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June 19, 2026 38 mins

Like many huge discoveries, X-rays were accidentally stumbled upon. That serendipity led to a medical breakthrough still in use today. Learn about how X-rays are created and why they make such delightful images of our bones.

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Speaker 1 (00:01):
Hey, Chuck, you're almost done. Everybody with the science playlist.
I hope all of our egghead friends out there got
into this one. This one is I feel like quite
a while ago, but it's about X rays. It's called
How X Rays Work, and it's super nerdy and super fascinating.
Give it a listen.

Speaker 2 (00:20):
Welcome to Stuff you Should Know from HowStuffWorks dot com.

Speaker 3 (00:30):
Hey, and welcome to the podcast. I'm Josh Clark with
Charles W. Chuck Bryan as always, and there's Jerry over
there fiddlin around with stuff. So it's Stuff you should
know the podcast, not Stuff you should know.

Speaker 4 (00:42):
The movie.

Speaker 3 (00:44):
That's right, you know, we're sworn to secrecy about that.

Speaker 1 (00:47):
That'd be a good movie. That'd be a bad movie.

Speaker 3 (00:49):
I don't know, Man, it could go either way. I
always see I imagine it like Strange Brew.

Speaker 1 (00:55):
Oh yeah, yes, they could base it on the Stuff
you Should Know Tell All book I'm writing. Oh yeah,
that would be exciting.

Speaker 3 (01:03):
That would be very exciting to be I'm looking forward
to that book like.

Speaker 1 (01:06):
A Lifetime movie of the Week.

Speaker 3 (01:07):
Do you like switch people's names like am I Joe?

Speaker 1 (01:12):
Yeah, Joe Clack, Yeah exactly. Now it's sort of like like,
did you see the Say It by the Bell movie?

Speaker 4 (01:21):
Oh?

Speaker 3 (01:21):
Yeah, I didn't Screech write a book. It was based
on a book by Screech. Right, Yeah, wasn't it like
all sex and drugs and stuff?

Speaker 1 (01:28):
Oh it was, you know, it was a bunch of
teenagers in Hollywood, So sure there was some of that
in there, but it was I didn't read the book.
But the movie was bad and not nearly as sealacious
as he wanted it to be.

Speaker 3 (01:40):
Right. I remember a lot of people being disappointed, and
I remember, I mean, I recall the like two weeks
ago when people were talking about it when it came out.

Speaker 1 (01:48):
It's stunk. I'll watch Emily and I'll watch some of
those just terrible, terrible biopics occasionally on TV, and it's
it can be fun. Like we watched the who was
the one actor? Brittany Murphy? The Britney Murphy story?

Speaker 3 (02:04):
Oh really? Does she have a heck of a story?
Is she alive still or did she die?

Speaker 1 (02:07):
No, she passed away because under kind of weird circumstances,
because she and her husband both passed away within weeks
of each other.

Speaker 3 (02:14):
Weird.

Speaker 1 (02:15):
And there were all these strange claims that her house
was poisoned, that they were poisoned, and yeah, it was.
It was fun.

Speaker 3 (02:24):
What's your take on it?

Speaker 1 (02:25):
Oh? I don't know, just that the movie wasn't very good.

Speaker 3 (02:29):
Who played Brittany Murphy? Do you remember so many Bowen?
Wasn't it? No, she's in all of those.

Speaker 1 (02:34):
Someone who didn't look very much like Britney Murphy, Julie Bowen.

Speaker 3 (02:38):
But I was right.

Speaker 1 (02:39):
The Ashton Kutcher guy was pretty good, though, I.

Speaker 3 (02:41):
Gotta say Steve Jobs played him.

Speaker 1 (02:43):
They should have just gotten Ashton Kutcher to play himself.

Speaker 3 (02:46):
He's not doing much. He's on what two and a
half Men?

Speaker 1 (02:48):
I don't know.

Speaker 3 (02:49):
That's got to require fifteen minutes of work a week.

Speaker 1 (02:51):
He's selling cameras.

Speaker 3 (02:53):
Do you remember when that whole two and a half
Men thing was going down? We were in La and
for the one and only time in my entire life,
I see John Cryer that day.

Speaker 1 (03:01):
Oh, during the Charlie Sheen mel.

Speaker 3 (03:03):
Meltdown like the day of the meltdown, like it happened
at night. And within eight hours I saw John Cryer
for the first time in person at a McDonald's. Did
gel ducky No, I left him alone he looks stressed out.

Speaker 1 (03:16):
Well, yeah, he's probably like, my career is going down
the tubes, but little did he know.

Speaker 3 (03:20):
He's a survivor.

Speaker 1 (03:20):
Yeah, his career is just fun. Yep.

Speaker 3 (03:23):
So x rays. Yeah, that's what we're talking.

Speaker 1 (03:25):
About, right, Yep. That the lightest part of this podcast.

Speaker 3 (03:29):
I like this one. This one. It's one of those
things where if you can just hang on by your fingernails,
it can click and then you lose it again, but
that means that it could click again later on. That's
what I like about it.

