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Pre-Colonoscopy
Episode 827th March 2024 • Afraid to Ask • Afraid to Ask
00:00:00 00:48:52

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Speaker:

check 1 2 well

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hello there boyfriend

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how are you this fine day

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I'm really good

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is it working

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yes excellent

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let's not talk shit

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I'm afraid to ask but I have a great question

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I don't even know what I was gonna say

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I'm so disturbed right now

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what's happening is I'm getting a colonoscopy

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oh we're we're we're recording oh yeah

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let's talk about your um

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exciting event cause I was not gonna do it

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I was never gonna schedule it what

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it just wasn't wasn't that it's like my flu shot

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I don't get yeah

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don't get him

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I don't get the flu

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everything's fine

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not anymore my love so

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you had told me

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when I was thinking about scheduling a colonoscopy

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I'd always heard 50 years old

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I'm not 50 years old Erica

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and so I was very excited that I had a whole

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I'm hesitantly saying my age

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I saw that I started stuttering

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I was like should I just lie and pretend I'm yeah

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now I'm 49 and um

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you like to round up to 50 sometimes no

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well to make fun of you

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but in women's age I always round down yeah

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and so anyway

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I thought I was like yeah

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I'm gonna get you know

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dating a doctor

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I go I should probably get a colonoscopy

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and then I go as 50

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the right age and you go

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not anymore

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moved it down

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which made me feel like I was no longer

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on like getting a head

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it made me feel like I was behind

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and it worried me a little bit because why would

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why would the doctors want you to go check at 45 now

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I'm not a year early

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I'm four years late

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and so now I have stress related to that

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yeah I get that a lot

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though the guidelines actually recently changed

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so it hasn't been like that

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so you didn't mess up

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a lot of people are playing catch up

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because everybody heard age 50 for a long long time

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unfortunately

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we're diagnosing a lot more colon cancer

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colorectal cancer

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a lot earlier in age in life

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so the USPSCF guidelines basically said

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you know what

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there's way more people getting sick

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let's round down to where we can

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hopefully catch something early

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is this to make me feel better all this

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so you're saying

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I'm saying you're young

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and the scary thing

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I guess it's a double edged short right

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yeah more people are getting sick earlier

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but at the same time

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we're catching stuff earlier

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catching it sooner

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change the guidelines to starting it earlier

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right that makes sense

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yeah so that's what we're doing gotcha

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I see what you're saying

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you're saying they're doing this to be

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you know to catch something a little bit earlier

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before my perspective

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I guess I felt like I was getting it early

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by doing it a year before 50

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but now I feel like I'm late

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and late makes me

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you know me

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I'm getting a little anxious

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a little stressed out

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that makes me feel like that I'm now

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I'm late and something could be going on

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but you're saying

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even if there was something

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this is better than

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right yeah I mean

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what we're trying to do is catch up before it spreads

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right so you want to catch up before you're sick

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or you have symptoms

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too yeah so

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that's the goal

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I know it just

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it sucks to hear all of it

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have difficult to ask

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I hear it all the time in my office

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and I tell people

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you're young

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I'm sorry but happy birthday right

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what I thought was

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you gotta do it right

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yeah I'm doing it

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I haven't scheduled them on the books

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and what surprised me was

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you know it would be day

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for a while

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we started dating

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I would come to visit you

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and I'll stay in a hotel

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and then after a while every

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it was like hell

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you should sleep here

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and then after a while

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there was no more hotels

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and I would stay at your house

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and then when I am

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when we talked about the colonoscopy

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you said oh

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the day before the colonoscopy

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I'll pick you up from the airport

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and then we'll drop you off your hotel

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and then the next day we'll do

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I was like oh

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I thought I was uh

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bad guy I thought I

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was I thought I slept over your house from now on

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but well you're a guy who sleeps at my house

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you're not a guy that poops at my house

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so I was trying to give you the other hand

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I see what you're saying

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so what happens is the night before Colonel asked me

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you had a drink

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you drink some some shit

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you drink like a gallon of no

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you drink stuff to make you shit

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Jamie right

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lots of shits explosive

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intentional shit powerful

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I like that word

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intentional yeah

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well doctors are assholes yeah

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I don't intentionally invoke diarrhea for fun

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I've never had an unintentional shit that went well

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right I asked you that once

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and you completely scared of the question

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and I'm gonna make you uncomfortable

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I asked you the last time you shit your pants

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and you already told me huh

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3 months old yeah

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I used to shit my pants like that and like

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come on well

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when we started talking

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you would send me these cute little surveys

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so wasn't like out of nowhere you said

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when's the last time you shit your pants

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was the survey

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not a survey

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a questionnaire

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yeah and one of the questions was

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when's the last time you shit your pants

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and I said I think when I was a baby

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I was trying to answer honestly

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I can't remember

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the last time I did that

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pretty good control

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I'm not sure what's gonna happen

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I feel like I have pretty good

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control down there

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I'm not sure what's gonna happen

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after your friend puts a camera in my asshole oh

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you're you're toast

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I don't know if it's gonna ruin my

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muscles that I've

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they've they've worked really

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really well so far

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but you know what

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you you had um

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I answered honestly

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by no way I know

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so what is it

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what was it

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I kinda remember oh

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sure your pants at work

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yes absolutely

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I was doing a procedure

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I was excising a lesion of someone

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I had just anesthetized them

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and I went out of the room

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when they were prepped to get

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something and

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I took a chance

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and I gambled

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wrong you did

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I had a horrible stomach

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flu and well

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stuff happened

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and instead of cancelling the day

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the patient was already there

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I um proceeded to continue yeah

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that's a doctor

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thing right

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you gotta go in when you're tired

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you gotta go in when you're sick

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and accidents

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happen yeah

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what do you do

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at that point

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you excuse yourself because of a shower in the hospital

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what do you do

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oh I've shit myself so many times at work

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and I peed my pants at work

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I've had horrible things happen

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when did are there

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you work through it

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I've actually

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worked through it

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so you're not

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you don't even

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get a break

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it's not not even like an airline

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lounge where you could

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I was on call

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and I was the only doctor

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who was available

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we couldn't get back up

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so I was carrying

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a basin around the hospital

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because I was actively vomiting

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wow and this is not a bragging thing

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you don't wanna be sick at work

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no of course not

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um do we gotta do

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so when you're on call

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that means like

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even if you're not

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even if you're not in the room

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if they need someone to shit

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they call you

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oh my god so no

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like I would have to take care of a patient at like

