1 00:00:00,280 --> 00:00:03,040 Speaker 1: A fifty year old woman presented to her GP following 2 00:00:03,080 --> 00:00:07,080 Speaker 1: an episode of ear candling. After fifteen minutes, the person 3 00:00:07,160 --> 00:00:10,520 Speaker 1: performing the candling burned herself while attempting to remove the 4 00:00:10,560 --> 00:00:14,400 Speaker 1: candle and spilled candle wax into the patient's right ear canal. 5 00:00:14,920 --> 00:00:17,880 Speaker 1: On examination, a piece of candle wax was found in 6 00:00:17,960 --> 00:00:20,960 Speaker 1: the patient's ear and she was referred to the local ear, nose, 7 00:00:21,000 --> 00:00:24,959 Speaker 1: and throat department under general anesthetic. A large mass of 8 00:00:25,040 --> 00:00:28,960 Speaker 1: solidified yellow candle wax was removed from the deep meatus 9 00:00:29,160 --> 00:00:32,159 Speaker 1: of the ear. The patient had a small perforation in 10 00:00:32,200 --> 00:00:35,120 Speaker 1: her right to panic membrane. Results of a pure tone 11 00:00:35,159 --> 00:00:38,640 Speaker 1: audiogram showed a mild conductive hearing loss on the right side. 12 00:00:38,880 --> 00:00:41,640 Speaker 1: At a follow up appointment one month later, the perforation 13 00:00:41,800 --> 00:00:46,520 Speaker 1: was still there and the patient's hearing had not improved. 14 00:01:32,760 --> 00:01:35,920 Speaker 1: An account of why not to ear candle. 15 00:01:35,920 --> 00:01:43,160 Speaker 2: I mean, just one example, just one that sounds horrific. Yep. 16 00:01:43,640 --> 00:01:48,520 Speaker 1: I agree. Every single account of ear candling that I 17 00:01:48,600 --> 00:01:52,720 Speaker 1: read was exactly like this. This particular account comes from 18 00:01:52,760 --> 00:01:55,160 Speaker 1: an article from two thousand and seven by Rafferty at 19 00:01:55,160 --> 00:01:58,200 Speaker 1: All published in the Canadian Family Physician that was titled 20 00:01:58,240 --> 00:02:01,920 Speaker 1: ear candling. Should general prec tishners recommend it? The answer 21 00:02:01,960 --> 00:02:02,920 Speaker 1: was no. 22 00:02:02,520 --> 00:02:11,000 Speaker 2: No, firmly. Wow that's awful. Yeah, that's awful. 23 00:02:11,120 --> 00:02:11,720 Speaker 1: It's not great. 24 00:02:12,400 --> 00:02:14,160 Speaker 2: Hi. I'm Aaron Welsh. 25 00:02:14,000 --> 00:02:14,639 Speaker 1: And I'm Erin. 26 00:02:14,680 --> 00:02:17,800 Speaker 2: I'm an Updike and this is this podcast will kill you. 27 00:02:17,880 --> 00:02:22,799 Speaker 1: Today we're talking about ear wax, ear wax, continuing our 28 00:02:22,880 --> 00:02:23,960 Speaker 1: bodily fluids. 29 00:02:24,440 --> 00:02:27,440 Speaker 2: There's so much more that I've been like mentally collecting them. 30 00:02:27,440 --> 00:02:32,240 Speaker 2: There's like saliva would be a great one, belly button lint. 31 00:02:32,680 --> 00:02:37,320 Speaker 2: What's in there tojam on skin cells? 32 00:02:37,880 --> 00:02:39,240 Speaker 1: It's probably the same thing as to jam. 33 00:02:39,320 --> 00:02:42,280 Speaker 2: Aaron, Well, we'll do an episode on it, babe. 34 00:02:42,040 --> 00:02:42,840 Speaker 1: Okay, I can't wait. 35 00:02:42,960 --> 00:02:46,280 Speaker 2: We'll have to see if there's enough material there. But 36 00:02:46,440 --> 00:02:50,760 Speaker 2: don't get it like, I'm sorry, absolutely done, thank you. 37 00:02:51,200 --> 00:02:53,240 Speaker 2: I am thrilled for this episode. 38 00:02:53,480 --> 00:02:56,720 Speaker 1: I can't wait because I have nothing to contribute, but 39 00:02:56,760 --> 00:03:00,600 Speaker 1: I really want to. You have to say, I'm sure 40 00:03:00,600 --> 00:03:00,840 Speaker 1: that you. 41 00:03:01,040 --> 00:03:03,840 Speaker 2: I mean, I want to know what makes up earwax. Yeah. 42 00:03:03,840 --> 00:03:06,920 Speaker 1: I have several pages of notes, but like it's I'm 43 00:03:06,960 --> 00:03:07,600 Speaker 1: here for you. 44 00:03:08,120 --> 00:03:11,480 Speaker 2: I'm here for you. I love you. I love you. 45 00:03:12,919 --> 00:03:15,200 Speaker 2: I also love quarantine time me too. 46 00:03:15,240 --> 00:03:16,120 Speaker 1: That's what time it is. 47 00:03:17,800 --> 00:03:21,200 Speaker 2: How is that done? Was that nicely done? Really? Really good? Good? 48 00:03:21,320 --> 00:03:22,519 Speaker 1: Good? What are we drinking this week? 49 00:03:22,600 --> 00:03:26,640 Speaker 2: Arin, We're drinking the gold Mine gold mine. Yeah, not 50 00:03:26,720 --> 00:03:29,079 Speaker 2: out ear wax is gold some. 51 00:03:29,000 --> 00:03:37,880 Speaker 1: Of it is so many different shades, so many different grays, blacks, yellowish, brown. 52 00:03:38,120 --> 00:03:40,280 Speaker 2: Do you already say brown? I did, Yeah, okay, yeah. 53 00:03:40,360 --> 00:03:41,520 Speaker 1: Lots of shades though. 54 00:03:41,360 --> 00:03:45,520 Speaker 2: Lots of shades within mustard. But we are we're drinking. 55 00:03:45,560 --> 00:03:48,760 Speaker 2: I mean, we named it gold mine because the amount 56 00:03:48,760 --> 00:03:52,400 Speaker 2: of information that you can tell from earwax is more 57 00:03:52,400 --> 00:03:53,480 Speaker 2: than I ever expected. 58 00:03:53,880 --> 00:03:54,800 Speaker 1: I didn't know that. 59 00:03:55,520 --> 00:03:59,720 Speaker 2: So I plus earwax is a resource, like not just informationally, well, 60 00:04:00,000 --> 00:04:01,000 Speaker 2: there's a lot to cover. 61 00:04:03,920 --> 00:04:08,040 Speaker 1: Oh yeah, okay, you're gonna tell me everything. What's in 62 00:04:08,720 --> 00:04:09,480 Speaker 1: the gold mine? 63 00:04:09,560 --> 00:04:12,279 Speaker 2: It's I mean, we wanted to make it look goldish. 64 00:04:12,600 --> 00:04:16,000 Speaker 2: You know. It's got pineapple juice, Jlipino simple syrup and 65 00:04:16,120 --> 00:04:20,920 Speaker 2: lime club soda. It's refreshing, delicious. This episode will come 66 00:04:20,920 --> 00:04:25,800 Speaker 2: out summertime, I think, so it's great in the summer, 67 00:04:26,040 --> 00:04:28,000 Speaker 2: in the summer, in the Northern Hemisphere summer. 68 00:04:29,200 --> 00:04:31,320 Speaker 1: You can find the full recipe on our website, this 69 00:04:31,320 --> 00:04:34,440 Speaker 1: podcastikila dot com, and all of our social media channels 70 00:04:34,480 --> 00:04:37,120 Speaker 1: which you should be following us if you're not already, 71 00:04:37,160 --> 00:04:42,440 Speaker 1: because we're there posting things like this Quarantini recipe. Also, 72 00:04:45,000 --> 00:04:47,440 Speaker 1: I don't remember what else, rate review and subscribe. Thank 73 00:04:47,480 --> 00:04:49,680 Speaker 1: you to everyone who has left us a review. It 74 00:04:49,839 --> 00:04:52,480 Speaker 1: really does help other people find this podcast, and we'd 75 00:04:52,560 --> 00:04:55,520 Speaker 1: like for like I don't know, everyone to listen to it. Yeah, 76 00:04:55,960 --> 00:04:59,880 Speaker 1: if you are watching on YouTube, hi, hi, and we 77 00:05:00,000 --> 00:05:03,839 Speaker 1: we are there on a web subscribe on a website 78 00:05:03,839 --> 00:05:05,960 Speaker 1: we have called this podcast will Kill You dot com. 79 00:05:06,000 --> 00:05:10,480 Speaker 1: You can find transcripts, you can find sources from every episode, Merchpatreon, 80 00:05:10,560 --> 00:05:15,279 Speaker 1: bookshop dot org, bookmobile, bloodmobile. Who does the music? 81 00:05:16,240 --> 00:05:19,279 Speaker 2: There's a lot, there's a lot, and I just I 82 00:05:19,320 --> 00:05:22,320 Speaker 2: know we always thank everyone at the end of these episodes, 83 00:05:22,360 --> 00:05:26,240 Speaker 2: but I was thinking, how there are there's so much 84 00:05:26,279 --> 00:05:28,479 Speaker 2: out there, Like there are so many podcasts out there, 85 00:05:28,520 --> 00:05:31,239 Speaker 2: there's so much media to listen to, to watch, et cetera. 86 00:05:31,960 --> 00:05:35,920 Speaker 2: And the fact that people choose to engage with ours 87 00:05:36,000 --> 00:05:40,080 Speaker 2: is really it's really surreal and wonderful and so thank 88 00:05:40,120 --> 00:05:43,279 Speaker 2: you for choosing to spend your time with us. It 89 00:05:43,440 --> 00:05:45,599 Speaker 2: means the world truly really does. 90 00:05:45,720 --> 00:05:48,839 Speaker 1: It really does. Like we love getting to make this 91 00:05:48,920 --> 00:05:52,880 Speaker 1: podcast as our jobs, yeah, and sharing everything that we 92 00:05:52,960 --> 00:05:56,200 Speaker 1: learn with you. And I still can't believe that anyone 93 00:05:56,400 --> 00:06:01,360 Speaker 1: I know listen. It's truly say. Every time someone's like, 94 00:06:01,400 --> 00:06:02,359 Speaker 1: oh I listen, I'm. 95 00:06:02,160 --> 00:06:06,880 Speaker 2: Like, really, you've heard of this podcast? What why do 96 00:06:06,920 --> 00:06:10,960 Speaker 2: you listen? Thank you, thank you, thank you. 97 00:06:11,640 --> 00:06:12,760 Speaker 1: We appreciate it, we do. 98 00:06:13,320 --> 00:06:17,520 Speaker 2: But enough enough of all that. It's time for earwax. 99 00:06:17,839 --> 00:06:53,039 Speaker 1: Ear wax. Let's get into it right after this break. Earwax. 100 00:06:55,120 --> 00:06:58,239 Speaker 1: That's how I started good. I like it all caps, 101 00:06:58,800 --> 00:07:01,159 Speaker 1: so we all know what it is. It's the junk 102 00:07:01,440 --> 00:07:04,760 Speaker 1: in our ears. The official medical term for ear wax 103 00:07:04,880 --> 00:07:05,800 Speaker 1: is serumin. 104 00:07:06,680 --> 00:07:09,359 Speaker 2: Junk is you know I'm going to take issue with that. 105 00:07:09,440 --> 00:07:11,640 Speaker 1: Oh I can't wait for you to take issue with that. 106 00:07:13,400 --> 00:07:16,800 Speaker 1: So serumin is this waxy substance that our ear makes. 107 00:07:17,280 --> 00:07:21,280 Speaker 1: Our ear makes this in order to stay lubricated, to 108 00:07:21,480 --> 00:07:24,880 Speaker 1: clean and protect our ear canal. And really it functions 109 00:07:24,960 --> 00:07:29,280 Speaker 1: a lot like the mucus in our nose, except it's 110 00:07:29,400 --> 00:07:31,080 Speaker 1: kind of also completely different. 111 00:07:31,120 --> 00:07:33,160 Speaker 2: So it was like, its just ear boogers. 