Stuff You Should Know - Three Gross Parasites

Episode Date: July 23, 2009

There are some pretty disgusting parasites out there, but Josh and Chuck have settled on three particularly gross ones. Tune in to learn more about flesh-eating parasites, guinea worms and tapeworms in this podcast from HowStuffWorks.com. Learn more about your ad-choices at https://www.iheartpodcastnetwork.comSee omnystudio.com/listener for privacy information.

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Here is Charles W. Dracunkelyasis Bryant. Take it. I love that. How you doing, drunk? That sounds like my playa name. It is, sort of. Playaappreciate.com. I wish I could remember what that name was.

It was so good. Oh, it was Wheat-Tastic Bryant-Trump. Is that it? Sugar-Tastic Bryant-Trump. Sugar-Tastic. That's it. Bryant-Trump. Yep.

That was Chuck's pimp name as it appears on Playaappreciate.com. I love that. You can generate a playa name. Yeah. It is pretty cool. God bless the internet. Chuck, speaking of the internet, our parent company Discovery's channel Animal Planet has a cool website.

Indeed. That they launched for their show Monsters Inside of Me. Very cool. Which has inspired us to do a couple of parasite podcasts. This is Two of Two. Yeah. We just did Toxoplasmosis. Yeah.

And I got to say, we were excited about this stuff. Sure. It's cool show. We'll get requests to do things, and we're like, oh, I don't know, should we do that? We'll turn them down, and they'll threaten to fire us, and then we'll march into the office with a gas can and a lighter. Yeah. It goes down like that.

But this one is cool. Yes. Monsters Inside of Me. Cool show. Yeah. No, everybody on staff pretty much threw in for this thing. Big time. And happily, actually.

Because, yeah, it is a cool show. That's a cool graphics. It's gross. Yeah, it is. And if you're eating lunch or dinner right now, we might advise you to wait until later to listen to this. Yeah. I actually was eating a sub while I was researching leachmeniasis.

Tapeworm sub? No, that's the flesh eating. I know. Oh, was it a tapeworm sub? Yeah. It was undercooked meat, so yeah, probably. Whew. Anyway, we're talking about parasites and apparently pimp names, and let's get into it.

We're talking about three really gross ones, and technically we should say four because I want to give a shout out to my favorite. And Chuck also, I should probably say, anytime we do a segmented podcast, Chuck likes to time me because he's a big fat jerk. I don't like to time you, but if we want to get to all three, we only have a certain amount of time. And so I'm going to go ahead and hit start on my new iPhone. Okay.

Well, draconculiasis. Ah, you jerk. We're supposed to do leachmeniasis. Oh, yeah, leachmeniasis. Sorry, man. That's what we're starting with. This is the flesh-eating parasite. It is.

It's affectionately known. Tropics, subtropics, and southern Europe. Yeah. So we're safe for now. Well, unless we travel to one of these countries. True. Which you were prone to do. Oh, I guess.

I am wont to go to certain places sometimes. Yes, you are. But yeah, there's a lot of people who actually suffer from leachmeniasis, estimates are about 12 million infected worldwide. Uh-huh. And 350 million at risk. Yeah. And about 2 million new cases each year.

Right. And they're expecting this to go up, Chuck, thanks to our friend Climate Change. Thank you, Al Gore. Right. Um, because as the temperatures increase, the area where the sand fly can live increases as well. Mm-hmm. And yeah, it's the sand fly, which I wasn't familiar.

I think I had sand fly and black fly confused. But luckily, black flies don't spread leachmeniasis sand flies do, and these are actually about a third of the size of mosquitoes. Yes. You know, their bites are relatively painless if they're not pain-free. Right. Um, so yeah, you don't know that you're being bitten, and you certainly don't know that the saliva from this fly has actually just transferred some larva of this parasite into

your bloodstream. Yeah. And you know, I should point out too, you said that global warming is one reason this is on the rise. Well, another reason is because of our shenanigans in the Middle East. Yeah. Because it is, that place is lousy with sand flies in Afghanistan and Iraq and the like. So we think a lot of our personnel over there may be getting infected and bringing it back.

So leachmeniasis. Watch out. Mission accomplished. Yeah. Yeah. So Chuck, actually the concentration of where these cases are popping up is concentrated in just a handful of countries, old world and new world, but places like Syria and Brazil have the vast majority of these cases because this is where the sand fly lives.

