Prostates and Prostitutes - Part 01
In this episode of Afraid to Ask, comedian Jamie Lissow and his more outgoing half Dr. Erika discuss hate mail and which social media platforms breed the most insults. We talk PSA tests, how far STD tests have come and false positives.
About the Podcast
Comedian Jamie Lissow and his smarter half Dr. Erika answer all kinds of medical, dating, sex, divorce, questions some might be afraid to ask. Listen & subscribe for prescriptions and punchlines.
Mentioned in this episode:
Warning:
This is an uncensored podcast that will include adult language and topics. Viewer discretion is advised.
Transcript
check 1 2 well
Speaker:hello there boyfriend how are you this fine day
Speaker:I'm really good is it working
Speaker:yes excellent
Speaker:let's not talk shit
Speaker:I'm afraid to ask but I have a great question
Speaker:I don't even know what I was gonna say
Speaker:I'm so disturbed right now
Speaker:I was afraid to ask with Jamie and Doctor Erica
Speaker:how are you great what's that look for
Speaker:I just the way you introduced it it's just
Speaker:not a professional I um wanna jump right into questions
Speaker:yeah
Speaker:cause that probably just saved me from saying something
Speaker:mean let's go okay
Speaker:we were in Vegas this weekend and they had a T-shirt
Speaker:you know those funny T-shirt shops
Speaker:they had a T-shirt that said fart loading
Speaker:and I got so stupid and I thought to myself
Speaker:I wish they had one for Erica that said insult loading
Speaker:right and it would be like here it comes
Speaker:I told you though that's almost like an insult to me
Speaker:like I don't need anything to load
Speaker:I got I'm just ready to go
Speaker:oh I see pew pew pew okay
Speaker:you got like uh that shirt yeah
Speaker:dial up in the internet
Speaker:and you got like a T1 military grade
Speaker:I don't know enough about the internet
Speaker:to make that reference you don't need loading time
Speaker:how about you're just easy to make fun of
Speaker:yeah hahaha
Speaker:I got a question from YouTube by the way
Speaker:you can find afraid to ask on YouTube
Speaker:can I can I take it short aside
Speaker:what I would like to ask you a question
Speaker:I have my own thoughts
Speaker:how would you rank social media platforms
Speaker:in order of people being fucking mean
Speaker:and so we have Instagram
Speaker:we have YouTube we have Twitter and let's do Facebook
Speaker:alright so the meanest to nicest yeah
Speaker:nice meanest meanest nicest first
Speaker:and then I see the answer
Speaker:when it comes to people talking about our podcast
Speaker:and so there's actually an answer
Speaker:so what do you find in general meanest
Speaker:the meanest platform you just said nicest
Speaker:meanest now you want me as nicest make up your mind
Speaker:nice first place
Speaker:nicest Facebook good one
Speaker:good one totally agree
Speaker:it's all the grandparents
Speaker:okay I get really
Speaker:the most mean comments about Jamie Lisso on Facebook
Speaker:what and the reason being really
Speaker:you have a Facebook wait a minute
Speaker:you know how you have like
Speaker:a lot of people have just like
Speaker:their family following them on Facebook
Speaker:that's why I have the most mean kind
Speaker:oh God no I have that on my personal page with family
Speaker:just people being nice I remember you from high school
Speaker:but that's why I said the grandparents
Speaker:cause I feel like Facebook is always like
Speaker:people go on there to post pictures of their kids
Speaker:so it's very family oriented
Speaker:like that's really where it evolved
Speaker:it was like what remember when it
Speaker:you had to be in college
Speaker:and have a college email to sign up to Facebook
Speaker:and then people when it first started
Speaker:you had to have a college email address
Speaker:to sign up for it that's how they weeded people out
Speaker:and then they started allowing anyone to join
Speaker:and people got actually got upset and they're like
Speaker:what the heck
Speaker:this is a platform for like college students
Speaker:and it turned into like this big thing
Speaker:well Zuckerberg was just trying to bang girls
Speaker:that's why face I saw that movie
Speaker:I like that movie it was insightful
Speaker:I did too didn't you like steal the idea from twins
Speaker:and also I don't have very good uh uh retention
Speaker:I like watching like the seaspan stuff now or whatever
Speaker:when he has to go in front of people
Speaker:and speak in his defense of like
Speaker:Facebook not being like a horrible idea
Speaker:so he's a billionaire right
Speaker:and he's got like this incredibly successful company
Speaker:and the other day
Speaker:is gonna date this episode a tiny bit
Speaker:but I don't care the other day they posted a meme
Speaker:apparently Zuckerberg's been like him and Eli
Speaker:Elon Musk was a fight at one point
Speaker:did you know that they were actually gonna fight
Speaker:they both train martial arts
Speaker:so he's gonna fight Elon Musk
Speaker:Elon wants to do it Zuckerberg like kind of backed out
Speaker:it was this whole thing the other day
Speaker:Zuckerberg walked out with an MMA fighter
Speaker:did you see this video no
Speaker:oh yes I did
Speaker:there's where where he's trying to hold stuff
Speaker:it keeps getting past and they make fun of him
Speaker:cause he doesn't know what he's doing
