WEBVTT - SYSK Selects: How Acne Works 0:00:00.960 --> 0:00:04.840 Hey there everyone, it's me Josh. For this week's s 0:00:04.920 --> 0:00:08.320 Y s K Selects. I've decided to bring us all 0:00:08.480 --> 0:00:14.080 down into the disgusting world of acne on the microscopic level. Yes, 0:00:14.120 --> 0:00:16.319 it's kind of gross, and yeah, no one wants it, 0:00:16.680 --> 0:00:19.439 but we all get it from time to time, some 0:00:19.600 --> 0:00:22.040 of us more than others. And it's great to know 0:00:22.400 --> 0:00:25.680 what's going on down there, because I gotta admit it 0:00:25.840 --> 0:00:32.800 is fascinating. So enjoy this episode on acne. Welcome to 0:00:32.800 --> 0:00:35.440 Stuff You should know, a production of My Heart Radios 0:00:35.479 --> 0:00:43.920 How Stuff Works. Hey, and welcome to the podcast. I'm 0:00:44.000 --> 0:00:51.040 Josh Clark. There's Charles W. Chuck Bryant that makes this stuff. 0:00:51.040 --> 0:00:55.480 You should know. That's right, doesn't it? It does. When 0:00:55.480 --> 0:01:00.440 we're in this room, one thing happens anger. I was 0:01:00.440 --> 0:01:05.680 gonna say magic, angry magic. Yeah, good, get out of 0:01:05.720 --> 0:01:08.680 the hat. I haven't seen that yet. The angry Magician. No, 0:01:08.920 --> 0:01:13.600 that's a great idea. Yeah, there you go. Angry comics. Yeah, yeah, 0:01:13.600 --> 0:01:18.920 there are plenty of them, and for good reason too. Yeah. Yeah. Um, 0:01:19.080 --> 0:01:22.959 do you remember a while back we were writing a 0:01:23.080 --> 0:01:25.880 lot of articles that seem to share a common theme 0:01:26.880 --> 0:01:31.160 a skincare Yeah, I remember that too. I didn't write 0:01:31.160 --> 0:01:32.839 too many of those. I wrote a lot of skin 0:01:32.880 --> 0:01:36.959 care articles, Yeah, I did. Um, And I learned that 0:01:37.560 --> 0:01:41.199 I'm fascinated by the skin. That's good. Yeah, it turned 0:01:41.200 --> 0:01:43.840 out to be very good. Like, Um, you don't want 0:01:43.880 --> 0:01:46.440 to take too many showers in a day. You don't 0:01:46.480 --> 0:01:48.520 want the water you use in your shower to be 0:01:48.560 --> 0:01:54.280 too hot. Um. Like, I learned these things definitively. Um. Also, 0:01:54.760 --> 0:01:59.320 the skin on your lips um is three layers thick, 0:01:59.400 --> 0:02:01.280 whereas the rest of the skin on your face is 0:02:01.320 --> 0:02:06.400 about sixteen layers thick. And they're actually translucent, which is 0:02:06.400 --> 0:02:09.040 why your lips are reddish, because it's just the mucous 0:02:09.160 --> 0:02:13.120 membrane underneath showing through. Ye look at that. Yeah. And 0:02:13.360 --> 0:02:15.240 you don't want to lick your lips too much because 0:02:15.320 --> 0:02:18.360 you're saliva contains the digestive ends i'me. Which starts to 0:02:18.400 --> 0:02:21.880 break down the very thin and fragile skin on your lips. Yeah. 0:02:21.919 --> 0:02:25.200 I got chapped lips a lot from licking them. Stop 0:02:25.280 --> 0:02:29.120 licking your lips. I'm constantly just I have oral stuff. 0:02:29.240 --> 0:02:32.440 Bite my nails, bite my cheeks, bite my lip, all 0:02:32.480 --> 0:02:35.079 that stuff, all that good fun, stressy stuff. But you 0:02:35.120 --> 0:02:37.760 don't smoke cigarettes though, good for you. Yeah, I guess 0:02:37.800 --> 0:02:42.040 I chewed my face off instead of doing that. It's 0:02:42.040 --> 0:02:45.600 a good looking face, thank you. Um Well, anyway, Chuck, 0:02:45.840 --> 0:02:48.560 I just wanted to say all that to say that 0:02:48.720 --> 0:02:52.760 I will be um very interested in what we're talking 0:02:52.760 --> 0:02:55.800 about today, which is acting. I'm glad you are. I 0:02:55.800 --> 0:02:57.760 am too, although I've never really got acne, so I'm 0:02:57.760 --> 0:03:02.200 a little less like enthused. It's so unfair. Let's look 0:03:02.240 --> 0:03:04.480 at this right here right now. Yeah, I have a 0:03:04.520 --> 0:03:06.799 big old white head rush to my nose. It won't 0:03:06.800 --> 0:03:10.200 go away. Like I was pressing it