Learning About Lupus

Today, Doug Pike interviews Dr. Meera Subash about Lupus.

Episode Transcript

(00:01):
Remember when it was impossible to misplacethe TV remote right because you were the
TV remote for you. Remember whenmusic sounded like this, Remember when social
media was truly social? Hey,John, how's it going today? Well?
This show is all about you.On it a good die. This

(00:24):
is fifty plus with Doug Pike.Helpful information on your finances, good health,
and what to do for fun thatdie. Fifty plus brought to you
by the UT Health Consortium on Aging, Informed Decisions for a healthier, happier
life, and by Incredible. Ifa staine seems indelible, you haven't tried

(00:45):
Incredible And now fifty plus with DougPike. All right, welcome aboard fifty
plus, this week's edition of goodNews. Friday. I thought we were
out of the woods weatherwise, butnow, Lee, I'll check the forecast
earlier today. Whoopsie days A fiftypercent chance of rain for Sunday. Fifty

(01:08):
percent after all week long. Ihave nothing to see here now, I
don't worry about anything. You makeyour plans for Sunday and they're gonna be
fine. Fifty Sunday, I thinkit's thirty Monday, twenty Tuesday and ten
Wednesday. Some ridiculous little digression ordiminishing of the chance of rain for the

(01:34):
rest of the week. And that'sSoutheast Texas weather. There's really not a
darn thing any of us can doabout it. Whether it's good news Friday.
I guess the good news is there'snothing really crazy going on. I
don't I don't make outdoors plans.Wait, let me check that. Let
me rephrase. I might make outdoorsplans well in advance. I've actually got

(01:56):
a golf outing on the twenty thirdin my islander at this moment, but
I won't feel terribly comfortable about ituntil I don't know, we get maybe
to the twentieth or so. Theclubs are always in the vehicle, almost
always, so that's not the issue. It's just the weather. And this

(02:19):
one's a pretty good ways north ofHouston, so I'll be talking more about
that on my show this weekend.And it's yet another new course popping up,
and this one's pretty far up there. It's it's a road trip for
anybody who lives in Houston proper,and especially for me starting the journey from
sugar Land. I'll drive past justoff the top of my head, I'll

(02:44):
drive past about twenty golf courses thatI could name on the way to this
one. But this one's new andI want to see it, and it's
it's supposed to be a pretty niceplace. Speaking of good news and weather
news, that system over in theeastern Gulf of Mexico is going to stay

(03:04):
right in that little quadrant and driftits way lazily southward, moving into the
weekend, eventually losing steam as itpours over the western tip of Cuba and
encounters that phenomenon I talked about yesterday, something called conditions unfavorable for further development.

(03:29):
It'll it's a tropical depression now,I think, and then it will
become a remnant of a tropical depression, and then we'll quit talking about it
and go looking for something else.Nothing to see there. Let the hurricane
season begin. Here we go,right. The markets jumped up about a
full percentage point across the board thismorning. Last time I look to which

(03:51):
the price of oil said, holdmy beer, it's almost up two bucks.
About two hours ago, around seventyone fifty last time I looked,
after falling to just sixty eight dollarsor so a barrel only a few days
ago again. Thanks for nothing,mister President. This is just the most

(04:12):
concocted, unnecessary situation in the historyof petroleum and its byproducts. Speaking of
President Biden on this good News Friday, at least he didn't hurt himself when
he took a tumble a couple ofdays ago at the Air Force Academy.
He's got cognitive issues clear today,but at least Washington hasn't yet found need

(04:34):
to replace him with our vice president. My fear with her is that she'd
feel like she had to squeeze fouryears of her own different policies into the
two years before she might not evenbe that party's candidate for reelection. We've
already seen what two years of badpolicies can do to this country. So

(04:56):
I don't want I don't want roundtwo. I don't want bad politics two
point zero to come up anytime soon. We'll get there. Sliding it is
something good, something uplifting, andsomething cool. Well that's a pretty good
understatement. Here's the story of aman who was likely within an hour or

(05:17):
two from death when another man foundhim nearly at the top of Mount Everest
and saved his life. Malaysian guyA climber, part of many of those
groups of climbers that go up thereassisted by sherpa guides. That's the name
given them. It's also a verycommon last name in that region. And

(05:42):
those people have genetic superiority in theirability to live at high altitude and to
just function at high altitude. Youjust don't unless you're a superstar and you've
done it a dozen times, youdon't just walk up to the top of
Mount Everest without a shop to leadthe way. So anyway, Gelgi,

