WEBVTT - How Itching Works

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<v Speaker 1>Welcome to Stuff you Should Know from house stuff Works

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<v Speaker 1>dot com. Hey, and welcome to the podcast. I'm Josh Clark,

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<v Speaker 1>There's Charles W. Chuck Bryant, and there's Jerry Rowland. So

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<v Speaker 1>this is stuff you should Know. Scratching Indigenous Yeah, this

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<v Speaker 1>is one of many. You remember when we did Yawning. Um, well,

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<v Speaker 1>that's the only one I can think of where just

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<v Speaker 1>researching something makes you do the thing you're researching. This

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<v Speaker 1>definitely happened with this one. Yeah. Well we ran across

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<v Speaker 1>that and poison ivy and scabies for sure. Oh yeah,

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<v Speaker 1>and talked about some of this stuff. But I think

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<v Speaker 1>it we had an itch we needed to scratch with

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<v Speaker 1>this particular topic. Well, I'm glad, um, I've been wanting

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<v Speaker 1>to do this one for a while. Yeah, you did

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<v Speaker 1>a video about this, right, Yes, a short video. No,

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<v Speaker 1>it was three or four hours long. Okay, if I

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<v Speaker 1>remember correctly, that mean we have to do this. You

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<v Speaker 1>have to be here for the next four hours. Yeah,

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<v Speaker 1>we have to just play the whole thing and then

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<v Speaker 1>we'll talk about it for an hour after. Okay. I

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<v Speaker 1>think it was a brain stuff video, isn't it. I

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<v Speaker 1>watched Did it scratch your itch? Yeah, I watched it yesterday.

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<v Speaker 1>Nice work, thank you very much. Just like now we

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<v Speaker 1>finally arrive on what I was after compliment. Yeah, it

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<v Speaker 1>was great, thanks man. Um. So I guess the point

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<v Speaker 1>of all that is to say, you guys are going

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<v Speaker 1>you're going right, and my videos are the best. Uh,

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<v Speaker 1>that you're going to scratch, You're gonna feel an itch,

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<v Speaker 1>which is one of the great mysteries of itches. It

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<v Speaker 1>turns out we only very very recently have started to

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<v Speaker 1>get a handle on what itches are, um, and there's

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<v Speaker 1>still plenty of mysteries left to it. Like, for example,

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<v Speaker 1>it's bizarre and there's really no evolutionary reason as far

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<v Speaker 1>as anyone can tell, why just hearing about itches or

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<v Speaker 1>seeing someone else scratch can make you itch. Right, That's

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<v Speaker 1>that's odd, That's that's weird. The video of an ant

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<v Speaker 1>crawling up an arm will make you itch. It will.

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<v Speaker 1>But I mean, think about it. If somebody is sitting there, Um,

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<v Speaker 1>you see a video of some schmo who's got his

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<v Speaker 1>hand like near an oven, and he pulls it away

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<v Speaker 1>really quick. It doesn't hurt your hand, It doesn't make

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<v Speaker 1>you feel like your hand is burned. That doesn't happen.

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<v Speaker 1>I don't even think that would excite mirror neurons like

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<v Speaker 1>a leg break with You're just like, what a stupid idiot,

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<v Speaker 1>that's what it excites. Yeah, I hope that guy's hand

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<v Speaker 1>just burns clean off. That's what I think. Right. Uh,

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<v Speaker 1>you sourced a couple of well we've had our own

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<v Speaker 1>article on how stuff works dot com, but you also

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<v Speaker 1>sent this great New Yorker article, um, written by Dr

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<v Speaker 1>a tool go on Day, one of the best names

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<v Speaker 1>in writing today. Yeah, that may be my new hotel name. Well,

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<v Speaker 1>you may be thronged by science right, science fans, because

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<v Speaker 1>that guy's pretty pretty well known. Actually I don't. I've

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<v Speaker 1>never used to alias at a hotel. That's dumb. I

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<v Speaker 1>don't even know if you can. Can you? I guess

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<v Speaker 1>if you're a big shot you can. Yeah, but you

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<v Speaker 1>have to be like, I'm not Brad Pitt, I'm a

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<v Speaker 1>tool go on Day right. Uh. But the we'll get

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<v Speaker 1>to some of the uh more interesting aspects of that

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<v Speaker 1>article later, specifically a very specific patient that's quite distressing,

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<v Speaker 1>So calm down for now, a Tool's mom, but get

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<v Speaker 1>to it eventually. He did include a couple of neat

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<v Speaker 1>historical tidbits Uh, like in sixteen sixty there was in

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<v Speaker 1>Germans are all over this thing for some reason. Yeah,

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<v Speaker 1>you know researchers that they're they're all German. They had

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<v Speaker 1>the itch to explain the itch. I guess it right.

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<v Speaker 1>But there was a position in sixteen sixty named Samuel Hoffenruffer.

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<v Speaker 1>Actually that's my new hotel name. Yeah, that's a good one.

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<v Speaker 1>Uh he kind of well, he defined it by saying,

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<v Speaker 1>an itch is an unpleasant sensation that provokes the desire

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<v Speaker 1>to scratch. Pretty simple, but right on the money it is.

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<v Speaker 1>And actually it's so it's so on the money that

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<v Speaker 1>anywhere you look in the medical literature, whenever they define

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<v Speaker 1>itch word for word, that's the definition they use. Yeah,

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<v Speaker 1>although poor hoff and reference doesn't get credit for it

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<v Speaker 1>all the time, but that's the one. The only expansion

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<v Speaker 1>of that that I've seen is that can occur anywhere

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<v Speaker 1>on the body, which apparently is true. I think haf

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<v Speaker 1>reference he felt that was implied. And it's like it

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<v Speaker 1>goes without saying, yeah, and then I'm scratching right now,

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<v Speaker 1>you know, Yeah, it's started. I don't know if I

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<v Speaker 1>just noticed more, because as I was doing it, I

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<v Speaker 1>was thinking, well, now, I'm scratching, but I thought, do

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<v Speaker 1>I always scratch this much? Or it's this much? Oh,

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<v Speaker 1>I hadn't thought about that. I'm pretty sure that I was.

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<v Speaker 1>I don't think I scratched as much as I don't know.

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<v Speaker 1>Do you raise a really good question. Maybe we can

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<v Speaker 1>get an intern to follow us around and just record

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<v Speaker 1>our scratching. Right, I'm surprised that that's not already a

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<v Speaker 1>TV show. Frankly, Josh and Chuck scratch just being followed around. Yeah, oh,

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<v Speaker 1>you know, no one wants to see that. Well, that's

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<v Speaker 1>probably why it's not you're scratching. See, that's what I'm saying.

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<v Speaker 1>I don't think I scratched this much. I don't notice

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<v Speaker 1>it alright. Moving on, um to Dante's Inferno. Uh, it

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<v Speaker 1>was in Dante's Inferno, the burning rage of fierce itching

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<v Speaker 1>that nothing could relieve is how falsifiers were punished. Yeah.

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<v Speaker 1>Do you know what a falsifiers us? I know really like.

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<v Speaker 1>Isn't that that somebody who like bears false witness, or

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<v Speaker 1>somebody who falsifies a document or is it just a

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<v Speaker 1>fancy name for liar? Maybe? Oh, I thought you were

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<v Speaker 1>gonna tell me you were just wondering. Yeah, I don't.

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<v Speaker 1>I don't know, all right, I don't know what don

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<v Speaker 1>they meant, but they're they're bad people. Apparently there's a

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<v Speaker 1>special place in health for him literally, well, I guess

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<v Speaker 1>actually not literally figuratively literarily, Oh very nice. Uh So,

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<v Speaker 1>itching um scientifically is known as uh puritis p r

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<v Speaker 1>U r I t I s. It's one of those

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<v Speaker 1>tough to pronounce things for me at least um and

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<v Speaker 1>for well. Actually, they still believe that the evolution of

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<v Speaker 1>the itch was to help humans um survive basically because

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<v Speaker 1>so many things that can kill you, uh, and and

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<v Speaker 1>nature or things like mosquitoes or flies or spiders or

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<v Speaker 1>fleas that can have like malaria or the plague or

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<v Speaker 1>any number of diseases attached to their tiny little insect bodies. So, hey, human, um,

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<v Speaker 1>you've got a mosquito on your neck that could kill

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<v Speaker 1>you. You You might want to slap it or scratch. Yeah,

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<v Speaker 1>And that's still, as far as I know, the the

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<v Speaker 1>evolutionary hypothesis for why we experience itching. Yeah, and it's

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<v Speaker 1>not just us either. What you're scratching like crazy, it's

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<v Speaker 1>found throughout the animal kingdom um from us too, apparently,

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<v Speaker 1>fish have shown scratching behavior. Yeah, that's crazy fruit flies.

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<v Speaker 1>How's the fish scratch? You might ask? It rubs up

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<v Speaker 1>against rocks. It's kind of cute. It is a little cute.

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<v Speaker 1>It's like I remember my dad did like the uh

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<v Speaker 1>who was the Barren Jungle book? Was that blue? Yes?

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<v Speaker 1>He would do the blue or he would get up

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<v Speaker 1>against a tree or a wall. And then I did

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<v Speaker 1>it probably because of that. I'm sure that's where I

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<v Speaker 1>got it and realized that it works. And I still

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<v Speaker 1>do it every now and then. Oh yeah, yeah, it

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<v Speaker 1>look kind of silly. But do you sing while you do? Yeah?

