Sawbones: A Marital Tour of Misguided Medicine - Weird Medical Questions Strike Back

Episode Date: September 22, 2021

Is there evidence that sugary drinks cause worse hangovers? Does green snot mean there’s an infection? We’re answering more of your weird medical questions. Well, to be fair, Dr. Sydnee is answering your medical queries about sticky lip germs, C.diff, and the hot debate about that thing on your back.

Sawbones is a show about medical history, and nothing the hosts say should be taken as medical advice or opinion. It's for fun. Can't you just have fun for an hour and not try to diagnose your mystery boil? We think you've earned it. Just sit back, relax, and enjoy a moment of distraction from that weird growth. You're worth it. that weird growth. You're worth it. Alright, talk is about books. One, two, one, of misguided medicine. for the mouth. Hello everybody and welcome to Sobhones, a marital tear of misguided medicine.

I'm your co-host Justin McElroy. And I'm Sydney McElroy. I don't know why my introduction had the Doppler effect. That's a new one for me. Oh, I think it was like rising action. I guess it, yeah. Just trying some different stuff.

Just trying to keep it fresh. Trying to keep it fresh, but although it's funny that we would try to keep it fresh with this because this is one of my favorite tried and true solbons, standards, the question and answer episode. Well, but it's a way that I think our listeners keep our program fresh with their questions, with their fresh hot questions,

straight from the brain of it. The brain of it. Interesting. I don't know. I don't know. I don't know. I don't know. I don't know.

Sorry about that. That wasn't some of my best work. No, but you will do your best right now. I feel it in my body. I will try very hard. Yeah. You send us your questions about medicine. As always, these are not,

this is not any sort of medical advice that I'm about to offer you. It is just some fun, science-y facts. If you actually have a question about your human body and you have concerns about your own health and safety, please go ask your own healthcare provider and not me, a podcaster. Who is a doctor? Yes. But in this context, a podcaster. Who is a doctor? Yes. But in this context, the podcaster.

Yeah. Here's our first question. Does wearing lip gloss or chapstick make me catch more germs? So before you laugh, when you drop a piece of toast, butter side down, it will, they actually say jam side down, but I think this is for musical. Oh, okay.

It's ingrained butterside anyway. It will pick up visibly more gross stuff than if you dropped a dry side down. Is it the same for my lips? If they're wet, we'll more germ stick to them. Thanks. Love the show, Aaron. You know, so I when I first saw this question, I thought probably not, but then that's not a great answer in science. Probably not. That's never what you want to hear. I couldn't find any studies that actually tested this exact question.

Like, you know, I mean, what you need to do right to set this up properly is have a group of people who are wearing chapstick regularly. And you'd have to like standardize it. What kind of chapstick, how much they're applying, how often they're reapplying, all that kind of stuff. And a group of people who never wear lip gloss or chapstick ever, and you have to, then like chart illnesses or maybe like culture their lips periodically and like grow on a petriot. You know what I mean?

You'd have to come up with some way to figure this out. And it doesn't seem like someone has done that particular study. But if you are interested, that would be cool. What I did find looking into this is a good reminder, I think generally, that any sort of like makeup type product, chapstick lipstick, or anything that you're going to apply to your face regularly, you do want to one, make sure that you're going to apply to your face regularly. You do want to

one, make sure that you're keeping it clean, storing it properly, handling it properly, and two, not sharing, especially right now. I found that a lot of articles reminding people like don't share chapstick, which I guess I hadn't really considered because I mean, pandemic. Yeah. Don't share food and drink. Don't. Yeah, but yeah, that is definitely a higher risk, I think, for catching germs, sharing that sort of products.

