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<v Speaker 1>In October of twenty twenty four, a man in Ohio

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<v Speaker 1>saw a skunk and his kitten ready to rumble. He

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<v Speaker 1>did what I think most of us would do. He

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<v Speaker 1>stepped in grabbed his cat, but in the process he

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<v Speaker 1>was scratched by the skunk. He didn't think much of

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<v Speaker 1>it as a scratch. He didn't seek medical treatment because again,

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<v Speaker 1>it was a scratch. However, weeks later he collapsed and

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<v Speaker 1>died from what appeared to be cardiac arrest. However, his

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<v Speaker 1>cause of death would be called into question only after

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<v Speaker 1>his organs were donated. I'm Danielle, I'm Megan, and this

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<v Speaker 1>is Off the Trails.

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<v Speaker 2>Yikes.

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<v Speaker 1>Yeah, so this episode's a little bit different than I

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<v Speaker 1>think any of the ones that we have previously. I

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<v Speaker 1>think we've done like a few animal encounter episodes, but

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<v Speaker 1>they're not usually our main jam.

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<v Speaker 3>Yeah, we've dabbled in it, and I know we have

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<v Speaker 3>a few in the queue that we want to cover

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<v Speaker 3>that are more animal related, animal encounter and attack related,

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<v Speaker 3>but we haven't done a whole lot that involved them.

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<v Speaker 2>Yeah.

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<v Speaker 1>So this topic came to the forefront of my brain

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<v Speaker 1>when we did our last headline episode, and I was

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<v Speaker 1>just like perusing headlines, and I happen to see like

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<v Speaker 1>several headlines like all over the country about this topic.

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<v Speaker 1>And I was like, all right, let me do a

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<v Speaker 1>little bit deeper dive. And since I wrote this episode

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<v Speaker 1>last week, I have now started reading a book about

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<v Speaker 1>the topic.

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<v Speaker 2>I have.

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<v Speaker 1>Disturbed my coworkers, probably deeply with facts that they didn't

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<v Speaker 1>ask for. Literally yesterday, I'm sharing all this information and

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<v Speaker 1>my friends started to back away towards his office and

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<v Speaker 1>I said, hey, hey, do not walk away.

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<v Speaker 2>I'm telling you something.

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<v Speaker 1>And he didn't want to listen to this, but I

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<v Speaker 1>made him, so now everyone can listen to some of

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<v Speaker 1>this information.

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<v Speaker 2>Well, I am intrigued and looking forward to it.

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<v Speaker 3>And you know what, like speaking of animals, yesterday I

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<v Speaker 3>was leaving and my neighbor waved me down, and I

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<v Speaker 3>was nervous because I was scared that, like I was

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<v Speaker 3>being a bad neighbor about something and she was going

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<v Speaker 3>to yell at me cold de yeah, and she just

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<v Speaker 3>wanted to let me know that she saw a coral

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<v Speaker 3>snake between our houses. And she's like, I know you

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<v Speaker 3>have a dog and a cat, and I just wanted

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<v Speaker 3>you to be aware that I saw him and he

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<v Speaker 3>like snuck away before I could, you know, before she

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<v Speaker 3>could do anything about it, which, of course, like I

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<v Speaker 3>don't want to inflict harm on any animals. And I

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<v Speaker 3>don't know how she wanted, how she wanted to address it.

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<v Speaker 4>But I.

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<v Speaker 3>Am a little unnerved now because you know, you never

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<v Speaker 3>want to know that there's like a venomous snake just

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<v Speaker 3>chilling in your yard.

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<v Speaker 2>No, definitely not. Yeah, I'm with you. I do not

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<v Speaker 2>like snakes at all. I don't want that snake in

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<v Speaker 2>my I don't want any snake in my yard. Uh

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<v Speaker 2>the other some snakes are good, though. Some snakes you

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<v Speaker 2>definitely want in your yard.

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<v Speaker 1>I know, but I don't not my guard. They can

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<v Speaker 1>be in my neighbor's yards, that's great and fine, just

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<v Speaker 1>not my yard.

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<v Speaker 2>For some reason, I was going down to my basement.

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<v Speaker 1>The other night to get ice out of the freezer,

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<v Speaker 1>and I thought to myself, as a walking down the

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<v Speaker 1>stairs for no reason, what if a snake got in

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<v Speaker 1>here and there's a snake down here when I go

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<v Speaker 1>down here?

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<v Speaker 2>Like, what why did I do? Why do I do

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<v Speaker 2>those things to myself?

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<v Speaker 1>There was not a snake down there, but I'm like,

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<v Speaker 1>what if I came down here and there's just a snake.

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<v Speaker 3>Your basement is like prime living for snakies.

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<v Speaker 1>It is because it's partially rock cement not not cement

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<v Speaker 1>rock foundation.

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<v Speaker 3>Yeah, it's it's yeah, it's like cool, it's it's dank

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<v Speaker 3>down there, like they would love it.

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<v Speaker 1>I think they would so hated that. But you know,

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<v Speaker 1>other than that, it's all right.

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<v Speaker 2>Love it. So as long as you're they're fine.

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<v Speaker 1>I will be purchasing you a ticket to fly up here.

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<v Speaker 1>If there's a snake in my basement so that you

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<v Speaker 1>can help get it out.

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<v Speaker 3>That's totally fine. I think you guys only have one

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<v Speaker 3>venomous snake in New Hampshire. I think that's correct, the timber,

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<v Speaker 3>the timber rattlesnake, I think right, Yes, very low population

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<v Speaker 3>though they're very far and view between up fair.

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<v Speaker 2>I don't want the snake in my house. I know

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<v Speaker 2>this is something that cute.

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<v Speaker 1>This is something I've totally made up in my mind

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<v Speaker 1>and inflicted upon myself.

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<v Speaker 2>But now I think about, I want to go into

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<v Speaker 2>my basement. What does a snake in here? Why?

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<v Speaker 3>I think also seeing them in their natural habitat is

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<v Speaker 3>one thing, but they're startling if they're somewhere that you're

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<v Speaker 3>not you're not anticipating them, in which I feel like

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<v Speaker 3>we've had this conversation before.

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<v Speaker 2>We have. Yeah, So all right.

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<v Speaker 1>So after James Martin, the gentleman that I spoke of

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<v Speaker 1>in the intro, died in December twenty twenty four, his

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<v Speaker 1>family honored his wishes of becoming an organ downer after

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<v Speaker 1>one of his kidneys went to a patient in Michigan.

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<v Speaker 1>Five weeks after the transplant, patient started to develop trumors.

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<v Speaker 1>They developed weakness, confusion, fever, which, obviously there can be

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<v Speaker 1>a lot of complications from a transplant surgery, infections, so

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<v Speaker 1>fever and some of these other things definitely can be

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<v Speaker 1>symptoms of a whole host of medical concerns. But then

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<v Speaker 1>he developed one telltale sign that told his doctors that

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<v Speaker 1>his symptoms weren't caused by any of these comment somewhat

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<v Speaker 1>expected complications from a transplant.

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<v Speaker 2>The man developed an extreme aversion to water. Oh weird, okay.

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<v Speaker 1>Yep, and he died fifty one days after receiving that

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<v Speaker 1>kidney transplant. So do you know what we're talking about today?

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<v Speaker 2>From the little I've given you, it would it be

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<v Speaker 2>a little bit of rabies? Correct? Correct.

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<v Speaker 1>It's one of the oldest and probably one of the

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<v Speaker 1>most misunderstood dangers that don't come at the intersection of

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<v Speaker 1>humans and wildlife interactions. And of course, because I took

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<v Speaker 1>this research way far, some of the earliest accounts of

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<v Speaker 1>rabies related symptoms at least goes back.

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<v Speaker 2>To nineteen thirty BCE. Oh so way back.

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<v Speaker 1>So in some documentation from Mesopotamia in nineteen thirty BCE,

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<v Speaker 1>so way back.

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<v Speaker 2>And I also.

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<v Speaker 1>Again just like really went into this too much, But

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<v Speaker 1>there is evidence that gives historians and folklore experts reason

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<v Speaker 1>to think that at least some of the accounts of

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<v Speaker 1>werewolves or even vampires, that those stories may actually be

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<v Speaker 1>related to cases of rabies.

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<v Speaker 2>Okay, I mean wearable things definitely make sense. The curse.

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<v Speaker 1>You get bit by a wolf and you have all

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<v Speaker 1>these terrible symptoms and end up dying. Yeah, I had

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<v Speaker 1>surface level knowledge of rabies before, but I think it's

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<v Speaker 1>a lot scarier and much closer to us than I

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<v Speaker 1>think a lot of us realize. I was like doing

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<v Speaker 1>the headlines research, and I saw articles about bats in

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<v Speaker 1>California testing positive, a raccoon in New York, a fox

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<v Speaker 1>in Maine, people being treated preventively after finding a bat

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<v Speaker 1>in their house. Just tons and tons of local headlines

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<v Speaker 1>from the past couple weeks or days, just very And

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<v Speaker 1>I don't know if I just happened to catch the

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<v Speaker 1>headlines at the right time where I just happened to

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<v Speaker 1>see them all together and it felt like a lot,

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<v Speaker 1>or if this is normal number of cases being reported.

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<v Speaker 3>I hate that there's such a strong correlation between bats

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<v Speaker 3>and rabies because they are so precious, you.

