WEBVTT - The Appendix: No Respect

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<v Speaker 1>Welcome to Stuff you should know, a production of I

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<v Speaker 1>Heart Radio. Hey you, welcome to the podcast. I'm Josh Clark.

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<v Speaker 1>There's Charles w Chuke Bryant's willing away in some champagne.

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<v Speaker 1>You're sorry, sparkling my shando and so it's from NAPA.

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<v Speaker 1>And there's Jerry over there, Jerry Scudder champagne too. We're

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<v Speaker 1>all just hanging out. We're gonna talk to you guys

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<v Speaker 1>while we wait for the shrimp cocktail with aw literally

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<v Speaker 1>and that makes this stuff you should know. That's right. Uh,

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<v Speaker 1>we're back in the same room everybody for the first

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<v Speaker 1>time in about fourteen months. And Jerry brought in champagne

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<v Speaker 1>and frozen shrimp cocktail. There's a story behind that. Go

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<v Speaker 1>ahead and say it. You go ahead and say, I

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<v Speaker 1>don't remember you were the shrimp you first started it,

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<v Speaker 1>Like I feel like twelve years ago we we we

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<v Speaker 1>were tracking to hit number one on iTunes in like

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<v Speaker 1>two thousand and eight, I think at the beginning of

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<v Speaker 1>two thousand no nine maybe whatever, and um, I was like,

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<v Speaker 1>I want a shrimp cocktail in the in the recording

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<v Speaker 1>studio when we hit number one. We hit number one,

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<v Speaker 1>came and went stayed number one, hit number one again.

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<v Speaker 1>No shrimp cocktail. This is the shrimp cocktail from two

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<v Speaker 1>thousand nine. Yeah, finally has made an appearance, and it's frozen.

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<v Speaker 1>It might literally be from two thousand It might be.

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<v Speaker 1>It's turning. The veins are turning kind of purple as

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<v Speaker 1>it thaws. I can't wait to eat the shrimp cocktail. Yeah,

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<v Speaker 1>we're having shampagne. Jerry classed it up basically, I feel

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<v Speaker 1>I feel it was a nice homecoming she did. But

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<v Speaker 1>the three of us are fully backs. Were in a

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<v Speaker 1>room together. The microphones don't have fake years attached to them. Yeah,

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<v Speaker 1>I mean that joke won't make sense to you now,

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<v Speaker 1>But we recorded another episode before this one, but it

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<v Speaker 1>was getting released later, so this technically our second episode.

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<v Speaker 1>It just put that in your button and smoke it

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<v Speaker 1>in your hat. What do you talk about? Have a

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<v Speaker 1>weird urged a curse? I don't know why. I think

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<v Speaker 1>you just did so, Jerry Beppe bp P p peep.

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<v Speaker 1>But it's it's great to be back together in a

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<v Speaker 1>little weird um, but not as weird as I thought

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<v Speaker 1>it would be. That first one was weird because we're

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<v Speaker 1>in a different room. Yeah, we got all the weirdness

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<v Speaker 1>out in a weird situation, it would have been weird regardless.

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<v Speaker 1>But now we're back in in Studio one A. That

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<v Speaker 1>was a really good move. Jerry, did you plan it

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<v Speaker 1>like that to get the jitters out? Jerry thumbs up.

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<v Speaker 1>Jerry's real. Everybody she chooses not to talk. Jerry's let

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<v Speaker 1>her hair grow out. I know she got a ponytail,

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<v Speaker 1>but the first time I've ever seen it's got an

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<v Speaker 1>even more peppery, no salty in a salt and pepper way.

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<v Speaker 1>It doesn't get more peppery unless you make a you know,

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<v Speaker 1>a move to make it so. And she looks like

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<v Speaker 1>a wealthy retiree who drives a Maseratti and knows their

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<v Speaker 1>way around the club. You know what I mean, That's

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<v Speaker 1>what Jerry looks like. She looks distinguished but also foxy. Yeah.

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<v Speaker 1>So I spent my last January of losing twenty five

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<v Speaker 1>pounds and then COVID hit and now I have gained backunds.

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<v Speaker 1>I'm exactly where I was. Is that right? Exactly to

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<v Speaker 1>the pound? And it makes me really angry. Oh no,

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<v Speaker 1>just go with you. Oh I know, but I just,

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<v Speaker 1>you know, let me get back together. I was like, man,

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<v Speaker 1>I'm doing so good. I'm so good pandemic And I

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<v Speaker 1>was like, well, now I can eat and drink all

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<v Speaker 1>I want because it's sad. So you lost the weight

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<v Speaker 1>before the pandemic hit, Yeah, I hit it hard in

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<v Speaker 1>January to junior March January one probably, yeah, okay, And

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<v Speaker 1>like I was working with a trainer, like you know,

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<v Speaker 1>so I was having to go to her every like

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<v Speaker 1>three days a week, and just you know, I was

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<v Speaker 1>making the right decisions and tracking and and the weight disappears.

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<v Speaker 1>And then COVID hit and I just started making all

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<v Speaker 1>the wrong decisions and let myself do that. Yeah, that

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<v Speaker 1>happened to all of us, myself included. I went through

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<v Speaker 1>what you went through where I lost a bunch of

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<v Speaker 1>weight and I managed to keep it off. And then

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<v Speaker 1>COVID hit and I was still doing okay, doing okay,

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<v Speaker 1>maybe eating a little more than usual, like I'm not

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<v Speaker 1>gonna let it happen though, and I was. I wasn't.

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<v Speaker 1>And then our book hit, and that's what got me.

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<v Speaker 1>When we were writing it and working on a two

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<v Speaker 1>hours a day every day, I was eating so much weight.

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<v Speaker 1>I gained book weight, and I actually I have not

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<v Speaker 1>been this big since I don't know when. Man, but

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<v Speaker 1>I still got it. So I'm I'm doing what I can.

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<v Speaker 1>You look the same? I do? Well? Then I what

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<v Speaker 1>I started two weeks ago was kicked in. I guess

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<v Speaker 1>if I look the same, well, you look great. Great,

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<v Speaker 1>everyone looks and feels great. Yeah, let's talk about the appendix,

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<v Speaker 1>the Rodney Dangerfield of organs. This is one of my

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<v Speaker 1>favorite articles that we've done in a while. Yeah, and

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<v Speaker 1>you know how I often complain about science. This is

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<v Speaker 1>a kind of science I love. Yeah. Understandable, Yeah, body science, understandable.

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<v Speaker 1>Super cool. This factors into our hygiene hypothesis episode, our

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<v Speaker 1>human microbiome episode, digestive system episode. Yeah, it all sort

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<v Speaker 1>of fits together. In that little worm like organ, it's

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<v Speaker 1>an organ, right, yeah, it's an organ. Yeah. A lot

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<v Speaker 1>of people thought it was a vestigial organ. They're wrong, right,

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<v Speaker 1>But that weird little thing, uh, hanging out there, just

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<v Speaker 1>going just wiggling around like a little worm is really

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<v Speaker 1>kind of cool and fascinating. And I love that it

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<v Speaker 1>has a great story behind its lack of usefulness and

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<v Speaker 1>then turns out usefulness. And it's just agreed, this is

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<v Speaker 1>really good stuff. It's smashed bang stuff. You should know.

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<v Speaker 1>That's right. Let's talk about it. So um, like you said,

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<v Speaker 1>the appendix is like this little worm like thing that

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<v Speaker 1>dangles off the bottom of the ascending coal and large intestine.

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<v Speaker 1>Coal in large intestine and large bowl are the one

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<v Speaker 1>and the same. So when you hear people say bowl,

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<v Speaker 1>they're typically talking about that colon large intestine. It's all

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<v Speaker 1>the same thing, which I found confusing until I looked

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<v Speaker 1>it up and found okay, it's all that um two

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<v Speaker 1>to four inches long the appendix right generally, although the

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<v Speaker 1>biggest one was pulled out of a seventy two year

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<v Speaker 1>old Croatian man named Sofranco August during his autopsy, and

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<v Speaker 1>his was ten inches or twenty six centimeters long. What

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<v Speaker 1>do you think they were like in that autopsy? They're like, wow,

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<v Speaker 1>I think that the medical examiner's staff had a T

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<v Speaker 1>shirt made up that Sofranco August was buried in that said,

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<v Speaker 1>I've got the biggest appendix ever. Maybe, I mean that's

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<v Speaker 1>crazy because when you, like I encourage you look up

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<v Speaker 1>a picture of the appendix, it is it looks like

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<v Speaker 1>a little worm and it's hanging there on this little

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<v Speaker 1>bulbous pouch called the sikum, and the Sikim is kind

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<v Speaker 1>of like where it's it's the part in between this

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<v Speaker 1>all Intestine and Large Intestine where there there's an agreement

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<v Speaker 1>that takes place, basically where the small Intestine it is like,

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<v Speaker 1>all right, listen, I'll take all this food and I'll

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<v Speaker 1>make it into clime, but I am not going into

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<v Speaker 1>the fecal zone. Now you handle the fecal stuff, colon,

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<v Speaker 1>And the colon says, fine, here's my buddy, the secum.

