Transcripts
check 1 2 well
Speaker:hello there boyfriend how are you this fine day
Speaker:I'm really good is it working
Speaker:yes excellent
Speaker:let's not talk shit
Speaker:I'm afraid to ask but I have a great question
Speaker:I don't even know what I was gonna say
Speaker:I'm so disturbed right now
Speaker:I was afraid to ask with Jamie and Doctor Erica
Speaker:how are you great what's that look for
Speaker:I just the way you introduced it it's just
Speaker:not a professional I um wanna jump right into questions
Speaker:yeah
Speaker:cause that probably just saved me from saying something
Speaker:mean let's go okay
Speaker:we were in Vegas this weekend and they had a T-shirt
Speaker:you know those funny T-shirt shops
Speaker:they had a T-shirt that said fart loading
Speaker:and I got so stupid and I thought to myself
Speaker:I wish they had one for Erica that said insult loading
Speaker:right and it would be like here it comes
Speaker:I told you though that's almost like an insult to me
Speaker:like I don't need anything to load
Speaker:I got I'm just ready to go
Speaker:oh I see pew pew pew okay
Speaker:you got like uh that shirt yeah
Speaker:dial up in the internet
Speaker:and you got like a T1 military grade
Speaker:I don't know enough about the internet
Speaker:to make that reference you don't need loading time
Speaker:how about you're just easy to make fun of
Speaker:yeah hahaha
Speaker:I got a question from YouTube by the way
Speaker:you can find afraid to ask on YouTube
Speaker:can I can I take it short aside
Speaker:what I would like to ask you a question
Speaker:I have my own thoughts
Speaker:how would you rank social media platforms
Speaker:in order of people being fucking mean
Speaker:and so we have Instagram
Speaker:we have YouTube we have Twitter and let's do Facebook
Speaker:alright so the meanest to nicest yeah
Speaker:nice meanest meanest nicest first
Speaker:and then I see the answer
Speaker:when it comes to people talking about our podcast
Speaker:and so there's actually an answer
Speaker:so what do you find in general meanest
Speaker:the meanest platform you just said nicest
Speaker:meanest now you want me as nicest make up your mind
Speaker:nice first place
Speaker:nicest Facebook good one
Speaker:good one totally agree
Speaker:it's all the grandparents
Speaker:okay I get really
Speaker:the most mean comments about Jamie Lisso on Facebook
Speaker:what and the reason being really
Speaker:you have a Facebook wait a minute
Speaker:you know how you have like
Speaker:a lot of people have just like
Speaker:their family following them on Facebook
Speaker:that's why I have the most mean kind
Speaker:oh God no I have that on my personal page with family
Speaker:just people being nice I remember you from high school
Speaker:but that's why I said the grandparents
Speaker:cause I feel like Facebook is always like
Speaker:people go on there to post pictures of their kids
Speaker:so it's very family oriented
Speaker:like that's really where it evolved
Speaker:it was like what remember when it
Speaker:you had to be in college
Speaker:and have a college email to sign up to Facebook
Speaker:and then people when it first started
Speaker:you had to have a college email address
Speaker:to sign up for it that's how they weeded people out
Speaker:and then they started allowing anyone to join
Speaker:and people got actually got upset and they're like
Speaker:what the heck
Speaker:this is a platform for like college students
Speaker:and it turned into like this big thing
Speaker:well Zuckerberg was just trying to bang girls
Speaker:that's why face I saw that movie
Speaker:I like that movie it was insightful
Speaker:I did too didn't you like steal the idea from twins
Speaker:and also I don't have very good uh uh retention
Speaker:I like watching like the seaspan stuff now or whatever
Speaker:when he has to go in front of people
Speaker:and speak in his defense of like
Speaker:Facebook not being like a horrible idea
Speaker:so he's a billionaire right
Speaker:and he's got like this incredibly successful company
Speaker:and the other day
Speaker:is gonna date this episode a tiny bit
Speaker:but I don't care the other day they posted a meme
Speaker:apparently Zuckerberg's been like him and Eli
Speaker:Elon Musk was a fight at one point
Speaker:did you know that they were actually gonna fight
Speaker:they both train martial arts
Speaker:so he's gonna fight Elon Musk
Speaker:Elon wants to do it Zuckerberg like kind of backed out
Speaker:it was this whole thing the other day
Speaker:Zuckerberg walked out with an MMA fighter
Speaker:did you see this video no
Speaker:oh yes I did
Speaker:there's where where he's trying to hold stuff
Speaker:it keeps getting past and they make fun of him
Speaker:cause he doesn't know what he's doing
Speaker:so I guess my point being like
Speaker:the video is him doing a walkout with this MMA fighter
Speaker:camera who it is
Speaker:and it's the guys getting him ready like
Speaker:you know taking he takes his shorts off
Speaker:he throws into one of the guys who has my mouthpiece
Speaker:one person takes the mouthpiece off
Speaker:where's the towel you know
Speaker:you take off your shoes you give him to a guy
Speaker:Zuckerberg is in between three people that
Speaker:that should be there that need to be there