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2:00am yeah

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I just finished vomiting

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got the page

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ran up to the room

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ran the code so did CPR

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resuscitated

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whatever I had to do

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and then came back to my call room and

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stay there for a few more hours

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and I've never gambled and lost

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except for actual gambling

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you say that

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I would tell you the truth no

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I've gambled and lost money no

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I've never gambled and lost

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of what we're talking about

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I don't believe you

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hmm I can't think of that

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I'm not I'm not

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have a great memory

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if I think of one

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I'll fess up to

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but I do not think I've gambled and lost

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I think the most interesting thing is

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as a physician

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we talk about this

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all the time

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yeah all the time

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and all my friends are

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we talk about this

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as a comedian

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we talk about this a lot too

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shitting yourself

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we'll have round table

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discussions

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at dinner right

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talking about like

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the craziest case we saw

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or who got covered in the most disgusting

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stuff that day yeah

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and we'll just eat

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right along with it

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I know I noticed that

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right away with you

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I noticed that

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you did not get grossed out by stuff

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and we were talking

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and you go hold on

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give me one second

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I'm on this

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like you're on some sort of text

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thread with a bunch of guys

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talking about balls

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oh yeah remember

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and there was like a

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there was like a house

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level like house

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the TV show

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Doctor House

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never watched it

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I've never watched

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almost every single doctor show out there

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I hate them

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wow house is the one where

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it's usually a

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super uncommon

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yeah and you

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you had like

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a house level

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testicle situation

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and you guys were

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you guys were doing a

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what is it called

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you're brainstorming

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but it was like

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you're making

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like a think tank

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yeah about what was wrong

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with this man's balls

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yeah remember

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what it was

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I don't we never found out pain

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pain in the balls

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no he had um

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multiple punctate

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calcifications

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throughout his testes

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had no idea

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what the ideology was

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though we still

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to this day

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haven't figured it out

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I mean it was like

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gunpowder like burns

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which are pathologic burns

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no it's painful

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it's pathologic

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for like an other

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disease process

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but that's what we

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described in his

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scrotum as well

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but he had like

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on imaging it was

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like Christmas

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lights of Calcium

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all throughout

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his testicles

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and we honestly

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had no idea why

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he developed

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them there and uh

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nowhere else

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but it's excruciating

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painful and

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I think it's kinda cool

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because I mean

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you've got doctors

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all in their free time

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working together

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brainstorming

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to come up with an answer

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yeah on our

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off hours so yeah

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I like working

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stuff up like that

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he wasn't my patient

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so I didn't have to follow up

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he was just a friend

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who was asking like

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hey what would you do

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and so I talked to him about

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like the labs that I would order and yeah

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with a urologist

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friend of mine

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we kind of worked through it

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but unfortunately

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he was lost

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to follow up with

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the other system

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so I don't know

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what happened

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that's a serious issue right

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a guy's ball

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oh yeah he goes to the emergency room

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his balls hurt whatever

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you know what

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you told me once

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it fascinated me no

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you you asked me

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why are the balls

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on the outside of the body

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it seems to me

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like a design flaw

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it seems to me like

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that's a very

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tender thing

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it is kind of a flaw

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yeah aesthetically okay

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and also no

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I don't think so

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I'm so used to seeing them

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you know you don't know if you get older

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because you see yourself every day

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yeah see my balls a lot

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I'm used to them being there

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if they were gone tomorrow

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I'd be like

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where those guys go

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would you miss them though

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I think so yeah

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I don't know

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definitely would miss them

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but I see you not having them

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well and then did I get

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I try to guess why balls are on the outside of the body

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cause it does seem like an engineering flaw

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and is it something to do with the temperature of the

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I think I guess wrong

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I don't wanna steal your answer

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cause you told me the answer

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but I thought something like

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I don't remember what I thought

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but some was sperm

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yeah that's exactly right

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so sperm actually survive at a lower

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temperature than her core body temperature

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so if your scrotum was inside of your body

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it would be a higher temperature

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and they probably wouldn't survive

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well not probably

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they wouldn't survive

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so if my balls were on the inside of my body

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you know how much more money I would have saved

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right now what

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cause I wouldn't have any children

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oh my God bad joke

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so you're saying haha

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they're on the outside of the body

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because that's the temperature

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they need to be at room temperature

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you gotta have your balls at room temperature

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well I don't know

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I haven't exactly measured

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the sperm's temperature of choice

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but yeah they like to have a colder environment okay

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than the rest of our body

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so basically it's a mechanism that's been

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effective for helping with fertility you know

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from now on

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I'm gonna say sperm temperature

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instead of room temperature

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because that's the idea on that

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like when people out for your water

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I just bought shoes the other day and they go

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you want a room temperature or cold

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you're gonna get punched in the face

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if you say that to a waiter

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I don't think you can say that oh uh

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can I get one sperm temperature flat

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no gross do you ever get that question though

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they go do you want room temperature

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sperm temperature or cold

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no what would you say to water cold right

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I don't prefer cold water

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it hurts my teeth holy shit

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I was about to say

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they should just go

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are you wow

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I thought I did not

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I stand corrected

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it hurts your teeth okay

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are you drinking it

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are you opening your mouth before you drink

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how is it hurting your teeth

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you mean old

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you mean the temperature water

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when you drink cold substances

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yeah if you have sensitive enamel issues

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then it's cold alright

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do you prefer sperm temperature water

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I told you oh my God

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I'm never drinking water again now um Ew

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I don't know what happened

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I don't know how we got to hear from the colonoscopy

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but basically

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oh the I don't know

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prevention things like that

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so I got this colonoscopy coming up

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I gotta drink this uh

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gallon of Gatorade or something after shit

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violently and not excited about it

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I'm sure other guys have been through it

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did I tell you that

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um how often you have to have

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once you have your first one

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we've decided that's now 45 years old now 50

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once you have your first one

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how often do I need a colonoscopy

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uh so if it's normal 10 years

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if you have no substantial personal or family

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medical history

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that would make us want to do it earlier

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and your screening is completely normal 10 years

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everything you say triggers me

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I'm like oh

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it's not normal oh

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you're fine

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I'm just curious

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are you mostly concerned about the prep

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or are you mostly

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concerned about something going up your ass

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because I get a lot of both

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and I try to dispel that and tell people

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it's totally fine on both

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both aspect you know

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it's weird what you just said to me what

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that's an interesting question

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are you more concerned about the prep

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or something going into your ass