with my pinkies 0:03:10.320 --> 0:03:12.200 like I could, I could pop? Is it? I get him. 0:03:12.320 --> 0:03:14.720 That's a tough spot, though. Josh is talking about the 0:03:14.800 --> 0:03:18.640 area right under the nostril and so paints that no 0:03:18.720 --> 0:03:21.880 man's land the nose kind of prohibits access like you want. Well, 0:03:21.880 --> 0:03:24.280 it's not just that it's very very sensitive and like 0:03:24.320 --> 0:03:26.600 I was pressing it in like my eyes are watering 0:03:26.639 --> 0:03:29.560 and it's still wouldn't pop. So I'll have to have 0:03:29.639 --> 0:03:32.919 you me do it. Yeah. Yeah, but um, I guess 0:03:32.919 --> 0:03:39.240 that's method podcasting. Following in your footsteps, Chuck, so um 0:03:39.400 --> 0:03:41.240 you want to talk about acne first. I guess we 0:03:41.280 --> 0:03:43.160 should talk about the skin a little bit, right, And 0:03:43.360 --> 0:03:46.600 in the process of how, well, let's talk about the skin. 0:03:46.760 --> 0:03:49.760 Did you like Tom's description? I did, Actually, I think 0:03:49.760 --> 0:03:52.800 most people know by now it's the largest organ. But um, 0:03:52.960 --> 0:03:57.440 Tom takes a step further in a very buffalo bill way, 0:03:58.000 --> 0:04:00.680 and he says that if you skinned and all human, 0:04:01.240 --> 0:04:03.480 there would be enough material to make a four by 0:04:03.520 --> 0:04:08.360 five foot area rug of skin was in found. I'm 0:04:08.360 --> 0:04:11.600 glad he didn't say how many like skin suits or 0:04:11.680 --> 0:04:14.080 lamp shades it would make, because that'd be really creepy. 0:04:14.640 --> 0:04:17.640 Area was creepy enough? Yeah, so, yeah, ten pounds of 0:04:17.680 --> 0:04:21.000 skin on the on an adult body, right, and then um, 0:04:21.160 --> 0:04:23.920 most of the skin, there's three layers. Is the epidermis, 0:04:23.920 --> 0:04:27.200 the dermis, and the subcutaneous layer, right, and the sub 0:04:27.640 --> 0:04:31.960 cutaneous layer. I think the dermist is the fattiest layer 0:04:31.960 --> 0:04:36.520 and the subcutaneous layers like the nastiest layer. It's like, um, 0:04:36.839 --> 0:04:39.680 just have you ever seen hell razor? Yeah? Remember the 0:04:39.720 --> 0:04:42.960 woman as she was coming back regenerating. She regenerated from 0:04:43.000 --> 0:04:45.320 like the inside out. So at one point she's just 0:04:45.360 --> 0:04:49.599 like muscles and blood just above that is the subcutaneous layer. 0:04:49.760 --> 0:04:51.640 I think the epidermis is kind of gross too, though, 0:04:51.640 --> 0:04:54.479 because it's all dead. It is dead. This is one 0:04:54.480 --> 0:04:57.839 of the things that fascinates me about skin, All the 0:04:57.880 --> 0:05:00.200 skin I'm looking at right now on your like, I 0:05:00.200 --> 0:05:04.720 can see dead, dead as disco, you know. We Yeah, 0:05:04.800 --> 0:05:09.560 so chuck your Your skin grows like beneath that outer layer, 0:05:10.400 --> 0:05:13.839 and it grows as kratina sites, which are new skin cells. Yeah, 0:05:13.839 --> 0:05:17.640 and it just your your skin is a constant uh, 0:05:17.880 --> 0:05:21.279 it's constant motion, pushing that dead skin up, up and 0:05:21.480 --> 0:05:23.920 up and out through the pores where they flake off 0:05:23.960 --> 0:05:26.839 into your bed, making your mattress heavier. Right from like 0:05:26.880 --> 0:05:29.520 the moment it's born, when a cell divides, it starts 0:05:29.560 --> 0:05:32.120 making its way outward, and it takes what does it 0:05:32.160 --> 0:05:34.400 take about a month for a skin cell to be 0:05:34.480 --> 0:05:37.839 born and then make it out to the outer later layer. 0:05:37.920 --> 0:05:39.960 It sounds about right right to the tune of forty 0:05:39.960 --> 0:05:43.640 to sixty million skin cells per day. Yeah, forty thousand 0:05:43.680 --> 0:05:47.080 a minute. That's crazy. Are reaching the surface, right, um. 0:05:47.200 --> 0:05:48.880 And so they reach the surface and they don't just 0:05:49.040 --> 0:05:52.160 fall right off. Um. Along the process, they die and 0:05:52.200 --> 0:05:56.080 there they become cornified um, which is and become kratina 0:05:56.160 --> 0:06:00.200 sites or cornea sites. Sorry. Um. And when they each 0:06:00.279 --> 0:06:02.839 the surface, they they provide a function for a while. 