Stuff You Should Know - Leeches: Oh Hell No!
Episode Date: February 15, 2022Leeches are pretty creepy. They feed on blood, they stick to you body. We get it. But they're also pretty fascinating and worthy of discussion. Learn more about your ad-choices at https://www.ihear...tpodcastnetwork.comSee omnystudio.com/listener for privacy information.
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Hey, I'm Lance Bass, host of the new iHeart podcast Frosted Tips with Lance Bass.
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Welcome to Stuff You Should Know, a production of iHeart Radio.
Hey and welcome to the podcast. I'm Josh and there's Chuck and Jerry's here and this is the
leeches episode that we've all been waiting for for about a million years.
Yeah, this is, I love this kind of stuff though because there's the general,
you know, Stuff You Should Know classic bug slash animal kind of show.
Okay, got it.
But then you got your whole second half of the episode, which is super interesting.
Yeah.
I mean the other stuff's interesting too, but you know what I mean? It's a two-battery.
Yeah, I know. It's basically a Perfect Stuff You Should Know episode. Dave Ruse called it a
SYSK softball as if to say that he couldn't have gotten it wrong. It was just too great
of a Stuff You Should Know topic.
Yeah, he did a great job though, always does.
He did great. Yep. So we're talking leeches and I think Chuck, this actually, this episode was
inspired by our dentistry episode where we talked about using medical leeches for dentistry
all the way up until like the 19 teens, I think.
Yeah, leeches on the gums, not a pleasant thought.
No, and it sounds bonkers and wacky and repulsive, but they have come back into fashion in some
medical circles and not just like new-agey circles, like actual medical circles.
So it's like you said, we're going to make this kind of a two-parter in a one episode.
Let's do it.
So we're talking leeches and we should probably start with leech biology.
And if you want to know what a leech is cousin to, you need look no further than a few inches
underground in some fertile soil at our friend the earthworm, which is another great stuff
you should know episode.
Yeah, that was a really good one. But yeah, if you want to get up close and look at a leech,
which you probably are not prone to do, they are ringed just like our little friends at the
earthworm. They have 32 segments in their little gross looking bodies.
And they inch along like worms do as well. They have, you know, a head sucker up at the front
and a sucker in the rear. No jokes necessary there.
Yeah, oral and anal.
Is it really called the anal sucker?
It's also called the anterior and posterior sucker too.
And or the party in the business in the front party in the rear?
Sure. I couldn't tell if Dave was joking. I figured it was called an anal sucker, but
yeah, they just inch along just like an inch worm or a worm might by expanding and contracting
and using those suckers.
That's right. I saw that the oral sucker, the anterior sucker was the one that's typically
used for feeding and that the sucker on the rear is the one that's used to help propel the leech
forward. I didn't see definitively that it can't feed on the rear anal sucker, but it's possible
it can't. I did see that it's primarily used for locomotion. So whatever science writer wrote,
that was hedging their bets.
Yeah, the other thing I thought was interesting was land leeches, which we're not going to talk
too much about because most of the leeches that we're acquainted with, you'll find in the water,
but land leeches do a tick like thing and they're both blood suckers. Remember how ticks
will attach to a plant and then just start snapping their little lobster claws everywhere,
hoping something walks by?
Yeah, they're like, hey, come get me somebody.
The land leech does a similar thing and attaches the rear sucker to a branch or a leaf or something
and then just sort of just a little shimmy shake with their head, hoping that something will walk
by so it can just stick its little face into it. It's just they're in shimmies and it's like,
you like this, huh? You like that? Come get it.
And they're both blood suckers and they both do very desperate things to attach to a body.
I know. They also tick...
To turn off.
I know. Yeah, I know. Ticks and leeches both also share
the trait of being able to detect CO2 as a way to detect prey, at least the land leeches too.
So yeah, that definitely stuck out to me as well.
And I feel like there's some really great myths out there on the internet that we're
going to get to just crush, crumble.
Myth crushers.
Yeah, that's perfect. We're going to crush those myths.
And one of them is that leeches have 32 brains, which is definitively false.
No, they have 32 body segments and you will see people on the internet that say they have a brain
in each segment, but they don't. They have two brains, one up front and one in the back.
And like a lot of little critters that can be cut off and still function,
you can cut their brain off and they can survive and do quite well.
Yeah, the reason that people say 32 brains, by the way, that's what Google says.
If you just type in leech brain, it serves you up. Leech has 32 brains.
There's ganglia, which are basically relay stations between these two brains in each of the segment.
And those segments can, those ganglia can make each segment function autonomously and be responsible
for some other stuff. So that's why people are like, yeah, each one's a brain, but it's really
not. It's not each a brain. It's just kind of like an extended stretched out segmented brain.
Yeah, but they're not 32 ganglia either, right? The ones on each end are kind of fused together.
So there's 21 total. Yeah, that's what I saw.
See that the computers are all wrong. Yeah, Google's got it wrong again.
It's the computer, right? Sure.
It sounds like some, wow, I'm really getting old. The computer's wrong.
Yeah, it's, you sound like somebody who like types under the keyboard like this. Right. Hey,
you're the loud type. The computer's wrong. Remember what I said to you like 14 years ago
before we were even a podcast host? I remember. What'd I say?
