I Don't Know About That - Skin

Episode Date: August 22, 2023

Get ready for an epidermis education from this week's expert Dr. Terrance Cronin, MD (@passionfordermatology). Jim's new special "High & Dry" is now available on Netflix! ADS: BETTERHELP: Visit BetterHelp.com/IDK today to get 10% off your first month. FACTOR: Head to FactorMeals.com/idkat50 and use code idkat50 to get 50% off. 

This show is sponsored by BetterHelp. Sometimes in life we're faced with tough choices and the path forward isn't always clear whether you're dealing with decisions around career, relationships or anything else. Therapy helps you stay connected with what you really want while you're navigating life. Let therapy be your map with BetterHelp. Visit betterhelp.com slash idk today to get 10% off your first month. That's betterhelp.com slash idk. Put the idk in there, you get yourself 10% off your first month. That's betterhelp.com slash IDK. Put the IDK in there, you get yourself 10% off. Thank you to our sponsor Factor. Factor America's number one ready to eat meal kit. Can help you fuel up fast with chef prepared, dietician approved, ready to eat meals delivered

straight to your door. Head to factormeals.com slash IDKcat50. That's I-D-K-A-T 50. And use the code idcat50 to get 50% off. That's idcat50 at factormeals.com slash idcat50 to get 50% off. That's I-D-K-A-T 50 to get 50% off. Ladders. Stairs.

Is it all just about getting high? But you might find out. And I don't know about that. With me, Jim Jeffries. It was perfect timing, too. That one was really stellar. Thank you. Good work.

Yeah, it took you a while to get there. Ladders and stairs is all about getting high. That would be the name of my ladders and stairs company. That would be my slogan. Getting high.

It's about getting high. Yeah. Then the floor. It's perfect. Yeah, like, yeah. Do you reckon, what do you reckon was invented first, ladders or stairs? Stairs. You don't reckon there was someone trying to reach something on a tree?

I don't know. I feel like the ladder seems like such a rudimentary... But stairs, you don't have to... It's not a ladder like that. Just the two poles with the bits in between. I feel like stairs, people would have put rocks on things. Yeah, I guess there was rock steps. And there were probably rock ladders. They probably stacked things.

According to the internet, which is never wrong, Quora, stairs likely came first. Likely. It could be a natural formation of geography because they just exist in nature. Stairs just existed, so would you say stairs were invented before the wheel? Yes. Because we had to get to elevated things. They always called wheel the first invention, but I feel like

the wheel would have come after stairs. Rocks are nature's staircase. This is a website called Ladders UK Direct. Okay. The history of the ladders. When were they invented? Okay. Well, don't give them the information. It's going to ruin our ladder episode. I won't ruin it. Yeah, I'll forget.

We should do a ladder episode. There's a picture Of the pyramids Someone thinking It's something Of the pyramids The pyramids All day Had ladders on them

Scaffolding all around The fucking All day Why would they Aliens made them Whenever they go How were they made Lot of slaves

Just lifting That's true A lot of people lifting Lot of slaves Think of a lot of people Then double it That's what they did Whoa

Heavy lifting Shit They can't even fit Wow There's so many A lot of slaves. Think of a lot of people, then double it. That's what they did. Whoa. They can't even fit. Wow, there's so many. Yeah, everyone, there's so many, they've all just got a finger on it. So many people. We're helping. There's thousands of people underneath just with a finger. Thinner the slaves, the more fingers.

You want to have a real good thin slave to build a pyramid so they could all fit in under the bricks. Not a lot of fat slaves that I can say. You were there. Maybe the Pharaoh fed them well. Probably not. Yeah, yeah, yeah. Jim Jeffries.com. That's going to be the name of my next special,

The Fat Slaves of Egypt. That's the name of your special? Yeah, The Fat Slaves of Egypt. That's the name of your special? Yeah, The Fat Slaves of Egypt. What's the joke? It's just they're all going to be carrying me out. There's going to be a whole lot of fat Egyptian-looking fellas to carry me out like a king. That's good.

This won't be a problem at all. This is good. I already feel nervous about it. This is why I don't plan on making any more specials, for this express reason. My names aren't good. Well, you can see Jim live on uh on the road you're in canada my show's in real good nick at the moment very happy with it it's very it's a uh it's a it's a

smooth hour and a half of stand-up it's good stuff southern california gonna be in socal anaheim thousand oaks and then up in oakland as well during the run that's where i go that's how i live that's how i go to jimjeffries.com. Look at all the episodes. I'll get all the dates on there for his shows. Yeah, Oakland. I'm coming. I'm coming.

If you live in San Diego, please come see me in October 14th and 15th. Mic drop. It's not like you have to watch your baseball team anymore. Oh. Damn. They're never going to live that down. Hitmail's coming in

I can feel it And next week We have our first live show So if it's not Already sold out Which it might be Get tickets I forgot

What order we're doing this in Anyway we said flappers It's at flappers Yeah flappers Flapptastic Might already be sold out It used to be a strip club For women with large vaginas.

Yep. Or Macaroni Girl. I think it was a Macaroni Girl. Come and see us live. It'll be more like this. We can guarantee it. Yeah, there'll be a lot of looking around. Are you going to wear a hat?

People were 50-50 on your hat, Jim. What hat? Oh, no, I loved the hat. The space hat. Space hat. Some people were like, some people wrote to me like, what's Jim wearing?

I'm like, it's a NASA hat. I don't know what else to tell you. Very clearly. Pretty self-explanatory, yeah. Bit of fun. But some people were like, we don't like the hat. Some people loved it.

They're 50-50, I believe. Yeah, but it got people talking. Yeah, yeah, algorithm. Got the algorithm gone. Join the conversation. I thought you were going to start wearing hats. Ah, you're witless. Forrest is witless.

Yeah, he's witless. I work with a guy in Australia, an Irish bloke called John. Hello, John, if you're listening. I like John. But John Amos got up. John's's I think a religious fellow he's Catholic

or something like that and Amos got up and did some stuff about British not bishops bishops molesting kids

and he came up to Amos and he went like this he goes I enjoyed your show but I found the stuff about the British the bishops

to be witless so occasionally me and Jack I just call him witless or we call each other witless back and forth to be witless. I was wondering where you got this from. So occasionally me and Jack, I just call him witless, or we call each other witless back and forth. That was witless. Witless. That was witless. Great. It's such a great put down.

It's like someone says a joke, don't laugh, just look at them still face to go, witless. Witless. It hurts to your core. It does. So go see me. It's funny right now, Kelly. Witless. Wit core. It does. So go see me. I'm trying to be funny right now, Kelly. Witless.

Witless. Witless. So anyways, San Diego, I'll be there. 4shaw.net. I also have a podcast called The Merman Podcast. We're giving away a car this month. What? What?