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<v Speaker 1>It'll it'll service a little halfway house. You can pass

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<v Speaker 1>everything along to me. I will broke rate, you won't

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<v Speaker 1>get any poop on you Small Intestine, and I'll send

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<v Speaker 1>it to the Large Intestine. But off of that Secum

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<v Speaker 1>is dangling this this little dude yeah, which as far

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<v Speaker 1>as anybody could ever tell, had nothing to do with digestion,

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<v Speaker 1>which makes it really weird because everything else around here

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<v Speaker 1>has to do with digestion. That's just what they do,

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<v Speaker 1>that's their their their trade. And the appendix is just

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<v Speaker 1>hanging out and people just thought, Okay, this this thing

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<v Speaker 1>doesn't make any sense. But the fact that is attached

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<v Speaker 1>there and doesn't seem to have to do with digestion,

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<v Speaker 1>made people for a very long time think that it

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<v Speaker 1>was a vestigial organ right, which we'll get into the

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<v Speaker 1>specifics of one man who really championed that idea in

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<v Speaker 1>a way that frankly made a lot of sense, and

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<v Speaker 1>you can see why it took that many years for

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<v Speaker 1>anyone to really poke around further into it. Yeah, because

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<v Speaker 1>you're just like, yeah, you just explained it's sure. But

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<v Speaker 1>there are other mammals that have secums, uh, and in

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<v Speaker 1>some mammals, especially herbivores, that can be really big relative

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<v Speaker 1>to their body size, because in herbivores it acts as

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<v Speaker 1>the the predigestion house for plants, and since they're eating

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<v Speaker 1>tons of plants, they have large secums. Yeah, plant fiber

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<v Speaker 1>is really really good for you, but it's also really

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<v Speaker 1>hard to digest a lot of cellulose um. And that's

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<v Speaker 1>that large intestine coming into play again, because in the

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<v Speaker 1>stomach and the small intestine there's um, a microbiota, a microbiome,

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<v Speaker 1>which we talked about in that one episode the Human

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<v Speaker 1>Microbiome Project. Um. There's some in the small intestine. I

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<v Speaker 1>think there's far far less even in the stomach, but

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<v Speaker 1>in the large intestine. That's where it really shines. And

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<v Speaker 1>those microbes, the pathogens, the virus is the fung guy

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<v Speaker 1>all of the and the bacteria most of all. They

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<v Speaker 1>all kind of work or fight or play and digest

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<v Speaker 1>this stuff. They break it down so that we can

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<v Speaker 1>absorb it. They turn it into fiber. Um dietary fiber

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<v Speaker 1>uh keeps you from absorbing a lot of sugar or

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<v Speaker 1>fats or whatever at once. Um insoluble fiber bulks your

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<v Speaker 1>stool up, so it really kind of gets everything out

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<v Speaker 1>of the coal and really cleanses it when you finally poop.

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<v Speaker 1>Hand gestures. Yeah, I've missed you seeing my hand gestures

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<v Speaker 1>now that I think, even when we're recording at home, Um,

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<v Speaker 1>I forgot what it's like to be seeing so um.

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<v Speaker 1>So the large intestine has this microbiome that that lives

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<v Speaker 1>in there, and just just remember that. That's a big

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<v Speaker 1>important point. Yeah, put a pin in that, but not

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<v Speaker 1>literally because that would be dangerous. Um. Out of the

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<v Speaker 1>three sixty one mammal species, only about fifty of us

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<v Speaker 1>have an appendix or something like an appendix. Obviously, the

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<v Speaker 1>great apes do, rabbits, possums, wombats weirdly square poop. Did

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<v Speaker 1>they really comes out in cubes? Really? Yes? I can't

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<v Speaker 1>tell if you're messing with me right now? Wait, hold on,

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<v Speaker 1>keep talking. You're thinking of the square watermelons in Japan,

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<v Speaker 1>maybe thinking of all of bees. I'm pretty sure wombats

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<v Speaker 1>have square all right, a rare in show check. But

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<v Speaker 1>dogs and cats don't have appendix, cows don't, oranges don't,

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<v Speaker 1>sheep don't. Oh yeah, little poop poop cubes square. Yeah,

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<v Speaker 1>it looks like those ice cube chocolates. How do they?

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<v Speaker 1>How does that happen? How do they? Yeah? How does

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<v Speaker 1>that work? Um? I don't have time to read that,

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<v Speaker 1>but it looks like there's a science alert from January

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<v Speaker 1>that says wombats are the only animals that poop cubes

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<v Speaker 1>and now we know how Okay, well that's a definite

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<v Speaker 1>short stuff. Okay, we'll do it. Look for that soon.

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<v Speaker 1>Uh So, back to the vestigial organ aspect. Charles Darwin

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<v Speaker 1>is the person who came out and said, hey, I've

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<v Speaker 1>been looking at these And by the way, that was

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<v Speaker 1>named officially by an anatomous named Phelippe Verhan in seventeen ten.

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<v Speaker 1>Appendix vermiformists, which means worm shaped detachment, and I think

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<v Speaker 1>the first appendix removals in seventeen thirty five. But Darwin

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<v Speaker 1>was the one who said, hey, everybody, I've been looking

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<v Speaker 1>at these herbivores and they've got these really big Secum's

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<v Speaker 1>giant for this, for this reason that Josh just described

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<v Speaker 1>future Josh and he said, so, here's the deal is,

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<v Speaker 1>when we see a bunch of plants, we had humongous

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<v Speaker 1>secombs as well. And as our diet changed and we

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<v Speaker 1>got away from plants, you know, our body started to

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<v Speaker 1>change along with it, and that seek them just kind

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<v Speaker 1>of shrank. And the appendix is just a little shriveled

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<v Speaker 1>up piece of that formerly large secum and it's just dangling.

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<v Speaker 1>They're doing nothing. Isn't that amazing? And everyone until two

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<v Speaker 1>thousand seven said it sounds right to me. Darwin's got

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<v Speaker 1>it right. It does. I mean, it totally makes sense

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<v Speaker 1>and seems completely believable. Yes, But now that I know

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<v Speaker 1>it was wrong, I questioned every single thing he ever

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<v Speaker 1>thought of or set. Welcome to our world, Darwin, So

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<v Speaker 1>you guys messed up that one thing. I just don't

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<v Speaker 1>know I believe anything. May we hear that like every

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<v Speaker 1>week too? Don't we it's fun so um. But yeah,

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<v Speaker 1>it went for We went for well over a hundred

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<v Speaker 1>and fifty years of just everyone believing that the appendix

0:12:34.720 --> 0:12:39.360
<v Speaker 1>was a totally useless fastigial organ that had no function

0:12:39.440 --> 0:12:42.120
<v Speaker 1>whatsoever any longer. And so it was fine if you

0:12:42.200 --> 0:12:45.120
<v Speaker 1>just took it out, which is we'll see like people

0:12:45.160 --> 0:12:48.320
<v Speaker 1>do a lot actually and it is fine for the

0:12:48.360 --> 0:12:52.199
<v Speaker 1>most part, which we're lucky that it's fine. But also

0:12:52.240 --> 0:12:54.520
<v Speaker 1>I think if if it weren't fine, we would have

0:12:54.559 --> 0:12:56.760
<v Speaker 1>figured out very quickly, like, oh wait, this is you're

0:12:56.800 --> 0:12:58.800
<v Speaker 1>not supposed to do that. So the fact that we

0:12:58.800 --> 0:13:02.360
<v Speaker 1>were able to remove the appendix later on, um without

0:13:02.440 --> 0:13:07.080
<v Speaker 1>a problem, um, just kind of lent to this, let's

0:13:07.080 --> 0:13:10.559
<v Speaker 1>support to the idea that it was a Vista gi organ. Right. Um,

0:13:10.600 --> 0:13:13.319
<v Speaker 1>But it turns out it does serve some function. We'll

0:13:13.360 --> 0:13:15.840
<v Speaker 1>start talking about that. I think after a break, what

0:13:15.920 --> 0:13:17.920
<v Speaker 1>do you think, Chuck? That was so smooth? Thank you

0:13:18.040 --> 0:13:42.000
<v Speaker 1>so much smoother in person? All right, we're back from

0:13:42.040 --> 0:13:45.319
<v Speaker 1>our break. Um, who knows what amazing as you guys

0:13:45.360 --> 0:13:47.480
<v Speaker 1>just heard. But I'm envious of you because we didn't

0:13:47.520 --> 0:13:49.840
<v Speaker 1>hear it. We just have a moment of silence in

0:13:49.880 --> 0:13:52.880
<v Speaker 1>between that's right. Uh, And now we can talk about

0:13:52.880 --> 0:13:55.199
<v Speaker 1>the microbiome a little more. And if you want to

0:13:55.240 --> 0:13:58.560
<v Speaker 1>look into our Human Microbiome Project works show that was

0:13:59.600 --> 0:14:04.040
<v Speaker 1>it's when fourteen there are trillion cells in the body.

0:14:04.080 --> 0:14:07.160
<v Speaker 1>About thirty trillion of those are human cells with DNA

0:14:07.880 --> 0:14:11.679
<v Speaker 1>and the rest of those hundred trillion are the microbiome.

0:14:11.960 --> 0:14:15.520
<v Speaker 1>That isn't just amazing and it's really there's something about

0:14:15.520 --> 0:14:18.040
<v Speaker 1>the digestive system that just frankly turns us both on

0:14:18.080 --> 0:14:20.920
<v Speaker 1>a little bit. Yeah, there were these animations that can

0:14:21.000 --> 0:14:24.560
<v Speaker 1>I remember who made them? Um many many years ago? Yes,

0:14:24.680 --> 0:14:29.400
<v Speaker 1>but the animator just understood us on a level that

0:14:29.520 --> 0:14:32.040
<v Speaker 1>even I'm like, I'm like, oh, I didn't know myself.

0:14:32.080 --> 0:14:36.080
<v Speaker 1>Just little shorts from clips show. They did one about

0:14:36.080 --> 0:14:37.800
<v Speaker 1>a four and a half minute clip from how the

0:14:37.960 --> 0:14:41.160
<v Speaker 1>digestive system works, which is worth looking up on YouTube.