You paid me the high compliment of saying that when I type, I type very loudly,
especially when I'm into it, that it sounds like the loneliest monk jamming away.
I can't believe you remember that. Oh yeah, it was a very high compliment,
as far as I took it. Like I had it tattooed on my armpit, my inner armpit.
And I made Yumi get the same tattoo too. She's like, it doesn't make sense, but I love you.
So leech species are about six to seven hundred of them, and they generally fall into three
categories depending on what they eat because, you know, we know they're blood suckers, but not
all of them are exclusively blood suckers. No. And if they're blood suckers, they are called
two of the greatest words, take your pick, sanguivorous or hematophagis. Yeah. Either way,
it means that they subsist on blood. They're not, they don't want any of your skin or your
flesh or your muscles or a great steak. They just want the blood. But yeah, like you said,
not all of them are blood suckers. There's some called worm leeches that eat entire
invertebrates, very, very small invertebrates, but they don't really care about the blood or
else they're not just interested in the blood. But most leeches as far as we think of leeches
are sanguivorous. Yeah, but the other two categories are pretty horrifying in how they get their
blood out. It's like one sounds really bad, and then the next one doesn't sound much better kind
of thing. The jawed leech is the one that we're most commonly, you know, when you're watching
stand by me and poor little Wil Wheaton gets a leech on his peepee. Which now that we've seen
that and now that, or I should say now that we've researched this, they got it so wrong. Those kids
really did it wrong when they removed the leeches. Oh, for sure. And it's probably unlikely that
that leech would have made its way to its peepee that quickly. Although you never know. Yeah,
you never know. I heard they do like kind of a warm secluded area to do their work.
You know, Wil Wheaton used to listen to the show. I doubt if he still does.
Oh, I doubt it. Remember the early days? Shout out to 2010 Wil Wheaton.
He's like, quit talking about my peepee. But that's the jawed leech, the one, you know, the one
that's kind of the most common and most familiar with. And it's, we're going to talk about medicinal
leeches later. That's what they use there. But these things will feed on almost anything that
they can latch onto that has blood. Mammals, frogs, birds, fish, it basically anything it can get a
hold of that has blood it'll latch onto. They strongly prefer mammals though. The rest of
this stuff is just kind of junk food basically for them. Sure. I can tell. Can we talk just for
a second about how the jawed leeches, how they do their thing? Yeah, with those little razor
sharp teeth. Let's do it. It's scary. Yes. So they have like, if you look at a picture of a
jawed leech mouth, everybody says it looks like a Mercedes emblem and it does. There's really no
better way to put it. Yeah. But if you zoom in closer, there's a bunch of little teeth on there,
right? Called denticles. And they act as like circular saws. So like the leech itself starts
making this kind of sucking motion or inhale, exhale really quickly and creates us like suction
within its body cavity. So when it, when it puts its lips on you, it actually creates suction.
And then when it uses those little denticles that act as like little circular saws that just
keeps sawing deeper and deeper into your skin, finally reaching a blood vessel when it strikes
gold, red gold, which you and I would call blood, it just sucks out into the leech because it's
created a vacuum pump. Yeah. And I love this. Where did you get this bit that you sent?
Do you remember? I think parasite of the day. I don't remember. I wrote down everything else,
but this might be the parasite of the day site. Because it sounds like, like this one part,
it sounds like it was written by a Midwestern exterminator when they're talking about anything,
basically can attach to anything. It's like sandpaper, glass paper, velcro, fine wire,
plastic wicker work, fabric. Yeah. Just like lists all these weird things out that I guess that
they've put a leech on and it's stuck to. That was a great Midwestern impression, by the way.
Hey, thanks. It says even vertically positioned surfaces coated with Vaseline
are no major problem for a leech to climb. The deal with these teeth though is that they're
so sharp that it's more scalpel like in that, I mean, a leech bite can hurt mainly in land leeches,
but it's not, when you hear like razor like teeth, you think it would be super painful,
but they're so sharp that they really don't hurt that bad, right? Yeah. And let's crumble another
myth here. You want to? Sure. Leech saliva contains anesthetic, myth or not? By the way,
I like that we're myth crumblers now instead of crushers. Oh yeah, that's right. I like crumbler
better. Okay, cool. That is a myth. Awesome. Yes, another myth crumbled. Boom. There's a
DV show in there, I think. I think so. It's very graphics heavy, like whenever we do the myth,
it'll just crumble away like a cookie. Oh, that's great. But it will use it as a wipe from one
scene to the other. You and your wipes. I can't wait. Go ahead and say it. Star wipe? Star wipe.
The king of all wipes. Yeah, but this crumble wipe, we really might be onto something.
Yeah, there is no, I mean, you can find textbooks that say that too, right?
Yeah, it's all over the place. There's a lot of misinformation about leeches,
it turns out, but that is one that, and they do have all sorts of cool stuff in their saliva
that are amazing, that do amazing things, and we'll talk more about those, but those are not.
An anesthetic is not one of them. It's just that for the jawed leeches, their little semi-circular
denticles that they use as circular saws are so sharp and they go so,
such a, what's the word with the opposite of deep? Oh, so shallow into your skin
that you might not feel them being there. That's what it is.