I think, okay, listen, I'm just going to put it out there. I think that if it will stick to the chapstick, thereby prohibiting you from sharing the With other people it's Sanzarisen that it would stick to the chapstick reading lips. Well, I think what I did find is that if you're reusing these products and not Storing them well like keeping them with lids off or caps off for that kind of thing Obviously they're open to contamination and they could get germs on them which you are then are applying to your face Which is why it is recommended that not only do you store these types of things the right way, but you routinely get fresh products and not like me by some drug store makeup when you're in high school

and just assume you can keep it for the next two decades until your siblings throw it away in horror. So I don't know if that's helpful. Yeah. Next up, this question, my question, a few years ago, I was diagnosed with shingles and it was located in one of my eyes. It was a really unpleasant experience. And I have, wow, I said that so bad. It was a really unpleasant experience

and I have some residual nerve pain that will occasionally flare up. I know that you can get shingles again, but I'd like to know if once you get it, would a second case happen in the same location or could it be somewhere else on your body? Also, maybe too many questions, but I was in my 30s when I got it

and many friends tell me you're too young to have shingles. I also heard from several people in my age that say they also had shingles. Some of whom were very young. Is it a myth that shingles more commonly affects you as you get older or something that's getting more common for people to have a younger age? Thank you, Bonnie. So, the first part of the question, you can have shingles again, like once you've had shingles one time, the virus, it's the same virus as the chickenpox virus, it just lays dormant, and then the disease presentation is different. Does that make sense? Same virus, but what you get

is different. Shingles can definitely come out again. It usually happens in a different location though. So if that is of some comfort, it is less common that it would continually recur in the same place. It is more common that it will just pop up in another what we call dermatome or like nerve distribution. The area of a nerve. They're very specific patterns.

It's why you know for instance, shingles never crosses the midline. That's something that... Generally speaking, because your nerves don't, like they start in your spine and wrap around your body in certain patterns and then they stop right at the midline. So generally speaking, if it crosses the midline, it can never be shingles.

Obviously, they're a weird exception. Well, no, I mean, it's something else. It becomes something new. Then it's something different. No, but a different route. It becomes something new. Then it's something different. No, but then the second question in terms of age distribution, obviously, yes, as you have demonstrated, young people can get shingles, but it is much more common as we get older,

especially in the over 85 group shingles can be incredibly common. So it is definitely something that is more common in older people, but yeah, it definitely happens in young adults as well. Our next question, they don't stop Sydney. Our listeners curiosity will not be slaked. Do people still say that? Say that's like, like, thirds is slaked. You do. Hi Justin and Sydney. You may have already talked about this in the past episode. I missed,

but my wellness friends are always talking about adaptogens. What even are adaptogens? Are they definitely just a made up term to sell health foods? Thanks, Danica. So I wonder about this too, because there is a cereal brand that I enjoy. It is like an Indy cereal brand

and they advertise their adaptogens. So, what's up with adaptogens? I drank a product today that I did not bring into the house that had adaptogens on the label. You don't need to act all brassy about it. You did consume it with your human body. It was needed. It had another ingredient called caffeine. That is not an adaptogen.

That was not an adaptogen. That was not an adaptogen. I know exactly what it does. I know all the risks and benefits that I did put it in my human body again. But the adaptogen, so first of all, this word comes from 1947, a Russian Soviet scientist, Invi Lazarev. Dr. Lazarev, did some various experiments in the area of toxicology and made some breakthroughs and things, but also coined the term, Adaptagents,

and basically kind of theorize that there are substances that you can put into your body that will increase your resistance to stress. Like any sort of, and stress being anything that kind of upsets the homeostasis, the balance of your body, whether that be physical, emotional, medical, any kind of stress. I do mean that these will help you adapt to your stress.

To that stress and maintain that homeostasis inside your body. And this, like, his initial work was sort of like theoretical and like there were a couple of substances, like a specific kind of root that he focused on initially, like that might do this. But generally speaking, it wasn't, it was some of his protege, some of the people

who followed in his footsteps who carried on this work and really got us to where we understand adaptogens today. The problem with all of this is that no one has ever really proven that these things exist or how they work. It exists. Well, I mean, I think it's all based on any usage of them is based on anecdotal, just people using it, like, folky use, basically.

People, they all fall into the class of alternative medicines, supplements, herbal medicines. Nothing that, because there's nothing that we have been able to do in a lab that shows exactly, like, what do you mean it helps your body adapt to stress? What does that mean? We don't know. There is no. Like, how does it function?

