Stuff You Should Know - Short Stuff: Fainting At The Sight Of Blood
Episode Date: May 11, 2022As many as 15% of people faint when they see blood! And it’s not just blood that gets them. It can be an injury or even a needle. Learn about this fascinating phobia in this episode.See omnystud...io.com/listener for privacy information.
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Hey, I'm Lance Bass, host of the new iHeart podcast Frosted Tips with Lance Bass.
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Hey, and welcome to the short stuff. I'm Josh and there's Chuck and here's Jerry.
And if you faint at the sight of blood or even discussions about it, you should probably stop
listening now. That's right, because it is a thing. It doesn't bother me. I don't love the
sight of blood, but I'm not too easily grossed out. I can watch a surgery on TV and I'm fine.
I like writhing naked in blood. That's how much I love blood.
Oh, good Lord. Covering my entire gigantic body.
So anyway, because I can do that, I clearly don't have Chuck,
a particular phobia about feigning at the sight of blood. And that's really what the
whole thing is coming down to as we'll see. But feigning itself in this particular kind of fainting,
and this is the thing, like people actually do this. It's not like some movie or TV trope.
Right. How about it is that as well?
Yes. But when you faint at the sight of blood, there's a specific physiological faint that's
going on. There's different kinds of feigning. And this one in particular is what's called
the vasovagal syncope. And vaso refers to your blood vessels. Vagal refers to the vagus nerve,
which played a huge starring role in our episode on what happens in the brain during an orgasm.
That's right. The reason the vagus nerve gets a shout out in this name for this type of feigning
is because it plays a role in controlling the speed and rhythm of your heart.
And then syncope is just another word for fainting, for loss of consciousness.
That's right. We know some things and don't know other things. We know that it is a legit phobia.
It's about three to 15% of people have this, where they faint at the sight of blood. And we also know
that it's not just the sight of blood. It can be an injury that you witness, even like I think
you pointed out here, like someone's slamming their hand in a car, or it can be needle centric.
Like if someone's coming at you to give you a shot, you can pass out. So the technical name
for the phobia is BII, blood injury injection phobia. Right. And it is a phobia because there's
no real danger or anything to truly be feared from a hypodermic needle or something like that.
Even though there is plenty of danger from it, it's still considered an irrational fear.
You know what I'm saying? Sure. You're not in a horror movie and they're not going to put it in your eyeball.
Right. And so with phobias, BII is actually a peculiar type because with vasovagal syncope,
you're fainting because your heart has slowed down enough that your blood pressure drops,
which robs your brain of the very important blood it needs to function correctly and you lose
consciousness until your heart regains a normal rhythm again, which it does on its own. And that
means that BII is its own kind of phobia because with most phobias, that's not how this goes down
at all. No. With most phobias, you're going to like have a spike in your heart rate initially,
and then that'll probably lead to like a fight or flight type of thing. It'll really ramp everything
up. And with BII, you do have that initial very brief spike in your heart rate, but then it just
goes, and everything slows down and you hit the bricks basically. Yeah. So that makes it very
strange. As far as they know, there's no other phobia that produces this effect except for the
blood injury injection phobia. But after digging a little deeper into this kind of odd malady,
frankly, they found that not only is there a fear component like in other phobias,
there's also a disgust component, and that people who have blood injury injection phobia
are experiencing levels of disgust that are even higher than their levels of fear.
So it's just a really strange phobia all around, and it does seem to be its own type.
Yeah. And it does. It's not funny, but it does make for funny moments in movies and TV shows
when someone comes running into a room and sees something awful, and they go, oh my god, and
that's the initial spike. And then, because it does kind of follow it scientifically, and then
they just go, oh, and hit the deck. And it is a trope for a reason, but it is interesting in that
like, scientifically, that's kind of exactly what happens. Right. So you want to take a break and
then come back and talk more about BII phobias? Hey, I'm Lance Bass, host of the new iHeart podcast,
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Okay, so one explanation for blood injury injection phobias is that it's a gene. It comes
from some gene or mutation that's passed down. We don't know very much about it. But if you consider
that it is conferred genetically, that suggests that there's like an evolutionary aspect to this,
that somehow it made sense through natural selection. But it seems like the opposite of
what would make sense through natural selection. Like if you're approached with
danger or injury or something like that, or you see someone else being injured,
you would think you'd probably be in danger, too. And so running away really fast, fighting back,
you would think those would increase your odds of spreading your genes rather than fainting dead
away. But there's actually a theory that says like, no, it kind of makes sense if you look at it this
way. Yeah. And it's a theory. But the theory goes that like, let's say you're in a battle with
Tuk-Tuk in the gang, and Tuk-Tuk gets clubbed on the head and blood squirts out everywhere.
And you go, oh, and you pass out and hit the rocks. Then the other invading,
I don't even know what era we are with Tuk-Tuk anymore. What would they be?
