1 00:00:00,760 --> 00:00:05,760 Speaker 1: Good luck. Hey everybody. We are super excited to return 2 00:00:05,880 --> 00:00:08,920 Speaker 1: to the sketch Fest stage and do a live show again. 3 00:00:09,080 --> 00:00:11,440 Speaker 1: We missed it so so much last year and we 4 00:00:11,480 --> 00:00:14,360 Speaker 1: can't wait to get back to San Francisco. Yeah, it's 5 00:00:14,360 --> 00:00:17,800 Speaker 1: our first live show in two years, chuck, and we're 6 00:00:17,840 --> 00:00:20,720 Speaker 1: going to be there at the Sydney Goldstein Theater and 7 00:00:20,760 --> 00:00:25,800 Speaker 1: beautiful San Francisco, California at seven thirty on Friday, January one. 8 00:00:26,320 --> 00:00:28,840 Speaker 1: Is a straight up stuff you should know live show, 9 00:00:28,920 --> 00:00:31,800 Speaker 1: and it's going to be off the chain, that's right. 10 00:00:31,880 --> 00:00:33,640 Speaker 1: You should show up to see if we've forgotten how 11 00:00:33,680 --> 00:00:36,600 Speaker 1: to do this, to see a skate around on stage, 12 00:00:36,680 --> 00:00:42,239 Speaker 1: nervously sure, doubting ourselves and eventually bringing the funnies. Yeah, hopefully. 13 00:00:42,400 --> 00:00:44,400 Speaker 1: Where do they go? They go to s f AS 14 00:00:44,400 --> 00:00:48,199 Speaker 1: in San Francisco, SF sketch Beest dot com. Click on 15 00:00:48,240 --> 00:00:51,040 Speaker 1: the schedule and tickets link. There are tons and tons 16 00:00:51,080 --> 00:00:54,080 Speaker 1: and tons of great shows. It's the best comedy uh 17 00:00:54,280 --> 00:00:56,800 Speaker 1: festival in the country in my opinion, over the whole 18 00:00:56,840 --> 00:00:59,279 Speaker 1: month of January. So go check us out and go 19 00:00:59,400 --> 00:01:01,920 Speaker 1: check out everybody else as well. Yep, it's also a 20 00:01:01,960 --> 00:01:04,640 Speaker 1: full vaccination show, so you've got to show proof of 21 00:01:04,720 --> 00:01:08,400 Speaker 1: vaccination and wear some masks. Don't be naughty. Don't be naughty, 22 00:01:08,440 --> 00:01:11,560 Speaker 1: be nice. So we'll see you guys on Friday, January 23 00:01:11,600 --> 00:01:17,440 Speaker 1: one in San Francisco, California. Welcome to Stuff You Should Know, 24 00:01:17,800 --> 00:01:26,399 Speaker 1: a production of I Heart Radio. Hey you, and welcome 25 00:01:26,440 --> 00:01:29,039 Speaker 1: to the podcast. I'm Josh Clark, and there's Charles w. 26 00:01:29,200 --> 00:01:31,840 Speaker 1: Chuck Brian over there, and this is Stuff you should Know. 27 00:01:33,000 --> 00:01:39,840 Speaker 1: I should say, Stuff you should now. It's a good one. 28 00:01:40,040 --> 00:01:43,720 Speaker 1: Thank you. It was off the cuff, Chuckers. You ever 29 00:01:43,760 --> 00:01:49,200 Speaker 1: had a kidney stone? No, let me. I guess it's 30 00:01:49,200 --> 00:01:51,240 Speaker 1: not good enough. No, I haven't. I have not. How 31 00:01:51,280 --> 00:01:54,120 Speaker 1: about you? I have it. I think I'll probably get 32 00:01:54,120 --> 00:01:56,880 Speaker 1: one one day. Yeah, you just know it's in the 33 00:01:56,920 --> 00:01:59,120 Speaker 1: cards for you. Yeah, I mean I've got I don't 34 00:01:59,160 --> 00:02:02,920 Speaker 1: have like a bad kidney issues. But you know, when 35 00:02:02,960 --> 00:02:05,640 Speaker 1: you get to be my age, certain organs starts saying, Hi, 36 00:02:05,920 --> 00:02:08,320 Speaker 1: pay attention to me a little bit. Oh yeah, yeah yeah, 37 00:02:08,400 --> 00:02:10,480 Speaker 1: And the kidney is one of those. But I'm not 38 00:02:10,520 --> 00:02:13,120 Speaker 1: I'm not dying or anything. No, I know that. It's 39 00:02:13,200 --> 00:02:15,840 Speaker 1: more just like, you know, what's it if if you 40 00:02:15,919 --> 00:02:19,919 Speaker 1: got a inky kidney, you could conceivably get a kidney stone. 41 00:02:19,960 --> 00:02:24,560 Speaker 1: For sure, that is certainly true. So, um, I, my friend, 42 00:02:24,639 --> 00:02:28,400 Speaker 1: wish that you never ever, ever, ever get a kidney stone. 43 00:02:28,520 --> 00:02:30,480 Speaker 1: I wish the same for Jerry. I wish the same 44 00:02:30,520 --> 00:02:32,960 Speaker 1: for every person you know and like and love, and 45 00:02:33,040 --> 00:02:39,000 Speaker 1: same for me. That's right. But wishes and dreams do 46 00:02:39,120 --> 00:02:42,040 Speaker 1: not bear any weight here, my friend, because I think 47 00:02:42,080 --> 00:02:44,320 Speaker 1: you got about a ten percent chance if you're living 48 00:02:44,320 --> 00:02:48,320 Speaker 1: a human of having a kidney stone, and besides being 49 00:02:48,360 --> 00:02:52,040 Speaker 1: super painful, they can kill you. About sixteen thousand people 50 00:02:52,120 --> 00:02:55,119 Speaker 1: year die from kidney stones or complications that arise. Yeah, 51 00:02:55,160 --> 00:02:57,079 Speaker 1: what a way to go, man, from kidney stones. And 52 00:02:57,240 --> 00:03:00,560 Speaker 1: you're probably not going to die from your kid He's failing, 53 00:03:00,600 --> 00:03:05,880 Speaker 1: because that would require both kidneys being blocked simultaneously so 54 00:03:05,960 --> 00:03:09,920 Speaker 1: badly that they just shut down on you. That's probably 55 00:03:09,919 --> 00:03:14,440 Speaker 1: not gonna happen. Um. But there's a lot of procedures that, um, 56 00:03:14,520 --> 00:03:16,919 Speaker 1: that you would probably go through to treat a terrible 57 00:03:17,000 --> 00:03:20,359 Speaker 1: kidney stone that that could kill you. An infection could 58 00:03:20,440 --> 00:03:22,160 Speaker 1: kill you. There's all sorts of ways that could lead 59 00:03:22,200 --> 00:03:23,919 Speaker 1: to bring about your death, and that would not be 60 00:03:24,120 --> 00:03:27,600 Speaker 1: very pleasant. I agree with you. Yeah, they are I 61 00:03:27,639 --> 00:03:30,040 Speaker 1: mean there's different kinds. We're kind of gonna kind of 62 00:03:30,080 --> 00:03:33,200 Speaker 1: gonna go through them here, but they're generally classified in 63 00:03:33,240 --> 00:03:36,920 Speaker 1: a couple of ways. Um, where they are and what 64 00:03:37,000 --> 00:03:39,800 Speaker 1: kind they are, like how they were formed. They are 65 00:03:39,800 --> 00:03:44,320 Speaker 1: all kinds of fancy schmancy doctor names for kidney stones, 66 00:03:45,080 --> 00:03:50,680 Speaker 1: renal calculi, uh, euro lithiasis, But they're gonna call them 67 00:03:50,720 --> 00:03:53,600 Speaker 1: kidney stones if it's a doctor that has an interest 68 00:03:53,600 --> 00:03:58,280 Speaker 1: in being your friend. Right, So, Um, the where where 69 00:03:58,320 --> 00:04:02,240 Speaker 1: they are, um is really important because they need to 70 00:04:02,320 --> 00:04:05,400 Speaker 1: know where they are so they can help you figure 71 00:04:05,440 --> 00:04:08,400 Speaker 1: out how to deal with these in the most particular way. 72 00:04:08,440 --> 00:04:10,880 Speaker 1: And there's only like a certain number of places that 73 00:04:10,920 --> 00:04:13,160 Speaker 1: a kidney stone is going to be. And Chuck, I 74 00:04:13,360 --> 00:04:16,200 Speaker 1: looked high and low and could not find a definitive answer, 75 00:04:16,680 --> 00:04:20,720 Speaker 1: as I saw some places that seemed to say all 76 00:04:20,960 --> 00:04:25,480 Speaker 1: kidney stones are all stones start in the kidneys. But 77 00:04:25,640 --> 00:04:28,400 Speaker 1: I also saw like little snippets here there that made 78 00:04:28,400 --> 00:04:34,560 Speaker 1: it seem like there's other places stones can form shoulder blade, right, 79 00:04:34,839 --> 00:04:37,800 Speaker 1: But regardless, that's my point. Regardless of where they form, 80 00:04:37,839 --> 00:04:40,760 Speaker 1: they're going to form only in your urinary tract, which 81 00:04:40,760 --> 00:04:44,800 Speaker 1: includes your kidneys, your eurotors, which are the tubes that 82 00:04:45,080 --> 00:04:47,600 Speaker 1: take your pa from your kidneys down to your bladder, 83 00:04:48,240 --> 00:04:51,840 Speaker 1: the bladder itself and then the urethra narrow or otherwise, 84 00:04:52,080 --> 00:04:54,960 Speaker 1: which is where the peak comes out. Yeah, I'm gonna 85 00:04:54,960 --> 00:04:58,120 Speaker 1: go ahead and say the eutors, they should have built 86 00:04:58,120 --> 00:05:01,920 Speaker 1: those a little wider. Are not a lot of heartache. Yeah, 87 00:05:01,960 --> 00:05:04,320 Speaker 1: because one of the one of the big problems that 88 00:05:04,440 --> 00:05:06,320 Speaker 1: you're going to have if you get a kidney stones, 89 00:05:06,360 --> 00:05:09,520 Speaker 1: you're your readers are like two millimeters in diameter and 90 00:05:09,560 --> 00:05:13,120 Speaker 1: they're not very flexible. So when you're passing a hardened stone, 91 00:05:13,200 --> 00:05:17,320 Speaker 1: a crystallized stone of mineral through that that's larger than 92 00:05:17,360 --> 00:05:20,719 Speaker 1: two millimeters, it is going to cause some problems. Yeah, 93 00:05:20,800 --> 00:05:23,760 Speaker 1: I'm sure that they didn't seem like they needed to 94 00:05:23,800 --> 00:05:28,560 Speaker 1: be bigger at the time man and woman was created. 