112 00:07:33,320 --> 00:07:38,360 Speaker 1: It's ear boogers, yeah, more or less, but different. So 113 00:07:38,520 --> 00:07:41,640 Speaker 1: it is a protective barrier the same way that our nose, 114 00:07:41,720 --> 00:07:45,640 Speaker 1: mucus is it is a little bit acidic, and so 115 00:07:45,920 --> 00:07:48,080 Speaker 1: in being a little bit acidic, it keeps our ear 116 00:07:48,120 --> 00:07:51,280 Speaker 1: canal acidic, which helps to inhibit the growth of bacteria 117 00:07:51,440 --> 00:07:56,080 Speaker 1: and fungi which would really love to be able to 118 00:07:56,120 --> 00:07:59,480 Speaker 1: grow in our ear canal. There was a nineteen ninety 119 00:07:59,480 --> 00:08:01,880 Speaker 1: four pape which I didn't read this paper, but I 120 00:08:01,920 --> 00:08:04,280 Speaker 1: read a paper that quoted this paper that called the 121 00:08:04,320 --> 00:08:08,040 Speaker 1: ear canal quote the green house of the human body 122 00:08:09,120 --> 00:08:12,840 Speaker 1: end quote, because of how much fung i would love 123 00:08:12,960 --> 00:08:14,360 Speaker 1: to grow in our ear canal. And I was like, 124 00:08:14,400 --> 00:08:17,600 Speaker 1: wouldn't we have a lot of moist dark. 125 00:08:17,680 --> 00:08:20,880 Speaker 2: Eye was, yeah, there's gotta be more. I can think 126 00:08:20,920 --> 00:08:24,520 Speaker 2: of many greenhouses we too populate throughout our bodies. 127 00:08:24,960 --> 00:08:30,520 Speaker 1: But anyways, the potentially I mean every mucus membrane, really 128 00:08:30,600 --> 00:08:35,800 Speaker 1: every mucus membrane. Anyways, just like in our nose, in 129 00:08:35,880 --> 00:08:39,280 Speaker 1: our ears, we have these glands just underneath the skin 130 00:08:39,720 --> 00:08:43,640 Speaker 1: that are what produced the oily substance that ends up 131 00:08:43,640 --> 00:08:47,560 Speaker 1: getting mixed with shed skin cells and debris that all 132 00:08:47,600 --> 00:08:52,000 Speaker 1: together become our ear wax. There's two types of glands. 133 00:08:52,520 --> 00:08:55,760 Speaker 1: There are sabaceous glands and we have subacious glands all 134 00:08:55,800 --> 00:09:00,319 Speaker 1: over our body, and sabacious glands produce a substance called seam, 135 00:09:00,600 --> 00:09:04,040 Speaker 1: which is like this sort of oily type of substance. 136 00:09:04,640 --> 00:09:07,199 Speaker 1: And then we also have in our ears these modified 137 00:09:07,400 --> 00:09:12,240 Speaker 1: apicrin glands, and our apocrine glands are basically like our 138 00:09:12,280 --> 00:09:14,640 Speaker 1: sweat glands are a type of apricin gland as well, 139 00:09:15,360 --> 00:09:19,640 Speaker 1: and these glands produce a variety of substances, including lipids 140 00:09:19,640 --> 00:09:24,680 Speaker 1: so like fats, wax esters, alcohols, something called squaleen, which 141 00:09:24,720 --> 00:09:29,600 Speaker 1: is a kind of fatty substance, and cholesterol, and all 142 00:09:29,640 --> 00:09:33,520 Speaker 1: of these get together, the secretions from our apicrine glands 143 00:09:33,559 --> 00:09:38,040 Speaker 1: and the secretions from our sebum glands and mix with 144 00:09:38,080 --> 00:09:42,880 Speaker 1: our dead skin cells, which I find very fascinating because 145 00:09:44,120 --> 00:09:48,160 Speaker 1: the cells in our ear, like our skin cells, shed 146 00:09:48,200 --> 00:09:50,520 Speaker 1: all the time, right like rub your hand against your 147 00:09:50,520 --> 00:09:53,000 Speaker 1: skin and the top layer is sluffing off. 148 00:09:54,080 --> 00:09:57,000 Speaker 2: Okay, got it, It sluffed the top layer. 149 00:09:57,679 --> 00:10:01,839 Speaker 1: That's happening in our ears as well, and it moves 150 00:10:02,200 --> 00:10:05,120 Speaker 1: from the inside of our ear towards the outside of 151 00:10:05,160 --> 00:10:09,840 Speaker 1: our ear like the cells do this shedding thing in 152 00:10:09,920 --> 00:10:12,480 Speaker 1: a particular way. There's a paper from nineteen sixty four 153 00:10:12,520 --> 00:10:16,520 Speaker 1: that like tracked the way that our ear canal sheds 154 00:10:16,559 --> 00:10:22,080 Speaker 1: its own skin. How is it doing hairs? No, So 155 00:10:22,120 --> 00:10:26,240 Speaker 1: here's what's so fascinating. It's not little hairs or little cilia. 156 00:10:26,280 --> 00:10:29,800 Speaker 1: A big part of what moves the skin and all 157 00:10:29,840 --> 00:10:33,280 Speaker 1: of the debris within it is our jaw movements. So 158 00:10:33,360 --> 00:10:36,760 Speaker 1: when we are talking and chewing, it helps to move 159 00:10:36,880 --> 00:10:39,600 Speaker 1: the ear wax and these skin cells along the ear 160 00:10:39,679 --> 00:10:44,640 Speaker 1: canal itself. And this is all our Technically, our outer ear, 161 00:10:44,679 --> 00:10:47,760 Speaker 1: which is our ear, has three parts in our middle 162 00:10:47,760 --> 00:10:49,440 Speaker 1: and outer and this is all the outer parts, so 163 00:10:49,480 --> 00:10:53,760 Speaker 1: from the tympanic membrane out towards the outside world. Cool. 164 00:10:54,200 --> 00:10:56,520 Speaker 2: I have, very cool. I have a few questions. 165 00:10:56,600 --> 00:10:57,120 Speaker 1: Give it to me. 166 00:10:57,320 --> 00:11:01,720 Speaker 2: Where are these glands located? They located throughout our ear canal, 167 00:11:01,920 --> 00:11:04,240 Speaker 2: just in our inner ear. Okay, so yeah, they're throughout 168 00:11:04,280 --> 00:11:06,800 Speaker 2: our ear canal. This is all outer ear canal. This 169 00:11:06,880 --> 00:11:09,199 Speaker 2: is all outer ear, all outer ear. Okay, yeah, okay, yeah, 170 00:11:09,200 --> 00:11:10,439 Speaker 2: oh yeah, yeah, Okay. 171 00:11:10,520 --> 00:11:13,520 Speaker 1: It feels like it's inner because I like the oracle 172 00:11:13,600 --> 00:11:15,640 Speaker 1: or the pinnow, which is like the visible. 173 00:11:15,240 --> 00:11:16,600 Speaker 2: Part of your ear, the little hole. 174 00:11:16,679 --> 00:11:18,880 Speaker 1: Yeah, but it's yeah, it's a canal that's like usually 175 00:11:18,920 --> 00:11:21,160 Speaker 1: like an inch or so long. It can be a 176 00:11:21,200 --> 00:11:24,280 Speaker 1: little bit windy, so it sometimes feels longer when you're 177 00:11:24,320 --> 00:11:24,959 Speaker 1: looking in it. 178 00:11:25,000 --> 00:11:32,080 Speaker 2: But okay, how much do we produced? And here's the 179 00:11:32,080 --> 00:11:33,640 Speaker 2: other question. Can you answer? 180 00:11:33,840 --> 00:11:35,600 Speaker 1: I don't have an answer to that question, and it 181 00:11:35,640 --> 00:11:38,520 Speaker 1: bothers me so much that I didn't see that anywhere. 182 00:11:38,559 --> 00:11:39,400 Speaker 1: Do you have an answer? 183 00:11:39,480 --> 00:11:41,320 Speaker 2: I don't have an answer. I mean, I I had 184 00:11:41,360 --> 00:11:43,320 Speaker 2: a hard time finding I was trying to find the 185 00:11:43,360 --> 00:11:46,680 Speaker 2: origin of these glands, the like seruminous glands, and like 186 00:11:46,720 --> 00:11:48,920 Speaker 2: when did they evolve and blah blah blah, and I 187 00:11:49,160 --> 00:11:51,920 Speaker 2: I mean maybe my search terms weren't great, but I 188 00:11:51,960 --> 00:11:54,960 Speaker 2: couldn't find anything. Okay, So then the other question is 189 00:11:55,000 --> 00:11:57,840 Speaker 2: does the amount that we produce what affects it? And 190 00:11:57,880 --> 00:12:02,440 Speaker 2: I was just thinking of like, if if you're grinding 191 00:12:02,480 --> 00:12:05,280 Speaker 2: your teeth at night and that's an eight solid hours 192 00:12:05,320 --> 00:12:08,240 Speaker 2: of just jaw movement movement, are you producing more ear 193 00:12:08,280 --> 00:12:11,280 Speaker 2: wax or are you moving more ear wax? Is there 194 00:12:11,280 --> 00:12:12,520 Speaker 2: an impact on earwax? 195 00:12:13,120 --> 00:12:19,880 Speaker 1: That's an excellent question. I have literally no idea. I 196 00:12:19,920 --> 00:12:22,360 Speaker 1: have no idea, but that's such an interesting question. So 197 00:12:22,600 --> 00:12:25,560 Speaker 1: we do are our ear the glands in our ears? 198 00:12:25,600 --> 00:12:28,400 Speaker 1: The cruminous glands. So the semum glands and the apocrine glands, 199 00:12:28,600 --> 00:12:31,680 Speaker 1: they reduce in number as we get older, and so 200 00:12:31,800 --> 00:12:34,040 Speaker 1: that's one thing that's going to affect how much earwax 201 00:12:34,120 --> 00:12:36,600 Speaker 1: we make. So the older that you get, the less 202 00:12:36,640 --> 00:12:38,840 Speaker 1: the dryer your ear wax tends to be because you 203 00:12:38,880 --> 00:12:40,880 Speaker 1: have less of these glands. Why don't ask me, I 204 00:12:40,880 --> 00:12:44,559 Speaker 1: don't know except that, like, I mean, your skin gets 205 00:12:44,640 --> 00:12:46,439 Speaker 1: drier in general as you get older, right, so you're 206 00:12:46,480 --> 00:12:49,320 Speaker 1: just losing sebum producing glands everywhere. I don't I don't 207 00:12:49,320 --> 00:12:50,680 Speaker 1: actually know they fall off? 208 00:12:50,760 --> 00:12:53,040 Speaker 2: Yeah, why do they fall fall off? 209 00:12:53,120 --> 00:12:55,120 Speaker 1: Or they just kind of like dry, you. 210 00:12:55,080 --> 00:12:58,920 Speaker 2: Know, I mean, I get you physically fall off. Okay, 211 00:12:58,960 --> 00:12:59,720 Speaker 2: what about ear? 212 00:13:00,840 --> 00:13:04,520 Speaker 1: Ear hair? Ear hair also increases in number as we 213 00:13:04,559 --> 00:13:07,000 Speaker 1: get older, and so the like, older people might have 214 00:13:07,080 --> 00:13:09,760 Speaker 1: quite a lot of hair in their ears, especially males, 215 00:13:10,000 --> 00:13:13,080 Speaker 1: and that can actually block the ear wax from coming 216 00:13:13,160 --> 00:13:15,840 Speaker 1: all the way out, so it can contribute to serum 217 00:13:15,840 --> 00:13:17,640 Speaker 1: and impaction, which I'll talk a little bit more about 218 00:13:17,679 --> 00:13:18,320 Speaker 1: in a minute. 219 00:13:18,440 --> 00:13:22,120 Speaker 2: Why do we get more ear hair when we get older. 220 00:13:22,160 --> 00:13:23,240 Speaker 1: I don't have it. I don't have an answer. We 221 00:13:23,320 --> 00:13:25,079 Speaker 1: get hair everywhere when we get older. 222 00:13:24,920 --> 00:13:28,600 Speaker 2: Right, Okay, we lose hair body hairs as an episode. 223 00:13:28,760 --> 00:13:47,479 Speaker 1: Listen, I'm down. So there's two main types of earwax. 224 00:13:47,559 --> 00:13:51,480 Speaker 1: It's usually split. There's wet earwax and there's dry earwax. 225 00:13:51,720 --> 00:13:53,080 Speaker 1: And I think you're going to talk a little bit 226 00:13:53,120 --> 00:13:57,320 Speaker 1: more about this distinction, Arin, but it's genetically determined, which 227 00:13:57,360 --> 00:14:02,560 Speaker 1: I think is so interesting, except that obviously it does also, 228 00:14:02,600 --> 00:14:05,680 Speaker 1: like I said, get drier as we age. But the drier, 229 00:14:06,000 --> 00:14:10,280 Speaker 1: flakier earwax, which some people have, is usually lighter in color, 230 00:14:10,640 --> 00:14:12,640 Speaker 1: and it tends to be more common in people of 231 00:14:12,720 --> 00:14:17,640 Speaker 1: Asian and Native American descent. And then the sticky, dark earwax, 232 00:14:17,679 --> 00:14:21,800 Speaker 1: which is what I have say, very sticky wax, it's 233 00:14:21,840 --> 00:14:26,520 Speaker 1: more common in people of African and European descent. And 234 00:14:26,840 --> 00:14:31,560 Speaker 1: apparently the dry, flaky earwax is like a recessive trait. Correct, 235 00:14:32,160 --> 00:14:34,080 Speaker 1: you're gonna tell me more about that I got about 236 00:14:34,080 --> 00:14:37,480 Speaker 1: ear wax. There's not I tried to find if there 237 00:14:37,600 --> 00:14:40,960 Speaker 1: was like a big literature about like who's more likely 238 00:14:41,040 --> 00:14:44,640 Speaker 1: to get earwax impaction or something like that, And there 239 00:14:44,720 --> 00:14:47,160 Speaker 1: isn't a strong association between types of ear wax, like 240 00:14:47,240 --> 00:14:49,120 Speaker 1: you can get too much of it, whether you have 241 00:14:49,160 --> 00:14:51,520 Speaker 1: the dry, flaky stuff or the wet, sticky stuff. 