your stomach and your intestines? Do you know how Noro came from Noroac, why Noro? Noro is like the family of viruses. Oh, so it's not connected? It is. I mean, when, yes, there are other viruses. Oh, is it cute?

Is it like, clever? Is it a le a pun? No. It was like, there are other Noro viriday. There are other Noro viruses. It's just when you start puking and having diarrhea, Norwalk virus is what you're talking about. But it's not, you. No, it's different.

It's not called Noro because Noro sounds kind of like Norwalk. Well, was anybody else thinking the same thing? Like, I was not, okay. I mean, yeah, no, I guess it must have been because then they broke it down afterwards. So yeah, Noro came from Noro. Okay, I wasn't trying to know you're right. Okay. But there was, there was this, there we go. Well, from what I... None of us have Wi-Fi. Let's not go crazy, OK?

I couldn't. Nobody's right until we get to San Diego. And we can check. I couldn't find the substantiated. But what I had read is that Norovirus is initially what a lot of, like, if you got sick, they would say Norovirus. And there was, like, this big push not

to call it Norovirus, because Norov is a common last name. And it was associated with, like not to call it neurovirus because neuro is a common last name and it was associated with like this family name. And so instead let's just throw this tiny town and Ohio under the bus and call it Norwalk instead, but there's actually multiple neuroviruses. Anyway, it causes you to puke and you get stomach pain and you poop a lot and you get headaches and you get fevers and body aches but it's pretty quick. After you're exposed you're going to get symptoms in between 12 and 48 hours, usually pretty early though. It really hits fast and furious and one to three days later you're completely fine, which

is why I like it, hit that tiny elementary school and everybody got sick and then everybody was fine. The only real worry is dehydration, which is true with any kind of diurel illness. Like we just worry that you're not going to replenish your fluids fast enough and you're going to get really dehydrated and that can cause other problems. But for most people, it's just really inconvenient. For the very young, the very old, and anybody who has any underlying illness, it could be more of a big deal.

But for most people, it's just sucks. The medicines, the medicines that ask you lift my car before the mouth. It really does come on sometime between November and April, so like the winter vomiting illness that's actually pretty true. And it spreads really easily, as in like 20 viral particles are all it takes for you to get sick from getting in contact with this. So we talk about it on cruise ships but actually it's just as common in schools, daycares, nursing homes, restaurants, any kind of catered event, military settings, any place where a lot of people are really close together, you're a risk. If it pops off there, it's gonna pop off pretty much anywhere

that's concentration. Exactly. And I love, like, how do you get it? How do you get it? This is my favorite part. How do you get it? The CDC says you can become infected with norovirus by accidentally getting stool or vomit

from infected people in your mouth. Oh, I mean, accidentally, let's have like, accidentally. It's a cool disease because it's sort of like the nihilism of diseases because it forces you to confront some unpleasant realities. Just like, hey, and also, you eat poop sometimes. Shhh. Anyway, enjoy your day, Rhea. That's also called this.

Like enough times that we have a name for the thing that when it happens, they need slang for how often you eat poop. Like, you ask how it happened. They don't say like, get a chair. I'm gonna need some time to explain this to you. They say, oh, we have a name for it. It's the fecal oral route. From poop to your mouth, get it? Anyway, that will be $50.

I'm so proud that you know the name of that route now. Yeah, I'll be trying that out of every dinner party I want to get evicted from. That's my favorite route. It's so much better than respiratory droplets or airborne, the fecal oral route. You know exactly what it is, and it reminds us that, I mean, we're animals, everybody.

It's a lot better than 23 when you're going up through Kentucky. There's nothing there. Better stop and get gas in porch with, because you're not going to hit fuel for, see if you're going to Cincinnati, it's usually the quick. Now, the problem is that even those,

from Huntington, yeah mean, it's great. Everybody's point of reference is from Huntington, West Virginia. Two Cincinnati, on the East Coast of America. It's like, where am I going? Well, let's start in Huntington, obviously. That's where we start. The problem is that even though your symptoms are really short-lived, so you didn't puke and poop very long,

you're continuing to shed the virus in your stool for up to two weeks. So you're still infectious. Long after you feel better, you're still, if you don't wash your hands, you're still going to give it to people, which is why you get these outbreaks where it just keeps spreading if people aren't washing their hands like they're supposed to. It's the leading cause of illness from food in the United States. It causes 19 to 21 million illnesses in the US yearly. What that means is we think about it

as this like isolated outbreak kind of thing. Everybody's had probably in this room. You have all had Norah virus. You are likely to get it about five times in your life. That's your week. The only illness. You remember the route? Remember five times?

