Stuff You Should Know - SYSK Selects: How Electroconvulsive Therapy Works

Episode Date: August 18, 2018

With the exception of lobotomies, no other psychological treatment has a worse reputation. But thanks to some thoughtful tweaks, ECT has lately emerged from the dark ages and toward the respectable fo...refront of treatment for major depression. Learn more about your ad-choices at https://www.iheartpodcastnetwork.comSee omnystudio.com/listener for privacy information.

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Starting point is 00:00:00 On the podcast, Hey Dude, the 90s called, David Lasher and Christine Taylor, stars of the cult classic show, Hey Dude, bring you back to the days of slip dresses and choker necklaces. We're gonna use Hey Dude as our jumping off point, but we are going to unpack and dive back into the decade of the 90s.
Starting point is 00:00:17 We lived it, and now we're calling on all of our friends to come back and relive it. Listen to Hey Dude, the 90s called on the iHeart radio app, Apple Podcasts, or wherever you get your podcasts. 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
Starting point is 00:00:37 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, ya everybody, about my new podcast and make sure to listen so we'll never, ever have to say. Bye, bye, bye.
Starting point is 00:00:57 Listen to Frosted Tips with Lance Bass on the iHeart radio app, Apple Podcasts, or wherever you listen to podcasts. Hey everyone, it's your old pal Josh, and for this week's SYSK Selects, I've chosen how electro-convulsive therapy works. This one was an eye-opening episode. It came out in May of 2013, and prior to this,
Starting point is 00:01:18 I always thought it was just kind of a barbaric treatment that was used to keep patients quiet, and when actually, in reality, it's an effective therapy that is still in use today. Like I said, eye-opening. I hope you enjoy it. Welcome to Stuff You Should Know, from HowStuffWorks.com. Hey, and welcome to the podcast.
Starting point is 00:01:48 I'm Josh Clark, and there's Charles W. Chuck Bryant, which means it's time for Stuff You Should Know. Indeed. Shocking edition. See, I take the rap for a bad pun, but you, in fact, said that before you recorded. I know, before we recorded. Oh, so okay.
Starting point is 00:02:05 I have a public image I have to carefully consider. Gotcha. Chuck. Yes. Have you ever seen or read, or both, one flew over the Cougars nest? Yes, both. Oh yeah? Did you like the book more than the movie, or vice versa?
Starting point is 00:02:21 Both. The book was great. I've seen the movie a dozen times. Yeah. One of my faves. It is a great movie. Yeah. I haven't read the book.
Starting point is 00:02:29 Although I was a Ken Keesey fan. I thought he was a cool dude. Yeah, I've read a few of his. What else did he write? He did the, well, actually he didn't write. That was Tom Wolf that wrote the Electrical Aid S-Trip, but Keesey was figured prominently, obviously. Oh yeah, he was the main character.
Starting point is 00:02:43 Keesey wrote the, oh crap, I'll come back to it. Okay. He wrote the, what was it? The book. Well, if you haven't seen or read One Flew Over the Cougars Nest, you totally should. It is like Chuck was saying, one of the best movies of all time.
Starting point is 00:03:00 It is a great book apparently. And one of the things that factors into it, set in an insane asylum in the fifties, I would say, maybe sixties. And one of the, I guess almost a character in this movie or book is electroconvulsive therapy. Yes. So the staff uses to basically keep the patients in check.
Starting point is 00:03:24 Just the very threat of getting electroconvulsive therapy, shock treatment, a type of shock treatment, we should say, is enough to just keep everybody very docile and calm and settled down when they start to get riled up. You can just ask them, do you want some shock treatment? They're like, no, no, everything's good. Right.
Starting point is 00:03:41 Everything's fine. And apparently, because of that, and Keesey worked as an orderly mental institution in Oregon, so he saw this firsthand when he wrote it. Sure. Because of that, ECT got a pretty bad rap over the course of a couple of decades. The point where it's basically forced
Starting point is 00:04:00 almost out of existence. And it wasn't just Keesey making this stuff up. Like he said, he was a disorderly, like the fat boys. But there was also a study in 1985 by the National Institutes of Health that found like, that was pretty common practice among mental institutions at the time. Because it was drug-free.
