Aug. 15, 2023

Rare Medical Conditions - Human Body Theme

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Staying in the vein of our Human Body Theme this month, Quizmaster Dr. Tanner tracked down four rare medical conditions! In medicine, rare conditions are "zebras": less likely to be the correct diagnosis than the more common "horses." But one of this week's "zebras" is even less likely to be correct since it's fake! Do you think you can evaluate the four conditions and spot the fictitious illness? Put on your white coat and join hosts Andi and Sups to find out!

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Andi

This doesn't sound like something Tanner couldn't have come up with him

Sups

and he said it the moment after I shared this anecdote. And at which point do you get the superpowers?

Andi

Yeah. I think other apes have them. Yeah. I would think. I this. Of course. I was gonna ask this

Tanner

and it's about one in a million

Andi

Yeah. See now this is what I'm talking about with rare. Hello and welcome to, I should have known the trivia game show that can't be trusted. Each week, one of our quiz masters will present you with four facts about a topic, but one of them is a lie and we are exploring the human body this month and this week our quizmaster is Dr. Tanner. And he's going to be presenting us with four rare diseases or conditions except that this is a find the fake episode. So one of the conditions or diseases that he presents to us is from fiction. It is not an actual condition people have. So join me, Andy, and other host soups and trying to figure out which one it is. That's right. Mm-hmm.

Tanner

So to try to give you an idea of what we're talking about here, we'll do the pub quiz question.

Sups

Okay.

Andi

Q

Tanner

P. Q Q. So really to get you in the mind of what a fake disease would be, let's talk about a fake disease.

Andi

Ooh.

Tanner

In the TV show, game of Thrones, the character's, Shireen Baron and Jora Mormont contract a highly contagious disease that somewhat resembles a mix of real life diseases. Mm-hmm. Like leprosy, ichthyosis, Stoneman syndrome. What's the fake disease called?

Sups

I forgot. I know the, the hand start.

Andi

Yeah, when the people

Sups

it. Mm-hmm.

Andi

like leprosy. What do they call that Oh man. I know This It's killing me.

Sups

Yeah. No.

Tanner

What color does their

Andi

skin. Gray skin. Gray skin. Gray scale.

Tanner

gray scale,

Sups

Gray scale.

Andi

Gray scale. Ugh.

Sups

no,

Tanner

yeah. Gray scale.

Andi

So that's an example of a fake condition. This is not affect real people. Inspired by

Sups

real. Yeah.

Tanner

exactly. So if I was to explain grayscale to you, that's what you should be listening

Sups

Okay. With

Tanner

four diseases,

Andi

So your fake is going to be like, this? Yeah.

Sups

Okay.

Andi

Okay. Maybe we can also try to guess what the fiction it

Sups

from. Oh,

Andi

is perhaps. We'll see. Okay. Okay. Alright, I'm excited. Cool.

Tanner

Condition number one a dermato. Gly

Andi

So Gly. would be like, Marks on your skin and then a would mean you don't have any, so what marks are you supposed to have that somebody might not have? That's what this is, right? Yes.

Tanner

It's congenital absence of,

Andi

fingerprints.

Sups

fingerprints.

Tanner

fingerprints. Yes. Ah, congenital absence of

Sups

Mm-hmm.

Andi

Okay. So like men in black condition, right? Is that the movie? They do that, don't they? Yeah. They burn

Tanner

their fingerprints

Andi

off. Yeah. Yeah. Or serial killer

Sups

Yeah.

Andi

My thing is, wouldn't that make you more obvious? Yeah. So Not having them would be just as like identifying as having them.

Sups

I know. I mean, I actually, I know people. In real life. They have a lot of trouble while crossing borders, especially at the immigration, because the biometric system can't read. yeah. yeah. It just flick and they get stopped at the immigration every single time. So, I dunno if this is the definition of someone who has this condition.

Tanner

sometimes it's called immigration delay disease.

Sups

Oh, wow. Okay. That's hilarious.

Tanner

Yeah. Yeah, I love So it's a very rare genetic condition where you lack the ridges on your fingers, toes, palms of your hands, and soles of your feet, so you don't have fingerprints.

Andi

Mm-hmm. Okay.

Tanner

So it's inherited. It's a mutation in a gene. And basically when you're an embryo, when you're developing this gene is turned off. So it doesn't create these ridges, then you never have them throughout life. Mm-hmm. So it's not acquired throughout life. You're born with it, there's no treatment. But if you want to manage it, you try to identify. Without fingerprints. So facial recognition can help people with this illness If you have this, you might also have other symptoms. So you can have reduced sweat glands, which are very related to these parts of your hands and feet. You can have blistering on the skin and you can have. Small white bumps on your face. So these are the associated symptoms.