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<v Speaker 1>Bair necessities, that's still my favorite. What else are you

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<v Speaker 1>gonna sing? Like Mambo number five? I'm gonna start doing that.

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<v Speaker 1>Actually you could be like, think something's wrong with yeah. So,

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<v Speaker 1>like you said, though, it was up until almost was seven,

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<v Speaker 1>the mid to late eighties that another German h O

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<v Speaker 1>hand worker UH and his gang um they started to

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<v Speaker 1>do actual like research about it. They were puzzled and

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<v Speaker 1>wanted to solve it right because up to this point,

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<v Speaker 1>up to actually seven, everyone thought that an itch was

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<v Speaker 1>just a low grade pain stimulus. Since they're happy with that,

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<v Speaker 1>that's just what they thought it was. And hand worker said,

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<v Speaker 1>you know what, let's let's find out if this is

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<v Speaker 1>actually true. I'm tired of sitting around just assuming this

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<v Speaker 1>is fine. I'm a hand worker. And he got to

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<v Speaker 1>work or at his hands testing this. Right. So what

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<v Speaker 1>he I know is like Jonathan Strickland level funds um.

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<v Speaker 1>What he did was this is just awful. He introduced

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<v Speaker 1>using like um electrical stimulation. I guess he introduced histamine

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<v Speaker 1>to skin cells. Right. And histamine is a natural I

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<v Speaker 1>don't know if it's a protein, but it's it's a natural,

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<v Speaker 1>natural chemical, right that the body releases UH in response

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<v Speaker 1>to certain stimuli, say, for example, like a mosquito bite

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<v Speaker 1>or something, and it triggers the inflammation and immune response

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<v Speaker 1>in that area. Right. So histamine is associated with itch,

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<v Speaker 1>and it had been for a very long time. So

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<v Speaker 1>this guy was using electrical stimulation to introduce histamine in

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<v Speaker 1>increasing amounts in these poor study participants, and it went

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<v Speaker 1>from barely noticeable to this is a quote the maximum

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<v Speaker 1>imaginable itch. And they never felt pain. Yeah, Like, even

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<v Speaker 1>though they ramped it up to eleven, no one ever

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<v Speaker 1>said like, holy crap, that hurts. But they said, please, please,

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<v Speaker 1>for love, God, stop let me out of this. And

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<v Speaker 1>hand worker just cackled and cackled. Right, these men with

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<v Speaker 1>like black leather gloves are holding the participants down. Yeah,

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<v Speaker 1>they said, this is not worth the five deutsch marks

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<v Speaker 1>that I'm getting for the slousy study. Yeah, that's nice man,

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<v Speaker 1>that's This would have been pre euro I think even

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<v Speaker 1>though the EU was around, I don't think the euro

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<v Speaker 1>was around in eighties seven, right, No, no, because in

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<v Speaker 1>nineties I traveled, Uh, I traveled to Europe in and

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<v Speaker 1>that was I was still on all the weird money. Okay, yeah,

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<v Speaker 1>so it was a while after that. So now scientists, uh,

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<v Speaker 1>I think this sort of um introduced an itch to

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<v Speaker 1>the scientific community because after hundreds and hundreds of years,

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<v Speaker 1>hand Vuka sort of disrupted the thought process of the

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<v Speaker 1>itch and the scratch, and all of a sudden, scientists

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<v Speaker 1>were like, oh, well, maybe should start looking into this.

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<v Speaker 1>Maybe we can actually isolate the nerve and figure this

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<v Speaker 1>thing out. Yeah, because I mean, if it's not if

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<v Speaker 1>it's not just low level pain sensation, then that means

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<v Speaker 1>it's its own thing. And if it's its own thing,

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<v Speaker 1>it probably has its own system and we need to

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<v Speaker 1>know more about it. So they got to they got

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<v Speaker 1>to study in it. Yeah. What makes I wonder if

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<v Speaker 1>all of this was under the notion that they were

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<v Speaker 1>trying to cure it. I don't know, because from what

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<v Speaker 1>I was reading, UM, and all of this was pretty

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<v Speaker 1>recent stuff. There's a real un medical need in dealing

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<v Speaker 1>and addressing like chronic itch because you know, most people

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<v Speaker 1>who go through life just experiencing it's under normal circumstances,

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<v Speaker 1>right like, say you or me, we're like an itch. Yeah,

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<v Speaker 1>they suck for a second and then it goes away.

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<v Speaker 1>Imagine it not going away ever, whether you're asleep or awake,

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<v Speaker 1>or um swimming or an outer space or doom, whatever,

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<v Speaker 1>you're itching constantly. Suppose really, um, it has as much

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<v Speaker 1>of a pronounced effect on a patient's life UM as

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<v Speaker 1>chronic pain does. It's constant, persistent, and agonizing, and it's

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<v Speaker 1>not it's not being met or treated because it's not understood.

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<v Speaker 1>So they're just now starting to get into pain re

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<v Speaker 1>or itch research. I saw UM that somebody put it

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<v Speaker 1>where pain research was about twenty years ago. So it's

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<v Speaker 1>starting to really heat up, but we're still just starting

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<v Speaker 1>to understand it. So I would think that they weren't

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<v Speaker 1>looking to cure it. I think it was just pointed

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<v Speaker 1>out that there was this whole branch of neuroscience that

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<v Speaker 1>was totally not understood. So get to work neurologists. I

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<v Speaker 1>wonder I never really thought about until just now, but

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<v Speaker 1>I wonder what happens when a a performer or somebody

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<v Speaker 1>like that is in the public eye or on TV

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<v Speaker 1>or on stage, or like the president giving a address,

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<v Speaker 1>Like what what what do they do if they have poison,

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<v Speaker 1>ivy or some other kind of contact dermatitis? Have you

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<v Speaker 1>ever thought about that? Like what if Lynn mal went

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<v Speaker 1>Manuel Miranda has like a really bad case of pin.

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<v Speaker 1>I guess they can get an understudy in that case,

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<v Speaker 1>But you can't have an understudy as president, which is

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<v Speaker 1>too bad. You just go out there with your hands

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<v Speaker 1>bandaged up, just holding them up, Like how do you

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<v Speaker 1>fight that on camera? Or like a news anchor when

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<v Speaker 1>they're just like, oh my god, I'm dying. I don't know.

0:13:27.800 --> 0:13:29.480
<v Speaker 1>I guess the news anchor can tape things, but I'm

0:13:29.480 --> 0:13:33.120
<v Speaker 1>talking about live. What's Tom Petty do? For God's sakes,

0:13:33.360 --> 0:13:35.880
<v Speaker 1>Tom Petty grins and bears it. He had a hard

0:13:35.880 --> 0:13:39.680
<v Speaker 1>scrabble childhood prepared him for that. I'm going to see

0:13:39.760 --> 0:13:47.559
<v Speaker 1>him tomorrow night, Yeah, for coffee. He's not performing. Um anyway,

0:13:47.640 --> 0:13:49.600
<v Speaker 1>I was just curious about that. Um. Well, it's a

0:13:49.640 --> 0:13:52.840
<v Speaker 1>good question. Thanks. Do you remember when Kosta's head red

0:13:52.880 --> 0:13:56.360
<v Speaker 1>eye at the Olympics and it was so dedicated to

0:13:56.000 --> 0:13:58.800
<v Speaker 1>to being the commentator the anchor for the Olympics. They

0:13:58.800 --> 0:14:02.480
<v Speaker 1>finally were like, you have to stop keep writing in

0:14:03.080 --> 0:14:06.600
<v Speaker 1>you're disgusting them. Uh. One thing that made me think

0:14:06.600 --> 0:14:09.240
<v Speaker 1>of that is I had UM recently. You can still

0:14:09.280 --> 0:14:11.280
<v Speaker 1>kind of see it on my forearm that the scars.

0:14:11.880 --> 0:14:15.560
<v Speaker 1>But I did a cement job. Was building this fence,

0:14:16.200 --> 0:14:20.560
<v Speaker 1>putting in a gate at my house, and um, Scotty,

0:14:20.640 --> 0:14:25.400
<v Speaker 1>you know, Scotty and I built Scotti tipping uh. He

0:14:25.480 --> 0:14:29.920
<v Speaker 1>and I built this uh thing together and we sank

0:14:29.960 --> 0:14:33.880
<v Speaker 1>these huge posts for this gate. And I didn't know

0:14:33.960 --> 0:14:38.240
<v Speaker 1>that cement uh could cause contact dermatitis or even burns.

