Sawbones: A Marital Tour of Misguided Medicine - Tis the Season for Weird Medical Questions

Episode Date: December 7, 2021

We're warming the December chill with another Sawbones Q+A, answering all the weird medical questions that can only be answered publicly, on a podcast. Questions about milk and lost limbs, mole hair, spontaneous UTIs, dead germs, where does the vaccine go, and sexy sneezing.

Saw bones 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 Sobos. I'm Erdutu of Miscite and Medicine.

I'm your co-host Justin McAroy. And I'm Sydney McAroy. And throughout the week, throughout the years, we try to cover all bevy of topics, but we can't get them all. And sometimes you're left with lingering questions. That's right. We get a lot of questions here, even,

I mean, thankfully, when we ask for them, thank you, whenever we request, you are all wonderful and send us your questions. But just generally, we get questions. And so every once in a while, we try to gather up a bunch of these questions and do an episode, you know, on sort of those kind of little things you wander about that aren't necessarily like a whole episode

or maybe even you don't wanna ask, you don't wanna ask somebody privately. Yeah. But you do want us to ask your question. You don't wanna ask privately, you don't wanna ask publicly. Right. It's too personal to ask privately. It can only be asked in public on a podcast.

These are usually emails, but hey, we're not, you know what, we could, if you want to send it to PO Box 54, 100 to West Virginia 25706, we'll just, Sure. One day we'll do it all paper. All paper postcard correspondents. Only send us your weird medical questions on postcards that will inform the question somehow.

The postcard has to loosely, like the image, has to loosely relate. I like that challenge. I like creativity with borders. Mainly what we get now are wedding invitations and high school graduation announcements, which I love. Oh, I love those. Yes, we love seeing those.

But yes, we're gonna answer your questions as best we can. Again, as we always say These aren't really these aren't advice This is more of a sort of advice. No, this is just stuff you want to know about you want advice go listen to my brother my brother Me that's that's helpful. Well, no, it is advice. I don't think the word advice necessarily means good or bad or intrinsically How helpful it is. I like that. Yeah. There's not. It means something somebody tells you.

Talkin' out of their butt about your life. Someone's telling you I live your life. Listen. What's our first question? We spun our wheels enough. We're ready to answer your queries. Hi, Sydney Justin. Are we suddenly hurting a podcast?

Wait a minute. Not ours. You listen to other podcasts? Wow, you got a lot of brass. I wondered if it was one of your other podcasts. Did you say this on one of your other podcasts maybe? That is possible. It is possible I did that.

Yes. Okay, we'll go ahead and finish question. I recently heard in a podcast that if you cut off a limb slash extremity, you should put a rinse it and milk before promptly taking yourself to the ER. That sounds bad and fake. And when I try to Google it, I don't get anything from reputable sources. Love the podcast. Thanks for taking the time to read this.

And for making such great content. Have a nice day. That's from Arty. They, them, Arty. I'm heart. Because I don't recognize that advice. But I've heard this before. Have you heard this? Yeah, this is not. Arty, you are not the first person to bring us, not a list, I should say, to ask this question. I've

had patients ask me, I've heard this sort of like folk wisdom that you're supposed to specifically, what I had always heard was tooth. if a tooth is knocked out, not like your baby teeth. It's hardly just lost her first tooth. Oh, I so care. It's just a grown up teeth. But anyway, if like one of your grown up teeth are knocked out or pulled out or removed for some reason, that you're supposed to put it in milk until you get to the ER. This is actually not true, but it is very common.

I don't know if people think that because of the calcium, I don't know where that comes from. And I haven't heard limb, but either way, no, that is not recommended. If it is a limb, and I mean, I'm assuming we're talking like a finger or a toe, probably not a whole armor leg in this case. Did you got bigger issues than what do you do with the armor leg? You say,

I feel like job one has to be, let's get to the hospital. Well, that's so. If you're a nearby friend that can get the arm and isn't like, eh, eh, eh, eh, eh so here's what you want to do first of all stop the bleeding Whatever is bleeding you need to apply direct pressure take whatever measures necessary to stop that that isn't that is like number one Obviously, you're hopefully already on the phone with not on one. You know calling for help Take let's say it's like a finger. that's probably the most common thing, right?

You might do that in your workshop. Please don't. I won't ever. Please don't. Why would you put that evil on me? I'm not, I'm just saying like, you can see a lot of circumstances where someone might accidentally cut off a finger.