0:06:03.120 --> 0:06:05.440 They mix with sea bum, which is the oil we 0:06:05.520 --> 0:06:09.960 produce that I really really produce oily skin. Yeah, and 0:06:10.080 --> 0:06:17.080 uh some fats, what kind uh lipids josh leno leic acid. Okay, 0:06:17.080 --> 0:06:19.360 So they mix all together and they form water proof 0:06:19.440 --> 0:06:23.359 skin that keeps out water. That's huge. Is why we 0:06:23.400 --> 0:06:26.040 don't soak up water when we walk around in the rain, exactly. 0:06:26.080 --> 0:06:28.520 And it keeps bacteria, which is why the skin is 0:06:28.560 --> 0:06:33.640 your first organ of um resistance for immunity. That's right. Um, 0:06:33.720 --> 0:06:36.039 So you've got all this process going on. Skin cells 0:06:36.080 --> 0:06:39.520 eventually do fall off and jump off and are sloughed off, 0:06:39.880 --> 0:06:44.159 and then um, beneath all that you have the subcutaneous layer, 0:06:44.160 --> 0:06:46.720 and that's where the hair starts growing, right. Yeah, that's 0:06:46.720 --> 0:06:48.920 where you're gonna find your hair follicle, which looks sort 0:06:48.960 --> 0:06:52.159 of like just a little uh little tube with a 0:06:52.200 --> 0:06:56.520 little uh, a little rounder end. I would say it 0:06:56.560 --> 0:07:02.360 looks like a sperm, a sperm going in drop sure 0:07:02.400 --> 0:07:05.400 maybe uh. And that is where the hair begins to 0:07:05.440 --> 0:07:09.160 grow from the bottom up and it grows out of 0:07:09.200 --> 0:07:13.240 this follicle and collects on the way out see them, 0:07:13.360 --> 0:07:16.040 and which we said was oil. That's why I like, 0:07:16.080 --> 0:07:18.080 when you don't take a shower, your hair is gonna 0:07:18.080 --> 0:07:20.680 look all oily. Yeah. And actually men I think have 0:07:20.760 --> 0:07:24.200 more see them than women. Yeah, and teenagers have lots 0:07:24.200 --> 0:07:26.560 of see them. Yeah, it's almost equal for among the 0:07:26.600 --> 0:07:30.400 genders and in tegers. Yeah, because that's why you get 0:07:30.560 --> 0:07:33.680 acne most often an adolescence, because we're taking you up 0:07:33.760 --> 0:07:37.640 through where acne starts, which is really see them right. Well, 0:07:37.680 --> 0:07:39.120 that has a lot to do with it. At least 0:07:39.120 --> 0:07:42.160 the hair follicle is connected to a sebaceous glaian like 0:07:42.200 --> 0:07:44.200 you said, which is why your hair seems oily when 0:07:44.240 --> 0:07:47.920 it comes out. Um. And so you've got this whole um. 0:07:48.040 --> 0:07:52.000 You have this whole house of cards I guess just 0:07:52.120 --> 0:07:54.560 waiting to screw up. Well, they're trying to squeeze through 0:07:54.560 --> 0:07:57.520 this little poor right together, those dead skin cells that 0:07:57.600 --> 0:08:01.240 migration they make. The way get out is through the poor, 0:08:01.560 --> 0:08:05.960 through the follicle, through the sebaceous gland right right. So 0:08:06.040 --> 0:08:09.720 when you have a lot of them coming together at once, 0:08:09.760 --> 0:08:11.560 all these dead skin cells are trying to get through 0:08:11.560 --> 0:08:14.440 the same door. It's like um three stooges syndrome from 0:08:14.440 --> 0:08:17.880 the Simpsons, remember Mr burns Head everything, but nothing could 0:08:17.920 --> 0:08:19.680 kill him because they couldn't all get through the door 0:08:19.720 --> 0:08:22.400 of his health. That's exactly right. So when you have 0:08:22.440 --> 0:08:26.480 too many skin cells, things start getting blocked and things 0:08:26.520 --> 0:08:29.200 back up behind it, and you've got trouble. Yeah, I 0:08:29.200 --> 0:08:31.160 mean that's one way it can happen. Uh, And they 0:08:31.200 --> 0:08:34.000 don't know why that the body would overproduce skin cells, 0:08:34.800 --> 0:08:39.559 but hey, it happens. Yeah, do we need to know why? Exactly. 