0:14:38.760 --> 0:14:42.560
<v Speaker 1>Never knew this, And we were it was kind of

0:14:42.560 --> 0:14:44.760
<v Speaker 1>a tight spot and we couldn't get shovels in there

0:14:44.760 --> 0:14:46.600
<v Speaker 1>in the hole, so we were literally mixing the stuff

0:14:46.600 --> 0:14:48.880
<v Speaker 1>like up to our elbows with our arms, and I

0:14:48.920 --> 0:14:51.160
<v Speaker 1>was like, this kind of feels good. I even said, like,

0:14:51.240 --> 0:14:53.800
<v Speaker 1>you know, like oatmeal or something. And then two days

0:14:53.880 --> 0:14:57.560
<v Speaker 1>later my right arm was just covered in the nastiest

0:14:57.800 --> 0:15:01.200
<v Speaker 1>dermatitis I've ever seen, and then he got it. Yeah,

0:15:01.200 --> 0:15:03.440
<v Speaker 1>it's still like kind of hanging around. So I went

0:15:03.480 --> 0:15:07.880
<v Speaker 1>and got a prescription for steroids, which made me a

0:15:07.920 --> 0:15:11.960
<v Speaker 1>little crazy for a week and a half. Um, trash

0:15:12.040 --> 0:15:15.280
<v Speaker 1>the gate and have to start over. I think I

0:15:15.320 --> 0:15:19.360
<v Speaker 1>was probably not the best husband though over that time period. UM,

0:15:19.440 --> 0:15:23.280
<v Speaker 1>judging from Emily saying, hey, you're real a hole, Get

0:15:23.280 --> 0:15:27.480
<v Speaker 1>off the steroids, Um, get off the juice, I was like,

0:15:27.680 --> 0:15:31.440
<v Speaker 1>shut up, watch this, watch me hit this Homer. So

0:15:31.800 --> 0:15:35.120
<v Speaker 1>long story short, I experienced this recently and it was awful.

0:15:35.160 --> 0:15:37.720
<v Speaker 1>And I can't imagine like shooting the TV show or something,

0:15:38.560 --> 0:15:41.680
<v Speaker 1>or like doing anything on or performing live like I

0:15:41.680 --> 0:15:45.160
<v Speaker 1>would have to address it because I would scratch and smack.

0:15:45.240 --> 0:15:48.160
<v Speaker 1>It was what I usually do. That's how you're supposed

0:15:48.160 --> 0:15:50.800
<v Speaker 1>to do, not scratch. Well, I guess we'll just cut

0:15:50.800 --> 0:15:53.000
<v Speaker 1>to the chase hairs. Is why everyone's listening. How do

0:15:53.040 --> 0:15:57.600
<v Speaker 1>you scratch a niche? Correctly? You rub it? Yeah I

0:15:57.600 --> 0:15:59.520
<v Speaker 1>didn't do I did you know? What really did? It

0:15:59.600 --> 0:16:04.880
<v Speaker 1>was the uh we have a handheld implement in the

0:16:04.920 --> 0:16:08.160
<v Speaker 1>shower along with the regular shower head and put that

0:16:08.200 --> 0:16:14.000
<v Speaker 1>sucker on the tightest, hardest, most penetrating flow and just

0:16:14.280 --> 0:16:16.400
<v Speaker 1>put that hot water on it. Man, And that was like,

0:16:17.160 --> 0:16:19.280
<v Speaker 1>I think I spent half my days in the shower

0:16:19.680 --> 0:16:21.520
<v Speaker 1>over that week and a half. Are you biting down

0:16:21.600 --> 0:16:23.640
<v Speaker 1>like a broomstick while you're doing that? How it felt

0:16:23.680 --> 0:16:25.480
<v Speaker 1>so good? Man? I was just like I couldn't get

0:16:25.560 --> 0:16:28.040
<v Speaker 1>enough of it. Huh. And then the court of zone

0:16:28.320 --> 0:16:33.080
<v Speaker 1>and all that jump too. So we'll well, we'll talk

0:16:33.120 --> 0:16:35.640
<v Speaker 1>about this because this is you're raising some great points here.

0:16:35.800 --> 0:16:39.440
<v Speaker 1>Well I just kind of that are ruined the spoiler. No, no,

0:16:39.480 --> 0:16:41.800
<v Speaker 1>this is good stuff. We're gonna analyze what was going

0:16:41.840 --> 0:16:44.040
<v Speaker 1>on with your arm after this break? How about that

0:16:44.520 --> 0:17:08.359
<v Speaker 1>sounds good? So, Chuck, you had contact dermatitis, right, I

0:17:08.359 --> 0:17:10.320
<v Speaker 1>thought it was poison ivy because that area has some

0:17:10.359 --> 0:17:14.080
<v Speaker 1>poison ivy. But each of us, Scotty and I had

0:17:14.119 --> 0:17:17.560
<v Speaker 1>it just on the arm that we sunk in sument.

0:17:18.600 --> 0:17:20.879
<v Speaker 1>And then we researched and found out that could happen. Yeah,

0:17:20.960 --> 0:17:24.600
<v Speaker 1>so lesson learned on that. Yeah. So what happened was

0:17:25.080 --> 0:17:27.800
<v Speaker 1>you like something in the cement and I'm not sure

0:17:27.840 --> 0:17:33.040
<v Speaker 1>what it was reacting chemically with the um mast cells

0:17:33.119 --> 0:17:38.040
<v Speaker 1>in your skin, and histamine was released, right apparently, And

0:17:38.119 --> 0:17:44.640
<v Speaker 1>so the histamine UM sent a signal through specialized nerve

0:17:44.720 --> 0:17:48.840
<v Speaker 1>cells called sea fibers. Yeah, which UM. Sea fibers aren't

0:17:48.920 --> 0:17:51.840
<v Speaker 1>just limited to itching. I think only about five handle

0:17:51.920 --> 0:17:54.159
<v Speaker 1>that and most of the rest are for pain. Right,

0:17:54.600 --> 0:17:59.359
<v Speaker 1>So they used the same type of neural pathway as

0:17:59.440 --> 0:18:02.760
<v Speaker 1>pain for itch. It's it's basically it's just like, no,

0:18:02.920 --> 0:18:06.080
<v Speaker 1>these these are just for itches only. And it sent

0:18:06.280 --> 0:18:10.000
<v Speaker 1>a signal through your spinal column, and in your spinal

0:18:10.040 --> 0:18:16.560
<v Speaker 1>column it released a neurotransmitter called UM gastron releasing peptide receptor,

0:18:16.800 --> 0:18:19.400
<v Speaker 1>and so at the skin, the histamine would have released

0:18:19.400 --> 0:18:26.320
<v Speaker 1>a neurotransmitter called what natural uretic polypeptide B Okay, So

0:18:26.440 --> 0:18:29.560
<v Speaker 1>that says it's signal coming your way along those sea

0:18:29.640 --> 0:18:32.960
<v Speaker 1>fibers okay. Uh, it makes it to the spinal column,

0:18:33.000 --> 0:18:34.760
<v Speaker 1>and I guess in about two thousand and seven they

0:18:34.800 --> 0:18:38.919
<v Speaker 1>found that there's another neurotransmitter in the spine that I

0:18:38.960 --> 0:18:43.959
<v Speaker 1>guess UM accepts the the n p PB the invitation

0:18:44.280 --> 0:18:46.760
<v Speaker 1>and says I'm going to transfer this along up to

0:18:46.760 --> 0:18:50.560
<v Speaker 1>the brain. That's gastron releasing peptide receptor that shoots up

0:18:50.560 --> 0:18:54.080
<v Speaker 1>to the brain and it starts this cascade of activity.

0:18:54.240 --> 0:18:57.960
<v Speaker 1>Right because when they, like after hand worker said, hey,

0:18:58.000 --> 0:19:00.800
<v Speaker 1>you know, itching is its own thing. The other researchers

0:19:00.840 --> 0:19:04.280
<v Speaker 1>went to town and traced and figured out there that

0:19:04.359 --> 0:19:10.000
<v Speaker 1>there were specific um specific types of its receptors that

0:19:10.040 --> 0:19:13.600
<v Speaker 1>were dedicated just two itches, right, more Germans, more Germans,

0:19:14.200 --> 0:19:17.720
<v Speaker 1>a couple of Swedes, but mostly Germans for good measures. Yeah,

0:19:17.800 --> 0:19:20.600
<v Speaker 1>And what they found eventually from tracing this pathway, they

0:19:20.600 --> 0:19:23.840
<v Speaker 1>were able to follow it into the Wonder machine and

0:19:23.880 --> 0:19:26.800
<v Speaker 1>apparently they made some people itch and would not let

0:19:26.840 --> 0:19:29.120
<v Speaker 1>them scratch it. And then they had them lay down

0:19:29.160 --> 0:19:31.560
<v Speaker 1>in an m r I and they took a brain

0:19:31.600 --> 0:19:35.679
<v Speaker 1>skin and they found that there's this whole galaxy of

0:19:35.760 --> 0:19:39.639
<v Speaker 1>stuff going on in your brain that combined is the

0:19:39.760 --> 0:19:42.720
<v Speaker 1>itch sensation. Yeah, it was pretty interesting too. There's a

0:19:42.800 --> 0:19:45.840
<v Speaker 1>there's a signature pattern in the brain when you get

0:19:45.880 --> 0:19:49.680
<v Speaker 1>an itch, and uh, a few specific areas light up.

0:19:49.960 --> 0:19:52.320
<v Speaker 1>One is a cortex and it all makes sense when

0:19:52.359 --> 0:19:56.480
<v Speaker 1>you put it together. The cortex, uh, in this case

0:19:57.359 --> 0:20:00.280
<v Speaker 1>just sort of geo locates where on your body. You're

0:20:00.320 --> 0:20:05.640
<v Speaker 1>getting that sensation, so that helps. It's like left elbow, yeah,

0:20:05.760 --> 0:20:08.840
<v Speaker 1>or in my case from right elbow to wrist, right,

0:20:09.720 --> 0:20:12.119
<v Speaker 1>and then a little bit in other places, but not

0:20:12.160 --> 0:20:14.399
<v Speaker 1>too bad. That that was the main area. Is this

0:20:14.440 --> 0:20:21.400
<v Speaker 1>your cortex still saying this, Yeah, very complex conversation going on. Uh.