Speaker 1 (03:43):
Good. I'll leave that to you. I got lots of
other stuff about it. Oh you do, but I totally understand.

Speaker 3 (03:49):
Good.

Speaker 1 (03:49):
Good.

Speaker 3 (03:50):
So have you ever broken anything and needed an X
ray or has it all just been dental stuff?

Speaker 1 (03:55):
You know it? Dude? Never broken a bone?

Speaker 3 (03:56):
Knock on wood?

Speaker 1 (03:58):
Yeah, I mean I've had my injuries were always stitches.
I was always getting busted open, oh yeah, rocks and sprinklers,
and I was always getting cut yeah and sewed back up.
But I never broke a bone.

Speaker 3 (04:11):
That's great. Yeah, you should probably knocking on old one
more time, just to be safe.

Speaker 1 (04:14):
Yeah.

Speaker 3 (04:15):
Uh so, Yeah, all of my X rays too, have
been like just going to the dentist or whatever.

Speaker 1 (04:19):
You never had a bone broken.

Speaker 3 (04:21):
I don't want to say, because I don't even know
if knocking on wood will.

Speaker 1 (04:24):
Do it on lambin at ikea.

Speaker 3 (04:25):
That would just be so horribly interesting if both of
us broke a bone after this.

Speaker 1 (04:32):
Yeah, and we're at the age where like you should
break bones when you're a kid, where you're like, eh, whatever,
I get a cast at this age, it's a drag.

Speaker 3 (04:38):
Yeah.

Speaker 1 (04:38):
Yeah.

Speaker 3 (04:39):
I remember reading like a Tom Clancy novel and like
some kid got an arm torn off or whatever, and
one of the surgeons was like, if the arm's in
the same room as the kid, it can be healed.

Speaker 1 (04:50):
Right.

Speaker 3 (04:50):
That doesn't hold true in you're Tom Clancy's age.

Speaker 1 (04:54):
No, So.

Speaker 3 (04:56):
You are familiar with X rays, so you've seen them before,
you've watched er surely?

Speaker 1 (05:00):
Yeah, I mean I've had X rays for like the
dental ones like you said, and then just other various
like uh like chest X rays for sicknesses and things
like that, which I think may be a little frivolous,
to be honest.

Speaker 3 (05:12):
Yeah, and kind of dangerous really Yeah, conceivably sure, which
we'll get into later. But did you were you familiar
with X rays at all. Beyond that, did you know
that they were invented or discovered accidentally?

Speaker 1 (05:24):
Yeah? I did know that.

Speaker 3 (05:26):
I did not.

Speaker 1 (05:26):
That's one of the few things I know. I saw
a little like Quickie short on some like it might
have been actually Science Channel.

Speaker 3 (05:32):
I looked all over. The most I could find was
a dude on Siemens just describing it in the most.

Speaker 1 (05:39):
Flat affect I've watched.

Speaker 4 (05:43):
Video.

Speaker 3 (05:43):
Yeah. I got to five and five wouldn't load, and
I was like, forget this.

Speaker 1 (05:46):
Yeah, if I've never loaded for me. I watched the
other fourteen though, and the whole time I was going, man,
these are a minute long, please join them all together
into one six minute video.

Speaker 3 (05:56):
No, it was so weird.

Speaker 1 (05:57):
Yeah, it was pretty silly, but he was he was good.
He was just very dry.

Speaker 3 (06:02):
Yeah, and they spent zero pennies on any kind of
soundtrack or anything like if he grabs papers, you hear
papers wrestling in a classroom. It was pretty straightforward.

Speaker 1 (06:15):
Yes, but that's a very wind about, roundabout way of
getting to it's discovery in eighteen ninety five by a
German physicist named Wilhelm Runtiken Nice, and he was testing
whether cathode rays could pass through glass, and he saw
that the fluorescent screen was glowing when he turned on

(06:36):
his electron beam, which wasn't a big deal, but he
was like, wait, this's got cardboard around it, right.

Speaker 3 (06:41):
There shouldn't be any visible light escaping, which is silly
to think of. Now, well, yeah it is, but you
have to put yourself in his shoes like X hadn't
been discovered because he was literally on the verge of
discovering them, right.

Speaker 1 (06:52):
Then, that's right.

Speaker 3 (06:53):
And yeah, so he was like, this is very curious
that this is fluorescing.

Speaker 1 (06:57):
Yeah, and he noticed other things were glowing, and eventually
he started putting other objects between the tube and the screen.
They glowed the screen dead. That is finally put his
hand there.

Speaker 3 (07:08):
I read his wife's hand.

Speaker 1 (07:09):
Oh really. He's like, either way, come.

Speaker 3 (07:12):
In here for a second. Yeah, I want you to
try something.

Speaker 1 (07:15):
And saw bones projected and then I guess probably poo
pooed his pants. It's a man, I think, come on
to something here. Yeah, it was really that quickly. He
was like immediately the application was clear. It wasn't one
of those things where it took twenty years. He's like,
hold on, you can see bones. This could be really helpful. Yes,

(07:35):
And he won a Nobel Prize very rightfully so, the
first one ever for physics. And he named him X
rays because he didn't know what the heck it was. No,
exactly like kind of signing your name.