How the fuck are you giving away a car? Well, on Jack and my podcast, The Unsolicited, we're giving away two cars this month. Yeah, we're giving away two cars. Are you really giving away a car? No. Oh. Well, we are actually giving away two. We actually, yes, are giving away two cars. Are you really giving away a car? No. Well, we are actually giving away two. We actually, yes, are giving away two cars.

I just want people to listen to it. It's called the Maroon Man Podcast. We're giving away free barbecue that Dave's making. We're giving away two cars. No, this is a real thing we're giving away. Oh, yeah, same with us. Two cars. All right, let's meet our guests.

Listen to both podcasts. For some reason, just so you know, that people like will like write to us about like the unsolicited podcast is better and we never care like anytime that comes in you don't care you're bringing it up no no no because like i'll say something and dave's like what is that again i'm like it's people's podcast remember uh jack and oh yeah and then somebody finally said you've turned me and this podcast is better because you gave away a lot of barbecue oh yeah well they, yeah. Well, they won't

be winning one of the cars. I will say this, I don't listen to any of them. You've been on Unsolicited. Do you even subscribe to this podcast? No. Jim, you don't even give the subscription of your own? It's not for me. He gave us a one-star review.

It's really fucked. I hate myself. I don't want to hear it. Well, anyways, with that being said, let's meet our guest. Please He gave us a one-star review. It's really fucked. I hate myself. I don't want to hear it. All right. Well, anyways, with that being said, let's meet our guest. Please welcome our guest, Dr. Terry Cronin. Hello, Dr. Terry Cronin. Now it's time to play. Yes, though.

Yes, though. Yes, though. Yes, though. Judging a book by its cover. Judging a book by its cover Dr. Terry, he's in a classroom type of area. He might be in a doctor's office, but he looks like he's more of a professor. I'm going to say you are not a doctor of medicine.

Am I correct? No. No, he's not a doctor of medicine. No, you're not correct. I'm not correct. Correct. You're not correct. Oh, I'm not correct. Correct. You're not correct. I'm not correct.

So you are a doctor of medicine. Okay, that was a hard way to get there. Okay. Doctor of medicine, do you specialize in one particular field of medicine? Yes. Do you teach medicine or are you just a practicing medicine guy? Good questions. Yeah.

You are, this is something that concerns you, but I don't think you have issues with it yet. Oh, women taking over the world. No, medically wise. I'm sorry, but AI. Medical. It concerns me. Baldness concerns me.

Cancer doesn't really bother me. I don't worry. I don't think about getting cancer. Well, there is a type of cancer associated with this. I don't think about it. I feel like it's a bridge you should cross when it gets to you. You shouldn't worry about it because you could spend your life going, my wife goes mental with food additives and stuff like that.

That being said, you do worry about this now, and you do prevent yourself from getting this type of cancer. Skin cancer. There you go. All right. We're talking about dermatology. I know all about skin cancer. We'll see.

Dr. Terrence Cronin is a board-certified dermatologist and the president of the American Academy of Dermatology. Dr. Cronin leads the world's largest dermatologic society that represents more than 20,800 physicians who have specialized and diagnosed in the treatment of skin, hair, and nail conditions. He also holds the same position for the American Academy of Dermatology Association, a sister organization focused on government affairs, health policy, and practice information. Dr. Terrence Cronin is the president of the American Academy of Dermatology,

so please follow them at aad.org and follow him on Instagram at passionfordermatology. Dr. Cronin, please tell us a little bit how you got into this field. And yeah. He's leaving. Yeah. I see you're about to go into his microscope. I don't know. Did you hear any of that, Dr. Cronin?

No, I had some kind of delay. That's why I moved my phones to see if I got better reception. I think you did. Oh, you just fixed it. Can you hear us perfectly now? It's way better. You could probably use your AirPods if you want to, but I think you're okay. Oh, fantastic. Ah!

All right. We thought you were walking off the podcast. How did we offend him already? How did you get into dermatology was the basic question. So my dad was a dermatologist so I grew up in a dermatologist's home. Oh really? Oh wow. My father was a carpenter so I grew up to be Jesus. Is there a microscope above your head there? What is that? Yes, yes I put you right in the microscope stage. Maybe I get it out of the way. No, I like it.

I kind of like it. You're very doctory. It's like we're all a fungus underneath a thing that you're going to look at. Well, I did your whole intro and Peronian stuff just so you know. And what we're going to do is I'm gonna ask questions uh about dermatology to jim and you're gonna listen to his answers and at the end of that i'm gonna ask you to grade him on his accuracy zero through ten ten being the best and then kelly's gonna get him on confidence i'm gonna grade him on etc if you get zero through ten skinwalker jim it's not good it's some sort of

weird beast or something i don't even know what it is it's scary 11 through 20 skin tag 21 through 30 skin city baby you know what that is skin city it's like vegas but with skin yeah it's scary 11 through 20 skin tag 21 through 30 skin city baby you know that skin city it's like vegas but with skin yeah it's like the cool i don't know just made it up all right first question what is a dermatologist jim skin doctor okay bingo where 100 it's a doctor who works on the biggest organ of the human body all right where was the first school of dermatology you can see we've done proctology episodes you didn't go where was the first proctologist i i will go it was at the oil of ulan academy you know where you see oil of ulan here at the oil of ulan i don't know what what what is oil of ulan's like like this makeup stuff or maybe it's in your oil of ole oil of ole

i was like trying to figure out how to spell this i'm like what the fuck is he talking about like this makeup stuff or maybe it's in Europe. Oil of Olay? Oil of Olay. I was like trying to figure out how to spell this. I'm like, what the fuck is he talking about? Oil of Olay has an academy and there's creams and stuff. There was a first school of dermatology. Do you know where it was?

It would have to be, it's going to be somewhere, it's going to be in Switzerland. The Swiss would have been there. When was, you know, when people started. Zurich in the June of 1936.

What, how, like what kind of schooling do you have to do to become a dermatologist like how many years any doctor years and you'd have to do four years regular medicine then you'd have to do your specializing stuff i'd say six years of university to become a qualified dermatologist describe as many functions of the skin as you can holding bones and organs in place. Okay. That's a good one. Stopping your body from spilling onto the concrete. Another good one. Is that a function?

Keeping hair on head. Ooh. Yeah, yeah, yeah. Making mouth hole. The skin makes your mouth hole? Yeah, what else is this? All right. Do you have any more answers? Cartilage coverage.

Are you sure you're not the doctor? It's your skin. I'll tell you what functions it does for me. Burning, ruining holidays. Vacation. Something to be mocked at by people with darker skin. What are the different skin types cancer causing what are what are the different skin types black white and brown okay what system of is that your answer what system of the human body is the skin a part of you know there's like a

circulatory epidermis the epidermal epidermal system the epidermis the outer dermis so there's like a system like circulatory is for your oh the respiratory not respiratory not respiratory uh the one that the circular blood circulatory circulatory okay uh how many skin cells does the average person have i don't know I sold a lot of mine. Skin cells. Thousands. 25,000. 25,000? Okay.