Opposite of deep. I have so many jokes, I just can't pick one. There's also the jawless leech
was the other kind, which includes the giant Amazon leech, which can grow to what, like 18 to
20 inches? Yeah. Look up a picture of these things. It's horrifying. How long, think about it,
they say that your wrist to your elbow is the same length as your foot. Have you ever heard that?
I haven't, but I'm looking and there's no way my foot's smaller than that.
That's, I think that's an optical illusion. Is it really? Let's just say it is. So I've got like,
I wear size 11 and I could see that being that. That would mean that a leech is actually almost
one and a half times the length, one of those leeches is one and a half times the length of
the distance from my wrist to my elbow. Can you imagine having one of those on you?
Not on me, but when you look up photos of the giant Amazon leech, all you see are pictures of
people with them like, hey, I put it on my arm to show you how big it is. It's, yeah, it's frightening.
Those are the same people who seek out insects on the Schmidt Stinging Pain Index, I think.
But this one, I said there were two different equally horrifying ways in which they can draw
blood. This one doesn't have the circular saw teeth. It has a hypodermic needle, basically,
a proboscis that it sticks into your body and draws it out just like you would drawing blood.
Yep, which I don't know which is worse, the denticles, the three
denticle saws are a proboscis coming out of a leech.
Can we take a break and think about it? Yeah, let's. All right, we'll be right back.
Hey, I'm Lance Bass, host of the new iHeart podcast Frosted Tips with Lance Bass. The hardest thing
can be knowing who to turn to when questions arise or times get tough or you're at the end of the
road. Ah, okay, I see what you're doing. Do you ever think to yourself, what advice would Lance
Bass and my favorite boy bands give me in this situation? If you do, you've come to the right
place because I'm here to help. This, I promise you. Oh, God. Seriously, I swear. And you won't
have to send an SOS because I'll be there for you. Oh, man. And so my husband, Michael. Um, hey,
that's me. Yep. We know that Michael and a different hot, sexy teen crush boy bander each week to
guide you through life step by step. Oh, not another one. Kids, relationships, life in general
can get messy. You may be thinking, this is the story of my life. Just stop now. If so, tell
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bye, bye, bye. Listen to Frosted Tips with Lance Bass on the iHeart radio app, Apple podcast,
or wherever you listen to podcasts. I'm Mangesh Atikular. And to be honest, I don't believe
in astrology, but from the moment I was born, it's been a part of my life in India. It's like
smoking. You might not smoke, but you're going to get secondhand astrology. And lately, I've been
wondering if the universe has been trying to tell me to stop running and pay attention,
because maybe there is magic in the stars, if you're willing to look for it. So I rounded up
some friends and we dove in and let me tell you, it got weird fast. Tantric curses, major league
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There is risk to father. And my whole view on astrology, it changed. Whether you're a skeptic
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What's your result? Which is worse? I've decided I don't have to choose. I think they're both
terrible and awful. And I don't want either one of them happening to me or anyone I love or care
about. Oh, thank you. Am I in that group? That includes you, buddy. Yes. Jerry? Of course, sure.
Dave? Yes, Dave too. Who else you got? What about the other Dave? Sure. Dave Kustin.
I'm sorry. Dave Kustin. Sure. You got Olivia, Julia Layton. The Grabster. The Grabster.
Franklin Chair. Oh, yeah, sure. Of course. Remember when you used to have our regular
guest producers just float in and out? Yep. There's Matt, Noel, care about them too. Don't
want leeches on them either. Who else guest produced us? I don't know. I'm sure there are people
out there that actually know this though. My friend, I forgot to say something at the top
of this episode and I wonder if you can indulge me on a tangent of epic proportions.
Yes. My sweet niece, Mila, I think I've told you before, she's gotten some parts in movies.
Yeah, a little performer. The big one, her first big one where she's like one of the
main characters is coming out February 25th on Hulu. No way. It's huge. It's a big 20th Century
Fox production called No Exit. It will be out on Hulu on February 25th. I saw the trailer,
she gave me chills. Really? She plays a kidnapped young girl who is just terrified and has to be
rescued by a slightly older girl, Havana Rose Lu. Wow, that's super exciting. It is very exciting.
We're all very proud and I wanted to make sure everybody knew about it in case you wanted to
see it. And a cash cow, am I right? She's rolling in it. She can't even drive. She's got like a
whole garage full of cars already. Wow, that is super cool. That is awesome. My daughter is funny
and fun, but she can't act up, try to see if she could. She can't, so it takes a lot more than
personality. You've got to really have talent. It's absolutely true. It's really tough for an
adult to watch a child actor most of the time and she does superbly. That's what I was saying.
We're all really, really proud of her. She does actual great work in this movie. Way to go, Mila.
Way to go, Mila. Send me a text when that's out so we can watch it.
Okay, I will. I'll send you the trailer too. All right, so back to leeches. Oh yeah,
definitely send me the trailer. They are, I mean, we have fossils of leeches from 400 million years
ago and they do, it seems like they can see better when they're younger. They do have what's called
simple eyes where they can kind of see blurry, shadowy, fuzzy things and the youngins kind of
rely on that but I think when they get older, I guess their eyesight either fails or they just
get so good at sensing vibration that they don't really need those eyes. Yeah, I read that it's
the latter that they're so good at sensing vibrations. They have little hairs on their
bodies that act as sensory organs so that they can detect like movement in the water
and I'll tell you what, I can really relate to leeches because after I saw my niece, Mila,
in the trailer for No Exit coming out February 25th, the hairs on my arm were standing on and
I could have detected vibrations in water with those things. That is a Hodgman level plug.