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<v Speaker 2>Know, bats are like my favorite.

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<v Speaker 1>Only four percent of bats test pust of four rabies

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<v Speaker 1>four percent.

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<v Speaker 2>Four percent, Okay, so yeah, not bad, right, But in the.

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<v Speaker 1>North America at least, the primary uh vector for rabies

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<v Speaker 1>to humans is bats.

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<v Speaker 2>Okay, even though it's all like four percent. So, but

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<v Speaker 2>there's a lot of bats, you know, yeah, lots of bats.

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<v Speaker 1>So before we get into a few of the cases,

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<v Speaker 1>I think we need to kind of talk about rabi's basics,

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<v Speaker 1>because without understanding what rabies actually is and what it

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<v Speaker 1>does to the body, I don't think people get the

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<v Speaker 1>full impact of the virus. As a virus, rabies has

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<v Speaker 1>one job, and that's to get to the brain. It

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<v Speaker 1>gets in through a bite or a scratch or It

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<v Speaker 1>can be contact with any kind of mucous membrane like nose, eyes, mouths,

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<v Speaker 1>any of those places you don't want viruses, or probably

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<v Speaker 1>any interaction with animals.

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<v Speaker 3>Those body parts all sound way better when they're not

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<v Speaker 3>referred to as mucous membranes.

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<v Speaker 2>I know, I know.

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<v Speaker 1>So once the virus gets in your body, it travels

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<v Speaker 1>differently than other viruses do most viruses. They get into

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<v Speaker 1>your bloodstream and then circulate Rabi's It travels through your

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<v Speaker 1>nerves up to your central nervous system. Its goal is

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<v Speaker 1>your brain, and I think one of the scarier things

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<v Speaker 1>that I didn't know about is incubation period. It can

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<v Speaker 1>be anywhere from a few weeks to several months, possibly

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<v Speaker 1>even longer. The longest from contact to symptoms appearing that

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<v Speaker 1>has been recorded at least is almost five years. So

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<v Speaker 1>someone had an interaction with something five years before they

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<v Speaker 1>develop symptoms.

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<v Speaker 3>And that makes it so much more difficult to pinpoint

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<v Speaker 3>the cause of these symptoms someone is having, because how

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<v Speaker 3>do you say, like, oh, you know what, I was

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<v Speaker 3>exposed to a bat five years ago, So that is

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<v Speaker 3>probably why I'm experiencing what I'm experiencing right now. I

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<v Speaker 3>imagine makes it very challenging to sometimes determine like why

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<v Speaker 3>someone is having the symptoms they're having and where it

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<v Speaker 3>came from.

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<v Speaker 1>Right to be like, oh, yeah, twelve hundred days ago,

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<v Speaker 1>I had an interaction with a bat.

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<v Speaker 2>I forgot to mention that, right, or you know, a bat.

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<v Speaker 2>I feel like a bat stands out.

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<v Speaker 3>I mean a lot of animals that you don't typically

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<v Speaker 3>interact with or touch, they do stand out. Like if

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<v Speaker 3>if I pet a raccoon, I'd probably mark that in

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<v Speaker 3>my calendar.

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<v Speaker 2>And you know what I mean.

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<v Speaker 3>Like yeah, exactly, like oh my gosh, Like on May twelfth,

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<v Speaker 3>I pet a raccoon and it was wonderful. But you know,

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<v Speaker 3>skunks and all of that, like kind of in your intro.

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<v Speaker 3>It's just that does stand out, but it's it would

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<v Speaker 3>still be difficult to make that connection when so much time.

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<v Speaker 1>Four or five years later, Yeah, I mean even even

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<v Speaker 1>a couple of months later. Yeah, I don't remember what

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<v Speaker 1>I wore or eight or did yesterday, So it might

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<v Speaker 1>be tough to remember what caused these symptoms years down

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<v Speaker 1>the line or months even. Yeah, and during the incubation time,

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<v Speaker 1>the virus is completely silent that entire time, so there's

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<v Speaker 1>no symptoms, no warning until it reaches the brain.

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<v Speaker 2>Then the first.

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<v Speaker 1>Symptoms look like it could be a variety of health issues.

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<v Speaker 2>Its fever, headache, fatigue.

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<v Speaker 1>People might experience in tingling or discomfort at the original

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<v Speaker 1>wound site, and I assume that that would.

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<v Speaker 2>Be if it was a shorter incubation period.

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<v Speaker 1>I don't know that if people are getting symptomes like

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<v Speaker 1>months down the line, that they still have that tingling

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<v Speaker 1>sensation near the wound.

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<v Speaker 2>Maybe they do, I don't know. And this is called

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<v Speaker 2>the prodomal phase, when.

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<v Speaker 1>The body just feels like a vague sense of something

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<v Speaker 1>not being right, like people just don't feel great. They

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<v Speaker 1>don't really have a reason or explanation, which's like I'm

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<v Speaker 1>feeling kind of crappy, not feeling good, and very quickly

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<v Speaker 1>things get worse from there.

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<v Speaker 2>In about eighty percent of.

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<v Speaker 1>Cases, it's what's called furious races.

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<v Speaker 2>Furious rabies develops. You get agitation, confusion, hallucinizations. I don't

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<v Speaker 2>know why I was trying to put a Z in

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<v Speaker 2>hallucin Isn't it just hallucinations, right? But I was trying

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<v Speaker 2>to put a Z in it. I don't know why

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<v Speaker 2>add an extra syllable with the z hallucinizations.

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<v Speaker 1>Yeah, bizarre behavior. Eventually, saliva production increases dramatically, so that's

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<v Speaker 1>where you get like the frothing at the mouth symptom.

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<v Speaker 1>And then there's the hydrophobia or the fear of water,

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<v Speaker 1>which is very extremely unique to Raby's infections.

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<v Speaker 2>That's wild.

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<v Speaker 1>The virus affects the part of the brain that controls

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<v Speaker 1>swallowing and breathing, So when victims are attempting to drink,

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<v Speaker 1>the muscles in the throat literally go into a spasm.

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<v Speaker 2>They're physically not able to ingest any liquid.

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<v Speaker 1>That's those spasms cause choking and the sensation of just

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<v Speaker 1>sheer panic and fear. And in some cases, I's gonna say,

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<v Speaker 1>in severe cases. I think any case of rabies is severe.

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<v Speaker 1>So just any case of rabies people can even experience,

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<v Speaker 1>just hearing or seeing water or liquid even can trigger

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<v Speaker 1>that intense panic. The remaining twenty percent of victims infected

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<v Speaker 1>develop what's called paralytic rabies, and this starts with paralysis

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<v Speaker 1>at the wound site and then spreads upward through the

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<v Speaker 1>body towards the brain. This version is slower and I

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<v Speaker 1>guess less dramatic than you know, the symptoms I just described,

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<v Speaker 1>but ultimately it's still traveling towards the brain and it's

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<v Speaker 1>going to be the same outcome both forms and in coma,

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<v Speaker 1>usually within two to three days of coma onset is

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<v Speaker 1>when death occurs. The total window of time from when

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<v Speaker 1>symptoms first appear to death is almost never more than

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<v Speaker 1>two weeks, so once people show symptoms, it's very quickly

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<v Speaker 1>resulting in death. And once symptoms appear, rabies is considered

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<v Speaker 1>universally fatal, not mostly fatal. Universally fatal, Approximately fifty nine

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<v Speaker 1>thousand people die every year from it globally. Most of

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<v Speaker 1>those deaths occur in Asia and Africa, and in those

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<v Speaker 1>areas it is mostly from dog bites. So in those

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<v Speaker 1>areas there are a lot more stray dogs, almost it spared,

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<v Speaker 1>but that's not stray dogs, just extra dogs I mean,

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<v Speaker 1>which I guess kind of is true as well.

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<v Speaker 2>Yeah, spare stray.

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<v Speaker 1>Dogs, you know, and they are obviously not vaccinated, and

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<v Speaker 1>the risk of dogs in those areas of the world

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<v Speaker 1>having radies is much higher. In the United States, we've

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<v Speaker 1>gotten the number of deaths down to one to three

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<v Speaker 1>a year, so very low, and Canada has only seen

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<v Speaker 1>twenty eight human cases since nineteen twenty four, so at

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<v Speaker 1>least in North America, cases are very low, luckily, but

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<v Speaker 1>no matter where you are, once you see those symptoms,

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<v Speaker 1>death is coming. It doesn't It doesn't matter if you

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<v Speaker 1>have access to the best healthcare or no healthcare, you

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<v Speaker 1>are very likely going to die. The number of people

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<v Speaker 1>who have ever survived is so slim that with a

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<v Speaker 1>tiny amount arounding statistically, it still makes it one hundred

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<v Speaker 1>percent fatal. And like I said earlier, in the United

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<v Speaker 1>States and Canada, bats are primarily responsible for the majority

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<v Speaker 1>of human rabies cases, So not those raccoons, not foxes,

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<v Speaker 1>not skunks, not dogs like other parts of the world.

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<v Speaker 2>Even though like all of those animals can and do

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<v Speaker 2>carry rabies here, bats.

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<v Speaker 1>Are the primary concern here, and most bat bites are tiny.

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<v Speaker 2>If you're ever bitten while sleeping, apparently.

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<v Speaker 1>You might never know, like a bat could chomp on

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<v Speaker 1>you and you're gonna sleep right through it.