0:14:41.200 --> 0:14:43.360
<v Speaker 1>It's where I watched it the other day. They are

0:14:43.400 --> 0:14:45.520
<v Speaker 1>they were just gifted and talented. It's one of my

0:14:45.560 --> 0:14:49.080
<v Speaker 1>favorite little things that we ever that someone ever did

0:14:49.120 --> 0:14:53.080
<v Speaker 1>for us. I want to say, Nick Nick sounds right? Okay,

0:14:53.320 --> 0:14:55.520
<v Speaker 1>I think it was Nick. I hope it's Nick Nick.

0:14:56.040 --> 0:15:00.520
<v Speaker 1>Please like right in if you still listen. Nick moved on. Okay, well, anyway,

0:15:00.560 --> 0:15:02.600
<v Speaker 1>they were really great. What Nick's work, and if it

0:15:02.640 --> 0:15:06.800
<v Speaker 1>wasn't Nick, Nick's new nickname is Nick. That's right, Okay,

0:15:07.160 --> 0:15:10.400
<v Speaker 1>So um, Yes, the digestive system does get us jazz,

0:15:10.400 --> 0:15:13.160
<v Speaker 1>and in particular the microbiome, which we wouldn't have a

0:15:13.200 --> 0:15:16.560
<v Speaker 1>digestive system, or at least one that functions, because again,

0:15:16.680 --> 0:15:19.280
<v Speaker 1>those bacteria help us break down stuff that we would

0:15:19.320 --> 0:15:23.120
<v Speaker 1>normally have trouble breaking down, help us form poop all

0:15:23.120 --> 0:15:26.520
<v Speaker 1>of that stuff. And there's a it's a symbiotic relationship

0:15:26.560 --> 0:15:30.120
<v Speaker 1>because in breaking those those things down, like that plant

0:15:30.120 --> 0:15:34.680
<v Speaker 1>fiber for instance, they're eating, they're happy, they're reproducing, but

0:15:34.800 --> 0:15:37.600
<v Speaker 1>then the byproducts and the stuff that they break open

0:15:37.960 --> 0:15:40.920
<v Speaker 1>make that stuff bioavailable for us, so we can kind

0:15:40.960 --> 0:15:43.800
<v Speaker 1>of get the nutrients and all that stuff from it

0:15:43.840 --> 0:15:48.240
<v Speaker 1>as well. It's a beautiful relationship. Not all bacteria is good, though, No,

0:15:48.480 --> 0:15:50.760
<v Speaker 1>there's the bad stuff. And we should point out that

0:15:50.840 --> 0:15:54.040
<v Speaker 1>most of this bacteria is in that large intestine, uh,

0:15:54.160 --> 0:15:56.360
<v Speaker 1>the in the stomach and the small intestine. Most of

0:15:56.360 --> 0:15:59.760
<v Speaker 1>it's killed off by gastric acid. But the bad bacteria

0:16:00.680 --> 0:16:04.200
<v Speaker 1>is if you eat some bad chicken or if you

0:16:04.600 --> 0:16:08.240
<v Speaker 1>have you ever done that? Yes, yeah, you know me.

0:16:08.320 --> 0:16:11.880
<v Speaker 1>I've had all manner of stomach issues over the years.

0:16:12.120 --> 0:16:15.440
<v Speaker 1>Where where did you get your bad chicken? I don't remember.

0:16:16.640 --> 0:16:18.680
<v Speaker 1>I don't remember specifically, but I know I've had bad

0:16:18.680 --> 0:16:21.640
<v Speaker 1>food before that made me sick. And in my case

0:16:21.640 --> 0:16:25.240
<v Speaker 1>in Guatemala, if you remember, you and Jerry both well,

0:16:25.440 --> 0:16:28.640
<v Speaker 1>it was not me. You know what, we were even

0:16:28.640 --> 0:16:30.880
<v Speaker 1>closing our mouth in the shower. We're being so careful.

0:16:31.000 --> 0:16:33.720
<v Speaker 1>But on that last night it was the ice, the

0:16:33.720 --> 0:16:37.120
<v Speaker 1>mixed drinks. I forgot the ice is made from water,

0:16:37.720 --> 0:16:40.680
<v Speaker 1>and that water was not good for Americans. And I

0:16:40.720 --> 0:16:43.360
<v Speaker 1>stayed home that night so I didn't get diarrhea. It

0:16:43.440 --> 0:16:44.760
<v Speaker 1>was worth it though, Jerry and I had such a

0:16:44.800 --> 0:16:48.280
<v Speaker 1>good time. So yeah, I got bad sick after our

0:16:48.280 --> 0:16:52.040
<v Speaker 1>guatte trip. But that's the bad bacteria, and and that's

0:16:52.040 --> 0:16:55.520
<v Speaker 1>how it can get into your body. And your body

0:16:55.600 --> 0:16:58.960
<v Speaker 1>is solution to this, uh as Jerry can affirm, is

0:16:59.320 --> 0:17:02.160
<v Speaker 1>is diarrhea. It's your body's way of saying, we're just

0:17:02.160 --> 0:17:06.400
<v Speaker 1>gonna flush you out human being. Just get rid of everything,

0:17:06.440 --> 0:17:08.080
<v Speaker 1>get rid of all the stuff. But that's gonna take

0:17:08.240 --> 0:17:10.840
<v Speaker 1>a lot of the good stuff with it, and that's

0:17:10.840 --> 0:17:13.320
<v Speaker 1>no good because if you have all the good bacteria

0:17:13.400 --> 0:17:15.600
<v Speaker 1>or a large amount of good bacteria leaving your body,

0:17:16.040 --> 0:17:20.080
<v Speaker 1>then that can leave you very vulnerable to nutritional deficiencies

0:17:20.119 --> 0:17:22.280
<v Speaker 1>and other bad stuff. Sure, yeah, because I mean, like

0:17:22.320 --> 0:17:26.439
<v Speaker 1>a lot of the neurotransmitters that make your brain function

0:17:26.480 --> 0:17:28.879
<v Speaker 1>correctly or produced in your gut from the function of

0:17:28.920 --> 0:17:30.760
<v Speaker 1>the bacteria. Like, there's a lot of bad things that

0:17:30.800 --> 0:17:33.919
<v Speaker 1>can happen if you don't have a balanced microbiome in

0:17:33.920 --> 0:17:38.000
<v Speaker 1>your gut. Right. So Interroduke University in two thousand seven,

0:17:38.800 --> 0:17:41.600
<v Speaker 1>I guess someone was staring at a picture of the

0:17:41.680 --> 0:17:45.359
<v Speaker 1>human body from the inside out and locked in on

0:17:45.400 --> 0:17:49.640
<v Speaker 1>that appendix and they're like, it's just sitting there attached

0:17:49.640 --> 0:17:52.960
<v Speaker 1>to the scumb It's got to do something right. And

0:17:53.000 --> 0:17:58.760
<v Speaker 1>they did some studying and testing I know exactly you

0:17:58.880 --> 0:18:04.200
<v Speaker 1>like me, and they figured out this theory that this

0:18:04.280 --> 0:18:06.920
<v Speaker 1>is a safe house essentially for that good bacteria. It's

0:18:06.960 --> 0:18:11.200
<v Speaker 1>got a really rich uh biofilm, which is we've talked

0:18:11.240 --> 0:18:13.240
<v Speaker 1>about biofilm in a bunch of episodes. I feel like

0:18:13.800 --> 0:18:16.640
<v Speaker 1>it's like coating on the inside of the blindings of

0:18:16.800 --> 0:18:19.760
<v Speaker 1>all kinds of things. Yeah, it keeps bacteria from being destroyed.

0:18:19.800 --> 0:18:23.159
<v Speaker 1>It's like a protective mucus get exactly, which is you

0:18:23.200 --> 0:18:25.000
<v Speaker 1>know that sounds gross, but it's a really a good thing.

0:18:25.400 --> 0:18:28.800
<v Speaker 1>And the appendix is just lousy with this great biofilm.

0:18:28.880 --> 0:18:32.440
<v Speaker 1>And they said, I think we think the Duke University

0:18:32.440 --> 0:18:35.600
<v Speaker 1>blue devils think that this is a safe house for

0:18:35.680 --> 0:18:38.879
<v Speaker 1>that good bacteria. Because when the body is being flushed

0:18:38.880 --> 0:18:41.840
<v Speaker 1>out with diarrhea from his illness, the appendix is down

0:18:41.880 --> 0:18:43.119
<v Speaker 1>there at the end of the cul de sact. It's

0:18:43.160 --> 0:18:45.640
<v Speaker 1>not even getting affected, basically, right. And so when that

0:18:45.840 --> 0:18:49.439
<v Speaker 1>bacteria leaves and takes the good with it, the appendix says, hi,

0:18:50.359 --> 0:18:53.399
<v Speaker 1>I'm here, look at all my good bacteria friends, go

0:18:53.520 --> 0:18:56.760
<v Speaker 1>forth and do your work. Exactly, goes bloop and pushes

0:18:56.800 --> 0:19:00.520
<v Speaker 1>all like a big hunk of mucasy bacteria or bacteria

0:19:00.600 --> 0:19:04.560
<v Speaker 1>ridden mucus into your large intestine to recallonized, which is amazing.