Speaker:so I guess my point being like
Speaker:the video is him doing a walkout with this MMA fighter
Speaker:camera who it is
Speaker:and it's the guys getting him ready like
Speaker:you know taking he takes his shorts off
Speaker:he throws into one of the guys who has my mouthpiece
Speaker:one person takes the mouthpiece off
Speaker:where's the towel you know
Speaker:you take off your shoes you give him to a guy
Speaker:Zuckerberg is in between three people that
Speaker:that should be there that need to be there
Speaker:and he has nothing to do he has nothing to do
Speaker:they keep passing stuff past him
Speaker:and he's like nodding his head
Speaker:like anything to the music
Speaker:and they just go over him and then he does it again
Speaker:he's like oh
Speaker:and then third time he just goes yeah
Speaker:you can tell he's like fuck
Speaker:I shouldn't be here yes
Speaker:it's the ultimate
Speaker:reach your hand out to shake someone's hand
Speaker:and they don't shake your hands
Speaker:like that to the millionth level
Speaker:like he just shouldn't have been there
Speaker:but I was thinking how funny it is that like
Speaker:that guy has everything but it still must suck
Speaker:that must suck to get made fun of like that
Speaker:I guess what I'm sort of getting out of like
Speaker:it was a meme on my doctor post
Speaker:and they changed it to like
Speaker:me as the med student on my first day in the or
Speaker:cause it was all the surgeons around
Speaker:handing stuff and being like
Speaker:f you dude you don't belong here yeah
Speaker:but his face was like what should I do
Speaker:well I guess no one won so yours was you
Speaker:said it was cause people passing stuff pass you
Speaker:they they're like you loser
Speaker:you shouldn't be in here you're you're brand new
Speaker:so like they completely pretend you're not even there
Speaker:and you're like trying to help and they're like
Speaker:don't get in my way that's what it looks like
Speaker:someone made one about me
Speaker:oh no and it was this girl as my first threesome
Speaker:and she was like
Speaker:this reminds me of that threesome you were there for
Speaker:and it was just them
Speaker:I was like oh
Speaker:can I grab something
Speaker:can I help somebody with something hello
Speaker:really funny though that how much money you have
Speaker:you can still get made fun of
Speaker:which brings me to Facebook
Speaker:people are really mean to me
Speaker:haha on um when Gutfeld makes a post and they say like
Speaker:Jamie's on the show it'll be like
Speaker:a bunch of nice people saying they like me
Speaker:and then people just like
Speaker:you know the worst one is I don't get
Speaker:someone said something like
Speaker:I don't get Jamie's jokes
Speaker:you know whatever and I'm like well
Speaker:that's one guy's opinion
Speaker:21 likes 21 people agree with that guy
Speaker:passive way of being a jerk
Speaker:yeah but anyway
Speaker:I get the most mean stuff but it's different
Speaker:you're right
Speaker:I think Facebook that's a great answer on that
Speaker:Facebook was the nicest followed by Instagram
Speaker:if you don't use it for business
Speaker:follow my Instagram and then you'd go I would go TikTok
Speaker:I shoot TikTok got you
Speaker:I don't I don't do TikTok
Speaker:I like TikTok I think it's actually cause it's so quick
Speaker:it's just a different it's totally
Speaker:I feel like Facebook is like grandparents and family
Speaker:Instagram is like the fake stuff right
Speaker:like my life is pretty but people still make some um
Speaker:can I interrupt you to prove your point even further
Speaker:Facebook it's the most pictures of you
Speaker:you're not faceless like Instagram
Speaker:you could be faceless
Speaker:you could just take pictures of buildings
Speaker:you could
Speaker:it's the second in place for not being faceless
Speaker:but like Facebook it's usually your face
Speaker:maybe your family maybe your children
Speaker:you really have to like be yourself on Facebook
Speaker:I feel like there's
Speaker:there's not as much anonymity as like a Twitter yeah
Speaker:where it's your picture it is this tiny picture
Speaker:I'm tired of people in general being um
Speaker:I wish everyone would just be
Speaker:I wish there was something for Facebook
Speaker:where it wasn't
Speaker:people just trying to make me feel like shit
Speaker:about my life
Speaker:I wish it was somewhere we posted failures
Speaker:like a fell book and I could go
Speaker:you know what I mean
Speaker:it's just people posting the highlights of their life
Speaker:hmm do I mean like you never
Speaker:it's always like oh
Speaker:I lost
Speaker:it's it's never like
Speaker:oh my God I gained well
Speaker:you know what's funny I think that that's interesting
Speaker:cause guess what I was gonna
Speaker:say so I was gonna say TikTok next
Speaker:cause it's like younger people
Speaker:and it's witty and sassy so you get kind of stuff
Speaker:and then I was gonna say
Speaker:Twitter slash X is the meanest one
Speaker:I think people are jerks on Twitter
Speaker:but you know what I think is funny is I saw a post
Speaker:I'm barely on Twitter or X and someone put like
Speaker:did you see the intern for uh
Speaker:MTV or something like sent out an email for something
Speaker:it was like some stupid thing
Speaker:but he sent it out or she sent it out to like
