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Speaker 1: Welcome to you stuff you should know from house Stuff

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Speaker 1: Works dot com. Hey, and welcome to the podcast. I'm

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Speaker 1: Josh Clark in the Dynamic duo Chuck Bryant, two Men,

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Speaker 1: eight lambs. Yeah, that's us. Yeah, I guess so I

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Speaker 1: hadn't really thought about it. We're fully intact. Yeah, and

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Speaker 1: I think, Um, I think missing a limb or a

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Speaker 1: finger or a toe or anything. Sure, um if, I guess,

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Speaker 1: it's not something you think about until after it happens,

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Speaker 1: and then it probably becomes one of the central folk

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Speaker 1: I of your life. Do you know anyone missing a one? Uh? No,

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Speaker 1: As a matter of fact, I don't, do you. Uh yeah.

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Speaker 1: I worked with a guy at my last job who

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Speaker 1: had an accident, biking accident with a truck. Not true,

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Speaker 1: Not true, Go ahead. I just had to remind myself,

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Speaker 1: Uh of what. Oh my brother in law's father has

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Speaker 1: a part of partial finger amputation. Oh yeah, well this

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Speaker 1: this fan's his arm, the whole arm. Yeah. What happened? Um,

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Speaker 1: biking on the side of the road and oncoming truck

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Speaker 1: the side view mirror basically clipped him at the armpit

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Speaker 1: and did it take it clean off or I don't know.

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Speaker 1: I'm not sure. I guess if it would have taken

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Speaker 1: it clean off, they probably would have done a replantation. Yeah,

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Speaker 1: we talked about Yeah, so this is a I guess

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Speaker 1: the follow up in a mini suite. I like to

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Speaker 1: think of it as a part of a larger suite.

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Speaker 1: We've done broken bones, Yeah, we've done um replantation. I

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Speaker 1: think it's called your limbs torn off? Now what? Uh?

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Speaker 1: And then this one how amputation works. Yeah, that's a

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Speaker 1: good it's a good nice sweet What else can we

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Speaker 1: possibly add to that? I don't know, because we're gonna

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Speaker 1: cover uh, sexual fetishes around limb loss and phantom limb pain,

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Speaker 1: and so I think that's that's all encompassing, sir. I

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Speaker 1: think this will finish it off, miss hedbird well encompassingly.

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Speaker 1: Really that was one of his bits. Uh, Chuck, Yes,

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Speaker 1: have you surely I know that you've heard of Aaron Rollston. Yeah,

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Speaker 1: we saw the movie and everything. There's a hundred twenty

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Speaker 1: seven hours, right, um, yeah, I think that's right the

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Speaker 1: name of the movie. Yeah, I'm doubting it all of

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Speaker 1: a sudden, the number of hours. Yeah, good movie. Did

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Speaker 1: you see it? Oh? Yeah, it was great. Yeah, James

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Speaker 1: Franco is just like, I'm doing so great in the

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Speaker 1: middle the movie, didn't He look at the camera, He's like,

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Speaker 1: aren't aw I like that guy? Yeah? I do too,

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Speaker 1: But he likes himself as well. Yeah. And hey, Danny Boyle,

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Speaker 1: he makes a great movie. Is that Who directed that? Yeah?

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Speaker 1: Like he's all over the map, like genre wise, And

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Speaker 1: I really have appreciation for people that don't make the

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Speaker 1: same movie over and over, you know, hats off for that.

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Speaker 1: Um have you seen her? Yeah? I just saw it.

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Speaker 1: That's a good movie. I was surprised that how good

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Speaker 1: it was. I thought it was. I loved it. Yeah,

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Speaker 1: So okay back to hundred twenty seven Hours. That movie

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Speaker 1: by Danny Boyle is about a real life incident that

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Speaker 1: happened to a guy named Aaron Ralston in two thousand three.

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Speaker 1: In May of two thousand three, he was a and

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Speaker 1: I take it he still is a real like outdoorsy

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Speaker 1: go getters or can't keep me down kind of guy,

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Speaker 1: very independent spirit, so much so that he went canyoning

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Speaker 1: by himself, um, in May of two thousand three, and

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Speaker 1: while canyoning, there was a uh shift with one of

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Speaker 1: the boulders that he was leaning on. Or next two

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Speaker 1: or something, and he slipped down into a crevas so

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Speaker 1: what it was, and a boulder landed on top, wedging

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Speaker 1: his arm in there yet Okay, I haven't seen the

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Speaker 1: movie in a little while. Plus I wasn't there when

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Speaker 1: it happened. Um, and so he's he's trapped like alone,

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Speaker 1: no cell service, I firem or correctly. Um, he was

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Speaker 1: just totally screwed as much as a person could be screwed.

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Speaker 1: The one saving grace that Aaron Ralston had. The two

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Speaker 1: saving graces that Aaron Ralston had was a pocket knife

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Speaker 1: and nerves of steel. Yeah. I'm glad you said that

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Speaker 1: because I was like, if he doesn't say intestinal fortitude

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Speaker 1: or something like that, then I have to add a

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Speaker 1: third thing. Yeah, because I mean there's not I don't

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Speaker 1: think that that many human beings can pull that off.

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Speaker 1: So we should say for those of you who haven't

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Speaker 1: seen the movie, you should see it anyway. But he

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Speaker 1: cuts his own handoff, He cut a portion of his

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Speaker 1: arm off. He did what's called a lower extremity amputation.

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Speaker 1: Oh I thought that'd be an upper upper. Yeah, that's

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Speaker 1: what I meant. I was thinking lower on the arm

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Speaker 1: and stupid. But um, Yeah, he without any sedation whatsoever,

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Speaker 1: after having gone about five days without water, a few

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Speaker 1: days without water. He was trapped there for five days

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Speaker 1: with no hope that he was going to be helped

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Speaker 1: us out in the middle of nowhere. Um, he broke

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Speaker 1: his arm. And then after he broke his arm, he

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Speaker 1: cut through the skin and the tendons and the muscles

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Speaker 1: and all the sinew around, you know, through the break

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Speaker 1: and the bones, and then cut his his lower arm off. Yeah.

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Speaker 1: And remember he had dulled his knife from trying to

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Speaker 1: chip away at the stone for days and I forgot

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Speaker 1: about that. Yeah, So if he had have done it initially,

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Speaker 1: it would have been easier. So he had like this

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Speaker 1: dull blade. Yeah. Yeah. Man, it's a tough scene to

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Speaker 1: watch for sure, but I think they handled it well

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Speaker 1: and it's a great story. Yeah. And he is like, oh,

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Speaker 1: I should say also, we should finish it. He hiked

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Speaker 1: out six six miles before he finally found somebody to

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Speaker 1: drive him to the hospital. Yeah, and I think he

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Speaker 1: even stopped and did a little like splunking along the

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Speaker 1: way or something like that. No, he went straight to

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Speaker 1: the hospital. Well, he was probably doing all sorts of

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Speaker 1: outdoors the activities right afterwards, he's like, I said, one

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Speaker 1: of those people you can't keep down. But um, in

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Speaker 1: this article, it's a pretty good article about amputation. UM.

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Speaker 1: The author makes the point that Aaron Ralston's is a

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Speaker 1: great example of amputation in that UM it's a blast

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Speaker 1: resort typically, like you don't just go this, try amputation

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Speaker 1: and then we'll go from there. It's like if we

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Speaker 1: don't amputate, you're going to die usually. So it also

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Speaker 1: he also provides the um the point that your your

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Speaker 1: life doesn't end when you undergo an amputation. That's right,

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Speaker 1: Like there's all sorts of things that kind of get

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Speaker 1: you back on track, and it's a lot of work

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Speaker 1: and it's the suck thing to happen, I imagine. But

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Speaker 1: when you do have UM limbs amputated, your life isn't

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Speaker 1: over basically. And well we'll talk about that too, But UM,

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Speaker 1: you want to get into amputation. I want to talk

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Speaker 1: about the history of this stuff. Uh yeah, man, it's

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Speaker 1: UM history is like all old medical history involving surgery.

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Speaker 1: It's pretty grizzly. UM. It dates all the way back

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Speaker 1: to ancient times. They found archaeological proof that they performed

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Speaker 1: their procedure many many many years ago, about seven thousand

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Speaker 1: years ago, they found a grave really who had had

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Speaker 1: his lower arm amputated, head healed. Yeah. What they found

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Speaker 1: the differences though, back then they were moving dead tissue,

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Speaker 1: tissue that was already dead because they didn't know how

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Speaker 1: to stop bleeding at the time, so they obviously couldn't

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Speaker 1: cut any healthy blood flow, any arteries or blood vessels, right,

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Speaker 1: so they had to cut off tissue that was just

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Speaker 1: like you said, already dead. There wasn't any blood flowing

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Speaker 1: to it, no blood. Uh. And then of course in

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Speaker 1: Rome in Greece they were smart and they advanced the

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Speaker 1: process and actually, uh were the first to tie off

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Speaker 1: these blood vessels. Is that called legating? Yeah, okay, like

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Speaker 1: ligature marks, yeah yeah yeah um. And that would stop

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Speaker 1: the blood flow, and they did a good job with that.

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Speaker 1: But it seems that people forgot about that and they

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Speaker 1: didn't do that for another few hundred years afterwards. And

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Speaker 1: not only did they forget about that, the Romans and

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Speaker 1: the Greeks both used um wine and vinegars an aseptics

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Speaker 1: during surgery too, and just lost that too. I wonder

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Speaker 1: if that worked. I think probably better is better than

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Speaker 1: nothing other than um so, like I said, they forgot

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Speaker 1: for a couple hundred years or a few hundred and

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Speaker 1: then and started cauterizing wounds instead, which, as we all know,

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Speaker 1: is burning a blood vessel shut, dipping it and boiling oil.

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Speaker 1: It's one way, or just the old hot poker treatment.

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Speaker 1: Um yeah, just awful, It's like and then say hello

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Speaker 1: to this hot boiling oil. Wow. I wonder how well

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Speaker 1: it worked, though, I mean, at least as far as

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Speaker 1: keeping the person alive and staving off infection. I mean

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Speaker 1: I think that I don't know about the infection part,

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Speaker 1: but back then, I think they just wanted to keep

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Speaker 1: someone alive. Do you remember Rainbow three when he gets

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Speaker 1: shot in the side and he cauterizes his wound by

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Speaker 1: pouring some gasoline in and lighting and I don't remember

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Speaker 1: that he did that. Yeah, this like blue flame like

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Speaker 1: shoots through his abdomen and he goes it's the best

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Speaker 1: acting still one's ever done. Wow. I don't know that

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Speaker 1: I agree with that, but it's impressive. You should watch it.

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Speaker 1: See what you think. Okay, okay, I put first blood

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Speaker 1: on my I saw that in my list, But I

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Speaker 1: haven't heard any chiding yet. On your list of hundred

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Speaker 1: greatest movies of all time. That's right, um, but Rainbow

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Speaker 1: three was not on there. It was still pretty good, Okay,

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Speaker 1: I'll check it out. Remember he was fighting with the Taliban.

