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Kidney Stones: No! Please, NO! · Stuff You Should Know

0:00
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1:11
Speaker 1: one in San Francisco, California. Welcome to Stuff You Should Know,
1:17
Speaker 1: a production of I Heart Radio. Hey you, and welcome
1:26
Speaker 1: to the podcast. I'm Josh Clark, and there's Charles w.
1:29
Speaker 1: Chuck Brian over there, and this is Stuff you should Know.
1:33
Speaker 1: I should say, Stuff you should now. It's a good one.
1:40
Speaker 1: Thank you. It was off the cuff, Chuckers. You ever
1:43
Speaker 1: had a kidney stone? No, let me. I guess it's
1:49
Speaker 1: not good enough. No, I haven't. I have not. How
1:51
Speaker 1: about you? I have it. I think I'll probably get
1:54
Speaker 1: one one day. Yeah, you just know it's in the
1:56
Speaker 1: cards for you. Yeah, I mean I've got I don't
1:59
Speaker 1: have like a bad kidney issues. But you know, when
2:02
Speaker 1: you get to be my age, certain organs starts saying, Hi,
2:05
Speaker 1: pay attention to me a little bit. Oh yeah, yeah yeah,
2:08
Speaker 1: And the kidney is one of those. But I'm not
2:10
Speaker 1: I'm not dying or anything. No, I know that. It's
2:13
Speaker 1: more just like, you know, what's it if if you
2:15
Speaker 1: got a inky kidney, you could conceivably get a kidney stone.
2:19
Speaker 1: For sure, that is certainly true. So, um, I, my friend,
2:24
Speaker 1: wish that you never ever, ever, ever get a kidney stone.
2:28
Speaker 1: I wish the same for Jerry. I wish the same
2:30
Speaker 1: for every person you know and like and love, and
2:33
Speaker 1: same for me. That's right. But wishes and dreams do
2:39
Speaker 1: not bear any weight here, my friend, because I think
2:42
Speaker 1: you got about a ten percent chance if you're living
2:44
Speaker 1: a human of having a kidney stone, and besides being
2:48
Speaker 1: super painful, they can kill you. About sixteen thousand people
2:52
Speaker 1: year die from kidney stones or complications that arise. Yeah,
2:55
Speaker 1: what a way to go, man, from kidney stones. And
2:57
Speaker 1: you're probably not going to die from your kid He's failing,
3:00
Speaker 1: because that would require both kidneys being blocked simultaneously so
3:05
Speaker 1: badly that they just shut down on you. That's probably
3:09
Speaker 1: not gonna happen. Um. But there's a lot of procedures that, um,
3:14
Speaker 1: that you would probably go through to treat a terrible
3:17
Speaker 1: kidney stone that that could kill you. An infection could
3:20
Speaker 1: kill you. There's all sorts of ways that could lead
3:22
Speaker 1: to bring about your death, and that would not be
3:24
Speaker 1: very pleasant. I agree with you. Yeah, they are I
3:27
Speaker 1: mean there's different kinds. We're kind of gonna kind of
3:30
Speaker 1: gonna go through them here, but they're generally classified in
3:33
Speaker 1: a couple of ways. Um, where they are and what
3:37
Speaker 1: kind they are, like how they were formed. They are
3:39
Speaker 1: all kinds of fancy schmancy doctor names for kidney stones,
3:45
Speaker 1: renal calculi, uh, euro lithiasis, But they're gonna call them
3:50
Speaker 1: kidney stones if it's a doctor that has an interest
3:53
Speaker 1: in being your friend. Right, So, Um, the where where
3:58
Speaker 1: they are, um is really important because they need to
4:02
Speaker 1: know where they are so they can help you figure
4:05
Speaker 1: out how to deal with these in the most particular way.
4:08
Speaker 1: And there's only like a certain number of places that
4:10
Speaker 1: a kidney stone is going to be. And Chuck, I
4:13
Speaker 1: looked high and low and could not find a definitive answer,
4:16
Speaker 1: as I saw some places that seemed to say all
4:20
Speaker 1: kidney stones are all stones start in the kidneys. But
4:25
Speaker 1: I also saw like little snippets here there that made
4:28
Speaker 1: it seem like there's other places stones can form shoulder blade, right,
4:34
Speaker 1: But regardless, that's my point. Regardless of where they form,
4:37
Speaker 1: they're going to form only in your urinary tract, which
4:40
Speaker 1: includes your kidneys, your eurotors, which are the tubes that
4:45
Speaker 1: take your pa from your kidneys down to your bladder,
4:48
Speaker 1: the bladder itself and then the urethra narrow or otherwise,
4:52
Speaker 1: which is where the peak comes out. Yeah, I'm gonna
4:54
Speaker 1: go ahead and say the eutors, they should have built
4:58
Speaker 1: those a little wider. Are not a lot of heartache. Yeah,
5:01
Speaker 1: because one of the one of the big problems that
5:04
Speaker 1: you're going to have if you get a kidney stones,
5:06
Speaker 1: you're your readers are like two millimeters in diameter and
5:09
Speaker 1: they're not very flexible. So when you're passing a hardened stone,
5:13
Speaker 1: a crystallized stone of mineral through that that's larger than
5:17
Speaker 1: two millimeters, it is going to cause some problems. Yeah,
5:20
Speaker 1: I'm sure that they didn't seem like they needed to
5:23
Speaker 1: be bigger at the time man and woman was created.
5:29
Speaker 1: But because all of it's going through, there's p but
5:32
Speaker 1: the lack of foresight on those stones is a big problem. Yeah.
5:36
Speaker 1: Tis tisk yahweh. That's that's right. So you've got stones
5:41
Speaker 1: in the kidney nephro nefro liths lith means stone. You've
5:46
Speaker 1: got your eur readero liths which are in the your readers,
5:49
Speaker 1: and again that's a really terrible place for them to be.
5:51
Speaker 1: And you've got sister liths which are in the bladder,
5:54
Speaker 1: and I guess by proxy that the urethra too, right,
5:58
Speaker 1: that's right. Uh, the ones in upper tract, those are
6:02
Speaker 1: gonna be, um, a little more problematic, generally a little
6:06
Speaker 1: more severe. Uh. If you're gonna get complications and long
6:09
Speaker 1: term problems, they're generally generally going to be because of
6:12
Speaker 1: those upper urinary tract stones. Um. But they're all, I mean,
6:17
Speaker 1: none of them. The only ones that aren't a big
6:20
Speaker 1: deal are the ones that are so tiny that you
6:22
Speaker 1: just and that's why I said that. You know of
6:25
Speaker 1: people probably thought I was joking, But you can urinate
6:27
Speaker 1: out kidney stones and not even though you ever had one,
6:29
Speaker 1: if they're small enough. Yeah, just pee yourself right now.
6:32
Speaker 1: There's a chance you just peet out a little tiny
6:35
Speaker 1: maybe a stone of some sort. But for the right
6:39
Speaker 1: when you do know that you have a kidney stone,
6:42
Speaker 1: though you really really know it. Um. And we'll talk
6:45
Speaker 1: about the process of passing a kidney stone later. But UM.
6:49
Speaker 1: The other way to to define a kidney stone, and
6:51
Speaker 1: usually they're going to be defined by location and then
6:55
Speaker 1: also in this other way, by composition, because kidney stones
6:58
Speaker 1: can be made up of a lot of different things. Um.