(06:03):
Serpa and another Chrpa find this guyat Death's door. I think they call
it the I don't know, somethinglike the Corridor of Death or death whatever.
But here he is hanging on toa rope and just very close to
freezing to death at twenty seven thousand, six hundred feet very thin air,

(06:27):
no oxygen, and average temperature abouttwenty two below zero. And those two
Gelgi and his friend assistant whatever youwant to call him, decided to shut
down their groups to sent and saythat guy Gelgie, there's there's evident there's
photographs and video of Gelgi and he'sgot that guy on his back, wrapped

(06:50):
up in a heated blanket, andhe carried that man downhill for six hours
to a place where he met upwith another shirt who carried the guy down
to an area accessible by helicopter,and from there he made it to a
hospital and is expected to recover.The Everest climbing community called it a rare

(07:15):
operation, which has to qualify asprobably one of the biggest understatements of the
entire year. Holy cow, theysay that guy's life, there's no question
about it. And that's an areawhere a lot of people die when they
climb. All right, well,I'll let you get us to the break
it's raining burritos back in the day, or the bear truth. It's raining

(07:36):
burritos CHIPOTLEI offering three hundred burritos everytime a player on either team hits a
three pointer during the NBA Finals.To get one, you're gonna have to
text a keyword that they will tweetout after every three pointer. I did
the research. The average number inall NBA games is about two dozen threes

(07:58):
a game, probably closer, probablyclose to that, I would think for
the Finals, because there's gonna bebetter defense and better offense played. I
don't think it's going to change eitherway, whether it's twenty or thirty.
That is a boatload of burritos onthe way out. US law Shield offers
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(09:33):
to perfection. This is fifty pluswith Dougpike. Welcome back Good News Friday
on fifty plus. The good newsin this upcoming segment is that we're going

(09:56):
to share some medical news. Thanksfor share the show with friends. By
the way, I do appreciate thatwe're gonna talk in this segment about a
disease that attacks your immune system.It can impact your skin, it can
impact your joints, even your organs. Talking about lupus, and it affects
about sixteen thousand newly diagnosed patients peryear in this great country of ours.

(10:20):
This one can be detected early,but it also can just pop up later
in life. And to explain,I'll bring in doctor Mira Subash, Assistant
Professor of rheumatology with McGovern Medical School. Welcome to fifty plus. Doctor,
Hi dog, thank you for havingme today. Thank you so much.
As with most of my interviews onconditions that aren't exactly household names household words,

(10:45):
kindly start with a definition of lupus. Please, what exactly is it
sure. So lupus is a chronicautioimmune disease, like you mentioned before,
causes systemic information in the body,can multiple organs. Essentially, you can
think about it as if your bodyloses its recognition of self and your body

(11:05):
starts causing damage to vital organs andincreasing inflammation. Yeah, like you said,
it can affect skin, joints,nervous system, even the kidneys.
So there's a wide range of howit could present. Is this genetic or
is it something we could pick upfrom licking door knobs or whatever. Yeah,

(11:26):
so I think the leading theory isthat several genes play a role in
the development of lupus, but therealso are environmental and hormonal influences. It's
not really something you can catch,you know, from your neighbor or your
loved one. It's not communicable,but there's definitely a genetic component. So
you know, I would say,get a good sense of your family's medical

(11:46):
history. If this is something inyour family, be sure to share that
with your doctor. Is loop issomething that would be it would be defined
as extremely painful or is it justinconvenient or Yeah, So it varies,
but typically there is some degree ofpain, whether it's you know, joint

(12:07):
pain or overall just generalized inflammation,right, yeah, inflammation. And then
a lot of times patients feel verytired, they have low energy levels that
may not feel like they want toeat. Um. So yeah, I
do often have to help work withmy patients to manage their pain. I
saw that lupus can be diagnosed early. What's the youngest case of what you're
aware? So there's actually a typeof lupus that's called neonatalph gosh, yeah,

(12:35):
yeah, and we we do ourvery best to detect this early early
in utero but um developing fetuses ofmoms who have known lupus of certain types.
We monitor babies before they're born,especially their heart make sure there's no
signs of neo natal lupus or heartblock. So it's probably the youngest and

(12:56):
um, you know, we diagnoseit majority play is of our women in
their childbearing years, but we canI've diagnosed it in the fifth or sixth
decadive lives as well. Holy mackerel. Oh, that's unfortunate. Certainly.
Is this something that once you've beendiagnosed, you're just living with it for
the rest of your life. Yeah, So Unfortunately, there's no cure for