What percentage of the human's body weight does skin make up? Depends if you're a fat person who lost a lot of weight and then you have those big flappy elephant ears. You know those ones? Because that'll weigh more than a skinny person's. But I would say proportionally it would be 20%. Percentage, yeah. 20% of your body weight. Does skin grow back slash renew if yes yeah skin grows back skin grows back

in layers so like i get um psoriasis and psoriasis is when the skin layers grow back too quickly and you it's it's not because it's meant to just sort of go away so they reckon most dust well not a lot of dust is skin cells that's why old people's houses fucking stink what are the different layers of skin called you have different layers uh the dermis uh the epidermis yeah super dermis yeah and the dermatologist oh okay do they all what are the five layers five layers five layers what are the different roles you only said four but yeah i don't know all of them okay i'm not a specialist do you know the different roles of each layers yeah one's to be layer one sticking sticking out with the earth

this is hard skin this is skin that that loves the elements wants to be part of the elements unless it burns the pills the number four supporting number one number the outer one number two right down to number one which this whole job is keeping organs in okay wow okay how do sweat glands work how many do we we have? Prince Philip doesn't know. Am I right? Or what's Prince Andrew? Whatever. We have sweat glands all over.

Sweat glands, when you get hot, your body excretes a liquid called sweat, which is just like salty water to me and you, and that cools you down. Okay. Do you know how many we have? All of them. Why do we get wrinkles? Squinting is one of the big things. Yeah.

We get wrinkles from sun. Sun will give you wrinkles all day. UV light would be one of the worst enemies to wrinkles or friend to the wrinkle, enemy to the smooth skin. Yeah, the sun will give you wrinkles. Smoking. Ooh, Wrinkle City. That's the one that made women stop smoking the most,

they reckon. Of all the cigarette packets, there's like pictures of dead babies and shit. And it was one of them that was like this, you'll get wrinkles. And they were like, fuck this. Sunbedding will give you wrinkles. Can someone make their skin smoother?

If so, how? Fillers. You can put filler in your skin. Collagen is a thing that can smooth out skin. And any other countless amounts of ointments that are sold from midnight till four in the morning on shopping channels. What about Photoshop?

There you go. Photoshop's good. Yeah, look, I don't bloody Photoshop fucking everyone. No one looks like them bloody. So I don't Photoshop any of my pictures. You can go through them all. They're all me. All right, do you know any of these words?

Yeah. What they mean? What is dermatopathology derma toe pathology uh say it uh that dermatopathology is the pathology of the dermato the dermato is the end of the derm the toe the tip if you will okay i think wrap up the podcast i think he's got it dr chrono we don't need you uh trichology do you know what that is ah yes i've tried it many times i don't need i don't need to try ecology i know ecology okay should i even ask about yes yes what is mo's surgerygery? M-O-H-S? Moe's? Moe's Surgery?

Yeah, M-O-E. It's a mid-level Mexican restaurant surgery where they have to say, welcome to Moe's as you go in. Oh, the Moe's Burritos? I thought you were going to go with Moe's from The Simpsons. It started in Atlanta. Moe's is Southwest Grill.

Wait, Moe's Burritos or Moe's Surgery? Well, the Burritos. A little from Colomay. All right, I think we'll skip. We'll ask you a couple more. Welcome to Moe's! Welcome to Moe's.gery? Well, a bit of both. A little from Colomay. All right. I think we'll skip. We'll ask you a couple more. Welcome to Moe's. Welcome to Moe's.

You know the place that does that? Nobu. Welcome to Nobu. You're like, welcome to Moe's. Here, I'm going to ask you a couple, just a couple other questions. What is acne? Like, how does that happen? Pimples.

How does that happen? Acne. Acne is, well, I get a lot of sebaceous cysts on my body which is the closing of pores making into a hardened rock type substance underneath and they have to be cut out or lanced if you get them earlier and then acne is just like a volcano we build up of just gunk and bacteria into a pore making it into a pimple you never had a pimple. You ever had a pimple before, Forrest? Yeah, I've got a stye right now. On my eyelid.

It's like a little pimple on my eyelid. I don't know if it's a pimple. Styes aren't fun. Hot compress. I know, I just found out today. Hot compress, get a bit of that stye. My first one in my life I've had. I haven't had them.

My wife had one once. It was like the end of the world. The house, we were all on lockdown. Psoriasis, you already mentioned. Any other common skin conditions you can think of? Moles. Moles. Freckling of the moles.

Melanoma, which is a cancerous. That's the worst one of them all. Psoriasis is a bad one. My father suffers from vitiligo. Vitiligo is the depigmentation of the skin a la Michael Jackson. But Michael Jackson did bleach his skin because vitiligo, if you've seen it, especially it is very prominent on black people if you see it because it goes straight to white. So my father, it's all over his chest, but you can't really, you can see it on his hands, but you have to look, you know what mean but it's it's all very blotchy and it's it's uh

your skin goes completely to pale what are the best ways to protect your skin last question um well staying indoors but then you wouldn't get vitamin d you need a little bit of that uh the best way to do it is sunscreen but even better than sunscreen is to wear a full UVF, like long sleeve things. Cover up is the best way to stay looking young. I believe, and I've done every substance, you know, I've partied and all that sort of stuff, but I think for 46, my skin's not terrible. And you might see, because I still,

to this moment, I have sunscreen blotches on me face because I came home from vacation. I wear so much, and I don't wash. All right. Dr. Cronin, on a scale of 0 to 10, 10 is the best. How did Jim do on his knowledge of dermatology? I think he did awesome. Thanks, brother.

8.5. What? Boom shakalaka. Get out of here. I don't know if that's accurate. May the seed of your loins be fruitful in the belly of your woman. I was going to give him a high score because I felt like he bullshitted really well. I know.

There were some questions that you didn't even ask me. Like what's the measuring amount for a melanoma? What's the terminology for that? Go ahead. It's a Clark something. Clark factor four or Clark. Does he still get an 8.5, the terminology for that? Go ahead. It's a Clark something. Clark factor 4 or Clark. Does he still get an 8.5, Dr. Rohnan? That's

pretty good. Clark's level. That's how we measure melanomas. The depth. The depth of the melanoma. Clark 4. If you go to Clark 4, that's a bad one. My brother had a Clark 4. Confidence he did well? Yeah, I was going to give him a 9 on confidence. 9, that's like a that's a bad one yeah my brother had a class yeah clock four cut out of him so confidence he did well yeah i was going to give him a nine on confidence nine that's like 17. he doesn't need to try ecology he already knows college yeah yeah

i'll give you a 20 on its center here in skin city baby um so ask jim what is a dermatologist he said skin doctors as simple as that So I asked Jim, what is a dermatologist? He said skin doctors. Is it as simple as that? So, yeah, I mean, a dermatologist specializes in the diseases of the skin, the hair, the nails, mucous membranes. Yeah, I never thought about the nails or hair,

but that doesn't make sense, I guess. We were just talking to a proctologist earlier on, and he said, Dr. Kamarava said that there's only two places on the human body where you can have an open wound and things will just heal up without getting infected and he said that's the scalp where the hair grows and the colon is that correct because i was quite amazed by that well no i don't think that is correct. You mentioned Mohs surgery, and Dr. Mohs never closed any of his wounds when he removed cancer, and the body wants to heal. It will heal. It just takes some time. Right, right, right, right. Okay, so yeah. And the first school of dermatology, do we know where that was and when that was? Do we know where that was and when that was?