Starting point is 00:04:21 Yeah. It was just using electrical shock. And it wasn't a lobotomy. Right, and the effects were temporary. And apparently, it worked to keep everybody in line. But that's a gross abuse of this pretty effective therapy for mental illness. Yeah, for severe depression.
Starting point is 00:04:40 And these days, it is approved by the National Institute of Mental Health, the APA, the AMA, and the US Surgeon General. And they all say that, if used properly, ECT these days, in a tweaked version of what they did back then, is can be very beneficial. And Kitty Dukakis, wife of Michael Dukakis,
Starting point is 00:05:04 former presidential nominee, till he wrote in a tank, wrote a book. Because she had it, and it's called Shock, the Healing Powers of Electroconvulsive Therapy. And it helped her out. Now, I've read excerpts and reviews and stuff, and she doesn't like champion it for everyone or anything, but gives a lot of great history
Starting point is 00:05:22 and then says how it has helped her in her journey through depression. Apparently, it also helped dick cav it. Oh, yeah? Yeah. Interesting. It did not help so much Sylvia Plath or Ernest Hemingway. Right.
Starting point is 00:05:35 But yeah, it's been used on a decent amount of people. Apparently, about 100,000 Americans a year undergo electroconvulsive therapy. Six feet under? Who got shocked? George. The James Cromwell. Oh, yeah, yeah, that's right.
Starting point is 00:05:50 Yeah, yeah. We've already spoiled that show, so we might. Right. We should just do dramatic readings from scripts. Yeah. So we should also say before we go forward, it's very easy to call it electroshock therapy. Right.
Starting point is 00:06:03 That's kind of right. Electroconvulsive therapy is a type of shock therapy. And shock therapy's the aim is to shock your system into having a convulsion. Because, as far back as Hippocrates, it was noticed that people who have mental illnesses, who experience convulsions, tended to feel a little better after they experienced their seizures.
Starting point is 00:06:28 Yeah. So what you're trying to do with any kind of shock treatment is induce a seizure and a convulsion. Because no one knows why, still to this day, but it does something to your brain and can cure, whether temporarily or permanently, mental illness. Yeah, I wonder how this, I didn't think about it till just now.
Starting point is 00:06:48 I wonder how it ties in with a temper tantrum, like a kid feeling better afterward, or more settled afterward, or an adult that just loses it. And then I think everyone's truly lost it before in some emotional way. And then afterward, you're like, boy, I feel more relaxed now. Right, like resetting after a catharsis.
Starting point is 00:07:07 Yeah. I bet you it's sort of similar pathways in the brain. Right, except this is with electricity. Exactly. So let's talk about the history of shock therapies and electroconvulsive therapy, or ECT. That's easier to say. So one thing that they did in the 20th century,
Starting point is 00:07:23 they started to experiment with insulin shock, where they would just dose the crud out of somebody with insulin, and basically bring them into a coma. And in the coma, they would have convulsions? Is that right? Yeah, like that was the point. Like they figured out this guy named Lattice Lausavon Maduna, who is a Hungarian physician.
Starting point is 00:07:42 Is that real? Yeah, he figured out that if you take insulin and inject it in somebody, it puts them in a coma, a temporary coma, that you can bring them out of with glucose. And then while they're in the coma, they have seizures. And he was one of the ones, probably the first modern physician to suggest that there was a link between seizures or, yeah, seizures and the curing of mental illness.
Starting point is 00:08:08 He took it one step too far in saying that schizophrenia and epilepsy were counterproductive maladies. So if you had one, you couldn't have the other. Yeah, not true. He was wrong about that, but he was right about seizures having a curative effect on mental illness, though. Interesting. But he was the one who started championing using insulin
Starting point is 00:08:29 to produce seizures. So he led the way, followed by Italian scientists in the 1930s, who finally brought electricity into it. Well, hold on. There was another guy, too. Before the 1938 guys? Yeah, like right around the same time, there were all these competing shock therapies.