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<v Speaker 2>Maybe I don't know that I would, but I don't know.

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<v Speaker 1>I wake up on America sleeper like you might just

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<v Speaker 1>note that it happened. Yeah, their teeth are small enough

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<v Speaker 1>that it's not going to wake the average person at least,

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<v Speaker 1>and these bites aren't going to leave a visible mark,

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<v Speaker 1>you know, especially if you don't know anything happened.

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<v Speaker 2>You're not looking for anything.

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<v Speaker 1>So if you see a little red spot on your skin,

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<v Speaker 1>you're not thinking about it at all.

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<v Speaker 2>Probably it's not a dramatic puncture wound. It's like invisible.

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<v Speaker 1>So because of that, the CDC has a recommendation which

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<v Speaker 1>I did not know about until getting into this rabies research,

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<v Speaker 1>that if you happen to wake up and there's a

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<v Speaker 1>bat in your room, you should assume that you have

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<v Speaker 1>been exposed to rabies and seek medical attention immediately.

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<v Speaker 2>And this freaks me out so much because.

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<v Speaker 1>There have been several bats in the house that I

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<v Speaker 1>grew up in. In my bedroom growing up, there were

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<v Speaker 1>several occasions where I woke up and there was a

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<v Speaker 1>bat in my room, including May twenty ninth of twenty sixteen.

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<v Speaker 1>Because I went into my camera role, I was like, oh, yeah,

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00:20:10.480 --> 00:20:12.039
<v Speaker 1>I know that there was a bat in my room.

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00:20:12.079 --> 00:20:16.039
<v Speaker 1>When I was living at my baron's house and I

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<v Speaker 1>found the picture of an adorable bat just hanging on

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<v Speaker 1>the back of my bedroom door, and my son was

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00:20:24.920 --> 00:20:29.079
<v Speaker 1>about eight months old at the time, and he was

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00:20:29.200 --> 00:20:34.559
<v Speaker 1>clapping as the bat was flying around the room, So

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<v Speaker 1>you know, now, ten years later, I'm like, oh my god,

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00:20:38.119 --> 00:20:40.119
<v Speaker 1>we should have gone to the emergency room.

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<v Speaker 2>See.

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<v Speaker 3>But this is why this is educational, so that, yes,

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00:20:45.680 --> 00:20:51.160
<v Speaker 3>other people can hopefully take something away from this episode.

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<v Speaker 2>Yep.

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<v Speaker 1>And when I was looking for that bat picture, I

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00:20:54.319 --> 00:20:57.200
<v Speaker 1>also found another random close up of a bat in

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<v Speaker 1>a tree that I took, and I'm like, I don't

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<v Speaker 1>even remember this, but why am I so close.

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<v Speaker 2>To all these bats?

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<v Speaker 1>So obviously I did not have proper rabies fear up

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<v Speaker 1>until now. So just so anyone else is aware, especially

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<v Speaker 1>if you live in an old house.

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<v Speaker 2>Or you know a cave, a cave.

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<v Speaker 1>Perhaps there was even a time where a baby bat

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<v Speaker 1>somehow got in the basement of my parents' house and I.

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<v Speaker 2>Did work love, but I.

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<v Speaker 1>Scooped it up and I put it in a box,

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00:21:31.079 --> 00:21:35.160
<v Speaker 1>and I called a bunch of wildlife rehab or rescue places,

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00:21:35.200 --> 00:21:37.400
<v Speaker 1>and a lot of places this should have been a

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<v Speaker 1>trigger moment for me. A lot of places won't take

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00:21:40.440 --> 00:21:44.119
<v Speaker 1>them because of the risk of rabies, and I was like, Okay,

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<v Speaker 1>well someone's gonna take this baby bat.

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<v Speaker 2>You're like, I guess I'm your mommy, now right.

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<v Speaker 1>Eventually I did get my nephew's uncle. He does humane

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<v Speaker 1>like animal removal, so he came and took the baby

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00:22:01.480 --> 00:22:05.359
<v Speaker 1>bat and got the baby bat to a point where

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00:22:05.519 --> 00:22:07.079
<v Speaker 1>he could release the baby bat.

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<v Speaker 2>But that's incredible.

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<v Speaker 1>Typically rehabs and things of that nature, they typically do

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<v Speaker 1>not take bats because of the high rabies risk. Okay,

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<v Speaker 1>because these interactions with the bat or the you know,

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00:22:24.880 --> 00:22:30.279
<v Speaker 1>physical contact with the bat result in nothing of note. Really,

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<v Speaker 1>many cases of human raby death deaths in the US

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<v Speaker 1>the person didn't even realize they'd been exposed, or you know,

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<v Speaker 1>just dismissed the interaction because they didn't feel a bite

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<v Speaker 1>or scratch or anything like that. There was recently a

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<v Speaker 1>woman in Wyoming who woke up with a bat in

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<v Speaker 1>her room, as I have, my parents have on several occasions,

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<v Speaker 1>at least I won't say many several occasions, and for

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<v Speaker 1>this woman, the bat was gone by the morning. She

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00:23:06.240 --> 00:23:10.079
<v Speaker 1>didn't seek treatment, and she ended up dying of rabies,

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<v Speaker 1>oh my goodness. And more than two dozen people who

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<v Speaker 1>had contact with her during her illness then had to

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<v Speaker 1>be evaluated and treated. And most of these treatments are

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<v Speaker 1>preventative because again, once you have symptoms, it's too late.

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<v Speaker 1>So anyone who is receiving the rabies vaccine or treatment,

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<v Speaker 1>it is out of an abundance of caution.

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<v Speaker 2>Typically.

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<v Speaker 1>There was another woman in South Carolina who found a

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<v Speaker 1>bat again in her bedroom. She shook it out through

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<v Speaker 1>the window and she decided she really hadn't had direct

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<v Speaker 1>contact with it.

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<v Speaker 2>She also didn't seek treatment. She did end up calling.

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<v Speaker 1>A bat removal service because I'm guessing she assumed that

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<v Speaker 1>that's were living in the eaves of her house or

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<v Speaker 1>the chimney or something of that nature, and she didn't

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<v Speaker 1>want a bat inside her house again, which is reasonable.

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<v Speaker 1>But in this interaction with the removal service, they didn't

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<v Speaker 1>mention the risk of rabies to her. And I don't

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<v Speaker 1>know if she didn't tell them that the bat there

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<v Speaker 1>was a bat inside her home and that what prompted

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<v Speaker 1>this call, but it sounds like there was no oh, hey,

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00:24:35.720 --> 00:24:40.039
<v Speaker 1>you probably should seek medical treatment after that, and this

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<v Speaker 1>woman also ended up dying.

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<v Speaker 2>You're unlocking a new fear. Thank you so much.

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<v Speaker 3>I you know, I go through my days saying, Megan,

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<v Speaker 3>you don't have enough anxiety. I think you should find

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00:24:50.880 --> 00:24:55.079
<v Speaker 3>things to be anxious about. And you've delivered. Thank you,

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00:24:54.680 --> 00:25:00.440
<v Speaker 3>You're welcome. So you know, these were not reckless people

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00:25:00.599 --> 00:25:03.640
<v Speaker 3>in anyway. They were literally sleeping in their own.

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<v Speaker 4>Homes, and they just assumed that if they had been

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00:25:07.960 --> 00:25:11.359
<v Speaker 4>bitten or scratched that they would have known, which again

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00:25:11.400 --> 00:25:14.759
<v Speaker 4>I think is an assumption that most people would make, like, oh,

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00:25:14.839 --> 00:25:18.559
<v Speaker 4>I don't have any visible wounds, I don't have bleeding,

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00:25:18.640 --> 00:25:20.359
<v Speaker 4>I don't I didn't feel anything.

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<v Speaker 1>So I think that's an easy assumption to make that

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00:25:25.480 --> 00:25:29.319
<v Speaker 1>you were not in contact with the bad enough. Yeah,

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00:25:29.359 --> 00:25:32.599
<v Speaker 1>and again, any of those women could have been be

397
00:25:33.119 --> 00:25:36.960
<v Speaker 1>or my family, because you know, we just opened the window,

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00:25:37.119 --> 00:25:39.359
<v Speaker 1>got the bat out. I think one time my dad

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00:25:39.400 --> 00:25:41.599
<v Speaker 1>like had broom and shoot it out. Now I'm like,

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00:25:41.680 --> 00:25:47.839
<v Speaker 1>we are psychos, just bat handling. Oh god, I feel

401
00:25:47.880 --> 00:25:51.240
<v Speaker 1>lucky to be alive. Actually, I'm gonna tell them. I'm

402
00:25:51.240 --> 00:25:52.920
<v Speaker 1>going to have a discussion with my mom later. I

403
00:25:52.920 --> 00:25:57.839
<v Speaker 1>don't think she's aware of these bat uh concerns.

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00:25:59.440 --> 00:26:02.319
<v Speaker 3>I'll just send her this episode and like, you take

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<v Speaker 3>an extra hard listen to this one.

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00:26:04.000 --> 00:26:06.519
<v Speaker 2>Okay, Yeah, next, some is a bat in your house.

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00:26:06.599 --> 00:26:07.799
<v Speaker 2>Evacuate please.

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00:26:08.599 --> 00:26:13.359
<v Speaker 1>Bats currently carry Raby's in every US state except Hawaii.

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00:26:14.799 --> 00:26:17.559
<v Speaker 2>And my love for bats has not changed.

