The Ninja and the Kool-Aid Man: Chlamydia & Gonorrhea Unmasked

Think you know everything about chlamydia and gonorrhea? Think again! In this episode, the team dives into the myths, history, and realities of two of the most common STIs. From the “ninja” stealth of chlamydia to the “Kool-Aid Man” entrance of gonorrhea, we break down symptoms, testing, treatment (yes, including that infamous needle in the butt), and why regular screening matters for everyone. Expect laughs, real talk, and a healthy dose of myth-busting—plus, you’ll never look at koalas or cows the same way again. Whether you’re a healthcare pro or just STI-curious, this episode has something for you.

Episode Transcript

(00:04):
Hey, you should probably get tested.
You stare at your phone, tested for what? You feel fine.
No fever, no cough, nothing weird, except now your brain is spiraling.
You think back last weekend, last month, last relationship.
You remember that awkward health class lecture with the banana and the condom, but suddenly it doesn't feel so funny.
Here's the thing.

(00:25):
Two of the most common sexually transmitted infections, chlamydia and gonorrhea don't usually come in with flashing neon signs, no rash, no pain, no obvious clue.
In fact, most people who have them don't know it, which means by the time you do notice something, the infection may already have been quietly causing long-term damage or spreading to someone else.
And yet these infections are not new.

(00:46):
They've been around for centuries.
Gonorrhea may even have been described in the Old Testament as the dreaded unclean discharge, while chlamydia has quietly become the single most reported bacterial infection in North America.
So today we're gonna talk about them, the myths, the science, the awkward truth, and why getting tested is a lot less scary than getting that text.

(01:06):
Welcome to not another medical podcast. 15 00:01:48,249.10716754 --> 00:01:48,969.10716754 Hello, you. 16 00:01:48,994.10716754 --> 00:01:56,342.11397026 You good looking people? What's up? Hey, it's so bright outside I listeners. 17 00:01:57,392.11397026 --> 00:02:06,332.11397026 we record these, uh, you know, after we put our kids to bed, but,, today we have a, we a morning recording session, which, uh, I really like it. 18 00:02:06,332.11397026 --> 00:02:06,782.11397026 It's, uh. 19 00:02:07,697.11397026 --> 00:02:08,739.10716754 I feel more Yeah. 20 00:02:09,613.11397026 --> 00:02:11,739.10716754 Yeah, I think I'm gonna be off my game. 21 00:02:12,223.11397026 --> 00:02:13,483.11397026 I know, right? Yeah. 22 00:02:13,907.11397026 --> 00:02:14,27.11397026 Yeah. 23 00:02:14,27.11397026 --> 00:02:19,787.11397026 You need that little bit of, the down downturn in energy after putting the kids to bed Yeah, the mood. 24 00:02:20,728.11397026 --> 00:02:21,18.11397026 Yeah. 25 00:02:21,399.10716754 --> 00:02:22,29.10716754 it's okay. 26 00:02:22,569.10716754 --> 00:02:23,289.10716754 We'll be good. 27 00:02:23,537.11397026 --> 00:02:24,762.11397026 Yeah, yeah, yeah. 28 00:02:25,67.11397026 --> 00:02:28,7.11397026 I mean, you know, energy usually is good. 29 00:02:28,929.10716754 --> 00:02:36,699.10716754 And, and James, I gotta, I gotta ask, I know you have a, uh, a hard out at around 12 o'clock or soon after this, and I see you're wearing a golf shirt. 30 00:02:36,699.10716754 --> 00:02:45,694.10716754 Do you have a tee time? Is that what's happening here? No, I, I wish it was something as good as that, but, uh, I'm just giving a presentation, uh, about my All right. 31 00:02:45,917.11397026 --> 00:02:51,167.11397026 Um, so yeah, but I, I wish it was, uh, a tea time 'cause that would be a lot better. 32 00:02:52,29.10716754 --> 00:02:52,209.10716754 Yeah. 33 00:02:52,539.10716754 --> 00:02:56,4.10716754 I don't, I, I don't believe him, Brody, but good luck with your presentation, James. 34 00:02:56,443.11397026 --> 00:02:56,623.11397026 Lies. 35 00:02:57,13.11397026 --> 00:02:57,223.11397026 Yeah. 36 00:02:58,543.11397026 --> 00:03:01,974.10716754 Yeah, wish I had a better line than giving a Yeah, on it's true. 37 00:03:01,993.11397026 --> 00:03:05,112.11397026 the background? Yeah, it's okay. 38 00:03:06,3.44276158 --> 00:03:14,30.43595886 Oh, Um, now, now, now that we have some podcasts out there, guys, I've listened to us and obviously when we're editing it, we listen. 39 00:03:14,210.43595886 --> 00:03:18,453.44276158 It is so weird Yeah, to hear yourself on a podcast, it is. 40 00:03:18,710.43595886 --> 00:03:23,300.43595886 and it is so easy to critique yourself when you're listening to yourself on a podcast. 41 00:03:23,420.43595886 --> 00:03:24,590.43595886 It is so uncomfortable. 42 00:03:24,913.44276158 --> 00:03:28,820.43595886 yeah, it's, it's worse when you're editing, you know, Mm-hmm. 43 00:03:28,873.44276158 --> 00:03:35,343.44276158 well, all these filler words that I use,, it's, you know, it like my ears are bleeding. 44 00:03:35,463.44276158 --> 00:03:37,53.44276158 Just, just hearing those. 45 00:03:37,165.43595886 --> 00:03:38,635.43595886 You should get that checked out. 46 00:03:39,89.44276158 --> 00:03:39,329.44276158 Yeah. 47 00:03:39,719.44276158 --> 00:03:39,929.44276158 Yeah. 48 00:03:40,19.44276158 --> 00:03:50,298.44276158 The other thing for the listeners, 'cause we, like, I, we set this off as doing podcasts for like an audio podcast and although like we record video, we never really planned on doing, Mm-hmm. 49 00:03:50,459.44276158 --> 00:03:53,579.44276158 any videos until we tried to figure out how else to get things out there. 50 00:03:53,998.44276158 --> 00:03:54,418.44276158 Mm-hmm. 51 00:03:54,689.44276158 --> 00:04:00,363.44276158 it's also kind of interesting being like, oh, right now we have to actually focus on what I look like Yeah. 52 00:04:00,573.44276158 --> 00:04:00,963.44276158 Yeah. 53 00:04:01,83.44276158 --> 00:04:02,553.44276158 Wear appropriate. 54 00:04:03,578.44276158 --> 00:04:04,255.43595886 proper Yeah. 55 00:04:05,744.44276158 --> 00:04:07,300.43595886 Wear just watching one of our clips. 56 00:04:07,390.43595886 --> 00:04:11,470.43595886 I was watching one of our clips and I'm like praying in the clip for for half of it. 57 00:04:11,470.43595886 --> 00:04:12,220.43595886 It's very odd. 58 00:04:12,430.43595886 --> 00:04:14,290.43595886 I'm like, I'm not religious, but I'm praying. 59 00:04:14,384.44276158 --> 00:04:15,100.43595886 wearing Yeah. 60 00:04:18,177.79396354 --> 00:04:19,407.79396354 Yeah, it's definitely true. 61 00:04:20,187.79396354 --> 00:04:22,557.79396354 Although I, I really do enjoy those video formats. 62 00:04:22,617.79396354 --> 00:04:31,284.78716082 Uh, you know, they're short clips, but,, you could really see how much fun we're having, you know, And that's, that's why we're in this, right? We're here, we're here for the fun. 63 00:04:31,284.78716082 --> 00:04:35,464.78716082 We're here for the relationship, and we're here to give a, a little information to those who will, uh, take it. 64 00:04:35,852.79396354 --> 00:04:41,312.79396354 Yeah, it's mostly for us, but also I hope that this helps out other people as well. 65 00:04:42,272.79396354 --> 00:04:44,12.79396354 But if not, you know, we're having fun. 66 00:04:44,784.78716082 --> 00:04:45,774.78716082 We are having a great time. 67 00:04:46,453.79396354 --> 00:04:48,482.79396354 Shadow to Dennis, Yeah. 68 00:04:48,643.79396354 --> 00:04:49,393.79396354 the number one fan. 69 00:04:51,272.79396354 --> 00:04:57,331.72876437 For listeners, that is Brody Sta very Dennis can never stop listening. 70 00:04:59,165.73556709 --> 00:05:00,541.72876437 What else Awesome. 71 00:05:01,85.73556709 --> 00:05:04,655.73556709 been new? Josh, you got a bit of a big weekend coming up. 72 00:05:05,881.72876437 --> 00:05:06,91.72876437 Yeah. 73 00:05:06,781.72876437 --> 00:05:11,34.73556709 Little, not little One my five-year-old's birthday party tomorrow, Yeah. 74 00:05:11,34.73556709 --> 00:05:11,94.73556709 Yeah. 75 00:05:11,101.72876437 --> 00:05:12,181.72876437 uh, James. 76 00:05:12,181.72876437 --> 00:05:13,411.72876437 Uh, James, I'll talk to you. 77 00:05:13,411.72876437 --> 00:05:19,291.72876437 Uh, Brody just, uh, backed out of, so him and his daughter can't come anymore, so I can't make eye contact with him. 78 00:05:19,291.72876437 --> 00:05:22,261.72876437 I can't talk to 'em 'cause there's a little bit of tension here. 79 00:05:22,464.73556709 --> 00:05:23,754.73556709 Oh yeah, I'm sure. 80 00:05:23,934.73556709 --> 00:05:24,384.73556709 I'm sure. 81 00:05:24,631.72876437 --> 00:05:24,721.72876437 Yeah. 82 00:05:24,774.73556709 --> 00:05:27,991.72876437 Nessa taking that news? It, it is awkward. 83 00:05:27,991.72876437 --> 00:05:33,271.72876437 Uh, Nessa doesn't know yet, so, um, bro, uncle Brody's gonna gonna tell Nessa himself. 84 00:05:33,301.72876437 --> 00:05:34,621.72876437 I think we're gonna go down that road. 85 00:05:36,830.73556709 --> 00:05:37,730.73556709 Really laid on thick. 86 00:05:39,549.73556709 --> 00:05:40,266.72876437 Do you have Uh. 87 00:05:40,370.73556709 --> 00:05:40,755.73556709 Listen, I just got. 88 00:05:40,779.73556709 --> 00:05:46,130.73556709 Brody? Is that why you're I was competing, uh, competing plans. 89 00:05:46,160.73556709 --> 00:05:50,360.73556709 Uh, I've got a family get together that had been planned about six months ago. 90 00:05:50,360.73556709 --> 00:05:51,74.73556709 And, Uh. 91 00:05:51,830.73556709 --> 00:05:56,420.73556709 uh, on my, on me, um, I, I marked it as a Sunday, not a Saturday event. 92 00:05:56,420.73556709 --> 00:06:00,530.73556709 So then Josh was like, Hey, party is like, great, let's do it. 93 00:06:00,620.73556709 --> 00:06:06,395.73556709 To which then I had to retract my Mm, Um, so, yep. 94 00:06:06,400.73556709 --> 00:06:06,620.73556709 Yep. 95 00:06:06,686.72876437 --> 00:06:07,231.72876437 It is okay. 96 00:06:07,621.72876437 --> 00:06:10,381.72876437 I am, uh, I'm not good at grudges, so I'm over it. 97 00:06:10,471.72876437 --> 00:06:14,491.72876437 Uh, we'll see what ness she's still developing her grudge attitude, and we'll see where it goes. 98 00:06:15,939.73556709 --> 00:06:18,609.73556709 and we'll, we will talk about it after Yeah, weekend. 99 00:06:18,691.72876437 --> 00:06:18,931.72876437 Yeah. 100 00:06:18,995.73556709 --> 00:06:19,535.73556709 over with. 101 00:06:19,835.73556709 --> 00:06:20,315.73556709 I don't know. 102 00:06:21,95.73556709 --> 00:06:23,431.72876437 Candi, Ice cream. 103 00:06:23,615.73556709 --> 00:06:27,736.72876437 Ice cream, is And James, that Candy Age oh, no, no, no. 104 00:06:27,781.72876437 --> 00:06:29,101.72876437 Candy never goes away. 105 00:06:29,101.72876437 --> 00:06:30,1.72876437 That is always a thing. 106 00:06:30,151.72876437 --> 00:06:30,571.72876437 Oh yeah. 107 00:06:30,961.72876437 --> 00:06:34,651.72876437 And, and James, you're welcome to fly in from, Oh, uh, from the States. 108 00:06:34,651.72876437 --> 00:06:36,409.73556709 Uh, there's a spot open now open. 109 00:06:37,340.73556709 --> 00:06:37,640.73556709 Yeah. 110 00:06:37,970.73556709 --> 00:06:38,330.73556709 Yeah. 111 00:06:38,521.72876437 --> 00:06:39,511.72876437 after your tea time. 112 00:06:39,559.73556709 --> 00:06:39,849.73556709 Yeah. 113 00:06:39,899.73556709 --> 00:06:41,960.73556709 After, tee time. 114 00:06:42,20.73556709 --> 00:06:42,200.73556709 Mm-hmm. 115 00:06:42,500.73556709 --> 00:06:42,890.73556709 Yeah. 116 00:06:43,340.73556709 --> 00:06:44,150.73556709 We're on you buddy. 