1 00:00:01,480 --> 00:00:04,280 Speaker 1: Welcome to Stuff you Should Know, a production of I 2 00:00:04,360 --> 00:00:13,800 Speaker 1: Heart Radio. Hey, and welcome to the podcast. I'm Josh Clark, 3 00:00:13,840 --> 00:00:17,560 Speaker 1: There's Charles W Chuck Bryant, and Jerry is literally right there, 4 00:00:18,280 --> 00:00:21,239 Speaker 1: and I'm Chuck. I want to start something. I'm going 5 00:00:21,280 --> 00:00:24,680 Speaker 1: to get I actually have a jar at my studio 6 00:00:24,720 --> 00:00:28,360 Speaker 1: at home kind of. But it's a use of the 7 00:00:28,360 --> 00:00:31,800 Speaker 1: word literally jar. I'm trying to break myself of that, 8 00:00:32,159 --> 00:00:35,720 Speaker 1: except when it really truly makes sense, when it literally 9 00:00:35,800 --> 00:00:39,720 Speaker 1: makes sense to use that word, like in this instance, 10 00:00:39,800 --> 00:00:42,839 Speaker 1: Jerry is literally sitting right here. So do you have 11 00:00:42,880 --> 00:00:44,920 Speaker 1: a problem with that, with misusing that word like so 12 00:00:45,000 --> 00:00:49,760 Speaker 1: many Yeah, no, not necessarily. It's overused. That's what bothers me. 13 00:00:49,920 --> 00:00:52,519 Speaker 1: What about Gimmy and she donating to the jar at all? 14 00:00:52,720 --> 00:00:56,760 Speaker 1: Or she just like this literally the dumbest idea. I 15 00:00:56,800 --> 00:00:59,240 Speaker 1: don't think she has an opinion on this one. Okay, Yeah, 16 00:00:59,520 --> 00:01:03,000 Speaker 1: she's just spend some money. Well, I keep the jar 17 00:01:03,160 --> 00:01:06,000 Speaker 1: at home. I'll get money out of it when I 18 00:01:06,040 --> 00:01:09,520 Speaker 1: need to. It's more just the ritual of like punishing myself, 19 00:01:09,560 --> 00:01:13,080 Speaker 1: calling out that's good, I'm doing something stupid. Once a Catholic, 20 00:01:13,120 --> 00:01:17,880 Speaker 1: always a Catholic. So um, oh yeah, this is stuff 21 00:01:17,920 --> 00:01:21,400 Speaker 1: you should know. And uh, we are talking Chuck today. 22 00:01:21,480 --> 00:01:24,240 Speaker 1: How are you doing, by the way, I'm great. Good, 23 00:01:24,480 --> 00:01:27,360 Speaker 1: we're in the same room. It's still a little weird, 24 00:01:27,920 --> 00:01:29,640 Speaker 1: getting used to it still. Yeah. I went to a 25 00:01:29,640 --> 00:01:32,520 Speaker 1: baseball game last night, Oh my god. And that was weird. 26 00:01:32,840 --> 00:01:35,440 Speaker 1: I mean it was great. Uh. And once we get 27 00:01:35,440 --> 00:01:37,640 Speaker 1: on our seats, we were actually i mean they're fully 28 00:01:37,680 --> 00:01:40,360 Speaker 1: just selling seats, but where we bought seats there just 29 00:01:40,400 --> 00:01:42,199 Speaker 1: happened to be no one kind of around us, which 30 00:01:42,240 --> 00:01:45,600 Speaker 1: was good. But yeah, I went to a Braves game. 31 00:01:45,760 --> 00:01:48,520 Speaker 1: But you know, they're supposed to be policing and saying, 32 00:01:49,280 --> 00:01:51,200 Speaker 1: you know, unless you're in your seats, eating and drinking, 33 00:01:51,200 --> 00:01:53,800 Speaker 1: you should be wearing a mash. And so we the 34 00:01:53,840 --> 00:01:57,360 Speaker 1: four of us, wore masks, you know, in and out 35 00:01:57,360 --> 00:01:59,320 Speaker 1: in the bathrooms and the food lines and all that stuff. 36 00:01:59,360 --> 00:02:02,960 Speaker 1: But no, buddy else was well, I mean Atlanta there's 37 00:02:03,000 --> 00:02:07,000 Speaker 1: a lot of jerks, yeah, and Atlanta. Yeah, it just 38 00:02:07,080 --> 00:02:08,679 Speaker 1: it is what it is. We took care of ourselves 39 00:02:08,680 --> 00:02:13,320 Speaker 1: and it's fine. Yeah, it was fun. Um, well, that's good. 40 00:02:13,360 --> 00:02:16,440 Speaker 1: I'm glad. Juddie good walk off, Homer. Oh yeah, the 41 00:02:16,520 --> 00:02:18,320 Speaker 1: bottom of the ninth man. I've only seen like one 42 00:02:18,320 --> 00:02:20,760 Speaker 1: of those in my life. It was amazing, great game. Yeah, 43 00:02:20,800 --> 00:02:23,480 Speaker 1: it was cool. Who we play? We played the Mets 44 00:02:23,520 --> 00:02:27,640 Speaker 1: in our star player Akunya blasted one in the bottom 45 00:02:27,639 --> 00:02:29,640 Speaker 1: of the ninth first pitch. It was just great. I 46 00:02:29,639 --> 00:02:32,560 Speaker 1: thought Freddie Freeman was our star player there. I mean 47 00:02:33,200 --> 00:02:37,519 Speaker 1: they're one and two on any given day. Yeah, I 48 00:02:37,520 --> 00:02:39,480 Speaker 1: wouldn't want to be number two, you know what I'm saying. 49 00:02:39,520 --> 00:02:43,040 Speaker 1: But yes, no, of course not. That's why I'm number two. No, 50 00:02:43,280 --> 00:02:47,000 Speaker 1: that's not true. You meet Jerry all tied for number one. 51 00:02:48,000 --> 00:02:50,640 Speaker 1: But anyway, it was a little just's it's just a 52 00:02:50,639 --> 00:02:53,320 Speaker 1: little jarring to be among a lot of people again. 53 00:02:53,360 --> 00:02:56,120 Speaker 1: And but it also comes back quickly like, oh wait, 54 00:02:56,160 --> 00:02:58,440 Speaker 1: I spent the first forty nine years of my life 55 00:02:59,000 --> 00:03:02,200 Speaker 1: among people. A took a year off, and I'm back 56 00:03:02,200 --> 00:03:04,840 Speaker 1: in this wing. That's good. That's good. I'm hoping to 57 00:03:04,919 --> 00:03:08,160 Speaker 1: get back there myself. At any rate. This is still 58 00:03:08,160 --> 00:03:12,520 Speaker 1: a little weird. So we're talking today about clefts, and 59 00:03:12,639 --> 00:03:15,000 Speaker 1: most people when they think about clefs, they think about 60 00:03:15,000 --> 00:03:17,560 Speaker 1: cleft lips. But there's a lot more to that, or 61 00:03:17,560 --> 00:03:21,000 Speaker 1: trouble cliffs. Sure, that's a little different. There's an extra 62 00:03:21,280 --> 00:03:23,639 Speaker 1: letter in this one that I'm talking about at the end. 63 00:03:24,280 --> 00:03:27,280 Speaker 1: How is that spelled? Is that just trouble cleft? No 64 00:03:27,560 --> 00:03:31,440 Speaker 1: cl ef Oh, there's no t trouble cliff cliff. I 65 00:03:31,440 --> 00:03:35,080 Speaker 1: didn't take piano. That's okay, right, Um, But no, that's 66 00:03:35,080 --> 00:03:38,040 Speaker 1: a cleft. This is a cleft. A cleft in this 67 00:03:38,120 --> 00:03:41,120 Speaker 1: case is um. It's a it's a division, it's a trench, 68 00:03:41,200 --> 00:03:44,800 Speaker 1: it's a void. I guess you could say and that 69 00:03:44,800 --> 00:03:47,160 Speaker 1: that that is what we're talking about. It is a 70 00:03:48,040 --> 00:03:52,760 Speaker 1: it is a very common, actually fairly common birth defect. Um. 71 00:03:52,800 --> 00:03:55,640 Speaker 1: It occurs in the embryonic stage and a child is 72 00:03:55,680 --> 00:03:59,920 Speaker 1: born with part of their lip and or part of 73 00:04:00,040 --> 00:04:02,480 Speaker 1: their palate the roof of their mouth is another way 74 00:04:02,520 --> 00:04:06,240 Speaker 1: to put it right missing, it's just not there, un joined. 75 00:04:07,080 --> 00:04:10,200 Speaker 1: And we should probably say right at the beginning, Uh, 76 00:04:10,240 --> 00:04:13,960 Speaker 1: this is a birth defect. But it is a visual difference, 77 00:04:14,560 --> 00:04:16,400 Speaker 1: is what we call things like this. It is not 78 00:04:16,480 --> 00:04:19,640 Speaker 1: a disability, although there are you know, many complications will 79 00:04:19,680 --> 00:04:22,200 Speaker 1: go over, but it's a visual difference. And it is 80 00:04:22,279 --> 00:04:26,040 Speaker 1: also the term hair lip is not something you should use. 81 00:04:26,120 --> 00:04:28,920 Speaker 1: It was used for many, many years, even by doctors 82 00:04:29,440 --> 00:04:33,000 Speaker 1: to describe this condition, but it is uh not a 83 00:04:33,040 --> 00:04:36,040 Speaker 1: good nice term, so just stop saying it. Yeah, I 84 00:04:36,080 --> 00:04:37,719 Speaker 1: don't know anybody who says that. I don't think so 85 00:04:37,760 --> 00:04:40,600 Speaker 1: any but you know, some people just may not know. Like, well, 86 00:04:40,600 --> 00:04:43,039 Speaker 1: I thought that's what it was called. Uh, And when 87 00:04:43,080 --> 00:04:46,400 Speaker 1: doctors use a term, you can sort of understand, you know, 88 00:04:46,560 --> 00:04:49,120 Speaker 1: like somebody falling into that trap. But it's not a 89 00:04:49,200 --> 00:04:50,919 Speaker 1: term that we use anymore now. And I think that 90 00:04:51,000 --> 00:04:52,719 Speaker 1: was a good thing to say. All right, So that's 91 00:04:52,760 --> 00:04:55,320 Speaker 1: the c I A is