0:08:39.960 --> 0:08:41.679 Another thing that can happen You can have too much 0:08:41.679 --> 0:08:45.160 see them, like we talked about and and puberty, and 0:08:45.240 --> 0:08:49.400 puberty is when that's going to happen. Most likely bacteria, 0:08:50.120 --> 0:08:57.160 specifically propione Bacterium Acnes p acnes. That's uh found in 0:08:57.200 --> 0:08:59.839 acne lesions and and every type of acne that we're 0:08:59.840 --> 0:09:02.880 going to talk about they're all lesions, right and and 0:09:03.040 --> 0:09:07.079 um then inflammation right, Yeah, the bacteria causes inflammation. When 0:09:07.080 --> 0:09:10.760 there's back up and there's bacteria, you're gonna get inflammation. Yeah. 0:09:11.160 --> 0:09:14.040 Tom put it like these were different things that could happen, 0:09:14.120 --> 0:09:16.360 and I'm sure they are, but it also seems to 0:09:16.400 --> 0:09:18.160 happen like a sequence of event. It's kind of like 0:09:18.200 --> 0:09:21.240 all of them. You've got too many skin cells backing up, right, 0:09:21.280 --> 0:09:23.760 so the sea bum backs up behind it. Well, this 0:09:23.920 --> 0:09:27.439 bacteria loves to eat sea bum, which causes an infection 0:09:27.640 --> 0:09:32.560 which makes you in front. Yeah. I saw it as 0:09:32.559 --> 0:09:35.400 a sequence of events to alright, so chuck. There is 0:09:35.480 --> 0:09:40.640 a very long standing debate over what is worse a 0:09:40.640 --> 0:09:44.120 white head or a black head. What's the difference between 0:09:44.160 --> 0:09:48.320 the two. Well, one is an open comy dough and 0:09:48.360 --> 0:09:51.320 one is a closed comy dough. Do you know what 0:09:51.400 --> 0:09:54.560 a comedo is? I do. It's blockage. Okay, do you 0:09:54.600 --> 0:09:59.480 know what the word is coming down? Is plural? What 0:09:59.520 --> 0:10:01.680 do you mean? What word is? The word is Latin 0:10:01.840 --> 0:10:06.400 for glutton Okay, yeah, and it was. It's named after 0:10:06.600 --> 0:10:08.840 a worm. You know how when you like do you 0:10:08.880 --> 0:10:12.079 pop as it and the stuff comes out and it's 0:10:12.120 --> 0:10:15.680 like kind of a thin worm like tube. Well, there 0:10:15.840 --> 0:10:18.440 was a apparently a worm that looked very similar to 0:10:18.480 --> 0:10:21.280 that that loved to feed, a parasitic worm that loved 0:10:21.280 --> 0:10:25.400 to feed on humans that was considered particularly gluttonous. So 0:10:25.520 --> 0:10:29.280 the blockage came to be called the commodo, which means glutton. Wow, 0:10:29.440 --> 0:10:33.000 isn't that weird and gross? Yeah? And true. Yeah, pretty 0:10:33.080 --> 0:10:35.600 much everything about this we're looking at acting on this 0:10:35.880 --> 0:10:40.240 sub dermal level. Yes, it's gross. It is kind of gross. Uh. 0:10:40.400 --> 0:10:43.920 So white heads, you might think, like I just woke 0:10:44.040 --> 0:10:45.760 up and there's a white head on my nose. That 0:10:45.840 --> 0:10:48.120 just happened last night. Not true. It could have been 0:10:48.160 --> 0:10:50.280 a couple of months in the making before you finally 0:10:50.720 --> 0:10:53.280 see it like you might. You know, Emily calls them 0:10:53.360 --> 0:10:56.600 underground construction when you can feel it and you know 0:10:56.640 --> 0:10:58.720 it's coming but you can't see it or do anything 0:10:58.760 --> 0:11:06.840 about it yet. Yeah, that's infection, essentially underground construction. Yeah, 0:11:06.920 --> 0:11:09.520 at some point, your your skin still started backing up. 0:11:09.520 --> 0:11:11.840 They didn't make their way out of the poor and 0:11:12.200 --> 0:11:14.560 you're in trouble. So white heads anyway, have an open 0:11:14.640 --> 0:11:17.839 commie dough black head. I'm sorry, closed commie dough black 0:11:17.880 --> 0:11:20.920 heads are open and the black that you're seeing is 0:11:20.960 --> 0:11:23.720 just melon and it's just our skin pigment. It's oxidized, 0:11:23.760 --> 0:11:27.120 it's not dirt. The reason it's black is because, um, 