95 00:05:29,680 --> 00:05:32,080 Speaker 1: But because all of it's going through, there's p but 96 00:05:32,680 --> 00:05:36,080 Speaker 1: the lack of foresight on those stones is a big problem. Yeah. 97 00:05:36,360 --> 00:05:41,200 Speaker 1: Tis tisk yahweh. That's that's right. So you've got stones 98 00:05:41,240 --> 00:05:45,960 Speaker 1: in the kidney nephro nefro liths lith means stone. You've 99 00:05:46,000 --> 00:05:49,480 Speaker 1: got your eur readero liths which are in the your readers, 100 00:05:49,640 --> 00:05:51,520 Speaker 1: and again that's a really terrible place for them to be. 101 00:05:51,760 --> 00:05:54,120 Speaker 1: And you've got sister liths which are in the bladder, 102 00:05:54,160 --> 00:05:57,400 Speaker 1: and I guess by proxy that the urethra too, right, 103 00:05:58,120 --> 00:06:01,960 Speaker 1: that's right. Uh, the ones in upper tract, those are 104 00:06:02,000 --> 00:06:06,000 Speaker 1: gonna be, um, a little more problematic, generally a little 105 00:06:06,040 --> 00:06:09,680 Speaker 1: more severe. Uh. If you're gonna get complications and long 106 00:06:09,800 --> 00:06:12,839 Speaker 1: term problems, they're generally generally going to be because of 107 00:06:12,880 --> 00:06:17,720 Speaker 1: those upper urinary tract stones. Um. But they're all, I mean, 108 00:06:17,800 --> 00:06:20,800 Speaker 1: none of them. The only ones that aren't a big 109 00:06:20,839 --> 00:06:22,839 Speaker 1: deal are the ones that are so tiny that you 110 00:06:22,920 --> 00:06:25,000 Speaker 1: just and that's why I said that. You know of 111 00:06:25,520 --> 00:06:27,920 Speaker 1: people probably thought I was joking, But you can urinate 112 00:06:27,920 --> 00:06:29,840 Speaker 1: out kidney stones and not even though you ever had one, 113 00:06:29,839 --> 00:06:32,440 Speaker 1: if they're small enough. Yeah, just pee yourself right now. 114 00:06:32,480 --> 00:06:34,520 Speaker 1: There's a chance you just peet out a little tiny 115 00:06:35,000 --> 00:06:39,159 Speaker 1: maybe a stone of some sort. But for the right 116 00:06:39,640 --> 00:06:42,239 Speaker 1: when you do know that you have a kidney stone, 117 00:06:42,279 --> 00:06:45,520 Speaker 1: though you really really know it. Um. And we'll talk 118 00:06:45,560 --> 00:06:49,160 Speaker 1: about the process of passing a kidney stone later. But UM. 119 00:06:49,320 --> 00:06:51,839 Speaker 1: The other way to to define a kidney stone, and 120 00:06:51,920 --> 00:06:55,040 Speaker 1: usually they're going to be defined by location and then 121 00:06:55,040 --> 00:06:58,200 Speaker 1: also in this other way, by composition, because kidney stones 122 00:06:58,240 --> 00:07:01,039 Speaker 1: can be made up of a lot of different things. Um. 123 00:07:01,040 --> 00:07:04,200 Speaker 1: But the upshot of them, Chuck, is that if you 124 00:07:04,279 --> 00:07:07,120 Speaker 1: have too much of something in your p or two 125 00:07:07,160 --> 00:07:13,559 Speaker 1: little p um or imbalanced p pH wise um, things 126 00:07:13,600 --> 00:07:16,800 Speaker 1: can solidify that should be liquid. They can precipitate out 127 00:07:16,840 --> 00:07:19,840 Speaker 1: of solution, and when that happens, it can start basically 128 00:07:19,840 --> 00:07:22,360 Speaker 1: a snowball effect where more and more that stuff is attracted, 129 00:07:22,400 --> 00:07:25,160 Speaker 1: and that's where your stone is formed. Yeah, I mean, 130 00:07:25,200 --> 00:07:28,320 Speaker 1: it's just it's just mineral things that don't that can't 131 00:07:28,320 --> 00:07:32,240 Speaker 1: be dissolved basically, and they like to have company. They 132 00:07:32,280 --> 00:07:34,560 Speaker 1: like to get together with our other non dissolved friends 133 00:07:35,400 --> 00:07:38,240 Speaker 1: and party together and hang out together. And pretty soon, 134 00:07:38,240 --> 00:07:40,480 Speaker 1: if you get a big enough party, you're you're gonna 135 00:07:40,520 --> 00:07:42,440 Speaker 1: be in some kind of pain. Yeah, you're gonna have 136 00:07:42,520 --> 00:07:45,400 Speaker 1: a pain party for you. But I guess we should 137 00:07:45,400 --> 00:07:47,720 Speaker 1: talk a little bit. This is sort of the about 138 00:07:47,720 --> 00:07:49,720 Speaker 1: as wonky as we're gonna get in this next section, 139 00:07:50,840 --> 00:07:54,720 Speaker 1: which is the makeup of these stones, and most of 140 00:07:54,760 --> 00:07:59,760 Speaker 1: them are made up about six or calcium oxalate, and 141 00:08:00,000 --> 00:08:03,240 Speaker 1: and that this is basically too much calcium or oxalate 142 00:08:03,720 --> 00:08:06,480 Speaker 1: in your urinationary system, and it's you know, there are 143 00:08:06,480 --> 00:08:08,720 Speaker 1: a number of things that can cause this, but they're 144 00:08:08,720 --> 00:08:11,840 Speaker 1: generally all metabolic problems, although I think there's a little 145 00:08:12,200 --> 00:08:16,000 Speaker 1: genetics involved with the calcium oxalate as well. Yeah, that 146 00:08:16,040 --> 00:08:18,080 Speaker 1: seems to be my take on it too, that that 147 00:08:18,240 --> 00:08:22,480 Speaker 1: genetics have a large role in whether you're predisposed to 148 00:08:22,840 --> 00:08:26,120 Speaker 1: having kidney stones or not. Diet and lifestyle can definitely 149 00:08:26,120 --> 00:08:30,280 Speaker 1: affect it. But it's like if you have hyper parathyroidism 150 00:08:30,720 --> 00:08:34,679 Speaker 1: and you're absorbing calcium too much calcium from your bones, 151 00:08:35,040 --> 00:08:38,079 Speaker 1: that probably doesn't have much to do with your diet. UM. 152 00:08:38,080 --> 00:08:40,480 Speaker 1: And that's one way that you can have too much calcium. 153 00:08:40,679 --> 00:08:44,840 Speaker 1: Your renal system might um not absorb enough calcium from 154 00:08:45,360 --> 00:08:47,760 Speaker 1: UH into waste, and so there's more of it hanging 155 00:08:47,800 --> 00:08:50,840 Speaker 1: around there than there should be. Um. There's a there's 156 00:08:50,880 --> 00:08:52,840 Speaker 1: a few ways that it can happen, but the upshot 157 00:08:52,840 --> 00:08:55,320 Speaker 1: of is either you have too much calcium or too 158 00:08:55,440 --> 00:08:59,040 Speaker 1: much oxalate and they combine together to form would you say, 159 00:08:59,080 --> 00:09:03,040 Speaker 1: like any percent of kidney stones, Yeah, that's sixty two 160 00:09:03,120 --> 00:09:06,200 Speaker 1: eighty and I think the actually I don't have a 161 00:09:06,200 --> 00:09:11,680 Speaker 1: percentage for struvite stones. UH. These are also called infection stones. 162 00:09:12,559 --> 00:09:14,319 Speaker 1: And there you know, if you get a lot of 163 00:09:14,400 --> 00:09:18,840 Speaker 1: U T eyes, you might be more prone to struvite stones. Um. 164 00:09:18,920 --> 00:09:22,240 Speaker 1: Sometimes there's just some kinds of bacteria and if you 165 00:09:22,280 --> 00:09:26,000 Speaker 1: match that up with the right uh metabolic condition that's 166 00:09:26,040 --> 00:09:29,920 Speaker 1: going wrong, it'll they'll get together and cause struvite stones. Yeah. 167 00:09:29,960 --> 00:09:32,800 Speaker 1: The struvite stones seemed to rely a lot on whether 168 00:09:32,880 --> 00:09:36,000 Speaker 1: you're um like with if your your urine is out 169 00:09:36,000 --> 00:09:41,080 Speaker 1: of balance pH wise, specifically that it's highly alkaline um, 170 00:09:41,200 --> 00:09:44,400 Speaker 1: so it's above seven uh as far as pH goes, 171 00:09:44,559 --> 00:09:49,120 Speaker 1: and that that combined with certain kinds of bacterial infections 172 00:09:49,120 --> 00:09:52,920 Speaker 1: can can create that. It looks like stag horn seems 173 00:09:52,960 --> 00:09:55,600 Speaker 1: to be the most common type, which I mean you 174 00:09:55,640 --> 00:09:59,360 Speaker 1: do not want to mineral that fits the bill of 175 00:09:59,400 --> 00:10:03,199 Speaker 1: stag or flowing through your urine. Yeah, you do not 176 00:10:03,240 --> 00:10:06,360 Speaker 1: good at all. Uh. Then you have about ten percent 177 00:10:06,440 --> 00:10:09,400 Speaker 1: or lesser formed by uric acid. And this is sort 178 00:10:09,400 --> 00:10:11,319 Speaker 1: of you know, if you have problems with your uric 179 00:10:11,360 --> 00:10:14,840 Speaker 1: acid or gout, uh, you're probably gonna have kidney suns 180 00:10:14,880 --> 00:10:18,120 Speaker 1: at some point. Uh. You know, the gout diet is 181 00:10:18,400 --> 00:10:20,839 Speaker 1: it's sort of the same triggers. They're high in what's 182 00:10:20,840 --> 00:10:26,520 Speaker 1: called purins, shellfish, organ meats, any kind of meat really beer, 183 00:10:26,679 --> 00:10:29,200 Speaker 1: for sure, Like those are all on the list of 184 00:10:29,679 --> 00:10:31,360 Speaker 1: things that you don't want if you're trying to keep 185 00:10:31,400 --> 00:10:34,360 Speaker 1: your uric acid and check. Yeah, because the uric acid 186 00:10:34,520 --> 00:10:41,000 Speaker 1: is um metabolite of purine and um it crystallizes very easily. 187 00:10:41,000 --> 00:10:44,440 Speaker 1: It can precipitate easily out of the P if there's 188 00:10:44,480 --> 00:10:46,800 Speaker 1: too much of it, So yeah, that that can be 189 00:10:46,840 --> 00:10:51,400 Speaker 1: a bad jam for sure. Um. There's also cysteine stones, cysteins, 190 00:10:51,400 --> 00:10:54,360 Speaker 1: and amino acid. It's it's used throughout the body for 191 00:10:54,400 --> 00:10:57,240 Speaker 1: a number of different ways. But unfortunately it's the least 192 00:10:57,280 --> 00:11:01,360 Speaker 1: soluble amino acid, so that means that it can precipitate 193 00:11:01,400 --> 00:11:04,600 Speaker 1: out of P fairly easily too. Luckily, those are kind 194 00:11:04,640 --> 00:11:08,520 Speaker 1: of rare. Um. You actually have probably a UM a 195 00:11:08,640 --> 00:11:13,240 Speaker 1: congenital disorder that causes sistine stones. But unfortunately that means 196 00:11:13,280 --> 00:11:16,200 Speaker 1: you have a congenital disorder that causes stones, which means 197 00:11:16,200 --> 00:11:19,480 Speaker 1: it's probably a chronic condition, right, And I think that's 198 00:11:19,520 --> 00:11:23,319 Speaker 1: the same for the rare xanthine stones, right. Yeah. And 199 00:11:23,400 --> 00:11:28,160 Speaker 1: xanthine is another purine or purine. It's found in caffeine, tea, 200 00:11:28,240 --> 00:11:31,520 Speaker 1: and Cola's. And it occurred to me Chuckle was researching this, 201 00:11:31,920 --> 00:11:34,440 Speaker 1: is that what Purina is trying to get across with 202 00:11:34,520 --> 00:11:39,959 Speaker 1: their their brand name, that they're from chock full of purines. Um. 203 00:11:40,040 --> 00:11:42,719 Speaker 1: Maybe I always kind of thought it was probably just 204 00:11:42,800 --> 00:11:46,280 Speaker 1: a play on the word pure. Oh, it never occurred 205 00:11:46,320 --> 00:11:48,480 Speaker 1: to me like that. I wonder maybe they're like, why 206 00:11:48,559 --> 00:11:52,760 Speaker 1: can't it be both Josh and Chuck. Uh. And then 207 00:11:52,800 --> 00:11:55,040 Speaker 1: there's of course the Infinity stones, which are a real 208 00:11:55,080 --> 00:11:58,120 Speaker 1: problem for about half the population. Yeah, and one other 209 00:11:58,160 --> 00:12:04,079 Speaker 1: thing also, um pass that one almost I'm glad I 210 00:12:04,240 --> 00:12:08,520 Speaker 1: stopped and took a double take. Was that written down? 211 00:12:08,600 --> 00:12:12,000 Speaker 1: I can't see your notes? That was no notes? Wow? 212 00:12:12,080 --> 00:12:13,960 Speaker 1: That was good then, man, I think you just won 213 00:12:14,040 --> 00:12:17,880 Speaker 1: the World Cup for in the off the cuff stuff. 