finished. So um, like we're saying, 92 00:04:55,400 --> 00:04:57,040 Speaker 1: it is, like you said, it is a birth effect, 93 00:04:57,040 --> 00:04:59,160 Speaker 1: but it is just a visible difference. And there's I mean, 94 00:04:59,200 --> 00:05:01,880 Speaker 1: that's that's it. I mean, it is tied in with 95 00:05:02,000 --> 00:05:06,200 Speaker 1: some syndromes, some genetic syndromes, but plenty of people, I 96 00:05:06,200 --> 00:05:08,520 Speaker 1: think in the United States somewhere between one and every 97 00:05:08,600 --> 00:05:12,920 Speaker 1: seven um comes with some sort of cleft, either a 98 00:05:12,960 --> 00:05:18,559 Speaker 1: cleft lip, a cleft palette, or both UM and there's 99 00:05:18,640 --> 00:05:21,719 Speaker 1: that's it. That can be it. That's the only thing 100 00:05:21,880 --> 00:05:25,880 Speaker 1: that is different about that child. There's no developmental problems, 101 00:05:25,880 --> 00:05:28,520 Speaker 1: there's no and like you said, it's not disability. There's 102 00:05:28,560 --> 00:05:31,360 Speaker 1: nothing else that's it. And what's fascinating to me, I 103 00:05:31,400 --> 00:05:33,760 Speaker 1: had no idea about this, but I never really thought 104 00:05:33,800 --> 00:05:38,880 Speaker 1: about it. Is that the the kid with the cleft 105 00:05:38,920 --> 00:05:42,840 Speaker 1: lip or the cleft palette there, their palette or their 106 00:05:42,920 --> 00:05:46,640 Speaker 1: lip just never finished forming. Yeah, they never You know, 107 00:05:46,720 --> 00:05:50,240 Speaker 1: there's a symmetry generally running down the center of your 108 00:05:50,640 --> 00:05:55,000 Speaker 1: nose and the two sides of the lip. You know, 109 00:05:55,040 --> 00:05:58,320 Speaker 1: the stuff forms when you're in the in the womb 110 00:05:59,240 --> 00:06:01,359 Speaker 1: very early on. It actually for both. I think the 111 00:06:01,400 --> 00:06:03,840 Speaker 1: lip is first and then the palette, but you know 112 00:06:03,839 --> 00:06:07,520 Speaker 1: they joined together, and in this case they just don't join. Yeah, 113 00:06:07,640 --> 00:06:10,640 Speaker 1: you know the little a little bit under your nose, 114 00:06:11,000 --> 00:06:14,240 Speaker 1: the bip joining the uh, the bottom of your nose 115 00:06:14,240 --> 00:06:18,760 Speaker 1: through top lip. Yeah, it's filtraum okay. And that is 116 00:06:18,800 --> 00:06:23,800 Speaker 1: where your lips joined together, your upper lip joins together, right, 117 00:06:23,839 --> 00:06:27,840 Speaker 1: and that is where your mustache can part. Yeah, yeah, 118 00:06:27,880 --> 00:06:29,719 Speaker 1: you got a little mustache part. I have a mustache 119 00:06:29,760 --> 00:06:31,880 Speaker 1: part because mine. But you know, some guys, do you 120 00:06:31,920 --> 00:06:35,240 Speaker 1: shave yours in just for looks or is it it 121 00:06:35,360 --> 00:06:37,320 Speaker 1: just kind of parts? Naturally? Your hair doesn't quite grow 122 00:06:37,400 --> 00:06:39,560 Speaker 1: right there. But you know, if you're like a Burt 123 00:06:39,600 --> 00:06:43,200 Speaker 1: Reynolds type or Wilfred Brimley, you can just grow it 124 00:06:43,279 --> 00:06:46,520 Speaker 1: over the whole. What's it called filtraum fil traum p 125 00:06:46,720 --> 00:06:49,560 Speaker 1: h I l t r U Hiltraum, which would be 126 00:06:49,600 --> 00:06:54,159 Speaker 1: a really great nerdy boy's name film. Yeah, yeah, and 127 00:06:54,200 --> 00:06:56,760 Speaker 1: his brother Baxter. On the second thought, though, don't name 128 00:06:56,800 --> 00:07:01,160 Speaker 1: your son filter so um. When you are in the embryonics, 129 00:07:01,440 --> 00:07:04,080 Speaker 1: like you said, very early on, the lip forms in 130 00:07:04,240 --> 00:07:07,120 Speaker 1: like the fourth to seventh week, and very frequently a 131 00:07:07,240 --> 00:07:09,440 Speaker 1: woman might not even know she's pregnant at that time, 132 00:07:09,680 --> 00:07:12,720 Speaker 1: and that lips forming, yes already. Um. I saw a 133 00:07:12,800 --> 00:07:18,520 Speaker 1: really cool bbc UM Documentaries sequence basically where they took 134 00:07:19,080 --> 00:07:24,760 Speaker 1: three D images of baby in utero and basically turned 135 00:07:24,760 --> 00:07:29,280 Speaker 1: it into a flipbook video showing the face forming. Your 136 00:07:29,320 --> 00:07:33,200 Speaker 1: nostrils are giant when you're when you're forming, and they're 137 00:07:33,240 --> 00:07:36,080 Speaker 1: like on the top of your forehead. They moved down 138 00:07:36,840 --> 00:07:40,760 Speaker 1: and each nostrils part of a tissue plate, and then 139 00:07:40,800 --> 00:07:43,400 Speaker 1: the bottom jaw and your bottom lip are part of 140 00:07:43,400 --> 00:07:46,080 Speaker 1: a third tissue place. So you have three forming and 141 00:07:46,120 --> 00:07:50,080 Speaker 1: coming together. And as they form, new cells form new skin, 142 00:07:50,160 --> 00:07:52,160 Speaker 1: and they just kind of move into place. If you 143 00:07:52,160 --> 00:07:55,160 Speaker 1: have a cleft, flip or a cleft palette. Again, that 144 00:07:55,160 --> 00:07:59,200 Speaker 1: that final meeting in the middle just never happened. Yeah, 145 00:07:59,240 --> 00:08:00,800 Speaker 1: So when you watch something thing like that, are you 146 00:08:00,840 --> 00:08:04,600 Speaker 1: amazed at the miracle of life or are you disgusted 147 00:08:05,000 --> 00:08:07,760 Speaker 1: amazed at the miracle? Okay, yeah for sure, because when 148 00:08:07,760 --> 00:08:09,440 Speaker 1: you think of nostrils on the top of the head, 149 00:08:10,080 --> 00:08:15,440 Speaker 1: it's nothing like that most it did. It's neat, actually 150 00:08:15,480 --> 00:08:18,320 Speaker 1: it is. Yeah, for sure. The miracle of life is 151 00:08:18,360 --> 00:08:21,160 Speaker 1: what I'm going with. So there are different ways this 152 00:08:21,200 --> 00:08:23,600 Speaker 1: can happen. Your your palette on the top of your 153 00:08:23,600 --> 00:08:26,200 Speaker 1: mouth is in a couple of sections. The one closer 154 00:08:26,200 --> 00:08:27,800 Speaker 1: to the front is the hard palette, and the rear 155 00:08:27,840 --> 00:08:30,920 Speaker 1: it's a soft pallet. And if you have a cleft palette, 156 00:08:30,920 --> 00:08:33,920 Speaker 1: it can be in the soft part the hard part. 157 00:08:34,000 --> 00:08:39,480 Speaker 1: It can split both. Yeah, because if you do don't mouth, 158 00:08:39,600 --> 00:08:43,640 Speaker 1: don't do that. The front part is is bony, that's 159 00:08:43,640 --> 00:08:45,680 Speaker 1: your hard palate. If you go further back, it's really 160 00:08:45,760 --> 00:08:47,800 Speaker 1: kind of tough to do, but you can go, well, 161 00:08:48,320 --> 00:08:50,200 Speaker 1: what you gotta stop. You don't like that, No, I 162 00:08:50,200 --> 00:08:53,360 Speaker 1: don't think anyone does. Um, I really you think some 163 00:08:53,400 --> 00:08:55,640 Speaker 1: people like hearing that. I think it's kind of pleasant. 164 00:08:55,800 --> 00:08:58,520 Speaker 1: Anybody who like that shout out. I want to hear you. 165 00:08:58,559 --> 00:09:00,080 Speaker 1: I think there's some kind of a pressure point in 166 00:09:00,080 --> 00:09:03,440 Speaker 1: your soft pallet too. For is it migraines or something 167 00:09:03,480 --> 00:09:06,439 Speaker 1: I remember hearing about, like pressing your thumb into your 168 00:09:06,440 --> 00:09:10,240 Speaker 1: soft pallet to do something that wasn't that it was 169 00:09:10,280 --> 00:09:15,520 Speaker 1: something else. Well, you can cure an ice cream maybe 170 00:09:15,600 --> 00:09:18,800 Speaker 1: multi functional. Anyway, In the very back, you have just 171 00:09:19,040 --> 00:09:22,880 Speaker 1: a muscle like your hard palate, bony with some skin 172 00:09:23,000 --> 00:09:26,280 Speaker 1: covering it. Further back, it's like muscle with skin covering, 173 00:09:26,280 --> 00:09:28,040 Speaker 1: and that's your soft palate. It's like a little rib 174 00:09:28,080 --> 00:09:30,120 Speaker 1: cage up there. And you can have this division, this 175 00:09:30,240 --> 00:09:34,000 Speaker 1: cleft in either part or both. Right, that's correct, That's 176 00:09:34,000 --> 00:09:37,440 Speaker 1: what I said. So, Uh, an incomplete cleft is missing. 