Andi

Okay. Yeah. 'cause I guess I was wondering like other than identification, which is kind of a modern thing, what are fingerprints for?

Sups

Mm-hmm.

Andi

Biologically why would we even have fingerprints? Maybe it helps with gripping or something. Or it's just a weird, I think other apes have them. Yeah. I would think. I this. Of course. I was gonna ask this. what is the biological purpose of

Tanner

Right. Because we didn't evolve them to identify each other. Yeah. You

Andi

You know, it's just a byproduct of evolution that we have fingerprints and they're unique,

Tanner

Right. it increases your uh, your gripping, your grippiness. Yeah. Yeah. You're better able to grip things. Right. So very important for

Andi

If you're a monkey,

Sups

mm-hmm.

Andi

a tree. Okay. but playing the game, I'm skeptical of this because, like how much fiction is about like sanding off your fingerprints or burning your fingerprints off. Know what I'm saying? Like it sounds like this could be an easy fake

Sups

one. Yeah. But especially the fact that he said that it's also known as immigration delay disease, which is the exact case that I was talking to you about.

Andi

Yeah. But I also think he could have invented that. This doesn't sound like something Tanner couldn't have come up with him

Sups

and he said it the moment after I shared this anecdote. could you repeat the name of the condition? Mm-hmm.

Tanner

Dermato Gly.

Andi

A ogly. Yeah. See he also could have made that up too easy

Sups

This is bunch of three Greek words put together, so, yeah, sure.

Tanner

that's medicine for you.

Andi

Yeah. make it Latin shaped for some reason. And then bam, you got a medical term. Okay, cool. So, mm, dunno right out the gate, I'm a little skeptical. I wanna hear more.

Tanner

Okay. Condition number two, hyper regenerative healing factor.

Andi

Oh, come on.

Sups

is Marvel disease.

Andi

disease.

Sups

I wanna to say Marvel straight away, like, you know. Yeah.

Andi

this is Wolverine right where you heal yourself

Sups

real fast. Okay.

Tanner

Patients with this do have above normal speeds of wound healing. Mm-hmm.

Andi

Mm-hmm.

Tanner

Associated symptoms include increased natural immunity and slowed cellular aging.

Andi

I do know the opposite's. True. There are lots of conditions and diseases that cause you to heal more slowly. Diabetes is the big one.

Sups

Yeah.

Andi

So I guess it does also stand to reason that you could heal more quickly. I mean, healing is an average thing, right? Everyone heals at different rates,

Tanner

so normal wound healing, It's weeks, it's on, on the order of weeks. Okay. Like four to six, depending on the wound. Oh, On a high traffic area like feet, it's gonna take longer. Okay. But your tongue and your mouth is actually very, very fast at healing. Mm-hmm. But these people are even faster and they also have increased reproduction of their immune cells, can also be a negative. So there's no treatment for this, but patients usually have to be screened for cancer. Because some cancers are caused by cells regenerating too much, too fast. Right.

Sups

And at which point do you get the superpowers?

Andi

Yeah. Yeah.

Tanner

This is a inborn genetic

Sups

Mm-hmm.

Andi

Mm-hmm.

Sups

But maybe this is right because this is just too simple. And I think he knows that we will know that this exists in the world of superheroes. Sure.

Andi

a trick. He is like, nah, this

Sups

that's real. Mm. Okay. But this condition is a good thing,

Tanner

Yeah. Right. There doesn't really have to be a treatment 'cause it's not detrimental to health. Mm-hmm. So it's not exactly a disease.

Sups

Okay. Yeah.

Tanner

it turns into cancer down the

Andi

road. But I guess like part of the problem there, you could have issues where like it sounds like your whole immune system is stronger and so then you would be at risk for autoimmune diseases. But then if these people aren't going in for anything, because. Why would you go in and be like, I heal too fast, doc. Yeah. Help me. Then like, how would they even know to look for this? It's very weird and then why wouldn't they be flagging these people for an autoimmune disease, Mm-hmm. So, I don't know. I think it's Wolverine but I also think, I Don't think he'd pick things so obvious. So then that's why I'm thinking maybe actually that's the trick, like is the mind games

Sups

Mm-hmm. so we are halfway there with conditions. We've got two more to go. No, both sound very, very fake to me so far.