Starting point is 00:08:46 And there was the insulin guy. And then there was another dude named Manfred Sekel. And he was testing something called metrizol, which is a respiratory stimulant. And when you give somebody this stuff, they have seizures. And it's very reliable. And it's very powerful, more powerful than insulin. And it requires less recuperation time
Starting point is 00:09:06 and hospitalization time. The problem is it's so powerful that 42% of patients who had shock therapy using metrizol suffered spinal fractures. Oh, wow. From G, because the convulsions were so hard core. Yeah, like the exorcist? Yeah, and then some. Yeah.
Starting point is 00:09:30 On the podcast, HeyDude, the 90s, called David Lasher and Christine Taylor, stars of the cult classic show, HeyDude, bring you back to the days of slip dresses and choker necklaces. We're going to use HeyDude as our jumping off point, but we are going to unpack and dive back into the decade of the 90s.
Starting point is 00:09:53 We lived it, and now we're calling on all of our friends to come back and relive it. It's a podcast packed with interviews, co-stars, friends, and nonstop references to the best decade ever. Do you remember going to Blockbuster? Do you remember Nintendo 64? Do you remember getting Frosted Tips? Was that a cereal?
Starting point is 00:10:11 No, it was hair. Do you remember AOL Instant Messenger and the dial-up sound like poltergeist? So leave a code on your best friend's beeper, because you'll want to be there when the nostalgia starts flowing. Each episode will rival the feeling of taking out the cartridge from your Game Boy, blowing on it
Starting point is 00:10:25 and popping it back in as we take you back to the 90s. Listen to HeyDude, the 90s, called on the iHeart radio app, Apple Podcasts, or wherever you get your podcasts. 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.
Starting point is 00:10:46 Ah, OK, 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.
Starting point is 00:10:58 Seriously, I swear. And you won't have to send an SOS, because I'll be there for you. Oh, man. And so will my husband, Michael. Um, hey, that's me. Yep, we know that, Michael. And a different hot, sexy teen crush boy bander
Starting point is 00:11:11 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 everybody, yeah, everybody about my new podcast and make sure to listen, so we'll never, ever have to say. Bye, bye, bye.
Starting point is 00:11:32 Listen to Frosted Tips with Lance Bass on the iHeart radio app, Apple Podcasts, or wherever you listen to podcasts. Stuff you should know. Now are we electricity? Yeah. In 1938, they discovered electricity. No, wait, that's not true. That was close.
Starting point is 00:11:53 I think it was, like, the 20th. These Italians, they were scientists, and they said, we can use this to jolt this guy, like, with these delusions. He's clearly suffering. Let's shock him with electricity. And the delusions receded after, like, several treatments. And then just a few years later in the 1940s,
Starting point is 00:12:14 it was being used as a regular treatment in the US for schizophrenia, depression, bipolarism. But it's not like it is today, a far cry. You said they've tweaked it. They've definitely improved it. They figured it out, like, we were a little barbaric before. No anesthesia back then. Yeah, so you were wide awake and conscious
Starting point is 00:12:36 when they applied an electroshock to your brain. Like in cuckoo's nests. Yeah. Violent physical reactions with the body that don't happen these days. Like, the convulsions were very powerful. Yeah, because A, there's anesthesia. And they also, these days, put muscle relaxers and stuff
Starting point is 00:12:54 everywhere except the big foot. Is there a big foot? The foot, eighth single foot. Well, one has a blood pressure cuff on it, I'm sure. It is the big foot of the two. But yeah, they introduce it intravenously, and then they put a blood pressure cuff around your ankle. So your body isn't, like, convulsing anymore,
Starting point is 00:13:11 but they can tell what's going on by EEGs and stuff. And then the foot, single foot's movement. Yeah, because you're keeping the muscle relaxer, and I guess the anesthesia, out of the foot. Yeah, so someone's actually a doctor looking just at your foot. Supposedly, I haven't seen that anywhere else. I saw that.