You're set you. You looked at me and you said you, what were I? I'm like you were using like a general you. You want to, if you want to rinse the extremity briefly in water, and maybe this is where the milk comes in, if it's a tooth, if you feel any darence it in milk, I guess you could rinse it in milk, water is just fine.

Don't scrub it, don't do anything like that. You'll damage the tissues, darence it. And then if it's a finger or a toe or whatever, you want to keep it cold. Don't put it directly on ice, so don't like put it in a finger or a toe or whatever, you want to keep it cold. Don't put it directly on ice, so don't like put it in a bag with ice cubes, because you don't want the, the, extremity to come into contact with the ice. Like put it in something and then put it, and then seal that, like put it in a bag, seal that, and then put that in a bag of ice.

Because the ice is dirty. Well, no, it's that the ice could damage the blood vessels and the tissues. Okay, I got it. With direct content. So, or direct contact. So, if you have some like gauze or something to wrap it in, that's probably a good idea. Put it in a bag, put it on ice, the bag on ice. Take it with you.

Keep it with you. Don't give it to your friend, because you guys might separated, an ambulance, whatever, keep it on your person. I'm sure you're sure. So keep the dream, if it's a tooth, you could rinse it and actually put it back in the socket, is a good place to store it until you get to the ER. Or even, this sounds like a choking hazard to me, but I've heard some Dennis recommend

like put it between your gum and your cheek, like keep it there, like a gum ball. I don't like that. I don't like that. Oh, God, that's so hot. To get it. And you want to get there as soon as possible. If you're not kidding.

If your eye pops out of its socket, which it wouldn't like completely come out, because it's attached. But like if your eyelid is behind your eyeball because of some sort of injury, don't poke it back in. Just go to the ER. And it always helps, if it's like, if it's an, I mean, obviously if it's an extremity, you're not gonna call ahead and be like, hey, we're on our way to the ER, I've cut my arm off,

you're just gonna get there. But if it's something like your tooth or your eye, it might help to call and say, I'm on my way and this is the issue so that they can get the appropriate consultant on call like there. Got it. But milk does not need to be part of the equation.

Okay. That was a long one. Hi, Sydney and Justin. I'm Laura from Brazil. And every time you guys do one of these Q&As, I remember something that happened to me back in 2017. Out of the blue one day after I showered, I noticed my chest and back were covered in red spots that didn't even itch. I went to a dermatologist and they told me it was.

You want to try it? Pity Rises Roses. Close. Pity Rises Roses. Rises Roses. Yeah. And that I just have to live with it for a few months and it'll go away. So I wanted to ask, what's up with that? Why does it happen? Why did it take so long from

our body to decide I wasn't actually a Dalmatian? That's a it's a good question because this rash is actually somewhat common, completely benign. I had a friend who got it in med school, a friend in med school who got it while we were in med school. And she thought it was incredibly cool except her is itched. And then she did not think that was cool. That's when you're a med student, that's what you think. Like, oh my gosh, I got that thing I wrote about. That's so cool, especially when it's benign. You know, anyway, it is a self limited rash.

We think it's caused by a virus. There's been some studies that suggest it's caused by one of the herpes viruses. There are lots and lots of herpes viruses. But not every time that they've biopsyed one of the rash lesions, have they always shown this virus? We're not sure. We think it's related to a virus. Basically you get what's called a herald patch, which is a like two to five centimeter

little salmon-colored oval patch, usually on your trunk or like your chest or your back or something, somewhere like that. And then after a few days or weeks, you get more on your trunk and chest and then eventually on your like proximal extremities, which means like your, the parts of your arms and legs closest to your body, generally. It sometimes is called a Christmas tree rash because it has like a sort of vaguely Christmas tree pattern on your back or chest. It goes away on its own.

It can take up to two to three months. Like I said, it's usually triggered by some kind of virus. You don't know that you had a virus, though. A lot of people don't have any symptoms. Sometimes they'll say, I think I had a headache in the sore throat a few days before. Sometimes they itch, other times they don't. You really don't have to do anything. If they're really bothering you or they're really itchy, they can prescribe like topical steroids for

them, but a lot of the time it's just a weird thing that happens and then goes away thing goodness. Wow. Okay. We'll go to the. I'm one of those people who have a lot of moles on their skin. I mostly made my piece with that, but not with the long dark hairs that often grow out of these moles. What the heck causes this? I feel like the current from Snow White, please help. I like this question because I use, this was one of the things that I read about in med school to try to figure out too. It's not that moles grow hairs.