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uh huh that's what I like to say to girls

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when I bring back to my Jamie

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that's how I open up Jamie

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what are you most concerned

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I'm trying to be like

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I could find out

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so I am absolutely

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you're not gonna believe this

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I am concerned about

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uh option C

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the results

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so like the first

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I believe that that's why a lot of people prevent

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doing it in the first place

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or just refuse to do it

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cause they're scared for what they'll find yeah

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I got cause I'll do

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I'm either prep

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I'm I'm kind of excited about

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cause I feel like I might

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might maybe kind of lean

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what drinking a lot of water

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you'll finally have a shit your pants answer for me

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yes cool but that

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excites me to do something weird like that

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I don't that doesn't bother me

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I don't wanna do it at your house

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well no I guess we decided we we

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I was gonna stay at a hotel

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and then the day you go

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would you wanna just stay upstairs

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I don't think anyone's gonna hear anything

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but then we're on here

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and you said words like explosive

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I think the word violent might have been used uh

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I think what was the other one

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but not voluntary

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but intentional

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intentionally

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invoke diary

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but the thing is

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I like to poke fun at it

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because in medicine

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doctors have to have a sense of humor

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or a lot of what we do

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yeah and it gets to us

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in all honesty

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it's not that bad

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I've done it

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I've personally had a cold

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just you know

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and um the purpose is not difficult

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I think what's hard is you're awake all night

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so you're tired

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but it's not gonna

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be like violently ripping through your body

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you'll be okay

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I'm not worried about that

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I'm more worried about

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like someone hearing me or seem like

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oh do you know

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we've been dating

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for how long

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do you think

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we've been dating

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what do you want

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what do you want to say

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like a year

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yeah okay so maybe like a year

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I am I hope that you are under the impression that

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I do not defecate

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it's never happened

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never done in front of you

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I think one time

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I couldn't get out

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let me just

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can I say some honestly

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oh boy when we're at uh

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we were at Bergman

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where were we

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and we're in like Florida

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we're at Port Charlotte

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Florida right

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and we're staying at this hotel

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that was not

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it was not super awesome

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the hotel was not super awesome

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and I think I told you I go

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you know what I'm gonna go do

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I go I'm gonna go do some pull UPS

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you did the fitness room right

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and I think I did this twice

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I think it says you do pull UPS

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can I tell you some of the truth

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there is no fitness room at that hotel Jamie

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you lying son of a bitch

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not only there's not even a fitness room

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why'd you lie to me

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I went to use the restroom

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you should've just said you know

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i'mma step out for a bit okay

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I'mma hang out with my friend uh huh

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not fully a lie yeah

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I said but it's funny because I knew yeah

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you came back and you had this facial expression

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I did um um

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did a couple sets of push outs

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I told you how gross then one time

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there's only one time

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I don't even like talking about this

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I just feel like

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could we go through say we got married or something

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do you get to a point where you

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I'll be honest with you

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I've never been comfortable with pooping stuff

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like I see married couple stuff

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and there's a doors open and there's like

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I don't I think you have to maintain

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keep in mind

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I'm not a doctor

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not a therapist

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I'm not anything I think

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there has to be some things that we keep to ourselves

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for intimacy reasons

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I don't mind seeing somebody pee

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but I feel like once it goes to like

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I mean if you're in a hotel room or Disneyland

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someone's got to go in there

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there's nothing anyone can do fine

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but I think a daily hey

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come on in and smell my shit is gonna be a slow erosion

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of intimacy okay

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I'll make sure to never do that then no

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I what did you

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would you thought

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would you have disagreed before I said that

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um I think I have a much higher

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level of tolerance for that type of activity

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based on my line of work yeah okay

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that makes sense

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blatant unnecessary farting

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for example

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I don't know

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I'm not exactly gonna be like oh yeah

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strike me back on your motorcycle

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let's go back to when you were 16 like right

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be back I love it

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I don't like the farting thingy

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that can't buy me uncomfortable talking about it

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I guess we should look back to

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what's gonna happen to you after you're cool enough

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okay when I pick you up

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I don't like farting talk uh oh

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I don't like

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I'm not into it

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I don't like the jokes

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I think when kids do it or it makes a noise it's funny

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but I must have grown up

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is this part of a

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is that in the Bible

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is this part of a case

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cause I feel like I have a sex guilt

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a pleasure guilt

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I also have like a fart it

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is that in there I don't

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did somebody get in trouble for farting in the Bible

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I think you're

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do you go to hell

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if you fart in front of a girl or something

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cause I have a weird what

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I just have a weird feeling about it guys too

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I don't think I'd fart in front of a guy

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I know it's weird right

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what I don't

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what I feel like

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that's interestingly odd

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yeah first of all

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I like it thank you

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you're much more attractive to me

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because you don't do any of that stuff

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you're like a perfect man

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I do do it you're like a Ken doll

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you're so nice to look at

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and you just don't do anything gross

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sometimes when I'm

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when I'm leaving you

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I go God I'm so sad

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I have to fly away

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what I do to save your shit

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ha ha ha and I know that's true

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I know it's true

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I know it's true I do well

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so just get

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maybe this would be the thing

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you're most uncomfortable

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now that we talk about it okay

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um you are going to rip ass

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when I pick you up from the procedure

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will they insufflate you insufflate

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pump you full of air

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okay not always

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but with the procedure

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the way that it goes

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and when you're looking at things

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there's a lot of air that goes into you so

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after the procedure

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you're super loopy

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you're not gonna remember anything

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and that's when I get to mess with you

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it'll be funny

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cause I can ask you questions

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and you'll probably answer honestly

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and say silly things oh yeah

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and then you're just gonna be farting like crazy

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is it a I hate fuck

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I hate all of this

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is there like an Uber

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should I take

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can I take an Uber

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you're not gonna have the ability to like no

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is there like an Uber X crew

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so I'm gonna hear it

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is there that

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poor Uber driver

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you know how they charge you an extra fee if you walk

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in your car

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that should be like 100 dollar surcharge

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just for coming home from a colonoscopy

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there should be hazard pay

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for driving a man home from colonoscopy

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or at least like

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some type of partitions

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I don't have to smell it

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yeah yeah shit

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quite literally

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my love it just

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all joking aside

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not not comfortable

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don't know what's gonna happen

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but maybe that's good

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it's good to get out of your comfort zone

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and you're a doctor

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so maybe things are different

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maybe you've seen more things

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you I've done

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colonoscopies I think um

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I think you're in good hands