Starting point is 00:13:25 Yeah, I saw that, like, even with the muscle relaxants, your fists are going to clench and unclench, and your chest might heave. And they'll still put a tongue thing in your mouth to keep you from biting your tongue off. Right, but the cumulative effect of it is not going to be felt at all by you, because you're out under general anesthesia,
Starting point is 00:13:43 and you're probably feeling pretty good. Anyway, thanks to Mr. and Mustle relaxer. And then the way you've always seen it on TV, even when they portray modern, like on Six Feet Under, they show people are always rendered like zombies, like lobotomized, essentially. And that's not what's going on these days. No, well, even back then, it was kind of a caricature
Starting point is 00:14:06 of what a person looked like coming out of it, because there is memory loss associated with it. Yeah, and there still is. Yeah, there was then, there still is now. So I think that it's almost like that's what some artists rendering or some directors rendering of what somebody with memory loss looks like. And so that's what just kind of got picked up
Starting point is 00:14:27 in the popular culture following ECT, is you're just like catatonic, lobotomized, zombie-like. But really, that's shorthand for it. There's weird memory loss. Yeah, and these days are going to check you out a lot more beforehand, I think, especially in the media portrayed it as like a McMurtry in One Fleur of the Cuckoo's Nest.
Starting point is 00:14:47 He's causing problems, so let's just drag him in there, strap him down, and shock him. These days, you're going to. Tricks like five disorderlies to hold him down. Exactly. You're going to go through a battery of pretreatments, like blood tests, electrocardiograms. They're going to give you a physical.
Starting point is 00:15:02 They're going to give you a mental, and they're going to make sure you're a good fit all the way around for this kind of treatment. It's not as, I don't know if it was willy-nilly back then, but that's how it appeared to be at least. And there's actually a decision by the FDA. It's an electroconvulsive therapy machine. It's a class three, I believe, device.
Starting point is 00:15:23 Just the strictest classification. And so it was up for reclassification for a little while. And they said, you know what, we're going to stick with this classification because it's used for electroshocks. And a lot of people said, whoa, whoa, whoa. Like that's old stuff. Yeah, you guys, you're still looking at it
Starting point is 00:15:40 under the medieval use from the 40s and 50s. Things have changed by then. But I have to say, I mean, I kind of am comforted by the fact that you still have to go to a doctor. It's not like the same thing as going for laser hair removal. Like you can't also get ECT in the same office. It's very much medicalized, and I think it should be, because we still don't understand what the mechanisms are.
Starting point is 00:16:03 Yeah, that's true. They will pulse your brain. You've got these little things about the size of a quarter, these pads on the side of your head, either on both sides or one side. And they pulse you for one millisecond, even though I think recently, even shorter, like millisecond, 0.25 to 0.37 milliseconds.
Starting point is 00:16:23 Yeah, that's what they're using these days. And I guess that's like, is it for more humane purposes or because it works better? Yeah, I think they're finding that it works at least as well, but there's also fewer side effects. Like apparently a one millisecond pulse of electricity is enough to really interrupt memory consolidation, I guess. Whereas like a quarter of a millisecond, it's not so bad.
Starting point is 00:16:48 All right, and these days, you're going to get it two to three times a week for three to four weeks is a typical treatment. Yeah, that's a course. Five or 10 minutes at a time. Yeah, from the time that they inject you with the anesthesia till the time you start to wake up is about 10 minutes, which I mean, that doesn't sound like much,
Starting point is 00:17:05 but if you're doing that two to three times a week for several weeks, although that's a period of your life that you have a lot of trouble remembering much of. I don't think it's a picnic still. No, because you are still coming out of it. You're still groggy coming out of anesthesia. You can still be confused.
Starting point is 00:17:21 What's ironic is now that they use anesthesia, you probably look more like the portrayal of people coming out of ECT in the 50s than they did back then. Because they were anesthetized? Yeah, they weren't. No, yeah, that's what I mean. Today, that's funny. I didn't think about it like that.
Starting point is 00:17:38 I found one stat that said it is effective in 75% to 80% of people these days with severe depression, whereas antidepressants are only effective about 60% of the time. Yeah, and that's pretty much what they're using it for, is just like major depression is pretty much the thing that they found like, OK, it's really effective for this. Like when drugs don't work.
