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Explore every episode of This Podcast Will Kill You

Dive into the complete episode list for This Podcast Will Kill You. Each episode is cataloged with detailed descriptions, making it easy to find and explore specific topics. Keep track of all episodes from your favorite podcast and never miss a moment of insightful content.

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Pub. DateTitleDuration
22 Mar 2022Ep 93 Lightning & Other Stories: Power Hour (and a Half)01:32:16
Lightning strikes have an aura of myth and legend around them, and their mystical reputation is inflated by stories that tell of people who, after having been hit by lightning, are suddenly able to speak a new language or play the piano expertly. However, such embellished stories often fail to distinguish truth from fiction and rarely acknowledge the devastating toll that getting struck by lightning can have on your body and mind. Which is where TPWKY hopes to set the record straight. In this episode, we explore what lightning is, how it can cause injuries or death, and what distinguishes it from other electrical shocks. Then, rather than focusing solely on the history of lightning, we take a tour through four vignettes in the broad history of electricity that tell of ways humanity has harnessed it for both bad and good. By the end of the episode, you’ll be shocked by the story of a dentist from Buffalo, electrified with the knowledge of how lightning forms, energized with the current status of lightning around the globe, and left with no resistance to terrible electricity-themed puns. Tune in wherever you get your podcasts! Learn more about your ad choices. Visit megaphone.fm/adchoices
09 Feb 2021Ep 66 The Outs and Ins of Organ Transplantation01:47:38
From the first skin grafts to the future of 3D printed organs, the science of organ transplantation has always seemed like something out of a sci-fi novel. How on earth can an organ from one person be removed and successfully placed into another person? Who first attempted such a monumental feat, and how long did it take for trial and error to become trial and success? Our episode this week seeks to answer these questions and so many more as we tackle the massive topic of organ transplantation. We begin by examining the immunological nitty gritty of transplant science and follow that up with the long and storied history of transplants. We round things out with a look at the numbers, which show the unfortunate reality that demand far outpaces availability, a reality that may soon be improved with innovative approaches towards bioengineering. And we are so excited to be joined by two fantastic guests, Carol Offen and Dr. Elizabeth (Betsy) Crais, who share their stories of what it’s like to donate or receive a kidney.  Carol, who is a NKF Kidney Advocacy Committee member, has a great website that includes many resources where you can learn more about kidney donation as well as keep an eye out for Carol and Betsy’s book, The Greatest Gift: The Insider’s Guide to Living Kidney Donation. You can also follow Carol on Twitter (@CarolOffen) and through heradvocacy page on Facebook. We will also post additional links for where to learn more about organ donation and advocacy work on our website. Learn more about your ad choices. Visit megaphone.fm/adchoices
29 Sep 2020Ep 59 Thalidomide: Justice Delayed, Justice Denied01:38:32
The story of thalidomide is often employed as a cautionary tale - why testing a drug’s safety during pregnancy is crucial or why it’s important to choose the right animal models. Or it’s framed as a success story for drug repurposing or regulation. But those tellings often gloss over the darker lesson of thalidomide: that for some companies, the bottom line is more important than human life. This week, we explore all elements of this infamous drug. We start by examining what we know about how thalidomide causes the severe congenital malformations it’s associated with, and then we dive into the deep, dark history of the drug, complete with a full cast of villains and heroes. Finally, we discuss thalidomide’s controversial comeback as a treatment for myeloma and complications of leprosy. Get out your angry hats for this one, people, because you’ll find yourself asking along with us, “why are humans the way we are?” Learn more about your ad choices. Visit megaphone.fm/adchoices
15 Sep 2020Ep 58 Guinea worm: (Almost) Ancient History01:15:33
You’ve heard about smallpox, and you’ve learned about rinderpest. Now it’s time to meet what may be the third disease to ever be eradicated: dracunculiasis, also known as Guinea worm disease. In this episode, we take you through the absolutely remarkable life cycle of this not-so-little worm and the nitty gritty of the havoc it wreaks on a person’s body throughout its journey. Then get out your TPWKY bingo cards, because the history of Guinea worm includes not only mummies and historic papyri but also ancient Rome and fun etymology. To bring us up to speed on the current status of Guinea worm today is Sarah Yerian, Senior Associate Director of the Guinea Worm Eradication Program at the Carter Center. Sara discusses not only how the reduction in prevalence of dracunculiasis has been achieved but also the challenges that remain to finally relegate this worm to the history books. To learn more about the Guinea Worm Eradication Program at the Carter Center, check out the website or follow them on social media: @CarterCenter. You can also find the link to our firsthand account here. Learn more about your ad choices. Visit megaphone.fm/adchoices
11 May 2021COVID-19 Chapter 18: Conservation & Pandemics01:07:01
The COVID-19 pandemic has touched all of our lives in incredibly varied ways, with no two experiences exactly alike. Despite this, we all probably share the same thought: how can we stop this from happening again? In this episode of our Anatomy of a Pandemic series, we ask that question in the context of wildlife conservation. Why is protecting biodiversity synonymous with protecting our own health? If spillover events themselves are inevitable, how can we limit the likelihood that they will become epidemics or pandemics? Where do commercial wildlife markets and subsistence hunting fit into the equation? To help us answer these questions and more, we are thrilled to be joined by Dr. Chris Walzer, Executive Director of Health at the Wildlife Conservation Society (interview recorded April 6, 2021). And for more information on the topics discussed, check out the WCS’s COVID-19 News and Information page and read a recent Op-Ed piece by Dr. Susan Lieberman and Dr. Christian Walzer about why biodiversity is crucial for preventing pandemics.  As always, we wrap up the episode by discussing the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we’ve listed the questions below: Now that we are over a year into this pandemic, what do we know about the sequence of events that led to this pandemic?  People have been studying spillovers and the emergence of novel viruses for a long time and have been saying that a pandemic like this was inevitable. So what did we do wrong on a national or international level? What things did we do right, or what things did we adequately prepare for during this pandemic?  What are the ways in which we’ve made scientific progress or the ways in which the world has fundamentally changed that have allowed this pandemic to play out differently than it could have 20 years ago?  Can you talk us through some of the nuance in the interactions between commercial wildlife markets, spillover events, and wildlife hunting for subsistence purposes? How predictable are spillover events themselves? Or perhaps, how predictable are the scenarios that would increase risks for spillover and how predictable are the events that follow? Since another spillover event could happen at almost any time, what measures do we have in place to prevent these events from turning into another pandemic? Where does wildlife and forest conservation fit into this equation?  Pandemic preparedness and pandemic response are two different things. How do these two aspects of dealing with a pandemic differ and who is involved in each of these efforts? What are people who study this the most concerned about when it comes to the next pandemic? What are the areas in which we still have big improvements to make in how we prepare for or predict or try to prevent pandemics based on what we’ve learned during this one? What do you hope we keep or learn from this pandemic, either personally or as a society? Learn more about your ad choices. Visit megaphone.fm/adchoices
02 Jul 2024Ep 144 IVF, Part 2: Invention01:26:30
CW: mentions of infertility, pregnancy loss, suicide In the second part of our three-part series on IVF, we’re picking up where we left off last week. From the historical side of things, that means investigating how the revolutionary technology of IVF was developed over the decades of the 20th century leading to the first “test tube babies” born in 1978, and how the field of IVF transformed from uncertain technology to burgeoning industry. From the medical side of things, that means exploring what a typical cycle of IVF might look like step by step (or rather, injection by injection) and go over how we define “success” when it comes to IVF. If you’ve ever wondered what exactly goes into the IVF process and how we developed such an incredible technology, this is the episode for you! Learn more about your ad choices. Visit megaphone.fm/adchoices
30 Apr 2024Ep 138 Fever: Take it to the limit01:24:54
A dull pounding headache. Body aches that come and go. Chills that set your teeth to chattering and have you reaching for the fluffiest blankets to warm up. But the thing is, you’re already warm, hot even. At least according to the thermometer. That’s right, you’ve got a fever. Throughout the years of making this podcast, we’ve begun many a disease description with “it started with a fever” but we haven’t ever explored what that really means in depth until this episode. We take you through why fevers happen, how they work, why on earth you feel cold when you’re actually running a temperature, and whether they’re helpful, harmful, or somewhere in between. We then poke around in the history of thermometers, exploring when someone first thought to measure human body temperature and how that changed the concept of Fever the disease to fever the symptom. This is a red-hot fever dream of an episode with some very fun fever facts, so make sure to tune in! Learn more about your ad choices. Visit megaphone.fm/adchoices
28 May 2024Ep 141 Maggots: Such noble work00:55:10
Just reading the title of this episode may have been enough to make you feel grossed out and creepy crawly. And now we’re asking you to listen to a whole episode about maggots? But trust us, it’s worth the journey. Because these little creatures have a hidden depth to them that will surprise, delight, and, we would venture to say, inspire. In this episode, we explore the many ways that maggots have been used by medicine over the centuries up to the present day and the properties they possess that make them heroes of healing. With a discerning palate and something called extracorporeal digestion, maggots can show us that, when it comes to wound healing, teamwork makes the dream work. Learn more about your ad choices. Visit megaphone.fm/adchoices
06 Aug 2024Special Episode: Ben Goldfarb & Crossings01:00:57
Roads are essential to our modern lives, so much so that they largely exist in the background of our minds. When we do think of roads, we’re either complaining about traffic or celebrating them for enabling our restless need to explore. Can you imagine if all of the world’s 40 million miles of roads were suddenly erased? Chaos for humanity. But a boon perhaps to natural ecosystems. In Crossings: How Road Ecology is Shaping the Future of Our Planet, author Ben Goldfarb takes readers on a fascinating tour of the relatively recent science of road ecology. Even beyond their impact on roadkill, roads are powerful disruptors of natural ecosystems, bringing noise, pollution, and humans to natural areas and fragmenting landscapes. And as Goldfarb demonstrates, we are only just starting to reckon with the widespread effects of roads and integrate this knowledge into road design. After this fascinating conversation, you’ll never think of roads in the same way again! Learn more about your ad choices. Visit megaphone.fm/adchoices
14 Dec 2021Ep 86 Typhus: Another lousy episode01:55:12
We’re back with our first episode of Season 5, and we’re starting off with a bang! Epidemic typhus, that friend of war and famine, may have caused more wartime deaths than all battles combined, and though it may seem like a disease relegated to the past, typhus only needs a minor disruption to turn it into a scourge of the present. In this epic season opener, we turn our sights to the louse-transmitted Rickettsia prowazekii, first diving into the strange and terrible biology of this bacterium before exploring the deep history of this tiny but mighty pathogen. The vast story of typhus takes us on a journey on a ‘coffin ship’ of the Great Irish Famine, through musings of the origins of human body and head lice, to German-occupied Poland during WWII with tales of vaccine sabotage and lice feeding, and finally to the present day, where we discuss the very real threat that epidemic typhus continues to pose. Check out this episode for all you ever wanted to know about epidemic typhus and more! Learn more about your ad choices. Visit megaphone.fm/adchoices
29 Oct 2024Special Episode: Kate Zernike & The Exceptions01:01:50
When the Massachusetts Institute of Technology admitted in 1999 that they had discriminated against women on its faculty, it sent shockwaves throughout institutions of higher learning across the country. In this TPWKY book club episode, Pulitzer Prize-winning journalist Kate Zernike joins us to discuss her book The Exceptions: Nancy Hopkins, MIT, and the Fight for Women in Science, which details the sequence of events that led sixteen scientists to demand the equality that had been denied to them for so long. Zernike, who was one of the reporters to break the story in 1999, centers this story on molecular biologist Dr. Nancy Hopkins, who, armed with a tape measure, brought this history of marginalization to light. Simultaneously personal and panoramic, The Exceptions carefully illustrates the sexism entrenched in higher education and academia and sends an important message: this problem is far from solved. Tune in for a fascinating discussion about an infuriating topic. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
07 May 2024Ep 139 Supplements: “This statement has not been evaluated by the FDA”01:32:25
Does it seem like the supplement section of your grocery store gets bigger every time you go in? Or that all television commercials these days seem to be advertising dietary supplements that promise to improve your concentration, help you lose weight, make you happier, healthier, smarter, stronger, cooler, poop better or some mix of those? You’re not imagining things. The explosion of the US dietary supplement industry over the past few years is very real, and when you’re inundated with ads for supplements everywhere you turn, it can be very difficult to navigate whether these things actually do what they say and how much they’re allowed to say without actually doing anything. That’s where this episode comes in. We take you through what supplements actually are, how their regulation in the US has changed over the past century, what dietary supplements can and cannot claim on their label, and how the supplement market has fared since the Covid pandemic (spoilers: it’s thriving). Learn more about your ad choices. Visit megaphone.fm/adchoices
22 Feb 2022Ep 91 Myxomatosis: Down the rabbit hole01:33:33
Invasive rabbits so numerous they form a “gray blanket” across the land. A killer virus, intentionally released to keep the bunnies at bay. An ensuing evolutionary arms race with no end in sight. It sounds more like the premise of a bad sci fi movie rather than a textbook case of biocontrol. But truth, especially in this case, is stranger and even more fascinating than fiction. If this is the first you’re hearing about myxoma virus and its place in the long history of European rabbits in Australia, get ready for a gripping story filled with rabbit facts, discussions about what drives pathogens to be deadly or benign, and philosophical musings about the situational difference between pest, pet, and keystone species. That’s right, we’re heading deep down the rabbit hole with this one.  Learn more about your ad choices. Visit megaphone.fm/adchoices
16 Apr 2024Ep 137 ME/CFS: What’s in a name? (A lot, actually)01:44:39