(13:18):
lupe, but we have gotten soadvanced in the types of medications we can
offer that you know, quote unquoteput the brakes on your immune system so
you can live a healthy, normallifespan. UM, if you know this
is caught early and it's managed appropriately, and you find that a doctor you

(13:39):
really can partner with. You mentionedthat um child bearing women of childbearing age,
or kind of a primary target forthis condition. What about guy?
The only two people I know who'veever had lupas were women. Does it
hit men too? Yeah? Itdoes. It does hit men. I
think there are a few celebrities recentlywho have I disclose their diagnosis. But

(14:01):
men with lupus actually tend to havemore severe disease. Yeah, yeah,
yeah, yeah, But you're right, Typically it's it's women, and typically
women from communities of color too affectedmore Doctor Mirrasubash on fifty plus And for
those of us doing regular self exams, which we all should be doing,

(14:22):
what are the early symptoms of lupus. Yeah, so lupas can be quite
tricky to diagnose. I think onaverage it teaks about six years to get
a clear cut diagnosis from your physician. But if you start noticing, you
know, you're having low grade fevers, you're feeling more tired than usual,

(14:43):
you go out in the sun andyou notice your skin breaks out into a
rash, you're you know, kindof fun sensitive. UM, you might
have some new joint pain or jointswelling. These might be early typical signs
UM that would lead you to discussthem with your doctor. UM. More
often than not, Fortunately, wediagnose lupus after the kidneys already involved,

(15:03):
or income cases a patient has hada stroke at a young age. So
if you develop these symptoms early on, it's better to go in early and
discuss it with your primary cary doctorand they can get you over to a
rheumatologists. Now let's talk about thetreatments for lupus, and you mentioned that
they are far more effective than theywere even I would guess five or ten

(15:24):
years ago. What options are thereand how effective are they. Yeah,
so again I mentioned lupus is tothis regulation of the immune system. Immune
system isn't working means it isn't workingto the best of its ability. It's
there to protect you against infection byrecognizing things like bacteria and viruses and song

(15:45):
guy. But if it doesn't recognizeyour own sales, you get in trouble.
And so what we often will prescribeand treat patients with is our groups
of medications that are considered aminosuppressants.They put the breaks on your immune system
hypes with various side effect profiles.Pregnizone is often one of the first medications
that patients with lupus we'll start onbecause it's the one we have that is

(16:10):
the quickest acting. Okay, butit has some messay side effects. So
we try to get our patients onto one of these alternatives and follow them.
And surely there are side effects toshutting down our immune ship immune system,
right, you got to be carefulwith that, right. It's it's
a it's a balancing act that sowith regards to being on medications that put

(16:32):
the brakes in immune system, you'reat risk for particular infection. And you
know, this really came up duringthe height of the COVID pandemic. We
had to we had to balance therisk of our patients who are on these
medications and they are at higher riskfor complications due to COVID. So definitely
the infection risk is there and aswell as other other risk that we monitor

(16:55):
with labs every every four to sixmonths. We're down to about a minute.
Can you just give me an ideaat what point and about what age
we maybe should just get Is therea reason to get screened for it if
we're asymptomatic or do we just waitor what when do we come see you?
Yeah? Good question. So atthis time, I don't believe it's

(17:17):
routine practice to do screening if you'rea symptomatic Okay. I would say if
you listen to some of these symptomsand you know, maybe there's a family
history of LUPAS or autoimmune disease,and you're you're struggling with things like fatigue,
brain fog, the rash, maybejoint pain, it's worth bringing it
up with your primary care doctor.They can start to work up with some

(17:37):
basic labs, and if there's anythingsuspicious, they can refree you over to
a rheumatologist like me, who isa physician we special Latin treating patients with
lucas and other autoimmune cases. Well, that sounds good to me. Thank
you so very much, Doctor Mirrasubash On fifty plus. Very helpful and
very informational and a perfect fit forGood News Friday. The good news is

(18:00):
we can treat this, and that'sthat's always good news. Thank you so
much, m bye bye. Allright, speaking of ut Health and the
good people over there, like doctorSue Bush, the Institute on Aging is
there for specifically for us. We'renot going to be treating younger They are
not going to be treating younger peopleover there. They're not going to be

(18:22):
treating babies or toddlers or even middleaged people. UT Health Science Centers Institute
on Aging treats only US, onlyseniors, and everybody there is specially trained
in senior medicine. You go in, you tell them your symptoms, and
if they are indicative, perhaps somethingsuch as lupus, then they will do