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00:26:18.079 --> 00:26:24.000
<v Speaker 1>And most bats are completely healthy and they're enormously beneficial

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00:26:24.839 --> 00:26:30.519
<v Speaker 1>for the environment and ecologically. So we're not bat shaving,

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00:26:30.599 --> 00:26:34.960
<v Speaker 1>we're not giving shade to bats, but we do.

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00:26:35.240 --> 00:26:38.119
<v Speaker 2>And a bat outside doing bat things in the sky

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00:26:38.799 --> 00:26:41.240
<v Speaker 2>not a concern. We love it. We're here for it.

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00:26:42.079 --> 00:26:46.759
<v Speaker 3>Like bath houses like we want them around. We love them.

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00:26:46.880 --> 00:26:52.759
<v Speaker 1>But I actually I have on my cabinet rate above

417
00:26:53.279 --> 00:26:56.720
<v Speaker 1>where my computer is. I have they wore Halloween bats

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00:26:56.759 --> 00:26:58.799
<v Speaker 1>actually from two years ago when when you were here

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00:26:59.039 --> 00:27:01.400
<v Speaker 1>and we put the bats up all over. Well, those

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00:27:01.400 --> 00:27:03.359
<v Speaker 1>two are still on my cabinet, just a year round.

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00:27:03.960 --> 00:27:09.079
<v Speaker 1>I'd love bats, but real bats inside your dwelling are

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00:27:09.119 --> 00:27:15.079
<v Speaker 1>a different situation than the general bat environment outside. The

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00:27:15.920 --> 00:27:23.519
<v Speaker 1>Post exposure prophylaxis or PEP is a series of four

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00:27:23.640 --> 00:27:28.880
<v Speaker 1>vaccines shots given over two weeks, and if you get

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00:27:28.880 --> 00:27:32.480
<v Speaker 1>it before symptoms start, it works pretty much one hundred

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<v Speaker 1>percent of the time. So if you get these preventative vaccines,

427
00:27:38.200 --> 00:27:42.240
<v Speaker 1>you're pretty much in the clear. If you don't and

428
00:27:42.359 --> 00:27:47.079
<v Speaker 1>you develop symptoms, you are pretty much guaranteed to die.

429
00:27:47.400 --> 00:27:52.079
<v Speaker 1>And if you interact with the bat, there's a ninety

430
00:27:52.119 --> 00:27:55.680
<v Speaker 1>six percent of the time that that bat does not have.

431
00:27:55.720 --> 00:27:57.119
<v Speaker 2>Rabies and there's no risk.

432
00:27:57.960 --> 00:28:00.720
<v Speaker 1>But if you don't seek medical treatment and that bat

433
00:28:00.799 --> 00:28:05.720
<v Speaker 1>happened to fall in the other four percent does have rabies,

434
00:28:07.000 --> 00:28:10.759
<v Speaker 1>it is very likely that if you were scratched or bitten,

435
00:28:11.519 --> 00:28:12.839
<v Speaker 1>you were going to die.

436
00:28:12.880 --> 00:28:15.920
<v Speaker 2>Not to be dramatic, but it's very it's pretty dramatic.

437
00:28:16.279 --> 00:28:17.599
<v Speaker 2>I mean, it's statistics.

438
00:28:17.720 --> 00:28:22.440
<v Speaker 1>It's correct. I'm about those numbers, you know it. In

439
00:28:22.480 --> 00:28:26.359
<v Speaker 1>September of two thousand and four, in Wisconsin, a fifteen

440
00:28:26.440 --> 00:28:31.119
<v Speaker 1>year old girl named Jenna Geiss was at church with

441
00:28:31.200 --> 00:28:34.720
<v Speaker 1>her family and during the service, a that was flying

442
00:28:35.319 --> 00:28:39.759
<v Speaker 1>inside the church and one of the ushers kind of

443
00:28:39.759 --> 00:28:46.440
<v Speaker 1>like swatted it down. And Jenna was an animal lover.

444
00:28:47.079 --> 00:28:50.480
<v Speaker 1>She asked hermage, like, hey, can I take this bat outside?

445
00:28:50.680 --> 00:28:50.839
<v Speaker 1>You know?

446
00:28:50.880 --> 00:28:52.599
<v Speaker 2>Her mom was like, yeah, sure, I guess.

447
00:28:53.079 --> 00:28:56.240
<v Speaker 1>So as she carried the bat outside, it bit her

448
00:28:56.279 --> 00:29:00.000
<v Speaker 1>on her index finger. She did feel it because obviously

449
00:29:00.039 --> 00:29:02.440
<v Speaker 1>she's looking right at her hand, I'm sure, and it

450
00:29:02.519 --> 00:29:05.400
<v Speaker 1>hurd for a minute, but that was kind.

451
00:29:05.279 --> 00:29:05.960
<v Speaker 2>Of it, you know.

452
00:29:06.039 --> 00:29:09.480
<v Speaker 1>She went home, she washed her hand, she treated it

453
00:29:09.519 --> 00:29:12.240
<v Speaker 1>with the hydrogen peroxide, and that was kind of it.

454
00:29:12.680 --> 00:29:18.240
<v Speaker 1>Her family didn't realize the danger associated with bat bites

455
00:29:18.319 --> 00:29:23.480
<v Speaker 1>or interactions, and they didn't seek medical attention. Thirty seven

456
00:29:23.559 --> 00:29:28.720
<v Speaker 1>days later, Jenna started to develop symptoms, tremors, trouble walking.

457
00:29:29.400 --> 00:29:31.759
<v Speaker 1>She was quickly admitted to the hospital and she was

458
00:29:32.279 --> 00:29:38.279
<v Speaker 1>eventually transferred to the Children's Hospital of Wisconsin. And that's

459
00:29:38.319 --> 00:29:44.440
<v Speaker 1>when doctor's there started to have their suspicion and they

460
00:29:44.480 --> 00:29:48.000
<v Speaker 1>asked her family about animal exposure, and that's when her

461
00:29:48.000 --> 00:29:51.920
<v Speaker 1>mom was like, oh, yeah, there was a bat in

462
00:29:52.119 --> 00:29:56.079
<v Speaker 1>church just over a month ago. Soon the CDC was

463
00:29:56.079 --> 00:30:00.880
<v Speaker 1>able to confirm that it was Rady's and Jenna's death

464
00:30:01.000 --> 00:30:07.720
<v Speaker 1>was statistically a certainty. At this point, there were no

465
00:30:07.880 --> 00:30:13.720
<v Speaker 1>known survivors of symptomatic rabies in patients who had not

466
00:30:13.799 --> 00:30:19.839
<v Speaker 1>been vaccinated beforehand. Obviously, people who frequently interact with animals

467
00:30:19.880 --> 00:30:25.240
<v Speaker 1>of all kinds like vets, ranchers, you know, people work

468
00:30:25.480 --> 00:30:31.599
<v Speaker 1>day to day with animals. They're typically getting vaccinations in advance,

469
00:30:31.640 --> 00:30:35.880
<v Speaker 1>probably as you know, just a routine vaccine schedule.

470
00:30:36.039 --> 00:30:40.640
<v Speaker 2>But the rest of us are not being annually.

471
00:30:40.279 --> 00:30:43.359
<v Speaker 1>Vaccinated for rabies like we take our pets to be,

472
00:30:43.680 --> 00:30:46.599
<v Speaker 1>or should be. Everyone should be doing that. A pediatric

473
00:30:46.720 --> 00:30:53.720
<v Speaker 1>infectious disease specialist named doctor Rodney Willoughby had a theory

474
00:30:54.400 --> 00:31:00.960
<v Speaker 1>rabies doesn't actually destroy brain tissue. The brain is largely

475
00:31:01.200 --> 00:31:05.440
<v Speaker 1>physically left intact. It's not like it's physically attacking the brain.

476
00:31:05.480 --> 00:31:12.440
<v Speaker 1>If that makes sense. Yeah, it's basically all neurological disruption.

477
00:31:12.640 --> 00:31:18.039
<v Speaker 1>The brain becomes overwhelmed rather than physically destroyed. So this

478
00:31:18.160 --> 00:31:24.279
<v Speaker 1>doctor proposed putting Jenna in a medically induced coma. The

479
00:31:24.359 --> 00:31:28.839
<v Speaker 1>hope was that it would slow brain function to a minimum,

480
00:31:28.880 --> 00:31:33.960
<v Speaker 1>perhaps buying enough time for her own immune system to

481
00:31:34.079 --> 00:31:38.960
<v Speaker 1>kick in and fight the virus in combination with you know,

482
00:31:39.039 --> 00:31:42.599
<v Speaker 1>anti viral medications and things that they were trying. There

483
00:31:42.640 --> 00:31:48.559
<v Speaker 1>is no widely accepted rabia's treatment protocol currently. Obviously, if

484
00:31:48.599 --> 00:31:52.720
<v Speaker 1>you have symptoms, they're going to try a whole host

485
00:31:52.759 --> 00:31:55.559
<v Speaker 1>of things. But the expectation is that once you have symptoms,

486
00:31:56.039 --> 00:31:59.440
<v Speaker 1>it's too late. But against the odds, within seven days

487
00:31:59.519 --> 00:32:03.839
<v Speaker 1>of this medically induced coma, the virus was gone from

488
00:32:03.880 --> 00:32:08.000
<v Speaker 1>her system. Two weeks later they brought her out of

489
00:32:08.359 --> 00:32:12.599
<v Speaker 1>this medically induced coma and they were not sure what

490
00:32:12.640 --> 00:32:15.880
<v Speaker 1>the prognosis was going to be. Yes, there was no

491
00:32:15.920 --> 00:32:20.799
<v Speaker 1>longer evidence of the virus in her body. But this

492
00:32:21.000 --> 00:32:25.400
<v Speaker 1>was unprecedented territory, so they had no idea. Was she

493
00:32:25.559 --> 00:32:31.480
<v Speaker 1>going to be mentally physically functional. They didn't know, but

494
00:32:31.720 --> 00:32:35.480
<v Speaker 1>they brought her out of the coma and she woke up.