242 00:14:51,560 --> 00:14:53,480 Speaker 2: Okay, that's interesting, Okay. 243 00:14:53,240 --> 00:14:58,040 Speaker 1: Yeah, And so under typical or ideal conditions, our outer 244 00:14:58,160 --> 00:15:01,120 Speaker 1: ear is kind of like a self clean oven. Okay. 245 00:15:01,320 --> 00:15:04,360 Speaker 1: So it makes this wax and then it pushes it 246 00:15:04,560 --> 00:15:08,920 Speaker 1: out in order to keep our ear canals free of 247 00:15:09,120 --> 00:15:11,880 Speaker 1: debris and bacteria and getting rid of all of these 248 00:15:11,880 --> 00:15:13,720 Speaker 1: skin cells once they're dead and done. 249 00:15:13,760 --> 00:15:14,120 Speaker 2: All right. 250 00:15:15,280 --> 00:15:18,880 Speaker 1: The biggest complication that we see is when this mechanism, 251 00:15:18,920 --> 00:15:21,360 Speaker 1: for one reason or another doesn't go as planned, and 252 00:15:21,400 --> 00:15:24,480 Speaker 1: so our ear wax builds up and gets stuck inside 253 00:15:24,520 --> 00:15:28,040 Speaker 1: of our ear canals. And this is called serumin impaction. 254 00:15:28,880 --> 00:15:31,400 Speaker 2: Why problem might that happen? Let me tell you. 255 00:15:31,440 --> 00:15:35,560 Speaker 1: There's so many different reasons. It's probably the biggest ear 256 00:15:35,560 --> 00:15:38,080 Speaker 1: wax complaints, certainly like that you see in primary care 257 00:15:38,480 --> 00:15:40,560 Speaker 1: or things like that. There's lots of other things that 258 00:15:40,600 --> 00:15:44,080 Speaker 1: you can get stuck in your ear canal, bugs and 259 00:15:44,200 --> 00:15:47,040 Speaker 1: legos and other small toys very common. 260 00:15:47,280 --> 00:15:52,320 Speaker 2: I feel like you have an ear invasion phobia. Dem 261 00:15:52,360 --> 00:15:53,400 Speaker 2: I remembering that, correct. 262 00:15:53,880 --> 00:15:55,840 Speaker 1: I love that you remember that and said it on 263 00:15:55,880 --> 00:15:59,480 Speaker 1: a podcast for the world. I do. It's because of 264 00:15:59,560 --> 00:16:03,560 Speaker 1: the wrath of con okay, okay. In the Wrath of 265 00:16:03,640 --> 00:16:06,840 Speaker 1: con they put a little like alien guy in this 266 00:16:06,960 --> 00:16:10,800 Speaker 1: is like the original star track of movie. They put 267 00:16:10,840 --> 00:16:12,920 Speaker 1: a little alien like mind control guy. And then in 268 00:16:13,040 --> 00:16:16,480 Speaker 1: Anamorphs that's also how they control or something. Is that 269 00:16:16,480 --> 00:16:19,600 Speaker 1: what they're called? Wow, something like that. Did you know 270 00:16:19,680 --> 00:16:21,800 Speaker 1: they're making a series, Eric, I do know that. 271 00:16:21,960 --> 00:16:24,240 Speaker 2: I am very excited about it, so excited about and 272 00:16:24,240 --> 00:16:26,200 Speaker 2: I'm also nervous because like those books. 273 00:16:26,000 --> 00:16:27,840 Speaker 1: Were very dark, I know. 274 00:16:28,480 --> 00:16:30,480 Speaker 2: So we'll see how it goes, so we'll see what happens. 275 00:16:31,120 --> 00:16:34,240 Speaker 1: But anyways, so yes, I do have a phobia of 276 00:16:36,400 --> 00:16:40,520 Speaker 1: like mind control creatures being put specifically. 277 00:16:39,800 --> 00:16:41,480 Speaker 2: I just figured it was like any bug. 278 00:16:42,440 --> 00:16:44,280 Speaker 1: I mean, yeah, I don't like the idea of anybody. 279 00:16:44,280 --> 00:16:46,480 Speaker 1: I've taken some cockroaches out of ears, and it's not 280 00:16:46,520 --> 00:16:49,280 Speaker 1: like a pleasant experience for the person who has the 281 00:16:49,280 --> 00:16:50,560 Speaker 1: cockroach in their ear. 282 00:16:51,440 --> 00:16:56,920 Speaker 2: Sorry, I regret going down. It's well, it's. 283 00:16:56,800 --> 00:17:01,160 Speaker 1: Not it's not great, okay, But anyways, ear wax much 284 00:17:01,160 --> 00:17:04,160 Speaker 1: more common to get stuck in your ears than other things, 285 00:17:05,119 --> 00:17:09,399 Speaker 1: and the biggest issue that can happen from this is 286 00:17:09,440 --> 00:17:13,520 Speaker 1: that if the ear wax completely obscures your tympanic membrane, 287 00:17:13,560 --> 00:17:15,880 Speaker 1: which is the thing that separates your outer ear from 288 00:17:15,920 --> 00:17:18,560 Speaker 1: your middle ear, and this is like the membrane that 289 00:17:18,600 --> 00:17:22,480 Speaker 1: allows us to hear. Then, not only can this be 290 00:17:22,640 --> 00:17:25,600 Speaker 1: very uncomfortable, it can create the sensation of fullness, it 291 00:17:25,600 --> 00:17:29,200 Speaker 1: can be very itchy, but it also can cause hearing loss. 292 00:17:29,280 --> 00:17:31,560 Speaker 1: Right if you completely block the thing that we use 293 00:17:31,640 --> 00:17:35,760 Speaker 1: to hear, you can have substantially diminished hearing. And it 294 00:17:35,800 --> 00:17:39,440 Speaker 1: can really exacerbate tintous or that ringing in your ear 295 00:17:39,480 --> 00:17:42,000 Speaker 1: tonitics some people call it. I have that. 296 00:17:42,240 --> 00:17:44,320 Speaker 2: Yeah. It also could set you up. 297 00:17:44,280 --> 00:17:46,919 Speaker 1: For an ear infection because you're obviously blocking a tube, 298 00:17:47,520 --> 00:17:49,600 Speaker 1: which anytime you do that can set you up for 299 00:17:49,600 --> 00:17:53,000 Speaker 1: an infection. So this can happen for a few different reasons. 300 00:17:53,119 --> 00:17:56,160 Speaker 1: Number one, if you just have very tight or very 301 00:17:56,240 --> 00:18:00,280 Speaker 1: like snaky shaped ear canals, then you might be more 302 00:18:00,280 --> 00:18:02,639 Speaker 1: prone to getting those blocked. So we might see this 303 00:18:02,880 --> 00:18:05,800 Speaker 1: in small children who have smaller ear canals that they 304 00:18:05,880 --> 00:18:08,879 Speaker 1: might have be more likely to get ear wax built up. 305 00:18:09,200 --> 00:18:12,200 Speaker 1: Or if for whatever reason developmentally you have a different 306 00:18:12,240 --> 00:18:15,119 Speaker 1: shape of ear canal, or if you just happen to 307 00:18:15,119 --> 00:18:16,800 Speaker 1: be a person who makes a lot of ear wax 308 00:18:16,960 --> 00:18:19,120 Speaker 1: and I don't have any statistics on who you are 309 00:18:19,240 --> 00:18:22,880 Speaker 1: compared to anyone else. Yeah, So the biggest modifiable risk 310 00:18:22,880 --> 00:18:26,320 Speaker 1: factors are using things like cotton swabs that you stick 311 00:18:26,320 --> 00:18:27,159 Speaker 1: in your ear aus in. 312 00:18:27,320 --> 00:18:30,400 Speaker 2: Don't use them because using them will lead to impaction. Yeah. 313 00:18:30,480 --> 00:18:33,360 Speaker 1: Not only can they push the ear wax further in, 314 00:18:33,400 --> 00:18:35,639 Speaker 1: which can lead to impaction, they also can create little 315 00:18:35,640 --> 00:18:37,919 Speaker 1: microabrasions in your ear canal which can put you at 316 00:18:38,000 --> 00:18:42,240 Speaker 1: risk for infection. Also, hearing aids or all of the 317 00:18:42,280 --> 00:18:45,200 Speaker 1: earbuds that we use now, they just shove stuff down 318 00:18:45,320 --> 00:18:46,080 Speaker 1: into your ear. 319 00:18:46,720 --> 00:18:47,520 Speaker 2: Yeah. 320 00:18:47,560 --> 00:18:49,439 Speaker 1: And then, like we talked about, as we get older, 321 00:18:49,480 --> 00:18:53,200 Speaker 1: our earwax gets drier, which can make it sometimes more 322 00:18:53,320 --> 00:18:55,719 Speaker 1: likely to get stuck. But also the hairs that we 323 00:18:55,800 --> 00:18:58,200 Speaker 1: see in the outer, like the very outer part, can 324 00:18:58,280 --> 00:19:00,679 Speaker 1: just prevent all that earwax from leaving. So we actually 325 00:19:00,680 --> 00:19:04,119 Speaker 1: see even though your ear canals are larger when you're older, 326 00:19:04,200 --> 00:19:08,439 Speaker 1: we see more impaction in older adults than we do 327 00:19:08,560 --> 00:19:11,159 Speaker 1: in younger adults or children. Wow. 328 00:19:11,520 --> 00:19:20,840 Speaker 2: Yeah, m hm. How do you manage impaction removal? How 329 00:19:20,840 --> 00:19:23,440 Speaker 2: do you manage You're not supposed to use cotton swabs, 330 00:19:23,440 --> 00:19:24,640 Speaker 2: So don't use cotton swabs. 331 00:19:24,640 --> 00:19:29,520 Speaker 1: This is not a medical advice podcast, but please Yeah, 332 00:19:29,720 --> 00:19:33,480 Speaker 1: if it's impacted, like if you have true serumin impaction 333 00:19:33,560 --> 00:19:36,040 Speaker 1: in your ear, then usually you're gonna need a little 334 00:19:36,080 --> 00:19:38,480 Speaker 1: bit of help to get it out, though not always so. 335 00:19:38,680 --> 00:19:41,080 Speaker 1: In the office, we might use something that's like a 336 00:19:41,200 --> 00:19:44,639 Speaker 1: spray bottle with a special hose nozzle on the end 337 00:19:44,640 --> 00:19:46,879 Speaker 1: of it that we can stick just far enough but 338 00:19:46,960 --> 00:19:49,600 Speaker 1: not too far into your ear canal and spray warm 339 00:19:49,680 --> 00:19:53,280 Speaker 1: like lukewarm water, sometimes with hydrogen peroxide because the bubbles 340 00:19:53,320 --> 00:19:56,040 Speaker 1: can help, and you just spray spray spraying until you 341 00:19:56,080 --> 00:20:02,520 Speaker 1: can dislodge that thing. It's really really satisfying, like so satisfying. 342 00:20:02,600 --> 00:20:04,520 Speaker 2: Sure videos exist on the internet. 343 00:20:04,640 --> 00:20:09,840 Speaker 1: Oh yes, definitely. Sometimes we might use like a curette 344 00:20:09,960 --> 00:20:13,280 Speaker 1: or something, or there's like little vacuum aspirators that, like 345 00:20:13,359 --> 00:20:16,080 Speaker 1: the ant specialists might have to really suck it out, 346 00:20:16,119 --> 00:20:20,240 Speaker 1: depending on how it's in there or at home. There's 347 00:20:20,280 --> 00:20:22,359 Speaker 1: actually a lot of things that people can do that 348 00:20:22,520 --> 00:20:26,040 Speaker 1: are safe to not only help to soften up something 349 00:20:26,080 --> 00:20:28,520 Speaker 1: that might be stuck, but also just help get rid 350 00:20:28,600 --> 00:20:30,680 Speaker 1: of earwax if you feel like you have too much 351 00:20:30,680 --> 00:20:33,080 Speaker 1: of it. Though again, your ears are a self cleaning oven. 352 00:20:33,119 --> 00:20:34,840 Speaker 1: That's going to do it all on their own without 353 00:20:34,840 --> 00:20:37,640 Speaker 1: your help. But over the counter remedies might be even 354 00:20:37,720 --> 00:20:40,280 Speaker 1: just putting water or like saline drops in the ear 355 00:20:40,280 --> 00:20:44,000 Speaker 1: which can help to soften up dry ear wax, hydrogen 356 00:20:44,040 --> 00:20:47,880 Speaker 1: peroxide or there's similar drops that are made of carbamide peroxide. 