Speaker:reply to like all the subscribers and everything
Speaker:and like
Speaker:maybe it was like Verizon or it was some huge company
Speaker:and they wrote back like sorry
Speaker:it was the interns first day we're not joking
Speaker:it really was the intern
Speaker:and then all these people on X wrote back
Speaker:Dear Intern don't feel bad on my first day of work
Speaker:I showed up wearing a bathing suit
Speaker:because they said it was beach days
Speaker:Twitter is best but it was like it wasn't Beach Days
Speaker:it was a joke and everyone else was in a fool
Speaker:and they had had
Speaker:like a poster to advertise the vacations
Speaker:they were gonna take me
Speaker:but it was a whole list of like
Speaker:Twitter is the dumbest thing you've done
Speaker:and they were like
Speaker:don't worry intern I got your back it was hilarious
Speaker:I think that's Twitter is the best like it
Speaker:like people being that reply all
Speaker:you have to be very very careful cause I don't like it
Speaker:I feel like it always disappears
Speaker:like I'll get a notification and it's like
Speaker:someone wrote you and I'll look and I'm like
Speaker:I just see that they wrote I'm like
Speaker:what did they respond to
Speaker:I can't see what they respond to what did I write
Speaker:what did you you tag me in something on there
Speaker:and it's like lost to oblivion
Speaker:and then I get like these notifications and abyss
Speaker:where it's like someone writes this huge comment back
Speaker:and I don't even know what it means
Speaker:I don't like it
Speaker:but I guess also I was saying I know we don't
Speaker:I don't love talking about my ex on here
Speaker:but you gotta be so careful with a reply
Speaker:all in business you should be careful you hit that one
Speaker:I've had that happen
Speaker:where I had an agent who replied all
Speaker:I was not supposed to be on the thread
Speaker:and it was something like
Speaker:wasn't that nice about me
Speaker:like I don't know how many tickets
Speaker:he's gonna tell you something that oh
Speaker:that really happened yeah oh
Speaker:still with them but I don't know
Speaker:we almost sent a naked picture to my dad once
Speaker:holy crap
Speaker:really does I've never done like an email bad one
Speaker:who is it supposed to go to for sure me right
Speaker:yes what do you mean you're emailing a photo
Speaker:why are you emailing oh
Speaker:texting cause it's like you
Speaker:I have it ready and I'm like
Speaker:send and it's like to who
Speaker:and it's like the last person you texted
Speaker:so yeah woo
Speaker:you're not gonna believe this
Speaker:but this one time when I was married
Speaker:my wife at the time she wrote like a sexy message
Speaker:like sort of like oh
Speaker:we should get down whatever
Speaker:by mistake she sent it to me
Speaker:all right
Speaker:um
Speaker:oh my God yeah
Speaker:oh
Speaker:anyway so you're going
Speaker:you're going Facebook that was a rare moment of empathy
Speaker:there was no insult loading Instagram
Speaker:TikTok Twitter
Speaker:and then LinkedIn
Speaker:I don't know why I threw that out
Speaker:I saw a tweet what
Speaker:the best tweet I've ever seen in my whole life
Speaker:in my whole life that I liked more than any other
Speaker:it said Best Ways to get a hold of me ranked in order
Speaker:No. 1 text me
Speaker:No. 2 call me
Speaker:No.3 climb up the tree outside my window
Speaker:break my window with a rock
Speaker:come into my bedroom and shake me awake
Speaker:No.4 direct message me on LinkedIn
Speaker:yes haha
Speaker:one of the funniest things I've ever seen
Speaker:LinkedIn is so dumb okay
Speaker:great great
Speaker:great answer so anyway
Speaker:I was gonna say you go first
Speaker:well you said it came from YouTube
Speaker:yeah yeah
Speaker:the meanest for us for our podcast
Speaker:it's ranked um
Speaker:Instagram we get the most comments
Speaker:so I I would say like percentage wise
Speaker:it's the lowest amount of negativity
Speaker:but we probably get the most negative comments
Speaker:cause we get so many comments um
Speaker:but YouTube it's like people are mean to
Speaker:why are you so mean on YouTube
Speaker:it's just like instructional videos and stuff yeah
Speaker:I mean there
Speaker:it's where the video
Speaker:it's the only place the videos available
Speaker:just gonna say does that suck
Speaker:because
Speaker:the only place people are seeing our faces is where
Speaker:they're like if you yeah
Speaker:I try not to delete the audio only they're nice
Speaker:and then they see us and they're like
Speaker:uh uh
Speaker:if I see it's one that's gonna hurt our feelings
Speaker:and by ours I mean mine
Speaker:I'll delete it but otherwise I leave it up
Speaker:cause just like
Speaker:we're confident in what we're doing here
Speaker:we feel good about it it's mostly about the content
Speaker:Erica I know you don't go on there
Speaker:but it's mostly people like hey
Speaker:why aren't you the exact person you are and Gutfeld
Speaker:why aren't you the person I want you to be
Speaker:why are you being yourself
Speaker:stop that you know what
Speaker:I think that's hard though
Speaker:because you do have a character and a personality
Speaker:and a persona that is one way on certain things
Speaker:and another another like
Speaker:I mean I'm very different in office
Speaker:as a physician than I am right here
Speaker:yes real Jamie wants to get his dick wet