Starting point is 00:18:03 Well, that's usually when they're turning to it, is after antidepressant, after antidepressant hasn't worked. But this is like a pretty significant rebound, 100,000 people a year getting this, and it coming under wide medical and public acceptance. Because just as recently in the 80s, there's a stat in this article that says, between 85 and 2002, the use of ECT in England dropped by half.
Starting point is 00:18:31 Wow. And that was because there was a rise of antidepressants. It's like, you can take these pills, or we can put electrodes on your brain and zap you. What do you want to do? But then as people, as physicians, I guess we're finding that there were plenty of people out there who don't respond well to antidepressants.
Starting point is 00:18:49 Shock therapy is a great alternative. And if you suffer from major depression and you are suicidal or at risk for suicide, they may hop right to ECT, because the results are so much faster. That makes sense. I know. Well, one of the interesting things they pointed out too
Starting point is 00:19:10 was that once you've had ECT, if drugs were not previously effective on you, then the antidepressants can extend the good effects of the ECT longer, which was interesting, because I guess they can work in concert if you go ECT first. Which makes it sound like the ECT goes in there and shakes things loose, and then the drugs come in and keep their functioning going,
Starting point is 00:19:39 keep the new and improved functioning going. And we should say all this is theory. No one knows specifically what ECT does to the brain. We just know it works. Then we should also say no one's exactly certain how antidepressants work, or what effects they have on the brain. But there's a couple of theories
Starting point is 00:19:59 that are kind of brain-based. One is that the idea is that the electricity changes how blood flows, or how cells metabolize things, and that leads to some sort of improved function. Yeah, the other one is they think it might release certain chemicals that can help out. And everything I've read sort of likens it to a control-alt-delete reset, or some sort of reset
Starting point is 00:20:27 function on your brain. I think they likened it in here to turning the stereo down. There's just so much noise, and this just sort of resets a troubled brain. Right, yeah, there was a study from Scotland in 2012 where they did brain scans of people with major depression before ECT and after a round of ECT. And they found that these regions associated with mood
Starting point is 00:20:50 and emotion were less active. And so they said that they basically altered the functional connectivity of these regions between the regions so that the person could think more clearly, was less distracted, and they think that that had an effect on reducing their depression. Well, and they tested with placebos, too. And I think like any time you test with a placebo,
Starting point is 00:21:12 you're going to find that there's going to be a little bit of it that works, but not always. And that's what they found here, is that some of the people that were told that they received ECT put under. Didn't you think this was kind of mean? Yeah, they could put them under and say they did it and not do it. Yeah. That the people with ECT did recover faster,
Starting point is 00:21:33 but there were some that received the fake treatment that did recover as well. So they think that might have just been because they received that extra TLC from a proper clinician. Yeah. And the free drugs. That's true.
Starting point is 00:21:48 So we should say there are risks to it. Like there's at least two types of memory loss associated with ECT. One is you have trouble making memories around the appointment, which is to be expected. That usually fades. Then there's larger memory loss of past events, long before your ECT therapy.
Starting point is 00:22:13 But that also fades, not in all people, though. So there is memory loss associated with it. Right. With zapping the brain with electricity. Who would have thought? I don't figure. And then you can also die. One in 10,000 patients undergoing it dies.
Starting point is 00:22:28 But they say that that's one in how many? One in 10,000. So every year, 10 people die from ECT in America. Wow. But they say that that's typically a reaction to or a result of anesthesia, like just going on. Oh, right. Yeah.
Starting point is 00:22:43 Which is dangerous in and of itself. You're going to get headaches, obviously, and some muscle pain. But I don't think it's anything quite like the old days, as far as muscle pain and stuff like that. Yeah. And you will still find people that poo poo it, of course. But this article points out, a lot of those people
Starting point is 00:23:00 are the same people that are pretty anti-psychiatry in general and stuff like this. So that seems like a bit of a leap to me. What? From the author to say that. Yeah. At least she wasn't just like, Scientologists hate it. True.
Starting point is 00:23:20 You got anything else? I got nothing else. Let's go try this out. I would certainly try it out if I needed it. OK. Yeah, I would, too. There's something appealing to me about using electricity over drugs.