7:01
Speaker 1: But the upshot of them, Chuck, is that if you
7:04
Speaker 1: have too much of something in your p or two
7:07
Speaker 1: little p um or imbalanced p pH wise um, things
7:13
Speaker 1: can solidify that should be liquid. They can precipitate out
7:16
Speaker 1: of solution, and when that happens, it can start basically
7:19
Speaker 1: a snowball effect where more and more that stuff is attracted,
7:22
Speaker 1: and that's where your stone is formed. Yeah, I mean,
7:25
Speaker 1: it's just it's just mineral things that don't that can't
7:28
Speaker 1: be dissolved basically, and they like to have company. They
7:32
Speaker 1: like to get together with our other non dissolved friends
7:35
Speaker 1: and party together and hang out together. And pretty soon,
7:38
Speaker 1: if you get a big enough party, you're you're gonna
7:40
Speaker 1: be in some kind of pain. Yeah, you're gonna have
7:42
Speaker 1: a pain party for you. But I guess we should
7:45
Speaker 1: talk a little bit. This is sort of the about
7:47
Speaker 1: as wonky as we're gonna get in this next section,
7:50
Speaker 1: which is the makeup of these stones, and most of
7:54
Speaker 1: them are made up about six or calcium oxalate, and
8:00
Speaker 1: and that this is basically too much calcium or oxalate
8:03
Speaker 1: in your urinationary system, and it's you know, there are
8:06
Speaker 1: a number of things that can cause this, but they're
8:08
Speaker 1: generally all metabolic problems, although I think there's a little
8:12
Speaker 1: genetics involved with the calcium oxalate as well. Yeah, that
8:16
Speaker 1: seems to be my take on it too, that that
8:18
Speaker 1: genetics have a large role in whether you're predisposed to
8:22
Speaker 1: having kidney stones or not. Diet and lifestyle can definitely
8:26
Speaker 1: affect it. But it's like if you have hyper parathyroidism
8:30
Speaker 1: and you're absorbing calcium too much calcium from your bones,
8:35
Speaker 1: that probably doesn't have much to do with your diet. UM.
8:38
Speaker 1: And that's one way that you can have too much calcium.
8:40
Speaker 1: Your renal system might um not absorb enough calcium from
8:45
Speaker 1: UH into waste, and so there's more of it hanging
8:47
Speaker 1: around there than there should be. Um. There's a there's
8:50
Speaker 1: a few ways that it can happen, but the upshot
8:52
Speaker 1: of is either you have too much calcium or too
8:55
Speaker 1: much oxalate and they combine together to form would you say,
8:59
Speaker 1: like any percent of kidney stones, Yeah, that's sixty two
9:03
Speaker 1: eighty and I think the actually I don't have a
9:06
Speaker 1: percentage for struvite stones. UH. These are also called infection stones.
9:12
Speaker 1: And there you know, if you get a lot of
9:14
Speaker 1: U T eyes, you might be more prone to struvite stones. Um.
9:18
Speaker 1: Sometimes there's just some kinds of bacteria and if you
9:22
Speaker 1: match that up with the right uh metabolic condition that's
9:26
Speaker 1: going wrong, it'll they'll get together and cause struvite stones. Yeah.
9:29
Speaker 1: The struvite stones seemed to rely a lot on whether
9:32
Speaker 1: you're um like with if your your urine is out
9:36
Speaker 1: of balance pH wise, specifically that it's highly alkaline um,
9:41
Speaker 1: so it's above seven uh as far as pH goes,
9:44
Speaker 1: and that that combined with certain kinds of bacterial infections
9:49
Speaker 1: can can create that. It looks like stag horn seems
9:52
Speaker 1: to be the most common type, which I mean you
9:55
Speaker 1: do not want to mineral that fits the bill of
9:59
Speaker 1: stag or flowing through your urine. Yeah, you do not
10:03
Speaker 1: good at all. Uh. Then you have about ten percent
10:06
Speaker 1: or lesser formed by uric acid. And this is sort
10:09
Speaker 1: of you know, if you have problems with your uric
10:11
Speaker 1: acid or gout, uh, you're probably gonna have kidney suns
10:14
Speaker 1: at some point. Uh. You know, the gout diet is
10:18
Speaker 1: it's sort of the same triggers. They're high in what's
10:20
Speaker 1: called purins, shellfish, organ meats, any kind of meat really beer,
10:26
Speaker 1: for sure, Like those are all on the list of
10:29
Speaker 1: things that you don't want if you're trying to keep
10:31
Speaker 1: your uric acid and check. Yeah, because the uric acid
10:34
Speaker 1: is um metabolite of purine and um it crystallizes very easily.
10:41
Speaker 1: It can precipitate easily out of the P if there's
10:44
Speaker 1: too much of it, So yeah, that that can be
10:46
Speaker 1: a bad jam for sure. Um. There's also cysteine stones, cysteins,
10:51
Speaker 1: and amino acid. It's it's used throughout the body for
10:54
Speaker 1: a number of different ways. But unfortunately it's the least
10:57
Speaker 1: soluble amino acid, so that means that it can precipitate
11:01
Speaker 1: out of P fairly easily too. Luckily, those are kind
11:04
Speaker 1: of rare. Um. You actually have probably a UM a
11:08
Speaker 1: congenital disorder that causes sistine stones. But unfortunately that means
11:13
Speaker 1: you have a congenital disorder that causes stones, which means
11:16
Speaker 1: it's probably a chronic condition, right, And I think that's
11:19
Speaker 1: the same for the rare xanthine stones, right. Yeah. And
11:23
Speaker 1: xanthine is another purine or purine. It's found in caffeine, tea,
11:28
Speaker 1: and Cola's. And it occurred to me Chuckle was researching this,
11:31
Speaker 1: is that what Purina is trying to get across with
11:34
Speaker 1: their their brand name, that they're from chock full of purines. Um.
11:40
Speaker 1: Maybe I always kind of thought it was probably just
11:42
Speaker 1: a play on the word pure. Oh, it never occurred
11:46
Speaker 1: to me like that. I wonder maybe they're like, why
11:48
Speaker 1: can't it be both Josh and Chuck. Uh. And then
11:52
Speaker 1: there's of course the Infinity stones, which are a real
11:55
Speaker 1: problem for about half the population. Yeah, and one other
11:58
Speaker 1: thing also, um pass that one almost I'm glad I
12:04
Speaker 1: stopped and took a double take. Was that written down?
12:08
Speaker 1: I can't see your notes? That was no notes? Wow?
12:12
Speaker 1: That was good then, man, I think you just won
12:14
Speaker 1: the World Cup for in the off the cuff stuff.
12:17
Speaker 1: You should know joke, okay, battle, I'll take it. Um.
12:21
Speaker 1: One other thing about uric acid stones is that that
12:26
Speaker 1: um is kind of the opposite of strew vite stones,
12:28
Speaker 1: where your p s two acidic, like it'll burn right
12:31
Speaker 1: through metal if you pee on a car. Right, should
12:36
Speaker 1: we take a break, Yeah, we should take a break.
12:38
Speaker 1: I need to regroup after that huge win by you.
12:41
Speaker 1: Just we'll be right back and I'll say what I'm
12:43
Speaker 1: gonna say after this. Yeah, so I didn't know if
13:08
Speaker 1: you even I didn't think you watch those Marvel movies.