Andi

Yeah.

Sups

see.

Tanner

Okay. Condition number three. Hyperekplexia.

Andi

Hyperekplexia. Mm-hmm. What heck? Well, hyper means too much. Too

Sups

much. Yeah. So you have too much of Plex? Yes.

Tanner

Okay.

Andi

But what's Plex?

Tanner

Plexy comes from the Greek for amazement, so it's also known as the excessive startle reaction.

Sups

Mm-hmm.

Andi

Oh God,

Tanner

So if there's an unexpected noise

Andi

uhhuh or

Tanner

You react with like Intense eye blinking body spasms. You can even like freeze up And be able to move. But you're still conscious.

Sups

Oh wow.

Tanner

It's a rare genetic neurological disorder.

Andi

Okay.

Tanner

So it's about one in 40,000

Sups

Okay. in the us. Okay.

Tanner

Right. So a lot of these people have jerking in their limbs when this happens, it's hard for them to keep their balance and they can fall.

Andi

Yeah.

Tanner

So instead of just a normal reflex, like we would have, like, if you touch something hot, you jerk your hand back. This is exaggerated for them, so it's more intense

Andi

Yeah.

Sups

Oh,

Andi

Okay. Well This one sounds very real

Sups

it's possible.

Andi

Yeah. additionally, I don't know what fiction this would come from. You know, that's the other thing about it where like, it, it makes it feel more real to me because I don't know why anyone would have that in fiction. I could see like an old timey, like, you know, like this is always the thing that's bothered me in like older fiction women faint all the time, right? So I could maybe see this as like an old timey thing like that, where you're like, yes, the weak, the gentler sex,

Sups

is that, is that your,

Andi

is that No, that's like a old timey Radio.

Tanner

Step

Sups

that's perfect.

Andi

But anyway. Yeah. So maybe if it

Sups

was fake, I

Andi

think it'd be something like that. Yeah.

Sups

Yeah.

Andi

But I mean, it does sound pretty real that some people, get startled more easily than others. but yeah. Yeah. Compared to the others though, it's definitely like harder to see where the fake, it would

Sups

yeah, could be.

Andi

All right, last one.

Tanner

Condition number four, congenital insensitivity to pain.

Andi

Ugh,

Tanner

Extremely rare genetic disorder characterized by the inability to perceive physical pain, so the absence of nociception, and this can even be inflammation or heat, they can't even feel that.

Andi

Mm-hmm.

Tanner

So they're often prone to self-injury or infections or it's harder for them to normally heal because, you know, they can't protect their healing wounds,

Andi

Yeah, that sounds terrible. I really hope that's not real. Ugh.

Tanner

Caused by a genetic mutation. Mm-hmm. Again, in certain genes that are important for pain, sensing nerves, and it's about one in a million

Andi

Yeah. See now this is what I'm talking about with rare. Yeah, That's right., But like, this is one where I feel like this one's probably real. Yeah. Because. It does sound like a superhero thing. Like it'd be great. I don't feel pain. It's awesome. I, you can shoot me, I don't care. But pain is actually useful. Pain isn't an entirely bad thing. Right,

Sups

Isn't this, I mean, the fake could also be is that there's this Marvel superhero. He also had a Netflix series. Like basically he doesn't feel pain and like bullets, like what's his name? I. Cage luke Cage. Luke Cage. Luke Cage. Yes, I know stuff.

Andi

Tan.

Tanner

I can't believe that

Andi

I I never saw the show. I just knew there's a show with that name.

Sups

Luke Cage. And it's the same thing, right? He doesn't feel pain and that's the whole point that he just calls around like, People are like shooting at him and bullets are just like flying off.

Andi

Well, but that's different. Not feeling pain does sound like a superhero thing. That's great. But like, actually I think in reality it would be

Sups

Yeah.

Andi

There's a very big difference between not feeling pain and not getting injured because this is saying your hand is, getting like burned off. Your skin is boiling, but you just don't, but you don't feel it. So you don't move your hand.

Sups

Mm-hmm.

Andi

But now your hand's messed up. I see. That's not a superpower.

Tanner

That's

Andi

terrible.

Sups

Well, for one, I can say that I don't have this condition. You don't have it? No, no, no, we don't. I don't have it

Tanner

Yeah.

Andi

I have the opposite. I have hypersensitivity, so I literally feel more pain than other people.

Sups

Yeah. So, okay, this, this sounds real, like it is possible. This I mean, we've heard four conditions, but this one to me is like a proper rare condition.