0:20:21.440 --> 0:20:23.439
<v Speaker 1>And then the region I thought this is interesting, the

0:20:23.480 --> 0:20:28.800
<v Speaker 1>region that governments governments that governs emotional response. Um, so

0:20:28.840 --> 0:20:31.520
<v Speaker 1>basically this is your brain saying like, I don't like this,

0:20:31.520 --> 0:20:33.840
<v Speaker 1>this makes me feel bad. It's the worst thing ever

0:20:33.920 --> 0:20:36.760
<v Speaker 1>do something. And then finally the olymbic and motor areas,

0:20:37.080 --> 0:20:40.120
<v Speaker 1>and I thought this was the most interesting. Um, those

0:20:40.160 --> 0:20:44.520
<v Speaker 1>areas process irresistible urges, the same ones that say I

0:20:44.560 --> 0:20:47.320
<v Speaker 1>want to smoke crack or I wanna eat too much cake,

0:20:48.400 --> 0:20:51.240
<v Speaker 1>says you have an itch that is unbearable and you

0:20:51.280 --> 0:20:53.960
<v Speaker 1>need to scratch it and maybe go smoke some crack

0:20:54.000 --> 0:20:55.639
<v Speaker 1>and eat some cake while you're at it because that

0:20:55.680 --> 0:20:58.320
<v Speaker 1>will help. So I just I don't. I thought that

0:20:58.359 --> 0:21:01.520
<v Speaker 1>was all very super interesting. When you can find that pattern, Yeah,

0:21:01.600 --> 0:21:04.159
<v Speaker 1>that's the that's an itch. And then then it's followed

0:21:04.160 --> 0:21:08.000
<v Speaker 1>by the irresistible urge to scratch it, which Apparently research

0:21:08.040 --> 0:21:12.320
<v Speaker 1>has shown those two do not happen independently. There, they're

0:21:12.400 --> 0:21:15.440
<v Speaker 1>part of a cycle. Yes, there's that is something called

0:21:15.440 --> 0:21:18.879
<v Speaker 1>the itch scratch cycle, right, and so you have an

0:21:18.920 --> 0:21:23.560
<v Speaker 1>irresistible urge to scratch the itch. It's it's weird if

0:21:23.560 --> 0:21:26.080
<v Speaker 1>you think about it. Like, on the one hand, it

0:21:26.119 --> 0:21:30.840
<v Speaker 1>makes sense where you you sense that there's a really

0:21:30.880 --> 0:21:33.560
<v Speaker 1>hot heat source that your hand is really close to,

0:21:34.200 --> 0:21:36.639
<v Speaker 1>so you have an irresistible urge to pull it back,

0:21:37.280 --> 0:21:39.639
<v Speaker 1>But it doesn't feel like an urge. It almost feels

0:21:39.640 --> 0:21:44.800
<v Speaker 1>like an involuntary reflex. It's a scratch is almost like

0:21:45.960 --> 0:21:48.720
<v Speaker 1>I'm gonna kill this itch. I can't wait to scratch it,

0:21:48.800 --> 0:21:52.760
<v Speaker 1>Like you're almost exacting revenge on the itch for itching you. Right,

0:21:53.240 --> 0:21:56.159
<v Speaker 1>So it's scratches. It's an irresistible urge where it's like

0:21:56.160 --> 0:22:00.640
<v Speaker 1>pulling your hand back from a hot hot or something

0:22:01.200 --> 0:22:03.800
<v Speaker 1>is like an involuntary reflex. It just feels different, like

0:22:04.000 --> 0:22:07.159
<v Speaker 1>a scratches its own thing. Well it is, you know.

0:22:07.200 --> 0:22:09.320
<v Speaker 1>They kind of found that out and and go on day.

0:22:10.000 --> 0:22:13.439
<v Speaker 1>Doctor Gowan day Um pointed out something interesting too that

0:22:13.480 --> 0:22:15.720
<v Speaker 1>I never thought about, is that you can have like

0:22:15.760 --> 0:22:18.600
<v Speaker 1>that short collar rubs against your neck all day and

0:22:18.960 --> 0:22:21.199
<v Speaker 1>you might never notice it. But if there's like one

0:22:21.240 --> 0:22:24.639
<v Speaker 1>little string that's just poking one little area, that might

0:22:24.640 --> 0:22:27.040
<v Speaker 1>trigger an itch. Right, And so you would think that

0:22:27.160 --> 0:22:30.360
<v Speaker 1>you know, it's receptors are super finely tuned and they

0:22:30.480 --> 0:22:33.200
<v Speaker 1>covered just this one tiny like that's what it would

0:22:33.200 --> 0:22:35.840
<v Speaker 1>seem micron of skin as a matter of fact. No,

0:22:36.240 --> 0:22:42.000
<v Speaker 1>Apparently an INS receptor can sense it's stimuli like three

0:22:42.000 --> 0:22:46.800
<v Speaker 1>inches away from it. Yeah, so they're really sensitive. Yeah,

0:22:46.720 --> 0:22:52.480
<v Speaker 1>whereas pain receptors are that specific down to like you know, millimeters. Um.

0:22:52.840 --> 0:22:54.600
<v Speaker 1>And the other thing they found out too, is that

0:22:55.480 --> 0:22:57.480
<v Speaker 1>not only can they sense it from a few inches away,

0:22:57.480 --> 0:23:02.240
<v Speaker 1>but it's a very slow acting ing, which um as

0:23:02.280 --> 0:23:04.679
<v Speaker 1>opposed to like heat on the hand, like a candle

0:23:04.720 --> 0:23:09.400
<v Speaker 1>on your hand, almost a candle in the wind. Uh,

0:23:09.600 --> 0:23:12.399
<v Speaker 1>that's super fast. But um that that explains why an

0:23:12.440 --> 0:23:14.840
<v Speaker 1>itch like it's kind of slow to come and then

0:23:15.200 --> 0:23:18.399
<v Speaker 1>slow to resolve by scratching. Yeah, it's not like you're

0:23:18.440 --> 0:23:20.960
<v Speaker 1>scratching you're like, oh, it's all better now. Yeah, it

0:23:20.960 --> 0:23:23.320
<v Speaker 1>helps a little bit. So, so the itching is a

0:23:23.440 --> 0:23:27.800
<v Speaker 1>it's a good strategy. If you think about, um, say

0:23:27.880 --> 0:23:30.359
<v Speaker 1>you're you're there's a mosquito on you, and that's what's

0:23:30.400 --> 0:23:32.600
<v Speaker 1>making you itch. When you go to scratch it, you're

0:23:32.640 --> 0:23:35.159
<v Speaker 1>getting rid of the mosquito, maybe even smushed it or

0:23:35.200 --> 0:23:39.119
<v Speaker 1>something like that. The problem is taken care of. The

0:23:39.280 --> 0:23:43.919
<v Speaker 1>issue is is that that itch scratch cycle eventually becomes

0:23:43.960 --> 0:23:47.080
<v Speaker 1>a vicious cycle because when you scratch. This is what

0:23:47.119 --> 0:23:49.679
<v Speaker 1>they think is going on. This is another mystery with itches.

0:23:49.760 --> 0:23:54.359
<v Speaker 1>We don't understand how scratching alleviates an itch, right, or

0:23:54.359 --> 0:23:57.960
<v Speaker 1>why we scratch really right. What they think the current

0:23:58.480 --> 0:24:04.320
<v Speaker 1>hypothesis is that when scratch an itch, um you're stimulating

0:24:04.480 --> 0:24:08.800
<v Speaker 1>other receptors in the area that aren't itch receptors. So

0:24:09.440 --> 0:24:11.080
<v Speaker 1>I got that, but what does that do to sort

0:24:11.080 --> 0:24:14.359
<v Speaker 1>of like say, hey, Boddy, don't worry about that for

0:24:14.359 --> 0:24:16.960
<v Speaker 1>a minute. I think a pain receptor is now active,

0:24:17.080 --> 0:24:20.119
<v Speaker 1>right exactly. It's it's sending feedback to the brain saying

0:24:20.160 --> 0:24:22.719
<v Speaker 1>it's being taken care of. You can settle down with

0:24:22.760 --> 0:24:27.159
<v Speaker 1>the itch, right. I think the problem is that neurologically

0:24:27.200 --> 0:24:31.560
<v Speaker 1>or neurochemically, when you scratch an itch and you're activating

0:24:31.600 --> 0:24:34.200
<v Speaker 1>those pain receptors in the area pain pressure, that kind

0:24:34.240 --> 0:24:39.040
<v Speaker 1>of thing, you're causing um serotonin to be released natural

0:24:39.040 --> 0:24:43.040
<v Speaker 1>pain reliever, right, or at least mood enhancer. And what

0:24:43.080 --> 0:24:47.920
<v Speaker 1>they found is that serotonin, among other neurochemicals, actually exacerbates

0:24:47.960 --> 0:24:51.360
<v Speaker 1>the itch sensation. So you're itch not only comes back,

0:24:51.400 --> 0:24:54.080
<v Speaker 1>it gets worse. So you go to scratch it again,

0:24:54.119 --> 0:24:56.200
<v Speaker 1>and then the same thing happens over and over again.