Speaker 3 (07:47):
He'd probably right. I think he assumed that later on
future scientists would fill in the blanks, but they were like, no,
we're cool with X rays.

Speaker 1 (07:54):
Well, he probably thought that someone would eventually call it
like the Rundken ray or something.

Speaker 3 (07:59):
He wasn't much of a self promoter. He was just like,
all this calum X rays is a placeholder.

Speaker 1 (08:04):
And he didn't patent any anything, you know, he never
like made money off that.

Speaker 3 (08:08):
And then just his wife had hand cancer as a result.
Really no, oh, I was laughing, but no, she did.

Speaker 1 (08:15):
That would be their it was.

Speaker 3 (08:16):
It was just a joke. You can proceed with the laugh.

Speaker 1 (08:18):
Plus, I've never heard a hand cancer.

Speaker 3 (08:20):
It's gotta be out there.

Speaker 1 (08:22):
And then a couple of years later they were already
using it in the Balkan War. Was the first time
it was really put to practical use with the.

Speaker 3 (08:29):
First Balkan War, the one around World War.

Speaker 1 (08:31):
One was that well, No, eighteen ninety seven.

Speaker 3 (08:34):
Oh, that Balkan war. I didn't know that existed until
just now.

Speaker 1 (08:38):
Yeah, and they said we can see bullets and trapnel
and stuff now, which is helpful.

Speaker 3 (08:43):
It is extremely helpful. So, like this guy Runken discovers
X rays and their most practical application in one fell
swoop basically yep, And a little further study revealed the
X rays are actually just another part of the electromagnetic spectrum,
of which radio waves, microwaves what we call visible light. Yeah,

(09:08):
what else is on there?

Speaker 1 (09:09):
Well, I've got my handy wallet electromagnetic spectrum card. Yeah,
and X rays fall between gamma rays and ultraviolet rays
on that spectrum, which are all below. Well you say below,
I don't know if it's not really an above or
below situation visible light and then infrared, microwaven radio.

Speaker 3 (09:31):
Waves, so it would be a higher or lower frequency,
because that's how the whole thing's divided.

Speaker 1 (09:36):
Yeah.

Speaker 3 (09:36):
So, like the visible spectrum of light consists of electromagnetic
radiation that has a frequency a wavelength that our eyes
are sensitized to, so we can pick up visible light.
There's plenty of other stuff on the spectrum of electromagnetic
radiation and all of it is delineated by the frequency
the wavelengths. So at the highest end you have gamma rays.

Speaker 1 (09:59):
They're like, yeah, that means the squiggly line is very
close together exactly.

Speaker 3 (10:03):
And then on the farthest end you have radio waves
that are like.

Speaker 1 (10:09):
And that means the squiggly line is far apart exactly,
And that is called chuck science.

Speaker 3 (10:15):
That's good stuff.

Speaker 1 (10:16):
Yeah.

Speaker 3 (10:17):
So back of my wallet xtra, right next to the
what else you have in there?

Speaker 1 (10:23):
I just have my PAPS blue ribbon membership car, which
I actually do, do you really, Yeah, but I've had
it for like twenty years.

Speaker 3 (10:31):
Wow, when you got it when you're like seven eight?

Speaker 1 (10:34):
Yeah, you flatter me.

Speaker 3 (10:36):
So X rays fall, I guess we're about in the well, Yeah,
the higher and they have a higher frequency as far
as the electromagnetic spectrum goes. But the point is is
that it is ultimately the same thing. It's a it's
a type of electromagnetic energy that is carried on a photon,
which is a particle of what we would call light.

Speaker 1 (10:57):
Yeah, and we talked about photons a plenty in the show,
and the same like photons produce the visible light that
we can see. Photons blast out from the Sun. How
long does it take?

Speaker 3 (11:10):
Like it takes like one hundred thousand years to get
from the core to the surface and then like eight
minutes to get from the surface to Earth. That's right, man,
I love that fact.

Speaker 1 (11:19):
So this is the only part I understand, so I'll
lead with it. If you want to imagine an atom,
a nucleus of an atom and rings around that atiom
atiom that's a new word, an atom. As orbitals, when
an electron drops to a lower orbital, it releases energy

(11:39):
in the form of a photon.

Speaker 3 (11:41):
And the electron will always drop to the lower orbital.

Speaker 1 (11:44):
That's right.

Speaker 3 (11:44):
So like if an orbital is if an electron is
kicked off of a lower orbital, an electron in the
higher orbital goes yeah and drops down to that one.

Speaker 1 (11:52):
Yes, And depending on how far it drops, it's going
to determine the energy level of that photon.

Speaker 3 (11:57):
That's that it releases as energy when it drops, right, Yeah, Because.

Speaker 1 (12:00):
It doesn't have to drop more than one orbital, right,
you can skip down I don't even know how far,
but a long way.