Andi

I don't think Tanner made this one up. Yeah. I don't know what fiction would have this even. Mm-hmm. Because I really do think that like, it sounds cool until you think about it one step further, pain sucks, but then you're like, oh, the pain's useful.

Sups

Yeah.

Andi

I think this one probably unfortunately real. Okay. Okay. So one of those conditions that you just presented to us is from fiction is not real. Mm-hmm. Can you repeat the four of them for us before soups and I will guess which one we think it is?

Tanner

Sure. Condition number one A dermato condition. number two. Hyper regenerative healing factor condition number three, hyperekplexia and condition number four, congenital insensitivity to pain.

Andi

One of those is not real.

Sups

See number two, if I were to pick like straight, because number two is straight out of a comic book, straight out a marvel, but then that's what makes me think like, if this is so easy, then is it fake mind

Andi

games. Yeah. My problem with the number two is not just that I can name a superhero who has that, which does kind of make me a little nervous because he would know that. I would know that. Yeah. like, I know very few superheroes, but I know that one. Right. Yeah. Yeah. okay, so like, that's my, that's one problem is that some psychological, those are some mind games you're playing by doing that. But there were other things about that one that was sketchy where it's called a factor. So I would think there'd be something in your blood that you would find, but then he didn't mention that. He only described know, having higher white blood cells or immune cells and then like the whole idea of like finding people who have this, like, it's just weird. It like too much about that one. It doesn't make sense. So it seems faked.

Sups

Okay.

Andi

Then that's the game of being like, it's too obvious. It's too obvious. So

Sups

I think it's the first one,

Andi

maybe the first one. I do think that it could be that one. Yeah. That is also from science fiction and,

Sups

the name sounds like a made up

Andi

name. The gly. Yeah. Mm-hmm. It does sound pretty fake. Yeah.

Sups

Even though we've established that I know someone who actually has this or faces this problem, but I still feel it doesn't fall under like this rare condition, or that like the whole concept is actually made out of fiction

Andi

Yeah. it does sound sketchy. I think I'm gonna still pick number two just

Sups

Okay. because I

Andi

will like kick myself if I'm like, Come on, Andy. You know, like zero superheroes, but you knew that one and you didn't pick it. Mm-hmm.

Sups

I think I'm with you on number two. I think that has the best chances of being fake, but also something about number one sounds very, very fishy.

Andi

Yeah.

Sups

So I'm gonna pick number one.

Andi

Okay.

Tanner

All right. So the moral of the story is when you

Andi

fail medical school.

Tanner

no. You guys did a very good job of looking into these, not just going with your gut and saying, forget about the other ones, because the real ones really do affect real people. And so we should remember that and they should get some care and drugs if they need it or treatment. But in medicine, go with your gut. it was Wolverine

Andi

number Yeah. Yeah. See, I would've been so mad if I didn't pick that one,

Tanner

about it

Sups

it because I knew it was fake. So

Tanner

Yes, exactly.

Andi

just

Sups

my name. Mm-hmm. Yeah.

Tanner

So the other ones they almost appearing in fiction. So, sometimes people in sci-fi have a dermato gly, but not like we talked about. It's not. From birth. Yeah. They do it to themselves exactly like you were saying. Same with congenital insensitivity to pain in X-Men and some comic books. They're experimented on and then they gain this and so like this is in Deadpool. Someone gets it. It

Andi

it sounds awful, but

Tanner

yeah. So this does not happen in real life. There's no hyper regenerative healing factor. It is in. Other animals, it's kind of similar. So some lizards

Andi

Liz can regenerate. That's true. That's true. can cut your tail off and still be good.

Tanner

Yeah. All, animals can regenerate to some degree. Like we can do this with our livers. Yeah. You can regenerate it from a few cells. So yeah, Wolverine has hyper regenerative healing factor. That's what it's called in the, in the comics. In your blood? Yeah.

Sups

Hmm. All right. I should have known.

Andi

Yeah, I should have known. Thanks for listening to this episode of I Should Have Known. We are on YouTube. If you're listening on there, please like, comment to subscribe. Let us know if you got Tanner's fake rare condition. And if you're listening on a traditional podcast platform, please leave us a review. And if you're on Spotify, you can also comment. Otherwise, get in touch with us on social media and we are going to be continuing. Our exploration of the human body. Next week we're gonna look at the extremes of the human body. So be on the lookout for that. And as always, thanks for listening. I don't know what I'm saying.