1 00:00:00,880 --> 00:00:04,360 Speaker 1: Welcome to Stuff you Should Know friend House Stuff Works 2 00:00:04,360 --> 00:00:13,360 Speaker 1: dot com. Hey, and welcome to the podcast. I'm Josh Clark, 3 00:00:13,440 --> 00:00:17,720 Speaker 1: There's Charles W Chuck Bryant, and uh, this is stuff 4 00:00:17,760 --> 00:00:23,000 Speaker 1: you should know the podcast. That's right, treating sir. Two 5 00:00:23,040 --> 00:00:28,440 Speaker 1: part podcast. Yeah, today release day, not the day we're recording. 6 00:00:28,680 --> 00:00:32,239 Speaker 1: We're not that good. But today's December one, it is 7 00:00:32,280 --> 00:00:35,920 Speaker 1: World Aids Day. And we were going to record this 8 00:00:35,960 --> 00:00:38,120 Speaker 1: a while ago, and then I noticed it was World 9 00:00:38,240 --> 00:00:40,600 Speaker 1: Aids Day coming up. I was like, well, why don't 10 00:00:40,600 --> 00:00:42,680 Speaker 1: we wait and record it later and release it then? 11 00:00:42,720 --> 00:00:46,920 Speaker 1: And then there was so much stuff right that it 12 00:00:47,080 --> 00:00:50,160 Speaker 1: became clear it was a two parter. And I still 13 00:00:50,159 --> 00:00:52,800 Speaker 1: don't think we're gonna even well, we'll scratch the surface. 14 00:00:53,720 --> 00:00:56,600 Speaker 1: That's selling it short. But you can have an entire 15 00:00:56,640 --> 00:00:59,840 Speaker 1: podcast series about HIV and AIDS, for sure. There's so 16 00:01:00,320 --> 00:01:04,200 Speaker 1: much information there, really is. It's like daunting, it is, 17 00:01:04,240 --> 00:01:10,119 Speaker 1: but it's all luckily because it's such a huge, massive topic. Yeah, um, 18 00:01:10,640 --> 00:01:13,440 Speaker 1: an important topic. There's a lot of information out there, 19 00:01:13,520 --> 00:01:16,640 Speaker 1: so usually we do pretty well with those that'll be daunted, 20 00:01:16,760 --> 00:01:18,680 Speaker 1: is what I'm trying to say. Well, I'm just nervous, 21 00:01:19,000 --> 00:01:20,560 Speaker 1: you know, I don't want to mess this one up. 22 00:01:21,720 --> 00:01:24,039 Speaker 1: We will mess something up here there, I guarantee it. 23 00:01:24,080 --> 00:01:27,800 Speaker 1: But yeah, how about this, then we pledge. We often 24 00:01:27,840 --> 00:01:31,080 Speaker 1: read corrections, but we super pledge to correct anything on 25 00:01:31,160 --> 00:01:33,680 Speaker 1: this because we're bound to mess something up. It's just 26 00:01:33,720 --> 00:01:37,280 Speaker 1: a lot of a lot of stuff. You want to 27 00:01:37,280 --> 00:01:39,680 Speaker 1: start from the beginning. Dump be nervous. That's fine. Everybody 28 00:01:39,680 --> 00:01:43,160 Speaker 1: tell Chuck, it'll be fine. It'll be fine, Chuck. So 29 00:01:43,319 --> 00:01:46,520 Speaker 1: it's a collective sound of our audience, like high pitched 30 00:01:47,480 --> 00:01:53,080 Speaker 1: audience voice. Um so chuck. When you think of HIV 31 00:01:53,280 --> 00:01:57,160 Speaker 1: AIDS UM, you typically tend to like go back to 32 00:01:57,200 --> 00:02:00,360 Speaker 1: the late seventies early eighties when like the real panic 33 00:02:00,400 --> 00:02:05,440 Speaker 1: first started. UM. But it later research and that's about 34 00:02:05,480 --> 00:02:08,480 Speaker 1: the time it arrived in the United States. But later 35 00:02:08,520 --> 00:02:13,520 Speaker 1: research found that UM HIV, the first case of it 36 00:02:14,240 --> 00:02:18,840 Speaker 1: came in ninety nine actually, and that they think that um, 37 00:02:18,880 --> 00:02:21,400 Speaker 1: it goes back even earlier than that. But this is 38 00:02:21,440 --> 00:02:24,280 Speaker 1: the first documented case. They had blood work of this 39 00:02:24,360 --> 00:02:29,920 Speaker 1: guy who died mysteriously in conshasa and congo. Right, um 40 00:02:29,960 --> 00:02:33,760 Speaker 1: and uh, he had the first documented case of HIV. 41 00:02:34,240 --> 00:02:39,240 Speaker 1: That's right, HIV one. Uh. There are two hivs, HIV one, 42 00:02:39,240 --> 00:02:42,320 Speaker 1: and HIV two. The one that has been responsible for 43 00:02:42,360 --> 00:02:47,080 Speaker 1: the global pandemic is HIV one. And there's been a 44 00:02:47,080 --> 00:02:49,640 Speaker 1: lot of debate over the years about where it actually 45 00:02:49,680 --> 00:02:54,040 Speaker 1: came from. Uh. Most people agreed that it was primates 46 00:02:54,639 --> 00:02:59,040 Speaker 1: in Africa, right, that it started as s I V. Yes, Uh, simeon, 47 00:02:59,680 --> 00:03:02,679 Speaker 1: I mean no deficiency virus. HIV. We should say is 48 00:03:02,760 --> 00:03:08,040 Speaker 1: human immunodeficiency virus. Yes, and AIDS is acquired immune deficiency syndrome. 49 00:03:08,960 --> 00:03:13,200 Speaker 1: They're not separate things. It's actually been very much confused 50 00:03:13,200 --> 00:03:15,720 Speaker 1: in the media. We're gonna set the record straight. Yeah, 51 00:03:15,800 --> 00:03:18,440 Speaker 1: and uh at the end, boy, how about this for 52 00:03:18,440 --> 00:03:20,840 Speaker 1: a tease. At the end of the second episode, there's 53 00:03:20,840 --> 00:03:24,600 Speaker 1: a big musical number no three days from now. There 54 00:03:24,680 --> 00:03:26,760 Speaker 1: is an argument that we should not even call it 55 00:03:26,840 --> 00:03:30,000 Speaker 1: AIDS any longer. So how's that first set up? People 56 00:03:30,040 --> 00:03:32,440 Speaker 1: are gonna be waiting where they could just google it 57 00:03:32,800 --> 00:03:36,320 Speaker 1: fast forward. Well, but they can't fast forward in time, 58 00:03:36,360 --> 00:03:39,640 Speaker 1: my friend. No, but find the time these come out, 59 00:03:39,640 --> 00:03:42,040 Speaker 1: they'll have been done and they can fast forward. Yes, 60 00:03:42,120 --> 00:03:45,640 Speaker 1: that's true. So what scientists believe, this is the most 61 00:03:45,640 --> 00:03:50,680 Speaker 1: current agreed upon theory, is that a type of chimpanzee 62 00:03:51,080 --> 00:03:54,720 Speaker 1: and West Africa is the source of HIV one uh, 63 00:03:55,360 --> 00:03:58,240 Speaker 1: which was transmitted to humans. They don't know for sure 64 00:03:58,280 --> 00:04:01,560 Speaker 1: how because probably are probably be bushed me, undercooked, pushed 65 00:04:01,600 --> 00:04:05,920 Speaker 1: me exactly, you know, wanting to eat chimpanzee and there's blood, 66 00:04:05,960 --> 00:04:08,400 Speaker 1: and all of a sudden it spreads to humans, and 67 00:04:08,440 --> 00:04:13,080 Speaker 1: you tube, chimpanzees fight back, they do, That's what I've heard. Yeah. 68 00:04:13,160 --> 00:04:15,840 Speaker 1: But yeah, if you ingest blood that was infected with 69 00:04:16,040 --> 00:04:20,560 Speaker 1: s i V and then the SIV virus um evolved 70 00:04:20,600 --> 00:04:25,000 Speaker 1: into HIV and humans, that's the likeliest version of what 71 00:04:25,120 --> 00:04:29,120 Speaker 1: happened somewhere in West Africa, probably the thirties or forties. Yeah, 72 00:04:29,160 --> 00:04:31,840 Speaker 1: and they I saw one article that said that they 73 00:04:31,880 --> 00:04:34,840 Speaker 1: think that it could have originally started in primates even 74 00:04:34,920 --> 00:04:38,279 Speaker 1: in the nineteen twenties, which is just crazy to think about, 75 00:04:38,400 --> 00:04:42,680 Speaker 1: like the Roaring twenties, somewhere in the depths of Africa 76 00:04:43,040 --> 00:04:45,760 Speaker 1: s i V was brewing, you know, because it seems 77 00:04:45,800 --> 00:04:49,440 Speaker 1: like such a modern thing for sure. Uh. And then uh, 78 00:04:49,480 --> 00:04:53,200 Speaker 1: in the late seventies and early eighties is when um, 79 00:04:53,279 --> 00:04:56,920 Speaker 1: these normally healthy people in Los Angeles and New York 80 00:04:56,920 --> 00:05:04,120 Speaker 1: started getting sick. Didn't make any sense. Uh. They first 81 00:05:04,120 --> 00:05:08,839 Speaker 1: started using the term um AIDS right, and before that 82 00:05:08,920 --> 00:05:11,960 Speaker 1: they had a really clumsy name for it, um O 83 00:05:12,040 --> 00:05:16,200 Speaker 1: for HIV. Yeah. Are you ready? Yea, So just the 84 00:05:16,240 --> 00:05:21,080 Speaker 1: abbreviation is clumsy ht l V three slash l a V. 85 00:05:22,200 --> 00:05:24,919 Speaker 1: That's just the abbreviation. The full name of what was 86 00:05:24,960 --> 00:05:29,480 Speaker 1: originally the term for um was it is it aids 87 00:05:30,000 --> 00:05:34,400 Speaker 1: V for HIV human T cell lymphotropic virus type three 88 00:05:34,440 --> 00:05:40,200 Speaker 1: slash lymphidano pathy associated virus. Yeah. And I think they 89 00:05:40,240 --> 00:05:44,000 Speaker 1: all looked around the room whoever proposed that, and said, guys, 90 00:05:44,160 --> 00:05:46,200 Speaker 1: if we want to ever get this in the news, 91 00:05:46,680 --> 00:05:50,479 Speaker 1: let's just sweeten that and shorten it to HIV. You 92 00:05:50,839 --> 00:05:52,840 Speaker 1: the person who proposed it, you have to go buy 93 00:05:52,839 --> 00:05:57,360 Speaker 1: everyone quiz Nos for lunch. Uh. And actually we should say, 94 00:05:57,440 --> 00:06:00,280 Speaker 1: chuck that this this definitely just kind of we're giving 95 00:06:00,320 --> 00:06:04,200 Speaker 1: the farrest overview of this. But um there's a really 96 00:06:04,279 --> 00:06:07,640 Speaker 1: really interesting movie based on what I understand is an 97 00:06:07,640 --> 00:06:10,680 Speaker 1: equally interesting book called and the band played On. My 98 00:06:10,720 --> 00:06:13,720 Speaker 1: brother worked on that movie. That was a great, great movie. 99 00:06:13,760 --> 00:06:15,840 Speaker 1: I watched it again in the last few months and 100 00:06:15,880 --> 00:06:18,120 Speaker 1: it's just as good as ever. Yeah, that's where he 101 00:06:18,200 --> 00:06:20,880 Speaker 1: got to work with Ellen Aldnei, Tomlin and like some 102 00:06:20,960 --> 00:06:23,880 Speaker 1: real legends. So yeah, there's a lot of people in it. 103 00:06:24,000 --> 00:06:27,120 Speaker 1: Phil Collins does a great job. Yeah, he plays a 104 00:06:27,120 --> 00:06:30,679 Speaker 1: bath house owner who's reluctant to close down. Interesting. Um, 105 00:06:30,800 --> 00:06:34,920 Speaker 1: but it's it basically chronicles the early investigation into what 106 00:06:35,040 --> 00:06:38,640 Speaker 1: the heck was going on. What was suddenly killing gay 107 00:06:38,640 --> 00:06:41,120 Speaker 1: men in San Francisco and Los Angeles and New York. 108 00:06:41,600 --> 00:06:44,560 Speaker 1: And it seemed like it was just targeting gay men 109 00:06:44,720 --> 00:06:47,240 Speaker 1: so much so that early on, like the the non 110 00:06:47,279 --> 00:06:50,159 Speaker 1: clinical term for this was gay cancer is what people 111 00:06:50,200 --> 00:06:53,080 Speaker 1: called it. And all of a sudden, doctors were reporting 112 00:06:53,320 --> 00:06:59,160 Speaker 1: that otherwise healthy men were suddenly getting really really rare cancers, 113 00:06:59,279 --> 00:07:02,000 Speaker 1: rare types of ammonia, stuff that people who have like 114 00:07:02,360 --> 00:07:05,760 Speaker 1: zero immune systems die from. All of a sudden, they 115 00:07:05,800 --> 00:07:09,080 Speaker 1: were just turning up with this stuff, and um, it 116 00:07:09,120 --> 00:07:13,320 Speaker 1: was very curious and very scary, especially in the gay community. 