Speaker:EWW he doesn't want to be this loser
Speaker:you have to deal with what I just said
Speaker:the character that character
Speaker:no
Speaker:hmm
Speaker:I just might want to take a shower
Speaker:real Jamie or character Jamie wants to get
Speaker:I just thought
Speaker:I would like to take a shower to get my wet gross okay
Speaker:before the episode I was like
Speaker:let's try to be clean yeah
Speaker:that's working out well for you
Speaker:we are different
Speaker:we're a little bit different on YouTube
Speaker:where ourselves on this podcast is nothing I can do
Speaker:so anyway we did get some messages that were nice
Speaker:but then I had a question
Speaker:that's the whole point of this whole thing
Speaker:was for me to bring up
Speaker:would you like a question about a PSA test
Speaker:to be honest with you I don't know what that is
Speaker:or would you like a question about a hernia
Speaker:like a public service announcement
Speaker:is that what it means I don't know what's the question
Speaker:I think it's not it's probably having to do with a man
Speaker:okay so this is from uh
Speaker:let's see this is from Randy Stockdale 3
Speaker:0 7 2
Speaker:by the way I'm
Speaker:I love the first 3,071 Randy Stockdale's
Speaker:this one's great they're all great
Speaker:hey DOC how often should a guy get a PSA test
Speaker:what do the resulting numbers on the test actually mean
Speaker:thanks
Speaker:why did you do it like how often
Speaker:I thought I thought Randy would be like hey DOC
Speaker:how often should a guy get a PSA test
Speaker:Randy
Speaker:Randy to me feels like guy goes he likes barbecue
Speaker:I like him that's an appropriate question
Speaker:he phrased it in a kind way
Speaker:he wasn't mean he wasn't condescending
Speaker:and it's a very valid thing to wanna ask your doctor
Speaker:I chose this question so
Speaker:because it was the only comment
Speaker:not shooting okay
Speaker:that's not true what is a PSA
Speaker:prostate specific antigen
Speaker:so it's a it's a blood test
Speaker:you can have done with your other blood draw
Speaker:for your wells examination
Speaker:so it's not a specialized test
Speaker:you have to go in just for
Speaker:you can't have it by itself though
Speaker:and basically it checks the level of your prostate
Speaker:circulating throughout the blood
Speaker:you can do a free or a total there's different numbers
Speaker:all you have to know is that this free
Speaker:is that one that has ads
Speaker:it's bound or unbound in circulation
Speaker:same thing with like testosterone thyroid yeah
Speaker:the numbers mean different things
Speaker:you're ridiculous PSA do you want me to explain this
Speaker:yes I really do
Speaker:sorry Randy
Speaker:you said it's a it's a what's prostate specific antigen
Speaker:so essentially what its measuring is
Speaker:if your prostate is having an elevated level
Speaker:there could be things that are bad
Speaker:for instance everyone worries about prostate cancer
Speaker:if that level is high
Speaker:but you can also have what we call benign
Speaker:prostatic hypertrophy or hyperplasia
Speaker:so enlargement of the prostate
Speaker:that's where you would like
Speaker:urinate more frequently or dribble
Speaker:have a hard time getting it out
Speaker:you feel obstructed so it can be high
Speaker:but you can be falsely elevated
Speaker:by having any irritation to that area
Speaker:even simply simple as riding a bicycle is the area
Speaker:you mean that area is this my butt
Speaker:uh well
Speaker:yes and no okay
Speaker:so if you did you ever have a prostate test
Speaker:yes yes
Speaker:I think so I think we not about it
Speaker:I got the one member the finger
Speaker:yes so you said the guy shouldn't use his thumb
Speaker:remember that oh my goodness well
Speaker:the Dre digital rectal examination
Speaker:and you're actually palpating the prostate
Speaker:from the anal and rectal cavity
Speaker:digital in this case mean finger
Speaker:uh huh yeah
Speaker:wow so the problem is if you
Speaker:if you do that and you stimulate the prostate
Speaker:that level goes up
Speaker:so I could do a prostate check annually
Speaker:then draw blood oh sorry
Speaker:that's I couldn't use more fingers but so afterwards
Speaker:right afterwards if I draw your blood
Speaker:your PSA level could be falsely high
Speaker:just from that test
Speaker:so you should be very careful not to do that
Speaker:sexual activity recent sexual activity
Speaker:can elevate the level of your prostate test
Speaker:lab test and then any irritation to the area
Speaker:so you ride a bike
Speaker:you kind of get stimulation down below
Speaker:yep your process is deeper up inside
Speaker:so it's not necessarily like your anus
Speaker:but kind of the area before to
Speaker:like anything in the area that would be jarring
Speaker:gotcha so wow this is the good news though
Speaker:you wanna know the good news of this whole thing
Speaker:you don't often have your prostate jarred
Speaker:it's actually not recommended
Speaker:to do a prostatic examination anymore
Speaker:as a screening test this is the finger
Speaker:the USPSTF United States Preventive Task Force Service
Speaker:uh huh service task force uh
Speaker:recommends no longer doing a rectal examination
Speaker:to screen for prostatic enlargement
Speaker:or nodularities or prostate cancer
Speaker:this is the finger not the blood the either one oh