Starting point is 00:23:34 Yeah, like, drugs are some great thing to pump your body full of. Yeah, it's just, I don't know, I wonder if it's going to become more and more widespread. And if it comes back, gangbusters, man, that's really going to be impressive, because it was almost gone. Yeah, true.
Starting point is 00:23:52 Imagine if the lobotomy came back. I know it's still around, but it's not back by any means. ECT is back, baby. Maybe a little bloodletting, a little leaching. Right. If you want to learn more about electroconvulsive therapy, type that word in the search bar at HowStuffWorks.com. See if you can do it on the first try.
Starting point is 00:24:13 And since I said search bar, I guess it's time for message break. We're going to use HeyDude as our jumping off point, but we are going to unpack and dive back into the decade of the 90s. We lived it, and now we're calling on all of our friends to come back and relive it. It's a podcast packed with interviews, co-stars, friends,
Starting point is 00:24:53 and nonstop references to the best decade ever. Do you remember going to Blockbuster? Do you remember Nintendo 64? Do you remember getting Frosted Tips? Was that a cereal? No, it was hair. Do you remember AOL Instant Messenger and the dial-up sound like poltergeist?
Starting point is 00:25:07 So leave a code on your best friend's beeper, because you'll want to be there when the nostalgia starts flowing. Each episode will rival the feeling of taking out the cartridge from your Game Boy, blowing on it and popping it back in as we take you back to the 90s. Listen to HeyDude, the 90s, called on the iHeart radio app,
Starting point is 00:25:24 Apple Podcasts, or wherever you get your podcasts. 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. OK, I see what you're doing. Do you ever think to yourself, what advice would Lance Bass
Starting point is 00:25:43 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.
Starting point is 00:25:57 Oh, man. And so will my husband, Michael. Um, hey, that's me. Yeah, 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.
Starting point is 00:26:11 You may be thinking, this is the story of my life. Just stop now. If so, 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. And now, listen to our mail.
Starting point is 00:26:34 Yes, and I'm going to call this Miss Heard Song Lyrics. Oh, yeah. Can't remember which one we asked about this. Panama Canal. Was that it? Yeah. Oh, OK. Everyone has Miss Heard Sound Lyrics.
Starting point is 00:26:48 Excuse me while I kiss this guy. Oh, OK. I'm going to call this Miss Heard Song Lyrics. Oh, yeah. I can't remember which one we asked about this. Panama Canal, was that it? Oh, OK. Everyone has Miss Heard Sound Lyrics.
Starting point is 00:26:59 So while I kiss this guy, Jimi Hendrix, wrapped up like a douche, Manfred Mann, that's not what he's saying. No, it wrapped up like a douce, like he's talking about craps. Is he? Craps are some other sort of gambling. I don't think so, because Springsteen wrote the song, and it was cut loose like a douce,
Starting point is 00:27:19 and he was talking about a car engine. I've heard gambling. Springsteen wrote it. OK. And then Manfred Mann changed it. And it's funny, Springsteen has come out and said, you know, that song didn't become popular till it became about feminine hygiene.
Starting point is 00:27:33 And then it was like a big deal. Or there's a bathroom on the right, CCR, instead of a bad moon. Bad moon, right? Yeah, I hadn't heard that one. There's a bathroom. No, I know the song, but I mean, I've never heard anybody thinking he's saying there's a bathroom on the right.
Starting point is 00:27:49 It's fairly common. OK. All right, so we got one from Cheryl. Hey, guys, first of all, I want to say you're still keeping me company on days when I get time to work on my art projects. You're still as great as ever. I was just listening to Panama Canal,
Starting point is 00:28:02 and I thought I'd pop you a quick note to give you a grin. Misinterpreted lyrics were my specialty as a kid. Far and away in my most famous moment was when I was five or six listening to Madonna with my auntie. And I would sing, Papa Dom Bridge, I'm in trouble deep. She said, thing is, this really made sense to me. And logically, if a bridge is made out of Papa Dom's, which are, do you know what those are?