Speaker:and he has nothing to do he has nothing to do
Speaker:they keep passing stuff past him
Speaker:and he's like nodding his head
Speaker:like anything to the music
Speaker:and they just go over him and then he does it again
Speaker:he's like oh
Speaker:and then third time he just goes yeah
Speaker:you can tell he's like fuck
Speaker:I shouldn't be here yes
Speaker:it's the ultimate
Speaker:reach your hand out to shake someone's hand
Speaker:and they don't shake your hands
Speaker:like that to the millionth level
Speaker:like he just shouldn't have been there
Speaker:but I was thinking how funny it is that like
Speaker:that guy has everything but it still must suck
Speaker:that must suck to get made fun of like that
Speaker:I guess what I'm sort of getting out of like
Speaker:it was a meme on my doctor post
Speaker:and they changed it to like
Speaker:me as the med student on my first day in the or
Speaker:cause it was all the surgeons around
Speaker:handing stuff and being like
Speaker:f you dude you don't belong here yeah
Speaker:but his face was like what should I do
Speaker:well I guess no one won so yours was you
Speaker:said it was cause people passing stuff pass you
Speaker:they they're like you loser
Speaker:you shouldn't be in here you're you're brand new
Speaker:so like they completely pretend you're not even there
Speaker:and you're like trying to help and they're like
Speaker:don't get in my way that's what it looks like
Speaker:someone made one about me
Speaker:oh no and it was this girl as my first threesome
Speaker:and she was like
Speaker:this reminds me of that threesome you were there for
Speaker:and it was just them
Speaker:I was like oh
Speaker:can I grab something
Speaker:can I help somebody with something hello
Speaker:really funny though that how much money you have
Speaker:you can still get made fun of
Speaker:which brings me to Facebook
Speaker:people are really mean to me
Speaker:haha on um when Gutfeld makes a post and they say like
Speaker:Jamie's on the show it'll be like
Speaker:a bunch of nice people saying they like me
Speaker:and then people just like
Speaker:you know the worst one is I don't get
Speaker:someone said something like
Speaker:I don't get Jamie's jokes
Speaker:you know whatever and I'm like well
Speaker:that's one guy's opinion
Speaker:21 likes 21 people agree with that guy
Speaker:passive way of being a jerk
Speaker:yeah but anyway
Speaker:I get the most mean stuff but it's different
Speaker:you're right
Speaker:I think Facebook that's a great answer on that
Speaker:Facebook was the nicest followed by Instagram
Speaker:if you don't use it for business
Speaker:follow my Instagram and then you'd go I would go TikTok
Speaker:I shoot TikTok got you
Speaker:I don't I don't do TikTok
Speaker:I like TikTok I think it's actually cause it's so quick
Speaker:it's just a different it's totally
Speaker:I feel like Facebook is like grandparents and family
Speaker:Instagram is like the fake stuff right
Speaker:like my life is pretty but people still make some um
Speaker:can I interrupt you to prove your point even further
Speaker:Facebook it's the most pictures of you
Speaker:you're not faceless like Instagram
Speaker:you could be faceless
Speaker:you could just take pictures of buildings
Speaker:you could
Speaker:it's the second in place for not being faceless
Speaker:but like Facebook it's usually your face
Speaker:maybe your family maybe your children
Speaker:you really have to like be yourself on Facebook
Speaker:I feel like there's
Speaker:there's not as much anonymity as like a Twitter yeah
Speaker:where it's your picture it is this tiny picture
Speaker:I'm tired of people in general being um
Speaker:I wish everyone would just be
Speaker:I wish there was something for Facebook
Speaker:where it wasn't
Speaker:people just trying to make me feel like shit
Speaker:about my life
Speaker:I wish it was somewhere we posted failures
Speaker:like a fell book and I could go
Speaker:you know what I mean
Speaker:it's just people posting the highlights of their life
Speaker:hmm do I mean like you never
Speaker:it's always like oh
Speaker:I lost
Speaker:it's it's never like
Speaker:oh my God I gained well
Speaker:you know what's funny I think that that's interesting
Speaker:cause guess what I was gonna
Speaker:say so I was gonna say TikTok next
Speaker:cause it's like younger people
Speaker:and it's witty and sassy so you get kind of stuff
Speaker:and then I was gonna say
Speaker:Twitter slash X is the meanest one
Speaker:I think people are jerks on Twitter
Speaker:but you know what I think is funny is I saw a post
Speaker:I'm barely on Twitter or X and someone put like
Speaker:did you see the intern for uh
Speaker:MTV or something like sent out an email for something
Speaker:it was like some stupid thing
Speaker:but he sent it out or she sent it out to like
Speaker:reply to like all the subscribers and everything
Speaker:and like
Speaker:maybe it was like Verizon or it was some huge company
Speaker:and they wrote back like sorry
Speaker:it was the interns first day we're not joking
Speaker:it really was the intern
Speaker:and then all these people on X wrote back
Speaker:Dear Intern don't feel bad on my first day of work
Speaker:I showed up wearing a bathing suit
Speaker:because they said it was beach days
Speaker:Twitter is best but it was like it wasn't Beach Days