117 00:06:45,516.72876437 --> 00:06:46,249.73556709 Oh, yeah. 118 00:06:46,261.72876437 --> 00:06:46,936.72876437 this is awesome. 119 00:06:47,405.73556709 --> 00:06:48,515.73556709 but bribing kids with the candy. 120 00:06:48,515.73556709 --> 00:06:49,205.73556709 This sounds bad. 121 00:06:49,385.73556709 --> 00:06:56,375.73556709 The only way we can like, get our girls out the door, like we're back to school and, and daycare and all those things that are wonderful when you have kids. 122 00:06:56,405.73556709 --> 00:06:58,625.73556709 Um, but like getting them out the door in the morning is so hard. 123 00:06:58,625.73556709 --> 00:07:00,845.73556709 So we like on the daily bribe them with TicTacs. 124 00:07:00,845.73556709 --> 00:07:03,766.72876437 Like that's the only way that we can like Oh, they're so good. 125 00:07:04,194.73556709 --> 00:07:05,345.73556709 Ah So that's it. 126 00:07:05,345.73556709 --> 00:07:10,306.72876437 It's Yeah, Yeah, it started with they're not just, Now it's like a I. 127 00:07:10,595.73556709 --> 00:07:11,285.73556709 It's like, whatever. 128 00:07:11,900.73556709 --> 00:07:14,424.73556709 As long as we're leaving the house, take as Yeah. 129 00:07:14,514.73556709 --> 00:07:14,904.73556709 Yeah. 130 00:07:15,766.72876437 --> 00:07:18,46.72876437 they're, um, they're not just for good breath anymore. 131 00:07:18,46.72876437 --> 00:07:20,86.72876437 It's, it's, it's a good bribing tool. 132 00:07:20,116.72876437 --> 00:07:20,686.72876437 I'm with you. 133 00:07:21,136.72876437 --> 00:07:21,466.72876437 Yep. 134 00:07:22,149.73556709 --> 00:07:25,29.73556709 For us, it's the, it's definitely screen time. 135 00:07:25,119.73556709 --> 00:07:28,959.73556709 Uh, we dangle the iPad him, play some blades. 136 00:07:30,549.73556709 --> 00:07:30,769.73556709 He loves it. 137 00:07:32,236.72876437 --> 00:07:35,896.72876437 And, and on our next podcast, parenting Tips with Josh Brody and James. 138 00:07:36,849.73556709 --> 00:07:38,349.73556709 The worst episode ever. 139 00:07:39,195.73556709 --> 00:07:39,545.73556709 Weird. 140 00:07:39,605.73556709 --> 00:07:40,696.72876437 No one watches Oh. 141 00:07:41,5.73556709 --> 00:07:41,964.73556709 Huh? I Yeah. 142 00:07:41,969.73556709 --> 00:07:42,636.72876437 Yeah, Ugh. 143 00:07:43,81.72876437 --> 00:07:48,931.72876437 Weird, Oh Uh, Brody, you got a, you got a pretty exciting topic here. 144 00:07:49,374.73556709 --> 00:08:00,66.72876437 Yeah, I know it, the, uh, the segue had already happened, but it was, I felt like it was a bit too early, but talking about not wearing pants, um, yeah, I thought what Hmm. 145 00:08:00,560.73556709 --> 00:08:02,316.72876437 way Beautiful. 146 00:08:03,20.73556709 --> 00:08:04,416.72876437 you know, uh, to start I. 147 00:08:04,580.73556709 --> 00:08:09,624.73556709 uh, our I was gonna say, the topic is so good that it doesn't require segue, but, uh, that's a, that's a good one. 148 00:08:11,716.72876437 --> 00:08:14,705.73556709 We spend a lot of time talking about segues Yeah. 149 00:08:15,155.73556709 --> 00:08:15,485.73556709 Yeah. 150 00:08:15,856.72876437 --> 00:08:17,266.72876437 and we will continue to do so. 151 00:08:17,386.72876437 --> 00:08:17,626.72876437 Yeah. 152 00:08:17,679.73556709 --> 00:08:17,979.73556709 thing. 153 00:08:18,35.73556709 --> 00:08:20,675.73556709 I feel like it's like the one consistent thing with every episode. 154 00:08:20,825.73556709 --> 00:08:21,155.73556709 Yeah. 155 00:08:21,259.73556709 --> 00:08:21,559.73556709 Yeah. 156 00:08:21,559.73556709 --> 00:08:30,829.73556709 Why, why this? I, know why James and I probably both liked it when you brought it up, but why chlamydia, gonorrhea, and, Yeah, and everything else. 157 00:08:31,118.74236981 --> 00:08:35,689.73556709 about venereal diseases is something I tend to do on almost every emerge shift, but Yeah. 158 00:08:35,719.73556709 --> 00:08:36,109.73556709 Fair enough. 159 00:08:36,728.74236981 --> 00:08:37,508.74236981 uh. 160 00:08:38,59.73556709 --> 00:08:38,269.73556709 Well. 161 00:08:38,548.74236981 --> 00:08:49,228.74236981 Has a bit of, uh, probably a boring backstory, but as I think I mentioned earlier Julia, my wife watches a lot of reality TV and she's watching The Love Island USA series recently. 162 00:08:50,79.73556709 --> 00:08:50,589.73556709 Hold on. 163 00:08:50,919.73556709 --> 00:08:56,859.73556709 This is the second or third podcast where you are inspired or something is happening because of Love Island. 164 00:08:56,859.73556709 --> 00:08:57,399.73556709 USA. 165 00:08:58,123.74236981 --> 00:08:58,513.74236981 Yeah, I know. 166 00:08:58,663.74236981 --> 00:09:00,999.73556709 Not sponsored by the way yeah. 167 00:09:01,719.73556709 --> 00:09:02,709.73556709 But they're not after this one. 168 00:09:02,743.74236981 --> 00:09:12,433.74236981 not, this, I also want to justify this with, I'm not saying this is a recommendation for Love Island, USA, where this came, so. 169 00:09:14,38.74236981 --> 00:09:27,688.74236981 Jules and I are watching this episode, and one of the contestants on this rant about how chlamydia is from men having sex with koalas, to which the follow-up statement was then gonorrhea is from men having sex with cows. 170 00:09:27,688.74236981 --> 00:09:33,793.74236981 And obviously Julia and I immediately looked at each other and then pull out our phones and start going down this, 'cause I don't remember any of this. 171 00:09:33,823.74236981 --> 00:09:36,433.74236981 And I'm not saying like zoonotic spread of diseases. 172 00:09:36,433.74236981 --> 00:09:41,323.74236981 Like yes, certainly we have, you know, as a species caught many diseases from animals. 173 00:09:41,323.74236981 --> 00:09:45,433.74236981 But I feel like this was one that I was like, I'm curious where this came from. 174 00:09:45,433.74236981 --> 00:09:47,323.74236981 So I did a bit of a dive and then I was doing that. 175 00:09:47,323.74236981 --> 00:09:50,953.74236981 I was like, this is probably worth just talking about 'cause it's kind of interesting. 176 00:09:50,953.74236981 --> 00:09:56,473.74236981 So shout out to Love Island for the insight there. 177 00:09:57,513.74236981 --> 00:09:59,968.74236981 Maybe to close the loop on that before we go. 178 00:10:01,678.74236981 --> 00:10:15,388.74236981 As far as the koalas giving us chlamydia or us getting chlamydia from koalas, yes, there is a very bad outbreak of chlamydia in koalas, which is actually, apparently really sad, It's like having a lot of devastating, like a lot of koalas are dying from it and stuff. 179 00:10:15,388.74236981 --> 00:10:17,298.74236981 But that chlamydia. 180 00:10:18,518.74236981 --> 00:10:26,443.74236981 It not the same as our chlamydia, so definitely That's a hard No, we did not get chlamydia from having sex with koalas. 181 00:10:27,489.73556709 --> 00:10:35,713.74236981 So if you guys asked me what I'd be talking about at Friday at 10:00 AM it was not Chlamydia and Koalas, I know. 182 00:10:35,773.74236981 --> 00:10:36,103.74236981 Yeah. 183 00:10:36,193.74236981 --> 00:10:40,407.74236981 Um, I, I actually, you know, knew that you were gonna talk about this. 184 00:10:40,407.74236981 --> 00:10:43,874.73556709 I did a little bit of a research on my own and oh, here we go. 185 00:10:43,922.74236981 --> 00:10:44,202.74236981 actual. 186 00:10:44,304.73556709 --> 00:10:45,889.73556709 This is gonna be good. 187 00:10:46,152.74236981 --> 00:10:49,152.74236981 review study from, of course, Australia. 188 00:10:50,262.74236981 --> 00:10:56,52.74236981 and the infection rates in some populations could go up to about 40 to 50%. 189 00:10:56,779.73556709 --> 00:10:57,469.73556709 Wow. 190 00:10:57,672.74236981 --> 00:11:01,522.74236981 a major cause of infertility and blindness in koalas. 191 00:11:01,582.74236981 --> 00:11:02,488.74236981 Uh, about. 192 00:11:03,292.74236981 --> 00:11:04,199.73556709 yeah, Quas. 193 00:11:04,342.74236981 --> 00:11:05,92.74236981 but koalas. 194 00:11:05,122.74236981 --> 00:11:06,839.73556709 I mean, still, Wow. 195 00:11:07,348.74236981 --> 00:11:07,638.74236981 yeah. 196 00:11:08,512.74236981 --> 00:11:08,632.74236981 yeah. 197 00:11:08,669.73556709 --> 00:11:10,619.73556709 We need to get a vet on here. 198 00:11:10,979.73556709 --> 00:11:11,969.73556709 An Australian vet. 199 00:11:12,597.74236981 --> 00:11:13,17.74236981 Mm-hmm. 200 00:11:13,809.73556709 --> 00:11:18,819.73556709 And this, this journal is called the veterinary microbiology journal of that. 201 00:11:18,819.73556709 --> 00:11:20,461.72876437 So Sounds legit. 202 00:11:20,559.73556709 --> 00:11:20,799.73556709 Yeah. 203 00:11:20,829.73556709 --> 00:11:21,969.73556709 Very prestigious. 204 00:11:22,29.73556709 --> 00:11:22,806.72876437 Very Yeah. 205 00:11:22,869.73556709 --> 00:11:23,564.73556709 in the vet world. 206 00:11:24,238.69237494 --> 00:11:39,711.02570828 You didn't find anything in your reading or research that confirmed that koala chlamydia is the same as human chlamydia? No, I actually, I think my research confirms what you said is that they're two different, you know, species, but you know. 207 00:11:39,757.02570828 --> 00:11:41,917.02570828 At least two outta three doctors confirm. 208 00:11:43,653.01890556 --> 00:11:51,911.02570828 And the third one is still like what is happening right now? does not wanna engage in this conversation. 209 00:11:53,58.01890556 --> 00:11:54,363.01890556 I have a new view of koalas. 210 00:11:55,166.52570828 --> 00:12:07,226.52570828 So I think on the, um, uh, somewhat serious side, I think the reason I, like that you brought this up as a topic is there's obviously huge stigmas around these kinds of things, and we're going to have fun and we're going to be laughing a lot. 211 00:12:07,226.52570828 --> 00:12:09,686.52570828 And this is a medical disease just like anything else. 212 00:12:09,686.52570828 --> 00:12:12,789.532511 And I think it's really cool that we can just kind of talk about it Mm-hmm. 213 00:12:12,866.52570828 --> 00:12:17,309.532511 joke about koalas who have chlamydia, which it actually sounds really awful in that community, Mm-hmm. 214 00:12:17,456.52570828 --> 00:12:18,236.52570828 as a separate thing. 215 00:12:18,236.52570828 --> 00:12:19,616.52570828 So I'm glad you brought this up. 216 00:12:19,616.52570828 --> 00:12:21,916.52570828 I'm glad we can talk about it and do a little teaching. 217 00:12:22,185.532511 --> 00:12:22,475.532511 Yeah. 218 00:12:22,790.532511 --> 00:12:23,90.532511 Awesome. 219 00:12:23,90.532511 --> 00:12:23,480.532511 Thanks Josh. 220 00:12:23,480.532511 --> 00:12:23,780.532511 Me too. 221 00:12:25,445.532511 --> 00:12:30,16.52570828 I do wanna wrap back to the cow and gonorrhea thing before we move Yes. 222 00:12:30,196.52570828 --> 00:12:30,676.52570828 Thank you. 223 00:12:30,766.52570828 --> 00:12:31,341.52570828 Yes, thank you. 224 00:12:31,515.532511 --> 00:12:36,65.532511 because I don't want to leave any love island listeners on edge being like, all right, fine. 225 00:12:36,215.532511 --> 00:12:45,125.532511 We didn't get chlamydia from Koalas, but what about gonorrhea? So gonorrhea was also interesting 'cause this has been like it. 226 00:12:45,125.532511 --> 00:12:49,765.532511 It's such an old disease, it's actually really hard to trace it back from where it is. 227 00:12:50,275.532511 --> 00:12:51,755.532511 There's actually some comments about. 