0:11:27.160 --> 0:11:31.400 it's been exposed to air, whereas with a closed comito, um, 0:11:31.440 --> 0:11:34.040 there is no exposure to air. So everything stays white 0:11:34.120 --> 0:11:36.800 just beneath the surface of the skin. And I had 0:11:36.880 --> 0:11:38.760 you you stopped me in the hall earlier and said, 0:11:38.960 --> 0:11:40.520 you know, I can't tell the difference between like a 0:11:40.559 --> 0:11:44.760 white head and a pustule what I found because you 0:11:44.840 --> 0:11:48.040 did find something, well that the American Academy of Dermatology 0:11:48.120 --> 0:11:51.040 says that it's really confusing, So like, don't feel bad, 0:11:51.080 --> 0:11:54.599 it is confusing, Thank you a They're they're all lesions. 0:11:54.600 --> 0:11:58.640 But I think a white head, what we typically see 0:11:58.640 --> 0:12:00.640 as a pimple and a z it is the pustule, 0:12:01.320 --> 0:12:03.160 because in here it says the a D says a 0:12:03.200 --> 0:12:06.840 white head is typically a raised bump that's the same 0:12:06.920 --> 0:12:11.240 color as the rest of your skin, whereas the ZiT 0:12:11.440 --> 0:12:16.040 as clearly has pus the pus. But apparently that's not 0:12:16.720 --> 0:12:18.719 the hallmark of a white head. So I'm even more 0:12:18.720 --> 0:12:23.840 confused now, Thank you A a D. Thanks for nothing. Yeah, 0:12:23.840 --> 0:12:25.440 because I thought a white head meant it was the 0:12:25.440 --> 0:12:29.600 white you know, pimpley's it looking thing. So it says 0:12:29.600 --> 0:12:32.520 hear that the same color as the rest of your skin. Okay, well, 0:12:32.559 --> 0:12:34.520 well let's go with that. Though, I mean that the 0:12:34.920 --> 0:12:39.200 white head is uh just it's just pressing your skin up, 0:12:39.280 --> 0:12:41.840 so it's a raised bump. Whereas if it looks white, 0:12:41.840 --> 0:12:45.360 if there's like a clearly a white part, what has 0:12:45.400 --> 0:12:49.640 happened is you're this this white head or black head 0:12:50.080 --> 0:12:53.840 um has collapsed under the skin and all that bacteria 0:12:53.960 --> 0:12:58.720 ridden see bum is now causing an infection. That's what 0:12:59.200 --> 0:13:02.080 a z it is. That's right, also called a pustule. 0:13:02.160 --> 0:13:05.160 That's a pustule. There's also a papule. And they are 0:13:05.160 --> 0:13:08.959 a little small bumps um, a little firm, small bumps, 0:13:09.360 --> 0:13:12.640 and they don't have any kind of white right center, right, 0:13:12.880 --> 0:13:15.880 but they do feel like sandpaper apparently if you rub 0:13:15.880 --> 0:13:18.760 your fingers across them. Yeah, I get like little dry 0:13:18.760 --> 0:13:20.280 skin bumps in the back of my arm. I don't 0:13:20.280 --> 0:13:23.760 know if that's the same thing. That's not I don't 0:13:23.800 --> 0:13:26.480 think so. Okay, No, that's UM. I mean, I'm sure 0:13:26.520 --> 0:13:29.120 it's got a name. What is that called? What's what's 0:13:29.200 --> 0:13:33.280 really severe dry skin called xema? Yeah, it's a it's 0:13:33.280 --> 0:13:38.239 a mild alright, Maybe I have exema. There are nodules 0:13:38.760 --> 0:13:43.440 which are larger and hard. Uh, it's um. A nodule 0:13:43.520 --> 0:13:45.280 is the kind of thing where you mash it and 0:13:45.320 --> 0:13:47.520 you mash it and nothing ever happens, and then it 0:13:47.559 --> 0:13:50.400 comes back and comes back because you're just breaking it 0:13:50.440 --> 0:13:53.560 down and stays in there. That was That was definitely 0:13:53.600 --> 0:13:55.880 a nodule, wasn't it. Yeah? Because I would I would 0:13:56.240 --> 0:14:00.440 be like and then like it would go away. First 0:14:00.480 --> 0:14:05.400 it would go and then it would come back. That 0:14:05.480 --> 0:14:07.480 thing was there for a while. Yeah. Man, it kept 0:14:07.520 --> 0:14:09.480 coming back and then it'd stay for a really long 0:14:09.520 --> 0:14:11.040 time and to come back. And I was wearing like 0:14:11.679 --> 0:14:15.680 Turtle nick I brought Turtle Nicks back inadvertently, you are 0:14:15.800 --> 