Speaker:it was a joke and everyone else was in a fool
Speaker:and they had had
Speaker:like a poster to advertise the vacations
Speaker:they were gonna take me
Speaker:but it was a whole list of like
Speaker:Twitter is the dumbest thing you've done
Speaker:and they were like
Speaker:don't worry intern I got your back it was hilarious
Speaker:I think that's Twitter is the best like it
Speaker:like people being that reply all
Speaker:you have to be very very careful cause I don't like it
Speaker:I feel like it always disappears
Speaker:like I'll get a notification and it's like
Speaker:someone wrote you and I'll look and I'm like
Speaker:I just see that they wrote I'm like
Speaker:what did they respond to
Speaker:I can't see what they respond to what did I write
Speaker:what did you you tag me in something on there
Speaker:and it's like lost to oblivion
Speaker:and then I get like these notifications and abyss
Speaker:where it's like someone writes this huge comment back
Speaker:and I don't even know what it means
Speaker:I don't like it
Speaker:but I guess also I was saying I know we don't
Speaker:I don't love talking about my ex on here
Speaker:but you gotta be so careful with a reply
Speaker:all in business you should be careful you hit that one
Speaker:I've had that happen
Speaker:where I had an agent who replied all
Speaker:I was not supposed to be on the thread
Speaker:and it was something like
Speaker:wasn't that nice about me
Speaker:like I don't know how many tickets
Speaker:he's gonna tell you something that oh
Speaker:that really happened yeah oh
Speaker:still with them but I don't know
Speaker:we almost sent a naked picture to my dad once
Speaker:holy crap
Speaker:really does I've never done like an email bad one
Speaker:who is it supposed to go to for sure me right
Speaker:yes what do you mean you're emailing a photo
Speaker:why are you emailing oh
Speaker:texting cause it's like you
Speaker:I have it ready and I'm like
Speaker:send and it's like to who
Speaker:and it's like the last person you texted
Speaker:so yeah woo
Speaker:you're not gonna believe this
Speaker:but this one time when I was married
Speaker:my wife at the time she wrote like a sexy message
Speaker:like sort of like oh
Speaker:we should get down whatever
Speaker:by mistake she sent it to me
Speaker:all right
Speaker:um
Speaker:oh my God yeah
Speaker:oh
Speaker:anyway so you're going
Speaker:you're going Facebook that was a rare moment of empathy
Speaker:there was no insult loading Instagram
Speaker:TikTok Twitter
Speaker:and then LinkedIn
Speaker:I don't know why I threw that out
Speaker:I saw a tweet what
Speaker:the best tweet I've ever seen in my whole life
Speaker:in my whole life that I liked more than any other
Speaker:it said Best Ways to get a hold of me ranked in order
Speaker:No. 1 text me
Speaker:No. 2 call me
Speaker:No.3 climb up the tree outside my window
Speaker:break my window with a rock
Speaker:come into my bedroom and shake me awake
Speaker:No.4 direct message me on LinkedIn
Speaker:yes haha
Speaker:one of the funniest things I've ever seen
Speaker:LinkedIn is so dumb okay
Speaker:great great
Speaker:great answer so anyway
Speaker:I was gonna say you go first
Speaker:well you said it came from YouTube
Speaker:yeah yeah
Speaker:the meanest for us for our podcast
Speaker:it's ranked um
Speaker:Instagram we get the most comments
Speaker:so I I would say like percentage wise
Speaker:it's the lowest amount of negativity
Speaker:but we probably get the most negative comments
Speaker:cause we get so many comments um
Speaker:but YouTube it's like people are mean to
Speaker:why are you so mean on YouTube
Speaker:it's just like instructional videos and stuff yeah
Speaker:I mean there
Speaker:it's where the video
Speaker:it's the only place the videos available
Speaker:just gonna say does that suck
Speaker:because
Speaker:the only place people are seeing our faces is where
Speaker:they're like if you yeah
Speaker:I try not to delete the audio only they're nice
Speaker:and then they see us and they're like
Speaker:uh uh
Speaker:if I see it's one that's gonna hurt our feelings
Speaker:and by ours I mean mine
Speaker:I'll delete it but otherwise I leave it up
Speaker:cause just like
Speaker:we're confident in what we're doing here
Speaker:we feel good about it it's mostly about the content
Speaker:Erica I know you don't go on there
Speaker:but it's mostly people like hey
Speaker:why aren't you the exact person you are and Gutfeld
Speaker:why aren't you the person I want you to be
Speaker:why are you being yourself
Speaker:stop that you know what
Speaker:I think that's hard though
Speaker:because you do have a character and a personality
Speaker:and a persona that is one way on certain things
Speaker:and another another like
Speaker:I mean I'm very different in office
Speaker:as a physician than I am right here
Speaker:yes real Jamie wants to get his dick wet
Speaker:EWW he doesn't want to be this loser
Speaker:you have to deal with what I just said
Speaker:the character that character
Speaker:no
Speaker:hmm
Speaker:I just might want to take a shower
Speaker:real Jamie or character Jamie wants to get
Speaker:I just thought
Speaker:I would like to take a shower to get my wet gross okay
Speaker:before the episode I was like
Speaker:let's try to be clean yeah