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Speaker 1: The mujah Hadeen was at the middle. There are the

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Speaker 1: freedom fighters that he was helping fight the Russians. I

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Speaker 1: actually don't know if I saw Rainbow three now that

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Speaker 1: I think about it. Um, all right, So amputation advanced,

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Speaker 1: of course over the years after the cauterization um debacle

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Speaker 1: and in wartime or after wartime with no surprise is

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Speaker 1: when they made a lot of these advances, especially in

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Speaker 1: France with a surgeon name, a military surgeon name Ambroyce Parae.

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Speaker 1: I don't know if he's related to Michael or not,

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Speaker 1: but um he uh. Of course, with gunpowder and bullets

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Speaker 1: and cannonballs and things we saw like injuries like we've

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Speaker 1: never seen before. Yeah, we can. We can thank those

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Speaker 1: things for advancement of amputation. Totally successful amputation. Um. So

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Speaker 1: that was one of the big reasons that Parae was effective.

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Speaker 1: And he was basically the first guy to bring back

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Speaker 1: the legating he rediscovered it. Yeah, in which is said

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Speaker 1: that it took that long from ancient Rome to somebody

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Speaker 1: be like, oh, what if we just like tied these

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Speaker 1: things shut? Now, burn it right, really got the hot

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Speaker 1: oil already already, it's too late for your advancement. And

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Speaker 1: that is how fond was born. Like, we got the

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Speaker 1: hot oil ready, he said, we don't need it. Put

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Speaker 1: some meat on a stick and have at it. Oh no,

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Speaker 1: you thought I was talking about like body parts. No, no, no,

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Speaker 1: I'm not a monster. Um. Then I thought it was

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Speaker 1: funnier when you were a monster. Then the tourniquet was

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Speaker 1: invented in sixteen seventy four, which kind of surprises me

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Speaker 1: that because that seems more rudimentary than any of this

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Speaker 1: another bonehead invention. Yeah, like, why don't you know, you

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Speaker 1: you come up with this stuff before you cut people's

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Speaker 1: limbs off, it would be nice. And then anesthetic of course, uh,

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Speaker 1: in the forties with anesthetic gas went a long way

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Speaker 1: towards performing these surgeries, you know, with that lot of pain. Yeah.

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Speaker 1: And here in the Western world, the American Civil War

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Speaker 1: was a huge, dude springboard to um understanding amputation amputation techniques.

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Speaker 1: They might as well call it the amputation War just

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Speaker 1: from sheer volume of amputations. A lot of doctors who

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Speaker 1: got their nickname sawbones from amputating, sawing through bones and

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Speaker 1: all that. Um, just the number of amputations that they performed,

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Speaker 1: formed this body of knowledge that carried on after the war. Yeah,

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Speaker 1: fifty thousand, more than fifty tho amputations in the Civil War.

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Speaker 1: And this this is also hard to believe, but I

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Speaker 1: guess it's hard to go back in time and realize

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Speaker 1: if they just didn't know something, they didn't know it yet.

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Speaker 1: It seems like a no brainer now that keeping a

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Speaker 1: surgical environment clean should just be an eate and a surgeon.

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Speaker 1: But back then they didn't know that. They didn't understand

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Speaker 1: bacteria like they do now. They didn't know germs. Yeah,

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Speaker 1: and so it was like a stamp of experience to

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Speaker 1: have a bloody surgical gown. So surgeons would like purposefully

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Speaker 1: not change their clothes and things because they were like, hey,

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Speaker 1: look at my bloody gownd eight amputations today beat that, yeah, exact,

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Speaker 1: pepper John. Um. They would doll some the chloroform soaked rag,

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Speaker 1: put on the tourniquet and slice through everything and then

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Speaker 1: like you said, get out the old saw bones all

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Speaker 1: and uh, take care of business. Basically, and then we

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Speaker 1: just toss the limb onto a pile, which grew pretty quickly. Yeah,

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Speaker 1: and there's plenty of old photographs of limb piles from

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Speaker 1: the Civil War. Yeah. One out of four patients died

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Speaker 1: uh in those days after an amputation, and that doubled

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Speaker 1: if it didn't happen in the first twenty four hours. Right,

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Speaker 1: But a lot of people's lives were saved battlefield amputations. Yeah,

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Speaker 1: and most of those I think we're probably um bacterial

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Speaker 1: due to infection and not necessarily like just bleeding outer

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Speaker 1: or a mistake or something, right, which we should say

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Speaker 1: at this point. The whole reason to amputate is because

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Speaker 1: you often have a wound or a diseased part of

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Speaker 1: your body UM that's creating dead tissue, and that site

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Speaker 1: of dead tissue is a really great place for becked

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Speaker 1: a real infections to take root and take hold. The

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Speaker 1: problem with the bacterial infection is that it tends to

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Speaker 1: spread towards the rest of your body. So the point

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Speaker 1: of amputation almost across the board is to prevent the

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Speaker 1: spread of infection in the rashest way possible, which is

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Speaker 1: why amputations typically are just the last resort. You're trying

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Speaker 1: to stop this infection from spreading. And if you literally

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Speaker 1: separate it from the rest of the healthy body, that

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Speaker 1: should do the trick, and it frequently does. Yeah, and

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Speaker 1: I think the final advancement, well not final advancement, of course,

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Speaker 1: it's still advancing. But the last big advancement was was

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Speaker 1: with the infections and a British surgeon named Joseph lister

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Speaker 1: Um was known as kind of the father of antiseptic surgery.

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Speaker 1: Oh yeah, no, way, of course it is. I never

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Speaker 1: put those two together. Boom. Did he make any money

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Speaker 1: off that? Like, was it actually his company or did

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Speaker 1: they just I don't know. Interesting, So he was the

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Speaker 1: first guy. He used something called carbolic acid, which is listering.

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Speaker 1: Probably is. They used it back then to prevent wood

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Speaker 1: rot and to treat sewage, so I guess they just

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Speaker 1: knew it was good for for stopping bacteria. I'll be

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Speaker 1: that caught aizes wounds. Yeah, and uh he would spray

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Speaker 1: it on surgical tools and incisions and dressings and even people,

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Speaker 1: uh in the surgery room. He would spray them with

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Speaker 1: it and then he would he was the first distress

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Speaker 1: handwashing and clean gloves and things like that. So hats

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Speaker 1: off to you, Mr Lister. Dr Lister, Well, he was

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Speaker 1: one of those people who like made up a handful

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Speaker 1: of human beings who have saved billions of people's lives

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Speaker 1: just from their innovations and their insights. Um. So amputation,

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Speaker 1: it's been around for a while, and that's just surgically amputation.

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Speaker 1: There's evidence of amputation for um religious self sacrifice as

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Speaker 1: far back as like thirty thousand, forty thousand years ago. Um,

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Speaker 1: it was very for a long time. It was a punishment.

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Speaker 1: That um word amputatio or amputasho is a Roman for well,

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Speaker 1: it's a punishment. It's synonymous with punishment, and it meant

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Speaker 1: like you had your hands chopped off, Like if you

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Speaker 1: steal something you then symbolically they would cut off your hand. Yeah,

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Speaker 1: and then it was even amputation is even inscribed as

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Speaker 1: a punishment in the first written law, the Code of Hammurabi.

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Speaker 1: If you were a doctor and you lost the patient,

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Speaker 1: well you should lose one of your hands. That was

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Speaker 1: the code. That just makes this so counter to trying

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Speaker 1: to make doctors better. You know, yeah, we want you

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Speaker 1: to be a better doctor, so we're gonna remove one

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Speaker 1: of your hands. You're worried about tort law. Think about

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Speaker 1: how good you have it now. Um. So, like you said,

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Speaker 1: the reason, Um, there are a couple of reasons you

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Speaker 1: would get an amputation. Uh. One is disease and the

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Speaker 1: other is um injury like my friend with the truck,

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Speaker 1: like some kind of catastrophic injury. UH damages It doesn't

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Speaker 1: necessarily always like rip your arm off, but it damages

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Speaker 1: it to the point where there's no blood flowing there

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Speaker 1: and the tissue was dying beyond the point where it

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Speaker 1: can be rescued, essentially. And it might be a truck,

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Speaker 1: it might be a bullet wound, Um, it could be well. Basically,

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Speaker 1: any traumatic injury, a fire, a burn, a severe burn

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Speaker 1: is considered a traumatic injury. Yeah. Blood flow is big.

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Speaker 1: If it's not flowing, then problems happen. You're gonna have

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Speaker 1: a stroke. If it stops blowing, you're gonna lose an arm.

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Speaker 1: And it stops slowing. So if your blood flow is

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Speaker 1: cut off for too long, then you're in big trouble. Right,

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Speaker 1: And it's not just a traumatic injury disease. UM, there's

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Speaker 1: plenty of diseases that see a lessening of blood flow,

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Speaker 1: like um arterio, sclerosis because plaque build up and blood vessels.

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Speaker 1: When it builds up enough and enough, those blood vessels hardened,

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Speaker 1: and the amount of blood flow through those vessels diminishes

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Speaker 1: so much that the tissue that those blood vessels feed

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Speaker 1: Uh dies. Um. There's something called peripheral artery disease, which

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Speaker 1: is the result of a lack of blood flow leading

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Speaker 1: to dead tissue. Uman. Diabetics. Yeah, you you join that

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Speaker 1: with diabetes, which has the tendency to also kill nerve

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Speaker 1: endings neuropathy. Uh. And then all of a sudden, you

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Speaker 1: can't feel so when you cut yourself, so you cut

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Speaker 1: your foot or something like that, Um, you don't feel it,

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Speaker 1: So you're more prone to cuts, and it takes longer

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Speaker 1: to heal because of the lack of circulation, And all

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Speaker 1: of a sudden, you have an infection that possibly turns

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Speaker 1: gangrenous and threatens your entire life. Yeah. And in the US,

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Speaker 1: ninety percent of amputations are as a result of this

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Speaker 1: disease scenario. Um. Whereas if you're under fifty, UM, traumatic

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Speaker 1: injury is a leading cause of amputations. Yeah. So like

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Speaker 1: you know, you're out rudding your bike, I'm on a

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Speaker 1: mountain road, or your Aaron Ralston in Your Mountaineering and Utah.

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Speaker 1: You know, I would call that a traumatic injury getting

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Speaker 1: your hampined under a boulder for sure, man, can you imagine?

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Speaker 1: And they did a good job in the movie. But

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Speaker 1: as it sets in, like what the deal is because

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Speaker 1: at first he was like, oh man, yeah, like let

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Speaker 1: me get out of this, or trying to move the

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Speaker 1: boulder was like nothing, and then all of a sudden,

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Speaker 1: you think I might die of starvation. Yeah, and then

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Speaker 1: you it just goes over to the knife, like, man,

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Speaker 1: I wish I hadn't adulled it. So then there's cancer,

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Speaker 1: which we haven't mentioned. Um. There are a couple of

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Speaker 1: ways that it could lead to amputation. Obviously just damage

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Speaker 1: to your body tissue. Um. But also like you said,

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Speaker 1: to keep a malignant tumor from spreading around, sometimes they

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Speaker 1: will just lop it off. And apparently those amputations from

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Speaker 1: cancer have diminished tremendously over sure that gator two. Um.