Speaker:because we were finding so many false positives
Speaker:you would feel something you like
Speaker:oh my God and then we have a biopsy to be nothing
Speaker:so the problem is
Speaker:too many people were having biopsies on something
Speaker:that was benign and they didn't need it
Speaker:so now we really recommend it
Speaker:if you have a very strong personal family history
Speaker:and things like symptoms
Speaker:keen to frequently difficulty with voiding
Speaker:nocturnal um urinary frequency things like that okay
Speaker:now if you talk to a urologist
Speaker:they're gonna tell you to do it all the time gosh
Speaker:in a false positive
Speaker:that's if a girl has like gigantic boobs
Speaker:you're like those are cool
Speaker:but she's having trouble walking
Speaker:I was gonna say
Speaker:a false positive is a woman has gigantic breast
Speaker:and then you take her bra off and it was all stuffing
Speaker:I love it a false positive
Speaker:to be clear we're not talking about a false reading
Speaker:we're talking about a false positive meaning like it
Speaker:you think it indicates something that if these uh
Speaker:these variables weren't
Speaker:if it wasn't somebody didn't prod it or whatever
Speaker:a false positive means the test doctors are weird
Speaker:a positive result is usually bad right
Speaker:so positive means that PSA level is too high
Speaker:yeah false positive means it's too high
Speaker:but not from anything scary
Speaker:we did it wrong yeah
Speaker:stimulated the prostate or something
Speaker:this one time I go to this girl
Speaker:you shoot on her for a vision
Speaker:she wasn't positive and like I don't know what to think
Speaker:it's a good point you're making
Speaker:so false negatives are worry some as well right
Speaker:you always have to negate
Speaker:or take into account that tests aren't always accurate
Speaker:with to do follow up tests
Speaker:so your answer to Randy
Speaker:how often should a guy get a PSA test
Speaker:are you saying symptoms not opt
Speaker:never unless with symptoms
Speaker:well again
Speaker:I said if you have a very strong history
Speaker:medical background history
Speaker:if you have a history so
Speaker:what we use a PSA for now
Speaker:is monitoring patients who have had prostatic cancer
Speaker:and usually some type of treatment
Speaker:then they measure to make sure the level goes down
Speaker:and that's a really good way to show that
Speaker:it's not recurring it's active again
Speaker:so it's not really to screen every year like you
Speaker:would get
Speaker:maybe your cholesterol checked every so often right
Speaker:we don't do that anymore very good answer
Speaker:you get to keep your clothes on
Speaker:when you go to the doctor
Speaker:unless you have symptoms
Speaker:and I think that's important to know
Speaker:I'm not saying that very important
Speaker:I didn't know
Speaker:I didn't know that a lot of guys have anxiety like
Speaker:oh man
Speaker:now here it comes and I get to actually say don't worry
Speaker:what are your symptoms what's your history incredible
Speaker:okay we don't have to do it
Speaker:I love when
Speaker:when information catches up to in the office well
Speaker:there's a caveat though yeah
Speaker:this is the problem now we're not catching all of them
Speaker:right because they're not doing it right now
Speaker:doing it on everybody right
Speaker:so now
Speaker:it puts a lot of responsibility in the patient's hands
Speaker:you have to if you have any symptoms get in right away
Speaker:right because if you wait
Speaker:we're not doing the test
Speaker:we're not gonna catch things early
Speaker:it's a great answer
Speaker:so you guys very careful comprehensive
Speaker:but you know though
Speaker:have you ever heard of milking a prostate
Speaker:hmm I don't think so
Speaker:but I don't really roll in those kind of circles
Speaker:milking a prostate
Speaker:I feel like maybe that came up once on an Arand
Speaker:Pornhub search no
Speaker:I just meant
Speaker:we talked about how so many men were nervous to go in
Speaker:because they didn't want that test done yeah
Speaker:but it's an uncomfortable exam for everyone
Speaker:because some men actually um
Speaker:get sexual arousal from prostatic stimulation
Speaker:and you actually not use well
Speaker:maybe we could try it later if you'd like me to okay
Speaker:okay you can
Speaker:have a full erection and ejaculation alone
Speaker:from prostate stimulation
Speaker:I assumed I was gonna be alone haha no
Speaker:how would you do that alone
Speaker:well I mean
Speaker:I guess you could you're saying haha
Speaker:are you saying what I think you're saying yeah
Speaker:I wouldn't even have to you wouldn't and I would
Speaker:no one has to touch the rest of your anatomy
Speaker:and just you prosthetic stimulation
Speaker:in fact I've heard that that's very
Speaker:very satisfying for a lot of male male partners oh
Speaker:I see for a means of sexual interaction
Speaker:wow so it's actually positive for a lot of people
Speaker:so you don't have to be afraid of a prostate exam
Speaker:but it's something to know
Speaker:that you don't have to have all the time
Speaker:but it would be like a red flag if you were like hey
Speaker:I want you to do this and I was like
Speaker:hmm I'm not into it you're like
Speaker:but that's the only way I can yeah
Speaker:orgasm I had one an hour ago
Speaker:I want a second opinion