But like you said, traveling, conquering, these things can, can, can transfer. Tourism and conquering. Yeah. Leachmeniasis, right? Uh-huh. So there's actually two kinds and a sub kind. The sub kind's my favorite. The cutanus is my favorite.

Is it? Let's describe the sore. If you have the cutanus, leachmeniasis, this is what's going to happen. You're getting a sore in your skin. What happens is as follows. And this is so gross. They describe the sore as ending up looking like a volcano. So it's got a raised edge and then a central crater, a little meaty central crater right

in the middle. Do you have leachmeniasis on your breast? Uh-huh. That's gross. Uh, some, uh, some of the sores are indeed covered by a scab and they can be painless or painful. Painful. Your breast is?

Yeah. Wow. Yeah. So my favorite chalk, if you'll allow me to take over for a moment, is mucosal or mucocutaneus. This is the stuff that like you see photos of when you type in flesh eating parasite, right? Yeah. What happens is is you get a cutaneus parasitic infection and it can spread to your mucous

membranes, e.g. your lips, your nostrils, that kind of thing. Basically the prominent features on your face get eaten away. Mm-hmm. Did you Google image any of these? Yeah. Yeah. So were you eating at the time? No, I was not.

I have not since. It's amazing. Like the people missing their noses. I saw one where it was a close up of this guy's nose and somebody had tweezers and was just kind of pulling it. And it was a still photo, but you could tell by the way it was being pulled, it was basically like jelly. Wow.

It's gross stuff, but they actually clear up on their own eventually. That's the good news. We read an article from the CDC describing leishmaniasis and I was just concerned to find under the how do I treat leishmaniasis, they're basically like, well, it goes away on its own eventually. Basically like there is no treatment. But it said it could take months or years. Right.

So do you want a volcano scab on your forearm for years or that thing? Yeah. On your breast? Yeah. It's gross. There's a really dangerous one though called visceral. Yeah. Leishmaniasis.

Yeah. So tell us about that, Chuckers. Yes, Josh. This is the nasty one. This is the one that attacks your liver and spleen and I think it enlarges them. Yeah. Your spleen actually can become larger than your liver, which ain't supposed to happen. That ain't supposed to happen.

And even your liver and it is. No, my liver is shrinking and hardening. Oh, is that what happens? Sure. Okay. So your liver is like a California raisin. Pretty much. Yeah.

And then not the dancing kind either. Yeah. Yeah. It'll kill you. It will. And like you said, it is nasty in that it is dangerous. It's not as nasty as mucocutaneous leishmaniasis, but it's still pretty dangerous stuff. Right.

So you want to know how this parasite, this parasite's life cycle occurs? It's pretty interesting actually. Yeah. Let's hear it. So you get bit by a sand fly, right? And the parasite actually is taken up, it enters the bloodstream, and it's taken up by macrophages, which are a type of white blood cell. So they're living happily and protected within the macrophages where they're reproducing

and eventually they cause the cell to lyse, it erupts. And all of a sudden, all these new parasites are released into your bloodstream and then they're taken up by more white blood cells and so on and so on. And so the process keeps continuing and they start multiplying exponentially. Wow. Yeah. Which is also how it's flesh eating. When it's attacking these cells, it's lysing the cells in your mucous membrane or around

your, like on your forearm or something like that, or in the case of visceral leishmaniasis, your internal organs. Right. But like we said, don't worry about it. It'll just go away on its own. Yeah. According to the CDC. All right.

Change your, press the timer, man. We're done with this one. All right. So that's leishmaniasis. Yes. On two. Number two. Dracunculiasis.

That's a good one. Yeah. This one's pretty awful too. This is really sad. It's commonly known as the guinea worm. Yeah. This is really sad because it affects the poorest of the poor in the world. That's the bad news because it comes from drinking unclean water.

The good news is they have largely eradicated it. Well, there's five countries that are stubbornly hanging on a guinea worm infection. Yeah, dude, we're talking, let's go back in time to 1986. I'm in the 10th grade. You're in elementary school. Yeah. You're drinking behind the elementary school. 86.

I was 10. I was in the baseball cards. Yeah. I was into that. I was drinking behind the elementary school. I was into Defender and Van Halen. Awesome. So 3.5 million people were infected every year back then.