13:10
Speaker 1: I didn't know if you'd get that joke. Well, I
13:12
Speaker 1: mean like I'm I'm conscious, like I can form thoughts
13:15
Speaker 1: and observe like outside stimuli, So that means, yes, I'm
13:18
Speaker 1: familiar and aware with the Marvel cinematic universe and what
13:22
Speaker 1: goes on in it. Well, see, I would think if
13:24
Speaker 1: you didn't see the movies, you have no idea what
13:25
Speaker 1: an infinity stone is. No, No, I mean, well, obviously
13:28
Speaker 1: I've seen I guess I saw the one that you're
13:30
Speaker 1: specifically referring to where half half of everybody just like dissolves.
13:34
Speaker 1: I saw that, should say spoiler alert. Oh yeah, if
13:40
Speaker 1: you don't know that by now, come on, those are
13:41
Speaker 1: the biggest movies in the world. So thank you for
13:43
Speaker 1: defending me. Like, no apologies necessary, no accountability here. But
13:48
Speaker 1: you'll have to watch the second one to find out
13:49
Speaker 1: what happens after that. How about that, well, they come back.
13:56
Speaker 1: I haven't seen that one, but I'm just presuming there's
13:58
Speaker 1: no way to really much part in part two. Yeah,
14:02
Speaker 1: that's pretty funny. Yeah, I did not see the second
14:04
Speaker 1: one yet. I guess if you didn't like it much,
14:06
Speaker 1: you'd be like, well, am I going to spend another
14:07
Speaker 1: two hours and forty minutes? But because I did like it,
14:10
Speaker 1: I mean I was entertained and amused. I guess I
14:13
Speaker 1: just knew that at the very least everybody who was
14:16
Speaker 1: anybody was going to come back somehow. I didn't know how,
14:20
Speaker 1: but I guess I didn't really care how. I just
14:23
Speaker 1: want to strip you in a chair and uh like
14:25
Speaker 1: clockwork clockwork orange style and make you watch the Beatles documentary. No, alright,
14:33
Speaker 1: so back to regular kidney sounds right, yes, um so um.
14:38
Speaker 1: We kind of talked about how they formed, but it's
14:41
Speaker 1: worth just kind of saying one more time. It's basically,
14:43
Speaker 1: you've got stuff in your P minerals that that don't
14:47
Speaker 1: dissolve very easily, or there's too many of them or
14:49
Speaker 1: there's not enough P and they just go and they crystallize,
14:52
Speaker 1: and that's how it starts, and that kicks off this
14:55
Speaker 1: process um of where usually they form an actually in
15:00
Speaker 1: your kidney, but they can't form anywhere, but they'll hang
15:03
Speaker 1: on to like a little node in your kidney and
15:06
Speaker 1: start to nucleate. They're kind of like a snowflake. Ed
15:09
Speaker 1: helps us with this one, and he's like, it's like
15:11
Speaker 1: a snowflake basically growing um from like a little dust
15:14
Speaker 1: moat when it's cold enough. Yeah, and like you said,
15:18
Speaker 1: they don't always have to form that way. Sometimes they
15:21
Speaker 1: can just form free floating in your urine, just moving
15:25
Speaker 1: about the party. But they do better for sure when
15:28
Speaker 1: they're attached initially to something. When one when one little
15:32
Speaker 1: tiny particle hangs onto something like uh, I know Ed
15:36
Speaker 1: mentioned the renal papilla. Uh, those little projections and the
15:40
Speaker 1: kidneys papillia, that's a good place for them to get together. Uh.
15:44
Speaker 1: They may grow there for a little while, they may
15:47
Speaker 1: detach and then float away, but they also might attract
15:51
Speaker 1: friends at these attachment points, and that's when the problem starts.
15:54
Speaker 1: They're eventually going to detach, but they just like to
15:57
Speaker 1: congregate and like the cool area of the party. Yeah.
15:59
Speaker 1: And see you just said made me think like you
16:01
Speaker 1: could probably form a stone anywhere in your urinary tract
16:04
Speaker 1: that whole system, as long as there's a place for
16:07
Speaker 1: it to kind of clamp onto, or it's bad enough
16:10
Speaker 1: that they're just forming right in the middle of your urine,
16:13
Speaker 1: so it doesn't necessarily have to just be your kidneys. Yeah,
16:17
Speaker 1: and they look like I think ED had the perfect
16:19
Speaker 1: DESCRIPTI here, it looks like a little granola chunk granula. Yeah.
16:23
Speaker 1: Some of them look a little more um, mean and
16:26
Speaker 1: menacing than others. Some are even like smooth where you're like, jeez,
16:29
Speaker 1: I enjoy passing these. They make a very satisfying PLoP
16:34
Speaker 1: sound when they come out of the urethra um. But again,
16:37
Speaker 1: there's like stag horns, there's the widow maker, Um, there's
16:42
Speaker 1: the Judas Priest. They have terrible names, but they really
16:46
Speaker 1: kind of drive home how bad these things are. It's
16:50
Speaker 1: really the Judas Priest. Wouldn't never know doctors have a
16:54
Speaker 1: sense of humor with two of them? Wouldn't that be great? Though?
16:57
Speaker 1: So I would I would think it would be this
16:59
Speaker 1: like looks like the double horn fist. I was thinking
17:03
Speaker 1: it was gonna look like that metal eagle. Oh that too,
17:07
Speaker 1: the screaming eagle mm hm living after midnight. The metal
17:11
Speaker 1: fist sounds worse though, for sure. Well, anything, and you
17:16
Speaker 1: know this is the case with kidney stones, anything, And
17:18
Speaker 1: that's why the stag horns are so bad if it's
17:20
Speaker 1: the spikier. I mean, you don't have to be a
17:23
Speaker 1: doctor to tell someone that the spiky or something is
17:27
Speaker 1: the more painful. It's going to be, right. Yeah, they're
17:30
Speaker 1: describing your kidney stone too, and you're like, I didn't
17:33
Speaker 1: realize your doctor. They say, oh, I'm not a doctor.
17:34
Speaker 1: I just stayed at a holiday and expressed, yeah, anybody
17:37
Speaker 1: could tell you that. Uh so the pain that you're
17:41
Speaker 1: gonna feel like when you get diagnosed for a kidney stone,
17:44
Speaker 1: You're probably gonna go into the doctor after feeling uh
17:49
Speaker 1: sort of lower groin pain for a while, maybe in
17:52
Speaker 1: your lower back or side or abdomen, and you might
17:55
Speaker 1: be going, man, this is like I didn't pull my back.
17:57
Speaker 1: What's going on? And you may live with it for
17:59
Speaker 1: a little while just thinking it might be a pulled
18:02
Speaker 1: muscle or anything like that, or a strain groin even
18:05
Speaker 1: and then at some point, hopefully someone in your life
18:08
Speaker 1: is going to say you may want to go like that,
18:10
Speaker 1: maybe a kidney stone, get that checked out. You may
18:12
Speaker 1: want to get that checked out. One of the reasons
18:14
Speaker 1: I didn't understand this, but it makes total sense. One
18:17
Speaker 1: of the reasons why there's it feels so much worse
18:20
Speaker 1: than just your urit or or your kidney saying ah,
18:24
Speaker 1: is that there's a bunch of really important nerves that
18:27
Speaker 1: pass right through the kidney, right through that that notch
18:30
Speaker 1: that gives the kidney its characteristic shape. Because the celiac
18:34
Speaker 1: plassics plexus, the inner mesenteric plexus, the lumbar splank nick.