Tuk-Tuk existed about 10,000 years before Utsi. So I'm gonna say he existed about 18,000 years
ago prior to the advent of agriculture. All right. But like what were they called? Those
weren't Neanderthals, were they? No, they were modern humans. They just hadn't given themselves
a name as far as we know yet. All right. So the other modern humans, the invading modern humans,
they run up at Tuk-Tuk and Tuk-Tuk, or I'm sorry, Tuk-Tuk's friend who is now passed out on the
ground, and they just think he's dead and they walk right by him. Like it's the old play dead
during battle thing. Right. Which is, okay, that makes kind of sense if you stop and think of it.
Yeah. The other thing is if it was Tuk-Tuk himself who'd been injured and fainted at the
site of his own blood, because of that drop in blood pressure, he would be less likely to bleed
out from that wound or would bleed out more slowly, which could in fact also save his life too.
Not a bad theory. No, it also kind of is depending, you know, but it's one of the few we've got
because we just don't understand it. Like we understand the physiological component about
what happens with vasovagal syncope. It's how the site of blood or somebody shutting their hand in
a car door or a hypodermic needle triggers that. It just, that's where we kind of lose our grasp
on that. And one of the reasons why, what would you say, like 3 to 15% of the population is it?
That's a really wide estimate too. Yeah. 15% is definitely significant, but 3 to 15%, that's a
big gap between those two numbers and it's a big gap in our understanding. And one of the reasons
why we understand it so little is because by its very nature, that condition prevents people from
going to the places where they could be treated and have their conditions documented and have
estimates be a lot more accurate, which are like doctor's offices and clinics and things like that.
They avoid those places like the plague because those are the places where people get stuck
with needles and have blood drawn and go when they have a huge gash in their forehead. Like
they don't want to go anywhere near those places. Yeah, because you go into that room and they say,
well, let's see what's going on with you. Let me draw some blood after I slam my hand in this drawer
looking for the needle. And it's coming at you from all directions. So you're not going to go in
there. You might even, it can be tied to something called medical procedure anxiety, which sort of
speaks for itself. Yeah. So you're not going into any hospital. So it's really hard to get great
information about this. But our old friend, cognitive behavioral therapy can help you out,
according to WebMD. And there's a Swedish psychologist named Lars Gurren-Ust, who apparently
is the best in the business. And it is like with a lot of CBT, it's self-exposure. But what you do
is, and this sort of makes sense, what they do is they tell you to, whenever you think of anything
like this, and I think they start out by even saying like, just think of driving to a blood
donation center and put that in your brain. And you really want to tense up your muscles all at
once, everything in your body, because that'll just get your heart rate going higher than it
normally would be to get it elevated. And that's a way to combat. And then they just make it worse
from there until they are basically playing doctor dress up and coming in with the needle.
Yeah. So they teach you how to stave off fainting at step one, right? And then after that, when
they're exposing you, it goes from making you imagine you're going to get blood drawn to
actually showing you videos of people getting blood drawn to, like you said, your therapist
coming in like he's a phlebotomist with a syringe and a tourniquet and actually putting the tourniquet
on your arm. And the whole time you're just tensing your core so hard, trying to keep from passing
out. And it sounds awful. And exposure therapy is awful when you step back and look at it,
but it actually does work. And what they say is that possibly in as few as like three to five
sessions of learning applied tension and then using and then doing exposure therapy,
you might actually be able to look at blood and not faint, which is really something.
Pretty good. I think if I was the therapist, I would dress up like nurse ratchet. I would go full bore.
And then, you know, the person afterwards say like, why are you wearing that wig? Why are you
dressed like that? Yeah. And say, I don't know. I think it just increases the anxiety is what I've
found. I would dress up like the main character at the end of promising young woman. Oh, that's
what I come at you like. Wowie. Wow. Yeah. Scary pink wig, rubber nurse. Yeah. Yeah. That's trying
to picture you like that. That's pretty frightening. Stop that. I don't give you permission to picture
me like that. Well, there's a million people picturing that right now. So one other thing,
Chuck, the reason why, aside from like it's dangerous to just faint dead away, like that you
can hit your head and you can break an arm, all sorts of bad things can happen to you.
But one other reason why it's important to get treatment if you do have a blood injury injection
phobia is because like you said, there's that medical procedure anxiety that keeps you from
going into the doctor's office. And that means that you're not going in for like vaccines or
cancer screenings or, you know, wellness checkups because you're avoiding the doctor's office. So
there's a lot of actual negative effects that it can have on your life. So if you do have that,
maybe go check into getting treated because apparently they've got it figured out and you
can not faint at the sight of blood or a needle anymore. That's right. You got anything else?
I have nothing else, sir. Well, then that's it for short stuff and short stuff is out.
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