228 00:12:52,445.532511 --> 00:13:06,725.532511 Possibly they, they don't call it gonorrhea, but there's like a verse in Leviticus somewhere that talks about this unclean discharge, which as we talk about gonorrhea, that certainly sounds like it could be. 229 00:13:07,75.532511 --> 00:13:13,385.532511 so there's no confirmed link necessarily between gonorrhea and cows per se. 230 00:13:13,605.532511 --> 00:13:24,665.532511 So I can't totally rule that one out, but it has been of the most widely, and longly, that's not a word just describe diseases. 231 00:13:26,266.52570828 --> 00:13:27,46.52570828 I like that word. 232 00:13:27,219.532511 --> 00:13:29,381.52570828 it, it is a long, I like longly. 233 00:13:29,995.532511 --> 00:13:30,235.532511 Longly. 234 00:13:30,301.52570828 --> 00:13:31,156.52570828 There you go. 235 00:13:31,366.52570828 --> 00:13:31,786.52570828 There you go. 236 00:13:31,786.52570828 --> 00:13:32,236.52570828 James. 237 00:13:32,955.532511 --> 00:13:33,165.532511 Yeah. 238 00:13:33,165.532511 --> 00:13:34,455.532511 Gonorrhea is a longly disease. 239 00:13:34,515.532511 --> 00:13:37,834.532511 Yeah, It is Longly biblical disease. 240 00:13:38,536.52570828 --> 00:13:39,856.52570828 Biblical disease. 241 00:13:39,856.52570828 --> 00:13:40,306.52570828 There you go. 242 00:13:41,21.52570828 --> 00:13:41,951.52570828 There you go. 243 00:13:42,504.532511 --> 00:13:48,256.52570828 It's been around, what else? Uh, what else you got for us on the history side of these things? I, know nothing about the history of these. 244 00:13:48,740.532511 --> 00:13:48,860.532511 Mm-hmm. 245 00:13:48,886.52570828 --> 00:13:54,320.532511 there anything else we need to know? Well, and I remember us learning this in med school and I, because it was always the opposite. 246 00:13:54,320.532511 --> 00:13:59,780.532511 So whenever I heard the term the clap, I always assumed it was chlamydia 'cause clap, clam chlamydia. 247 00:13:59,780.532511 --> 00:14:01,100.532511 It seemed similar. 248 00:14:01,100.532511 --> 00:14:02,129.532511 But, mm-hmm. 249 00:14:03,150.532511 --> 00:14:12,230.532511 The clap, actually refers to gonorrhea,, specifically, which also has some interesting and potentially mixed kind of histories of the origins where it came from. 250 00:14:12,590.532511 --> 00:14:14,30.532511 The, leading., 251 00:14:14,190.532511 --> 00:14:19,581.52570828 Theory on where the term the clap came from, is actually from the French word clap,, which means Hmm. 252 00:14:20,100.532511 --> 00:14:24,610.532511 Um, and the literal, French interpretation of that means rabbits nest. 253 00:14:24,730.532511 --> 00:14:31,556.81822528 Which again, if you're trying to think of a cute, funny slang for brothels,, you know, rabbits do have quite, Hmm mm-hmm. 254 00:14:31,653.81142256 --> 00:14:32,943.81142256 Hold on, hold on. 255 00:14:32,943.81142256 --> 00:14:33,843.81142256 You've already ruined. 256 00:14:33,873.81142256 --> 00:14:35,403.81142256 You've already ruined koalas for me. 257 00:14:35,403.81142256 --> 00:14:38,868.81142256 And now rabbits like Well, we're running outta cute ed animals. 258 00:14:39,328.81142256 --> 00:14:39,618.81142256 Yeah. 259 00:14:40,76.81822528 --> 00:14:41,66.81822528 active community. 260 00:14:42,236.81822528 --> 00:14:43,286.81822528 Hashtag active. 261 00:14:43,912.81822528 --> 00:14:44,212.81822528 Yeah. 262 00:14:44,492.81822528 --> 00:14:48,152.81822528 So that's, that's one possible thought where the term the class came from. 263 00:14:48,622.81822528 --> 00:14:49,702.81822528 But there's a couple of other ones. 264 00:14:49,702.81822528 --> 00:14:57,906.81822528 Apparently, one of the old treatments, for managing, discharge coming up from the penis was to slap or clap it on the side to try to Hmm. 265 00:14:59,252.81822528 --> 00:15:00,2.81822528 Sounds great. 266 00:15:00,381.81822528 --> 00:15:01,431.81822528 Clap to express. 267 00:15:01,938.81142256 --> 00:15:06,103.81142256 I shall not be re recommending that to anybody No, ever. 268 00:15:06,212.81822528 --> 00:15:11,196.15155862 no, and then I think the last one was the idea, of the clap being like,, it hurts when you pee. 269 00:15:11,196.15155862 --> 00:15:11,766.15155862 It's painful. 270 00:15:11,766.15155862 --> 00:15:15,216.15155862 It feels like someone just kind of, you know, clapped you down there. 271 00:15:15,346.15155862 --> 00:15:18,446.15155862 But those are kind of the three main running Uh origins. 272 00:15:19,530.15155862 --> 00:15:21,52.1447559 Well, Some good history lessons. 273 00:15:21,52.1447559 --> 00:15:21,892.1447559 I, appreciate that. 274 00:15:21,892.1447559 --> 00:15:23,107.1447559 I love learning where these things come from. 275 00:15:23,375.15155862 --> 00:15:33,462.1447559 I like the,, clap to discharge, know, theory Again, listeners, not recommendations, just some history medicine changes. 276 00:15:33,492.1447559 --> 00:15:33,672.1447559 Yep. 277 00:15:34,25.15155862 --> 00:15:35,165.15155862 Not medical advice. 278 00:15:35,472.1447559 --> 00:15:37,117.1447559 We'll, we'll get it to treatments proper later. 279 00:15:37,385.15155862 --> 00:15:38,15.15155862 that's right. 280 00:15:38,385.15155862 --> 00:16:07,25.15155862 Some of the history that I want to add in my research that, you know, a lot of the STI research and epidemiology, the increase in prevalence occurred during war times, right? So, you know, I think there's are some evidence that demonstrates that, during the World Wars, and even before, there are documentations in the wars that occurred in the Europe, there were this rampant increase in, chlamydia and gonorrhea, especially gonorrhea infection. 281 00:16:07,725.15155862 --> 00:16:11,415.15155862 And this had led to, a lot of the downtime for some of the soldiers. 282 00:16:11,635.15155862 --> 00:16:20,665.15155862 And some of the, the information that we got from, those times were probably from those wartime era, you know, as a lot of, infectious diseases, are. 283 00:16:20,665.15155862 --> 00:16:25,255.15155862 So I think that's another kind of interesting, piece of history. 284 00:16:25,305.15155862 --> 00:16:25,545.15155862 Yeah. 285 00:16:25,855.15155862 --> 00:16:37,225.15155862 I think, a segue to this I want to touch on what Josh talked about when we started into the episode, before all the animal talk, one of the, I think my hopes from this is really to try to destigmatize. 286 00:16:37,570.15155862 --> 00:16:38,800.15155862 Chlamydia and gonorrhea. 287 00:16:38,800.15155862 --> 00:16:45,594.1515586 And I think one way to, to maybe to do that is really just to kind of talk about really how prevalent it is, Mm-hmm. 288 00:16:45,610.1515586 --> 00:16:46,600.1515586 and how common it is. 289 00:16:46,990.1515586 --> 00:16:55,645.1515586 Um, so some of the numbers that I had found, this is, the most recent data was out of the CDC in 2023, but there were over 1.6 290 00:16:55,645.1515586 --> 00:16:59,470.1515586 million reported cases of chlamydia just in the United States. 291 00:16:59,900.1515586 --> 00:17:04,330.1515586 And, chlamydia is quite often the most reported STI, of the year, or every year. 292 00:17:04,330.1515586 --> 00:17:05,920.1515586 That's kind of going on from, from a lot of that. 293 00:17:06,280.1515586 --> 00:17:13,179.1515586 Um, and about half of those infections, are in people age, 15 to 24 Mm-hmm. 294 00:17:13,540.1515586 --> 00:17:14,530.1515586 Very prevalent. 295 00:17:14,560.1515586 --> 00:17:16,960.1515586 Especially in kind of that, that younger active population. 296 00:17:17,300.1515586 --> 00:17:22,820.1515586 There's been some estimates on just how prevalent is chlamydia as a whole across the world. 297 00:17:23,40.1515586 --> 00:17:25,830.1515586 And the estimates that they have is about 4.2% 298 00:17:25,830.1515586 --> 00:17:27,540.1515586 of women and 2.7% 299 00:17:27,689.1515586 --> 00:17:28,109.1515586 Mm-hmm. 300 00:17:28,530.1515586 --> 00:17:31,789.1515586 will, have chlamydia or be actively Mm-hmm. 301 00:17:31,840.1515586 --> 00:17:32,890.1515586 chlamydia at a time. 302 00:17:32,890.1515586 --> 00:17:38,74.1515586 But again, very, very high numbers of of High prevalence. 303 00:17:38,314.1515586 --> 00:17:38,554.1515586 Yeah. 304 00:17:38,554.1515586 --> 00:17:39,381.1447559 And Yeah. 305 00:17:39,574.1515586 --> 00:17:40,564.1515586 reported as well. 306 00:17:40,654.1515586 --> 00:17:46,114.1515586 Um, so we expect that these numbers will be actually higher in, in real life. 307 00:17:46,635.1515586 --> 00:17:46,845.1515586 Hmm. 308 00:17:46,875.1515586 --> 00:17:52,99.1515586 Yeah, James, that's a really good point, right? Like, I think these are, these are patients that obviously have been tested to confirm, Mm-hmm. 309 00:17:52,155.1515586 --> 00:17:57,255.1515586 talk about this in a little bit, but especially chlamydia, people often are not symptomatic. 310 00:17:57,255.1515586 --> 00:18:01,234.1515586 So if you don't get tested, then yeah, you wouldn't be adding to that, to Hmm. 311 00:18:01,305.1515586 --> 00:18:02,115.1515586 I think it's a good point. 312 00:18:02,165.1515586 --> 00:18:04,625.1515586 This is probably a smaller estimate than the actual numbers that are out there. 313 00:18:06,76.1447559 --> 00:18:14,786.1447559 And I think maybe what's important is Brody, where you work, you probably see a lot of this and like these prevalence numbers I'm guessing didn't surprise you. 314 00:18:15,146.1447559 --> 00:18:22,616.1447559 You wanna talk quickly about kind of what you're seeing? are you talking about the emergency room or downtown Toronto? A bit of both. 315 00:18:22,815.1515586 --> 00:18:23,996.1447559 A bit A bit of both. 316 00:18:24,176.1447559 --> 00:18:25,826.1447559 Yeah, absolutely. 317 00:18:25,905.1515586 --> 00:18:26,235.1515586 Yeah. 318 00:18:26,535.1515586 --> 00:18:26,805.1515586 Yeah. 319 00:18:26,835.1515586 --> 00:18:28,455.1515586 We have a, we're an active city. 320 00:18:28,695.1515586 --> 00:18:30,386.1447559 Um, yeah, We are. 321 00:18:30,495.1515586 --> 00:18:31,436.1447559 it's, you Mm-hmm. 322 00:18:32,115.1515586 --> 00:18:43,45.1515586 as, as a, as a whole, you know, I think the emergency department, we would definitely be seeing, probably at least, anywhere from five to 15 patients a day coming in with. 323 00:18:43,995.1515586 --> 00:18:47,55.1515586 questions around, sexual exposures or things like that. 324 00:18:47,55.1515586 --> 00:18:54,285.1515586 It may not be specific for chlamydia gonorrhea, but I'd say depending on the zone of the emergency department in, this is probably a conversation I have with at least one of my patients that day. 325 00:18:54,535.1515586 --> 00:18:55,45.1515586 For stuff. 326 00:18:55,235.1515586 --> 00:18:58,999.1515586 And it could be really, anxiety provoking again, right? You know, Mm-hmm. 327 00:18:59,115.1515586 --> 00:19:01,965.1515586 still is a lot of concern about what does this mean for them and things like that. 328 00:19:01,965.1515586 --> 00:19:03,735.1515586 So there is a lot of anxiety around that. 329 00:19:04,145.1515586 --> 00:19:12,15.1515586 I think the other thing to highlight too is that, as much as we may attribute, chlamydia and gonorrhea with a disease of the young, if you will. 330 00:19:12,265.1515586 --> 00:19:17,914.1515586 We are actually seeing a significant increase in all sexual transmitted infection, Mm-hmm. 331 00:19:17,995.1515586 --> 00:19:24,45.1515586 gonorrhea, syphilis, HPV, all of those things in older patients as well, in nursing homes too. 332 00:19:24,349.1515586 --> 00:19:24,769.1515586 Mm-hmm. 333 00:19:25,95.1515586 --> 00:19:32,880.1515586 so, there's some numbers I looked up in over the last 10 years, the number of chlamydia cases in patients aged 65 or older, more than tripled. 