Speaker:that's working out well for you
Speaker:we are different
Speaker:we're a little bit different on YouTube
Speaker:where ourselves on this podcast is nothing I can do
Speaker:so anyway we did get some messages that were nice
Speaker:but then I had a question
Speaker:that's the whole point of this whole thing
Speaker:was for me to bring up
Speaker:would you like a question about a PSA test
Speaker:to be honest with you I don't know what that is
Speaker:or would you like a question about a hernia
Speaker:like a public service announcement
Speaker:is that what it means I don't know what's the question
Speaker:I think it's not it's probably having to do with a man
Speaker:okay so this is from uh
Speaker:let's see this is from Randy Stockdale 3
Speaker:0 7 2
Speaker:by the way I'm
Speaker:I love the first 3,071 Randy Stockdale's
Speaker:this one's great they're all great
Speaker:hey DOC how often should a guy get a PSA test
Speaker:what do the resulting numbers on the test actually mean
Speaker:thanks
Speaker:why did you do it like how often
Speaker:I thought I thought Randy would be like hey DOC
Speaker:how often should a guy get a PSA test
Speaker:Randy
Speaker:Randy to me feels like guy goes he likes barbecue
Speaker:I like him that's an appropriate question
Speaker:he phrased it in a kind way
Speaker:he wasn't mean he wasn't condescending
Speaker:and it's a very valid thing to wanna ask your doctor
Speaker:I chose this question so
Speaker:because it was the only comment
Speaker:not shooting okay
Speaker:that's not true what is a PSA
Speaker:prostate specific antigen
Speaker:so it's a it's a blood test
Speaker:you can have done with your other blood draw
Speaker:for your wells examination
Speaker:so it's not a specialized test
Speaker:you have to go in just for
Speaker:you can't have it by itself though
Speaker:and basically it checks the level of your prostate
Speaker:circulating throughout the blood
Speaker:you can do a free or a total there's different numbers
Speaker:all you have to know is that this free
Speaker:is that one that has ads
Speaker:it's bound or unbound in circulation
Speaker:same thing with like testosterone thyroid yeah
Speaker:the numbers mean different things
Speaker:you're ridiculous PSA do you want me to explain this
Speaker:yes I really do
Speaker:sorry Randy
Speaker:you said it's a it's a what's prostate specific antigen
Speaker:so essentially what its measuring is
Speaker:if your prostate is having an elevated level
Speaker:there could be things that are bad
Speaker:for instance everyone worries about prostate cancer
Speaker:if that level is high
Speaker:but you can also have what we call benign
Speaker:prostatic hypertrophy or hyperplasia
Speaker:so enlargement of the prostate
Speaker:that's where you would like
Speaker:urinate more frequently or dribble
Speaker:have a hard time getting it out
Speaker:you feel obstructed so it can be high
Speaker:but you can be falsely elevated
Speaker:by having any irritation to that area
Speaker:even simply simple as riding a bicycle is the area
Speaker:you mean that area is this my butt
Speaker:uh well
Speaker:yes and no okay
Speaker:so if you did you ever have a prostate test
Speaker:yes yes
Speaker:I think so I think we not about it
Speaker:I got the one member the finger
Speaker:yes so you said the guy shouldn't use his thumb
Speaker:remember that oh my goodness well
Speaker:the Dre digital rectal examination
Speaker:and you're actually palpating the prostate
Speaker:from the anal and rectal cavity
Speaker:digital in this case mean finger
Speaker:uh huh yeah
Speaker:wow so the problem is if you
Speaker:if you do that and you stimulate the prostate
Speaker:that level goes up
Speaker:so I could do a prostate check annually
Speaker:then draw blood oh sorry
Speaker:that's I couldn't use more fingers but so afterwards
Speaker:right afterwards if I draw your blood
Speaker:your PSA level could be falsely high
Speaker:just from that test
Speaker:so you should be very careful not to do that
Speaker:sexual activity recent sexual activity
Speaker:can elevate the level of your prostate test
Speaker:lab test and then any irritation to the area
Speaker:so you ride a bike
Speaker:you kind of get stimulation down below
Speaker:yep your process is deeper up inside
Speaker:so it's not necessarily like your anus
Speaker:but kind of the area before to
Speaker:like anything in the area that would be jarring
Speaker:gotcha so wow this is the good news though
Speaker:you wanna know the good news of this whole thing
Speaker:you don't often have your prostate jarred
Speaker:it's actually not recommended
Speaker:to do a prostatic examination anymore
Speaker:as a screening test this is the finger
Speaker:the USPSTF United States Preventive Task Force Service
Speaker:uh huh service task force uh
Speaker:recommends no longer doing a rectal examination
Speaker:to screen for prostatic enlargement
Speaker:or nodularities or prostate cancer
Speaker:this is the finger not the blood the either one oh
Speaker:because we were finding so many false positives
Speaker:you would feel something you like
Speaker:oh my God and then we have a biopsy to be nothing
Speaker:so the problem is
Speaker:too many people were having biopsies on something
Speaker:that was benign and they didn't need it
Speaker:so now we really recommend it