117 00:07:13,800 --> 00:07:18,080 Speaker 1: And then um, it wasn't until what was eighty three 118 00:07:18,080 --> 00:07:21,120 Speaker 1: three where they identified the virus and there was a 119 00:07:21,760 --> 00:07:25,400 Speaker 1: there were competing teams, this French team who most likely 120 00:07:25,480 --> 00:07:29,120 Speaker 1: did discover the HIV virus on their own, and Alan Alda, 121 00:07:29,360 --> 00:07:32,440 Speaker 1: the American team who may or may not have ripped 122 00:07:32,480 --> 00:07:35,400 Speaker 1: off their findings and unfairly taken credit for it. But 123 00:07:35,720 --> 00:07:39,680 Speaker 1: and I've never seen that movie. Fascinating. It's fascinating, it's moving, 124 00:07:40,000 --> 00:07:42,600 Speaker 1: it's got it all. It's really good. It's good. It's 125 00:07:42,640 --> 00:07:48,680 Speaker 1: like um uh, epidemiological detective stories threaded throughout a lot 126 00:07:48,760 --> 00:07:52,680 Speaker 1: of cultural history. It's really really worth watching. Well in uh. 127 00:07:52,760 --> 00:07:54,880 Speaker 1: In episode two, we're also going to get to that 128 00:07:54,920 --> 00:07:58,840 Speaker 1: book in the so called patient zero um, which will 129 00:07:58,880 --> 00:08:04,040 Speaker 1: be coming up on Thursday. Another tease. Alright, so um, 130 00:08:04,080 --> 00:08:06,760 Speaker 1: and we should point out to the reason these men 131 00:08:06,800 --> 00:08:09,720 Speaker 1: were dying of cancers and pneumonia and things like that 132 00:08:09,840 --> 00:08:11,880 Speaker 1: is because and most people know this by now. A 133 00:08:11,880 --> 00:08:14,520 Speaker 1: lot of this we think is just common knowledge, but 134 00:08:14,560 --> 00:08:17,960 Speaker 1: you never know. You're you don't die of AIDS. You 135 00:08:18,040 --> 00:08:23,800 Speaker 1: die of complications from AIDS, infections, other sicknesses and diseases 136 00:08:24,160 --> 00:08:28,840 Speaker 1: because you can't mount any kind of immune response. Okay, 137 00:08:29,880 --> 00:08:35,520 Speaker 1: I think that was a good move. Yeah, well, smooth move, excellence. 138 00:08:36,679 --> 00:08:38,839 Speaker 1: You never know, Like some of this stuff, I'm like, dude, 139 00:08:38,920 --> 00:08:41,960 Speaker 1: really have to say this stuff, but you do well. 140 00:08:42,000 --> 00:08:46,000 Speaker 1: The weird thing is you do, especially in is compared 141 00:08:46,080 --> 00:08:51,000 Speaker 1: to say, like because Um, there's become this idea that 142 00:08:51,080 --> 00:08:54,440 Speaker 1: AIDS has been as being largely conquered, it doesn't have 143 00:08:54,480 --> 00:08:56,640 Speaker 1: to be worried about as much and not true. I 144 00:08:56,679 --> 00:08:59,360 Speaker 1: think the education on HIV and AIDS is not nearly 145 00:08:59,679 --> 00:09:02,240 Speaker 1: as widespread as it once was. Like when we were 146 00:09:02,280 --> 00:09:06,280 Speaker 1: like teenagers, you know, like everybody knew everything about AIDS 147 00:09:06,320 --> 00:09:10,200 Speaker 1: basically at least had a working knowledge of what AIDS was, 148 00:09:10,400 --> 00:09:14,280 Speaker 1: how you got it, how widespread it was. And UM, 149 00:09:14,320 --> 00:09:17,160 Speaker 1: it seems like today it's that that kind of public information. 150 00:09:17,240 --> 00:09:19,160 Speaker 1: Is it nearly is widespread? Yeah, I think that's one 151 00:09:19,200 --> 00:09:22,360 Speaker 1: of the issues now, is that, Um, a large segment 152 00:09:22,400 --> 00:09:24,280 Speaker 1: of the public is like, yeah, they have the AIDS cocktail. 153 00:09:24,320 --> 00:09:27,000 Speaker 1: Look at Magic Johnson. It's all great, sure, And um 154 00:09:27,040 --> 00:09:29,160 Speaker 1: it is great when we're gonna talk about why he's 155 00:09:29,160 --> 00:09:33,240 Speaker 1: still with us, but it's it's still a very big problem. Um. 156 00:09:33,280 --> 00:09:36,199 Speaker 1: Here's a here's a stat for you. Uh. And these 157 00:09:36,240 --> 00:09:38,439 Speaker 1: are the most recent stats I could find. Seventy eight 158 00:09:38,480 --> 00:09:44,360 Speaker 1: million HIV infected people worldwide to date, thirty nine million 159 00:09:44,520 --> 00:09:49,040 Speaker 1: people dead. Um. Compared to World War Two, which killed 160 00:09:49,040 --> 00:09:51,719 Speaker 1: forty million people. That helps put it into perspective a 161 00:09:51,760 --> 00:09:55,320 Speaker 1: little bit. Uh. And sub Saharan South Africa, which is 162 00:09:55,320 --> 00:09:59,800 Speaker 1: where AIDS is an HIV or most threatening. Um, this 163 00:10:00,040 --> 00:10:02,960 Speaker 1: is a scary status, dude. One and twenty people have 164 00:10:03,200 --> 00:10:07,319 Speaker 1: HIV what in sub Saharan South Africa and the account 165 00:10:07,360 --> 00:10:12,199 Speaker 1: for seventy of all cases worldwide of HIV man a lie, 166 00:10:12,400 --> 00:10:14,920 Speaker 1: I know. It's it's a very dire situation over there, 167 00:10:14,960 --> 00:10:19,000 Speaker 1: to say the least. Uh, Well, that's that's that's especially 168 00:10:19,080 --> 00:10:21,040 Speaker 1: chilling because if you look at the statistics in the 169 00:10:21,120 --> 00:10:26,760 Speaker 1: United States, like it's it's slowing and it's it's definitely 170 00:10:26,880 --> 00:10:28,840 Speaker 1: if you look at the statistics, it seems like it's 171 00:10:28,880 --> 00:10:32,559 Speaker 1: being figured out. Well, yeah, it depends on what demographic 172 00:10:32,559 --> 00:10:35,240 Speaker 1: though it's rising in some demos, right, Yeah, for sure. 173 00:10:35,280 --> 00:10:38,079 Speaker 1: If you take the United States as a whole, the 174 00:10:38,400 --> 00:10:40,280 Speaker 1: picture seems okay. But yeah, if you start to break 175 00:10:40,320 --> 00:10:44,040 Speaker 1: it down into specific subgroups, then some are definitely doing 176 00:10:44,080 --> 00:10:48,360 Speaker 1: better than others. As far as new infections, death from infections, 177 00:10:48,400 --> 00:10:52,240 Speaker 1: that kind of stuff come absolutely. Uh So, HIV is 178 00:10:52,280 --> 00:10:55,240 Speaker 1: a scary disease and it was super scary before we 179 00:10:55,320 --> 00:10:59,960 Speaker 1: knew much about it because, um, it's still technically incurable. 180 00:11:00,360 --> 00:11:02,800 Speaker 1: Although we're going to get to that. There are some 181 00:11:03,520 --> 00:11:09,480 Speaker 1: rare cases where it's what do they call it, functionally cured? Yes, Um, 182 00:11:09,600 --> 00:11:12,520 Speaker 1: it does seem like there's at least one person who 183 00:11:12,600 --> 00:11:16,040 Speaker 1: is widely considered to be fully cured, and he is 184 00:11:16,080 --> 00:11:19,720 Speaker 1: a proof of concept that you can cure AIDS, and 185 00:11:19,760 --> 00:11:22,400 Speaker 1: that's coming in part two. What are we going to 186 00:11:22,480 --> 00:11:27,320 Speaker 1: do in part one? We're just yeah, like we're just talking. Basically, 187 00:11:27,800 --> 00:11:31,040 Speaker 1: this is all one big setup for part two. Apparently, No, 188 00:11:31,200 --> 00:11:36,120 Speaker 1: it's not. So. One reason AIDS and so deadly is uh, 189 00:11:36,240 --> 00:11:40,400 Speaker 1: it's sort of a conundrum because AIDS you can't catch 190 00:11:40,440 --> 00:11:42,120 Speaker 1: it through the air. It's not airborne. You can't catch 191 00:11:42,160 --> 00:11:45,160 Speaker 1: it from a kitchen counter. You can only catch it 192 00:11:45,640 --> 00:11:50,520 Speaker 1: through very specific ways intimate contact, intimate context. You would think, hey, 193 00:11:50,960 --> 00:11:55,000 Speaker 1: it's not gonna be that widespread because intimate contact is 194 00:11:55,080 --> 00:11:56,959 Speaker 1: something you can avoid and so it should be a 195 00:11:57,000 --> 00:12:00,600 Speaker 1: pretty slow spreading disease, right, and not all intimate contact 196 00:12:00,600 --> 00:12:04,320 Speaker 1: includes like whips and chains and stuff like that. Intimate 197 00:12:04,360 --> 00:12:10,400 Speaker 1: contact is basically any situation where um, you know sure, Uh. 198 00:12:10,600 --> 00:12:14,760 Speaker 1: Intimate contact is basically any situation where blood is transferred 199 00:12:14,920 --> 00:12:20,920 Speaker 1: or semen is transferred. Um, So it doesn't necessarily just 200 00:12:21,000 --> 00:12:24,640 Speaker 1: mean intercourse of any sort. It can also mean sharing needles, 201 00:12:26,000 --> 00:12:28,000 Speaker 1: and it definitely does mean sharing needles too. That's a 202 00:12:28,320 --> 00:12:33,959 Speaker 1: very high risk UM subgroup for sure. But the reason, 203 00:12:34,040 --> 00:12:36,520 Speaker 1: and here's the key, that AIDS has spread an HIV 204 00:12:37,480 --> 00:12:41,400 Speaker 1: um so widely and quickly is because it can You 205 00:12:41,400 --> 00:12:46,000 Speaker 1: can have HIV for more than ten years without knowing it. 206 00:12:46,760 --> 00:12:51,280 Speaker 1: And if you are a promiscuous individual. I did a 207 00:12:51,320 --> 00:12:55,160 Speaker 1: little math. Let's say you have let's say you're considered 208 00:12:55,400 --> 00:12:58,840 Speaker 1: highly promiscuous. What what what do you rate that as 209 00:12:59,040 --> 00:13:03,480 Speaker 1: hundred partners a year, which apparently also so. I want 210 00:13:03,520 --> 00:13:07,839 Speaker 1: to say this to UM, but AIDS being associated with 211 00:13:08,120 --> 00:13:13,400 Speaker 1: gay people, gay man especially UM is it hit at 212 00:13:13,679 --> 00:13:18,840 Speaker 1: precisely the worst possible time in the history of homosexuality 213 00:13:19,080 --> 00:13:22,719 Speaker 1: in the world because it came right after, right after Stonewall, 214 00:13:22,800 --> 00:13:25,240 Speaker 1: when men were just starting to be like, it's all 215 00:13:25,280 --> 00:13:29,439 Speaker 1: about gay pride and we are love and life and 216 00:13:29,480 --> 00:13:33,479 Speaker 1: having more sex than we've ever had ever as a community, 217 00:13:33,679 --> 00:13:37,360 Speaker 1: and having a hundred or a couple hundred sexual partners 218 00:13:37,640 --> 00:13:41,000 Speaker 1: in the late seventies among gay men was pretty standard. Yeah, 219 00:13:41,040 --> 00:13:42,720 Speaker 1: I don't know it definitely. I don't think it made 220 00:13:42,720 --> 00:13:47,960 Speaker 1: you an outlier, you know, continue so and a caveat 221 00:13:48,040 --> 00:13:52,319 Speaker 1: all this with I'm assuming, Well, let me just get 222 00:13:52,320 --> 00:13:54,280 Speaker 1: into it. Let's say a hundred partners in a year. 223 00:13:54,679 --> 00:14:00,679 Speaker 1: Let's say of those partners are promiscuous. Man, this is so, 224 00:14:00,800 --> 00:14:04,320 Speaker 1: then they have a mathematic. Then they have a hundred partners. 