0:19:04.640 --> 0:19:07.199
<v Speaker 1>And and all of a sudden, the science world was

0:19:07.440 --> 0:19:11.720
<v Speaker 1>turned upside down because they thought they and it turns

0:19:11.720 --> 0:19:14.880
<v Speaker 1>out they did find a use for the appendix. Yeah. Um,

0:19:14.960 --> 0:19:18.479
<v Speaker 1>and not only uh is it a storehouse they found

0:19:18.640 --> 0:19:22.760
<v Speaker 1>for bacteria, the good bacteria that make up our microbio.

0:19:23.040 --> 0:19:27.960
<v Speaker 1>It's also a place where um lymphocytes and other immune

0:19:27.960 --> 0:19:31.720
<v Speaker 1>cells are produced. Like it's called limphoid tissue, where like

0:19:32.160 --> 0:19:35.760
<v Speaker 1>T cells, B cells. I think there's one called T

0:19:36.040 --> 0:19:39.000
<v Speaker 1>natural killer cells, which you don't want to mess with

0:19:39.240 --> 0:19:44.639
<v Speaker 1>the iced tea. Yeah, or um the uh Woody Harrelson

0:19:44.760 --> 0:19:51.280
<v Speaker 1>and Julia Juliet lewis of immune cells. Um, they're produced

0:19:51.520 --> 0:19:57.359
<v Speaker 1>in the appendix right. Um, So when the recollonization process

0:19:57.400 --> 0:19:59.840
<v Speaker 1>is going on, you could still have bad bugs in

0:20:00.040 --> 0:20:02.960
<v Speaker 1>are but to prevent them from taking hold, those immune

0:20:02.960 --> 0:20:05.520
<v Speaker 1>cells come in and just wipe them out while the

0:20:05.600 --> 0:20:09.440
<v Speaker 1>good stuff comes back in and recolonizes. So the appendix

0:20:09.520 --> 0:20:12.800
<v Speaker 1>is a really apparently a very useful organ It has

0:20:12.800 --> 0:20:16.600
<v Speaker 1>a use after all. Yeah, but you can still live

0:20:16.640 --> 0:20:19.800
<v Speaker 1>without it. That's the weird thing. Why why if it

0:20:19.880 --> 0:20:23.919
<v Speaker 1>produces this really important function, why would we still be

0:20:23.960 --> 0:20:27.080
<v Speaker 1>able to live without it? I don't know. Oh, well,

0:20:26.920 --> 0:20:29.800
<v Speaker 1>well we'll talk about it later. Well, now, what I

0:20:29.840 --> 0:20:35.480
<v Speaker 1>didn't see anywhere was like if you have if you

0:20:35.560 --> 0:20:38.760
<v Speaker 1>live you know in an adverse way because you don't

0:20:38.800 --> 0:20:42.440
<v Speaker 1>have your appendix, Like does that make you more susceptible

0:20:42.480 --> 0:20:44.440
<v Speaker 1>to certain things? If you have that food borne illness

0:20:44.520 --> 0:20:49.240
<v Speaker 1>or right, okay, So here's the other thing. Um, the

0:20:49.240 --> 0:20:51.920
<v Speaker 1>there was more support from the fact that you can

0:20:52.080 --> 0:20:57.159
<v Speaker 1>have your appendix remove so there's more support for the

0:20:57.200 --> 0:21:02.159
<v Speaker 1>idea that the appendix plays a role um and isn't vestigial,

0:21:02.840 --> 0:21:06.359
<v Speaker 1>from the fact, weirdly that if you remove it, at

0:21:06.440 --> 0:21:09.479
<v Speaker 1>least in the developed world, you're you're still gonna be

0:21:09.520 --> 0:21:13.959
<v Speaker 1>okay without it. Okay, it makes no sense. It's a paradox.

0:21:13.960 --> 0:21:16.159
<v Speaker 1>But then when they looked into the paradox there, like, actually,

0:21:16.160 --> 0:21:19.240
<v Speaker 1>this does make sense because of that hygiene hypothesis that

0:21:19.280 --> 0:21:23.680
<v Speaker 1>you mentioned earlier. Should we dive into it? All right? Uh? Well,

0:21:23.920 --> 0:21:26.760
<v Speaker 1>hygiene hypothesis in a nutshell, And I recommend you listen

0:21:26.800 --> 0:21:29.280
<v Speaker 1>to that episode because it was really good, but is

0:21:30.080 --> 0:21:35.040
<v Speaker 1>sort of it goes a little something like this, uh

0:21:35.080 --> 0:21:39.160
<v Speaker 1>and developing. I'm sorry. In the developed world are immune

0:21:39.160 --> 0:21:42.440
<v Speaker 1>systems can be overactive, and that's why we have things

0:21:42.480 --> 0:21:46.400
<v Speaker 1>like allergy allergies, especially food borne allergies to like peanuts

0:21:46.400 --> 0:21:49.000
<v Speaker 1>and trimp that's sitting here in front of us thawing

0:21:49.000 --> 0:21:54.439
<v Speaker 1>out slowly because our immune system really wants to do something.

0:21:55.119 --> 0:21:58.920
<v Speaker 1>It is not good at Netflix and chill it likes

0:21:58.960 --> 0:22:01.800
<v Speaker 1>to really be act of and if you've got clean

0:22:01.800 --> 0:22:03.840
<v Speaker 1>water and really good fresh food and you know your

0:22:03.880 --> 0:22:05.680
<v Speaker 1>body didn't have to worry about that kind of stuff,

0:22:06.080 --> 0:22:08.960
<v Speaker 1>it starts to attack your body in other ways just

0:22:09.000 --> 0:22:11.680
<v Speaker 1>because it wants something to do. Right. It's like one

0:22:11.680 --> 0:22:14.000
<v Speaker 1>of those people at work who, like, you know, break

0:22:14.119 --> 0:22:16.480
<v Speaker 1>something and then fixes it just to show they're working.

0:22:18.240 --> 0:22:21.240
<v Speaker 1>Do people do that? There's gotta be some people out

0:22:21.240 --> 0:22:23.840
<v Speaker 1>there we like nudge of vase off their desk or

0:22:23.880 --> 0:22:27.600
<v Speaker 1>what right at the at the base putting back together plane? Okay,

0:22:27.720 --> 0:22:29.679
<v Speaker 1>but there haven't been any breaks for a while, so

0:22:29.720 --> 0:22:31.280
<v Speaker 1>I'm just trying to see how that would happen at

0:22:31.280 --> 0:22:34.120
<v Speaker 1>our office, Like how does somebody break a podcast? Uh,

0:22:34.200 --> 0:22:36.480
<v Speaker 1>you can break in RSS feed or something like that,

0:22:36.720 --> 0:22:38.800
<v Speaker 1>or maybe an I T person who like screws up

0:22:38.840 --> 0:22:41.479
<v Speaker 1>the system, so everyone's like, you gotta help us fix it, right,

0:22:42.119 --> 0:22:44.240
<v Speaker 1>kind of like that? What about this? What about somebody

0:22:44.240 --> 0:22:47.760
<v Speaker 1>who organizes things when they're already a certain way, but

0:22:48.119 --> 0:22:50.320
<v Speaker 1>they just have too much idle time, so they organize

0:22:50.359 --> 0:22:52.880
<v Speaker 1>stuff and all of a sudden there's a problem. That's

0:22:53.040 --> 0:22:56.879
<v Speaker 1>kind of what I'm talking about. So um with the

0:22:56.960 --> 0:23:00.119
<v Speaker 1>hygiene hypothesis. The idea as far as it relates to

0:23:00.200 --> 0:23:03.520
<v Speaker 1>the appendix is that because we live in this very

0:23:03.600 --> 0:23:07.960
<v Speaker 1>sanitary version of the world where we don't get hookwork,

0:23:08.040 --> 0:23:11.719
<v Speaker 1>because we don't wear bare feet and poop outside, are

0:23:11.800 --> 0:23:15.359
<v Speaker 1>drinking water is clean, we don't have like giardia in

0:23:15.440 --> 0:23:19.120
<v Speaker 1>it typically um. Because we're not exposed to this stuff,

0:23:19.160 --> 0:23:21.960
<v Speaker 1>our immune system is on high alert. So it attacks

0:23:22.000 --> 0:23:26.160
<v Speaker 1>not just peanuts, but also potentially the appendix too, because

0:23:26.160 --> 0:23:28.000
<v Speaker 1>it's just sitting there. It is just sitting there, but

0:23:28.040 --> 0:23:31.879
<v Speaker 1>also remember it's a storehouse of bacteria. It's also a

0:23:31.920 --> 0:23:36.600
<v Speaker 1>storehouse of um. The lymph system, so it's producing immune cells.

0:23:36.640 --> 0:23:41.440
<v Speaker 1>And apparently, if you're a kid and you get appendicitist,

0:23:41.440 --> 0:23:43.840
<v Speaker 1>which we'll talk about in a minute, all that whole thing,

0:23:44.520 --> 0:23:48.440
<v Speaker 1>the number one cause of that is overproduction of limp cells.