Speaker:if you have a very strong personal family history
Speaker:and things like symptoms
Speaker:keen to frequently difficulty with voiding
Speaker:nocturnal um urinary frequency things like that okay
Speaker:now if you talk to a urologist
Speaker:they're gonna tell you to do it all the time gosh
Speaker:in a false positive
Speaker:that's if a girl has like gigantic boobs
Speaker:you're like those are cool
Speaker:but she's having trouble walking
Speaker:I was gonna say
Speaker:a false positive is a woman has gigantic breast
Speaker:and then you take her bra off and it was all stuffing
Speaker:I love it a false positive
Speaker:to be clear we're not talking about a false reading
Speaker:we're talking about a false positive meaning like it
Speaker:you think it indicates something that if these uh
Speaker:these variables weren't
Speaker:if it wasn't somebody didn't prod it or whatever
Speaker:a false positive means the test doctors are weird
Speaker:a positive result is usually bad right
Speaker:so positive means that PSA level is too high
Speaker:yeah false positive means it's too high
Speaker:but not from anything scary
Speaker:we did it wrong yeah
Speaker:stimulated the prostate or something
Speaker:this one time I go to this girl
Speaker:you shoot on her for a vision
Speaker:she wasn't positive and like I don't know what to think
Speaker:it's a good point you're making
Speaker:so false negatives are worry some as well right
Speaker:you always have to negate
Speaker:or take into account that tests aren't always accurate
Speaker:with to do follow up tests
Speaker:so your answer to Randy
Speaker:how often should a guy get a PSA test
Speaker:are you saying symptoms not opt
Speaker:never unless with symptoms
Speaker:well again
Speaker:I said if you have a very strong history
Speaker:medical background history
Speaker:if you have a history so
Speaker:what we use a PSA for now
Speaker:is monitoring patients who have had prostatic cancer
Speaker:and usually some type of treatment
Speaker:then they measure to make sure the level goes down
Speaker:and that's a really good way to show that
Speaker:it's not recurring it's active again
Speaker:so it's not really to screen every year like you
Speaker:would get
Speaker:maybe your cholesterol checked every so often right
Speaker:we don't do that anymore very good answer
Speaker:you get to keep your clothes on
Speaker:when you go to the doctor
Speaker:unless you have symptoms
Speaker:and I think that's important to know
Speaker:I'm not saying that very important
Speaker:I didn't know
Speaker:I didn't know that a lot of guys have anxiety like
Speaker:oh man
Speaker:now here it comes and I get to actually say don't worry
Speaker:what are your symptoms what's your history incredible
Speaker:okay we don't have to do it
Speaker:I love when
Speaker:when information catches up to in the office well
Speaker:there's a caveat though yeah
Speaker:this is the problem now we're not catching all of them
Speaker:right because they're not doing it right now
Speaker:doing it on everybody right
Speaker:so now
Speaker:it puts a lot of responsibility in the patient's hands
Speaker:you have to if you have any symptoms get in right away
Speaker:right because if you wait
Speaker:we're not doing the test
Speaker:we're not gonna catch things early
Speaker:it's a great answer
Speaker:so you guys very careful comprehensive
Speaker:but you know though
Speaker:have you ever heard of milking a prostate
Speaker:hmm I don't think so
Speaker:but I don't really roll in those kind of circles
Speaker:milking a prostate
Speaker:I feel like maybe that came up once on an Arand
Speaker:Pornhub search no
Speaker:I just meant
Speaker:we talked about how so many men were nervous to go in
Speaker:because they didn't want that test done yeah
Speaker:but it's an uncomfortable exam for everyone
Speaker:because some men actually um
Speaker:get sexual arousal from prostatic stimulation
Speaker:and you actually not use well
Speaker:maybe we could try it later if you'd like me to okay
Speaker:okay you can
Speaker:have a full erection and ejaculation alone
Speaker:from prostate stimulation
Speaker:I assumed I was gonna be alone haha no
Speaker:how would you do that alone
Speaker:well I mean
Speaker:I guess you could you're saying haha
Speaker:are you saying what I think you're saying yeah
Speaker:I wouldn't even have to you wouldn't and I would
Speaker:no one has to touch the rest of your anatomy
Speaker:and just you prosthetic stimulation
Speaker:in fact I've heard that that's very
Speaker:very satisfying for a lot of male male partners oh
Speaker:I see for a means of sexual interaction
Speaker:wow so it's actually positive for a lot of people
Speaker:so you don't have to be afraid of a prostate exam
Speaker:but it's something to know
Speaker:that you don't have to have all the time
Speaker:but it would be like a red flag if you were like hey
Speaker:I want you to do this and I was like
Speaker:hmm I'm not into it you're like
Speaker:but that's the only way I can yeah
Speaker:orgasm I had one an hour ago
Speaker:I want a second opinion
Speaker:I would break up with you if that was the game
Speaker:you're saying if I wanted that for stimulation
Speaker:not as a doctor did I misunderstand
Speaker:you're saying that would be weird to
Speaker:you as a sexual partner not as a doctor