So, you know, dermatology has been part of medicine since the Egyptian times. But to be an actual specialty, it wasn't really until like the mid-1850s, about 1850. And the first school in America was at NYU, New York University. But before that, most dermatologists trained in Vienna. Jim was close with Switzerland. I felt like it was somewhere in Europe. They would have all gone crazy about the dermis or whatever. Is Australia number one for skin cancer? Do you have stats on that?

Because I always tell people that. It's correct. That's correct. It feels like feels like they're skin people living in the tropics yeah like we have adverts on our tv constantly to look out for have you ever heard the term slip slop slap sir absolutely slip was it slip on a hat slap on uh uh it's slip on a shirt on sunscreen on a shirt slap on a hat slip slop slap there's another one they've added now wait that is that an american i mean but you know that dr connor from australia or oh yeah it was a very effective public health campaign yeah yeah it was all the ads slip slopip, slop, slap. Before you leave the house, kids, don't forget to slip, slop, slap. Wait, what is it again? Slip on a shirt, slap on

sunscreen, and slap on a hat. Slip, slop on sunscreen. Slop on a sunscreen and slap on a hat. Slip on a shirt, slap on sunscreen, and slap on sunscreen, and slap on a hat. I like it. Slip, slop, slap. This part, describe as many functions of the skin as you can.

Holding bones and organs in place, stopping your body from spilling out to the concrete, keeping hair in head. I mean, is it really holding your organs in place? It's holding everything. Without your skin, what are you? I don't know. It's like Tupperware.

You would just be like a skeleton trying to hold your heart in like this. If only I had skin. What are the functions? I wish i had skin oh eyeball skin i wish you can you tell us the functions of skin please dr kreiner well well jim was pretty correct a couple things he didn't mention was that it's immunological it protects us from bacteria we have cells that recognize foreign antigens in our skin it also is something that it provides insulation we have a layer of fat beneath the skin that gives us insulation and storage of calories you know our fat beneath the skin and also our temperature control is done in the skin by sweating.

Just asking for a friend. When you get really fat and then you lose a lot of weight and then you have excess skin, how fat can I get before that will be an issue where I'll get the excess skin? Like is it just, do you get what I'm saying? Because I keep on getting really fat and then I lose my weight and my skin sort of stays all right, but I feel like I just haven't gone over the tipping spot yet. Well, you get concerned about stretch marks. If you start to get stretch marks, then the skin won't return to normal.

So as soon as a stretch mark happens, that skin's done, isn't it? Once you have so much extra skin, you know, the only solution sometimes is surgical to remove that. You know, you see that when people have, you know, significant weight loss and they have the hanging folds of skin. I think you alluded to earlier. And with the stretch marks. So why would if there's a God like I assume. OK, so we're not going to get into religion, but like let's say there's a man on a cloud.

Right. so we're not going to get into religion, but let's say there's a man on a cloud, right? And why would he make it so that women, when they get pregnant, get stretch marks? That seems a little unfair. I'll have to ask him if I meet him. It does feel like that's a design fault, doesn't it? Yeah, and of course, not every woman does get stretch marks. So it is interesting. Some people suffer worse from stretch marks than others.

I get stretch marks. I got them. I got them on me hippie. I'm sure I have. I haven't looked, but I've been fat for a while. It's got to be big. I'm telling you, you're the healthiest, unhealthy-looking human being. You're going to be 100 years old, and they're going to go,

what's your secret? You're going to go like, corn dogs with a side salad. Side salad. This show is sponsored by BetterHelp. I'm a big fan of therapy. I go to therapy, as I always say, if you're down or you just need to talk through things with people, therapy is a good place to start.

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cool things about BetterHelp too is that if you don't vibe with your original therapist, you can change at no cost, which is a lot harder to do when you're doing in-person therapy. And not every therapist is going to be a match. So if you'd find somebody that you're not vibing with just move on to the next one it's kind of like dating just say it to him during the session i'm getting another one if you're thinking about starting therapy give better help a try it's entirely online designed to be convenient flexible and suited to your schedule just fill out a brief questionnaire to get matched up with a licensed therapist and switch therapists at any time with no additional charge. Let therapy be your map with BetterHelp.

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Different skin types. What are the different skin types, Dr. Cronin? Well, Jim said black, brown and white And there's mixtures in between, you can mix all the colours up But that's your three colour palettes Well it's interesting because when you talk about skin types there's different ways of looking at it

Dermatologists often look at it as hair bearing skin versus Glabrous skin, glabrous skin is the non-hair-bearing skin, like on the palms and soles of the feet, in your genitals, umbilicus, around your nipples, where you don't grow hair. So that's two different types of skin. Cosmetic companies talk about five different types of skin. You know, the oily combination um dry skin sensitive skin um but then uh probably the the

big one is uh fitzpatrick type which i think you're getting at um jim was the different colors and there's six uh gradations where one is really really pale white and always burns when it goes in the sun. And then six is deeply, darkly pigmented and really never burns. So the gradations are one through six. So those are the types of skin according to Fitzpatrick type. I tell you what, I've never met this Fitzpatrick fella, but I'll tell you, that guy burns. I know a few things about names.

The reason he had to figure this out is because every time that cut went out in the sun, he fucking burned. And he's like, oh, I'm going to fucking do a study on this. There was no one who didn't burn who thought I'll do more research. That's better. What system of the human body is the skin part of? Jim said the circulatory. So it's called the integumentary system.

And that includes the hair, the nails, and the skin. So nails are just skin? Is that what we're... Yeah, it's thought to be a product of your skin, like your hair. Your hair grows out of your skin. Yeah. Okay, so isn't it like a rhino's horn is made of hair, right? I don't know.

It's not car. I think it is. That's correct. Yeah, it's hair, so it's all part of the skin. So like a tusk or whatever, that's all skin. It's still built up, and these are our nails, our claws. A tusk is like tooth. A tusk is like tooth a tusk is like tooth but the rhino horns hair right yeah so it's part of the circular system no that's not what he said yeah what did he say folks i don't remember yeah so super easy we'll ask that again two more questions see if you get that Entegumentary. Entegumentary, my dear. Entegumentary. Entegumentary, my dear. Entegumentary, my dear.

Yeah, it's so super easy. We'll ask that again in two more questions, see if you get that. Me too. Entegumentary. How many skin cells does the average person have? Jim says 25,000. So, you know, I had to look this up for us. It's 1.6 trillion skin cells.