The cluster of cells that make a mole are just a cluster of melanin producing cells, melanocytes, that's a pigment are just a cluster of melanin producing cells, melanocytes. That's a pigment that gives skin darker color. That's what makes moles or freckles or skin generally a darker tone. If you have a little cluster of those and there's a hair follicle there, a hair will still grow from that hair follicle. But the presence of that pigment, that melanin, will make the hair that grows there darker and a little corsure than the hair surrounding it.

So it will look like the mole is growing and especially dark-course hair, but actually, that hair was going to grow there one way or the other, the melanin has just changed what the hair looks like. Does that make sense? Yeah, it makes perfect sense. It reminds me of, did you know this fact? Pole Bears fur is transparent. I don't think I knew that.

I don't like the same kind of deal. Wow. That is interesting. Yeah. I read about it. Somebody subscribed the girls to this magazine called Ranger Rick. They subscribed our PO box to it. We like that. That a lot. Everyone's wild as Ranger Rick magazine shows up and to it. We like that a lot. So everyone's wildest range of Rick magazine shows up. And love it.

And we learn things. All right, thanks. If it really bothers you, it's okay to pluck it. It doesn't bother me. You shouldn't pluck a polar bear's fur. No, no, no, no, no, please don't pluck polar bears. I mean, if you have a hair coming out of a mole and it's really bothering you, if it doesn't bother you,

that's fine too. You can leave it be. If I take two Tylenol pills instead of one, does it last twice as long or work twice as well? Would this go the same for other OTC panorleabers? This is so weird, Sydney. This is like a backdoor combo. Classic solvones overlap.

Yeah. Because in our last episode, when we were talking about, it's exact issue came up. It's, well, I think it hits on, we've talked about this before, or I've talked about this recently with you and with some other people who've asked me about, like, dosing of cold medicine has been a question.

And you asked me this recently about an allergy medicine. Yeah. Can I take more of it? So. Those cause Charlie was taking the same dosage of a clarinet in the UNI arm, asked me this recently about an allergy medicine. Yeah. Can I take more of it? So- Those because Charlie was taking the same dosage of Claretin that you and I are going to seem wild to me.

And what we know about medicines is that there is an effective dose. And if you take less than the effective dose for you, and I mean, you can look on the package. Sometimes it's age-based, sometimes it's weight-based. There are other things if it's a prescription medicine that your doctor may be making the decision based on kidney function, liver function, et cetera. But the point is, you need to take the effective dose for you for it to work. With a Tylenol, it really depends on, because there are different strengths of Tylenol, if you're not taking, it doesn't necessarily work better. If you take more of it, you need to take enough of it to have the effect you need to have.

Once you hit that maximum effective dose, after that, the reason we don't take even more and get more effect and make it last even longer is because there's a certain point at which the medicine just, it's doing all it can do in your body. It's interacting with all the enzymes or receptors or whatever it is supposed to do. It's doing all that it can and taking more of it won't change that. It may just give you more side effects, which is why we have those maximum doses. So taking two instead of one Tylenol depending on the dose may provide more pain relief, but if you're already taking the maximum effect of dose of Tylenol, it won't do anything other than cause more side effects.

So that's why it's really important to look at the dosing. And don't just take one thinking, well, I'll be safe into it. I'm like, look and see what actually works because I always hate when somebody is taking a medicine and every medicine has side effects, but they're not actually taking enough for it to do anything. You know, you want to take enough that it has the effect you need it to have. Yeah.

Okay. Good to know. Hey, Sydney and Justin, my question at please, it's Dr. Ismael Roy, please. My question is about the medical field folks who are also influencers like yourself. Is that me? And myself.

Do you think it's ethical to share stories about patient encounters for the sake of entertainment? Like sometimes I see stories where nurses or doctors are talking about embarrassing patient situation and mocking or joking away. I think myself that if that was me, I'd feel pretty terrible, even though my personal health information has been protected.

Do you think that HIPAA will be updated in the future to include vague posting about patients? Love you guys and all that you do, I want to be y'all when I grow up, Abby. I'm sure you're sweet. Thank you for that, Abby. I think this is a really important question to ask because I've seen this too.

I won't say that I miss, I mean, I guess it's okay to say. I have reported say that I miss, I mean I guess it's okay to say I have reported some that I felt were, well I mean I felt that they were over the line. It's extremely unbranded for you. I felt like it was unprofessional and it betrayed the confidence of the patient even though, so okay I guess what we're going to talk about are two different things. There's the legal part of this question and there's the ethical part of this question. Legally, if you're gonna talk about patient information, you need to de-identify it.