Speaker:you're saying the is that what you're saying
Speaker:well I think it'd be weird if you came into the office
Speaker:and you're like please
Speaker:I want one cause then I'd be like
Speaker:uh yeah
Speaker:probably someone who enjoys it
Speaker:yes and so you have to be careful
Speaker:that's like finger seeking behavior haha
Speaker:but that does happen yeah
Speaker:I've had people request to have like penile exams
Speaker:I always have a yes
Speaker:but I always have a chaperone in
Speaker:and if they have symptoms that make sense
Speaker:to where I would need to do an exam
Speaker:I will do it
Speaker:but then they'll say some comments that are awkward
Speaker:and I'm like
Speaker:I don't actually think that you need an exam
Speaker:we need to stop wow
Speaker:people people are inappropriate
Speaker:so that's why you always have to protect yourself
Speaker:but what I was saying was yeah
Speaker:you just in the bedroom me and you
Speaker:if you were like hey
Speaker:I wanna do this and I was like me
Speaker:I'm not into it you're like
Speaker:but that's the only way that I can get off
Speaker:I'd be like we got in a relationship
Speaker:then that's a big no no
Speaker:that's a problem
Speaker:I think I speak for all my friends when I say
Speaker:I'll take your word for it as far as it works
Speaker:it's not something I'd want to try out
Speaker:I think you'd be surprised how many of your friends
Speaker:would secretly say that they enjoy it
Speaker:but don't admit to it out loud otherwise if okay
Speaker:this is really fascinating about the um
Speaker:I never thought about that
Speaker:someone might come in and pretend they want an exam
Speaker:to get
Speaker:I would say that might happen to you more than say
Speaker:like an old guy oh
Speaker:for sure the unfortunate thing about my job is
Speaker:maintaining a level of professionalism
Speaker:and having to excise my rights
Speaker:exercise my rights I can't even talk
Speaker:I'm getting frustrated cause
Speaker:I'm thinking of encounters
Speaker:where patients have dropped their pants
Speaker:for no reason I'm sorry that happened
Speaker:that's a horrible
Speaker:it's been frequent enough to be problematic
Speaker:but that's where repeated training comes into place
Speaker:so that I can be professional
Speaker:despite whatever comes across right
Speaker:my path
Speaker:and why you always have someone else in the room
Speaker:yeah
Speaker:I'm realizing now the threesome I mentioned earlier
Speaker:I think I was just a chaperone
Speaker:I had nothing I was like Zuckerberg honestly
Speaker:that's the word that we use in our medical notes
Speaker:usually to denote that we had someone else present
Speaker:chaperone present during genital examination
Speaker:yeah I like that
Speaker:I don't know what they're chaperoning it
Speaker:just like are they driving them there and that
Speaker:yeah it's a witness like a school field trip
Speaker:we're looking for chaperones for the genital exams
Speaker:if anybody wants to sign up to be a chaperone
Speaker:haha
Speaker:did you know that um
Speaker:to train for genital examinations in medical school
Speaker:typically it's models right
Speaker:mannequins we've talked about this a little bit
Speaker:I thought you made models like I saw your face
Speaker:I saw your face
Speaker:I knew I don't think we did take a talk about this
Speaker:well as soon as I said models
Speaker:I knew where you were gonna go well yeah
Speaker:you mean fake people yes Jamie
Speaker:you know what
Speaker:a lot of models are fake people oh my gosh
Speaker:so what happens we're training for
Speaker:so then they hire genital day community
Speaker:real people to do genital exams on and when mine was
Speaker:it was one instructor and three medical students
Speaker:and a live patient and the guy that I got
Speaker:was set up by his fraternity brothers wow
Speaker:he said that and he was eating a bag of potato chips
Speaker:while we had to like do everything
Speaker:is very uncomfortable seems very uncomfortable
Speaker:but what I will say
Speaker:what's up like that pay
Speaker:I don't know what the compensation was
Speaker:I don't believe very much he said he lost a bet okay
Speaker:when his fraternity found out that
Speaker:the school hired people
Speaker:he lost a bet and had to do it I'm not even so wild
Speaker:well the woman too
Speaker:she had to have 20 30 pap smear straight why
Speaker:I would never volunteer for that
Speaker:but it's very fortunate some people allow us to
Speaker:because how else would we know what we're doing
Speaker:what are they doing with the penis everything
Speaker:are they going in the tip
Speaker:oh no no
Speaker:no do you know
Speaker:I'm embarrassed because this makes me seem older
Speaker:remember I said it's cool when like your research
Speaker:when doctors
Speaker:research makes things easier for a patient
Speaker:for instance they go in and say like
Speaker:I need a prostate exam and you go
Speaker:you know what the new research has
Speaker:I don't have to do anything to you
Speaker:you can go home that happened to me back in the day
Speaker:we would always get like whatever STD test or something
Speaker:when I was in college the STD test for
Speaker:I don't know
Speaker:I know what you're gonna say was in the end yeah