There's no evidence for any of that. There are decades of people using, because the herbs that they're using, by the way, I should say that even though this term, adaptogen, and this concept of adaptogen is from the 40s, the herbs that they claim to be adaptogens are from traditional Chinese medicine, you know, are from Ayurvedic medicine, are from ancient medical traditions that have been using these herbs for a very long time. And so you have lots of this sort of like,

it's what we would call like folk use. Like we know people use it. We know they claim these benefits. We don't have studies. We have no idea why they would do these things. But people say ashwagandhas and adaptogen and they like it. So they use it. And it's not a medicine. It's a supplement. Got it. But that's like in terms of what they're supposed to do or what they are. I don't think we have no hard science that says any of that is real. So the jury's out on that one.

No, I would say that at this point, nobody's done a study that proves to me that an adaptogen is real and can do what they say it can do. So you're on the fence? No. So you're kind of in that design. I mean, the product. I'm trying to be so vague.

The product that I consumed was fine, but it had the caffeine, and that's what I was looking for. It did the job. So thank you, caffeine. Still a stunner. After all these years, still getting the job done. No studies, no more studies needed on caffeine.

It's all good. By the way, I should always know with these sorts of herbal things, some of them can definitely interact with your medications that you might already be on. If you are on one, some of them can cause problems for people with various underlying illnesses or chronic diseases. So it, if you're going on with that big of things, folks, I would never recommend starting any of these things like in instead of seeking, you know, traditional medicine or, or without the consent and advice in opinion and whatever of your medical professional.

Spoken like a true albath. Hi, I know of, I agree with Sydney's version to, um, scatological topics, but how are C-Diff spores so resistant to most sanitation efforts, sanitization efforts? What makes C-Diff spores, so resistant to most sanitation efforts, sanitization efforts? What makes C-Diff, I'm a professional talker. What makes C-Diff one of the most difficult diseases to clean up in hospitals and such? So, C-Diff, do you know what that stands for? C-Diffrance.

No, clostridium difficile. Clostridium difficile? No, and you had a little accent there. So this is an infection that you can get. And basically, it's an overgrowth of a bacteria that can exist in your colon. But then when other bacteria that keep it in balance get wiped out, usually by antibiotics, then it can grow like wild and then you get terrible diarrhea. It can make you very sick.

It's a big deal. It's a big deal infection. It can make people very sick. It can unfortunately be fatal. The thing about clostridium difficile is it's a spore forming organism, and it is very difficult to kill these spores, with like alcohol-based hand sanitizer So one thing that you have to do in the hospital when you're caring for someone who has c-diff is actually wash your hands with soap and water every time you've

Taking care of them as opposed to using the hand sanitizer Because you are interestingly you're physically removing the spores from your hands if they're on there with the soap and water. Does that make sense? Like, you're not killing them. You're washing them off. Quite literally washing them off. Not because of the spore, just because of the characteristics and trends to the organism. It's also really hard to kill with antibiotics. There are very few antibiotics that treat C-diff infections. And even the ones that like,

even since I've started practicing the first line drug of choice that we used to use is no longer the first line drug because of so much resistance to it. Even in just the time I've been practicing, we're actually finding more and more that maybe when someone has this infection, instead of trying to kill the C-diff

with an antibiotic to treat the infection, we should put back in them the good bacteria that will basically out-compete the C-diff. So repopulate their colon with the bacteria they need via fecal transplant. Yes, now we're talking about that. We've talked about them this show before, but we're talking about again. Which is like one of the few things I think we can we all know from this show and from the last couple of years that one of the few things I feel good about like my prognostication is I have been like screaming for fecal transplants in our hospital for so long and I was right and they work better than antibiotics in this one case.

But that's the story with C-Diff. Wash your hands with soap and water. Pedal transplant rule. Yeah, sharing, sharing, like everybody, right? It's taking stool from someone else and putting it. We did a whole thing on this, unlike the brachial chart. I got a dookie loan. Yeah.

Well, I mean, it's not a loan. Like, you don't want it back. A dookie donation. Yeah, exactly, exactly. You don't want it back. Ha, ha, ha. We're going to take a quick break. I have more questions for you, Sydney.

I will not be stopped, but we are going to take a break right now. And head to the bailing department. Let's go. Madison, Madison, that escalates my car before the mouth. right now. And head to the bailing department. Let's go. Let's go. Let's go. Let's go. Let's go. Let's go.

Let's go. Let's go. Let's go. Let's go. Let's go. Let's go. Congratulations. You won a ticket to attend an exclusive opportunity in a relaxing environment with two lovers.