357 00:20:47,880 --> 00:20:51,399 Speaker 1: That's like d Brox brand drops in the pharmacies here. 358 00:20:51,840 --> 00:20:54,479 Speaker 1: Those basically just help to soften and the bubbles can 359 00:20:54,560 --> 00:20:56,480 Speaker 1: kind of help to loosen up some of that wax 360 00:20:56,480 --> 00:20:58,359 Speaker 1: so that it can come out on their own. Some 361 00:20:58,400 --> 00:21:01,920 Speaker 1: people might use mineral oil, which is totally safe to use, 362 00:21:02,400 --> 00:21:04,960 Speaker 1: but in general, the goal is just to keep that 363 00:21:05,040 --> 00:21:07,800 Speaker 1: ear wax soft enough that your ear can do its 364 00:21:08,000 --> 00:21:11,359 Speaker 1: job of getting it out on its own. Ear candling 365 00:21:12,680 --> 00:21:14,440 Speaker 1: is a thing I want to mention real quick because 366 00:21:14,480 --> 00:21:17,320 Speaker 1: you heard about it in our first hand accounting. The 367 00:21:17,480 --> 00:21:20,600 Speaker 1: claim apparently on how it works is that it creates 368 00:21:20,600 --> 00:21:24,000 Speaker 1: a negative pressure in your ear canal to draw out 369 00:21:24,040 --> 00:21:24,640 Speaker 1: the wax. 370 00:21:26,119 --> 00:21:27,520 Speaker 2: I did not know that was the claim. 371 00:21:27,680 --> 00:21:32,000 Speaker 1: Apparently that's the claim. It also apparently is supposedly this 372 00:21:32,080 --> 00:21:34,879 Speaker 1: negative pressure also helps to treat other non ear wax 373 00:21:34,920 --> 00:21:39,000 Speaker 1: related things like allergic rhinitis or like sinus pressure in general. 374 00:21:40,440 --> 00:21:43,040 Speaker 1: So notwithstanding the fact that you can legitimately just be 375 00:21:43,080 --> 00:21:46,160 Speaker 1: setting yourself on fire, as you heard in our first 376 00:21:46,160 --> 00:21:48,560 Speaker 1: hand account, you can also end up with wax that 377 00:21:48,680 --> 00:21:51,360 Speaker 1: is not the ear variety, the candle variety, that gets 378 00:21:51,359 --> 00:21:55,359 Speaker 1: stuck in your ear, which can potentially cause really serious 379 00:21:55,400 --> 00:21:59,320 Speaker 1: damage to the tympanic membrane. And not only is there 380 00:21:59,640 --> 00:22:02,520 Speaker 1: no evidence in the literature that it works, there is 381 00:22:02,640 --> 00:22:06,240 Speaker 1: actually at least one study that shows that it does 382 00:22:06,320 --> 00:22:10,920 Speaker 1: not work and actually creates deposits of candle wax even 383 00:22:10,960 --> 00:22:14,040 Speaker 1: if you don't have like visible candle wax. Like in 384 00:22:14,080 --> 00:22:16,160 Speaker 1: our first hand account, it was obviously like a big 385 00:22:16,200 --> 00:22:20,800 Speaker 1: deal chunks got stuck. But even in this other study 386 00:22:20,800 --> 00:22:23,919 Speaker 1: there was just like deposits of like debris from the 387 00:22:23,960 --> 00:22:28,960 Speaker 1: smoke and the wax in the ear without removing any 388 00:22:29,000 --> 00:22:30,199 Speaker 1: wax whatsoever. 389 00:22:31,480 --> 00:22:33,720 Speaker 2: So you're just start adding gunk to. 390 00:22:33,640 --> 00:22:36,880 Speaker 1: Your ear, to your ear without removing any actual ear 391 00:22:36,880 --> 00:22:40,960 Speaker 1: wax whatsoever. Also, no negative pressure was created in this study. 392 00:22:41,040 --> 00:22:42,960 Speaker 1: They used like a fake ear canal and they put 393 00:22:43,000 --> 00:22:45,000 Speaker 1: an ear candle in it and they measured the pressure. 394 00:22:45,280 --> 00:22:48,480 Speaker 1: No negative pressure differential created, and they found all of 395 00:22:48,520 --> 00:22:52,240 Speaker 1: this like just stuff that was deposited in the ears, 396 00:22:52,760 --> 00:22:54,399 Speaker 1: I mean, without getting any ear wax out. 397 00:22:54,640 --> 00:22:57,439 Speaker 2: So it seems like there's no there seemed to be 398 00:22:57,480 --> 00:23:00,320 Speaker 2: no clear benefits whatsoever. Benefit just the well on the 399 00:23:00,320 --> 00:23:03,320 Speaker 2: list of cons and potentially severe. 400 00:23:03,240 --> 00:23:10,240 Speaker 1: Outcomes, severe outcomes, and that is Aaron earwax beautiful. 401 00:23:10,720 --> 00:23:14,360 Speaker 2: Thank you, Thank you so much. 402 00:23:14,400 --> 00:23:17,840 Speaker 1: I think it's my shortest episode ever. Please tell me 403 00:23:18,600 --> 00:23:19,800 Speaker 1: everything I want to know from you. 404 00:23:20,160 --> 00:23:25,280 Speaker 2: God, There's so there's so much. It's going to be great. Okay. Wait. 405 00:23:42,320 --> 00:23:46,560 Speaker 2: One of the true absolute joys of doing this podcast 406 00:23:46,760 --> 00:23:49,760 Speaker 2: is discovering that there's like a whole world of study 407 00:23:49,920 --> 00:23:53,240 Speaker 2: out there about a topic that, on the surface seems 408 00:23:53,560 --> 00:23:59,280 Speaker 2: pretty mundane. Earx, earx. Earwax didn't immediately strike me as 409 00:23:59,280 --> 00:24:03,320 Speaker 2: a topic of fascination. Despite being like, we should do 410 00:24:03,400 --> 00:24:07,280 Speaker 2: earwax next and pushing to do it classic, I was like, okay, 411 00:24:07,800 --> 00:24:10,280 Speaker 2: I knew that it was probably important for ear health 412 00:24:10,320 --> 00:24:13,440 Speaker 2: and that you shouldn't use cotton swabs to remove wax 413 00:24:13,440 --> 00:24:16,080 Speaker 2: from your ears, but that was basically the limit of 414 00:24:16,119 --> 00:24:20,439 Speaker 2: my knowledge. As it turns out, earwax is, like our 415 00:24:20,520 --> 00:24:25,680 Speaker 2: quarantine suggests, a true gold mine of information. I came 416 00:24:25,720 --> 00:24:30,880 Speaker 2: across papers discussing earwax in the context of human migration, 417 00:24:31,760 --> 00:24:39,600 Speaker 2: art history, forensic analysis, and anthropogenic change. What I am now, 418 00:24:39,720 --> 00:24:43,080 Speaker 2: I'm a convert, I'm a believer. I love it, and 419 00:24:43,119 --> 00:24:45,520 Speaker 2: I think hopefully by the end of this history section 420 00:24:45,640 --> 00:24:48,399 Speaker 2: you might be too, or at least you'll have a 421 00:24:48,400 --> 00:24:50,919 Speaker 2: couple pieces of trivia to impress your friends with at 422 00:24:50,960 --> 00:24:51,719 Speaker 2: the next party. 423 00:24:51,920 --> 00:24:53,560 Speaker 1: I can't wait. No, I love that. 424 00:24:55,400 --> 00:24:57,800 Speaker 2: Ear wax has been a subject of at least minor 425 00:24:57,840 --> 00:25:01,560 Speaker 2: medical interest for millennia, mostly in the context of its 426 00:25:01,600 --> 00:25:05,520 Speaker 2: removal or what it signifies for total body health. So, 427 00:25:05,560 --> 00:25:11,120 Speaker 2: for instance, Hippocrates apparently viewed sweet earwax as an unfavorable symptom, 428 00:25:11,280 --> 00:25:14,000 Speaker 2: while bitter ear wax meant that you were in good health. 429 00:25:15,440 --> 00:25:17,480 Speaker 1: So people were out here just tasting earwax. 430 00:25:17,640 --> 00:25:19,399 Speaker 2: That's that is what I wrote. I was like, I 431 00:25:19,440 --> 00:25:21,439 Speaker 2: don't I can't think of any other way that you 432 00:25:21,440 --> 00:25:25,400 Speaker 2: can judge bitter versus sweet besides your taste buds. And so, yeah, 433 00:25:25,480 --> 00:25:28,760 Speaker 2: Hippocrates is out there going taste your patient's earwax. 434 00:25:29,160 --> 00:25:31,320 Speaker 1: I mean, they tasted a lot of urine, et cetera. 435 00:25:31,480 --> 00:25:32,439 Speaker 1: So it shouldn't surprise. 436 00:25:32,640 --> 00:25:39,160 Speaker 2: It shouldn't surprise, but it did surprise, and my capacity 437 00:25:39,200 --> 00:25:41,840 Speaker 2: for surprise is still is still present. 438 00:25:42,800 --> 00:25:43,720 Speaker 1: I think that's a good thing. 439 00:25:43,920 --> 00:25:48,639 Speaker 2: It's good. You know, there's wonder left in this world exactly, 440 00:25:49,840 --> 00:25:54,000 Speaker 2: And of course the typical recipes of unlikely ingredients for removal, 441 00:25:54,080 --> 00:25:58,400 Speaker 2: things like milk, cinnamon, mirrhr, almond, oyle, saffron. These were 442 00:25:58,440 --> 00:26:02,359 Speaker 2: described to cure earache or remove earwax. 443 00:26:02,520 --> 00:26:05,600 Speaker 1: I saw allmond oil listed still today, so that one's interesting. 444 00:26:05,840 --> 00:26:08,880 Speaker 2: Yeah, it is olive oil, but. 445 00:26:08,920 --> 00:26:12,159 Speaker 1: Not I don't know, I don't know what I read. 446 00:26:12,400 --> 00:26:15,800 Speaker 2: As far back as the second century, Celsus, who is 447 00:26:15,840 --> 00:26:19,199 Speaker 2: a Greek philosopher and physician, suggested using water to flush 448 00:26:19,200 --> 00:26:22,879 Speaker 2: out foreign bodies and potentially earwax impactions, so or ahead 449 00:26:22,880 --> 00:26:26,720 Speaker 2: of his time. Then the suggestion his suggestion to use 450 00:26:27,520 --> 00:26:32,840 Speaker 2: quote the saliva of a hungry man end quote, to 451 00:26:32,960 --> 00:26:37,359 Speaker 2: treat a larval infestation in the ear, which is like 452 00:26:38,359 --> 00:26:40,639 Speaker 2: so many questions, there, so many questions. 453 00:26:40,800 --> 00:26:45,720 Speaker 1: The saliva of a hungry man. Yeah, where does one 454 00:26:46,440 --> 00:26:49,800 Speaker 1: get this? How hungry do they have to be? How 455 00:26:49,880 --> 00:26:52,320 Speaker 1: much saliva does it all have to come from the 456 00:26:52,359 --> 00:26:54,920 Speaker 1: same man or can it be from multiple hungry. 