495
00:32:35.960 --> 00:32:39.640
<v Speaker 1>This process of the medically induced coma became known as

496
00:32:39.680 --> 00:32:41.440
<v Speaker 1>the Milwaukee protocol.

497
00:32:42.079 --> 00:32:43.799
<v Speaker 2>Her recovery was not easy.

498
00:32:44.359 --> 00:32:48.279
<v Speaker 1>Her brain had swelled and her body took a lot

499
00:32:48.279 --> 00:32:52.240
<v Speaker 1>of damage. She spent seventy six days in the hospital

500
00:32:52.559 --> 00:32:58.000
<v Speaker 1>and ultimately needed extensive physical and occupational therapy to just

501
00:32:58.240 --> 00:33:02.960
<v Speaker 1>relearn basic functions. But she did end up graduating high

502
00:33:02.960 --> 00:33:05.880
<v Speaker 1>school the honors. She went on to go to college,

503
00:33:06.160 --> 00:33:10.440
<v Speaker 1>and you know, ultimately was able to live a pretty

504
00:33:10.559 --> 00:33:15.680
<v Speaker 1>normal life. She said, she still loves bats, so she

505
00:33:15.680 --> 00:33:20.279
<v Speaker 1>doesn't blame the bat. And although this medical protocol worked

506
00:33:20.319 --> 00:33:26.240
<v Speaker 1>for her, there have been variations attempted on dozens of

507
00:33:26.319 --> 00:33:32.160
<v Speaker 1>other symptomatic rabies patients worldwide since two thousand and four,

508
00:33:34.000 --> 00:33:37.920
<v Speaker 1>but they all have still died. There are few who

509
00:33:39.400 --> 00:33:46.400
<v Speaker 1>did survive, but there's some controversy over if they truly had.

510
00:33:48.240 --> 00:33:48.839
<v Speaker 2>Rabies.

511
00:33:49.519 --> 00:33:52.559
<v Speaker 1>I guess there's some CONTROVERSI who are like, oh, like,

512
00:33:52.680 --> 00:33:56.759
<v Speaker 1>were they really experienced in symptoms or you know, had

513
00:33:56.799 --> 00:34:00.720
<v Speaker 1>they been exposed not got that initial treatment and then

514
00:34:01.559 --> 00:34:06.359
<v Speaker 1>at some point sought treatment, but truly the raby symptoms

515
00:34:06.359 --> 00:34:07.519
<v Speaker 1>hadn't kicked in, if.

516
00:34:07.359 --> 00:34:08.159
<v Speaker 2>That makes sense.

517
00:34:08.679 --> 00:34:14.480
<v Speaker 3>Yeah, Like, were they actually cured of this or were

518
00:34:14.480 --> 00:34:18.679
<v Speaker 3>had they already sort of dodged a bullet per se, right.

519
00:34:18.679 --> 00:34:22.199
<v Speaker 1>Or had it not actually progressed to where the symptoms

520
00:34:22.800 --> 00:34:24.039
<v Speaker 1>were fatal?

521
00:34:24.800 --> 00:34:25.239
<v Speaker 2>Yeah?

522
00:34:25.599 --> 00:34:30.239
<v Speaker 1>Pretty much all of these people who did die, they

523
00:34:30.280 --> 00:34:32.880
<v Speaker 1>were they certainly had rabies. Some of these people who

524
00:34:34.079 --> 00:34:37.440
<v Speaker 1>survived variations of this protocol, It's like, well, did they

525
00:34:37.480 --> 00:34:39.440
<v Speaker 1>did they really qualify as having rabies?

526
00:34:39.519 --> 00:34:40.000
<v Speaker 2>I don't know.

527
00:34:40.960 --> 00:34:43.719
<v Speaker 1>And it's believed that it might have worked for Jenna

528
00:34:43.920 --> 00:34:48.239
<v Speaker 1>because of whatever the specific variant of the virus was.

529
00:34:48.239 --> 00:34:49.239
<v Speaker 2>It just happened.

530
00:34:48.880 --> 00:34:53.920
<v Speaker 1>To where are my words today?

531
00:34:54.480 --> 00:34:57.400
<v Speaker 2>I think you've been pretty good until now.

532
00:34:59.400 --> 00:35:04.360
<v Speaker 1>You know this, this particular variant was treatable with the

533
00:35:04.400 --> 00:35:08.920
<v Speaker 1>protocol that they used. Maybe this variant wasn't super aggressive.

534
00:35:09.719 --> 00:35:10.760
<v Speaker 2>And also she was.

535
00:35:10.719 --> 00:35:15.119
<v Speaker 1>Pretty young, so a lot of times the younger you are,

536
00:35:15.239 --> 00:35:18.480
<v Speaker 1>the more resilient our bodies are, and that may have

537
00:35:18.599 --> 00:35:23.400
<v Speaker 1>been a huge benefit for her that her body was

538
00:35:23.440 --> 00:35:28.079
<v Speaker 1>just young and kind of could get through that and recover.

539
00:35:28.679 --> 00:35:32.440
<v Speaker 1>But even the doctors involved in her treatment. They say

540
00:35:32.480 --> 00:35:35.280
<v Speaker 1>that there was a lot of luck in her surviving.

541
00:35:35.320 --> 00:35:39.599
<v Speaker 1>So even though made medical history, they were still like,

542
00:35:40.159 --> 00:35:42.639
<v Speaker 1>yeah this, I mean, we did a good job, but

543
00:35:42.760 --> 00:35:44.239
<v Speaker 1>it was mostly luck.

544
00:35:44.480 --> 00:35:45.880
<v Speaker 2>So we got lucky.

545
00:35:46.320 --> 00:35:50.960
<v Speaker 1>As of twenty twenty six, there is a slim number

546
00:35:51.000 --> 00:35:56.000
<v Speaker 1>of known rabist survivors in human history. Estimates I saw

547
00:35:56.079 --> 00:36:00.239
<v Speaker 1>were between twenty and forty five people. And that's like

548
00:36:00.360 --> 00:36:09.039
<v Speaker 1>in all of known history. And again, records of brabies

549
00:36:09.880 --> 00:36:13.480
<v Speaker 1>and brabies really symptoms go back to nineteen thirty BCE.

550
00:36:14.039 --> 00:36:17.280
<v Speaker 1>So for all of the cases of brabies that have

551
00:36:17.360 --> 00:36:20.559
<v Speaker 1>come since then, to have only.

552
00:36:22.119 --> 00:36:22.639
<v Speaker 2>Even if we.

553
00:36:22.599 --> 00:36:26.639
<v Speaker 1>Say fifty people worldwide survive, that's crazy.

554
00:36:27.519 --> 00:36:28.000
<v Speaker 2>Yeah, it is.

555
00:36:28.559 --> 00:36:32.679
<v Speaker 1>So let's go back to the organ donor case, the

556
00:36:32.840 --> 00:36:37.239
<v Speaker 1>Michigan man who never knew he had rabies until it

557
00:36:37.400 --> 00:36:39.480
<v Speaker 1>was Wait, was he from Michigan?

558
00:36:39.480 --> 00:36:39.840
<v Speaker 2>Hold on?

559
00:36:41.000 --> 00:36:44.519
<v Speaker 1>I wrote over here that he was from Idaho. The

560
00:36:44.519 --> 00:36:47.360
<v Speaker 1>intro says Idaho, and now I wrote Michigan down here.

561
00:36:47.800 --> 00:36:50.079
<v Speaker 2>I wonder where he's from. I think he's from Idaho.

562
00:36:51.320 --> 00:36:54.159
<v Speaker 2>It was a second. I'm sorry, I'm scrolling through. Okay, Oh,

563
00:36:54.159 --> 00:36:54.840
<v Speaker 2>you're fine.

564
00:36:55.119 --> 00:36:58.320
<v Speaker 1>Yes, the original person was from Idaho. The kidney went

565
00:36:58.360 --> 00:37:03.000
<v Speaker 1>to a man in Michigan, where where my own confusion

566
00:37:03.599 --> 00:37:09.039
<v Speaker 1>came from, So James Martin from Idaho. There were other

567
00:37:09.559 --> 00:37:14.119
<v Speaker 1>donors besides the man in Michigan who got the kidney,

568
00:37:15.000 --> 00:37:22.119
<v Speaker 1>who had received graphs weeks earlier and were not experiencing symptoms,

569
00:37:22.239 --> 00:37:27.639
<v Speaker 1>but one of the tissues' samples did end up test positive,

570
00:37:28.480 --> 00:37:29.840
<v Speaker 1>testing positive.

571
00:37:29.559 --> 00:37:35.280
<v Speaker 2>For rabies, and that case there was.