And now, let's go back a couple of years to 2007 when I was into Defender and Van Halen. And I was drinking behind the elementary school. Yeah. That's scary. Only 9,585 cases were reported. So that's awesome. And most of those were in the Sudan and Ghana. So clearly some work to be done there.

Sure. So now we should talk about how gross this is. This is a very, very gross, gross parasite. This is the worst one, I think. What happens is it's generally taken up through a tainted water supply. Right. A year later. Yeah.

That's what was so frightening. As you drink bad water on vacation in Ghana, a year later, all of a sudden you say, hmm, what's that blister on my foot? Yeah. Well, the Tour Ghana Tourism Board is going to be really mad at you. I'm sure they are. The Greater Ghani's Chamber of Commerce is going to be after you, Chuck. Right.

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We are looking at ways to help people with COVID-19 feel better, faster. Learn more at ActiveSixStudy.org slash radio. That's ACTIV6Study.org slash radio. All right. So basically, what is it, water fleas are easily infected with these parasites. And they show up in unsanitary water. You drink this water, you get a couple of water fleas in, or you can considerably just drink the larva, right?

Yes. The larva travel down to your intestine where they lodge. They can pass through the intestine, which most parasites can. And then they grow. Right. Well, the stomach acid, what I thought was interesting is it does not kill it. It kills the water fleas. Yes.

It leaves the parasite. Yes. Thank you. Stomach acid. Right. So yeah, the parasite sticks around and it grows and grows and grows to about two to three feet long. Yeah.

Or 60 to 100 centimeters long over the course of 10 to 14 months. And it's just the females that grow to this adult stage, right? Yeah. And they said it's as wide as a cooked spaghetti noodle. Yes. Three feet long. Yeah. In your intestine.

Yeah. And it's gross. That's not the worst part, though. Our guest producer, Lizzie, is about to hurl. I think we should make that our mission today. We should. Okay. So you've got this three-foot-long live spaghetti noodle that you can clearly identify as a female

detached from your intestine, and then it migrates to the skin. And here's where the beauty part begins. Yeah. A blister of oil forms on the site where the worm's about to emerge. And pop goes the weasel, the worm starts to poke its head out. Yep. Basically, you look down and you have a worm coming out of your body, and here's the tricky part.

What? Getting it out? No. Okay. So if you haven't picked up by now, parasites are arguably the most intelligent things on the planet, or at the very least, the most tenacious. The boil or the blister that occurs at the site where the worm's about to emerge, actually the pain associated with it is alleviated simply by dropping it in water.

Yeah. So contact with water triggers the guinea worm to release this milky white substance, which is actually millions of larvae into the water supply. So the water supply is now tainted and the life cycle begins again. Right. So you're in Ghana, you're feeling bad, you get in the river because it makes it feel better, and then all of a sudden everyone downstream is getting this milky secretion of eggs.

Yeah. They get infected. Yeah. Just so gnarly. It is. Yeah, really the best way to do this is to have a clean sanitary water supply. So the treatment for this is actually just preventative. You just make sure that a population has a clean water supply, right?

Right. Which is what the Carter Center has been working so hard for all these years. That's odd to mention that Carter Center out of nowhere. Well, no, the Carter Center. They've been doing all this work. Oh, they have? Yeah. Since when?

Trying to eradicate GWD. How did they help with that drop from 3.5 million to less than 10,000 cases in about 10 years? You got it, buddy. Huh. Well, way to go, Jimmy Carter. Did I not mention that? No.

All apologies. Oh, okay. So the Carter Center is working on eradicating the Guinea worm. Sure. Among other groups. Gotcha. World Health Organization. Yeah.

Right. Okay. So yes. So we've got it down, but let's say that you do have a polluted water source, and all of a sudden you have a 3-foot-long cooked spaghetti noodle coming out of your leg in a boil. Yes. What do you do, Chuck?

What do you do? Well, one thing you can do, Josh, is you can pull it out, and you can only do this a few centimeters at a time. On a daily basis. I'm glad I read this, because if I ever had this, I would yank that thing and pull it out from my intestine in one long piece of spaghetti. Woof. But apparently you can't do that.

I imagine it would break off or something and cause an infection. And you just make it mad, and you don't want to make a guinea worm. No, you don't. They're tough. So what you do is you wrap it around a piece of gauze or a small stick, a little bit at a time. Every day. Every day.