Thank you. That's good. I'll stop now. Leeches, no, no, no, we don't need to stop. Leeches are
amazing swimmers. They can kind of inch along in the water very deftly and then when they hit your
skin, they're gonna probably not go toward your bits but they will probably hit you around the
ankles or the shins or someplace and try and do their thing down there. Because it's thin skin
they have less to deal with. Exactly. So one of the things we said that their saliva really does
have some pretty neat compounds in it and like things that science is just now, you know,
that whole arrogance of science that science went through after it was like, oh, all this is
is just witchcraft and folk magic. We can't be associated with this and they turn their backs
on some like legitimately good stuff. Leeches was one of them and they're just now as we'll talk
about coming back around to like really looking into leeches because they're kind of a medical
marvel, a gift from nature itself. And the reason why is because in its saliva, it contains a bunch
of chemicals, not the least of which is called, I believe, Heriodine. Do you think I'm pronouncing
that correctly? That sounds right. I'm glad you said it. Heriodine or Herodine. I'm thinking Heriodine.
Yeah, and we'll talk about it more in depth in a minute but it is pretty amazing that this thing
that allows them just to feed better because it thins the blood and it doesn't coagulate
and it just gives them dinner. It's pretty amazing that it actually has like legitimate medical
properties. Yeah, because it's so powerful. When that leech injects some of its saliva containing
Heriodine in it, like your blood just starts flowing and one of the things you'll find is that if you
get a leech bite, once that leech is gone, whether you get it off of yourself or it fills up and
wanders off, you're going to still keep bleeding for up to 10 hours afterward because that Heriodine
is so powerful as far as anticoagulants go. I also saw there's another compound in there. I can't
remember which one it is, but it's a vasodilator, which means it opens up your blood vessels so
that more blood pumps out more freely. Yeah, I mean, this is a little evolutionary miracle
of a mouse on a bug but slug. Yeah, slug bug. They will drink blood like crazy. They will drink as
much as 10 times their body weight sometimes because they are a bit like the camel of the
lake in that they go a year or so sometimes, many months at least, between meals and they can store
this stuff up in a little pouch where they have these enzymes because blood will eventually go
bad, but they have enzymes that protect it and keep it fresh. Yeah, another thing that they're
studying with leeches these days is it's microbiota in its stomach and its gut, just
like they're studying our microbiota, which I think is the most fascinating thing of all time.
They're also studying leeches to figure out what's going on in there to keep the blood from
spoiling because they might go six months or a year between meals. It doesn't take them that
long to digest it, but it still takes weeks and weeks for a leech to digest its meal. It takes
long enough that a leech probably only feeds it a few times in its life, I believe. Yeah,
because they don't live that long. I mean, I think no more than a few years, probably max.
That would be my guess as well. We should talk about the Tyrant King leech, the Tyrannobdela rex,
and this is a one-jawed sucker that is also in the Amazon River, and these are the stuff of
nightmares because this is one of those leeches that's like, forget the ankle, forget the shin.
What I really like is to get inside of you and up in that mucous membrane, so it will get into
your nasal cavity. You can be a kid, and there are many reports of kids and teenagers who were
bathing in the Amazon or playing in the Amazon and ended up with a leech up their nose or somewhere
like deep within their nasal cavity, which is the stuff of nightmares. To me, it gets even worse
than that because they found these kinds of leeches in eyeballs like attached to the mucous
membrane around your eyeball, your urethra, so much so that it will block your ability to pee,
your anus, or your vagina. I'd rather have one there than the other two places. Or your vagina.