334 00:19:33,304.1515586 --> 00:19:33,724.1515586 Mm-hmm. 335 00:19:33,810.1515586 --> 00:19:35,820.1515586 the rates of gonorrhea went up over six times. 336 00:19:35,820.1515586 --> 00:19:38,904.1515586 So again, it's not just, the disease of the young, Mm-hmm. 337 00:19:39,400.1515586 --> 00:19:42,240.1515586 we'll talk about what risks there are, but really anyone and everyone. 338 00:19:43,124.1515586 --> 00:19:51,814.1515586 And I think there's a good medical learning link here, that when we see people who are in their sixties, seventies, eighties, we don't always think about these things and we really should be. 339 00:19:51,837.1583613 --> 00:19:52,257.1583613 Mm-hmm. 340 00:19:52,324.1515586 --> 00:19:55,544.1515586 And, I mean that's important for medical staff and for listeners. 341 00:19:55,604.1515586 --> 00:19:56,184.1515586 You gotta think about 'em. 342 00:19:56,883.1583613 --> 00:19:57,273.1583613 Yep. 343 00:19:57,363.1583613 --> 00:19:57,723.1583613 Totally. 344 00:19:57,723.1583613 --> 00:19:57,923.410062 Yeah. 345 00:19:58,334.1515586 --> 00:20:09,374.1515586 broads, do you wanna just tell us what we're actually talking about here? We've talked about the history and all that, but what, what are these things? Why gonorrhea and chlamydia? Like why are we talking about these two specifically? What are they? Give us some info. 346 00:20:09,708.1583613 --> 00:20:10,248.1583613 Yeah. 347 00:20:10,298.1583613 --> 00:20:10,568.1583613 Thanks. 348 00:20:10,568.1583613 --> 00:20:11,318.1583613 This is a good question. 349 00:20:11,398.1583613 --> 00:20:15,658.1583613 So often chlamydia and gonorrhea tend to go together or we tend to test. 350 00:20:15,998.1583613 --> 00:20:18,668.1583613 For them together, and we tend to treat them together. 351 00:20:18,668.1583613 --> 00:20:28,238.1583613 So it is one of the things, although, although they are two of many sexually transmitted infections or STIs that we see or deal with, they do tend to be kinda like two peas in a pod, if you will. 352 00:20:28,658.1583613 --> 00:20:30,968.1583613 Um, but they present very different now. 353 00:20:30,968.1583613 --> 00:20:34,258.1583613 Both chlamydia, and gonorrhea are both bacteria. 354 00:20:34,508.1583613 --> 00:20:38,94.1515586 So the chlamydia that we're talking about, not koala chlamydia, Mm-hmm. 355 00:20:38,378.1583613 --> 00:20:39,879.1515586 uh, chlamydia, Mm-hmm. 356 00:20:39,913.1583613 --> 00:20:40,993.1583613 tritus. 357 00:20:41,93.1583613 --> 00:20:45,583.1583613 And it's an interesting bacteria 'cause it can't really live on its own so it actually lives within your cells. 358 00:20:45,643.1583613 --> 00:20:54,193.1583613 And so you can imagine if you were bacteria living in someone else's cells, you don't really want to cause too much mayhem 'cause you don't want the body to know that it's there and to kick you out 'cause you're dependent on that. 359 00:20:54,613.1583613 --> 00:20:56,773.1583613 So it's almost like a little bit of a parasite. 360 00:20:56,773.1583613 --> 00:20:59,433.1583613 It gets into often the lining of the genital tract. 361 00:20:59,693.1583613 --> 00:21:02,483.1583613 And it just kind of reproduces in your cells there. 362 00:21:02,653.1583613 --> 00:21:04,123.1583613 And that's how it kind of continues. 363 00:21:04,123.1583613 --> 00:21:04,303.1583613 Its. 364 00:21:04,688.1583613 --> 00:21:09,278.1583613 Lifespan, and because it does tend to do that quietly, it's, often a silent infection. 365 00:21:09,278.1583613 --> 00:21:10,988.1583613 So people may not have any symptoms. 366 00:21:11,188.1583613 --> 00:21:14,368.1583613 But the concern is long-term it can cause, inflammation. 367 00:21:14,368.1583613 --> 00:21:20,278.1583613 And I'm sure as a recurrent theme on, on this podcast, inflammation, always leads to badness the longer it's been going on. 368 00:21:21,88.1583613 --> 00:21:27,58.1583613 so within that area, we think about things like pelvic inflammatory disease or PID that can lead with complications like. 369 00:21:27,323.1583613 --> 00:21:29,453.1583613 Developing an abscess or big infections. 370 00:21:29,483.1583613 --> 00:21:31,553.1583613 You can develop problems with infertility. 371 00:21:31,763.1583613 --> 00:21:33,923.1583613 It can cause complications in pregnancy. 372 00:21:34,83.1583613 --> 00:21:36,283.1583613 And similar with the koalas, at birth. 373 00:21:36,313.1583613 --> 00:21:37,933.1583613 'cause again, chlamydia can be passed on. 374 00:21:37,933.1583613 --> 00:21:43,433.1583613 You could also cause blindness, as well, in infants So it's often actually something when, a new baby comes out. 375 00:21:43,433.1583613 --> 00:21:49,423.1583613 We put this little antibiotic gel and goop on their eyes, and it's specifically to treat against cho gonorrhea just in case. 376 00:21:49,813.1583613 --> 00:21:51,853.1583613 Then for gonorrhea, it's another bacteria. 377 00:21:52,513.1583613 --> 00:22:02,803.1583613 This bacteria is called Ria Gonorrhea, which is kind of the cousin of the big bad bacteria that causes meningitis, which is again, a kind of, swelling of the brain that, that you can see. 378 00:22:02,903.1583613 --> 00:22:06,713.1583613 And so unlike chlamydia, gonorrhea, um, announces its presence. 379 00:22:06,983.1583613 --> 00:22:08,753.1583613 It doesn't hide in the cells. 380 00:22:08,753.1583613 --> 00:22:15,23.1583613 It's not dependent on being inside of, of ourselves in or in order to, to grow and, and reproduce. 381 00:22:15,193.1583613 --> 00:22:18,328.1583613 It's, kinda attaches to again, the, the general tract with little. 382 00:22:18,638.1583613 --> 00:22:21,578.1583613 The hair like things and that triggers that inflammation. 383 00:22:21,578.1583613 --> 00:22:31,38.1583613 And so it tends to be more symptomatic where people have redness, they have burning, they have discharge, like all those things that, make people quite aware and they usually seek treatment. 384 00:22:31,278.1583613 --> 00:22:36,698.1583613 Again, there are some people that can be a more asymptomatic, or not have symptoms with gonorrhea. 385 00:22:36,698.1583613 --> 00:22:40,678.1583613 But as a whole it's usually, announces it, its presence, if you will. 386 00:22:40,678.1583613 --> 00:22:41,562.1583613 So Mm-hmm. 387 00:22:41,688.1583613 --> 00:22:42,618.1583613 chlamydia as like. 388 00:22:42,968.1583613 --> 00:22:46,178.1583613 The ninja of the two. 389 00:22:46,618.1583613 --> 00:22:53,193.1583613 Uh, and, and gonorrhea is kind of like the, uh, super loud frat kid who's like, or like the Kool-Aid man. 390 00:22:53,193.1583613 --> 00:22:54,582.1583613 You know, like, The. 391 00:22:54,603.1583613 --> 00:22:54,903.1583613 here. 392 00:22:55,514.1515586 --> 00:22:56,174.1515586 The creator. 393 00:22:57,67.1583613 --> 00:22:57,727.1583613 Oh yeah. 394 00:22:57,944.1515586 --> 00:22:59,804.1515586 Uh, oh I don't know. 395 00:23:00,44.1515586 --> 00:23:03,494.1515586 I don't know if we're doing fan fiction yet, but we got a whole comic right here. 396 00:23:04,154.1515586 --> 00:23:04,484.1515586 Yeah. 397 00:23:05,673.1583613 --> 00:23:06,534.1515586 That would be a great That's awesome. 398 00:23:07,529.1515586 --> 00:23:08,279.1515586 That'd be great. 399 00:23:08,519.1515586 --> 00:23:14,169.1515586 And I think, I think what's maybe,, an important distinction is, when we talk about things like pneumonia. 400 00:23:14,199.1515586 --> 00:23:21,869.1515586 Pneumonia is a,, set of symptoms and signs of a lung infection, but it can be caused by a whole bunch of different types of bacteria. 401 00:23:22,259.1515586 --> 00:23:25,529.1515586 Here today we're talking about these very specific bacteria. 402 00:23:25,529.1515586 --> 00:23:27,959.1515586 We'll talk about what they do and how they present. 403 00:23:28,294.1515586 --> 00:23:32,884.1515586 But it can get very confusing sometimes or if you're not in the medical field, these are specific bacteria. 404 00:23:32,914.1515586 --> 00:23:36,272.1583613 They will cause different signs and symptoms, which we'll get into Mm-hmm. 405 00:23:36,454.1515586 --> 00:23:39,424.1515586 to other things which can be caused by many different bacteria. 406 00:23:39,814.1515586 --> 00:23:43,204.1515586 So I don't know if that's useful or not, but I just wanted to, put it out there, something. 407 00:23:43,417.1583613 --> 00:23:45,397.1583613 I think that's, that's a really good point. 408 00:23:45,397.1583613 --> 00:23:53,647.1583613 And one of our objectives here today is to destigmatize you know, conditions and really at. 409 00:23:54,352.1583613 --> 00:23:57,772.1583613 Biologic level, it's bacterial infection. 410 00:23:58,162.1583613 --> 00:24:08,182.1583613 You know, just like, if you are having pneumonia for example, that is caused by a bacterial infection, you know, you're having symptoms, like discharge, things like that. 411 00:24:08,272.1583613 --> 00:24:12,302.1583613 But you know, that's all caused because of the bacterial infection of the genital tracts. 412 00:24:12,362.1583613 --> 00:24:17,972.1583613 So I think at that level, really it's just the bacterial infection that we're just trying to treat. 413 00:24:18,804.1515586 --> 00:24:19,14.1515586 Yep. 414 00:24:19,284.1515586 --> 00:24:21,354.1515586 Also, guys ninjas are so cool. 415 00:24:21,444.1515586 --> 00:24:23,304.1515586 I, I just, I love ninjas. 416 00:24:23,712.1583613 --> 00:24:27,774.1515586 Uh Like, you do yeah, I, I have nothing else to add to that. 417 00:24:27,774.1515586 --> 00:24:28,764.1515586 I just love ninjas. 418 00:24:30,88.1583613 --> 00:24:35,398.1583613 Every time I, I think of chlamydia, I think of, um, the movie Waiting with Ryan Reynolds. 419 00:24:35,832.1583613 --> 00:24:36,182.1583613 Uhhuh. 420 00:24:36,238.1583613 --> 00:24:37,37.1583613 about Yeah. 421 00:24:37,198.1583613 --> 00:24:42,88.1583613 There's a scene and he's like, chlamydia, that's such a beautiful I think we'll name my daughter Chlamydia. 422 00:24:42,178.1583613 --> 00:24:44,244.1515586 That's, chlamydia. 423 00:24:44,428.1583613 --> 00:24:46,228.1583613 that stuck with me for a long time. 424 00:24:47,184.1515586 --> 00:24:48,144.1515586 What a great movie. 425 00:24:48,328.1583613 --> 00:24:48,658.1583613 movie. 426 00:24:48,932.1583613 --> 00:24:49,442.1583613 Yeah. 427 00:24:49,464.1515586 --> 00:24:53,664.1515586 Waiting listeners, if you haven't seen waiting and you're over the age of, I don't know, 18. 428 00:24:54,114.1515586 --> 00:24:54,834.1515586 Watch waiting. 429 00:24:56,899.1515586 --> 00:24:57,119.1515586 Yep. 430 00:24:57,293.1583613 --> 00:25:00,639.1515586 So, James, touching along what you were talking about, how it's a I. 431 00:25:00,683.1583613 --> 00:25:02,87.1583613 infection, uh, Mm-hmm. 432 00:25:02,423.1583613 --> 00:25:04,863.1583613 just, confirming how it's spread then. 433 00:25:04,953.1583613 --> 00:25:06,172.1583613 Right? So Mm-hmm. 434 00:25:06,303.1583613 --> 00:25:12,343.1583613 both, chlamydia and gonorrhea, are, spread with direct contact with infected secretions. 