Speaker 3 (12:06):
Yeah, it can. And like you said, the greater the
distance between the two orbitals or the greater the energy differential,
the greater the energy that photon when released will have.

Speaker 1 (12:16):
Right, that's right.

Speaker 3 (12:17):
And as we said, photons are the energy carriers of
the electromagnetic spectrum. And depending on that energy or the
frequency the wavelength of that photon, that determines what kind
of photon it is, right, whether it's a radio photon
or an X ray photon, or a photon that we
can see that's in the visible spectrum.

Speaker 1 (12:37):
That's right. Sometimes when these photons are flying around, they
will collide with other atoms, and sometimes those atoms absorb
that photon's energy and then kick it up to that
higher level.

Speaker 3 (12:50):
Again, right, But it has to be from what I understand,
and I saw that there's like of course it's science,
so there's like atomic science, so there's little exceptions. Did
this and that? Sure, But from what I could see, Chuck,
there is the energy of that photon has to exactly
match the energy differential between one orbital and another on

(13:14):
an atom so that it can kick it up, so
that it hits that one electron in the lower orbital
kicks it up to the higher orbital and thus transfers
its energy, which means that atom just absorbed that energy
that that photon was carrying. Right, But if it's a
little less, it's not going to have the energy to
kick that electron up, which makes sense to me, right.

(13:35):
But if it's a little more, this is what doesn't
make sense to me. It doesn't kick the electron up,
and then the photon carries on in a diminished energetic state.
It just doesn't do anything. It doesn't interact with that.
It has to be exactly, say, like the energy differential
between orbits is eight, so a photon has to have

(13:56):
an energy of eight or else it's not going to
do anything with that atom.

Speaker 1 (14:00):
That's right, Okay, And so depending on the well, let's
say you have a radio wave. They don't have very
much energy, so they can't move electrons between these orbitals.
They just pass through things. X rays are super powerful.
There's lots of energy, so they can pass through things,
which is key if you want to check out your

(14:22):
bones from outside of your body.

Speaker 3 (14:24):
It is and we're gonna explain exactly how right after this. Okay,
so we're back, Chuck, and you tantalized everybody by saying
that this difference in absorption is what produces X rays, right,
was that tantalizing? I was tantalized, okay, and I even
know it's coming, all right, that's how excited I am

(14:46):
about X rays.

Speaker 1 (14:47):
Good.

Speaker 3 (14:48):
So consider this, Like different atoms have different atomic weights,
they have different densities, they're just different, like different atoms are.
And atoms also have what are called differences in radiological density. Right, Okay,
So a really high energy, high atomic weight, very dense

(15:12):
atom is going to be able to absorb a lot
of energy. Smaller atoms that maybe are looser and have
a lower atomic weight are going to get kicked around
by any old photon that wants to come along.

Speaker 1 (15:26):
Yeah, and that's key. Like I said, if you want
to see bones because your soft tissue, if you've ever noticed,
when you have an X ray, you'll see the bones,
but you know the rest is sort of a grayish
black mess exactly because your soft tissue has smaller atoms.
Your bones calcium atoms are much larger, so they're going
to absorb those X ray photons.

Speaker 3 (15:47):
It's exactly right.

Speaker 1 (15:48):
They do it really well.

Speaker 3 (15:49):
Exactly. So imagine you have let's say, Chuck, let's go
back and hang out with tuk tuk. Right, oh, man,
let's get back in the way back.

Speaker 1 (15:58):
It's been a while.

Speaker 4 (15:59):
Okay, look at him over there.

Speaker 3 (16:10):
So here we are in France in this cave, Tucktook
has his hand up against the cave wall, as you'll see,
and in his other hand he's got that little straw
filled with pigment, red pigment. He's blowing it on his hand, right,
And now that he moves his hand away, there's the
outline of his hand.

Speaker 1 (16:30):
It's called a stencil, right exactly.

Speaker 3 (16:32):
He's just made an early stencil. He's like a banksy,
basically like a caveman banksy. But if you look at
the back of Tuktok's hand, don't get too close, but
look at the back of his hand, it's covered in
red pigment. Right, So if you can, if you want
to equate this to an X ray, the hand absorbed
all of that pigment, and the stuff that passed through

(16:55):
left the picture on the cave wall. That's kind of
what happens with an X ray, except with an X
ray photograph. The X ray photons are absorbed by the
denser calcium rich bones, yes, and they pass through the
softer tissue. So the picture that we have is the
outline the silhouette of the bones because the X rays

(17:17):
made it through the tissue. Didn't make it through the bones.
They made it through the tissue and onto the X
ray plate, which absorbed the picture in negative.

Speaker 1 (17:25):
That's right. And I'm glad you said picture, because that's
all it is. On the other side of the human being.
You know that they're shooting the X ray at there's
a camera and you're just gonna get a regular negative,
and they could make it a positive, but they leave
it as a negative because you really don't need the
positive image, right, And that's what they'll put on that

(17:46):
little screen to show you your cracked femur.