177 00:09:38,960 --> 00:09:41,079 Speaker 1: It's a little notch and it's missing from the middle 178 00:09:41,080 --> 00:09:44,120 Speaker 1: of the upper left. A complete cleft is all the 179 00:09:44,160 --> 00:09:48,080 Speaker 1: way through into the nose. And then with the lip, 180 00:09:48,160 --> 00:09:51,400 Speaker 1: it's it's always the upper lip, but it's usually off 181 00:09:51,440 --> 00:09:53,080 Speaker 1: to one side or the other, I think because of 182 00:09:53,120 --> 00:09:56,319 Speaker 1: that symmetry and how it forms. Yes, uh, And it's 183 00:09:56,360 --> 00:09:59,280 Speaker 1: always the upper lip because it only affects the two 184 00:09:59,360 --> 00:10:02,320 Speaker 1: top plates of flesh that are forming that from your 185 00:10:02,400 --> 00:10:05,280 Speaker 1: upper lip in your face and those forehead nostrils that 186 00:10:05,360 --> 00:10:08,440 Speaker 1: come back down to your nostril area. That's right. God, 187 00:10:08,520 --> 00:10:10,760 Speaker 1: it's just like old times. Cherry's literally dropping food out 188 00:10:10,760 --> 00:10:15,559 Speaker 1: of her mouth onto the table. Is amazing. No, but 189 00:10:15,640 --> 00:10:18,120 Speaker 1: it's so funny. I don't know. I think there might 190 00:10:18,120 --> 00:10:20,120 Speaker 1: be a little all day and she chooses to eat 191 00:10:20,120 --> 00:10:22,839 Speaker 1: when she's in here. I think we should take a break. 192 00:10:23,120 --> 00:10:26,360 Speaker 1: I think so too. All right, that's a good opening, Uh, salvo, 193 00:10:28,040 --> 00:10:52,040 Speaker 1: So we'll be back after this. I think I might 194 00:10:52,080 --> 00:10:55,520 Speaker 1: have missed you salvo did I don't think so? Was 195 00:10:55,559 --> 00:10:58,880 Speaker 1: that right? Yeah? I associate that with like a timpani 196 00:10:59,559 --> 00:11:03,640 Speaker 1: or and in going off. Yeah, all right, I think you. 197 00:11:03,760 --> 00:11:06,439 Speaker 1: I think you used it correctly. A cleft that you 198 00:11:06,520 --> 00:11:10,800 Speaker 1: got wrong. Yeah, back to clefts. They are developmental defects, 199 00:11:10,880 --> 00:11:15,000 Speaker 1: like we said, very early, and what causes them, you know, 200 00:11:16,160 --> 00:11:19,280 Speaker 1: genetics can play a part. I think if you're a 201 00:11:19,400 --> 00:11:23,600 Speaker 1: parent you have with a cleft either a palette or lip, 202 00:11:23,640 --> 00:11:25,240 Speaker 1: you have it like a two to eight percent chance 203 00:11:25,320 --> 00:11:28,120 Speaker 1: that your kid may if you have a biological child, 204 00:11:28,720 --> 00:11:31,120 Speaker 1: and then that goes up if you have siblings and 205 00:11:31,400 --> 00:11:33,480 Speaker 1: or if you have your parents and it's sort of 206 00:11:33,480 --> 00:11:37,560 Speaker 1: passed down. I think that number can go up to like, yeah, 207 00:11:37,720 --> 00:11:40,240 Speaker 1: it can if you if your parent has a sibling 208 00:11:40,320 --> 00:11:43,080 Speaker 1: that has a cleft as well, the chance of your 209 00:11:43,360 --> 00:11:47,560 Speaker 1: your kid having ACT is definitely increased. And then um, 210 00:11:47,640 --> 00:11:49,920 Speaker 1: it can keep going up depending on whether or not 211 00:11:50,120 --> 00:11:54,480 Speaker 1: your parent has a genetic syndrome that they're passing along. Um. 212 00:11:54,520 --> 00:11:57,679 Speaker 1: I think there's something like three hundred to four hundred 213 00:11:57,720 --> 00:12:02,600 Speaker 1: different genetic syndromes are associated with cleft lip or cleft 214 00:12:02,600 --> 00:12:05,440 Speaker 1: palette um and together we should say they're both called 215 00:12:05,440 --> 00:12:07,719 Speaker 1: orofacial clefts. Oh yeah, we didn't say that to me. 216 00:12:07,840 --> 00:12:10,920 Speaker 1: And I've also known and I've also seen it abbreviated 217 00:12:10,960 --> 00:12:16,600 Speaker 1: as c l slash p lips slash pallet um. That 218 00:12:16,640 --> 00:12:18,440 Speaker 1: seems to be kind of like the shorthand for it, 219 00:12:18,480 --> 00:12:21,360 Speaker 1: because doctors don't like the right full words and their 220 00:12:21,400 --> 00:12:24,199 Speaker 1: handwriting is just terrible. Um. And then I've also seen 221 00:12:24,280 --> 00:12:28,520 Speaker 1: them called affectionately as cleft eas. Oh that's nice. So 222 00:12:28,920 --> 00:12:31,720 Speaker 1: and you know, we'll talk about the uh, you know, 223 00:12:31,800 --> 00:12:34,679 Speaker 1: acceptance of facial differences if you have a cleft or 224 00:12:35,040 --> 00:12:37,000 Speaker 1: have friends or family members, and that's a big, big 225 00:12:37,000 --> 00:12:38,960 Speaker 1: part of it. And I think something like cleft E's 226 00:12:39,040 --> 00:12:42,280 Speaker 1: might be a way of embracing that s. So there 227 00:12:42,280 --> 00:12:45,880 Speaker 1: are some other things that could be risk factors and 228 00:12:46,120 --> 00:12:49,400 Speaker 1: increase the risk of all kinds of birth effects, certainly 229 00:12:49,440 --> 00:12:52,079 Speaker 1: including clefts. And one of them is if you're smoking 230 00:12:52,080 --> 00:12:55,800 Speaker 1: and drinking booze while you're pregnant. UM. One of the 231 00:12:55,840 --> 00:12:59,839 Speaker 1: reasons alcohol effects UM, any kind of birth effect, is 232 00:13:00,000 --> 00:13:05,320 Speaker 1: because it disrupts the absorption of UH follic acid. And 233 00:13:05,720 --> 00:13:08,240 Speaker 1: that's another reason you might if you don't have enough 234 00:13:08,240 --> 00:13:11,199 Speaker 1: fallic acid. That's why pregnant women take extra It's a 235 00:13:11,280 --> 00:13:15,680 Speaker 1: natural form of B nine. It's a vitamin. And yeah, 236 00:13:15,720 --> 00:13:18,320 Speaker 1: I think. And then late nineties the FDA said you've 237 00:13:18,320 --> 00:13:21,440 Speaker 1: got to start putting extra folic acid in like all 238 00:13:21,520 --> 00:13:27,199 Speaker 1: kinds of common foods. Remember that store your recyclables starting, yeah, 239 00:13:27,240 --> 00:13:29,480 Speaker 1: and and just like put it in bread and pasta 240 00:13:29,559 --> 00:13:32,320 Speaker 1: and grains and cereals and things that people eat a 241 00:13:32,320 --> 00:13:36,160 Speaker 1: lot of. UH. It's naturally found in sunflower seeds and 242 00:13:36,240 --> 00:13:40,160 Speaker 1: fruits and beans and peanuts and stuff like that. So 243 00:13:40,480 --> 00:13:43,559 Speaker 1: you want the follic acid, I think if you're pregnant, 244 00:13:43,640 --> 00:13:48,080 Speaker 1: they recommend you take at least UH six hundred milligrams 245 00:13:48,080 --> 00:13:51,600 Speaker 1: per day. And and if you're just a regular non 246 00:13:51,640 --> 00:13:55,760 Speaker 1: pregnant humans a day, yeah, if you UM are in 247 00:13:55,960 --> 00:14:00,320 Speaker 1: your reproductive stage or age. Right, but you you need 248 00:14:00,400 --> 00:14:03,720 Speaker 1: folic acid anyway, right, why not just as a person? Sure? Yeah, 249 00:14:03,960 --> 00:14:05,559 Speaker 1: I get a lot of bread, I get a lot 250 00:14:05,600 --> 00:14:08,840 Speaker 1: of folic acid. Uh So smoking and drinking is one, 251 00:14:09,160 --> 00:14:12,400 Speaker 1: Diabetes is another. Right, Yeah, that's a really big risk factor. 252 00:14:12,440 --> 00:14:17,200 Speaker 1: Diabetes and obesity both seem to be correlated to increased 253 00:14:17,320 --> 00:14:20,200 Speaker 1: risk of clefts. I'm not sure what the incidences for 254 00:14:20,600 --> 00:14:23,880 Speaker 1: women with diabetes, but it is an increased risk UM. 255 00:14:24,000 --> 00:14:26,920 Speaker 1: And then there's also a couple of epilepsy medications that 256 00:14:27,000 --> 00:14:30,000 Speaker 1: increase your risk. UM. The thing about all this is 257 00:14:30,880 --> 00:14:36,800 Speaker 1: there is no UM definitive understanding your explanation of why 258 00:14:37,040 --> 00:14:42,960 Speaker 1: clefts form of what it is that causes some children's 259 00:14:43,080 --> 00:14:46,080 Speaker 1: um lips just not to join together or their palettes 260 00:14:46,120 --> 00:14:50,040 Speaker 1: that not fuse together at that last final stage. UM. 261 00:14:50,120 --> 00:14:52,640 Speaker 1: It seems to be multi factorial is what they call it, 262 00:14:52,680 --> 00:14:55,720 Speaker 1: where there's just a bunch of different factors. UM. And 263 00:14:55,760 --> 00:14:58,800 Speaker 1: also in addition to genetics, like your parents having one 264 00:14:58,840 --> 00:15:02,320 Speaker 1: of your parents having a sibling with one UM depending 265 00:15:02,320 --> 00:15:06,880 Speaker 1: on your race, actually your your risk is increased. Apparently, 266 00:15:06,920 --> 00:15:11,440 Speaker 1: it's far more common among Asian people, UM and Native Americans. 