457 00:26:54,640 --> 00:26:57,240 Speaker 2: Well, it says a hungry man, not the saliva of 458 00:26:57,359 --> 00:26:58,119 Speaker 2: hungry men. 459 00:26:58,280 --> 00:27:01,359 Speaker 1: Okay, and what larva are infesting your ear? 460 00:27:01,600 --> 00:27:06,719 Speaker 2: I mean you described cockroaches? Yeah, but okay, I don't know. 461 00:27:08,080 --> 00:27:10,879 Speaker 2: I apologize for that haunting thought, but I read it, 462 00:27:10,960 --> 00:27:14,439 Speaker 2: so now you have to read it, thank you, Just 463 00:27:14,480 --> 00:27:19,960 Speaker 2: like the booger taste thing last week. Over the centuries, 464 00:27:20,000 --> 00:27:23,800 Speaker 2: physicians became more interested in earwax in the context of 465 00:27:23,880 --> 00:27:29,480 Speaker 2: ear health and hearing overall. It was recognized by the 466 00:27:29,520 --> 00:27:33,360 Speaker 2: late seventeen hundreds that earwax held several important functions, including 467 00:27:33,440 --> 00:27:36,479 Speaker 2: preventing dirt and insects from injuring the ear drum. They 468 00:27:36,480 --> 00:27:41,560 Speaker 2: seemed particularly preoccupied by insects. Quote. The yellow humor purged 469 00:27:41,560 --> 00:27:45,280 Speaker 2: by the ears defendeth them against fleas, little flies, and 470 00:27:45,400 --> 00:27:49,000 Speaker 2: other small worms and beasts that might otherwise enter within 471 00:27:49,080 --> 00:27:50,359 Speaker 2: them end quote. 472 00:27:50,600 --> 00:27:53,480 Speaker 1: So it's not just me who has a like fear 473 00:27:53,640 --> 00:27:55,600 Speaker 1: of creepy caralis in my ears. 474 00:27:55,760 --> 00:28:00,679 Speaker 2: No, I think that's a reasonable thing to fear, thank you. Yeah, sorry, 475 00:28:00,720 --> 00:28:04,000 Speaker 2: sorry if I imply that it wasn't. I also fear 476 00:28:04,040 --> 00:28:04,360 Speaker 2: the year. 477 00:28:08,560 --> 00:28:09,240 Speaker 1: I appreciate that. 478 00:28:10,280 --> 00:28:13,080 Speaker 2: And so you you described how ear wax you're producing 479 00:28:13,119 --> 00:28:17,200 Speaker 2: it continuously. It's just going out of your ears continuously. 480 00:28:17,760 --> 00:28:21,560 Speaker 2: And this continuous production was shown by a professor who 481 00:28:21,960 --> 00:28:24,119 Speaker 2: carried out a very simple experiment. I think this is 482 00:28:24,119 --> 00:28:27,800 Speaker 2: in the seventeen hundreds, just by wiping his ears with 483 00:28:27,880 --> 00:28:30,760 Speaker 2: a piece of black velvet one hundred times an hour, 484 00:28:31,160 --> 00:28:33,600 Speaker 2: and no matter how many times he wiped, there was 485 00:28:33,680 --> 00:28:40,320 Speaker 2: always a little bit of wax on the cloth. I've 486 00:28:40,440 --> 00:28:41,440 Speaker 2: just loved that imagery. 487 00:28:41,640 --> 00:28:42,200 Speaker 1: That's amazing. 488 00:28:42,520 --> 00:28:46,520 Speaker 2: Physicians also noted several cases where someone's hearing improved or 489 00:28:46,560 --> 00:28:50,320 Speaker 2: worsened depending on earwax compaction or removal, and so in 490 00:28:50,320 --> 00:28:53,960 Speaker 2: this way, earwax kind of helped to turn hearing into 491 00:28:53,960 --> 00:28:56,680 Speaker 2: a more fluid, dynamic state where it could be permanent 492 00:28:56,800 --> 00:28:59,520 Speaker 2: or temporary, It could change over the course of your life, 493 00:28:59,560 --> 00:29:03,680 Speaker 2: and it could be partial or complete. Earwax related deafness 494 00:29:03,760 --> 00:29:08,640 Speaker 2: was apparently not uncommon or other issues related to earwax compaction. 495 00:29:08,880 --> 00:29:13,040 Speaker 2: So the seventeenth century scientist Robert Hook described his month's 496 00:29:13,080 --> 00:29:17,640 Speaker 2: long experience with tenitis or tindas and impaired hearing that 497 00:29:17,720 --> 00:29:20,560 Speaker 2: was ultimately found to be caused in part by a 498 00:29:20,680 --> 00:29:25,000 Speaker 2: hard compacted stone of earwax, which was not a rare occurrence. 499 00:29:26,040 --> 00:29:29,560 Speaker 2: All sorts of remedies were employed and attempts to remove earwax, 500 00:29:29,680 --> 00:29:33,000 Speaker 2: like applying heat, plugging the ear with perfumed wool or 501 00:29:33,040 --> 00:29:36,720 Speaker 2: cotton to try to stimulate the flow, liquid injections with 502 00:29:36,800 --> 00:29:41,160 Speaker 2: various ingredients. Hook used warmed honey that he wriggled in 503 00:29:41,200 --> 00:29:45,600 Speaker 2: his ear. Okay, yeah, I feel like that would attract bugs. 504 00:29:45,840 --> 00:29:48,160 Speaker 1: Yeah honey. Yeah sounds real sticky. 505 00:29:48,320 --> 00:29:51,840 Speaker 2: It sounds sticky the logic. But he used it warmed 506 00:29:52,520 --> 00:29:54,960 Speaker 2: and that you know, I'm not saying that that's any better. 507 00:29:55,120 --> 00:29:58,920 Speaker 2: I'm just saying that that logic of warming something that 508 00:29:59,040 --> 00:30:02,680 Speaker 2: heat to help remove earwax that held support in the 509 00:30:02,760 --> 00:30:05,200 Speaker 2: lab actually is where it was found to be supported. 510 00:30:05,320 --> 00:30:08,280 Speaker 2: In the late seventeen hundreds, a chemist who had become 511 00:30:08,360 --> 00:30:11,800 Speaker 2: interested in the topic. He had a friend with prodigious 512 00:30:12,000 --> 00:30:14,520 Speaker 2: ear wax production. I think it was the same guy 513 00:30:14,560 --> 00:30:18,200 Speaker 2: who did the black velvet ear wax extremes, Okay, And 514 00:30:18,400 --> 00:30:21,120 Speaker 2: he supplied the chemist with heaps of earwax, and he 515 00:30:21,560 --> 00:30:24,840 Speaker 2: discovered that it hardened over time, it melted with heat, 516 00:30:24,880 --> 00:30:26,080 Speaker 2: and it dissolved in water. 517 00:30:26,400 --> 00:30:29,440 Speaker 1: Makes sense. So yeah, do you know what's also interesting 518 00:30:29,440 --> 00:30:33,120 Speaker 1: about warm things in your ear versus cold? This is 519 00:30:33,120 --> 00:30:36,160 Speaker 1: like a separate topic entirely. But if you put cold 520 00:30:36,200 --> 00:30:38,240 Speaker 1: water in your ear, Like if you used cold water 521 00:30:38,360 --> 00:30:41,480 Speaker 1: to try and juj out your ear wax instead of 522 00:30:41,520 --> 00:30:45,200 Speaker 1: warm water, it would make you super dizzy. It would 523 00:30:45,240 --> 00:30:48,719 Speaker 1: give us really really wild vertigo because it does a 524 00:30:48,760 --> 00:30:52,080 Speaker 1: weird thing that messes with your inner ear. Cold water 525 00:30:52,160 --> 00:30:56,440 Speaker 1: versus warm water. Why I don't it's a different episode 526 00:30:57,840 --> 00:31:01,080 Speaker 1: next week, next not next week, next week. 527 00:31:01,200 --> 00:31:09,200 Speaker 2: Next week, we're doing cholesterol colors. But when all l's fails, 528 00:31:09,440 --> 00:31:15,320 Speaker 2: any of your honey, whatever situations fail, there's always physical removal. 529 00:31:15,560 --> 00:31:15,960 Speaker 1: Yeah. 530 00:31:16,080 --> 00:31:20,960 Speaker 2: Ear spoons or ear scoops were popular devices, and what 531 00:31:21,040 --> 00:31:23,280 Speaker 2: was appealing about these tools was that you could just 532 00:31:23,320 --> 00:31:25,280 Speaker 2: own one yourself and you didn't have to seek out 533 00:31:25,280 --> 00:31:27,840 Speaker 2: a doctor. If you're like, hey, I you know, can 534 00:31:27,880 --> 00:31:30,120 Speaker 2: you clean my ear out? No, you didn't have to 535 00:31:30,160 --> 00:31:33,600 Speaker 2: do that. Ear scoops have been around for millennia, as 536 00:31:33,600 --> 00:31:38,800 Speaker 2: evidenced by historical writings and archaeological finds. But similar to 537 00:31:38,880 --> 00:31:41,120 Speaker 2: the way there are just so many parallels between earwax 538 00:31:41,160 --> 00:31:45,240 Speaker 2: and boogers. So with boogers, you know, I talked about handkerchiefs, 539 00:31:45,240 --> 00:31:48,880 Speaker 2: and they became status symbols and they transcended their role 540 00:31:49,000 --> 00:31:55,000 Speaker 2: as just a snotrag. A market of decorative grooming tools grew, 541 00:31:55,480 --> 00:31:58,600 Speaker 2: and there are examples of these really intricately and ornately 542 00:31:58,800 --> 00:32:03,959 Speaker 2: carved earpicks and ear scoops. Really yeah, little ear scoop, 543 00:32:04,040 --> 00:32:06,600 Speaker 2: beautiful ear scoops. There's one. There's a paper you can 544 00:32:06,640 --> 00:32:08,720 Speaker 2: see an image of this. There was one that was 545 00:32:08,720 --> 00:32:11,920 Speaker 2: found at Jamestown, the English colony established in what is 546 00:32:12,000 --> 00:32:14,280 Speaker 2: now Virginia in sixteen oh seven, and in like the 547 00:32:14,320 --> 00:32:18,680 Speaker 2: first iteration of that town, they found in archaeological digs 548 00:32:19,200 --> 00:32:22,920 Speaker 2: a combination toothpick and ear scoop. It's shaped like a dolphin, 549 00:32:23,000 --> 00:32:26,280 Speaker 2: and so the toothpick part comes out of its little mouth, 550 00:32:26,320 --> 00:32:28,320 Speaker 2: and then there's an ear scoop coming out of its 551 00:32:28,320 --> 00:32:31,720 Speaker 2: tail wo and then it has a little loop on 552 00:32:31,760 --> 00:32:33,840 Speaker 2: its back, and so you could wear it as a 553 00:32:33,880 --> 00:32:38,080 Speaker 2: necklace what and carry it around with a little ear scoop. 554 00:32:38,720 --> 00:32:39,320 Speaker 2: Who knew? 555 00:32:39,840 --> 00:32:41,960 Speaker 1: Who knew? I definitely did not know. 556 00:32:41,920 --> 00:32:44,360 Speaker 2: That I did not, And also I was like, dolphin, 557 00:32:44,480 --> 00:32:48,880 Speaker 2: why why a dolphin? Yeah? And apparently sea creatures were 558 00:32:48,880 --> 00:32:52,200 Speaker 2: featured heavily in jewelry and decorative items at the time 559 00:32:52,280 --> 00:32:56,400 Speaker 2: because maritime supremacy was blossoming in England. And I just 560 00:32:56,520 --> 00:32:59,600 Speaker 2: was like, that's very that's very interesting, because there was 561 00:32:59,640 --> 00:33:03,120 Speaker 2: another ear scoop found somewhere in England that was similar 562 00:33:03,200 --> 00:33:05,440 Speaker 2: and they were like, we think it's a dolphin, it 563 00:33:05,560 --> 00:33:09,440 Speaker 2: might be a fish, it's some sort of marine or creature. Yeah, 564 00:33:11,280 --> 00:33:14,560 Speaker 2: but these ear scoop tools also signify that earwax was 565 00:33:14,600 --> 00:33:17,720 Speaker 2: not solely relegated to the realm of medicine. Everyone was 566 00:33:17,880 --> 00:33:20,560 Speaker 2: individually concerned with it. It was just a routine part 567 00:33:20,560 --> 00:33:23,240 Speaker 2: of life to clean out your ears, and those who 568 00:33:23,280 --> 00:33:26,200 Speaker 2: could afford to do so often had their ears cleaned 569 00:33:26,200 --> 00:33:29,040 Speaker 2: out by a barber who use special tools to scoop 570 00:33:29,080 --> 00:33:32,160 Speaker 2: out any crud there. And this is referenced in place. 571 00:33:32,280 --> 00:33:34,680 Speaker 2: So there's a play I believe from the seventeen hundreds 572 00:33:34,680 --> 00:33:37,680 Speaker 2: where a soldier worries that the king has had his 573 00:33:37,800 --> 00:33:40,720 Speaker 2: ears picked too much, and so he has no protection 574 00:33:40,840 --> 00:33:47,880 Speaker 2: from flies, from earwigs and from flattery. He's like, anyone 575 00:33:47,920 --> 00:33:49,880 Speaker 2: has the ear of the king with his ears cleaned 576 00:33:49,920 --> 00:33:50,960 Speaker 2: of earwax. 