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I think it's funny that my friend is doing yours yeah

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that's weird

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I've never even seen your butthole

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but my friend gets to touch it

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oh my God gets to

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use the term gets to in a lot of places

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where I would think you would say the other day

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you were like oh

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I got to break this guy's nose for a procedure oh

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I loved doing

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but are you supposed to get to

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well get to for touching your butthole sound

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I was saying that physiciously

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I didn't mean that

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no physician would be inappropriate like that weird

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but saying gets to break a nose oh

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it was a privilege

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like it was truly like an honor

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I was so excited

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that I got to be the one that got to break the nose

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I was helping them

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I wasn't hurting them

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I hear what you're saying

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big difference

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I'm not into butthole stuff

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but my penis didn't move when you said that

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Ew just the

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just the willingness Ew

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okay moving on

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so colonoscopy is this stuff I get what do I get

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when it's a drug situation

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you're gonna have a sedative

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um you'll be awake

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but pretty significant sedation

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you don't need a breathing tube or anything like that

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like they don't put you fully under what

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I thought I was completely out

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and then I just wake up and it's done

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you'll feel

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yeah you'll be

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you'll be sleeping

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but you still breathe on your own oh

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I see what you're saying

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it's not like when you have like massive

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major surgery where you're anesthetized um

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where we give like a paralytic

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you stop breathing on your own

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you have to have an intubation

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so they'll breathe for you

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anesthesiology is there for several hours

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making sure that everything's going well

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you don't have all of that

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you usually have like a

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a nurse anesthetist monitoring

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but it's nothing severe and it's outpatient

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so it's not like

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I have so many thoughts

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first of all

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I think I might have said this on Gutfeld once

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but did I did I ever tell you that I used to think

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local anesthesia meant that we got it from like

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around here

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yes I thought it was like honey

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like you like

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oh I like to use the local anesthesia

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it's good for my allergies

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that's true

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that's not a joke

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then I was thinking

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anesthesia allergies must make a lot of money

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they are one of the highest

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compensated physicians out there

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you know why

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I guess that

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I feel like the

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the the risk

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the liability yeah

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like imagine if you

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practice is incredibly expensive for them insurance

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cause when I worked at Arby's

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if I made a huge mistake

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that might mean I put horsey sauce on a super

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horsey sauce doesn't go on a super

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that's Arby's sauce

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this guy makes a mistake he's like

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okay wake up

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you're all done

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hello wake up

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like shit yeah

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that's like a serious

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you have a good with dosages yeah

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they also have one of the highest

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rates of physician suicide too

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they have access to all of oh

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I didn't mean to be a downer

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it's just it's every specialty

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oh access to

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cause it's easier

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they have access to the drugs or they know how yeah

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can I get a very serious question

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this is very serious

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I have once before been completely

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or partially

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consciously put out

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I had a some kind of thing in the

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my back or something

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I don't even know

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and they did a thing

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they put a mask on

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they go count backwards from 10

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and you go 10

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9 and then you go

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what's happening

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and they go

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you're done yep right

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why are we afraid of dying

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no what would have happened

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if I didn't wake up that day nothing

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so I have no memory

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of that time being out

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so I don't understand

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why the big fear of

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I have it too

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but I just was thinking about if you or

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or to take it to an even sillier thing

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like if you go to sleep

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I feel like dying is so much harder

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on the people that are still around

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but it's weird that we all have this crazy fear of our

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of not existing very

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I realize I took a turn from

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assholes to drugs to

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you don't have to

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I think the problem is with my profession

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I'm trained to prolong

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inevitable as much as possible right

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so death to a doctor

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is almost like you failed at your job hmm

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so we hate it because we haven't been able to keep

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station alive yeah

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that makes sense

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but I I have a fear of death

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I think also because of the pain

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cause I've seen a lot of people die

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in horrible fashions

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in front of me

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and that's been tough oh

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so yeah if you could just go to sleep yeah

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that's great

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that's the best way

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right sleep die

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that's what I'd like to do oh my gosh

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it may have had to choose

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I don't want to

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worst for me drowning

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I don't want to talk about this

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okay I'm sorry

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I almost drowned once

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it was terrible

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why um anyway

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sorry about that

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no it's just

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doctors are sidebar

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you can see how uncomfortable I am

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yes I'm sorry

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doctors don't like death

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we just don't like

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except hospice doctors

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oh really good people

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I didn't mean to make a light of it

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I was just thinking like

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as a person

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you know what

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one of the most beautiful women

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in the sense of beautiful

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like a beautiful soul was

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my dad went to hospice

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like when he had three months to live

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they go to this

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it's like a nice house

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and there's a beautiful thing

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and the people that worked there

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you're right

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it was like

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a different kind of human being you know

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and they're really good at going like

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make sure you say stuff

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don't forget to say that

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all the sudden

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it's gonna happen faster than you think

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and I'll never forget this lady

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I wish I'd remembered her name

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I remember her name

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I just remember her being like

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a special kind of person

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yeah you know

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I have an immense amount of respect for hospice um

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professionals yeah

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it's a tough job

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so you know

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I actually chose my profession

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one of the reasons

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was because my patients

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tend to be really healthy

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and I hated it when they died

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and I wanted one that had a very low likelihood of

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death rates

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yeah that makes sense

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so that's why I love what I do

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because very few people actually die

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yeah I was thinking about some of the

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yeah for real

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that would be really

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really tough way to make a living

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like to deal with that thing in a day out

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but I mean we need those people

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so I'm psyched that they are able to do that

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but I I totally understand

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you know I got a text from my friend earlier today

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when we were recording The Butthole Doctor

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not the one that's doing my guy

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you got two guys

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I do I have two

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what's he saying

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what's what's going on with him

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oh we were just I was asking about work and stuff

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but I just think it's funny that

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that's how I describe my friends

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yeah butthole guy 1 or butthole guy 2 yeah

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you're like skin guy

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yeah you have a lot of friends

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you got derm dude

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yep you got two butthole guys

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I have one penis doctor

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I'm really good friends with

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you do yeah

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she's a female urologist wow

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great conversations

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I'll bet is she married dating ugh

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can't say I don't mean for me I mean

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is that weird that a doctor sees a bunch of being

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it just seems like a lot of competition

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well I was just gonna say

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I liked your joke when you were on stage

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talking about how you're happy

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that your girlfriend is a women's health doctor

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oh yeah yeah

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about how like

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you would not be very comfortable if I saw a bunch of