In many ways, this week’s episode on myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a companion piece to last week’s episode on Long Covid. The two share many similarities: a wide range of debilitating symptoms lingering long after infection, an illness which can transform from day to day or week to week, dismissal and downplaying by the medical community, a big question mark under “pathophysiological cause”, and so many others. These parallels can tell us a great deal about our concepts of disease and how we deal with uncertainty in science and medicine. But the differences between these two can be equally revealing. In this episode, we dig into what we know and what we hypothesize about the biological underpinnings of ME/CFS before tracing the twisty history of this disease, as popular perception switched back and forth and back again from “real” to “imagined” disease. We wrap up the episode with a look at some of the current research and promising treatments for ME/CFS. Both ME/CFS and Long Covid demonstrate the power of patients and patient advocates in raising awareness about poorly understood diseases and the impact that sharing personal stories can have. You can find more incredible work by Katie Walters, the provider of one of our firsthands for this episode, by clicking on this link. Learn more about your ad choices. Visit megaphone.fm/adchoices
09 Jul 2024Ep 145 IVF, Part 3: Industry01:27:37
CW: mentions of infertility, pregnancy loss, body-shaming The third and final installment of our series on IVF surveys the current and potential future landscape of this powerful technology. We first trace the growth of the IVF industry in the US since its inception in the early 1980s up to today before then giving an overview of some of the regulatory and ethical considerations facing this field on a global scale. Alongside these challenges of access and regulation are the incredible innovations that expand how we use IVF today as well as paint a world of possibilities for the future of IVF as we incorporate these revolutionary technologies. Tune in for a conversation about the past, present, and possible future of IVF! Learn more about your ad choices. Visit megaphone.fm/adchoices
20 Apr 2021Ep 71 Onchocerciasis/River Blindness: So many mysteries01:19:18
In this classic TPWKY episode we travel down rivers and into worm-laden nodes as we take a look at the complex world of Onchocerca volvulus, the vector-borne parasite that causes river blindness. Join us as we learn why the name ‘river blindness’ captures only one dimension of the devastation caused by this parasite, how the short evolutionary history of this worm is at once surprising and enlightening, and why grasping the disease ecology of this system has been crucial in successful control efforts. As a bonus, if you tune in, you’ll get to hear how on earth The J. Geils Band fits into this story and the integral role that dog digestion has played in the history of this parasite. Learn more about your ad choices. Visit megaphone.fm/adchoices
04 Aug 2020Ep 55 Rocky Mountain spotted fever: The tick must be destroyed!01:53:53
Despite what its name might suggest, the story of Rocky Mountain spotted fever (RMSF) takes us far beyond the jagged, snow-capped peaks of the western range. From the Bitterroot Valley to southeastern Brazil, it is a story filled with equal parts tragedy and discovery, as the researchers desperate for answers fall victim to the very disease they seek to prevent. In this episode, we dive into the dark past of this deadly disease, first exploring the biology of the teeny tiny organism that wreaks such devastation. As always, we follow that up by tracing the history surrounding this much-feared infection and its role in the creation of one of the world’s leading infectious disease laboratories. Finally, we end with the current status of RMSF, which (spoilers) isn’t as bleak as you might think, thanks once again to antibiotics. Tune in to hear why we’ve been excited to research this episode since the very beginning of the podcast. Learn more about your ad choices. Visit megaphone.fm/adchoices
05 Jan 2021COVID-19 Chapter 14: Virology, Take 201:08:54
The fourteenth installment of our Anatomy of a Pandemic series on COVID-19 dives into what we’ve learned about SARS-CoV-2, the virus that causes COVID-19. Curious about the new strains or variants making headlines lately? Or how exactly tests for COVID-19 actually work? Or perhaps you’ve been wondering about the different routes of transmission that this virus uses. Whatever your virology question, we’ve (hopefully) got you covered. We were fortunate enough to interview virologist Dr. Angela Rasmussen, affiliate at the Georgetown Center for Global Health Science and Security, and whom you may remember from our earlier episode on the virology of SARS-CoV-2, which we released all the way back in March 2020. Dr. Rasmussen was kind enough to sit back down with us to answer all of our many burning virology questions (interview recorded December 30, 2020). As always, we wrap up the episode by discussing the top five things we learned from our expert. If you would like to read Dr. Rasmussen's article in The Guardian about the new SARS-CoV-2 variants, follow this link. To help you get a better idea of the topics covered in this episode, we’ve listed the questions below: Can you tell us a bit about SARS-CoV-2? What kind of virus it is, other viruses it’s related to, and what that tells us about the virus and the disease it causes? Could you tell us a bit more about the B117 strain, like whether this appears to be a new strain and how it is different? Do we have any evidence of any strains that seem to cause more severe disease or affect different populations? Where do these new strains come from? What does this new strain (or multiple new strains) mean for the effectiveness of the vaccines that have been developed? Will these vaccines work against these new strains?  What additional things have we learned about the structure or surface proteins of SARS-CoV-2 that give us more insight into how it causes disease or the widespread effects it has on the body? Is there any indication that the virus can be airborne? Does fecal-oral transmission seem to be playing a role? What are the various ways to test for SARS-CoV-2? Can you walk us through what each experience is like? How do the rapid vs PCR tests work? And can you compare their accuracy? Why does the rapid test have a higher rate of false negatives than the PCR test? What has this pandemic taught us about virology? Learn more about your ad choices. Visit megaphone.fm/adchoices
01 Feb 2022Special Episode: Hep B Stigma & Discrimination00:50:55
Blood tests and liver function results can only tell us part of the story when it comes to the impact that hepatitis B has on people living with the virus. Far too often overlooked is how stigma and discrimination, which we only briefly touched upon in our last episode, contribute to the substantial global burden of disease. In this bonus episode, Dr. Chari Cohen, Senior Vice President of the Hepatitis B Foundation, comes on the pod to chat about the different forms stigma and discrimination can take, how we can get a better sense of their impact, and the key tools in the fight against them. We also seized this opportunity to pick Dr. Cohen’s brain about what it’s like to run a public health non-profit, how much of the job is accurately reflected in the job title, and advice for someone who might be interested in pursuing a career in public health. Learn more about your ad choices. Visit megaphone.fm/adchoices
14 Jan 2025Ep 162 Allergies Part 2: Shots, pills, & pens01:38:43
Yes, the world may be out to get us with allergens around every corner, but we’ve got some tricks up our sleeve to help us cope. Our allergy treatment toolkit includes an impressive suite of tools, and in the second episode of our two-part series on allergies, we focus on three in particular: antihistamine medications, allergy shots, and the epinephrine auto-injector (aka the EpiPen). We take you through how exactly each of these work, trace their development from concept to product, and highlight some of the most promising areas of allergy treatment research today. Have you ever wondered why we have so many different types of antihistamines? Or thought about what the Cold War has to do with the EpiPen? Then this is the episode for you. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
28 Dec 2021Ep 87 C. diff: Fighting poop with poop01:57:36
In this week’s episode, we cover a bacterium whose recent emergence and rapid spread has been largely an epidemic of our own making. Clostridium difficile isn’t your typical pathogen - in many cases it’s not even considered a pathogen, just a normal member of our gut microbiota. But when something disrupts our gut microbiota, like antibiotics, C. difficile is given the freedom to spread its wings, wreaking deadly havoc on our bodies especially when it refuses to leave. We explore the characteristics of this bacterium that make it such a terrifying public health threat, delve into its recent-but-not-as-recent-as-you-might-think history, and chat about the current status of C. diff before asking the question, “what can poo do for you?” That’s right, we’re taking this opportunity to talk about one of our all-time favorite medical interventions, fecal microbiota transplantation. Helping us navigate the ins and outs of fecal transplants is Dr. Majdi Osman, Chief Medical Officer at OpenBiome, a nonprofit stool bank that aims to expand access to safe fecal microbiota transplantation and fund research into the human microbiome. By the end of this episode, we think you’ll find yourself in awe at the healing powers of poop. Learn more about your ad choices. Visit megaphone.fm/adchoices
18 Jun 2024Special Episode: Dr. Noah Whiteman & Most Delicious Poison01:07:31
The word “poison” is much more subjective than it may first appear. It’s likely you’ve come across the phrase, “the dose makes the poison”, referring to some compounds that are beneficial in small amounts but deadly in others - such as digitalis. And then there’s the intended recipient of the “poison”; a poison to one animal might be a boon to another, like milkweeds and monarch butterflies. Our own relationships to poisons can be unpredictable. Attracted, addicted, healed, repelled, harmed, neutral - all are possible alone or in combination. Why do organisms produce caffeine, penicillin, alcohol, capsaicin, opioids, cyanide, and countless other poisons, and why are our responses so varied? That’s exactly what author Dr. Noah Whiteman explores in his book Most Delicious Poison: The Story of Nature's Toxins--From Spices to Vices. Dr. Whiteman, who is Professor of Genetics, Genomics, Evolution and Development and Director of the Essig Museum of Entomology at UC-Berkeley, takes us through the evolution, chemistry, and neuroscience of plant- and animal-derived poisons and explores the fine line between healing and harm. Weaving together personal narratives with stories of scientific discovery and evolutionary biology, Dr. Whiteman presents an expansive view of the world of these poisons and what they mean to us. Tune in today! Learn more about your ad choices. Visit megaphone.fm/adchoices
26 May 2020Ep 51 The Path of Most (Antibiotic) Resistance01:56:27
No story of antibiotics would be complete without the rise of resistance. As promised in our last episode, this week we dive into what the WHO calls ‘one of the biggest threats to global health, food security, and development today’ - antibiotic resistance. In the decades since their development, misuse and overuse of antibiotics has led to many becoming all but useless, and our world seems on the verge of plunging into a post-antibiotic era. How does resistance work? Where did it come from? Why did it spread so far so rapidly? Is there any hope? In this episode, we answer all these questions and more. First, we explore the many ways bacteria evade the weaponry of antibiotic compounds. Then we trace the global spread of these resistant bugs by examining the major contributors to their misuse and overuse. And finally we assess the current global status of antibiotic resistant infections (spoiler: it’s very bad) and search for any good news (spoiler: there’s a lot!). To chat about one super cool and innovative alternative to antibiotics, we are joined by the amazing Dr. Steffanie Strathdee (Twitter: @chngin_the_wrld), Associate Dean of Global Health Sciences, Harold Simon Professor at the University of California San Diego School of Medicine and Co-Director at the Center for Innovative Phage Applications and Therapeutics. Dr. Strathdee provides a firsthand account of helping her husband, Dr. Tom Patterson, fight off a deadly superbug infection by calling on a long-forgotten method of treating bacterial infections: phage therapy.   To read more about phage therapy and Dr. Strathdee’s incredible experiences, check out The Perfect Predator: A Scientist's Race to Save Her Husband from a Deadly Superbug: A Memoir.  Learn more about your ad choices. Visit megaphone.fm/adchoices
05 Nov 2024Ep 156 Retinoids Part 1: How it started…01:03:04
That little bottle of retinol serum sitting on your bathroom counter - what do you know about its history? This week, we’re digging deep into the man behind the medicine, renowned dermatologist Dr. Albert Kligman, and the unethical research he conducted at Holmesburg Prison in the mid-20th century. Kligman’s research program at Holmesburg spanned decades, involved dozens of experiments (including tretinoin) and thousands of individuals, received ample funding from public universities and many pharmaceutical companies, and was generally praised until it all came crashing down in the early 1970s. But, as we’ll discover, the unethical behavior persisted even after the program’s closure as Kligman fought to get tretinoin to market. The murky history of retinoids might be a bit too long to include on the label, but this episode forces us to consider the human cost of a household product and the importance of acknowledging that history. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
17 Sep 2024Special Episode: Dan Egan & The Devil’s Element00:54:53
Phosphorus is an element that wears many faces. Its overuse as a fertilizer has polluted freshwater ecosystems, transforming rivers and lakes from thriving communities to lethal zones devoid of life. Its role as an explosive has brought fiery death and suffering to many during times of war. And its dwindling global supply poses an existential threat to humanity. Because phosphorus is not just a destructive force - it is essential for all of life on this planet. In The Devil’s Element: Phosphorus and a World Out of Balance, author Dan Egan explores the multi-faceted nature of phosphorus and the surprising ways this element has shaped our world. Egan, Journalist in Residence at the Center for Water Policy in the University of Wisconsin-Milwaukee's School of Freshwater Sciences, transports readers from the guano-covered islands off the coast of Peru to the fertile fields of the American Midwest, from the 17th century laboratories reeking of boiled urine to our tenuous future as the demand for this element outpaces its supply. Tune in to learn about this powerful yet underappreciated element. Learn more about your ad choices. Visit megaphone.fm/adchoices
12 Jan 2021Ep 64 Rubella: Timing is Everything01:25:32
For many of us, rubella has simply come to mean the R in MMR, the routine childhood measles, mumps, and rubella vaccine. But that hasn’t always been the case. There was once a time when the rubella virus routinely made front page news and was at the center of countless legal discussions. This week, we explore everything you’ve ever wanted to know about this virus. We start off by asking what this virus does to your body and how it can cross the placenta, leading to congenital rubella syndrome. Then we journey through the short but impactful history of this disease, from the discovery of the effects the virus can have on a developing fetus to the widespread epidemics that spurred on the development of a vaccine. Finally we wrap up with some much-needed good news about the global decline of rubella and congenital rubella syndrome. Learn more about your ad choices. Visit megaphone.fm/adchoices
10 Dec 2024Ep 160 Appendicitis: Don’t know what you’ve got til it’s gone?01:18:37
For decades, it seemed like the appendix would go the way of 8-track players, pagers, and the phonograph. Outdated, obsolete, not worth keeping around. Surgeons performed appendectomies like it was spring cleaning - when in doubt, cut it out. But then the tides began to turn as medicine started to question the long-held belief that the appendix is a defunct organ (on a good day) or a ticking time bomb (on a very bad one). In this episode, we trace the story of the appendix from its earliest descriptions to the latest advancements in treatment of appendicitis. If you’ve ever wondered whether the appendix actually serves any function and what that function might be, then this is the episode for you! Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
28 Jan 2025Ep 163 Circadian Rhythm: Live from Perth, Australia01:18:20