0:24:56.200 --> 0:24:59.720
<v Speaker 1>That's the itch scratch cycle, which it's not the best

0:24:59.760 --> 0:25:03.199
<v Speaker 1>c go around, No, you get better cycles. Not a

0:25:03.200 --> 0:25:11.000
<v Speaker 1>bad band name, Yeah, it's okay, cute maybe Prague Folk

0:25:11.119 --> 0:25:14.000
<v Speaker 1>Prague They well, they'd have to be German, probably German

0:25:14.080 --> 0:25:20.920
<v Speaker 1>folk pog Okay. Another interesting thing they learned too was that, um,

0:25:21.040 --> 0:25:23.440
<v Speaker 1>I guess we're kind of jumping around, but who cares? Right,

0:25:24.480 --> 0:25:27.720
<v Speaker 1>if you scratch, you don't have to scratch the point

0:25:27.840 --> 0:25:31.160
<v Speaker 1>of the itch to relieve it, apparently, right, Like if

0:25:31.200 --> 0:25:34.679
<v Speaker 1>you have had that itch on my right forearm and

0:25:34.720 --> 0:25:36.920
<v Speaker 1>I could scratch, maybe don't you have to be the

0:25:37.000 --> 0:25:40.040
<v Speaker 1>left forearms. It's not like you have to mirror it. Um,

0:25:40.080 --> 0:25:42.280
<v Speaker 1>but I could scratch like my neck and apparently that

0:25:42.359 --> 0:25:45.320
<v Speaker 1>might help relieve it. Yeah, I tried. It didn't work

0:25:45.359 --> 0:25:49.760
<v Speaker 1>for me. But I think the reason why there's that's

0:25:49.960 --> 0:25:53.680
<v Speaker 1>it's possible that it could have that effect. Is supposedly

0:25:54.600 --> 0:26:00.720
<v Speaker 1>scratching also UM activates like your pleasure center. Yeah, you

0:26:00.800 --> 0:26:04.000
<v Speaker 1>bet it does. But there's different different places where you're

0:26:04.000 --> 0:26:07.399
<v Speaker 1>scratching on your body UM have different amounts of pleasure

0:26:07.400 --> 0:26:10.640
<v Speaker 1>associated with them. Did you know that? I mean, I guess,

0:26:10.880 --> 0:26:13.760
<v Speaker 1>I guess so. But interesting, Well yeah, but I mean

0:26:13.760 --> 0:26:17.240
<v Speaker 1>think about it. It's like if you scratch your scratch

0:26:17.320 --> 0:26:21.000
<v Speaker 1>your like you're clavical, who cares, it's nothing, right, But

0:26:21.040 --> 0:26:23.760
<v Speaker 1>then you scratch like your head right above and behind

0:26:23.760 --> 0:26:26.639
<v Speaker 1>your ear, it's great. Well, and they I think they

0:26:26.680 --> 0:26:30.080
<v Speaker 1>did find that, like you're back in your ankles supposedly

0:26:30.200 --> 0:26:33.719
<v Speaker 1>or some of the most rewarding places to scratch exactly.

0:26:34.040 --> 0:26:37.160
<v Speaker 1>And I I don't know, I've never really thought about

0:26:37.160 --> 0:26:41.680
<v Speaker 1>the ankles, but um my mom would give me back

0:26:41.720 --> 0:26:45.400
<v Speaker 1>scratches when I was a kid, and it was always

0:26:45.440 --> 0:26:50.600
<v Speaker 1>like one of my favorite things ever. And so I

0:26:50.640 --> 0:26:52.399
<v Speaker 1>don't get those anymore now that i'm a grown up,

0:26:52.400 --> 0:26:57.399
<v Speaker 1>because that's gross. You know, I'm scratch my back right,

0:26:57.480 --> 0:27:01.840
<v Speaker 1>I'm forty six years old, lay down. Uh, but yeah,

0:27:01.840 --> 0:27:04.200
<v Speaker 1>it was like I think I preferred to backscratch to

0:27:04.240 --> 0:27:07.360
<v Speaker 1>a back rub, even when I was younger, but now

0:27:07.520 --> 0:27:10.679
<v Speaker 1>you know, massage is probably way better. But if they

0:27:10.840 --> 0:27:13.720
<v Speaker 1>if a masseuse could include a little back scratch in there,

0:27:14.920 --> 0:27:18.159
<v Speaker 1>get ready for a huge tip for me. Yeah, or

0:27:18.240 --> 0:27:21.200
<v Speaker 1>does that? What is that sexual? I think it crosses

0:27:21.240 --> 0:27:25.159
<v Speaker 1>a line once they're potentially clawing away skin cells. I

0:27:25.240 --> 0:27:30.400
<v Speaker 1>think that's so longer in the Masseus range or Messur range. Yeah,

0:27:30.680 --> 0:27:34.439
<v Speaker 1>I get that. One skin cells are involved under the nails,

0:27:34.800 --> 0:27:38.800
<v Speaker 1>then you're a murder suspect, right exactly? All right, Well,

0:27:38.840 --> 0:27:41.119
<v Speaker 1>should we take another break and talk a little bit

0:27:41.160 --> 0:28:05.280
<v Speaker 1>about one of the most distressing, uh articles I've ever read? Uh?

0:28:06.320 --> 0:28:08.520
<v Speaker 1>All right, so we've referenced this article from the New

0:28:08.560 --> 0:28:12.840
<v Speaker 1>Yorker from Dr atul go on day and Um, he

0:28:12.920 --> 0:28:15.359
<v Speaker 1>talked a lot about itching and just had good information

0:28:15.400 --> 0:28:20.560
<v Speaker 1>on the science of it all. But most of the

0:28:20.680 --> 0:28:25.920
<v Speaker 1>article was focused on a patient, a woman in Massachusetts.

0:28:26.680 --> 0:28:31.160
<v Speaker 1>H that they named him for the article just M

0:28:31.200 --> 0:28:34.440
<v Speaker 1>the letter M. In other words, you know, she's anonymous, uh.

0:28:34.440 --> 0:28:36.119
<v Speaker 1>And I think she was anonymous because she kind of

0:28:36.160 --> 0:28:40.960
<v Speaker 1>had a rough go after her divorce. Um, she ended

0:28:41.040 --> 0:28:46.040
<v Speaker 1>up getting HIV from getting on heroin kind of spun out,

0:28:46.080 --> 0:28:49.560
<v Speaker 1>it seems like. But then got her life back by

0:28:49.600 --> 0:28:53.080
<v Speaker 1>all accounts, but ended up getting shingles as a result

0:28:53.120 --> 0:28:58.360
<v Speaker 1>of HIV complications, and the shingles went away, but the

0:28:58.400 --> 0:29:01.080
<v Speaker 1>itching did not to the least. Yeah, I think the

0:29:01.160 --> 0:29:05.200
<v Speaker 1>itching came after the shingles even and that first her

0:29:05.720 --> 0:29:08.880
<v Speaker 1>her physicians were like, well, I mean you must have

0:29:09.560 --> 0:29:14.360
<v Speaker 1>you damage some nerves in there, so t s for you,

0:29:14.520 --> 0:29:19.520
<v Speaker 1>I guess, um. And then eventually after treating it like

0:29:19.640 --> 0:29:24.120
<v Speaker 1>all these different ways and it's still being scratching, they said, okay,

0:29:24.160 --> 0:29:28.440
<v Speaker 1>you're crazy, how about that? And she said, well, whatever,

0:29:28.680 --> 0:29:31.320
<v Speaker 1>I still have this ditch. Do whatever you need to

0:29:31.320 --> 0:29:34.520
<v Speaker 1>to treat it, because I'm literally scratching this itch in

0:29:34.600 --> 0:29:37.080
<v Speaker 1>my sleep. It was on her scalp, wasn't it. It

0:29:37.160 --> 0:29:39.600
<v Speaker 1>was on her head, and she um, she kind of

0:29:39.640 --> 0:29:42.480
<v Speaker 1>managed to control it during the day, but like you said,

0:29:42.520 --> 0:29:44.840
<v Speaker 1>at night, she couldn't control it to the point where

0:29:44.880 --> 0:29:47.440
<v Speaker 1>I think she was like restrained in her sleep. That

0:29:47.560 --> 0:29:52.160
<v Speaker 1>came after after they realized it's a problem because your

0:29:52.160 --> 0:29:55.640
<v Speaker 1>brain is using out of your head. Can you believe

0:29:55.680 --> 0:29:58.720
<v Speaker 1>that she scratched her scalp so much that she scratched

0:29:58.720 --> 0:30:01.680
<v Speaker 1>through her skull and she went into her doctor one

0:30:01.760 --> 0:30:05.400
<v Speaker 1>day and said they've got like this green fluid coming down.

0:30:05.680 --> 0:30:10.720
<v Speaker 1>And then apparently the doctor didn't even say anything, he

0:30:11.000 --> 0:30:13.560
<v Speaker 1>was just she or she was like, excuse me, went

0:30:13.640 --> 0:30:15.840
<v Speaker 1>and called an ambulance and came back and said please

0:30:15.960 --> 0:30:18.360
<v Speaker 1>lay down and don't talk or move or do anything else.