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male anatomy oh yeah

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that's right yeah

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I I did say that my best friend

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one of my best friends from intern year in residency

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is a female urologist

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that's what she does

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and she's married okay

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and I'm sure it's same thing

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it's just work whatever

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but I just don't think

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I feel pretty sure in in myself

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but I don't

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I don't know if I just would want my girlfriend

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likes every day coming in like a

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do you need that kind of temptation

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you're like oh my God

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I don't know

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they came in that size of that color oh

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it's temptation

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you see all the bad stuff

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she's probably like

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oh thank God

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right normal

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healthy one

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that makes sense

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that makes sense

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how about that

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you know how I said that as a comedian

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we would invite people to our shows in order to hit on

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um like a girl or something

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do you think that a female urologist would go like

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come on in here

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no not necessarily urologist

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but you think that would be a way to hit on

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absolutely not

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I was thinking that when I was like oh

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how would I like

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set up the first perfect date for a guy

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I would never bring you into my office

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I hate it when I get hit on at work yeah

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worst I hate it too well

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I know you do

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but I'm like in the mentality of professional

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and then I have to basically say like listen

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we're gonna keep it going right

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never talk to me like that again or you're done

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what's the worst thing anyone's ever said

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one time I was um

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I just treated a guy for chlamydia and

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you asked me

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almost almost spit out coffee

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this is crazy

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why I do it all the time no

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but I mean you're no no

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no I know but I mean

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if you're gonna

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you're about to tell me

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he hits on you or something after this

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this is this is a great story

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I don't think I've ever told you about this

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so I was a resident

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so I was an actual doctor on rotation in

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inner city Detroit

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and we were working at a low income

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clinic that doubled as like a homeless clinic yeah

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and this patient came in

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and he had uh

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all the symptoms tested positive

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so we had given him treatment

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and as I'm leaving

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across the hall

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the other door is open and another guy

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and you know

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patient confidentiality

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we always keep the door shut

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but these guys open the doors at the same time

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I can help that

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and he looks at him and he looks at him

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he's like hey man

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what you in here for okay

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the guy gets like prison

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and I'm thinking

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they're not gonna say right

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what's in here for

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and then the other guy goes

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probably same thing as you man yeah

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cause of blank yeah

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and then and then they said the girl's name

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they were both banging

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yes they did

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no I was just kidding

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no they were dead serious

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you're kidding me

Speaker:

so we treated them both

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and gave them education on how to have safe sex

Speaker:

cause everybody should have as much sex as they want

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wow and they obviously didn't have it

Speaker:

and the second guy on the way out said

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wow thanks DOC

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are you single

Speaker:

the comedy guy

Speaker:

and he looked at me and he said

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I also need a prescription for Viagra

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so on the confidence

Speaker:

so he asked me for my phone number so

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and I gave him the doctor as working with business card

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and walked away

Speaker:

so let me ask you this question

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so that was very awkward

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let me ask you this follow question

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he's back at your house

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you guys are talking

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Jamie I just remember how

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the other story started off so horribly

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and then you guys are playing records and kissing

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I didn't kiss him

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the other guy you did

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I just kissed him

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nothing else happened

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yeah oh I know

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I just you for some extra

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so that's but the balls

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the balls on these got like to be able to

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I can't ask a girl to have to go

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I check that box

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chlamydia also

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I need Viagra

Speaker:

which means I can't even keep it

Speaker:

and then to go

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can I have your phone number

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can you imagine

Speaker:

I've gotten hit on multiple times

Speaker:

for men asking me for Viagra

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unbelievable

Speaker:

I don't understand it

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I don't either

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yeah what were you thinking about

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I was thinking that I would surprise you

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that the chlamydia didn't really bother me

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the Viagra bothered me

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I treat chlamydia all the time but the

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it's chlamydia

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sorry to interrupt

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just chlamydia

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you can cure it yeah

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very easy to try okay

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nice and the

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the why is the Viagra bother you

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cause the person it would

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that would be tough to have a relationship with

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someone who couldn't get it up

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or the fact that they wanna

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they used what is it

Speaker:

what's an awkward conversation in general

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I don't like practicing men's health

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they don't do it very often

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when I have a male patient come in and say

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I'm here for a cough

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it's never a cough right

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it's always for that

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if I have a woman come in

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she'll say I'm having vaginal bleeding

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I'm having vaginal discharge

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and they own up to it

Speaker:

and I often have patients who lie

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they lie to my m a

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so I go in the room thinking I'm treating a cough

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I get the whole work up in

Speaker:

I look up all their labs or previous X rays

Speaker:

I'm ready to go

Speaker:

and they're like

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I'm just here because

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I want the Acra

Speaker:

and I'm like

Speaker:

dude just tell the truth

Speaker:

but Erica is a man

Speaker:

I get so far behind

Speaker:

in my day I know

Speaker:

so just own up to it

Speaker:

but as a man

Speaker:

if your penis doesn't work

Speaker:

not speaking from experience

Speaker:

but you wanna tell the fewest people possible

Speaker:

that you're

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that your penis doesn't work right

Speaker:

but you're in your healthcare setting

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where I've known you for years yeah

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but I'm telling you

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tell the receptionist and put it in form

Speaker:

well yeah they lied to the receptions too

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I'm in the lobby

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they're like

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oh the guy this stick doesn't work

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it's your turn

Speaker:

don't say that

Speaker:

come on back

Speaker:

and the other thing is

Speaker:

I kind of don't like Viagra that much you don't

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I asked you if I could drink

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for a couple of reasons

Speaker:

I'm bragging

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could I try that

Speaker:

yeah you don't need it

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okay but remember I was like

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wouldn't it be fun

Speaker:

and you said no

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I don't want guys who ask for it recreationally

Speaker:

but the side effects too

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recreationally

Speaker:

never thought about that

Speaker:

well that's a problem though

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it's a medication

Speaker:

the prescription was actually initially marketed

Speaker:

well developed

Speaker:

for hypertension

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so it's a phase of dilator

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it expands blood vessels all over your body

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including your penis

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it fills with blood

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so you get an erection

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that's usually going to last for longer

Speaker:

do you know

Speaker:

in the original study

Speaker:

when it was to reduce hypertension

Speaker:

when they come into the doctors

Speaker:

the doctors thought

Speaker:

they were just super psyched that they reduced

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their blood pressure

Speaker:

cause they had huge erections

Speaker:

this is really excited about their progress

Speaker:

well the reason I don't like Viagra is

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a lot of men want it when they aren't