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Speaker 1: But unfortunately those from disease have increased. Yeah, it's dropped

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Speaker 1: by over the past twenty years amputations overall. No, just

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Speaker 1: from for answer, traumatic injury and cancer. UM. So I

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Speaker 1: don't know people are being safer and their recreation if

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Speaker 1: that has something to do with it or not, or

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Speaker 1: they're yeah, we might have better trauma or better reattaching

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Speaker 1: to UM. But yes, you're right. It has increased because

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Speaker 1: of at least in the the United States, largely due to obesity,

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Speaker 1: so much so that this article was from UM maybe

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Speaker 1: two two thousand and six something like that, and it

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Speaker 1: says that one out of every two hundred Americans is

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Speaker 1: an amputee. That's not right anymore. No, it's actually even

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Speaker 1: more one out of from what I could find, a

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Speaker 1: hundred and seventy six Americans, so it's one point seven

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Speaker 1: million people, one out of hundreds. That seems like a

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Speaker 1: lot of people. Yeah, but that counts digits and things

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Speaker 1: that you don't think about, you know, like someone lost

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Speaker 1: a thumb, because I hear that, and I'm like, why

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Speaker 1: don't I see that more on a daily basis. You

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Speaker 1: don't work in the industrial arts. Yeah, that's true. I

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Speaker 1: don't work in a factory with lots of saws and chains,

359
00:21:17,520 --> 00:21:20,840
Speaker 1: and yeah, that's good point. You got Alaska about every

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Speaker 1: like third person has a limb that's missing. You don't

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Speaker 1: see a lot of the podcasting field. UM, so we're

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Speaker 1: gonna prepare you for surgery. Dr Clark right for this message. Break. Wait,

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Speaker 1: I'm doing the surgery right always. Okay. So preparing for

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00:21:43,640 --> 00:21:47,480
Speaker 1: amputation surgery is like every surgery. Initially, you're gonna have

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Speaker 1: a lot of meetings because they want you to be prepared,

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Speaker 1: and you're gonna have everything very explained very well, and

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Speaker 1: what you can expect before, during, and after, just like

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Speaker 1: with all surgery. How what kind of anesthesia they're going

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Speaker 1: to use? Um, Yeah, it's not always general anesthesia. I

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00:22:05,359 --> 00:22:07,399
Speaker 1: knew this would stand out to you too. Yeah, I

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Speaker 1: would not want to be awake. No, knock me out,

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Speaker 1: cut my toe off, I don't care. Yeah, I'd better

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Speaker 1: be out. Well, actually, I take that back. If it

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Speaker 1: was like a just a digit, I could stomach that.

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Speaker 1: Not me. I don't know. If I'd watch it. At

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Speaker 1: the very least, I wouldn't would be boring. I think

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Speaker 1: it'd be fascinating. Well, I mean you couldn't see anything.

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Speaker 1: You'd just be sitting there like these guys are cutting

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Speaker 1: my finger off right now. I think it'd arrange a

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Speaker 1: mirror or something. I used to get that at the dentist.

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00:22:33,320 --> 00:22:34,879
Speaker 1: I used to request a mirror, so I could look

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Speaker 1: at what they were doing. I think, just because it

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00:22:36,880 --> 00:22:40,480
Speaker 1: fascinated me and to keep an eye on Yeah, exactly.

384
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Speaker 1: So Yeah, they say sometimes you just local anesthetic to

385
00:22:44,680 --> 00:22:49,800
Speaker 1: to carry out a amputation. That's nutty. Um, if it's

386
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Speaker 1: a limb, I don't think they would do that. No,

387
00:22:53,280 --> 00:22:55,359
Speaker 1: that's got to be generalized. Yeah, because I think like

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Speaker 1: if you weren't under your blood pressure would advise to

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00:22:59,000 --> 00:23:01,800
Speaker 1: dangerous levels. This good point. Yeah. Uh, if you're gonna

390
00:23:01,800 --> 00:23:06,680
Speaker 1: get a prosthetic device, you might meet beforehand with your prosthetics, uh,

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00:23:06,720 --> 00:23:08,720
Speaker 1: to measure you out and kind of talk about what

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Speaker 1: you're looking for post surgery, and um, then you're gonna

393
00:23:15,080 --> 00:23:18,919
Speaker 1: you know, then it's go time. I guess it is

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00:23:18,960 --> 00:23:21,680
Speaker 1: kind of go time. The well, the surgeon is gonna

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Speaker 1: want to figure out exactly where to cut ahead of time.

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00:23:25,119 --> 00:23:28,560
Speaker 1: It's not like how about here they actually measure blood

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Speaker 1: flow to the area, um, to see what tissues still

398
00:23:32,680 --> 00:23:36,280
Speaker 1: receiving you know, circular, a healthy amount of circulation. Yeah,

399
00:23:36,280 --> 00:23:38,359
Speaker 1: they don't want to leave any bad tissue behind. No,

400
00:23:38,560 --> 00:23:40,520
Speaker 1: but they want to get as much of the bad

401
00:23:40,560 --> 00:23:43,879
Speaker 1: tissue as they can, which is what you just said.

402
00:23:44,359 --> 00:23:46,520
Speaker 1: But they also want to leave intact as much healthy

403
00:23:46,520 --> 00:23:49,199
Speaker 1: tissue as possible, which is why they measure and they

404
00:23:49,240 --> 00:23:53,359
Speaker 1: try to find that line of demarcation where they should cut. Yeah,

405
00:23:53,359 --> 00:23:55,919
Speaker 1: they said, especially around the joints. Uh. They want to

406
00:23:55,960 --> 00:24:00,480
Speaker 1: preserve all the healthy stuff they can because, uh, if

407
00:24:00,560 --> 00:24:03,240
Speaker 1: your joint is working, then that's gonna help you out

408
00:24:03,280 --> 00:24:05,680
Speaker 1: with your prosthetic limbits. Oh yeah, if they if they

409
00:24:05,720 --> 00:24:08,760
Speaker 1: can do anything to save a joint, they're gonna leave

410
00:24:08,760 --> 00:24:12,960
Speaker 1: it intact um. So they figure out where to cut.

411
00:24:13,520 --> 00:24:17,760
Speaker 1: They try to leave a joint as intact as possible.

412
00:24:17,920 --> 00:24:20,840
Speaker 1: And this is all the non emergency variety exactly. Yeah,

413
00:24:21,000 --> 00:24:23,600
Speaker 1: like all of this planning and everything, it goes out

414
00:24:23,640 --> 00:24:27,400
Speaker 1: the window when you come in with a shotgun blast

415
00:24:27,560 --> 00:24:31,439
Speaker 1: your lower leg exactly. Um, they're gonna be like, we

416
00:24:31,480 --> 00:24:34,439
Speaker 1: need to amputate. We have to do this quick. And

417
00:24:34,560 --> 00:24:38,000
Speaker 1: they do. And you don't have to meet with anybody.

418
00:24:39,359 --> 00:24:44,560
Speaker 1: That's the plus side meetings. Um. Some of the techniques

419
00:24:44,600 --> 00:24:46,240
Speaker 1: they use it are actually let's just go ahead and

420
00:24:46,240 --> 00:24:50,320
Speaker 1: walk you through the process, all right, so everyone please.

421
00:24:51,720 --> 00:24:53,960
Speaker 1: The article points out that the first thing they cut

422
00:24:53,960 --> 00:24:57,760
Speaker 1: through is the skin, right, They cut through the imaginary

423
00:24:57,800 --> 00:25:01,399
Speaker 1: barrier and the air above the skin. First, technically, of

424
00:25:01,400 --> 00:25:03,560
Speaker 1: course you're going to cut through the skin and you

425
00:25:03,560 --> 00:25:06,000
Speaker 1: want it to heal quick. And they said leave an

426
00:25:06,000 --> 00:25:10,639
Speaker 1: appropriate scar, which doesn't mean for cosmetics, like don't you

427
00:25:11,040 --> 00:25:14,119
Speaker 1: don't leave your your initials as a scar or something.

428
00:25:14,400 --> 00:25:15,639
Speaker 1: You know. What they mean is they don't want to

429
00:25:15,680 --> 00:25:18,040
Speaker 1: leave a scar where it might rub up against the

430
00:25:18,160 --> 00:25:22,359
Speaker 1: prosthetic or something and cost problems. Yeah, that can't be good. Um.

431
00:25:22,600 --> 00:25:27,080
Speaker 1: So they cut through the skin and pretty soon after

432
00:25:27,119 --> 00:25:30,879
Speaker 1: that they meet muscle. Mr muscle, and this makes up

433
00:25:31,200 --> 00:25:34,440
Speaker 1: the bulk of what they're cutting through. And I only

434
00:25:34,560 --> 00:25:37,199
Speaker 1: like within the last year so realized that muscle is

435
00:25:37,240 --> 00:25:39,760
Speaker 1: what steak is. Did I tell you this? Yeah? You

436
00:25:39,840 --> 00:25:42,119
Speaker 1: told me. It's just crazy to me. Like I I

437
00:25:42,640 --> 00:25:44,720
Speaker 1: used to be like, okay, so you got muscle, you

438
00:25:44,760 --> 00:25:48,280
Speaker 1: have the skin, you have the what's the steak? And

439
00:25:48,320 --> 00:25:51,520
Speaker 1: then I realized, like, oh, muscles the steak. Yeah. I

440
00:25:51,680 --> 00:25:56,880
Speaker 1: was like, I'd make a good steak. Now you'd be sinewy,

441
00:25:57,000 --> 00:26:00,399
Speaker 1: so I'd make a good steak. So with with muscle

442
00:26:00,440 --> 00:26:03,199
Speaker 1: there there, they want to they have to cut through it,

443
00:26:03,280 --> 00:26:06,720
Speaker 1: but they want to save a little bit of length

444
00:26:06,760 --> 00:26:10,480
Speaker 1: of it as much as possible. Yeah, Um, that's your

445
00:26:10,480 --> 00:26:13,600
Speaker 1: padding basically, Yeah, they're gonna fit it around the bone

446
00:26:13,640 --> 00:26:16,280
Speaker 1: at the bottom. It is, it's the padding on the bottom,

447
00:26:16,600 --> 00:26:20,320
Speaker 1: the exposed part of the the residual limb, which is

448
00:26:20,359 --> 00:26:23,960
Speaker 1: what the stump is called. You shouldn't call people's residual

449
00:26:23,960 --> 00:26:26,560
Speaker 1: limb stumps, is that true? Yeah? Well why do they

450
00:26:26,600 --> 00:26:29,520
Speaker 1: use it? Fifty times in this article? They finally get

451
00:26:29,560 --> 00:26:32,040
Speaker 1: to the point where they're like the residual limb, which

452
00:26:32,160 --> 00:26:35,399
Speaker 1: is the preferred term. I think my friend called his stump.