(18:45):
the appropriate work to make sure thatgets diagnosed or not. And then if
it is a positive diagnosis, theywill start you on a treatment program that
is appropriate for someone our age thewebsite. Learn what they do and how
they do it and how well theydo it and have for so many years
now ut dot edu slash aging utdot edu slash aging. Now they sure

(19:14):
don't make them like they used to. That's why every few months we wash
them, check his fluids, andspring on a fresh cut a wax.
This is fifty plus with Doug Pike. All right, welcome back to Good

(19:36):
News Friday. On fifty plus,there has been a rare sighting in China.
This is good. I'm just gonnasay it's good news until I tell
you what it is. Then youcan figure it out for yourself. Very
rare sighting twice now in China,a rare anomaly and it's not a US
balloon spotted first in twenty nineteen,and a nature your reserve near Sishwan second

(20:03):
siding, and they got it onvideo actually of an albino panda bear that
is believed to be now five orsix years old. It's fur has actually
turned sort of a honey color,similar, according to the stories author,
to that of Winnie the Pooh,which whether it's still well. The earliest

(20:27):
photographed back from twenty nineteen, youcan clearly see that the bear is almost
pure white, a beautiful animal likea polar bear in the middle of China
basically, so that's kind of cool. That's good good wildlife news. A
rare sighting of a very extremely rareanimal, and I'm glad somebody got it

(20:51):
on video. I'm may go lookup the video. The only photograph at
the story was of the bear acouple of years ago, pardon me,
in his third appearance at the NationalSpelling Bee. This is also good news,
good scholastic news. Eighth grader devShaw from Largo, Florida earned fifty

(21:15):
thousand in cash and prizes for outspellingall the other nationally warranted clients. All
these not clients, contestants, peopleyoung people who had had traveled to this
one spot from all over the countrythinking they might be the one who finally
spelled a correct word and won thetitle. The word he spelled will pay

(21:40):
attention. This is a pop quiz. The winning word in the twenty twenty
three National Spelling Bee was semiphile.Samiphile, Can I have a definition?
Place? Yes? Samiphile, accordingto Wikipedia, is a plant or ant.
I looked it up because I knewyou were going to ask me that
plant or an all that prefers orthrives in sandy areas. Plants semi files

(22:03):
are also known as sama fights.They thrive in places such as the Arabian
Peninsula and the Sahara, and alsothe dunes of coastal regions, samo file.
Can I have the origin please?Yeah, it's an old word.
Okay, all right, are youready obscure word? Yeah? Psammo pH

(22:29):
I l e yes, that's correct. When did you look that up?
Just recently? Oh? I justI knew it? So full of bellogny.
You're so full of bellogny. Okay, Well, to see if you're
as smart as the eighth grader,I'm gonna throw one of the other words
at you then, because I knowyou looked that one up. I know
dog on, Well you did bathpittopmeter, bathipop meter or meter. You

(22:55):
can't type that fast bathup toop meter? Yeah, okay, uh b A
yeah sure th h yeah I ame b A t h y p I
t O T M E T eR. You want to take one more?

(23:15):
So there's a number of I don'twant to quit while you're almost ahead.
I want to Yeah, you youwere gonna next, you were gonna
get shister rakus. I have notype of spider. No not no,
it's not from arachnid, no,not at all. Or perioi perio ec

(23:37):
perioec. Don't look that one upeither. I know you're just scrambling.
You want to take a shot?Did you get it that? No?
Okay, it's p E R IO E C I. I play word
games on my computer. I doa million crossword puzzles I do. I
love word puzzles. And I havenever seen any of those five words.

(24:00):
The four he also spelled right.Another one a gagris, and you'd leave
the silent e out of that one, I'm sure, as I probably would
have. But yeah, I don'tknow what any of those words mean.
I'm not really sure I'm even pronouncingany of them correctly. But I'm fascinated
that there are young people in thiscountry who know how to spell all those

(24:22):
words. I don't know how.That's kind of like calculus in the real
world. You're not gonna have touse it unless you're a mathematician. And
I don't know many jobs for professionalspellers, especially with spell checks so common
and easily accessible. But there yougo, All right, how much time
to have left in this segment?Well, let's see you have about three

(24:44):
and a half minutes. Okay,let's go to the shorter little bits and
pieces for a second. I willdismiss the earlier two that you passed on,
and we'll go to three new ones. Things change, grad news or
badder up, batter up. Thiswas kind of weird and I'm not really