The only illness. Five times just when people already have it. That means you'll eat food many times, bro. I hate this. I take it back, I don't want to do this one. The only viral illness that is more common is the common cold. So, we think about neurovirus as this is a specialized thing. No, it's out there. Most of the time when you get something that, you know, they call the the stomach flu I got a stomach bug. Oh, I just can't stop you being my kid

We have a kid my kid gave it to me again You probably had neuro virus. So does demystifying it help? No, no, no ma'am. No ma'am. It does not Once you get it you can still get it again cool, so it's not like you're not protected forever Sorry, good news about it Once you get it, you can still get it again. Cool. So you're not protected forever, sorry. You're a good news monitor. You can test for it in stool and vomit if you want to do it that way. That is frozen and in frozen individual bags

it will last up to five years. If you're into that. So gritty. Hey, can we please clean this freezer up? No, wait, hold on. I'm running some tests and it's only been four years. They just get comfortable, okay? Put your sandwich somewhere else. But that's exactly what somebody did at some point.

Yeah, no kidding. Did you see me? Science is great. Yes, science is the best. It's just the best. Don't cheer for science on this one, guys. Listen, we don't have to support science and everything. Okay, sometimes science goes off and some wax stuff

and you don't have to follow it there. If I put your poop in a bag, how long do you think it would last in the freezer? An individual bag, one of the little Ziploc baggies that are only big enough for half a season. And that's sad though, you put one person's poop in a bag, you're a scientist, you put a bunch of people's poop in a bag, you're a weirdo. They didn't know about that honey, you didn't have to tell them about that. You take that poop out of the bag. Use it to grow potatoes on Mars. You're mad

Damon. They were showing that joint on a loop yesterday. I don't know if anybody caught it. Yeah, this guy doesn't bug them out. He wants a Martian with me. So the treatment, I mean, mainly you just ride it out, buddies. You just drink a lot of water and hopefully it will pass soon and you won't get too dehydrated on the way. For most of us, that's all we're going to do. Stay hydrated and ride it out. Obviously, as I mentioned, there are specialized populations, very little kids who let me tell

you if you ever tried to get a one-year-old to drink when they're dehydrated, that is a task. That's a whole thing unto itself. So obviously there are cases where people could have to be hospitalized, but most of us, it's just going to be like locking yourself in your cabin and drinking a lot of water until you get better. Prevention is easy. Wash your hands.

Tony poop. Wash your hands. Wash fruits and veggies, cook, see food, wash your laundry, like if you get sick, wash everything, don't cook, if you're sick, don't cook food for other people. You know what you should really take some time to relax, you've heard it. Yeah, lay back. You don't feel good, because it's fluid. Let somebody else take care of the cooking, because it's going to take a really long time too, because you Let somebody else take care of the cooking.

Because it's going to take a really long time too, because you're going to keep going to the bathroom. Clean all surfaces, but really hand washing. Basic hand washing is the way that we prevent the spread. So it's not like every time somebody gets norovirus, it doesn't lead to this horrible outbreak. Because if that were true, we would all be pooping all the time every day.

I mean, we're not supposed to be pooping every day. Well, I mean all the time every day. Got it. Okay. Back and forth forever. So, why? So, why do we associate it then? If it's that common, if it's the same thing that your kid brings home from school

If it's the same thing that can tear daycare as a part why do we associate it? Well, I mean it's true. Why do we associate it with cruises? Well, it's kind of like we're all jammed in here together. That's just a big part of it We're all we've all gotten very close this week And that's true and all we did me like that but please who? And that's true. And all of the time we did it. We didn't mean it like that, but please woo. We meant like, people oral clothes,

but that's fine emotionally, emotionally as well. When we get the burp, right? Which one do you think about it? What's more intimate than that, really? Stop. But the other thing is it's tracked on cruise ships. So it's kind of an unfair thing. Every time it happens, you know, in a school or a daycare, it's not like it's on the news,

unless it shuts the whole school down like a Norwalk. But it's, we keep track of it on cruise ships. So when an illness happens, it's being logged somewhere. If you're sick in your room and you tell somebody, they're keeping track of that. And the CDC keeps track of it. So because we keep track of all these illnesses and tally them up, it seems like it happens a lot more, but it's just because we're aware of it. So that's a huge thing.

I always assume there's an Elmo jealousy to it too. Like when you see those stories in the news, the thought in your head is always like sersem right, for gone on a cruise that I'm not on. Those jerks. If you do get sick, and we have such a little time left, it's probably too late for this was good advice at the beginning of the week. If you do get sick, you should tell somebody so that we can quarantine you immediately in your cab. You bring your ukulele. You can bring your ukulele with you. I mean, wash your hands if you're going to lend it to anybody.