And for several weeks. For several weeks until it's out. That's one thing you can do. Or it can be surgically removed clearly by a trained professional, but we're talking about the poorest of the poor in the world, and they can't, they don't have access to this. Or you can just blow your head off. Well, that's another option.

Sure. But the big problem with guinea worm disease, or when it was a real problem, is that it's a disease of poverty. But it's also a cause of poverty. It is. Because if you have a three foot long cooked spaghetti noodle coming out of your leg, you're pretty much temporarily disabled until that thing comes out. You can't farm.

No. You can't take care of your children. Right. It's very sad. So it does have an economic impact. It's a cycle, man. It makes everything even worse. It does.

But luckily, again, we've largely eradicated it, except for Ghana and Mali. Right. Asia is completely clear of it now, and they used to have a problem with it. All right, Chuck. Well, then turn off your timer again, buddy. That was a good one. I thought so as well. Are we leaving this part in where you're actually manipulating the timer?

Yes. We'll find out, huh? On to tapeworms. Tapeworms. This one is pretty common. The big finish, huh? Everybody knows tapeworms. There's that tapeworm diet, which actually is real.

Is it really? Mm-hmm. Yeah. We're not endorsing that, by the way. No. I'm just big on calorie-restricted diets. Sure. And knowledge.

Even Chuck won't let me endorse that one, but still. This is, we chose this one because it's actually really interesting. The study of tapeworms has revealed a change in understanding of human evolution. Big deal. Or at least a parapsytology. Potentially. Yeah, we always thought, humans always thought that we get tapeworms from animals. It's a lot, Cal and Pig, for giving us tapeworms.

Stupid pigs. There's some research that's been done that actually turns the tables, Josh, and in a switcheroo, it looks like we may have started the whole thing and given it to the animals. So sorry, Pig. Sorry, Cal. Not only did we domesticate you for slaughter, we also gave you the tapeworm. So tapeworms, known affectionately in the medical community, is tania. There's tania-solium, which we'll talk about that's distinct from tania-saganata and tania-asiatica.

Nice job. Thank you. I worked on pronunciations like all day. You did great. Saganata andasiatica, both actually for their life cycle, require an herbivore in there as an intermediate host to get to their definitive host, us. The carnivore. Carnivores.

Does this mean a vegetarian or a vegan wouldn't be infected? We would think so, but look out for tania-solium, which will get anybody. Very broad range, including dogs, it said. That's very sad. Right. Yeah. Once we domesticated dogs, cows, pigs, again, we thought that that's when we started getting tapeworms.

Actually, tapeworms go back as far as about 2.7 million years, humans or hominids have had some sort of trouble with all of the retching and the pooping and stuff like that. If you believe that kind of thing, we've been around for 2.7 million years, if you believe that hogwash, sorry. For people who love food, there's no place on earth quite like Mississippi, where a melting pot of culinary talent blends the flavors of yesterday and today. Sweet, savory, spicy, and smoky flavors that'll satisfy your spirits wherever you choose to wander.

Join your next dining adventure and visit mississipi.org slash dining, Mississippi Wanderers Welcome. COVID-19 research has come a long way, but there's still more to understand about how to treat COVID-19 effectively. The Active Six Study is researching existing medications to find out if they may help people with COVID feel better and give back to the things they love faster. The best part? It can all be done from the comfort of home.

We'll send medications to your door and you'll take surveys completely online. Learn more at ActiveSixStudy.org slash radio, that's A-C-T-I-V-6-Study.org slash radio. So Chuck, let's talk about tapeworms, what they do, how they do it, what they look like. All right, we're talking about intestinal tapeworm infections. A lot of times they're not detected because it's pretty mild, symptom-wise. I assume that one or both of us has a tapeworm right now. Exactly. Can I tell you something?

Oh boy. Yes. So, I'm actually a big proponent of high colonics. Really? Yeah. Oh yeah. God, I learned so much. They are mood-changing.

Really? And you have to get to. And also, anyone who goes out and gets a high colonic, make sure the place you go is ultra-sanitized and insist on watching them sanitize the machine. So Jerry's house with colonics is probably not where you want to go. Especially not a producer's Jerry's house with colonics. I mean, she's tidy, but I wouldn't accept a high colonic from her, right? I got a high colonic, two of them.