Speaker:I would break up with you if that was the game
Speaker:you're saying if I wanted that for stimulation
Speaker:not as a doctor did I misunderstand
Speaker:you're saying that would be weird to
Speaker:you as a sexual partner not as a doctor
Speaker:you're saying the is that what you're saying
Speaker:well I think it'd be weird if you came into the office
Speaker:and you're like please
Speaker:I want one cause then I'd be like
Speaker:uh yeah
Speaker:probably someone who enjoys it
Speaker:yes and so you have to be careful
Speaker:that's like finger seeking behavior haha
Speaker:but that does happen yeah
Speaker:I've had people request to have like penile exams
Speaker:I always have a yes
Speaker:but I always have a chaperone in
Speaker:and if they have symptoms that make sense
Speaker:to where I would need to do an exam
Speaker:I will do it
Speaker:but then they'll say some comments that are awkward
Speaker:and I'm like
Speaker:I don't actually think that you need an exam
Speaker:we need to stop wow
Speaker:people people are inappropriate
Speaker:so that's why you always have to protect yourself
Speaker:but what I was saying was yeah
Speaker:you just in the bedroom me and you
Speaker:if you were like hey
Speaker:I wanna do this and I was like me
Speaker:I'm not into it you're like
Speaker:but that's the only way that I can get off
Speaker:I'd be like we got in a relationship
Speaker:then that's a big no no
Speaker:that's a problem
Speaker:I think I speak for all my friends when I say
Speaker:I'll take your word for it as far as it works
Speaker:it's not something I'd want to try out
Speaker:I think you'd be surprised how many of your friends
Speaker:would secretly say that they enjoy it
Speaker:but don't admit to it out loud otherwise if okay
Speaker:this is really fascinating about the um
Speaker:I never thought about that
Speaker:someone might come in and pretend they want an exam
Speaker:to get
Speaker:I would say that might happen to you more than say
Speaker:like an old guy oh
Speaker:for sure the unfortunate thing about my job is
Speaker:maintaining a level of professionalism
Speaker:and having to excise my rights
Speaker:exercise my rights I can't even talk
Speaker:I'm getting frustrated cause
Speaker:I'm thinking of encounters
Speaker:where patients have dropped their pants
Speaker:for no reason I'm sorry that happened
Speaker:that's a horrible
Speaker:it's been frequent enough to be problematic
Speaker:but that's where repeated training comes into place
Speaker:so that I can be professional
Speaker:despite whatever comes across right
Speaker:my path
Speaker:and why you always have someone else in the room
Speaker:yeah
Speaker:I'm realizing now the threesome I mentioned earlier
Speaker:I think I was just a chaperone
Speaker:I had nothing I was like Zuckerberg honestly
Speaker:that's the word that we use in our medical notes
Speaker:usually to denote that we had someone else present
Speaker:chaperone present during genital examination
Speaker:yeah I like that
Speaker:I don't know what they're chaperoning it
Speaker:just like are they driving them there and that
Speaker:yeah it's a witness like a school field trip
Speaker:we're looking for chaperones for the genital exams
Speaker:if anybody wants to sign up to be a chaperone
Speaker:haha
Speaker:did you know that um
Speaker:to train for genital examinations in medical school
Speaker:typically it's models right
Speaker:mannequins we've talked about this a little bit
Speaker:I thought you made models like I saw your face
Speaker:I saw your face
Speaker:I knew I don't think we did take a talk about this
Speaker:well as soon as I said models
Speaker:I knew where you were gonna go well yeah
Speaker:you mean fake people yes Jamie
Speaker:you know what
Speaker:a lot of models are fake people oh my gosh
Speaker:so what happens we're training for
Speaker:so then they hire genital day community
Speaker:real people to do genital exams on and when mine was
Speaker:it was one instructor and three medical students
Speaker:and a live patient and the guy that I got
Speaker:was set up by his fraternity brothers wow
Speaker:he said that and he was eating a bag of potato chips
Speaker:while we had to like do everything
Speaker:is very uncomfortable seems very uncomfortable
Speaker:but what I will say
Speaker:what's up like that pay
Speaker:I don't know what the compensation was
Speaker:I don't believe very much he said he lost a bet okay
Speaker:when his fraternity found out that
Speaker:the school hired people
Speaker:he lost a bet and had to do it I'm not even so wild
Speaker:well the woman too
Speaker:she had to have 20 30 pap smear straight why
Speaker:I would never volunteer for that
Speaker:but it's very fortunate some people allow us to
Speaker:because how else would we know what we're doing
Speaker:what are they doing with the penis everything
Speaker:are they going in the tip
Speaker:oh no no
Speaker:no do you know
Speaker:I'm embarrassed because this makes me seem older
Speaker:remember I said it's cool when like your research
Speaker:when doctors
Speaker:research makes things easier for a patient
Speaker:for instance they go in and say like
Speaker:I need a prostate exam and you go
Speaker:you know what the new research has
Speaker:I don't have to do anything to you
Speaker:you can go home that happened to me back in the day
Speaker:we would always get like whatever STD test or something