267 00:15:11,480 --> 00:15:13,840 Speaker 1: I think it's the highest among Native Americans, something like 268 00:15:13,920 --> 00:15:20,520 Speaker 1: three points six out of every uh thousand births. I 269 00:15:20,560 --> 00:15:26,560 Speaker 1: believe um to two among Asian people. It's the lowest 270 00:15:26,600 --> 00:15:33,280 Speaker 1: among African Americans. I think Chinese babies are more commonly diagnosed. 271 00:15:33,520 --> 00:15:35,960 Speaker 1: Is a diagnosis or just what do you even call that? No, 272 00:15:36,040 --> 00:15:39,480 Speaker 1: you're diagnosed, But I mean it's like very easy diagnosis. 273 00:15:39,480 --> 00:15:42,240 Speaker 1: It's like, okay, you're a child has a cleft flip. Right. 274 00:15:42,560 --> 00:15:45,400 Speaker 1: But what's what's interesting, Chuck, is with the cleft palette. 275 00:15:45,960 --> 00:15:49,360 Speaker 1: You can have a cleft palette, but it not be visible. 276 00:15:49,400 --> 00:15:53,840 Speaker 1: It can actually be hidden. That's called the submucosis cleft palette. 277 00:15:54,280 --> 00:15:57,760 Speaker 1: And they might they you might never be diagnosed with 278 00:15:57,800 --> 00:16:00,480 Speaker 1: it because there may be no problem with that or 279 00:16:00,600 --> 00:16:02,960 Speaker 1: that arise from it, like with other cluts, like we'll 280 00:16:03,000 --> 00:16:05,920 Speaker 1: talk about. Yeah, but um, that's kind of rare from 281 00:16:05,920 --> 00:16:08,720 Speaker 1: what I understand, right, And the palette is less visible 282 00:16:08,800 --> 00:16:12,040 Speaker 1: anyway as opposed to the lip. Uh. And you know, 283 00:16:12,080 --> 00:16:14,520 Speaker 1: if you see any kind of photo image of cleft palette, 284 00:16:14,560 --> 00:16:17,840 Speaker 1: is usually the doctor taking a picture of someone with 285 00:16:17,880 --> 00:16:20,400 Speaker 1: their mouth wide open, kind of tilting their head back 286 00:16:20,440 --> 00:16:23,280 Speaker 1: so you can get a good angle on it. Um 287 00:16:23,840 --> 00:16:28,000 Speaker 1: health problems that are associated with clefts are uh, they 288 00:16:28,000 --> 00:16:31,840 Speaker 1: can be numerous. It's it's not you know, it seems 289 00:16:31,880 --> 00:16:35,760 Speaker 1: like everything is something that can be overcome. But they 290 00:16:35,840 --> 00:16:39,440 Speaker 1: are challenges, nonetheless, and they are challenges that especially can 291 00:16:40,280 --> 00:16:43,360 Speaker 1: just make a kid when they're growing up field not 292 00:16:43,440 --> 00:16:45,600 Speaker 1: so great about themselves. So that that's a big, big 293 00:16:45,640 --> 00:16:49,080 Speaker 1: part of overcoming these challenges. But to be sure, there 294 00:16:49,080 --> 00:16:53,320 Speaker 1: are some physical things that happen, like it can interfere 295 00:16:53,360 --> 00:16:56,200 Speaker 1: with how your teeth are forming and growing in Uh. 296 00:16:56,320 --> 00:16:59,200 Speaker 1: Sometimes you might have to get bone graphs on the 297 00:16:59,280 --> 00:17:02,000 Speaker 1: upper portion of your gums, especially if you have a 298 00:17:02,040 --> 00:17:05,280 Speaker 1: cleft lip. Yeah, cleft lips, it seems like it's usually 299 00:17:05,280 --> 00:17:07,840 Speaker 1: where the teeth problems come from. Uh. And then one 300 00:17:07,880 --> 00:17:11,720 Speaker 1: of the first things you know, if you're nursing your baby, 301 00:17:11,880 --> 00:17:15,159 Speaker 1: then if your baby has a cleft lip or and 302 00:17:15,359 --> 00:17:17,920 Speaker 1: or a cleft pallet, they may have trouble latching on 303 00:17:18,080 --> 00:17:21,520 Speaker 1: and getting a good like a good suck is what 304 00:17:21,560 --> 00:17:24,520 Speaker 1: they call it. Yes, And if you luckily, there are 305 00:17:24,640 --> 00:17:27,960 Speaker 1: different um methods for improving that. There are certain types 306 00:17:28,000 --> 00:17:31,080 Speaker 1: of bottles which can help with that. So again that's 307 00:17:31,119 --> 00:17:34,919 Speaker 1: a problem that can be overcome pretty routinely. It's the 308 00:17:35,040 --> 00:17:38,679 Speaker 1: easiest to overcome and to nurse a child with a 309 00:17:38,760 --> 00:17:42,439 Speaker 1: cleft lip because you can set the baby up and 310 00:17:42,840 --> 00:17:48,200 Speaker 1: as usual chuck them in the air um, and you 311 00:17:48,240 --> 00:17:51,639 Speaker 1: can just after they latch on, you just kind of 312 00:17:51,680 --> 00:17:54,119 Speaker 1: put your finger over their cleft flip oh and just 313 00:17:54,200 --> 00:17:57,280 Speaker 1: like close the gap. Basically, it's it's easy as pie. 314 00:17:57,560 --> 00:17:59,840 Speaker 1: With a cleft palette, it can be much more difficult 315 00:18:00,040 --> 00:18:03,520 Speaker 1: because we use our palette to create suction, use your 316 00:18:03,560 --> 00:18:06,240 Speaker 1: tongue and your palate, your soft pallet in particular to 317 00:18:06,320 --> 00:18:10,919 Speaker 1: create suction. So there's specialized bottles for feeding babies with 318 00:18:11,000 --> 00:18:15,760 Speaker 1: cleft pallets. Uh. And in particular, if the baby is 319 00:18:15,800 --> 00:18:19,880 Speaker 1: just not able to latch on for breastfeeding, they still say, well, 320 00:18:19,920 --> 00:18:22,119 Speaker 1: just pump your breast milk and feed your baby the 321 00:18:22,440 --> 00:18:26,600 Speaker 1: bottle milk because unfortunately, because of that gap in their 322 00:18:26,680 --> 00:18:30,160 Speaker 1: their palette, uh, there there's basically a passage into their 323 00:18:30,200 --> 00:18:33,160 Speaker 1: nose and sometimes their ears, so breast milk can get 324 00:18:33,200 --> 00:18:36,159 Speaker 1: in there, and they found it's far less irritating breast 325 00:18:36,160 --> 00:18:39,679 Speaker 1: milk is than um formula when it does get in 326 00:18:39,760 --> 00:18:43,720 Speaker 1: the little baby's ears and nose. That's right. And because 327 00:18:43,720 --> 00:18:47,159 Speaker 1: of that same gap there, I think throughout you know, 328 00:18:47,200 --> 00:18:50,720 Speaker 1: we'll talk about the surgeries, but throughout childhood, babies and 329 00:18:50,800 --> 00:18:54,879 Speaker 1: children with cleft palets and lips have higher incidences of 330 00:18:54,920 --> 00:19:00,480 Speaker 1: ear infections, UM, sometimes chronic Sometimes they might have trouble 331 00:19:01,359 --> 00:19:04,520 Speaker 1: hearing and learning how to talk. But again, these are 332 00:19:04,560 --> 00:19:08,159 Speaker 1: all early challenges that it's such a common birth defect 333 00:19:08,600 --> 00:19:10,560 Speaker 1: that they really really know a lot about how to 334 00:19:10,600 --> 00:19:14,040 Speaker 1: overcome this stuff. That's exactly right. Fortunately, especially in the 335 00:19:14,080 --> 00:19:17,080 Speaker 1: developed world, there's a lot of services available that are 336 00:19:17,080 --> 00:19:20,160 Speaker 1: pretty routine. Yeah, and if you're fortunate enough to live 337 00:19:20,160 --> 00:19:22,480 Speaker 1: in a country with socialized medicine, you get it all 338 00:19:22,520 --> 00:19:25,560 Speaker 1: for free. And if you're not, you're gonna be dropping 339 00:19:25,560 --> 00:19:28,960 Speaker 1: some money on surgery. I think the statistic is two 340 00:19:29,040 --> 00:19:33,720 Speaker 1: hundred thousand dollar average for medical procedures over the course 341 00:19:33,760 --> 00:19:36,280 Speaker 1: of your life. Uh. And I don't know if that's 342 00:19:37,640 --> 00:19:40,160 Speaker 1: figuring in insurance. If that's a two d thousand dollars 343 00:19:40,160 --> 00:19:42,320 Speaker 1: sort of total and you pay a portion of that 344 00:19:42,359 --> 00:19:45,000 Speaker 1: if you're insured, I get that that's out of pocket. 345 00:19:45,240 --> 00:19:48,240 Speaker 1: Oh you think so. I think so interesting. So do 346 00:19:48,240 --> 00:19:50,760 Speaker 1: you want to talk specifically about some of the treatments 347 00:19:50,800 --> 00:19:57,399 Speaker 1: for class. Yeah. So, Um, the diagnosis of cleft often 348 00:19:57,480 --> 00:20:02,360 Speaker 1: happens um through ultrasounds. Uh, so you will know your 349 00:20:02,359 --> 00:20:04,720 Speaker 1: baby is going to be born with a cleft lip 350 00:20:04,960 --> 00:20:07,800 Speaker 1: especially is how you know. But a cleft palates probably 351 00:20:07,800 --> 00:20:10,960 Speaker 1: diagnosed after birth, but shortly after birth, usually upon the 352 00:20:10,960 --> 00:20:14,440 Speaker 1: first examination by the doctor and they'll say, okay, well 353 00:20:14,480 --> 00:20:17,919 Speaker 1: your your child has a cleft pallet. Um, don't panic. 