WEBVTT - Kidney Stones: No! Please, NO! 0:00:00.760 --> 0:00:05.760 Good luck. Hey everybody. We are super excited to return 0:00:05.880 --> 0:00:08.920 to the sketch Fest stage and do a live show again. 0:00:09.080 --> 0:00:11.440 We missed it so so much last year and we 0:00:11.480 --> 0:00:14.360 can't wait to get back to San Francisco. Yeah, it's 0:00:14.360 --> 0:00:17.800 our first live show in two years, chuck, and we're 0:00:17.840 --> 0:00:20.720 going to be there at the Sydney Goldstein Theater and 0:00:20.760 --> 0:00:25.800 beautiful San Francisco, California at seven thirty on Friday, January one. 0:00:26.320 --> 0:00:28.840 Is a straight up stuff you should know live show, 0:00:28.920 --> 0:00:31.800 and it's going to be off the chain, that's right. 0:00:31.880 --> 0:00:33.640 You should show up to see if we've forgotten how 0:00:33.680 --> 0:00:36.600 to do this, to see a skate around on stage, 0:00:36.680 --> 0:00:42.239 nervously sure, doubting ourselves and eventually bringing the funnies. Yeah, hopefully. 0:00:42.400 --> 0:00:44.400 Where do they go? They go to s f AS 0:00:44.400 --> 0:00:48.199 in San Francisco, SF sketch Beest dot com. Click on 0:00:48.240 --> 0:00:51.040 the schedule and tickets link. There are tons and tons 0:00:51.080 --> 0:00:54.080 and tons of great shows. It's the best comedy uh 0:00:54.280 --> 0:00:56.800 festival in the country in my opinion, over the whole 0:00:56.840 --> 0:00:59.279 month of January. So go check us out and go 0:00:59.400 --> 0:01:01.920 check out everybody else as well. Yep, it's also a 0:01:01.960 --> 0:01:04.640 full vaccination show, so you've got to show proof of 0:01:04.720 --> 0:01:08.400 vaccination and wear some masks. Don't be naughty. Don't be naughty, 0:01:08.440 --> 0:01:11.560 be nice. So we'll see you guys on Friday, January 0:01:11.600 --> 0:01:17.440 one in San Francisco, California. Welcome to Stuff You Should Know, 0:01:17.800 --> 0:01:26.399 a production of I Heart Radio. Hey you, and welcome 0:01:26.440 --> 0:01:29.039 to the podcast. I'm Josh Clark, and there's Charles w. 0:01:29.200 --> 0:01:31.840 Chuck Brian over there, and this is Stuff you should Know. 0:01:33.000 --> 0:01:39.840 I should say, Stuff you should now. It's a good one. 0:01:40.040 --> 0:01:43.720 Thank you. It was off the cuff, Chuckers. You ever 0:01:43.760 --> 0:01:49.200 had a kidney stone? No, let me. I guess it's 0:01:49.200 --> 0:01:51.240 not good enough. No, I haven't. I have not. How 0:01:51.280 --> 0:01:54.120 about you? I have it. I think I'll probably get 0:01:54.120 --> 0:01:56.880 one one day. Yeah, you just know it's in the 0:01:56.920 --> 0:01:59.120 cards for you. Yeah, I mean I've got I don't 0:01:59.160 --> 0:02:02.920 have like a bad kidney issues. But you know, when 0:02:02.960 --> 0:02:05.640 you get to be my age, certain organs starts saying, Hi, 0:02:05.920 --> 0:02:08.320 pay attention to me a little bit. Oh yeah, yeah yeah, 0:02:08.400 --> 0:02:10.480 And the kidney is one of those. But I'm not 0:02:10.520 --> 0:02:13.120 I'm not dying or anything. No, I know that. It's 0:02:13.200 --> 0:02:15.840 more just like, you know, what's it if if you 0:02:15.919 --> 0:02:19.919 got a inky kidney, you could conceivably get a kidney stone. 0:02:19.960 --> 0:02:24.560 For sure, that is certainly true. So, um, I, my friend, 0:02:24.639 --> 0:02:28.400 wish that you never ever, ever, ever get a kidney stone. 0:02:28.520 --> 0:02:30.480 I wish the same for Jerry. I wish the same 0:02:30.520 --> 0:02:32.960 for every person you know and like and love, and 0:02:33.040 --> 0:02:39.000 same for me. That's right. But wishes and dreams do 0:02:39.120 --> 0:02:42.040 not bear any weight here, my friend, because I think 0:02:42.080 --> 0:02:44.320 you got about a ten percent chance if you're living 0:02:44.320 --> 0:02:48.320 a human of having a kidney stone, and besides being 0:02:48.360 --> 0:02:52.040 super painful, they can kill you. About sixteen thousand people 0:02:52.120 --> 0:02:55.119 year die from kidney stones or complications that arise. Yeah, 0:02:55.160 --> 0:02:57.079 what a way to go, man, from kidney stones. And 0:02:57.240 --> 0:03:00.560 you're probably not going to die from your kid He's failing, 0:03:00.600 --> 0:03:05.880 because that would require both kidneys being blocked simultaneously so 0:03:05.960 --> 0:03:09.920 badly that they just shut down on you. That's probably 0:03:09.919 --> 0:03:14.440 not gonna happen. Um. But there's a lot of procedures that, um, 0:03:14.520 --> 0:03:16.919 that you would probably go through to treat a terrible 0:03:17.000 --> 0:03:20.359 kidney stone that that could kill you. An infection could 0:03:20.440 --> 0:03:22.160 kill you. There's all sorts of ways that could lead 0:03:22.200 --> 0:03:23.919 to bring about your death, and that would not be 0:03:24.120 --> 0:03:27.600 very pleasant. I agree with you. Yeah, they are I 0:03:27.639 --> 0:03:30.040 mean there's different kinds. We're kind of gonna kind of 0:03:30.080 --> 0:03:33.200 gonna go through them here, but they're generally classified in 0:03:33.240 --> 0:03:36.920 a couple of ways. Um, where they are and what 0:03:37.000 --> 0:03:39.800 kind they are, like how they were formed. They are 0:03:39.800 --> 0:03:44.320 all kinds of fancy schmancy doctor names for kidney stones, 0:03:45.080 --> 0:03:50.680 renal calculi, uh, euro lithiasis, But they're gonna call them 0:03:50.720 --> 0:03:53.600 kidney stones if it's a doctor that has an interest 0:03:53.600 --> 0:03:58.280 in being your friend. Right, So, Um, the where where 0:03:58.320 --> 0:04:02.240 they are, um is really important because they need to 0:04:02.320 --> 0:04:05.400 know where they are so they can help you figure 0:04:05.440 --> 0:04:08.400 out how to deal with these in the most particular way. 0:04:08.440 --> 0:04:10.880 And there's only like a certain number of places that 0:04:10.920 --> 0:04:13.160 a kidney stone is going to be. And Chuck, I 0:04:13.360 --> 0:04:16.200 looked high and low and could not find a definitive answer, 0:04:16.680 --> 0:04:20.720 as I saw some places that seemed to say all 0:04:20.960 --> 0:04:25.480 kidney stones are all stones start in the kidneys. But 0:04:25.640 --> 0:04:28.400 I also saw like little snippets here there that made 0:04:28.400 --> 0:04:34.560 it seem like there's other places stones can form shoulder blade, right, 0:04:34.839 --> 0:04:37.800 But regardless, that's my point. Regardless of where they form, 0:04:37.839 --> 0:04:40.760 they're going to form only in your urinary tract, which 0:04:40.760 --> 0:04:44.800 includes your kidneys, your eurotors, which are the tubes that 0:04:45.080 --> 0:04:47.600 take your pa from your kidneys down to your bladder, 0:04:48.240 --> 0:04:51.840 the bladder itself and then the urethra narrow or otherwise, 0:04:52.080 --> 0:04:54.960 which is where the peak comes out. Yeah, I'm gonna 0:04:54.960 --> 0:04:58.120 go ahead and say the eutors, they should have built 0:04:58.120 --> 0:05:01.920 those a little wider. Are not a lot of heartache. Yeah, 0:05:01.960 --> 0:05:04.320 because one of the one of the big problems that 0:05:04.440 --> 0:05:06.320 you're going to have if you get a kidney stones, 0:05:06.360 --> 0:05:09.520 you're your readers are like two millimeters in diameter and 0:05:09.560 --> 0:05:13.120 they're not very flexible. So when you're passing a hardened stone, 0:05:13.200 --> 0:05:17.320 a crystallized stone of mineral through that that's larger than 0:05:17.360 --> 0:05:20.719 two millimeters, it is going to cause some problems. Yeah, 0:05:20.800 --> 0:05:23.760 I'm sure that they didn't seem like they needed to 0:05:23.800 --> 0:05:28.560 be bigger at the time man and woman was created. 