Speaker:I've done them to people is the worst a very long Q tip
Speaker:it was the one and you would take the tip of the Q tip
Speaker:and go all the way into the urethral opening
Speaker:the myatus swab all the way around oh
Speaker:the swabbing all the way around
Speaker:try to milk some of the the penis right
Speaker:to like squeeze out any discharge that might come
Speaker:because then you culture that and you get in trouble
Speaker:better I think there's more in there um yeah
Speaker:and now it's just a urine test how great is it
Speaker:yeah I remember going back
Speaker:I remember like not wanting to go cause I was like
Speaker:uh huh God
Speaker:that girl was really suspicious and had no background
Speaker:I should get tested hey I think this is great though
Speaker:how greats come because now it's not even painful
Speaker:you just have everyone leave a urine sample
Speaker:for all the other things I have to test
Speaker:and then I'm like hey
Speaker:do you want me to screen you for this too
Speaker:cool easy to treat easy
Speaker:it's unbelievable done but the
Speaker:the training sucks yeah
Speaker:well we tested for hernia
Speaker:so we had to do a scrural exam
Speaker:feel push
Speaker:I mean you do a lot
Speaker:he was if there he was uncircumcised
Speaker:so we had to learn how to pull the foreskin down
Speaker:without hurting a patient
Speaker:like I know that sounds silly
Speaker:but if you think about it
Speaker:not everyone who's a doctor has been sexually active
Speaker:in fact one of the students with me
Speaker:he was a man but when he did the female exam
Speaker:he'd never seen female anatomy
Speaker:he was very very nervous
Speaker:I'll bet that guy's a good doctor
Speaker:like he's not distracted by anything
Speaker:do you know what I mean he was so awful that day though
Speaker:was he yeah
Speaker:so do you know what a speculum is
Speaker:was he giggling no
Speaker:he was bright red and sweating profusely
Speaker:and there were three girls and I'm like wow
Speaker:so so me two other female students
Speaker:and then he was the last one to go
Speaker:so he watched all of us and he had all the steps
Speaker:so we had the teacher do it first
Speaker:uh huh and then me
Speaker:and the two other girls so he had four people
Speaker:wow
Speaker:I feel like I would not honest to god
Speaker:I feel like I would not be able to do
Speaker:I feel like if I walked up there and a woman
Speaker:I feel like I just started taking my pants off
Speaker:and be like oops forgot where I was
Speaker:you're gross
Speaker:he has never seen a vagina
Speaker:the duck clip thing that people say
Speaker:the duck Bill I don't like that they reference up
Speaker:but that's the easiest way to say it
Speaker:for someone who doesn't know
Speaker:and it's a device that opens up so that I can see
Speaker:the cervix goes into the vagina
Speaker:it's very uncomfortable for most women
Speaker:so you lubricate it
Speaker:but you can't use too much lubrication
Speaker:or excuse the results of the paplonaco smear
Speaker:what's a pap smear show what does that
Speaker:what does that give us cervical psychology
Speaker:essentially looking for cells that are abnormal
Speaker:have dysmorphia atypia
Speaker:predisposition for cancer
Speaker:and we're also screening for
Speaker:if you're over 30
Speaker:or have had a positive app in the past
Speaker:we're screening for human papilloma virus
Speaker:because certain strains
Speaker:have a higher likelihood of turning into cancer
Speaker:do you know how much easier to be a guy
Speaker:I mean we've talked to this before
Speaker:but being a woman is really difficult
Speaker:but here's the thing that's problematic for men
Speaker:HPV virus is linked to genital warts
Speaker:yeah or cervical cancer right
Speaker:what about penile cancer we don't swab
Speaker:what about now we actually seen
Speaker:a lot of people have anal cancers from it
Speaker:and throat cancer oh
Speaker:so men are still have it's evolving
Speaker:I guess I meant
Speaker:I get what you're saying that is really tough
Speaker:I meant from the um like examination standpoint
Speaker:but you're saying it's not as thorough
Speaker:so maybe yikes
Speaker:it's better to just get it checked out
Speaker:but I was thinking like poor
Speaker:poor woman having to like do this whole passionate guy
Speaker:we pee in a cup oh no
Speaker:no no
Speaker:women can urinate as well for us actually
Speaker:but how do they pee in a cup of funnel
Speaker:when a woman gets asked to pee in a cup
Speaker:you honestly don't know how I could pee in a cup
Speaker:there's no way could you really pee in a cup
Speaker:there's no way where would I pee
Speaker:are you in my hands and then throw it in the cup
Speaker:what do you do I pee in the cup
Speaker:Jamie how
Speaker:I put urine into the cup
Speaker:I stand and you tell me you could pee into it
Speaker:the cups that we give people are half of that diameter
Speaker:but I could barely pee in your toilet
Speaker:well that's your problem
Speaker:and fortunately it's mine
Speaker:are you being serious
Speaker:when I see pee all over the ground
Speaker:you know they sell this thing for women
Speaker:it like yeah
Speaker:they're camping yeah
Speaker:it's different because once pee hits the ground
Speaker:it splatters everywhere
Speaker:you're telling me that you can pee in a cup