577 00:33:50,640 --> 00:33:53,360 Speaker 1: Oh my god, that's so funny, hilarious. 578 00:33:53,880 --> 00:33:58,640 Speaker 2: And there are occasionally hints at the recognition that earwax 579 00:33:58,680 --> 00:34:02,040 Speaker 2: holds some value, like the situation that I just described 580 00:34:02,080 --> 00:34:04,240 Speaker 2: where it's like, well, we need some ear wax there. 581 00:34:04,600 --> 00:34:07,960 Speaker 2: Mostly it was considered a waste product or junk, as 582 00:34:08,000 --> 00:34:09,040 Speaker 2: you put it, junk. 583 00:34:10,640 --> 00:34:12,000 Speaker 1: So sorry for calling it. 584 00:34:12,000 --> 00:34:17,160 Speaker 2: That, I accept. I accept your apology. And so. For instance, 585 00:34:17,239 --> 00:34:21,440 Speaker 2: in Shakespeare's Troilis and Cressida, Agamemnon is described as not 586 00:34:21,640 --> 00:34:29,719 Speaker 2: having quote so much brain as earwax. Quote devastating, devastating. Yeah, 587 00:34:29,840 --> 00:34:35,200 Speaker 2: put that in your back pocket. Yeah right. In reality, however, 588 00:34:35,280 --> 00:34:39,200 Speaker 2: earwax held far more uses than I would have guessed. So, 589 00:34:39,239 --> 00:34:42,960 Speaker 2: for instance, in the American Frugal Housewife, which was written 590 00:34:42,960 --> 00:34:47,080 Speaker 2: by Lydia Child in eighteen thirty two, holds ear wax 591 00:34:47,200 --> 00:34:51,160 Speaker 2: in quite high regard. What quote, nothing is better than 592 00:34:51,200 --> 00:34:54,720 Speaker 2: earwax to prevent the painful effects resulting from a wound 593 00:34:54,800 --> 00:34:57,799 Speaker 2: by a nail skewer, et cetera. It should be put 594 00:34:57,840 --> 00:35:01,000 Speaker 2: on as soon as possible. Those who are troubled with 595 00:35:01,120 --> 00:35:05,280 Speaker 2: cracked lips have found this remedy successful when others have failed. 596 00:35:06,239 --> 00:35:09,279 Speaker 2: It is one of those sorts of cures which are 597 00:35:09,400 --> 00:35:11,960 Speaker 2: very likely to be laughed at. But I know of 598 00:35:12,040 --> 00:35:16,680 Speaker 2: it's having produced very beneficial results. So she's using it 599 00:35:16,719 --> 00:35:18,960 Speaker 2: as vacine, using it as chapstick. 600 00:35:19,040 --> 00:35:24,080 Speaker 1: Yeah, taking out the ear wax, put it on your cuts. Literally, 601 00:35:24,239 --> 00:35:26,319 Speaker 1: I have like an aqua force stick that I do 602 00:35:26,400 --> 00:35:30,879 Speaker 1: that with, not earwax. Okay, yeah, uh huh yeah, ear 603 00:35:30,880 --> 00:35:33,440 Speaker 1: wax on your lips. I don't know if I'm going 604 00:35:33,480 --> 00:35:34,040 Speaker 1: to try that. 605 00:35:34,239 --> 00:35:35,520 Speaker 2: I don't. I mean, you can. 606 00:35:35,840 --> 00:35:39,280 Speaker 1: You're certainly entitled to got enough earwax, that's for sure. 607 00:35:39,480 --> 00:35:41,960 Speaker 2: I feel like I'm a super producer as well. Me too. 608 00:35:42,040 --> 00:35:45,160 Speaker 1: I've always felt that way, saying what are you gonna 609 00:35:45,160 --> 00:35:45,600 Speaker 1: do about it? 610 00:35:45,600 --> 00:35:47,239 Speaker 2: It's just it's life. It's life. 611 00:35:47,480 --> 00:35:50,720 Speaker 1: Like you know, we probably make a very typical amount 612 00:35:50,719 --> 00:35:51,200 Speaker 1: of ear wax. 613 00:35:51,360 --> 00:35:53,120 Speaker 2: We probably do. We probably do. 614 00:35:54,600 --> 00:35:58,080 Speaker 1: They're probably not special in any way. No wear earwax. 615 00:35:58,239 --> 00:36:02,600 Speaker 2: No, we'll see. I mean, maybe somebody will do a 616 00:36:02,640 --> 00:36:09,160 Speaker 2: paper and we'll revisit this topic and discover our specialness. Okay, 617 00:36:09,200 --> 00:36:12,279 Speaker 2: So I didn't see it mentioned in The American Frugal Housewife, 618 00:36:12,320 --> 00:36:14,759 Speaker 2: but the author may have also been familiar with the 619 00:36:14,800 --> 00:36:19,120 Speaker 2: common practice of using earwax while stitching and sewing. It's 620 00:36:19,200 --> 00:36:22,640 Speaker 2: really great at keeping the ends of cut thread from unraveling. 621 00:36:22,719 --> 00:36:23,880 Speaker 1: I could see that, actually. 622 00:36:24,200 --> 00:36:27,839 Speaker 2: Yeah, And so in fact, there are some bodkins which 623 00:36:27,840 --> 00:36:31,040 Speaker 2: are these like large blunted needles with a big eye 624 00:36:31,040 --> 00:36:33,399 Speaker 2: to hold ribbon, kind of like a tapestry needle you'd 625 00:36:33,480 --> 00:36:37,040 Speaker 2: use to sew to weaven ends, but like bigger. Yeah, 626 00:36:37,080 --> 00:36:39,720 Speaker 2: some of these have ear scoops on the end of them. 627 00:36:39,840 --> 00:36:41,839 Speaker 1: So that you can scoop and then use it for 628 00:36:41,920 --> 00:36:44,720 Speaker 1: your best is so interesting. 629 00:36:44,360 --> 00:36:48,480 Speaker 2: Right wow. Ear wax was also favored by many artists, 630 00:36:48,520 --> 00:36:51,080 Speaker 2: who used it to help bind pigment to the paper 631 00:36:51,280 --> 00:36:54,120 Speaker 2: or other surfaces they were working on. So I asked 632 00:36:54,120 --> 00:36:56,680 Speaker 2: you to find a paper for me because I couldn't 633 00:36:56,719 --> 00:37:00,759 Speaker 2: find it. And this is what this is what was 634 00:37:00,800 --> 00:37:03,400 Speaker 2: inside that paper. Okay, I didn't read it, Okay, okay, 635 00:37:03,440 --> 00:37:08,080 Speaker 2: good spoilers. Yeah. So you know illuminated manuscripts, those beautiful 636 00:37:08,120 --> 00:37:12,319 Speaker 2: books with intricate color, colorful decorations or illustrations around the side, 637 00:37:12,480 --> 00:37:15,759 Speaker 2: and they were like all hand drawn and everything. The 638 00:37:15,760 --> 00:37:17,640 Speaker 2: Book of Kel's is a famous one if you want 639 00:37:17,680 --> 00:37:20,840 Speaker 2: to look up, like a really exceptionally beautiful example. But 640 00:37:20,920 --> 00:37:25,440 Speaker 2: apparently many illustrators of these manuscripts were regular users of 641 00:37:25,520 --> 00:37:29,960 Speaker 2: earwax to prevent bubbles from forming in their metallic paint mixtures. 642 00:37:30,200 --> 00:37:33,400 Speaker 2: What and so the author of a paper that I 643 00:37:33,440 --> 00:37:36,600 Speaker 2: read about this actually tried it out himself. He made 644 00:37:36,600 --> 00:37:42,040 Speaker 2: a couple of bronze pigment egg white mixtures, one that 645 00:37:42,160 --> 00:37:45,080 Speaker 2: had earwax added to it and one without. You mix 646 00:37:45,160 --> 00:37:47,400 Speaker 2: them together. Of course egg white's going to create bubbles 647 00:37:47,920 --> 00:37:50,000 Speaker 2: and it's and he was like, yeah, there were fewer 648 00:37:50,040 --> 00:37:52,480 Speaker 2: bubbles in the earwax one. And then he used it 649 00:37:52,520 --> 00:37:57,040 Speaker 2: to like paint. I think UCSF it was the example. 650 00:37:57,800 --> 00:38:00,480 Speaker 2: It must have been, that must have been where he was. Yeah, 651 00:38:00,520 --> 00:38:03,120 Speaker 2: but one that so he compared the one that had 652 00:38:03,120 --> 00:38:05,520 Speaker 2: ear wax and the one that didn't, and you can 653 00:38:05,719 --> 00:38:08,319 Speaker 2: kind of see that the one with ear wax is 654 00:38:08,440 --> 00:38:12,760 Speaker 2: smoother and the color seems more consistent. So any artists 655 00:38:12,760 --> 00:38:15,560 Speaker 2: who are out there listening who've been struggling blending ear 656 00:38:16,080 --> 00:38:18,719 Speaker 2: or egg whites into paints, try it to have a 657 00:38:18,760 --> 00:38:21,360 Speaker 2: ear wax, let us know, let us know how it goes. 658 00:38:21,800 --> 00:38:24,920 Speaker 1: They probably use like artificial things now that are just 659 00:38:25,280 --> 00:38:27,000 Speaker 1: that have waxes in them or whatever. 660 00:38:27,080 --> 00:38:29,560 Speaker 2: Yeah, you might not eat ear wax, like get purpose. 661 00:38:29,840 --> 00:38:32,840 Speaker 1: Did that guy use his own ear wax or someone else's. 662 00:38:32,400 --> 00:38:33,560 Speaker 2: I believe he used his own. 663 00:38:33,960 --> 00:38:36,560 Speaker 1: Interesting. I wonder if it depends, like if it got 664 00:38:36,640 --> 00:38:39,200 Speaker 1: to be wet ear wax or is dry ear wax okay? 665 00:38:39,360 --> 00:38:42,960 Speaker 2: Right? Which I mean? So that's a great question. I 666 00:38:43,000 --> 00:38:46,120 Speaker 2: think he I think, I mean he said he had 667 00:38:46,120 --> 00:38:50,120 Speaker 2: wet earwax, okay, But I don't know if he experimented. 668 00:38:50,880 --> 00:38:53,440 Speaker 2: That could be another Bat'll be another paper, other paper, 669 00:38:53,600 --> 00:38:56,839 Speaker 2: someone someone get a master's thesis at the very least, right. 670 00:38:59,440 --> 00:39:04,680 Speaker 2: But yeah, it's a more powerful resource than I expected. Rich, 671 00:39:04,800 --> 00:39:07,600 Speaker 2: not just in the application of the stuff itself, but 672 00:39:07,640 --> 00:39:11,520 Speaker 2: also what it can tell us about ourselves. So Aarin, 673 00:39:11,560 --> 00:39:14,240 Speaker 2: you mentioned that there are basically two types of earwax 674 00:39:14,280 --> 00:39:17,200 Speaker 2: and humans, dry and wet, and there might be some 675 00:39:17,480 --> 00:39:19,799 Speaker 2: that fall in between, but for the most part, the 676 00:39:19,840 --> 00:39:23,560 Speaker 2: distinction seems to be pretty clear, like pretty night and day, 677 00:39:23,920 --> 00:39:26,720 Speaker 2: and it is strongly associated with ancestry, like you mentioned, 678 00:39:26,760 --> 00:39:30,160 Speaker 2: So people with East Asian ancestry tend to have dry earwax, 679 00:39:30,200 --> 00:39:33,719 Speaker 2: those of European and African ancestry have wet earwax, and 680 00:39:33,760 --> 00:39:38,600 Speaker 2: those who have Southern Asian Pacific Islands, Central Asian, Native 681 00:39:38,600 --> 00:39:42,520 Speaker 2: North American, and Inuit have intermediate proportions of wet and dry. 682 00:39:42,760 --> 00:39:43,160 Speaker 1: Okay. 683 00:39:43,160 --> 00:39:47,160 Speaker 2: Interesting, Yeah, And this observation first started to garner attention 684 00:39:47,280 --> 00:39:50,880 Speaker 2: around the mid twentieth century, and researchers made note of 685 00:39:50,920 --> 00:39:54,560 Speaker 2: a couple of things. It was also associated with armpit odor, 686 00:39:55,120 --> 00:39:59,959 Speaker 2: So those who have wet earwax have much more odoriferous pits, 687 00:40:00,320 --> 00:40:04,319 Speaker 2: we have stinkyr armpit have stinky pits, agreed, And it 688 00:40:04,400 --> 00:40:08,759 Speaker 2: seemed to follow a pretty straightforward pattern of inheritance. And 689 00:40:09,040 --> 00:40:11,959 Speaker 2: just how straightforward was determined in two thousand and six, 690 00:40:12,280 --> 00:40:14,640 Speaker 2: and this is when researchers publish their results that the 691 00:40:14,719 --> 00:40:19,120 Speaker 2: difference between dry and wet earwax was down to one 692 00:40:19,400 --> 00:40:23,759 Speaker 2: letter change in one gene of our DNA, one single 693 00:40:23,880 --> 00:40:25,720 Speaker 2: nucleotide polymorphism. 