You need to make it so that there would be no way, based on what I'm telling you, that you could ever figure out who the heck I'm talking about, right? And that's not that hard to do. I mean, it's very easy to do that. And, you know, there are certainly times where once you've de-identified that information, hard to do. I mean, it's very easy to do that. And you know, there are certainly times where,

once you've de-identified that information, it is valuable to share. For instance, sometimes, I will ask a patient, can I present, you know, your medical case? You as a case report to my students or my residents. I think this is a good learning case and that there's some, you know, new doctors could learn to be better doctors from what you have experienced. And in that educational setting, that's totally appropriate. You get permission, you present the information, you still don't give names,

or any sorts of identifiers other than, it's usually like an age and maybe gender and that's it. This is like when I had a GI bug last week, and you were like, you're actually the sickest anyone has ever been, I would love to present this case Like when I had a GI bug last week and you were like, you're actually the sickest anyone has ever been, I would love to present this case because you're how inspirational your story is and how brave what a brave boy you're being. No, well, something along those lines.

And certainly this is done in like research papers, right? Like there are lots of published journal articles, case report things where they use patient case histories and stories,-identified. Again, and that's okay. Ethically and legally, you get permission, you make sure and remove anything that would make the patient known. Legally, it would be pretty easy to do that. I think that the problem, now let me say even with that, it would still be possible without using someone's name to give somebody away, depending on where you live, how small the town is. I was treating this guy in the Oval Office.

Well, or even, if you live in a small enough area, it would not be hard. You know, I mean, there's still ways that that could be problematic, but let's say that they're doing it in a way that legally is okay. Then you get to the ethics of it. And ethically, if we're talking about the oath that I took, there is no circumstance in which you can just share patient stories for entertainment value, period. Now, I would say the professional standards of all of the other healthcare professions other than,

you know, I am a doctor. I would say it's pretty much the same. Why would you, you know, we share stories about our patients to, for a consultant who needs that information so that they can take care of them to, we share those stories with students in residence so that they can learn from them and become better at their trade. But why would I share, especially if it's because I think it's funny or embarrassing? I mean, if you want to look at the ethics of it, the answer is no, you shouldn't you shouldn't do it. I feel like we've probably shared some stories of ancient patients here on this show for entertainment value. We probably run a foul of that if you open the scope up to Alexis St. James

Right, let's think John I think no St. Martin You know, Austin St. John was the power of William Beaumont. Oh my god William Beaumont go ahead. I'll come up with it huh and Alexis St. Martin. Oh, Lex St. Martin. Yeah, I had it in there. OK. Anyway, well, yeah, now to be fair, like William Bommat wrote a whole book about that. I mean, OK. I'm just saying, silly. I'll care for the black.

Careful of your glass house. No, I am saying that, like, I will say things, and I have said this on the show, so you can hold me to this, where I will say, I have seen patients use this folk remedy before. I have encountered this condition before. I have had patients ask me this question before. And I think when you're using those sorts of general things, that's different than what I believe Abby is asking with this question. Because I know what you're talking about. I've seen these same posts and it's I had this patient today who

did the grossest thing or said the worst thing or can you believe this embarrassing story that someone told me today. And those, I mean, people get in trouble for them. That's the other part of this. Those people do get in trouble. Um, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have

I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have, I have Sydney reports. Well, I don't call their boss. I just think like it's unprofessional behavior for, I mean, they take those down. Like, they don't, I mean, if they find those, they'll take them down because it violates the professional standards. And a lot of people, I mean, I've seen the TikToks where people do get fired for this stuff because they shouldn't do it. Because exactly like you said, what if that's you? And what if you're scrolling through TikTok and you see a nurse, a doctor, physical therapist, whatever, a healthcare professional

who's entrusted with your secrets, the sacred thing, your body, your health, and you see them telling your story and laughing about it. Yeah, that's terrible. That would be a terrible feeling. And so I think that there has to be a line there. Here's a line here.

Okay. Right here. It demarcates the difference between the first portion of the episode. And then the part after we go to the billing department. Let's go. The medicines, the medicines, the escalate macabre for the mouth.