Speaker:with no help
Speaker:who's gonna help me I mean
Speaker:no tools no you
Speaker:you could everyone does
Speaker:every woman who loses a urine sample
Speaker:no where are we
Speaker:I don't know what I can do
Speaker:I don't have a picture like the bellagia
Speaker:I don't know what I was thinking
Speaker:cabins down there the bellagia
Speaker:what are you talking the water show
Speaker:I'm picturing like a ha like it pees
Speaker:what do you think it looks like when I pee
Speaker:just sitting on a toilet
Speaker:I just was picturing that it was whipper wheel
Speaker:like I wasn't picturing that it would go into a cup
Speaker:why can't it what is it
Speaker:what am I doing the sprinkler
Speaker:the sprinkler
Speaker:the one that has like I was kind of picturing
Speaker:do you know was a guy sometimes after sex
Speaker:well how come I can name two different directions
Speaker:and you can't
Speaker:sometimes after sex you pee in two different
Speaker:completely different directions
Speaker:sometimes I got one going up here
Speaker:and I got one going down
Speaker:and I got to time it so that the up one lands in there
Speaker:and the one I've gone completely 90 degrees before
Speaker:that's disgusting swear to God
Speaker:to be proud of I didn't know you could pee in a cup
Speaker:it's incredible yeah
Speaker:I can also shit in toilet
Speaker:wow was that a call back to my
Speaker:oh no it wasn't no
Speaker:you just meant you could shoot
Speaker:I just meant like women can aim
Speaker:how would we not pee in a cup
Speaker:no how rudimentary do you think women are
Speaker:I'm really sorry I need a
Speaker:I was afraid to ask
Speaker:I thought I'm just something dumber and dumber
Speaker:but I'm just being honest
Speaker:I thought I didn't know that it came out of a small
Speaker:I would have thought it went all over the cup
Speaker:well sometimes you have to look where you're aiming
Speaker:this is incredible could you stand up and pee
Speaker:why don't women stand up and pee
Speaker:because it hits the ground and splatters
Speaker:it'll go to our legs but what about on the toilet
Speaker:yeah I guess I
Speaker:could
Speaker:I have you stand up and the toilet was really gross
Speaker:you heard it here first guys
Speaker:what I just never knew that
Speaker:the splatter is why we don't stand up and pee
Speaker:because you arch with your penis
Speaker:so the urine trajectory is farther
Speaker:so when you're urinating outside
Speaker:it won't get to your feet
Speaker:but us we can't art no
Speaker:I I meant like
Speaker:why no urinals in the women's room
Speaker:cause they're filthy you could use one though
Speaker:if you had to yeah
Speaker:well it had to be lower right
Speaker:cause you're aiming up yeah
Speaker:shorter so
Speaker:you know I need like a little
Speaker:all right there's kids ones
Speaker:did you know there's kids urinals
Speaker:in the men's bathroom
Speaker:did you know all men's bathrooms I could
Speaker:but I think the splatter factor would be worry some
Speaker:cause you also have to back up
Speaker:I can't do that right there
Speaker:but yeah I could
Speaker:when I'm peeing at a urinal
Speaker:and there's a guy right next to me
Speaker:and there's one of those dividers
Speaker:I like to look over at him and go God
Speaker:I hate these things and I tap the divider
Speaker:I'm curious
Speaker:what other things women do that you have no idea about
Speaker:and vice versa great question or anywhere
Speaker:hey listen everyone that was really gross
Speaker:hold that thought
Speaker:something you just said made me think of a question
Speaker:we did not get to today
Speaker:but next time what I'm afraid to ask
Speaker:we're gonna get into that
Speaker:that you almost just said things
Speaker:it's something that happens at women's bathroom
Speaker:or just women do
Speaker:things that women do we'll get into that
Speaker:and also there's a man who has a question
Speaker:I'm gonna read it to you
Speaker:and then we'll do it next time
Speaker:cause I find this fascinating
Speaker:I don't know what I did with it
Speaker:I lost his question basically it was a woman
Speaker:she basically said I have she said um
Speaker:my boyfriend will do this next time
Speaker:but she said my boyfriend got a hernia
Speaker:well touching himself and she said we're in
Speaker:we don't wanna tell the doctor that's what happened
Speaker:will the diagnosis be the same if we make up a story
Speaker:haha that was a question oh
Speaker:people like to laugh
Speaker:we're talking about someone afraid to ask
Speaker:that's a good topic
Speaker:coming up on the next episode of afraid to ask
Speaker:yeah and you know in Japan
Speaker:that there are some bars where you can go
Speaker:and a girl will just be really nice to you
Speaker:and I did it
Speaker:no sex no touching
Speaker:you paid a woman to be your friend
Speaker:I believe I did you actually paid her
Speaker:take me
Speaker:okay is it like a vending machine
Speaker:you get to select that one
Speaker:listen to me
Speaker:and then if you pay like the
Speaker:the low end ones and they only like kinda nice
Speaker:only laugh at some of your jokes
Speaker:I've never told anybody pay a ton of money
Speaker:she's like ho ho ho funny sky alive
Speaker:I've never been to this anyway
Speaker:I was in Japan