354 00:20:18,200 --> 00:20:20,560 Speaker 1: There's a lot of stuff in place. We know exactly 355 00:20:20,600 --> 00:20:22,479 Speaker 1: what to do, we know exactly when to do it. 356 00:20:23,359 --> 00:20:25,119 Speaker 1: But it's gonna be really tough for you and your 357 00:20:25,160 --> 00:20:28,639 Speaker 1: family because your baby, before your baby turns one year old, 358 00:20:29,240 --> 00:20:33,240 Speaker 1: and as actually as early as maybe three months old, uh, 359 00:20:33,280 --> 00:20:36,560 Speaker 1: they might be they will undergo a surgery, like a 360 00:20:36,600 --> 00:20:41,439 Speaker 1: major surgery where they are given general anesthesia and um, 361 00:20:41,840 --> 00:20:45,920 Speaker 1: basically it's a form of cosmetic surgery to to repair 362 00:20:46,000 --> 00:20:48,159 Speaker 1: is what they call it, um their cleft lip or 363 00:20:48,200 --> 00:20:51,080 Speaker 1: the cleft palette or both. And it's it's basically the 364 00:20:51,119 --> 00:20:53,720 Speaker 1: first in a very long line of surgeries that will 365 00:20:54,440 --> 00:20:57,880 Speaker 1: take up their first eighteen years pretty easily. Yeah, it's 366 00:20:57,920 --> 00:21:01,040 Speaker 1: called the first one is called kylo plasty uh c 367 00:21:01,480 --> 00:21:06,600 Speaker 1: h e I l o plasty, and this is uh 368 00:21:06,640 --> 00:21:08,840 Speaker 1: it can be a few surgeries. Like I said about 369 00:21:08,880 --> 00:21:12,760 Speaker 1: the teeth, it can include bone graphs. And I think 370 00:21:12,800 --> 00:21:15,040 Speaker 1: the cleft palate surgery is a little bit later. That's 371 00:21:15,080 --> 00:21:17,360 Speaker 1: only for cleft lip and cleft pallet though, is still 372 00:21:17,400 --> 00:21:20,080 Speaker 1: before they're eighteen months old. And you know, even though 373 00:21:20,080 --> 00:21:22,440 Speaker 1: it's routine, it is like you said, it's it's stressful 374 00:21:22,480 --> 00:21:25,840 Speaker 1: for a parent too to see that little baby go 375 00:21:25,920 --> 00:21:28,520 Speaker 1: under general anesthesia and go under the knife. Yeah, and 376 00:21:28,560 --> 00:21:31,679 Speaker 1: when they come out, I mean, you know, they're in pain, 377 00:21:31,800 --> 00:21:36,919 Speaker 1: they're not very happy, they're pretty uncomfortable. It's no fun. Fortunately, um, 378 00:21:36,960 --> 00:21:42,360 Speaker 1: they've actually come up with a procedure called nasoalveolar molding 379 00:21:42,880 --> 00:21:47,919 Speaker 1: or any um, thank god uh where this reduces the 380 00:21:48,000 --> 00:21:50,520 Speaker 1: number of follow up surgeries because they don't always get 381 00:21:50,520 --> 00:21:52,959 Speaker 1: it on the first surgery. They might just kind of 382 00:21:52,960 --> 00:21:55,160 Speaker 1: be like, well, this is the first step, and we're 383 00:21:55,160 --> 00:21:57,280 Speaker 1: gonna let this heal and kind of fuse a little 384 00:21:57,280 --> 00:21:59,359 Speaker 1: more closer together, and then we're gonna try it again 385 00:21:59,400 --> 00:22:01,640 Speaker 1: and again, and we'll finally get there after a couple 386 00:22:01,680 --> 00:22:05,480 Speaker 1: of surgeries. Are a few Uh an a yum kind 387 00:22:05,480 --> 00:22:08,880 Speaker 1: of does that follow up surgery ahead of time by 388 00:22:08,960 --> 00:22:14,880 Speaker 1: molding the little baby's astoundingly malleable features ahead of time 389 00:22:14,920 --> 00:22:19,399 Speaker 1: before the surgery. Yeah, it almost sounded like braces for 390 00:22:19,600 --> 00:22:24,880 Speaker 1: your faces. That's right. Uh. It's a clear plastic retainer 391 00:22:25,040 --> 00:22:27,920 Speaker 1: inside the mouth, and like you said, it helps mold 392 00:22:27,960 --> 00:22:31,159 Speaker 1: it as they grow, and then like braces, they adjust 393 00:22:31,240 --> 00:22:34,119 Speaker 1: it as they grow and maybe like tighten it down. 394 00:22:34,280 --> 00:22:37,399 Speaker 1: I think for cleff lips um they add a little 395 00:22:37,440 --> 00:22:39,480 Speaker 1: if it's a small one, they add a little plastic 396 00:22:39,560 --> 00:22:43,280 Speaker 1: post that's up in the nose to lift that up 397 00:22:43,600 --> 00:22:45,800 Speaker 1: because it can also affect the shape of your nose 398 00:22:45,840 --> 00:22:48,119 Speaker 1: early on too. I'm not sure if we mentioned that. 399 00:22:48,200 --> 00:22:51,840 Speaker 1: So it's all sort of tied in together developmentally, and 400 00:22:51,920 --> 00:22:56,280 Speaker 1: it sounds like this nam retainer device sort of just limits, 401 00:22:56,320 --> 00:22:58,600 Speaker 1: like you said, what's going to happen in the future. Yeah, 402 00:22:58,640 --> 00:23:01,760 Speaker 1: And it just brings a head cliff closer together so 403 00:23:01,800 --> 00:23:04,160 Speaker 1: that when they actually do go in to do the surgery, 404 00:23:04,400 --> 00:23:09,480 Speaker 1: there's far less trauma and it's it's far more successful 405 00:23:10,160 --> 00:23:15,119 Speaker 1: bringing it together. Um. The palette surgery is called the palettoplasty, 406 00:23:15,160 --> 00:23:18,600 Speaker 1: and it actually because the especially if it's going through 407 00:23:18,640 --> 00:23:22,600 Speaker 1: the bony part of your hard pallet. Um. They may 408 00:23:22,880 --> 00:23:25,399 Speaker 1: use bone graphs to kind of fuse that, or they 409 00:23:25,440 --> 00:23:29,119 Speaker 1: may just basically cut the gums along the roof of 410 00:23:29,119 --> 00:23:32,600 Speaker 1: your mouth from the mouth and bring it together and 411 00:23:32,680 --> 00:23:36,960 Speaker 1: just basically cover it up. And for all intents and purposes, Um, 412 00:23:37,080 --> 00:23:40,600 Speaker 1: the palette has been fixed. There's not milk going in 413 00:23:40,680 --> 00:23:44,280 Speaker 1: their ear canal any longer rub their nose. Um, they're 414 00:23:44,359 --> 00:23:47,320 Speaker 1: going to be able to speak clearly because they'll have 415 00:23:47,400 --> 00:23:50,560 Speaker 1: that soft palette, which we use to basically make almost 416 00:23:50,600 --> 00:23:54,000 Speaker 1: every sound we make phonetically. We use our soft palette 417 00:23:54,040 --> 00:23:57,640 Speaker 1: to close the airway. I'm doing it right now, literally, 418 00:23:57,880 --> 00:24:01,440 Speaker 1: right now, I'm doing literally. Um. So if you could 419 00:24:01,440 --> 00:24:05,280 Speaker 1: just kind of cover that cleft palette with gum tissue, 420 00:24:05,960 --> 00:24:08,479 Speaker 1: I mean, you've fixed a lot of the issues that 421 00:24:08,520 --> 00:24:11,000 Speaker 1: arise from having a cleft pallet. Yeah. I mean, in 422 00:24:11,040 --> 00:24:14,040 Speaker 1: addition to that speech surgery, there may be speech therapy 423 00:24:15,040 --> 00:24:20,560 Speaker 1: that your kid might undergo early on. Um, they're rhino plastic. 424 00:24:20,680 --> 00:24:23,840 Speaker 1: Sometimes because I did mention the nose, sometimes the rhino 425 00:24:23,840 --> 00:24:28,440 Speaker 1: plastic comes into play. Uh. And then there's also worth 426 00:24:29,080 --> 00:24:36,080 Speaker 1: man or though Nathnick Nathic ornatic. That g's gotta be silent, 427 00:24:37,160 --> 00:24:39,840 Speaker 1: don't you think? I don't know? Man, all right, you 428 00:24:40,160 --> 00:24:43,000 Speaker 1: take a stab or thug natic? Yeah, I think that 429 00:24:43,119 --> 00:24:46,160 Speaker 1: was it, really yeah, I think so. All right, Well, 430 00:24:46,200 --> 00:24:50,600 Speaker 1: this is jaw alignment surgery, and this is uh, this 431 00:24:50,680 --> 00:24:53,720 Speaker 1: is something that happens later on because your jaw has 432 00:24:53,720 --> 00:24:55,680 Speaker 1: to stop growing. This is sort of similar, I think 433 00:24:55,680 --> 00:24:59,600 Speaker 1: to my issues with my crossbite, and it's all sort 434 00:24:59,640 --> 00:25:02,880 Speaker 1: of the Donic related in a way as well. Um, 435 00:25:02,960 --> 00:25:06,680 Speaker 1: and that that ridge that's at the like right behind 436 00:25:06,720 --> 00:25:09,800 Speaker 1: your teeth, that your adult teeth actually grow out of 437 00:25:09,840 --> 00:25:12,000 Speaker 1: that And if you have a cliff lip in particular, 438 00:25:12,080 --> 00:25:14,800 Speaker 1: like you were saying, um, you might need a bone graph. 