0:05:29.680 --> 0:05:32.080 But because all of it's going through, there's p but 0:05:32.680 --> 0:05:36.080 the lack of foresight on those stones is a big problem. Yeah. 0:05:36.360 --> 0:05:41.200 Tis tisk yahweh. That's that's right. So you've got stones 0:05:41.240 --> 0:05:45.960 in the kidney nephro nefro liths lith means stone. You've 0:05:46.000 --> 0:05:49.480 got your eur readero liths which are in the your readers, 0:05:49.640 --> 0:05:51.520 and again that's a really terrible place for them to be. 0:05:51.760 --> 0:05:54.120 And you've got sister liths which are in the bladder, 0:05:54.160 --> 0:05:57.400 and I guess by proxy that the urethra too, right, 0:05:58.120 --> 0:06:01.960 that's right. Uh, the ones in upper tract, those are 0:06:02.000 --> 0:06:06.000 gonna be, um, a little more problematic, generally a little 0:06:06.040 --> 0:06:09.680 more severe. Uh. If you're gonna get complications and long 0:06:09.800 --> 0:06:12.839 term problems, they're generally generally going to be because of 0:06:12.880 --> 0:06:17.720 those upper urinary tract stones. Um. But they're all, I mean, 0:06:17.800 --> 0:06:20.800 none of them. The only ones that aren't a big 0:06:20.839 --> 0:06:22.839 deal are the ones that are so tiny that you 0:06:22.920 --> 0:06:25.000 just and that's why I said that. You know of 0:06:25.520 --> 0:06:27.920 people probably thought I was joking, But you can urinate 0:06:27.920 --> 0:06:29.840 out kidney stones and not even though you ever had one, 0:06:29.839 --> 0:06:32.440 if they're small enough. Yeah, just pee yourself right now. 0:06:32.480 --> 0:06:34.520 There's a chance you just peet out a little tiny 0:06:35.000 --> 0:06:39.159 maybe a stone of some sort. But for the right 0:06:39.640 --> 0:06:42.239 when you do know that you have a kidney stone, 0:06:42.279 --> 0:06:45.520 though you really really know it. Um. And we'll talk 0:06:45.560 --> 0:06:49.160 about the process of passing a kidney stone later. But UM. 0:06:49.320 --> 0:06:51.839 The other way to to define a kidney stone, and 0:06:51.920 --> 0:06:55.040 usually they're going to be defined by location and then 0:06:55.040 --> 0:06:58.200 also in this other way, by composition, because kidney stones 0:06:58.240 --> 0:07:01.039 can be made up of a lot of different things. Um. 0:07:01.040 --> 0:07:04.200 But the upshot of them, Chuck, is that if you 0:07:04.279 --> 0:07:07.120 have too much of something in your p or two 0:07:07.160 --> 0:07:13.559 little p um or imbalanced p pH wise um, things 0:07:13.600 --> 0:07:16.800 can solidify that should be liquid. They can precipitate out 0:07:16.840 --> 0:07:19.840 of solution, and when that happens, it can start basically 0:07:19.840 --> 0:07:22.360 a snowball effect where more and more that stuff is attracted, 0:07:22.400 --> 0:07:25.160 and that's where your stone is formed. Yeah, I mean, 0:07:25.200 --> 0:07:28.320 it's just it's just mineral things that don't that can't 0:07:28.320 --> 0:07:32.240 be dissolved basically, and they like to have company. They 0:07:32.280 --> 0:07:34.560 like to get together with our other non dissolved friends 0:07:35.400 --> 0:07:38.240 and party together and hang out together. And pretty soon, 0:07:38.240 --> 0:07:40.480 if you get a big enough party, you're you're gonna 0:07:40.520 --> 0:07:42.440 be in some kind of pain. Yeah, you're gonna have 0:07:42.520 --> 0:07:45.400 a pain party for you. But I guess we should 0:07:45.400 --> 0:07:47.720 talk a little bit. This is sort of the about 0:07:47.720 --> 0:07:49.720 as wonky as we're gonna get in this next section, 0:07:50.840 --> 0:07:54.720 which is the makeup of these stones, and most of 0:07:54.760 --> 0:07:59.760 them are made up about six or calcium oxalate, and 0:08:00.000 --> 0:08:03.240 and that this is basically too much calcium or oxalate 0:08:03.720 --> 0:08:06.480 in your urinationary system, and it's you know, there are 0:08:06.480 --> 0:08:08.720 a number of things that can cause this, but they're 0:08:08.720 --> 0:08:11.840 generally all metabolic problems, although I think there's a little 0:08:12.200 --> 0:08:16.000 genetics involved with the calcium oxalate as well. Yeah, that 0:08:16.040 --> 0:08:18.080 seems to be my take on it too, that that 0:08:18.240 --> 0:08:22.480 genetics have a large role in whether you're predisposed to 0:08:22.840 --> 0:08:26.120 having kidney stones or not. Diet and lifestyle can definitely 0:08:26.120 --> 0:08:30.280 affect it. But it's like if you have hyper parathyroidism 0:08:30.720 --> 0:08:34.679 and you're absorbing calcium too much calcium from your bones, 0:08:35.040 --> 0:08:38.079 that probably doesn't have much to do with your diet. UM. 0:08:38.080 --> 0:08:40.480 And that's one way that you can have too much calcium. 0:08:40.679 --> 0:08:44.840 Your renal system might um not absorb enough calcium from 0:08:45.360 --> 0:08:47.760 UH into waste, and so there's more of it hanging 0:08:47.800 --> 0:08:50.840 around there than there should be. Um. There's a there's 0:08:50.880 --> 0:08:52.840 a few ways that it can happen, but the upshot 0:08:52.840 --> 0:08:55.320 of is either you have too much calcium or too 0:08:55.440 --> 0:08:59.040 much oxalate and they combine together to form would you say, 0:08:59.080 --> 0:09:03.040 like any percent of kidney stones, Yeah, that's sixty two 0:09:03.120 --> 0:09:06.200 eighty and I think the actually I don't have a 0:09:06.200 --> 0:09:11.680 percentage for struvite stones. UH. These are also called infection stones. 0:09:12.559 --> 0:09:14.319 And there you know, if you get a lot of 0:09:14.400 --> 0:09:18.840 U T eyes, you might be more prone to struvite stones. Um. 0:09:18.920 --> 0:09:22.240 Sometimes there's just some kinds of bacteria and if you 0:09:22.280 --> 0:09:26.000 match that up with the right uh metabolic condition that's 0:09:26.040 --> 0:09:29.920 going wrong, it'll they'll get together and cause struvite stones. Yeah. 0:09:29.960 --> 0:09:32.800 The struvite stones seemed to rely a lot on whether 0:09:32.880 --> 0:09:36.000 you're um like with if your your urine is out 0:09:36.000 --> 0:09:41.080 of balance pH wise, specifically that it's highly alkaline um, 0:09:41.200 --> 0:09:44.400 so it's above seven uh as far as pH goes, 0:09:44.559 --> 0:09:49.120 and that that combined with certain kinds of bacterial infections 0:09:49.120 --> 0:09:52.920 can can create that. It looks like stag horn seems 0:09:52.960 --> 0:09:55.600 to be the most common type, which I mean you 0:09:55.640 --> 0:09:59.360 do not want to mineral that fits the bill of 0:09:59.400 --> 0:10:03.199 stag or flowing through your urine. Yeah, you do not 0:10:03.240 --> 0:10:06.360 good at all. Uh. Then you have about ten percent 0:10:06.440 --> 0:10:09.400 or lesser formed by uric acid. And this is sort 0:10:09.400 --> 0:10:11.319 of you know, if you have problems with your uric 0:10:11.360 --> 0:10:14.840 acid or gout, uh, you're probably gonna have kidney suns 0:10:14.880 --> 0:10:18.120 at some point. Uh. You know, the gout diet is 0:10:18.400 --> 0:10:20.839 it's sort of the same triggers. They're high in what's 0:10:20.840 --> 0:10:26.520 called purins, shellfish, organ meats, any kind of meat really beer, 0:10:26.679 --> 0:10:29.200 for sure, Like those are all on the list of 0:10:29.679 --> 0:10:31.360 things that you don't want if you're trying to keep 0:10:31.400 --> 0:10:34.360 your uric acid and check. Yeah, because the uric acid 0:10:34.520 --> 0:10:41.000 is um metabolite of purine and um it crystallizes very easily. 0:10:41.000 --> 0:10:44.440 It can precipitate easily out of the P if there's 0:10:44.480 --> 0:10:46.800 too much of it, So yeah, that that can be 0:10:46.840 --> 0:10:51.400 a bad jam for sure. Um. There's also cysteine stones, cysteins, 0:10:51.400 --> 0:10:54.360 and amino acid. It's it's used throughout the body for 0:10:54.400 --> 0:10:57.240 a number of different ways. But unfortunately it's the least 0:10:57.280 --> 0:11:01.360 soluble amino acid, so that means that it can precipitate 0:11:01.400 --> 0:11:04.600 out of P fairly easily too. Luckily, those are kind 0:11:04.640 --> 0:11:08.520 of rare. Um. You actually have probably a UM a 0:11:08.640 --> 0:11:13.240 congenital disorder that causes sistine stones. But unfortunately that means 0:11:13.280 --> 0:11:16.200 you have a congenital disorder that causes stones, which means 0:11:16.200 --> 0:11:19.480 it's probably a chronic condition, right, And I think that's 0:11:19.520 --> 0:11:23.319 the same for the rare xanthine stones, right. Yeah. And 0:11:23.400 --> 0:11:28.160 xanthine is another purine or purine. It's found in caffeine, tea, 0:11:28.240 --> 0:11:31.520 and Cola's. And it occurred to me Chuckle was researching this, 0:11:31.920 --> 0:11:34.440 is that what Purina is trying to get across with 0:11:34.520 --> 0:11:39.959 their their brand name, that they're from chock full of purines. Um. 0:11:40.040 --> 0:11:42.719 Maybe I always kind of thought it was probably just 0:11:42.800 --> 0:11:46.280 a play on the word pure. Oh, it never occurred 0:11:46.320 --> 0:11:48.480 to me like that. I wonder maybe they're like, why 0:11:48.559 --> 0:11:52.760 can't it be both Josh and Chuck. Uh. And then 0:11:52.800 --> 0:11:55.040 there's of course the Infinity stones, which are a real 0:11:55.080 --> 0:11:58.120 problem for about half the population. Yeah, and one other 0:11:58.160 --> 0:12:04.079 thing also, um pass that one almost I'm glad I 0:12:04.240 --> 0:12:08.520 stopped and took a double take. Was that written down? 0:12:08.600 --> 0:12:12.000 I can't see your notes? That was no notes? Wow? 0:12:12.080 --> 0:12:13.960 That was good then, man, I think you just won 0:12:14.040 --> 0:12:17.880 the World Cup for in the off the cuff stuff. 