572
00:37:36.239 --> 00:37:39.760
<v Speaker 1>That case is the fourth documented instance of rabies being

573
00:37:39.800 --> 00:37:44.039
<v Speaker 1>transmitted through organ transplantation in the United States since nineteen

574
00:37:44.079 --> 00:37:50.519
<v Speaker 1>seventy eight. Going back to again two thousand and ar and,

575
00:37:51.000 --> 00:37:55.119
<v Speaker 1>a man from Arkansas died of what appeared to.

576
00:37:55.159 --> 00:37:56.360
<v Speaker 2>Be a brain hemorrhage.

577
00:37:56.880 --> 00:38:00.480
<v Speaker 1>He had no signs of rabies and they had reason

578
00:38:00.519 --> 00:38:06.199
<v Speaker 1>to even suspect it. His lungs, kidneys, liver were donated

579
00:38:06.840 --> 00:38:12.079
<v Speaker 1>and patients in Texas, Oklahoma, and Alabama received his organs well.

580
00:38:12.119 --> 00:38:16.800
<v Speaker 1>Then thirty days, three of those recipients developed inflammation of

581
00:38:16.840 --> 00:38:21.480
<v Speaker 1>the brain, and when they all saw their doctors and specialists,

582
00:38:22.320 --> 00:38:25.519
<v Speaker 1>they were like, we don't really know what's causing this inflammation.

583
00:38:26.239 --> 00:38:31.320
<v Speaker 1>They all started to rapidly decline. They lapsed into comas,

584
00:38:31.360 --> 00:38:37.800
<v Speaker 1>and eventually they would die. The fourth recipient did also die,

585
00:38:37.880 --> 00:38:41.760
<v Speaker 1>but they died of surgical complications, but based on the

586
00:38:41.800 --> 00:38:46.320
<v Speaker 1>fate of the other organ recipients, I think that this

587
00:38:46.360 --> 00:38:48.559
<v Speaker 1>person's fate would have been sealed either way.

588
00:38:49.079 --> 00:38:51.480
<v Speaker 2>That's awful. The medical teams.

589
00:38:51.159 --> 00:38:56.760
<v Speaker 1>Were baffled by these deaths, at least of the three

590
00:38:57.199 --> 00:39:01.760
<v Speaker 1>who died for unknown reasons, so they reached out to

591
00:39:01.840 --> 00:39:06.559
<v Speaker 1>the CDC and they quickly started looking back at the

592
00:39:06.679 --> 00:39:11.000
<v Speaker 1>organ donor and that's when they discovered that it was rabies.

593
00:39:11.440 --> 00:39:16.119
<v Speaker 1>The CDC called it the first known case of rabies

594
00:39:16.119 --> 00:39:22.519
<v Speaker 1>transmitted through organ donation in the US. WOW in twenty eleven,

595
00:39:23.000 --> 00:39:26.800
<v Speaker 1>it happened again. A twin year old Air Force recruit

596
00:39:27.000 --> 00:39:32.960
<v Speaker 1>died in Florida and it was undiagnosed rabies. His organs

597
00:39:33.199 --> 00:39:37.800
<v Speaker 1>went to trans went to recipients in four different states.

598
00:39:37.800 --> 00:39:43.440
<v Speaker 1>One of the kidney recipients died, and luckily, in this instance, the.

599
00:39:43.440 --> 00:39:45.599
<v Speaker 2>Cause was figured out pretty quickly.

600
00:39:45.840 --> 00:39:49.159
<v Speaker 1>I don't know how they determined that it was rabies

601
00:39:49.239 --> 00:39:52.400
<v Speaker 1>quickly in this case, but they were able to then

602
00:39:52.920 --> 00:39:57.920
<v Speaker 1>notify the other organ recipients and they were able to

603
00:39:58.320 --> 00:40:04.400
<v Speaker 1>receive post exposure treatment, so no one else died. And

604
00:40:04.679 --> 00:40:08.599
<v Speaker 1>obviously you're thinking, Okay, why aren't we screening for rabies

605
00:40:08.639 --> 00:40:10.119
<v Speaker 1>before we're transplanting organs.

606
00:40:10.159 --> 00:40:12.519
<v Speaker 2>There is all kinds.

607
00:40:12.280 --> 00:40:17.920
<v Speaker 1>Of testing that goes into screening donors and organs before transplantation.

608
00:40:18.840 --> 00:40:25.199
<v Speaker 1>But because rabies in humans is very rare, routine screening

609
00:40:25.280 --> 00:40:31.480
<v Speaker 1>just doesn't happen. Testing can be complex, and it takes

610
00:40:31.480 --> 00:40:36.719
<v Speaker 1>more time than is available. The majority of organ or

611
00:40:36.760 --> 00:40:40.440
<v Speaker 1>tissue transplants have to be done within a few hours

612
00:40:40.480 --> 00:40:44.960
<v Speaker 1>of the donor's death. So if there's no reason to

613
00:40:45.119 --> 00:40:50.880
<v Speaker 1>suspect that this person has died or been exposed to rabies.

614
00:40:51.039 --> 00:40:55.000
<v Speaker 2>They're not. It's not something we're they're looking for. Yeah.

615
00:40:55.159 --> 00:41:01.159
<v Speaker 3>Unfortunately, like you know, Elizabeth Holmes, as fraudulent as she was,

616
00:41:01.440 --> 00:41:05.679
<v Speaker 3>she had the right idea of just this all encompassing

617
00:41:05.880 --> 00:41:09.440
<v Speaker 3>like testing of just your you know, your blood sample

618
00:41:09.719 --> 00:41:14.440
<v Speaker 3>with all these this unlimited amount of things that they're

619
00:41:14.480 --> 00:41:19.039
<v Speaker 3>testing for, and as incredible and convenient as that would be,

620
00:41:19.119 --> 00:41:22.519
<v Speaker 3>it's just not realistic. So unless they have reason to

621
00:41:23.199 --> 00:41:28.480
<v Speaker 3>test for a specific concern, it's not practical to do so.

622
00:41:29.599 --> 00:41:36.960
<v Speaker 1>Right firsthand experience, you know, after my dad passed within

623
00:41:38.039 --> 00:41:41.920
<v Speaker 1>I think two hours, uh, you know, the hospital had

624
00:41:42.119 --> 00:41:46.519
<v Speaker 1>had called us and they were asking for permission for

625
00:41:46.679 --> 00:41:50.440
<v Speaker 1>him to be an organ or tissue donor. And first

626
00:41:50.440 --> 00:41:53.519
<v Speaker 1>of all, I can't imagine being having that job where

627
00:41:53.559 --> 00:41:57.559
<v Speaker 1>you call grieving families an hour or two after their

628
00:41:57.639 --> 00:42:00.679
<v Speaker 1>person has died and they're like, hey, you would love

629
00:42:00.719 --> 00:42:04.960
<v Speaker 1>their corneas, they look great. Are you willing to part

630
00:42:04.960 --> 00:42:08.719
<v Speaker 1>with them? So you know, these things have to be

631
00:42:08.760 --> 00:42:14.639
<v Speaker 1>done very quickly for the viability of the organs or

632
00:42:14.679 --> 00:42:20.840
<v Speaker 1>scan or whatever it is. And again, rabies kills around

633
00:42:21.559 --> 00:42:23.360
<v Speaker 1>fifty nine thousand people every year.

634
00:42:23.920 --> 00:42:27.239
<v Speaker 2>Ninety five percent of deaths.

635
00:42:26.159 --> 00:42:32.519
<v Speaker 1>Occur in Asia and Africa, with about thirty five percent

636
00:42:33.000 --> 00:42:36.480
<v Speaker 1>of that ninety five percent being attributed to deaths in India,

637
00:42:37.360 --> 00:42:40.679
<v Speaker 1>and almost all of those cases were transmitted from stray

638
00:42:40.760 --> 00:42:44.039
<v Speaker 1>dogs in those locations. But you know, it doesn't mean

639
00:42:44.079 --> 00:42:48.559
<v Speaker 1>that there's not risk elsewhere. But the risk in the

640
00:42:48.719 --> 00:42:55.360
<v Speaker 1>US is very low, and the chances that an organ

641
00:42:55.400 --> 00:42:59.199
<v Speaker 1>donor has rabies is very small, and there's just not

642
00:42:59.360 --> 00:43:03.039
<v Speaker 1>enough time to get those test results and have organs

643
00:43:03.039 --> 00:43:03.920
<v Speaker 1>be viable.

644
00:43:04.440 --> 00:43:06.400
<v Speaker 2>The primary carriers of rabies in.

645
00:43:06.400 --> 00:43:13.320
<v Speaker 1>The US and Canada are bats, followed by raccoons, skunks, foxes, coyotes.

646
00:43:14.480 --> 00:43:19.960
<v Speaker 1>Raccoon rabies seems to be recorded most along the eastern

647
00:43:20.039 --> 00:43:26.960
<v Speaker 1>coast and into the southeast US, and then also in Ontario,

648
00:43:27.079 --> 00:43:33.519
<v Speaker 1>Quebec and New Brunswick areas of Canada. Skunk I never realized,

649
00:43:33.559 --> 00:43:37.119
<v Speaker 1>like you know, certain populations of animals would have it

650
00:43:38.039 --> 00:43:40.880
<v Speaker 1>more frequently in different parts of the country.