We are coming at you with our very first live episode from Perth, Australia! Here at the 2024 Australian Institute of Occupational Hygienists Annual Scientific Conference and Exhibition, occupational hazards and exposures get top billing. And one of the most ubiquitous hazards, experienced by nearly every industry is fatigue, specifically fatigue caused by circadian rhythm disruption. In this very special episode, we explore how our circadian rhythms work and some of the consequences that can emerge when we work against those rhythms, whether that’s because we’re traveling across many time zones or switching to night shift work. We then dig into the history of circadian rhythm research, from how we first learned about these daily patterns to when their disruption became a routine occurrence. Helping us to navigate some of the alarmist headlines (“your screens are ruining your sleep!”) and biohacker claims (“avoid jet lag with this one simple trick!”) is Ian Dunican, PhD. Dr. Dunican is the Director and Chief Adviser of Melius Consulting, a scientific consultancy undertaking research, consulting, and education, and he also hosts and produces the Sleep4Performance podcast. We also bring on Dr. John Iliff, Emergency Physician and Aeromedical Consultant to share his frightening experience with fatigue after a long shift during his training as a physician. Tune in for a fascinating discussion about the rhythms that drive our lives! Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
13 Apr 2021COVID-19 Chapter 16: Disparities, Take 201:09:52
The COVID-19 pandemic has disproportionately impacted racial and ethnic minorities, especially here in the United States. Higher infection, hospitalization, and death rates due to COVID-19 have been observed for historically marginalized groups, and the harmful effects stem beyond those relating to health, with higher unemployment and food and housing insecurity also reported. Yet these disparities did not emerge anew from this current pandemic; rather, this pandemic has served to amplify existing structural inequalities in the healthcare, educational, legal, and housing systems, among others. In this episode of our Anatomy of a Pandemic series, we explore the deeply entrenched roots of racial disparities in the US, how our narrow focus on outcomes often fails to capture the complex causes of inequalities, and ways in which we can begin to work towards health equity in this country. We are so thrilled to be joined by Harriet Washington (@haw95) (interview recorded March 10, 2021), writer and medical ethicist, whose groundbreaking work on this subject through books such as Medical Apartheid, A Terrible Thing to Waste, Carte Blanche, and others has led to much-deserved critical acclaim. As always, we wrap up the episode by discussing the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we’ve listed the questions below: Can you tell us a bit about your new book, Carte Blanche: The Erosion of Medical Consent, and what inspired you to write it? Although health disparities have been around forever, it was only within the last few decades that the term itself was coined, and it’s often only vaguely defined. Would you mind describing what we mean when we talk about health disparities? Can you talk a bit about how it’s not just being able to go to a doctor or afford a doctor, but how things like access to education, chronic stress, and environmental justice interact with and compound each other when it comes to health disparities? What are some of the different ways that we measure health disparities?  Can you talk about why it is important to understand the context of these disparate outcomes?  Can you talk about the disproportionate impact that COVID-19 has had on communities that were already facing significant barriers to healthcare? How has the narrative of ‘race-based medicine’ shown up in discussions of the disproportionate impact of COVID-19 on certain groups of people? How can we increase health equity in this country? What can we do at an individual level to help, and what are some policies at the state or national level that could help narrow this gap? How can the medical establishment work to earn back the trust of these communities that we have historically disenfranchised (and in many ways continue to disenfranchise) when it comes to health? Learn more about your ad choices. Visit megaphone.fm/adchoices
27 Jul 2021Ep 78 Bartonella: Keep Calm and Carrión01:33:09
“Let’s do Bartonella next,” we said. “It’ll be straightforward and fun,” we promised ourselves. Turns out we were half right. In this fun but not quite straightforward episode, we tackle not one, not two, but three different species of Bartonella bacteria that can cause disease in humans: Bartonella bacilliformis (Carrión’s disease), B. quintana (trench fever), B. henselae (cat scratch disease). Essentially, we’re giving you three mini-turned-maxisodes for the price of one! For each pathogen, we review its surprisingly strange biology, take a brief tour of its history, and wrap up with a look at its current status across the globe, comparing and contrasting along the way. By the end of this ride, you’ll be bursting with Bartonella trivia, in awe of dental pulp, and scratching your head about the transmission of cat scratch fever. Learn more about your ad choices. Visit megaphone.fm/adchoices
07 Jan 2020Ep 41 Ricin: A Bad Seed01:21:01
Have you missed learning about plant poisons? Well, it’s your lucky day! Today is our first crossover of season three with our friend Matt Candeias of In Defense of Plants. In this episode we delve into the castor bean plant Ricinus communisand its two notorious products: castor oil and the star of the show, ricin. Join us as we learn about ricin’s storied history, which leads us through political assassinations and efficiency in engines, the biology of ricin, which horrifies us with its lethality, and finally, the ecology of the plant, which surprises us with its strategic partnerships. Looking for more ways to cure your plant blindness? Check out In Defense of Plants at indefenseofplants.com and follow Matt on twitter @indfnsofplnts. Learn more about your ad choices. Visit megaphone.fm/adchoices
23 Mar 2020COVID-19 Chapter 6: Mental Health00:53:25
Welcome to Chapter 6 of our Anatomy of a Pandemic series exploring the world of COVID-19. If you have made it this far in the series, you might be feeling a bit overwhelmed by all of the information we’re throwing your way. You’re not alone. We were feeling a bit too deep down the rabbit hole as well. So we reached out to Rosemary Walker and Peter Rosencrans, two psychology doctoral students at the University of Washington to talk to us about the mental health impacts this pandemic has had and walk us through some coping strategies (interview recorded March 20, 2020). Hang in there, everyone. To help you get a better idea of the topics covered in this episode, we have listed the questions below: You are both in Seattle, which has been impacted longer than much of the US, so, how are you? (05:55) This is a brand new situation for all of us that's affecting so much more than our physical health.So what are we seeing in terms of some of the mental health outcomes? (09:21) What are some of the challenges that you, as mental health professionals, have faced so far and that you expect to appear in the future related to COVID-19? (15:59) What are some coping strategies that we could use to deal with some of these issues? (19:15) What are some resources for people who normally see a therapist, but who cannot now because of COVID-19? (31:43) How can we as individuals be good neighbors, community members, in this stressful time while still protecting our mental health? (36:50) Do you have any specific resources that our listeners could seek out? (41:09) Learn more about your ad choices. Visit megaphone.fm/adchoices
04 Feb 2020Ep 43 M-m-m-my Coronaviruses01:54:20
What better time to explore the world of coronaviruses than amidst an outbreak of the 2019 novel coronavirus that brings to mind memories of SARS and MERS? On this very special episode of This Podcast Will Kill You, we’ll take you through what we know about this diverse group of viruses, from the mild strains constantly circulating to the epidemic ones that make headlines with their lethality. Want to know how exactly these royal viruses make you sick? Or what went on during the 2002-2003 SARS epidemic? Don’t worry - we’ve got you covered. And to help us get a grasp on the current 2019-nCoV outbreak that’s got the world’s attention, we’ve brought on four experts from Emory University to give us the lowdown: Dr. Colleen Kraft, Dr. G. Marshall Lyon, Dr. Aneesh Mehta, and Dr. Carlos del Rio. *Please keep in mind, we recorded this episode on Sunday, Feb 2 and conducted the interviews between Jan 29 and 30, 2020. Since recording, the statistics on 2019-nCoV that we and our guests reported have changed as the epidemic continues to evolve. The figures are changing fast, but the basic info is still relevant. To follow the 2019-nCoV outbreak, our experts recommend the following as reliable sources of information: WHO 2019-nCoV website, especially the Situation Reports Map Dashboard of 2019-nCoV Cases by Johns Hopkins Center for Systems Science and Engineering CDC 2019-nCoV website And to learn more about the amazing work that our special guests do on the regular, follow them on Twitter! Colleen S. Kraft, MD, MSc (@colleenkraftmd) G. Marshall Lyon, MD, MMSc (@GMLyon3) Aneesh K. Mehta, M.D., FIDSA, FAST (@AneeshMehtaMD) Carlos del Rio, MD (@CarlosdelRio7) Learn more about your ad choices. Visit megaphone.fm/adchoices
04 Feb 2025Ep 164 Rift Valley Fever: Ruminating on ruminants01:21:26
Hemorrhagic virus? Check. Deadly disease? Check. Mosquito-borne? Check. Affected by animal movement, human activity, and environmental change? Check. Rift Valley Fever has all the markings of a classic TPWKY episode. This week, we’re doing a deep dive on this deadly virus, taking a One Health approach to explore the intricate relationships between animals, humans, and the environment to understand how this virus moves across the landscape. We trace the various paths this virus takes: through the organisms it infects, across the globe as it spreads, and over time as it appears to be evolving to be deadlier. Tune in to learn more about Rift Valley fever and what we might see with this pathogen in the years to come. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
28 Apr 2020Ep 49 Eastern Equine Encephalitis: Triple EEEk!01:15:08
In 2019, eastern equine encephalitis (EEE), a viral disease transmitted by mosquitoes, made headlines in much of the US as cases skyrocketed compared to previous years. But why is this disease so feared and even more importantly, why is it on the rise? Those are just a couple of the questions we seek to answer on this week’s episode. From the nitty gritty on what this virus does to your body to centuries-long forest dynamics in Massachusetts, we connect the disease ecology dots of EEE. We promise, the biology and history of eastern equine encephalitis is much more exciting than its etymology. Learn more about your ad choices. Visit megaphone.fm/adchoices
23 Mar 2020COVID-19 Chapter 5: Vaccines00:49:46
Chapter 5 of our Anatomy of a Pandemic series covering all things COVID-19 goes through some of the exciting developments in potential vaccines for this new virus. Starting us off is an anonymous account describing the challenges faced by someone in the US trying to get tested for COVID-19. Then we review some of the basics of vaccines - how they work, the different kinds, and some of the challenges in accelerating the vaccine development pipeline during a crisis such as this. We sought the expert knowledge of Dr. M. Elena Bottazzi (interview recorded March 17, 2020), who is part of a group that is currently working on developing a vaccine for SARS-CoV-2. She answers a number of your vaccine- and treatment-related questions and sheds some light on the prospects of vaccine development for this particular disease. We wrap up again by going through the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we have listed the questions below: What makes this virus a good candidate for a vaccine? (11:05) Why is it more difficult these days to produce completely protective vaccines vs partially protective vaccines? (13:29) How is the vaccine that your group is working on made, what is its target and how does it work? (16:02) What is the timeline of vaccine development, testing, deployment, and how soon might we see an effective vaccine for SARS-CoV-2? (21:19) What steps of this development process can be shortened to get an 'early release' of a vaccine? (25:49) It seems we are better at developing vaccines than we are antivirals; why is this? (28:55) Learn more about your ad choices. Visit megaphone.fm/adchoices
08 Feb 2022Ep 90 Human African Trypanosomiasis: A lot to unpack01:33:33
Here on the podcast, we’re no strangers to multi-host parasites with complicated life cycles, intricate ecologies and dense human histories. But human African trypanosomiasis (HAT) might require the most unpacking yet. In this episode, we do a deep dive into the tsetse fly-transmitted HAT, whose other name, sleeping sickness, doesn’t quite capture just how deadly this parasitic infection can be. First, we ask how these two trypanosomes cause the signs and symptoms they do, especially the strange sleep disruptions that gave this neglected tropical disease one of its names. Then, after a brief detour discussing the fascinating ability of tsetse flies to give live birth, we explore the many political and ecological factors that set the stage for the devastating HAT epidemics of the early 20th century. We wrap up the episode with a look at the current global status of HAT, and with new, effective, and easy-to-administer drugs on the scene along with a downward trend in cases, we’re certainly hopeful for the future elimination of this disease. Learn more about your ad choices. Visit megaphone.fm/adchoices
23 Mar 2020COVID-19 Chapter 1: Virology01:04:21
To discuss the ongoing COVID-19 pandemic, we are introducing Anatomy of a Pandemic, a series in which each episode tackles a particular aspect of COVID-19, from virus biology to clinical disease, from control efforts to epidemiological patterns, from vaccine development to mental health coping strategies during this uncertain time. And we’ve got a quarantini (and placeborita) recipe for each installment! In the first episode of this series, we tackle some of your questions about SARS-CoV-2, the virus that is responsible for COVID-19 (aka COronaVIrus Disease-2019). Our episode begins with a firsthand account from Tiziano, a schoolteacher in northeastern Italy who has been living under the strict movement restrictions imposed by the Italian government in an attempt to limit the spread of the disease. Then, we review some of the basics about SARS-CoV-2 and RNA viruses in general. To help us discern fact from fiction, we seek the expertise of a virologist, Dr. Angela Rasmussen (interview recorded March 15, 2020), who answers some of the listener-submitted questions about the virus itself. We wrap up the episode by discussing the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we have listed the questions below: What are the origins of this virus? Where did it come from? How can we tell whether this virus originated from one spillover event or multiple? What do we know about the mechanism of how this virus causes disease in humans? Are there multiple strains of SARS-CoV-2, and how do different strains of virus affect disease severity?  Is there a risk of SARS-CoV-2 mutating into something more deadly?  What is Remdesivir and how does it work?  How does handwashing work to reduce transmission risk? How long can SARS-CoV-2 live on surfaces?  What is the minimum infective dose of SARS-CoV-2? Learn more about your ad choices. Visit megaphone.fm/adchoices
16 Jul 2024Special Episode: Dr. Rageshri Dhairyawan & Unheard00:59:55
Going to the doctor is probably not at the top of anyone’s list of enjoyable activities, but when we do go, we expect and deserve to be heard, to have our concerns listened to and our questions answered. However, most, if not all, of us have at some point felt unheard, dismissed, or even gaslit by our healthcare provider. What is it about the doctor-patient relationship or the way medicine is practiced today that enables this miscommunication or mistreatment, and how can we make things better? In Unheard: The Medical Practice of Silencing, author Dr. Rageshri Dhairyawan draws upon her experience on both sides of the patient-physician relationship to explore these questions in depth. Dr. Dhairyawan, who is a sexual health and HIV doctor with the NHS as well as a health equity researcher and science communicator, demonstrates with clarity and compassion how each dimension of healthcare, from training to research and beyond, can contribute to this pattern of patients going unheard. Tune in to this fascinating discussion today! Learn more about your ad choices. Visit megaphone.fm/adchoices
03 Sep 2024Ep 150 Norovirus: Tip of the poop iceberg01:19:40
“Is it gonna be poop or is it gonna be barf?” It’s the question we all fear during a bout of food poisoning when time is of the essence and a decision has to be made before it’s made for us. Often, the germ forcing this question upon us is none other than the dreaded norovirus. First called “winter vomiting disease” for reasons obvious to anyone who has been unfortunate enough to become infected, norovirus now conjures up images of puking passengers aboard cruise ships or oysters on the half shell secretly harboring a vomiting virus. In this episode, we delve into the world of norovirus, examining what qualities make it spread so rapidly and sicken us so quickly. Our tour of norovirus history takes us down some surprising roads, where we meet Vomiting Larry and chat about vulture vomit. We round out the episode by looking at norovirus by the numbers, dispelling the notion that norovirus can only be found aboard cruise ships. Spoilers: it’s everywhere. Learn more about your ad choices. Visit megaphone.fm/adchoices