435 00:25:12,563.1583613 --> 00:25:16,863.1583613 Now these secretions can be, from the vagina, from the penis, from the anus. 436 00:25:16,863.1583613 --> 00:25:19,173.1583613 It can be oral secretions sometimes as well. 437 00:25:19,443.1583613 --> 00:25:20,853.1583613 So, you know, you can also then. 438 00:25:21,268.1583613 --> 00:25:36,318.1583613 Develop like, oral gonorrhea or anal gonorrhea like the uk it, it doesn't have to just be direct like penile or vaginal, secretions in, transmission that way, which I get it as we talk about later on with some of the, the myths and that sort of thing as well. 439 00:25:36,318.1583613 --> 00:25:38,28.1583613 It's probably worth just kinda keeping that in mind. 440 00:25:39,18.1583613 --> 00:25:42,477.1583613 something that you tend to be able to, you know, spread Yeah. 441 00:25:42,768.1583613 --> 00:25:44,637.1583613 let's say necessarily, but Mm-hmm. 442 00:25:44,868.1583613 --> 00:25:51,877.1583613 with some, some of those Right, so, so the concentration of this bacterial, are in the genital tract. 443 00:25:51,877.1583613 --> 00:25:54,607.1583613 So it's a contact with genital tract. 444 00:25:54,607.1583613 --> 00:26:05,917.1583613 So whatever that may be, whether it is, intercourse or know contact by oral or cavity or anal cavity, you know, I think those are the ways of transmission. 445 00:26:06,50.1560938 --> 00:26:11,220.1560938 And is there, is there any really big difference between the two? Do we need to distinguish that? I, I don't think there really is. 446 00:26:11,220.1560938 --> 00:26:13,524.1628965 They're, they're pretty similar in my mind, but Yeah. 447 00:26:13,584.1628965 --> 00:26:13,734.1628965 Yeah. 448 00:26:13,734.1628965 --> 00:26:14,304.1628965 Pretty similar. 449 00:26:14,304.1628965 --> 00:26:17,475.1560938 I think it's just the, any of those secretions, uh, if, I. 450 00:26:17,499.1628965 --> 00:26:19,524.1628965 they, they carry the bacteria, they could be there, but. 451 00:26:20,175.1560938 --> 00:26:23,265.1560938 For sure, and we should, we should say, to any infectious disease doctors listening. 452 00:26:23,385.1560938 --> 00:26:28,193.1628965 Again, we're, we're keeping broad strokes here, so don't judge our, uh, yeah, definitely. 453 00:26:28,253.1628965 --> 00:26:32,513.1628965 You know, not an expert in infectious disease by any stretch of mind. 454 00:26:32,683.1628965 --> 00:26:41,363.1628965 But one thing that I would add though is, the n gonorrhea, and we talked about, the potentially biblical origin or how long it's been. 455 00:26:41,723.1628965 --> 00:26:49,323.1628965 And when you talk about bacteria that survived, that means that it's really evolved to survive. 456 00:26:49,353.1628965 --> 00:26:52,513.1628965 So the bacteria is not static. 457 00:26:52,543.1628965 --> 00:27:00,763.1628965 It's dynamically changing its protein, dynamically changing its mechanisms of defense, so that it could continue to survive. 458 00:27:01,43.1628965 --> 00:27:01,258.1628965 It's kind of like. 459 00:27:01,568.1628965 --> 00:27:03,488.1628965 Cockroaches could survive anything. 460 00:27:03,488.1628965 --> 00:27:08,78.1628965 You know, in a way different types of bacteria that continue to survive. 461 00:27:08,478.1628965 --> 00:27:13,758.1628965 And that becomes an important point when we talk about antibiotics and antibiotics resistance. 462 00:27:13,788.1628965 --> 00:27:19,88.1628965 So keep that in mind that, gonorrhea, the ceria gonorrhea is really a master of disguise. 463 00:27:19,118.1628965 --> 00:27:19,958.1628965 And it's trying to. 464 00:27:20,348.1628965 --> 00:27:27,73.1628965 Be elusive, and avoid, being attacked by antimicrobials that, that we've developed. 465 00:27:28,140.1560938 --> 00:27:31,380.1560938 Yeah, but I think it's a good time to kind of transition into how you diagnose this. 466 00:27:31,380.1560938 --> 00:27:35,730.1560938 Could the tests, even though it's elusive, the tests are actually pretty good for diagnosing it. 467 00:27:36,120.1560938 --> 00:27:39,890.1560938 And, I mean, Brody, you probably order more of these tests than, than either either of us. 468 00:27:39,890.1560938 --> 00:27:42,909.1628965 So what are you doing to actually test for it? Yeah. 469 00:27:43,179.1628965 --> 00:27:46,775.1560938 Maybe to backtrack for what my indications or when I would think about testing, Yep. 470 00:27:46,839.1628965 --> 00:27:47,675.1560938 the emergency Good point. 471 00:27:48,69.1628965 --> 00:27:52,689.1628965 you know, because both the, the incidents, like the rates of these are so high. 472 00:27:53,494.1628965 --> 00:27:54,994.1628965 potential kind of burden of disease. 473 00:27:54,994.1628965 --> 00:27:57,484.1628965 Again, infertility, pelvic inflammatory disease. 474 00:27:57,694.1628965 --> 00:28:01,744.1628965 You know, my threshold for testing for chlamydia and gonorrhea is very, very low. 475 00:28:01,984.1628965 --> 00:28:04,744.1628965 So, you know, if you come in and you're having, you know, hmm. 476 00:28:05,874.1628965 --> 00:28:06,965.1560938 Itching burning when you I. 477 00:28:07,224.1628965 --> 00:28:13,84.1628965 having to pee often, you know, we're going to ask you things about like a sexual history and really if there's any risk factors there. 478 00:28:13,84.1628965 --> 00:28:17,254.1628965 And again, we'll, there's, there's quite a few, uh, or people just are looking to be tested. 479 00:28:17,314.1628965 --> 00:28:19,924.1628965 You know, I mean, I don't think that routine STI testing is. 480 00:28:20,704.1628965 --> 00:28:23,464.1628965 Best done in the emerge, and I'll talk about why that is in a minute. 481 00:28:23,654.1628965 --> 00:28:37,564.1628965 But if a very low threshold for looking for these diseases and anyone who has either urinary symptoms or like lower pelvic pain or penile pain, vaginal pain, and then the slam dunk looking for things is again, especially looking at gonorrhea 'cause it tends to announce itself. 482 00:28:37,564.1628965 --> 00:28:38,494.1628965 Anyone who has like. 483 00:28:39,274.1628965 --> 00:28:45,274.1628965 Discharge, So that, uh, workup looks like then? There's a couple of different ways to do it. 484 00:28:45,284.1628965 --> 00:28:49,574.1628965 There's these tests that look for kinda proteins and kind of breaks down the bacteria themselves. 485 00:28:50,744.1628965 --> 00:28:53,624.1628965 And you can do this either through urine samples or you can do swabs. 486 00:28:53,954.1628965 --> 00:28:58,904.1628965 Um, now if I was a patient, I would probably prefer to pee into a cup and to have that tested. 487 00:28:59,714.1628965 --> 00:29:05,613.1628965 The alternative with the swabs is it's literally like a, you know, long Q-tip, Mm-hmm. 488 00:29:06,14.1628965 --> 00:29:06,794.1628965 sort of thing. 489 00:29:06,794.1628965 --> 00:29:09,824.1628965 And, and you've put it in the urethra. 490 00:29:09,993.1628965 --> 00:29:10,413.1628965 Mm-hmm. 491 00:29:10,495.1560938 --> 00:29:16,420.1560938 I feel like, I feel like most people have had COVID tests at this point, so it's kind of like a COVID test in the urethra. 492 00:29:16,454.1628965 --> 00:29:16,724.1628965 yeah. 493 00:29:16,724.1628965 --> 00:29:17,350.1560938 So, Yeah. 494 00:29:17,350.1560938 --> 00:29:17,935.1560938 Yeah, a yeah. 495 00:29:18,224.1628965 --> 00:29:19,584.1628965 in, in your urethra, which is. 496 00:29:19,925.1560938 --> 00:29:20,215.1560938 Yeah. 497 00:29:20,474.1628965 --> 00:29:21,764.1628965 Definitely unpleasant. 498 00:29:22,34.1628965 --> 00:29:29,504.1628965 Um, And how, how far, how far does it go? How far, how far do you have to put it in there? Yeah, it In the urethra? far. 499 00:29:29,534.1628965 --> 00:29:34,113.1628965 'cause again, usually the bacteria leaf live pretty close to the Mm-hmm. 500 00:29:34,114.1628965 --> 00:29:34,124.1628965 Mm-hmm. 501 00:29:34,124.1628965 --> 00:29:41,294.1628965 and I will say often, especially with gonorrhea, for example, like if it sounds a bit gross, but if you can often milk. 502 00:29:41,519.1628965 --> 00:29:44,69.1628965 Pus out, um, really more from a penis. 503 00:29:44,129.1628965 --> 00:29:45,438.1628965 Um, but then Right. 504 00:29:45,509.1628965 --> 00:29:47,669.1628965 a sample of that pus, that's really what you're looking for. 505 00:29:47,669.1628965 --> 00:29:50,148.1628965 So then you may avoid the need to have to go in, but Got it. 506 00:29:50,159.1628965 --> 00:29:54,493.1628965 to go in maybe a centimeter two just to kind of get a bit of a sample, Yeah. 507 00:29:54,569.1628965 --> 00:29:55,409.1628965 definitely unpleasant. 508 00:29:55,454.1628965 --> 00:29:55,744.1628965 Yeah. 509 00:29:55,833.1628965 --> 00:29:57,213.1628965 So COVID test is worse. 510 00:29:57,984.1628965 --> 00:29:58,274.1628965 Yeah. 511 00:29:59,219.1628965 --> 00:29:59,459.1628965 Yeah. 512 00:29:59,459.1628965 --> 00:30:00,749.1628965 The COVID test definitely goes further. 513 00:30:00,775.1560938 --> 00:30:06,865.1560938 Listen, listen, maybe some people might prefer it, so we, we're not gonna alienate anyone here, but um, yes I am. 514 00:30:06,865.1560938 --> 00:30:09,865.1560938 I am peeing in a cup of 10 times outta 10 if I have the option. 515 00:30:10,94.1628965 --> 00:30:10,634.1628965 Exactly. 516 00:30:10,664.1628965 --> 00:30:10,934.1628965 Yeah. 517 00:30:11,30.1560938 --> 00:30:11,954.1628965 yeah, that's kind of it. 518 00:30:12,30.1560938 --> 00:30:12,320.1560938 yeah. 519 00:30:12,404.1628965 --> 00:30:13,604.1628965 into a cup or do a swab. 520 00:30:13,844.1628965 --> 00:30:20,634.1628965 So, you know, listeners, might be asking, well, why would I do a swab if I can pee into a cup? and two things for this. 521 00:30:20,634.1628965 --> 00:30:29,714.1628965 One, when you give a normal urine sample, for the hospital or your family doctor, they don't, it's not routinely sent for chlamydia and gonorrhea. 522 00:30:29,774.1628965 --> 00:30:32,834.1628965 It's a specific test that, that you're being ordered for. 523 00:30:32,834.1628965 --> 00:30:36,44.1628965 So most people that have like a standard like urinalysis where they're looking for like. 524 00:30:36,224.1628965 --> 00:30:41,324.1628965 Glucose in the urine and white blood cells and proteins that doesn't look for chlamydia and gonorrhea. 525 00:30:41,324.1628965 --> 00:30:43,304.1628965 So it's a specific urine test that they have to do. 526 00:30:43,694.1628965 --> 00:30:49,588.1628965 And there's specific parameters about, it has to be like the first 20 milliliters from your Hmm. 527 00:30:49,964.1628965 --> 00:30:51,584.1628965 after you haven't peed for a while. 528 00:30:51,584.1628965 --> 00:30:53,403.1628965 'cause again, they're trying to get Right. 529 00:30:53,414.1628965 --> 00:30:54,554.1628965 for really at the tip of it. 530 00:30:55,364.1628965 --> 00:31:02,298.1628965 So the challenge with the urine sample is often if it gets sent to the lab, if it's not within those specific parameters about like literally the number Mm-hmm. 531 00:31:02,384.1628965 --> 00:31:08,298.1628965 milliliters in volume done, uh, or it wasn't the corrective void like they had peed recently or Mm-hmm. 532 00:31:08,474.1628965 --> 00:31:11,324.1628965 they'll reject it, which isn't helpful 'cause then we actually don't have any answers. 533 00:31:11,324.1628965 --> 00:31:11,958.1628965 So Mm-hmm. 534 00:31:12,104.1628965 --> 00:31:13,454.1628965 more reliable. 535 00:31:13,724.1628965 --> 00:31:19,748.1628965 Um, but the urine is definitely a more um, Mm-hmm. 536 00:31:20,234.1628965 --> 00:31:20,294.1628965 I. 537 00:31:20,920.1560938 --> 00:31:21,160.1560938 Yeah. 538 00:31:21,460.1560938 --> 00:31:28,420.1560938 And just, just as a, a question not directly related, when you are testing someone for these and family doctors, I'm sure go through this all the time. 539 00:31:28,750.1560938 --> 00:31:32,710.1560938 Do you say, listen, if we're doing this, maybe we should do other sexually transmitted infections. 