They found leeches in vaginas, these kind of leeches, and the other worst part about them,
Chuck, is that a leech that's feeding on you externally, like a typical jawed leech,
it'll feed for maybe 20 to 30 minutes, something like that. These guys stick around for weeks,
maybe months, and sometimes people detect that they have one of these internal leeches
because they feel what's called foreign body movement. There's something moving around inside
of them and their body's like, I might want to get this checked out because I'm about to puke
everything up right now. Oh man, I just can't help but think of when I pulled that spider out of
Emily's ear cavity. And she was like, there's something like buzzing. I was like, that's not
a good sign. No. Oh man, that was so funny. I mean, it was funny for me. Right. And she handled it
pretty well, I gotta say. Can we read that thing from 1835, since we're just at the,
maybe the grossest part of this whole episode? Yeah, go ahead, hit it. Do you know the one
I'm talking about? I think so. Yeah. Okay. Yeah, I see it. So there was a case study that was
mentioned on a site, a historian site called GerryWalton.com, G-E-R-I Walton.com, who is a
historian and she wrote about a girl who was gathering watercress in 1835. And there was a
leech that went around her ankle. And then for some reason, the leech made its way all the way
into the girl's leg and just climbed up to her thigh, where finally her thigh was about twice
its natural size, tense red and shining and very painful. And finally the doctor like cut out
this blood clot of blood and pus, he says, which he drained and emptied into a bowl on emptying
the matter from the bowl on a clean flag outside the door. The girl's mother was surprised to find
among it a leech coiled up quite alive and moving actively. Yeah, I mean, this isn't something leeches
are known to do, like burrow and move around inside your body, like from the skin. Like,
they'll crawl up your nose or if you swallow one, this Limnatus nilloticta is one of the ones that
doesn't have the power to break the skin with its little teeth or jaws. So it hangs around and waits
for you to drink it or a cow to drink it. So like they'll get in that way, but they're not known to
generally do what happened in this girl, right? No, which is why 185 years later, 87 years later,
we're talking about it on stuff you should know, because it is so messed up. I almost feigned
when I first read it and it takes a lot to make me feel like I could feign if I, if I don't stop
imagining it, like putting myself here in this situation. Yeah, I mean, that's horrifying. I
guess it hasn't happened a ton since then because that was 1835. Right, right. No, it is extremely
rare. And even like you said, that one that will, that will, like when you, you'll drink it up and
it attaches, that's actually killed some people. It famously killed some of the Napoleon soldiers
in Egypt in 1799. They drank from a water source that a leech, some leeches attached to like their
esophagus. And as they became engorged from feeding, it blocked the soldier's airways and some of
them died from suffocation. Yeah. I mean, what's probably not going to happen almost certainly
is you're not going to be bled out by leeches, but there have been cases where people have gone to
the emergency room with like more than a hundred leeches on them and they were anemic or lightheaded
or both. And so that can happen, but you're generally not going to die from a leech. I'll,
you know, unless you're in Napoleon's army. Right, right. And you deserved it.
So you want to talk about how leeches reproduced because that's pretty interesting as well.
Sure. They're hermaphroditic. Yep. They have male and female sex organs. They are internal
sex organs and they do make, you know, they have, they have sperm, they have eggs, they have ovaries
and in order to mate, they get together. And I thought we had talked about this before or
some insect that did something similar. Probably ticks. Maybe where they attach to each other
and kind of just line up where their parts should be and the male sort of fit. The male
produces a container like a syringe like container of sperm called a spermatophore
and it pierces the skin near that sex organ. And I guess they say it's close enough for rock and
roll and they somehow find a way to the ovaries and then they produce these little cocoons that
are very hardy. Yeah. Out of a little part of their body called the clatellum, it produces a thick
fluid that the fertilized eggs are enshrouded in in that cocoon and then they attach the cocoons
to like plants or put them in the mud or something like that. And a few weeks or months later,
baby leeches hatch and they just, they hatch like fully formed and just grow over time as they feed.
But they, they do this reciprocally. Yeah, that was right. Where each leech fertilizes one another's
eggs. So as the leeches mate, they are fertilizing one another's eggs. They're both receiving and
sending sperm and it's pretty neat. It's, it's kind of a real tit for tat arrangement thing.
It is. And those cocoons are really hardy. Dave talks about, it says that they're tough enough
to be swallowed by waterfowl and just go right through them and come out the other end and be
okay, which gave rise to the famous saying that went through me like a leech cocoon through a
waterfowl, which is what I always say. Sure. No, no good. No, it's good. I liked it.
What about the kangaroo leech? I think that one bears mentioning as well too, as far as
reproductions. Yeah, the kangaroo, I mean, these things come out kind of ready to take on the world.
They don't need a lot of care, but they are doting parents in some cases, which is pretty
interesting, especially the kangaroo leech, which has a little, a little pouch like a marsupial does
and they carry around their little leech in the pouch until they're ready to fend for themselves,
which is sort of adorable. And so, and this definitely was from thedailyparasite.com,
but they said that the leech basically shoots them, the pouch of baby leeches explosively onto
a passing frog when it's ready, when it says like, fly away little birds, it's time for you to live on
your own to make sure that they get a good first meal. So some poor frog gets splattered with baby
leeches because it happened to be in the wrong place at the wrong time. I mean, I wonder if
I know that they can't kill a human, can leeches kill a fish or a frog? I think they can kill livestock
if you don't get them off. Yeah, I think one of the reasons they have trouble killing humans is
because we have opposable thumbs. And we can get them off. We can get them off a lot easier. I read
that poor elephants will be driven like almost crazy when a leech gets up inside of its trunk.
Like, and I thought, yeah, there's a lot of, like animals are just S-O-L in a lot of cases. So yeah,
I think they can, I think they can kill animals because they can't get them off as easy.
Poor elephants. I know, I feel really good. Just sucking that water up, having fun.
Very sad. So I say we talk, we give everybody the good people some advice about how to get
rid of a leech if you find one on you. And then let's take a break. How about that?
Yeah, like I said, you don't need to be too freaked out, even though it's pretty scary looking.
They're not poisonous. You're not, they don't carry or they haven't at least been known to carry
human bloodborne diseases. It's a big one. Yeah, anytime there's like a bloodsucker,
you kind of might want to worry about that, but not in this case. But what you want to do is don't
panic and just tear it off of you because it might detach and part of it might get left,
kind of like a tick again. You don't want any of it left in your skin, right?
Right, because that, that remnant, usually the jaw can get infected.