0:12:17.880 --> 0:12:21.559 You should know joke, okay, battle, I'll take it. Um. 0:12:21.679 --> 0:12:25.800 One other thing about uric acid stones is that that 0:12:26.400 --> 0:12:28.880 um is kind of the opposite of strew vite stones, 0:12:28.920 --> 0:12:31.960 where your p s two acidic, like it'll burn right 0:12:31.960 --> 0:12:36.600 through metal if you pee on a car. Right, should 0:12:36.640 --> 0:12:38.520 we take a break, Yeah, we should take a break. 0:12:38.559 --> 0:12:41.160 I need to regroup after that huge win by you. 0:12:41.480 --> 0:12:43.800 Just we'll be right back and I'll say what I'm 0:12:43.800 --> 0:13:08.480 gonna say after this. Yeah, so I didn't know if 0:13:08.480 --> 0:13:10.520 you even I didn't think you watch those Marvel movies. 0:13:10.559 --> 0:13:12.440 I didn't know if you'd get that joke. Well, I 0:13:12.440 --> 0:13:15.360 mean like I'm I'm conscious, like I can form thoughts 0:13:15.360 --> 0:13:18.720 and observe like outside stimuli, So that means, yes, I'm 0:13:18.760 --> 0:13:21.920 familiar and aware with the Marvel cinematic universe and what 0:13:22.000 --> 0:13:24.040 goes on in it. Well, see, I would think if 0:13:24.040 --> 0:13:25.600 you didn't see the movies, you have no idea what 0:13:25.640 --> 0:13:28.360 an infinity stone is. No, No, I mean, well, obviously 0:13:28.400 --> 0:13:30.480 I've seen I guess I saw the one that you're 0:13:30.520 --> 0:13:34.319 specifically referring to where half half of everybody just like dissolves. 0:13:34.559 --> 0:13:40.319 I saw that, should say spoiler alert. Oh yeah, if 0:13:40.360 --> 0:13:41.840 you don't know that by now, come on, those are 0:13:41.840 --> 0:13:43.680 the biggest movies in the world. So thank you for 0:13:43.760 --> 0:13:48.160 defending me. Like, no apologies necessary, no accountability here. But 0:13:48.240 --> 0:13:49.880 you'll have to watch the second one to find out 0:13:49.920 --> 0:13:52.400 what happens after that. How about that, well, they come back. 0:13:56.480 --> 0:13:58.920 I haven't seen that one, but I'm just presuming there's 0:13:58.920 --> 0:14:02.080 no way to really much part in part two. Yeah, 0:14:02.120 --> 0:14:04.679 that's pretty funny. Yeah, I did not see the second 0:14:04.679 --> 0:14:06.400 one yet. I guess if you didn't like it much, 0:14:06.440 --> 0:14:07.760 you'd be like, well, am I going to spend another 0:14:07.760 --> 0:14:10.400 two hours and forty minutes? But because I did like it, 0:14:10.480 --> 0:14:13.320 I mean I was entertained and amused. I guess I 0:14:13.400 --> 0:14:16.760 just knew that at the very least everybody who was 0:14:16.800 --> 0:14:20.160 anybody was going to come back somehow. I didn't know how, 0:14:20.320 --> 0:14:22.920 but I guess I didn't really care how. I just 0:14:23.040 --> 0:14:25.720 want to strip you in a chair and uh like 0:14:25.760 --> 0:14:33.600 clockwork clockwork orange style and make you watch the Beatles documentary. No, alright, 0:14:33.640 --> 0:14:38.880 so back to regular kidney sounds right, yes, um so um. 0:14:38.960 --> 0:14:41.400 We kind of talked about how they formed, but it's 0:14:41.440 --> 0:14:43.720 worth just kind of saying one more time. It's basically, 0:14:43.720 --> 0:14:47.160 you've got stuff in your P minerals that that don't 0:14:47.160 --> 0:14:49.480 dissolve very easily, or there's too many of them or 0:14:49.520 --> 0:14:52.600 there's not enough P and they just go and they crystallize, 0:14:52.640 --> 0:14:55.240 and that's how it starts, and that kicks off this 0:14:55.360 --> 0:15:00.600 process um of where usually they form an actually in 0:15:00.640 --> 0:15:03.080 your kidney, but they can't form anywhere, but they'll hang 0:15:03.080 --> 0:15:06.040 on to like a little node in your kidney and 0:15:06.160 --> 0:15:09.480 start to nucleate. They're kind of like a snowflake. Ed 0:15:09.560 --> 0:15:11.240 helps us with this one, and he's like, it's like 0:15:11.280 --> 0:15:14.640 a snowflake basically growing um from like a little dust 0:15:14.760 --> 0:15:18.560 moat when it's cold enough. Yeah, and like you said, 0:15:18.560 --> 0:15:21.040 they don't always have to form that way. Sometimes they 0:15:21.040 --> 0:15:25.120 can just form free floating in your urine, just moving 0:15:25.160 --> 0:15:28.640 about the party. But they do better for sure when 0:15:28.680 --> 0:15:32.760 they're attached initially to something. When one when one little 0:15:32.760 --> 0:15:36.160 tiny particle hangs onto something like uh, I know Ed 0:15:36.200 --> 0:15:39.920 mentioned the renal papilla. Uh, those little projections and the 0:15:40.000 --> 0:15:44.640 kidneys papillia, that's a good place for them to get together. Uh. 0:15:44.680 --> 0:15:47.040 They may grow there for a little while, they may 0:15:47.240 --> 0:15:50.960 detach and then float away, but they also might attract 0:15:51.000 --> 0:15:54.680 friends at these attachment points, and that's when the problem starts. 0:15:54.720 --> 0:15:56.960 They're eventually going to detach, but they just like to 0:15:57.000 --> 0:15:59.440 congregate and like the cool area of the party. Yeah. 0:15:59.480 --> 0:16:01.520 And see you just said made me think like you 0:16:01.560 --> 0:16:04.560 could probably form a stone anywhere in your urinary tract 0:16:04.640 --> 0:16:07.000 that whole system, as long as there's a place for 0:16:07.000 --> 0:16:10.240 it to kind of clamp onto, or it's bad enough 0:16:10.320 --> 0:16:12.840 that they're just forming right in the middle of your urine, 0:16:13.600 --> 0:16:17.240 so it doesn't necessarily have to just be your kidneys. Yeah, 0:16:17.320 --> 0:16:19.200 and they look like I think ED had the perfect 0:16:19.240 --> 0:16:22.800 DESCRIPTI here, it looks like a little granola chunk granula. Yeah. 0:16:23.000 --> 0:16:25.960 Some of them look a little more um, mean and 0:16:26.040 --> 0:16:29.320 menacing than others. Some are even like smooth where you're like, jeez, 0:16:29.360 --> 0:16:34.120 I enjoy passing these. They make a very satisfying PLoP 0:16:34.200 --> 0:16:37.240 sound when they come out of the urethra um. But again, 0:16:37.280 --> 0:16:42.040 there's like stag horns, there's the widow maker, Um, there's 0:16:42.120 --> 0:16:46.760 the Judas Priest. They have terrible names, but they really 0:16:46.800 --> 0:16:50.160 kind of drive home how bad these things are. It's 0:16:50.320 --> 0:16:54.080 really the Judas Priest. Wouldn't never know doctors have a 0:16:54.120 --> 0:16:56.400 sense of humor with two of them? Wouldn't that be great? Though? 0:16:57.480 --> 0:16:59.200 So I would I would think it would be this 0:16:59.320 --> 0:17:03.200 like looks like the double horn fist. I was thinking 0:17:03.200 --> 0:17:07.160 it was gonna look like that metal eagle. Oh that too, 0:17:07.200 --> 0:17:11.720 the screaming eagle mm hm living after midnight. The metal 0:17:11.760 --> 0:17:15.960 fist sounds worse though, for sure. Well, anything, and you 0:17:16.000 --> 0:17:18.359 know this is the case with kidney stones, anything, And 0:17:18.359 --> 0:17:20.160 that's why the stag horns are so bad if it's 0:17:20.560 --> 0:17:23.479 the spikier. I mean, you don't have to be a 0:17:23.480 --> 0:17:27.080 doctor to tell someone that the spiky or something is 0:17:27.240 --> 0:17:30.399 the more painful. It's going to be, right. Yeah, they're 0:17:30.440 --> 0:17:32.960 describing your kidney stone too, and you're like, I didn't 0:17:33.000 --> 0:17:34.919 realize your doctor. They say, oh, I'm not a doctor. 