453
00:26:36,160 --> 00:26:39,080
Speaker 1: Oh yeah, I mean, if you have an amputated limb,

454
00:26:39,160 --> 00:26:41,199
Speaker 1: you can call it whatever you want. Right. It's like

455
00:26:42,160 --> 00:26:44,200
Speaker 1: you can't pick on my brother, Well, only I can

456
00:26:44,200 --> 00:26:47,080
Speaker 1: pick up my brother. Okay, it's along the same line.

457
00:26:47,600 --> 00:26:52,600
Speaker 1: So we've cut through the skin the muscle. No, you've

458
00:26:52,600 --> 00:26:56,080
Speaker 1: got your nerves. Oh man, I know it sends a

459
00:26:56,160 --> 00:26:59,000
Speaker 1: chill up my spine thinking about it. Um, you have

460
00:26:59,040 --> 00:27:00,720
Speaker 1: to cut through the nerves out of slee and then

461
00:27:01,280 --> 00:27:05,520
Speaker 1: what they want to do, you're gonna have you know,

462
00:27:06,119 --> 00:27:07,639
Speaker 1: where you cut the nerve is going to be a

463
00:27:07,680 --> 00:27:10,520
Speaker 1: nerve stump. Now that's okay to call it a stumps.

464
00:27:10,760 --> 00:27:16,159
Speaker 1: The nerves exactly, Um, and they still carry signals of

465
00:27:16,280 --> 00:27:20,280
Speaker 1: pain sometimes even, and so they do their best to

466
00:27:20,320 --> 00:27:22,600
Speaker 1: minimize what we're gonna talk about next, which is phantom

467
00:27:22,640 --> 00:27:27,000
Speaker 1: limp pain, by sewing nerving things into the tissue around

468
00:27:27,000 --> 00:27:30,360
Speaker 1: it and even cutting it off, cutting the nerves off

469
00:27:31,040 --> 00:27:36,160
Speaker 1: higher up than the amputation site to try and prevent that. Um.

470
00:27:36,320 --> 00:27:39,280
Speaker 1: But thanks to you in that article you sent me,

471
00:27:40,520 --> 00:27:44,520
Speaker 1: we learned that phantom limb pain actually occurs in the

472
00:27:44,560 --> 00:27:47,760
Speaker 1: majority of patients who lose their limbs. I didn't know

473
00:27:47,800 --> 00:27:50,359
Speaker 1: that it sounded like a rarity to me. No, I

474
00:27:50,359 --> 00:27:54,560
Speaker 1: think it's like, um, I think it's like not a

475
00:27:54,640 --> 00:27:58,600
Speaker 1: given necessarily, but I think that it's very common. Should

476
00:27:58,600 --> 00:27:59,760
Speaker 1: we go ahead and cover it now? And then yeah,

477
00:28:00,080 --> 00:28:02,160
Speaker 1: finish up with the surgery. Yeah. So, like you said,

478
00:28:02,160 --> 00:28:07,639
Speaker 1: when you when you cut fanstom up right right, still um,

479
00:28:07,680 --> 00:28:14,280
Speaker 1: when you cut a nerve um fiber um, you're it's

480
00:28:14,320 --> 00:28:17,760
Speaker 1: still even though there's a stump and there's it's not

481
00:28:17,800 --> 00:28:20,520
Speaker 1: connected to anything anymore down there, it can still transmit

482
00:28:20,560 --> 00:28:23,880
Speaker 1: information to the brain and it still does. And your

483
00:28:23,920 --> 00:28:29,320
Speaker 1: brain has been it's developed this certain kind of arrangement

484
00:28:29,320 --> 00:28:32,640
Speaker 1: of neurons. Say that have to do with your lower leg.

485
00:28:32,880 --> 00:28:35,639
Speaker 1: Your lower left leg is in this one region of

486
00:28:35,640 --> 00:28:38,760
Speaker 1: your brain. And the thing is, when you amputate your

487
00:28:38,800 --> 00:28:42,160
Speaker 1: lower left leg, your brain doesn't really get the news

488
00:28:42,760 --> 00:28:45,280
Speaker 1: that it's not there anymore, or at least at the

489
00:28:45,360 --> 00:28:49,160
Speaker 1: very least, it confuses it. It does and it makes

490
00:28:49,200 --> 00:28:53,200
Speaker 1: the brain think that you have a lower left leg still,

491
00:28:53,920 --> 00:28:56,240
Speaker 1: but you're just not using it. Or your brain has

492
00:28:56,320 --> 00:28:59,480
Speaker 1: this technique for telling you when it's like you need

493
00:28:59,520 --> 00:29:01,360
Speaker 1: to use your limbs or get up or move around

494
00:29:01,400 --> 00:29:05,200
Speaker 1: or do something UM. And that's by sending a painful

495
00:29:05,240 --> 00:29:09,200
Speaker 1: sensation from the leg to the brain to you to

496
00:29:09,320 --> 00:29:12,440
Speaker 1: experience it. And when that leg is not there and

497
00:29:12,480 --> 00:29:14,360
Speaker 1: your brain thinks it still isn't you're not using it,

498
00:29:14,440 --> 00:29:17,520
Speaker 1: then what you have is something called phantom pain. Yeah,

499
00:29:17,600 --> 00:29:20,600
Speaker 1: and that can be. It's not just like, oh it

500
00:29:20,680 --> 00:29:23,200
Speaker 1: hurts a little bit, UM, it hurts a lot apparently

501
00:29:23,800 --> 00:29:26,720
Speaker 1: UM burning aching sensations as if the hand is being

502
00:29:26,720 --> 00:29:29,800
Speaker 1: crushed in the ice. So say some And here's the

503
00:29:30,200 --> 00:29:35,560
Speaker 1: bad news is that it is UM chronic and once

504
00:29:35,680 --> 00:29:39,600
Speaker 1: it happens and persist, it's there like it's tough to

505
00:29:39,600 --> 00:29:42,280
Speaker 1: get rid of UM. In fact, I think they only

506
00:29:42,800 --> 00:29:45,800
Speaker 1: I think this article they said they only UM these

507
00:29:45,840 --> 00:29:48,600
Speaker 1: other post surgeries to limit that are only effective for

508
00:29:48,640 --> 00:29:51,200
Speaker 1: a few months and it usually returns, and so they

509
00:29:51,280 --> 00:29:54,400
Speaker 1: usually don't even do those surgeries unless you're terminal. Yeah,

510
00:29:54,440 --> 00:29:58,640
Speaker 1: and apparently chuck jugs don't necessarily do a lot like

511
00:29:58,760 --> 00:30:02,480
Speaker 1: a paint. Yeah, like it can't help. I think you

512
00:30:02,560 --> 00:30:04,959
Speaker 1: get used to it and it's still not really helping

513
00:30:05,040 --> 00:30:08,560
Speaker 1: very much. So they have some pretty interesting radical treatments

514
00:30:08,600 --> 00:30:11,920
Speaker 1: that apparently work. And one of the best ones is

515
00:30:11,960 --> 00:30:15,400
Speaker 1: a mirror box. So you like have a box that

516
00:30:15,480 --> 00:30:18,680
Speaker 1: you put your hand into and then your residual limb

517
00:30:18,720 --> 00:30:22,920
Speaker 1: into in the same box, and the mirror the mirrors

518
00:30:22,960 --> 00:30:26,040
Speaker 1: inside basically make it look like you have two limbs,

519
00:30:26,760 --> 00:30:31,640
Speaker 1: both intact facing the correct way, and then you move

520
00:30:31,800 --> 00:30:35,640
Speaker 1: the intact one and it looks like your residual limb

521
00:30:35,720 --> 00:30:38,640
Speaker 1: is now moving, and you basically your eyes sends the

522
00:30:38,680 --> 00:30:41,640
Speaker 1: signal to the brain exactly, and you trick your brain

523
00:30:41,680 --> 00:30:44,200
Speaker 1: into thinking like, Okay, I'm moving my limb. You can

524
00:30:44,280 --> 00:30:47,320
Speaker 1: stop sending me the pain signals now. And it works

525
00:30:47,520 --> 00:30:50,440
Speaker 1: for a lot of people. Yeah, And even more amazing

526
00:30:50,760 --> 00:30:53,760
Speaker 1: is they don't even know if they need a mirror box.

527
00:30:53,920 --> 00:30:59,600
Speaker 1: They think simply um imagining using that limb could work

528
00:30:59,840 --> 00:31:03,320
Speaker 1: like golfing. Yeah, Like, so just imagine you're you're swinging

529
00:31:03,320 --> 00:31:05,640
Speaker 1: a golf club with your phantom with your limb that's

530
00:31:05,640 --> 00:31:09,800
Speaker 1: not there anymore, and they think they can actually work. Yeah. Um.

531
00:31:09,840 --> 00:31:12,400
Speaker 1: They're also trying to figure out how to uh, re

532
00:31:12,640 --> 00:31:16,160
Speaker 1: plastic size the brain so that it can, um, it

533
00:31:16,240 --> 00:31:19,400
Speaker 1: can rearrange itself to basically be aware that there's no

534
00:31:19,560 --> 00:31:21,760
Speaker 1: limb there any longer, and it says it can ignore

535
00:31:21,880 --> 00:31:25,040
Speaker 1: sensory signals from that area. What they're doing is is

536
00:31:25,080 --> 00:31:27,600
Speaker 1: they're working on the brain now instead of the site

537
00:31:27,640 --> 00:31:30,920
Speaker 1: of the amputation, like the physical site. They thought it

538
00:31:30,960 --> 00:31:33,480
Speaker 1: was the psychosis for a little while. Um that that

539
00:31:33,600 --> 00:31:37,520
Speaker 1: it was basically just like people had such a deep

540
00:31:37,600 --> 00:31:40,880
Speaker 1: lamentation of the loss of their limb that they were

541
00:31:40,920 --> 00:31:46,000
Speaker 1: suffering this this form of psychosomatic experience. But now they're like, no,

542
00:31:46,160 --> 00:31:49,760
Speaker 1: this is real. We have seen it. Um. There's also

543
00:31:49,840 --> 00:31:53,880
Speaker 1: stimulation of the nerves around the area, um, which kind

544
00:31:53,880 --> 00:31:56,800
Speaker 1: of confused the pain signals so they don't make it

545
00:31:56,840 --> 00:31:59,640
Speaker 1: to the brain. It's pretty amazing, Yeah, but it's it's

546
00:31:59,640 --> 00:32:02,720
Speaker 1: a real thing, and apparently it's awful. Yeah, it's it's

547
00:32:02,760 --> 00:32:04,560
Speaker 1: way more common than I thought that was like my

548
00:32:04,560 --> 00:32:07,000
Speaker 1: biggest surprise in all this. I thought it was like, oh,

549
00:32:07,040 --> 00:32:10,280
Speaker 1: that's super rare, But apparently it's kind of rare if

550
00:32:10,280 --> 00:32:13,720
Speaker 1: you don't experience phantom in pain. So back to the

551
00:32:13,720 --> 00:32:16,360
Speaker 1: operating room, we should probably get back in there. He's looking,

552
00:32:16,360 --> 00:32:18,320
Speaker 1: he looks fine. Do you have any junior mint on you?