22 Oct 2024Ep 155 Stiff Person Syndrome: A rare disease in the spotlight01:29:27
Stiff person syndrome, like many rare diseases, does not get nearly the same amount of screen time or name recognition that other, more common diseases do. For many people, Celine Dion’s announcement of her diagnosis with the condition in 2022 marked the first time they had heard of it. This limited awareness surrounding stiff person syndrome marks just one of the many challenges keeping this disease and other rare disorders in the dark. In this episode, we attempt to shed some light on stiff person syndrome, exploring the complex biology, frustrating history, and hopeful future of this disease. Because while the field of stiff person syndrome research faces many hurdles, there are also so many individuals - researchers, patients, advocates - and organizations that fight to bring this and other rare disorders into the light. Tune in today! Links: National Organization for Rare Diseases Genetic and Rare Diseases Information Center Johns Hopkins Stiff Person Syndrome Center Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
23 Apr 2024Special Episode: Dr. Deirdre Cooper Owens & Medical Bondage01:12:34
The TPWKY book club is back in action, and we’re thrilled to be starting this season’s reading journey with Dr. Deirdre Cooper Owens, reproductive rights advocate, Associate Professor in the University of Connecticut history department, and award-winning author of Medical Bondage: Race, Gender, and the Origins of American Gynecology. The history of science and medicine often focuses on the achievements of wealthy, white male physicians and researchers whose names are etched on medical school buildings, libraries, and dormitories. Rarely do these stories give voice to those whose bodies or labor were exploited in the name of scientific progress. In the first book club episode of the season, Dr. Deirdre Cooper Owens joins us to discuss the Black enslaved women who worked alongside the so-called “Father of Gynecology”, James Marion Sims, as both patients and caregivers in nineteenth-century America. Our conversation takes us through the inherent contradictions in the way nineteenth-century physicians wrote and thought about race, gender, and health, and how broad changes in medical practice during this time promoted the dissemination of unfounded beliefs in how white and Black bodies experienced pain, health, and disease. Tune in for a fascinating conversation that will have you immediately adding Medical Bondage to your to-read list! Learn more about your ad choices. Visit megaphone.fm/adchoices
03 Dec 2024Ep 159 Scabies: Tiny but Mite-y01:12:44
Among the many conditions that creep under your skin and make scratching irresistible, scabies alone holds the honor of being called simply “The Itch” for centuries. In this episode, we examine how the burrowing scabies mites cause this extremely uncomfortable sensation, what we can do to halt their progress, and how contagious they really are (less than you probably think). Today, the word scabies instantly conjures up images of the mite responsible for The Itch, but for centuries, medicine failed to make that connection, even when the proof was right in front of them and when traditional wisdom had long since known mite=scabies. Tune in to learn how the great scabies debate was finally resolved with a public demonstration, what role conscientious objectors played in scabies research during WWII, and where we are with scabies around the globe today. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
24 Dec 2019Ep 40 Dancing Plague: Worst Dance Party Ever01:25:56
In 1518 a strange sight could be seen all over the town of Strasbourg. Crowds of people dancing unceasingly, unable to control their movements, seemingly heedless of their blistered and bloodied feet. As the contagious dance grew, so did the body count as the frenzied dancers succumbed to exhaustion. Over 500 years later, this dancing plague leaves us with many questions, first among them being, “What in the heck?”. In this episode, we try to get to the bottom of this mysterious infectious dance by investigating several different hypotheses, which lead us down some wild roads. Tune in, put on your best dancing shoes, and drop that beat. Learn more about your ad choices. Visit megaphone.fm/adchoices
06 Apr 2020COVID-19 Chapter 7: Spillover01:07:18
Coming at ya with our seventh episode in our Anatomy of a Pandemic series on the ongoing COVID-19 situation. So far in the series, we’ve discussed aspects of the virus’s biology, clinical disease, epidemiology, and control efforts. We’ve briefly touched on aspects of the virus’s ecology, including its origins, but we wanted to take a step back and ask, “how do spillover events happen and how do we stop them?” To answer those questions (and many more), we brought on Dr. Jonna Mazet, Professor of Epidemiology and Disease Ecology at the UC Davis School of Veterinary Medicine and Executive Director of the UC Davis One Health Institute, who has spent much of her professional life on the hunt for emerging pathogens (interview recorded April 2, 2020). We pick Dr. Mazet’s brain on how we look for and identify pathogens of possible public health concern, what work disease ecologists are currently doing on SARS-CoV-2, and what we can expect to see in terms of future spillover events. We wrap up the episode by discussing the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we have listed the questions below: Can you take us through a step-by-step of how surveillance of novel pathogens is done? From the logistics of international coordination to the sampling to the reporting - what does that look like? What happens when you do identify a potential spillover event? Can you talk about how you decide what a hotspot is? What makes a hotspot a hotspot basically? We've talked a lot on this podcast about spillover events, and obviously they can happen in many different ways, but can you give us a general overview of how one occurs? What are some patterns we see with all spillover events? Over the past 100, 200 years, land use change has increased and the barrier between humans and wildlife has decreased - have we seen a corresponding increase in spillover events during that time? What do we know at this point about how SARS-CoV-2 spilled over into humans? I assume eventually we will get a clearer picture of how that spillover event occurred. How can we use that information in the future? Can you talk about what it means for a pathogen to "jump species"? Do viruses more easily "jump species" compared to bacteria, or is it just that we hear more about the viruses? I'd like to talk about what happens when prevention has to shift to control. What are the first steps taken for disease ecologists studying this outbreak? How is the One Health approach being used to study and slow down the current COVID-19 pandemic? What role do we see wildlife conservation playing in spillover events or preventing them? Can you talk about how there can be a conflict in wildlife conservation for the greater good when people are also just trying to feed their families? How do you determine whether something easily moves between species? Is that a genomic question or is it an experimental question?  What do you think are some of the biggest barriers or challenges in identifying these spillover events in the future? The One Health approach is such a great example of interdisciplinary collaboration. Can you talk about what some of the different fields are that work in One Health? What positive changes do you hope to see come out of this pandemic? Follow Dr. Jonna Mazet (@JonnaMazet), the PREDICT project (@PREDICTproject), and the Global Virome Project (@GlobalVirome). Or check out their websites: One Health Institute (https://ohi.vetmed.ucdavis.edu/), PREDICT (http://data.predict.global/), Global Virome Project (www.globalviromeproject.org). The firsthand account was taken from a piece by Craig Spencer, MD written for the Washington Post titled, “How long will we doctors last?” Learn more about your ad choices. Visit megaphone.fm/adchoices
20 Aug 2024Ep 149 Poison Control Part 2: Call me maybe00:59:37
In last week’s episode/love song to poison control centers, we journeyed through the history of these centers, from idea to institution. This week, we pick up where we left off by taking stock of the incredible impact that poison control centers have had on public health and individual lives. We also get a thrilling behind-the-scenes look at the operational side of things - who is on the other end of the line when you call poison control? How do they know so much and where do they get their information? Dr. Suzanne Doyon, Medical Director at the Connecticut Poison Control Center and Assistant Professor of Emergency Medicine at the University of Connecticut joins us to answer these questions and so many more. If last week’s episode didn’t turn you into a poison center superfan, this one certainly will. Tune in today! Learn more about your ad choices. Visit megaphone.fm/adchoices
23 Mar 2020COVID-19 Chapter 3: Control01:00:15
Welcome to the third chapter of our Anatomy of a Pandemic series, in which we cover the many aspects of the COVID-19 pandemic. In this chapter, we discuss how epidemic control can be managed from the individual, state, and national levels, as well as the importance of international collaboration to prevent the uncontrolled spread of disease. We start off with a firsthand account from Dr. Colleen Kraft, featured in COVID-19 Chapter 2, who shares the challenges she faces on a daily basis during this crisis while acting as Associate Chief Medical Officer at Emory University Hospital. Then we review some of the terms you’ve probably seen all over the news lately, such as “flattening the curve” or “social distancing”. Dr. Krutika Kuppalli (interview recorded March 18, 2020) shares with us her expertise from a global health and pandemic preparedness perspective, and she answers some of your questions relating to the steps you can take to protect yourself, your loved ones, and your community. We wrap up again by going through the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we have listed the questions below: Now that community transmission is established in the US, what can we do to slow it down? (18:05) Do we need to enact these control measures (social distancing, etc.) everywhere, even in places currently have low case numbers? (19:51) Are travel bans effective in slowing disease spread? (21:20) How can we tell if our control measures are working? (22:52) How soon do we expect to see the effect of these control measures? (24:00) There have been a lot of comparisons with seasonal influenza. How does COVID-19 compare to seasonal influenza and why are we taking such extreme measures to reduce the spread of this disease when we don't do so for seasonal influenza? (25:22) How well prepared was the US for this epidemic? (28:25) What have we learned so far to help us stop the spread of this pandemic and prepare for future pandemics? (31:19) What are the risks as this pandemic spreads to less well-resourced areas? (33:39) Learn more about your ad choices. Visit megaphone.fm/adchoices
26 Nov 2019Ep 38 Lead Poisoning: Heavy Metal Episode01:17:59
This episode, our first foray into toxic metals, is heavy in all kinds of ways - metallically, emotionally, informationally, politically. Lead poisoning has been around for about as long humans have been working with lead, but despite its extensive history, it still poses an incredibly huge public health problem today, especially for children. Tune in to hear us chat about the multitude of effects lead exposure can have on your body, the dark and often strange history of lead poisoning (ancient Rome, anyone?), and the alarming extent to which lead exposure affects people around the world today. Learn more about your ad choices. Visit megaphone.fm/adchoices
09 Apr 2024Ep 136 Long Covid: A long time coming01:39:30
We’re back with our season 7 premiere, and we’re kicking things off with a topic that we’ve wanted to cover for a long time, even if the topic itself hasn’t been around all that long. That’s right, we’re taking on Long Covid. When SARS-CoV-2 began making its way around the world in 2020, it was thought to cause a mild illness in most people, with complete recovery a couple of weeks after first getting infected. But just a short time into the pandemic, people began to report debilitating symptoms lingering for months after recovery was “supposed” to happen. What started out as a trickle of reports soon turned into a tsunami, and this condition, which came to be known as Long Covid, transformed our understanding of this viral infection. In this episode, we explore how the concept of Long Covid was defined by those who experience it, who also continue to advocate for better treatment, more research, and real compassion from medical professionals. We examine what we currently know about the biology of this condition, and delve into some of the most promising research avenues that may give us a greater understanding of or ability to treat Long Covid. This story is still being written, but already it can tell us so much about our concepts of infectious disease and how the medical system treats those with “invisible” illness. Learn more about your ad choices. Visit megaphone.fm/adchoices
10 Dec 2019Ep 39 Toxoplasmosis: Calling All Cats01:15:40
You’ve seen the headlines: could this cat-associated parasite be controlling your every move? Is the love you have for cats pure or merely a manipulation? Join us as we discuss Toxoplasma gondii, the feline-associated parasite that infects a whopping one third of all humans. Yes, you read that right. From the behavior-altering effects on rodents to the ancestral origins of the domestic cat, we dive deep into all things toxoplasmosis, the disease that sounds like it comes straight out of a sci-fi novel. Learn more about your ad choices. Visit megaphone.fm/adchoices
12 Nov 2024Ep 157 Retinoids Part 2: …how it’s going01:08:34
That same little bottle of retinol serum sitting on your bathroom counter - how does it work? Does it actually work? Those are the questions we’re taking on in part two of our retinoids two-parter. The answers, as you might expect, are complicated. Because as it turns out, “retinoid” is a catch-all term for a bunch of different types of compounds, all of which work in slightly different ways. And on top of that, the testing required to demonstrate efficacy isn’t exactly held to the highest of standards. But we do the best with what we have to get to the bottom of this retinoid puzzle. Tune in to learn everything you ever wanted to know about retinoids. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
02 Nov 2021Ep 85 Alcohol: Beer for Thought01:55:27
To say that alcohol is a part of human culture is a bit of an understatement. The relationship our species has with alcohol can be traced so far back that we see evidence of it in our DNA, in the way that humans, somewhat unique among mammals, gained the ability to more efficiently metabolize dietary ethanol. But while many of us have personal experience with the effects (and unpleasant aftereffects) that alcohol has on our body, how much do we know about why it makes us feel the way it does? What is alcohol doing to our bodies, to our brains? In this episode, we take a long look at this compound, from the varied effects it has on our bodies to the long history it shares with humans. Tune in to our Season 4 finale to hear why hangovers exist, how fermenting fruits on the forest floor led us to intentional production, and the truth behind all of those headlines advocating for a glass of red wine a day to keep the doctor away. Learn more about your ad choices. Visit megaphone.fm/adchoices
23 Jun 2020Ep 52 Rinderpest: Moo Cows, Moo Problems01:26:54
The second disease ever to be eradicated, rinderpest could be the most devastating and notorious infection you never knew existed. Though its name means “cattle plague”, the deadly rinderpest virus infected hundreds of species of animals during its long reign, and outbreaks of rinderpest left nothing but famine and ruin in their wake. In this episode, we start by taking you through the biology of one of the biggest killers we’ve ever faced. We then trace the long history of this feared disease, from fire festival rituals in Russia to the imperialist exploitation of the Great African Rinderpest Panzootic of the 1890s that paved the way for European colonial rule over a large part of the continent. Fortunately, this story ends happily as only one other has done so far - with complete and total eradication. You may have started this episode not knowing about rinderpest, but when you’re done, you won’t be able to stop talking about it. Trust us. Learn more about your ad choices. Visit megaphone.fm/adchoices
15 Oct 2024Ep 154 Ask The Erins (Again!)01:26:55