214 00:12:17,880 --> 00:12:21,559 Speaker 1: You should know joke, okay, battle, I'll take it. Um. 215 00:12:21,679 --> 00:12:25,800 Speaker 1: One other thing about uric acid stones is that that 216 00:12:26,400 --> 00:12:28,880 Speaker 1: um is kind of the opposite of strew vite stones, 217 00:12:28,920 --> 00:12:31,960 Speaker 1: where your p s two acidic, like it'll burn right 218 00:12:31,960 --> 00:12:36,600 Speaker 1: through metal if you pee on a car. Right, should 219 00:12:36,640 --> 00:12:38,520 Speaker 1: we take a break, Yeah, we should take a break. 220 00:12:38,559 --> 00:12:41,160 Speaker 1: I need to regroup after that huge win by you. 221 00:12:41,480 --> 00:12:43,800 Speaker 1: Just we'll be right back and I'll say what I'm 222 00:12:43,800 --> 00:13:08,480 Speaker 1: gonna say after this. Yeah, so I didn't know if 223 00:13:08,480 --> 00:13:10,520 Speaker 1: you even I didn't think you watch those Marvel movies. 224 00:13:10,559 --> 00:13:12,440 Speaker 1: I didn't know if you'd get that joke. Well, I 225 00:13:12,440 --> 00:13:15,360 Speaker 1: mean like I'm I'm conscious, like I can form thoughts 226 00:13:15,360 --> 00:13:18,720 Speaker 1: and observe like outside stimuli, So that means, yes, I'm 227 00:13:18,760 --> 00:13:21,920 Speaker 1: familiar and aware with the Marvel cinematic universe and what 228 00:13:22,000 --> 00:13:24,040 Speaker 1: goes on in it. Well, see, I would think if 229 00:13:24,040 --> 00:13:25,600 Speaker 1: you didn't see the movies, you have no idea what 230 00:13:25,640 --> 00:13:28,360 Speaker 1: an infinity stone is. No, No, I mean, well, obviously 231 00:13:28,400 --> 00:13:30,480 Speaker 1: I've seen I guess I saw the one that you're 232 00:13:30,520 --> 00:13:34,319 Speaker 1: specifically referring to where half half of everybody just like dissolves. 233 00:13:34,559 --> 00:13:40,319 Speaker 1: I saw that, should say spoiler alert. Oh yeah, if 234 00:13:40,360 --> 00:13:41,840 Speaker 1: you don't know that by now, come on, those are 235 00:13:41,840 --> 00:13:43,680 Speaker 1: the biggest movies in the world. So thank you for 236 00:13:43,760 --> 00:13:48,160 Speaker 1: defending me. Like, no apologies necessary, no accountability here. But 237 00:13:48,240 --> 00:13:49,880 Speaker 1: you'll have to watch the second one to find out 238 00:13:49,920 --> 00:13:52,400 Speaker 1: what happens after that. How about that, well, they come back. 239 00:13:56,480 --> 00:13:58,920 Speaker 1: I haven't seen that one, but I'm just presuming there's 240 00:13:58,920 --> 00:14:02,080 Speaker 1: no way to really much part in part two. Yeah, 241 00:14:02,120 --> 00:14:04,679 Speaker 1: that's pretty funny. Yeah, I did not see the second 242 00:14:04,679 --> 00:14:06,400 Speaker 1: one yet. I guess if you didn't like it much, 243 00:14:06,440 --> 00:14:07,760 Speaker 1: you'd be like, well, am I going to spend another 244 00:14:07,760 --> 00:14:10,400 Speaker 1: two hours and forty minutes? But because I did like it, 245 00:14:10,480 --> 00:14:13,320 Speaker 1: I mean I was entertained and amused. I guess I 246 00:14:13,400 --> 00:14:16,760 Speaker 1: just knew that at the very least everybody who was 247 00:14:16,800 --> 00:14:20,160 Speaker 1: anybody was going to come back somehow. I didn't know how, 248 00:14:20,320 --> 00:14:22,920 Speaker 1: but I guess I didn't really care how. I just 249 00:14:23,040 --> 00:14:25,720 Speaker 1: want to strip you in a chair and uh like 250 00:14:25,760 --> 00:14:33,600 Speaker 1: clockwork clockwork orange style and make you watch the Beatles documentary. No, alright, 251 00:14:33,640 --> 00:14:38,880 Speaker 1: so back to regular kidney sounds right, yes, um so um. 252 00:14:38,960 --> 00:14:41,400 Speaker 1: We kind of talked about how they formed, but it's 253 00:14:41,440 --> 00:14:43,720 Speaker 1: worth just kind of saying one more time. It's basically, 254 00:14:43,720 --> 00:14:47,160 Speaker 1: you've got stuff in your P minerals that that don't 255 00:14:47,160 --> 00:14:49,480 Speaker 1: dissolve very easily, or there's too many of them or 256 00:14:49,520 --> 00:14:52,600 Speaker 1: there's not enough P and they just go and they crystallize, 257 00:14:52,640 --> 00:14:55,240 Speaker 1: and that's how it starts, and that kicks off this 258 00:14:55,360 --> 00:15:00,600 Speaker 1: process um of where usually they form an actually in 259 00:15:00,640 --> 00:15:03,080 Speaker 1: your kidney, but they can't form anywhere, but they'll hang 260 00:15:03,080 --> 00:15:06,040 Speaker 1: on to like a little node in your kidney and 261 00:15:06,160 --> 00:15:09,480 Speaker 1: start to nucleate. They're kind of like a snowflake. Ed 262 00:15:09,560 --> 00:15:11,240 Speaker 1: helps us with this one, and he's like, it's like 263 00:15:11,280 --> 00:15:14,640 Speaker 1: a snowflake basically growing um from like a little dust 264 00:15:14,760 --> 00:15:18,560 Speaker 1: moat when it's cold enough. Yeah, and like you said, 265 00:15:18,560 --> 00:15:21,040 Speaker 1: they don't always have to form that way. Sometimes they 266 00:15:21,040 --> 00:15:25,120 Speaker 1: can just form free floating in your urine, just moving 267 00:15:25,160 --> 00:15:28,640 Speaker 1: about the party. But they do better for sure when 268 00:15:28,680 --> 00:15:32,760 Speaker 1: they're attached initially to something. When one when one little 269 00:15:32,760 --> 00:15:36,160 Speaker 1: tiny particle hangs onto something like uh, I know Ed 270 00:15:36,200 --> 00:15:39,920 Speaker 1: mentioned the renal papilla. Uh, those little projections and the 271 00:15:40,000 --> 00:15:44,640 Speaker 1: kidneys papillia, that's a good place for them to get together. Uh. 272 00:15:44,680 --> 00:15:47,040 Speaker 1: They may grow there for a little while, they may 273 00:15:47,240 --> 00:15:50,960 Speaker 1: detach and then float away, but they also might attract 274 00:15:51,000 --> 00:15:54,680 Speaker 1: friends at these attachment points, and that's when the problem starts. 275 00:15:54,720 --> 00:15:56,960 Speaker 1: They're eventually going to detach, but they just like to 276 00:15:57,000 --> 00:15:59,440 Speaker 1: congregate and like the cool area of the party. Yeah. 277 00:15:59,480 --> 00:16:01,520 Speaker 1: And see you just said made me think like you 278 00:16:01,560 --> 00:16:04,560 Speaker 1: could probably form a stone anywhere in your urinary tract 279 00:16:04,640 --> 00:16:07,000 Speaker 1: that whole system, as long as there's a place for 280 00:16:07,000 --> 00:16:10,240 Speaker 1: it to kind of clamp onto, or it's bad enough 281 00:16:10,320 --> 00:16:12,840 Speaker 1: that they're just forming right in the middle of your urine, 282 00:16:13,600 --> 00:16:17,240 Speaker 1: so it doesn't necessarily have to just be your kidneys. Yeah, 283 00:16:17,320 --> 00:16:19,200 Speaker 1: and they look like I think ED had the perfect 284 00:16:19,240 --> 00:16:22,800 Speaker 1: DESCRIPTI here, it looks like a little granola chunk granula. Yeah. 285 00:16:23,000 --> 00:16:25,960 Speaker 1: Some of them look a little more um, mean and 286 00:16:26,040 --> 00:16:29,320 Speaker 1: menacing than others. Some are even like smooth where you're like, jeez, 287 00:16:29,360 --> 00:16:34,120 Speaker 1: I enjoy passing these. They make a very satisfying PLoP 288 00:16:34,200 --> 00:16:37,240 Speaker 1: sound when they come out of the urethra um. But again, 289 00:16:37,280 --> 00:16:42,040 Speaker 1: there's like stag horns, there's the widow maker, Um, there's 290 00:16:42,120 --> 00:16:46,760 Speaker 1: the Judas Priest. They have terrible names, but they really 291 00:16:46,800 --> 00:16:50,160 Speaker 1: kind of drive home how bad these things are. It's 292 00:16:50,320 --> 00:16:54,080 Speaker 1: really the Judas Priest. Wouldn't never know doctors have a 293 00:16:54,120 --> 00:16:56,400 Speaker 1: sense of humor with two of them? Wouldn't that be great? Though? 294 00:16:57,480 --> 00:16:59,200 Speaker 1: So I would I would think it would be this 295 00:16:59,320 --> 00:17:03,200 Speaker 1: like looks like the double horn fist. I was thinking 296 00:17:03,200 --> 00:17:07,160 Speaker 1: it was gonna look like that metal eagle. Oh that too, 297 00:17:07,200 --> 00:17:11,720 Speaker 1: the screaming eagle mm hm living after midnight. The metal 298 00:17:11,760 --> 00:17:15,960 Speaker 1: fist sounds worse though, for sure. Well, anything, and you 299 00:17:16,000 --> 00:17:18,359 Speaker 1: know this is the case with kidney stones, anything, And 300 00:17:18,359 --> 00:17:20,160 Speaker 1: that's why the stag horns are so bad if it's 301 00:17:20,560 --> 00:17:23,479 Speaker 1: the spikier. I mean, you don't have to be a 302 00:17:23,480 --> 00:17:27,080 Speaker 1: doctor to tell someone that the spiky or something is 303 00:17:27,240 --> 00:17:30,399 Speaker 1: the more painful. It's going to be, right. Yeah, they're 304 00:17:30,440 --> 00:17:32,960 Speaker 1: describing your kidney stone too, and you're like, I didn't 305 00:17:33,000 --> 00:17:34,919 Speaker 1: realize your doctor. They say, oh, I'm not a doctor. 