225 00:14:04,320 --> 00:14:08,439 Speaker 1: So that's people. And and this is not people who 226 00:14:08,440 --> 00:14:11,880 Speaker 1: are infected. This is assuming. Let's say that there's a 227 00:14:11,920 --> 00:14:14,719 Speaker 1: smaller percentage that don't use condoms. And even if you 228 00:14:14,760 --> 00:14:17,040 Speaker 1: don't use a condom, it's not like every time you 229 00:14:17,080 --> 00:14:20,640 Speaker 1: have sex you're going to transmit aids um. But this 230 00:14:20,720 --> 00:14:24,200 Speaker 1: is a possibility, is what I'm saying. Let's say that 231 00:14:24,960 --> 00:14:30,240 Speaker 1: group are promiscuous. You end up from that one single 232 00:14:30,320 --> 00:14:37,320 Speaker 1: person people who could possibly potentially be exposed if nobody 233 00:14:37,320 --> 00:14:41,000 Speaker 1: wore condoms at all. And of course that number goes 234 00:14:41,040 --> 00:14:43,760 Speaker 1: way down because people are smarter now and use condoms. 235 00:14:43,760 --> 00:14:46,520 Speaker 1: But in the late seventies, I mean that number could 236 00:14:46,560 --> 00:14:50,760 Speaker 1: be accurate, you know, oh yeah easily. So I mean, 237 00:14:50,840 --> 00:14:52,440 Speaker 1: what are you gonna wear a condom back then? For 238 00:14:52,560 --> 00:14:55,200 Speaker 1: nobody's getting pregnant, you know, yeah, I mean there was 239 00:14:55,240 --> 00:15:00,120 Speaker 1: no reason to. Uh, so you can see how can 240 00:15:00,160 --> 00:15:03,080 Speaker 1: spread so quickly, and that is also the reason why 241 00:15:03,080 --> 00:15:05,520 Speaker 1: it stays latent, or the reason the fact that it 242 00:15:05,560 --> 00:15:08,880 Speaker 1: stays latent for so long, that's the single reason why 243 00:15:08,920 --> 00:15:14,440 Speaker 1: you need to get tested. Yeah, regularly, gay, straight, black, brown, 244 00:15:14,760 --> 00:15:18,400 Speaker 1: candy striped. It doesn't matter, get tested because you may 245 00:15:18,400 --> 00:15:20,440 Speaker 1: have it and not know it. And HIV eighth is 246 00:15:20,480 --> 00:15:23,120 Speaker 1: an outlier as far as diseases go, in that there's 247 00:15:23,240 --> 00:15:28,160 Speaker 1: no there's no vaccine against it, um, there is no 248 00:15:28,240 --> 00:15:33,160 Speaker 1: way to easily treat it. It spreads quickly, and because 249 00:15:33,200 --> 00:15:36,480 Speaker 1: it has what's called late onset symptoms, like you said, 250 00:15:36,520 --> 00:15:40,080 Speaker 1: people go ten years after being infected before they realize 251 00:15:40,120 --> 00:15:43,160 Speaker 1: they're sick, especially if they're not getting tested in the meantime. 252 00:15:43,520 --> 00:15:45,920 Speaker 1: And so it just keeps spreading and spreading and spreading 253 00:15:46,120 --> 00:15:48,960 Speaker 1: among people who think they're healthy but who actually have 254 00:15:49,080 --> 00:15:51,880 Speaker 1: the virus. Yeah, and if you're promiscuous, it's not like 255 00:15:51,960 --> 00:15:55,360 Speaker 1: you can name the partners you've had over the last 256 00:15:55,360 --> 00:15:57,880 Speaker 1: decade to tell them maybe you want to get tested, 257 00:15:58,440 --> 00:16:02,640 Speaker 1: you know. And then even more than that, and again, well, 258 00:16:02,720 --> 00:16:05,960 Speaker 1: so with the gay community, it's such an at risk 259 00:16:06,280 --> 00:16:09,320 Speaker 1: UM subgroup. We'll explain why in a second, but one 260 00:16:09,360 --> 00:16:11,560 Speaker 1: of the reasons why it spreads quickly in the gay 261 00:16:11,560 --> 00:16:15,120 Speaker 1: community because it's a relatively small community. So that means 262 00:16:15,120 --> 00:16:20,040 Speaker 1: that the pool you have to draw from for sexual partners, 263 00:16:20,040 --> 00:16:24,240 Speaker 1: statistically speaking, you're at higher risk. Yeah, because it's smaller, 264 00:16:24,280 --> 00:16:27,240 Speaker 1: because it is a smaller community. But even beyond that, 265 00:16:27,360 --> 00:16:32,480 Speaker 1: biologically speaking, they're at higher risk as well. Gay men are. Yeah, 266 00:16:32,480 --> 00:16:35,600 Speaker 1: well we should just go ahead talk about that. The 267 00:16:35,640 --> 00:16:39,040 Speaker 1: main reason is it's easier to get HIV from anal 268 00:16:39,080 --> 00:16:44,120 Speaker 1: sex and that is men and women because um, the well, 269 00:16:44,160 --> 00:16:46,640 Speaker 1: there's a few reasons for that. One, the lining of 270 00:16:46,640 --> 00:16:50,440 Speaker 1: the rectum is very fragile, it tears very easily. UM, 271 00:16:50,520 --> 00:16:54,520 Speaker 1: and intercourse lots of blood vessels, lots of blood vessels. Um. 272 00:16:54,680 --> 00:16:57,640 Speaker 1: The cells that line the rectum are more susceptible to 273 00:16:57,840 --> 00:17:01,560 Speaker 1: HIV than cells of the vagina. Right and then uh 274 00:17:01,680 --> 00:17:06,320 Speaker 1: semen and rectal mucosa, which is the lining of the rectum, 275 00:17:06,600 --> 00:17:10,520 Speaker 1: carry more HIV than vaginal fluid. So boom, right there, 276 00:17:10,680 --> 00:17:15,520 Speaker 1: you're I think eighteen percent eighteen eighteen times more risky 277 00:17:15,720 --> 00:17:20,960 Speaker 1: with anal intercourse than just regular vaginal inter course. Right, 278 00:17:20,960 --> 00:17:23,760 Speaker 1: and saying that right, you are, yes, and um, gay 279 00:17:23,760 --> 00:17:29,200 Speaker 1: men and straight women are equal risk of AIDS through 280 00:17:29,400 --> 00:17:35,600 Speaker 1: um through unprotected sex anally, because it doesn't it doesn't 281 00:17:35,600 --> 00:17:38,040 Speaker 1: matter that you're a man or not. No, a man's 282 00:17:38,160 --> 00:17:40,199 Speaker 1: rectum is the same as a woman's right exactly as 283 00:17:40,200 --> 00:17:43,080 Speaker 1: far as I know. I'm pretty sure you're right about that. Yeah, 284 00:17:43,119 --> 00:17:46,320 Speaker 1: I mean it says in here, uh the risk. Yeah, 285 00:17:46,359 --> 00:17:50,320 Speaker 1: that's exactly right. Another reason is a role versatility is 286 00:17:50,359 --> 00:17:52,680 Speaker 1: what they call it. Whether or not you're a top 287 00:17:52,800 --> 00:17:55,440 Speaker 1: or a bottom, you can get it either way by 288 00:17:56,280 --> 00:18:00,800 Speaker 1: giving anal sex or receiving anal sex. So you're kind 289 00:18:00,840 --> 00:18:05,439 Speaker 1: of in a lose lose situation precisely. Uh. So that 290 00:18:05,600 --> 00:18:09,520 Speaker 1: and I never knew that until I've studied this, that switching, 291 00:18:10,840 --> 00:18:15,000 Speaker 1: like why why do gay men get a HIV more 292 00:18:15,160 --> 00:18:18,760 Speaker 1: than uh, straight people if it's passed through intercourse? And 293 00:18:18,920 --> 00:18:24,840 Speaker 1: now it all makes sense, all right? Going back to 294 00:18:25,400 --> 00:18:28,520 Speaker 1: why AIDS is so scary and HIV, I feel like 295 00:18:28,520 --> 00:18:31,240 Speaker 1: we're interchanging those and we shouldn't be. No, let's let's 296 00:18:31,280 --> 00:18:33,919 Speaker 1: lay this out right here right now, you're ready, because 297 00:18:34,080 --> 00:18:37,920 Speaker 1: I didn't realize this fully until we started researching this episode. 298 00:18:38,960 --> 00:18:44,119 Speaker 1: So HIV is a it's called the progressive disease in 299 00:18:44,200 --> 00:18:48,399 Speaker 1: that it goes through stages. So technically UM and HIV 300 00:18:48,520 --> 00:18:54,359 Speaker 1: infection has zero stage zero to stage three UH and 301 00:18:54,440 --> 00:18:57,480 Speaker 1: all of this is based on the number of T 302 00:18:58,040 --> 00:19:01,439 Speaker 1: helper cells you have in a milli leader of blood. 303 00:19:01,960 --> 00:19:05,600 Speaker 1: Normal healthy person has about a million T helper cells 304 00:19:05,600 --> 00:19:08,720 Speaker 1: called CD plus four cells in one milli leader of 305 00:19:08,720 --> 00:19:14,280 Speaker 1: their blood. As you um, as the the HIV infection progresses, 306 00:19:14,920 --> 00:19:18,640 Speaker 1: it diminishes the number of these helper cells. And as 307 00:19:18,680 --> 00:19:22,320 Speaker 1: it goes down you go to certain stages, so like 308 00:19:22,440 --> 00:19:26,840 Speaker 1: stage three HIV is um I think five hundred thousand 309 00:19:27,600 --> 00:19:30,600 Speaker 1: per milli leader or blood or less. And then once 310 00:19:30,640 --> 00:19:34,120 Speaker 1: you reach two hundred thousand uh c D plus four 311 00:19:34,119 --> 00:19:38,080 Speaker 1: cells in your blood UH, you have AIDS. So AIDS 312 00:19:38,160 --> 00:19:41,040 Speaker 1: is not a separate disease. It's not a it's not 313 00:19:41,160 --> 00:19:46,360 Speaker 1: a new condition that that arises out of HIV. It's 314 00:19:46,400 --> 00:19:49,080 Speaker 1: all it's just part of a classification system. Yeah, it's 315 00:19:49,119 --> 00:19:54,200 Speaker 1: basically ND stage HIV. It's stage four HIV, and it's 316 00:19:54,200 --> 00:19:56,879 Speaker 1: really bizarre that they have a whole different name for 317 00:19:57,000 --> 00:20:00,280 Speaker 1: it if you think about it. But a this is 318 00:20:00,920 --> 00:20:05,520 Speaker 1: just basically the end category of HIV. And it used 319 00:20:05,520 --> 00:20:08,560 Speaker 1: to be that was a death sentence. Once you had AIDS, 320 00:20:08,600 --> 00:20:11,800 Speaker 1: you were basically dead. And in the eighties and nineties, 321 00:20:12,880 --> 00:20:16,280 Speaker 1: especially before I think the AIDS cocktail, which we'll talk 322 00:20:16,320 --> 00:20:21,320 Speaker 1: about came out, it was, um, you basically were diagnosed 323 00:20:21,359 --> 00:20:23,639 Speaker 1: and you were dead in twelve to eighteen months. That 324 00:20:23,760 --> 00:20:26,480 Speaker 1: was that. Now it can keep going you, I mean, 325 00:20:26,480 --> 00:20:29,720 Speaker 1: people just live for decades now with AIDS. But once 326 00:20:29,720 --> 00:20:34,440 Speaker 1: you have AIDS, once you have that designation, UM, you 327 00:20:34,480 --> 00:20:37,159 Speaker 1: have that for the rest of your life, unless you're cured, 328 00:20:37,440 --> 00:20:39,639 Speaker 1: which has only happened a handful of times. Yeah, and 329 00:20:39,680 --> 00:20:42,160 Speaker 1: there's a guy named Todd Heywood that wrote this great 330 00:20:42,280 --> 00:20:45,560 Speaker 1: article uh saying it's time to retire the medical category 331 00:20:45,560 --> 00:20:47,679 Speaker 1: of AIDS, and he makes a lot of good reasons 332 00:20:47,720 --> 00:20:50,720 Speaker 1: why we should just call it HIV disease like you 333 00:20:50,760 --> 00:20:54,080 Speaker 1: would say heart disease. Right, So we're not gonna say 334 00:20:54,400 --> 00:20:58,640 Speaker 1: HIV disease in this show. We're not that big as friends. Well, 335 00:20:58,680 --> 00:21:02,480 Speaker 1: I just wanna go with traditional terms because some people learn. 