0:23:48.880 --> 0:23:53.199
<v Speaker 1>So it's possible that your immune system says, uh, this,

0:23:53.200 --> 0:23:55.000
<v Speaker 1>this part of the body is producing a lot of

0:23:55.000 --> 0:23:57.560
<v Speaker 1>weird immune cells are way more than it should. There's

0:23:57.560 --> 0:24:00.280
<v Speaker 1>a lot of bacteria here. I hadn't noticed before. Let's

0:24:00.280 --> 0:24:03.520
<v Speaker 1>go attack it. That your immune system attacks your appendix

0:24:03.960 --> 0:24:08.119
<v Speaker 1>and causes inflammation and then that creates the Appendicitis that

0:24:08.119 --> 0:24:12.000
<v Speaker 1>can be dangerous later. That sounds very weird. Why would

0:24:12.040 --> 0:24:14.960
<v Speaker 1>anybody say that, Well, Chuck, turns out that there's a

0:24:14.960 --> 0:24:19.800
<v Speaker 1>paradox that goes hand in hand with developing countries. Huh. Well, yeah,

0:24:19.840 --> 0:24:21.800
<v Speaker 1>I mean they've seen this kind of proven out in

0:24:21.840 --> 0:24:27.280
<v Speaker 1>developing countries is as they've become more developed and more industrialized,

0:24:27.320 --> 0:24:31.720
<v Speaker 1>their rate of appendicitis has gone way up, and their

0:24:31.760 --> 0:24:37.800
<v Speaker 1>body previous to that industrialization is maybe getting water that's

0:24:37.840 --> 0:24:40.280
<v Speaker 1>not great for them or food that might carry some

0:24:40.320 --> 0:24:43.640
<v Speaker 1>sort of food born illness. So their immune system is like,

0:24:43.880 --> 0:24:47.520
<v Speaker 1>we're we we love this person in this culture because

0:24:47.520 --> 0:24:51.520
<v Speaker 1>we're always busy flushing this system out with with diarrhea

0:24:51.800 --> 0:24:53.399
<v Speaker 1>and we're just hard at work and we don't have

0:24:53.480 --> 0:24:57.720
<v Speaker 1>time to to create some fake peanut allergy or to

0:24:57.800 --> 0:24:59.840
<v Speaker 1>go after the appendix is not sitting there around do

0:25:00.000 --> 0:25:03.200
<v Speaker 1>and anything. So they're it's just it's busy, and they've

0:25:03.240 --> 0:25:07.480
<v Speaker 1>seen as they become more industrialized, Uh, appendicitiss have gone

0:25:07.560 --> 0:25:09.720
<v Speaker 1>up and sort of lock step with that. Yeah, it

0:25:09.760 --> 0:25:12.560
<v Speaker 1>happened in the United States and Europe in the beginning

0:25:12.600 --> 0:25:14.919
<v Speaker 1>of the twentieth century. There was a big spy Like

0:25:15.040 --> 0:25:18.520
<v Speaker 1>before that, there was no such thing. As appendicitis basically, Um,

0:25:18.560 --> 0:25:21.040
<v Speaker 1>there was, but it was very very rare, and then huge,

0:25:21.200 --> 0:25:24.280
<v Speaker 1>an enormous spike, and then it plateaus and stabilizes. I

0:25:24.320 --> 0:25:27.119
<v Speaker 1>think in both Western and Eastern Europe and the US

0:25:27.200 --> 0:25:30.439
<v Speaker 1>were hovered around a hundred cases per hundred thousand people

0:25:30.760 --> 0:25:35.719
<v Speaker 1>of appendicitis these days UM over in like I think uh,

0:25:36.040 --> 0:25:40.520
<v Speaker 1>South Korea UM around that time, no appendicitis. Later in

0:25:40.560 --> 0:25:43.680
<v Speaker 1>the twentieth century, early twenty one century, as their development

0:25:43.720 --> 0:25:47.600
<v Speaker 1>just went through the roof huge cases, a huge increase

0:25:47.600 --> 0:25:50.359
<v Speaker 1>of appendicitis UM and there you can just kind of

0:25:50.400 --> 0:25:53.879
<v Speaker 1>follow it around the world. As development comes, appendicitis goes up,

0:25:53.920 --> 0:25:57.840
<v Speaker 1>and they think that it's this hygiene hypoths that explains it.

0:25:58.119 --> 0:26:00.320
<v Speaker 1>So you've got the safe house theory that the pendix

0:26:00.359 --> 0:26:03.040
<v Speaker 1>actually does have a purpose and a role, and then

0:26:03.080 --> 0:26:08.040
<v Speaker 1>you have the hygiene hypothesis that explains, um, why appendicitis

0:26:08.560 --> 0:26:11.280
<v Speaker 1>is a thing in developed countries. Well, should we take

0:26:11.280 --> 0:26:14.520
<v Speaker 1>a break and dig into appendicitis? I think we should.

0:26:14.560 --> 0:26:37.880
<v Speaker 1>It's going to be awfully painful and gross. I'll bet

0:26:37.920 --> 0:26:42.000
<v Speaker 1>the ads everyone heard were just astounding. So we've been

0:26:42.080 --> 0:26:44.879
<v Speaker 1>dancing around the appendicitis kind of this whole episode It

0:26:44.960 --> 0:26:49.600
<v Speaker 1>was identified for the first time in six by Reginald

0:26:49.680 --> 0:26:53.120
<v Speaker 1>Fitz and before that they just said, you know, if

0:26:53.119 --> 0:26:57.400
<v Speaker 1>you've got an abdominal illness and you die because of it,

0:26:57.400 --> 0:27:00.280
<v Speaker 1>it's you know, it's just you had a bad stomach

0:27:00.280 --> 0:27:05.000
<v Speaker 1>ache that killed you. Sorry. Yeah. So sad Dave wrote

0:27:05.000 --> 0:27:07.200
<v Speaker 1>one of my favorite lines in the history of stuff

0:27:07.240 --> 0:27:10.120
<v Speaker 1>you should know articles. He said, fits was the first

0:27:10.119 --> 0:27:13.720
<v Speaker 1>to finger the appendix is the culprit. I was like, man,

0:27:14.520 --> 0:27:16.960
<v Speaker 1>finger the appendix. That's a that's a spinal tap record.

0:27:17.119 --> 0:27:20.160
<v Speaker 1>That's gross. But you actually probably could finger the appendix

0:27:20.240 --> 0:27:23.560
<v Speaker 1>because it is like it's like a little pouch. Just

0:27:23.720 --> 0:27:26.520
<v Speaker 1>to just think about finger sized. Yeah, you can figure

0:27:26.520 --> 0:27:31.840
<v Speaker 1>a whole forearm into uh. So Franco August appendix. Oh man,

0:27:32.359 --> 0:27:37.160
<v Speaker 1>that's an intr so uh appendix, everyone the appendix. Everybody

0:27:37.320 --> 0:27:42.040
<v Speaker 1>grow up, Calm down, calm down. Um. So the appendicitis

0:27:42.080 --> 0:27:44.640
<v Speaker 1>happens because basically I mentioned it was a cul de sac.

0:27:44.720 --> 0:27:47.200
<v Speaker 1>It's a it's the end of the road situation once

0:27:47.200 --> 0:27:49.960
<v Speaker 1>you get to the far end of the appendix. But

0:27:50.119 --> 0:27:52.440
<v Speaker 1>that other end that connects to the sikum is very

0:27:52.520 --> 0:27:55.960
<v Speaker 1>narrow and the opening is not that bigg and it

0:27:56.040 --> 0:27:58.479
<v Speaker 1>can get clogged up with bacteria. It can get clogged

0:27:58.520 --> 0:28:00.879
<v Speaker 1>up with certain kinds of seeds to go through your

0:28:00.880 --> 0:28:04.280
<v Speaker 1>body undigested hay seeds. Hay seed. Sure, it can get

0:28:04.520 --> 0:28:07.720
<v Speaker 1>this is really gross. But it can get clogged with vecaliths,

0:28:08.320 --> 0:28:13.000
<v Speaker 1>which are stone like pieces of petrified feces. My friend

0:28:13.040 --> 0:28:16.080
<v Speaker 1>I saw that. That is the number one reason appendicitis

0:28:16.080 --> 0:28:19.720
<v Speaker 1>and adults. Uh, it's a hard word to say, but

0:28:19.840 --> 0:28:22.840
<v Speaker 1>they you know, that's what happened. The opening blocks, bacteria

0:28:22.880 --> 0:28:26.440
<v Speaker 1>builds up, it gets inflamed, and inflammation is that sort

0:28:26.480 --> 0:28:30.520
<v Speaker 1>of enemy of all the human body. And you start

0:28:30.560 --> 0:28:32.680
<v Speaker 1>to get fever and nausea, you've got pain. You might

0:28:32.680 --> 0:28:36.240
<v Speaker 1>get a pain in your sort of lower right side

0:28:36.240 --> 0:28:38.760
<v Speaker 1>of your gut. Yeah, because that's where your appendix is.

0:28:38.800 --> 0:28:42.320
<v Speaker 1>Like if you make a L shape with your thumb

0:28:42.320 --> 0:28:45.880
<v Speaker 1>and forefinger, like the loser put exactly. I didn't want

0:28:45.880 --> 0:28:48.400
<v Speaker 1>to say it, but okay, we're gonna get some email

0:28:48.400 --> 0:28:52.480
<v Speaker 1>about that. Um the if you take the thumb and

0:28:52.520 --> 0:28:55.400
<v Speaker 1>put it in your navel and point your finger to

0:28:55.560 --> 0:29:00.000
<v Speaker 1>your hip, Okay, that is like in the little um.

0:29:00.160 --> 0:29:03.560
<v Speaker 1>The is where your appendix is. Okay, where your thumb

0:29:03.560 --> 0:29:06.640
<v Speaker 1>and yeah, the little webbing. Yeah, all right, Well that's

0:29:06.760 --> 0:29:10.000
<v Speaker 1>if you get a pain there and you are nauseous

0:29:10.040 --> 0:29:12.520
<v Speaker 1>and you might have a fever, then get thee to

0:29:12.560 --> 0:29:17.080
<v Speaker 1>a hospital emergency room because you might have advanced appendicitis.