306 00:17:34,960 --> 00:17:37,680 Speaker 1: I just stayed at a holiday and expressed, yeah, anybody 307 00:17:37,680 --> 00:17:41,920 Speaker 1: could tell you that. Uh so the pain that you're 308 00:17:41,920 --> 00:17:44,359 Speaker 1: gonna feel like when you get diagnosed for a kidney stone, 309 00:17:44,800 --> 00:17:49,440 Speaker 1: You're probably gonna go into the doctor after feeling uh 310 00:17:49,600 --> 00:17:52,000 Speaker 1: sort of lower groin pain for a while, maybe in 311 00:17:52,040 --> 00:17:55,080 Speaker 1: your lower back or side or abdomen, and you might 312 00:17:55,119 --> 00:17:57,480 Speaker 1: be going, man, this is like I didn't pull my back. 313 00:17:57,560 --> 00:17:59,680 Speaker 1: What's going on? And you may live with it for 314 00:17:59,720 --> 00:18:02,280 Speaker 1: a little while just thinking it might be a pulled 315 00:18:02,320 --> 00:18:05,720 Speaker 1: muscle or anything like that, or a strain groin even 316 00:18:05,840 --> 00:18:08,359 Speaker 1: and then at some point, hopefully someone in your life 317 00:18:08,400 --> 00:18:10,320 Speaker 1: is going to say you may want to go like that, 318 00:18:10,359 --> 00:18:12,400 Speaker 1: maybe a kidney stone, get that checked out. You may 319 00:18:12,400 --> 00:18:14,800 Speaker 1: want to get that checked out. One of the reasons 320 00:18:14,840 --> 00:18:17,320 Speaker 1: I didn't understand this, but it makes total sense. One 321 00:18:17,320 --> 00:18:19,960 Speaker 1: of the reasons why there's it feels so much worse 322 00:18:20,000 --> 00:18:24,520 Speaker 1: than just your urit or or your kidney saying ah, 323 00:18:24,720 --> 00:18:27,560 Speaker 1: is that there's a bunch of really important nerves that 324 00:18:27,600 --> 00:18:30,399 Speaker 1: pass right through the kidney, right through that that notch 325 00:18:30,520 --> 00:18:34,760 Speaker 1: that gives the kidney its characteristic shape. Because the celiac 326 00:18:34,840 --> 00:18:46,320 Speaker 1: plassics plexus, the inner mesenteric plexus, the lumbar splank nick. 327 00:18:47,960 --> 00:18:50,359 Speaker 1: I like the splank nick or the splank nick. Yeah, 328 00:18:50,520 --> 00:18:52,960 Speaker 1: I like it too. I like the Celiac plexus though. 329 00:18:52,960 --> 00:18:58,680 Speaker 1: It's got a pleasant, pleasant look to It's like cellar door. Yeah, 330 00:18:58,880 --> 00:19:02,080 Speaker 1: you love cellar door. It wasn't just me. That's a 331 00:19:02,119 --> 00:19:05,600 Speaker 1: Tolkien reference. He's I think he's said, I know, but 332 00:19:05,640 --> 00:19:07,119 Speaker 1: you mentioned in London in the show, is what I mean. 333 00:19:07,440 --> 00:19:09,600 Speaker 1: I just think it's such a great idea that somebody 334 00:19:09,720 --> 00:19:12,760 Speaker 1: was like, I definitively say, this is the most beautiful 335 00:19:12,760 --> 00:19:14,840 Speaker 1: word in the English language, and it just happened to 336 00:19:14,880 --> 00:19:17,239 Speaker 1: be Tolkien. So like there's an extra little twist at 337 00:19:17,240 --> 00:19:19,760 Speaker 1: the end there, and it was used in Donnie Darko, 338 00:19:19,960 --> 00:19:23,080 Speaker 1: so it's a pretty pretty great little thing. I have 339 00:19:23,200 --> 00:19:26,200 Speaker 1: my favorite word though. It's not sellar door. It's it's 340 00:19:26,320 --> 00:19:30,320 Speaker 1: moist pus. No, it's the Beatles, and it's used in 341 00:19:30,720 --> 00:19:33,920 Speaker 1: the Peter Jackson documentary The Beatles. Is it really that good? 342 00:19:35,119 --> 00:19:39,119 Speaker 1: It's amazing. I mean i'd say this, you would hate it. 343 00:19:39,200 --> 00:19:42,119 Speaker 1: But if you're a casual Beatles fan, it's probably not 344 00:19:42,200 --> 00:19:44,359 Speaker 1: even for you. Or even if you're like, no, I 345 00:19:44,400 --> 00:19:46,960 Speaker 1: like the Beatles, it's probably not even for you because 346 00:19:47,000 --> 00:19:49,880 Speaker 1: it it's eight hours of just sitting in there, fly 347 00:19:49,960 --> 00:19:51,520 Speaker 1: on the wall style, so you really got to be 348 00:19:51,520 --> 00:19:54,440 Speaker 1: into Like did you see that look that George escaped 349 00:19:54,480 --> 00:19:57,159 Speaker 1: Paul when he said that one thing? Like it's that 350 00:19:57,280 --> 00:20:00,040 Speaker 1: kind of level. Yeah, I would not like that it 351 00:20:00,160 --> 00:20:02,840 Speaker 1: at all. I've got I have a music documentary that, 352 00:20:03,000 --> 00:20:05,040 Speaker 1: um you mean and I watched the other day. That's 353 00:20:05,080 --> 00:20:09,399 Speaker 1: really good. Um it's on Sparks. Oh yeah, sure, I've 354 00:20:09,440 --> 00:20:11,880 Speaker 1: seen that. You saw it. I loved I had never 355 00:20:11,920 --> 00:20:14,439 Speaker 1: heard of Sparks. I didn't real Sparks existed. I'm actually 356 00:20:14,840 --> 00:20:17,520 Speaker 1: I've been disappointed in myself ever since that I didn't 357 00:20:17,600 --> 00:20:20,720 Speaker 1: realize they were a thing. But that is a great documentary. 358 00:20:20,800 --> 00:20:22,119 Speaker 1: One of the things I like about it is not 359 00:20:22,200 --> 00:20:27,080 Speaker 1: just their music, but just like how like naturally and 360 00:20:27,160 --> 00:20:30,600 Speaker 1: genuinely positive they are without trying to be positive and 361 00:20:30,640 --> 00:20:33,560 Speaker 1: also actually being kind of fiendish in their sense of humor, 362 00:20:33,960 --> 00:20:37,480 Speaker 1: but they're still overall like very positive. It's pretty cool, 363 00:20:37,680 --> 00:20:40,919 Speaker 1: pretty and I'll even go ahead and recommend even though 364 00:20:40,960 --> 00:20:43,800 Speaker 1: I haven't seen it. It's on the list this week. 365 00:20:43,840 --> 00:20:45,320 Speaker 1: I just got to get through the Beatles. Thing is 366 00:20:45,359 --> 00:20:48,439 Speaker 1: the Todd Haynes Velvet Underground documentary. I hear it's just 367 00:20:48,520 --> 00:20:52,800 Speaker 1: like ridiculously good, which I can't wait for because the best. 368 00:20:52,920 --> 00:20:56,840 Speaker 1: I'm going to check that out. So that was documentary corner. 369 00:20:57,560 --> 00:20:59,560 Speaker 1: I got my movie crush fixed. Well we should. We 370 00:20:59,600 --> 00:21:03,000 Speaker 1: need to take care berets often drop our cigarette holders 371 00:21:03,040 --> 00:21:05,000 Speaker 1: and get back to it. I think we were talking 372 00:21:05,040 --> 00:21:09,080 Speaker 1: about those three nerves and they can cause uh nausea 373 00:21:09,160 --> 00:21:13,120 Speaker 1: and vomiting because those three nerves run right through what's 374 00:21:13,119 --> 00:21:16,919 Speaker 1: called the renal hillum and that's that little you know, 375 00:21:17,040 --> 00:21:19,959 Speaker 1: if you look at a kidney or even a kidney 376 00:21:19,960 --> 00:21:22,280 Speaker 1: being or kidney shaped swimming pool, you can imagine what 377 00:21:22,359 --> 00:21:25,200 Speaker 1: it might look like a little notch inside that curve, 378 00:21:25,560 --> 00:21:27,920 Speaker 1: and all three of those nerves run right in there. 379 00:21:27,960 --> 00:21:32,080 Speaker 1: So if you're kidney is uh inflamed or spasming or something, 380 00:21:32,119 --> 00:21:35,600 Speaker 1: it's going to be tweaking those things like piano strings. Yeah, 381 00:21:35,640 --> 00:21:37,840 Speaker 1: and spasming is right, you just said the magic word, 382 00:21:37,880 --> 00:21:40,320 Speaker 1: because your kidney is well aware that it has something 383 00:21:40,359 --> 00:21:43,119 Speaker 1: that shouldn't have in it, and it actually has a 384 00:21:43,160 --> 00:21:45,080 Speaker 1: way to take care of that, and that is by 385 00:21:45,160 --> 00:21:49,399 Speaker 1: spasm ing it out, trying to push it out. The 386 00:21:49,520 --> 00:21:52,960 Speaker 1: kidney does that, and so do your your readers. UM, 387 00:21:53,000 --> 00:21:56,480 Speaker 1: and your your reader actually like clomp down around it 388 00:21:56,520 --> 00:22:00,000 Speaker 1: and try to squeeze it out through spasms. So kidney 389 00:22:00,160 --> 00:22:04,320 Speaker 1: pain is typically associated with UM basically the worst pain 390 00:22:04,400 --> 00:22:07,240 Speaker 1: you could ever experience. I think, UM, people have given 391 00:22:07,320 --> 00:22:11,560 Speaker 1: birth before, UM who did it without any kind of 392 00:22:11,640 --> 00:22:15,400 Speaker 1: drugs say, Nope, kidney stone is actually worse than that. UM. 393 00:22:15,600 --> 00:22:18,960 Speaker 1: And what's great is everybody can share in the fun 394 00:22:19,040 --> 00:22:22,000 Speaker 1: of a kidney stone. Did you see what Ed's friend 395 00:22:22,000 --> 00:22:25,320 Speaker 1: called it? Yeah? Ed has a friend who had kidney 396 00:22:25,320 --> 00:22:28,520 Speaker 1: stones instead. It was like giving birth to a knife. Right. 397 00:22:28,920 --> 00:22:31,800 Speaker 1: That kind of says it all. It really does. UM, 398 00:22:31,880 --> 00:22:34,359 Speaker 1: the worst of it from what I've seen. I found 399 00:22:34,440 --> 00:22:39,640 Speaker 1: uh urology website, UM, and it's basically says the two 400 00:22:39,680 --> 00:22:42,560 Speaker 1: worst by far is when it's in the kidney and 401 00:22:42,560 --> 00:22:45,040 Speaker 1: then when it's in the your reader, and apparently when 402 00:22:45,040 --> 00:22:47,520 Speaker 1: it's in the kidney it's even worse. That's the worst 403 00:22:47,560 --> 00:22:50,320 Speaker 1: of all. But the upshot of it is, in addition 404 00:22:50,320 --> 00:22:53,480 Speaker 1: to feeling nauseated for your back and your abdomen to 405 00:22:53,600 --> 00:22:58,320 Speaker 1: hurt um, you're you're actually going to be experiencing pain 406 00:22:58,440 --> 00:23:01,680 Speaker 1: in your kidney and your your reader as there pushing 407 00:23:01,720 --> 00:23:04,760 Speaker 1: this thing out, and it comes in waves of pain 408 00:23:05,359 --> 00:23:09,439 Speaker 1: called renal colic, and they will give you narcotics to 409 00:23:09,520 --> 00:23:13,639 Speaker 1: take care of it. It's that bad. Yeah, yeah, the 410 00:23:13,880 --> 00:23:17,240 Speaker 1: best feel good drugs available are coming your way, and 411 00:23:17,280 --> 00:23:20,600 Speaker 1: they'll probably just barely make a dent. I don't know 412 00:23:20,640 --> 00:23:22,600 Speaker 1: that that's true, but I'm really trying to drive home 413 00:23:22,640 --> 00:23:26,280 Speaker 1: how painful kidney stones are. I wish one of us 414 00:23:26,320 --> 00:23:30,280 Speaker 1: would have had it from experience. I'm actually glad that 415 00:23:30,440 --> 00:23:33,359 Speaker 1: we aren't. Speaking from experience. I wish that person was, 416 00:23:33,440 --> 00:23:36,960 Speaker 1: you know. Uh No, I'm glad we haven't had it. 417 00:23:37,000 --> 00:23:40,120 Speaker 1: But I'll, you know, hopefully, over the next until we retire, 418 00:23:40,760 --> 00:23:42,600 Speaker 1: I'll keep everyone up to date on whether or not 419 00:23:42,680 --> 00:23:45,800 Speaker 1: to get kidney stones. Okay, all right, I think that's 420 00:23:45,840 --> 00:23:48,480 Speaker 1: fair squatted land than kidney stones. Those are my two 421 00:23:48,760 --> 00:23:52,119 Speaker 1: lifelong updates. What about your teeth. Don't forget your teeth. Well, 422 00:23:52,160 --> 00:23:54,200 Speaker 1: everyone knows I got to get that tooth done again. 