Slightly off. That's a little bit more than 25,000. 1.6 trillion skin cells. Slightly off. That's a little bit more. 1.3 trillion. I just looked at your arm like you could see them. Yeah, that makes sense. Now that I look at my arm, it checks out. Do you know the percentage of the human's body weight the skin makes up?

Yeah, it's somewhere between 14 and 16 percent. Not bad that is a lot though more than because you think but i guess if it's all the layers we're talking about that's that's where the if you lost all the weight and just got down to like 16 of what you are now yeah you just be a bag of skin no 16 left yeah well the bones got to have the bones, though. You would have lost them. Oh, I have no bones. You're down to just 16% of what your weight is now. Just a skin suit.

No brain? You're just a pile of skin on the ground, man. I'll be dead. Yeah, I'm not saying it's something you should do. Okay. I'm just saying that's what would happen. Now, does skin grow back and renew? Jim said, yeah, it grows back in layers.

Psoriasis is when skin layers grow back too quickly. That's what he was saying. Well, he's right. That's like hyper growth of skin is psoriasis. But healing takes place at different rates in different parts of our body. Like our face and our scalp heal very quickly. It takes about a week to heal. On our arms and hands, it takes about 10 days.

And on our feet and lower legs, it takes two weeks. That's not fun. The foot, that's the worst place to get a cut. It is. Yeah, yeah. I didn't know. It takes a long time to heal. I didn't realize that it took that long to heal, though.

I mean, besides it hurting, it always sounded like it took a long time to heal, but I thought it was just my brain until now. Feet take a minute to heal when you get cut. That's what he's saying. That's what the doctor's saying, yeah. But it feels like the stuff that walks on rocks all the time. But we wear shoes mostly. Yeah, we wear shoes.

When's the last time you walked through rocks? I was out at the beach the other day walking on rocks and stuff. I get cracked heels. I have one heel that cracks more than others. It's like with skin. If I don't moisturize and stuff, I have to do it. That's like a condition, right? Or is that just I need to put something on?

He's not a podiatrist. Moisturize. Moisturize. I don't know. It's skin. I don't want to see your manky fucking skin. I'm not going to show him the feet. Show him the good one first. Warm him into it. I don't know. It's skin. I don't want to see your manky fucking... I'm not going to show him the feet. Show him the good one first.

Warm him into it. I was supposed to massage this at one point. Yeah, yeah, yeah. I'm going to get a pedicure for you. The things he does. He makes people massage his feet. They're cracked all over. You've never done it.

Jack lost a bet. He was supposed to massage my feet. He never did. Semi-related to the does skin grow back. So I had two like prominent moles In like you know when I was younger One on my cheek One was a movie star

One was a politician And then one on the side of my head And then I got a halo nevi Is it nevi or nevis or something like that So a white ring around the mole And it was like that for a while And then over time the moles just completely disappeared Like there's not a trace of them on my face is that something I should be worried

about because I guess it's been 20 years since it happened I should look into it maybe well yes I we we often get nervous when we see a halo nevis because that means there's an immunological response to your mole and your body is making that reaction and sometimes a person has a melanoma when they have a halo anivis so it is important that you do get looked at and evaluated 20 years ago that's that's wonderful and hopefully i think i did get it looked at then but i just uh once it disappeared i was like where the hell did that thing go and then never thought about it. Follow-up question.

How long has Kelly got? Six months, six months, six months. I got a thing on me neck here. I got a thing on me neck here. Yeah, a little bump there. A little bump there. And they cut it out all the time. And the doctor said, oh, God, we're going to have to do an autopsy.

And they cut a little bit off. And it always comes out all right. Not an autopsy. Like a biopsy. Biopsy, yeah, oh, God. We're going to have to do an autopsy. And they cut a little bit off. And it always comes out all right. Not an autopsy. Like a biopsy. Biopsy, yeah, yeah, yeah. And they do a biopsy. And they cut it. And they take it again.

And then they go, but if it grows back. And then it grows back. And then they biopsy. It's been there for like eight years. And they keep doing it. So I'm just going to. It's just a party. Moneymaker.

Moneymaker. Let him stay with you. It's either going to kill me or not. My brother had a Clark IV melanoma. That's a bad one. It's a bad one. They caught it just in time before it went into the bone and stuff. Damn.

So, Jim, that puts you at high risk. That puts you at high risk if your brother's had a melanoma. So if you have a direct relative who's had melanoma, your risk of melanoma is much higher. Well, I also i got once got third degree burns from the sun when i was a kid i i fell asleep or whatever and i was all my whole face was blistered and pus was coming out i've never seen anyone get sunburned as bad as what what happened to me and uh they is it true that uh most melan melanomas actually happen from sun damage that you had as a child,

or is it from recent sun damage? So with melanoma, we tend to associate it with a severe sunburn like you're describing. The other skin cancers tend to be more associated with tanning and long-term sun exposure, the basal cell carcinoma, the squamous cell carcinoma. But melanoma is the one that's associated with the severe sunburn. It sounds like you had one. Yeah, I know. I've had many.

But since then, I'm so into protecting myself from the sun. I've never met anyone that wears more sunscreen than you. You're on it. You're always like, we play golf. You're're always like you want sunscreen i i wear sunscreen too but you're like on it yeah no no no because i i got burnt so bad as i was in the hospital with gauze on me and shit man and that was just from the sun like burnt like regular you couldn't recognize me like it was all fucking one of the worst summers i got was in australia australian sunburn will fuck you up now the last time I got a bad sunburn,

I went whitewater rafting in tropical Queensland up near Cairns. Yeah. And I got on the raft, and the whole thing was a three-hour thing. And when I started, I had sunscreen. And then by the end, I was just sitting out in the sun. And the water. And then that last hour just fucking crushed me. And I couldn't move.

I was just laying on my back, just being covered in aloe vera the whole time. Yeah. Aloe vera was a maid that we had working for us. She did many jobs around the house. One of them was covering me when I was sunburned. Different layers of skin called. This is where I don't know if Jim got...

She called me Steve because I never told her my real name. He said there's five layers. The ones he knows of are dermis, epidermis, super dermis, dermatost. And, yeah, he said one of them is a hard skin, loves elements. Number two supports the addict. Can we talk about the different layers of skin, Dr. Cronin? Sure, sure. Sure, he's partially right.

There's epidermis, the derm dermis and then the subcutaneous fat but the epidermis can be divided into five layers so that might be why he was thinking of five layers and they talk about the stratum corneum the stratum lucidum the stratum granulosum the stratum spinosum and the stratum germinum. That's just more dividing of the epidermis. Which one's your favorite out of those? I missed that. Which one's your favorite out of those ones that you mentioned? Do you have a favorite?

Yeah, I think probably the subcutaneous fat. You're a subcutaneous guy. I can't even say that. I can't even say that. I can't even say that. That's crazy. I like how you gave Jim credit, too. He's like, the reason he probably said five is because there's five layers of subcutaneous fat. No, because I know there's always five layers.