The second one, it was like I was a brand new person. I literally felt reborn. Really? But the guy who was running the place was telling me about a customer. It's so perverse. They have this table set up, and it's like a doctor's exam table. And you have certain things sticking certain places. And then a tube.

Dr. Frankenstein? Going out, sure. You have a tube going out, right? And then there's mirrors showing the whole thing. So you're seeing all the stuff. One guy had to call the owner in who was telling me the story. And he had stopped up the tube, and they went in, removed the tube, got it out. You know what it was?

It was a fist-sized ball of worms. You're kidding. The guy had no symptoms, had no clue they were in there. And all of a sudden, a fist-sized ball of worms come out. Well, it's pretty clear why the Discovery show is called Monsters Inside Me. Yeah. A fistful of monsters inside of you. So high colonics equal getting rid of worms sometimes.

That's my little aside there, Chuck. Yeah. I'm going to Jerry's house of colonics right after this. You should. So Chuck, how do we get these tapeworms that come out in fist-sized balls? Well there's different ways, Josh. It's usually you can get it through eating food, but there's a little disturbing asset to all this.

Is fecal matter has to be involved? Yeah. I saw in this article that you could get it through intimate contact. But if fecal matter has to be present, what is that? I don't know. And you out there in podcasting can make your own call there. But if, let's say, you were preparing some food and you have poop on your hands. You have some poop or something involved.

There was poop involved. Yeah. Then you could get it. It's an undercooked pork, I think is one way that you can get the, which one was it, the T-solium? No. Is it? I thought so.

No. Yeah. It's often found. I think sodium is the only one that doesn't require an herbivore. It's the other two that does. Well, it said its T-solium is often found in raw or undercooked pork and is therefore called the pork tapeworm. Gotcha.

Well, that's pretty definitive. It sounds like it. Yeah. At least that's what Dr. Hoberg says. So one of the things I found disturbing was this. So you know how tapeworms are segmented? Yeah. First of all, they can grow up to 65 feet or 20 meters long.

That's disturbing. And they're heavily segmented. Each segment can contain up to 40,000 eggs, larvae eggs. Unbelievable. All right. These eggs can actually live 25 years out in the open. So if you poop somewhere like in the desert at age 25, if you go back and visit your poop in the desert at age 50, if there were tapeworm eggs in there, you could conceivably eat them

and start it over again. That's crazy. Isn't that gross? That is. And if you swallow these eggs, Josh, the larvae can actually penetrate your intestinal wall and lodge in an organ or form a cyst. Well, yeah. They can form brain cysts.

They can also attach to any organ, including your eye and brain. Which can cause, they've said they've linked it to blindness and epilepsy. And insanity. And insanity. Out of magic. Seizures, yeah. What else is there? Paralysis.

A lack of equilibrium, like vertigo dizziness, that kind of thing. Right. It's bad stuff. It is. So stay away from dirty pigs. And don't cook if you have poop on your hands. Just get somebody else to cook. That's a good rule anyway.

It's not that important. Maybe go out to eat. Maybe call. Yeah. Does that it? On tapeworms? Yeah. We already covered the part about how it turns out we infected livestock, right?

Yeah. Sorry, pigs. So that's three, uh, three gross parasites. Again, I want to say, I want to give a shout out to my favorite, which we didn't cover because there's actually a dearth of information out there on it. It's called the human bot fly. Bot fly. Oh yeah, the bot fly.

Did you read my blog post on it? I did. Did you watch the video? I did. Isn't that awesome? It is. The bot fly actually doesn't sting or lay its eggs or spread its larva directly into humans.

It uses, um, mosquitoes to do it for them. So it, these flies actually capture a mosquito mid-flight, lay some eggs on it, and then the mosquito flies around with the eggs until they hatch into larvae. Once the larva hatch, the mosquito, um, plunges its, uh, proboscis into a human or any, any mammal, I believe. Into me. They're. Okay.

So the larva are actually transferred. They go under the, under the skin, so they're an eat your fatty tissue for, uh, several weeks. Uh, and then finally, uh, a maggot emerges from your skin and falls off and goes into the soil where it burrows in, until the pupa, then that's the pupa stage and then it emerges as an adult bot fly. That's the wrath of con. Yeah.