Wow. Well, this sounds like a sort of proposition of sorts, but really it's an ad for our podcast. Wonderful. It's a show we do here on Maximum Fun, where we talk about things that we like and things that we're into. I'm Rachel McElroy, and you just heard Griffa McElroy, and we are excited for you to join us as we talk about movies and music and books. Things like sneezing, or the idea of rain Can you get news or information you can use? You cannot because we're here to talk to you about pump or nickel bread and you can find new episodes on Wednesdays So catch catch the wave Should I get my third covid shot that's a question from a listener?

Not for me. I've already had a bunch of the things way more than three. Well, no. Like, I'm all for vaccines, says question, ask her. But I feel bad taking a third one when there are people all over the world who are desperate for their first one. So, okay, I think that this is a good, a good moment to talk a little bit about I think that this is a good moment to talk a little bit about an additional COVID vaccine versus a booster. I have no idea that there is a difference. I'm shocked. There is a difference because a lot of people keep talking about their boosters and what

what the CDC is already recommending, the thing that is already happening, the CDC put out these guidelines and this is what has been recommended, is that people who are moderately to severely immunocompromised need a third dose of the vaccine. And so it's not a booster, it's a third dose. They got dose one, they got dose two, now they need dose three. Whereas because I am not moderately to severely immunocompromised, I got dose one, I got dose two, I don't need dose three, whereas because I am not moderately to severely immunocompromised, I got dose one, I got dose two, I don't need dose three. The difference is that a third dose is aimed at someone whose body may not have produced the predicted response to the vaccine.

Does that make sense? When we give you the vaccine, we expect your body to make this big immunocompromised, right? Well, for people with immunocompromised, we know they might not. And so this is an extra dose to make that happen. A booster is for someone whose body did produce the expected immunospaunt, but we feel it has waned over time. We have evidence that over time that has begun to decrease and we want to boost it back up up like a tetanus booster. You get your T-dap 10 years later or if you have a baby, we tell you to get another one because your immune response has waned over time. There are many vaccines like that. The only people

who are receiving a third dose right now are PN. You can look this up. I won't read the whole list, but on the CDC website CDC.gov, you can look up up. I won't read the whole list, but on the CDC website, CDC.gov, you can look up who needs an additional COVID-19 vaccine, not a booster, an additional vaccine. And there's a list of very specific people, like people who are receiving cancer treatment, people with advanced or untreated HIV infection, people with high-to-corticosteroids,

like there are others, but you can look up that specific list. The pharmacy, if you go to a pharmacy to get your additional vaccine, if you think you qualify, they will have the list there for you to look over. You have to check one of those boxes to receive a dose or the health department or wherever you can talk to your health care providers. These are the only people who should be getting a third dose right now. Now the Department of Health and Human Services, the HHS, introduced a plan to give a booster vaccine to everyone who is eight months out.

They have not started implementing said plan, but that was the big buzz, right? We all heard that after you're eight months out, you need a booster. That has not been implemented yet. So what, but what if you are eight months out, you need a booster. That has not been implemented yet. So what, but what if you are eight months out? That we have not started. You're not even a mess of fear for your shot. I think what we have is the HHS saying that we need to do this and the FDA and the CDC and the World Health Organization and a lot of other groups

are saying, hold up, hold up, hold up. So I think we have a little bit of dissonance between various organizations. So currently they're not giving boosters. They are saying that they will start giving, and I mean, I think it was supposed to happen like this week. That is what they initially proposed.

As early as this week, they will start giving boosters to people who are eight months out. And even then, there was supposed to be some sort of like system of who gets it first. Like, because I've heard all of this about like, well, high risk people or older people, or should it be healthcare workers, or I think there's still a lot of question in about that. Because the other issue to all this is the big question we keep asking, if we know that two doses of the mRNA vaccines and to further that point, one dose of the J and J are still extremely effective

at preventing severe illness, hospitalization, and death from COVID-19. Why are we giving booster doses to people who already are pretty well protected instead of sending all those vaccines to all the places in the world where people haven't gotten one or two doses? Does that? Because by extending vaccines to as many people as possible globally, we will decrease the rate of new variants being created and it benefits all humankind.