And another one that you want to do is you don't want to treat it too rough. Like,
you might want to beat it up and, and, and really show it who's boss, but you don't,
you want to treat it very gently because if you like squeeze a leech or a lot of people recommend
putting a little table salt or even like alcohol or lemon juice on a leech, if you disturb it
biologically, like they're physiologically like that, you might make it vomit and that's bad
because it's vomiting up some of its stomach contents into your body and you can get an
infection from that as well. So the key here is to treat the leech very gently and go against every
fiber of your screaming nerves in your entire body and just be like, oh, fiddle didi, there's
a leech on me, I better carefully remove it. Let me dial up the stuff you should know episode and
listen all the way through the 32 minutes till I get to the point where they tell us to be gentle
and just use a little Dave said, like a credit card or your fingernail or something
and gently kind of press on the side of its head. Hopefully it will detach that sucker
and then Dave said to flick it off before it reattaches and that is an understatement.
Yeah. I mean, you're just trying to break that seal that the leech creates with its mouth and
your skin and then enough for it to be like, hey man, what the heck? So that pulls its jaws out too
as well. And again, that wound's going to bleed for maybe 10 hours I saw in a popular science
article. So just you got to clean the wound, you got to dress it and you're going to have to redress
it probably more than once because it's going to just keep bleeding. Yeah, I feel like I had a leech
on me at one point or another when I was a kid, but nothing stands out story wise, but I'm pretty
sure I remember it happening. You? I don't think I've ever had a leech on me. No, I've had plenty
of ticks, but never a leech. Well, keep that streak going. I'm trying. That's what I say.
I'm trying. I steered clear of fresh water, salt water. You don't get in the water?
I don't go to Japan or Indonesia. I'm pretty, I'm steering clear of the leeches.
See, that's my problem is I am one to jump in any body of water that I can jump in.
I remember once when I was a kid and we had this creek that we used to swim in and we were hanging
out with some kid who didn't normally hang out with us and he saw the first of us go into this
creek and start swimming and he goes, well, that kid wants dysentery or something like that.
And I mean, we're like 10. I don't know how this kid even knew about dysentery,
but I knew what he was talking about enough to be like, oh, you don't want that. You can get that
from creeks. I better steer clear of creeks and that made a huge impression on me. Yeah.
I grew up with the creek behind my house, so I just, I don't know. I'll always try and get
in water if I can. Oh, the other thing that scared me too in that same creek was somebody saying,
like, what about water moccasins? Like they always, everybody always has a story about how
somebody jumped into a pit of water moccasins and that was that. So that kind of steered me clear
of creeks too. Yeah, I get it. I get it. I don't really regret it. All right. Well, let's have a
little pause for the cause and we will, jeez, it just turned into Johnny Fever, RIP by the way,
Howard Hessmann. What? Yeah, he just passed away. What a BS year already for celebrity deaths.
I know. Man, I'll tell you who turned out to be a great person in retrospect was Bob Saget.
Mike, did you ever read any of like the tributes to him? Yeah, pretty heartwarming. You should read,
have you read John Stamos's eulogy? Yeah. Amazing, dude. I think very highly of Bob Saget now,
but also John Stamos too. Yeah, and weirdly, John Mayer. I don't know if you're writing that stuff.
I didn't know they were good buddies. He wrote some very good things. You mean like John Mayer
a lot. She didn't like his music, but she thinks he's pretty cool. Oh yeah. And yeah,
so that's how we kind of got sucked into the whole Bob Saget death thing. Okay. All right.
And Jeffrey Ross too. He was a really good friend of Bob Saget. My brother worked with Saget and
he, I remember years ago saying that he was like the nicest dude. Yeah, he seems to have been the
real deal for sure. RIP, everybody who we've lost this year. How about that? Yeah. And now let's
take a break and we're going to talk about bloodletting right after this. Hey, I'm Lance Bass,
host of the new iHeart podcast, Frosted Tips with Lance Bass. The hardest thing can be knowing
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not smoke, but you're going to get secondhand astrology. And lately I've been wondering if the
universe has been trying to tell me to stop running and pay attention because maybe there
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And my whole view on astrology, it changed. Whether you're a skeptic or a believer,
I think your ideas are going to change too. Listen to Skyline Drive and the iHeart Radio app,
Apple podcast or wherever you get your podcasts.
Okay, Chuck. So we're finally at part two, 35 minutes in, where we're talking about the history
of bloodletting and using medicinal leeches. And just a brief overview of bloodletting,
it's based on the humoral theory of health and disease, which says that we have four humors,
right? We've got blood, phlegm, black bile and yellow bile. And over time, people said,
I think blood's like the real money humor. We need to keep things in balance. So if you
want to keep everything in balance to be healthy, you need to get rid of some excess blood. That's
the real problem. And so for a long time, people used like knives or whatever and cut into your
veins to bleed you out, to remove some of that blood. And somewhere along the way, people said,
I think leeches are a better treatment for this, because it's a lot gentler and kindler than cutting
into somebody's arm. Sure. And you probably don't lose nearly the amount of blood.
But we covered this years ago. It had to have been in one of our weird medical
top 10s. But I know we talked about medical leeches at some point. But here we go again,
because they used them a lot back then. I think the early 19th century is when
in Europe, they were like, this is really the best kind of treatment we've ever heard of.