651
00:43:41.400 --> 00:43:43.000
<v Speaker 2>Yeah, skunk rabies.

652
00:43:43.119 --> 00:43:50.039
<v Speaker 1>Is dominant in the Midwest and Central States and Saskatchewan, Manitoba,

653
00:43:50.079 --> 00:43:54.360
<v Speaker 1>and Ontario and Canada. Fox rabies is most common in

654
00:43:54.440 --> 00:43:58.239
<v Speaker 1>Alaska and northern areas in Canada and parts of Texas.

655
00:43:58.360 --> 00:44:02.039
<v Speaker 1>I was like, okay, like got North Loonata, Texas and Arizona,

656
00:44:02.199 --> 00:44:08.800
<v Speaker 1>and then bats everywhere except Hawaii potentially have rabies. Both

657
00:44:08.800 --> 00:44:13.920
<v Speaker 1>the US and Canadian governments have wildlife vaccination programs to

658
00:44:14.039 --> 00:44:20.320
<v Speaker 1>help vaccinate wild animals against rabies. So I think both

659
00:44:20.400 --> 00:44:24.880
<v Speaker 1>countries really do a good job of educating pet owners

660
00:44:25.440 --> 00:44:30.920
<v Speaker 1>to get their pets vaccinate, vaccine, to get their pets vaccinated.

661
00:44:31.360 --> 00:44:33.840
<v Speaker 2>I think in most states it's.

662
00:44:33.840 --> 00:44:37.639
<v Speaker 1>The law you have to have your pets vaccinated. I

663
00:44:37.679 --> 00:44:42.159
<v Speaker 1>think most vets offices like, if you want to be

664
00:44:42.199 --> 00:44:46.239
<v Speaker 1>a patient of theirs, you have to have your pets

665
00:44:46.920 --> 00:44:50.519
<v Speaker 1>vaccinated at least against rabies if nothing else. So these

666
00:44:51.599 --> 00:44:56.000
<v Speaker 1>wildlife vaccination programs are basically oral medications are added to

667
00:44:57.119 --> 00:45:01.760
<v Speaker 1>like a fish meal coated packet, and then they're dropped

668
00:45:01.760 --> 00:45:08.960
<v Speaker 1>from planes or in less rural areas. The medication food

669
00:45:09.039 --> 00:45:12.960
<v Speaker 1>snack ease are put in in areas that target animals

670
00:45:13.000 --> 00:45:16.599
<v Speaker 1>known to frequent so they're like, oh, pandas love coming here,

671
00:45:16.679 --> 00:45:19.239
<v Speaker 1>Let's leave them some medical snacks.

672
00:45:19.880 --> 00:45:22.480
<v Speaker 2>Wow, And.

673
00:45:23.679 --> 00:45:28.679
<v Speaker 1>It's a pretty success successful program apparently, just so we

674
00:45:28.679 --> 00:45:33.000
<v Speaker 1>can all be aware, what does a rabbit animal actually

675
00:45:33.159 --> 00:45:33.639
<v Speaker 1>look like?

676
00:45:33.920 --> 00:45:35.480
<v Speaker 2>I think a lot of times people see an animal

677
00:45:35.519 --> 00:45:36.079
<v Speaker 2>during the day and.

678
00:45:36.039 --> 00:45:41.039
<v Speaker 1>They're like, oh, gip, it's got rabies, rabies immediately. I

679
00:45:41.760 --> 00:45:46.840
<v Speaker 1>saw a fox at eight thirty am rabies immediately, And

680
00:45:47.079 --> 00:45:50.960
<v Speaker 1>any mammal can become infected. However, you know, the ones

681
00:45:51.000 --> 00:45:53.760
<v Speaker 1>we already talked about are the ones who are most likely,

682
00:45:54.400 --> 00:45:59.719
<v Speaker 1>and smaller animals like rabbits, mice, rats, squirrels are.

683
00:45:59.639 --> 00:46:01.639
<v Speaker 2>Typically not known to be infected.

684
00:46:02.519 --> 00:46:04.039
<v Speaker 1>I mean, you should probably still reach out to your

685
00:46:04.039 --> 00:46:08.360
<v Speaker 1>doctor if you get bit by a squirrel, but the

686
00:46:08.440 --> 00:46:14.239
<v Speaker 1>likelihood that those animals are carrying rabies is pretty pretty small.

687
00:46:14.320 --> 00:46:16.679
<v Speaker 2>And birds have been found to have.

688
00:46:16.679 --> 00:46:21.920
<v Speaker 1>Rabies and antibodies, which is interesting. Not infected or symptomatic,

689
00:46:21.960 --> 00:46:26.039
<v Speaker 1>which is interesting, but they have antibodies in their blood.

690
00:46:26.920 --> 00:46:29.280
<v Speaker 2>That's really interesting. Mm hmmm.

691
00:46:30.400 --> 00:46:36.440
<v Speaker 1>It's likely that some of these birds, maybe eight carry

692
00:46:36.440 --> 00:46:40.719
<v Speaker 1>on that had rabies. So the ravens out there are like, ooh,

693
00:46:40.800 --> 00:46:44.320
<v Speaker 1>I found a dead snack out here, so good, but

694
00:46:44.559 --> 00:46:46.800
<v Speaker 1>that animal may have had rabies.

695
00:46:47.159 --> 00:46:51.639
<v Speaker 3>And it makes sense though for like scavenger birds to

696
00:46:53.039 --> 00:46:57.239
<v Speaker 3>obviously it's not exclusive to those types of birds, but

697
00:46:57.719 --> 00:47:01.599
<v Speaker 3>they're kind of like the pickers of the sky come

698
00:47:01.639 --> 00:47:04.039
<v Speaker 3>down and they find like carcasses and stuff, and it

699
00:47:04.119 --> 00:47:08.840
<v Speaker 3>makes sense why they would evolve to have those antibodies

700
00:47:09.199 --> 00:47:12.559
<v Speaker 3>so that they don't become infected by their snacks.

701
00:47:13.440 --> 00:47:15.039
<v Speaker 2>Right. Yeah, it's interesting.

702
00:47:15.719 --> 00:47:21.039
<v Speaker 1>So early on in an infection, a rabbit animal might

703
00:47:21.079 --> 00:47:26.639
<v Speaker 1>look confused, disoriented, They may be unafraid of humans. Seeing

704
00:47:26.639 --> 00:47:30.480
<v Speaker 1>a nocturnal animal during the day definitely can be a

705
00:47:31.079 --> 00:47:36.480
<v Speaker 1>warning sign. You know, an animal that would typically flee

706
00:47:37.239 --> 00:47:40.480
<v Speaker 1>when they see people if they're approaching. That's a concern

707
00:47:41.480 --> 00:47:45.000
<v Speaker 1>and you obviously can't all you can't tell if an

708
00:47:45.000 --> 00:47:48.480
<v Speaker 1>animal has rabies just by looking at it, And often

709
00:47:48.719 --> 00:47:51.920
<v Speaker 1>nocturnal animals are active during the day, like especially when

710
00:47:51.920 --> 00:47:55.440
<v Speaker 1>they have babies or you know, if food is particularly scarce,

711
00:47:55.519 --> 00:47:57.239
<v Speaker 1>they might be out in the day just get that

712
00:47:57.280 --> 00:48:01.199
<v Speaker 1>extra hunting time in. So we can't assume just because

713
00:48:01.199 --> 00:48:03.679
<v Speaker 1>an animal is out during the day that it has rabies.

714
00:48:03.880 --> 00:48:07.320
<v Speaker 1>But I think just a reminder that we should not

715
00:48:07.400 --> 00:48:11.159
<v Speaker 1>be petting any raccoons, even though those one the chicken

716
00:48:11.159 --> 00:48:12.760
<v Speaker 1>coop the other night when I went to go close

717
00:48:12.800 --> 00:48:15.440
<v Speaker 1>them in, and I think I spooked it with my flashlight,

718
00:48:15.480 --> 00:48:18.679
<v Speaker 1>so it was like like frozen in the corner, and

719
00:48:18.719 --> 00:48:21.800
<v Speaker 1>I was like, you are so chubby and fluffy, and

720
00:48:21.840 --> 00:48:23.079
<v Speaker 1>I would love to pet you.

721
00:48:23.159 --> 00:48:26.880
<v Speaker 2>I know it's not advisable, but I'm so cute too.

722
00:48:27.519 --> 00:48:29.840
<v Speaker 2>You sent me a picture one time of.

723
00:48:31.840 --> 00:48:34.400
<v Speaker 3>A possum in your coop and it was so funny

724
00:48:34.440 --> 00:48:37.960
<v Speaker 3>because I think you might need to post this picture

725
00:48:38.000 --> 00:48:42.199
<v Speaker 3>if you have been maybe on Patreon or something. But yeah,

726
00:48:43.119 --> 00:48:45.960
<v Speaker 3>all the chickens are chilling, they're in for the night,

727
00:48:46.039 --> 00:48:49.639
<v Speaker 3>they're perched, and then there's just this like apossum that's

728
00:48:49.639 --> 00:48:53.000
<v Speaker 3>just sitting there and you almost like assume that it's

729
00:48:53.039 --> 00:48:56.760
<v Speaker 3>in its head, thinking like just just look like a chicken.

730
00:48:56.960 --> 00:48:59.360
<v Speaker 3>Just look like a chicken, and she won't kick me out.