439 00:25:14,840 --> 00:25:19,400 Speaker 1: That's another surgery that you were talking about implants, so 440 00:25:19,480 --> 00:25:23,400 Speaker 1: that like for your front teeth in particular. Um, So 441 00:25:23,480 --> 00:25:25,720 Speaker 1: that's a that's a pretty decent amount of surgeries and 442 00:25:25,840 --> 00:25:28,880 Speaker 1: that's not necessarily one and done for any of them. 443 00:25:28,960 --> 00:25:33,080 Speaker 1: Especially I think rhinoplastic can be uh can take multiple 444 00:25:33,119 --> 00:25:35,919 Speaker 1: surgeries to kind of get the nose back where you 445 00:25:35,960 --> 00:25:40,240 Speaker 1: wanted to. But again, like this is the doctors who 446 00:25:40,280 --> 00:25:43,040 Speaker 1: handle this stuff at children's hospitals around the country and 447 00:25:43,400 --> 00:25:48,840 Speaker 1: basically everywhere and the um the global North just know 448 00:25:48,960 --> 00:25:51,080 Speaker 1: exactly what they're doing and what to do and when 449 00:25:51,119 --> 00:25:54,120 Speaker 1: to do it, and it's the The outcome is usually 450 00:25:54,760 --> 00:25:57,879 Speaker 1: very good. The prognosis of a baby born with a 451 00:25:57,920 --> 00:26:02,120 Speaker 1: cleft lip um is you know, is pretty good. Yeah, 452 00:26:02,200 --> 00:26:05,240 Speaker 1: it's great. Um, there can be scarring obviously, especially that 453 00:26:05,320 --> 00:26:08,399 Speaker 1: first surgery. They're sort of a signature scar from a 454 00:26:08,440 --> 00:26:12,600 Speaker 1: cleft lips surgical procedure, and kids can be very self 455 00:26:12,640 --> 00:26:15,480 Speaker 1: conscious about that stuff. But I think you know, they 456 00:26:15,560 --> 00:26:19,040 Speaker 1: encourage parents to try and uh just be open about 457 00:26:19,040 --> 00:26:20,920 Speaker 1: that stuff and get them to to own that as 458 00:26:20,960 --> 00:26:24,280 Speaker 1: a as a facial difference and as a visible difference, 459 00:26:24,440 --> 00:26:27,159 Speaker 1: and and to really drive home to the kid like 460 00:26:27,200 --> 00:26:29,720 Speaker 1: this is not going to you know, you can still 461 00:26:29,720 --> 00:26:32,600 Speaker 1: be an athlete, you can still it doesn't affect any 462 00:26:32,680 --> 00:26:37,080 Speaker 1: kind of uh learning or anything like that in school. So, uh, 463 00:26:37,200 --> 00:26:39,600 Speaker 1: it's really up to the parents and then through the 464 00:26:39,600 --> 00:26:41,960 Speaker 1: help of like friends and family hopefully to to get 465 00:26:42,000 --> 00:26:43,639 Speaker 1: that kid on the right track. And that that's a 466 00:26:43,720 --> 00:26:47,480 Speaker 1: huge one to supposedly like parents who are given, especially 467 00:26:47,480 --> 00:26:50,119 Speaker 1: with an ultrasound a diagnosis of a child with a 468 00:26:50,160 --> 00:26:55,280 Speaker 1: cleft lip um, can they can take the news pretty hard. Yeah. Um, 469 00:26:55,480 --> 00:26:57,480 Speaker 1: I was reading Uh, I don't remember I read it, 470 00:26:57,520 --> 00:26:59,600 Speaker 1: but it was basically like a first person account of 471 00:26:59,600 --> 00:27:03,000 Speaker 1: having a child with a cleft lip. And the woman 472 00:27:03,080 --> 00:27:05,000 Speaker 1: was saying, she was really worried that she's gonna have 473 00:27:05,040 --> 00:27:09,359 Speaker 1: trouble bonding with her baby. Remember our cute episode in 474 00:27:09,400 --> 00:27:14,520 Speaker 1: the kinder kindIn Schema. Um, she was basically worried about that. Uh. 475 00:27:14,560 --> 00:27:16,480 Speaker 1: And then she said the moment she saw her baby, 476 00:27:16,600 --> 00:27:19,240 Speaker 1: she just fell totally in love and it was like 477 00:27:19,600 --> 00:27:22,439 Speaker 1: it was just like having any other baby. It was 478 00:27:22,440 --> 00:27:24,720 Speaker 1: her baby, so of course she loved it no matter 479 00:27:25,040 --> 00:27:27,280 Speaker 1: whether she had a cleft lip or not. But that 480 00:27:27,480 --> 00:27:30,720 Speaker 1: is that is a common concern among parents when their 481 00:27:30,840 --> 00:27:34,200 Speaker 1: first you know, getting their feet wet with this. Um. 482 00:27:34,280 --> 00:27:36,600 Speaker 1: But I was reading some studies and they found that 483 00:27:36,640 --> 00:27:45,720 Speaker 1: there are basically no bonding issues that that differentiate parents 484 00:27:45,720 --> 00:27:50,440 Speaker 1: and children of kids with cleft palates or lips um 485 00:27:50,480 --> 00:27:54,760 Speaker 1: from from kids without cleft lips. That that they basically 486 00:27:54,800 --> 00:27:57,600 Speaker 1: the outcome is the same. One of the things that 487 00:27:57,640 --> 00:28:00,280 Speaker 1: you do have to be careful with though, is it's 488 00:28:00,440 --> 00:28:03,840 Speaker 1: very easy for you to become an overprotective parent because 489 00:28:03,840 --> 00:28:07,960 Speaker 1: you're dealing with a baby that you're sending off for surgery. 490 00:28:08,400 --> 00:28:10,080 Speaker 1: You don't want any harm to come to it. You've 491 00:28:10,119 --> 00:28:13,159 Speaker 1: now seen your baby with like a heart monitor, like 492 00:28:13,200 --> 00:28:16,119 Speaker 1: i V tube sticking out of them, and that's just 493 00:28:16,240 --> 00:28:18,080 Speaker 1: not a sight you want to see. It can really 494 00:28:18,119 --> 00:28:20,960 Speaker 1: make you even more protective of your baby than before. 495 00:28:21,200 --> 00:28:23,600 Speaker 1: And then when they come home and they're being teased 496 00:28:23,640 --> 00:28:27,119 Speaker 1: because of their facial difference, which they cannot help and 497 00:28:27,160 --> 00:28:30,000 Speaker 1: they had. They're not guilty of anything. They don't deserve 498 00:28:30,080 --> 00:28:32,360 Speaker 1: any of that kind of bullying or teasing. I'm sure 499 00:28:32,359 --> 00:28:34,000 Speaker 1: it makes you want to go kill those little kids 500 00:28:34,000 --> 00:28:36,880 Speaker 1: who are doing that. UM, so you got you kind 501 00:28:36,880 --> 00:28:42,440 Speaker 1: of have to. It's a definite crucible for uh, for 502 00:28:42,640 --> 00:28:46,040 Speaker 1: parents that that you have. It's an additional challenge that 503 00:28:46,160 --> 00:28:48,360 Speaker 1: you would have to to take on. But parents do 504 00:28:48,360 --> 00:28:50,200 Speaker 1: it all the time and their kids turn out totally 505 00:28:50,240 --> 00:28:54,560 Speaker 1: normal all the time. All right, Well, take another break, 506 00:28:55,200 --> 00:28:58,000 Speaker 1: are another break, and we'll come back and finish up 507 00:28:58,080 --> 00:29:23,640 Speaker 1: right after this. See alright, so we should talk about 508 00:29:23,720 --> 00:29:25,920 Speaker 1: some of the great things that are going on around 509 00:29:25,960 --> 00:29:28,320 Speaker 1: the world, but we first have to talk about some 510 00:29:28,360 --> 00:29:31,120 Speaker 1: of the not so great things. Um. We've been talking 511 00:29:31,120 --> 00:29:33,760 Speaker 1: to this about this from the perspective of someone in 512 00:29:33,800 --> 00:29:36,600 Speaker 1: the United States, where it is very common and very 513 00:29:36,600 --> 00:29:41,200 Speaker 1: treatable and outcomes are great. Unfortunately, in developing countries there 514 00:29:41,200 --> 00:29:44,200 Speaker 1: are a lot more challenges. Of course. Uh. There is 515 00:29:44,480 --> 00:29:48,160 Speaker 1: a lot of stigma attached to this anywhere, but especially 516 00:29:48,240 --> 00:29:51,880 Speaker 1: in developing countries. You might come into a situation where 517 00:29:52,680 --> 00:29:56,680 Speaker 1: um uh, like a father might blame the mother and 518 00:29:56,760 --> 00:29:59,840 Speaker 1: say you were to blame because you didn't do whatever right, 519 00:30:00,400 --> 00:30:02,920 Speaker 1: that my child looks like this, and there can be 520 00:30:02,960 --> 00:30:04,920 Speaker 1: a lot of shame involved. I think there was a 521 00:30:04,960 --> 00:30:08,640 Speaker 1: study in Kenya where mothers of babies were blamed by 522 00:30:08,680 --> 00:30:12,280 Speaker 1: their husband and extended families for that. And they interviewed 523 00:30:12,320 --> 00:30:15,600 Speaker 1: some of these women and some had contemplated taking the 524 00:30:15,640 --> 00:30:18,520 Speaker 1: baby's life or their own life or both. Uh. And 525 00:30:18,600 --> 00:30:24,680 Speaker 1: that is just unspeakable, uh, unspeakably tragic, of course. Uh. 526 00:30:24,720 --> 00:30:28,880 Speaker 1: Their access to medical care is different. Obviously. The further 527 00:30:29,000 --> 00:30:32,520 Speaker 1: they are away from good care and the more expensive 528 00:30:32,520 --> 00:30:34,880 Speaker 1: it is, the harder it becomes to overcome these challenges. 529 00:30:35,720 --> 00:30:40,000 Speaker 1: But there is great news because there are some great organizations. 