423 00:23:54,280 --> 00:23:57,080 Speaker 1: So man, I just had a deep, deep cleaning on 424 00:23:57,160 --> 00:23:59,600 Speaker 1: two of my teeth and it was not pleasant. But 425 00:24:00,200 --> 00:24:04,080 Speaker 1: my period onist was great, um like, very nice and 426 00:24:04,160 --> 00:24:07,400 Speaker 1: general and apologetic. Uh. And I think I'm better off 427 00:24:07,440 --> 00:24:09,760 Speaker 1: as a result. I'm a better was that the rooting 428 00:24:09,760 --> 00:24:13,480 Speaker 1: and scaling thing, I believe? So there was a gum 429 00:24:13,560 --> 00:24:15,960 Speaker 1: treatment sort of yeah, and there wasn't like an incision. 430 00:24:16,119 --> 00:24:19,800 Speaker 1: She didn't cut um. But they want me to do 431 00:24:19,840 --> 00:24:23,359 Speaker 1: that again. Yeah. It's not fun at all, but you 432 00:24:23,480 --> 00:24:27,080 Speaker 1: know that I'm done. It's done. I was about to say, 433 00:24:27,080 --> 00:24:28,640 Speaker 1: as if it was any better, we should get back 434 00:24:28,640 --> 00:24:33,280 Speaker 1: to kidney stones. But to get these things treated there, 435 00:24:33,280 --> 00:24:36,720 Speaker 1: they are quite a few options, thankfully. Um. It depends 436 00:24:36,720 --> 00:24:40,320 Speaker 1: on where it is, depends on how big it is. Uh, 437 00:24:40,359 --> 00:24:42,760 Speaker 1: if it's in, if it's one of those uh your 438 00:24:42,800 --> 00:24:46,400 Speaker 1: ead stones, They're probably gonna say pass it. It might 439 00:24:46,600 --> 00:24:49,160 Speaker 1: even take a few weeks. But drink tons of water 440 00:24:49,200 --> 00:24:51,120 Speaker 1: and see if you compete that thing out. Yeah, once 441 00:24:51,119 --> 00:24:53,200 Speaker 1: it gets out of the kidney. Yeah, And I think 442 00:24:53,240 --> 00:24:57,280 Speaker 1: if it's five millimeters or smaller. You got about a 443 00:24:57,359 --> 00:25:00,840 Speaker 1: nine chance of passing that thing through a year, and 444 00:25:00,840 --> 00:25:05,480 Speaker 1: and it goes down to between five millimeters and ten millimeters. 445 00:25:05,520 --> 00:25:08,360 Speaker 1: And if you can eat and you can drink and 446 00:25:08,440 --> 00:25:11,720 Speaker 1: you don't have a fever, they're probably going to send 447 00:25:11,720 --> 00:25:14,840 Speaker 1: you home with some pain pills and some flow max 448 00:25:14,920 --> 00:25:18,440 Speaker 1: to to relax your urethral sphincter so you can pee easier, 449 00:25:18,440 --> 00:25:21,440 Speaker 1: and you're gonna pee all the time. And as it 450 00:25:21,480 --> 00:25:24,560 Speaker 1: moves down into like your bladder, it's going to increase 451 00:25:24,560 --> 00:25:26,920 Speaker 1: the pressure there because of the inflammation your bladders. So 452 00:25:26,960 --> 00:25:28,480 Speaker 1: you're gonna have to feel like you have to pee 453 00:25:28,520 --> 00:25:31,480 Speaker 1: all the time, even though you don't necessarily. But they're 454 00:25:31,480 --> 00:25:34,280 Speaker 1: gonna send you home and be like, best wishes, best 455 00:25:34,280 --> 00:25:36,720 Speaker 1: of luck, keep us posted. Let us know if you 456 00:25:36,800 --> 00:25:40,480 Speaker 1: spike a fever something like that, Right, you're also going 457 00:25:40,560 --> 00:25:44,359 Speaker 1: to get all kinds of tests, um, blood test urine tests, 458 00:25:44,400 --> 00:25:46,199 Speaker 1: things like that, just to see like you may have 459 00:25:46,240 --> 00:25:49,959 Speaker 1: more than one stone, um the identification of the stone. 460 00:25:50,760 --> 00:25:52,680 Speaker 1: I mean there there could be a larger problem, you know, 461 00:25:52,720 --> 00:25:55,879 Speaker 1: if we're talking about these metabolic imbalances, like if you 462 00:25:55,920 --> 00:25:58,639 Speaker 1: may have chronic kidney stones or at least another one 463 00:25:58,640 --> 00:26:00,879 Speaker 1: in the future. They want to kind of get you 464 00:26:00,880 --> 00:26:02,400 Speaker 1: on the right tracks. So you're gonna do a lot 465 00:26:02,400 --> 00:26:04,480 Speaker 1: of tests as well. Yeah, and um, one of you 466 00:26:04,720 --> 00:26:06,399 Speaker 1: his friends used to get him a lot, and I 467 00:26:06,440 --> 00:26:08,359 Speaker 1: think I didn't have a chance to ask him, but 468 00:26:08,400 --> 00:26:11,760 Speaker 1: I think he might have outgrown him. I hope God willing. 469 00:26:12,240 --> 00:26:15,280 Speaker 1: But I'm pretty sure he had to pee into like 470 00:26:15,320 --> 00:26:19,520 Speaker 1: a mesh cup to catch the stone. And I realized, now, 471 00:26:19,560 --> 00:26:22,040 Speaker 1: it's not not because he was a weirdo. It was 472 00:26:22,080 --> 00:26:26,320 Speaker 1: because they wanted to analyze the stone. Because again, you 473 00:26:26,359 --> 00:26:29,280 Speaker 1: can tell a lot about what is driving you to 474 00:26:29,359 --> 00:26:31,199 Speaker 1: produce kidney stones if you can just look at it, 475 00:26:31,200 --> 00:26:33,480 Speaker 1: because you can see what it's made of. Well, you 476 00:26:33,480 --> 00:26:34,960 Speaker 1: can see what it's made of, and that'll tell you 477 00:26:35,000 --> 00:26:37,920 Speaker 1: a lot. I think i'd want to keep mine. Well 478 00:26:38,040 --> 00:26:40,120 Speaker 1: that's the other thing too. You got a pretty nice trophy. 479 00:26:40,359 --> 00:26:46,159 Speaker 1: You could get a grill made with it. That's what 480 00:26:46,240 --> 00:26:48,119 Speaker 1: I need on my fake front teeth. A couple of 481 00:26:48,160 --> 00:26:51,640 Speaker 1: kidney stone, couple like stag horns, just sticking out, slicing 482 00:26:51,680 --> 00:26:55,760 Speaker 1: into the back of your top lip. Uh. If they 483 00:26:55,800 --> 00:26:59,480 Speaker 1: are larger, you're gonna need some more. Uh. What ED 484 00:26:59,520 --> 00:27:03,000 Speaker 1: called direct intervention and that's pretty much says it all. 485 00:27:03,240 --> 00:27:06,119 Speaker 1: They're gonna look at you with X rays. Uh, they 486 00:27:06,200 --> 00:27:09,240 Speaker 1: might use an ultrasound. They're gonna find out exactly where 487 00:27:09,240 --> 00:27:12,080 Speaker 1: that puppy is. They're gonna see if it's moving along 488 00:27:12,200 --> 00:27:15,800 Speaker 1: or if it's kind of stuck in place, and uh, 489 00:27:15,840 --> 00:27:17,680 Speaker 1: then they're gonna go to work. It's it's a little 490 00:27:17,720 --> 00:27:20,959 Speaker 1: more expensive, but I would stay just by reading this. 491 00:27:21,080 --> 00:27:23,120 Speaker 1: If it's an option, and if you can afford it, 492 00:27:23,480 --> 00:27:27,000 Speaker 1: I would go to the uhle thought such a hard 493 00:27:27,000 --> 00:27:31,160 Speaker 1: word to say with thought tripsy method. Yeah, because it's 494 00:27:31,200 --> 00:27:36,280 Speaker 1: non invasive. It's all ultrasound. Like they use ultrasound maybe 495 00:27:36,359 --> 00:27:38,119 Speaker 1: X rays to find and then they use ultrasound to 496 00:27:38,160 --> 00:27:41,400 Speaker 1: break it up. And Chuck had produced the sentence that 497 00:27:41,880 --> 00:27:44,920 Speaker 1: seems innocuous until you realize that if you read it 498 00:27:45,000 --> 00:27:50,200 Speaker 1: like a monster truck ad announcer, it's really boss. Which 499 00:27:50,200 --> 00:28:02,440 Speaker 1: one is it sounds without? Oh yeah, that's true. Yeah 500 00:28:02,840 --> 00:28:05,440 Speaker 1: you should be a doctor. That'd be fun. I oh dude, 501 00:28:05,600 --> 00:28:09,720 Speaker 1: everything would be called the Judas Priest whatever, right, I 502 00:28:09,960 --> 00:28:12,560 Speaker 1: be like, this is a Judas Priest baby, Yeah, it's 503 00:28:12,560 --> 00:28:16,280 Speaker 1: a Judas Priest fracture. We can fix that, no problem, Uh, 504 00:28:16,320 --> 00:28:20,000 Speaker 1: if it's larger even than that, uh, like too large 505 00:28:20,320 --> 00:28:22,159 Speaker 1: and I guess this is a Judas Priest album. Too 506 00:28:22,240 --> 00:28:26,960 Speaker 1: large for lathot trip tripsy um or if they can't 507 00:28:27,000 --> 00:28:29,040 Speaker 1: find it, maybe if it's like exactly where it is 508 00:28:29,160 --> 00:28:31,640 Speaker 1: or you know, or maybe you don't have it available 509 00:28:31,680 --> 00:28:34,320 Speaker 1: to you because of money or wherever you live. You 510 00:28:34,359 --> 00:28:39,880 Speaker 1: can go to a uteroscopy and that is a little 511 00:28:39,880 --> 00:28:42,320 Speaker 1: bit more invasive, but not surgery yet. That's when they're 512 00:28:42,320 --> 00:28:45,360 Speaker 1: going to send a scope up through the urethra, probably 513 00:28:45,360 --> 00:28:49,000 Speaker 1: not a lot of fun uh, into the bladder, into 514 00:28:49,000 --> 00:28:51,800 Speaker 1: the uritor and then they capture it. It calls it 515 00:28:51,840 --> 00:28:53,520 Speaker 1: like a little basket and they and they pull it 516 00:28:53,520 --> 00:28:56,080 Speaker 1: out and then sometimes it is even bigger, they can 517 00:28:56,160 --> 00:28:57,640 Speaker 1: use a laser to break it up and then pull 518 00:28:57,680 --> 00:29:00,760 Speaker 1: it out right. But that's the key that your your 519 00:29:00,760 --> 00:29:04,720 Speaker 1: reader you read roscopy is that they actually can remove 520 00:29:04,880 --> 00:29:11,280 Speaker 1: the stones, whereas um. I think with lithotripsy man it 521 00:29:11,440 --> 00:29:13,920 Speaker 1: is uh that they actually they go in there and 522 00:29:14,000 --> 00:29:16,080 Speaker 1: break it up, and a complication would be is like 523 00:29:16,200 --> 00:29:20,720 Speaker 1: it's kind of like that stupid Russian um satellite missile 524 00:29:20,760 --> 00:29:23,440 Speaker 1: tests that they just did, remember where they created way 525 00:29:23,480 --> 00:29:25,680 Speaker 1: more space chunk than there used to be. You're doing 526 00:29:25,680 --> 00:29:29,320 Speaker 1: the same thing with the thought tripsy, where you're breaking 527 00:29:29,400 --> 00:29:31,680 Speaker 1: up these stones, and so one of the complications can 528 00:29:31,720 --> 00:29:33,640 Speaker 1: be like, now you've got a bunch of kidney stones, 529 00:29:33,680 --> 00:29:36,040 Speaker 1: and yeah they're smaller, but not all of them are 530 00:29:36,240 --> 00:29:38,760 Speaker 1: so small that you won't notice them, or that they 531 00:29:38,800 --> 00:29:42,520 Speaker 1: won't necessarily cause an infection or something like that. Right, 532 00:29:42,760 --> 00:29:46,000 Speaker 1: Or in the case of the Guinness record holder, the 533 00:29:46,000 --> 00:29:48,840 Speaker 1: man in Indian two thousand four, this thing was and 534 00:29:48,880 --> 00:29:52,280 Speaker 1: I looked up different kinds of sports balls, and the 535 00:29:52,320 --> 00:29:54,160 Speaker 1: closest I could find was it was about the size 536 00:29:54,160 --> 00:29:58,480 Speaker 1: of a shot put. What, Oh my goodness, five inches 537 00:29:58,520 --> 00:30:00,920 Speaker 1: in diameter. I mean, it is never thought about it, 538 00:30:00,960 --> 00:30:03,320 Speaker 1: like I even made that with my with my hands, 539 00:30:04,480 --> 00:30:06,880 Speaker 1: and I think't thinking it's got to be circumference, it's 540 00:30:06,880 --> 00:30:09,800 Speaker 1: gotta be that's no, it's diameter, because I went and 541 00:30:09,840 --> 00:30:11,960 Speaker 1: looked too. But so for those people who have never 542 00:30:11,960 --> 00:30:13,880 Speaker 1: seen a shop put and don't know what five inches is, 543 00:30:13,920 --> 00:30:18,200 Speaker 1: that's like thirteen centimeters in diameter. Yeah, it's bigger than 544 00:30:18,240 --> 00:30:20,080 Speaker 1: a softball. If you don't know what a softball is, 545 00:30:20,320 --> 00:30:24,920 Speaker 1: it's about a regular grape fruitish size. Yeah, I would 546 00:30:24,960 --> 00:30:27,960 Speaker 1: say so. Yeah, So obviously that was a surgical removal, 547 00:30:28,000 --> 00:30:31,960 Speaker 1: which is the last the sort of the last line 548 00:30:32,000 --> 00:30:35,640 Speaker 1: of defense is to get that surgery. And it's called 549 00:30:36,400 --> 00:30:43,000 Speaker 1: this one's mine, percutaneous nephro lithotomy, nicely done, and that 550 00:30:43,080 --> 00:30:44,920 Speaker 1: they make a little notch, a little incision in the 551 00:30:44,920 --> 00:30:47,360 Speaker 1: lower back. And it's that they scope it out too, 552 00:30:47,400 --> 00:30:49,640 Speaker 1: so it's not some huge, huge thing, but they use 553 00:30:49,680 --> 00:30:53,480 Speaker 1: a thin scope into kidney, break it up again, remove 554 00:30:53,560 --> 00:30:56,400 Speaker 1: the pieces. Uh. And we should mention too that some 555 00:30:56,520 --> 00:31:03,960 Speaker 1: of these um, I think the uteroscopy is when they utero. Yeah, uteroscope. No, 556 00:31:04,040 --> 00:31:05,960 Speaker 1: there's an extra vowel in there. It's not just me 557 00:31:06,640 --> 00:31:11,840 Speaker 1: utero scoopy. Yeah, uteroscopy. Your read a roscarbe, you read 558 00:31:11,840 --> 00:31:16,960 Speaker 1: a roscoe adding an extra vowel every time eventually pays off. 559 00:31:18,440 --> 00:31:22,280 Speaker 1: You read a roscope. That is the one that, um, 560 00:31:22,360 --> 00:31:26,360 Speaker 1: you still need anesthetic and you might eventually need a stint, 561 00:31:27,040 --> 00:31:29,800 Speaker 1: which again goes back to my thing that the euritor 562 00:31:30,160 --> 00:31:34,600 Speaker 1: should be bigger. Yeah, if they're putting in stints, that 563 00:31:34,680 --> 00:31:36,480 Speaker 1: means that's the size that it should have been to 564 00:31:36,520 --> 00:31:40,280 Speaker 1: begin with. Absolutely, then anything could just passed there, even 565 00:31:40,320 --> 00:31:45,080 Speaker 1: a five inch diameter kidney stone from India. Should we 566 00:31:45,120 --> 00:31:47,240 Speaker 1: take a break. I think we should take our second 567 00:31:47,240 --> 00:31:49,560 Speaker 1: break and come back and talk about what I think 568 00:31:49,600 --> 00:31:51,719 Speaker 1: everybody wants to know is how do you make this 569 00:31:51,840 --> 00:32:19,040 Speaker 1: never ever happened to you? Okay, Chuck. So it's actually 570 00:32:19,080 --> 00:32:22,600 Speaker 1: pretty simple unless you have some sort of congenital disorder 571 00:32:22,680 --> 00:32:25,520 Speaker 1: that is producing chronic kidney stones in you, which is 572 00:32:25,760 --> 00:32:30,720 Speaker 1: extremely sad and I feel very badly for you. Um, 573 00:32:30,760 --> 00:32:34,400 Speaker 1: there's some really easy ways you can keep from probably 574 00:32:34,440 --> 00:32:38,800 Speaker 1: ever getting a kidney stone in your entire life. Yeah, 575 00:32:39,040 --> 00:32:41,880 Speaker 1: I mean, I know you think drinking water is a scam, 576 00:32:41,920 --> 00:32:46,000 Speaker 1: but yeah, I remember you went on entire right years 577 00:32:46,000 --> 00:32:48,720 Speaker 1: ago about how that whole drinking egg glasses of water days. 578 00:32:48,760 --> 00:32:51,840 Speaker 1: But oh no, so that is drinking egg glasses of water. 579 00:32:51,960 --> 00:32:54,760 Speaker 1: That the number was made up. I think drinking water 580 00:32:54,880 --> 00:32:57,520 Speaker 1: is good, but the number of glasses is just totally 581 00:32:57,560 --> 00:33:00,680 Speaker 1: like made up. Well, this is two liters per yeah, 582 00:33:01,160 --> 00:33:03,600 Speaker 1: so that's a number it is. But there was a 583 00:33:03,600 --> 00:33:08,640 Speaker 1: study that backed it up. Okay, they say the study 584 00:33:08,640 --> 00:33:10,160 Speaker 1: that said if you drink a couple of liters of 585 00:33:10,160 --> 00:33:12,760 Speaker 1: water a day, it resulted in a hundred and forty 586 00:33:12,800 --> 00:33:16,760 Speaker 1: nine fewer stones per one thousand people, and it just 587 00:33:16,920 --> 00:33:19,479 Speaker 1: makes sense, you know, to keep water flowing through your 588 00:33:19,520 --> 00:33:23,040 Speaker 1: kidneys and flowing through your system and keeping everything nice 589 00:33:23,040 --> 00:33:26,200 Speaker 1: and saturated, that it would help prevent the build up 590 00:33:26,280 --> 00:33:29,240 Speaker 1: of those uh of those little particles, those minerals, right, 591 00:33:29,320 --> 00:33:31,920 Speaker 1: because you've got enough p that those things, even the 592 00:33:32,760 --> 00:33:36,520 Speaker 1: toughest um solubles, are going to stay in solution rather 593 00:33:36,560 --> 00:33:39,960 Speaker 1: than precipitate out. But also one thing that's easily overlooked 594 00:33:40,040 --> 00:33:42,160 Speaker 1: is when you drink a lot of water, water is 595 00:33:42,200 --> 00:33:45,840 Speaker 1: pretty much across the board a neutral substance, so it 596 00:33:45,920 --> 00:33:49,280 Speaker 1: actually helps maintain the pH balance in your body. And 597 00:33:49,280 --> 00:33:51,400 Speaker 1: as we've seen, there's at least two different kinds of 598 00:33:51,440 --> 00:33:54,280 Speaker 1: kidney stones you can get depending on whether you're urine 599 00:33:54,360 --> 00:33:57,880 Speaker 1: is too acidic or two alkaline. And drinking a lot 600 00:33:57,920 --> 00:34:00,920 Speaker 1: more water can make your urine a closer to neutral, 601 00:34:00,960 --> 00:34:03,400 Speaker 1: which is a big big deal to Plus, it just 602 00:34:03,480 --> 00:34:06,560 Speaker 1: mechanically helps flush awayte stuff before they get a chance 603 00:34:06,640 --> 00:34:10,920 Speaker 1: to to really aggregate. Yeah, you can cut down on 604 00:34:11,000 --> 00:34:14,920 Speaker 1: animal proteins, you can cut down your salt, you can 605 00:34:14,960 --> 00:34:18,240 Speaker 1: cut down in your oxalate um. You won't find oxylating 606 00:34:18,280 --> 00:34:20,799 Speaker 1: a lot of stuff, but it is uh there's a 607 00:34:20,800 --> 00:34:24,920 Speaker 1: lot of oxalating spinach and apparently chocolate and rubar, but spinach. 608 00:34:25,040 --> 00:34:29,719 Speaker 1: You know, how much spinach are you really eating? I 609 00:34:29,760 --> 00:34:32,120 Speaker 1: didn't see how much it would take to really start 610 00:34:32,160 --> 00:34:34,239 Speaker 1: to get into the danger zone with kidney stones. But 611 00:34:34,320 --> 00:34:38,520 Speaker 1: I mean, but it's more one of those things. It's like, man, 612 00:34:38,719 --> 00:34:41,160 Speaker 1: you just can't win. No matter how how good you're 613 00:34:41,160 --> 00:34:44,080 Speaker 1: trying to be, how healthy you're trying to be, you're 614 00:34:44,120 --> 00:34:46,759 Speaker 1: still it's gonna get you. Yeah, always gonna get you 615 00:34:46,840 --> 00:34:50,160 Speaker 1: one way or another. Uh, that's what the shirt says. 616 00:34:50,600 --> 00:34:53,280 Speaker 1: The calcium. You might think, well, if it's a calcium 617 00:34:53,280 --> 00:34:56,200 Speaker 1: build up, then have less calcium. But that's a bit 618 00:34:56,239 --> 00:34:59,960 Speaker 1: of a thing too, because oxalate is there and if 619 00:35:00,040 --> 00:35:02,880 Speaker 1: you're if you're low on calcium, then it's going to 620 00:35:03,040 --> 00:35:08,320 Speaker 1: increase excretion of oxalate. So just keep your calcium intake normal. Yeah, 621 00:35:08,600 --> 00:35:11,680 Speaker 1: just don't overdo anything, but also don't under just don't 622 00:35:11,840 --> 00:35:15,440 Speaker 1: do anything. Just lie. They're drinking water all day long 623 00:35:15,520 --> 00:35:18,840 Speaker 1: and you might be Okay, that's right. That's all called 624 00:35:18,880 --> 00:35:22,799 Speaker 1: primary prevention. Things you can do on the front end. Uh, 625 00:35:22,840 --> 00:35:26,719 Speaker 1: if you have chronic kidney problems and kidney stones, then 626 00:35:26,760 --> 00:35:31,080 Speaker 1: secondary prevention is, uh, that's when that's gonna come into play. 627 00:35:31,239 --> 00:35:33,719 Speaker 1: And that basically means you're gonna be on medication. Then 628 00:35:33,719 --> 00:35:35,560 Speaker 1: you're gonna be checking your pH in, your urine and 629 00:35:35,560 --> 00:35:37,799 Speaker 1: stuff like that a lot. Yeah, And