0:14:44.360 Dick laughing to change chuck chuck uh, and then superative nodules, Josh. 0:14:44.480 --> 0:14:47.120 You may think her sister boils and they might look 0:14:47.160 --> 0:14:49.880 like that, but sists have different traits, one of which 0:14:50.720 --> 0:14:53.760 is uh. The ability to contain a trapped gas, which 0:14:53.800 --> 0:14:56.920 I thought was pretty interested, is nuts and pretty awesome. Yeah, 0:14:57.000 --> 0:14:59.920 so that means that's not assist. I'll bet that guy 0:15:00.200 --> 0:15:03.400 stinks to high heaven when it's finally released. Can you 0:15:03.440 --> 0:15:10.720 imagine yeah again baby acne? Uh? Yeah? Um? What is 0:15:10.760 --> 0:15:15.240 it called? Mila? Milia? Milia, sorry, Mela is the niece. 0:15:15.640 --> 0:15:18.040 I think the point here was you can get acne 0:15:18.520 --> 0:15:23.160 from cradle to the grave. Yes, sadly. Yeah, I mean 0:15:23.240 --> 0:15:28.000 most people, Um, tompsited something like eight of people get 0:15:28.160 --> 0:15:31.000 um acne, and we should say everything we just said 0:15:31.640 --> 0:15:34.320 was a form of acne. Vulgaris. Yeah, yeah, I don't 0:15:34.320 --> 0:15:36.880 think we said that. Vulgaris is the Latin. I think 0:15:36.960 --> 0:15:40.880 for um common right, Um, most of us get it. 0:15:41.400 --> 0:15:43.440 It's eat out attend. People get it at some point 0:15:43.480 --> 0:15:47.040 in their life, he said, Um, most people, it starts 0:15:47.080 --> 0:15:51.800 stirring puberty and ends after puberty. For other people like me, 0:15:52.360 --> 0:15:54.760 it keeps going on here there. And I mean, like, 0:15:54.840 --> 0:15:57.320 I take care of my face. Dude, I've got a 0:15:57.400 --> 0:16:00.880 regimen and it's still I mean, I can imagine it 0:16:00.880 --> 0:16:04.560 would be much worse if I didn't take care of Simpson. 0:16:04.680 --> 0:16:09.480 You are you over regimenting? No, I know what I'm doing, Okay. 0:16:09.560 --> 0:16:12.880 I'm going to see a dermatologist soon. I need to 0:16:12.880 --> 0:16:15.200 find one, but I'm gonna go see one just to 0:16:15.360 --> 0:16:17.880 make sure I'm doing everything right. Yeah, there's not other 0:16:17.920 --> 0:16:21.320 steps I can take, but no, I mean I'm I 0:16:21.360 --> 0:16:23.120 know what I'm doing, okay, Because the only reason I 0:16:23.160 --> 0:16:24.960 say that is later in the article they point out 0:16:24.960 --> 0:16:28.040 that over washing, and I remember that as a kid. 0:16:28.120 --> 0:16:30.480 I I I think I went through a brief period 0:16:30.520 --> 0:16:32.240 where I got like a ZiT or two in high school, 0:16:32.280 --> 0:16:34.360 and so I got out like the buff puff and 0:16:34.400 --> 0:16:37.360 then neut regina for the first time ever and just 0:16:37.560 --> 0:16:40.480 scrub the crap out of my face. Started bleeding, started 0:16:40.480 --> 0:16:42.440 breaking out, and I was like, well, I don't get it. 0:16:42.600 --> 0:16:46.360 I'm watching my face and it's breaking out. But all 0:16:46.400 --> 0:16:50.280 these years later, I have an explanation. You're agitating your skin. Yeah, 0:16:50.720 --> 0:16:54.760 I think, Um, I just have sensitive skin. Yeah, um yeah, 0:16:54.800 --> 0:16:59.560 But no, I don't use like soap or harsh stuff face. 0:16:59.600 --> 0:17:03.640 It's I take care of it. So a milia Back 0:17:03.680 --> 0:17:06.960 to the baby's. Babies can get milia. It's around the 0:17:06.960 --> 0:17:10.439 eyes or nose, little white bumps. It's really common. If 0:17:10.480 --> 0:17:12.840 you're a new parent and your kid has this, don't 0:17:12.840 --> 0:17:14.880 worry about it. In fact, the doctor is probably gonna 0:17:14.880 --> 0:17:17.159 tell you the same thing, like, don't even do anything. 