540 00:31:32,710.1560938 --> 00:31:36,430.1560938 Should we test for HIV, should we test for hepatitis? Those kinds of things. 541 00:31:36,430.1560938 --> 00:31:36,490.1560938 I. 542 00:31:37,139.1628965 --> 00:31:42,564.1628965 Yeah, I think definitely in a primary care setting, like with your family doctor, it makes sense to lump everything together. 543 00:31:42,819.1628965 --> 00:31:47,829.1628965 We also have a lot of like sexual health clinics that are dedicated for things like routine, STI testing. 544 00:31:48,479.1628965 --> 00:31:50,309.1628965 Routine, HIV testing and things like that. 545 00:31:50,309.1628965 --> 00:31:53,914.1628965 So, def that I think is a great use for those resources in the emerge. 546 00:31:53,914.1628965 --> 00:31:57,995.1560938 I do try to sometimes keep it a bit specific to that presentation Yep. 547 00:31:58,144.1628965 --> 00:32:09,664.1628965 my, my concern is if something happens with the lab, let's say again they reject the urine sample 'cause it was 22 milliliters instead of 20 milliliters, then I worry that patient's gonna be falsely reassured that they don't have something. 548 00:32:09,664.1628965 --> 00:32:11,220.1560938 So, um, Yeah. 549 00:32:11,254.1628965 --> 00:32:11,854.1628965 being said, you know. 550 00:32:12,559.1628965 --> 00:32:19,149.1628965 now there is a significant shortage of family physicians and primary care physicians, so sometimes, we do take on that role in the emerge. 551 00:32:19,149.1628965 --> 00:32:20,43.1628965 I'm just always All right. 552 00:32:20,409.1628965 --> 00:32:22,869.1628965 of those limitations if, if that happens. 553 00:32:23,665.1560938 --> 00:32:24,205.1560938 completely. 554 00:32:24,205.1560938 --> 00:32:25,555.1560938 And I mean, it's a resource issue. 555 00:32:25,555.1560938 --> 00:32:35,515.1560938 You can't do every test for everyone in the emerge and follow up becomes an issue because if those tests take more than a few hours to come back, you are responsible as an Emerge doc to follow up on it. 556 00:32:35,515.1560938 --> 00:32:39,175.1560938 And that gets very tough to follow up and treat the acute people. 557 00:32:39,459.1628965 --> 00:32:40,59.1628965 Yes. 558 00:32:40,179.1628965 --> 00:32:40,539.1628965 Yeah. 559 00:32:40,904.1628965 --> 00:32:41,144.1628965 Yeah. 560 00:32:41,149.1628965 --> 00:32:42,475.1560938 All, all great Absolutely. 561 00:32:43,255.1560938 --> 00:32:43,495.1560938 Yeah. 562 00:32:44,830.1560938 --> 00:32:56,80.1560938 Did we, um, we talked about the symptoms a little bit, but why don't we just like put it out there? 'cause there's some kind of subtleties in, in, in the two, um, especially gonorrhea about how they can present. 563 00:32:56,80.1560938 --> 00:33:09,720.1560938 So maybe we talked about it, but why don't we just put it out there, like, how does Chlamydia actually present when it is symptomatic? What do you see? So say chlamydia is, quite often asymptomatic, so patients have no symptoms and especially It's. 564 00:33:09,904.1628965 --> 00:33:16,354.1628965 just kind of, uh, interestingly, the, for people that do have symptoms of chlamydia, it's usually quite subtle. 565 00:33:16,634.1628965 --> 00:33:19,94.1628965 They might have the odd burning when they start to pee. 566 00:33:19,154.1628965 --> 00:33:21,644.1628965 They might notice they're peeing a little bit more often. 567 00:33:22,184.1628965 --> 00:33:27,374.1628965 Maybe there's a bit of a cloudiness to the urine, but it's pretty subtle and it might come and go. 568 00:33:27,434.1628965 --> 00:33:30,374.1628965 You might say, Hey, it it, I had some burning when I peed for like a couple of times. 569 00:33:30,374.1628965 --> 00:33:31,664.1628965 Especially I haven't peed in a little while. 570 00:33:31,664.1628965 --> 00:33:32,954.1628965 Then it's okay afterwards. 571 00:33:33,344.1628965 --> 00:33:35,764.1628965 But it's usually fairly, small and localized. 572 00:33:35,894.1628965 --> 00:33:47,414.1628965 If it were to advance to more of a largely pelvic inflammatory disease or PID picture, then people have more like abdominal pain, fevers, But for the most part, the chlamydia is either no symptoms or very mild urinary symptoms. 573 00:33:47,654.1628965 --> 00:33:55,194.1628965 Tingling when you pee, burning when you pee, having to pee often or you pee and you feel like there's still pee there, but you try to pee again and there's not much anything. 574 00:33:55,194.1628965 --> 00:33:57,628.1628965 So we call that like incomplete emptying or Mm-hmm. 575 00:33:58,494.1628965 --> 00:34:00,414.1628965 And then gonorrhea again, like Kool-Aid man. 576 00:34:00,969.1628965 --> 00:34:05,199.1628965 Like it's, it's usually you've got symptoms and I'd say more extreme. 577 00:34:05,199.1628965 --> 00:34:08,139.1628965 So at the early stages, you know, having to pee more often. 578 00:34:08,934.1628965 --> 00:34:10,674.1628965 Definitely burning when you pee. 579 00:34:10,824.1628965 --> 00:34:14,844.1628965 It may even be like hard enough that you, like, you don't want to pee because it hurts that bad. 580 00:34:15,144.1628965 --> 00:34:26,214.1628965 And then as that advances, you know, we have that increased inflammation, you tend to see things like discharge, which is, if you can imagine, you know, when you blow your nose, like that kind of snotty, milky sort of stuff. 581 00:34:26,214.1628965 --> 00:34:30,264.1628965 But just, you know, coming out from your, um, genital tract. 582 00:34:31,595.1560938 --> 00:34:31,775.1560938 Yeah. 583 00:34:32,525.1560938 --> 00:34:33,35.1560938 Yeah. 584 00:34:33,95.1560938 --> 00:34:36,958.1628965 And swelling, you know, epi ditis in, in men as well. 585 00:34:37,83.1628965 --> 00:34:45,688.1628965 Um, so, so what is that? What is that, James? You wanna just explain what that is? inflammation of the testicles or, or painful, swollen testicles. 586 00:34:46,78.1628965 --> 00:34:48,58.1628965 Um, yeah, thank you for pointing that out. 587 00:34:48,88.1628965 --> 00:34:48,995.1560938 Um, so Yep. 588 00:34:48,995.1560938 --> 00:34:49,85.1560938 Yep. 589 00:34:49,468.1628965 --> 00:35:01,798.1628965 so especially chlamydia and gonorrhea in some women, tend to be quite, a asymptomatic or mild asymptomatic, right, like peeing or pain burning sensation after peeing, you could have that. 590 00:35:02,578.1628965 --> 00:35:08,788.1628965 know, without chlamydia or gonorrhea, right? Or you could have pain during intercourse, you know, for a variety of reasons. 591 00:35:08,818.1628965 --> 00:35:22,858.1628965 Right? So, help us understand, when should, listeners be worried when they're having these symptoms? And I think this is more in terms of, why we should be considering regular, testing if you're sexually active. 592 00:35:23,223.3080212 --> 00:35:25,548.3080212 I, I think that's, that's probably the take home right there, James. 593 00:35:25,548.3080212 --> 00:35:29,478.3080212 Like, I think if you're having any of those symptoms, you should go and get tested. 594 00:35:29,478.3080212 --> 00:35:38,388.3080212 And probably the first test that would be done would be really, again, what I'd think of, like as a standard urinalysis to screen for like a, a urinary tract infection or a UTI. 595 00:35:38,388.3080212 --> 00:35:46,88.3080212 And again, these are also bacteria, within your, genital uretal tract, but again, they're not, um, specifically chlamydia or gonorrhea. 596 00:35:46,88.3080212 --> 00:35:51,98.3080212 So if you're having those symptoms, probably the first test that'll be done is, is a standard urinalysis screen for that. 597 00:35:51,398.3080212 --> 00:35:52,97.3080212 Um, Mm-hmm. 598 00:35:52,118.3080212 --> 00:35:56,698.3080212 require antibiotics, but different antibiotics then you might get if it's chlamydia and gonorrhea. 599 00:35:56,998.3080212 --> 00:35:58,618.3080212 So if you are really. 600 00:35:59,793.3080212 --> 00:36:01,323.3080212 It's sexually active. 601 00:36:01,353.3080212 --> 00:36:04,943.3080212 That doesn't mean that you have to be having intercourse like it can be oral sex, anal sex. 602 00:36:04,943.3080212 --> 00:36:06,623.3080212 It doesn't have to be necessarily vaginal. 603 00:36:06,653.3080212 --> 00:36:09,113.3080212 Even using toys without actual penetration. 604 00:36:09,113.3080212 --> 00:36:16,707.3080212 Like, again, if it's spread through secretions, it's really all you'd need is really just direct contact of Just contact with secretion. 605 00:36:16,947.3080212 --> 00:36:17,397.3080212 Yeah. 606 00:36:17,637.3080212 --> 00:36:19,467.3080212 That, uh, from general track. 607 00:36:19,673.3080212 --> 00:36:28,543.3080212 if that's what you're doing, I think routine testing, as a baseline is great just to keep 'em on top of it so you're aware if something happens or you can detect it earlier, and then treat it earlier. 608 00:36:29,147.3080212 --> 00:36:29,357.3080212 Yeah. 609 00:36:29,514.3012185 --> 00:36:35,987.3080212 Um, if you have symptoms, go and If you have overt symptoms, if you have the Kool-Aid man symptoms? Yes. 610 00:36:35,994.3012185 --> 00:36:37,194.3012185 The Kool-Aid man symptoms. 611 00:36:37,464.3012185 --> 00:36:42,654.3012185 And maybe, maybe, maybe this is a good time for me to geek out on the internal medicine side a little bit. 612 00:36:43,4.3012185 --> 00:36:44,804.3012185 'Cause the reality is I don't really see these. 613 00:36:44,814.3012185 --> 00:37:01,224.3012185 Most these infections are treated by primary care or in the emerge they go home, they're not admitted, but there's, there's a gonorrhea, especially it can have this really weird big presentation like Kool-Aid Man Plus where Kool-Aid man brings a friend where it affects different parts of the body. 614 00:37:01,944.3012185 --> 00:37:09,534.3012185 Yeah, we have, like, honestly guys, we have so much art here, we could just throw it into AI and get some good pictures. 615 00:37:10,84.3012185 --> 00:37:17,434.3012185 Although it starts in the urethra or, or down that area, but it can actually disseminate, it can go to the rest of the body. 616 00:37:17,434.3012185 --> 00:37:25,414.3012185 And what we see is, you can get, joint swelling sometimes, so you can actually get gonorrhea infections in a joint or two joints or three joints. 617 00:37:25,414.3012185 --> 00:37:28,534.3012185 Usually it's a small amount, you can get it in the eyes. 618 00:37:28,534.3012185 --> 00:37:34,414.3012185 So something we call conjunctivitis, inflammation in the conjunctiva of the eye, and you can get skin changes as well. 619 00:37:34,504.3012185 --> 00:37:34,984.3012185 And then, uh. 620 00:37:34,984.3012185 --> 00:37:36,694.3012185 You can get inflammation of the tendons. 621 00:37:36,724.3012185 --> 00:37:40,414.3012185 So once it kind of gets into the blood, it can spread to all these places. 622 00:37:40,594.3012185 --> 00:37:46,84.3012185 Um, the eye can also be direct contact and it can be very pronounced, very painful. 623 00:37:46,84.3012185 --> 00:37:49,54.3012185 Oftentimes you do need admission if it's, to this. 624 00:37:49,749.3012185 --> 00:37:51,789.3012185 On the chlamydia side, it doesn't really do that. 625 00:37:51,789.3012185 --> 00:37:57,259.3012185 The only thing chlamydia can do is you can get joint swelling, which is, the chlamydia is not actually in the joint. 