18:47
Speaker 1: I like the splank nick or the splank nick. Yeah,
18:50
Speaker 1: I like it too. I like the Celiac plexus though.
18:52
Speaker 1: It's got a pleasant, pleasant look to It's like cellar door. Yeah,
18:58
Speaker 1: you love cellar door. It wasn't just me. That's a
19:02
Speaker 1: Tolkien reference. He's I think he's said, I know, but
19:05
Speaker 1: you mentioned in London in the show, is what I mean.
19:07
Speaker 1: I just think it's such a great idea that somebody
19:09
Speaker 1: was like, I definitively say, this is the most beautiful
19:12
Speaker 1: word in the English language, and it just happened to
19:14
Speaker 1: be Tolkien. So like there's an extra little twist at
19:17
Speaker 1: the end there, and it was used in Donnie Darko,
19:19
Speaker 1: so it's a pretty pretty great little thing. I have
19:23
Speaker 1: my favorite word though. It's not sellar door. It's it's
19:26
Speaker 1: moist pus. No, it's the Beatles, and it's used in
19:30
Speaker 1: the Peter Jackson documentary The Beatles. Is it really that good?
19:35
Speaker 1: It's amazing. I mean i'd say this, you would hate it.
19:39
Speaker 1: But if you're a casual Beatles fan, it's probably not
19:42
Speaker 1: even for you. Or even if you're like, no, I
19:44
Speaker 1: like the Beatles, it's probably not even for you because
19:47
Speaker 1: it it's eight hours of just sitting in there, fly
19:49
Speaker 1: on the wall style, so you really got to be
19:51
Speaker 1: into Like did you see that look that George escaped
19:54
Speaker 1: Paul when he said that one thing? Like it's that
19:57
Speaker 1: kind of level. Yeah, I would not like that it
20:00
Speaker 1: at all. I've got I have a music documentary that,
20:03
Speaker 1: um you mean and I watched the other day. That's
20:05
Speaker 1: really good. Um it's on Sparks. Oh yeah, sure, I've
20:09
Speaker 1: seen that. You saw it. I loved I had never
20:11
Speaker 1: heard of Sparks. I didn't real Sparks existed. I'm actually
20:14
Speaker 1: I've been disappointed in myself ever since that I didn't
20:17
Speaker 1: realize they were a thing. But that is a great documentary.
20:20
Speaker 1: One of the things I like about it is not
20:22
Speaker 1: just their music, but just like how like naturally and
20:27
Speaker 1: genuinely positive they are without trying to be positive and
20:30
Speaker 1: also actually being kind of fiendish in their sense of humor,
20:33
Speaker 1: but they're still overall like very positive. It's pretty cool,
20:37
Speaker 1: pretty and I'll even go ahead and recommend even though
20:40
Speaker 1: I haven't seen it. It's on the list this week.
20:43
Speaker 1: I just got to get through the Beatles. Thing is
20:45
Speaker 1: the Todd Haynes Velvet Underground documentary. I hear it's just
20:48
Speaker 1: like ridiculously good, which I can't wait for because the best.
20:52
Speaker 1: I'm going to check that out. So that was documentary corner.
20:57
Speaker 1: I got my movie crush fixed. Well we should. We
20:59
Speaker 1: need to take care berets often drop our cigarette holders
21:03
Speaker 1: and get back to it. I think we were talking
21:05
Speaker 1: about those three nerves and they can cause uh nausea
21:09
Speaker 1: and vomiting because those three nerves run right through what's
21:13
Speaker 1: called the renal hillum and that's that little you know,
21:17
Speaker 1: if you look at a kidney or even a kidney
21:19
Speaker 1: being or kidney shaped swimming pool, you can imagine what
21:22
Speaker 1: it might look like a little notch inside that curve,
21:25
Speaker 1: and all three of those nerves run right in there.
21:27
Speaker 1: So if you're kidney is uh inflamed or spasming or something,
21:32
Speaker 1: it's going to be tweaking those things like piano strings. Yeah,
21:35
Speaker 1: and spasming is right, you just said the magic word,
21:37
Speaker 1: because your kidney is well aware that it has something
21:40
Speaker 1: that shouldn't have in it, and it actually has a
21:43
Speaker 1: way to take care of that, and that is by
21:45
Speaker 1: spasm ing it out, trying to push it out. The
21:49
Speaker 1: kidney does that, and so do your your readers. UM,
21:53
Speaker 1: and your your reader actually like clomp down around it
21:56
Speaker 1: and try to squeeze it out through spasms. So kidney
22:00
Speaker 1: pain is typically associated with UM basically the worst pain
22:04
Speaker 1: you could ever experience. I think, UM, people have given
22:07
Speaker 1: birth before, UM who did it without any kind of
22:11
Speaker 1: drugs say, Nope, kidney stone is actually worse than that. UM.
22:15
Speaker 1: And what's great is everybody can share in the fun
22:19
Speaker 1: of a kidney stone. Did you see what Ed's friend
22:22
Speaker 1: called it? Yeah? Ed has a friend who had kidney
22:25
Speaker 1: stones instead. It was like giving birth to a knife. Right.
22:28
Speaker 1: That kind of says it all. It really does. UM,
22:31
Speaker 1: the worst of it from what I've seen. I found
22:34
Speaker 1: uh urology website, UM, and it's basically says the two
22:39
Speaker 1: worst by far is when it's in the kidney and
22:42
Speaker 1: then when it's in the your reader, and apparently when
22:45
Speaker 1: it's in the kidney it's even worse. That's the worst
22:47
Speaker 1: of all. But the upshot of it is, in addition
22:50
Speaker 1: to feeling nauseated for your back and your abdomen to
22:53
Speaker 1: hurt um, you're you're actually going to be experiencing pain
22:58
Speaker 1: in your kidney and your your reader as there pushing
23:01
Speaker 1: this thing out, and it comes in waves of pain
23:05
Speaker 1: called renal colic, and they will give you narcotics to
23:09
Speaker 1: take care of it. It's that bad. Yeah, yeah, the
23:13
Speaker 1: best feel good drugs available are coming your way, and
23:17
Speaker 1: they'll probably just barely make a dent. I don't know
23:20
Speaker 1: that that's true, but I'm really trying to drive home
23:22
Speaker 1: how painful kidney stones are. I wish one of us
23:26
Speaker 1: would have had it from experience. I'm actually glad that
23:30
Speaker 1: we aren't. Speaking from experience. I wish that person was,
23:33
Speaker 1: you know. Uh No, I'm glad we haven't had it.
23:37
Speaker 1: But I'll, you know, hopefully, over the next until we retire,
23:40
Speaker 1: I'll keep everyone up to date on whether or not
23:42
Speaker 1: to get kidney stones. Okay, all right, I think that's
23:45
Speaker 1: fair squatted land than kidney stones. Those are my two
23:48
Speaker 1: lifelong updates. What about your teeth. Don't forget your teeth. Well,
23:52
Speaker 1: everyone knows I got to get that tooth done again.
23:54
Speaker 1: So man, I just had a deep, deep cleaning on
23:57
Speaker 1: two of my teeth and it was not pleasant. But
24:00
Speaker 1: my period onist was great, um like, very nice and
24:04
Speaker 1: general and apologetic. Uh. And I think I'm better off
24:07
Speaker 1: as a result. I'm a better was that the rooting
24:09
Speaker 1: and scaling thing, I believe? So there was a gum
24:13
Speaker 1: treatment sort of yeah, and there wasn't like an incision.