usually, like if 630 00:35:37,840 --> 00:35:39,839 Speaker 1: you have eight kidney soon as your first one ever, 631 00:35:40,200 --> 00:35:42,279 Speaker 1: they're probably not going to do a whole lot of 632 00:35:42,320 --> 00:35:46,239 Speaker 1: investigative work. But if you start to show symptoms that 633 00:35:46,280 --> 00:35:49,040 Speaker 1: you have chronic kidney stones, then they're gonna want to 634 00:35:49,080 --> 00:35:51,120 Speaker 1: figure out what it is in your body, what it 635 00:35:51,200 --> 00:35:54,399 Speaker 1: is in your diet, your lifestyle, your metabolism, whether it's 636 00:35:54,400 --> 00:35:57,600 Speaker 1: a congenital disorder. Um, they're going to really kind of 637 00:35:57,640 --> 00:35:59,080 Speaker 1: try to get to the bottom of it so that 638 00:35:59,120 --> 00:36:02,160 Speaker 1: they can adjust you, either by meds or by lifestyle 639 00:36:02,160 --> 00:36:04,960 Speaker 1: adjustments to make it less likely that you're going to 640 00:36:05,000 --> 00:36:08,680 Speaker 1: produce any more stones. All right, should we talk about 641 00:36:08,680 --> 00:36:12,680 Speaker 1: it now? Is it time? Sure? How we passed these things? No, 642 00:36:12,840 --> 00:36:15,560 Speaker 1: you don't want to What are we talking about? How 643 00:36:15,560 --> 00:36:17,800 Speaker 1: we passed the stones? Oh? How we passed them? I 644 00:36:18,000 --> 00:36:20,000 Speaker 1: thought you said, are we passed it? I was like, 645 00:36:20,239 --> 00:36:22,520 Speaker 1: we're still in the thick of it as far as 646 00:36:22,560 --> 00:36:27,640 Speaker 1: I could tell. So when the stones are forming, You're 647 00:36:27,640 --> 00:36:29,279 Speaker 1: not gonna feel much pain. You're not gonna even know 648 00:36:29,320 --> 00:36:31,840 Speaker 1: what's going on. I don't care how in tune you 649 00:36:31,840 --> 00:36:33,560 Speaker 1: are with your body. You're not gonna feel those little 650 00:36:33,560 --> 00:36:37,239 Speaker 1: minerals getting together and having a party down there. Uh. 651 00:36:37,400 --> 00:36:40,560 Speaker 1: When it detaches from the wall of the kidney or 652 00:36:40,600 --> 00:36:42,800 Speaker 1: wherever it's meeting up, that is when you're going to 653 00:36:42,880 --> 00:36:45,800 Speaker 1: start to feel the pain. You mentioned fever and chills 654 00:36:45,880 --> 00:36:50,040 Speaker 1: that could certainly happen, and those spasms. I did mention 655 00:36:50,080 --> 00:36:52,719 Speaker 1: that it might feel like a pulled muscle, And the 656 00:36:52,760 --> 00:36:56,360 Speaker 1: spasms are pretty you know, chronic, like one to four 657 00:36:56,520 --> 00:36:59,799 Speaker 1: spasms an hour of them trying to shake that thing loose. 658 00:36:59,840 --> 00:37:02,760 Speaker 1: And I have a feeling that's about all the kidney 659 00:37:02,760 --> 00:37:07,239 Speaker 1: can manage, because it's probably doing about all I can. Yeah, 660 00:37:08,239 --> 00:37:12,240 Speaker 1: and then once his kidney stones have moved on from there, 661 00:37:12,280 --> 00:37:17,200 Speaker 1: that's kind of the worst part. Yeah, well that's comparatively 662 00:37:17,280 --> 00:37:19,839 Speaker 1: speaking from what I can tell, it's the worst part. 663 00:37:19,920 --> 00:37:23,640 Speaker 1: It still gets pretty bad. Um And by the way, 664 00:37:23,840 --> 00:37:28,360 Speaker 1: big shout out to umu Urology of Greater Atlanta for 665 00:37:28,480 --> 00:37:31,920 Speaker 1: spelling this out for us. But um they say that 666 00:37:31,960 --> 00:37:35,880 Speaker 1: once you once you hit stage two, it's reached your eurrotors, 667 00:37:35,920 --> 00:37:39,000 Speaker 1: and yes, you'll probably be like, Wow, that kidney pain 668 00:37:39,080 --> 00:37:42,160 Speaker 1: was pretty bad. This is not that bad compared to it. 669 00:37:42,200 --> 00:37:44,879 Speaker 1: But if the average person just went into urin or pain, 670 00:37:45,440 --> 00:37:49,440 Speaker 1: kidney stone pain, they would probably you know, big for 671 00:37:49,480 --> 00:37:52,040 Speaker 1: you to lay on them with a pillow on their face. Yeah, 672 00:37:52,040 --> 00:37:54,800 Speaker 1: that's an eight or nine. When they ask you that 673 00:37:54,800 --> 00:37:58,520 Speaker 1: that awesome question. Yeah, and they're like, well, I don't 674 00:37:58,600 --> 00:38:00,480 Speaker 1: understand the number you just said. Can you make the 675 00:38:00,560 --> 00:38:04,040 Speaker 1: face on this chart? I always just say nine. That's 676 00:38:04,080 --> 00:38:06,560 Speaker 1: my default, is it. I thought you had a high 677 00:38:06,840 --> 00:38:09,200 Speaker 1: pain threshold. I do have a high threshold for pain. 678 00:38:09,280 --> 00:38:12,919 Speaker 1: I just like to I like to shock the doctors, 679 00:38:12,920 --> 00:38:18,080 Speaker 1: shock the doctor's um. So still, like I said before, 680 00:38:18,120 --> 00:38:21,200 Speaker 1: the uritor is not flexible. It's a very narrow opening 681 00:38:21,800 --> 00:38:25,839 Speaker 1: um and it itself has that kind of mechanism where 682 00:38:25,960 --> 00:38:31,400 Speaker 1: it clamps onto the stone and tries to pulsate the 683 00:38:31,520 --> 00:38:34,600 Speaker 1: muscles above it so that it pushes it down, and 684 00:38:34,680 --> 00:38:38,359 Speaker 1: it occurs in spasms and waves as well. Finally, when 685 00:38:38,480 --> 00:38:41,759 Speaker 1: this thing pops out into your bladder, that's when you 686 00:38:41,840 --> 00:38:45,080 Speaker 1: might just not feel anymore pain, depending on the size 687 00:38:45,080 --> 00:38:48,680 Speaker 1: of the stone, and if you don't have trouble passing urine, 688 00:38:49,239 --> 00:38:52,879 Speaker 1: you're probably going to be able to pass this thing, uh, 689 00:38:53,440 --> 00:38:57,600 Speaker 1: provided that it's it's smaller than the opening in your 690 00:38:57,680 --> 00:39:02,040 Speaker 1: urethra um without any of their problems. The problem is 691 00:39:02,080 --> 00:39:05,280 Speaker 1: is if you do have problems passing p that bladder 692 00:39:05,320 --> 00:39:07,720 Speaker 1: can develop into a bladder, or that stone can develop 693 00:39:07,800 --> 00:39:10,400 Speaker 1: into a bladder stone where it just sits there. It 694 00:39:10,400 --> 00:39:13,680 Speaker 1: doesn't get passed out of there very easily, and um, 695 00:39:13,719 --> 00:39:15,839 Speaker 1: it can get worse there, and then you can have 696 00:39:15,880 --> 00:39:20,600 Speaker 1: a whole other advent of pain. Yeah. And and is 697 00:39:20,600 --> 00:39:22,480 Speaker 1: that when you're talking when it's stuck in the urethra 698 00:39:22,680 --> 00:39:26,120 Speaker 1: or just uh no, it can stay in your bladder. Yes, 699 00:39:26,200 --> 00:39:28,399 Speaker 1: it can also get stuck in your eurethra too, because 700 00:39:28,400 --> 00:39:30,239 Speaker 1: your bladder, from what I can tell, is definitely the 701 00:39:30,239 --> 00:39:33,799 Speaker 1: biggest part of your whole urinary tract. Yeah, if it's 702 00:39:33,800 --> 00:39:38,279 Speaker 1: stuck in your urethra you're you're you're close friends. So 703 00:39:38,360 --> 00:39:42,879 Speaker 1: you're almost there, and you have to do what what 704 00:39:43,160 --> 00:39:46,440 Speaker 1: sports teams talk about, which is trust the process, and 705 00:39:46,480 --> 00:39:48,600 Speaker 1: that means every five or ten minutes you've got to 706 00:39:48,640 --> 00:39:51,040 Speaker 1: go in there and give it another, give it the 707 00:39:51,040 --> 00:39:55,919 Speaker 1: old college try, and it'll it'll come out. Apparently. Um, 708 00:39:56,320 --> 00:40:00,160 Speaker 1: your urology of Greater Atlanta says that, Um, you need 709 00:40:00,200 --> 00:40:03,439 Speaker 1: to push, and you need to push hard to get 710 00:40:03,440 --> 00:40:06,200 Speaker 1: it to shoot out, and keep pushing until the stone 711 00:40:06,200 --> 00:40:09,719 Speaker 1: shoots out into the bowl of your toilet. Or I 712 00:40:09,719 --> 00:40:12,040 Speaker 1: guess if you go to a different neurologist into your 713 00:40:12,080 --> 00:40:14,800 Speaker 1: little plastic mesh thing that you're prying into, that you 714 00:40:14,840 --> 00:40:18,640 Speaker 1: could wear his a hat later on. Uh. I can't 715 00:40:18,680 --> 00:40:22,120 Speaker 1: imagine that the relief one might feel when that thing 716 00:40:22,160 --> 00:40:24,839 Speaker 1: finally plops into that toilet bowl. I can't either. There's 717 00:40:24,920 --> 00:40:29,120 Speaker 1: surely are tears involved. Yeah, I mean tears of joy, 718 00:40:29,840 --> 00:40:32,680 Speaker 1: all kinds of tears, tears of triumph. I would have 719 00:40:32,719 --> 00:40:36,719 Speaker 1: a ceremony. I would throw a party. Yeah. What would 720 00:40:36,719 --> 00:40:38,480 Speaker 1: you do to the stone then? If you wouldn't get 721 00:40:38,480 --> 00:40:41,040 Speaker 1: it made into a grill, I just put it in 722 00:40:41,080 --> 00:40:44,239 Speaker 1: a little form alde high jar and wear it around 723 00:40:44,239 --> 00:40:46,680 Speaker 1: my neck on a chain. Okay, I like that one too. 724 00:40:47,360 --> 00:40:48,880 Speaker 1: I mean the girls a little gaudy. I think a 725 00:40:48,960 --> 00:40:52,799 Speaker 1: necklace is more appropriate. Um. Do you want to talk 726 00:40:52,800 --> 00:40:56,759 Speaker 1: about history? Yeah? I mean this is always fun. Um. 727 00:40:56,760 --> 00:40:59,839 Speaker 1: Obviously there's been kidney stones since the beginning of time, 728 00:40:59,840 --> 00:41:02,840 Speaker 1: and I just that's why I always love talking about 729 00:41:02,840 --> 00:41:09,200 Speaker 1: old timey medicine, is because just the the confusion they 730 00:41:09,280 --> 00:41:12,960 Speaker 1: all must have felt with with everything that happened to them, 731 00:41:13,000 --> 00:41:15,880 Speaker 1: including something like this. Well, yeah, I mean think about it. 732 00:41:15,880 --> 00:41:19,239 Speaker 1: If you're pre scientific, you would just you would feel 733 00:41:19,239 --> 00:41:21,359 Speaker 1: like you were being punished for going in this if 734 00:41:21,400 --> 00:41:24,200 Speaker 1: you had no idea what was going on. And there 735 00:41:24,239 --> 00:41:29,640 Speaker 