Speaker 3 (17:49):
Exactly, And they can see the crack because some of
those X rays will make it through the gap. That's right, right,
So all you're seeing is the result of X rays
that made it through the tissue. We're absorbed by the bone,
so those don't make it to the plate. The ones
that make it to the plate cause the chemical reaction
that gives you your negative, your X ray. And it's

(18:10):
it's pretty simple, really like if you think about it,
at least in principle. It's also extraordinarily difficult to conceive of.
But if you understand like the principle behind it, it
makes uttering complete sense.

Speaker 1 (18:24):
Yeah, And it's a pretty focused shot that they're using there.
It's not like they don't fill the entire room with
X rays. You know. They've got a thick lead shield
around the whole device and it you know, contains everything,
and it's got a little small window that's just gonna
let that narrow beam pass through through a series of
filters and basically hit you wherever they want to hit you.

Speaker 3 (18:47):
Yeah, And the reason that they use lead is because
lead is an extremely dense element, yeah element, yes, right, sure,
Oh gotta hope, so with a very high atomic no,
which means it can absorb tons of energy.

Speaker 1 (19:02):
Right, Yeah, that's why you're gonna wear a lead apron
if you're not you know, if you're getting your skull done,
you're probably gonna wear an apron on your chest. Let's say.

Speaker 3 (19:09):
Sure, so you're so, this lead is being bombarded with
X ray, photons and electrons and it's just taken it.
It's fine, and it's not being able to it's not
able to pass through because it doesn't have high enough energy.
But yes, they when they put that little window in
the X ray generating machine. It passes right through there
and a concentrated beam and Chuck, let's talk about the machine, right, So,

(19:35):
and this is basically what we use as X ray machines.
Is essentially what Routkin was, what Made was experimenting with
when he accidentally discovered them. Because if you look for
X rays like they're they propagate naturally. But I think
like twenty percent of the X rays on Earth come
from humans. Oh really, yeah, like we generate a lot

(19:56):
of X rays. They don't they don't come like you
don't find them normally on Earth. They're coming from outer
space to us. Okay, hence X ray astronomy. But the
ones here on Earth that are generated on Earth, it's
not like rocks put out X rays or something like that, right,
we do. We humans do. Humans and light aprons put

(20:16):
out X rays and they use this machine like root
Gin made.

Speaker 1 (20:19):
Yeah, what you have in the machine, and you have
an electrode pair, cathode and an anode and that's inside
a good old fashioned glass vacuum tube. Which it's amazing
how vacuum tubes are still like the best way to
do many of these things.

Speaker 3 (20:33):
Well, it it allows things to travel at the speed
of light easily.

Speaker 1 (20:35):
That's right, and allows guitar amps to sound great.

Speaker 3 (20:38):
I didn't know these vacuums in that. Oh is that
a cathode tube? Yeah?

Speaker 1 (20:42):
Yeah, like a like the best amps are still made
with vacuum tubes. You can get solid state amps, but
they're just the sound isn't as rich. So it's kind
of like this old technology that's still superior.

Speaker 3 (20:53):
Right. They're all pumped out by hand by a ninety
year old man in Tennessee.

Speaker 1 (20:57):
Mister Marshall. Yes, no, uh So. The cathode is a
heated filament, just like you might see in a light bulb,
and the machine's are gonna pass the current through that
and heat that thing up, and then it's gonna spit
electrons off that surface, and it's gonna hit a disc
made of tungsten, and it's gonna draw those across a tube.

(21:18):
It's basically the tube is sort of the key piece.

Speaker 3 (21:21):
Right, because you've got the positive and the and the
negative charge the cathode and the anode, right, Yeah, and
that difference that electrical charge draws as electrons down to
the anode.

Speaker 1 (21:34):
Yeah, with a lot of force.

Speaker 3 (21:36):
Yeah, And that force means that when those electrons hit
the tungsten anode, it knocks a bunch of electrons off,
creates a bunch of X rays in the process, and
you have a whole box filled with X ray radiation,
a box full of X rays. That's exactly what it is,

(21:56):
like you're just I mean, they might as well be
like a foot crank to this thing, like an old
sowing machine. For as technologically advanced as it is, there.

Speaker 1 (22:04):
May be for all I know, I don't know what
goes on in that other room.

Speaker 3 (22:06):
Right, Yeah, you know true, there's some dude in there
with like his right leg is three times more muscular
than his left leg because that's the only one who
uses So in addition, like I said, to X rays
being created, the other X rays, other photons can go
on and knock more electrons off. So you have what's

(22:28):
like a process of chain reaction starting.

Speaker 4 (22:30):
Right.

Speaker 3 (22:30):
It's not like one gets hit and then that's it
and a photon's created. It just hangs around until it's
beamed out. Right, You're just generating this huge amount of
X rays, and the X rays are also continuing to
propagate themselves because they're knocking more electrons free. And the
more free electrons you have, the more interactions you have, right, right,
So one of the ways that more electrons can be

(22:52):
knocked off. You don't even need a direct transfer of energy,
where a photon is absorbed or knocks an electron from
one orbit to another, or knocks it loose entirely. A
photon actually has this really cool capability of just orbiting
close by the nucleus of an atom, and when the

(23:12):
nucleus basically draws it into its orbit, the photon just
takes a hard left turn.