The medicines that ask you let my God for the mouth. Well, Manolo, we have a show to promote. It's called Back to Game Show. It's a family-friendly podcast where listeners submit games and we play them with callers from around the world. Oh, sounds good. New episodes happen every other Wednesday on maximumfund.org. It's a fast and loose oasis of absurd innocence and naivete. Are you writing a poem? No, it's just saying things from my memory and it's a nice break from reality. I'm really glad to say that. I don't know, it sounds bad. It comes with a 100% happiness guarantee. It does not.

Come for the game and stay for the chaos. I'm looking to get a history act to me soon. And I'm looking for the lowest prices. Work, no. So it's not. I want it done on, no, that's not what it says. I want it done on the cheap, but I want it done quick. That's the American medical system right there. I'm looking to get a hysterectomy soon, where only my uterus is removed, and I learned

that while I will obviously no longer have my uterine wall shedding monthly, my ovaries will continue to release eggs until I hit minipause. Where will the eggs be going? Are they just vanishing into my bloodstream? Are the eggs going to build me a new organ to bleed out of every month? What the heck are these eggs planning? That's from hysterical in the fun way in. Well, LA, I guess it could be Los Angeles or Louisiana. Either way, don't worry. Matter which. Don't worry.

The eggs are released into the pelvic cavity and harmlessly resorbed into your body. It is fine. There is no problem. They just get resorbed. It's a good question though. I bet a lot of people after hearing that are going, yeah, where do they go?

Yeah, you do release them and they just get resorbed. Okay, well that's easy. Nothing to worry about. Is it true you can get a UTI or UTI from- Nobody calls them UTIs. From your body. Just deciding it hates a certain brand of lube or condom. Why do UTI sucks so much?

Sorry if you answered this before. Love you guys, Anna Show, Tasha. So you can't- I think this is always an important thing to talk about because I talk about like, I like issues that have to do with UTI, sexual health, any vagina havers, vagina health. I think that these are important things to talk about because for so long, we haven't talked openly enough

about them. And so you get these sort of like, correlation, but not causation kind of ideas about things. So you can't get a UTI per se from a new brand of lube or condom because a UTI is bacteria that infects the urinary tract, that you rethroth the bladder to get any... That would be enough. Right, right. It shouldn't be. Also.

But what can happen, depending on if you've tried a new brand of loop condom, underwear or tampon or anything down there that might change the pH of that area, that might cause some irritation. So let's say you use something that caused a little bit of irritation either because you know, your skin didn't like it or reacted to it or if we're just talking about like friction. Yes. Any sort of irritation around the urethra can leave it a little more vulnerable to infection. And so if you're talking about those, that might be the association that you would see,

but you shouldn't get a UTI. You can't get a UTI directly from the condom, from the Loub. That is part of why it's recommended to void after, you know, penetrative sexual intercourse. And as far as why do UTI sucks so much? Man, I don't know. They do though.

All I can do is empathize with you. I've had them, they do suck. I was wondering what happens to germs after you use hand sanitizer I know it kills them, but are the dead germs still on your hands? That seems like they're just like looking at their hands like whoa wait a minute What happened all the germs? I guess yes? I've never thought about it But the dead germ pieces are still on your hands the way that it works is the

pieces are still on your hands. The way that it works is typically the alcohol component of the hand sanitizer dries out and you know explodes, ruptures, destroys, dries out all those little germs on your hands and then they're just sort of the pieces are just left, but it's harmless now because it's been dried out and killed by the alcohol, which is also why it's a good reminder. When you use hand sanitizer, you put it on, you rub it all over, and then you wait for it to dry. Don't touch anything, don't do anything until it's dried. It's the same thing, like if you're using an alcohol swab to clean an area

before you, I don't know, check a sugar or you know, use a needle there or something, wait for it to dry before you actually stick the needle in there. Thank you, too, Bahia, for that truly, truly thought-provoking query. I knew the answer, but I genuinely have never really thought about it before. Hi there. I don't know if you've already answered this before, but when it came to my sense today, it's a nice balmy 26-greets Fahrenheit. Why is it when you're cold, your teeth clatter? Thanks for taking the time to read this. Love the show y'all do. It's good background noise as I crochet. I got this one. Okay. Let me do this.

Okay. Is your body is trying to like move to get some heat going. So you're like moving the cells around, you're moving your mouth around, it's clattering, please don't roll your eyes kind of. No, no, I'm listening. Well, you're giving me like that. I'm considering. You're giving me like a sort of,

like sort of how a very intelligent war dog would explain it, I guess. But yeah, so that's, it's your body like trying to move to Jerry heat. So it's like your teeth, you're shivering to your teeth clatter. Shivering makes your body jarring. You could be shivering.

