Selects: Birthmarks: Probably Not the Mark of the Devil

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- Hey everybody, Chuck here. We're moving forward in time in 2020 for this select. The year of COVID with our February 20th episode, birthmarks, colon, probably not the mark of the devil.

“I honestly don't remember much about this one,”

but when I was looking through our 2020 list, it made me want to go listen to it. And so that's what I'm gonna do, and I think you should too. - Welcome to Stuff You Should Know.

A production of I Heart Radio. - Hey and welcome to the podcast, I'm Josh Clark, and there's Charles W Chuck Bryan over there, and there's Jerry, Jerry's back, everybody. It's right.

And all the listeners said,

"What happened to Josh Dean?"

- What are we doing? Did we decide? - Yeah, we're gonna do birthmarks. - No, okay, okay, check the title, Chuck. Well, I mean, I have two things in front of me.

How you doing? I'm great, how are you? I'm good. You got any birthmarks? - I do.

- What's it got? - I've got something under my right armpit. You're like, it looks like Richard Nixon. (laughing) Close, it looks like Spiro Agnes.

(laughing) Do you remember when Matt magazine used to make fun a Spiro Agnes? You're like, "I have no idea who that is." - That was the name, maybe.

- No, it was 'cause like, they hated his politics. - Yeah, well, about two. - But then there was a Simpsons where Millhouse is like, they're making fun a Spiro Agnes again.

He must work there or something. - And I remember specifically thinking that he referenced Matt magazine. - Mm-hmm. - Oh, that's funny.

- So you've got a under your armpit, birthmark? - Yeah, how about you? I don't think I do, actually. What I have a lot of now, because I'm an old man speeding toward death are skin tags.

- Oh yeah, those are not birthmarks. - Around the neck and armpit, that's where they like tend to gather. That's just your skin, you know, really going at it. (laughing)

- I used to have them clipped and I did that for a while, but it's been a while. But now I went in recently, it was so annoying. It was one of these our medical system is just broken.

It was one of those reminders, 'cause I went in to get it taken care of, like I usually do, and I got in, and then I got it was like, "Oh, well, we don't do this now,

unless you make another kind of appointment." I was like, "Well, can I just make this that?" Since I'm here sitting in your office? It's like, no, no, no, those take much longer. These are just 10 minute appointments,

and that'll take like an hour, and some of them have their own vascular system, so they need to be categorized, and I was like, "Oh, okay." So I'm just leaving, and he was like, "Yes."

(laughing)

“He's like, "If you want to make that other appointment,”

and then they refunded the money for that appointment." - Oh, thank you. - Oh, that was nice. - The co-pay, but they said, "Make the longer appointment if you want to come back." - So, which are you going to?

- Yeah, you know, they're not like a medically dangerous or anything, but they're rather unsightly. - It's fine. - When they get long and big. - Well, long, sure, I mean, how long are we talking?

- I mean, some of the ones are like, you know, quarter inch. - So, okay, I was just about to say how big that was.

It's a few centimeters, so I think is what you just, yeah. I want to get a clip again.

“So you're going to make that longer appointment, right?”

- I think it will be painful.

- Is it painful I've never had one clip?

- The regular clipping, the small ones aren't a big deal, 'cause they just hit it with a little quick shot and then clip it in this no big deal. - Well, kind of a shot. - Like a, you know, a needle, like a little numbing thing.

- Okay, I got you. - Like with a needle. - Like light a cane, whatever, I don't know. - They don't spray it with the freezy stuff. - No, you're thinking of the stuff for athletes foot.

This is like a shot, light a cane. But anyway, the ones that are big that require a cotterizing, I'm sure that doesn't feel great, even if they've numbed it up. - You just get the acetylene torch out.

- And imagine how to shave my armpits, 'cause if you're torching something near armpit hair, - Plus you just want to look good. Maybe I've never shaved my pits. Might start that.

- Why not? - I'll bet that's itchy though. - Yeah, maybe. - Anytime you shave something,

“it starts to grow out, it's itchy, you know what I'm saying?”