Five years ago, we asked you all to ask us anything, and you delivered. We answered dozens of listener questions, like how we first met, our favorite quarantinis, where we were in our career journeys, and so many more. But in the years since that first “ask us anything”, a lot has changed for both of us! So we’re coming back to you with the answers to more of your probing questions, like “what disease names would make good person names?”, “where are you in the world these days?”, “if you could have only one sandwich for the rest of your life, what would it be?” and a million more, ranging from serious to silly and everywhere in between. Tune in for a non-stop, self-indulgent Ask the Erins! Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
14 May 2024Special Episode: Dr. Sara Manning Peskin & A Molecule Away from Madness01:01:43
We live on the edge. Whether we fail to acknowledge it or try not to think of it, that fact remains true for most of us. A chemical shift, a rogue protein, a marauding molecule - our brains are vulnerable to an array of attacks that could dramatically alter our connection with the world and ourselves. In this episode of the TPWKY book club, Dr. Sara Manning Peskin, MD, MS, assistant professor of clinical neurology at the University of Pennsylvania and author, joins us to discuss her book A Molecule Away from Madness: Tales of the Hijacked Brain. Deeply fascinating, occasionally terrifying, and always empathetic, A Molecule Away from Madness features individual cases of the brain gone awry. Dr. Manning Peskin artfully combines these emotional and personal stories with approachable explanations of how our brains work and historical descriptions of how we gained this understanding. Tune in to this captivating conversation wherever you get your podcasts! Learn more about your ad choices. Visit megaphone.fm/adchoices
09 Apr 2020COVID-19 Chapter 8: Disparities01:04:40
In the eighth episode in our Anatomy of a Pandemic series focusing on COVID-19, we discuss how this pandemic will likely lead to a disproportionate impact on the most vulnerable populations around the globe. “Wash your hands.” “Stay at home.” “Practice physical distancing.” These are the public health messages for how to slow this pandemic. But what happens when you can’t wash your hands because you lack clean water or soap? Or if you can’t stay at home because you’re fleeing a war zone? Dr. Jonathan Whittall, Director of Analysis at Medicines Sans Frontières (aka Doctors Without Borders) joins us to talk about the challenges faced by the most vulnerable populations during this crisis and how MSF is working to overcome those challenges while bracing for the pandemic’s impact (interview recorded April 3, 2020). We wrap up the episode by discussing the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we have listed the questions below: What kind of projects are you currently working on? Can you talk about what you're seeing in terms of the differences between this COVID-19 pandemic and other public health emergency situations, such as cholera outbreaks in refugee camps or Ebola epidemics? What are some lessons that you think hospitals in other regions can learn from physicians or logistical coordinators that have worked in these situations previously? You wrote a great opinion piece about some of the challenges faced by the most vulnerable populations in trying to prevent infection with the virus that causes COVID-19. Can you talk a bit about those challenges and what the most vulnerable populations are? What are some of the ways that MSF has been trying to overcome those challenges?  What have we seen so far in terms of the impact of COVID-19 on these vulnerable populations? MSF has recently expanded their efforts throughout Europe - can you talk about what that expansion looks like and how different groups or activities are prioritized? As a part of a group that works internationally, can you talk about some of the challenges in coordinating this work internationally and why it's so crucial to communicate across borders? There's been a lot of discussion about how this pandemic may change the way we handle public health at national and, especially, international scales. What are some of the changes you hope to see?   Follow Dr. Jonathan Whittall (@offyourrecord) or check out the MSF-Analysis website (http://msf-analysis.org/). And read his fantastic article here: https://gulfnews.com/opinion/op-eds/bracing-for-impact-of-the-coronavirus-1.70570512 Learn more about your ad choices. Visit megaphone.fm/adchoices
21 Jan 2020Ep 42 Dandy Dengue Fever01:20:13
Our first vector-borne disease episode of season 3 and our first mosquito-borne pathogen in quite some time, dengue virus proves itself to be more than a worthy topic (and quite a formidable adversary in terms of public health). This week we are joined by Dr. Alex Trillo who drops some firsthand knowledge on the excruciating symptoms that give dengue its colloquial name “breakbone fever”, and then we trace the virus’s path from its evolutionary origins in ancient forests to the inevitable emergence of dengue hemorrhagic fever following modern war. We round it all out with some truly horrifying stats on the prevalence of dengue today as well as some promising research on reducing the prevalence of dengue tomorrow. To find out more about Alex’s incredibly cool research, check out her website at www.alextrillo.com and follow her on Twitter at @Trillo_PA. Learn more about your ad choices. Visit megaphone.fm/adchoices
30 Jan 2024Ep 134 Tonsils: Underestimated and underappreciated01:32:03
Raise your hand if you or someone you know has had their tonsils removed. If your hand is sky-high, there’s a pretty good chance that you (or that person you know) are from the US and were born before 1980. Of course, maybe that’s not the case, but tonsillectomies certainly fit in the category of 20th-century fads, along with Tamagotchis and the Atkins diet. While the procedure is still widely performed today (and for very good reasons), the frequency of tonsillectomies has dropped drastically from mid-20th century rates. In this episode, we explore why tonsillectomies became so popular, when they fell out of favor, and what about tonsils makes them worthy of removal. Tune in to be horrified by ancient tonsil removal techniques, shocked at how long it takes new knowledge to change policies, and appreciative of just how cool tonsils actually are. Learn more about your ad choices. Visit megaphone.fm/adchoices
18 May 2021Ep 73 Puerperal Fever: Seriously, wash your hands01:32:15
Our sign-off, “wash your hands, ya filthy animals”, has never been more appropriate than with this episode on puerperal or childbed fever, now known as maternal peripartum infections. It took us over seventy episodes to get here, but today we finally tell the tragic story of Ignác Semmelweis, the “father of hand hygiene” and “savior of mothers”, whose keen observations and devotion to his patients earned him ridicule in his time and respect in ours. But the tragedy of this episode’s topic doesn’t reside solely in the past. Today maternal peripartum infections are still a major contributor to maternal morbidity and mortality worldwide, and, surprise surprise, the impact is not equally felt across racial, ethnic, and socioeconomic groups. Join us as we dive into this historically rich, medically complicated, and still appallingly prevalent group of infections. Learn more about your ad choices. Visit megaphone.fm/adchoices
26 Jan 2021Ep 65 Sweating Sickness: Ready, Sweat, Go!01:25:25
Here’s a pop quiz for all of you: what disease makes you sweat profusely, run a slight fever, develop body aches and a pounding head and then makes you drop dead within hours of symptom onset? If you answered “I have no idea”, you passed! Because we haven’t a clue either. In this episode, we attempt to tease apart the mysterious sweating sickness, which struck only five times in the 1400s and 1500s in England, leaving in its wake terror, confusion, and a trail of bodies. Although the sweating sickness has not been seen since (or has it?), scientists and scholars continue to investigate this mysterious illness and propose various pathogens as the likely causative agent. Tune in to hear us go through the most popular explanations to see if we can form our own consensus on ‘the sweat’. Learn more about your ad choices. Visit megaphone.fm/adchoices
26 Nov 2024Ep 158 Scarlet Fever: You’ve changed01:17:37
A mere 150 years ago, uttering the words “scarlet fever” was enough to strike fear into the hearts of many, especially parents of young children. For a brief period of time, this disease, caused by an infection with the bacterium Streptococcus pyogenes, reigned as a leading cause of childhood death in many parts of the world. It left its mark on gravestones, in public health decrees, in literature like the Velveteen Rabbit, but then something changed. The disease became milder, no longer the deadly threat it once was. But it didn’t go away entirely or lose its bite completely. In this episode, we examine the biology of scarlet fever and trace how it can make you sick before exploring its strange and tragic history. How did such a deadly disease change almost overnight, before any effective treatment was developed? And what can that tell us about its potential to change back? Tune in to find out. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
13 Aug 2024Ep 148 Poison Control Part 1: Who you gonna call?00:56:04
If you’ve ever called poison control, you probably already have a deep appreciation for the voice on the other end of the line who provides solid answers, emanates calm, and empowers you to take whatever steps necessary to be safe and healthy. If you haven’t, this episode will turn you into a superfan anyway. How did this incredibly valuable yet often overlooked service come to be, and why did it arise when it did? In the first of what ends up being a two-part ode to poison control centers, we explore the origins of poison control centers in the US, from the early days when literally one guy answered calls from all over the country to the lifesaving nationwide coordinated organization it is today? Tune in to find out! Learn more about your ad choices. Visit megaphone.fm/adchoices
19 Nov 2024Special Episode: Dr. Emily Monosson & Blight00:59:58
We really don’t give fungi the credit they deserve. Over the years of this podcast, we’ve covered only a handful of fungal pathogens, and pathogenic fungi themselves represent a teeny tiny proportion of the incredible diversity of fungal life on this planet. But with this book club episode, we’re attempting to correct this oversight, at least a little bit. Toxicologist and science writer Dr. Emily Monosson joins us to discuss her book Blight: Fungi and the Coming Pandemic. We chat about how fungal epidemics have shaped entire ecosystems, altered economies, and invaded hospitals. Despite the devastating impact pathogenic fungi have made, we still underappreciate their potential to cause harm in the future, as our climate changes, as our land use changes, and as globalization continues. In Blight, Monosson delivers an important reminder that we should use what we have learned about these historical outbreaks to limit the harm fungi may cause in the future. Tune in today to gain a new appreciation for this incredible group of organisms. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
10 Dec 2020COVID-19 Chapter 12: Control, Take 201:02:07
That’s right, we are rebooting our Anatomy of a Pandemic series in which we cover various aspects of the COVID-19 pandemic that has held the world in its grip since early 2020. Since our first episodes in the series dropped in March of this year, we have learned quite a lot about the SARS-CoV-2 virus, the disease it causes, patterns in its transmission, and of course, how we can best control it. In our first episode back, we focus on this last facet by exploring what we now know about policies and practices that work best to slow the spread of this virus and dive into some of the nuance surrounding masks, infection hot spots, and traveling. For this episode, we were so delighted to chat with Dr. Saskia Popescu, infectious disease epidemiologist and infection preventionist and Assistant Professor of Biodefense at George Mason University (interview recorded December 4, 2020) (Twitter: @SaskiaPopescu). As always, we wrap up the episode by discussing the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we’ve listed the questions below: What have we seen so far in terms of regional or statewide control policies or practices that seem to best work for infection control? How might something like a nationwide mask mandate or even just fact-based, rational messaging have changed the course of this pandemic in the US? Can you highlight some of the patterns in the policies or practices of the countries where COVID-19 has been pretty well managed, in your opinion? Basically, what are other countries doing better than we are? Which individual behaviors or practices have been shown to be the most effective for virus control? Can you break down some of the different types of masks and explain which types of masks seem to be doing a pretty great job of slowing transmission and which ones may not be as effective? Our knowledge of where transmission is most likely to occur has become more nuanced as the pandemic has continued. How do things like grocery store visits and outdoor runs compare to indoor dining or working out in a gym? What are we seeing as hot spots of infection and what are safer than we previously thought? Although we know much more now than we did at the beginning of this pandemic, the fundamentals of the virus’s transmission and the ways we can control it haven’t really changed. So where is this surge of cases coming from? Do you think the lockdowns or increased restrictions being put into place in some high prevalence locations will have the same effect in flattening this third wave as they seemed to earlier in this pandemic? Do you think we’ll see a reduction in seasonal respiratory infections overall due to the mask wearing, increased handwashing, and social distancing people are practicing? What are the steps people can take to be as safe as possible if they are committed to traveling during this holiday season? What would you say to those experiencing COVID fatigue? Learn more about your ad choices. Visit megaphone.fm/adchoices
23 Jul 2024Ep 146 Celiac Disease: Rootin tootin gluten01:34:04
CW: discussion of disordered eating, eating disorders Did the word gluten manifest in everyone’s consciousness one day in 2010? Suddenly, grocery stores were filled with gluten-free crackers, cookies, buns, you name it. Everyone went on gluten-free diets or knew someone with a gluten intolerance or sensitivity. For some, it might seem that gluten-related disorders went from 0 to 60 overnight, but those who had lived with these illnesses for decades knew better. In this episode, we delve into the story of gluten intolerance and celiac disease, a story which begins thousands of years ago, not just in the 2010s. We break down why gluten makes some people sick, how scientists finally made the link between grain and pain, and what promising new research is on the horizon for treating gluten-related disorders. Tune in today! Learn more about your ad choices. Visit megaphone.fm/adchoices
17 Dec 2024Special Episode: Philip Eil & Prescription for Pain01:06:19
In February 2012, Paul Volkman was sentenced to four consecutive terms of life imprisonment for his role in illegally prescribing and dispensing pain medications that resulted in the deaths of several individuals in his care. This was a remarkable case, both in terms of the lengthy sentence as well as the perpetrator. Paul Volkman was a highly-educated physician researcher, who earned both his MD and PhD and had decades of experience practicing medicine. How did he end up in a cash-only pain clinic in southern Ohio? In this TPWKY book club episode, journalist Philip Eil joins me to trace Volkman’s journey as outlined in Eil’s book Prescription for Pain: How a Once-Promising Doctor Became the “Pill Mill Killer”. Eil places Volkman’s actions in the broader context of the opioid epidemic and reflects on the lasting impact Volkman’s case has had on painkiller regulation and the communities most impacted by his crimes. Tune in for a fascinating conversation about what happens when a doctor decides he is above the law. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
08 Oct 2024Special Episode: Dr. Charan Ranganath & Why We Remember01:03:27
How is it that we can’t remember where we put our keys or the name of the person we just met, but we can recall in excruciating detail the embarrassing interaction we had at the grocery store ten years ago? Sometimes it seems like our memory works against us more than it does for us. But, as it turns out, this aspect of our memory is more a feature than a bug, and the key to understanding the difference may lie in our evolutionary history. Dr. Charan Ranganath, Professor of Psychology and Neuroscience and Director of the Dynamic Memory Lab at the University of California at Davis, joins us today to discuss his book Why We Remember: Unlocking Memory's Power to Hold on to What Matters. Dr. Ranganath deftly guides readers through not only the “how” of memory formation but also the “why”, helping us to understand why we remember certain things and forget others. Tune in for a fascinating discussion ranging from the importance of context (like smell) in memory to the different types of memory, from decision-making to memory competitions, and so much more! Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