So there's this whole... Well, I have a better read about your rate want to flush the main on the 3. There's a there's a lot of that I think that medical ethics is really being strained here because there's a lot of that debate but then at the same time the US is not they're not going to send all these vaccines anywhere else they're just going to be here and so then you have people

going well if it's going to be there anyway like I'd rather them send it somewhere else but if they're not going to why wouldn't And so then you have people going, well, if it's going to be there anyway, like I'd rather them send it somewhere else, but if they're not going to, why would not just go get it? I know. I know. But right now, if you, if you think you need an additional COVID-19 vaccine because you are moderately to severely immunocompromised, please go inquire and seek that out. Currently, we're not giving booster vaccines. But if you are eight months out, pay attention because they might announce that soon They should just put you in charge of all that stuff said

Well, there's a lot of health equity issues that aren't being answered Justin Well, yeah, but if you're in charge, I feel like reasonably sure that I'd be covered at least you know what I mean Which is kind of everyone's top priority When I got my HPV vaccine very shortly after it was approved, my doctor did the first two shots in my butt. I has capitalized, B U T T, I'll not just capitalize, full, full, full, I like that, butt.

But in the third of my arm, when and how do doctors make decisions about where shots should go? Was my doctor just nuts or a particularly vindictive? That's from I. So I'm not entirely certain why you got two, two shots. First two shots.

Two in the butt one in the arm. Just say it. Two in the butt one. I'm not to say that. I'm not entirely through with that what that thought process was there was nothing wrong with it. Let me say that like nothing that no harm has been done.

That really the only decision you have to make when you're giving a fact and it's not a decision you have to make. We know that different medications, vaccines, drugs, anything that we are injecting with a needle into the body, it goes a different route. And we've talked about this a little bit before,

but some are intramuscular, so they go in a muscle, some are subcutaneous, they go, you know, in the subcutaneous levels of the skin, some are intradermal, like if you've gotten a PPD, the TB test, and they make that little bubble right under your skin, it's very surface. And then you have things that go intravenous, right, on IV, they actually have to find a vein to inject it. The important thing is that you're putting the medication where it belongs in terms of those choices.

Which muscle you choose, and this is what we're talking about here, like vaccines are typically I am intramuscular injections. Which muscle is not terribly important? The one on your arm, obviously, your deltoid, that's where we usually pick because it's easily accessible. For most people, it's large enough that you can comfortably receive a vaccine there. For children, we often will give it in the thigh. And that's really just because it's a bigger muscle at that age. Kids' arms are typically very small. Once they get larger, it's easier to give them a shot in the arm, and so we can do the shot in the arm. But it's really just about accessibility and muscle size and there's really not much more to it in that case. I mean, there's nothing wrong with doing the gluteal shots. But I'd say, I'd say usually we just go with the arm because like it's right there.

So there you have it. But they're both fine. Your vaccines worked. And thank you for getting your HPV vaccines. Another vaccine that not enough that there's a lot of misinformation about, and not enough people realize how incredibly beneficial it is to mankind, humankind, all kind. I will get it tomorrow. Everyone tells me it's sugary drinks that give the worst hangovers. I wanted to know if there is any evidence to back that up since it just sounds like anecdote to me, Anton. This was interesting because I'd always heard that too and I assumed that it was true.

There's no evidence for this. Really? No evidence that the sugar is the problem. The argument has been made that because your liver has to process both the sugar and the alcohol that like basically you're to process both the sugar and the alcohol that like basically you're taxing it even more and that's why the hangover is worse. This isn't true, your liver's really good at processing sugar and it would not overtax your liver to process sugar at the same time as alcohol.

If you're noticing this effect, it may be because I don't know, a lot of sugar just kind of makes me feel nauseous. So maybe that. It may just be that sugary drinks taste really good and sometimes disguise the flavor of alcohol so well that you drink more. Drink more. That's very possible. Or drink faster than you intend to, but the sugar itself should not affect your hangover.

It's all about the congeners. All about the congeners. The extra products of fermentation that happen when you're making whatever you're making wine, beer, liquor, whatever it is, the more congeners, the more extra stuff in there. Try, you should just stick with vodka, folks. That's what I keep saying. That is theoretically why vodka would produce less of a hangover. You know what I was saying?