24:16
Speaker 1: She didn't cut um. But they want me to do
24:19
Speaker 1: that again. Yeah. It's not fun at all, but you
24:23
Speaker 1: know that I'm done. It's done. I was about to say,
24:27
Speaker 1: as if it was any better, we should get back
24:28
Speaker 1: to kidney stones. But to get these things treated there,
24:33
Speaker 1: they are quite a few options, thankfully. Um. It depends
24:36
Speaker 1: on where it is, depends on how big it is. Uh,
24:40
Speaker 1: if it's in, if it's one of those uh your
24:42
Speaker 1: ead stones, They're probably gonna say pass it. It might
24:46
Speaker 1: even take a few weeks. But drink tons of water
24:49
Speaker 1: and see if you compete that thing out. Yeah, once
24:51
Speaker 1: it gets out of the kidney. Yeah, And I think
24:53
Speaker 1: if it's five millimeters or smaller. You got about a
24:57
Speaker 1: nine chance of passing that thing through a year, and
25:00
Speaker 1: and it goes down to between five millimeters and ten millimeters.
25:05
Speaker 1: And if you can eat and you can drink and
25:08
Speaker 1: you don't have a fever, they're probably going to send
25:11
Speaker 1: you home with some pain pills and some flow max
25:14
Speaker 1: to to relax your urethral sphincter so you can pee easier,
25:18
Speaker 1: and you're gonna pee all the time. And as it
25:21
Speaker 1: moves down into like your bladder, it's going to increase
25:24
Speaker 1: the pressure there because of the inflammation your bladders. So
25:26
Speaker 1: you're gonna have to feel like you have to pee
25:28
Speaker 1: all the time, even though you don't necessarily. But they're
25:31
Speaker 1: gonna send you home and be like, best wishes, best
25:34
Speaker 1: of luck, keep us posted. Let us know if you
25:36
Speaker 1: spike a fever something like that, Right, you're also going
25:40
Speaker 1: to get all kinds of tests, um, blood test urine tests,
25:44
Speaker 1: things like that, just to see like you may have
25:46
Speaker 1: more than one stone, um the identification of the stone.
25:50
Speaker 1: I mean there there could be a larger problem, you know,
25:52
Speaker 1: if we're talking about these metabolic imbalances, like if you
25:55
Speaker 1: may have chronic kidney stones or at least another one
25:58
Speaker 1: in the future. They want to kind of get you
26:00
Speaker 1: on the right tracks. So you're gonna do a lot
26:02
Speaker 1: of tests as well. Yeah, and um, one of you
26:04
Speaker 1: his friends used to get him a lot, and I
26:06
Speaker 1: think I didn't have a chance to ask him, but
26:08
Speaker 1: I think he might have outgrown him. I hope God willing.
26:12
Speaker 1: But I'm pretty sure he had to pee into like
26:15
Speaker 1: a mesh cup to catch the stone. And I realized, now,
26:19
Speaker 1: it's not not because he was a weirdo. It was
26:22
Speaker 1: because they wanted to analyze the stone. Because again, you
26:26
Speaker 1: can tell a lot about what is driving you to
26:29
Speaker 1: produce kidney stones if you can just look at it,
26:31
Speaker 1: because you can see what it's made of. Well, you
26:33
Speaker 1: can see what it's made of, and that'll tell you
26:35
Speaker 1: a lot. I think i'd want to keep mine. Well
26:38
Speaker 1: that's the other thing too. You got a pretty nice trophy.
26:40
Speaker 1: You could get a grill made with it. That's what
26:46
Speaker 1: I need on my fake front teeth. A couple of
26:48
Speaker 1: kidney stone, couple like stag horns, just sticking out, slicing
26:51
Speaker 1: into the back of your top lip. Uh. If they
26:55
Speaker 1: are larger, you're gonna need some more. Uh. What ED
26:59
Speaker 1: called direct intervention and that's pretty much says it all.
27:03
Speaker 1: They're gonna look at you with X rays. Uh, they
27:06
Speaker 1: might use an ultrasound. They're gonna find out exactly where
27:09
Speaker 1: that puppy is. They're gonna see if it's moving along
27:12
Speaker 1: or if it's kind of stuck in place, and uh,
27:15
Speaker 1: then they're gonna go to work. It's it's a little
27:17
Speaker 1: more expensive, but I would stay just by reading this.
27:21
Speaker 1: If it's an option, and if you can afford it,
27:23
Speaker 1: I would go to the uhle thought such a hard
27:27
Speaker 1: word to say with thought tripsy method. Yeah, because it's
27:31
Speaker 1: non invasive. It's all ultrasound. Like they use ultrasound maybe
27:36
Speaker 1: X rays to find and then they use ultrasound to
27:38
Speaker 1: break it up. And Chuck had produced the sentence that
27:41
Speaker 1: seems innocuous until you realize that if you read it
27:45
Speaker 1: like a monster truck ad announcer, it's really boss. Which
27:50
Speaker 1: one is it sounds without? Oh yeah, that's true. Yeah
28:02
Speaker 1: you should be a doctor. That'd be fun. I oh dude,
28:05
Speaker 1: everything would be called the Judas Priest whatever, right, I
28:09
Speaker 1: be like, this is a Judas Priest baby, Yeah, it's
28:12
Speaker 1: a Judas Priest fracture. We can fix that, no problem, Uh,
28:16
Speaker 1: if it's larger even than that, uh, like too large
28:20
Speaker 1: and I guess this is a Judas Priest album. Too
28:22
Speaker 1: large for lathot trip tripsy um or if they can't
28:27
Speaker 1: find it, maybe if it's like exactly where it is
28:29
Speaker 1: or you know, or maybe you don't have it available
28:31
Speaker 1: to you because of money or wherever you live. You
28:34
Speaker 1: can go to a uteroscopy and that is a little
28:39
Speaker 1: bit more invasive, but not surgery yet. That's when they're
28:42
Speaker 1: going to send a scope up through the urethra, probably
28:45
Speaker 1: not a lot of fun uh, into the bladder, into
28:49
Speaker 1: the uritor and then they capture it. It calls it
28:51
Speaker 1: like a little basket and they and they pull it
28:53
Speaker 1: out and then sometimes it is even bigger, they can
28:56
Speaker 1: use a laser to break it up and then pull
28:57
Speaker 1: it out right. But that's the key that your your
29:00
Speaker 1: reader you read roscopy is that they actually can remove
29:04
Speaker 1: the stones, whereas um. I think with lithotripsy man it
29:11
Speaker 1: is uh that they actually they go in there and
29:14
Speaker 1: break it up, and a complication would be is like
29:16
Speaker 1: it's kind of like that stupid Russian um satellite missile
29:20
Speaker 1: tests that they just did, remember where they created way
29:23
Speaker 1: more space chunk than there used to be. You're doing
29:25
Speaker 1: the same thing with the thought tripsy, where you're breaking
29:29
Speaker 1: up these stones, and so one of the complications can
29:31
Speaker 1: be like, now you've got a bunch of kidney stones,
29:33
Speaker 1: and yeah they're smaller, but not all of them are
29:36
Speaker 1: so small that you won't notice them, or that they
29:38
Speaker 1: won't necessarily cause an infection or something like that. Right,
29:42
Speaker 1: Or in the case of the Guinness record holder, the
29:46
Speaker 1: man in Indian two thousand four, this thing was and
29:48
Speaker 1: I looked up different kinds of sports balls, and the
29:52
Speaker 1: closest I could find was it was about the size
29:54
Speaker 1: of a shot put. What, Oh my goodness, five inches
29:58
Speaker 1: in diameter. I mean, it is never thought about it,
30:00
Speaker 1: like I even made that with my with my hands,
30:04
Speaker 1: and I think't thinking it's got to be circumference, it's
30:06
Speaker 1: gotta be that's no, it's diameter, because I went and
30:09
Speaker 1: looked too. But so for those people who have never
30:11
Speaker 1: seen a shop put and don't know what five inches is,
30:13
Speaker 1: that's like thirteen centimeters in diameter. Yeah, it's bigger than
30:18
Speaker 1: a softball. If you don't know what a softball is,
30:20
Speaker 1: it's about a regular grape fruitish size. Yeah, I would
30:24
Speaker 1: say so. Yeah, So obviously that was a surgical removal,
30:28
Speaker 1: which is the last the sort of the last line
30:32
Speaker 1: of defense is to get that surgery. And it's called
30:36
Speaker 1: this one's mine, percutaneous nephro lithotomy, nicely done, and that
30:43
Speaker 1: they make a little notch, a little incision in the
30:44
Speaker 1: lower back. And it's that they scope it out too,
30:47
Speaker 1: so it's not some huge, huge thing, but they use
30:49
Speaker 1: a thin scope into kidney, break it up again, remove
30:53
Speaker 1: the pieces. Uh. And we should mention too that some
30:56
Speaker 1: of these um, I think the uteroscopy is when they utero. Yeah, uteroscope. No,
31:04
Speaker 1: there's an extra vowel in there. It's not just me
31:06
Speaker 1: utero scoopy. Yeah, uteroscopy. Your read a roscarbe, you read
31:11
Speaker 1: a roscoe adding an extra vowel every time eventually pays off.