731
00:48:59.639 --> 00:49:02.039
<v Speaker 3>It was a bothering them it wasn't. It was just

732
00:49:02.159 --> 00:49:03.119
<v Speaker 3>the cutest thing.

733
00:49:03.159 --> 00:49:04.920
<v Speaker 2>It's just like, I want to sleep in here too,

734
00:49:04.960 --> 00:49:07.199
<v Speaker 2>Can you please not like evict me.

735
00:49:08.360 --> 00:49:11.840
<v Speaker 1>There were several times over this last winter that I

736
00:49:11.840 --> 00:49:13.800
<v Speaker 1>would go to close the chickens in and the possum

737
00:49:13.880 --> 00:49:14.719
<v Speaker 1>was in there, and I was like.

738
00:49:14.880 --> 00:49:17.559
<v Speaker 2>So cute. And it was it was nights that were

739
00:49:17.760 --> 00:49:19.760
<v Speaker 2>really really cold, and.

740
00:49:19.639 --> 00:49:22.079
<v Speaker 1>I was like, he's just trying to get warm with

741
00:49:22.199 --> 00:49:23.719
<v Speaker 1>you know, his bird homies.

742
00:49:24.159 --> 00:49:27.039
<v Speaker 2>Yeah, and they weren't. They weren't bugging about him.

743
00:49:27.119 --> 00:49:31.559
<v Speaker 3>They were just all help hanging out, coexisting in the coup.

744
00:49:31.599 --> 00:49:32.719
<v Speaker 2>It was so cute.

745
00:49:33.320 --> 00:49:35.679
<v Speaker 1>Even when the raccoon was in the coop, the ducks

746
00:49:35.679 --> 00:49:37.840
<v Speaker 1>were not in the coop because they were like, we're

747
00:49:37.880 --> 00:49:40.559
<v Speaker 1>not going in there, but the chickens were all in

748
00:49:41.000 --> 00:49:46.039
<v Speaker 1>just snooze in and uh, you know, so precious.

749
00:49:46.360 --> 00:49:47.519
<v Speaker 2>Oh goodness.

750
00:49:47.960 --> 00:49:52.960
<v Speaker 1>So we live in close proximity to animals, so animals

751
00:49:53.000 --> 00:49:57.400
<v Speaker 1>are becoming desensitized to interactions with humans. So again, an

752
00:49:57.440 --> 00:50:02.000
<v Speaker 1>animal not afraid of us, It may just be desensitized

753
00:50:02.079 --> 00:50:07.119
<v Speaker 1>to our presence. It doesn't necessarily mean that they have rabies.

754
00:50:07.239 --> 00:50:11.800
<v Speaker 1>But you know, these are not diagnostic signs in any way.

755
00:50:12.039 --> 00:50:16.960
<v Speaker 1>But I think it's just in any situation, we should

756
00:50:17.000 --> 00:50:21.239
<v Speaker 1>be giving these animals plenty of space, keeping our distance,

757
00:50:21.440 --> 00:50:25.000
<v Speaker 1>letting them do their thing, and avoiding any.

758
00:50:25.119 --> 00:50:28.079
<v Speaker 2>Undue interactions that could cause death.

759
00:50:28.559 --> 00:50:32.000
<v Speaker 1>Yeah, if you're unfortunate enough to have an animal bite

760
00:50:32.079 --> 00:50:35.119
<v Speaker 1>or scratch, she immediately washed the wound with soap and

761
00:50:35.159 --> 00:50:40.000
<v Speaker 1>water for at least fifteen minutes is the medical recommendation,

762
00:50:40.679 --> 00:50:44.079
<v Speaker 1>and that step alone can reduce the risk of transmission

763
00:50:44.119 --> 00:50:47.559
<v Speaker 1>of rabies and all kinds of other viruses. And then

764
00:50:47.639 --> 00:50:52.199
<v Speaker 1>once you get through that fifteen minutes of washing, that's

765
00:50:52.199 --> 00:50:54.239
<v Speaker 1>when you should seek medical attention and.

766
00:50:54.280 --> 00:50:58.920
<v Speaker 2>Tell them exactly what happened, because got to drive it home.

767
00:51:00.079 --> 00:51:04.119
<v Speaker 1>Once those symptoms appear, the window of time for preventive

768
00:51:04.119 --> 00:51:05.320
<v Speaker 1>treatment is.

769
00:51:05.360 --> 00:51:09.440
<v Speaker 2>Gone, and we cannot.

770
00:51:08.960 --> 00:51:14.920
<v Speaker 1>Expect to be as lucky as Jenna. The vast majority

771
00:51:14.920 --> 00:51:20.639
<v Speaker 1>of people are not. Post exposure treatment, however, does work

772
00:51:21.199 --> 00:51:26.239
<v Speaker 1>really well and is readily available in the US and Canada,

773
00:51:26.320 --> 00:51:30.920
<v Speaker 1>So as long as symptoms have not started to appear,

774
00:51:31.320 --> 00:51:36.800
<v Speaker 1>you can get access to those treatments and probably sur

775
00:51:37.280 --> 00:51:41.000
<v Speaker 1>or very likely to survive, have no issues, never see

776
00:51:41.000 --> 00:51:42.000
<v Speaker 1>those symptoms develop.

777
00:51:42.599 --> 00:51:45.440
<v Speaker 2>There are, of course, parts of the world where.

778
00:51:46.679 --> 00:51:52.480
<v Speaker 1>The deaths primarily are occurring where medical care may not

779
00:51:52.519 --> 00:51:57.320
<v Speaker 1>be an option, the medication may not be available a

780
00:51:57.360 --> 00:52:00.920
<v Speaker 1>medical facility, maybe hours or days of time travel away,

781
00:52:01.079 --> 00:52:04.760
<v Speaker 1>and that is why we see so many deaths in

782
00:52:04.840 --> 00:52:05.719
<v Speaker 1>those areas.

783
00:52:05.760 --> 00:52:07.039
<v Speaker 2>But here.

784
00:52:08.440 --> 00:52:13.280
<v Speaker 1>We have the option to seek treatment millions of people.

785
00:52:13.679 --> 00:52:15.239
<v Speaker 1>Because I was like, all right, how many people are

786
00:52:15.239 --> 00:52:20.519
<v Speaker 1>getting like preventative treatment, and apparently it's more than a

787
00:52:20.599 --> 00:52:23.920
<v Speaker 1>million people a year on average in the US at

788
00:52:24.000 --> 00:52:27.960
<v Speaker 1>least are seeking preventative treatment.

789
00:52:28.119 --> 00:52:29.079
<v Speaker 2>So if you.

790
00:52:29.119 --> 00:52:33.679
<v Speaker 1>Think you could be exposed in any way, you know,

791
00:52:33.880 --> 00:52:38.320
<v Speaker 1>don't be shy seek medical treatment because a lot of

792
00:52:38.360 --> 00:52:41.519
<v Speaker 1>people are and they're not dying, so.

793
00:52:43.239 --> 00:52:46.840
<v Speaker 2>Just do it. This has been very informative, but this

794
00:52:47.000 --> 00:52:51.559
<v Speaker 2>is just your Ted talk, my Ted talk on rabis.

795
00:52:52.800 --> 00:52:56.360
<v Speaker 3>Well, thanks for sharing all that, because I wouldn't have

796
00:52:56.559 --> 00:52:58.599
<v Speaker 3>really considered.

797
00:52:58.159 --> 00:53:01.880
<v Speaker 1>It, no, And I think, yeah, you know, we've talked

798
00:53:01.880 --> 00:53:08.360
<v Speaker 1>about bare attacks and you know, these big, dramatic, traumatizing

799
00:53:09.400 --> 00:53:16.320
<v Speaker 1>fatal incidents with animals, when exposing yourself to rabies can

800
00:53:16.400 --> 00:53:19.079
<v Speaker 1>literally be as simple as oh, I went to go

801
00:53:19.440 --> 00:53:23.679
<v Speaker 1>close the chicken coop door and you know, a skunk

802
00:53:23.760 --> 00:53:26.199
<v Speaker 1>ran out and I was wearing sandals and he, you know,

803
00:53:26.360 --> 00:53:29.079
<v Speaker 1>climbed over my feet or exactly.

804
00:53:29.119 --> 00:53:30.960
<v Speaker 2>Or you're sleeping and you don't realize that you were

805
00:53:31.039 --> 00:53:32.239
<v Speaker 2>bit by a bat.

806
00:53:32.599 --> 00:53:39.079
<v Speaker 1>Right, so something very simple could end up being deadly.

807
00:53:39.239 --> 00:53:42.960
<v Speaker 1>So I think just again, not like you know, to

808
00:53:43.039 --> 00:53:46.199
<v Speaker 1>terrify all of us, but I think I was totally

809
00:53:46.239 --> 00:53:49.159
<v Speaker 1>unaware of all of the times I had a bat

810
00:53:49.559 --> 00:53:57.039
<v Speaker 1>in my house growing up, how potentially deadly those incidents

811
00:53:57.280 --> 00:53:58.079
<v Speaker 1>could have been.

812
00:53:58.280 --> 00:54:01.920
<v Speaker 2>So I think just yep, that's my ted talk. Well,

813
00:54:01.960 --> 00:54:02.800
<v Speaker 2>thanks for sharing

814
00:54:03.719 --> 00:54:11.840
<v Speaker 1>Yeah, and until next week, stay safe.