0:29:17.080 --> 0:29:20.720
<v Speaker 1>At that point, you might have an appendectomy quick like

0:29:21.120 --> 0:29:23.560
<v Speaker 1>they can do them super fast. Um, if you get

0:29:23.600 --> 0:29:26.280
<v Speaker 1>it really really early, they might concure it with just antibiotics,

0:29:26.280 --> 0:29:29.680
<v Speaker 1>which is great. But I think eighteen eighty seven, the

0:29:29.800 --> 0:29:35.280
<v Speaker 1>very year after FITS identified the disease in six is

0:29:35.280 --> 0:29:38.920
<v Speaker 1>when they had their first appendex tomy, which means they

0:29:38.920 --> 0:29:41.360
<v Speaker 1>had been happening the whole time. They finally just said,

0:29:41.360 --> 0:29:43.640
<v Speaker 1>oh wait a minute, I think it's the appendix is

0:29:43.640 --> 0:29:46.560
<v Speaker 1>why all these people are dying from the stomach pains.

0:29:47.080 --> 0:29:50.240
<v Speaker 1>So maybe we can start removing this little useless dangle. Yeah.

0:29:50.240 --> 0:29:53.040
<v Speaker 1>I think it was a guy named Thomas Morton. Yeah,

0:29:53.080 --> 0:29:55.760
<v Speaker 1>Thomas Morton was the surgeon who looks like he lost

0:29:55.760 --> 0:29:59.240
<v Speaker 1>his brother and son. It was from mysterious stomach ailments,

0:29:59.280 --> 0:30:02.640
<v Speaker 1>but it was probably ruptured appendixes and that's what happens

0:30:02.640 --> 0:30:07.120
<v Speaker 1>at ruptures and then leaks bad stuff into your intestines

0:30:07.160 --> 0:30:10.959
<v Speaker 1>and your your toast. Yeah. So so when the appendix

0:30:11.000 --> 0:30:14.240
<v Speaker 1>is infected and it leaks that stuff. It perforates is

0:30:14.240 --> 0:30:16.280
<v Speaker 1>what they called burst is another way to put it,

0:30:16.320 --> 0:30:18.880
<v Speaker 1>depending I think on how bad it is. All of

0:30:18.920 --> 0:30:23.640
<v Speaker 1>the infected pus. If there's fecalists in there, that whatever

0:30:23.680 --> 0:30:29.640
<v Speaker 1>bacteria they have with them, um, all that stuff it bills, right,

0:30:30.160 --> 0:30:34.640
<v Speaker 1>it spills into your abdomen, and your abdomen has an

0:30:34.920 --> 0:30:38.240
<v Speaker 1>inner has an abdominal wall, and it has an inner

0:30:38.280 --> 0:30:43.040
<v Speaker 1>coating called the peritonium. And the peritonium um is not

0:30:43.080 --> 0:30:46.120
<v Speaker 1>to be infected with anything. It's very delicate. It doesn't

0:30:46.160 --> 0:30:49.120
<v Speaker 1>like gross stuff. Keep all that and the appendix and

0:30:49.160 --> 0:30:52.400
<v Speaker 1>the intestines and all that large intestine. But when your

0:30:52.440 --> 0:30:54.920
<v Speaker 1>appendix bursts and releases all that stuff, it gets your

0:30:54.920 --> 0:30:58.520
<v Speaker 1>paritonium infect and your paritonium is like a highway straight

0:30:58.560 --> 0:31:01.280
<v Speaker 1>to your blood vessels, straight into your organs. And so

0:31:01.320 --> 0:31:03.880
<v Speaker 1>all of a sudden, your infection goes from your appendix,

0:31:04.160 --> 0:31:09.160
<v Speaker 1>which you can deal with, to your piritonium being infected,

0:31:09.480 --> 0:31:11.960
<v Speaker 1>which means your blood and then your organs are infected,

0:31:12.000 --> 0:31:14.520
<v Speaker 1>which means you can go into shock and you're you

0:31:14.560 --> 0:31:18.480
<v Speaker 1>have a like cascading system failure. That's why it's such

0:31:18.520 --> 0:31:22.200
<v Speaker 1>an emergency when you when you have like a pendicitis,

0:31:22.200 --> 0:31:25.080
<v Speaker 1>because it may rupture and that can be problematic. Yeah,

0:31:25.120 --> 0:31:28.480
<v Speaker 1>and you can still die from that. I think the

0:31:28.480 --> 0:31:32.240
<v Speaker 1>surgery itself in the mortality rate from an appendectomy was

0:31:34.760 --> 0:31:39.320
<v Speaker 1>now it's down to point well, it's one tenth of

0:31:39.360 --> 0:31:41.880
<v Speaker 1>one percent whatever that is. That's pretty low, and that

0:31:41.960 --> 0:31:44.440
<v Speaker 1>was since the mid fifties. But that's the that's the

0:31:44.440 --> 0:31:50.200
<v Speaker 1>mortality rate for the appendectomy, right, for appendicitis. I think overall,

0:31:50.320 --> 0:31:54.960
<v Speaker 1>maybe worldwide it's um I think point two to point

0:31:55.040 --> 0:31:59.000
<v Speaker 1>eight percent, which means to between two and eight of

0:31:59.120 --> 0:32:03.040
<v Speaker 1>every to and eight people who get appendicitis, out of

0:32:03.040 --> 0:32:06.400
<v Speaker 1>every thousand people who get a pendicitis. There's kind to

0:32:06.400 --> 0:32:09.120
<v Speaker 1>be an easier way to say this. Uh, they die

0:32:09.240 --> 0:32:12.600
<v Speaker 1>from it, they buy the farm. Not many, but that's significant.

0:32:12.640 --> 0:32:14.680
<v Speaker 1>If you're you know, eight people out of a thousand,

0:32:14.720 --> 0:32:17.480
<v Speaker 1>that's one. I wanted that to be point eight. And

0:32:17.520 --> 0:32:21.400
<v Speaker 1>I think the mortality rate is lowest in young people obviously,

0:32:22.880 --> 0:32:27.040
<v Speaker 1>although young people between ten and thirty are the most

0:32:27.080 --> 0:32:30.160
<v Speaker 1>likely to have an ependectomy, I think, right, yes, which

0:32:30.200 --> 0:32:32.960
<v Speaker 1>is interesting, that's weird. Um, the reason that it's lowest

0:32:32.960 --> 0:32:38.000
<v Speaker 1>and very young people is The common knowledge among um

0:32:38.240 --> 0:32:41.360
<v Speaker 1>doctors and in the medical field is that the appendix

0:32:41.680 --> 0:32:43.920
<v Speaker 1>has played a role for a long time, but it's

0:32:44.040 --> 0:32:46.920
<v Speaker 1>just part of your immune system when you're very young.

0:32:47.800 --> 0:32:50.240
<v Speaker 1>I have the impression that that is old school thinking,

0:32:50.280 --> 0:32:55.840
<v Speaker 1>That is pre bacteria safe house thinking. What that young

0:32:55.920 --> 0:32:58.680
<v Speaker 1>kids don't get it because they just have killer immune systems. Yeah,

0:32:58.680 --> 0:33:00.880
<v Speaker 1>And that the appendix is just on fire and it's

0:33:00.920 --> 0:33:04.640
<v Speaker 1>just happily working, and that it can become problematic after

0:33:04.680 --> 0:33:08.760
<v Speaker 1>it stops providing it its function. The idea is that

0:33:08.800 --> 0:33:11.160
<v Speaker 1>the younger you are, the more vulnerable you are to

0:33:11.320 --> 0:33:15.520
<v Speaker 1>dying from diarrheal diseases, for infections, and so you would

0:33:15.520 --> 0:33:17.600
<v Speaker 1>have a healthier immune system. And kids do have like

0:33:17.720 --> 0:33:20.240
<v Speaker 1>just as hopped up immune system. But I think the

0:33:20.280 --> 0:33:25.520
<v Speaker 1>medical understanding up until recently is that that the appendix

0:33:25.560 --> 0:33:29.240
<v Speaker 1>plays a part of that, right, but that it stops

0:33:29.560 --> 0:33:33.840
<v Speaker 1>functioning as you get older, and then you're vulnerable to appendicitis,

0:33:33.880 --> 0:33:35.960
<v Speaker 1>and then after you make it out of the danger zone,

0:33:36.360 --> 0:33:39.240
<v Speaker 1>you can just basically coast and get fecal with all

0:33:39.320 --> 0:33:42.200
<v Speaker 1>day long blocking up your appendix and it doesn't matter.

0:33:42.520 --> 0:33:45.800
<v Speaker 1>The new thinking is that, no, it's the storehouse for stuff.

0:33:46.160 --> 0:33:49.200
<v Speaker 1>We just don't need it anymore because we don't really

0:33:49.200 --> 0:33:54.160
<v Speaker 1>get diarrheal infections here in the developed world. Right, yeah, okay,

0:33:54.240 --> 0:33:57.040
<v Speaker 1>that makes sense. But appendicitis is a thing, and if

0:33:57.080 --> 0:34:00.800
<v Speaker 1>you do go to if you do have symptoms that

0:34:00.880 --> 0:34:04.360
<v Speaker 1>seems weird, generalized pain around your navel or where your

0:34:04.360 --> 0:34:07.479
<v Speaker 1>appendix is, you should go to the doctor. The thing is,

0:34:08.000 --> 0:34:11.280
<v Speaker 1>as this new idea that the appendix actually does serve

0:34:11.320 --> 0:34:17.240
<v Speaker 1>a function um has has, at least in some quarters,

0:34:17.320 --> 0:34:20.960
<v Speaker 1>created this call for doctors to stop doing what are

0:34:20.960 --> 0:34:23.680
<v Speaker 1>called negative appendectomies, where it's like, oh, you got stomach pain,

0:34:23.719 --> 0:34:28.440
<v Speaker 1>let's take your appendix out and right, because supposedly a

0:34:28.560 --> 0:34:32.879
<v Speaker 1>non perforated appendix may actually resolve itself, like it may

0:34:32.920 --> 0:34:35.480
<v Speaker 1>go and like spit that set out and like go

0:34:35.560 --> 0:34:39.399
<v Speaker 1>back to normal or whatever. Right, um, And you don't

0:34:39.400 --> 0:34:41.560
<v Speaker 1>want to just lose your appendix willy nilly, for no.