31:18
Speaker 1: You read a roscope. That is the one that, um,
31:22
Speaker 1: you still need anesthetic and you might eventually need a stint,
31:27
Speaker 1: which again goes back to my thing that the euritor
31:30
Speaker 1: should be bigger. Yeah, if they're putting in stints, that
31:34
Speaker 1: means that's the size that it should have been to
31:36
Speaker 1: begin with. Absolutely, then anything could just passed there, even
31:40
Speaker 1: a five inch diameter kidney stone from India. Should we
31:45
Speaker 1: take a break. I think we should take our second
31:47
Speaker 1: break and come back and talk about what I think
31:49
Speaker 1: everybody wants to know is how do you make this
31:51
Speaker 1: never ever happened to you? Okay, Chuck. So it's actually
32:19
Speaker 1: pretty simple unless you have some sort of congenital disorder
32:22
Speaker 1: that is producing chronic kidney stones in you, which is
32:25
Speaker 1: extremely sad and I feel very badly for you. Um,
32:30
Speaker 1: there's some really easy ways you can keep from probably
32:34
Speaker 1: ever getting a kidney stone in your entire life. Yeah,
32:39
Speaker 1: I mean, I know you think drinking water is a scam,
32:41
Speaker 1: but yeah, I remember you went on entire right years
32:46
Speaker 1: ago about how that whole drinking egg glasses of water days.
32:48
Speaker 1: But oh no, so that is drinking egg glasses of water.
32:51
Speaker 1: That the number was made up. I think drinking water
32:54
Speaker 1: is good, but the number of glasses is just totally
32:57
Speaker 1: like made up. Well, this is two liters per yeah,
33:01
Speaker 1: so that's a number it is. But there was a
33:03
Speaker 1: study that backed it up. Okay, they say the study
33:08
Speaker 1: that said if you drink a couple of liters of
33:10
Speaker 1: water a day, it resulted in a hundred and forty
33:12
Speaker 1: nine fewer stones per one thousand people, and it just
33:16
Speaker 1: makes sense, you know, to keep water flowing through your
33:19
Speaker 1: kidneys and flowing through your system and keeping everything nice
33:23
Speaker 1: and saturated, that it would help prevent the build up
33:26
Speaker 1: of those uh of those little particles, those minerals, right,
33:29
Speaker 1: because you've got enough p that those things, even the
33:32
Speaker 1: toughest um solubles, are going to stay in solution rather
33:36
Speaker 1: than precipitate out. But also one thing that's easily overlooked
33:40
Speaker 1: is when you drink a lot of water, water is
33:42
Speaker 1: pretty much across the board a neutral substance, so it
33:45
Speaker 1: actually helps maintain the pH balance in your body. And
33:49
Speaker 1: as we've seen, there's at least two different kinds of
33:51
Speaker 1: kidney stones you can get depending on whether you're urine
33:54
Speaker 1: is too acidic or two alkaline. And drinking a lot
33:57
Speaker 1: more water can make your urine a closer to neutral,
34:00
Speaker 1: which is a big big deal to Plus, it just
34:03
Speaker 1: mechanically helps flush awayte stuff before they get a chance
34:06
Speaker 1: to to really aggregate. Yeah, you can cut down on
34:11
Speaker 1: animal proteins, you can cut down your salt, you can
34:14
Speaker 1: cut down in your oxalate um. You won't find oxylating
34:18
Speaker 1: a lot of stuff, but it is uh there's a
34:20
Speaker 1: lot of oxalating spinach and apparently chocolate and rubar, but spinach.
34:25
Speaker 1: You know, how much spinach are you really eating? I
34:29
Speaker 1: didn't see how much it would take to really start
34:32
Speaker 1: to get into the danger zone with kidney stones. But
34:34
Speaker 1: I mean, but it's more one of those things. It's like, man,
34:38
Speaker 1: you just can't win. No matter how how good you're
34:41
Speaker 1: trying to be, how healthy you're trying to be, you're
34:44
Speaker 1: still it's gonna get you. Yeah, always gonna get you
34:46
Speaker 1: one way or another. Uh, that's what the shirt says.
34:50
Speaker 1: The calcium. You might think, well, if it's a calcium
34:53
Speaker 1: build up, then have less calcium. But that's a bit
34:56
Speaker 1: of a thing too, because oxalate is there and if
35:00
Speaker 1: you're if you're low on calcium, then it's going to
35:03
Speaker 1: increase excretion of oxalate. So just keep your calcium intake normal. Yeah,
35:08
Speaker 1: just don't overdo anything, but also don't under just don't
35:11
Speaker 1: do anything. Just lie. They're drinking water all day long
35:15
Speaker 1: and you might be Okay, that's right. That's all called
35:18
Speaker 1: primary prevention. Things you can do on the front end. Uh,
35:22
Speaker 1: if you have chronic kidney problems and kidney stones, then
35:26
Speaker 1: secondary prevention is, uh, that's when that's gonna come into play.