There's five layers somewhere. It's either that or a dip being dipped in. It's a seven-layer dip. Not in my ass. And so what are the different roles of those then? Again, as you were saying. So, yes, the epidermis is really to hold the top layer together to protect your skin. It harbors defensive cells like Langerhans cells to fight infection.

The dermis is the strength and elasticity of the skin. And the subcutaneous fat is the fuel reserve, and it acts as a cushion and insulation. Got it. And then sweat glands, like how do those work and how many of those do we have? So I don't know the number of how many billions of sweat glands we have, but they, you know, Jim said that it's to. What did he say he said that it would help the temperature yeah it regulates temperature yeah it regulates temperature so it helps adjust the temperature he was right about that and and uh how does it work well when you're hot obviously you you release this this cooling liquid that lowers the temperature as it evaporates off your skin.

So the evaporation of the sweat off your skin is what's lowering the temperature on your skin when it's hot. And the interesting thing is we have two types of sweat. We have eccrine sweat glands and we have apocrine sweat glands. And the apocrine sweat glands are more so in the genital and armpit area and have some kind of link to pheromones. Why does my sweat smell worse when I'm fearful or ashamed? That's a great question because that's the apocrine sweat usually coming out of your armpits or your genital area. And it does smell differently and it releases these pheromones so maybe you're communicating to people that you're

having some kind of problem i i think that's probably the way to think about it if my if my mother was in so i don't sweat on stage very badly i've never i sweated that badly on tv i like to have a little thing in my armpits i put like a uh a panty line like a period pad in my armpits which other people do it for me i don't do it but that's a common tv they did that on uh the one percent club yeah yeah two of your contestants put the yeah i put the pads and you put your pads underneath for when you do telly right but but i've always been told by people that i don't like my hair and makeup people that i don't sweat too much in comparison other actors don't have to mop me off or anything but if i was on stage and my

mother was in the audience and i could see her my whole body would break out in sweat like my whole body would just like like it's like it was an animal trying to like make people stop touching me or something like, and my whole face and that, and it had a different smell. I would stink and fear sweat or whatever it was, but there was something different going on. So there you go.

I thank you. So some, some people get that treated with botox injections now botox stops you from sweating it kills everything under there yeah oh that's what i need yeah i sweat a lot i sweat like even if it's not hot out i just start sweating are you sweating right now even if i'm in shape no i'm not sweating right now like i'm just sitting still but but um but uh but the uh i mean it's air conditioning but the every girlfriend i've had pretty much has told me that i don't smell though yeah yeah he picks them all for that very

reason who sweats more men or women so i was always taught that horses sweat men perspire, and women glow. Yeah, but what's the real answer? I don't know the answer. I don't know that there's a difference. Yeah, I don't know. I think probably men sweat more than women. I don't know. You very rarely see a woman, I guess in the gym,

they sweat their armpits and down their chest. I think there's a stress thing with women sweating and stuff too. Kelly, you're a woman i and certain medications i sweat more like i found my uh anxiety meds make made me sweat i don't take them anymore and don't have a problem um so so there's a condition called hyperhidrosis where people sweat on their palms when they get nervous oh yeah um and they get real they don't want to shake hands with people because they're so sweaty that's another thing that you can treat with botulinum toxin i know a person like that too and then they wouldn't shake your hand because they were embarrassed and stuff and i always felt bad for them i was like that's gotta suck i've had sweaty palms before like i've played a show but i wasn't i didn't feel nervous but my

hands were just sweaty well see the human body even if you don't feel nervous it still can be nervous okay so i'll tell you some things about me before i go on stage now some of it for years and years for about 10 years maybe 15 years i've been doing comedy for 25 years right 26 27 years right for about 15 years i had to do a shit before a performance my body even if i was feeling calm i had to do years i had to do a before a performance my body even if i was feeling calm i had to do a had to do a had to do a but to this day my dick turtles up small as it can go right before i go on stage i think it thinks we're about to get into a fight and it needs to protect itself certain gigs yeah but the rest of me life it's hanging fine certain gigs yeah but the rest of me life it's hanging fine but like i'll never whip my dick out on stage because it turtles it goes back like we're ready showtime

it's like he knows i don't know if i've ever even thought about it honestly check your dick property seriously check your show tonight i'll your dick property right before you go on stage compare it to like now when you finish the podcast right to right to right before you go on stage

my one goes right like we're going to get punched and my balls tuck up a little bit as well in case someone kicks me that's probably a defence I'm like in ninja mode before I go on stage

and I feel as calm as come I used to not be able to eat before I went on stage but now I could walk on with like a turkey leg just jumping yeah I used to do the same thing eat before I went on stage, but now I could walk on with like a turkey leg. Yeah, I used to do the same thing. I wouldn't eat, but now I just eat. I don't care.

Wrinkles. Why do we get wrinkles? Jim said squinting, sun, UV light, smoking. So he's right. It's the breakdown of the collagen, and it's caused by ultraviolet radiations. It's caused by smoking. A lot of people think it has to do with getting

older but it seems to be more damage from uh ultraviolet light than getting older breakdown of collagen okay right so okay so to all my Australians who who who I love very much uh uh coming to see you Australia always excited to be there but let's tell the truth about Australians right Australians age really harsh after 30 because our son's so harsh yeah and that's the that's the real thing yeah it's like it's like if you don't if you fuck around with that australian son you will age quick i think i think i look slightly younger because i lived in england for so many the the british were noticeably younger looking than australians when i was living in england and that was that was, I would say,

the 10 happiest years of my life were the years that I lived in England. And a few reasons. It was my 20s. And 20s, you have a lot of fun. But I didn't put on sunscreen one fucking day. And I was drunken on cocaine the whole time. Wonderful country.

The best country there is. It's like Disneyland for pale people. Can someone make their skin smoother, Jim said, with fillers and collagen? I don't even know what fillers are. Yeah. I mean, there's certain moisturizers that help rejuvenate the skin, whether alpha hydroxy acids or retin-A, tretinoin-like products. Also, people do Botox injections for wrinkles on their forehead.

And filler is when they inject inert substances into the face to try and give volume, restore volume to the face, and that can get rid of wrinkles as well and make you look younger. But there's an incredible market in trying to make skin look younger. Do you remember when we did the Jim Jefferies show and I used to do that thing where I used to slide under the box next to me and I used to act like that person? And there was a woman who had like, Filler!

I just had some filler! And I've had some filler! That's all I can picture when I hear the word filler now is that impression. Filler. As soon as the doctor said what it was, I was like, oh, filler, okay. That was our trick. Yeah. We used to slide.

You did that for a while, yeah. And then Jason would be like, all right, guess who can do it. Yeah, no one else in the show really liked it to begin with, but the audience used to lose their mind whenever I slid under the desk. Not under the desk. You slid over the shoulder. Yeah, I slid under the shoulder. Because you're not doing anything special in studio.