0:30:18.400 --> 0:30:20.760
<v Speaker 1>And they finally told her after she was at the

0:30:20.800 --> 0:30:23.760
<v Speaker 1>e er, you scratched through to your brain, like that's

0:30:23.800 --> 0:30:27.000
<v Speaker 1>your brain you're touching right now. Doctors like very interesting

0:30:27.040 --> 0:30:32.080
<v Speaker 1>and just give me a second here, or oh my god.

0:30:33.160 --> 0:30:35.960
<v Speaker 1>Uh well, they gathered up all the other doctors and

0:30:36.040 --> 0:30:38.920
<v Speaker 1>nurses like sure, yeah, you gotta come see this. She said.

0:30:38.960 --> 0:30:42.080
<v Speaker 1>Also in this article, um, she said that she had

0:30:42.160 --> 0:30:47.200
<v Speaker 1>a uh what do they call him a roommate at

0:30:47.400 --> 0:30:53.680
<v Speaker 1>h Okay a roommate, So, um, she had a roommate.

0:30:53.800 --> 0:30:56.800
<v Speaker 1>While she was like, they treated it, gave her a

0:30:56.840 --> 0:31:00.640
<v Speaker 1>skin graft, and then she she she's scratched away the

0:31:00.720 --> 0:31:04.800
<v Speaker 1>king and then um, they finally were like, okay, you're

0:31:04.800 --> 0:31:08.200
<v Speaker 1>going to an asylum and she's like do they even

0:31:08.240 --> 0:31:09.920
<v Speaker 1>call it that anymore? And they're like, just shut up,

0:31:10.360 --> 0:31:13.560
<v Speaker 1>and they put her in this asylum and restrained her,

0:31:13.600 --> 0:31:15.720
<v Speaker 1>like you said, while she was sleeping, and she had

0:31:15.760 --> 0:31:18.040
<v Speaker 1>a roommate in there. She said in the article she

0:31:18.360 --> 0:31:20.640
<v Speaker 1>if she heard didn't survive. He had scratched through his

0:31:20.680 --> 0:31:26.400
<v Speaker 1>carotid artery and died blood death. Um, so they never

0:31:26.440 --> 0:31:29.320
<v Speaker 1>really got to the bottom of this. She finally got

0:31:29.720 --> 0:31:33.240
<v Speaker 1>a doctor. Like, the doctors are like, it's something that

0:31:33.440 --> 0:31:34.920
<v Speaker 1>had to do with the shingles. This is what we

0:31:34.960 --> 0:31:39.760
<v Speaker 1>think happens. That her doctors that the the nerve endings

0:31:39.800 --> 0:31:43.640
<v Speaker 1>around the area where she had shingles were so devastated

0:31:43.680 --> 0:31:46.000
<v Speaker 1>by the shingles that there were just a couple of

0:31:46.040 --> 0:31:48.640
<v Speaker 1>nerve endings left and it just so happened that they

0:31:48.640 --> 0:31:52.960
<v Speaker 1>were itch receptors itch itch, um, yeah, it receptor, and

0:31:53.080 --> 0:31:56.640
<v Speaker 1>that those were like really exacerbated by the fact that

0:31:56.720 --> 0:32:00.440
<v Speaker 1>there was no other competing sensations. If so, fact though,

0:32:00.680 --> 0:32:03.720
<v Speaker 1>there's your problem, right, So they said, well, let's we'll

0:32:03.800 --> 0:32:06.280
<v Speaker 1>just cut the main nerve to the to your face

0:32:06.400 --> 0:32:08.400
<v Speaker 1>and that should solve the problem. They cut the main

0:32:08.520 --> 0:32:12.360
<v Speaker 1>nerve to her face and um, she said, frank, yeah,

0:32:13.000 --> 0:32:15.040
<v Speaker 1>and then the itch came back and she's like, you

0:32:15.120 --> 0:32:17.360
<v Speaker 1>have to be kidding me. So finally she met a doctor.

0:32:17.400 --> 0:32:21.280
<v Speaker 1>He said, I don't think it's your your receptors or

0:32:21.360 --> 0:32:25.680
<v Speaker 1>the nerve transmission. I think it's your brain, not psychologically.

0:32:25.720 --> 0:32:28.400
<v Speaker 1>I don't think it's a psychosis. I think there's that

0:32:28.600 --> 0:32:31.479
<v Speaker 1>the actual itch signaling your brain is being set off

0:32:31.560 --> 0:32:36.000
<v Speaker 1>without any stimulation or transmission going on. And UM, apparently

0:32:36.120 --> 0:32:39.120
<v Speaker 1>she was right, but then they were like, good luck

0:32:39.200 --> 0:32:42.680
<v Speaker 1>treating that. You know. I didn't see much follow up

0:32:42.720 --> 0:32:45.480
<v Speaker 1>on this. I did read one article that UM follow

0:32:45.560 --> 0:32:47.440
<v Speaker 1>up with Dr Gawande because there were a lot of

0:32:47.520 --> 0:32:51.320
<v Speaker 1>skeptics after that article came out that said, it's impossible

0:32:51.440 --> 0:32:53.800
<v Speaker 1>with your fingernail because she said she didn't use an implement.

0:32:54.000 --> 0:32:56.040
<v Speaker 1>It's not like she got out of metal file to

0:32:56.200 --> 0:32:59.560
<v Speaker 1>scratch through your skull. And he said that his theory

0:32:59.680 --> 0:33:03.280
<v Speaker 1>was that bacteria it became infected, it had eaten it

0:33:03.400 --> 0:33:08.560
<v Speaker 1>away such that the skull became soft turn into much yeah. Uh.

0:33:08.640 --> 0:33:10.520
<v Speaker 1>And then people also said, and you know, you don't

0:33:10.560 --> 0:33:13.400
<v Speaker 1>have men and women in the same room in hospitals

0:33:13.520 --> 0:33:17.240
<v Speaker 1>or asylums. That's that's false. And he said, uh, that

0:33:17.360 --> 0:33:21.200
<v Speaker 1>it was like the room next door. Um, and quit

0:33:21.320 --> 0:33:24.880
<v Speaker 1>being pedantical. Man. I think people just didn't believe it.

0:33:24.920 --> 0:33:26.920
<v Speaker 1>So all these folks rode into the new Yorker. So

0:33:27.280 --> 0:33:30.600
<v Speaker 1>those coastal elites said, no way, They said, a tool,

0:33:30.920 --> 0:33:34.520
<v Speaker 1>a tool, come on. So the the idea though that

0:33:35.160 --> 0:33:38.320
<v Speaker 1>even if this woman was hypothetical, I think to a

0:33:38.440 --> 0:33:42.360
<v Speaker 1>Gwanda is pretty upstanding cat and didn't make this up.

0:33:42.760 --> 0:33:46.320
<v Speaker 1>But even if I say she was hypothetical, her problem.

0:33:46.920 --> 0:33:49.800
<v Speaker 1>What the doctors initially thought it was, was that she

0:33:50.000 --> 0:33:54.440
<v Speaker 1>had a neuropathic kitch, type of chronic kitch. But then

0:33:54.480 --> 0:33:58.280
<v Speaker 1>the doctor who apparently figured it all out, said no, no, no,

0:33:58.720 --> 0:34:02.120
<v Speaker 1>it's a neurogenic another type of chronic catch, and it

0:34:02.240 --> 0:34:05.240
<v Speaker 1>has to do with whether it's the brain going off

0:34:05.440 --> 0:34:09.000
<v Speaker 1>or the nerve transmissions going off. Either way, you don't

0:34:09.040 --> 0:34:14.680
<v Speaker 1>actually have an itch, although you're experiencing the itch sensation well.

0:34:14.719 --> 0:34:16.600
<v Speaker 1>And they also then said at some point she had

0:34:16.600 --> 0:34:19.520
<v Speaker 1>a psychogenic itch. Right, So they basically covered three out

0:34:19.560 --> 0:34:24.560
<v Speaker 1>of the four kinds of itches, the last one being uh, man,

0:34:24.680 --> 0:34:27.719
<v Speaker 1>that's such a hard time per receptive, and that's what

0:34:27.800 --> 0:34:29.840
<v Speaker 1>you get from like a mosquito bite or if you

0:34:29.920 --> 0:34:32.560
<v Speaker 1>have a skin disorder like exema or something. So they

0:34:32.640 --> 0:34:35.880
<v Speaker 1>basically ruled out the most common one and at various

0:34:35.880 --> 0:34:38.320
<v Speaker 1>stages said, now you've got this other one for the

0:34:38.400 --> 0:34:42.160
<v Speaker 1>other three finally, and then again they said, we don't

0:34:42.239 --> 0:34:43.920
<v Speaker 1>there's really nothing we can do to treat it. The

0:34:43.960 --> 0:34:46.680
<v Speaker 1>one that they've got down pretty well is per receptive.