- So, I used to get warts actually when I was a kid. - Oh yeah. - And I remember going into the dermatologists and they'd go into the freezer, put on these huge rubber gloves

and pull out like this thermos of, I wanna say nitric glycerin, that's not it, and now. - You don't have talking about the cold stuff. - Yeah, and it would freeze, yeah. - My warts, basically right off right there.

- Yeah, yeah. - Just kind of sting for a second, that was it.

I never really had warts.

Believe me, buddy, you lucked out because if you're a little kid in your grade school and you have like, wasn't like, I wasn't coated with them, but you know like, I didn't get one like here between my four finger

and my thumb or I have one on my elbow or something. Like, that's just amateur. - Other kid jerks, zero in on that stuff. And you're the little weird kid who was already the fat kid now with warts.

- New and improved. I had freckles a lot more than I do now 'cause freckles tend to fade as you get older. And freckles are, I guess, it kind of, well, they're not a kind of birthmark,

because you're not born with freckles, but I did look into it. Freckles are just an abundance of melanin, like collected together. - Well, let's basically what a mole is,

which is a type of birthmark of your born with it. - That's right. - So, I love freckles, I think. - Freckles are super cute. - Freckles are great, moles are great,

birthmarks, especially interesting ones are great. Warts are great, that's why the term warts and all came about.

“- It's true, 'cause that's how you should love.”

- It is true, Chuck. - Man, quick, making fun of people, kids. - Well, that's a thing, so mean. Birthmarks have been around since the dawn of humanity. I'm guessing.

And people have probably been ostracized because they're birthmarks since the dawn of humanity. And we, you know, for a very long time, people were ostracized for their birthmarks because of some really stupid ideas,

like it meant you were a witch, or it meant you were touched by Satan, all sorts of stuff like that. And then over time, it got a little more innocuous, but even still today, there are parts of the world where you can find people who are ostracized

because they're birthmarks. And then even in the developed world, the Western world, which is rational and based more on science, you can still find yourself, you know, at the receiving end of being ostracized,

maybe not because you're a witch, but just because you have a birthmarker, you look different. And so, I think parents react to it. If their baby heads like a strawberry mark on their head. - Yes.

- Like that, to see in them feel the need to say like, oh, you know, this is, you know, we'll go away or something like that. - I was reading this birthmark support group from Great Britain, and they were saying this.

One mom had cards printed up explaining what her child's birthmark was because sometimes she just couldn't, she just didn't have it together enough to have a conversation with the stranger who'd walked up and be like, what's up with your kid's face?

And rather than belt him, she would just give him a card and then just probably go home and weep or something like that. - Right. - Knowing not for herself, but the life that her kid

was gonna have to face, not because her kid has a birthmark, but because the rest of the world are schmocks. - Yes. - That's the long and short of it. - That's right.

- All right, children are mean. - But then it's to find a soapbox, even in the birthmarks episode. - I bet a kid probably a collection of kids could still make you cry.

- If they start, if they start reading it on, I'd just start kicking through an elbows. I just hold my arms out and start whaling around really fast in whatever got hit guy hit. People would be like, is Josh fighting a bunch of children

and be like, yeah, hey, I made fun of him. - Yeah. - You'd be like, I shoved one in a grocery store once. (laughs)

- Oh man, I'll never forget that lady.

- So let's talk birthmarks. Chuck it turns out, there's a lot to know. - Yeah, they're usually not a big deal. They aren't painful. They're usually harmless.

A lot of times they go away.

and that don't go away in the ones

that are of more concern. But generally speaking, science doesn't really know why they come about to begin with. But they are something that doctors, will sometimes wanna keep an eye on.

And that's the intro. - That's intro number seven. Yeah, there's a couple of big categories, vascular and pigmented. And let's talk about some of these vascular

are usually reddish because they have to do with blood vessels.