Speaker:when I was in college the STD test for
Speaker:I don't know
Speaker:I know what you're gonna say was in the end yeah
Speaker:I've done them to people is the worst a very long Q tip
Speaker:it was the one and you would take the tip of the Q tip
Speaker:and go all the way into the urethral opening
Speaker:the myatus swab all the way around oh
Speaker:the swabbing all the way around
Speaker:try to milk some of the the penis right
Speaker:to like squeeze out any discharge that might come
Speaker:because then you culture that and you get in trouble
Speaker:better I think there's more in there um yeah
Speaker:and now it's just a urine test how great is it
Speaker:yeah I remember going back
Speaker:I remember like not wanting to go cause I was like
Speaker:uh huh God
Speaker:that girl was really suspicious and had no background
Speaker:I should get tested hey I think this is great though
Speaker:how greats come because now it's not even painful
Speaker:you just have everyone leave a urine sample
Speaker:for all the other things I have to test
Speaker:and then I'm like hey
Speaker:do you want me to screen you for this too
Speaker:cool easy to treat easy
Speaker:it's unbelievable done but the
Speaker:the training sucks yeah
Speaker:well we tested for hernia
Speaker:so we had to do a scrural exam
Speaker:feel push
Speaker:I mean you do a lot
Speaker:he was if there he was uncircumcised
Speaker:so we had to learn how to pull the foreskin down
Speaker:without hurting a patient
Speaker:like I know that sounds silly
Speaker:but if you think about it
Speaker:not everyone who's a doctor has been sexually active
Speaker:in fact one of the students with me
Speaker:he was a man but when he did the female exam
Speaker:he'd never seen female anatomy
Speaker:he was very very nervous
Speaker:I'll bet that guy's a good doctor
Speaker:like he's not distracted by anything
Speaker:do you know what I mean he was so awful that day though
Speaker:was he yeah
Speaker:so do you know what a speculum is
Speaker:was he giggling no
Speaker:he was bright red and sweating profusely
Speaker:and there were three girls and I'm like wow
Speaker:so so me two other female students
Speaker:and then he was the last one to go
Speaker:so he watched all of us and he had all the steps
Speaker:so we had the teacher do it first
Speaker:uh huh and then me
Speaker:and the two other girls so he had four people
Speaker:wow
Speaker:I feel like I would not honest to god
Speaker:I feel like I would not be able to do
Speaker:I feel like if I walked up there and a woman
Speaker:I feel like I just started taking my pants off
Speaker:and be like oops forgot where I was
Speaker:you're gross
Speaker:he has never seen a vagina
Speaker:the duck clip thing that people say
Speaker:the duck Bill I don't like that they reference up
Speaker:but that's the easiest way to say it
Speaker:for someone who doesn't know
Speaker:and it's a device that opens up so that I can see
Speaker:the cervix goes into the vagina
Speaker:it's very uncomfortable for most women
Speaker:so you lubricate it
Speaker:but you can't use too much lubrication
Speaker:or excuse the results of the paplonaco smear
Speaker:what's a pap smear show what does that
Speaker:what does that give us cervical psychology
Speaker:essentially looking for cells that are abnormal
Speaker:have dysmorphia atypia
Speaker:predisposition for cancer
Speaker:and we're also screening for
Speaker:if you're over 30
Speaker:or have had a positive app in the past
Speaker:we're screening for human papilloma virus
Speaker:because certain strains
Speaker:have a higher likelihood of turning into cancer
Speaker:do you know how much easier to be a guy
Speaker:I mean we've talked to this before
Speaker:but being a woman is really difficult
Speaker:but here's the thing that's problematic for men
Speaker:HPV virus is linked to genital warts
Speaker:yeah or cervical cancer right
Speaker:what about penile cancer we don't swab
Speaker:what about now we actually seen
Speaker:a lot of people have anal cancers from it
Speaker:and throat cancer oh
Speaker:so men are still have it's evolving
Speaker:I guess I meant
Speaker:I get what you're saying that is really tough
Speaker:I meant from the um like examination standpoint
Speaker:but you're saying it's not as thorough
Speaker:so maybe yikes
Speaker:it's better to just get it checked out
Speaker:but I was thinking like poor
Speaker:poor woman having to like do this whole passionate guy
Speaker:we pee in a cup oh no
Speaker:no no
Speaker:women can urinate as well for us actually
Speaker:but how do they pee in a cup of funnel
Speaker:when a woman gets asked to pee in a cup
Speaker:you honestly don't know how I could pee in a cup
Speaker:there's no way could you really pee in a cup
Speaker:there's no way where would I pee
Speaker:are you in my hands and then throw it in the cup
Speaker:what do you do I pee in the cup
Speaker:Jamie how
Speaker:I put urine into the cup
Speaker:I stand and you tell me you could pee into it
Speaker:the cups that we give people are half of that diameter
Speaker:but I could barely pee in your toilet
Speaker:well that's your problem
Speaker:and fortunately it's mine
Speaker:are you being serious
Speaker:when I see pee all over the ground
Speaker:you know they sell this thing for women
Speaker:it like yeah
Speaker:they're camping yeah
Speaker:it's different because once pee hits the ground