336 00:21:02,560 --> 00:21:04,520 Speaker 1: But I think there is a good case to be 337 00:21:04,600 --> 00:21:07,440 Speaker 1: made for that is what I'm saying. I mean, this 338 00:21:07,520 --> 00:21:13,439 Speaker 1: is also another UM. Another mark in that guy's in 339 00:21:13,520 --> 00:21:17,359 Speaker 1: favor of that argument is that AIDS was named in 340 00:21:18,680 --> 00:21:22,400 Speaker 1: and we've learned so much about this disease since then, 341 00:21:23,000 --> 00:21:24,639 Speaker 1: and one of the things we've learned is this is 342 00:21:24,640 --> 00:21:28,000 Speaker 1: a progressive disease that goes through stages. AIDS is just 343 00:21:28,040 --> 00:21:30,160 Speaker 1: the end stage of it. Why have a different name 344 00:21:30,200 --> 00:21:32,560 Speaker 1: for it? And there's no, it's not the same in 345 00:21:32,600 --> 00:21:36,240 Speaker 1: any two people. Uh, And HIV disease is just more 346 00:21:36,359 --> 00:21:38,960 Speaker 1: all encompassing. I think, yeah, so we're not going to 347 00:21:39,080 --> 00:21:42,800 Speaker 1: use it, are we. That's gonna be tough. What to 348 00:21:42,880 --> 00:21:45,600 Speaker 1: not say HIV disease? Oh, AIDS, I thought you were 349 00:21:45,640 --> 00:21:49,760 Speaker 1: saying yeah. Uh. And the final reason, boy, this took 350 00:21:49,800 --> 00:21:51,280 Speaker 1: like twenty minutes to get back to us. Wait what 351 00:21:51,280 --> 00:21:53,919 Speaker 1: are we talking about? The final reason that HIV is 352 00:21:54,080 --> 00:21:58,560 Speaker 1: uh super scary is because of its very unique way 353 00:21:58,560 --> 00:22:02,920 Speaker 1: it manifests itself, which is um it invades and destroys 354 00:22:02,960 --> 00:22:05,480 Speaker 1: the immune system. The very system that is supposed to 355 00:22:05,520 --> 00:22:10,479 Speaker 1: protect you from disease is ruined. It's yeah, it's HIV 356 00:22:10,640 --> 00:22:12,639 Speaker 1: is a virus, so it behaves like a virus. But 357 00:22:12,680 --> 00:22:16,879 Speaker 1: other viruses attacks, say like you're fat cell that you 358 00:22:16,880 --> 00:22:21,000 Speaker 1: could care less about, So who cares? AIDS or HIV 359 00:22:21,240 --> 00:22:25,400 Speaker 1: attacks your immune system directly. The cells, a specific type 360 00:22:25,400 --> 00:22:27,480 Speaker 1: of cell of your immune system and that's what eventually 361 00:22:27,560 --> 00:22:30,000 Speaker 1: leads to your death or used to definitely lead to 362 00:22:30,080 --> 00:22:33,040 Speaker 1: your death. You know, I'm back in my day, all right. 363 00:22:33,040 --> 00:22:34,600 Speaker 1: I think we should take a break and we will 364 00:22:34,640 --> 00:22:36,879 Speaker 1: talk a little bit about how it is and is 365 00:22:36,920 --> 00:23:02,160 Speaker 1: not transmitted right after this, all right, Josh, it's uh, 366 00:23:02,280 --> 00:23:06,320 Speaker 1: George Orwell is in charge. I'm in elementary school, and 367 00:23:06,480 --> 00:23:08,520 Speaker 1: AIDS is a scary thing, and you can get it 368 00:23:08,560 --> 00:23:13,600 Speaker 1: from toilet seats and mosquitoes and kissing and shaking hands. 369 00:23:13,600 --> 00:23:17,320 Speaker 1: Shaking hands, Yeah, being too near to somebody. It was 370 00:23:17,720 --> 00:23:20,560 Speaker 1: very scary as far as times go to be a kid. 371 00:23:21,040 --> 00:23:22,880 Speaker 1: None of that stuff is true. Think about it, man. 372 00:23:22,960 --> 00:23:26,120 Speaker 1: We were raised during that horrible little ven diagram where 373 00:23:26,119 --> 00:23:29,879 Speaker 1: the Cold War and the AID scare overlapped. Like we 374 00:23:30,040 --> 00:23:32,440 Speaker 1: just basically didn't want to leave our houses. We missed 375 00:23:32,440 --> 00:23:35,080 Speaker 1: out on the days where free secs and and drugs 376 00:23:35,200 --> 00:23:38,639 Speaker 1: was like, didn't hurt anybody, and just sprinkle in a 377 00:23:38,640 --> 00:23:41,560 Speaker 1: little stranger danger in there too, why not? Yeah, a 378 00:23:41,600 --> 00:23:44,760 Speaker 1: little satanic panics sure. And the eighties what a crazy 379 00:23:44,800 --> 00:23:46,840 Speaker 1: time now that you know we've got a little distance 380 00:23:46,880 --> 00:23:50,960 Speaker 1: from it. Parachute pants is that all about culture? Club 381 00:23:51,000 --> 00:23:53,439 Speaker 1: was actually great? That's the only good thing about the eighties. 382 00:23:54,359 --> 00:23:57,880 Speaker 1: UM the ways that you can get HIV sexual contact, 383 00:23:58,520 --> 00:24:03,520 Speaker 1: sharing needles interview in his needles, breastfeeding, mother to baby, 384 00:24:04,240 --> 00:24:08,520 Speaker 1: UM infected mother to fetus during pregnancy, at birth, and 385 00:24:08,760 --> 00:24:13,280 Speaker 1: blood transfusions, which used to happen a lot and doesn't 386 00:24:13,320 --> 00:24:16,080 Speaker 1: happen that much anymore. No, and there was It's another 387 00:24:16,119 --> 00:24:17,720 Speaker 1: thing for me in the band played on, was this 388 00:24:17,960 --> 00:24:22,400 Speaker 1: big to do about whether or not UM Blood Donation 389 00:24:22,440 --> 00:24:25,439 Speaker 1: Center say like the Red Cross should have to test 390 00:24:25,600 --> 00:24:28,320 Speaker 1: blood for this new disease. They were like, do you 391 00:24:28,359 --> 00:24:30,520 Speaker 1: know how much this is gonna cost. It's gonna completely 392 00:24:30,600 --> 00:24:32,840 Speaker 1: dent the blood supply. People are gonna die because we 393 00:24:32,880 --> 00:24:35,240 Speaker 1: have to do this. But then as it became very 394 00:24:35,240 --> 00:24:40,080 Speaker 1: obvious that you this stuff spread really easily through blood transfusions, 395 00:24:40,119 --> 00:24:42,359 Speaker 1: they definitely started to check it. They came up with 396 00:24:42,400 --> 00:24:48,840 Speaker 1: a I think a fairly cheap test for it in UM. Yeah, 397 00:24:48,920 --> 00:24:52,080 Speaker 1: the FDA approved something in to test it. But I 398 00:24:52,119 --> 00:24:56,880 Speaker 1: mean without these tests suck. You have a nine thousand, 399 00:24:57,040 --> 00:25:02,920 Speaker 1: two hundred and fifty chants out of ten thousand of 400 00:25:02,600 --> 00:25:08,400 Speaker 1: of acquiring HIV from a blood transfusion. That's yeah, man, Yeah, 401 00:25:08,480 --> 00:25:11,719 Speaker 1: that those are pretty high chances because think about it, 402 00:25:11,800 --> 00:25:16,639 Speaker 1: and for unprotected anal sex, if you are receiving, you 403 00:25:16,680 --> 00:25:20,719 Speaker 1: have a hundred and thirty eight out of ten thousand chance. Okay, 404 00:25:20,840 --> 00:25:22,840 Speaker 1: this is nine thousand, two hundred and fifty out of 405 00:25:22,880 --> 00:25:25,399 Speaker 1: ten thousand chants from a blood transfusion. I tried to 406 00:25:25,440 --> 00:25:27,520 Speaker 1: find those stats. Actually I couldn't find that one. Oh 407 00:25:27,560 --> 00:25:29,880 Speaker 1: I got some more for you, buddy, if you want them. Well, 408 00:25:29,920 --> 00:25:31,840 Speaker 1: I was trying to find when I was doing my 409 00:25:31,840 --> 00:25:35,840 Speaker 1: my stupid mathematical equation earlier, I was trying to find 410 00:25:35,880 --> 00:25:41,520 Speaker 1: out the possibility or percentage rate of having unprotected anal sex, 411 00:25:41,560 --> 00:25:45,280 Speaker 1: Like what are your chances of getting if you're if 412 00:25:45,280 --> 00:25:49,879 Speaker 1: you're giving, you have an eleven out of ten thousand chance, 413 00:25:49,960 --> 00:25:54,479 Speaker 1: so one point one out of every thousand encounters. So 414 00:25:54,560 --> 00:25:57,399 Speaker 1: even if my yeah, that's sixty two, number goes way 415 00:25:57,480 --> 00:26:00,639 Speaker 1: way down, thankfully, but I think it's still you know 416 00:26:00,960 --> 00:26:02,920 Speaker 1: this is this is based on and I should say 417 00:26:02,960 --> 00:26:07,520 Speaker 1: this is based on the distribution of HIV infected people 418 00:26:07,920 --> 00:26:10,520 Speaker 1: across the United States as of like I think two 419 00:26:10,560 --> 00:26:16,080 Speaker 1: thousand ten, so, um, I mean, it's all statistics, man, 420 00:26:16,160 --> 00:26:18,560 Speaker 1: It depends on where you are, who you're hanging out 421 00:26:18,640 --> 00:26:21,760 Speaker 1: with UM. I mean, if you're like sharing needles with 422 00:26:21,760 --> 00:26:25,440 Speaker 1: with like UM addicts in the street, your risk is 423 00:26:25,480 --> 00:26:28,000 Speaker 1: probably going to be a little higher than the national 424 00:26:28,119 --> 00:26:30,360 Speaker 1: average across the United States, you know what I mean. 425 00:26:30,840 --> 00:26:33,320 Speaker 1: So it definitely is contextual. It's almost to the point 426 00:26:33,320 --> 00:26:36,720 Speaker 1: where it's like these these stats are meaningless, really, but 427 00:26:36,800 --> 00:26:39,600 Speaker 1: they do put a I think stats help people put 428 00:26:39,640 --> 00:26:42,600 Speaker 1: like a face to things. For sure. The blood transfusion 429 00:26:42,600 --> 00:26:45,919 Speaker 1: one is a tad eye open for real um. And 430 00:26:45,960 --> 00:26:48,520 Speaker 1: then finally we need to mention And the only reason 431 00:26:48,560 --> 00:26:52,800 Speaker 1: we mentioned this is because technically it is possible. There 432 00:26:52,800 --> 00:26:57,720 Speaker 1: has been one case of HIV infection through open mouth kissing. Yes, 433 00:26:57,800 --> 00:27:01,480 Speaker 1: but I hesitate to even say that because people like 434 00:27:01,600 --> 00:27:03,840 Speaker 1: Josh and Chokes said, you get through kissing, So you're 435 00:27:03,960 --> 00:27:08,200 Speaker 1: there has to be bloody gums of an HIV infected 436 00:27:08,240 --> 00:27:11,560 Speaker 1: person present. I think both people have to have bleeding 437 00:27:11,600 --> 00:27:14,879 Speaker 1: gums and one of the people has to have HIV 438 00:27:15,320 --> 00:27:19,359 Speaker 1: and they just make out and the the HIV is 439 00:27:19,400 --> 00:27:23,320 Speaker 1: transferred that way. That clearly doesn't happen much. Apparently it 440 00:27:23,359 --> 00:27:26,480 Speaker 1: happened at least once, which is pretty crazy. But yes, 441 00:27:26,560 --> 00:27:31,399 Speaker 1: you're you're very it's extraordinarily unlikely that you're going to 442 00:27:31,440 --> 00:27:36,040 Speaker 1: contract HIV through open mouth kissing. It does not transmit um. Well, 443 00:27:36,080 --> 00:27:38,720 Speaker 1: here's the good news. This sounds like it's all bad news. 444 00:27:38,760 --> 00:27:42,000 Speaker 1: The good news is it is not airborne, does not 445 00:27:42,680 --> 00:27:46,560 Speaker 1: transfer through the surface contact. It's very fragile outside the body, 446 00:27:46,680 --> 00:27:50,439 Speaker 1: super fragile, which is awesome. Like once saliva or blood 447 00:27:50,520 --> 00:27:56,200 Speaker 1: dries up, there's practically zero chance of transmission. Um and yeah, 448 00:27:56,200 --> 00:27:58,160 Speaker 1: it just it doesn't live very long outside the body, 449 00:27:58,200 --> 00:28:00,760 Speaker 1: which it sounds bad, but it could be a lot worse. 450 00:28:01,280 --> 00:28:07,320 Speaker 1: Oh yeah, you know, super hard through um breathing. Yeah, 451 00:28:07,480 --> 00:28:10,960 Speaker 1: through the air, it would be bad. Uh. It is 452 00:28:11,000 --> 00:28:14,800 Speaker 1: not transmitted through saliva, tears, or sweat. Uh. And saliva 453 00:28:14,840 --> 00:28:18,199 Speaker 1: and tears have trace amounts of HIV. They have not 454 00:28:18,280 --> 00:28:21,960 Speaker 1: detected HIV and sweat at all, which is good news 455 00:28:22,000 --> 00:28:24,960 Speaker 1: for me because I'm a sweaty guys. Yeah, it's good 456 00:28:25,000 --> 00:28:28,879 Speaker 1: news for us. I guess you're right, uh, insects. I 457 00:28:28,880 --> 00:28:30,719 Speaker 1: guess we need to talk about the whole mosquito thing, 458 00:28:30,760 --> 00:28:33,639 Speaker 1: because I think I talked about this in the virus episode. 459 00:28:33,840 --> 00:28:37,359 Speaker 1: Um was it virus? There was something? Maybe I remember 460 00:28:37,400 --> 00:28:39,480 Speaker 1: it might have been just the mosquitoes. One, Oh yeah, 461 00:28:39,480 --> 00:28:41,760 Speaker 1: maybe so. I remember thinking when I was a kid 462 00:28:42,040 --> 00:28:44,400 Speaker 1: like and this before I had read anything about it. 463 00:28:44,720 --> 00:28:47,600 Speaker 1: I came up with it on my own. It's like, wow, mosquitoes, 464 00:28:48,360 --> 00:28:50,520 Speaker 1: those are like little needles. I bet they could transmit 465 00:28:50,600 --> 00:28:55,400 Speaker 1: AIDS or HIV, and um, it's not true. So here's why. 466 00:28:55,600 --> 00:28:58,880 Speaker 1: There's very very good scientific reasons why you can't catch 467 00:28:59,160 --> 00:29:04,040 Speaker 1: HIV from a mosquito. When a mosquito injects its probosis 468 00:29:04,040 --> 00:29:08,480 Speaker 1: into your skin, um, it uses its own saliva to 469 00:29:08,760 --> 00:29:14,000 Speaker 1: lubricate this, this whole thing right um. And and when 470 00:29:14,040 --> 00:29:17,640 Speaker 1: it draws blood out, it can conceivably draw the HIV 471 00:29:17,760 --> 00:29:20,680 Speaker 1: virus out of an HIV infected person through their blood. Right. 472 00:29:21,920 --> 00:29:25,160 Speaker 1: But there's a couple of things that that um happened 473 00:29:25,160 --> 00:29:28,080 Speaker 1: after that. One, the mosquito goes and digests its blood 474 00:29:28,080 --> 00:29:32,200 Speaker 1: meal to the so it doesn't just immediately go to 475 00:29:32,240 --> 00:29:36,120 Speaker 1: another person and pick up some more blood usually um 476 00:29:36,240 --> 00:29:40,800 Speaker 1: to the virus does not replicate within the mosquito. Uh. 477 00:29:40,840 --> 00:29:44,360 Speaker 1: And Three, that virus isn't present in the mosquito saliva. 478 00:29:44,480 --> 00:29:48,280 Speaker 1: So even if it went and drank the blood of 479 00:29:48,360 --> 00:29:51,360 Speaker 1: an HIV infected person got HIV in it and then 480 00:29:51,360 --> 00:29:55,120 Speaker 1: went and and and injected you and got some of 481 00:29:55,160 --> 00:29:57,320 Speaker 1: your blood and then went back and digestis blood meal. 482 00:29:57,520 --> 00:29:59,920 Speaker 1: You still would not catch HIV from that. There would 483 00:29:59,920 --> 00:30:03,040 Speaker 1: be no transfer of HIV from that person's blood into 484 00:30:03,080 --> 00:30:06,800 Speaker 1: your body. Yeah. And they've even investigated in like parts 485 00:30:06,800 --> 00:30:09,280 Speaker 1: of Africa where aids in HIV are rampant and where 486 00:30:09,280 --> 00:30:12,960 Speaker 1: mosquitoes are rampant and transmit all kinds of diseases, and 487 00:30:13,000 --> 00:30:18,320 Speaker 1: they've still said nope, nope, nope, not happening, thank god. Uh. 488 00:30:18,360 --> 00:30:21,240 Speaker 1: And then of course toilet seats, swimming in a pool 489 00:30:21,240 --> 00:30:24,600 Speaker 1: with someone eating at the same restaurant sharing a fork. 490 00:30:25,680 --> 00:30:28,440 Speaker 1: Even social kissing closed mouth kissing. Did you know there 491 00:30:28,480 --> 00:30:31,360 Speaker 1: was a name for that closed mouth kissing? Yeah? I 492 00:30:31,440 --> 00:30:35,440 Speaker 1: call it no fun social kissing? What like the French 493 00:30:35,480 --> 00:30:43,200 Speaker 1: you do? Like yeah? Or I call that wedding ceremony kissing. 494 00:30:45,080 --> 00:30:46,720 Speaker 1: You don't often see people when they say you may 495 00:30:46,800 --> 00:30:49,360 Speaker 1: kiss the bride just like go full to its gross. 496 00:30:49,920 --> 00:30:51,520 Speaker 1: I think I saw one guy do that once at 497 00:30:51,520 --> 00:30:54,560 Speaker 1: a wedding. I was like, oh, man, man, come on, 498 00:30:54,720 --> 00:30:57,400 Speaker 1: do like a nice respectful kiss on the lips. You 499 00:30:57,440 --> 00:31:00,560 Speaker 1: mean I went to a friend's wedding recently and um, 500 00:31:00,600 --> 00:31:03,959 Speaker 1: they had a nice kiss Tony and Wenney. Congratulations. By 501 00:31:04,000 --> 00:31:06,080 Speaker 1: the way, guys, what was nice about it? It was 502 00:31:06,680 --> 00:31:09,920 Speaker 1: not social kissing, but it was not like you gross 503 00:31:09,960 --> 00:31:13,400 Speaker 1: it was. It was a good wedding kiss, a good romantic, 504 00:31:13,920 --> 00:31:18,280 Speaker 1: but tasteful kiss, perfectly perfectly put. Well, that's nice. I 505 00:31:18,280 --> 00:31:21,920 Speaker 1: hate that. I miss that. Um do you maybe I 506 00:31:21,960 --> 00:31:24,360 Speaker 1: can get my hands on video of it or they? 507 00:31:26,200 --> 00:31:30,160 Speaker 1: Uh yeah, Virus Talk with Josh and Chuck by the way, October, Yeah, 508 00:31:30,200 --> 00:31:32,040 Speaker 1: but I really think it was the Mosquito's episode that 509 00:31:32,080 --> 00:31:33,960 Speaker 1: you talked about it. No, no no, no, I mean we're 510 00:31:34,000 --> 00:31:37,800 Speaker 1: about to talk about virus is because HIV is a virus, agreed, 511 00:31:38,280 --> 00:31:42,240 Speaker 1: And as you learned and Virus Talk, um, viruses require 512 00:31:42,280 --> 00:31:47,680 Speaker 1: a host cell because viruses are basically they're not their 513 00:31:47,720 --> 00:31:52,400 Speaker 1: own thing, like they they just are carrying information basically 514 00:31:52,440 --> 00:31:55,440 Speaker 1: to invade another cell and poop it out in there, 515 00:31:55,920 --> 00:32:00,840 Speaker 1: right exactly. I mean, like they are the definition of um. 516 00:32:00,880 --> 00:32:03,600 Speaker 1: I guess what Dawkins would have called the selfish gene. 517 00:32:03,600 --> 00:32:07,440 Speaker 1: It just the whole purpose, if there is such thing 518 00:32:07,480 --> 00:32:09,800 Speaker 1: as a purpose to the universe, the whole purpose of 519 00:32:09,800 --> 00:32:12,920 Speaker 1: a virus is to create more viruses. That's it. And 520 00:32:12,960 --> 00:32:15,040 Speaker 1: when you think about the effect that a virus like 521 00:32:15,200 --> 00:32:18,400 Speaker 1: HIV has on human beings and has had on the 522 00:32:18,560 --> 00:32:22,720 Speaker 1: entire population of humanity over the last few decades, to 523 00:32:22,840 --> 00:32:25,479 Speaker 1: think that these viruses aren't even thinking that, they're not 524 00:32:26,000 --> 00:32:28,080 Speaker 1: that all that, all of that is just a byproduct 525 00:32:28,120 --> 00:32:32,680 Speaker 1: of its singular purpose, Yeah, of replicating itself. It's it's 526 00:32:32,760 --> 00:32:36,720 Speaker 1: kind of astounding. It's just so, yeah, it is because 527 00:32:36,760 --> 00:32:39,440 Speaker 1: it's just like the virus couldn't care less, because the 528 00:32:39,520 --> 00:32:43,560 Speaker 1: virus couldn't care literally, it doesn't have feelings. It's just 529 00:32:43,840 --> 00:32:45,880 Speaker 1: it's bizarre to think of it like that. Yeah, it's 530 00:32:46,040 --> 00:32:49,560 Speaker 1: it truly is uh. So viruses, including HIV, they don't 531 00:32:49,560 --> 00:32:53,440 Speaker 1: have cell walls or nucleus. Um. It's just those genetic 532 00:32:53,440 --> 00:32:56,880 Speaker 1: instructions and it's got a little protective shell. Um. A 533 00:32:56,960 --> 00:33:02,080 Speaker 1: virus HIV particle called a very of irene. I think 534 00:33:02,120 --> 00:33:05,360 Speaker 1: both of those are acceptable all uh it is spherical 535 00:33:05,880 --> 00:33:09,720 Speaker 1: uh and one ten thousand of a millimeter in diameter, 536 00:33:09,880 --> 00:33:12,520 Speaker 1: and it has little buds sticking out of the top 537 00:33:12,560 --> 00:33:16,400 Speaker 