(25:06):
sure. I'll just read it.Homeowner in Minnesota confronts an intruder in his
house. This guy has come intohis house and he goes after this guy
with a baseball bat. Okay,that was and I quote, wrapped in
barbed wire and studded with screws andnails. This guy, he was ready

(25:32):
to defend himself without a firearm.Apparently he ends up fracturing the bad guy's
skull. The intruder could get upto twenty years in prison. But here's
where you got to start looking atstate laws about self defense. The homeowner
also was arrested and charged with something. I don't know what the charge was

(25:53):
exactly, but something that could gethim up to ten years. And if
somebody breaks in your house, Ikind of think all bets are off because
you don't know what their intention is, you don't know whether they're armed,
you don't know anything. Kind ofa that's kind of a glowing endorsement for

(26:15):
US law shield right there. Wouldn'tyou say, Okay, let's move on
shall we part me? The presidentof a university in Missouri. Now what
two minutes perfect heard a fourteen yearold kid heard the story of a fourteen
year old kid who had walked sixmiles. He walked six miles to get
to his eighth grade graduation, andupon hearing that story, the president of

(26:42):
this university in Missouri offered that kida full scholarship. I think that kid
probably has a pretty good future inwhatever field he chooses to study once he
gets through high school and onto thatuniversity. Anybody who would walk six miles
to make it the graduation? Wouldyou have done that? Will? No?

(27:03):
I didn't even I didn't even goto my own college graduation. This
is a high this is his middleschool graduation. I definitely wouldn't have gone
to that one. You wouldn't eveneven if if I, if I had
the option not to go. Wouldyou have written a written a bicycle?
Would you accepted a ride in alimo and showed up your eighth grade graduation
depends on in a limo? Who'ssending me the limo? Doesn't matter?

(27:26):
It's free? Well, it doesn'tmatter because what if they're gonna bad?
Yeah? What are they gonna takeme away or something. No, no,
no, this is a bona fideride to your graduation. Okay,
do it now? Would you youknow what I would have and I would
have called everybody I knew first thatthey watched for me. I'll be in
the limo popping out. I hada cool limousine experience in in San Francisco,

(27:51):
probably thirty five forty years ago,somewhere in there. It's been a
long time now. I was waiting. Was that a hotel? And I
need to go get somebody eat.I was there for a consumer trade show,
an outdoors consumer trade show, andI wanted to go get something to
eat. And I looked outside andI couldn't didn't seem like i'd ever be
able to get a cab because therewere limousines parked all around the block.

(28:14):
And so I asked this one guysaid, what's going on? Well,
there's a bunch of senators meeting hereand we're stuck here for about the next
four or five hours. Said,really, it's gonna make it really hard
for me to get a ride overto Fisherman's Wharf and go eat some delicious
fresh scallops. And he goes I'llgive you a ride, I said,

(28:34):
really. He goes, yeah,I got nothing to do for four hours.
I'll give you a ride over there, and then I will come back
and get you even cool. Sohe throws me in the back of the
limo. We drive over there.I eat lunch, and I'd said,
okay, I will get in andout of this restaurant in an hour and
twenty minutes. In an hour andtwenty minutes, I'll be standing on this

(28:56):
curb, he said, I'll bethere. And as I walked down to
the restaurant, will so help me? This limousine pulls up. The driver
hops out and runs around to theback passenger door opens it up for me,
like I'm somebody, and now everybody'slooking to see if I am somebody.
Probably mistook me for Brad Pitt,if I'd guess, And then I

(29:18):
hop in the lima who takes meback to the hotel and just seamless.
It gave the guy twenty bucks.He didn't even want to take it.
He said, no, I hadnothing to do. I get paid pretty
well. I said, no,really, it's the least I can do.
And back then twenty bucks would havebeen like given him fifty or even
a hundred. Now probably it wasvery cool. Speaking of cool, A
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(30:57):
dot com old guy's rule. Andof course women never get old if you
want to avoid sleeping on the couch. Okay, well I think that sounds
like a good plan. Fifty pluscontinues. Here's more with Doug who go

(31:22):
back Good News Friday on fifty plusand thank you all for listening. Bring
your friends next time, starting nextTuesday, when I'll be back in here
live again. Will, do youhave any idea what you're gonna present for
Monday's show? I'm not gonna behere on Monday. Really, heck are
you going? It's my birthday,so I'm taking the day off. You're

(31:45):
taking your birthday off? Yeah?A slacker, are you? Yeo?
Yeah? Devotion whatsoever to the brand? Be that way? Yeah? So
who's gonna produce cal Yeah? Ohwell that's an upgrade. There you go.
Take that. Take that. SoWill was telling me during the break

(32:05):
about some click bait he was lookingat and I got dragged right into it,
not by him, but just bymy own curiosity, and I would
have probably clicked on the same whatwas it? The like the worst,
the worst of hats and the worstof the worst of the worst. The
number what is it? Fifteen ofthem? What was number one? Word?