Or any sort of clear. It also feels like you're drinking like not, like you should be covered on hydration, right? Because it feels like you're drinking something that's like, oh, this is kind of like a drink, like the regular. Like something frozen, especially a frozen sugary drink. I don't need any water. No, but the congeners are the problem. And then that also is why well liquor is no more likely to cause a hangover than the fancy stuff.

Things are ban color congeners. It's a good name. It's a good name. I done a lot of blood platelets and WBCs to the American Red Cross flex. They said that not me, but I would have said it had they not. Years ago, they told me my platelets are very valuable

because my blood type and the fact that I have what's known as baby's blood, a crime in many states. The possession of baby's blood, it means I'm CMV. They said roughly. Negative. CMV negative, sorry. They said roughly negative. CMV negative. CMV negative, sorry. They said that roughly half the population has this disease slash condition, but I don't wear of it.

What are some other diseases and illnesses that many people have, but aren't aware of? Sorry to people with anxiety. So okay. I don't want to start listing because as you because as you very politely mentioned, I don't want to start listing a bunch of diseases like, hey, here's some, there are many genetic conditions and things sort of like, I mean, I think the popularity of things like 23 and me has really brought this to the forefront. What, right?

Like, you can figure out that you're predisposed to a number of things if you want to. Yeah. And some of that information might be helpful for lifestyle changes and others might just stress you out, because there's not much you can do about that. But I do think this point is really interesting about blood products and CMV. So CMV or cytomeglo virus is an incredibly common viral infection. It's

most similar to, have you heard of mono-EBV, Epstein-Barr virus? Okay, it's very similar to that. It's not the same virus, obviously, but it's in that same sort of, you know, kind of world of viruses. The thing about CMV is many people get it and don't ever know they had it. And in fact, by the time we're 40, 85% of people have CMV, have had CMV. Now here's the thing. For the most part, having CMV and then now you've recovered from it and us finding the antibodies in your blood is not a big deal when it comes to donating blood Right because for most people There's nothing dangerous about that

But for specific people to receive blood we have to be very careful about what sorts of infections and things they might have what they might have antibodies for so for babies Babies blood it is important that you have a donor who has not had CMV. And those are difficult to find. So when you find a donor who has not had CMV, that's a very precious donor that you have located. In addition, if you are onegative and you've never had CMV, you're just like, I mean, like all the red crosses are going to want to get at you.

They're all trading your number around like, hey, hey, hey, give me some of that sweet baby's blood. So that is why that is such an important thing. It's not just babies. There are other people who have to, because of their, again, immunocompromising things like that, you have to be very particular about what kind of blood donation they receive. But that makes that blood extremely precious that you can donate. Good reminder, if you're able to, and if it's safe for you, whatever to donate, it's been hard to come by from what I've been reading. Absolutely, it's really important to.

And the thing is, just to sort of answer the question, there are lots of viruses that we get in our lives and clear, and we could find evidence of later on, but don't necessarily impact us long term. And that is what this is in this case. So donate blood if you can. Okay. A couple more quickies. Why does discharge snot turn a bright green color when you have a sinus infection? So I wanted to include this question because I think it's important to know that just because your snot is green or yellow doesn't mean you have an infection and just because your snot isn't green or yellow doesn't mean you don't have an infection. That may either be a lot of negatives in there.

Snot color is largely related to how concentrated it is. So the thicker it is, the less hydrated you are, the darker it tends to be. Now, that being said, certainly, if there are bacteria present, they can change the color of snot. So green snot usually means something is up, and it might not be a bacteria

might just be a virus, you know, which in the year 2021, I can't believe I said just a virus. But it might be a virus. It doesn't necessarily mean you need antibiotics. Got it. But also if there's a lot of white blood cells, then it could look like pus, purulent is what we would say. So like a wider, creamier discharge and not necessarily green. And that could still mean infection. Generally speaking, it's related to how concentrated the snot is unless what's in there. But certainly if your snot is changing color, you should ask somebody about it. Because you could have a sinus impact. I would suggest Sydney, that is who I would ask. I have this bump on my back, it doesn't hurt and doesn't seem to do anything except what

would you want to just do? It does predict the wet rain, if I can feel it swelling. Except once a while, if I squeeze it, white stuff comes out. It's roughly the consistency of old, I actually can't do this one. Okay, so this person has a thing. I don't want to read directly. It's roughly the consistency of old, almost dry toothpaste and smells bad.