Yes, that is, I mean, that is it. Your teeth clatter because you're shivering and the shivering is good for you. Shivering is wild. We don't talk about it enough. That's wild. Your muscles are all rapidly contracting and relaxing

in an attempt to generate heat. And it works. Do you know how much it works? How much? 500% more heat can be generated from visible shivering. That's wild. Hey, everybody, bodies are so weird. Do you know how wild it is here?

My body's like, well, I'm getting pretty cold. I better make this person shake. I'm just gonna shake myself. You voluntarily to generate some heat. It's wild. We should have more self-defense mechanisms. I guess we have lots of them though. We do have lots of them.

We have lots of them. It's a wild one. It's pretty cool. It's so it's a good thing. I mean, it doesn't feel good. Do you realize that? That had to be evolved. That means one day some cave people were standing around

and they're like, what is Paul doing? Yeah. Paul, what are you doing? Are you doing that on purpose? Stop it. You're not purpose, stop it. You can't, Paul, and then everybody else froze to death. Yeah, frozen death.

And you'll keep shivering until either you get out of the cold or your muscles run out of glucose to do it. And then they can't. That's not good. I'd get out of the cold at that point. Or get some glucose. I guess. Well, I mean, if you have the good. I'd get out of the cold at that point. Or get some glue. I guess. Well, I mean, if you have the ability, I would get warm.

Where does the vaccine live in your body? Is it at the injection site? I've heard the vaccines delivered under the tongue or as nasal sprays can be better, because that's where the immune response takes place. If it does stay at the injection site, what would happen if I had that arm amputated that's from Kevin? The vaccine does not stay at the injection site. What would happen if I had that arm amputated from Kevin?

The vaccine does not stay at the injection site. Once it is taken in by your body, taken up by your cells, it is transmitted through the bloodstream all over the place. It gets to all of your lymph nodes, it gets to everywhere where you can, that's where you can make, you can produce your immune response in your lymphatic system. So it gets taken up there and it's all over your body pretty quickly. Like it's spreading very fast. So I think this is an interesting thought exercise.

So it doesn't live anywhere per se in your body. It goes to all of your, you know, your lymphatic system where you can start producing an immune response, antibodies and B cells and T cells against whatever virus you've been immunized against. The pieces of the vaccine, by the way, poof, your body destroys them. They learn what they need to learn, and then they all goes away. Crazy.

Yeah, so all that part just gets resorted by your body and is gone. So like the whole idea that the mRNA or the lipid layer around it lives in your body now It's all gone after it's done what it's supposed to do um How quickly would you need to amputate an arm? Before it could get to your immune system. I don't know. I mean, it's an interesting thought exercise like if the second you injected the vaccine somebody Wacked your arm off detoxing See, I guess that's what I don't know why you're doing it, that's the vaccine.

I mean, I guess there is, certainly there is a time that that would work, right? Like, because it's not instantaneous. It doesn't instantly appear everywhere in your body at once. We don't need to know this. No, there is no reason to, because I just thought of it as exercise, but now it's, it doesn't live in your arm. You can't get rid of it once it's in there. You can't detox from it. And you don't want to, because it's gonna protect you

from serious illness and death. I wish it was again. All those vaccines thought. Last September, two days after getting my flu shot, I came down with bad gastroenteritis that lasted about a week. I have no idea if it was food related or a side effect of the vaccine though I've never had such a bad reaction.

Maybe you wonder how effective is a vaccine if you're sick with an unrelated illness right after you get it? What a weakened immune system that your body doesn't affect a mean that your body isn't effectively learning how to fight the actual flu. Do I need to get a second dose? That's from stomach troubles and sober spirit. No, the good news is that well, first of all, whether or not this to be learning how to fight the actual flu? Do I need to get a second dose? That's from stomach troubles and so forth. No, the good news is that, well, first of all, whether or not this was a side effect of the vaccine, I wouldn't think so.

It would be a very unusual, you know, that's not listed in the more common side effects. So I wouldn't think it was the vaccine. I would say it was probably just bad luck. You got a GI bug soon after you got a vaccine. That being said, it will not change at all your ability to react to the vaccine. You should still be just fine.