0:34:47.239 --> 0:34:49.320
<v Speaker 1>We've got all sorts of stuff to treat that because

0:34:49.680 --> 0:34:53.680
<v Speaker 1>that's that's basically histamine is being released and your your

0:34:53.719 --> 0:34:57.400
<v Speaker 1>skin is itching. So you can treat histamines with anti histamines,

0:34:57.920 --> 0:35:00.399
<v Speaker 1>you can reduce that response and then you're itch will

0:35:00.440 --> 0:35:03.200
<v Speaker 1>go away. Well, I took a ben a drill at night,

0:35:03.880 --> 0:35:06.920
<v Speaker 1>and they also make this ben a drill spray, a

0:35:07.000 --> 0:35:10.520
<v Speaker 1>topical spray that just it really helps. So between that

0:35:10.680 --> 0:35:13.759
<v Speaker 1>and cortisone and then the bene drill at night, I

0:35:14.000 --> 0:35:17.239
<v Speaker 1>did okay, and there's awesome showers. So the like the

0:35:17.360 --> 0:35:21.680
<v Speaker 1>pro receptive itch, we've got treatment for basically the other three,

0:35:21.960 --> 0:35:25.759
<v Speaker 1>you're you're in trouble. It turns out, as far as

0:35:25.800 --> 0:35:28.200
<v Speaker 1>it stands right now, maybe five or ten years from now,

0:35:28.920 --> 0:35:32.319
<v Speaker 1>there'll be something. Apparently there's a lot of movement right

0:35:32.360 --> 0:35:37.239
<v Speaker 1>now on treating this stuff, but it's like they're having

0:35:37.360 --> 0:35:41.480
<v Speaker 1>to figure out how to block some really otherwise important

0:35:41.560 --> 0:35:45.680
<v Speaker 1>chemicals in the body, like that m p p B. Right, Yeah,

0:35:45.719 --> 0:35:47.680
<v Speaker 1>that one, what does it can help, can regulate your

0:35:47.680 --> 0:35:51.680
<v Speaker 1>blood pressure as well, So they off, right, just turn

0:35:51.760 --> 0:35:54.000
<v Speaker 1>off the gene that produces that. You won't itch, but

0:35:54.080 --> 0:35:57.759
<v Speaker 1>you might die early. Not worth it. The one that really,

0:35:58.080 --> 0:36:01.759
<v Speaker 1>I mean, they're all sad, but the psychogenic when you

0:36:01.800 --> 0:36:04.360
<v Speaker 1>have a mental illness where you feel like parasites and

0:36:04.440 --> 0:36:09.360
<v Speaker 1>bugs on your skin. Um, they remember our Morgelon's disease. Yeah,

0:36:10.160 --> 0:36:12.360
<v Speaker 1>how did you said it? More gallons? Right? And I

0:36:12.440 --> 0:36:15.600
<v Speaker 1>said Morgelon, I can't remember. I know that I said

0:36:15.640 --> 0:36:19.200
<v Speaker 1>it the way everyone else else says it, though, that's

0:36:19.200 --> 0:36:22.680
<v Speaker 1>all I remember, Morgan laws, that's right, That's how I

0:36:22.760 --> 0:36:25.200
<v Speaker 1>said it. Man. But all this stuff just had so

0:36:25.280 --> 0:36:28.520
<v Speaker 1>much empathy for m Yeah, and wanted to follow up

0:36:28.600 --> 0:36:32.560
<v Speaker 1>so bad to see how she was doing, you know. Yeah,

0:36:33.719 --> 0:36:37.840
<v Speaker 1>and if she kept scratching holes in her skull, I

0:36:38.360 --> 0:36:42.120
<v Speaker 1>don't know, geez. So there's I read another article called

0:36:42.200 --> 0:36:46.040
<v Speaker 1>Accidental Therapists. It's by a guy named Eric Brudman, and

0:36:46.120 --> 0:36:49.200
<v Speaker 1>it was published on a website called stat and it's

0:36:49.200 --> 0:36:55.040
<v Speaker 1>all about delusional parasite parasitosis but how it's treated sometimes

0:36:55.200 --> 0:37:01.040
<v Speaker 1>by um entomologists, you know, like those um extension services

0:37:01.080 --> 0:37:04.600
<v Speaker 1>at universities, here in the US, like state universities have

0:37:04.680 --> 0:37:08.520
<v Speaker 1>where to call extension services where like uh um, the

0:37:08.640 --> 0:37:12.080
<v Speaker 1>scientists will basically be there for the public to come

0:37:12.200 --> 0:37:15.680
<v Speaker 1>talk to about whatever. Usually it's like household stuff, for

0:37:16.000 --> 0:37:20.359
<v Speaker 1>farm stuff, something like that. Um. And apparently in tomologists

0:37:20.400 --> 0:37:22.359
<v Speaker 1>frequently are approached with people who are like, I've got

0:37:22.440 --> 0:37:24.880
<v Speaker 1>these bugs like crawling all over me. Here's a sample

0:37:24.920 --> 0:37:27.200
<v Speaker 1>of them. And it turns out it's like carpet fiber

0:37:27.320 --> 0:37:29.759
<v Speaker 1>or something like that, and these people just can't stop

0:37:29.840 --> 0:37:32.480
<v Speaker 1>itching or whatever. But it turns out they have a delusion,

0:37:32.520 --> 0:37:36.759
<v Speaker 1>they don't actually have parasites. My question is, is that

0:37:36.880 --> 0:37:39.439
<v Speaker 1>our understanding of it now and in five or ten years,

0:37:39.520 --> 0:37:42.120
<v Speaker 1>where you know that they had neurogenic itches and we

0:37:42.239 --> 0:37:44.680
<v Speaker 1>just treated them like they were crazy even though they weren't,

0:37:45.280 --> 0:37:47.480
<v Speaker 1>and it's gonna be like a real blemish on the

0:37:47.600 --> 0:37:53.600
<v Speaker 1>history of neuroscience, or will this idea of psychogenic itches

0:37:54.120 --> 0:37:57.080
<v Speaker 1>you know? Hold up? Yeah, I wonder did you ever

0:37:57.160 --> 0:38:00.239
<v Speaker 1>see the Todd Haynes movie Safe with Julianne Moore. No,

0:38:00.680 --> 0:38:03.800
<v Speaker 1>it was one of his first movies after the Karen

0:38:03.840 --> 0:38:07.160
<v Speaker 1>Carpenter thing he did. Uh that wasn't like, I mean,

0:38:07.200 --> 0:38:09.319
<v Speaker 1>it was a real movie, but it wasn't released. Um,

0:38:09.400 --> 0:38:11.799
<v Speaker 1>but Safe was very disturbing. It was about a woman

0:38:11.840 --> 0:38:16.040
<v Speaker 1>who kind of slowly drifted into madness from believing that

0:38:16.600 --> 0:38:20.920
<v Speaker 1>the world was poisoning her and like household chemicals and everything,

0:38:21.000 --> 0:38:23.839
<v Speaker 1>and it kind of started slow and eventually she ended

0:38:23.880 --> 0:38:28.040
<v Speaker 1>up at this kind of safe camp for people like her. Um,

0:38:28.640 --> 0:38:31.480
<v Speaker 1>very distressing movie and one of her first movies too.

0:38:31.760 --> 0:38:34.000
<v Speaker 1>Have to check it out. Yeah, it's really good. It's old,

0:38:34.760 --> 0:38:38.320
<v Speaker 1>Yeah it was. It was early nineties. I think I

0:38:38.440 --> 0:38:41.000
<v Speaker 1>know you're talking about. It's called the Road to Wellville.

0:38:42.280 --> 0:38:45.319
<v Speaker 1>Is that what you mean? It's called safe? Check it out. Yeah,

0:38:45.360 --> 0:38:47.560
<v Speaker 1>it's good, very distressing. I'm trying to think of anything

0:38:47.680 --> 0:38:50.840
<v Speaker 1>that wasn't necessarily itching. But it was just like that

0:38:50.960 --> 0:38:54.080
<v Speaker 1>psychogenic thing of like I think everything in my house

0:38:54.200 --> 0:38:56.440
<v Speaker 1>is killing me. Yeah. I mean, have you ever like

0:38:56.640 --> 0:38:59.719
<v Speaker 1>stopped and thought about something and thought, there's there's the

0:38:59.760 --> 0:39:02.319
<v Speaker 1>path the madness right there I'm staring down at right now.

0:39:02.960 --> 0:39:06.480
<v Speaker 1>I should probably not keep thinking about this. I don't

0:39:06.520 --> 0:39:09.080
<v Speaker 1>really get like that. Oh no, no, I'm very easily

0:39:09.719 --> 0:39:14.080
<v Speaker 1>kind of led onto the next shiny thing, I guess. Yeah, yeah,

0:39:14.239 --> 0:39:18.319
<v Speaker 1>basically that's probably for the best it is. It has

0:39:18.360 --> 0:39:22.680
<v Speaker 1>its drawbacks. So, uh, what else you got? Well, one

0:39:22.680 --> 0:39:26.880
<v Speaker 1>thing it says in here is that, um, having someone

0:39:27.040 --> 0:39:31.000
<v Speaker 1>else scratch your itch does apparently does not do the trick.

0:39:31.440 --> 0:39:33.800
<v Speaker 1>So you have to scratch your own itch. Yeah, I

0:39:33.840 --> 0:39:37.399
<v Speaker 1>mean somebody can like obviously, like you know, if you're

0:39:37.400 --> 0:39:40.080
<v Speaker 1>like a little left a little left up up up. Yeah.

0:39:40.120 --> 0:39:45.239
<v Speaker 1>See I don't work. Oh man, not you that them saying, right, Like,

0:39:45.320 --> 0:39:47.200
<v Speaker 1>I think it definitely helps. I think what they're saying

0:39:47.360 --> 0:39:50.960
<v Speaker 1>is is it doesn't have quite the same relieving properties

0:39:50.960 --> 0:39:53.600
<v Speaker 1>as if you do it yourself. Yeah, and if you

0:39:53.680 --> 0:39:55.719
<v Speaker 1>could reach that area of your back, it would be

0:39:55.840 --> 0:39:59.719
<v Speaker 1>better than that. I got a pretty good backscratcher now though.