What the heck is this stuff? I'm done. I'm done. I'm done. I love gross stuff. I know much. We did. I can't resell it here. It's 2013. I can't. I can't. This don't much. I can't sell a year's 2013. I can't sell it. This is too much. I just

included it because I love gross stuff. I hope. You're so like you're so married. No, but you don't like it. Right. Like there's a way and you talk about it a very clinical way. You act all like, just love gross stuff. Except for the things that you find gross. I don't like it. No, okay. This is not you find gross. Who doesn't bother me? This is not a very problem. Who doesn't bother me? I don't like to talk about my own bodily functions, and not everyone around me has that same sort of stance. I don't want to discuss what I am or am not doing, and in what I'm free.

Or have ever done. Or have ever done. Anyway, I hope, dear listener, I hope you know I cannot diagnose the bump on your back from an email, but... Do we have a little... If it does get out of it? A moment of distraction from that weird growth, right? If it does concern you, please get it checked out.

But I did think it was, I like gross stuff one and not that you're gross. Just the consistency of almost dry toothpaste is kind of a gross description. But my thought is this is probably some kind of cyst, probably an epidermoid or subacius cyst. And a lot of people assume that the stuff that can come out of your body, like there's pus, right? You got an infection, white creamy pus stuff comes out. You've got a cyst that maybe has just fluid. Like people have usually seen like just like something that's just clear fluid, serious fluid, we would call it or serious anguines if there's blood in there. There's also, you can also get keratin that's in your skin, nails, hair, keratin can build up and get stuck inside underneath,

like in your skin and not be able to come out like it's supposed to. Like the subrenal horns are made out of, right? Yeah, and form the cysts where you've got like a plug of this keratin material underneath it. And it won't look like, like it might be white, like you said. But you look at it and you think, well, that doesn't look like pus. Like I'm used to, I know what pus is supposed to look like.

This doesn't look like pus, what in the world is this stuff? And it's probably a build up of this keratin material and there can be some proaceous stuff in there too, but it can be like thicker or waxier or white, not necessarily creamy. There might be infection there too, which you usually know because like it hurts, it's red, it's hot, and then pus comes out. If this is something that bothers you, you should certainly get like a medical professional to check it out because usually when it comes to these cysts, they're If this is something that bothers you, you should certainly get a medical professional to check it out because usually when it comes to these cysts,

they're not as easy as squeezing and popping, which is just too bad because that would be great. I love squeezing and popping things. Usually you have to, well always, if you wanna get rid of it, you have to remove the whole cyst, like the whole body of the cyst. And you know what this is all about because you had one in your head.

Yeah. You had one removed from your head. You have to talk about that right this second, but sure. Yeah. It was like a little water balloon. Okay. That was, but full of this keratin, like, you know, white. So what's Sydney saying is they would doctor it? Yeah. If it's, I mean, if it's just there and it's not bothering, I would not, now I will say this, I wouldn't continue to squeeze and pick at it because our hands are dirty, not just yours mine too, all of our hands are dirty, especially under our nails. If we start picking and squeezing it, things were very likely to introduce bacteria even

if they weren't there already. If it's bothering you, have a doctor check it out. If it's changing, have a doctor check it out, don't pick at it. Thank you so much for listening to our podcast. It's called Soul Bones. Hey, if you wanna see us in a live virtual setting, bit.ly-4thslash-mb-mb-am-virtual. It's gonna be Friday at 9 p.m. this Friday, September 24th at 9 p.m.

Tickets are $10. Should be able to watch it on VOD for like two weeks after that, I believe. But that address again, bit.ly-4thslth-mb-mb-am-virtual. We're gonna try to do some in-person live shows this year, but it didn't pan out because the ongoing on buzziness. So if you wanna support us, then that is a great way of doing it

and have some fun too. There will also be in my brother and my brother and my live show, but who cares? Thanks to taxpayers for using this on medicines, this is the intro and outro for a program. And thanks to you for listening. We sure appreciate it. That's gonna do it for us until next time.

My name is Justin McAroy. I'm Sydney McAroy. And as always, don't do a whole in your head. Alright! Maximumfun.org Comedy and Culture Artist-Oant? Audience-supported you