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appropriate candidates

Speaker:

they already have problems with their blood pressure

Speaker:

and they want it anyway

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right or they have underlying comorbidities

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such as diabetes

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where they can't have an erection

Speaker:

and they don't want me to treat that

Speaker:

they just want me to give them

Speaker:

an erection

Speaker:

and I have to explain to them

Speaker:

I'm not trying to take away your social life

Speaker:

I have to fix everything else

Speaker:

but here's why

Speaker:

how about you give a lot of guys directions

Speaker:

by my prescriptions

Speaker:

no I just mean you're unattractive

Speaker:

thanks you're attractive woman

Speaker:

that's why I practice

Speaker:

please finish your thought

Speaker:

and then I have a follow up question

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um if you actually look at the studies

Speaker:

that Pfizer was doing with sildenophil

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so the generic for Viagra

Speaker:

um in early studies

Speaker:

they actually found that it helps substantially

Speaker:

reducing menstrual pain in women

Speaker:

and remember how we talked previously about how uh

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period pain is equivalent to heart attacks yes

Speaker:

so they actually had pretty amazing early on

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evidence that it would help substantially eliminate

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significant pain during your menstrual cycle

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reducing mystase of work

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cutting back on lost job wages

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finances I mean

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there's a lot of stuff that goes into this

Speaker:

right if women take Viagra

Speaker:

yeah wow and so just to reiterate

Speaker:

if anybody missed it

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period pain

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it when they tried to figure out like

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what that intensity felt like

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that was the equivalent to a man having a heart attack

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yeah that's unbelievable

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uh the cramping part

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cramping part

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uh huh yeah

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so this is what bothered me is the study even says it

Speaker:

if you look at the printed material

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it says that they've had prelimed findings that were

Speaker:

pretty substantially impressive to help reducing pain

Speaker:

but at the same time

Speaker:

they found out it gave men erections

Speaker:

wow so they

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abandoned the study to help women with menstrual pain

Speaker:

and dumped a lot into erection

Speaker:

nice not even close

Speaker:

not nice no

Speaker:

cause you're saying they should have helped these women

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yeah and now the men

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they saw the money

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yep they go

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this is the

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this is like the magic pill

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wow um so that bothers me

Speaker:

because they had pretty good evidence

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out there that they could have run with

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and it felt like um

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sex was chosen over chronic pain

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manager sex and money and greed

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yeah over that

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yeah absolutely

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isn't it crazy how many

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medications we discovered by mistake

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how many Medica

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isn't Rogaine one of those

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like people started growing hair

Speaker:

wasn't there something

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it just started growing hair

Speaker:

and someone's nipples or something

Speaker:

or is that wrong

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well monoxidil has

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monoxidil yeah

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well penicillin

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like mold spores

Speaker:

I mean I think that it's really interesting

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how we've developed a lot of modern medicine hmm

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yeah wild well

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I guess I'm not gonna try Viagra

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it's tempting

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as a guy you go

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you're not necessarily thinking like

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I can't perform in the bedroom

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you're going like

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Morse better

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like let's go more longer

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let's keep this going

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so it's like a fun

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almost like I'm awake

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but a coffee would make me more awake

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I'm not asleep

Speaker:

I don't need coffee to wake up

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but it might be like a fun thing

Speaker:

but you really warned me off that

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you were like

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you shouldn't take that

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no not at all

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I mean I'm very cautious to prescribing medication

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unnecessarily

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and you know

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I do think that they marketed it in a way that um

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tried to appeal to men

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by capitalizing on their side effect

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you know the side effect is

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you see the commercials

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what's the big side effect

Speaker:

when they're like oh

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take Viagra

Speaker:

but oh shit

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if you take this

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this could happen

Speaker:

you're saying more people were like

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buy it now because of the side of it

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that was a trick

Speaker:

they're saying like

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you might get a really long

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you might ever actually

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really long time exactly

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that's a great point

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yep it's called preopism

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and they'll say that if it lasted more than three hours

Speaker:

you need to go to the er and have them treat you

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because you have this extremely powerful

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right crazy stamina erection

Speaker:

those sons of bitches

Speaker:

they're so clever

Speaker:

I did not even think that's like them go like

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you know don't take very a side effects might include

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you might fuck a lot

Speaker:

so it might

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you might miss appointments cause you're banging people

Speaker:

you're right

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they're trying to

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the side effects was a positive thing

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I even think about that

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you know how many of my male patients

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when I go through the side effects

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before I prescribe it

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look at me like wait

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are you are you for real right now

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right like this is a bad thing

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but you do have to be careful

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occasionally that can happen and um

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you have a 4 hour erection yeah

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you know how you treat it

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blow jump Jamie

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no like even after you've ejaculated

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you still have an erection no

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what am I gonna do with that at this point

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well deal with it for a while and then

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so if it causes your blood flow to change after a while

Speaker:

it can be quite damaging to um

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the tissue your your penis itself

Speaker:

so they suggest injecting

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your penis with a shot of epidephrine

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needle to the dick

Speaker:

so now you don't want Viagra

Speaker:

that's the most painful thing to imagine hmm

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I don't think so

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where is it wearing

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to the right to the to the end of it

Speaker:

I don't know

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I've never had to do it

Speaker:

you know what

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I'll take a four hour action see you in four hours

Speaker:

he pulls out that needle

Speaker:

he pulls out a needle

Speaker:

your dick just immediately shrivels

Speaker:

you don't even need the need or is like uh

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never mind I go

Speaker:

you know what

Speaker:

I'll see you in four hours

Speaker:

I'm gonna just go

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hang out in a room with another four hours

Speaker:

you want an eight hour erection now

Speaker:

oh no I meant like in general

Speaker:

if he's gonna do that to keep it down

Speaker:

I might go let me see what I can do my own yeah

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I can come back in

Speaker:

I didn't know that it happened

Speaker:

I didn't know if it was after

Speaker:

I didn't know if it was after

Speaker:

I did not know it was after ejaculation

Speaker:

it continued

Speaker:

I never knew that

Speaker:

I thought you're just like waiting and waiting

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it was a lot of anticipation

Speaker:

and it was four hours and then you got the

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you couldn't finish

Speaker:

yeah no but I will say

Speaker:

and I don't wanna just like knock it

Speaker:

cause I think fires on a lot of really good things also

Speaker:

um I've seen women with

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Viagra as a prescription on their medical list

Speaker:

hmm and as a student I was like

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what is this

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but it actually treats something called