0:40:00.000 --> 0:40:03.160
<v Speaker 1>Oh yeah, it's a made of bamboo. No, it's it's metal,

0:40:04.040 --> 0:40:07.680
<v Speaker 1>but it's telescoping, so it's not you know, two ft long,

0:40:08.719 --> 0:40:12.120
<v Speaker 1>but it can be. But it's metal. Yeah. It looks

0:40:12.160 --> 0:40:14.600
<v Speaker 1>like a like what are the bear claw? Not the

0:40:14.600 --> 0:40:18.800
<v Speaker 1>pastry but a real bear claw which actually looks like

0:40:18.920 --> 0:40:21.040
<v Speaker 1>the pastry. Man. I guess that's why they call it that.

0:40:21.600 --> 0:40:23.680
<v Speaker 1>I never thought about that. Why do you think that

0:40:23.840 --> 0:40:27.399
<v Speaker 1>was called that? I actually call it a bear paw.

0:40:27.520 --> 0:40:30.520
<v Speaker 1>It looks more like a bear paw. I'm try and

0:40:30.560 --> 0:40:33.279
<v Speaker 1>bring that, bring that around unless you get somebody who

0:40:33.440 --> 0:40:36.200
<v Speaker 1>like really goes the extra mile and puts almonds on

0:40:36.320 --> 0:40:39.279
<v Speaker 1>the tips to make it look like the claw, yes,

0:40:40.360 --> 0:40:44.040
<v Speaker 1>and not just haphazardly scattered about the bear paw. That's

0:40:44.080 --> 0:40:46.880
<v Speaker 1>the difference between a baker who loves their job the

0:40:46.960 --> 0:40:50.440
<v Speaker 1>one who's just in it for the money. Yeah. Uh,

0:40:51.080 --> 0:40:54.040
<v Speaker 1>A couple more things, Charles. Like we said, there's a

0:40:54.480 --> 0:40:58.520
<v Speaker 1>still plenty of mysteries around itches. Why say, does a

0:40:58.760 --> 0:41:03.840
<v Speaker 1>feather tickle some times but it's other times? Big question?

0:41:04.480 --> 0:41:08.480
<v Speaker 1>They don't know, right, but I'd like to know. Well,

0:41:08.800 --> 0:41:13.319
<v Speaker 1>maybe the Germans will get active on this again, they're

0:41:13.320 --> 0:41:15.920
<v Speaker 1>the only ones who can solve it. Though only the

0:41:16.000 --> 0:41:20.640
<v Speaker 1>Germans can save us. You got anything else? No, I don't.

0:41:22.080 --> 0:41:25.800
<v Speaker 1>I don't either. Itching nice work, thanks man, same do you?

0:41:26.120 --> 0:41:28.400
<v Speaker 1>Thank you? And you haven't scratched in a while, so no,

0:41:28.640 --> 0:41:32.279
<v Speaker 1>I'm actually um, I've been scratching the same spot and

0:41:32.320 --> 0:41:34.839
<v Speaker 1>it's starting to get a little tender, so I'm stopping. Man,

0:41:34.920 --> 0:41:37.400
<v Speaker 1>there's nothing worse than a movie, and I've seen it.

0:41:37.920 --> 0:41:39.360
<v Speaker 1>I feel like I've seen this a few times in

0:41:39.480 --> 0:41:43.480
<v Speaker 1>movies where someone is compulsively like scratching until it becomes

0:41:43.480 --> 0:41:45.840
<v Speaker 1>a sore, and then they're scratching it. It's just like

0:41:46.520 --> 0:41:51.840
<v Speaker 1>through their brain. Well, yeah, so I guess the moral

0:41:51.920 --> 0:41:55.600
<v Speaker 1>of this one is what would Tom Petty do? I'll

0:41:55.600 --> 0:41:59.440
<v Speaker 1>ask him tomorrow. If you want to know more about

0:41:59.560 --> 0:42:02.400
<v Speaker 1>itching or what Tom Petty would do, you can type

0:42:02.440 --> 0:42:04.839
<v Speaker 1>those words in the search part how stuff works dot com.

0:42:05.280 --> 0:42:11.719
<v Speaker 1>And since I said search far, it's time for listener mail. Uh.

0:42:11.960 --> 0:42:15.400
<v Speaker 1>I'm gonna call this one of the many emails we

0:42:15.480 --> 0:42:18.560
<v Speaker 1>got on the swearing episode. Do you notice that people

0:42:18.840 --> 0:42:22.160
<v Speaker 1>really seem to like that one? A lot of response

0:42:22.960 --> 0:42:29.520
<v Speaker 1>from mostly from fellow potty mouse, which we're very filthy

0:42:29.560 --> 0:42:32.439
<v Speaker 1>emails too, which were great, and I responded in turn

0:42:32.520 --> 0:42:35.520
<v Speaker 1>by cursing at them and my replies, which I hope

0:42:35.560 --> 0:42:39.480
<v Speaker 1>they enjoyed in all caps M No, I didn't want

0:42:39.520 --> 0:42:43.560
<v Speaker 1>to be too aggressive. UM. So this is from Emily Allen. Hey, guys,

0:42:43.600 --> 0:42:47.280
<v Speaker 1>a long time listener, first time writing in UM writing

0:42:47.320 --> 0:42:49.720
<v Speaker 1>about swearing. I should start by saying that it's funny

0:42:49.719 --> 0:42:52.360
<v Speaker 1>I'm writing about this episode because I almost never curse,

0:42:52.840 --> 0:42:56.240
<v Speaker 1>and when I do, it's normally not a very offensive swear. However,

0:42:56.480 --> 0:42:58.399
<v Speaker 1>your intro made me think of something interesting I wanted

0:42:58.440 --> 0:43:01.120
<v Speaker 1>to share. You talked about how really censor yourself during

0:43:01.160 --> 0:43:03.680
<v Speaker 1>recording in order to keep your show family friendly, and

0:43:03.800 --> 0:43:06.200
<v Speaker 1>got me thinking about how our jobs really shape our vocabulary,

0:43:06.480 --> 0:43:09.440
<v Speaker 1>how we express ourselves. I noticed a major change in

0:43:09.480 --> 0:43:12.759
<v Speaker 1>the way I speak since becoming a teacher, primarily teach

0:43:12.880 --> 0:43:15.439
<v Speaker 1>kindergarten to second grade students, and I found this really

0:43:15.520 --> 0:43:18.239
<v Speaker 1>changed the way I expressed myself. For example, I try

0:43:18.280 --> 0:43:21.959
<v Speaker 1>to avoid even saying things are dumb or stupid around kids.

0:43:22.239 --> 0:43:25.120
<v Speaker 1>Will often say, well, isn't that silly? Instead? Uh. This

0:43:25.239 --> 0:43:27.400
<v Speaker 1>works in the classroom, but I often get laughs from

0:43:27.480 --> 0:43:31.440
<v Speaker 1>friends and family when I refer to a situation as silly,

0:43:32.560 --> 0:43:35.440
<v Speaker 1>like a disagreement with a colleague or something a politician does.

0:43:38.320 --> 0:43:40.239
<v Speaker 1>There are other expressions I use with the kids that

0:43:40.320 --> 0:43:43.440
<v Speaker 1>often slip into regular conversation as well. The most embarrassing

0:43:43.800 --> 0:43:46.440
<v Speaker 1>when I am out and excuse myself to go potty.

0:43:47.280 --> 0:43:49.759
<v Speaker 1>That always gets a laugh. Anyway, I just wanted to

0:43:49.760 --> 0:43:51.160
<v Speaker 1>share and thank you for all the great work you do.

0:43:51.760 --> 0:43:54.160
<v Speaker 1>Learned so much from listening each week, and I'm always

0:43:54.200 --> 0:43:58.200
<v Speaker 1>excited to see the new episode offerings every Tuesday and Thursday.

0:43:58.719 --> 0:44:04.960
<v Speaker 1>That is from Emily Allen. Thank you ms Allen, very silly. Uh,

0:44:05.280 --> 0:44:08.319
<v Speaker 1>that was a very nice email. Uh. If you want

0:44:08.360 --> 0:44:10.239
<v Speaker 1>to get in touch with us, like ms Allen did,

0:44:10.640 --> 0:44:12.520
<v Speaker 1>you can tweet to us at s Y s K

0:44:12.719 --> 0:44:15.520
<v Speaker 1>podcast or josh um Clark. You can hang out with

0:44:15.640 --> 0:44:17.719
<v Speaker 1>us on Facebook dot com, slash stuff you Should Know

0:44:17.920 --> 0:44:21.840
<v Speaker 1>or slash Charles W. Chuck Bryant. You can send us

0:44:21.840 --> 0:44:24.120
<v Speaker 1>an email and stuff podcast at how stuff works dot

0:44:24.160 --> 0:44:26.239
<v Speaker 1>com and has always joined us at our home on

0:44:26.320 --> 0:44:33.080
<v Speaker 1>the web, stuff you Should Know dot com. For more

0:44:33.160 --> 0:44:35.440
<v Speaker 1>on this and thousands of other topics, is it how

0:44:35.480 --> 0:44:36.439
<v Speaker 1>stuff Works dot com