0:17:34.960 --> 0:17:37.680 I just stayed at a holiday and expressed, yeah, anybody 0:17:37.680 --> 0:17:41.920 could tell you that. Uh so the pain that you're 0:17:41.920 --> 0:17:44.359 gonna feel like when you get diagnosed for a kidney stone, 0:17:44.800 --> 0:17:49.440 You're probably gonna go into the doctor after feeling uh 0:17:49.600 --> 0:17:52.000 sort of lower groin pain for a while, maybe in 0:17:52.040 --> 0:17:55.080 your lower back or side or abdomen, and you might 0:17:55.119 --> 0:17:57.480 be going, man, this is like I didn't pull my back. 0:17:57.560 --> 0:17:59.680 What's going on? And you may live with it for 0:17:59.720 --> 0:18:02.280 a little while just thinking it might be a pulled 0:18:02.320 --> 0:18:05.720 muscle or anything like that, or a strain groin even 0:18:05.840 --> 0:18:08.359 and then at some point, hopefully someone in your life 0:18:08.400 --> 0:18:10.320 is going to say you may want to go like that, 0:18:10.359 --> 0:18:12.400 maybe a kidney stone, get that checked out. You may 0:18:12.400 --> 0:18:14.800 want to get that checked out. One of the reasons 0:18:14.840 --> 0:18:17.320 I didn't understand this, but it makes total sense. One 0:18:17.320 --> 0:18:19.960 of the reasons why there's it feels so much worse 0:18:20.000 --> 0:18:24.520 than just your urit or or your kidney saying ah, 0:18:24.720 --> 0:18:27.560 is that there's a bunch of really important nerves that 0:18:27.600 --> 0:18:30.399 pass right through the kidney, right through that that notch 0:18:30.520 --> 0:18:34.760 that gives the kidney its characteristic shape. Because the celiac 0:18:34.840 --> 0:18:46.320 plassics plexus, the inner mesenteric plexus, the lumbar splank nick. 0:18:47.960 --> 0:18:50.359 I like the splank nick or the splank nick. Yeah, 0:18:50.520 --> 0:18:52.960 I like it too. I like the Celiac plexus though. 0:18:52.960 --> 0:18:58.680 It's got a pleasant, pleasant look to It's like cellar door. Yeah, 0:18:58.880 --> 0:19:02.080 you love cellar door. It wasn't just me. That's a 0:19:02.119 --> 0:19:05.600 Tolkien reference. He's I think he's said, I know, but 0:19:05.640 --> 0:19:07.119 you mentioned in London in the show, is what I mean. 0:19:07.440 --> 0:19:09.600 I just think it's such a great idea that somebody 0:19:09.720 --> 0:19:12.760 was like, I definitively say, this is the most beautiful 0:19:12.760 --> 0:19:14.840 word in the English language, and it just happened to 0:19:14.880 --> 0:19:17.239 be Tolkien. So like there's an extra little twist at 0:19:17.240 --> 0:19:19.760 the end there, and it was used in Donnie Darko, 0:19:19.960 --> 0:19:23.080 so it's a pretty pretty great little thing. I have 0:19:23.200 --> 0:19:26.200 my favorite word though. It's not sellar door. It's it's 0:19:26.320 --> 0:19:30.320 moist pus. No, it's the Beatles, and it's used in 0:19:30.720 --> 0:19:33.920 the Peter Jackson documentary The Beatles. Is it really that good? 0:19:35.119 --> 0:19:39.119 It's amazing. I mean i'd say this, you would hate it. 0:19:39.200 --> 0:19:42.119 But if you're a casual Beatles fan, it's probably not 0:19:42.200 --> 0:19:44.359 even for you. Or even if you're like, no, I 0:19:44.400 --> 0:19:46.960 like the Beatles, it's probably not even for you because 0:19:47.000 --> 0:19:49.880 it it's eight hours of just sitting in there, fly 0:19:49.960 --> 0:19:51.520 on the wall style, so you really got to be 0:19:51.520 --> 0:19:54.440 into Like did you see that look that George escaped 0:19:54.480 --> 0:19:57.159 Paul when he said that one thing? Like it's that 0:19:57.280 --> 0:20:00.040 kind of level. Yeah, I would not like that it 0:20:00.160 --> 0:20:02.840 at all. I've got I have a music documentary that, 0:20:03.000 --> 0:20:05.040 um you mean and I watched the other day. That's 0:20:05.080 --> 0:20:09.399 really good. Um it's on Sparks. Oh yeah, sure, I've 0:20:09.440 --> 0:20:11.880 seen that. You saw it. I loved I had never 0:20:11.920 --> 0:20:14.439 heard of Sparks. I didn't real Sparks existed. I'm actually 0:20:14.840 --> 0:20:17.520 I've been disappointed in myself ever since that I didn't 0:20:17.600 --> 0:20:20.720 realize they were a thing. But that is a great documentary. 0:20:20.800 --> 0:20:22.119 One of the things I like about it is not 0:20:22.200 --> 0:20:27.080 just their music, but just like how like naturally and 0:20:27.160 --> 0:20:30.600 genuinely positive they are without trying to be positive and 0:20:30.640 --> 0:20:33.560 also actually being kind of fiendish in their sense of humor, 0:20:33.960 --> 0:20:37.480 but they're still overall like very positive. It's pretty cool, 0:20:37.680 --> 0:20:40.919 pretty and I'll even go ahead and recommend even though 0:20:40.960 --> 0:20:43.800 I haven't seen it. It's on the list this week. 0:20:43.840 --> 0:20:45.320 I just got to get through the Beatles. Thing is 0:20:45.359 --> 0:20:48.439 the Todd Haynes Velvet Underground documentary. I hear it's just 0:20:48.520 --> 0:20:52.800 like ridiculously good, which I can't wait for because the best. 0:20:52.920 --> 0:20:56.840 I'm going to check that out. So that was documentary corner. 0:20:57.560 --> 0:20:59.560 I got my movie crush fixed. Well we should. We 0:20:59.600 --> 0:21:03.000 need to take care berets often drop our cigarette holders 0:21:03.040 --> 0:21:05.000 and get back to it. I think we were talking 0:21:05.040 --> 0:21:09.080 about those three nerves and they can cause uh nausea 0:21:09.160 --> 0:21:13.120 and vomiting because those three nerves run right through what's 0:21:13.119 --> 0:21:16.919 called the renal hillum and that's that little you know, 0:21:17.040 --> 0:21:19.959 if you look at a kidney or even a kidney 0:21:19.960 --> 0:21:22.280 being or kidney shaped swimming pool, you can imagine what 0:21:22.359 --> 0:21:25.200 it might look like a little notch inside that curve, 0:21:25.560 --> 0:21:27.920 and all three of those nerves run right in there. 0:21:27.960 --> 0:21:32.080 So if you're kidney is uh inflamed or spasming or something, 0:21:32.119 --> 0:21:35.600 it's going to be tweaking those things like piano strings. Yeah, 0:21:35.640 --> 0:21:37.840 and spasming is right, you just said the magic word, 0:21:37.880 --> 0:21:40.320 because your kidney is well aware that it has something 0:21:40.359 --> 0:21:43.119 that shouldn't have in it, and it actually has a 0:21:43.160 --> 0:21:45.080 way to take care of that, and that is by 0:21:45.160 --> 0:21:49.399 spasm ing it out, trying to push it out. The 0:21:49.520 --> 0:21:52.960 kidney does that, and so do your your readers. UM, 0:21:53.000 --> 0:21:56.480 and your your reader actually like clomp down around it 0:21:56.520 --> 0:22:00.000 and try to squeeze it out through spasms. So kidney 0:22:00.160 --> 0:22:04.320 pain is typically associated with UM basically the worst pain 0:22:04.400 --> 0:22:07.240 you could ever experience. I think, UM, people have given 0:22:07.320 --> 0:22:11.560 birth before, UM who did it without any kind of 0:22:11.640 --> 0:22:15.400 drugs say, Nope, kidney stone is actually worse than that. UM. 0:22:15.600 --> 0:22:18.960 And what's great is everybody can share in the fun 0:22:19.040 --> 0:22:22.000 of a kidney stone. Did you see what Ed's friend 0:22:22.000 --> 0:22:25.320 called it? Yeah? Ed has a friend who had kidney 0:22:25.320 --> 0:22:28.520 stones instead. It was like giving birth to a knife. Right. 0:22:28.920 --> 0:22:31.800 That kind of says it all. It really does. UM, 0:22:31.880 --> 0:22:34.359 the worst of it from what I've seen. I found 0:22:34.440 --> 0:22:39.640 uh urology website, UM, and it's basically says the two 0:22:39.680 --> 0:22:42.560 worst by far is when it's in the kidney and 0:22:42.560 --> 0:22:45.040 then when it's in the your reader, and apparently when 0:22:45.040 --> 0:22:47.520 it's in the kidney it's even worse. That's the worst 0:22:47.560 --> 0:22:50.320 of all. But the upshot of it is, in addition 0:22:50.320 --> 0:22:53.480 to feeling nauseated for your back and your abdomen to 0:22:53.600 --> 0:22:58.320 hurt um, you're you're actually going to be experiencing pain 0:22:58.440 --> 0:23:01.680 in your kidney and your your reader as there pushing 0:23:01.720 --> 0:23:04.760 this thing out, and it comes in waves of pain 0:23:05.359 --> 0:23:09.439 called renal colic, and they will give you narcotics to 0:23:09.520 --> 0:23:13.639 take care of it. It's that bad. Yeah, yeah, the 0:23:13.880 --> 0:23:17.240 best feel good drugs available are coming your way, and 0:23:17.280 --> 0:23:20.600 they'll probably just barely make a dent. I don't know 0:23:20.640 --> 0:23:22.600 that that's true, but I'm really trying to drive home 0:23:22.640 --> 0:23:26.280 how painful kidney stones are. I wish one of us 0:23:26.320 --> 0:23:30.280 would have had it from experience. I'm actually glad that 0:23:30.440 --> 0:23:33.359 we aren't. Speaking from experience. I wish that person was, 0:23:33.440 --> 0:23:36.960 you know. Uh No, I'm glad we haven't had it. 0:23:37.000 --> 0:23:40.120 But I'll, you know, hopefully, over the next until we retire, 0:23:40.760 --> 0:23:42.600 I'll keep everyone up to date on whether or not 0:23:42.680 --> 0:23:45.800 to get kidney stones. Okay, all right, I think that's 0:23:45.840 --> 0:23:48.480 fair squatted land than kidney stones. Those are my two 0:23:48.760 --> 0:23:52.119 lifelong updates. What about your teeth. Don't forget your teeth. Well, 0:23:52.160 --> 0:23:54.200 everyone knows I got to get that tooth done again. 