We would call that the golden age, at least so far, of leaching or leach mania
of losing blood via leach. And there was a man specifically, a doctor in Paris, Dr. François,
would that be Bruce? Mm hmm. Nice. Okay. Trey Bien. And he was a physician in
Paris who he basically was like, you know what, everything that's wrong with anyone
is inflammation of your intestines. It all goes back to that. So anybody that comes by my clinic,
my military hospital, the first thing that we're going to do, I don't care what you say is wrong
with you, is we're going to throw 50 leeches on your body right out of the gate to see what happens.
Yeah, he earned the nickname Le Vampire de la Medicine, which seems appropriate. But he was
hugely popular, so much so that, and leeches were hugely popular too. But the ideas of Bruce
were so popular that he even reached into the fashion world where people would wear like
dresses with leeches embroidered all over them. Like leach mania seems to be a really good
descriptor of this period of time. And I saw, and I could not find what happened, but Britannica
said that his theories about bloodletting and leeches were hugely influential until a cholera
epidemic in 1832, and his methods proved disastrous, and he fell out of favor.
Oh, interesting.
I couldn't see what happened, but you can probably guess that a lot of people died because he
mistreated them by massive bloodletting or whatever. But it seems to have ended that leach
mania thing. And then like we said before, the leeches just kind of fell to the wayside because
modern medicine was like, no, that's claptrap. That's quackery. We need to separate ourselves
from that, even if there was really something to it.
Yeah, and if you're wondering, it takes a lot of leeches. It's not like a doctor would have
like six or eight of these laying around. 35 million medical leeches were being imported every
year into France alone in the 1830s. And if you're asking yourself, how do you get this many leeches?
You get them the old fashioned way. There were people like leech. I mean, Dave calls them leech
gatherers or leech hunters. They would wade into waters with their pants rolled up or maybe no pants
at all. And they would get leeches to attach to themselves and then pull them off and sell them.
And yeah, on Jerry Walton's website, I saw she wrote that they would in this manner gather
about 500 leeches a day. That's crazy. They were doing a good job. It is crazy. It's very
because she wrote a whole post on leech gathering as a weird profession that finally kind of fell
to the wayside. And it did indeed fell to the wayside until I think the 70s when some daring,
adventurous physiologists started studying what's called herudotherapy. And it became kind of
important first in reconstructive surgery. And it just makes utter and complete sense that you
would use it for this. So I guess they were starting to study it in the 70s, but it wasn't until 1985
when a plastic surgeon named Joseph Upton like really put it to the test. I get the impression
it was mostly clinical or lab studies and maybe just kind of postulation and Upton said,
I'm trying it. I'm at the end of my rope. I'm going to give this shot. Yeah, it is pretty
amazing. There was a boy, a five-year-old boy in Boston who went in and said, my right ear was
bitten off in the park. It was a wicked dog and very sad. I'm just kind of kidding around.
But that all ends well. Don't worry. That's the reason I'm telling that joke. He reattached the
ear, but the tissue was suffering from necrosis. It was starting to turn black and die because it
was swelling up with blood that couldn't go anywhere. It was pulling up and becoming stagnant.
And this was an ongoing and still is an ongoing issue when you're trying to reattach a body
part to get that blood flow not just going one way but going the other way. Like they can attach
a major artery to send blood to a thing, but they don't attach all the little tiny veins that send
blood back away from it. So that chance and that risk of pooling is always there. So this doctor
Upton said, you know what? I remember reading this, just stay with me, kid, this crazy article
about leech therapy. And he said, let's give it a shot. And he ordered 30 leeches. Had them
shipped overnight from Britain from a leech farm. They attached two of them to this kid's ear.
And the leeches did the work and were sucking that blood up enough to where it regained its color.
And he made a complete recovery. Yeah. And it did that by that vasodilation. So it improved blood
flow. It kept that blood from coagulating so it wasn't clotting. So it was flowing even more
smoothly. And the leeches themselves were steadily pumping the blood out. So there wasn't any blood
to pool and turn rancid and become stagnant. So the veins can do amazing thing. Your blood vessels
do spectacular things. Whenever they face an obstacle, they will figure out a way to go around it
and grow around it and make new connections. So by using leeches, you are giving those veins
enough breathing room to kind of figure it out themselves and reconnect and re-institute that
kind of blood flow out of that area. It's pretty spectacular. And that was like everybody just
found the closest leech and put it on their shoulder and the leech like shook its hands on
either side of its head and triumph. So leeches kind of came back like in a big way starting in
the 1980s. And science has really been taking them seriously ever since. It's amazing. It's almost
like they are meant to do this. This is their one little function that can benefit humankind.
So much so that in 2004, the FDA said medical leeches approved. It's actually approved. And
this is where I definitely remember us talking about it. It's approved as a medical device.
I know what you're thinking of. We did an entire episode on maggots.
Oh, okay. And they're also approved as a medical device for similar stuff, but really removing
like dead and infected tissue. And I wonder if that's what you're thinking about.
I don't know. Pretty amazing for both of them though.