626 00:37:57,259.3012185 --> 00:38:01,669.3012185 The body just gets confused, and when it tries to fight chlamydia, it also attacks one of its own joints. 627 00:38:01,669.3012185 --> 00:38:03,169.3012185 That's called a reactive arthritis. 628 00:38:03,259.3012185 --> 00:38:04,519.3012185 It's usually not as pronounced. 629 00:38:04,789.3012185 --> 00:38:11,299.3012185 So, yeah, gonorrhea, like in my world, when someone comes in with joint pain, it can be a thousand things, but gonorrhea is always top of our mind. 630 00:38:11,299.3012185 --> 00:38:13,249.3012185 Be like, oh, okay, let's keep that in mind. 631 00:38:13,943.3080212 --> 00:38:14,23.3080212 Hmm. 632 00:38:14,177.3080212 --> 00:38:14,387.3080212 Hmm. 633 00:38:14,627.3080212 --> 00:38:15,77.3080212 Interesting. 634 00:38:15,523.3080212 --> 00:38:15,943.3080212 not subtle. 635 00:38:16,68.3080212 --> 00:38:17,814.3012185 When it's there, it's like red, No. 636 00:38:18,384.3012185 --> 00:38:19,457.3080212 Yeah, it looks Hmm. 637 00:38:19,464.3012185 --> 00:38:20,478.3080212 it's called, to it. 638 00:38:20,508.3080212 --> 00:38:20,838.3080212 Yeah. 639 00:38:21,204.3012185 --> 00:38:24,84.3012185 it's called Per, it's called Purulent arthritis. 640 00:38:24,114.3012185 --> 00:38:25,824.3012185 Like literally there's plus in there. 641 00:38:25,824.3012185 --> 00:38:27,654.3012185 It's, it's an angry, angry joint. 642 00:38:28,224.3012185 --> 00:38:28,524.3012185 Yeah. 643 00:38:28,698.3080212 --> 00:38:29,214.3012185 I Yeah. 644 00:38:29,389.3012185 --> 00:38:30,137.3080212 I, I at all. 645 00:38:30,168.3080212 --> 00:38:36,18.3080212 having said puss like one or two times so far into this episode, I'm a bit, I'm a bit disappointed actually. 646 00:38:36,498.3080212 --> 00:38:40,134.3012185 Feel like feel, feel free to feel free to throw it in there. 647 00:38:40,428.3080212 --> 00:38:41,477.3080212 pus There you go. 648 00:38:41,814.3012185 --> 00:38:42,84.3012185 All right. 649 00:38:42,408.3080212 --> 00:38:42,798.3080212 is puss. 650 00:38:43,974.3012185 --> 00:38:45,474.3012185 Yeah, feel we saw that coming. 651 00:38:45,558.3080212 --> 00:38:46,38.3080212 I feel heard. 652 00:38:46,104.3012185 --> 00:38:46,704.3012185 Yeah, we're good. 653 00:38:46,854.3012185 --> 00:38:47,394.3012185 We're good. 654 00:38:48,283.3080212 --> 00:38:48,703.3080212 Moving on. 655 00:38:48,733.3080212 --> 00:38:49,153.3080212 Moving on. 656 00:38:50,243.3080212 --> 00:38:51,623.3080212 Don't want to get these things. 657 00:38:52,283.3080212 --> 00:38:54,162.3148239 How do I prevent it? Hmm. 658 00:38:54,282.3148239 --> 00:39:07,552.3148239 The best thing really is barrier protection, right? I mean, we're not gonna do like a, just don't use drugs approach to this, right? Obviously, if you are abstinent and not having sex or any sort of, again, contact with, secretions, then you are. 659 00:39:07,597.3148239 --> 00:39:08,467.3148239 Probably fine. 660 00:39:08,727.3148239 --> 00:39:13,37.3148239 But otherwise it's really standard, kind of safe sex practices, barrier protection. 661 00:39:13,117.3148239 --> 00:39:16,907.3148239 Condoms, would really be your best, preventative measure against it. 662 00:39:16,907.3148239 --> 00:39:20,327.3148239 'cause again, you're trying to avoid exposure to those secretions themselves. 663 00:39:20,577.3148239 --> 00:39:21,867.3148239 So that's really the, the biggest thing. 664 00:39:21,867.3148239 --> 00:39:27,87.3148239 You know, there's not really like a preventative pill that we're on if people are on birth control, that doesn't do anything for covering it. 665 00:39:27,327.3148239 --> 00:39:29,97.3148239 It's really trying to not have. 666 00:39:29,802.3148239 --> 00:39:31,752.3148239 Mucosa that are susceptible to those secretions. 667 00:39:31,752.3148239 --> 00:39:37,877.3148239 So again, this is being, you know, mouth penis, vagina, anus, getting exposed to those secretions. 668 00:39:40,188.3080212 --> 00:39:47,558.3080212 And, and I imagine just, it's easy to say, talking about it like, you should be letting partners know if you have this, you should be talking about it. 669 00:39:47,888.3080212 --> 00:39:52,268.3080212 But again, because of that stigma and for so many reasons, people don't talk about it. 670 00:39:52,268.3080212 --> 00:39:56,288.3080212 So it gets transmitted because they're embarrassed or shy or whatever it may be. 671 00:39:56,558.3080212 --> 00:39:58,898.3080212 So talking about it is so important. 672 00:40:00,177.3148239 --> 00:40:12,16.3148239 And it's a big role for public health as well, right? Like, I know, public health, when you've heard about or recent in the media, it's really been a lot of things like COVID and tracking a vaccines but this is also a big role that public health has, Yeah. 673 00:40:12,57.3148239 --> 00:40:12,477.3148239 for this. 674 00:40:12,477.3148239 --> 00:40:17,427.3148239 'cause you know, if one person tests positive right, then they obviously got it from someone. 675 00:40:17,427.3148239 --> 00:40:20,667.3148239 So part of the role of public health is doing some of that contact tracing. 676 00:40:20,667.3148239 --> 00:40:21,927.3148239 So you have a positive test. 677 00:40:22,252.3148239 --> 00:40:23,902.3148239 They'll call you and let you know. 678 00:40:24,142.3148239 --> 00:40:24,976.3148239 They'll Yeah. 679 00:40:25,462.3148239 --> 00:40:35,662.3148239 you know, been in contact with, and then try to get in contact with them and kind of downstream to try to, treat anyone that's been exposed or at least have them tested and then treated afterwards as well. 680 00:40:35,932.3148239 --> 00:40:36,631.3148239 Um, Yeah. 681 00:40:36,742.3148239 --> 00:40:42,261.3148239 sometimes, one test just opens up a, a larger pool of investigating, who needs to be tested and treated and Mm-hmm. 682 00:40:42,402.3148239 --> 00:40:42,642.3148239 that. 683 00:40:43,581.3148239 --> 00:40:43,821.3148239 Yeah. 684 00:40:43,881.3148239 --> 00:40:53,961.3148239 And I think if, if COVID did anything for the world, it showed everyone that there are massive infrastructures for trying to find out where something originated, how it's spread. 685 00:40:54,231.3148239 --> 00:40:55,966.3148239 Um, sometimes it's effective, sometimes it's not. 686 00:40:55,966.3148239 --> 00:40:59,331.3148239 But this is one of those things that's been tracked for ages. 687 00:41:01,274.3216266 --> 00:41:04,90.3216266 So public health hasn't been able to trace it back to Koalas. 688 00:41:04,90.3216266 --> 00:41:07,941.3148239 Just saying, we, or, it. 689 00:41:08,84.3216266 --> 00:41:11,751.3148239 or at the biblical, you know, I love oil guys. 690 00:41:11,896.3148239 --> 00:41:15,141.3148239 We, we, we have revolutionized. 691 00:41:15,190.3216266 --> 00:41:16,630.3216266 going back millennia good. 692 00:41:16,780.3216266 --> 00:41:17,429.3216266 You know, Yeah. 693 00:41:17,519.3216266 --> 00:41:21,179.3216266 Yeah, I think, I think the documents are written in stones. 694 00:41:22,581.3148239 --> 00:41:25,401.3148239 I didn't realize how groundbreaking our podcast was. 695 00:41:25,979.3216266 --> 00:41:29,211.3148239 let Yeah, unleash the AI on Unleash. 696 00:41:29,211.3148239 --> 00:41:29,541.3148239 Yeah. 697 00:41:29,541.3148239 --> 00:41:34,499.3216266 Really? So, okay, so let's talk about treatment then. 698 00:41:34,529.3216266 --> 00:41:39,389.3216266 Um, you know, I think a lot of people wanna know, okay, so I, I'm diagnosed with this. 699 00:41:39,509.3216266 --> 00:41:42,85.3216266 How should it be treated? Yeah. 700 00:41:57,556.0213086 --> 00:41:57,796.0213086 Hmm. 701 00:41:58,58.0145058 --> 00:42:03,556.0213086 I, Yeah, mercury. 702 00:42:03,556.0213086 --> 00:42:18,376.0213086 Mercury always pops up in this historic context, you know, like there's something about, yeah, something about, you know, semi metallic, you know, consistency of this, this, you know, material Like, you know, intrigued. 703 00:42:18,646.0213086 --> 00:42:19,726.0213086 You know, our ancestors. 704 00:42:20,858.0145058 --> 00:42:28,478.0145058 like a a, a 16th, a 16th century podcast to be three guys sitting on a, in a, on a table being like, use mercury and then slap. 705 00:42:28,711.0213086 --> 00:42:29,11.0213086 Yeah. 706 00:42:29,228.0145058 --> 00:42:29,858.0145058 And you're good. 707 00:42:29,918.0145058 --> 00:42:30,188.0145058 Yeah. 708 00:42:30,278.0145058 --> 00:42:30,428.0145058 Yeah. 709 00:42:31,268.0145058 --> 00:42:31,418.0145058 Yeah. 710 00:42:31,681.0213086 --> 00:42:34,921.0213086 the penis and, Yeah, mercury yeah, and pray. 711 00:42:36,248.0145058 --> 00:42:36,998.0145058 End podcast. 712 00:42:36,998.0145058 --> 00:42:37,208.0145058 Yeah. 713 00:42:41,221.0213086 --> 00:42:41,401.0213086 Yeah. 714 00:42:41,821.0213086 --> 00:42:42,271.0213086 Yeah. 715 00:42:44,311.0213086 --> 00:42:45,31.0213086 Yikes. 716 00:42:45,458.0145058 --> 00:42:47,228.0145058 We are adding so much false. 717 00:42:47,228.0145058 --> 00:42:50,168.0145058 We're, we're adding so much false information to the uh, yeah. 718 00:44:07,41.0213086 --> 00:44:07,461.0213086 Mm-hmm. 719 00:44:08,193.0145058 --> 00:44:09,363.0145058 Uh, bros. 720 00:44:10,623.0145058 --> 00:44:11,13.0145058 Thank you. 721 00:44:11,13.0145058 --> 00:44:13,443.0145058 Yeah, I was gonna say, let's just, it's a needle in the butt. 722 00:44:13,653.0145058 --> 00:44:14,313.0145058 It is. 723 00:44:14,403.0145058 --> 00:44:14,673.0145058 Yep. 724 00:44:16,666.0213086 --> 00:44:18,706.0213086 so it in emer. 725 00:44:18,736.0213086 --> 00:44:23,566.0213086 So I think that's, uh, so Chlamydia, oral pills and gonorrhea. 726 00:44:24,541.0213086 --> 00:44:27,361.0213086 Intramuscular injection, big needle in the butt. 727 00:44:27,361.0213086 --> 00:44:31,591.0213086 So certainly different, you know, when patients are thinking about that. 728 00:44:31,591.0213086 --> 00:44:31,921.0213086 Right. 729 00:44:32,101.0213086 --> 00:44:34,21.0213086 And you said they're usually treated together. 730 00:44:34,21.0213086 --> 00:44:52,356.0213086 So is it routine in emergency room to treat for like, you know, give pills and then needle in the butt both at the same time or uh Or do you selectively treat Yeah, I. 731 00:44:54,126.0213086 --> 00:44:54,546.0213086 Mm-hmm. 732 00:45:00,576.0213086 --> 00:45:00,996.0213086 Mm-hmm. 733 00:45:01,883.0145058 --> 00:45:02,63.0145058 Yep. 734 00:45:04,368.0145058 --> 00:45:04,488.0145058 I. 735 00:45:11,526.0213086 --> 00:45:11,946.0213086 Mm-hmm. 736 00:45:12,128.0145058 --> 00:45:12,308.0145058 Yep. 737 00:45:12,338.0145058 --> 00:45:14,738.0145058 And for listeners, these are not unusual antibiotics. 738 00:45:14,738.0145058 --> 00:45:16,418.0145058 We use these for all sorts of infections. 739 00:45:16,418.0145058 --> 00:45:21,248.0145058 So these are very, very common, and for the most part, very, very safe anti, uh, antibiotics. 740 00:45:21,608.0145058 --> 00:45:29,378.0145058 Um, and I'll say if we have, if we get into the world this disseminated gonorrhea where it's in the joints or it's elsewhere, that just tends to be an IV treatment for. 741 00:45:29,778.0145058 --> 00:45:32,598.0145058 7, 10, 14 days, just depending on symptoms. 742 00:45:32,778.0145058 --> 00:45:36,743.0145058 But again, that we're talking rare on those ones where like zero to 5% of infections go there. 