0:23:54.280 --> 0:23:57.080 So man, I just had a deep, deep cleaning on 0:23:57.160 --> 0:23:59.600 two of my teeth and it was not pleasant. But 0:24:00.200 --> 0:24:04.080 my period onist was great, um like, very nice and 0:24:04.160 --> 0:24:07.400 general and apologetic. Uh. And I think I'm better off 0:24:07.440 --> 0:24:09.760 as a result. I'm a better was that the rooting 0:24:09.760 --> 0:24:13.480 and scaling thing, I believe? So there was a gum 0:24:13.560 --> 0:24:15.960 treatment sort of yeah, and there wasn't like an incision. 0:24:16.119 --> 0:24:19.800 She didn't cut um. But they want me to do 0:24:19.840 --> 0:24:23.359 that again. Yeah. It's not fun at all, but you 0:24:23.480 --> 0:24:27.080 know that I'm done. It's done. I was about to say, 0:24:27.080 --> 0:24:28.640 as if it was any better, we should get back 0:24:28.640 --> 0:24:33.280 to kidney stones. But to get these things treated there, 0:24:33.280 --> 0:24:36.720 they are quite a few options, thankfully. Um. It depends 0:24:36.720 --> 0:24:40.320 on where it is, depends on how big it is. Uh, 0:24:40.359 --> 0:24:42.760 if it's in, if it's one of those uh your 0:24:42.800 --> 0:24:46.400 ead stones, They're probably gonna say pass it. It might 0:24:46.600 --> 0:24:49.160 even take a few weeks. But drink tons of water 0:24:49.200 --> 0:24:51.120 and see if you compete that thing out. Yeah, once 0:24:51.119 --> 0:24:53.200 it gets out of the kidney. Yeah, And I think 0:24:53.240 --> 0:24:57.280 if it's five millimeters or smaller. You got about a 0:24:57.359 --> 0:25:00.840 nine chance of passing that thing through a year, and 0:25:00.840 --> 0:25:05.480 and it goes down to between five millimeters and ten millimeters. 0:25:05.520 --> 0:25:08.360 And if you can eat and you can drink and 0:25:08.440 --> 0:25:11.720 you don't have a fever, they're probably going to send 0:25:11.720 --> 0:25:14.840 you home with some pain pills and some flow max 0:25:14.920 --> 0:25:18.440 to to relax your urethral sphincter so you can pee easier, 0:25:18.440 --> 0:25:21.440 and you're gonna pee all the time. And as it 0:25:21.480 --> 0:25:24.560 moves down into like your bladder, it's going to increase 0:25:24.560 --> 0:25:26.920 the pressure there because of the inflammation your bladders. So 0:25:26.960 --> 0:25:28.480 you're gonna have to feel like you have to pee 0:25:28.520 --> 0:25:31.480 all the time, even though you don't necessarily. But they're 0:25:31.480 --> 0:25:34.280 gonna send you home and be like, best wishes, best 0:25:34.280 --> 0:25:36.720 of luck, keep us posted. Let us know if you 0:25:36.800 --> 0:25:40.480 spike a fever something like that, Right, you're also going 0:25:40.560 --> 0:25:44.359 to get all kinds of tests, um, blood test urine tests, 0:25:44.400 --> 0:25:46.199 things like that, just to see like you may have 0:25:46.240 --> 0:25:49.959 more than one stone, um the identification of the stone. 0:25:50.760 --> 0:25:52.680 I mean there there could be a larger problem, you know, 0:25:52.720 --> 0:25:55.879 if we're talking about these metabolic imbalances, like if you 0:25:55.920 --> 0:25:58.639 may have chronic kidney stones or at least another one 0:25:58.640 --> 0:26:00.879 in the future. They want to kind of get you 0:26:00.880 --> 0:26:02.400 on the right tracks. So you're gonna do a lot 0:26:02.400 --> 0:26:04.480 of tests as well. Yeah, and um, one of you 0:26:04.720 --> 0:26:06.399 his friends used to get him a lot, and I 0:26:06.440 --> 0:26:08.359 think I didn't have a chance to ask him, but 0:26:08.400 --> 0:26:11.760 I think he might have outgrown him. I hope God willing. 0:26:12.240 --> 0:26:15.280 But I'm pretty sure he had to pee into like 0:26:15.320 --> 0:26:19.520 a mesh cup to catch the stone. And I realized, now, 0:26:19.560 --> 0:26:22.040 it's not not because he was a weirdo. It was 0:26:22.080 --> 0:26:26.320 because they wanted to analyze the stone. Because again, you 0:26:26.359 --> 0:26:29.280 can tell a lot about what is driving you to 0:26:29.359 --> 0:26:31.199 produce kidney stones if you can just look at it, 0:26:31.200 --> 0:26:33.480 because you can see what it's made of. Well, you 0:26:33.480 --> 0:26:34.960 can see what it's made of, and that'll tell you 0:26:35.000 --> 0:26:37.920 a lot. I think i'd want to keep mine. Well 0:26:38.040 --> 0:26:40.120 that's the other thing too. You got a pretty nice trophy. 0:26:40.359 --> 0:26:46.159 You could get a grill made with it. That's what 0:26:46.240 --> 0:26:48.119 I need on my fake front teeth. A couple of 0:26:48.160 --> 0:26:51.640 kidney stone, couple like stag horns, just sticking out, slicing 0:26:51.680 --> 0:26:55.760 into the back of your top lip. Uh. If they 0:26:55.800 --> 0:26:59.480 are larger, you're gonna need some more. Uh. What ED 0:26:59.520 --> 0:27:03.000 called direct intervention and that's pretty much says it all. 0:27:03.240 --> 0:27:06.119 They're gonna look at you with X rays. Uh, they 0:27:06.200 --> 0:27:09.240 might use an ultrasound. They're gonna find out exactly where 0:27:09.240 --> 0:27:12.080 that puppy is. They're gonna see if it's moving along 0:27:12.200 --> 0:27:15.800 or if it's kind of stuck in place, and uh, 0:27:15.840 --> 0:27:17.680 then they're gonna go to work. It's it's a little 0:27:17.720 --> 0:27:20.959 more expensive, but I would stay just by reading this. 0:27:21.080 --> 0:27:23.120 If it's an option, and if you can afford it, 0:27:23.480 --> 0:27:27.000 I would go to the uhle thought such a hard 0:27:27.000 --> 0:27:31.160 word to say with thought tripsy method. Yeah, because it's 0:27:31.200 --> 0:27:36.280 non invasive. It's all ultrasound. Like they use ultrasound maybe 0:27:36.359 --> 0:27:38.119 X rays to find and then they use ultrasound to 0:27:38.160 --> 0:27:41.400 break it up. And Chuck had produced the sentence that 0:27:41.880 --> 0:27:44.920 seems innocuous until you realize that if you read it 0:27:45.000 --> 0:27:50.200 like a monster truck ad announcer, it's really boss. Which 0:27:50.200 --> 0:28:02.440 one is it sounds without? Oh yeah, that's true. Yeah 0:28:02.840 --> 0:28:05.440 you should be a doctor. That'd be fun. I oh dude, 0:28:05.600 --> 0:28:09.720 everything would be called the Judas Priest whatever, right, I 0:28:09.960 --> 0:28:12.560 be like, this is a Judas Priest baby, Yeah, it's 0:28:12.560 --> 0:28:16.280 a Judas Priest fracture. We can fix that, no problem, Uh, 0:28:16.320 --> 0:28:20.000 if it's larger even than that, uh, like too large 0:28:20.320 --> 0:28:22.159 and I guess this is a Judas Priest album. Too 0:28:22.240 --> 0:28:26.960 large for lathot trip tripsy um or if they can't 0:28:27.000 --> 0:28:29.040 find it, maybe if it's like exactly where it is 0:28:29.160 --> 0:28:31.640 or you know, or maybe you don't have it available 0:28:31.680 --> 0:28:34.320 to you because of money or wherever you live. You 0:28:34.359 --> 0:28:39.880 can go to a uteroscopy and that is a little 0:28:39.880 --> 0:28:42.320 bit more invasive, but not surgery yet. That's when they're 0:28:42.320 --> 0:28:45.360 going to send a scope up through the urethra, probably 0:28:45.360 --> 0:28:49.000 not a lot of fun uh, into the bladder, into 0:28:49.000 --> 0:28:51.800 the uritor and then they capture it. It calls it 0:28:51.840 --> 0:28:53.520 like a little basket and they and they pull it 0:28:53.520 --> 0:28:56.080 out and then sometimes it is even bigger, they can 0:28:56.160 --> 0:28:57.640 use a laser to break it up and then pull 0:28:57.680 --> 0:29:00.760 it out right. But that's the key that your your 0:29:00.760 --> 0:29:04.720 reader you read roscopy is that they actually can remove 0:29:04.880 --> 0:29:11.280 the stones, whereas um. I think with lithotripsy man it 0:29:11.440 --> 0:29:13.920 is uh that they actually they go in there and 0:29:14.000 --> 0:29:16.080 break it up, and a complication would be is like 0:29:16.200 --> 0:29:20.720 it's kind of like that stupid Russian um satellite missile 0:29:20.760 --> 0:29:23.440 tests that they just did, remember where they created way 0:29:23.480 --> 0:29:25.680 more space