35:31
Speaker 1: And that basically means you're gonna be on medication. Then
35:33
Speaker 1: you're gonna be checking your pH in, your urine and
35:35
Speaker 1: stuff like that a lot. Yeah, And usually, like if
35:37
Speaker 1: you have eight kidney soon as your first one ever,
35:40
Speaker 1: they're probably not going to do a whole lot of
35:42
Speaker 1: investigative work. But if you start to show symptoms that
35:46
Speaker 1: you have chronic kidney stones, then they're gonna want to
35:49
Speaker 1: figure out what it is in your body, what it
35:51
Speaker 1: is in your diet, your lifestyle, your metabolism, whether it's
35:54
Speaker 1: a congenital disorder. Um, they're going to really kind of
35:57
Speaker 1: try to get to the bottom of it so that
35:59
Speaker 1: they can adjust you, either by meds or by lifestyle
36:02
Speaker 1: adjustments to make it less likely that you're going to
36:05
Speaker 1: produce any more stones. All right, should we talk about
36:08
Speaker 1: it now? Is it time? Sure? How we passed these things? No,
36:12
Speaker 1: you don't want to What are we talking about? How
36:15
Speaker 1: we passed the stones? Oh? How we passed them? I
36:18
Speaker 1: thought you said, are we passed it? I was like,
36:20
Speaker 1: we're still in the thick of it as far as
36:22
Speaker 1: I could tell. So when the stones are forming, You're
36:27
Speaker 1: not gonna feel much pain. You're not gonna even know
36:29
Speaker 1: what's going on. I don't care how in tune you
36:31
Speaker 1: are with your body. You're not gonna feel those little
36:33
Speaker 1: minerals getting together and having a party down there. Uh.
36:37
Speaker 1: When it detaches from the wall of the kidney or
36:40
Speaker 1: wherever it's meeting up, that is when you're going to
36:42
Speaker 1: start to feel the pain. You mentioned fever and chills
36:45
Speaker 1: that could certainly happen, and those spasms. I did mention
36:50
Speaker 1: that it might feel like a pulled muscle, And the
36:52
Speaker 1: spasms are pretty you know, chronic, like one to four
36:56
Speaker 1: spasms an hour of them trying to shake that thing loose.
36:59
Speaker 1: And I have a feeling that's about all the kidney
37:02
Speaker 1: can manage, because it's probably doing about all I can. Yeah,
37:08
Speaker 1: and then once his kidney stones have moved on from there,
37:12
Speaker 1: that's kind of the worst part. Yeah, well that's comparatively
37:17
Speaker 1: speaking from what I can tell, it's the worst part.
37:19
Speaker 1: It still gets pretty bad. Um And by the way,
37:23
Speaker 1: big shout out to umu Urology of Greater Atlanta for
37:28
Speaker 1: spelling this out for us. But um they say that
37:31
Speaker 1: once you once you hit stage two, it's reached your eurrotors,
37:35
Speaker 1: and yes, you'll probably be like, Wow, that kidney pain
37:39
Speaker 1: was pretty bad. This is not that bad compared to it.
37:42
Speaker 1: But if the average person just went into urin or pain,
37:45
Speaker 1: kidney stone pain, they would probably you know, big for
37:49
Speaker 1: you to lay on them with a pillow on their face. Yeah,
37:52
Speaker 1: that's an eight or nine. When they ask you that
37:54
Speaker 1: that awesome question. Yeah, and they're like, well, I don't
37:58
Speaker 1: understand the number you just said. Can you make the
38:00
Speaker 1: face on this chart? I always just say nine. That's
38:04
Speaker 1: my default, is it. I thought you had a high
38:06
Speaker 1: pain threshold. I do have a high threshold for pain.
38:09
Speaker 1: I just like to I like to shock the doctors,
38:12
Speaker 1: shock the doctor's um. So still, like I said before,
38:18
Speaker 1: the uritor is not flexible. It's a very narrow opening
38:21
Speaker 1: um and it itself has that kind of mechanism where
38:25
Speaker 1: it clamps onto the stone and tries to pulsate the
38:31
Speaker 1: muscles above it so that it pushes it down, and
38:34
Speaker 1: it occurs in spasms and waves as well. Finally, when
38:38
Speaker 1: this thing pops out into your bladder, that's when you
38:41
Speaker 1: might just not feel anymore pain, depending on the size
38:45
Speaker 1: of the stone, and if you don't have trouble passing urine,
38:49
Speaker 1: you're probably going to be able to pass this thing, uh,
38:53
Speaker 1: provided that it's it's smaller than the opening in your
38:57
Speaker 1: urethra um without any of their problems. The problem is
39:02
Speaker 1: is if you do have problems passing p that bladder
39:05
Speaker 1: can develop into a bladder, or that stone can develop
39:07
Speaker 1: into a bladder stone where it just sits there. It
39:10
Speaker 1: doesn't get passed out of there very easily, and um,
39:13
Speaker 1: it can get worse there, and then you can have
39:15
Speaker 1: a whole other advent of pain. Yeah. And and is
39:20
Speaker 1: that when you're talking when it's stuck in the urethra
39:22
Speaker 1: or just uh no, it can stay in your bladder. Yes,
39:26
Speaker 1: it can also get stuck in your eurethra too, because
39:28
Speaker 1: your bladder, from what I can tell, is definitely the
39:30
Speaker 1: biggest part of your whole urinary tract. Yeah, if it's
39:33
Speaker 1: stuck in your urethra you're you're you're close friends. So
39:38
Speaker 1: you're almost there, and you have to do what what
39:43
Speaker 1: sports teams talk about, which is trust the process, and
39:46
Speaker 1: that means every five or ten minutes you've got to
39:48
Speaker 1: go in there and give it another, give it the
39:51
Speaker 1: old college try, and it'll it'll come out. Apparently. Um,
39:56
Speaker 1: your urology of Greater Atlanta says that, Um, you need
40:00
Speaker 1: to push, and you need to push hard to get
40:03
Speaker 1: it to shoot out, and keep pushing until the stone
40:06
Speaker 1: shoots out into the bowl of your toilet. Or I
40:09
Speaker 1: guess if you go to a different neurologist into your
40:12
Speaker 1: little plastic mesh thing that you're prying into, that you
40:14
Speaker 1: could wear his a hat later on. Uh. I can't
40:18
Speaker 1: imagine that the relief one might feel when that thing
40:22
Speaker 1: finally plops into that toilet bowl. I can't either. There's
40:24
Speaker 1: surely are tears involved. Yeah, I mean tears of joy,
40:29
Speaker 1: all kinds of tears, tears of triumph. I would have
40:32
Speaker 1: a ceremony. I would throw a party. Yeah. What would
40:36
Speaker 1: you do to the stone then? If you wouldn't get
40:38
Speaker 1: it made into a grill, I just put it in
40:41
Speaker 1: a little form alde high jar and wear it around
40:44
Speaker 1: my neck on a chain. Okay, I like that one too.
40:47
Speaker 1: I mean the girls a little gaudy. I think a
40:48
Speaker 1: necklace is more appropriate. Um. Do you want to talk
40:52
Speaker 1: about history? Yeah? I mean this is always fun. Um.
40:56
Speaker 1: Obviously there's been kidney stones since the beginning of time,
40:59
Speaker 1: and I just that's why I always love talking about
41:02
Speaker 1: old timey medicine, is because just the the confusion they
41:09
Speaker 1: all must have felt with with everything that happened to them,
41:13
Speaker 1: including something like this. Well, yeah, I mean think about it.
41:15
Speaker 1: If you're pre scientific, you would just you would feel
41:19
Speaker 1: like you were being punished for going in this if
41:21
Speaker 1: you had no idea what was going on. And there
41:24
Speaker 1: were surely countless untold numbers of human beings who experienced
41:29
Speaker 1: kidney stones before we had any idea what they were.