1: of it where it's basically it docks with the host cell. Yeah. 538 00:33:16,720 --> 00:33:20,400 Speaker 1: So um, like you said, it's just some instructions to 539 00:33:20,480 --> 00:33:23,600 Speaker 1: replicate itself. It's RNA strands wrapped in like a little 540 00:33:23,720 --> 00:33:27,680 Speaker 1: um protective shell made of proteins and lipids, I think, 541 00:33:28,200 --> 00:33:31,280 Speaker 1: and um, it enters the body and it goes straight 542 00:33:31,320 --> 00:33:34,080 Speaker 1: for your lymph nodes. I believe, yeah, because that's where 543 00:33:34,120 --> 00:33:37,479 Speaker 1: the T helper cells like to hang out. And of 544 00:33:37,520 --> 00:33:39,640 Speaker 1: course because it wants to recaboc on your body, it 545 00:33:39,680 --> 00:33:41,479 Speaker 1: goes straight there. And let's talk a little bit real 546 00:33:41,520 --> 00:33:44,360 Speaker 1: quick about T helper cells. So basically you have T 547 00:33:44,560 --> 00:33:47,440 Speaker 1: cells and they are like these they're like jaws from 548 00:33:47,560 --> 00:33:54,280 Speaker 1: James Bond, Okay, Lurch from the Adams family, UM, and 549 00:33:54,480 --> 00:33:58,920 Speaker 1: Jason Vorhees all rolled into one. As far as like 550 00:33:59,360 --> 00:34:04,520 Speaker 1: white blood cells in your immune system, they are mindless, bloodthirsty, 551 00:34:05,040 --> 00:34:09,719 Speaker 1: just killers. Lurch wasn't a bad guy, no, but he's scary, intimidating, 552 00:34:10,560 --> 00:34:15,120 Speaker 1: and you do a pretty good lurch by the way. Um, 553 00:34:15,160 --> 00:34:16,960 Speaker 1: I thought it was a great lurch. I appreciate it. 554 00:34:17,040 --> 00:34:20,120 Speaker 1: So it's just these things, these things are just kind 555 00:34:20,120 --> 00:34:22,360 Speaker 1: of hanging out. These T T cells are just hanging 556 00:34:22,360 --> 00:34:24,920 Speaker 1: out waiting to be told what to do. So, okay, 557 00:34:24,960 --> 00:34:28,240 Speaker 1: so there's one more character that they're like master blaster, 558 00:34:29,680 --> 00:34:33,000 Speaker 1: but they need the master guy a little shrimp. And 559 00:34:33,040 --> 00:34:36,200 Speaker 1: the little shrimp comes in the form of the the 560 00:34:36,400 --> 00:34:39,960 Speaker 1: c D four plus T cells that the T helper cells. 561 00:34:40,280 --> 00:34:43,760 Speaker 1: They go to the T cells and say, hey, get ready, 562 00:34:43,920 --> 00:34:47,000 Speaker 1: get all wrapped up and go get those guys, right. 563 00:34:47,719 --> 00:34:51,040 Speaker 1: So HIV goes right to the c D four plus 564 00:34:51,040 --> 00:34:54,040 Speaker 1: T cells, the T helper cells, and that's its preferred 565 00:34:54,080 --> 00:34:56,840 Speaker 1: cell to attack. Those are the ones that it hijacks. 566 00:34:56,880 --> 00:34:59,480 Speaker 1: And it goes up and it docks with the CD 567 00:35:00,400 --> 00:35:04,239 Speaker 1: four plus T cells and it it basically takes over, 568 00:35:04,760 --> 00:35:10,120 Speaker 1: It hijacks it in turns those cells into HIV byrian factories. 569 00:35:10,400 --> 00:35:13,560 Speaker 1: That is correct, sir. And more specifically, there are seven 570 00:35:14,480 --> 00:35:19,280 Speaker 1: it's a seven part um process and how HIV invades 571 00:35:19,640 --> 00:35:22,799 Speaker 1: the T cells. And yeah, because I don't know if 572 00:35:22,800 --> 00:35:25,080 Speaker 1: we said that the replication is a really big part 573 00:35:25,120 --> 00:35:29,000 Speaker 1: of HIV and why it's so devastating. Yeah, we did. 574 00:35:29,040 --> 00:35:30,920 Speaker 1: We mention that we'll talk about a little more. Okay, 575 00:35:31,040 --> 00:35:33,839 Speaker 1: let's let's just get to the nitty gritty though. Yeah, 576 00:35:33,880 --> 00:35:35,480 Speaker 1: and we should point out to we're gonna talk about 577 00:35:35,480 --> 00:35:39,840 Speaker 1: the drug cocktail later. And then each stage there's another 578 00:35:40,080 --> 00:35:43,960 Speaker 1: there's a corresponding drug in the drug cocktail that helps 579 00:35:44,160 --> 00:35:47,680 Speaker 1: disrupt this process. Yeah, it's like a very smart, multi 580 00:35:47,680 --> 00:35:52,200 Speaker 1: pronged approach because the HIV virus is like what the hey, yeah, 581 00:35:52,239 --> 00:35:55,200 Speaker 1: exactly going on here. I can't get anything done and 582 00:35:55,239 --> 00:35:58,799 Speaker 1: it just leaves all right. So part one binding as 583 00:35:58,880 --> 00:36:02,560 Speaker 1: when the HIV actually attaches to the immune cell, the 584 00:36:02,600 --> 00:36:06,680 Speaker 1: T helper cell and they actually fused together. Yeah, there's 585 00:36:06,719 --> 00:36:11,280 Speaker 1: special proteins. There's proteins on the helper cell that allow 586 00:36:11,560 --> 00:36:14,040 Speaker 1: these things to dock with it. That's right. It's like 587 00:36:14,080 --> 00:36:17,880 Speaker 1: a receptor's site almost. It's like a couple of rednecks 588 00:36:17,880 --> 00:36:19,680 Speaker 1: and boats when they tie their boats together out in 589 00:36:19,680 --> 00:36:21,880 Speaker 1: the lake from fourth of July. Right. I was thinking 590 00:36:21,920 --> 00:36:23,880 Speaker 1: more like a space capsule in the I S S. 591 00:36:23,920 --> 00:36:26,520 Speaker 1: But I guess that's a lower tech version of it, 592 00:36:27,280 --> 00:36:30,600 Speaker 1: right next tying their boats. One man's space capsule is 593 00:36:30,600 --> 00:36:35,520 Speaker 1: another man's party boat. Uh. Some some redneck boater who 594 00:36:35,719 --> 00:36:37,960 Speaker 1: was listening to this and didn't realize he'd be implicated. 595 00:36:37,960 --> 00:36:40,120 Speaker 1: It was like, hey, I'm not gay. He just said 596 00:36:40,160 --> 00:36:46,240 Speaker 1: that to his his iPhone number two. Reverse transcription, Uh, 597 00:36:46,680 --> 00:36:51,600 Speaker 1: reverse transcript days. It's a viral enzyme. It copies. We 598 00:36:51,719 --> 00:36:55,920 Speaker 1: said that HIV was RNA initially correct. I don't know 599 00:36:55,920 --> 00:36:58,279 Speaker 1: if we said that it's a retrovirus. So the the 600 00:36:58,360 --> 00:37:03,279 Speaker 1: genetic instructions that are inside the virus is RNA, not DNA, right. 601 00:37:03,400 --> 00:37:06,480 Speaker 1: But it goes through the reverse transcription process where the 602 00:37:06,520 --> 00:37:10,040 Speaker 1: virus is RNA becomes DNA, right, And it just when 603 00:37:10,080 --> 00:37:13,560 Speaker 1: it docks with the helper sell it does this little 604 00:37:13,640 --> 00:37:16,759 Speaker 1: bit of work on its own. It says it's got 605 00:37:16,800 --> 00:37:18,920 Speaker 1: this little enzyme. It runs it's RNA through it, and 606 00:37:19,719 --> 00:37:23,400 Speaker 1: there's a DNA strand that it just built, right, correct, 607 00:37:23,760 --> 00:37:26,719 Speaker 1: number three integration. Now you have your DNA and it 608 00:37:26,800 --> 00:37:30,320 Speaker 1: is carried into the cells nucleus by something called viral 609 00:37:30,360 --> 00:37:33,719 Speaker 1: integras binds what that sells DNA, and now you are 610 00:37:33,760 --> 00:37:36,960 Speaker 1: no longer a retro virus. You writ provirus right. But 611 00:37:37,080 --> 00:37:42,400 Speaker 1: then strangely, the cells DNA, the helper cells DNA takes 612 00:37:42,440 --> 00:37:47,600 Speaker 1: this new instruction, these new blueprints, and spits out RNA 613 00:37:47,680 --> 00:37:52,080 Speaker 1: again m rna correct. Right. It's it's called messenger RNA 614 00:37:52,440 --> 00:37:57,080 Speaker 1: and it is instructions on how to build new HIV virans. 615 00:37:57,560 --> 00:38:00,239 Speaker 1: It all sounds very sinister, it does, because if you 616 00:38:00,239 --> 00:38:02,560 Speaker 1: think about it on A. On a cellular level, it 617 00:38:02,680 --> 00:38:06,080 Speaker 1: is like, um, it's like I'm trying to kill this thing, right, 618 00:38:06,160 --> 00:38:09,879 Speaker 1: but it's very insidious, and that it's it comes up with. 619 00:38:10,480 --> 00:38:14,800 Speaker 1: It translates its own little instruction manual into the language 620 00:38:14,800 --> 00:38:17,799 Speaker 1: of the cell, inserts it into the cells like main 621 00:38:18,360 --> 00:38:21,720 Speaker 1: section the brain of it, and that makes the brain 622 00:38:21,920 --> 00:38:25,839 Speaker 1: spit out new instructions that are taken to the rest 623 00:38:25,920 --> 00:38:28,320 Speaker 1: of the cell. So it almost like it it gets 624 00:38:28,360 --> 00:38:32,680 Speaker 1: the stamp of approval from the cell to go for 625 00:38:32,760 --> 00:38:34,919 Speaker 1: the other parts of the cell to start building these 626 00:38:34,960 --> 00:38:38,359 Speaker 1: new parts for the virus. Yeah, we're totally humanizing it 627 00:38:38,400 --> 00:38:41,399 Speaker 1: by making it sound like it's nefarious, but it does 628 00:38:41,440 --> 00:38:44,520 Speaker 1: seem that way. You know, it's very interesting. So that 629 00:38:44,600 --> 00:38:47,839 Speaker 1: last step was called transcription. Then you have translation. You've 630 00:38:47,880 --> 00:38:50,400 Speaker 1: got that m r n A at this point is 631 00:38:50,400 --> 00:38:52,239 Speaker 1: carried back out of the cell. This is like a 632 00:38:52,280 --> 00:38:55,560 Speaker 1: work order, Yeah, exactly, carry back out of the cell 633 00:38:56,080 --> 00:39:00,479 Speaker 1: and then basically follows a natural progression where these long 634 00:39:00,560 --> 00:39:03,680 Speaker 1: chains of proteins and enzymes are strung together by the 635 00:39:03,719 --> 00:39:07,200 Speaker 1: own cells, own functions, and own components. Yeah, it just 636 00:39:07,200 --> 00:39:10,000 Speaker 1: starts doing its normal thing, right, but it's not doing 637 00:39:10,000 --> 00:39:12,479 Speaker 1: its normal stuff any longer. What it's doing is using 638 00:39:12,520 --> 00:39:16,160 Speaker 1: its energy and time to build new HIV viruns rather 639 00:39:16,200 --> 00:39:21,920 Speaker 1: than go prime T cells exactly. Uh. Part six assembly 640 00:39:22,640 --> 00:39:25,200 Speaker 1: the RNA and viral enzymes they get together at the 641 00:39:25,239 --> 00:39:31,120 Speaker 1: edge of the cell, and another enzyme called proteas basically cuts. 642 00:39:31,520 --> 00:39:34,360 Speaker 1: I don't really understand this part, So imagine what's more 643 00:39:35,360 --> 00:39:39,640 Speaker 1: like making one cell at a time, having somebody just 644 00:39:39,680 --> 00:39:41,880 Speaker 1: spit out a whole bunch of the same parts, and 645 00:39:41,920 --> 00:39:44,840 Speaker 1: then assembling them later. One of the steps of assembly 646 00:39:44,920 --> 00:39:48,720 Speaker 1: is cutting them into individual bits from these long chains 647 00:39:48,719 --> 00:39:52,560 Speaker 1: of polypeptides, and then finally, butting is when it actually 648 00:39:52,600 --> 00:39:56,160 Speaker 1: splits off. It pinches out from the cell membrane becomes 649 00:39:56,160 --> 00:39:59,120 Speaker 1: its own thing, and one of the key components there 650 00:39:59,200 --> 00:40:00,960 Speaker 1: is it doesn't have to destroy the host cell in 651 00:40:01,000 --> 00:40:03,480 Speaker 1: the process. No, it doesn't. UM. There's a lot of 652 00:40:03,560 --> 00:40:05,920 Speaker 1: viruses out there that just keep building and building and 653 00:40:05,920 --> 00:40:09,160 Speaker 1: building until they literally rupture the cell, and that's how 654 00:40:09,160 --> 00:40:12,160 Speaker 1: they spread through the body. These like say, hey, thanks 655 00:40:12,160 --> 00:40:15,160 Speaker 1: for a little bit of that lipid action, I'm now 656 00:40:15,520 --> 00:40:20,080 Speaker 1: a new HIV virus and UM. But you can keep 657 00:40:20,120 --> 00:40:22,759 Speaker 1: going on and build some more virans. I don't have 658 00:40:22,800 --> 00:40:26,200 Speaker 1: to destroy you to spread. It's really a nasty, nasty disease. 