743 00:45:39,213.0145058 --> 00:45:39,503.0145058 Yeah. 744 00:45:39,571.0213086 --> 00:45:47,41.0213086 And just to confirm, the intramuscular, the needle in the butt once, right? Just one dose, one high dose. 745 00:45:47,101.0213086 --> 00:45:47,401.0213086 Yeah. 746 00:45:52,516.0213086 --> 00:45:52,936.0213086 Mm-hmm. 747 00:45:55,486.0213086 --> 00:45:55,776.0213086 Yeah. 748 00:45:57,246.0213086 --> 00:45:57,536.0213086 Yeah. 749 00:46:03,271.0213086 --> 00:46:07,118.0145058 Yeah, I don't know about you, but my Have you? Oh, I would. 750 00:46:07,208.0145058 --> 00:46:08,78.0145058 I would be crying. 751 00:46:08,258.0145058 --> 00:46:11,438.0145058 Have you ever had, have you ever had any, anyone come in Brody and be like, no, no, no. 752 00:46:11,618.0145058 --> 00:46:12,818.0145058 My deltoids are big enough. 753 00:46:12,818.0145058 --> 00:46:13,598.0145058 I could do this. 754 00:46:15,578.0145058 --> 00:46:15,758.0145058 Okay. 755 00:46:17,228.0145058 --> 00:46:20,283.0145058 I want that once in your career, and I want you to tell us, please, I. 756 00:46:22,471.0213086 --> 00:46:22,591.0213086 yeah. 757 00:46:25,711.0213086 --> 00:46:27,361.0213086 All right, so it. 758 00:46:27,668.0145058 --> 00:46:40,598.0145058 Uh, Yeah, yeah, yeah, and I would say, I would say this would be a really just good segment that if we could include this in more of our podcast, a myth segment. 759 00:46:40,748.0145058 --> 00:46:42,758.0145058 'cause I think it'd be fun to throw in there. 760 00:46:42,758.0145058 --> 00:46:43,448.0145058 It's really important. 761 00:46:43,448.0145058 --> 00:46:45,248.0145058 'cause this is the, this is the fake news segment. 762 00:46:45,338.0145058 --> 00:46:47,56.0213086 Yeah, popular news. 763 00:46:47,116.0213086 --> 00:46:47,476.0213086 Yeah. 764 00:46:47,558.0145058 --> 00:46:51,586.0213086 yeah, Your social, yeah, you know, shorts. 765 00:46:52,298.0145058 --> 00:46:52,538.0145058 yeah. 766 00:46:52,688.0145058 --> 00:46:53,168.0145058 I like it. 767 00:46:53,326.0213086 --> 00:46:54,518.0145058 this? Yeah. 768 00:46:54,818.0145058 --> 00:46:55,868.0145058 So first of all, koalas. 769 00:47:00,826.0213086 --> 00:47:01,636.0213086 Yeah, that's right. 770 00:47:28,943.0145058 --> 00:47:30,143.0145058 So we're putting this out there. 771 00:47:30,203.0145058 --> 00:47:30,413.0145058 Yeah. 772 00:47:30,473.0145058 --> 00:47:30,923.0145058 Fair enough. 773 00:47:30,923.0145058 --> 00:47:30,983.0145058 Yeah. 774 00:47:31,96.0213086 --> 00:47:31,486.0213086 Yeah. 775 00:47:38,291.0213086 --> 00:47:38,711.0213086 Mm-hmm. 776 00:47:42,161.0213086 --> 00:47:42,581.0213086 Mm-hmm. 777 00:47:53,361.0213086 --> 00:47:53,581.0213086 Hmm. 778 00:48:01,956.0213086 --> 00:48:02,376.0213086 Mm-hmm. 779 00:48:15,986.0213086 --> 00:48:16,406.0213086 Mm-hmm. 780 00:48:18,596.0213086 --> 00:48:18,886.0213086 Yeah. 781 00:48:19,726.0213086 --> 00:48:22,621.0213086 And importance of regular testing if you're sexually active. 782 00:48:39,601.0213086 --> 00:48:48,398.0145058 I think that's, uh, against, I think that's a discrimination for people over 95 Yeah, I ninety seven, a hundred and three. 783 00:48:48,398.0145058 --> 00:48:48,458.0145058 Yeah. 784 00:48:48,721.0213086 --> 00:48:49,741.0213086 important group out. 785 00:48:50,648.0145058 --> 00:48:51,38.0145058 Yeah. 786 00:48:51,81.0213086 --> 00:48:52,171.0213086 it could affect anyone. 787 00:48:53,13.0145058 --> 00:48:53,233.0145058 Yep. 788 00:48:55,106.0213086 --> 00:48:55,526.0213086 Mm-hmm. 789 00:48:55,611.0213086 --> 00:48:58,831.0213086 Mm-hmm. 790 00:48:58,832.0213086 --> 00:48:58,842.0213086 Mm-hmm. 791 00:49:00,906.0213086 --> 00:49:01,326.0213086 Mm-hmm. 792 00:49:03,736.0213086 --> 00:49:04,156.0213086 Mm-hmm. 793 00:49:05,978.0145058 --> 00:49:07,268.0145058 Way to take the feedback, Brody. 794 00:49:07,598.0145058 --> 00:49:08,18.0145058 Thank you. 795 00:49:08,461.0213086 --> 00:49:08,791.0213086 Yeah. 796 00:49:16,16.0213086 --> 00:49:16,436.0213086 Mm-hmm. 797 00:49:44,621.0213086 --> 00:49:45,41.0213086 Mm-hmm. 798 00:49:54,376.0213086 --> 00:49:54,796.0213086 Mm-hmm. 799 00:50:09,686.0213086 --> 00:50:09,976.0213086 Yeah. 800 00:50:11,296.0213086 --> 00:50:13,66.0213086 And also super gonorrhea. 801 00:50:13,66.0213086 --> 00:50:14,806.0213086 The worst thing for superheroes. 802 00:50:15,278.0145058 --> 00:50:15,578.0145058 Yeah. 803 00:50:15,908.0145058 --> 00:50:20,798.0145058 Yeah, that's, but again, good for our comic book coming out next week. 804 00:50:21,428.0145058 --> 00:50:21,548.0145058 Yeah. 805 00:50:22,178.0145058 --> 00:50:26,618.0145058 Uh, I think this, this will come up probably as we talk about other infections and future episodes. 806 00:50:26,858.0145058 --> 00:50:32,78.0145058 Um, but the whole, why don't I just get antibiotics? Why don't you just treat it? It's easy even if I don't have it. 807 00:50:32,258.0145058 --> 00:50:33,398.0145058 It's a really important thing. 808 00:50:33,398.0145058 --> 00:50:36,488.0145058 Like antibiotics, yes, for the most part are safe, but. 809 00:50:36,978.0145058 --> 00:50:43,218.0145058 Getting antibiotics when you don't need them or getting antibiotics when you could have prevented what cause what you need them for. 810 00:50:43,578.0145058 --> 00:50:46,458.0145058 It causes problems down the road, so we don't use them lightly. 811 00:50:46,458.0145058 --> 00:50:49,693.0145058 And that's a huge conversation that many of you have probably had with your family doctors. 812 00:50:50,581.0213086 --> 00:50:50,881.0213086 Oh yeah. 813 00:50:50,881.0213086 --> 00:50:54,421.0213086 I think that would be probably another episode that we should definitely touch on. 814 00:50:54,481.0213086 --> 00:50:59,731.0213086 You know, antibiotics are not as safe as, you know, what, what we think they are to be. 815 00:50:59,731.0213086 --> 00:51:00,511.0213086 So, yeah. 816 00:51:00,588.0145058 --> 00:51:00,888.0145058 Yep. 817 00:51:01,878.0145058 --> 00:51:03,948.0145058 We're not putting 'em in the water for good reason. 818 00:51:04,968.0145058 --> 00:51:05,148.0145058 Yep. 819 00:51:08,551.0213086 --> 00:51:09,31.0213086 Yeah. 820 00:51:09,31.0213086 --> 00:51:09,41.0213086 Yeah. 821 00:51:11,63.0145058 --> 00:51:11,363.0145058 Yep. 822 00:51:11,458.0145058 --> 00:51:12,983.0145058 We'll, we'll get a good guess for that one. 823 00:51:16,156.0213086 --> 00:51:16,546.0213086 Last. 824 00:51:16,546.0213086 --> 00:51:17,206.0213086 Last myth. 825 00:51:17,746.0213086 --> 00:51:18,46.0213086 Yeah. 826 00:51:18,791.0213086 --> 00:51:19,211.0213086 Mm-hmm. 827 00:51:32,581.0213086 --> 00:51:32,661.0213086 Hmm. 828 00:51:33,258.0145058 --> 00:51:33,338.0145058 Hmm. 829 00:51:36,708.0145058 --> 00:51:36,928.0145058 Hm. 830 00:51:38,321.0213086 --> 00:51:38,741.0213086 Mm-hmm. 831 00:51:42,281.0213086 --> 00:51:42,701.0213086 Mm-hmm. 832 00:51:50,386.0213086 --> 00:51:50,806.0213086 Mm-hmm. 833 00:51:52,943.0145058 --> 00:51:54,83.0145058 Love the myth section. 834 00:51:54,91.0213086 --> 00:51:55,231.0213086 Yeah, it's solid. 835 00:51:56,693.0145058 --> 00:51:58,653.0145058 We're gonna have to have some fun music in there, and. 836 00:51:59,491.0213086 --> 00:51:59,851.0213086 Yeah. 837 00:52:00,158.0145058 --> 00:52:04,81.0213086 And I think we should poll each other, be like, is this myth true or false? Hmm. 838 00:52:04,958.0145058 --> 00:52:05,288.0145058 Yeah. 839 00:52:05,671.0213086 --> 00:52:07,651.0213086 It would be But if the, sample size. 840 00:52:08,228.0145058 --> 00:52:08,588.0145058 yeah. 841 00:52:08,726.0213086 --> 00:52:08,946.0213086 two. 842 00:52:09,241.0213086 --> 00:52:10,21.0213086 Two of us. 843 00:52:10,58.0145058 --> 00:52:12,788.0145058 And I guess, and I guess if they're myths, they're probably false. 844 00:52:15,391.0213086 --> 00:52:16,478.0145058 Uh, Terrible idea. 845 00:52:16,538.0145058 --> 00:52:16,928.0145058 Okay. 846 00:52:17,348.0145058 --> 00:52:20,198.0145058 We move on Brody. 847 00:52:20,461.0213086 --> 00:52:21,451.0213086 solid, solid episode. 848 00:52:21,511.0213086 --> 00:52:22,628.0145058 Uh, solid Yeah. 849 00:52:23,221.0213086 --> 00:52:24,181.0213086 Solid topic. 850 00:52:24,391.0213086 --> 00:52:27,931.0213086 Brody, don't we provide key pointers to our listeners. 851 00:52:29,380.9274349 --> 00:52:31,300.9274349 Uh, maybe, maybe I'll start with one. 852 00:52:31,750.9274349 --> 00:52:32,290.9274349 Yeah. 853 00:52:32,290.9274349 --> 00:52:37,180.9274349 I think, um, important to know that, um, chlamydia especially, it can be quiet. 854 00:52:37,180.9274349 --> 00:52:39,550.9274349 It can be silent, it can be a ninja. 855 00:52:39,550.9274349 --> 00:52:41,260.9274349 Thanks for letting me say that. 856 00:52:41,740.9274349 --> 00:52:45,160.9274349 Um, so just 'cause you don't have symptoms doesn't mean you don't have it. 857 00:52:45,160.9274349 --> 00:52:46,930.9274349 So if you have a suspicion, get tested. 858 00:52:47,808.9342377 --> 00:52:48,108.9342377 Yeah. 859 00:52:48,108.9342377 --> 00:52:53,208.9342377 And um, um, you know, jumping onto that, um. 860 00:52:53,688.9342377 --> 00:53:00,618.9342377 Uh, the routine testing if you're sexually active, I think is crucial, because of that asymptomatic nature of a lot of these. 861 00:53:01,308.9342377 --> 00:53:06,858.9342377 And just think about the impact that it could have, uh, you know, in terms of. 862 00:53:07,443.9342377 --> 00:53:10,443.9342377 You know, to your loved ones, um, and, and to others. 863 00:53:10,833.9342377 --> 00:53:20,13.9342377 So not only does this prevent you from having advanced diseases like, you know, we talked about like septic arthritis or pelvic inflammatory disease, infertility, these consequences. 864 00:53:20,763.9342377 --> 00:53:23,223.9342377 you could also give that to somebody you love. 865 00:53:23,343.9342377 --> 00:53:28,83.9342377 So, you know, very important to be tested and notify them if you tested positive. 866 00:53:29,133.9342377 --> 00:53:29,673.9342377 And positive. 867 00:53:29,673.9342377 --> 00:53:30,933.9342377 Here is bad, not good. 868 00:53:33,40.9274349 --> 00:53:33,250.9274349 Good. 869 00:53:33,340.9274349 --> 00:53:34,330.9274349 It's a good point. 870 00:53:34,570.9274349 --> 00:53:36,460.9274349 A positive test means you have infection. 871 00:53:36,460.9274349 --> 00:53:36,700.9274349 Yep. 872 00:53:38,500.9274349 --> 00:53:41,980.9274349 And Brody, take us home. 873 00:53:49,25.9274349 --> 00:53:49,145.9274349 I. 874 00:54:08,48.9342377 --> 00:54:08,468.9342377 Mm-hmm. 875 00:54:13,928.9342377 --> 00:54:14,348.9342377 Mm-hmm. 876 00:54:21,460.9274349 --> 00:54:21,640.9274349 Yep. 877 00:54:21,880.9274349 --> 00:54:27,393.9342377 And if you're uncomfortable, oh Josh, don't get medical advices from Love Island, USA. 878 00:54:28,195.9274349 --> 00:54:28,485.9274349 yeah. 879 00:54:32,345.9274349 --> 00:54:34,365.9274349 Oh, I think that's a perfect place to end. 880 00:54:37,915.9274349 --> 00:54:38,205.9274349 Yeah. 881 00:54:38,205.9274349 --> 00:54:38,445.9274349 Really. 882 00:54:40,315.9274349 --> 00:54:40,915.9274349 Awesome. 883 00:54:40,915.9274349 --> 00:54:41,635.9274349 Great topic. 884 00:54:41,635.9274349 --> 00:54:42,205.9274349 Broads. 885 00:54:44,815.9274349 --> 00:54:45,715.9274349 Take it easy kiss. 886 00:54:47,598.9342377 --> 00:54:48,408.9342377 Well, great episode. 887 00:54:48,408.9342377 --> 00:54:48,798.9342377 Thank you. 888 00:54:49,468.9342377 --> 00:54:49,663.9342377 next week. 889 00:54:50,695.9274349 --> 00:54:51,205.9274349 Take it easy.