530 00:30:40,000 --> 00:30:43,360 Speaker 1: One's called Smile Train, one's called Operations Smile and what 531 00:30:43,440 --> 00:30:46,120 Speaker 1: they do instead of sending in doctors, they try and 532 00:30:46,160 --> 00:30:49,960 Speaker 1: go in and train up doctors in these places to 533 00:30:50,040 --> 00:30:52,200 Speaker 1: deal with this better, to teach them how to perform 534 00:30:52,240 --> 00:30:55,480 Speaker 1: these surgeries, and to help educate the public at large 535 00:30:56,000 --> 00:31:00,160 Speaker 1: about facial differences and that it's it's okay. Yeah, I 536 00:31:00,200 --> 00:31:03,680 Speaker 1: was looking at Charity Navigator. You ever go on there, man, 537 00:31:03,720 --> 00:31:07,960 Speaker 1: they're great. Um, it turns out Operations Smile has like 538 00:31:08,000 --> 00:31:11,959 Speaker 1: a seventy, which is fine, but Smile Train is a 539 00:31:13,240 --> 00:31:17,400 Speaker 1: Charity Navigator. No. No, they've been around for a while now. 540 00:31:17,440 --> 00:31:20,680 Speaker 1: That's amazing. Both of them have, like, um, they're spending 541 00:31:21,080 --> 00:31:24,200 Speaker 1: tens and tens of millions of dollars a year on 542 00:31:24,400 --> 00:31:27,560 Speaker 1: providing like these services for children around the world. So 543 00:31:28,120 --> 00:31:30,960 Speaker 1: seventy five or a hundred, hats off to both of 544 00:31:30,960 --> 00:31:34,200 Speaker 1: them for that. That's great. I think Operations Smile has 545 00:31:34,840 --> 00:31:38,800 Speaker 1: thirty one medical centers in sixteen countries and they have 546 00:31:39,200 --> 00:31:41,960 Speaker 1: these international medical missions every year, like over a hundred 547 00:31:41,960 --> 00:31:44,160 Speaker 1: of them that they where, Like I said, they just 548 00:31:44,200 --> 00:31:47,480 Speaker 1: go in they teach the doctors instead of bringing in doctors, 549 00:31:48,040 --> 00:31:50,480 Speaker 1: and I think the whole teacher person to fish thing 550 00:31:50,720 --> 00:31:53,280 Speaker 1: all right comes into play. Teach a person to fix 551 00:31:53,280 --> 00:31:56,240 Speaker 1: a cleft flip and they'll be doing it again and again. 552 00:31:56,880 --> 00:32:01,200 Speaker 1: That's the old thing. So uh, there are actually like 553 00:32:01,280 --> 00:32:04,040 Speaker 1: since it's I think one out of every seven fifty 554 00:32:04,080 --> 00:32:06,640 Speaker 1: berths in the United States alone, that might even be 555 00:32:06,680 --> 00:32:11,440 Speaker 1: like a European statistic too. Um, there's a lot of 556 00:32:11,480 --> 00:32:14,080 Speaker 1: famous people who have cleft flips because, like you said, 557 00:32:14,400 --> 00:32:16,280 Speaker 1: if you have a cleft lip or a cleft palette, 558 00:32:16,320 --> 00:32:19,680 Speaker 1: it doesn't prevent you from doing anything. Um, so you 559 00:32:19,720 --> 00:32:25,400 Speaker 1: could excel at say acting as maybe Mike Hamer if 560 00:32:25,440 --> 00:32:29,040 Speaker 1: you wanted to Stacy Kea. Yeah, is that you're talking about? Yeah, 561 00:32:29,040 --> 00:32:32,640 Speaker 1: Stacy Keach has that cleft palette or I guess cleft 562 00:32:32,680 --> 00:32:36,480 Speaker 1: lips surgery scar forward surgeries. Actually that Stacy Keach had 563 00:32:37,120 --> 00:32:40,800 Speaker 1: uh cheech marin sure. I guess he can still smoke 564 00:32:40,880 --> 00:32:42,720 Speaker 1: downs a weed. I was gonna say, he's got the 565 00:32:42,760 --> 00:32:47,040 Speaker 1: suction thing down maybe, So who else? Uh? Joaquin Phoenix 566 00:32:47,120 --> 00:32:51,600 Speaker 1: actually is widely considered to have a um like a 567 00:32:51,680 --> 00:32:55,680 Speaker 1: cleft scar. It has what looks like that cleft scar 568 00:32:55,840 --> 00:32:59,040 Speaker 1: like he had a cleft lip repair, a chilly a 569 00:32:59,160 --> 00:33:04,280 Speaker 1: kilo plastic um, but he doesn't. He has a microform 570 00:33:04,360 --> 00:33:08,720 Speaker 1: cleft that was It's it's looked like that since birth. Um. 571 00:33:08,760 --> 00:33:11,959 Speaker 1: And apparently Wendy Williams, the talk show host, got just 572 00:33:12,120 --> 00:33:15,160 Speaker 1: jumped all over last year because she was talking about 573 00:33:15,160 --> 00:33:17,719 Speaker 1: how cute she thought it was and then was like 574 00:33:18,000 --> 00:33:21,800 Speaker 1: basically pulling her Yeah, she didn't do it right at all. 575 00:33:22,440 --> 00:33:24,440 Speaker 1: She was ultimately trying to give him a compliment, but 576 00:33:25,040 --> 00:33:28,440 Speaker 1: she did not do it in the right way. Definitely 577 00:33:29,000 --> 00:33:32,960 Speaker 1: suffered for it. Um. And then Peyton Manning is another one. Yeah, 578 00:33:33,000 --> 00:33:36,840 Speaker 1: I think his was a palette, right, he had I 579 00:33:36,880 --> 00:33:41,280 Speaker 1: think a lip too. No, I guess it says palette. 580 00:33:41,320 --> 00:33:43,320 Speaker 1: I thought he had a cliff flip because I feel 581 00:33:43,320 --> 00:33:45,719 Speaker 1: like I've seen him he has a scar, like his 582 00:33:45,760 --> 00:33:48,440 Speaker 1: lip looks turned up a little bit. But maybe it 583 00:33:48,520 --> 00:33:50,520 Speaker 1: was just a cliff palette. So he had a couple 584 00:33:50,520 --> 00:33:54,200 Speaker 1: of surgeries, and he had I think he had braces 585 00:33:54,280 --> 00:33:58,320 Speaker 1: for like eleven years, from like age four. Yeah, man, 586 00:33:58,360 --> 00:34:00,760 Speaker 1: that's to four to fifteen having races. I mean I 587 00:34:00,800 --> 00:34:03,400 Speaker 1: had braces twice and that was bad. That's the Jolly 588 00:34:03,480 --> 00:34:06,320 Speaker 1: Rancher years. And Peyton Manning missed out on those. I 589 00:34:06,320 --> 00:34:09,280 Speaker 1: can assure you he did. Did you like the individual 590 00:34:09,320 --> 00:34:13,399 Speaker 1: candies or the sticks? The sticks? That was just too much, man, 591 00:34:13,440 --> 00:34:16,239 Speaker 1: it was over the top was it for me? I 592 00:34:16,320 --> 00:34:19,520 Speaker 1: kind of liked him because the more you uh licked 593 00:34:19,520 --> 00:34:21,279 Speaker 1: on him and sucked on him that you can make 594 00:34:21,360 --> 00:34:24,360 Speaker 1: him into a knife basically right, like a poop knife. 595 00:34:24,360 --> 00:34:28,600 Speaker 1: But it was very sharp. What was your flavor? I 596 00:34:28,680 --> 00:34:31,040 Speaker 1: was always green apple? Same here. I love those watermelon 597 00:34:31,080 --> 00:34:34,120 Speaker 1: are good too. It's okay, it's old fast. Don't come 598 00:34:34,120 --> 00:34:35,800 Speaker 1: at me with grape. I don't. I don't like the grape. 599 00:34:35,920 --> 00:34:37,960 Speaker 1: I don't. I had no problem with grapes. What about 600 00:34:37,960 --> 00:34:41,680 Speaker 1: the blue? I think blue raspberry one have been remember 601 00:34:41,800 --> 00:34:44,400 Speaker 1: that maybe? But boy, those green apple, yeah, they're good. 602 00:34:44,440 --> 00:34:46,719 Speaker 1: I haven't had one of those in forty years. I 603 00:34:46,760 --> 00:34:48,920 Speaker 1: think I still have. I haven't either. I still have 604 00:34:49,000 --> 00:34:54,760 Speaker 1: some stuff to my mole. Wow, Dennison never just couldn't 605 00:34:54,760 --> 00:34:57,920 Speaker 1: even get it out. They try, they try, and they fail, 606 00:34:58,040 --> 00:35:01,239 Speaker 1: every single one of them. So Peyton man Ing uh, he, 607 00:35:01,400 --> 00:35:04,680 Speaker 1: like I said, has done a lot with his money 608 00:35:04,719 --> 00:35:06,880 Speaker 1: over the years, in addition to throwing lots of touchdowns, 609 00:35:06,880 --> 00:35:09,279 Speaker 1: a lot of philanthropy, and I think even the St. 610 00:35:09,360 --> 00:35:13,360 Speaker 1: Vincent's Childrens Hospital in Indiana they renamed that Peyton Manning 611 00:35:13,440 --> 00:35:17,560 Speaker 1: Children's Hospital at St. Vincent because they have the leading 612 00:35:17,760 --> 00:35:21,239 Speaker 1: or one of the leading pediatric cranio facial centers in 613 00:35:21,280 --> 00:35:23,759 Speaker 1: the country, and he has shoveled a lot of money 614 00:35:23,840 --> 00:35:26,600 Speaker 1: their way. UM. There's also one other thing we're talking about, 615 00:35:26,600 --> 00:35:30,080 Speaker 1: how other kids and other countries don't have access to 616 00:35:30,239 --> 00:35:33,680 Speaker 1: a lot of the services UM. And apparently a lot 617 00:35:33,760 --> 00:35:37,080 Speaker 1: of people have said, I want to adopt a child 618 00:35:37,160 --> 00:35:40,759 Speaker 1: from a developing country, and I am going to just 619 00:35:40,840 --> 00:35:44,560 Speaker 1: basically go ahead and go right