15 Feb 2022Special Episode: Human African Trypanosomiasis & Drug Development00:52:09
Our episode last week ended on a hopeful note, a rare occurrence for this podcast, and it was due in large part to the incredible decline in reported cases of human African trypanosomiasis (HAT) over the past decade. In this bonus episode, we explore one of the major reasons behind this drop in HAT: the new medication fexinidazole, developed through a partnership between the Drugs for Neglected Diseases initiative (DNDi), a non-profit organization dedicated to developing new treatments for neglected diseases and Sanofi, a French healthcare company. We are thrilled to be joined by two researchers from DNDi, Dr. Nathalie Strub-Wourgaft and Dr. Wilfried Mutombo Kalonji, who share their insights into the challenges associated with bringing a medication all the way from its development stage, to testing it in the field, and finally ensuring that access is provided for those who need it most. We also chat about how this treatment works, the impact that COVID-19 has had on screening efforts for sleeping sickness, the lessons learned from fexinidazole’s development, and so much more. Tune in wherever you get your podcasts! And when you’re finished with the ep, check out this beautiful video from DNDi chronicling the story of fexinidazole: A doctor’s dream: A pill for sleeping sickness. Learn more about your ad choices. Visit megaphone.fm/adchoices
04 May 2020COVID-19 Ch 11: Modeling01:27:52
The eleventh episode of our Anatomy of a Pandemic series has arrived, and just in time. Have you found yourself trying to sift through headlines claiming “this model predicts that” and “that model predicts this”, but you’re not sure where the truth really lies? Then this episode is for you. With the help of Dr. Mike Famulare from the Institute for Disease Modeling (interview recorded April 29, 2020), we walk through the basics of mathematical modeling of infectious disease, explore some of the current projections for this pandemic, and discuss some guidelines for evaluating these headline-making models. As always, we wrap up the episode by discussing the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we’ve listed the questions below: What is a math model and what are some of the goals of mathematical modeling? So talking specifically now about infectious disease models, can you walk us through what the basic components are of an infectious disease model, like an SIR model? Where do you get the data that you use to estimate the parameters in an SIR model - what is based on actual data and what has to be estimated? Infectious disease outbreaks often have a curve-like shape, with the number of infected individuals on the y-axis and time on the x-axis. Can you explain why infectious disease epidemics tend to follow a curve? Can you talk us through some of the assumptions that you have to make when you're constructing one of these models and how that kind of relates to the uncertainty inherent within models? How might that uncertainty affect interpretation? What are some examples of the various ways we use infectious disease models in public health policy? Can you talk about how models might be used at various stages of a pandemic to guide public health measures? How might our use of models early on in a pandemic be different from the middle of one? Speaking specifically about COVID-19 now, can you talk about what a basic model for this pandemic might look like?  Are models for COVID-19 using only lab-confirmed cases of the disease or clinical-confirmed cases as well? Looking back on these earlier models of COVID-19, what can we take away from the performance of these models? Is there any agreement among models as to what policies might be the best in terms of keeping cases and deaths as low as possible?  For those of us who have no background in mathematical or statistical modeling, are there guidelines that we should use to evaluate these models or compare them? What should we (as in the general public) be taking away from these models? Are there any positive changes you hope to see come out of this pandemic, either as a member of the community or as a math modeler? For a deeper dive into the wonderful world of infectious disease models, we recommend checking out this recent video from Robin Thompson, PhD of Oxford Mathematics titled “How do mathematicians model infectious disease outbreaks?” The video was posted on April 8, 2020.   Learn more about your ad choices. Visit megaphone.fm/adchoices
01 Dec 2020Ep 61 Typhoid: There's Something About Mary01:33:54
Your long wait is finally over - the season four premiere of This Podcast Will Kill You has arrived! And to mark the special occasion, we’re taking on a topic that is both classic TPWKY material as well as enormously relevant to current discussions in public health. Typhoid fever has been the cause of untold death and devastation throughout human history, and despite our advancements in both treatment and prevention of the disease, it continues to wreak havoc on millions of people around the world every year. This week, we take a trip through the terror of typhoid, starting by tracing the journey this bacterium makes through your body before taking a look at the long history of typhoid in human populations. And what story of typhoid would be complete without Typhoid Mary? We examine the plight of Mary Mallon in the context of today’s COVID-19 pandemic and discuss the tension that often arises between individual and community rights in matters of public health. Finally, we wrap things up with a look at the current status of typhoid fever around the world (spoilers: it’s pretty terrible) as well as some promising developments on the horizon (spoilers: okay, it might not all be bad!). We are so excited to be back with you this season, coming through your headphones with some casual chat about diseases throughout human history! As always, we are happy to hear from you about what you’d like us to cover, so send any suggestions through our website contact form. For your TPWKY merch needs, check out the sweet offerings on our shop's page. And for extra reading, you can find references for each episode on the episode page or check out our bookshop.org affiliate page or our Goodreads list. Learn more about your ad choices. Visit megaphone.fm/adchoices
29 Dec 2020Ep 63 Poison Ivy: It's Just Us01:28:07
Our first crossover episode this season with Dr. Matt Candeias of In Defense of Plants stars everyone’s favorite irritating plant-originated substance: urushiol! Join us for a light-hearted deep dive into urushiol, aka the stuff in poison ivy that makes you soooo itchy/burny/scratchy. Have you ever wondered why popping a benadryl doesn’t relieve those oozing, raised welts all over your gardening arms? Or whether a poison ivy rash has ever been used as evidence in a murder case? Or why poison ivy and other plants produce this substance in the first place? Don’t worry, just like a poison ivy rash after a summer gardening sesh, we’ve got you covered. Learn more about your ad choices. Visit megaphone.fm/adchoices
29 Mar 2022Special Episode: Electricity00:52:37
While last week’s episode covered ample ground when it came to lightning strikes, there is so much more to the world of electricity left to explore. Fortunately, there’s a bonus episode for that! This week, we’re joined by a familiar voice, Dr. Timothy Jorgensen, whose previous appearance on the podcast (see Ep 53 Radiation: X-Ray Marks the Spot) helped to lay out the basics of radiation. In this bonus episode, Dr. Jorgensen, Professor of Radiation Medicine and Director of the Health Physics Graduate Program at Georgetown University, returns to the pod to help us dig deeper into the vast topic of electricity. His latest popular science book, Spark: The Life of Electricity and the Electricity of Life, gives us much to talk about, from how electricity works to the difference between direct and alternating current, from electric fish to ECT, and beyond. As an accomplished science writer, Dr. Jorgensen also shares some insights into using storytelling as a teaching tool and advice for those who may want to become better science communicators themselves. Tune in wherever you get your podcasts! Learn more about your ad choices. Visit megaphone.fm/adchoices
14 Apr 2020Ep 48 Botulism: Why are you the way you are?01:33:52
You don’t look surprised to see this in your podcast feed - or is that just the botox? This week we’re taking a tour of the wonderful world of Clostridium botulinum and the toxin it produces, at once both poison and prescription. First, we delve into how botulinum toxin acts to paralyze your muscles and under what circumstances you might encounter it. Then we iron out the wrinkles of the why of botulinum toxin, an answer that involves migratory birds, maggots, and marshes. The story continues with blood sausages, an unfortunate funeral party, and a massive shift from toxin to treatment as the therapeutic potential of botulinum toxin is explored. And the best part of this episode? Georgia. Hardstark. You’ve heard the always amazing, ever hilarious, and one of our personal heroes Georgia Hardstark on My Favorite Murder, but now listen to her share her firsthand experience with getting botox facial injections. This episode ranks among our top favorites we've ever recorded, and we hope you love it as much as we do! Learn more about your ad choices. Visit megaphone.fm/adchoices
01 Sep 2020Ep 57 Herpes: Stop the STIgma01:31:25
The harm caused by herpes simplex viruses (HSV) 1 & 2 often arises not from the pathology of the viruses themselves but rather from the stigma and shame associated with a positive diagnosis. In this episode, we attempt to lay a clear foundation for understanding not only how these viruses work but also what occurred to change the perception of them from “innocuous infection” to “dreaded disease”. Starting us off with his firsthand account is the incredible Courtney Brame, founder and host of Something Positive for Positive People, a non-profit organization and podcast that aims to provide community support, healing resources, and educational discussions around positive HSV and other STI diagnoses as well as larger issues in sexuality and physical and mental health. We then dive into the meat of the episode, tackling such questions as “how do these viruses hide out in your body?”, “what kind of treatment is available?”, “where did these viruses even come from?” and “why is there such a huge amount of stigma and what can we do about it?”. To help us address this last question is our other fantastic guest, Dr. Ina Park, Associate Professor, University of California San Francisco School of Medicine and Medical Consultant, Division of STD Prevention, Centers for Disease Control and Prevention. We chat with Dr. Park about her new book, Strange Bedfellows, when to have “the talk” with your kids, and how we as individuals can break down some of the shame surrounding a positive STI diagnosis. To learn more about Something Positive for Positive People, head to the website spfpp.org or check out the SPFPP podcast wherever you get your podcasts! You can also follow Courtney on Instagram: @honmychest. And don’t forget to pre-order Dr. Ina Park’s upcoming book Strange Bedfellows: Adventures in the Science, History, and Surprising Secrets of STDs, expected February 2021. You can find out more about Dr. Park and her work on her website or by following her on Twitter: @InaParkMD or Facebook: Ina Park. Learn more about your ad choices. Visit megaphone.fm/adchoices
21 May 2024Ep 140 Nipah virus: Of Fruit and Bats01:35:22
What does it take to make the WHO’s list of high priority pathogens of pandemic potential? Ask Nipah virus. Extremely deadly with a wide host range and no effective treatments or vaccine (yet), Nipah virus has certainly earned its place on this list. In this episode, we explore where this virus came from, how it can make us so very sick, and the 1998 outbreak in peninsular Malaysia that put Nipah virus on the map. But we don’t stop there! We bring on expert guest, Dr. Clifton McKee, research associate at Johns Hopkins Bloomberg School of Public Health to guide us through the ecological factors that drive Nipah virus spillover events and outbreaks. With Dr. McKee’s help, we explore what a One Health approach to Nipah virus looks like and how it integrates study across animals, humans, and the environment to help predict and control when and where this virus might spill over. Tune in to learn more about this deadly virus that inspired the 2011 movie Contagion. Learn more about your ad choices. Visit megaphone.fm/adchoices
08 Jun 2021COVID-19 Chapter 20: Looking forward by looking back01:12:46
Over the past year and a half, we have learned so much about this virus, but there is still more to know. There always will be. We have seen the widespread impacts that the pandemic has had on all facets of society, but there is still more to see. There always will be. The COVID-19 pandemic is not over, and its effects will continue to be felt for years to come. What can we expect in a post-pandemic future? Frankly, no one knows. But we can make some guesses based on what we have already seen. Throughout the COVID-19 pandemic, one of our best reference points for comparison has been, of course, the deadly and devastating 1918 influenza pandemic. What can that pandemic tell us about our own uncertain future, and where do comparisons simply fall short? Did the lessons learned from the 1918 pandemic change the course of COVID-19? Or were we doomed to repeat history? To help us look forward by looking back, we are so excited to be joined by John Barry, award-winning and New York Times best-selling author of books such as The Great Influenza: The story of the deadliest pandemic in history (interview recorded May 25, 2021). This marks the tentative final episode in our Anatomy of a Pandemic series on the COVID-19 pandemic. There is still more ground to cover (there always will be), and it’s entirely possible we’ll produce additional episodes in the future, but this is it for now. Thank you to everyone who has been interviewed, who has sent in their firsthand account, and who has listened. We appreciate all of you so very much. To wrap up this episode as we always do, we discuss the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we’ve listed the questions below:  Can you remind us of some of the similarities as well as some of the differences between the COVID-19 pandemic and the 1918 influenza pandemic? The COVID-19 pandemic has been highly politicized, both in the US and elsewhere. Did we see a similar intersection of politics and public health in 1918, and if so, how did that affect both the way that pandemic played out as well as the aftermath? You wrote that the single most important thing for our society and our governments to do in this pandemic was to tell the truth. How did countries fail to tell the truth in 1918? And how would you rate our honesty during this present pandemic? How do today’s methods of science communication differ from the ways the public got their public health information back in 1918? Was there a similar issue with rampant disinformation campaigns? How did the 1918 influenza affect the public health infrastructure in the US? Did it change the general perception of the role of public health? During the 1918 pandemic did we see countries working together to try and solve the influenza crisis, or did we see intense nationalism due to the ongoing war? After the 1918 pandemic came the Roaring Twenties, with its dramatic lifestyle change and economic growth. Could you talk about what this period looked like and how much of it came as a reaction to the end of the 1918 influenza pandemic and WWI?  How long did the 1918 pandemic live in our collective consciousness as a vivid reality? Given its scale and duration, do you think this pandemic will live in our collective consciousness more vividly? Can you talk about some of the limitations in applying lessons learned from the 1918 influenza pandemic to today’s reality? What are some things that you hope we keep from this pandemic, either personally or as a society? Learn more about your ad choices. Visit megaphone.fm/adchoices
13 Feb 2024Ep 135 Menopause is whatever you want it to be02:08:52
For our season 6 finale, we’re spending some time with menopause. How many nicknames can you think of for menstruation? Quite a few, I’m sure. “That time of the month”, “Aunt Flo”, “the red wave”, “period”, the list goes on. But what about euphemisms for menopause? We’ve got “the change” or “change of life”, “climacteric”, and… that’s it? There may be more out there, but the comparison is revealing. Despite the fact that roughly half of the global population has or will one day experience menopause, the lack of nicknames demonstrates the silence, often tinged with shame, still enveloping it. In this episode, we explore the roots of this silence and the many historical misconceptions about menopause that frame our current perspective. We also examine the effect that this silence has on our understanding of the physiological processes underlying this transition. Why do some people experience symptoms and others do not? Why do humans experience menopause? What is the grandmother effect? What’s the latest on hormone replacement therapy? These are only a sampling of the many questions we delve into in this info-packed, frustration-laden, and eye-opening episode. Learn more about your ad choices. Visit megaphone.fm/adchoices