694 00:40:26,160 --> 00:40:27,040 Speaker 1: That's so weird. 695 00:40:27,360 --> 00:40:32,760 Speaker 2: Yes, just one nucleotide changes earwax composition and has strong 696 00:40:32,800 --> 00:40:34,640 Speaker 2: associations with armput odor. 697 00:40:38,120 --> 00:40:40,680 Speaker 1: And the drier earwax is well, and that makes sense 698 00:40:40,680 --> 00:40:43,759 Speaker 1: because it's all apricrine gland secretions, right, which is like 699 00:40:43,800 --> 00:40:47,279 Speaker 1: what your armpit odor is, why that is there and 700 00:40:47,480 --> 00:40:49,000 Speaker 1: your earwax your earwax. 701 00:40:49,640 --> 00:40:53,560 Speaker 2: And it follows this dominant recessive Mendelian inheritance, which is 702 00:40:53,560 --> 00:40:56,520 Speaker 2: the thing that you learn about in school and it's basic, 703 00:40:57,480 --> 00:41:00,360 Speaker 2: basic jicks. But you so, if you have two copies 704 00:41:00,640 --> 00:41:04,000 Speaker 2: of the G version, which is the wet earwax version 705 00:41:04,160 --> 00:41:06,480 Speaker 2: or one G in one a wet earwax. But if 706 00:41:06,520 --> 00:41:08,880 Speaker 2: you have two copies of the A version that's the 707 00:41:09,560 --> 00:41:13,000 Speaker 2: nucleotide substitution, then you have dry. 708 00:41:13,120 --> 00:41:15,000 Speaker 1: Earwax and you're less stinky, and you're. 709 00:41:14,880 --> 00:41:17,200 Speaker 2: Less stinky, and so for context, I feel like eye 710 00:41:17,200 --> 00:41:20,680 Speaker 2: color is often taught as a simple Mendelian trait involves 711 00:41:20,719 --> 00:41:24,799 Speaker 2: at least sixteen genes, if not more. Yeah, yeah, but 712 00:41:25,160 --> 00:41:27,600 Speaker 2: this is very interesting and I didn't go down this 713 00:41:27,719 --> 00:41:31,120 Speaker 2: rabbit hole. But in addition to being associated with earwax 714 00:41:31,160 --> 00:41:34,360 Speaker 2: type and armpit odor, this same letter swap might be 715 00:41:34,400 --> 00:41:38,279 Speaker 2: associated with the amount of colostrum produced, with people with 716 00:41:38,400 --> 00:41:40,960 Speaker 2: dry earwax producing less colostrum. 717 00:41:41,440 --> 00:41:45,400 Speaker 1: Fascinating. Yeah, also apricin glands. 718 00:41:45,239 --> 00:41:50,760 Speaker 2: Exactly, So like what yeah, yeah, how interesting. So does 719 00:41:51,000 --> 00:41:54,239 Speaker 2: earwax type matter or was it just like a random 720 00:41:54,320 --> 00:41:58,760 Speaker 2: mutation that's spread And it seems like it might actually matter, 721 00:41:59,200 --> 00:42:02,080 Speaker 2: although it's unclear why. So. Some researchers suggest that it 722 00:42:02,120 --> 00:42:05,000 Speaker 2: could be because of the cold. As humans migrated out 723 00:42:05,000 --> 00:42:08,239 Speaker 2: of Africa and spread across Eurasia, cold temperatures would have 724 00:42:08,280 --> 00:42:11,680 Speaker 2: had would have been a strong selection pressure and So 725 00:42:11,719 --> 00:42:16,319 Speaker 2: the dry earwax phoenotype emerged around forty five thousand years 726 00:42:16,360 --> 00:42:19,759 Speaker 2: ago in North and east North or East Asia, where 727 00:42:19,800 --> 00:42:22,920 Speaker 2: it was colder, and it's thought that maybe the reduced 728 00:42:22,920 --> 00:42:26,160 Speaker 2: sweating could have been an advantage or the reduced stinking. 729 00:42:26,800 --> 00:42:29,640 Speaker 2: I don't yeah, I don't know. But in any case, 730 00:42:29,719 --> 00:42:33,160 Speaker 2: like what these researchers have proposed is that because it's 731 00:42:33,160 --> 00:42:36,840 Speaker 2: so widespread, it seems like there is some positive selection. 732 00:42:37,120 --> 00:42:39,480 Speaker 2: It seems like it was like this is selected for it, 733 00:42:39,640 --> 00:42:41,440 Speaker 2: not just like it happened to spread. 734 00:42:41,480 --> 00:42:44,880 Speaker 1: Right, not just random, because it's too too prevalent for that. 735 00:42:45,080 --> 00:42:49,360 Speaker 2: Yeah, right, that's that's the idea. How interesting, Okay, So 736 00:42:50,160 --> 00:42:53,200 Speaker 2: earwax can tell us about human migration, it can be 737 00:42:53,280 --> 00:42:57,640 Speaker 2: used as a lip bomb. It's great if you're illustrating 738 00:42:57,680 --> 00:43:01,880 Speaker 2: a medieval illuminated manuscript, and it can be analyzed to 739 00:43:01,880 --> 00:43:04,839 Speaker 2: tell us about the individual that produced it. So there's 740 00:43:04,920 --> 00:43:09,080 Speaker 2: some interest, and I don't know how much interest in 741 00:43:09,080 --> 00:43:15,000 Speaker 2: in the forensic applications of earwax analysis, things like tobacco exposure, 742 00:43:15,320 --> 00:43:20,000 Speaker 2: cortisol levels, et cetera, stuff like that in your earwax. 743 00:43:20,640 --> 00:43:23,640 Speaker 2: And so there's there's more. I mean, because your ear 744 00:43:23,640 --> 00:43:24,560 Speaker 2: wax is also like. 745 00:43:25,120 --> 00:43:28,000 Speaker 1: It's being exposed, just like you no right to the 746 00:43:28,000 --> 00:43:30,839 Speaker 1: outside world. Yes, you're getting other junk stuck in your 747 00:43:30,960 --> 00:43:35,960 Speaker 1: That's why I say junk erin defending myself. 748 00:43:37,040 --> 00:43:42,120 Speaker 2: Debris. You didn't know about chapstick and right idea. Now 749 00:43:42,160 --> 00:43:47,160 Speaker 2: that you know, you won't make that same mistake. But 750 00:43:47,280 --> 00:43:53,799 Speaker 2: that's just the uses of human earwax. Oh oh yeah, 751 00:43:53,920 --> 00:43:57,960 Speaker 2: because humans are not the only producers of this glorious stuff. 752 00:43:58,719 --> 00:44:08,320 Speaker 2: Seruminous glands the glass that produce earwax are widespread among mammals, dogs, raccoons, pigs, goats, foxes, cats, whales, whales. 753 00:44:08,960 --> 00:44:16,200 Speaker 2: Whales have ears. Oh yeah, okay, there are some fascinating 754 00:44:16,239 --> 00:44:24,120 Speaker 2: papers on whale cetacean hearing that I really enjoyed. Okay, yeah, okay, whales. 755 00:44:24,640 --> 00:44:28,840 Speaker 2: So this is now we've arrived at the last and 756 00:44:28,960 --> 00:44:31,680 Speaker 2: my personal favorite chapter in the air wax story. 757 00:44:32,040 --> 00:44:32,399 Speaker 1: Me too. 758 00:44:33,400 --> 00:44:37,840 Speaker 2: All cetaceans, whales, dolphins, porpoises evolved from a land dwelling, 759 00:44:37,920 --> 00:44:42,040 Speaker 2: carnivorous cat like creature that began its aquatic journey around 760 00:44:42,040 --> 00:44:45,600 Speaker 2: fifty million years ago. Going from land to water is 761 00:44:45,640 --> 00:44:48,800 Speaker 2: a heck of a transition, and so many different aspects 762 00:44:48,800 --> 00:44:51,960 Speaker 2: of anatomy and physiology had to change to allow for 763 00:44:52,000 --> 00:44:56,080 Speaker 2: that to happen. Like hearing, which in land dwellers is 764 00:44:56,120 --> 00:45:00,600 Speaker 2: done using air adapted ears, when whales evolve of those 765 00:45:00,640 --> 00:45:05,160 Speaker 2: ears and they're hearing more generally adapted to an aquatic environment, 766 00:45:05,560 --> 00:45:08,279 Speaker 2: but the canals and the wax that they produced did 767 00:45:08,320 --> 00:45:15,200 Speaker 2: not simply disappear. Instead, bayleen whales keep producing ear wax 768 00:45:15,480 --> 00:45:20,560 Speaker 2: that accumulates over their entire life, rather than getting continuously 769 00:45:20,600 --> 00:45:21,800 Speaker 2: expelled like ours. 770 00:45:22,160 --> 00:45:25,759 Speaker 1: What yeah, what does that do? 771 00:45:26,000 --> 00:45:30,920 Speaker 2: Okay? Over time, these waxy layers form an earplug that 772 00:45:31,040 --> 00:45:34,440 Speaker 2: is centimeters long, like twenty five centimeters in one adult 773 00:45:34,480 --> 00:45:40,839 Speaker 2: male blue whale. A long whale earplug. You can look 774 00:45:40,920 --> 00:45:44,719 Speaker 2: up pictures of these. I will, yes, okay, but that's 775 00:45:44,719 --> 00:45:47,040 Speaker 2: not even the coolest part, Like it just keeps getting cooler. 776 00:45:47,760 --> 00:45:50,719 Speaker 2: What is amazing about these layers is that they're distinct, 777 00:45:51,120 --> 00:45:54,239 Speaker 2: about two formed every year, so they're predictable in their 778 00:45:54,400 --> 00:45:59,279 Speaker 2: deposition stop it, and their color corresponds to times of 779 00:45:59,360 --> 00:46:04,120 Speaker 2: like feeding migration. People have used these ear plugs to 780 00:46:04,280 --> 00:46:08,040 Speaker 2: estimate the age of whales like tree rings, tree rings, 781 00:46:08,080 --> 00:46:11,000 Speaker 2: and that's they've used this for a while. But what 782 00:46:11,040 --> 00:46:15,359 Speaker 2: they're doing now is even cooler than that. Researchers are 783 00:46:15,440 --> 00:46:21,320 Speaker 2: using these ear plugs to detect layer specific levels of hormones, contaminants, 784 00:46:21,360 --> 00:46:24,319 Speaker 2: and other compounds, and so you end up getting a 785 00:46:24,400 --> 00:46:28,600 Speaker 2: more detailed picture of what a whale's entire life was. Like, 786 00:46:29,960 --> 00:46:33,520 Speaker 2: what time is this where you thought this would go? 787 00:46:33,960 --> 00:46:34,040 Speaker 1: No? 788 00:46:34,800 --> 00:46:38,319 Speaker 2: No, I know, I was so excited when I was 789 00:46:38,360 --> 00:46:42,600 Speaker 2: reading these papers. So, for instance, there was a blue, 790 00:46:42,600 --> 00:46:44,480 Speaker 2: a male blue whale that was killed in a boat 791 00:46:44,480 --> 00:46:48,279 Speaker 2: collision and was found to be around twelve years old. 792 00:46:48,400 --> 00:46:53,480 Speaker 2: Based on these the earplug, his testosterone spiked enormously a 793 00:46:53,520 --> 00:46:56,360 Speaker 2: couple years prior, which is when he reached sexual maturity, 794 00:46:57,080 --> 00:47:01,239 Speaker 2: and his corticol increased over his lifetime, and most of 795 00:47:01,280 --> 00:47:04,520 Speaker 2: the contaminants that he was exposed to occurred in the 796 00:47:04,560 --> 00:47:08,919 Speaker 2: first six months of his life, which suggested transfer through 797 00:47:09,080 --> 00:47:12,160 Speaker 2: gestation and lactation, which is really depressing. 798 00:47:12,600 --> 00:47:13,360 Speaker 1: Wow. 799 00:47:13,480 --> 00:47:17,560 Speaker 2: Yeah, Okay, that's just one whale. 