Speaker:it splatters everywhere
Speaker:you're telling me that you can pee in a cup
Speaker:with no help
Speaker:who's gonna help me I mean
Speaker:no tools no you
Speaker:you could everyone does
Speaker:every woman who loses a urine sample
Speaker:no where are we
Speaker:I don't know what I can do
Speaker:I don't have a picture like the bellagia
Speaker:I don't know what I was thinking
Speaker:cabins down there the bellagia
Speaker:what are you talking the water show
Speaker:I'm picturing like a ha like it pees
Speaker:what do you think it looks like when I pee
Speaker:just sitting on a toilet
Speaker:I just was picturing that it was whipper wheel
Speaker:like I wasn't picturing that it would go into a cup
Speaker:why can't it what is it
Speaker:what am I doing the sprinkler
Speaker:the sprinkler
Speaker:the one that has like I was kind of picturing
Speaker:do you know was a guy sometimes after sex
Speaker:well how come I can name two different directions
Speaker:and you can't
Speaker:sometimes after sex you pee in two different
Speaker:completely different directions
Speaker:sometimes I got one going up here
Speaker:and I got one going down
Speaker:and I got to time it so that the up one lands in there
Speaker:and the one I've gone completely 90 degrees before
Speaker:that's disgusting swear to God
Speaker:to be proud of I didn't know you could pee in a cup
Speaker:it's incredible yeah
Speaker:I can also shit in toilet
Speaker:wow was that a call back to my
Speaker:oh no it wasn't no
Speaker:you just meant you could shoot
Speaker:I just meant like women can aim
Speaker:how would we not pee in a cup
Speaker:no how rudimentary do you think women are
Speaker:I'm really sorry I need a
Speaker:I was afraid to ask
Speaker:I thought I'm just something dumber and dumber
Speaker:but I'm just being honest
Speaker:I thought I didn't know that it came out of a small
Speaker:I would have thought it went all over the cup
Speaker:well sometimes you have to look where you're aiming
Speaker:this is incredible could you stand up and pee
Speaker:why don't women stand up and pee
Speaker:because it hits the ground and splatters
Speaker:it'll go to our legs but what about on the toilet
Speaker:yeah I guess I
Speaker:could
Speaker:I have you stand up and the toilet was really gross
Speaker:you heard it here first guys
Speaker:what I just never knew that
Speaker:the splatter is why we don't stand up and pee
Speaker:because you arch with your penis
Speaker:so the urine trajectory is farther
Speaker:so when you're urinating outside
Speaker:it won't get to your feet
Speaker:but us we can't art no
Speaker:I I meant like
Speaker:why no urinals in the women's room
Speaker:cause they're filthy you could use one though
Speaker:if you had to yeah
Speaker:well it had to be lower right
Speaker:cause you're aiming up yeah
Speaker:shorter so
Speaker:you know I need like a little
Speaker:all right there's kids ones
Speaker:did you know there's kids urinals
Speaker:in the men's bathroom
Speaker:did you know all men's bathrooms I could
Speaker:but I think the splatter factor would be worry some
Speaker:cause you also have to back up
Speaker:I can't do that right there
Speaker:but yeah I could
Speaker:when I'm peeing at a urinal
Speaker:and there's a guy right next to me
Speaker:and there's one of those dividers
Speaker:I like to look over at him and go God
Speaker:I hate these things and I tap the divider
Speaker:I'm curious
Speaker:what other things women do that you have no idea about
Speaker:and vice versa great question or anywhere
Speaker:hey listen everyone that was really gross
Speaker:hold that thought
Speaker:something you just said made me think of a question
Speaker:we did not get to today
Speaker:but next time what I'm afraid to ask
Speaker:we're gonna get into that
Speaker:that you almost just said things
Speaker:it's something that happens at women's bathroom
Speaker:or just women do
Speaker:things that women do we'll get into that
Speaker:and also there's a man who has a question
Speaker:I'm gonna read it to you
Speaker:and then we'll do it next time
Speaker:cause I find this fascinating
Speaker:I don't know what I did with it
Speaker:I lost his question basically it was a woman
Speaker:she basically said I have she said um
Speaker:my boyfriend will do this next time
Speaker:but she said my boyfriend got a hernia
Speaker:well touching himself and she said we're in
Speaker:we don't wanna tell the doctor that's what happened
Speaker:will the diagnosis be the same if we make up a story
Speaker:haha that was a question oh
Speaker:people like to laugh
Speaker:we're talking about someone afraid to ask
Speaker:that's a good topic
Speaker:coming up on the next episode of afraid to ask
Speaker:yeah and you know in Japan
Speaker:that there are some bars where you can go
Speaker:and a girl will just be really nice to you
Speaker:and I did it
Speaker:no sex no touching
Speaker:you paid a woman to be your friend
Speaker:I believe I did you actually paid her
Speaker:take me
Speaker:okay is it like a vending machine
Speaker:you get to select that one
Speaker:listen to me
Speaker:and then if you pay like the
Speaker:the low end ones and they only like kinda nice
Speaker:only laugh at some of your jokes
Speaker:I've never told anybody pay a ton of money
Speaker:she's like ho ho ho funny sky alive
Speaker:I've never been to this anyway
Speaker:I was in Japan