onto the canonization track 620 00:35:45,200 --> 00:35:48,319 Speaker 1: and adopt a child from a developing country who has 621 00:35:48,360 --> 00:35:51,000 Speaker 1: what's called an unrepaired cleft and like, you know this 622 00:35:51,080 --> 00:35:53,160 Speaker 1: going into it, Yes, you sign up for it. There's 623 00:35:53,160 --> 00:35:56,560 Speaker 1: actually a group by the way called Rainbow Kids UM 624 00:35:56,680 --> 00:36:02,240 Speaker 1: that connects people to adoptive parents to children with developmental 625 00:36:02,719 --> 00:36:05,960 Speaker 1: UM or other kinds of special needs UM and that 626 00:36:06,000 --> 00:36:08,879 Speaker 1: includes kids with cleff lips, cleff pallets, that kind of thing, 627 00:36:08,880 --> 00:36:10,759 Speaker 1: which I think is pretty great. That is great, and 628 00:36:10,760 --> 00:36:13,319 Speaker 1: then you know that's one of the stressors of the 629 00:36:13,360 --> 00:36:15,759 Speaker 1: many stressors of adopting a kid period. I can say 630 00:36:15,800 --> 00:36:19,719 Speaker 1: from experience and that you are oftentimes dealing with a 631 00:36:19,719 --> 00:36:22,520 Speaker 1: birth mother that may not have practiced great prenatal care. 632 00:36:22,680 --> 00:36:26,800 Speaker 1: Add access to it, UM, smoking and drugs and alcohol 633 00:36:26,840 --> 00:36:29,680 Speaker 1: could play a part. And you you sign up for this, 634 00:36:29,800 --> 00:36:32,359 Speaker 1: and you they ask you these questions beforehand. They're like, 635 00:36:32,760 --> 00:36:35,520 Speaker 1: what would you do if you are in the birth 636 00:36:35,640 --> 00:36:38,000 Speaker 1: room and the baby comes out with a cleff flip 637 00:36:38,120 --> 00:36:41,399 Speaker 1: or a cleft pallet? Like, what's your real They ask that. Yeah, 638 00:36:41,400 --> 00:36:45,080 Speaker 1: I mean it's just called your tolerance list, Like what 639 00:36:45,200 --> 00:36:47,640 Speaker 1: if this happens? What if this happens? What if you 640 00:36:47,680 --> 00:36:49,839 Speaker 1: go in there and the baby comes out that's an 641 00:36:49,880 --> 00:36:54,080 Speaker 1: unexpected race? And you're like, okay, well could that happen? Yeah, 642 00:36:54,320 --> 00:36:56,319 Speaker 1: They're like, well sure again, so how are you gonna 643 00:36:56,719 --> 00:36:59,080 Speaker 1: And then they you know, they tap on their on 644 00:36:59,120 --> 00:37:01,000 Speaker 1: the clipboard and look you and they're like what would 645 00:37:01,040 --> 00:37:02,920 Speaker 1: you do? So you just got to fill out all 646 00:37:02,960 --> 00:37:06,439 Speaker 1: this stuff, and uh, it's really interesting and it makes 647 00:37:06,440 --> 00:37:08,799 Speaker 1: you do two things. That makes you really take a 648 00:37:08,840 --> 00:37:11,520 Speaker 1: hard look at what matters and also take a hard 649 00:37:11,520 --> 00:37:15,280 Speaker 1: look at your own family and genetics, and eventually probably 650 00:37:15,360 --> 00:37:18,359 Speaker 1: end up saying like, hey, we're no prize either, so 651 00:37:19,000 --> 00:37:21,120 Speaker 1: let's just do this. That's fantastic. Yeah, it's real, it's 652 00:37:21,160 --> 00:37:25,040 Speaker 1: really do an adoption podcast. When I agree, I agree. 653 00:37:25,320 --> 00:37:27,520 Speaker 1: Jerry could even maybe say a few words. She just 654 00:37:27,560 --> 00:37:30,120 Speaker 1: thumbed up and then shook her head. She did. She's 655 00:37:30,160 --> 00:37:35,600 Speaker 1: a little sleep now. She just finished the lunch. We'll see. Uh, 656 00:37:35,760 --> 00:37:37,799 Speaker 1: so you got anything else? I got nothing else? Okay, Well, 657 00:37:37,800 --> 00:37:39,400 Speaker 1: if you want to know more about cleft lips and 658 00:37:39,440 --> 00:37:43,440 Speaker 1: cliff palettes and cranio facial clefts, then you can go 659 00:37:43,600 --> 00:37:46,239 Speaker 1: do some more research online. Since I say good, do 660 00:37:46,320 --> 00:37:52,439 Speaker 1: more research online, it's time for listener. Ma, I'm gonna 661 00:37:52,480 --> 00:37:57,839 Speaker 1: call this. Uh. I inadvertently said something and I didn't 662 00:37:57,840 --> 00:37:59,960 Speaker 1: even know what it meant. I don't think we did this, 663 00:38:00,000 --> 00:38:04,200 Speaker 1: and yet did we about Netflix and Chill? I don't so, 664 00:38:04,239 --> 00:38:07,400 Speaker 1: I said, Netflix and Chill have heard. It's an expression. 665 00:38:08,000 --> 00:38:12,399 Speaker 1: There's a been and Jerry's flavor that I love. What's it? Oh? 666 00:38:12,600 --> 00:38:15,359 Speaker 1: I can't even remember. It's just really good. It's got 667 00:38:15,400 --> 00:38:19,120 Speaker 1: a lot of good, delicious, crunchy sweet things going on. 668 00:38:19,480 --> 00:38:21,399 Speaker 1: It's one of my favorite flavors. I'll check it out. 669 00:38:22,080 --> 00:38:23,920 Speaker 1: But let me just read this welcome back stuff you 670 00:38:23,920 --> 00:38:26,840 Speaker 1: should know. Team listening to your appendix episode had a 671 00:38:26,880 --> 00:38:29,560 Speaker 1: good laugh During the podcast, Chuck said our immune system 672 00:38:29,640 --> 00:38:32,640 Speaker 1: is not good at Netflix and Chill and I really 673 00:38:32,640 --> 00:38:36,640 Speaker 1: started laughing. Did you know what this meant? Yes, why 674 00:38:36,640 --> 00:38:38,520 Speaker 1: didn't you say something when I said it? I don't know. 675 00:38:38,760 --> 00:38:41,439 Speaker 1: I must have been thinking of my next joke or something, 676 00:38:41,480 --> 00:38:43,760 Speaker 1: because I don't know how I missed that. Did you know, Jerry? 677 00:38:43,920 --> 00:38:45,520 Speaker 1: Do you know what that? Man? I'm an idiot. I 678 00:38:46,080 --> 00:38:49,200 Speaker 1: can listen if I snorted. Last week, my thirty year 679 00:38:49,239 --> 00:38:51,440 Speaker 1: old daughter was visiting. I said to her, let's Netflix 680 00:38:51,440 --> 00:38:54,480 Speaker 1: and Chill and she promptly told me, mom, that is 681 00:38:54,800 --> 00:38:59,600 Speaker 1: code for having sex. What who knew? Obviously? Stuff you 682 00:38:59,600 --> 00:39:02,399 Speaker 1: should know. Oh did not get the slang Dakota memo either, 683 00:39:02,719 --> 00:39:05,680 Speaker 1: and we should say Chuck did not. I'm absolving you 684 00:39:05,719 --> 00:39:08,359 Speaker 1: and Jerry, but thanks for making me laugh. And that's 685 00:39:08,360 --> 00:39:10,880 Speaker 1: from Rosie. And Rosie said that I could read this 686 00:39:10,920 --> 00:39:12,719 Speaker 1: and her daughter would get a good laugh about it. 687 00:39:12,760 --> 00:39:16,239 Speaker 1: But I feel like a rube. I had no idea that, 688 00:39:16,640 --> 00:39:18,360 Speaker 1: And it makes sense now, like I could see some 689 00:39:18,440 --> 00:39:20,279 Speaker 1: kid being like, what did you guys do last night? Well? 690 00:39:20,320 --> 00:39:22,880 Speaker 1: Just you know Netflix and Chill, when in fact they 691 00:39:22,920 --> 00:39:26,759 Speaker 1: were doing you know, unspeakable things. But now I know 692 00:39:26,960 --> 00:39:29,759 Speaker 1: Netflix and Chill. Yeah, I don't know how I let 693 00:39:29,800 --> 00:39:34,760 Speaker 1: that one passed. Maybe it was purposeful, that's right. Um, Well, 694 00:39:34,800 --> 00:39:38,040 Speaker 1: thanks for that one. Who was that again, Rosie? Rosie 695 00:39:38,040 --> 00:39:40,959 Speaker 1: appreciate that. Um, and I'll bet that was a really 696 00:39:40,960 --> 00:39:43,640 Speaker 1: great conversation you have with your mom. I'm glad we're 697 00:39:43,680 --> 00:39:45,560 Speaker 1: clearing this up though, because there's probably a lot of 698 00:39:45,560 --> 00:39:48,600 Speaker 1: people that were like, what is is Chuck that dumb? Right? 699 00:39:49,040 --> 00:39:51,360 Speaker 1: Or maybe they thought like you had just gotten bone 700 00:39:51,440 --> 00:39:56,080 Speaker 1: dry and your sense of humor and timing and delivery. Um. Well, 701 00:39:56,120 --> 00:39:57,719 Speaker 1: if you want to get in touch with this, like 702 00:39:58,200 --> 00:40:00,600 Speaker 1: Rosie did, we want to hear from you, you can 703 00:40:00,680 --> 00:40:03,919 Speaker 1: email to us directly at stuff podcast at i heeart 704 00:40:04,000 --> 00:40:09,400 Speaker 1: radio dot com. Stuff you Should Know is a production 705 00:40:09,440 --> 00:40:12,400 Speaker 1: of I Heart Radio. For more podcasts my heart Radio, 706 00:40:12,600 --> 00:40:15,719 Speaker 1: visit the iHeart Radio app, Apple Podcasts, or wherever you 707 00:40:15,760 --> 00:40:19,960 Speaker 1: listen to your favorite shows. H