All right. If you do see somebody sick, the advice is get away from them fast. Run away. If you see somebody puke, turn around and run. If you see somebody pooping, where are you or where are they? What is happening? I mean, that's fine.

Far be it for me to judge. But because of that, we keep track of it. There were 20 reports of neuroviruses on cruise ships last year. That's 2,384 people who got sick, puking, and pooping, which isn't really that much when you think about the scale of neurovirus. It's just that's, we keep track of it.

So we count those numbers. Many cruises have reported this illness, because we have to report them all. One ship gets the name The Curse Cruise Ship, that's not this one. Because of how many different outbreaks it's had, that's called the Boundmoral. It's an old ship, it was built in 1987, Boundmoral. Either way, it's had six outbreaks of Nora of Iris in the last seven years, which is a lot, that's a lot for a cruise ship. Most don't have those kinds of numbers. The last one last year, about 300 people got sick, they had to cut the cruise early by

a day. A lot of, all those 300 people were like kept inside their cabins and people got very angry and complained. They refunded one day worth of crews for everybody. They gave them a discount on a future cruise. But legal action resulted, because people were so upset, because their holiday was ruined. Now, you can look up any ships record,

like their most recent inspection on the CDC website at the Vessel Sanitation Program. You can go to CDC.gov and look up any boat. They've been within the last year. They have been graded like a health inspection grade. And as long as you get over 85, you're passing. And of course, once I figured this out, guess what I did. Now who wants to know?

Oh! Oh! Oh! Oh! Go for it. We got 100%. You're what? Oh!

The Western Dam did great. It did great. All I looked at is history up. We're fine. This ship is great. It's great. 100%. That's right. Let's give another round of applause for the crew

of the Westardale. That's fantastic. That's great. That's great. That's great. Even if they were tempted, they never gave anybody to get because it's intentional, obviously. It's not intentional.

You know what I mean? Is that all the show? That usually at the end of our show, if you're not familiar, Justin says. Is that all the show? That's... Usually at the end of our show if you're not familiar, Justin says, is that all the show? Yeah, but then I added it out. So thank you to the taxpayers for using our song Medicines as the intro and outro of our program. Well, I don't want to do it twice. So thank you to them. Thank you to them. Thank you to the Maximum Fund Network for having us as a part

of their family of podcasts. Woo! Thank you to the Jonathan Colton Cruz and the people who organized it and everything for having us. It's been an absolute delight to thank you to them. Do you, should we do this song or do you want to do it? Yeah, I was giving you a room to Sydney told me the topic and I told her that I wanted to write a song because I had a ukulele I was

said and I um I only know one song in ukulele? This is true actually. It's Lady Gaga's born this way. That sounds like a bit, it's not, it's the only song he knows on ukulele. The only song I know on ukulele is Lady Gaga's born this way. So I had her out of song. I just talked about Nora Virus to the tune of Lady Gaga's Born This Way. And also, the other thing about it is that that song is just the same chords I've never again, so it's not very long,

so I've got boring. And also, sweetheart, if you could just point the other mic at the moment, you could go, I don't want people to miss a note. Well, I mean, here we go. Perfect. There we go. Human mic stand and position and podcaster.

What kids do you do? Woo! Woo! Yeah, we're in there. Like at the sound hole there? Yes, at the sound hole. Yeah, you're as a joke, but that's actually what it's. Okay.

Sweetie, we can do this together. I'll stop moving, I promise. Okay, move my lyrics over here. Also, we wrote this in the half hour before the show, and I didn't know if I was gonna do it or not, because we were in the half hour before the show, and I didn't know if I was gonna do it or not, because we were in the half hour before the show. Is there any more qualifiers? Oh, and also, I didn't, Sidney wouldn't tell me

what the episode would actually be about, like the specifics, so she would only tell me facts if they would rhyme. LAUGHTER APPLAUSE That's actually true for all of our shows. I intentionally don't tell Justin information ahead of time because then I don't know what he's gonna say.

This is the intro. Knows you a fever headaches then poop until my butt breaks. My stomach cramps, norovirus, feels this way. Come on, sing along, you know the words. Feet, the fecal oror root. That's right from mouth to poop. I hate that line.

The fecal oror root, that's right, two mouth from poop shoot. Wash your hands or norovirus has its way. People get it every day, more commonly, before me. Norovirus feels its way. Hold on my phone when I'm off, so I don't have the last verse. And it's a really good one. Uh, Karen, T. Duke, cause a frown. This way. How long my phone went off so I don't have the last first.

And it's a really good one. Garen, Teen, Duke, Cause of Frown, name for Anno, Hyo Town. No, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no As always, don't drill a hole in your head. Alright! Maximumfund.org Comedy and Culture, Artistone, Listener Supported.