553
00:32:18,720 --> 00:32:22,000
Speaker 1: That's okay, I'm very nice. Uh So, now you've cut

554
00:32:22,040 --> 00:32:24,560
Speaker 1: through the skin, you've cut through the muscle, You've cut

555
00:32:24,560 --> 00:32:26,520
Speaker 1: through the nerves and done all your work to try

556
00:32:26,560 --> 00:32:28,800
Speaker 1: and make sure that the nerves are not going to

557
00:32:28,840 --> 00:32:31,000
Speaker 1: cause fandom pain as much as you can much as

558
00:32:31,040 --> 00:32:35,440
Speaker 1: you can. Now you have to cut the blood vessels. Yeah, right,

559
00:32:35,720 --> 00:32:40,000
Speaker 1: and you want to legate them or cauterize, right, probably

560
00:32:40,120 --> 00:32:42,920
Speaker 1: legate them if you don't want to, although I'm sure

561
00:32:42,960 --> 00:32:46,000
Speaker 1: there's cauterization too as well. And I think if you're

562
00:32:46,040 --> 00:32:47,840
Speaker 1: trapped in the woods or something, there might be no

563
00:32:47,920 --> 00:32:50,480
Speaker 1: but I think like they even have like a um,

564
00:32:50,600 --> 00:32:53,960
Speaker 1: little tools to cauterize blood vessels, wood burning set kind

565
00:32:54,000 --> 00:32:58,160
Speaker 1: of yeah. Yeah. Um. And either way, you're gonna stop

566
00:32:58,160 --> 00:33:00,239
Speaker 1: the flow of blood out the open end of these

567
00:33:00,240 --> 00:33:03,120
Speaker 1: blood vessels now, because that's not good. Um, I mean,

568
00:33:03,160 --> 00:33:05,960
Speaker 1: you tie this off and you want to avoid as

569
00:33:06,000 --> 00:33:09,360
Speaker 1: many blood vessels as you possibly can. Um that don't

570
00:33:09,360 --> 00:33:12,600
Speaker 1: need to be amputated because they still bring blood to

571
00:33:12,640 --> 00:33:16,120
Speaker 1: the healthy tissue, and blood's chuck full of nutreats, which

572
00:33:16,160 --> 00:33:18,960
Speaker 1: is how these things just tissue keeps alive. It's right.

573
00:33:19,880 --> 00:33:22,080
Speaker 1: And then there's only one thing left, my friend, man,

574
00:33:22,240 --> 00:33:24,760
Speaker 1: that's the old bone. So they get out the old

575
00:33:24,760 --> 00:33:28,800
Speaker 1: bone saw and um, when you cut the bone, like

576
00:33:28,840 --> 00:33:30,600
Speaker 1: you said, you you're gonna wrap the muscle around it.

577
00:33:30,640 --> 00:33:33,120
Speaker 1: So you want a nice smooth surface. You don't want

578
00:33:33,120 --> 00:33:35,640
Speaker 1: any kind of jagged edges. So they're gonna smooth it out.

579
00:33:35,720 --> 00:33:37,800
Speaker 1: I don't know what they use. Probably some kind of sander.

580
00:33:39,280 --> 00:33:43,040
Speaker 1: They sand it down. Remember start start low with your

581
00:33:43,040 --> 00:33:46,320
Speaker 1: sand paper number and work your way up. Oh is

582
00:33:46,320 --> 00:33:50,720
Speaker 1: there more grit in the lower numbers? More grit? Like

583
00:33:50,760 --> 00:33:53,720
Speaker 1: an eighty sand papers super rough, and like a two

584
00:33:54,280 --> 00:33:57,480
Speaker 1: is super fine, super fine. I think that's right. Sure

585
00:33:57,800 --> 00:33:59,960
Speaker 1: I got this wrong. I'm gonna I think you're right. Okay,

586
00:34:00,280 --> 00:34:04,120
Speaker 1: it makes sense yea um, but yeah, you really want

587
00:34:04,120 --> 00:34:07,240
Speaker 1: to smooth out that bone because it's it's going to

588
00:34:07,400 --> 00:34:12,520
Speaker 1: keep um the amputation site from healing. If it's a

589
00:34:12,640 --> 00:34:16,920
Speaker 1: jagged edge just rubbing up against muscle and nerves and

590
00:34:16,920 --> 00:34:20,120
Speaker 1: blood vessels and all, that's not good. So you have

591
00:34:20,200 --> 00:34:23,600
Speaker 1: it nice and sanded, You arrange the muscles around it,

592
00:34:24,320 --> 00:34:27,600
Speaker 1: and then you tie the skin off. When you close

593
00:34:27,719 --> 00:34:32,200
Speaker 1: the skin um and frequently if they think that there

594
00:34:32,239 --> 00:34:34,600
Speaker 1: there's a high risk of infection, they'll just kind of

595
00:34:34,600 --> 00:34:38,160
Speaker 1: temporarily close the skin. Were leaving a tube to drain

596
00:34:38,239 --> 00:34:44,440
Speaker 1: the um almost inevitable liquids that build up um. And

597
00:34:44,480 --> 00:34:46,279
Speaker 1: then if if they watch it and you're like, no

598
00:34:46,360 --> 00:34:49,960
Speaker 1: infection comes along, then they'll permanently sew it up. And

599
00:34:50,000 --> 00:34:51,960
Speaker 1: of course for the next several weeks you're gonna be

600
00:34:51,960 --> 00:34:55,920
Speaker 1: closely monitored for infection. Uh. They're not gonna leave you alone.

601
00:34:56,000 --> 00:34:59,279
Speaker 1: They're gonna bother you every single day, probably checking on

602
00:34:59,480 --> 00:35:04,880
Speaker 1: your uh what was the word, not stomp, residual limb,

603
00:35:04,920 --> 00:35:10,640
Speaker 1: residual limb, your your reside. Occasionally they will take off

604
00:35:10,680 --> 00:35:12,879
Speaker 1: the wrong limb. Should we go ahead and talk about this. Yeah,

605
00:35:14,400 --> 00:35:18,120
Speaker 1: just in October of two thousand thirteen in Brazil, guy

606
00:35:18,160 --> 00:35:21,000
Speaker 1: got it the wrong leg removed and the daughter said, hey,

607
00:35:21,000 --> 00:35:23,359
Speaker 1: you removed the wrong leg. So they said, you're right

608
00:35:23,440 --> 00:35:25,399
Speaker 1: and they removed this other leg and now you own

609
00:35:25,440 --> 00:35:28,640
Speaker 1: this hospital and now he has no legs. That's crazy.

610
00:35:28,719 --> 00:35:31,840
Speaker 1: And it said the family plans to sue. I'm sure. Um,

611
00:35:31,960 --> 00:35:34,120
Speaker 1: my dad got a knee replaced, and I went and

612
00:35:34,160 --> 00:35:38,160
Speaker 1: visited him before the operation, and he had um, like

613
00:35:38,480 --> 00:35:42,279
Speaker 1: no written on his on the kneecap that he is

614
00:35:42,320 --> 00:35:44,800
Speaker 1: supposed to remain intact. No. I think one of the

615
00:35:44,880 --> 00:35:46,759
Speaker 1: nurses did for him or something. I think it's kind

616
00:35:46,800 --> 00:35:49,279
Speaker 1: of typical. Well, it's one of the things they do.

617
00:35:49,360 --> 00:35:52,160
Speaker 1: I read this article from two thousand ten, UM. And

618
00:35:52,160 --> 00:35:54,800
Speaker 1: this is in Colorado alone. This is not nationwide or

619
00:35:54,800 --> 00:35:59,400
Speaker 1: anything over six and a half years. UM. In Colorado alone,

620
00:35:59,440 --> 00:36:02,960
Speaker 1: they operate it on the wrong patient at least twenty

621
00:36:02,960 --> 00:36:06,400
Speaker 1: five times and on the wrong body part hundred and

622
00:36:06,400 --> 00:36:10,480
Speaker 1: seven times. And um, that's a six and a half

623
00:36:10,560 --> 00:36:13,680
Speaker 1: year period. They studied close to thirty thousand medical records,

624
00:36:14,520 --> 00:36:17,319
Speaker 1: and UM. All the mistakes, of course, are traced back

625
00:36:17,360 --> 00:36:21,839
Speaker 1: to miscommunication. It's never apparently anything but that, right. It's

626
00:36:21,880 --> 00:36:25,719
Speaker 1: never the doctor was super drunk. No. Uh. And a

627
00:36:25,719 --> 00:36:27,760
Speaker 1: lot of times it's not even the surgeon. We should

628
00:36:27,760 --> 00:36:30,360
Speaker 1: point out, Um, it's a support staff for other doctors

629
00:36:30,480 --> 00:36:33,799
Speaker 1: that make this mistake throw them under the buff. But

630
00:36:34,040 --> 00:36:36,880
Speaker 1: so there's a thing now the American Academy of Orthopedic

631
00:36:36,880 --> 00:36:40,320
Speaker 1: Surgeons is an initiative called Sign your Site, which exactly

632
00:36:40,320 --> 00:36:43,600
Speaker 1: what you're talking about, UM, well sort of it. The

633
00:36:43,640 --> 00:36:47,800
Speaker 1: surgeon actually initials the surgical site UM for you to

634
00:36:47,880 --> 00:36:52,640
Speaker 1: see and and say, yes, this is the bad leg. Yeah,

635
00:36:52,680 --> 00:36:55,000
Speaker 1: and you can be like, you're the one who told

636
00:36:55,040 --> 00:36:58,279
Speaker 1: me that I have to lose my leg, isn't uh.