Speaker 1 (23:17):
Yeah, it just bumps it off its course.

Speaker 3 (23:19):
But even like the dodge viper has to like slow
down to take a left turn, slow a little bit, right,
just a little, just a little yeah. But that little
bit in photon world means a transfer of energy from
the photon outward.

Speaker 1 (23:35):
Yeah. Yeah.

Speaker 3 (23:37):
And then the photon, like the photon takes that left
turn and the energy is transferred to the atom.

Speaker 1 (23:43):
Yeah. And one of the byproducts. If this sounds like
it's gonna create a lot of heat, it's because it will.
And in order to combat this, they rotate this anode
to keep it. It would just melt down if you
kept it in place, and apparently there's a cool oil
bath that helps absorb heat as well, which I never
have heard of that either.

Speaker 3 (24:01):
It sounds oily a cool oil bat. Yeah, it doesn't
sound refreshing at all. It sounds like the opposite of refreshing.

Speaker 1 (24:07):
Yeah. Cool and oil don't really go together.

Speaker 3 (24:09):
No, Yeah, and I misspoke. That's an electron that can
be drawn into the nucleus of an atom, appropriately enough,
because they orbit nuclei anyway, right, But it doesn't have
to hook up with that atom. When it takes that
hard left, it emits the photon like you said.

Speaker 1 (24:25):
That's right, And like I said earlier, there's a camera
on the other side of the patient and it's going
to record that pattern of light when it passes through
the body. And it's not so different from a regular camera.
And then the injur're just gonna get a picture, like
I said, a negative image.

Speaker 3 (24:40):
Yeah. And if you hook it up with a computer
that allows you to take X rays basically in slices,
you can come up with commuter computerized tomography.

Speaker 1 (24:50):
Yeah, you aka CT, right, a CT scan exactly.

Speaker 3 (24:54):
If you use if you get a breast exam, you're
using a type of X ray called mimmography yep. And
then there's a fluoroscopy, which the man in the extraordinarily
dry presentation from Semens said was basically like moving picture.
It's like exactly, and then he showed us what the

(25:15):
movie is with a flip book, right.

Speaker 1 (25:17):
That old flip book trick.

Speaker 3 (25:18):
And if you listen to this podcast, I'm sorry. I
just want to apologize for both of us. Semens guy.
Oh yeah, like, hats off to you for doing that
at all.

Speaker 1 (25:29):
Yeah, because he's probably saying, well, at least I was
correct and everything I said exactly.

Speaker 3 (25:34):
It's a good point, sir. But with fluoroscopy, it's basically
like a movie of an X ray movie, and you
would do this to make sure like a heart is
beating correctly because you wanted to see it. But you
have to have an additional instrument because, as we've said,
X rays will pass through tissue like heart tissue and

(25:55):
muscle tissue and all and blood vessels and all this stuff.
You want to get pictures of you an X ray,
so you have to use something called the contrast media
for it.

Speaker 1 (26:03):
Yeah. A contrast agent is basically more dense than the
soft tissue. So if you want to let's say swallow.
It's usually like a barium compound. If you want to
examine like your blood vessels or your circulatory system, you're
sometimes they can inject that, or you might drink it
to see if you're doing like a gastro intestinal like

(26:24):
a GI tract. You're going to swallow that stuff, which
I've never had to do. I think my dad had
to do that. Yeah, I don't think it's super pleasant.

Speaker 3 (26:31):
I get the impression not too but my dad did
it as well.

Speaker 1 (26:34):
Yeah, it's an old guy thing, so I should be
getting one soon. And then it allows you, you know,
to see a moving image basically how that liquid is
if there's any blockage. There's all sorts of applications for it.

Speaker 3 (26:49):
Yeah, because you're that liquid has a high radiological density,
which means that the X rays don't just pass right
through your the tissue that it's being suspended in, like
your blood vessels, it absorbs it for it. So you
get a picture of your blood vessels, your circulatory system,
which is pretty cool. It's pretty clever. It's also extraordinarily

(27:10):
elementary and principle. That's right, my dear Watson.

Speaker 1 (27:13):
And that single picture, I think we you know, we
mentioned CT and mimography and all that and philoscopy, but
the single picture is just called standard radiography. And that's
when you're you know, taking a photo of your skull
right or your lungs or your bones or your teeth.

Speaker 3 (27:28):
And so so. Speaking of the lead apron thing, man,
it's always made me kind of nervous, Like if the
rest of my body has to wear a lead apron,
but you're shooting an X ray into my head, am
I going to be? Okay?