Our bodies are amazing in that we can ramp up immune responses to multiple things when our immune system is intact. And so there's no reason to think that just because you got a GI bug after you got a vaccine that it isn't working, it isn't protecting you, or that you necessarily need to get a second dose. Hello, this might seem like a silly question,

but can a uterus turn inside out? I vaguely remember watching some show, ER Grace, when I was in middle school, and the episode a woman delivered twins, and then her uterus turned inside out, and then she died as a funny face. I know not laughing anything, but the fronty face. I's my, it's funny face. I know not, I'm not laughing anything, but the frowny face, I just struck me as, as funny. Sure. I know not to put much stock

in the accuracy of TV dramas, but the idea has always kind of haunted me popping back up whenever I have particularly bad mental cramps. So is such a thing possible. Thank you, Megan. Yes, an inverted uterus is a complete uterine inversion, I should say, is something that can happen. That being said, I do want to reassure Megan and anyone else who has bad menstrual cramps and might hear that. It is not something that would happen spontaneously, that is not the reason it happens. Generally, this is only something that would be related to a delivery. So in the example you gave,

I don't think I've ever seen that episode, but somebody who just had twins and then had a uterine inversion, that could happen. There are multiple reasons why that might happen during a delivery. All of them are sort of something gone wrong. It's not just part of the process.

This isn't just part of delivering a baby. This is the result of a problem that has occurred. Natural, beautiful part of the problem. No, no, but it is exactly how you've described the uterus basically turns inside out in the birthing process. This is, again, an uncommon thing, very uncommon. It is an emergency and does need to be fixed immediately because it can cause a lot of bleeding. And so it is possible that you could die of this if it is not managed immediately. Now, as long as you are somewhere where you have access to immediate medical care,

doctor who knows what they're doing or an OR if necessary, it can be fixed and it does not need to be fatal. But it is a... It's not good. No, it is an uncommon but catastrophic event when it occurs. Feels like this could be learned about in a much more subtle way than an email with my actual real name to a very popular podcast, but here we are.

I have a question about my body that I'm not sure if it belongs with Sabaans or in BNBA. How come I sneeze when I get horny? It's almost like a reaction to it. And exclusively when I'm thinking about being intimate with someone I care about rather than say looking at porn. It happens once, maybe twice, and then I just carry on. I don't know what else you could do. And then I die from it. Because I'm so horny I die from it. And thankfully it's not like snottie. I also sneeze when I look at bright lights,

which I know other people get and might be relevant, but I've obviously never broached this question with others about this particular erection, reaction, sorry, I'm just read. Thanks, nasal and nodding ham. That's right, nasal and nodding ham. We have protected your identity. I love this question.

I have a dox to you. I love these kinds of questions. These are for me, like the heart and soul of these episodes. Our questions that are, this is something that is completely benign in the sense that like, you're gonna be okay. Now I'm not saying it might not be very annoying or frustrating for someone who has it, but it just speaks to how amazing, but also just weird and sometimes inconvenient the human

body can be, just like, gosh, why? There's an inconvenient truth when I sneeze like a horny. Or do you just sneeze when you sneeze? No, it's not sneezing, makes you horny. It's when you get horny or do you just know it's not when you know it's not sneezing makes you horny it's when you get horny you sneeze. This is the thing. Well you need to find is two people who have who have those interlocking things when you get horny you sneeze and

sneezing makes you horny. Oh and you have those two people get together. This is a very graphic interlocking you're showing me while two're doing this. Two fingers kind of meeting, you can imagine four fingers on each hand. They're kind of, I'm just saying it would be nice if they could meet. Simulated finger sex, exercise. Sexually induced sneezing is a thing.

This is a known entity. There are case reports of it dating back to 1875 There have been doctors going someone told me the strangest thing today See and these are published case reports. So these are okay ways to convey medical information. It's actually induced sneezing is a thing sneezing induced sexing not as far as you know. Not that I know of. And these cases have varied from people who sneeze while engaging in the sexual act upon

orgasm. There are some people who, upon orgasm, will sneeze repeatedly or simply thinking about a sexual act. Sexual arousal, you know, like you said, thinking about having sex with someone. It could be in some people from watching porn or reading sexual explicit material. It may have a genetic component, there is some thought

that maybe there is some sort of gene and I'll get to why in a second, but it is probably related to just sort of a strange wiring of the autonomic nervous system. Our autonomic nervous system is it's old and it's weird. It's one of the- It's old? It's well, you know, when you talk about like the,

how did humans evolve? The autonomic nervous system is one of the earlier things. And it's just, it's old and it's weird, how some things were connected in like in the early life forms that would eventually be get humanity, and they never quite became disconnected even though they have nothing to do with each other anymore. So is it possible that there are pathways that connect your nasal tissue with your pelvic organs?