659 00:40:26,320 --> 00:40:29,200 Speaker 1: It really is how it works. So eventually the the 660 00:40:29,239 --> 00:40:33,080 Speaker 1: helper cell does figure out that there's something terribly wrong 661 00:40:33,640 --> 00:40:36,839 Speaker 1: and it it self destructs. But this makes the whole 662 00:40:36,840 --> 00:40:39,440 Speaker 1: thing even even worse. So the CD the c D 663 00:40:39,600 --> 00:40:42,759 Speaker 1: four plus T helper cell is not out there doing 664 00:40:42,760 --> 00:40:44,920 Speaker 1: what it's supposed to be doing, priming T cells to 665 00:40:44,960 --> 00:40:49,440 Speaker 1: attack the HIV instead of spending its time making more HIV. 666 00:40:50,120 --> 00:40:52,719 Speaker 1: And then when it finally is like, this has messed up. 667 00:40:52,800 --> 00:40:56,120 Speaker 1: Something's really wrong. I need to self destruct. It actually 668 00:40:56,880 --> 00:41:00,880 Speaker 1: signals other c D four plus he helped ourselves to 669 00:41:00,960 --> 00:41:04,080 Speaker 1: come surround it, and then it basically blows up, taking 670 00:41:04,120 --> 00:41:06,680 Speaker 1: them with it. Yeah, it's like a mass suicide. It's yeah, 671 00:41:06,719 --> 00:41:09,040 Speaker 1: it's like it's like a massacre down there on the 672 00:41:09,080 --> 00:41:11,600 Speaker 1: cellular level. Yeah. So this is one of the things 673 00:41:11,680 --> 00:41:16,200 Speaker 1: that makes HIV so insidious. All Right, I think we 674 00:41:16,239 --> 00:41:19,480 Speaker 1: need to take another break because people's minds are exploding 675 00:41:19,520 --> 00:41:23,319 Speaker 1: at this point and hopefully expanding, so we'll be right 676 00:41:23,400 --> 00:41:45,960 Speaker 1: back after this. Um chuck. One of the things we 677 00:41:46,000 --> 00:41:49,840 Speaker 1: also have to mention about HIV and UM one of 678 00:41:49,880 --> 00:41:52,440 Speaker 1: the other aspects that makes it so difficult to cure 679 00:41:53,000 --> 00:41:57,240 Speaker 1: or to even treat. Um. In addition to these cells 680 00:41:57,320 --> 00:42:01,040 Speaker 1: like being hijacked, some of these irons that are being 681 00:42:01,080 --> 00:42:06,000 Speaker 1: produced are just going off and accumulating in other cells, 682 00:42:06,080 --> 00:42:09,440 Speaker 1: but they're not hijacking it, right, So as far as 683 00:42:09,440 --> 00:42:12,240 Speaker 1: the cells concerned, there's nothing weird going on. There's nothing 684 00:42:12,280 --> 00:42:16,000 Speaker 1: worth blowing yourself up over. It's just um, there's just 685 00:42:16,040 --> 00:42:19,120 Speaker 1: some extra little virus hanging out on my surface. But 686 00:42:19,160 --> 00:42:22,279 Speaker 1: who cares, It's fine. And these start to spread over 687 00:42:22,320 --> 00:42:25,920 Speaker 1: that decade from infection to the onset of symptoms, they 688 00:42:25,960 --> 00:42:28,239 Speaker 1: start to spread and accumulate throughout the body and the 689 00:42:28,320 --> 00:42:31,160 Speaker 1: growing area and your bone marrow and your lymph nodes, 690 00:42:31,200 --> 00:42:36,200 Speaker 1: like all over your bodys Yes, they form HIV reservoirs, right, 691 00:42:36,920 --> 00:42:39,359 Speaker 1: And since these things can just hide out and they're 692 00:42:39,400 --> 00:42:42,000 Speaker 1: not active and then they can become active whenever, it 693 00:42:42,080 --> 00:42:45,680 Speaker 1: makes HIV a chronic, lifelong disease, and it makes it 694 00:42:45,760 --> 00:42:50,120 Speaker 1: really really difficult to eradicate because the body mounts its 695 00:42:50,120 --> 00:42:56,279 Speaker 1: own defense against the HIV infection. Initially, it's those reservoirs 696 00:42:56,320 --> 00:43:00,680 Speaker 1: that become more and more widespread and increasing number to 697 00:43:00,760 --> 00:43:02,880 Speaker 1: where they finally get to a point where your viral 698 00:43:02,960 --> 00:43:06,240 Speaker 1: load is what it's called. There's just so many HIV 699 00:43:06,360 --> 00:43:09,600 Speaker 1: viryans infecting so much of your body that when they 700 00:43:09,600 --> 00:43:12,840 Speaker 1: do start to finally become active, it just totally overloads 701 00:43:12,840 --> 00:43:15,680 Speaker 1: your c D four count and your number just goes down, 702 00:43:16,040 --> 00:43:19,840 Speaker 1: and all of a sudden you have the stage three 703 00:43:19,920 --> 00:43:24,360 Speaker 1: year four HIV, which is again is AIDS and um 704 00:43:24,600 --> 00:43:27,560 Speaker 1: we uh yeah, thanks for pointing that out. Um, I 705 00:43:27,560 --> 00:43:30,319 Speaker 1: think that one of the also more dangerous parts is 706 00:43:30,320 --> 00:43:34,919 Speaker 1: those reservoirs are invisible in that right, like immunologically speaking, Yeah, 707 00:43:35,480 --> 00:43:37,600 Speaker 1: and you know, it's just like there's a there's a 708 00:43:37,680 --> 00:43:40,600 Speaker 1: virus on the on the protein outside and that's it. 709 00:43:40,840 --> 00:43:43,240 Speaker 1: And we're gonna talk about the AIDS cocktail and stuff. 710 00:43:43,280 --> 00:43:46,279 Speaker 1: But even though it is effective, I think they said 711 00:43:46,320 --> 00:43:50,120 Speaker 1: it's it's um, it's so slow moving that it will 712 00:43:50,280 --> 00:43:53,960 Speaker 1: require sixty to eighty years of the cocktail therapy to 713 00:43:54,040 --> 00:43:57,760 Speaker 1: completely eradicate the virus. In other words, you can't completely 714 00:43:57,760 --> 00:44:01,759 Speaker 1: eradicate the virus. I mean technically good. It depends it 715 00:44:02,400 --> 00:44:04,880 Speaker 1: to be very old when you were very young. If 716 00:44:04,880 --> 00:44:06,719 Speaker 1: you acquired it at age ten and you lived to 717 00:44:06,880 --> 00:44:11,400 Speaker 1: age ninety, then technically you could probably completely rad KHIV. 718 00:44:11,680 --> 00:44:13,919 Speaker 1: That's not the way that this goes though, you know. Yeah, 719 00:44:14,320 --> 00:44:16,279 Speaker 1: well no, but there have been plenty of kids who 720 00:44:16,280 --> 00:44:18,200 Speaker 1: get it through other ways, you know. Yeah, I mean 721 00:44:18,239 --> 00:44:21,480 Speaker 1: like you can be infected as a fetus, um and 722 00:44:21,560 --> 00:44:23,600 Speaker 1: again through breastfeeding. I think are two of the ways 723 00:44:23,600 --> 00:44:27,080 Speaker 1: you said, right, yeah, and you know with I think 724 00:44:27,120 --> 00:44:31,120 Speaker 1: Ryan White got it through a blood transfusion, didn't heah is, 725 00:44:31,200 --> 00:44:33,160 Speaker 1: Well we'll talk about that too, man. There's so much 726 00:44:33,760 --> 00:44:36,960 Speaker 1: future goodness coming. All right, Well, we're gonna close this 727 00:44:37,000 --> 00:44:41,719 Speaker 1: episode out with some stats. UM. I went to uh, 728 00:44:41,880 --> 00:44:44,239 Speaker 1: and this is for the United States. We've already given 729 00:44:44,280 --> 00:44:48,400 Speaker 1: some worldwide stats, but geez, where to start. There's so 730 00:44:48,440 --> 00:44:54,279 Speaker 1: many UM. Estimated incidents of HIV has remained stable in 731 00:44:54,320 --> 00:44:58,239 Speaker 1: recent years, about fifty thousand new HIV infections per year 732 00:44:58,560 --> 00:45:01,680 Speaker 1: in the United States. But like we said, some groups 733 00:45:01,800 --> 00:45:05,400 Speaker 1: UM are worse off than others. Uh if you go 734 00:45:05,480 --> 00:45:10,000 Speaker 1: by groups UM. And this is where categorizing sexuality gets 735 00:45:10,000 --> 00:45:14,440 Speaker 1: so tricky, because you can say homosexual men, bisexual men, 736 00:45:15,160 --> 00:45:17,800 Speaker 1: or this term that was invented in the mid nineties 737 00:45:18,280 --> 00:45:21,040 Speaker 1: m s M men who have sex with men, which 738 00:45:21,080 --> 00:45:23,839 Speaker 1: is meant to be a neutral term. Yeah, that's not 739 00:45:24,040 --> 00:45:26,520 Speaker 1: casting any judgment or anything that right. It also takes 740 00:45:26,520 --> 00:45:29,640 Speaker 1: into account dudes are into like download stuff who don't 741 00:45:29,719 --> 00:45:33,520 Speaker 1: self identify as gay, right, Um, like I'm not gay bisexual, 742 00:45:33,680 --> 00:45:36,640 Speaker 1: I just have sex with men exactly every Wednesday, you know, 743 00:45:36,840 --> 00:45:39,759 Speaker 1: in the park. Yeah, and those those people would be 744 00:45:39,800 --> 00:45:42,719 Speaker 1: counted in this correct Uh. And there's we might as 745 00:45:42,719 --> 00:45:45,560 Speaker 1: well say, there's there's the very people who created that 746 00:45:45,680 --> 00:45:48,160 Speaker 1: term in the science community. Um, some of them are 747 00:45:48,200 --> 00:45:53,000 Speaker 1: now lobbying to have that term removed or used more sparingly, 748 00:45:53,239 --> 00:45:56,560 Speaker 1: I think is another interpretation. Yeah, And the thought is 749 00:45:56,600 --> 00:45:58,239 Speaker 1: and it makes a lot of sense, is uh. And 750 00:45:58,280 --> 00:46:02,520 Speaker 1: there's also women sleeping with women us w Uh, it says, 751 00:46:02,640 --> 00:46:04,680 Speaker 1: and I'm gonna read this directly, so don't goof it up, 752 00:46:04,920 --> 00:46:07,239 Speaker 1: said ms M and w SW often imply a lack 753 00:46:07,239 --> 00:46:10,880 Speaker 1: of lesbian or gay identity and absence of community networks 754 00:46:10,880 --> 00:46:13,880 Speaker 1: and relationships in which same gender peerings mean more than 755 00:46:13,920 --> 00:46:18,200 Speaker 1: merely sexual behavior. Uh. Plus it's ex sense. They are 756 00:46:18,239 --> 00:46:21,000 Speaker 1: also saying that it's overly broad too, that you're really 757 00:46:21,000 --> 00:46:25,200 Speaker 1: not taking into account specifically who you're talking about, you know, 758 00:46:25,960 --> 00:46:31,480 Speaker 1: like if you're lumping in Wednesday download guys with um, 759 00:46:31,520 --> 00:46:35,080 Speaker 1: you know, men who have been openly homosexual since age 760 00:46:35,120 --> 00:46:38,760 Speaker 1: sixteen who are now sixty. Those are two totally different 761 00:46:38,760 --> 00:46:42,160 Speaker 1: communities and in most ways, absolutely and to lump them 762 00:46:42,200 --> 00:46:45,800 Speaker 1: in together, especially if you're if it's an epidemiological paper, 763 00:46:45,840 --> 00:46:49,000 Speaker 1: for example, that's that's doing a disservice to the person 764 00:46:49,080 --> 00:46:52,360 Speaker 1: you're writing the paper for. So they're there, they propose 765 00:46:52,719 --> 00:46:55,480 Speaker 1: to just be more specific, like you don't have to 766 00:46:55,480 --> 00:46:59,120 Speaker 1: get do away with MSM. But say you know Wednesday 767 00:46:59,160 --> 00:47:01,960 Speaker 1: downlow ms um right, you know, when you're talking about 768 00:47:01,960 --> 00:47:06,400 Speaker 1: a specific population and in your study site, the the 769 00:47:06,560 --> 00:47:10,240 Speaker 1: type of subgroups that you study that participated in the study, 770 00:47:10,280 --> 00:47:13,879 Speaker 1: like you had twenty Wednesday download ms M, you had 771 00:47:14,200 --> 00:47:18,440 Speaker 1: uh thirty old gay guys. Surely there's other abbreviations that 772 00:47:18,480 --> 00:47:20,319 Speaker 1: could come out of this, but they're saying, just be 773 00:47:20,400 --> 00:47:22,480 Speaker 1: more scientific about this show. We yeah, and I think 774 00:47:22,520 --> 00:47:25,399 Speaker 1: it started out with a well meaning, well intended thing, 775 00:47:25,480 --> 00:47:28,000 Speaker 1: but um there, you know, this whole thing is evolved. 776 00:47:28,040 --> 00:47:30,680 Speaker 1: Everyone's learning how the best deal with terminologies, you know, 777 00:47:31,320 --> 00:47:34,320 Speaker 1: and we've in ten years there'll be more specific terminology. 778 00:47:35,000 --> 00:47:36,279 Speaker 1: You know, what are you about to say he had 779 00:47:36,280 --> 00:47:38,600 Speaker 1: a good joke like give everybody a break. We're all 780 00:47:38,680 --> 00:47:41,280 Speaker 1: learning as we go. Yeah, we are. We're in this together. 781 00:47:41,760 --> 00:47:45,520 Speaker 1: So but risk group wise. Uh. And of course it 782 00:47:45,600 --> 00:47:48,160 Speaker 1: says MSM here right after we said all that. Uh. 783 00:47:48,239 --> 00:47:51,040 Speaker 1: They represent about four percent of the male population is 784 00:47:51,080 --> 00:47:53,480 Speaker 1: all in the United States in two thousand ten, they 785 00:47:53,480 --> 00:47:58,680 Speaker 1: accounted for seventy eight of new HIV infections and of 786 00:47:58,719 --> 00:48:01,760 Speaker 1: all people living with HIV UH in the United States. 787 00:48:02,280 --> 00:48:04,120 Speaker 1: So and you know, we got to the reasons why 788 00:48:04,200 --> 00:48:09,479 Speaker 1: that you know is happening earlier. Uh. And then the UM, 789 00:48:09,560 --> 00:48:12,560 Speaker 1: let me see here, injection drug users represent eight percent 790 00:48:12,640 --> 00:48:16,360 Speaker 1: of new infections in two thousand ten. Women accounted for 791 00:48:16,400 --> 00:48:22,200 Speaker 1: twenty of estimated new infections in two thousand ten. And UM, 792 00:48:22,280 --> 00:48:24,920 Speaker 1: what's scary there is there's been a rise UH in 793 00:48:25,200 --> 00:48:30,759 Speaker 1: HIV infection and women increase from two thousand eight to 794 00:48:30,800 --> 00:48:33,800 Speaker 1: two thousand ten. You know that's going in the wrong direction. 795 00:48:33,920 --> 00:48:36,239 Speaker 1: I didn't see it in my research anywhere, but I 796 00:48:36,239 --> 00:48:38,560 Speaker 1: didn't specifically look for it. UM, so take it with 797 00:48:38,560 --> 00:48:40,719 Speaker 1: a grain of salt. But I remember hearing not too 798 00:48:40,760 --> 00:48:43,279 Speaker 1: many years ago that UM HIV was on the rise 799 00:48:43,320 --> 00:48:48,280 Speaker 1: among the elderly population really thanks to viagra. That there's 800 00:48:48,320 --> 00:48:52,719 Speaker 1: been a far greater increase in sexual activity and retirement 801 00:48:52,719 --> 00:48:56,640 Speaker 1: communities or nursing homes even sure because of viagra, and 802 00:48:56,760 --> 00:48:59,359 Speaker 1: they're there, but they're just not taking precautions because they're like, 803 00:48:59,440 --> 00:49:03,160 Speaker 1: I'm you know, I'm eighty. Yeah, that's fine, but apparently 804 00:49:03,400 --> 00:49:06,080 Speaker 1: HIV is totally makes on the rise among that population. 805 00:49:06,200 --> 00:49:08,160 Speaker 1: We need to do one on viagra. Actually looked at 806 00:49:08,160 --> 00:49:09,960 Speaker 1: the article the other day to suggest it and it 807 00:49:10,040 --> 00:49:14,480 Speaker 1: was hard. Oh was it? Yes, it was. It was 808 00:49:14,760 --> 00:49:21,720 Speaker 1: dense and difficult, So yeah, bad, bad guy. UH. African 809 00:49:21,719 --> 00:49:26,799 Speaker 1: Americans and minorities in general. UM Africa. African Americans represent 810 00:49:26,880 --> 00:49:30,919 Speaker 1: twelve percent of the population but accounted fort of new 811 00:49:30,960 --> 00:49:33,279 Speaker 1: infections in two thousands ten and I wish we had 812 00:49:33,280 --> 00:49:36,200 Speaker 1: more recent stats, but we don't. Apparently that's the most 813 00:49:36,320 --> 00:49:39,719 Speaker 1: most instantly available, which is surprising. And the same with 814 00:49:39,800 --> 00:49:45,440 Speaker 1: Hispanic Latino UH a disproportionate affected by HIV compared to 815 00:49:45,480 --> 00:49:48,040 Speaker 1: their population. So then I was like, well, why is 816 00:49:48,080 --> 00:49:53,360 Speaker 1: this happening? UM. As far as African Americans and are concerned, 817 00:49:54,200 --> 00:49:56,600 Speaker 1: there's a lot of debate on what's going on there. UM, 818 00:49:56,640 --> 00:49:59,920 Speaker 1: but they have found more infections, a shorter survival period, 819 00:50:00,200 --> 00:50:04,760 Speaker 1: an increased number of deaths, and the most leading theories 820 00:50:04,800 --> 00:50:08,480 Speaker 1: are poverty, that they may be more likely to be 821 00:50:08,560 --> 00:50:13,440 Speaker 1: uninsured and go to the doctor to begin with. UM, 822 00:50:13,560 --> 00:50:18,080 Speaker 1: injection drug use. Uh, the increases increases the spread of HIV. 823 00:50:19,239 --> 00:50:22,840 Speaker 1: And I guess what they're saying is there's less safe 824 00:50:22,920 --> 00:50:26,480 Speaker 1: injection drug use in the African American community or less 825 00:50:26,520 --> 00:50:31,920 Speaker 1: responsible like getting new you know, and stuff like that. Uh, 826 00:50:32,239 --> 00:50:34,640 Speaker 1: there's like a heroin epidemic going on right now. I 827 00:50:34,640 --> 00:50:36,200 Speaker 1: don't think just with the black community. As a matter 828 00:50:36,239 --> 00:50:39,279 Speaker 1: of fact, it's even more popular among like white kids 829 00:50:39,320 --> 00:50:41,839 Speaker 1: than Black kids right now. But I wonder how much 830 00:50:41,840 --> 00:50:43,839 Speaker 1: of an effect that's having on the spread of HIV 831 00:50:43,960 --> 00:50:47,799 Speaker 1: among everybody. Yeah, good point. Uh. And then the last 832 00:50:47,800 --> 00:50:51,719 Speaker 1: couple of lack of information, Um, you may not you 833 00:50:51,760 --> 00:50:53,920 Speaker 1: may be HIV positive and you don't even know it. 834 00:50:54,000 --> 00:50:57,160 Speaker 1: And we I know, we talked before about the Tuskegee 835 00:50:57,719 --> 00:51:01,360 Speaker 1: syphilis experiments and how they're that has led to a 836 00:51:01,400 --> 00:51:05,600 Speaker 1: general distrust UM and some corners of the African American 837 00:51:05,600 --> 00:51:09,880 Speaker 1: community against the medicine and doctors overall. And then finally 838 00:51:10,200 --> 00:51:13,279 Speaker 1: a stigma. There's a stigma in the black community. UM 839 00:51:13,360 --> 00:51:17,879 Speaker 1: that still is a gay, white disease. And that's why 840 00:51:18,000 --> 00:51:20,200 Speaker 1: when Easy got AIDS it was such a big deal. 841 00:51:20,480 --> 00:51:23,440 Speaker 1: It was the illuminati who injected him with it. Was 842 00:51:23,480 --> 00:51:27,799 Speaker 1: that one of the theories. You're kidding? Uh yeah, I 843 00:51:27,800 --> 00:51:29,200 Speaker 1: mean that was why he was a really big deal, 844 00:51:29,200 --> 00:51:31,600 Speaker 1: because he put a face to a certain segment of 845 00:51:31,640 --> 00:51:34,239 Speaker 1: the black population where they're like, wait a minute, you 846 00:51:34,280 --> 00:51:36,799 Speaker 1: know it's easy can get it. Anybody can get it. Yeah, 847 00:51:36,840 --> 00:51:39,399 Speaker 1: it's true. Uh so those are the reasons they think 848 00:51:39,400 --> 00:51:44,040 Speaker 1: it's spreading more in the in the minority communities. Um, 849 00:51:44,080 --> 00:51:46,879 Speaker 1: and are we done with part one? I think so? So. 850 00:51:47,120 --> 00:51:49,279 Speaker 1: Do you remember um when they would do like a 851 00:51:49,360 --> 00:51:54,040 Speaker 1: very serious two part different strokes at the end. Normally 852 00:51:54,080 --> 00:51:55,920 Speaker 1: they would clap at the end, but at the end 853 00:51:55,960 --> 00:51:58,359 Speaker 1: of part one, it would just like go quiet, Yeah, 854 00:51:58,400 --> 00:52:00,120 Speaker 1: I got no listener mail for this. I think we 855 00:52:00,120 --> 00:52:03,000 Speaker 1: should do that. Okay, So how do we set this up? 856 00:52:03,360 --> 00:52:11,319 Speaker 1: I think we just stopped talking for more on this 857 00:52:11,480 --> 00:52:14,000 Speaker 1: and thousands of other topics. Is it how stuff works? 858 00:52:14,000 --> 00:52:15,120 Speaker 1: Dot Com