You just slide over to the right a little bit. So it looks kind of silly. Yeah, but they could see it on screen. The audience would enjoy it. I think this is where Jim lost some points. What is dermatopathology? He said the pathology of the dermatome, the end of the derma. No, this is where he got the points.

Trichology, he's tried it many times. Yeah, what are those? So dermatopathology is the pathology of the skin. It's looking at skin under the microscope and making diagnoses based on what you see and what you can recognize that's why you have a biopsy performed so that dermatopathologists can look at it under the microscope and help in the diagnosis of what's going on and trichology is actually um the study of the hair tricho is uh latin for hair so trichology uh and then there was immunodermatology. I didn't even ask him that because I knew he was going to... Yeah, immunodermatology is all

about looking at the immune system and how it affects the skin. There's a lot of particularly autoimmune and blistering diseases that make up immunodermatology. Things like bullous pemphigoid, pemphigus, and lupus, per se.

Lupus, per se. You have lupus. Yeah. Yeah, I didn't know about that. And are you in your lab? Is that why there's a microscope there right now? You're in your lab? Yeah. I do a Mohs surgery,

which Jim said had to do with a mid-level Mexican restaurant. But that's what I do. That's the next question. What is Mohs surgery? i love the queso there what is the most surgery not the burrito place but so so most surgery is a way to remove skin cancer with the smallest possible wound and the and the surgeon also looks at it under the microscope uh while you're waiting so that we can look at it and find out that the cancer is all out before you uh get stitched up and sent home oh cool now is the does the cancer appear in the

place that got burnt or can you be burnt in your face and then it shows up on your back do you get what i'm saying like because like yes like so it's where the burn is? It can be either. Oh, wow, that sucks. Because I had a bad burn on my face. I've always been conscious of this area just to see if anything comes up. Nothing comes up. But now I know that it can land on me back or something. I'm going to have to go get my bloody mold checked. Well, we recommend a you know

like a full body skin exam and often find skin cancers particularly melanoma on the on the rear end where people don't normally get sunburn but yet they're they show up there i've been getting i've had two moles cut out of the soles of my feet and they're like the doctors as soon as they saw them were like why have you got moles in the sole of your feet? Like a big one. And I had one in both feet and they cut it out and then they had to check it and then both of them turned out to be benign and be nothing. But you can't walk for a few days. It's a real pain in the ass. And then the lady went, do you stand up for a living? And I went oh, haven't I got a funny answer for you.

How often should you... Yeah, having the moles on the soles or the palms of your hand are worrisome. So I can understand why they did a biopsy on it. Right, right, right. What was that? How often should you be getting your skin checked? Because it's definitely been a long time for me. And now you're worrying me because I do think I have a mole on the bottom of my foot.

It's definitely been a long time for me, and now you're worrying me because I do think I have a mole on the bottom of my foot. Well, I think if you have a family history of melanoma, then you really have to see a dermatologist frequently. But if you don't have a history of skin cancer and you don't have anything to worry about, you might want to see a dermatologist once, and then from there, they'll make a decision if you have you know suspicious lesions and frequent skin cancers um a lot of patients see their dermatologist every year every six months depending on how bad their skin is i wear a swim top with the long sleeves but i'm about to upgrade to one because i haven't got a lot of hair on top of my head so it's hard to get the sunscreen in there i'm about to update uh i'm gonna get the hood ones i have one of these i know but now it's just getting to the why am i outside no because you still enjoy yourself yeah i still enjoy myself you just look you look silly but who cares fucking what fucking divine being

would make the thing that gives us life you're talking about a lot in this episode yeah yeah i'm searching for answers uh like like the thing in the sky the sun is the whole reason we have life on this earth right now distance from the sun and the and the way it helps things grow and it wakes you up in the morning anyway right so the sun very useful also will kill you what's the same with food it gives and it takes away yeah but if... Pretty much everything is trying to kill us. Food, you can decide whether you're eating it or not.

So it's like, okay, so my skin... So I did one of those DNA tests. I came back 55% British and like 30% Irish and then the rest was little bits and pieces here and there, right? Now, so I'm not meant to live in other countries, really, am I? I meant to just live in fucking Iceland or something. You need clouds. I just need clouds and little basement pubs, don't I, to exist.

You're evolutionarily advanced for northern climates. And yet you lived in Australia, which is really bad for your skin. Yeah. Yeah, that's the worst so evolutionary wise i should be good at skiing well you're good at making vitamin d in northern snowy cloudy climates oh that's good um another thing to brag about? Acne. Jim said pimples. Volcano buildup of gunk and bacteria into a pore, turning it into a pimple.

Is that what acne is? It's clogged pores. Kind of. Kind of. Your hair follicles become plugged with oil and dead skin cells, and then they get infected with bacteria, particularly, what is it called, propionibacterium acnes, which is a common bacteria. It seems to be very hormonally regulated, so seems to be more of a problem for teenagers, obviously. Yeah.

And what are blackheads? Because I've got them all over me nose. If I squeeze my nose, I get stuff coming out. Bloody pain in the neck, those. What's the point of that? So blackheads are really the first stages of acne. They're blocking of your pores with oil or sebum. And the best thing for that is something like it's called tretinoin cream you can put that on there and that'll get rid of that tretinoin write that down well we have a podcast recorded and then psoriasis jim jim you have that right i do have psoriasis my psoriasis at the moment isn't that bad i'm going through a bit of a doesn't't it hurt your hands or something? It does. I had a very bad time with psoriasis during COVID because of fucking hand sanitizer.

Hand sanitizer felt like you were burning your fucking hands off if it hit the psoriasis bit. It was really unpleasant. And I remember going to a casino for the first time and you sat down at the table and they were like, before you touch the chips, and I was like, oh, psoriasis, thank you. I got my whole family, i'm one of my brothers i get psoriasis in my ear canal that's a fucking that if i haven't killed myself because

of that i'm here forever because that's as irritating a fucking thing as you'll ever have is psoriasis in your ear canal oh my god it drives you mad anyway anyone who's suffering with that i was just gonna see if the doctor i was talking to him about psoriasis psoriasis in your ear canal how bad is that man i think it's a terribly uncomfortable and a problem that your dermatologist can help you with i know i've gotten drops and stuff like that but with the steroid they use to get rid of it they say don't use it too much because then your body becomes reliant on it so i try to be sparingly with that and there are some other there are other creams and things that you can use and other treatments for psoriasis that are available you know jim the thing that i get concerned about with psoriasis is

that it's not just a skin condition it's also associated with some other problems like arthritis cardiovascular problems and even diabetes well that's the thing is so i got it in my hands and then i started getting um psoriatic or rheumatoid one of the two one of the arthritis is in my hands my hands started clinking up. And then the doctor said that the psoriasis was working its way into the joints, which I thought, oh, good, good. I'm glad it hasn't done everything it's going to do in this world. I've got another. I'll show you another thing I got.