18 Aug 2020Ep 56 Sickle Cell Disease: Invisible Illness, Enduring Strength02:05:45
Neglected and ignored by the medical establishment throughout most of its history, sickle cell disease remains one of the most common (and commonly misunderstood) genetic conditions in the world. In this episode, we break down the myriad effects that one nucleotide substitution can have on the human body and discuss the basics of what it means when blood cells sickle. Continuing with the theme of the seen and unseen, we then turn to the history of sickle cell disease, a history of long-standing injustice and the unending fight to raise awareness and provide support for those impacted by the condition. And as always, we wrap up with a discussion on the current global status of sickle cell disease and some exciting new treatment options on the horizon.  We are so honored and thrilled to be joined this episode by not one, not two, but three incredible guests! You’ll hear first from Marsha Howe and Sharif Tusuubira, who share with us some of their firsthand experiences living with sickle cell disease. And then in our current status section, Dr. Megan Hochstrasser from the Innovative Genomics Institute walks us through the mind-blowing genome editing approaches being used to treat genetic conditions such as sickle cell disease. You can follow Marsha on her website for her non-profit organization and blog “My Life With Sickle Cell” as well as through her social media channels: Twitter: @MarshaMLWSC, Instagram: @marsha_h181, Facebook: Marsha Howe. And make sure to check out B Positive Choir too! Twitter: @bpositivechoir and Instagram: @bpositivechoir. Learn more about Sharif Tusuubira’s amazing advocacy efforts on his website and through his social media channels: Twitter: @tkksharif, Instagram: @tkksharif, Facebook: Sharif Kiragga Tusuubira. You can also watch his 2017 talk in Washington, DC as a Mandela Washington Fellow. And to learn more about the futuristic-sounding research being done at the Innovative Genomics Institute (including using CRISPR to develop a faster, cheaper coronavirus test!), you can follow Megan (@thecrispress) and IGI (@igisci) on Twitter, or head to their website. Learn more about your ad choices. Visit megaphone.fm/adchoices
30 Mar 2021COVID-19 Chapter 15: Disease, Take 201:08:28
We’re over a year into the COVID-19 pandemic, and our understanding of this virus and the disease it causes has grown immensely. And while we’ve learned so much about the spectrum of disease severity, the wide array of symptoms, and the effectiveness of various treatments, there is still so much we are discovering about this illness. In this installment of our Anatomy of a Pandemic series covering the COVID-19 pandemic, we review what we currently know about the disease caused by the SARS-CoV-2 virus as well as emerging questions such as what exactly is long COVID or how well do vaccines work against the new variants? To take us through this massive topic, we enlisted the help of two experts, Dr. Krutika Kuppalli (@KrutikaKuppalli), infectious diseases physician and assistant professor at the Medical University of South Carolina (also featured in Ch. 3: Control of this series), and Dr. Jason Kindrachuk (@KindrachukJason), assistant professor and Canada research chair in molecular pathogenesis and emerging viruses at the University of Manitoba (interview recorded March 16, 2021). As always, we wrap up the episode by discussing the top five things we learned from our experts. To help you get a better idea of the topics covered in this episode, we’ve listed the questions below: How much does the infectious dose, or the amount of virus a person is exposed to, play a role in whether they will get the disease and/or how severe the disease might be? How soon after being exposed does someone become infectious and how does that infectivity change over the course of infection? How much does infectiousness or viral shedding vary across disease severity? Are people who are severely infected more contagious than those who are asymptomatic? Could you walk us through the spectrum of COVID-19 in terms of symptoms or clinical observations, touching on first asymptomatic, then mild, then moderate or severe cases? What proportion of cases are severe vs mild vs asymptomatic? How much do symptoms or the general course of disease vary from person to person? How predictable is this virus? Can you talk about some of the lingering effects of infection and how frequently long COVID seems to occur? How has our estimate of the case fatality rate changed over this pandemic? Can you talk about some of the risk factors that seem to be associated with severe infections? Is there any link between blood type and risk of infection? What do we know about pregnancy and infection with COVID-19? Do risks regarding pregnancy vary depending on when during pregnancy someone may be exposed or infected?  What do we know about the duration or nature of immunity and the risk of reinfection? How has treatment for COVID-19 cases changed throughout this pandemic? Are we any better at treating patients with severe cases now than we were eight or so months ago? What do we know at this point about the vaccine candidates in terms of their effectiveness against new variants that have emerged? What does it mean if these vaccines are slightly less effective against some variants than others? What do the latest studies show about vaccines preventing asymptomatic as well as symptomatic infection? What is something you hope to take away from this pandemic, either on a personal level or as a society? Learn more about your ad choices. Visit megaphone.fm/adchoices
25 Jan 2022Ep 89 Hepatitis B: Hepatiti, Take 201:36:50
This week, we’re dipping a toe back into the vast waters of hepatitis viruses, this time with a focus on hepatitis B. The hepatitis B virus, though second to be named, was first to be discovered, and effective vaccines and treatments have been available for decades. Yet the global prevalence of this virus remains staggering, with nearly 300 million people chronically infected and 1.5 million new infections annually. So what’s going on? In this episode, we weave our way through the complicated biology of this virus and its deadly potential, the strange history of its identification that shows that you don't have to be looking for something to find it, and the current status of this virus that underlines how safe, effective tools for disease prevention are only as good as our delivery infrastructure. We are also so excited to be joined by Dr. Su Wang, Medical Director for the Center for Asian Health & Viral Hepatitis Programs at the Cooperman Barnabas Medical Center and outgoing President of the World Hepatitis Alliance. Learn more about your ad choices. Visit megaphone.fm/adchoices
01 Mar 2022Special Episode: Rabbit Hemorrhagic Disease Virus00:59:34
We ended our myxoma virus episode on a bit of a cliffhanger, briefly alluding to the emergence of another deadly rabbit virus on the global scene. In this follow-up bonus episode, we take a closer look at this recent arrival, rabbit hemorrhagic disease virus (RHDV), and what its rapid spread around the world has meant for both invasive European rabbits in Australia as well as native rabbit species around the world. Dr. Robyn Hall (@Virologica), veterinary virologist, epidemiologist, and Team Leader of the Rabbit Biocontrol Team at CSIRO in Australia, walks us through how this virus earned the nickname “bunny Ebola”, where it seems to be having the most impact, and what the sudden appearance of a new type of RHDV has taught us about viral evolution and ecological cascades. Then, once we fill up on RHDV facts, we talk favorite viruses, life as a veterinary virologist, and so much more! Tune in wherever you get your podcasts. And check out our website for links to where you can learn more about this fascinating and deadly virus. Learn more about your ad choices. Visit megaphone.fm/adchoices
23 Mar 2020COVID-19 Chapter 4: Epidemiology01:05:05
The fourth installment of our Anatomy of a Pandemic series takes a look at some of the epidemiological characteristics of the COVID-19 pandemic. But first, we hear about the experience of Katie Burson, who was quarantined along with her family on the infamous Diamond Princess cruise ship in February 2020, when cases of COVID-19 were reported among guests. Then we review some of the disease ecology of the SARS-CoV-2 spillover event and walk through a timeline of the pandemic, which, we have to admit, is pretty chilling to hear. We are joined by Dr. Carlos del Rio (interview recorded March 20, 2020), who chats with us about updated estimates for the R0 of SARS-CoV-2, reasons for regional variation in case fatality rates, and what the deal is with the slow rollout of tests in the US. We wrap up again by going through the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we have listed the questions below: Do we know what the R0 is for this virus? (27:44) Is there a risk for a second wave of infection in China or other places where the disease seems to be slowing down? (29:31) What are the stages of an epidemic curve and what does it mean to flatten that curve? (31:03) Are people who get infected able to be re-infected or are they immune? (32:45) What is the relative effect of social distancing vs herd immunity? (33:31) How can we convince people who can stay home to actually stay home? (34:40) What are the differences between populations that contribute to the differences in case fatality rate between China vs Italy vs South Korea, etc? (36:28) What might we see in terms of numbers of infections or how long the outbreak will last? What's the end game? (38:00) Should the measures that have been enacted in some parts of the US be happening even in places with fewer cases so far? (40:55) Is this virus likely to become well established and another 'seasonal' respiratory infection? (42:16) What's the deal with testing in the US? Why was rollout so slow at the beginning? (43:14) When should a person try to get tested if they suspect they're infected? (45:58) What has this outbreak taught us so far about our ability to respond to pandemics, and how can we do better moving forward? (46:36) Learn more about your ad choices. Visit megaphone.fm/adchoices
27 Aug 2024Special Episode: Maria Smilios & The Black Angels01:05:33
In the pre-antibiotic era, tuberculosis was one of the biggest killers humanity ever faced. The specter of the ‘great white plague’ hung over towns and cities across the world, cities like New York whose population boom in the early 20th century paved the way for this deadly disease to spread throughout crowded tenements. As tuberculosis rates in NYC reached a breaking point, city officials sought to solve the problem by establishing a sanatorium on Staten Island. But they quickly ran into an issue - who would be willing to work there, exposing themselves to this untreatable deadly disease? In The Black Angels: The Untold Story of the Nurses Who Helped Cure Tuberculosis, author Maria Smilios tells the story of the courageous nurses who worked at Sea View Hospital on Staten Island, facing the constant threat of disease and perpetual racism from patients, colleagues, and neighbors. Smilios brings these women’s stories to life, describing how they persevered in these difficult conditions to ultimately help bring about the cure for tuberculosis, for which they have only recently been recognized. Tune in for a fascinating discussion about a monumental time in tuberculosis history! Learn more about your ad choices. Visit megaphone.fm/adchoices
11 Jan 2022Ep 88 Endometriosis: Menstrual Backwash02:16:48
Chances are you know someone with endometriosis, or perhaps you’re affected yourself. But despite its incredibly high prevalence, endo remains almost criminally understudied, undertreated, and underacknowledged. In this episode, we aim to shed light on many aspects of endometriosis, first by examining the “what” and “how” of this disease: what’s actually going on inside your body with endometriosis and how does it cause the symptoms that it does? Then we turn our sights to the why, exploring not only the possible evolutionary origins of this disease but also the deep historical roots contributing to the struggle many people still face today in obtaining a diagnosis. We discuss how although hysteria is no longer a valid medical diagnosis, it has left its mark on medicine in the form of implicit bias that leaves many people feeling unlistened to and unbelieved. We then wrap up the episode with a look at endometriosis by the numbers and some current research that leaves us feeling slightly more hopeful about the growing awareness of this disease and the need for effective treatments. Learn more about your ad choices. Visit megaphone.fm/adchoices
01 Oct 2024Ep 153 Alpha-Gal Syndrome: A tick bite gone bad01:15:58
One day, you’re enjoying a beautiful hike through the tall grass. A few months later, you find yourself in anaphylaxis from a post-hike hamburger. The culprit: a tick bite. In this much-requested episode, we take on alpha-gal syndrome, the red meat allergy triggered by the bite of a tick. Sometimes science is stranger than fiction. How exactly does an encounter with a tiny arachnid cause your throat to swell up and your skin break out into hives hours after eating red meat? Is it all red meat? Is it all ticks? How on earth did anyone even make this connection in the first place? Those are just a few of the questions we answer in this action-packed episode that has us venturing into surprising topics, like primate evolution, ancient epidemics, and cancer treatments. Tune in for all this and more. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
10 Sep 2024Ep 151 Stethoscope: Lub dub01:24:26
The stethoscope. It’s iconic. You’re playing Pictionary and you pull the “doctor” card? Easy - sketch a stethoscope. Need a last-minute Halloween costume? Easy - throw a stethoscope around your shoulders. Google image search “doctor” and you can count the number of stethoscope-less doctors on one hand. How did this instrument become so emblematic of the field of medicine? What can it tell us about our heart and lungs? And is its future under threat? That’s where this episode comes in. We explore the invention, evolution, and application of this tool, from the tragic life story of its inventor to the surprising amount of controversy over whether the stethoscope still holds a place in medicine today. Tune in for all this and so much more, including a doctor’s-ear perspective of the heart and lungs, complete with all the heart and lung sounds you could want! Learn more about your ad choices. Visit megaphone.fm/adchoices
22 Dec 2020COVID-19 Chapter 13: Vaccines, Take 201:25:13
We’re back with another episode in our Anatomy of a Pandemic series on COVID-19. This time, our subject matter is the one everyone has been waiting for: vaccines. In this episode, with the help of two amazing guests, we attempt to answer all of your burning questions about the new vaccines for the virus that causes COVID-19. We walk you through the ins and outs of the technology behind these vaccines, the safety and regulation steps required for their approval, and some of the logistical challenges involved in their distribution. For this info-packed episode, we were so fortunate to be joined by Dr. Maria Sundaram (interview recorded Dec 14, 2020), postdoctoral fellow at the University of Toronto Center for Vaccine Preventable Diseases and fellow at ICES and Dr. Orin Levine (interview recorded Nov 24, 2020), Director of Vaccine Delivery at the Bill and Melinda Gates Foundation. As always, we wrap up the episode by discussing the top five things we learned from our experts. If at the end of this interview, your curiosity about vaccines is not quite satisfied, check out the COVID-19 Vaccine Tracker website, which is an incredible resource for pretty much anything you could ever want to know about these vaccines. To help you get a better idea of the topics covered in this episode, we’ve listed the questions below: Can you break down what the three potentially successful COVID-19 vaccines are and how each of them work? What are in these vaccines? What are the ingredients and what do they do? There has been some misunderstanding that these vaccines have the potential to give you COVID-19. Can you explain why that isn’t possible? Why are people being advised to wear a mask even after getting vaccinated? What does the timeline look like for these vaccines until we can go to the doctor or pharmacy and get one? Is it a valid concern that this vaccine was developed so rapidly? And could you walk us through some of the steps being taken to ensure safety and efficacy of a vaccine? Can you talk about what emergency use authorization means and whether we’ve seen this before and under what circumstances? Why should people be no more scared of this vaccine than the usual vaccines, like MMR and seasonal influenza? How likely is it that additional side effects we haven’t yet seen or long-term side effects will emerge later on? What do we know about the risk of vaccine-induced antibody-dependent enhancement with this vaccine? What do we know so far about the efficacy of these vaccines? Can you walk us through efficacy vs effectiveness in terms of vaccines? What do we know so far about how long immunity is expected to last from the various vaccines that are close to completion? What are some of the issues with clinical trials in vaccine development in terms of getting a representative subsection of the population and what does this mean for who may be able to get a vaccine once one is ready? Why do you still need to get vaccinated even if you’ve already had COVID-19? For our listeners who may know someone who is hesitant to receive the vaccine, what advice or reassurance can you give them that choosing to get one of these vaccines is a better option than taking your chances with COVID-19? What are the biggest hurdles to vaccine distribution here in the US? What are the biggest hurdles in terms of global distribution of the vaccine? And what is being done to address some of these challenges in vaccine access? We’ve heard about some countries pre-purchasing large stocks of vaccines, how may that affect the global availability especially in lower income countries? How might the availability of several different successful COVID-19 vaccines affect how different countries build their vaccine supply or distribution chain?  Could you talk about how skepticism surrounding vaccines plays into not only vaccine development but administration, and what can be done to rebuild trust in those communities? How do you think this pandemic will change the way that we view either emerging infectious diseases or vaccines in the future? Learn more about your ad choices. Visit megaphone.fm/adchoices