0:17:17.200 --> 0:17:20.200 It'll clear up on its own, right in most cases. Uh. 0:17:20.200 --> 0:17:22.440 And you can actually get that as an adult as well. 0:17:22.880 --> 0:17:26.320 Really sometimes, Yeah, milia. It's far more common in infants 0:17:26.320 --> 0:17:30.600 and I mean like newborns to um. The cause generally 0:17:30.640 --> 0:17:34.320 is that the skin cells are already dividing and dying off. 0:17:34.960 --> 0:17:38.480 But um, the sebacious clans aren't developed enough to carry 0:17:38.560 --> 0:17:41.440 the skin cells to the surface. So basically when the 0:17:41.480 --> 0:17:44.120 doctor says just way to'll clear upon its own, he's saying, 0:17:44.160 --> 0:17:48.040 just wait, your baby will grow introduce more sebacious clans 0:17:48.080 --> 0:17:51.000 to handle this, and that's that. Well, that's good news. 0:17:51.640 --> 0:17:58.919 It's great news. Uh pre pubertal acne uh forms and children. 0:17:59.000 --> 0:18:02.760 This is this is basically when you're producing your your androgens, 0:18:02.800 --> 0:18:05.840 your sex hormones before you should be Yeah, like from 0:18:05.920 --> 0:18:08.840 drinking milk. Is that what we'll do it too? Probably 0:18:09.520 --> 0:18:12.520 bovine growth hormone would do it. And that is that 0:18:12.640 --> 0:18:16.440 is when it's pre puberty, and that's in younger children, 0:18:16.680 --> 0:18:19.080 and that's something you probably should go to a doctor about, yeah, 0:18:19.080 --> 0:18:22.159 because it's I think they take it more as like 0:18:22.200 --> 0:18:25.280 a sign like, okay, you you've got this other stuff 0:18:25.320 --> 0:18:29.359 coming down the pike to like breasts and you're six, 0:18:29.560 --> 0:18:31.560 you know kind of thing. So it's just a big 0:18:31.600 --> 0:18:35.840 androgen dump in your body and your sabacious glance go oh, 0:18:36.040 --> 0:18:39.000 we're supposed to start working now, I guess. And even 0:18:39.040 --> 0:18:43.280 the box little Timmy's only eight, right, I said six. 0:18:44.440 --> 0:18:46.640 Does it happen that young? I don't know, I'm sure 0:18:46.640 --> 0:18:49.960 it could. Yeah, I would imagine the younger, the more 0:18:50.160 --> 0:18:54.640 potentially problematic it is. That's the kid who ends up 0:18:54.760 --> 0:18:57.280 having the mustache when he's like in the third grade. 0:18:57.440 --> 0:19:01.080 With the six year old boy with the breasts and 0:19:01.160 --> 0:19:05.399 the mustache. What'd you call him? Timmy? Timmy? Actually I 0:19:05.400 --> 0:19:07.480 have a friend named Timmy. But my other friend, Jim. 0:19:07.520 --> 0:19:09.399 You actually know, Jim did have a mustache when he 0:19:09.440 --> 0:19:11.760 was like in the eighth grade. Yeah, it was pretty funny, Yeah, 0:19:12.080 --> 0:19:17.240 swarthy Jim. Yes. Um? So what else, Chuck? Oh, there's rosasia. 0:19:18.400 --> 0:19:21.520 This is the one that that is pretty awful on 0:19:21.600 --> 0:19:26.399 Google images. Really yeah. Yeah. It can affect the nose, 0:19:26.760 --> 0:19:28.960 and you know it's everything from just redness of the 0:19:29.000 --> 0:19:35.400 nose too, horribly misshapen, bumpy nose. They can get really bad. 0:19:35.600 --> 0:19:37.680 Is that the nose where you see like divit's missing 0:19:37.720 --> 0:19:41.000 from people's noses rosa. Yeah, I got it. Can't it 0:19:41.040 --> 0:19:43.920 can't get that bad. But it occurs in bouts, right, 0:19:43.960 --> 0:19:46.679 so you have, um, you can kind of tell that 0:19:46.720 --> 0:19:49.800 you're about to have about of rosasia because you find 0:19:49.840 --> 0:19:53.200 that you flush more easily and it's because your veins 0:19:53.240 --> 0:19:55.720 and the veins in your face are dilating more more, 0:19:55.880 --> 0:20:03.040 um wider. I guess that's it. Yeah, it's just triggers acne. Well, 0:20:03.080 --> 0:20:06.879 it triggers acne vulgaris or or a lot like acne vulgaris, 0:20:06.880 --> 0:20:09.480 they said. And then I also got the impression from 0:20:09.480 --> 0:20:13.440 Tom that it's problematic that uh, and that people suspect 0:20:13.480 --> 0:20:16.320 that maybe you're like a raging alcoholic because your nose 0:20:16.320 --> 0:20:18.720 looks like that, like you have the gym blossoms, but 0:20:18.800 --> 0:20:20.920 it's really just rose asia. Yeah, and if you look 0:20:20.960 --> 0:20:23.560 up pictures of it, it looks like a gin