And there is no treatment for it. Also people who have these things, they, they, as they grow, they stay close to the surface. So if you cut, there, it breathes through your skin, right through a hole in your skin. Um, and if you cover it up, you can feel the maggot moving underneath your skin. People have reported. Why was this not in the top three? Because there's not that much information on it, but we're still talking about it anyway, buddy.

True. Um, and then the only way to get rid of it is to actually pop it out. So if you go to the blogs at howstuffworks.com, you can, uh, I think you go through older posts and you find one on the bot fly. It's probably a couple of weeks old by the time this, this podcast comes out. And if you're into parasites or that kind of thing, we will definitely, that's one thing. But while you're getting help, while you're filling out the requisite insurance forms, you should probably check out, um, monsters inside me on animal planet on Wednesdays at

nine and Chuck and I don't hawk this anything like this is a cool show. Yeah. Cool and gross. That kind of thing. And no, you are. And again, that website, you're abusing our listeners. Oh, they love it. Um, that website for monsters inside me has, uh, one of the great writers on staff here

at howstuffworks.com, Robert Lamb, but to work by him, Robert's one of my favorite guys. He rocked it out. So yeah, so there you go. Three gross parasites plus the bot fly. And that means it's time for a listener mail. So Josh, I'm just going to call this listener mail from two dudes, uh, someone took you to task on Superman. Did you read those?

Did we only get two? Well, we had a few people right in, but I'm going, I'm going to read Thomas. Like really ultimately Chuck, I don't, it's gotten to the point where I'm not sure why I opened my mouth unless I'm definitively sure I know what I'm talking about because I tend to say the exact opposite of what's true. I know, but you know, that's, uh, that's part of the show, you know, people like finding little tidbits that we get wrong. It's becoming the crux of the show.

No, no, no, no. These are, these are little tidbits. This isn't, this is not high science here. It's about Superman for God's sakes. Um, hi guys have been listening to your great podcast for a while and I love them. I've never sent an email, but I felt I needed to correct something in the earthquake podcast. You said Superman lied to Lex Luthor's girlfriend, I believe was his test marker, uh, not true. Superman did not lie.

She made him a promise. She made him promise to save her mother before stopping the missile headed for California. He reluctantly agreed and she removed his kryptonite necklace and flew to Hackensack, New Jersey to save Ms. Testmarker's mom. After he pushed the missile to space, he turned around to see the second missile hit the San Andreas Fault. So sorry, Superman did not lie. And he even says, uh, in his own words, Lois, I never lie.

It comes from Thomas from Harvard, Illinois. He's a dogmatic and inflexible. He may have toxoplasma. I think he does. Uh, and this is from Anthony. Hey, Chuckers. Listen to the new podcast on Twinkies. He didn't address you.

I thought that was rude. No one does. Well, cause they think that you don't read the listener mirror when in fact you do. Yeah. I get the listener emails too. You just don't respond and read them on the air. Right. You should clear that up.

Josh reads everything. Yeah. Thanks. So, hey, Chuckers and Josh. Oh, he did say that. I just missed it. Uh, that was a whole lot of unnecessary. Twinkies reminded me of a time in the early nineties when I worked at the state news, Michigan

States University's, uh, independent student newspaper. We had. We had. We had a weekly junk food cookie day when we would all chip in a buck or two, uh, multiplied by a staff of fixed 50 or 60 and get heaps of sugary and salty snacks while gorging ourselves. Uh, on Twinkies, we had a debate about their shelf life. We took some gaffer tape. One of your favorite things.

I love gaffer tape. And, uh, stuck a two pack up on the inside of a locker, intending to leave it for as long as possible for over three years. We watched the Twinkies disintegrate into heaps of powder, but never during our experiment during, uh, did we see any mold visible? Uh, we eventually threw away the package and it comes from Anthony, well, Anthony, Michigan State alum. Yeah.

What year did he say? Uh, he didn't. Well, he said early nineties. So he was, he was my age. Yeah. We were grunging it out. Old. You cried when Kurt Cobain died, didn't you?

No. Well, if like Chuck, you cried when Kurt Cobain died, you can send us an email about that to StuffPodcast at HowStuffWorks.com For more on this and thousands of other topics, visit HowStuffWorks.com Want more HowStuffWorks? Check out our blogs on the HowStuffWorks.com homepage. Brought to you by the reinvented 2012 Camry. It's ready. Are you?

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