0:34:41.800 --> 0:34:45.719
<v Speaker 1>For one, you're undergoing surgery. There's always complications in rest

0:34:45.719 --> 0:34:50.920
<v Speaker 1>of the point is, though, don't just stay home the

0:34:50.920 --> 0:34:53.840
<v Speaker 1>the this one paper I read was like, you're better

0:34:53.880 --> 0:34:57.240
<v Speaker 1>off for the physician to wait and see in the hospital.

0:34:57.320 --> 0:34:59.880
<v Speaker 1>Keep you in the hospital under observation. So that if

0:35:00.080 --> 0:35:03.520
<v Speaker 1>do need emergency surgery, you're there, um and then it

0:35:03.560 --> 0:35:06.280
<v Speaker 1>may resolve itself on its own if it hasn't perforated

0:35:06.360 --> 0:35:10.319
<v Speaker 1>already or um, and that that's that's preferable to just

0:35:10.400 --> 0:35:15.960
<v Speaker 1>removing the appendix. Don't be like I can still play

0:35:16.040 --> 0:35:18.040
<v Speaker 1>my street hockey game later, right. Yeah. I think they

0:35:18.040 --> 0:35:19.920
<v Speaker 1>were saying, like, it's not up to you the patient,

0:35:20.160 --> 0:35:22.000
<v Speaker 1>like just go to the hospital. I'm talking to the

0:35:22.040 --> 0:35:24.759
<v Speaker 1>doctors right now. The paper was saying, of course, you know,

0:35:24.840 --> 0:35:27.960
<v Speaker 1>don't remove the appendix if it if it doesn't need removing.

0:35:28.360 --> 0:35:31.279
<v Speaker 1>Are we at Harry Yudini? Yeah, so this is a

0:35:31.320 --> 0:35:34.480
<v Speaker 1>little addendum. Uh. I kind of think it's like an appendix.

0:35:36.000 --> 0:35:38.560
<v Speaker 1>I kind of think we should do uh Harry Judini

0:35:38.640 --> 0:35:41.640
<v Speaker 1>episode at some point, you bet, don't you think? Yeah,

0:35:41.719 --> 0:35:43.520
<v Speaker 1>should we talk about this now at all? I think

0:35:43.520 --> 0:35:48.759
<v Speaker 1>we should do Houdini around HALLOWEENI okay, okay, that sounds fantastic.

0:35:49.040 --> 0:35:53.759
<v Speaker 1>I tried to think it's something to rhyme with Weenie. No,

0:35:54.080 --> 0:35:57.680
<v Speaker 1>it's like a thumbs up like Magnafini. Oh that's great.

0:35:58.600 --> 0:36:01.560
<v Speaker 1>That was Yeah, all right, I'm gonna stop it right

0:36:01.560 --> 0:36:05.319
<v Speaker 1>there by using good Well, people really don't know that.

0:36:05.360 --> 0:36:07.080
<v Speaker 1>I just left the room for like fifteen minutes trying

0:36:07.120 --> 0:36:10.000
<v Speaker 1>to think of something and keep the magic of editing.

0:36:10.520 --> 0:36:14.200
<v Speaker 1>Jerry didn't do like the star wipes. Uh. So there

0:36:14.200 --> 0:36:17.120
<v Speaker 1>have been a few people who have died from a

0:36:17.200 --> 0:36:20.839
<v Speaker 1>ruptured appendix. They believe that bring him young. The Mormon

0:36:20.920 --> 0:36:24.640
<v Speaker 1>prophet did Um Charles Floyd the only person that Lewis

0:36:24.640 --> 0:36:28.480
<v Speaker 1>and clark journey expedition to die. I didn't remember that,

0:36:28.520 --> 0:36:31.120
<v Speaker 1>did you. I think I remember just mentioning. I do

0:36:31.320 --> 0:36:34.800
<v Speaker 1>remember one person die and we're like, what was his problem?

0:36:34.840 --> 0:36:37.640
<v Speaker 1>Why did he screw everything up? And it's hiss appendix.

0:36:38.320 --> 0:36:43.640
<v Speaker 1>So Harry Houdini did die of an appendicitis. And I

0:36:43.640 --> 0:36:47.799
<v Speaker 1>don't think we even said, uh, Perry and IDAs, Yeah

0:36:47.800 --> 0:36:49.560
<v Speaker 1>we did, did we say that was the actual words?

0:36:49.640 --> 0:36:51.800
<v Speaker 1>That's the Oh I don't know. But that's the affection

0:36:51.840 --> 0:36:54.439
<v Speaker 1>of the peritonium. Yeah, that's the name of it. Though. Yeah,

0:36:54.440 --> 0:36:56.359
<v Speaker 1>and that's what you do. You're like, you don't die

0:36:56.440 --> 0:36:59.680
<v Speaker 1>from your appendix, person, because again, like, yeah, it provides

0:36:59.680 --> 0:37:02.280
<v Speaker 1>a funk, but it's not it doesn't keep you alive.

0:37:02.440 --> 0:37:05.279
<v Speaker 1>It's not like your heart bursting, right, It's it's the

0:37:05.360 --> 0:37:09.279
<v Speaker 1>parent of the paratoneum getting infected that kills you. So

0:37:09.400 --> 0:37:11.640
<v Speaker 1>Houdini did die of that. But you know, the old

0:37:11.719 --> 0:37:15.319
<v Speaker 1>story is that he had come off stage. He was

0:37:15.400 --> 0:37:20.240
<v Speaker 1>backstage in his green room and uh, presumably having smart

0:37:20.280 --> 0:37:23.120
<v Speaker 1>food and beef jerky. If you're at the stuff, you

0:37:23.120 --> 0:37:26.480
<v Speaker 1>should know show everywhere from opening the bottle. Oh, man,

0:37:26.520 --> 0:37:28.960
<v Speaker 1>I can't wait to do that again. Uh, but I

0:37:28.960 --> 0:37:31.439
<v Speaker 1>can't wait because I'm not doing that anytime soon. Still

0:37:31.760 --> 0:37:33.719
<v Speaker 1>want to get on a plane, you know, not quite yet,

0:37:33.719 --> 0:37:37.040
<v Speaker 1>but we're looking forward to that for sure. But you know,

0:37:37.080 --> 0:37:39.080
<v Speaker 1>there are these college students came backstage and one of

0:37:39.120 --> 0:37:41.080
<v Speaker 1>them was like, I heard that anyone can put you

0:37:41.120 --> 0:37:44.480
<v Speaker 1>in the stomach and that you, uh, you can make

0:37:44.480 --> 0:37:46.200
<v Speaker 1>your stomach strong and it won't even hurt you. And

0:37:46.200 --> 0:37:49.200
<v Speaker 1>I'm a pretty good stomach puncher. He goes, well, that

0:37:49.360 --> 0:37:52.040
<v Speaker 1>is sort of true. And the guy punches him before

0:37:52.080 --> 0:37:54.720
<v Speaker 1>he even has a chance to really prepare and say, sure,

0:37:54.840 --> 0:37:59.120
<v Speaker 1>bring it, and uh that the sucker punch and that

0:37:59.200 --> 0:38:02.560
<v Speaker 1>burst as appended, and that's how he died. And that

0:38:02.719 --> 0:38:06.000
<v Speaker 1>story is just a little blurry around the edges as

0:38:06.160 --> 0:38:10.200
<v Speaker 1>how that went down exactly right. Yeah, So there there

0:38:10.239 --> 0:38:13.120
<v Speaker 1>were there were eyewitnesses, and they did say that this

0:38:13.200 --> 0:38:17.799
<v Speaker 1>guy um did punch Houdini. It's conflicting whether or not

0:38:17.840 --> 0:38:20.719
<v Speaker 1>Houdini gave the guy permission to punch him. And I

0:38:20.800 --> 0:38:24.279
<v Speaker 1>were the guy just started punching um. But there was

0:38:24.360 --> 0:38:30.400
<v Speaker 1>a young man named Joscelyn Gordon white Head, white Head,

0:38:30.680 --> 0:38:35.000
<v Speaker 1>Whodini's last words were done in by it guy named Jocelyn.