637
00:36:58,320 --> 00:37:02,440
Speaker 1: And then the Joint Commission is nonprofit group UM, and

638
00:37:02,440 --> 00:37:04,239
Speaker 1: they have a protocol now called a time out. A

639
00:37:04,280 --> 00:37:09,759
Speaker 1: presurgery time out is where literally everyone just pauses and goes, okay,

640
00:37:09,880 --> 00:37:12,360
Speaker 1: this is what we're doing, right, this is right correct, right,

641
00:37:12,800 --> 00:37:15,640
Speaker 1: that's smart. Yeah. I'm surprised it wasn't the protocol anyway,

642
00:37:15,680 --> 00:37:18,000
Speaker 1: but I'm glad it is now. Well, you know, doctors

643
00:37:18,040 --> 00:37:20,319
Speaker 1: are all go go go with their jargon and their

644
00:37:20,400 --> 00:37:22,279
Speaker 1: white coats and all that they got to hit the

645
00:37:22,280 --> 00:37:29,400
Speaker 1: golf course, get drunk, listen to us. So so it

646
00:37:29,440 --> 00:37:31,520
Speaker 1: does happen, and so you can you can write it

647
00:37:31,520 --> 00:37:33,560
Speaker 1: on your own leg, or you can ask for the

648
00:37:33,560 --> 00:37:36,120
Speaker 1: time out or whatever. Well I think they should give

649
00:37:36,120 --> 00:37:37,759
Speaker 1: you the time out either way, it's not as rare

650
00:37:37,760 --> 00:37:42,600
Speaker 1: as you think. All right, So, um, let's say that

651
00:37:42,640 --> 00:37:47,080
Speaker 1: they've successfully amputated the correct leg. Uh, there's a recovery

652
00:37:47,120 --> 00:37:51,600
Speaker 1: period as well. Um. You know the little white bandage

653
00:37:51,719 --> 00:37:58,120
Speaker 1: that's like a like a cap, like an inverted cap. No, well,

654
00:37:58,200 --> 00:38:00,719
Speaker 1: let's call the compression bandage. Oh yeah, sure, it's like

655
00:38:00,800 --> 00:38:04,359
Speaker 1: athletes wear him now like a compression sleeve. Right, this

656
00:38:04,440 --> 00:38:07,160
Speaker 1: one doesn't have a hole on one side. Sure, you

657
00:38:07,200 --> 00:38:11,040
Speaker 1: know what I mean. Um, And the compression raises it

658
00:38:11,080 --> 00:38:15,440
Speaker 1: increases the blood pressure around the site, um, which helps

659
00:38:15,480 --> 00:38:19,120
Speaker 1: bring infection. It reduces swelling of course, yeah, um, which

660
00:38:19,120 --> 00:38:21,640
Speaker 1: is a big deal. And then also you, um, you

661
00:38:21,640 --> 00:38:24,279
Speaker 1: will be moved about quite a bit while you're in

662
00:38:24,360 --> 00:38:27,799
Speaker 1: the hospital recovering because they want to keep your leg circulating,

663
00:38:28,040 --> 00:38:31,160
Speaker 1: your blood circulating, and not not necessarily your leg. I

664
00:38:31,200 --> 00:38:34,280
Speaker 1: just always think of a leg amputation. Really yeah, that's

665
00:38:34,280 --> 00:38:39,640
Speaker 1: a good arm, probably because my friend, oh yeah yeah. Um.

666
00:38:39,840 --> 00:38:42,120
Speaker 1: So once you get home, you're gonna start meeting with

667
00:38:42,160 --> 00:38:44,759
Speaker 1: the therapist, because physical therapy is a big deal. And

668
00:38:44,800 --> 00:38:50,120
Speaker 1: it's not just maintaining motion in your residual limb, but

669
00:38:50,200 --> 00:38:52,600
Speaker 1: also bulking up the other parts of your body. They're

670
00:38:52,600 --> 00:38:54,680
Speaker 1: gonna have to kind of step in a little bit

671
00:38:55,080 --> 00:38:58,440
Speaker 1: to make up for that, um, that shortfall. Yeah, and

672
00:38:58,480 --> 00:39:03,040
Speaker 1: apparently aside from just strength training, they do real world training,

673
00:39:03,120 --> 00:39:04,879
Speaker 1: Like you know, you gotta get out of and dress

674
00:39:04,920 --> 00:39:08,279
Speaker 1: yourself without your left leg, so let's see you do it.

675
00:39:09,000 --> 00:39:12,040
Speaker 1: Um do it. And I don't think we mentioned either

676
00:39:12,080 --> 00:39:16,880
Speaker 1: there's you might meet with a a brain therapist before

677
00:39:16,920 --> 00:39:19,680
Speaker 1: and after as well a psychiatrist, yeah, to help you

678
00:39:19,719 --> 00:39:22,680
Speaker 1: along because it's a it's a weird thing to not

679
00:39:22,760 --> 00:39:25,880
Speaker 1: have a limb anymore. Yeah, I'm sure there's almost mandatory

680
00:39:25,920 --> 00:39:29,000
Speaker 1: counseling for something like that. Yea, probably because I'm sure

681
00:39:29,000 --> 00:39:31,279
Speaker 1: also like even if you go into it like all right,

682
00:39:31,360 --> 00:39:33,680
Speaker 1: I can do this, I'm good with this. I think

683
00:39:33,760 --> 00:39:36,919
Speaker 1: very few people come out of it with the kind

684
00:39:36,920 --> 00:39:40,440
Speaker 1: of a plalm and and just go get them spirit

685
00:39:40,480 --> 00:39:43,760
Speaker 1: of people like Aaron Ralston or the girl from Georgia

686
00:39:43,800 --> 00:39:47,920
Speaker 1: who had um necrotizing fasciitis who like just managed to

687
00:39:48,120 --> 00:39:51,560
Speaker 1: keep her spirits up. I think it's probably very easy

688
00:39:51,640 --> 00:39:56,200
Speaker 1: to sink into a post surgery depression and that would

689
00:39:56,200 --> 00:40:00,400
Speaker 1: need to be have an eye kept on it. Um,

690
00:40:00,440 --> 00:40:03,640
Speaker 1: if you go through all this physical therapy and you

691
00:40:03,719 --> 00:40:08,239
Speaker 1: go through your psychiatry therapy and you're doing great. It's

692
00:40:08,239 --> 00:40:13,720
Speaker 1: actually a brain therapist. Brain therapist. I like that better. Um,

693
00:40:13,920 --> 00:40:16,920
Speaker 1: you will be. Uh. You may have to work with

694
00:40:16,960 --> 00:40:19,719
Speaker 1: your prosthetics if you want a prosthetic limb. And these

695
00:40:19,800 --> 00:40:23,000
Speaker 1: days they're not one size fits all like the old days.

696
00:40:23,920 --> 00:40:27,600
Speaker 1: Like here, you know, here's this wood leg longer than

697
00:40:27,760 --> 00:40:32,839
Speaker 1: you might want, but that's okay exactly. These days are

698
00:40:32,840 --> 00:40:36,319
Speaker 1: gonna fit it very much for you, longer than you

699
00:40:36,400 --> 00:40:39,400
Speaker 1: might want it. Uh, they're gonna fit it for you.

700
00:40:39,480 --> 00:40:43,440
Speaker 1: It's very much tailor made. They've come. Like the advancements

701
00:40:43,440 --> 00:40:46,080
Speaker 1: in prosthetics is just unbelievable. We might could do a

702
00:40:46,080 --> 00:40:50,240
Speaker 1: show on that alone. Oh, they'd make the sweet beautiful. Um.

703
00:40:50,280 --> 00:40:54,200
Speaker 1: There was also another treatment for phantom pain that had

704
00:40:54,239 --> 00:40:57,440
Speaker 1: to do with prosthetics, and it was there's prosthetics that

705
00:40:58,280 --> 00:41:02,120
Speaker 1: basically jack into your nerves, nerves and so like you

706
00:41:02,239 --> 00:41:04,920
Speaker 1: still use the same nerves that used to make your

707
00:41:04,960 --> 00:41:09,040
Speaker 1: lower leg move, but now it makes your prosthetic move

708
00:41:09,320 --> 00:41:12,160
Speaker 1: and apparently your brain is fine with that. Yeah. I

709
00:41:12,160 --> 00:41:18,040
Speaker 1: mean we covered some of this and um uh human augmentation.

710
00:41:18,320 --> 00:41:20,840
Speaker 1: Oh yeah, remember a while ago, like these prosthetic limbs

711
00:41:20,840 --> 00:41:23,680
Speaker 1: now that are hardwired. Did we do that? Is I

712
00:41:23,719 --> 00:41:26,680
Speaker 1: don't remember that episode? No, not not the podcast when

713
00:41:26,680 --> 00:41:29,799
Speaker 1: you or a live speaking thing with you know these

714
00:41:30,520 --> 00:41:33,560
Speaker 1: prosthetic limbs that are hardwired into your brain so that

715
00:41:33,600 --> 00:41:35,600
Speaker 1: you can think pick up apple and it picks up

716
00:41:35,600 --> 00:41:38,160
Speaker 1: an apple. Right, that's right? Yeah remember that. Yeah, so

717
00:41:38,719 --> 00:41:41,720
Speaker 1: when when you're like, lower leg is moving, your brain

718
00:41:41,760 --> 00:41:44,200
Speaker 1: apparently doesn't care whether it's flesh and blood leg or

719
00:41:44,200 --> 00:41:46,160
Speaker 1: prosthetic leg, as long as it's moving, then that can

720
00:41:46,160 --> 00:41:50,520
Speaker 1: help treat phantom pain as well. Yeah. So, Chuck, you

721
00:41:50,560 --> 00:41:56,400
Speaker 1: imagine you're a single guy and you you lose the

722
00:41:56,520 --> 00:41:59,680
Speaker 1: lamb you're okay, I'm just saying a mansion, you are,

723
00:42:00,440 --> 00:42:04,120
Speaker 1: you lose a lamp that every day you have a

724
00:42:04,120 --> 00:42:06,680
Speaker 1: wonderful wife, I know, I'm just kidding. And you you

725
00:42:06,840 --> 00:42:10,880
Speaker 1: lose your left leg, you think that your chances of

726
00:42:11,080 --> 00:42:14,359
Speaker 1: ever getting a date probably just go up in smoke, right,

727
00:42:15,320 --> 00:42:18,799
Speaker 1: Some people might think that that will cut that down.

728
00:42:18,920 --> 00:42:21,400
Speaker 1: It's not necessarily true. Yeah, there's just a lot of

729
00:42:21,440 --> 00:42:23,520
Speaker 1: people out there there like that. Yeah, you may become

730
00:42:23,600 --> 00:42:29,160
Speaker 1: a lot more attractive to certain people, specifically people who have.

731
00:42:29,880 --> 00:42:32,880
Speaker 1: Do you want to say this one? Which one? Is

732
00:42:32,920 --> 00:42:41,239
Speaker 1: it appo or acro acro acro tomophilia. Yeah, that's an

733
00:42:41,280 --> 00:42:47,759
Speaker 1: actual There is appo tim nophilia, which is uh, we've

734
00:42:47,760 --> 00:42:51,600
Speaker 1: talked about this before with body integrity identity disorder, when

735
00:42:51,640 --> 00:42:55,280
Speaker 1: you want to remove a limb from your own body. Yeah,

736
00:42:55,320 --> 00:42:59,880
Speaker 1: that is app no appo tim nephelia. Like I just

737
00:43:00,000 --> 00:43:04,399
Speaker 1: feel like incomplete with all my four limbs and I uh,

738
00:43:05,080 --> 00:43:07,520
Speaker 1: I want a limerod moved and their doctors that will

739
00:43:07,520 --> 00:43:10,719
Speaker 1: do that. Yeah. And there's a lot of um, a

740
00:43:10,760 --> 00:43:14,840
Speaker 1: lot of controversy lumping that into a paraphilia because the

741
00:43:15,920 --> 00:43:19,480
Speaker 1: if someone is attracted to the idea of living without

742
00:43:19,480 --> 00:43:22,520
Speaker 1: a limb, it's very rarely sexually. Most of the time

743
00:43:22,520 --> 00:43:24,440
Speaker 1: it's a form of hero worship, or they want to

744
00:43:24,440 --> 00:43:27,040
Speaker 1: be challenged more in life, or they have like you

745
00:43:27,160 --> 00:43:31,200
Speaker 1: just said, a real identity disorder that where they've always

746
00:43:31,280 --> 00:43:34,960
Speaker 1: envisioned themselves paralyzed, where they've always envisioned themselves as a

747
00:43:35,080 --> 00:43:38,680
Speaker 1: double double amputee and they feel less than whole by

748
00:43:38,680 --> 00:43:42,799
Speaker 1: being whole. Yeah, it's not any different than a transsexual

749
00:43:42,840 --> 00:43:45,160
Speaker 1: saying they were born in the wrong body. Yeah, they

750
00:43:45,520 --> 00:43:48,880
Speaker 1: bear a striking resemblance. Yeah, so the B I I

751
00:43:49,000 --> 00:43:54,000
Speaker 1: D and uh what was theophilia? Yeah, are are one

752
00:43:54,040 --> 00:43:56,759
Speaker 1: and the same. But it really shouldn't be a paraphilia. Now,

753
00:43:56,880 --> 00:44:01,720
Speaker 1: the other ophelia acrotomophilia, that should be a paraphilely because

754
00:44:01,760 --> 00:44:04,719
Speaker 1: that is a sexual attraction to people who are who

755
00:44:04,960 --> 00:44:08,919
Speaker 1: um amputees or who are paralyzed. Yeah. If you haven't

756
00:44:08,960 --> 00:44:13,800
Speaker 1: seen that David Cronenberg movie Crash, I have not. You

757
00:44:13,840 --> 00:44:16,719
Speaker 1: haven't seen. No, Well that's what it's about, boxing Helena.