Yeah, I mean, not directly. I don't mean like there's a string connecting your nose to your penis. will tissue with your pelvic organs. Yeah, I mean, not directly, I don't mean like there's a string connecting your nose to your penis. A tube or something, yeah. But I mean, like, something that, like some wiring where when one gets activated and nerve down there gets activated and vice versa, yeah, that can happen and does. There is a whole article about this that I did find sneezing induced by sexual ideation

or orgasm and under reported phenomenon by Mokmoud Bhuta. So if you are interested, you could look up this whole article and read it. It's, I found it for free on the internet. You can read it and learn more about your own condition because it's mainly from case reports. It's not thought to be dangerous in any way, and it can, from what I've read, it can be improved with like a nasal decongestant,

something like affron. I'm not paid by affron, but that's the most common of those, I think people know, which I wouldn't advise using a lot of, we've talked about that on the show before. But if you needed to use it prior to sex, to avoid sneezing when you orgasm, there is some thought that perhaps that could help with it,

although I don't know for sure. And as you said, there is something similar to that in the photic sneeze reflex, which is sometimes called autosimil dominant compelling helioophthalmic outburst or aachoo. Stop it, you syndrome. I twitch, I try to get back to my mind.

Which is when you sneeze, when you look at bright lights, specifically sunlight, but any kind of bright light. And it could affect as much as 24% of people. It's just, you don't tell your doctor about it. I mean, most people don't think to like make an appointment so they can go say, you know, like three weeks ago, I looked at the sun and I sneezed. What's that all about?

And honestly, like, I could say in the middle of a busy day, if somebody told me that, I'd be like, I don't know, man. I don't know. I don't know. That's actually, but you did cut your finger off and you put it in a bag of milk

and I'd really like to address that for It's actually in that episode the night crawlers Pete and Pete remember Oh, yeah, they're all trying to stay up late and I think it's There is one of them one of them. I figure I think it's Libby one of the the girls in the night carers, when she looks at the sun, it makes her sneeze and that keeps her up. And then that is a very... That is a very... It's not well-documented, it just makes you sneeze.

It's poorly documented because part of the documentation was calling it a chew. Do you know how long those nerds must have high-fived each other like we did it? And that is part of why we think it's probably one this other condition may also be genetic because this a choo is and two, this is also theorized to be some sort of wiring issue and I don't even want to say like miswiring or whatever. Who knows? I mean, sometimes we- of wiring issue and I don't even want to say like miss wiring or whatever. Who knows? I mean, sometimes we- May everybody else is weird. Well, maybe there's a good reason. Think about this. It's not good for your eyes to stare

directly at the sun. We all know that, right? Right. And what happens when you sneeze? You close your eyes. Close your eyes. Think about it. Maybe these are evolutionary advantages that we just, we don't even understand. The human body is so much more complex than we get it created. And also episode close.

Thank you for listening to our podcast. It's called Saw Bones. Listen, we're coming up on, it's almost time for that special time of year candle nights, which may have already begun, or it may be over, it's different for everybody. So you really need to look into your heart and see. But I will say, if you want to watch a candle night's video special, okay? I'm so proud of this.

Yes. It is our virtual candle nightite special is going live December 18th at 9 p.m. is a pre-taped video spectacular benefiting harmony house tickets are on sale now for just $5 and there is an option to give more so if you can for harmony house, please do that is it is as Sydney will test a wonderful organization bit.ly forward slash candle lights 2021 that's a VOD they'll be available until January 2nd. There's segments from My brother my brother me saw bone shman is wonderful still buffering neat The saw bones I just finished if you've been following the medicine called Christmas saga. There's a whole new chapter.

It's a whole new chapter and it's like 15 minutes long and we worked way too hard on it. I wrote parody songs again, so that's back up in there for still buffering. And Harmony House is a wonderful organization that really all through the pandemic has continued to do amazing work and serve our community people facing homelessness and really needs as much support as we can give. So if you're able to it really means the world to us and to this wonderful organization. Bit.ly4tslashkanoLights2021. That's going to do it for us. Oh, thanks to TechSpares.com. There's some medicines as the entrepreneur broke. Vex to you. You're listening. You're loving me. That's gonna

do it for us. Until next time, my name is Justin McRoy. I'm Sydney McRoy. As always, don't Alright!