0:38:36.640 --> 0:38:39.200
<v Speaker 1>I didn't see that. One account was that he was

0:38:39.200 --> 0:38:41.120
<v Speaker 1>still laying on the couch and the and the guy

0:38:41.160 --> 0:38:43.839
<v Speaker 1>started wailing on his stomach. Well, yeah, because he he

0:38:43.920 --> 0:38:48.520
<v Speaker 1>had injured his ankle the the I think night before,

0:38:48.520 --> 0:38:50.640
<v Speaker 1>a couple of days before, so he was reclining on

0:38:50.680 --> 0:38:53.400
<v Speaker 1>the couch. I guess somebody was sketching him. Was basically

0:38:53.440 --> 0:38:59.560
<v Speaker 1>like that scene in Titanic. Yeah, he was like and

0:38:59.719 --> 0:39:03.120
<v Speaker 1>um and the guy started drawing right Uh, and then

0:39:03.120 --> 0:39:06.239
<v Speaker 1>the guy punches him while he that happened. Uh. The

0:39:06.640 --> 0:39:10.840
<v Speaker 1>question the thing that's that's that's sketchy is whether or

0:39:10.880 --> 0:39:14.320
<v Speaker 1>not that guy punched Udini. In the appendix and Jodie's

0:39:14.360 --> 0:39:19.880
<v Speaker 1>appendix ruptured where otherwise wouldn't have they think that that happened.

0:39:20.280 --> 0:39:24.680
<v Speaker 1>Very very rarely appendicitis prodom by blood trauma. Um, they

0:39:24.719 --> 0:39:28.360
<v Speaker 1>think that he probably had appendicitis already. This guy punched

0:39:28.560 --> 0:39:33.240
<v Speaker 1>Harry Houdini in his inflamed appendix, and that that created problems.

0:39:33.280 --> 0:39:36.359
<v Speaker 1>So the guy definitely killed Houdini one way or the other.

0:39:36.719 --> 0:39:41.520
<v Speaker 1>It's just did Houdini already have appendicitis or not? And

0:39:41.680 --> 0:39:45.799
<v Speaker 1>he probably did? Most most scholars say yes, there's just

0:39:45.880 --> 0:39:51.040
<v Speaker 1>no way this this little guy from McGill University. I mean,

0:39:51.160 --> 0:39:55.440
<v Speaker 1>come on, the Canadian Harvard, give me a break. Yeah. Um,

0:39:55.480 --> 0:40:00.120
<v Speaker 1>that that he burst Houdini's appendix. Yeah. I was had

0:40:00.120 --> 0:40:03.080
<v Speaker 1>a weird brief Houdini obsession when I was a little kid.

0:40:03.280 --> 0:40:05.560
<v Speaker 1>Oh yeah, I think I did a you know, some

0:40:05.640 --> 0:40:08.840
<v Speaker 1>sort of visual report, you know when you would just

0:40:08.880 --> 0:40:10.960
<v Speaker 1>do not even maybe it was a book report, an

0:40:11.000 --> 0:40:13.200
<v Speaker 1>interpretive dance. Is that what you're saying. Yeah, that's what

0:40:13.239 --> 0:40:15.279
<v Speaker 1>it was. But yeah it was on Judini, and I

0:40:15.320 --> 0:40:16.799
<v Speaker 1>was just for a little while, I just was really

0:40:16.880 --> 0:40:20.359
<v Speaker 1>Hudini obsessed and then kind of magic obsessed. Oh yeah,

0:40:20.360 --> 0:40:21.960
<v Speaker 1>and then you have one of those kids at a

0:40:21.960 --> 0:40:24.920
<v Speaker 1>magic phase. Did you have a kid. I may have

0:40:25.000 --> 0:40:26.680
<v Speaker 1>had a kid. Did you go to like the trick

0:40:26.719 --> 0:40:29.120
<v Speaker 1>shops magic shops? Yeah, there was one called Eddie's Trick

0:40:29.160 --> 0:40:30.840
<v Speaker 1>Shop here in the Stone Mountain. Then I went to

0:40:31.000 --> 0:40:34.400
<v Speaker 1>That's awesomes were great deck of fake cards or some

0:40:34.480 --> 0:40:38.080
<v Speaker 1>nice fake vomit or yeah, and you always looked up

0:40:38.120 --> 0:40:40.239
<v Speaker 1>to the person behind the counter and then you grew

0:40:40.320 --> 0:40:44.120
<v Speaker 1>up and you're like, oh, that's a used to work.

0:40:44.160 --> 0:40:47.240
<v Speaker 1>They're kind of thing. Yeah, it was the magic shop

0:40:47.640 --> 0:40:51.360
<v Speaker 1>and then the place that sold sold old mad magazines.

0:40:51.440 --> 0:40:54.080
<v Speaker 1>Those were the two greatest places on the planet. When

0:40:54.120 --> 0:40:57.480
<v Speaker 1>you're a certain age, you know, yeah, you got anything

0:40:57.480 --> 0:41:01.440
<v Speaker 1>else about Appendix appendicitis Judini, this is a good I

0:41:01.520 --> 0:41:04.120
<v Speaker 1>quite enjoyed this experience. I did too, Thanks to you

0:41:04.120 --> 0:41:07.160
<v Speaker 1>guys for listening. And uh, since we don't have anything

0:41:07.160 --> 0:41:09.080
<v Speaker 1>else about the appendix, that means it's time for a

0:41:09.120 --> 0:41:13.920
<v Speaker 1>listener mail. I'm gonna call this great idea from a

0:41:13.960 --> 0:41:16.440
<v Speaker 1>ten year old listener and this one, this one is

0:41:16.480 --> 0:41:20.520
<v Speaker 1>genuinely going in the two do file. Uh, dear, and

0:41:20.560 --> 0:41:23.480
<v Speaker 1>this is short and sweet deer Chuck Bryant and Josh Clark. Hi,

0:41:23.560 --> 0:41:25.080
<v Speaker 1>my name is Jack and I'm ten years old and

0:41:25.160 --> 0:41:29.000
<v Speaker 1>from hi Watha, Iowa. And I listen to your podcasts

0:41:29.000 --> 0:41:31.840
<v Speaker 1>while I'm mo. My dad introduced me to your podcast

0:41:31.880 --> 0:41:34.400
<v Speaker 1>and they've been great. My favorite one so far was

0:41:34.400 --> 0:41:37.359
<v Speaker 1>probably Titanic. It's really interesting. Before I listened to that one,

0:41:37.360 --> 0:41:40.160
<v Speaker 1>I wasn't really interested in the Titanic, but when I listen,

0:41:40.280 --> 0:41:42.759
<v Speaker 1>I got more interested. I was wondering if you ever

0:41:42.800 --> 0:41:45.719
<v Speaker 1>thought doing one on child labor It was after am

0:41:45.880 --> 0:41:49.360
<v Speaker 1>the Grass, So okay, yeah, I learned about it in

0:41:49.360 --> 0:41:50.880
<v Speaker 1>school and want to know more about it. Thank you

0:41:50.920 --> 0:41:53.520
<v Speaker 1>for all your great podcast. And then it's from Jack

0:41:54.239 --> 0:41:57.120
<v Speaker 1>and that is is on brand of stuff you should

0:41:57.120 --> 0:41:59.480
<v Speaker 1>know episode as I've ever heard. Yeah, but also coming

0:41:59.520 --> 0:42:03.520
<v Speaker 1>from child Laborer, it really kind of has a certain

0:42:03.600 --> 0:42:06.880
<v Speaker 1>like glow to it, you know. Yeah, I think, uh,

0:42:07.040 --> 0:42:09.239
<v Speaker 1>that's a great idea. I wonder if this kid is

0:42:09.320 --> 0:42:11.560
<v Speaker 1>just like, I'm gonna get my parents back for this

0:42:12.680 --> 0:42:15.320
<v Speaker 1>maybe because do you remember wanting to mow the grass

0:42:15.320 --> 0:42:18.000
<v Speaker 1>when you were ten? Totally and then you started to

0:42:18.160 --> 0:42:19.799
<v Speaker 1>about the third or fourth time, You're like, I've made

0:42:19.800 --> 0:42:23.120
<v Speaker 1>a terrible mistake. Well, it'll depend that, but it also

0:42:23.160 --> 0:42:24.799
<v Speaker 1>depended on the kind of mo word that your parents

0:42:24.880 --> 0:42:27.239
<v Speaker 1>stuck you with. We did have a writer for a

0:42:27.280 --> 0:42:30.560
<v Speaker 1>short time, so that was kind of pre go card

0:42:30.680 --> 0:42:34.000
<v Speaker 1>car driving. Yeah, it's like driving, Yeah, but with it

0:42:35.080 --> 0:42:39.120
<v Speaker 1>blade spinning at thousands of RPMs right beneath like sure,

0:42:39.200 --> 0:42:41.399
<v Speaker 1>just put that nine year old in the sea right,

0:42:42.200 --> 0:42:44.600
<v Speaker 1>Who is that again? That was Jack? Jack? Thank you,

0:42:44.680 --> 0:42:48.359
<v Speaker 1>great name, great idea, great person all around, Coming soon

0:42:48.440 --> 0:42:50.080
<v Speaker 1>like you can. You can count on that one, Jack.

0:42:50.600 --> 0:42:52.279
<v Speaker 1>If you want to get in touch with this like

0:42:52.400 --> 0:42:55.439
<v Speaker 1>Jack did with the Great Idea, we are always open

0:42:55.480 --> 0:42:58.080
<v Speaker 1>for those. Take your idea, wrap it up, spank it

0:42:58.200 --> 0:43:00.480
<v Speaker 1>lightly on the bottom, and send it off to Stuff

0:43:00.520 --> 0:43:07.080
<v Speaker 1>podcast at i heeart radio dot com. Stuff you Should

0:43:07.080 --> 0:43:09.520
<v Speaker 1>Know is a production of I Heart Radio. For more

0:43:09.560 --> 0:43:12.359
<v Speaker 1>podcasts my heart Radio, visit the i heart Radio app,

0:43:12.560 --> 0:43:15.480
<v Speaker 1>Apple Podcasts, or wherever you listen to your favorite shows.

0:43:18.320 --> 0:43:18.360
<v Speaker 1>H