Yeah, totally. So they are legit medical devices. I think the actual quote from the FDA was,
for the purpose of overcoming the problem of venous congestion by creating prolonged localized
bleeding. Sounds like something Galen would have written. And this is the sort of sad part,
is their single use. So they use these leeches and then they euthanize them in alcohol instead of,
I don't know, take them outside, throw them in the shrubbery.
Well, I mean, there's got to be something you can do, especially if you leave them on until
they are done. It seems like, yeah, we could kind of retire them or let them go off and digest their
meal in like a used leeches jar or something like that. I just, I think it's sad.
An old folksome for leeches. Sure.
At least let them stay alive for the next like few weeks so that they can digest that meal and
enjoy it. Like this is just the worst kind of using somebody, you know?
Well, there was that one attorney, that lawyer years ago who had a couple of leeches that he said
had saved his life and he kept them in a jar like a good guy, but he was a little wacky. He
actually named them and would supposedly ask their opinion on cases that he was handling as a lawyer
and looking at like how they swim as some sort of divining indicator of how he should,
which direction his case should go. Crazy. Kind of like that octopus in the World Cup.
I don't remember. Oh, yeah, yeah, I remember that. Yeah, exactly like that.
And there's, that was Thomas Erskine and he's part of this really interesting article
from JSTOR Daily by Amelia Soth that I think Rue's found. That's really good if you're into that,
if you want to read about that whole leach mania. Because it was way more than just the medical
profession. It was like the whole society just kind of revered leeches for kind of like what
you said, almost like they were intended to do this. That's how they kind of saw it and they
really kind of respected leeches for a while. Yeah, but while the medical community is legitimately
using them, the wellness community is probably overusing them. There are clinics in Arizona,
there's some in England and other parts of the world where their leach therapy is really far
reaching and basically saying it can help with everything from arthritis to cancer to carpal
terpies to hemorrhoids. Not sure exactly where that treatment, how that goes, but I have a pretty
good idea. Yeah, but there are other uses therapeutically that doctors are looking into,
but they are roundly saying like places like this, you need to be really wary of because
the jury is still out on a lot of this stuff and I don't know if we should go back to the
eight 17th century Europe or wherever that was. Right, right. But yeah, they do think that they're
anti-inflammatory properties, anti-tumor properties like in those leeches saliva,
it's pretty neat. You never know. Keep an ear out for a leach update in 10 years from us.
Okay, maybe a leach will be in the Senate by then. There's already a few in there, I would say.
You got anything else, Chuck? I got nothing else. Chuck's got nothing else, everybody,
which means it's time for a listener mail. Hey guys, I know you don't always worry about
pronunciation, but it's different on an oft-repeated phrase and I just can't help myself. So we're
going to allow this, Robin. We usually don't take pronunciation emails very seriously because we
famously mispronounce things almost on purpose, right? Almost. The Arctic Fox episode is the latest
in Josh said the phrase coup de gras, where he correctly left the pea silent, but incorrectly
said fat, gras in French is fat with a silent last letter like foie gras instead of gras,
silent e but a soft c. It loosely sounds like grass. Doubtless you were doing your best, but
foie gras is a decidedly different thing from a coup de gras. Okay. I teach French to little people
what I generally say is that the last letter is silent, so if there's an e that means a consonant
in front of it, isn't the last letter and is not silent. That's the difference between petit
and petite with an e on the end or not. You don't have to read my message on the show,
but please take the message to heart and now back to the adorable Arctic Fox and that is
Robin, who is she, her and Victoria BC. Great town that Victoria BC, Robin. Thank you very much
for that little French lesson. It's been many, many years since I had one. I will try to remember
from now on. Everyone says coup de gras though. Everyone says it. Yeah, but everybody's got it
wrong. You say, I mean, that's American saying. You say coup de gras at the next dinner party
and prepare to be laughed out of their yokel. I'm going to, I'm going to try a different one. I'm
going to say coup de grace. Okay, that's good. Okay. See you and just make it right. If you want to
get in touch with us like Robin did with the little French lesson, a little Italian lesson,
who knows? Some other kind of lesson. We don't care. We want to hear it. You can send it to us
via email at stuffpodcasts.ihartradio.com. Stuff you should know is a production of iHeart Radio.
For more podcasts, my heart radio, visit the iHeart Radio app, Apple podcasts, or wherever you
listen to your favorite shows. Hey, I'm Lance Bass, host of the new iHeart podcast, Frosted Tips
with Lance Bass. Do you ever think to yourself, what advice would Lance Bass and my favorite
boy bands give me in this situation? If you do, you've come to the right place because I'm here
to help and a different hot, sexy teen crush boy bander each week to guide you through life.
Tell everybody, yeah, everybody about my new podcast and make sure to listen so we'll never,
ever have to say bye, bye, bye. Listen to Frosted Tips with Lance Bass on the iHeart Radio app,
Apple podcast, or wherever you listen to podcasts. I'm Munga Chauticular and it turns out astrology
is way more widespread than any of us want to believe. You can find in Major League Baseball,
international banks, K-pop groups, even the White House. But just when I thought I had a handle on
this subject, something completely unbelievable happened to me and my whole view on astrology
changed. Whether you're a skeptic or a believer, give me a few minutes because I think your ideas
are about to change too. Listen to Skyline Drive on the iHeart Radio app, Apple podcast, or wherever
you get your podcasts.