Speaker 1 (27:41):
Well, we'll answer that right after this message. Oh all right,
X rays are they bad for you? The answer is yes,
pretty unequivocally. But like all things, it's it's in moderation

(28:04):
is the key. In the nineteen thirties and forties and
into the fifties, they had X ray machines at shoe stores.
Oh yeah, they could X ray your feet to get
a better fit, and they didn't realize at the time
that they were X raying people way way too much.

Speaker 3 (28:20):
You had talkative kids in class, they just shoot them
with an X ray and with they no, they probably
did I've got you like twice, Well no, I believe that, Like, hey,
let's look at his brain.

Speaker 1 (28:30):
There may be a mouse running around inside of it.

Speaker 3 (28:33):
People in the thirties were dumb.

Speaker 1 (28:35):
Well, it's basically radiation sickness. It's a form of ionization
or ionizing radiation. So what can happen, Like if just
normal light hits an atom, is no big deal. But
when an X ray hits an atom, it knocks electrons
off of it creates an ion, which is an electrically
charged atom, and basically anything from cellular death to mutation

(28:59):
can happen at that point, and mutation can spread and
it can cause cancer.

Speaker 3 (29:03):
Right Because stable atoms are neutral, right, because they have
an equal number of protons and electrons. You lose an
electron all of a sudden, you have a positively charged
ion and that negatively charge electron running around and it
just causes trouble. And you said light. Visible light can
be absorbed and it's no big deal because visible light

(29:24):
exists on a wavelength that's about in tune with the
soft tissues of our body, right, So we know how
to absorb it and it makes us tan and that's cool, right,
But with these ionized atoms, these positively charged atoms like
going around in your body, it can cause a lot
of problems like mutations like cancer, right.

Speaker 1 (29:44):
Yeah, I mean if you break that DNA chain, that's
not good.

Speaker 3 (29:47):
No, it is. And one of the results is the
DNA can basically lose its ability to regulate itself and
the cell replicates more frequently than it should. All of
a sudden, you have a tumor on your hands, and
that can spread. It can also be a problem if
that DNA break occurs in utero, because then that can

(30:09):
lead to birth defects. Yeah, sure, which is why pregnant
women shouldn't get X rays yea. And it can also
just lead to plane old cellular death.

Speaker 1 (30:17):
Yeah.

Speaker 3 (30:17):
If you have cellular death, then the tissues that are
made up by those cells break down and you have
a problem on your hands with that as well.

Speaker 1 (30:26):
So here's the deal. We get exposed to radiation every
day just walking around on the planet. It depends on
where you live, but every year, the average person is
going to be exposed to anywhere from one to four
It's measured in milliseaverts per year. Like I said, depending
on where you are. I think in higher elevations it's

(30:47):
less than at sea level. So if you live in Denver, Colorado,
you're going to be exposed to less.

Speaker 3 (30:52):
Well, yeah, because of Death Valley, you're higher up in
the atmosphere and that makes a difference. Exactly, you have
less protection, right.

Speaker 1 (31:00):
Yeah, So you know, they what they want to do
medically speaking, they want to use, or they're supposed to use,
the minimum amount to achieve the pictures you need. It's
not like the old days where they're just like, let's
do twenty X rays. Yeah, like, let's do the minimum
amount we need to get the information that we need.
A CT scan can can get your you know, you

(31:23):
lay down in the tube and it rotates around you
and your whole body can be photographed in less than
five seconds these days. Nice, but you know there are
concerns if you get too many X rays still, like
a dental panorama. I think what I say, one to
four milisiverts per year.

Speaker 3 (31:40):
And it's cumulative too, you should yeah, like it's not.
It's not like you get one and then you know,
eight months later, you get another one in that first
one went away, Like it accumulates over the course of
a year.

Speaker 1 (31:52):
Yeah. So here's just a few examples of how much
radiation you're being exposed to with X rays. A dental
panorama is going to be point zero one milliseiverts, so
not very much like two chest X rays might be
point one mam or gram is around point four your
pelvis point six your back upper back maybe one point zero.

Speaker 3 (32:16):
I wonder why, because there's so incent bone there.

Speaker 1 (32:19):
Maybe yeah, maybe you have to do with exposure to Yeah,
that makes sense.

Speaker 3 (32:25):
I got a ton of bone in my upper back.

Speaker 1 (32:28):
A full CT scan, it depends on what you are.
It depends on what your X raying. But a CT
scan is obviously more like an abdominal or pelvis CT
scan could be as many as ten milliseiverts. Yeah, so
that's like up to two or three years worth of
radiation in a single CT scan, which can be problematic,

(32:49):
which is why they don't say get in the CT
machine like every other week. But you know some of
the reasons you might if you had a traumatic injury,
they're going to X ray you a lot of times
for disease confirmation. Go use an X ray machine during
surgery is a visual guide. Like if you do endoscopic surgery,

(33:09):
the surgeons actually needs to look at something, so sometimes
it was X rays for that or to monitor your
healing process. You know when you break a bone, it's
not just that first X ray. You're gonna keep getting
them to see how you're healing up.

Speaker 3 (33:23):
This is right out of the Semens video. Huh no,
uh uh okay.