chunk than there used to be. You're doing 0:29:25.680 --> 0:29:29.320 the same thing with the thought tripsy, where you're breaking 0:29:29.400 --> 0:29:31.680 up these stones, and so one of the complications can 0:29:31.720 --> 0:29:33.640 be like, now you've got a bunch of kidney stones, 0:29:33.680 --> 0:29:36.040 and yeah they're smaller, but not all of them are 0:29:36.240 --> 0:29:38.760 so small that you won't notice them, or that they 0:29:38.800 --> 0:29:42.520 won't necessarily cause an infection or something like that. Right, 0:29:42.760 --> 0:29:46.000 Or in the case of the Guinness record holder, the 0:29:46.000 --> 0:29:48.840 man in Indian two thousand four, this thing was and 0:29:48.880 --> 0:29:52.280 I looked up different kinds of sports balls, and the 0:29:52.320 --> 0:29:54.160 closest I could find was it was about the size 0:29:54.160 --> 0:29:58.480 of a shot put. What, Oh my goodness, five inches 0:29:58.520 --> 0:30:00.920 in diameter. I mean, it is never thought about it, 0:30:00.960 --> 0:30:03.320 like I even made that with my with my hands, 0:30:04.480 --> 0:30:06.880 and I think't thinking it's got to be circumference, it's 0:30:06.880 --> 0:30:09.800 gotta be that's no, it's diameter, because I went and 0:30:09.840 --> 0:30:11.960 looked too. But so for those people who have never 0:30:11.960 --> 0:30:13.880 seen a shop put and don't know what five inches is, 0:30:13.920 --> 0:30:18.200 that's like thirteen centimeters in diameter. Yeah, it's bigger than 0:30:18.240 --> 0:30:20.080 a softball. If you don't know what a softball is, 0:30:20.320 --> 0:30:24.920 it's about a regular grape fruitish size. Yeah, I would 0:30:24.960 --> 0:30:27.960 say so. Yeah, So obviously that was a surgical removal, 0:30:28.000 --> 0:30:31.960 which is the last the sort of the last line 0:30:32.000 --> 0:30:35.640 of defense is to get that surgery. And it's called 0:30:36.400 --> 0:30:43.000 this one's mine, percutaneous nephro lithotomy, nicely done, and that 0:30:43.080 --> 0:30:44.920 they make a little notch, a little incision in the 0:30:44.920 --> 0:30:47.360 lower back. And it's that they scope it out too, 0:30:47.400 --> 0:30:49.640 so it's not some huge, huge thing, but they use 0:30:49.680 --> 0:30:53.480 a thin scope into kidney, break it up again, remove 0:30:53.560 --> 0:30:56.400 the pieces. Uh. And we should mention too that some 0:30:56.520 --> 0:31:03.960 of these um, I think the uteroscopy is when they utero. Yeah, uteroscope. No, 0:31:04.040 --> 0:31:05.960 there's an extra vowel in there. It's not just me 0:31:06.640 --> 0:31:11.840 utero scoopy. Yeah, uteroscopy. Your read a roscarbe, you read 0:31:11.840 --> 0:31:16.960 a roscoe adding an extra vowel every time eventually pays off. 0:31:18.440 --> 0:31:22.280 You read a roscope. That is the one that, um, 0:31:22.360 --> 0:31:26.360 you still need anesthetic and you might eventually need a stint, 0:31:27.040 --> 0:31:29.800 which again goes back to my thing that the euritor 0:31:30.160 --> 0:31:34.600 should be bigger. Yeah, if they're putting in stints, that 0:31:34.680 --> 0:31:36.480 means that's the size that it should have been to 0:31:36.520 --> 0:31:40.280 begin with. Absolutely, then anything could just passed there, even 0:31:40.320 --> 0:31:45.080 a five inch diameter kidney stone from India. Should we 0:31:45.120 --> 0:31:47.240 take a break. I think we should take our second 0:31:47.240 --> 0:31:49.560 break and come back and talk about what I think 0:31:49.600 --> 0:31:51.719 everybody wants to know is how do you make this 0:31:51.840 --> 0:32:19.040 never ever happened to you? Okay, Chuck. So it's actually 0:32:19.080 --> 0:32:22.600 pretty simple unless you have some sort of congenital disorder 0:32:22.680 --> 0:32:25.520 that is producing chronic kidney stones in you, which is 0:32:25.760 --> 0:32:30.720 extremely sad and I feel very badly for you. Um, 0:32:30.760 --> 0:32:34.400 there's some really easy ways you can keep from probably 0:32:34.440 --> 0:32:38.800 ever getting a kidney stone in your entire life. Yeah, 0:32:39.040 --> 0:32:41.880 I mean, I know you think drinking water is a scam, 0:32:41.920 --> 0:32:46.000 but yeah, I remember you went on entire right years 0:32:46.000 --> 0:32:48.720 ago about how that whole drinking egg glasses of water days. 0:32:48.760 --> 0:32:51.840 But oh no, so that is drinking egg glasses of water. 0:32:51.960 --> 0:32:54.760 That the number was made up. I think drinking water 0:32:54.880 --> 0:32:57.520 is good, but the number of glasses is just totally 0:32:57.560 --> 0:33:00.680 like made up. Well, this is two liters per yeah, 0:33:01.160 --> 0:33:03.600 so that's a number it is. But there was a 0:33:03.600 --> 0:33:08.640 study that backed it up. Okay, they say the study 0:33:08.640 --> 0:33:10.160 that said if you drink a couple of liters of 0:33:10.160 --> 0:33:12.760 water a day, it resulted in a hundred and forty 0:33:12.800 --> 0:33:16.760 nine fewer stones per one thousand people, and it just 0:33:16.920 --> 0:33:19.479 makes sense, you know, to keep water flowing through your 0:33:19.520 --> 0:33:23.040 kidneys and flowing through your system and keeping everything nice 0:33:23.040 --> 0:33:26.200 and saturated, that it would help prevent the build up 0:33:26.280 --> 0:33:29.240 of those uh of those little particles, those minerals, right, 0:33:29.320 --> 0:33:31.920 because you've got enough p that those things, even the 0:33:32.760 --> 0:33:36.520 toughest um solubles, are going to stay in solution rather 0:33:36.560 --> 0:33:39.960 than precipitate out. But also one thing that's easily overlooked 0:33:40.040 --> 0:33:42.160 is when you drink a lot of water, water is 0:33:42.200 --> 0:33:45.840 pretty much across the board a neutral substance, so it 0:33:45.920 --> 0:33:49.280 actually helps maintain the pH balance in your body. And 0:33:49.280 --> 0:33:51.400 as we've seen, there's at least two different kinds of 0:33:51.440 --> 0:33:54.280 kidney stones you can get depending on whether you're urine 0:33:54.360 --> 0:33:57.880 is too acidic or two alkaline. And drinking a lot 0:33:57.920 --> 0:34:00.920 more water can make your urine a closer to neutral, 0:34:00.960 --> 0:34:03.400 which is a big big deal to Plus, it just 0:34:03.480 --> 0:34:06.560 mechanically helps flush awayte stuff before they get a chance 0:34:06.640 --> 0:34:10.920 to to really aggregate. Yeah, you can cut down on 0:34:11.000 --> 0:34:14.920 animal proteins, you can cut down your salt, you can 0:34:14.960 --> 0:34:18.240 cut down in your oxalate um. You won't find oxylating 0:34:18.280 --> 0:34:20.799 a lot of stuff, but it is uh there's a 0:34:20.800 --> 0:34:24.920 lot of oxalating spinach and apparently chocolate and rubar, but spinach. 0:34:25.040 --> 0:34:29.719 You know, how much spinach are you really eating? I 0:34:29.760 --> 0:34:32.120 didn't see how much it would take to really start 0:34:32.160 --> 0:34:34.239 to get into the danger zone with kidney stones. But 0:34:34.320 --> 0:34:38.520 I mean, but it's more one of those things. It's like, man, 0:34:38.719 --> 0:34:41.160 you just can't win. No matter how how good you're 0:34:41.160 --> 0:34:44.080 trying to be, how healthy you're trying to be, you're 0:34:44.120 --> 0:34:46.759 still it's gonna get you. Yeah, always gonna get you 0:34:46.840 --> 0:34:50.160 one way or another. Uh, that's what the shirt says. 0:34:50.600 --> 0:34:53.280 The calcium. You might think, well, if it's a calcium 0:34:53.280 --> 0:34:56.200 build up, then have less calcium. But that's a bit 0:34:56.239 --> 0:34:59.960 of a thing too, because oxalate is there and if 0:35:00.040 --> 0:35:02.880 you're if you're low on calcium, then it's going to 0:35:03.040 --> 0:35:08.320 increase excretion of oxalate. So just keep your calcium intake normal. Yeah, 0:35:08.600 --> 0:35:11.680 just don't overdo anything, but also don't under just don't 0:35:11.840 --> 0:35:15.440 do anything. Just lie. They're drinking water all day long 0:35:15.520 --> 0:35:18.840 and you might be Okay, that's right. That's all called 0:35:18.880 --> 0:35:22.799 primary prevention. Things you can do on the front end. Uh, 0:35:22.840 --> 0:35:26.719 if you have chronic kidney problems and kidney stones, then 0:35:26.760 --> 0:35:31.080 secondary prevention is, uh, that's when that's gonna come into play. 0:35:31.239 --> 0:35:33.719 And that basically means you're gonna be on medication. Then 0:35:33.719 --> 0:35:35.560 you're gonna be checking your pH in, your urine and 