05 Oct 2021Ep 83 Diabetes: Short & Sweet01:57:36
Almost everyone is familiar with diabetes mellitus in some way. Whether we know family or friends that have been diagnosed with the condition or we’re directly impacted ourselves, diabetes mellitus has become a household name. And this is perhaps not surprising given its extremely high prevalence - nearly 9% of adults around the globe are estimated to live with the disease. But although we may know someone with diabetes, how much do we know about diabetes itself? How does it work? Why does it cause the acute symptoms and long-term complications it does? Where does an infamous scientific rivalry fit into the story of diabetes? How long have humans been dealing with this disease, and how far has treatment come since the early days of diabetes? And importantly, how has our perception and portrayal of diabetes changed over the course of its history? In this episode, we seek to answer all these questions and many more about the globally-prevalent diabetes mellitus. Learn more about your ad choices. Visit megaphone.fm/adchoices
08 Mar 2022Ep 92 Multiple Sclerosis: Scarred nerves & skating saints01:40:36
Like many autoimmune diseases, multiple sclerosis so clearly illustrates how detection and description of a disease only gets us so far when it comes to prevention, treatment, and cure. In the over 150 years since the first comprehensive description of multiple sclerosis, a great deal of progress has been made to understand the what and how of this disease, but many mysteries still abound, especially surrounding the why. In this episode, we explore what we do know about how this disease works, including a discussion about two recent headline-making scientific articles implicating a certain virus in disease onset or progression. We then trace its history all the way from an ice skating saint to a sympathetic sister, and we end the episode by taking measure of the global status of this disease. Check it out wherever you get your podcasts! Learn more about your ad choices. Visit megaphone.fm/adchoices
10 Aug 2021Ep 79 Hemophilia: A Hemorrhagic Disposition01:38:13
Bumps and bruises. Cuts and scrapes. Gashes and gouges. Injuries small and large are familiar to all of us, but what happens when part of our body’s innate healing ability is disrupted? What happens, for instance, when the blood just won’t stop flowing? In this episode, we explore one of the most common of these disruptions: the clotting disorder known as hemophilia. From the physiological nitty gritty on how blood clotting actually works to the long history, at times both tragic and triumphant, of the “royal disease”, we trace the story of hemophilia, ending with a hopeful look towards the future.  Learn more about your ad choices. Visit megaphone.fm/adchoices
15 Jun 2021Ep 75 Mercury: The cost of progress01:28:58
When you think of mercury, what springs to mind? Is it the entrancing drop of shimmery liquid that flows from a broken thermometer, giving the metal the name quicksilver? Or is it the warnings of overconsumption of fish and bioaccumulation? Or perhaps it’s the Mad Hatter from Alice in Wonderland? The story of mercury, in both its biology as well as its history, is vast and varied, and in this episode, we attempt to piece together a picture of this heavy metal. We first delve into the pathophysiological effects of the different forms of mercury exposure on the body, and then take a narrow tour of the metal’s history, focusing primarily on Minamata disease, before wrapping it all up with a look at just how widespread mercury contamination is today. Although the relationship between humans and mercury is as old as history itself, there are still so many lessons to be learned from it, especially “what is the true cost of progress?”. Learn more about your ad choices. Visit megaphone.fm/adchoices
25 Jun 2024Ep 143 IVF, Part 1: Infertility01:32:24
Content Warning: mentions of infertility, pregnancy loss We’re coming at you with not one, not two, but THREE whole episodes on IVF (in vitro fertilization) and other forms of assisted reproductive technologies (ART) over the next several weeks. Our first episode in this series starts things off with a broad examination of infertility over space and time. We take a closer look at headlines claiming infertility is on the rise, leading us to ask how we assess and measure infertility and whether those headlines take into account the changing meanings of the concept of infertility over human history. After our voyage through the social history of infertility, we explain what to expect when you go in for fertility testing, covering some of the most common causes of infertility and what “unexplained infertility” means as a diagnosis. But perhaps the most important part of this episode and the rest of this series are the firsthand accounts contributed by listeners who share some of the most intimate and emotional parts of their lives. We are forever indebted to all of you. Tune in today for part one of this series! Learn more about your ad choices. Visit megaphone.fm/adchoices
24 Sep 2024Ep 152 Hemochromatosis: Ironing out the details01:19:18
For life on this planet, iron is not optional. It is essential. When our iron levels are low, we can get sick, and when they get really really low, we can even die. But you know what they say, too much of a good thing can be a bad thing. In the case of iron, the genetic condition hemochromatosis is often to blame for iron overload, but why is too much iron a bad thing? In this episode, we explore that question and many others, starting with why iron is a biological non-negotiable and how a lack of iron regulation in hemochromatosis can lead to severe tissue damage. Then we’re going Deep Time™ to suss out the origins of our dependence on iron, a journey that eventually leads us to the Neolithic Revolution and the 20th century realization that a certain ancient medical practice is not as obsolete as previously thought. Tune in to catch us ironing out the details of this incredibly common genetic disorder. Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
18 Feb 2020Ep 44 Pertussis: Whoop Here It Is01:29:35
[TRIGGER WARNING: see below] Whooping cough, that terrible childhood scourge, has been making an alarming comeback due to lapses in vaccination coverage across the globe. And in this episode, we’ll tell you why exactly its return is a cause for concern. From the devastation it wreaks on the body to the untold tragedy of past epidemics, pertussis is a dreaded disease that was nearly relegated to the past thanks to the amazing efforts of three incredible researchers, Pearl Kendrick, Grace Eldering, and Loney Gordon. But as the provider of our firsthand account illustrates, pertussis is still very much present today. We are joined by the incredible Catherine Hughes, who does us the honor of sharing her story about her son Riley and her efforts to raise awareness about the importance of childhood vaccinations.   Read more about the Light for Riley campaign and the Immunisation Foundation of Australia to see the hugely important work being done.   Trigger Warning: The firsthand account of this episode features the death of an infant. If you do not wish to hear this, skip to 5:10. Learn more about your ad choices. Visit megaphone.fm/adchoices
23 Feb 2021Ep 67 HPV: My wart be with you01:33:00
The world of human papillomaviruses is vast and varied, and causing cervical cancer is just one of the many roles these viruses can take on. From their carcinogenic tendencies to their more benign wart-forming ways, this episode explores what these tiny viruses have taught us about how our bodies prevent cancer, how imaginative old timey cures for warts can be, how slow acceptance of the facts and a failure in marketing led to a delayed and impaired vaccine uptake, and so much more. You could say we’re covering all aspects of this highly-requested topic, warts and all. The historical stigma of cancer as a “woman’s disease”? Check. What’s actually inside a wart? Check. The possible origins of a mythical creature? Check. The massive disparity in vaccine access between high- and low-income countries? Check. Tune in to hear it all. Learn more about your ad choices. Visit megaphone.fm/adchoices
20 Apr 2020COVID-19 Chapter 9: Economics01:15:32
Episode 9 of our Anatomy of a Pandemic is here, and this week we’re stepping outside our public health sphere to examine COVID-19 from an entirely different perspective, that of an economist. Pandemics don’t happen in a vacuum, and the ripples of their impact extend far beyond those of public health, as nearly every person can attest to today. We’ve seen headlines about a global recession and high rates of unemployment, but what do those things actually mean? Have we seen something like this before or is this uncharted territory? And most importantly, what can we expect? We were curious to know the answers to these questions but we lack the expertise to take them on ourselves, so we asked economist Martha Gimbel, Manager of Economic Research at Schmidt Futures to join us on this episode about the economic impacts of COVID-19 (interview recorded April 14, 2020). A caveat: this episode focuses mostly on the economic impact of the pandemic in the US. As per usual, we wrap up the episode by discussing the top five things we learned from our expert. To help you get a better idea of the topics covered in this episode, we’ve listed the questions below: What are some of the indicators that we use to know how the economy is performing, and what were the trends we were seeing in the months before this pandemic hit? Could you take us through a timeline of the economic impact, starting with the first signs that the pandemic was having an impact on the global economy? What industries felt the pandemic first, and where do we stand now? Could you break down the impact that we’re seeing on the global economy, the US economy, large corporations, small businesses, and the average consumer? Was there a global recession after the 1918 influenza pandemic? If not, what makes these current circumstances unique? Which countries or industries are the most vulnerable and why? Are certain countries or industries proving to be more resilient in the face of this global recession? Can you talk about the gig economy here and how our reliance on low-paid workers with no protection from their employers has impacted our own economic resilience? Can you talk about the implications of the numbers of unemployment insurance filings that we’re seeing and just how staggering they are? Are the current benefits offered through the unemployment system going to be enough to keep people at home and not seeking work in situations that put them at higher risks of exposure? Are there any general trends or predictions in terms of how long this recession will continue and what it will take to recover? How will we know when we have “recovered”? Are you seeing any innovative solutions that people are proposing or starting to implement in terms of a social safety net? What positive changes do you hope this pandemic will bring about? Where is the money for the stimulus checks coming from? Is that $1200 check going to be enough to keep people going for the next few months? Learn more about your ad choices. Visit megaphone.fm/adchoices
03 Mar 2020Ep 45 Hepatitis C: Hepatiti?01:20:19
From its discovery only 30 years ago to the recent development of an effective treatment, the short life of the Hepatitis C virus certainly has been action-packed. This week, we take you through the biology of this deadly virus by exploring its cancer-causing qualities and pondering the plural of hepatitis. Then we take a stroll through the often bizarre and disturbing history of blood technology, discussing how a lack of sterilization and screening allowed for the proliferation of the Hepatitis C virus around the world. Finally we ask, “what’s going on in the world of Hepatitis C today?” Spoilers: it’s not all bad! As long as you can afford the treatment of course... Learn more about your ad choices. Visit megaphone.fm/adchoices
07 Jan 2025Ep 161 Allergies Part 1: Pollens, nuts, & bugs01:30:13
Sometimes it seems like the world is out to get us: bees in our garden, pollen in the air, nuts in our brownies, any number of other things that could trigger an allergic reaction ranging from itchy eyes and a runny nose all the way to anaphylaxis. Why must our bodies react in such over-the-top ways to these seemingly innocuous substances? In the first episode of our two-parter on allergies, we explore that very question. From the biological basis of an allergic reaction to the potential evolutionary significance of allergies, from the history of their discovery to the global status of allergies today, we cover it all. Tune in today! Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices
17 Mar 2020Ep 46 Lactose Intolerance: Never trust a fart01:06:16
Everyone loves a good poop story, don’t they? We certainly hope so, because our good friend Katie shares a fantastic one to kick off our episode on lactose intolerance. In this episode, we explore what lactose is and the symptoms that lactose non-digesters experience when they eat some sneaky cheese or ice cream. Then we explain that this episode is actually flipped - turns out that not being able to digest lactose is the normal state, and those of us who can are actually the mutants! We trace the origins of this mutant allele and how the persistence of pastoralism spread milk drinking far and wide. Where do we stand with lactose intolerance today? Tune in for that answer and for an abundance of milk facts to arm yourself with for the next pub trivia night. Learn more about your ad choices. Visit megaphone.fm/adchoices
21 Jan 2025Special Episode: Robert Alpert, Merle Eisenberg, Lee Mordechai & Diseased Cinema00:52:14
Everyone’s got a favorite disease movie. What’s yours? Does it feature zombies like 28 Days Later (2002), or is it more grounded in reality, like Contagion (2011)? Does it end with a glimmer of hope or with a dose of despair? Who are the bad guys and who are the good guys? From the early days of disease movies like Panic in the Streets (1950) to more recent films like Little Joe (2019), these movies have provided endless entertainment, excitement, and opportunities to examine society itself. In this TPWKY book club episode, Robert Alpert, Dr. Merle Eisenberg, and Dr. Lee Mordechai join us to discuss their book Diseased Cinema: Plagues, Pandemics, and Zombies in American Movies. Diseased Cinema approaches the genre of disease-themed movies with the goal of understanding what these movies say about our hopes, our fears, our anxieties, and how these perspectives have shifted over the decades. When did faith in our government’s problem solving give way to rugged self-reliance? Why did people start to view science as the bad guy rather than the source of salvation? Tune in for a fascinating discussion that will stay on your mind long after your next movie night. And also check out Merle and Lee’s excellent podcast Infectious Historians! Support this podcast by shopping our latest sponsor deals and promotions at this link: https://bit.ly/3WwtIAu Learn more about your ad choices. Visit megaphone.fm/adchoices

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