Speaker 1 (33:29):
I don't think so. I mean I looked at so
much stuff all together, cumulative research.

Speaker 3 (33:34):
So I did a brain stuff on sieverts and how
many we can take. Yeah, and yeah, it's it's kind
of like it's a little alarming. Sure, how much radiation
we're exposed to. People who fly a lot too, are
exposed to tons of radiation because you're again higher up in
the atmosphere, so you're less protected by the atmosphere.

Speaker 1 (33:53):
Speaking of flying, and of course baggage that is X rayed.
The food industry uses X rays a lot. Are geologists
use it if they don't want to destroy an object
and they want to see what's inside. Or earth sciences,
I'll use X rays for rocks to see what kind
of mineral composition. So there's all sorts of applications. It's
not just medical space.

Speaker 3 (34:14):
Yeah.

Speaker 1 (34:15):
X ray telescopes out on satellites apparently you can see
a lot. You can see things you can't detect from
an earthbound telescope. Because X rays are absorbed by our atmosphere,
so you can't like shoot it into space like that.

Speaker 3 (34:29):
So this article makes a pretty good point if you
ask me. It says like, yes, X rays are like
are bad for you, and you should use them with
care and caution. And one good point is to always
ask if there's an alternative to an X ray, just
to basically say, hey, doc or Dennis, slow your role, Yeah,

(34:50):
is there another way we can get this information without
an X ray? I know it's the easiest, but whatever
the alternatives. But then the article makes the point like
it's still safer than and then the ultimate alternative, the
thing that X rays replaced, which was exploratory surgery.

Speaker 1 (35:04):
Yeah, and in the day, if they thought you had cancer,
they would cut you open and see yeah, and this
is definitely better than that.

Speaker 3 (35:11):
Yeah, or broken bone. Imagine getting that on cut open
just to see how yeah it's doing.

Speaker 1 (35:16):
They're like, no, it's not broken, right.

Speaker 3 (35:19):
And we haven't invented anesthetic yet.

Speaker 1 (35:21):
So good luck with your dentists, by the way, because
I always get the feeling that the dentists are like, no,
your insurance allows us to bill for so many per
year exact that's how many are going to get.

Speaker 3 (35:33):
These X rays are putting my kid through college. Yeah,
you got anything else on X rays? No, that was
a fine amount of stuff. I'm feeling good about it.
You feel good about this one? Sure? I do too.

Speaker 1 (35:43):
Yeah.

Speaker 3 (35:44):
If you want to know more about X rays, you
can check out this really informative article on HowStuffWorks dot com.
It's got some great diagrams that explain a lot of
the stuff we were saying visually. And you can type
x ray into the search bar at how stuff Works
and it'll bring that up. Since I said it's part,
it's time for listener mail.

Speaker 1 (36:04):
This is from my buddy Poppy in Vancouver. Stuff you
should don't listener that I met while I was there,
and Poppy as this is to say, he's got a
pretty cool job. He listened to the PTSD show and
wanted to write in about another option that he works with.
He's a registered acupuncturist in Vancouver with special training in
trauma and addictions. He's a program called Neurotrophic Stimulation Therapy

(36:27):
NTSD in A large part of the program uses ear
acupuncture and electro acupuncture to promote neuroplasticity in the brain.
He says, you can't necessarily directly fix the brain, but
you can stimulate the ear nerves and will help the
brain reregulate certain functionality so it can heal itself. He's
been treating trauma and PTSD patients for several years and

(36:49):
the evidence for his efficacy is high. It can be
done with acupuncture needles alone or in combination with a
mild electrical stimulation. Remember we talked.

Speaker 3 (36:58):
About transcranial electromagnetic stimulation.

Speaker 1 (37:02):
Yeah, transdermal cranial stimulation. He says that's one of the
things that he's also using to treat PTSD, which is
pretty cool wow. And he said it makes cognitive behavioral
therapies so much easier to introduce because it promotes neuroplasticity
and the results help a PTSD suffer to be more
open to and able to receive positive social programming. So
he has a program we want to promote. If you

(37:24):
want to see all the components in action in his program,
you can visit Lastdoor Recovery Society at lastdoor dot org,
slash ntst, or you can donate funds to help purchase
a brain scanner so that they can scientifically measure the
results of the program, which would really help show the
validity of the therapies. And if you're interested in helping

(37:45):
out Poppy's cause there because he's really big on treating
veterans in Canada. In the US, I shortened his little
URL to bitley bit dot l y slash one one
y n l Q and that is from Poppy and
he says, I'm mistay.

Speaker 3 (38:04):
Thanks a lot, Poppy, Is it Poppy with a oh
p O P P I nice. If you want to
get in touch with us, you can tweet to us
at s y s K podcast. You can join us
on Facebook dot com slash stuff you Should Know. You
can send us an email to stuff Podcast at HowStuffWorks
dot com. That's right, and as always, joined us at

(38:25):
our home on the web, stuff youshould Know dot com.

Speaker 2 (38:33):
For more on this and thousands of other topics, visit
HowStuffWorks dot com.

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