800 00:47:17,280 --> 00:47:19,200 Speaker 1: One whale, one ear plug. 801 00:47:19,040 --> 00:47:21,680 Speaker 2: One ear plug, And as it turns out, people have 802 00:47:21,800 --> 00:47:25,800 Speaker 2: been collecting and preserving whale ear plugs for decades. 803 00:47:26,040 --> 00:47:27,400 Speaker 1: Just should surprise me, I know. 804 00:47:27,480 --> 00:47:31,279 Speaker 2: Shout out to natural history museums, to collections like we 805 00:47:31,320 --> 00:47:34,759 Speaker 2: can learn so much it's been unbelievable. And so that 806 00:47:34,880 --> 00:47:37,160 Speaker 2: same research group who did this study on this single 807 00:47:37,239 --> 00:47:41,360 Speaker 2: male blue whale looked at cortisol levels in twenty preserved 808 00:47:41,360 --> 00:47:47,040 Speaker 2: whale ear plugs collected from eighteen seventy to twenty sixteen. Wow, 809 00:47:47,440 --> 00:47:52,200 Speaker 2: And they found that cortisol was which is associated with stress. Yeah, 810 00:47:52,239 --> 00:47:54,200 Speaker 2: it's one of our stress hormones, one of our stress hormones. 811 00:47:54,280 --> 00:47:56,719 Speaker 1: Yeah. They found so essential for life functioning, like it 812 00:47:56,760 --> 00:47:59,440 Speaker 1: is essentral life to be alive, right, yeah, right, yeah. 813 00:48:00,000 --> 00:48:03,640 Speaker 2: And what they found was that cortisol was pretty closely 814 00:48:03,719 --> 00:48:08,040 Speaker 2: tied to whaling counts, as in years where more whales 815 00:48:08,080 --> 00:48:11,400 Speaker 2: were hunted were more stressful for whales. So the higher 816 00:48:11,440 --> 00:48:13,799 Speaker 2: the whaling count, the higher and above whales killed, the 817 00:48:13,920 --> 00:48:17,000 Speaker 2: higher the cortisol level and the whale in the whale 818 00:48:17,000 --> 00:48:20,560 Speaker 2: earplugs they collected. The exception is World War Two, when 819 00:48:20,600 --> 00:48:24,000 Speaker 2: whaling counts were low but stress was high, no doubt 820 00:48:24,239 --> 00:48:27,560 Speaker 2: due to the war also being explosions and submuntins and 821 00:48:27,600 --> 00:48:32,440 Speaker 2: all that. And this relationship was especially pronounced in the 822 00:48:32,560 --> 00:48:36,160 Speaker 2: years following nineteen seventy two, when the Marine Mammal Protection 823 00:48:36,239 --> 00:48:39,200 Speaker 2: Act was passed just a big drop in cortisol levels. 824 00:48:39,719 --> 00:48:44,600 Speaker 2: Oh wow. And that drop remained fairly low until you 825 00:48:44,680 --> 00:48:48,880 Speaker 2: get to the past few decades where courtisol increases again 826 00:48:49,239 --> 00:48:55,800 Speaker 2: in certain years. Why abnormally warm sea surface temperatures. 827 00:48:55,200 --> 00:48:58,360 Speaker 1: In those years to global warming? Yeah, yep. 828 00:48:59,040 --> 00:49:02,400 Speaker 2: And the relationship between this is just like it is 829 00:49:03,719 --> 00:49:08,560 Speaker 2: it's very grim, right, Like this research is so grim, 830 00:49:08,640 --> 00:49:10,080 Speaker 2: but it is vital. 831 00:49:10,440 --> 00:49:10,840 Speaker 1: Yeah. 832 00:49:10,880 --> 00:49:13,920 Speaker 2: These earplugs are able to show us something that has 833 00:49:13,960 --> 00:49:17,320 Speaker 2: been kind of hard to measure in certain populations or 834 00:49:17,320 --> 00:49:21,280 Speaker 2: in certain situations especially, I mean, cetaceans are incredibly difficult, 835 00:49:21,640 --> 00:49:25,880 Speaker 2: so hard to study long term as well, and so 836 00:49:26,040 --> 00:49:29,840 Speaker 2: these ear plugs being able to show us the non 837 00:49:30,000 --> 00:49:36,839 Speaker 2: lethal human impact on organisms is incredibly important and tell 838 00:49:36,920 --> 00:49:42,560 Speaker 2: you so much, yes, like oh wow, yeah, so will 839 00:49:42,600 --> 00:49:48,200 Speaker 2: we do anything with that information that's remaining? But that 840 00:49:48,360 --> 00:49:52,200 Speaker 2: is all that I have on earwas wow. 841 00:49:51,960 --> 00:49:57,800 Speaker 1: And I have not thought about whale ears. 842 00:49:58,680 --> 00:50:01,839 Speaker 2: Okay, there are some papers and there is a researcher. 843 00:50:02,160 --> 00:50:04,719 Speaker 2: I watched a video of hers on I think it 844 00:50:04,760 --> 00:50:07,040 Speaker 2: was like an old PBS video or something like that, 845 00:50:07,120 --> 00:50:11,960 Speaker 2: and she was so engaging and wonderful and I just 846 00:50:12,040 --> 00:50:14,320 Speaker 2: I really liked it. There was one of the papers 847 00:50:14,320 --> 00:50:15,920 Speaker 2: I will shout out at the kind as soon as 848 00:50:15,960 --> 00:50:16,759 Speaker 2: I find the name of it. 849 00:50:16,840 --> 00:50:19,000 Speaker 1: But I love it. Their ears are just like flat, 850 00:50:19,120 --> 00:50:20,160 Speaker 1: just like holes, right. 851 00:50:20,360 --> 00:50:22,680 Speaker 2: They're small, but then they use a lot of like 852 00:50:22,880 --> 00:50:25,799 Speaker 2: jaw fat or something like that that absorbed and I 853 00:50:25,840 --> 00:50:28,640 Speaker 2: didn't I yeah, I should have spent more time learning 854 00:50:28,680 --> 00:50:30,640 Speaker 2: about ear or whale hearing overall. 855 00:50:30,719 --> 00:50:33,240 Speaker 1: But okay, this wasn't an episode about hearing. I didn't 856 00:50:33,280 --> 00:50:34,319 Speaker 1: talk about hearing at all. 857 00:50:34,480 --> 00:50:35,160 Speaker 2: Yeah. 858 00:50:35,200 --> 00:50:40,040 Speaker 1: How interesting though, Yeah, wow, I want to know so 859 00:50:40,120 --> 00:50:45,000 Speaker 1: much more. People can learn more, which aware can learn more. 860 00:50:46,600 --> 00:50:49,560 Speaker 2: I have a bunch of sources all over the place, 861 00:50:50,040 --> 00:50:51,799 Speaker 2: but I'm going to shout out a few here. If 862 00:50:51,800 --> 00:50:54,480 Speaker 2: you want to learn more about hearing in wales overall, 863 00:50:54,880 --> 00:50:58,239 Speaker 2: there's Darlene Kenton is the researcher that I was thinking of. 864 00:50:58,320 --> 00:51:00,239 Speaker 2: And there's a paper from nineteen ninety seven that I 865 00:51:00,360 --> 00:51:04,759 Speaker 2: liked called Structure and Function in Whale Ears. And then 866 00:51:04,880 --> 00:51:07,600 Speaker 2: if you want to check out that paper on the 867 00:51:07,640 --> 00:51:11,560 Speaker 2: whale cortisol levels over time, there's a paper by trumble 868 00:51:11,680 --> 00:51:15,720 Speaker 2: at All from twenty eighteen called Baleen Whale cortisol levels 869 00:51:15,760 --> 00:51:20,319 Speaker 2: reveal a physiological response to twentieth century whaling and then 870 00:51:20,440 --> 00:51:23,839 Speaker 2: a couple more. So there's that paper about wet versus 871 00:51:23,920 --> 00:51:27,160 Speaker 2: dry earwax and how it's just one snip, and that's 872 00:51:27,320 --> 00:51:31,480 Speaker 2: by Ohashi at All from twenty eleven, and then ear 873 00:51:31,719 --> 00:51:36,080 Speaker 2: Wax and Art History by Petrakis from two thousand called 874 00:51:36,160 --> 00:51:40,000 Speaker 2: Earmarks of Art History, Seruman and Medieval Art, and a 875 00:51:40,040 --> 00:51:40,479 Speaker 2: lot more. 876 00:51:41,200 --> 00:51:44,600 Speaker 1: I also have a number of papers, but the two 877 00:51:45,000 --> 00:51:49,840 Speaker 1: that were cited in every other paper effort that I 878 00:51:49,880 --> 00:51:54,040 Speaker 1: read were one from nineteen ninety seven by Rosa and 879 00:51:54,200 --> 00:51:59,320 Speaker 1: Bala Chanda that was called Physiology, Pathophysiology and Anthropology slash 880 00:51:59,320 --> 00:52:03,200 Speaker 1: Epidemiology of Human earcanal Secretions from the Journal of the 881 00:52:03,200 --> 00:52:06,800 Speaker 1: American Academy of Audiology, and then one from nineteen sixty 882 00:52:06,880 --> 00:52:12,400 Speaker 1: four by Alberti called Epithelial Migration on the tympanic Membrane. 883 00:52:12,560 --> 00:52:15,680 Speaker 1: It was actually really interesting. I don't read a lot 884 00:52:15,680 --> 00:52:17,440 Speaker 1: of papers from the sixties, but I always get a 885 00:52:17,480 --> 00:52:18,440 Speaker 1: kick out of it when I get to. 886 00:52:18,680 --> 00:52:22,200 Speaker 2: I love reading papers from the sixties. Sometimes it's yeah, 887 00:52:22,280 --> 00:52:25,279 Speaker 2: it's just they're so different in vibe, so different, they're 888 00:52:25,360 --> 00:52:26,480 Speaker 2: so different. Yeah. 889 00:52:26,600 --> 00:52:29,360 Speaker 1: And then I have a bunch of papers on like 890 00:52:29,600 --> 00:52:31,640 Speaker 1: Impacted the Room and and s Room and impaction and 891 00:52:31,680 --> 00:52:33,719 Speaker 1: how we deal with it, and then a few as 892 00:52:33,760 --> 00:52:38,800 Speaker 1: well on the ear candling business. You can find all 893 00:52:39,080 --> 00:52:41,680 Speaker 1: of these sources on our website, This podcast will Kill 894 00:52:41,719 --> 00:52:44,080 Speaker 1: You dot com under the episodes tab. 895 00:52:44,320 --> 00:52:47,600 Speaker 2: You certainly can a big thank you to Bloodmobile for 896 00:52:47,640 --> 00:52:50,440 Speaker 2: providing the music for this episode and all of our episodes. 897 00:52:50,600 --> 00:52:54,160 Speaker 1: Thank you. Thank you to Leanna and Tom and Mark 898 00:52:54,239 --> 00:52:59,120 Speaker 1: and Pete and Jessica and everyone. There's like so many 899 00:52:59,120 --> 00:53:02,200 Speaker 1: people to sink exactly right. Network, Thank you all for me. 900 00:53:02,200 --> 00:53:03,200 Speaker 1: Thank you as possible. 901 00:53:03,400 --> 00:53:07,800 Speaker 2: Yes, thank you also to anyone who you know watches 902 00:53:07,840 --> 00:53:11,120 Speaker 2: this podcast listens to this podcast, We appreciate it. Like 903 00:53:11,120 --> 00:53:13,160 Speaker 2: like we said, you have a lot of different ways 904 00:53:13,200 --> 00:53:15,120 Speaker 2: you can spend your time, and we really appreciate you 905 00:53:15,520 --> 00:53:18,920 Speaker 2: spending that time with us. It means everything, It really 906 00:53:18,960 --> 00:53:19,480 Speaker 2: truly does. 907 00:53:19,520 --> 00:53:22,120 Speaker 1: So thank you and a special thank you to our 908 00:53:22,160 --> 00:53:24,600 Speaker 1: patrons for your support over on Patreon. It really does 909 00:53:24,719 --> 00:53:27,479 Speaker 1: mean like we we're not good. I think at using 910 00:53:27,520 --> 00:53:29,400 Speaker 1: words to explain how much it means to us, but 911 00:53:29,719 --> 00:53:30,719 Speaker 1: it really means a lot. 912 00:53:30,840 --> 00:53:31,239 Speaker 2: It does. 913 00:53:31,360 --> 00:53:31,719 Speaker 1: It does. 914 00:53:32,560 --> 00:53:34,520 Speaker 2: Until next time, wash your hands 915 00:53:34,719 --> 00:53:35,800 Speaker 1: You feelthy animals