1: were surely countless untold numbers of human beings who experienced 736 00:41:29,719 --> 00:41:32,839 Speaker 1: kidney stones before we had any idea what they were. 737 00:41:32,880 --> 00:41:36,480 Speaker 1: But the fact that that you were standing there trying 738 00:41:36,520 --> 00:41:40,240 Speaker 1: to pee this thing out, whether this was a hundred 739 00:41:40,280 --> 00:41:43,000 Speaker 1: and fifty thousand years ago or a thousand years ago, 740 00:41:43,520 --> 00:41:46,040 Speaker 1: some people would pass them, and there would be some 741 00:41:46,120 --> 00:41:48,359 Speaker 1: curious types around. He would say, let me see that thing, 742 00:41:48,400 --> 00:41:51,040 Speaker 1: what is that? Where'd that come from? And it started 743 00:41:51,040 --> 00:41:53,600 Speaker 1: to get us to investigate and think about it, how 744 00:41:53,640 --> 00:41:57,319 Speaker 1: to deal with these things. It's amazing. I think they 745 00:41:57,360 --> 00:42:01,160 Speaker 1: found a mummy that clearly had kidney stones dated to 746 00:42:01,160 --> 00:42:06,120 Speaker 1: what ce not bad uh. And then there's good old 747 00:42:06,600 --> 00:42:13,440 Speaker 1: Alice Cornelius Celsus, who wrote a very very great detailed 748 00:42:13,520 --> 00:42:18,480 Speaker 1: encyclopedia of surgical techniques of the time, which was around 749 00:42:18,560 --> 00:42:23,319 Speaker 1: fifty c E. And this is like legit. He he 750 00:42:23,400 --> 00:42:27,799 Speaker 1: really goes into pretty good detail about surgical removal uh 751 00:42:27,840 --> 00:42:31,640 Speaker 1: incisions in the perennium and locating the stone with his 752 00:42:31,800 --> 00:42:35,120 Speaker 1: fingers and holding it there with a tool and cutting 753 00:42:35,120 --> 00:42:37,799 Speaker 1: it out and with been removing it. So it's it's 754 00:42:37,840 --> 00:42:40,479 Speaker 1: one of the first I mean, I say it worked. 755 00:42:40,480 --> 00:42:43,600 Speaker 1: I think that was about mortality rate, but I would 756 00:42:43,600 --> 00:42:46,640 Speaker 1: say one of the first semi successful surgical procedures that 757 00:42:46,719 --> 00:42:49,680 Speaker 1: people did right. And so this this it was called 758 00:42:49,920 --> 00:42:56,799 Speaker 1: thought lithoto lithotomy with tutotomy um it uh ed makes 759 00:42:56,840 --> 00:42:58,560 Speaker 1: a really good point that I think is easy to 760 00:42:58,600 --> 00:43:01,279 Speaker 1: overlook that like if if this guy was writing this 761 00:43:01,400 --> 00:43:04,799 Speaker 1: nearly two thousand years ago, and he was writing like, 762 00:43:04,960 --> 00:43:06,719 Speaker 1: this is how you do this, and it seems like 763 00:43:06,719 --> 00:43:11,600 Speaker 1: a pretty straightforward procedure, Like think about how much trial 764 00:43:11,760 --> 00:43:16,920 Speaker 1: and error and terrible surgeries were performed to figure out 765 00:43:17,360 --> 00:43:21,600 Speaker 1: how to perform that surgery to remove kidney stones. He 766 00:43:21,680 --> 00:43:25,560 Speaker 1: wasn't first try nailed it, Yeah, nailed it right. And 767 00:43:25,600 --> 00:43:29,200 Speaker 1: apparently up until the nineteenth century, the mortality rate for 768 00:43:29,239 --> 00:43:33,680 Speaker 1: a lithotomy was still around a quarter of people just 769 00:43:33,760 --> 00:43:36,799 Speaker 1: died from that procedure. Which makes sense because in case 770 00:43:37,239 --> 00:43:40,960 Speaker 1: you didn't notice, the perennium is the area between your 771 00:43:41,000 --> 00:43:43,760 Speaker 1: growing and your anus, and that's what they were cutting 772 00:43:43,760 --> 00:43:47,120 Speaker 1: into to get to your bladder to remove the stone. 773 00:43:47,760 --> 00:43:50,120 Speaker 1: Which is weird because by that time you would think 774 00:43:50,480 --> 00:43:52,960 Speaker 1: you'd already gone through the worst of it, so it 775 00:43:53,040 --> 00:43:56,200 Speaker 1: must have been bladder stone. Specifically that this this surgery 776 00:43:56,280 --> 00:44:01,640 Speaker 1: was for aging dr taint. So so that means then, Chuck, 777 00:44:01,719 --> 00:44:04,040 Speaker 1: that you already went through the worst of the pain 778 00:44:04,400 --> 00:44:06,360 Speaker 1: stage one and stage two. It finally made in the 779 00:44:06,360 --> 00:44:09,600 Speaker 1: bladder and now they're cutting in your perennium to get 780 00:44:09,600 --> 00:44:11,640 Speaker 1: it out of there. So I just wanted to make 781 00:44:11,680 --> 00:44:14,759 Speaker 1: sure that if you haven't fainted from queasiness in this episode, 782 00:44:15,080 --> 00:44:19,319 Speaker 1: we gave it one more chance. Okay, yes, I can 783 00:44:19,400 --> 00:44:22,520 Speaker 1: uncross my legs. Now you got anything else? Nothing else. 784 00:44:23,239 --> 00:44:25,719 Speaker 1: I don't have anything else either, And since I said 785 00:44:25,760 --> 00:44:31,080 Speaker 1: that it's time for listener mail, uh, this is a 786 00:44:31,080 --> 00:44:32,440 Speaker 1: fall out. We got a lot of good feedback on 787 00:44:32,440 --> 00:44:36,880 Speaker 1: the dentistry episode. Um a theory on the worms. My 788 00:44:36,960 --> 00:44:40,239 Speaker 1: name is Tony and I'm a dental nurse from London, UK. 789 00:44:41,360 --> 00:44:42,600 Speaker 1: First of all, I have to let you know what 790 00:44:42,640 --> 00:44:44,920 Speaker 1: a big phan. I'm in the podcast, have learned countless 791 00:44:44,920 --> 00:44:47,040 Speaker 1: things and it always manages to perk me up on 792 00:44:47,040 --> 00:44:49,759 Speaker 1: even the most mundane days. I decided to write in 793 00:44:49,800 --> 00:44:52,400 Speaker 1: on the listener mail because you were talking about the 794 00:44:52,440 --> 00:44:56,440 Speaker 1: Babylonians describing a toothache's toothworms, and wonder where the phrase 795 00:44:56,480 --> 00:44:59,000 Speaker 1: came from. It's a complete guess. We'll likely never know 796 00:44:59,080 --> 00:45:00,920 Speaker 1: for sure, but I do have a eerie When a 797 00:45:00,920 --> 00:45:05,640 Speaker 1: tooth is broken, oh or extensively decayed, the nerve can 798 00:45:05,719 --> 00:45:09,200 Speaker 1: sometimes become exposed, and not only is extremely painful for 799 00:45:09,320 --> 00:45:10,880 Speaker 1: the person whose tooth it is, but the nerve it 800 00:45:10,920 --> 00:45:14,520 Speaker 1: looks like a little pink string or worm. If you 801 00:45:14,560 --> 00:45:18,279 Speaker 1: type into google tooth nerve or exposed tooth nerve you 802 00:45:18,280 --> 00:45:20,400 Speaker 1: will find some images of what I mean. It's just 803 00:45:20,440 --> 00:45:23,319 Speaker 1: a theory, but I hope it helps. Kindest regards from 804 00:45:23,360 --> 00:45:27,280 Speaker 1: Tony in the UK, and I bet Tony is totally right. Yeah, man, 805 00:45:27,400 --> 00:45:30,759 Speaker 1: that actually is a great guess. Like I, I subscribe 806 00:45:30,800 --> 00:45:34,839 Speaker 1: to Tony's hypothesis because that's what those yokels did back then. 807 00:45:34,880 --> 00:45:37,560 Speaker 1: They just said it looks like this, let's call it that. 808 00:45:37,760 --> 00:45:42,160 Speaker 1: But dude, imagine your tooth being so broken that the 809 00:45:43,600 --> 00:45:46,600 Speaker 1: nerve is just sitting there dangling out. I can't imagine 810 00:45:46,640 --> 00:45:50,080 Speaker 1: how bad that would hurt. Josh for one of my 811 00:45:50,360 --> 00:45:54,719 Speaker 1: three teeth, I bit into a chicken wing and my 812 00:45:54,760 --> 00:45:59,640 Speaker 1: tooth broken half man, and your nerve was exposed. My 813 00:45:59,719 --> 00:46:01,520 Speaker 1: nerve wasn't exposed. It actually didn't hurt at all. I 814 00:46:01,520 --> 00:46:03,720 Speaker 1: stayed for the rest of the football game even nice. 815 00:46:04,719 --> 00:46:06,680 Speaker 1: Uh it was it a Falcons game? Yeah, but I 816 00:46:06,719 --> 00:46:09,680 Speaker 1: knew immediately this was the second one. I was like, man, 817 00:46:09,719 --> 00:46:11,279 Speaker 1: I can't tell you what the words I said, but 818 00:46:13,160 --> 00:46:14,680 Speaker 1: and I just kept my mouth shut the rest of 819 00:46:14,719 --> 00:46:18,279 Speaker 1: the game and didn't I didn't even tell my friends, 820 00:46:18,280 --> 00:46:20,319 Speaker 1: like you literally kept your mouth shut to like hold 821 00:46:20,360 --> 00:46:23,239 Speaker 1: the tooth in place or something not holding place. But yeah, 822 00:46:23,239 --> 00:46:25,160 Speaker 1: I kind of just kept my I mean I would talk, 823 00:46:25,200 --> 00:46:32,440 Speaker 1: but I would generally keep my mouth close because boy, 824 00:46:32,760 --> 00:46:36,400 Speaker 1: I had a sorry this is I can't not show us. 825 00:46:36,560 --> 00:46:40,160 Speaker 1: I had a root. Now like this past spring, and 826 00:46:40,640 --> 00:46:44,600 Speaker 1: the dentist or the the end of honest, did such 827 00:46:44,640 --> 00:46:47,200 Speaker 1: a good job getting the nerve out of that particular tooth. 828 00:46:47,239 --> 00:46:49,319 Speaker 1: It came out on one piece and I was like, 829 00:46:49,320 --> 00:46:50,759 Speaker 1: can I see And they held it in front of 830 00:46:50,800 --> 00:46:52,920 Speaker 1: me and it really did look like a tiny little 831 00:46:52,960 --> 00:46:56,360 Speaker 1: white worm. So I really think Tony might be onto 832 00:46:56,400 --> 00:46:59,239 Speaker 1: something there. I think you're right, Tony, Tony, then I well, 833 00:46:59,280 --> 00:47:01,760 Speaker 1: thanks a lot, Tony. You with an eye in jolly 834 00:47:01,800 --> 00:47:05,640 Speaker 1: old England. I believe jolly old England. And if you 835 00:47:05,640 --> 00:47:07,160 Speaker 1: want to get in touch with us, like Tony with 836 00:47:07,320 --> 00:47:09,520 Speaker 1: an I did, you can send us an email send 837 00:47:09,560 --> 00:47:15,799 Speaker 1: it off to stuff podcast at iHeart radio dot com. 838 00:47:15,920 --> 00:47:18,200 Speaker 1: Stuff you Should Know is a production of I Heart Radio. 839 00:47:18,680 --> 00:47:21,839 Speaker 1: For more podcasts my heart Radio, visit the iHeart Radio app, 840 00:47:22,040 --> 00:47:24,960 Speaker 1: Apple Podcasts, or wherever you listen to your favorite shows.