758
00:44:17,400 --> 00:44:20,040
Speaker 1: Oh yeah, boy, that was awful. I haven't seen it.

759
00:44:20,040 --> 00:44:21,920
Speaker 1: It was bad. I just know about it. It's like

760
00:44:21,960 --> 00:44:26,879
Speaker 1: notoriously bad. I've got to see it. Then. Um, yeah,

761
00:44:26,920 --> 00:44:30,239
Speaker 1: there's so. I mean, there is some reference to this

762
00:44:30,320 --> 00:44:33,080
Speaker 1: in popular culture, but it was only I think five

763
00:44:33,160 --> 00:44:38,800
Speaker 1: and the first case of that was put Forth. Yeah. Um,

764
00:44:38,840 --> 00:44:42,400
Speaker 1: so it's a relatively new and then going to great

765
00:44:42,440 --> 00:44:48,040
Speaker 1: links to amputate your your own limb is even newer

766
00:44:48,080 --> 00:44:51,919
Speaker 1: than that. Um. There was a Scottish doctor in two

767
00:44:51,960 --> 00:44:56,719
Speaker 1: thousand who very famously amputated the healthy legs of two

768
00:44:56,719 --> 00:45:00,839
Speaker 1: men and when he caught a huge contract Percy. Yeah,

769
00:45:00,840 --> 00:45:03,000
Speaker 1: he stood by it, though he did he said he

770
00:45:03,040 --> 00:45:05,000
Speaker 1: thought about it for eighteen months, and when he finally

771
00:45:05,000 --> 00:45:07,319
Speaker 1: did it, he had decided that it was by far

772
00:45:07,440 --> 00:45:10,200
Speaker 1: the most humane thing he could possibly do in this situation,

773
00:45:10,280 --> 00:45:14,879
Speaker 1: because these men were suffering by having their intact legs. Yeah,

774
00:45:14,880 --> 00:45:17,120
Speaker 1: and they say, I don't know if it's true, but

775
00:45:17,360 --> 00:45:19,920
Speaker 1: some of them contend that no amount of mental of

776
00:45:20,000 --> 00:45:23,279
Speaker 1: brain therapy can help. It's like they've got to get

777
00:45:23,360 --> 00:45:27,080
Speaker 1: rid of that limb right or paralyze themselves. And a

778
00:45:27,080 --> 00:45:29,080
Speaker 1: lot of people do take it on themselves. There was

779
00:45:29,080 --> 00:45:31,840
Speaker 1: a man who went down to Mexico in the nineties

780
00:45:31,880 --> 00:45:35,080
Speaker 1: I think he was seventy three UM to have an

781
00:45:35,120 --> 00:45:38,439
Speaker 1: amputation surgery in a hotel and died of gang green

782
00:45:39,000 --> 00:45:42,839
Speaker 1: as a result. Another guy successfully amputated his own leg

783
00:45:42,920 --> 00:45:46,279
Speaker 1: with a log splitter. People will will go to great

784
00:45:46,360 --> 00:45:49,040
Speaker 1: lenks and do what we would consider self harm, whereas

785
00:45:49,040 --> 00:45:53,799
Speaker 1: they're really like fulfilling their identity. So it raises that question, like,

786
00:45:54,360 --> 00:46:00,680
Speaker 1: in that specific situation, is medicine harming people by carrying

787
00:46:00,680 --> 00:46:07,080
Speaker 1: out these amputations cleanly and professionally or are you just

788
00:46:07,200 --> 00:46:11,279
Speaker 1: giving into somebody's delusions and and really making things worse. Yeah,

789
00:46:11,440 --> 00:46:15,680
Speaker 1: supposedly the evidence is after surgery. These people feel good,

790
00:46:15,800 --> 00:46:17,920
Speaker 1: they feel great, they feel the way that they're supposed

791
00:46:17,920 --> 00:46:21,080
Speaker 1: to feel supposedly, so it's hard to argue that you're

792
00:46:21,120 --> 00:46:23,880
Speaker 1: doing them harm by carrying out the surgery. Yeah, and

793
00:46:23,880 --> 00:46:27,959
Speaker 1: again those are two very different things. The wanting to

794
00:46:28,000 --> 00:46:30,359
Speaker 1: remove your own limb to feel like a complete person

795
00:46:30,480 --> 00:46:35,120
Speaker 1: is not in the same as the sexualization and attraction

796
00:46:35,160 --> 00:46:40,040
Speaker 1: to um. Like in Penthouse magazine. Remember in this article.

797
00:46:40,120 --> 00:46:41,799
Speaker 1: What article was this? By the way, it was an

798
00:46:41,800 --> 00:46:44,960
Speaker 1: Atlantic article from two thousand, Yeah, called The True Self.

799
00:46:45,160 --> 00:46:47,359
Speaker 1: It's really good. Oh was it? I don't I thought

800
00:46:47,360 --> 00:46:49,640
Speaker 1: it was something else, but yeah, or no, maybe that

801
00:46:49,719 --> 00:46:53,320
Speaker 1: was a subheading, but it was. It was a great article. Um.

802
00:46:53,360 --> 00:46:57,280
Speaker 1: And it's nothing new the sexual side of things. Um.

803
00:46:57,320 --> 00:47:01,279
Speaker 1: Going back to this dude, Richard von Kraft Ebbing, he

804
00:47:01,400 --> 00:47:06,600
Speaker 1: was a researcher of UH sexual pathology and he started

805
00:47:07,480 --> 00:47:12,480
Speaker 1: categorizing and cataloging six and UM, I don't know if

806
00:47:12,480 --> 00:47:14,280
Speaker 1: it was a book or just a medical journal called

807
00:47:14,680 --> 00:47:19,600
Speaker 1: Psychopathia Sexualist and of course everything from bestiality and necrophilias

808
00:47:19,640 --> 00:47:23,320
Speaker 1: in there. But to Stravi SMI's Apparently des Cartes had

809
00:47:23,360 --> 00:47:28,080
Speaker 1: a thing for um. Women with crossed eyes that I

810
00:47:28,120 --> 00:47:30,279
Speaker 1: didn't know that. I didn't know that either, But there

811
00:47:30,280 --> 00:47:33,239
Speaker 1: are sexual things all the way back then, Um, this

812
00:47:34,320 --> 00:47:37,040
Speaker 1: year old engineer was excited by the sight of a

813
00:47:37,040 --> 00:47:42,120
Speaker 1: woman's disfigured feat. Um, and another guy pretended to be

814
00:47:42,280 --> 00:47:45,160
Speaker 1: crippled or lame is what they called it back then. Yeah,

815
00:47:45,280 --> 00:47:47,680
Speaker 1: and apparently that's still a thing. Like if you go

816
00:47:47,719 --> 00:47:52,480
Speaker 1: onto the web and start looking up across acrotomophilia, you're

817
00:47:52,480 --> 00:47:56,520
Speaker 1: gonna find there are pretenders, people who use wheelchairs and

818
00:47:56,600 --> 00:47:59,680
Speaker 1: leg braces and crutches even though they don't need them. Yeah. Um,

819
00:47:59,680 --> 00:48:03,000
Speaker 1: and there are frequently people who are also deemed wannabes

820
00:48:03,440 --> 00:48:08,319
Speaker 1: who are I guess pre event amputees. Yeah, they're still

821
00:48:08,320 --> 00:48:10,160
Speaker 1: in tect that they don't want to be. And then

822
00:48:10,200 --> 00:48:16,279
Speaker 1: there's devoteeshia. Yeah, those are the sexual the ones who

823
00:48:16,360 --> 00:48:19,200
Speaker 1: want to be with amputees because it's sexually aroused by

824
00:48:19,239 --> 00:48:23,680
Speaker 1: them exactly. Yeah, and it's big on the internet. Yeah,

825
00:48:23,880 --> 00:48:26,799
Speaker 1: it's um, this article points out, and there's probably been

826
00:48:26,840 --> 00:48:29,960
Speaker 1: more medical research on it since then. But he points

827
00:48:29,960 --> 00:48:32,319
Speaker 1: out that in legit medical circles there's not a lot

828
00:48:32,360 --> 00:48:34,719
Speaker 1: of information, but if you get on the internet, there

829
00:48:34,760 --> 00:48:37,520
Speaker 1: are all kinds of chat rooms in places where you

830
00:48:37,560 --> 00:48:43,280
Speaker 1: can find amputee porn. Yeah, if that's what your thing is. Hey,

831
00:48:44,600 --> 00:48:47,640
Speaker 1: that's such a thing is I can't really see anything

832
00:48:47,680 --> 00:48:50,759
Speaker 1: wrong with it. I was surprised though, by the one

833
00:48:52,880 --> 00:48:55,640
Speaker 1: how the people that it's not sexual but they just

834
00:48:56,200 --> 00:48:59,840
Speaker 1: want to be challenged more. It's pretty interesting. Yeah, I

835
00:49:00,000 --> 00:49:03,239
Speaker 1: wonder if that kind of falls into a um the

836
00:49:03,280 --> 00:49:09,000
Speaker 1: category of munch housands where they want they want the

837
00:49:09,040 --> 00:49:12,759
Speaker 1: sympathy or at it, attention or something like that that

838
00:49:12,920 --> 00:49:16,560
Speaker 1: comes with being paralyzed or being being an amputee. I

839
00:49:16,560 --> 00:49:19,160
Speaker 1: think pretenders for sure. Yeah, like if you're walking around

840
00:49:19,200 --> 00:49:22,080
Speaker 1: on crutches and you're just fine, you're you're looking for attention.