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pulmonary hypertension

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it's one of the best medicines for it

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wow so um so Donna

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Phil can do a lot of good

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you blew my mind though

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that would be like with that side effect thing

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that it's a good thing

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you blew every

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like your cigarettes

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they're like hey

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we gotta warn ya

Speaker:

if you smoke cigarettes

Speaker:

like you're gonna look fucking cool yeah

Speaker:

well they did that in their marketing

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right they did

Speaker:

that's how they appealed to the masses

Speaker:

especially youth

Speaker:

yeah alright

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well that was super interesting

Speaker:

so let me ask you a question about the colonoscopy

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I do it's so hard to not go back to

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you just must see so much stuff in um

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in those rooms

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those rooms

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you're alone

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you're alone with a guy oh

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and some no no

Speaker:

I'm never alone oh

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oh I always have a chaperone yeah

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I know that

Speaker:

I remember we're together last night

Speaker:

and that guy was here

Speaker:

I have a question

Speaker:

I thought of a question

Speaker:

what you ever seen an unnecessary

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you ever see an uh

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involuntary boner

Speaker:

a couple times you have

Speaker:

cause you know

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massuses and massage people

Speaker:

you know there's got to be erections left and right

Speaker:

I've seen some

Speaker:

but like they had their clothes on thankfully

Speaker:

didn't you tell me there's a way to

Speaker:

there's this way to get rid of an erection

Speaker:

well yeah my attending taught me that

Speaker:

when we had to learn how to do a male exam

Speaker:

and he basically took the

Speaker:

his nail and flicked it into the head of the penis

Speaker:

oh wow so now

Speaker:

not as much scientific

Speaker:

is just hitting something in the dick with your hand

Speaker:

yeah I I could never do that

Speaker:

like when he said that I was like

Speaker:

is that a joke

Speaker:

but he was dead serious he's like

Speaker:

if someone does this to you in the room

Speaker:

this is what you have to do

Speaker:

and me and the other students were like

Speaker:

the hell we will

Speaker:

I feel like I'd get sued

Speaker:

so we talked about

Speaker:

colonoscopies

Speaker:

hmm mine in particular

Speaker:

yep we talked about what's gonna happen before

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the procedure itself's gonna be blink of an eye

Speaker:

we talked about the aftermath you know

Speaker:

they call it an anal wink

Speaker:

what do you mean

Speaker:

when you're testing the tone of your sphincter

Speaker:

what are you talking about

Speaker:

when you touch someone's butthole

Speaker:

to make sure that they don't have any neurological

Speaker:

compromise if I touch it

Speaker:

it's a reflex

Speaker:

to squeeze down

Speaker:

so when you said blink of an eye

Speaker:

you made me think of no

Speaker:

for you it's an anal leak

Speaker:

are you saying

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I'm just that

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you know when I hit

Speaker:

that's how doctors make jokes okay

Speaker:

is that a real thing yes

Speaker:

so you you know how when I

Speaker:

in my notes it'll say appropriate rectal tone

Speaker:

yeah sometimes I'll say positive or present

Speaker:

anal blink is that so

Speaker:

so is this like when you hit me on the knee to check my

Speaker:

my pterodactyl reflex

Speaker:

yeah sure well

Speaker:

yeah I mean

Speaker:

it's a neurological

Speaker:

response to make sure that you're neurologically intact

Speaker:

you don't have a problem with your spinal cord

Speaker:

I was with a girl once oh God

Speaker:

and I don't like where this is going already

Speaker:

yeah I'll do

Speaker:

the girl wants it

Speaker:

she's kind of facing no

Speaker:

she's facing down and um

Speaker:

she gave me an anal wink

Speaker:

oh my gosh no

Speaker:

I thought that might go ahead

Speaker:

I thought that man had permission

Speaker:

um I don't even

Speaker:

I don't even know what to say to that one

Speaker:

okay ain't a wink very interesting

Speaker:

do you know what story that makes me think of

Speaker:

no I don't wanna hear your stories

Speaker:

mine are medically derived

Speaker:

yours are like

Speaker:

either fictitious or something that I really did

Speaker:

fictitious well

Speaker:

I'm hoping that you're making them up

Speaker:

well the it's hard to figure out

Speaker:

I would hope that you're talking about buttholes

Speaker:

just to make me laugh

Speaker:

but you never know

Speaker:

a lot of people don't think about how hard consent is

Speaker:

when the girls face the other way

Speaker:

Jamie right

Speaker:

that's not even a laughable one

Speaker:

an anal wink is a way to go like oh

Speaker:

I think I got the green light

Speaker:

no yeah uh uh

Speaker:

oh my God we call the anal green light

Speaker:

so interesting

Speaker:

I've never heard of the in a link before

Speaker:

well I'm glad

Speaker:

could you tell me what it means again

Speaker:

you're saying it means our everything's doing well

Speaker:

it's a natural reflex

Speaker:

so it means your nerves are intact

Speaker:

gotcha and your body goes

Speaker:

oh don't like that

Speaker:

and kind of tenses up gotcha

Speaker:

and if it's relaxed

Speaker:

sometimes you might have some neurological damage okay

Speaker:

like someone's got someone's got a lazy brown eye yeah

Speaker:

oh you liked that one didn't you

Speaker:

yeah I just

Speaker:

it's fun when you're talking about medical stuff to

Speaker:

say stuff like that's super fascinating

Speaker:

you don't know

Speaker:

what is making me think that you're involved you know

Speaker:

I'm privileges

Speaker:

if you'd like me to go observe your colonoscopy

Speaker:

I don't even think about that hmm

Speaker:

I could be an assist

Speaker:

what would you think

Speaker:

I would of course not want that what would you think

Speaker:

what would you think would you want you would know no

Speaker:

no I don't want to be on anything

Speaker:

it even mine a little too invasive with you

Speaker:

I I'm curious when you are under

Speaker:

how much consciousness you actually have

Speaker:

like when you're not totally knocked out

Speaker:

but you know what I'm gonna do

Speaker:

if you're in there

Speaker:

if I I'll wink at you if I

Speaker:

with what I yeah

Speaker:

all three ha ha ha ha ha ha ha yeah um

Speaker:

do you know what the story I wanted to

Speaker:

it's with you the wink

Speaker:

what does the wink make you think of

Speaker:

well now it's one of the hardest I've ever laughed at

Speaker:

something you said in my whole life about winking oh

Speaker:

oh the condom yeah

Speaker:

what happened was all types of condoms

Speaker:

there's condoms they sell at target and stuff and

Speaker:

we use condoms and sometimes I go to a specialty

Speaker:

store to see if they might have some higher end condoms

Speaker:

and so I went to one of these places

Speaker:

where condoms was the

Speaker:

like there was a place that had a lot of stuff

Speaker:

I didn't purchase had

Speaker:

there were like whips and chains and things like that

Speaker:

right yeah but a couple things with no whips or chains

Speaker:

and they had high end uh

Speaker:

they had high end uh

Speaker:

condoms I thought

Speaker:

so I bought these ones called

Speaker:

they were wink brand

Speaker:

and um it's

Speaker:

uh oh my God

Speaker:

this is probably a topic for another time

Speaker:

but birth control and stuff like that

Speaker:

but what happened was there was a

Speaker:

there was a an error

Speaker:

there was a

Speaker:

what would you call it

Speaker:

a mistake it uh

Speaker:

it failed right

Speaker:

like condoms are 99% effective

Speaker:

this was that time when they are not

Speaker:

and the unfortunate rupture

Speaker:

well do you think it ruptured or do you think it fell

Speaker:

like came off

Speaker:

I thought it broke oh

Speaker:

oh that was a different time Jeez

Speaker:

was I there

Speaker:

I don't know

Speaker:

wink so haha

Speaker:

wow I just got really uncomfortable

Speaker:

no you of course

Speaker:

you were there

Speaker:

oh yes okay

Speaker:

I fell off yeah

Speaker:

yeah and then I was

Speaker:

we are both very nervous

Speaker:

cause obviously this is something we take seriously

Speaker:

practicing the safe section everything

Speaker:

but then you said

Speaker:

I think in a way to diffuse the moment

Speaker:

you were like

Speaker:

oh that's like their selling point

Speaker:

they're like

Speaker:

yeah these condoms are really secure

Speaker:

and nothing bad will happen

Speaker:

wink and you said that when you're on top of me

Speaker:

well I think

Speaker:

cause you were like wow

Speaker:

it felt really good

Speaker:

I should have known it did

Speaker:

and I was waiting for you to be like wink

Speaker:

yeah they don't talk about that a lot but

Speaker:

I'm not gonna say it

Speaker:

yeah I know it did

Speaker:

suddenly you have to be very scared that

Speaker:

if it suddenly starts feeling way better for a guy

Speaker:

I didn't notice

Speaker:

you can't tell

Speaker:

so crazy well

Speaker:

like the ribbed kinds

Speaker:

you can hmm

Speaker:

you know when they're textured on the outside

Speaker:

yeah that's why I'll say like for her pleasure

Speaker:

whatever they'll put some that are textured

Speaker:

is it for her pleasure

Speaker:

is that pleasurable

Speaker:

I consider it to be uncomfortable okay

Speaker:

but I'm sure women

Speaker:

some women must like it

Speaker:

okay it helps actually with stimulation for your G spot

Speaker:

G spot yeah

Speaker:

is the G spot the same as the clitoris

Speaker:

um well yes and no okay

Speaker:

yes in the sense that we're all one organ right

Speaker:

um and you can achieve climax from internal penetration

Speaker:

or external simulation of the clitoris

Speaker:

no in the sense that when you say G spot

Speaker:

it's meaning specifically internal

Speaker:

I see I see

Speaker:

is that right

Speaker:

well it's a neurovascular bundle

Speaker:

it's basically a bunch of nerves

Speaker:

like nerve endings

Speaker:

wow so the sensitivity is like the tip of your penis

Speaker:

essentially

Speaker:

oh I see do you spot inside Clitoris outside

Speaker:

yes yeah okay

Speaker:

good to know

Speaker:

on the next episode of afraid to ask

Speaker:

we have some questions coming in um

Speaker:

some people are embarrassed to ask about masturbating

Speaker:

which is a very natural thing

Speaker:

so we'll get into some of that

Speaker:

we have some question coming in about

Speaker:

birth control and what kind of you know

Speaker:

I think those are two really good topics

Speaker:

and so we will um

Speaker:

discuss those things

Speaker:

and then my last question about the colonoscopy

Speaker:

not joking was what do I

Speaker:

this is what started your

Speaker:

what do you call an anal wink uh huh

Speaker:

what am I to expect in the days following the procedure

Speaker:

can I play basketball

Speaker:

oh you'll be fine right away

Speaker:

no like so you'll come out of the sedation

Speaker:

and you'll be kind of loopy for a couple of hours

Speaker:

so you need someone to drive you home

Speaker:

you'll probably have a little bit of gas

Speaker:

that's it okay

Speaker:

and then your vows will regulate

Speaker:

so you regulate those nor no

Speaker:

no so you'll have a normal bowel movement

Speaker:

probably the next day or so

Speaker:

oh okay depending on how regular you are

Speaker:

and like the beginning

Speaker:

before you even have the procedure

Speaker:

and then you'll be fine okay

Speaker:

so you go back to work the next day

Speaker:

just to warn you

Speaker:

um the day I come back

Speaker:

I may need to use the fitness room in your house

Speaker:

but sneaking away to take her normal size dump

Speaker:

you'll be exercising every five minutes

Speaker:

I'm gonna get a hotel

Speaker:

I'm gonna get a hotel

Speaker:

I think it's the right decision

Speaker:

you know what Jamie

Speaker:

it won't bother me at all

Speaker:

if you shit your pants all day in my house

Speaker:

wink coming up on the next episode of afraid to ask

Speaker:

yeah I guess it is an effort right

Speaker:

to like wrap it up

Speaker:

yeah you got some type of birth control or something

Speaker:

versus just like

Speaker:

yep that's noise I make

Speaker:

this brings me to this question

Speaker:

which kind of ties in here

Speaker:

I'm really unattractive

Speaker:

hey Jamie Erica

Speaker:

um I have a question I

Speaker:

well basically I was with somebody in the condom broke

Speaker:

and it's been about two days

Speaker:

so I can't take the Plan B pill

Speaker:

I'm just wondering what my options are

Speaker:

is your plan C

Speaker:

I was not on birth control

Speaker:

is there anything that you can tell me about

Speaker:

about the situation that might be able to help me

Speaker:

thank you wow

Speaker:

so just I didn't know that was what the question was

Speaker:

how long ago

Speaker:

how long ago did you get that

Speaker:

cause she said two days ago

Speaker:

let me ask the voicemail

Speaker:

let me ask the voicemail

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