0:35:35.560 --> 0:35:37.799 stuff like that a lot. Yeah, And usually, like if 0:35:37.840 --> 0:35:39.839 you have eight kidney soon as your first one ever, 0:35:40.200 --> 0:35:42.279 they're probably not going to do a whole lot of 0:35:42.320 --> 0:35:46.239 investigative work. But if you start to show symptoms that 0:35:46.280 --> 0:35:49.040 you have chronic kidney stones, then they're gonna want to 0:35:49.080 --> 0:35:51.120 figure out what it is in your body, what it 0:35:51.200 --> 0:35:54.399 is in your diet, your lifestyle, your metabolism, whether it's 0:35:54.400 --> 0:35:57.600 a congenital disorder. Um, they're going to really kind of 0:35:57.640 --> 0:35:59.080 try to get to the bottom of it so that 0:35:59.120 --> 0:36:02.160 they can adjust you, either by meds or by lifestyle 0:36:02.160 --> 0:36:04.960 adjustments to make it less likely that you're going to 0:36:05.000 --> 0:36:08.680 produce any more stones. All right, should we talk about 0:36:08.680 --> 0:36:12.680 it now? Is it time? Sure? How we passed these things? No, 0:36:12.840 --> 0:36:15.560 you don't want to What are we talking about? How 0:36:15.560 --> 0:36:17.800 we passed the stones? Oh? How we passed them? I 0:36:18.000 --> 0:36:20.000 thought you said, are we passed it? I was like, 0:36:20.239 --> 0:36:22.520 we're still in the thick of it as far as 0:36:22.560 --> 0:36:27.640 I could tell. So when the stones are forming, You're 0:36:27.640 --> 0:36:29.279 not gonna feel much pain. You're not gonna even know 0:36:29.320 --> 0:36:31.840 what's going on. I don't care how in tune you 0:36:31.840 --> 0:36:33.560 are with your body. You're not gonna feel those little 0:36:33.560 --> 0:36:37.239 minerals getting together and having a party down there. Uh. 0:36:37.400 --> 0:36:40.560 When it detaches from the wall of the kidney or 0:36:40.600 --> 0:36:42.800 wherever it's meeting up, that is when you're going to 0:36:42.880 --> 0:36:45.800 start to feel the pain. You mentioned fever and chills 0:36:45.880 --> 0:36:50.040 that could certainly happen, and those spasms. I did mention 0:36:50.080 --> 0:36:52.719 that it might feel like a pulled muscle, And the 0:36:52.760 --> 0:36:56.360 spasms are pretty you know, chronic, like one to four 0:36:56.520 --> 0:36:59.799 spasms an hour of them trying to shake that thing loose. 0:36:59.840 --> 0:37:02.760 And I have a feeling that's about all the kidney 0:37:02.760 --> 0:37:07.239 can manage, because it's probably doing about all I can. Yeah, 0:37:08.239 --> 0:37:12.240 and then once his kidney stones have moved on from there, 0:37:12.280 --> 0:37:17.200 that's kind of the worst part. Yeah, well that's comparatively 0:37:17.280 --> 0:37:19.839 speaking from what I can tell, it's the worst part. 0:37:19.920 --> 0:37:23.640 It still gets pretty bad. Um And by the way, 0:37:23.840 --> 0:37:28.360 big shout out to umu Urology of Greater Atlanta for 0:37:28.480 --> 0:37:31.920 spelling this out for us. But um they say that 0:37:31.960 --> 0:37:35.880 once you once you hit stage two, it's reached your eurrotors, 0:37:35.920 --> 0:37:39.000 and yes, you'll probably be like, Wow, that kidney pain 0:37:39.080 --> 0:37:42.160 was pretty bad. This is not that bad compared to it. 0:37:42.200 --> 0:37:44.879 But if the average person just went into urin or pain, 0:37:45.440 --> 0:37:49.440 kidney stone pain, they would probably you know, big for 0:37:49.480 --> 0:37:52.040 you to lay on them with a pillow on their face. Yeah, 0:37:52.040 --> 0:37:54.800 that's an eight or nine. When they ask you that 0:37:54.800 --> 0:37:58.520 that awesome question. Yeah, and they're like, well, I don't 0:37:58.600 --> 0:38:00.480 understand the number you just said. Can you make the 0:38:00.560 --> 0:38:04.040 face on this chart? I always just say nine. That's 0:38:04.080 --> 0:38:06.560 my default, is it. I thought you had a high 0:38:06.840 --> 0:38:09.200 pain threshold. I do have a high threshold for pain. 0:38:09.280 --> 0:38:12.919 I just like to I like to shock the doctors, 0:38:12.920 --> 0:38:18.080 shock the doctor's um. So still, like I said before, 0:38:18.120 --> 0:38:21.200 the uritor is not flexible. It's a very narrow opening 0:38:21.800 --> 0:38:25.839 um and it itself has that kind of mechanism where 0:38:25.960 --> 0:38:31.400 it clamps onto the stone and tries to pulsate the 0:38:31.520 --> 0:38:34.600 muscles above it so that it pushes it down, and 0:38:34.680 --> 0:38:38.359 it occurs in spasms and waves as well. Finally, when 0:38:38.480 --> 0:38:41.759 this thing pops out into your bladder, that's when you 0:38:41.840 --> 0:38:45.080 might just not feel anymore pain, depending on the size 0:38:45.080 --> 0:38:48.680 of the stone, and if you don't have trouble passing urine, 0:38:49.239 --> 0:38:52.879 you're probably going to be able to pass this thing, uh, 0:38:53.440 --> 0:38:57.600 provided that it's it's smaller than the opening in your 0:38:57.680 --> 0:39:02.040 urethra um without any of their problems. The problem is 0:39:02.080 --> 0:39:05.280 is if you do have problems passing p that bladder 0:39:05.320 --> 0:39:07.720 can develop into a bladder, or that stone can develop 0:39:07.800 --> 0:39:10.400 into a bladder stone where it just sits there. It 0:39:10.400 --> 0:39:13.680 doesn't get passed out of there very easily, and um, 0:39:13.719 --> 0:39:15.839 it can get worse there, and then you can have 0:39:15.880 --> 0:39:20.600 a whole other advent of pain. Yeah. And and is 0:39:20.600 --> 0:39:22.480 that when you're talking when it's stuck in the urethra 0:39:22.680 --> 0:39:26.120 or just uh no, it can stay in your bladder. Yes, 0:39:26.200 --> 0:39:28.399 it can also get stuck in your eurethra too, because 0:39:28.400 --> 0:39:30.239 your bladder, from what I can tell, is definitely the 0:39:30.239 --> 0:39:33.799 biggest part of your whole urinary tract. Yeah, if it's 0:39:33.800 --> 0:39:38.279 stuck in your urethra you're you're you're close friends. So 0:39:38.360 --> 0:39:42.879 you're almost there, and you have to do what what 0:39:43.160 --> 0:39:46.440 sports teams talk about, which is trust the process, and 0:39:46.480 --> 0:39:48.600 that means every five or ten minutes you've got to 0:39:48.640 --> 0:39:51.040 go in there and give it another, give it the 0:39:51.040 --> 0:39:55.919 old college try, and it'll it'll come out. Apparently. Um, 0:39:56.320 --> 0:40:00.160 your urology of Greater Atlanta says that, Um, you need 0:40:00.200 --> 0:40:03.439 to push, and you need to push hard to get 0:40:03.440 --> 0:40:06.200 it to shoot out, and keep pushing until the stone 0:40:06.200 --> 0:40:09.719 shoots out into the bowl of your toilet. Or I 0:40:09.719 --> 0:40:12.040 guess if you go to a different neurologist into your 0:40:12.080 --> 0:40:14.800 little plastic mesh thing that you're prying into, that you 0:40:14.840 --> 0:40:18.640 could wear his a hat later on. Uh. I can't 0:40:18.680 --> 0:40:22.120 imagine that the relief one might feel when that thing 0:40:22.160 --> 0:40:24.839 finally plops into that toilet bowl. I can't either. There's 0:40:24.920 --> 0:40:29.120 surely are tears involved. Yeah, I mean tears of joy, 0:40:29.840 --> 0:40:32.680 all kinds of tears, tears of triumph. I would have 0:40:32.719 --> 0:40:36.719 a ceremony. I would throw a party. Yeah. What would 0:40:36.719 --> 0:40:38.480 you do to the stone then? If you wouldn't get 0:40:38.480 --> 0:40:41.040 it made into a grill, I just put it in 0:40:41.080 --> 0:40:44.239 a little form alde high jar and wear it around 0:40:44.239 --> 0:40:46.680 my neck on a chain. Okay, I like that one too. 0:40:47.360 --> 0:40:48.880 I mean the girls a little gaudy. I think a 0:40:48.960 --> 0:40:52.799 necklace is more appropriate. Um. Do you want to talk 0:40:52.800 --> 0:40:56.759 about history? Yeah? I mean this is always fun. Um. 0:40:56.760 --> 0:40:59.839 Obviously there's been kidney stones since the beginning of time, 0:40:59.840 --> 0:41:02.840 and I just that's why I always love talking about 0:41:02.840 --> 0:41:09.200 old timey medicine, is because just the the confusion they 0:41:09.280 --> 0:41:12.960 all must have felt with with everything that happened to them, 0:41:13.000 --> 0:41:15.880 including something like this. Well, yeah, I mean think about it. 0:41:15.880 --> 0:41:19.239 If you're pre scientific, you would just you would feel 0:41:19.239 --> 0:41:21.359 like you were being punished for going in this if 0:41:21.400 --> 0:41:24.200 you had no idea what was going on. And there 0:41:24.239 --> 0:41:29.640 were surely countless untold numbers of human beings who experienced 0:41:29.719 --> 0:41:32.839 kidney stones before we had any idea what they were. 0:41:32.880 --> 0:41:36.480 But the fact that that you were standing there trying 0:41:36.520 --> 0:41:40.240 to pee this thing out, whether this was a hundred 0:41:40.280 --> 0:41:43.000 and fifty thousand years ago or a thousand years ago, 0:41:43.520 --> 0:41:46.040 some people would pass them, and there would be some 0:41:46.120 --> 0:41:48.359 curious types around. He would say, let me see that thing, 0:41:48.400 --> 0:41:51.040 what is that? Where'd that come from? And it started 0:41:51.040 --> 0:41:53.600 to get us to investigate and think about it, how 0:41:53.640 --> 0:41:57.319 to deal with these things. It's amazing. I think they 0:41:57.360 --> 0:42:01.160 found a mummy that clearly had kidney stones dated to 0:42:01.160 --> 0:42:06.120 what ce not bad uh. And then there's good old 0:42:06.600 --> 0:42:13.440 Alice Cornelius Celsus, who wrote a very very great detailed 0:42:13.520 --> 0:42:18.480 encyclopedia of surgical techniques of the time, which was around 0:42:18.560 --> 0:42:23.319 fifty c E. And this is like legit. He he 0:42:23.400 --> 0:42:27.799 really goes into pretty good detail about surgical removal uh 0:42:27.840 --> 0:42:31.640 incisions in the perennium and locating the stone with his 0:42:31.800 --> 0:42:35.120 fingers and holding it there with a tool and cutting 0:42:35.120 --> 0:42:37.799 it out and with been removing it. So it's it's 0:42:37.840 --> 0:42:40.479 one of the first I mean, I say it worked. 0:42:40.480 --> 0:42:43.600 I think that was about mortality rate, but I would 0:42:43.600 --> 0:42:46.640 say one of the first semi successful surgical procedures that 0:42:46.719 --> 0:42:49.680 people did right. And so this this it was called 0:42:49.920 --> 0:42:56.799 thought lithoto lithotomy with tutotomy um it uh ed makes 0:42:56.840 --> 0:42:58.560 a really good point that I think is easy to 0:42:58.600 --> 0:43:01.279 overlook that like if if this guy was writing this 0:43:01.400 --> 0:43:04.799 nearly two thousand years ago, and he was writing like, 0:43:04.960 --> 0:43:06.719 this is how you do this, and it seems like 0:43:06.719 --> 0:43:11.600 a pretty straightforward procedure, Like think about how much trial 0:43:11.760 --> 0:43:16.920 and error and terrible surgeries were performed to figure out 0:43:17.360 --> 0:43:21.600 how to perform that surgery to remove kidney stones. He 0:43:21.680 --> 0:43:25.560 wasn't first try nailed it, Yeah, nailed it right. And 0:43:25.600 --> 0:43:29.200 apparently up until the nineteenth century, the mortality rate for 0:43:29.239 --> 0:43:33.680 a lithotomy was still around a quarter of people just 0:43:33.760 --> 0:43:36.799 died from that procedure. Which makes sense because in case 0:43:37.239 --> 0:43:40.960 you didn't notice, the perennium is the area between your 0:43:41.000 --> 0:43:43.760 growing and your anus, and that's what they were cutting 0:43:43.760 --> 0:43:47.120 into to get to your bladder to remove the stone. 0:43:47.760 --> 0:43:50.120 Which is weird because by that time you would think 0:43:50.480 --> 0:43:52.960 you'd already gone through the worst of it, so it 0:43:53.040 --> 0:43:56.200 must have been bladder stone. Specifically that this this surgery 0:43:56.280 --> 0:44:01.640 was for aging dr taint. So so that means then, Chuck, 0:44:01.719 --> 0:44:04.040 that you already went through the worst of the pain 0:44:04.400 --> 0:44:06.360 stage one and stage two. It finally made in the 0:44:06.360 --> 0:44:09.600 bladder and now they're cutting in your perennium to get 0:44:09.600 --> 0:44:11.640 it out of there. So I just wanted to make 0:44:11.680 --> 0:44:14.759 sure that if you haven't fainted from queasiness in this episode, 0:44:15.080 --> 0:44:19.319 we gave it one more chance. Okay, yes, I can 0:44:19.400 --> 0:44:22.520 uncross my legs. Now you got anything else? Nothing else. 0:44:23.239 --> 0:44:25.719 I don't have anything else either, And since I said 0:44:25.760 --> 0:44:31.080 that it's time for listener mail, uh, this is a 0:44:31.080 --> 0:44:32.440 fall out. We got a lot of good feedback on 0:44:32.440 --> 0:44:36.880 the dentistry episode. Um a theory on the worms. My 0:44:36.960 --> 0:44:40.239 name is Tony and I'm a dental nurse from London, UK. 0:44:41.360 --> 0:44:42.600 First of all, I have to let you know what 0:44:42.640 --> 0:44:44.920 a big phan. I'm in the podcast, have learned countless 0:44:44.920 --> 0:44:47.040 things and it always manages to perk me up on 0:44:47.040 --> 0:44:49.759 even the most mundane days. I decided to write in 0:44:49.800 --> 0:44:52.400 on the listener mail because you were talking about the 0:44:52.440 --> 0:44:56.440 Babylonians describing a toothache's toothworms, and wonder where the phrase 0:44:56.480 --> 0:44:59.000 came from. It's a complete guess. We'll likely never know 0:44:59.080 --> 0:45:00.920 for sure, but I do have a eerie When a 0:45:00.920 --> 0:45:05.640 tooth is broken, oh or extensively decayed, the nerve can 0:45:05.719 --> 0:45:09.200 sometimes become exposed, and not only is extremely painful for 0:45:09.320 --> 0:45:10.880 the person whose tooth it is, but the nerve it 0:45:10.920 --> 0:45:14.520 looks like a little pink string or worm. If you 0:45:14.560 --> 0:45:18.279 type into google tooth nerve or exposed tooth nerve you 0:45:18.280 --> 0:45:20.400 will find some images of what I mean. It's just 0:45:20.440 --> 0:45:23.319 a theory, but I hope it helps. Kindest regards from 0:45:23.360 --> 0:45:27.280 Tony in the UK, and I bet Tony is totally right. Yeah, man, 0:45:27.400 --> 0:45:30.759 that actually is a great guess. Like I, I subscribe 0:45:30.800 --> 0:45:34.839 to Tony's hypothesis because that's what those yokels did back then. 0:45:34.880 --> 0:45:37.560 They just said it looks like this, let's call it that. 0:45:37.760 --> 0:45:42.160 But dude, imagine your tooth being so broken that the 0:45:43.600 --> 0:45:46.600 nerve is just sitting there dangling out. I can't imagine 0:45:46.640 --> 0:45:50.080 how bad that would hurt. Josh for one of my 0:45:50.360 --> 0:45:54.719 three teeth, I bit into a chicken wing and my 0:45:54.760 --> 0:45:59.640 tooth broken half man, and your nerve was exposed. My 0:45:59.719 --> 0:46:01.520 nerve wasn't exposed. It actually didn't hurt at all. I 0:46:01.520 --> 0:46:03.720 stayed for the rest of the football game even nice. 0:46:04.719 --> 0:46:06.680 Uh it was it a Falcons game? Yeah, but I 0:46:06.719 --> 0:46:09.680 knew immediately this was the second one. I was like, man, 0:46:09.719 --> 0:46:11.279 I can't tell you what the words I said, but 0:46:13.160 --> 0:46:14.680 and I just kept my mouth shut the rest of 0:46:14.719 --> 0:46:18.279 the game and didn't I didn't even tell my friends, 0:46:18.280 --> 0:46:20.319 like you literally kept your mouth shut to like hold 0:46:20.360 --> 0:46:23.239 the tooth in place or something not holding place. But yeah, 0:46:23.239 --> 0:46:25.160 I kind of just kept my I mean I would talk, 0:46:25.200 --> 0:46:32.440 but I would generally keep my mouth close because boy, 0:46:32.760 --> 0:46:36.400 I had a sorry this is I can't not show us. 0:46:36.560 --> 0:46:40.160 I had a root. Now like this past spring, and 0:46:40.640 --> 0:46:44.600 the dentist or the the end of honest, did such 0:46:44.640 --> 0:46:47.200 a good job getting the nerve out of that particular tooth. 0:46:47.239 --> 0:46:49.319 It came out on one piece and I was like, 0:46:49.320 --> 0:46:50.759 can I see And they held it in front of 0:46:50.800 --> 0:46:52.920 me and it really did look like a tiny little 0:46:52.960 --> 0:46:56.360 white worm. So I really think Tony might be onto 0:46:56.400 --> 0:46:59.239 something there. I think you're right, Tony, Tony, then I well, 0:46:59.280 --> 0:47:01.760 thanks a lot, Tony. You with an eye in jolly 0:47:01.800 --> 0:47:05.640 old England. I believe jolly old England. And if you 0:47:05.640 --> 0:47:07.160 want to get in touch with us, like Tony with 0:47:07.320 --> 0:47:09.520 an I did, you can send us an email send 0:47:09.560 --> 0:47:15.799 it off to stuff podcast at iHeart radio dot com. 0:47:15.920 --> 0:47:18.200 Stuff you Should Know is a production of I Heart Radio. 0:47:18.680 --> 0:47:21.839 For more podcasts my heart Radio, visit the iHeart Radio app, 0:47:22.040 --> 0:47:24.960 Apple Podcasts, or wherever you listen to your favorite shows.