841
00:49:22,320 --> 00:49:24,120
Speaker 1: But yeah, like you said, there are some people out

842
00:49:24,120 --> 00:49:27,880
Speaker 1: there who report wanting to lose the body part because

843
00:49:27,920 --> 00:49:34,280
Speaker 1: they want to be more physically challenged. Alright, we should

844
00:49:34,320 --> 00:49:38,040
Speaker 1: do one on paraphilias sometimes. I've always wanted to. Is

845
00:49:38,040 --> 00:49:41,640
Speaker 1: that just any kind of sexual fetish everything? That's everything?

846
00:49:42,040 --> 00:49:45,640
Speaker 1: And there's a lot of them out there. Yes, basically,

847
00:49:45,640 --> 00:49:47,920
Speaker 1: any weird thing you can come up with, there's a

848
00:49:47,960 --> 00:49:52,319
Speaker 1: paraphilia for it. Yeah, but you're right, Yeah, like I

849
00:49:52,400 --> 00:49:56,000
Speaker 1: liked never mind, I think it's a good way to

850
00:49:56,080 --> 00:49:59,040
Speaker 1: end this one. If you want to learn more about amputations,

851
00:49:59,120 --> 00:50:01,160
Speaker 1: you can type that word into the search part how

852
00:50:01,200 --> 00:50:04,080
Speaker 1: stuff works dot com. And uh, let's see. Since I

853
00:50:04,160 --> 00:50:08,600
Speaker 1: said search part, that means it's time for a listener mail. Ah. Yeah,

854
00:50:08,640 --> 00:50:11,000
Speaker 1: this is kind of long, but it's appropriate. Um, I'm

855
00:50:11,000 --> 00:50:16,200
Speaker 1: gonna call it h one testicle down? Was there an amputation?

856
00:50:17,400 --> 00:50:20,080
Speaker 1: Not so much? Let's see is from Rich Uh. This

857
00:50:20,160 --> 00:50:23,520
Speaker 1: came off the Castration podcast and he says, Guys, when

858
00:50:23,520 --> 00:50:25,160
Speaker 1: I was about twelve years old, I got kicked in

859
00:50:25,200 --> 00:50:28,920
Speaker 1: the grapes but particularly violent classmate appearance. Took me to

860
00:50:28,920 --> 00:50:31,640
Speaker 1: the hospital and after a bunch of tests, determined I

861
00:50:31,640 --> 00:50:35,840
Speaker 1: had testicular torsion. It's when uh, male's testicles twist around

862
00:50:35,840 --> 00:50:39,640
Speaker 1: inside the scrotum, essentially twisting the wires that connected to

863
00:50:39,640 --> 00:50:42,040
Speaker 1: your inner workings, and it cuts off the blood supply.

864
00:50:42,640 --> 00:50:45,080
Speaker 1: Like we said, it's not any good. You don't want

865
00:50:45,080 --> 00:50:50,400
Speaker 1: to cut off the blood supply. Um tissue does That's right. Uh.

866
00:50:50,440 --> 00:50:52,520
Speaker 1: It was too late to save his injured testicles, so

867
00:50:52,560 --> 00:50:55,360
Speaker 1: they set a date for surgery to remove it, but

868
00:50:55,440 --> 00:50:57,799
Speaker 1: it wasn't until the end of August, apparently because there

869
00:50:57,840 --> 00:51:00,839
Speaker 1: was no rush because it didn't like make any worse. Oh,

870
00:51:00,880 --> 00:51:03,759
Speaker 1: there'd be a rush if it happened to me, I'd

871
00:51:03,760 --> 00:51:08,000
Speaker 1: be like, look, just get this over with. Oh I know. Ah.

872
00:51:08,160 --> 00:51:09,759
Speaker 1: So he said he was stuck in bed for an

873
00:51:09,880 --> 00:51:12,360
Speaker 1: entire summer, and his family didn't have working air conditioning

874
00:51:12,400 --> 00:51:18,240
Speaker 1: yet either, and his scrotum was the size of a grapefruit. Walking, moving, laughing,

875
00:51:18,320 --> 00:51:20,120
Speaker 1: or even breathing heavily caused some of the worst pain

876
00:51:20,160 --> 00:51:23,160
Speaker 1: of experienced. Uh. So he had the surgery, and it

877
00:51:23,160 --> 00:51:26,040
Speaker 1: said I had two purposes, one to remove the injured

878
00:51:26,080 --> 00:51:29,880
Speaker 1: and now useless testicle, and too to affix the remaining

879
00:51:29,920 --> 00:51:32,880
Speaker 1: healthy testicle the inside of the scrotum to prevent the

880
00:51:32,920 --> 00:51:36,919
Speaker 1: possibility of future torsion. So he felt a lot better

881
00:51:36,960 --> 00:51:38,920
Speaker 1: physically after the surgery, but it was very hard to

882
00:51:38,920 --> 00:51:41,719
Speaker 1: cope mentally and socially. I think I only told my

883
00:51:42,080 --> 00:51:44,880
Speaker 1: closest friends what had happened. I told the rest of

884
00:51:44,880 --> 00:51:47,239
Speaker 1: my school that I had knee surgery or something. I

885
00:51:47,280 --> 00:51:50,680
Speaker 1: felt incredibly embarrassed. Um and remember I was at the

886
00:51:50,719 --> 00:51:53,360
Speaker 1: most awkward, puberty ridden age for something like this to

887
00:51:53,360 --> 00:51:57,239
Speaker 1: happen to my private parts, I know. Uh. Then two

888
00:51:57,239 --> 00:51:59,839
Speaker 1: things happened. The first thing was acceptance. I don't remember

889
00:51:59,840 --> 00:52:01,840
Speaker 1: if anything in particular brought it on, but I distinctly

890
00:52:01,880 --> 00:52:04,160
Speaker 1: remember the day where I finally thought to myself, you

891
00:52:04,200 --> 00:52:08,680
Speaker 1: know what, who cares? And at that moment, testical grew

892
00:52:08,680 --> 00:52:13,279
Speaker 1: back twice the size is before. Uh. Then I did

893
00:52:13,320 --> 00:52:15,440
Speaker 1: something that still surprises me now that I think about it.

894
00:52:15,520 --> 00:52:19,440
Speaker 1: I opened an a o LL instant messenger, Um this

895
00:52:19,560 --> 00:52:22,959
Speaker 1: is back in the day, of course, uh and picked

896
00:52:22,960 --> 00:52:24,719
Speaker 1: out one of my high school friends at random and

897
00:52:24,760 --> 00:52:26,839
Speaker 1: told them before I could chicken out. As soon as

898
00:52:26,840 --> 00:52:28,680
Speaker 1: I told this random person, I felt a huge weight

899
00:52:28,680 --> 00:52:31,719
Speaker 1: lift off my chest. And then the second thing was surgical.

900
00:52:32,320 --> 00:52:34,960
Speaker 1: I opted for elective surgery to put in a fake ball,

901
00:52:35,480 --> 00:52:41,279
Speaker 1: a neudical, a noudical, a human nudical, human utical, or

902
00:52:41,400 --> 00:52:45,120
Speaker 1: a prosthesis made of silicon silicone. It was mainly for

903
00:52:45,200 --> 00:52:48,520
Speaker 1: cosmetic purposes, and I was happy to that I did it.

904
00:52:49,360 --> 00:52:51,239
Speaker 1: Even now, you can't really tell a difference unless you

905
00:52:51,320 --> 00:52:54,120
Speaker 1: touched them and want somebody's in that situation where they

906
00:52:54,160 --> 00:52:56,720
Speaker 1: could feel the difference. It really doesn't make a difference anyway,

907
00:52:56,800 --> 00:53:01,000
Speaker 1: wink wink. So he says, now he is very proud

908
00:53:01,080 --> 00:53:04,839
Speaker 1: to have one real testical and one fake one. And

909
00:53:04,920 --> 00:53:08,200
Speaker 1: he went on and to write about how like to

910
00:53:08,200 --> 00:53:10,040
Speaker 1: tell the kids out there, Hey, if something like happens

911
00:53:10,080 --> 00:53:12,239
Speaker 1: to you, then you know it's not the biggest deal

912
00:53:12,239 --> 00:53:14,640
Speaker 1: and you're still a complete person. And he wonders if

913
00:53:14,680 --> 00:53:16,759
Speaker 1: he would have even gotten the nuticle if he would

914
00:53:16,760 --> 00:53:19,160
Speaker 1: have been older, you know, and not been at that

915
00:53:19,200 --> 00:53:21,960
Speaker 1: awkward age. Yeah, he says, he probably didn't think like

916
00:53:22,000 --> 00:53:24,759
Speaker 1: he would happen. He doesn't regret it, right, Uh, he

917
00:53:24,800 --> 00:53:27,279
Speaker 1: doesn't regret it. He says, I'm really proud of it.

918
00:53:27,320 --> 00:53:29,879
Speaker 1: And Uh, I wonder how many of your listeners only

919
00:53:30,800 --> 00:53:34,040
Speaker 1: have one testical for a little crown on it every

920
00:53:34,080 --> 00:53:37,480
Speaker 1: once in a while. That is Rich and Rich. Thank

921
00:53:37,520 --> 00:53:41,879
Speaker 1: you for your courage and trying to tell people, especially kids. Yeah,

922
00:53:41,960 --> 00:53:44,240
Speaker 1: way to go, Rich, you know something into the world.

923
00:53:44,440 --> 00:53:47,640
Speaker 1: I mean, that is a rough thing to go through. Yeah. Man, well,

924
00:53:47,680 --> 00:53:51,600
Speaker 1: hats off to you, Rich, crowns off. Uh, if you

925
00:53:51,640 --> 00:53:53,960
Speaker 1: want to be brave like Rich, you can tell us

926
00:53:53,960 --> 00:53:57,279
Speaker 1: about something that you overcame in your life. We love

927
00:53:57,280 --> 00:54:00,200
Speaker 1: hearing about stuff like that. Um, you can twee to

928
00:54:00,320 --> 00:54:02,160
Speaker 1: us at s Y s K podcast. If it's a

929
00:54:02,280 --> 00:54:05,319
Speaker 1: very short story, You can join us on Facebook dot com,

930
00:54:05,360 --> 00:54:07,440
Speaker 1: slash stuff you Should Know, You can send us an

931
00:54:07,520 --> 00:54:10,279
Speaker 1: email to stuff Podcasts at Discovery dot com, and you

932
00:54:10,280 --> 00:54:12,560
Speaker 1: can join us at our home on the web, stuff

933
00:54:12,600 --> 00:54:20,279
Speaker 1: you Should Know dot com. For more on this and

934
00:54:20,360 --> 00:54:30,440
Speaker 1: thousands of other topics, visit how stuff works dot com

935
00:54:30,440 --> 00:54:32,680
Speaker 1: with over a hundred thousand titles to choose from. Audible

936
00:54:32,680 --> 00:54:35,640
Speaker 1: dot com, as a leading provider of downloadable digital audio

937
00:54:35,680 --> 00:54:38,919
Speaker 1: books and spoken word entertainment, go to Audible podcast dot

938
00:54:38,960 --> 00:54:42,719
Speaker 1: com slash no stuff k n o w S t

939
00:54:42,960 --> 00:54:45,480
Speaker 1: u f F to get a free audio book download

940
00:54:45,480 --> 00:54:46,960
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