(32:28):
Number one? They they hated theTampa Bay Rays. Hat Now do
you still have that up now?Okay, then paraphrase if you will the
conclusions they drew about the Houston AstrosCaps and what was so terribly wrong with
it? I guess the thing thatI think that they just preferred the bagwell
bigio Berkman era hats, you know, of the red and gold star.

(32:52):
And I really have no idea becausethe other stuff that they wrote about it
was it was all positives, allpositive. That they were number twelve on
the list. Yeah, but nothingwrong, nothing wrong with the Caps or
it's starting a big dynasty in baseballand looks pretty fitting for the people around
there, and it matches the region. But it's the twelfth worst in the

(33:14):
entire Major League Baseball. No,I just just clickbait, speaking of I
got roped into one this morning.I wanted to tell you guys about and
clickbait seldom lives up to its hype, no matter what, whether it's bad
baseball Caps or in this case,pool noodles. If you ever stopped and

(33:34):
thought of the long list of otherthings you can do with pool noodles will
besides eat them well, but youhave to boil them for so long soften
them up. Honestly, let's notgo there. I have more to tell.
The first thing that I saw,and this is actually something that I
think any grandparent who has young grandchildrenshould consider. It's a very small investment

(34:01):
for what, at least in thephotograph looked like a really cool thing to
do with pool noodles. So firstyou go out and you buy about twenty
pool noodles. Okay, you cutthem in half, and then about maybe
five or six of those you cutinto probably well, let's say ten inch

(34:22):
pieces eight inch pieces. I'm notsure exactly how big they need to be
for this, Probably about eight incheswould be enough. And what you do
then is take all of those piecesand toward toward the middle of the eight
inch pieces, and on either endof the longer pieces, you cut square
notches to make them look exactly likewhat children's toy will on small, much

(34:45):
smaller scale. Think about that.What are you're going to cut a square
notch out of the top and asquare notch out of the bottom on either
end of that long pool noodle Lincolnlogs. Yes, this somebody came up
with this idea and they showed anexample of it. And this little kid,

(35:06):
the little boy looks to be aboutmaybe three years old, has built
himself a little fort out of poolnoodle Lincoln logs. And it's really cool.
It's not gonna get anybody hurt,and it's a reasonably inexpensive thing that
would keep them engaged for hours.I thought that was very cool. I

(35:28):
thought it was really just giant Lincolnlogs for toddlers. There were a bunch
more, but the creativity in thatone was a notch if you will above
the rest. Pretty cool. Theother one that also caught my eye and
would be cool is if you cutoff about it, maybe a twenty four
in a two foot piece of apool noodle, and then take your heavy

(35:51):
yard rake, not your little leafrake, but your heavy one and shove
those tines down into that pool noodle. Now you've built yourself your own little
squeegee to maybe squeegee the rain wateroff the back patio, or if there's
something spilled in the garage, youcan just push it out with that little
makeshift squeegee. Uh. The actualname on that thing was Unique Things to

(36:15):
do with a pool noodle. Gothere, you won't be disappointed. All
right? Well two or one?Did you put up there a minute ago?
I put up two, but we'realmost to one. I'm gonna go
back to. Oh, which oneI'm gonna go back to? Back in
the day. A list of thingsthat were normal twenty five years ago but

(36:35):
now considered luxuries. The first onereally got my attention. Furniture made out
of real wood. Do you haveany non wood furniture in your apartment?
Will? Yes? Like all ofit? Are just some of it?
Do you have wood furniture? Yeah? Okay, so it's not it's not
like it's gone. Concert ticket.You and I talked about that earlier.
Well, paper ticket. When wasthe last time you had a paper ticket?

(36:59):
I actually had an idea, ifyou and your significant other are both
flying and you are relying on yourboarding passes being on your phones, send
a copy of yours to that personand let that person send a copy of
their ticket to you, so thatif one of your phones gets dropped into
a toilet or falls into a boilingpot of ramen noodles or pool noodles that

(37:25):
at least you can both still geton the plane. Will says, we've
got to go. That'll wrap itup for this week. Thank you all
so much for joining us. Doit again next week if you would. Houdios