blossom 0:20:23.680 --> 0:20:28.040 or worse. There's I don't encourage anyone to type in 0:20:28.080 --> 0:20:32.119 like pustules into Google images because it's like that body 0:20:32.160 --> 0:20:34.840 parts come up that are have these things on them 0:20:34.840 --> 0:20:37.439 and might not be something you want to see, you 0:20:37.440 --> 0:20:40.360 know what I'm saying, Well kind of body parts. Oh, 0:20:40.400 --> 0:20:43.920 they just they had pictures of of like just out 0:20:43.920 --> 0:20:47.560 of nowhere, just like feat penises with bumps on them, 0:20:47.560 --> 0:20:52.639 And I don't recommend it. Okay, Well that's fair warning 0:20:52.680 --> 0:20:56.080 if I've ever heard it. Anybody who does go Google image, 0:20:56.119 --> 0:21:01.480 what rose asia? Any any of them? Really you've been 0:21:01.480 --> 0:21:04.680 warned by himself. You're a dummy if you do it, yes, 0:21:04.920 --> 0:21:07.440 or you're on your own at least um. So those 0:21:07.480 --> 0:21:11.800 are generally the different types of acne, right, and their causes. Um, 0:21:11.840 --> 0:21:17.119 but we missed at least one. Chuck pizza. Pizza causes acne. No, 0:21:17.240 --> 0:21:21.679 it doesn't. I know it doesn't. That was play acting. 0:21:21.840 --> 0:21:24.560 I know. Um that is a is a And I 0:21:24.560 --> 0:21:26.959 actually did a little more research on this and diet 0:21:27.000 --> 0:21:29.960 and acne. Um. That's sort of been one of the 0:21:30.000 --> 0:21:33.080 old things. They say it's like greasy food and a 0:21:33.200 --> 0:21:36.200 lad to acne, but most doctors say that that's pretty 0:21:36.240 --> 0:21:41.840 much a myth end of story. Although this this one 0:21:41.840 --> 0:21:46.080 thing I found says that theoretically there could be some impact, 0:21:46.200 --> 0:21:50.080 like diet has a direct effect on your insulin level, 0:21:50.920 --> 0:21:54.240 and that insulin is the master hormone and it has 0:21:54.280 --> 0:21:56.879 to do with hormone you know, production in a way. 0:21:57.320 --> 0:22:02.000 So in theory, insulin spikes could affect acne. And also 0:22:02.119 --> 0:22:04.520 things that you eat. It can affect it in a 0:22:04.520 --> 0:22:07.480 good way if you eat positively like veggies and fruits 0:22:07.480 --> 0:22:11.920 and seafood h and potentially if you eat good foods 0:22:12.280 --> 0:22:15.040 that are rich and like omega three fats, like fish oil, 0:22:15.440 --> 0:22:17.679 it can be an anti inflammatory and so part of 0:22:17.680 --> 0:22:19.639 the problem is inflammation. In theory, it could help with 0:22:19.680 --> 0:22:23.560 that too. But you want to watch um like shellfish, 0:22:23.960 --> 0:22:28.040 they're they're high and iodide because that apparently can inflame 0:22:28.200 --> 0:22:31.840 actival garis. Yeah. So here as we say that it 0:22:31.880 --> 0:22:35.040 doesn't impact acne, we're saying it does. Right. Yeah. I 0:22:35.320 --> 0:22:38.080 just can't believe that what you eat doesn't have any 0:22:38.160 --> 0:22:41.080 impact on the function of your cells. That's what I think. 0:22:41.119 --> 0:22:44.399 It's got to have some impact. Um Genetics is another 0:22:44.400 --> 0:22:49.720 big one that is I think probably UM it's overestimated 0:22:49.760 --> 0:22:53.520 the impact it has. Yes, the the genes that you 0:22:53.560 --> 0:22:58.760 inherit from your parents and how they express um, the 0:22:58.800 --> 0:23:01.480 proteins that tell your sabaceous clean is the function in 0:23:01.520 --> 0:23:03.720 this way or that way or whatever. It's going to 0:23:03.800 --> 0:23:06.399 have an effect, but not as much as you know, 0:23:06.440 --> 0:23:09.040 if your dad broke out a lot, you're not necessarily 0:23:09.040 --> 0:23:12.160 going to write or vice versa. I don't know about 0:23:12.200 --> 0:23:15.480 my parents in acne. I don't either. It's a conversation 0:23:15.520 --> 0:23:17.840 that you normally have with your parents, you know. More, 0:23:17.920 --> 0:23:22.080 it's like, um, it was your dad bald, right, right, 0:23:22.119 --> 0:23:24.160