Where are these things? These things, these red dots, blood blisters. They're a fucking pain in the ass, those. What do they do? They're little blood blisters. I don't know what the medical term is, but one in 20 people have these fucking things, and it's completely hereditary.

And my mom gave them to me. Fuck it. She pissed in my genetic pool so badly. She's your mom, so it's half, yeah. Do you know these blisters? Is that a skin? It's called cherry angiomas and they are hereditary. They're a pain in the fucking neck. And there's nothing you can do about them? No, no, no. The doctor goes You can get a laser. Yeah, you can get a laser off, but that's

just removing them, right? The doctor said, there's not much you can do. They won't affect you and they will get worse as you get older. And I'm like, oh, good, good, good. Good to know. Get worse, you say? Because you get one on the top of your fucking head, and then you go get your hair cut. You have to go avoid that, because if someone nicks it with a fucking comb.

The only ones that get removed are on the top of my bloody head. The other ones I let live and let live. I have a thing right here where my thumb meets my hand. Bring it into camera. Okay, I just got to tell you so that no one listens to this podcast, we just don't have health

insurance. So I keep looking to talk to you. We just did an episode with a proctologist. Oh God. Yeah, Jim has hemorrhoids. so I keep a good doctor we just did an episode with a proctologist oh god show it to the proctologist yeah Jim has hemorrhoids right here on my hand this right there

it's been itchy but no rash shows up for like two weeks oh that is boo what is that it is funny that Boris is so healthy

because he always has an ailment. Yeah, I got a red bump that makes my head bleed all the time. You go, hands a bit itchy. I don't know. There's no lump or anything, but it's so ishy. And it hasn't gotten any worse, and it's been there for a long time. A couple weeks.

Give me a look at it. I'll tell you what it is. There's nothing there. Let me feel it. Is it contagious? Do you think it's contagious? No. It's not even. It's just normal. There's nothing wrong with it. There's nothing you what it is. There's nothing there. Let me feel it. Is it contagious? Do you think it's contagious? No. It's not even...

It's just normal. There's nothing wrong with it. There's not even leathery or anything. I don't know. There's not even any... If you went into a doctor and went, this bit gets a bit itchy. He would fucking...

He'd roll his eyes like, this can't be... I haven't gone into a doctor, but Dr. Cronin was there. I was like, oh, maybe I was going to... Well, we'd probably ask you what you've been doing

with your hand lately and if it, you know, have you had any exposures to anything that you think might be causing this? I don't think so. I reckon you dicks

the plainest thing on earth. Nah. What was your favorite hole again? Nah. Okay. What are some other common skin conditions? Thumbs up.

Moles, melanomas, vitiligo, vitiligo? Vitiligo. Vitiligo. Vitiligoomas vitiligo vitiligo vitiligo vitiligo yeah and and jim was right that was the uh the condition that michael jackson suffered from and he he actually depigmented himself because of it was so erratic and that's looks strange so he he went to the process of getting rid of all his natural pigment yeah Yeah, so he got rid of it all. But then in interviews, he just lied and said, that's why he did it.

No, that's the reason he went pale. I have sympathy for him because everyone called him a freak and that he wants to be white. He didn't want to be white. A lot of people, it starts in the back of their hand, and that's where the glove came in. It was all big blotches, and so he had the one glove on was his first thing because it starts

on the back here and then it goes up you know on black people it's very obvious yeah yeah and uh and so he bleached out but then instead of just going i got vitiligo i didn't like the way i looked so i bleached everything so it looked the same color he went no i just this is what happens with vitiligo and like i remember when my dad had it, and I was like, no, it's bullshit. If you just own up to it. But he always sort of fluffed around his answers. Yeah. About everything.

Let's make two cents on that. I don't know if you were saying something about him, Doctor. I'll keep my opinion to myself. All right. Yeah, I'm with you. What are the best ways to protect your skin? Staying indoors? Sunscreen? Even better, wear a full UVF outfit.

That was great. Actually, Jim, I need you to do that as a PSA for us. That's exactly right. Oh, there you go. Yeah. But the vitamin D, you still need vitamin D, right? You get vitamin D. Okay, you might correct me, but I'll give my answer first. You get all the vitamin D you need within about five minutes of sun exposure a day. It doesn't take much.

Am I correct? It doesn't take much exposure and you don't have to expose much of your skin to get vitamin D. And if you need vitamin D, there's other ways to get it rather than getting it from the sun. You can get it from fortified milk or orange juice, or you can even have supplements. Okay. Okay, before I get to the

dinner party facts, I just wanted to ask you, and if you don't want me to say this, we can cut this out, but do you write books, too? This is you, because I was looking up stuff. I do. I do, yeah. I write a detective novel series about a dermatologist who solves do. Yeah, I write a detective novel series about a dermatologist who solves mysteries. Yeah, it says The Skinvestigator.

That's what... Yeah. Yeah, at some stage, the character go like this, I think we have a mole. Ooh. You can have that one for free. Yeah, there you go.

I don't know if that's your phone. One of the books is called What's It All? No? This one's called Sunburn. The Skin Investigator, Sunburn. It's a three-part series. And whenever he investigates, is it always skin-related, or does he do other crimes?

Well, it's all about murder and murder mysteries, but it has something to do with the skin. Otherwise, it wouldn't be very authentic. Yeah, yeah. So he solves with the skin. Got it. That's cool. All right.

So this is part of our show called Dinner Party Facts. We ask our expert to give us a fact, something obscure, interesting about the subject that they can use to impress people. What do you got for us? So I wanted to tell you about a condition called porphyria, particularly porphyria cutanea tarda, which is a skin condition where you have a problem with the breakdown of your hemoglobin in your liver. And you get these intermediate particles called porphyrins that build up in your skin. And it makes you sun sensitive and you get blisters and your skin retracts from your mouth and you actually get hair growth like a hair growth on your forehead and it's thought that this condition may have been the idea of where vampires came from because um if they went outside in the in the sunshine

they get blisters their skin will blister and they have to avoid daylight. And, and then the retraction of their lips around their teeth made their look like they had fangs and their hair kind of gave them that kind of Eddie Munster Widow's Peak kind of look. And so there's, there's many people think that our idea of what vampires suffer from is based on this disease. The interesting thing about this disease is it's caused by damage to your liver, and it can be from hepatitis or over-drinking. All right.

What's that one called again? Porphyria? Porphyria. Porphyria. Porphyria. The vampire. Well, very good. Thank you so much for being here, Dr. Terry Cronin.

Again, you can follow him on Instagram, at passionfordermatology. And also, please make sure to go to the American Academy of Dermatology's website at aad.org. And also books. He's got a book, The Skin Investigator. You can buy one of his novels as well. Thank you for being here. Thank you for being on the podcast, Doctor. We really appreciate it.

Thank you, guys. It was a real honor. All right. Ladies and gentlemen, if you're ever at a party and someone comes up to me and goes, do you think this mole's okay? You go, I don't know about that. And they walk away. Good night, Australia.