Starting point is 00:28:29 Sort of like a flatbread, like a crispy tortilla sort of. No. It's like a crispy flatbread. Got you. So if a bridge was made out of Papa Dom's, it would be bound to be weak. And if someone were to walk over it, it would break, and they'd fall on the river below,
Starting point is 00:28:46 and hence be in trouble deep. And my dad still teases me about that to this day. It does make sense in a certain childish way. Yeah, Cheryl, Papa Dom Bridge. Well done. That's fine. Yumi's mom, she's from Okinawa. She calls Madonna Papa Don't Preach.
Starting point is 00:29:01 Oh, calls her that? Yeah. That's her name. She's like, are you listening to Papa Don't Preach again? My friend, Fox, had the best misheard song lyric ever, and I was racking my brain earlier trying to remember it, and I cannot. Yeah.
Starting point is 00:29:14 There's some good ones out there. I'll try and remember and post it or something. I'll get in touch with Fox. OK. It was a funny one. Nice. You got any good ones? I'm like racking my brain right now,
Starting point is 00:29:24 and I know I've got one, and I can't remember it. Do you have one, Jerry? Jerry looks like she does. What is it, Jerry? She looks jealous. Jerry just said, if you did not hear, instead of Voices Scary by Amy Mann and Till Tuesday. Horses scare me.
Starting point is 00:29:41 Hush. Keep it down, horses scare me. Don't attract any horses, because they scare me. Do you know that technically, Till Tuesday was the first band I ever saw alive? Oh, really? At my first concert, Hall of Notes, at the University of Toledo Coliseum.
Starting point is 00:29:56 They opened up, huh? Yeah, Till Tuesday opened up. Nice. Well, I never really thought about that, because I always say, oh, my first concert was cheap trick. I don't say it was John Waite who opened up for cheap trick. Was it really John Waite? Yeah.
Starting point is 00:30:09 Man, I would have loved to have seen that one. And those are real concerts. Like, I went to Kenny Rogers and stuff when I was a kid, and people were like, Kenny Rogers is real? Yeah, it is. It's about to say the same thing. I met concerts that my family didn't drag me to. Gotcha.
Starting point is 00:30:22 That I paid my own money for, and where I smelled marijuana for the first time. Like, a real concert. I didn't smell any marijuana at the Hall of Notes concert. Well, I did a cheap trick. I was like, what is that? I'm sure. I've never smelled that before in my life.
Starting point is 00:30:34 Yeah. Cheap trick. And everyone around me said, that is the devil's smell. Stay away. Yeah, and you did. Good going, Chuckers. Is that it? That is it.
Starting point is 00:30:48 Thanks to Cheryl for kicking off a pretty great little chat. You should get Yumi's mom to call her Papa Don Bridge now. Yeah. See if you can get that done. Are you listening to Papa Don Bridge? Yeah. Say, that's not Papa Don Bridge. That's Papa Don Bridge.
Starting point is 00:31:02 What do you want? Oh, if you have any great marriage stories, we want to hear them. We haven't asked for that ever, have we? Yeah, and I don't mean wedding day fun. I mean marriage. I would take wedding day fun. Those are two different things.
Starting point is 00:31:15 All right, well, whatever you want to send, either way, you can tweet to us at S-Y-S-K podcast. You can join us on facebook.com slash stuffyoushouldknow. And as always, go check out our awesome website, stuffyoushouldknow.com. For more on this and thousands of other topics, visit howstuffworks.com. Hey, dude, the 90s called David Lasher and Christine Taylor,
Starting point is 00:31:44 stars of the cult classic show, Hey, Dude, bring you back to the days of slip dresses and choker necklaces. We're going to use Hey, Dude as our jumping off point, but we are going to unpack and dive back into the decade of the 90s. We lived it, and now we're calling on all of our friends to come back and relive it.
Starting point is 00:32:02 Listen to me. I'm going to tell you what I'm going to tell you. I'm going to tell you what I'm going to tell you. Come back and relive it. Listen to Hey, Dude, the 90s called on the I Heart radio podcast, Apple podcasts, or wherever you get your podcasts. Listen to Frosted Tips with Lance Bass on the I Heart radio app, Apple podcast, or wherever you listen to podcasts.

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