41:32
Speaker 1: But the fact that that you were standing there trying
41:36
Speaker 1: to pee this thing out, whether this was a hundred
41:40
Speaker 1: and fifty thousand years ago or a thousand years ago,
41:43
Speaker 1: some people would pass them, and there would be some
41:46
Speaker 1: curious types around. He would say, let me see that thing,
41:48
Speaker 1: what is that? Where'd that come from? And it started
41:51
Speaker 1: to get us to investigate and think about it, how
41:53
Speaker 1: to deal with these things. It's amazing. I think they
41:57
Speaker 1: found a mummy that clearly had kidney stones dated to
42:01
Speaker 1: what ce not bad uh. And then there's good old
42:06
Speaker 1: Alice Cornelius Celsus, who wrote a very very great detailed
42:13
Speaker 1: encyclopedia of surgical techniques of the time, which was around
42:18
Speaker 1: fifty c E. And this is like legit. He he
42:23
Speaker 1: really goes into pretty good detail about surgical removal uh
42:27
Speaker 1: incisions in the perennium and locating the stone with his
42:31
Speaker 1: fingers and holding it there with a tool and cutting
42:35
Speaker 1: it out and with been removing it. So it's it's
42:37
Speaker 1: one of the first I mean, I say it worked.
42:40
Speaker 1: I think that was about mortality rate, but I would
42:43
Speaker 1: say one of the first semi successful surgical procedures that
42:46
Speaker 1: people did right. And so this this it was called
42:49
Speaker 1: thought lithoto lithotomy with tutotomy um it uh ed makes
42:56
Speaker 1: a really good point that I think is easy to
42:58
Speaker 1: overlook that like if if this guy was writing this
43:01
Speaker 1: nearly two thousand years ago, and he was writing like,
43:04
Speaker 1: this is how you do this, and it seems like
43:06
Speaker 1: a pretty straightforward procedure, Like think about how much trial
43:11
Speaker 1: and error and terrible surgeries were performed to figure out
43:17
Speaker 1: how to perform that surgery to remove kidney stones. He
43:21
Speaker 1: wasn't first try nailed it, Yeah, nailed it right. And
43:25
Speaker 1: apparently up until the nineteenth century, the mortality rate for
43:29
Speaker 1: a lithotomy was still around a quarter of people just
43:33
Speaker 1: died from that procedure. Which makes sense because in case
43:37
Speaker 1: you didn't notice, the perennium is the area between your
43:41
Speaker 1: growing and your anus, and that's what they were cutting
43:43
Speaker 1: into to get to your bladder to remove the stone.
43:47
Speaker 1: Which is weird because by that time you would think
43:50
Speaker 1: you'd already gone through the worst of it, so it
43:53
Speaker 1: must have been bladder stone. Specifically that this this surgery
43:56
Speaker 1: was for aging dr taint. So so that means then, Chuck,
44:01
Speaker 1: that you already went through the worst of the pain
44:04
Speaker 1: stage one and stage two. It finally made in the
44:06
Speaker 1: bladder and now they're cutting in your perennium to get
44:09
Speaker 1: it out of there. So I just wanted to make
44:11
Speaker 1: sure that if you haven't fainted from queasiness in this episode,
44:15
Speaker 1: we gave it one more chance. Okay, yes, I can
44:19
Speaker 1: uncross my legs. Now you got anything else? Nothing else.
44:23
Speaker 1: I don't have anything else either, And since I said
44:25
Speaker 1: that it's time for listener mail, uh, this is a
44:31
Speaker 1: fall out. We got a lot of good feedback on
44:32
Speaker 1: the dentistry episode. Um a theory on the worms. My
44:36
Speaker 1: name is Tony and I'm a dental nurse from London, UK.
44:41
Speaker 1: First of all, I have to let you know what
44:42
Speaker 1: a big phan. I'm in the podcast, have learned countless
44:44
Speaker 1: things and it always manages to perk me up on
44:47
Speaker 1: even the most mundane days. I decided to write in
44:49
Speaker 1: on the listener mail because you were talking about the
44:52
Speaker 1: Babylonians describing a toothache's toothworms, and wonder where the phrase
44:56
Speaker 1: came from. It's a complete guess. We'll likely never know
44:59
Speaker 1: for sure, but I do have a eerie When a
45:00
Speaker 1: tooth is broken, oh or extensively decayed, the nerve can
45:05
Speaker 1: sometimes become exposed, and not only is extremely painful for
45:09
Speaker 1: the person whose tooth it is, but the nerve it
45:10
Speaker 1: looks like a little pink string or worm. If you
45:14
Speaker 1: type into google tooth nerve or exposed tooth nerve you
45:18
Speaker 1: will find some images of what I mean. It's just
45:20
Speaker 1: a theory, but I hope it helps. Kindest regards from
45:23
Speaker 1: Tony in the UK, and I bet Tony is totally right. Yeah, man,
45:27
Speaker 1: that actually is a great guess. Like I, I subscribe
45:30
Speaker 1: to Tony's hypothesis because that's what those yokels did back then.
45:34
Speaker 1: They just said it looks like this, let's call it that.
45:37
Speaker 1: But dude, imagine your tooth being so broken that the
45:43
Speaker 1: nerve is just sitting there dangling out. I can't imagine
45:46
Speaker 1: how bad that would hurt. Josh for one of my
45:50
Speaker 1: three teeth, I bit into a chicken wing and my
45:54
Speaker 1: tooth broken half man, and your nerve was exposed. My
45:59
Speaker 1: nerve wasn't exposed. It actually didn't hurt at all. I
46:01
Speaker 1: stayed for the rest of the football game even nice.
46:04
Speaker 1: Uh it was it a Falcons game? Yeah, but I
46:06
Speaker 1: knew immediately this was the second one. I was like, man,
46:09
Speaker 1: I can't tell you what the words I said, but
46:13
Speaker 1: and I just kept my mouth shut the rest of
46:14
Speaker 1: the game and didn't I didn't even tell my friends,
46:18
Speaker 1: like you literally kept your mouth shut to like hold
46:20
Speaker 1: the tooth in place or something not holding place. But yeah,
46:23
Speaker 1: I kind of just kept my I mean I would talk,
46:25
Speaker 1: but I would generally keep my mouth close because boy,
46:32
Speaker 1: I had a sorry this is I can't not show us.
46:36
Speaker 1: I had a root. Now like this past spring, and
46:40
Speaker 1: the dentist or the the end of honest, did such
46:44
Speaker 1: a good job getting the nerve out of that particular tooth.
46:47
Speaker 1: It came out on one piece and I was like,
46:49
Speaker 1: can I see And they held it in front of
46:50
Speaker 1: me and it really did look like a tiny little
46:52
Speaker 1: white worm. So I really think Tony might be onto
46:56
Speaker 1: something there. I think you're right, Tony, Tony, then I well,
46:59
Speaker 1: thanks a lot, Tony. You with an eye in jolly
47:01
Speaker 1: old England. I believe jolly old England. And if you
47:05
Speaker 1: want to get in touch with us, like Tony with
47:07
Speaker 1: an I did, you can send us an email send
47:09
Speaker 1: it off to stuff podcast at iHeart radio dot com.
47:15
Speaker 1: Stuff you Should Know is a production of I Heart Radio.
47:18
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47:22
Speaker 1: Apple Podcasts, or wherever you listen to your favorite shows.