For most of us, there probably hasn’t been a good reason for you to think about your gallbladder. Ever. Much of the time, it sits there, silently storing, concentrating, and, when needed, churning out bile every day. But occasionally, this unassuming organ will announce itself through waves of unceasing, excruciating pain brought on by a blockage of some sort. Why it does this to us, what we do about it, and how we can live a gallbladder-free life are just some of the things we cover in this episode. We’re also taking this opportunity to deep dive into the substance most closely associated with the gallbladder: bile. Bile plays an outsized role in the history of medicine, mostly through its role as one of the four humors in the humoral theory of disease. Are you of a choleric temperament or is your vibe more sanguine? Maybe melancholic or phlegmatic suits you better. Don’t know what the heck we’re talking about? Tune in to find out.

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In the first years of the COVID pandemic, a debate raged: was the virus transmitted via respiratory droplets, or was it airborne? For some, this distinction seemed overly technical, pedantic even. But for others, it represented decades of dismissal and missed opportunities - opportunities that had cost untold lives. In this week’s TPWKY book club episode, renowned science writer and journalist Carl Zimmer joins us to discuss his latest book Airborne: The Hidden History of the Life We Breathe, which uncovers the long-forgotten story of an entire field of study - aerobiology - and the pioneering scientists who discovered life where there was thought to be none. Tune in for a fascinating conversation about why airborne transmission matters and the incredible work that some researchers are doing to breathe new life into its study.

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Last week, we took you on a journey of discovery and innovation, and this week we’re gonna tell you how the heck it all works. That means a deep dive into the nitty gritty of SSRIs, from what serotonin does (A LOT, as it turns out), to why blocking its uptake has the effects it does, from the different side effects of SSRIs, to how effective they really are. The discourse surrounding this class of drugs is complicated and contradictory, and this episode provides lots of answers and some terrible baseball metaphors to help you make sense of SSRIs.

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Since first hitting the shelves nearly 40 years ago, SSRIs have become one of the most commonly prescribed classes of antidepressants around the world, as well as one of the most discussed and misunderstood. This and next week, we tell the story of SSRIs in two parts. In Part 1, we explore the origins of these medications and their predecessors, a surprising journey that takes us back millions of years and across the animal kingdom, and one that proves that John Green was right - everything truly is tuberculosis. How did we get from tuberculosis to Prozac? Tune in to find out.

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We’ve got a very special episode of the TPWKY book club this week! We’re featuring our very first fiction book: King of the Armadillos by Wendy Chin-Tanner. This novel tells the story of a young man named Victor, who is sent from his home in New York City to a federal treatment facility in Carville, Louisiana after a diagnosis of Hansen’s disease (then known as leprosy). After being ripped away from his family and the life he knew, Victor struggles to navigate his new situation, facing racism, stigma, and loneliness. Ultimately, he finds support in the lively community of Carville. Wendy joins us to discuss her creative process for this beautifully-written book, and how her father’s life provided the basis for Victor’s story. Tune in for a heartfelt conversation about a long-forgotten piece of public health history and the powerful meaning that diseases can hold.

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What’s in a name? What can you really tell from a label like “polycystic ovarian syndrome”? And how much of that is more misconception than truth? The answer, as it turns out, is the former. In this episode, we delve into the world of PCOS, a world that shows us how preconceived notions of health and disease, gender and sexuality can do far more harm than good. For many people with PCOS, this condition violates society’s expectations of how you should look, act, or feel. And the resulting stigma and shame deepens the silence that often surrounds PCOS and leads to inadequate treatment and medical gaslighting. But thanks to the work of some incredible advocates, that silence is slowly fading. Tune in to discover the many lessons that PCOS can teach us, if only we are willing to learn.

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This episode, we aren’t asking you to taste the rainbow, but we are scrutinizing the artificial dyes that give it its color. When you’re munching on brightly colored candies or dipping a french fry in purple ketchup, what exactly is it you’re tasting? In this episode, we take you through the story of food dyes, from their serendipitous discovery to their enthusiastic overuse, from much-needed regulation to controversial health findings. You’ve read the headlines, now get the full picture of artificial food dyes.

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From the earliest grunts and gestures to the complex sentences we use today to convey a multitude of concepts, language has evolved to become one of humanity’s most powerful tools. It allows us to connect, create, conspire, control, console, catch up, and so much more. How did we come to have this uniquely human trait? What anatomical changes or cultural developments were necessary for language to evolve? What differentiates language from communication? In this TPWKY book club episode, Professor Steven Mithen joins us to discuss his latest book The Language Puzzle: Piecing Together the Six-Million-Year Story of How Words Evolved. By combining scholarship across wide-ranging fields such as archaeology, genetics, anthropology, linguistics, neuroscience, and more, Professor Mithen presents a compelling story of the origins of language. If you’ve ever wondered how babies can go from babbling one day and talking in a torrent of words the next, or how an individual language changes with each generation, this is the episode and book for you.

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In last week’s episode, we traced the history of fluoridation (and the anti-fluoridation movement) to its roots in the early 20th century, but we left you wondering whether there’s anything to back up the health claims that anti-fluoridationists make. Today, we get deep into the weeds of the fluoride literature, explaining how this mineral works, the difference between topical and systemic fluoride, and whether fluoridation has been linked to any health issues. The details matter, and don’t you worry - we’ve got plenty of nitty gritty for you to feast on.

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Is it just us, or does it seem like every other week there’s a new headline about some state or town banning water fluoridation? As it turns out, this has been going on for decades, basically since fluoride was first introduced. Why are some people opposed to fluoride? Is there any basis to their fears? What does fluoride actually do? And how the heck did we find out about it? This week and next, we’re deep diving into our first dental discussion about this revolutionary mineral. In the first of these episodes, we explore the origins of fluoridation and the outcry against it - how did tuberculosis, a gold rush town, and a dentist with an insatiable curiosity set the stage for one of the greatest public health achievements of the 20th century? And why has there been pushback against it since its inception? Tune in to find out.

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