“- Yeah, I think reddish is a very common,”

when you think birthmarks, you think reddish typically. I think brownish. - Brownish too. Apparently they can come in a whole rainbow of colors. Blue, brown, black, pink, white,

although I take issue with that perplish or tan. And I take issue with white because I think white

is like a reverse birthmark.

Although technically it would still count as a birthmark. - So the whole rest of your body is a birthmark and that one of the whole spot is the right, okay? - That's right. Birthmarks tend to be in aggregation of either pigment

or blood as we'll see. - Yeah. - And white is like an area where pigment is absent. So I guess it still counts as a birthmark, but it's not really a birthmark if you go into a dermatologist's office.

- Right. - They'll be like, you got this all wrong. - And like we said, the skin tags and freckles and things like that, they come later in life. Although freckles can start out very early,

but it's still not a birthmark because you're not born but that mark. - Yeah and even as we'll see, some types of moles don't technically qualify as birthmarks even though they typically fall under the banner of birthmarks.

“You have to be born with something for it to count”

as a birthmark. - That's right. - So that's not even fully true as we'll see. - This is just full of lies. (laughing) - Everybody who studies birthmarks

needs to get their stuff together. - So the macular, they're called flat sometimes, macular stains. - And we're in the vascular category, right? - Right, this is the non-pigmented.

These are usually caused by blood and large blood vessels. These have some cute names that go along with them. - Love them. - Angel kisses. - Great.

- I think some of these can be because of where they're found, although I've heard people cross referencing, like I think an angel kiss is usually on the forehead. - Oh really? - But not always.

A stroke bite is usually on the back of the neck. - Oh, it makes sense. - But I've also, when you Google Stork bite, there's some like right on the tip of the nose and people call them that.

“- I took it to me more like those names were derived”

from the age that the, like kids who are born with this and then it tends to go away at an early age. That's what it's associated with. You know, like the Stork brings the baby. - And the angels.

- Well, but ages love babies. - What about the salmon patch? - I don't understand as at all. - They are usually above the neck. They usually, or a lot of times they'll disappear

and fade away by the time they're two, two, three years old.

But not always, sometimes the last.

- Yeah, but for the most part, if you have a macular flat, vascular birthmark on your kid, they're probably going to outgrow it is just really no other way to put it. They outgrow that birthmark eventually.

- That's right. - Most often, poor wine stains are a whole different ballgame. - Yes. - They look like kind of what they sound like. They're usually kind of a purpleish red

where it looks like, well, poor or wine has been spilled. - I wouldn't know nothing about what a wine spill looks like. - Sure, right. Because you never, ever spill all your wine. It all makes it in your mouth.

- That's right. - I've seen it. - So a poor wine stain, I say that it's like a whole different kettle of fish. It's in the same category as macular,

'cause they're vascular. It's like an aggregation of overdeveloped blood vessels and it close to the skin. But they seem to come from like a whole different place. There's a whole different reason.

In fact, we should say this, Chuck, 'cause this is really important. If you go up to a dermatologist or anybody who would know what they're talking about, and you say, hey, where did birthmarks come from?

What causes birthmarks? They would say we'd actually don't know. The closest that they've come is with poor wine stains from what I can tell. They figured out that there's a gene

where this molecular switch that's supposed to go on and off is locked in the on position. And they think that this is what causes poor wine stains. And the reason that they found it is because about 6% of kids who are born

with the poor wine stain birthmark develop something called Sturge Weber Syndrome, which is a neurological condition. - Oh, interesting.

it does not mean you have Sturge Weber, but if you have Sturge Weber, you have a poor wine birthmark. - Gotcha. - 6% of poor wine birthmarks,

the cases have Sturge Weber.

“It's actually a symptom, but 100% of people”

with that condition have the poor wine stain. - Yeah, and so the in-investigating the syndrome and the link between it and the poor wine stain birthmark, they found this gene that they think is the culprit.

- All right, well, they never go away.

A lot of times they'll get darker as you become older. And these are not a big deal. Health wise either unless it's something near your eyes that can affect your vision. And then they might want to take a look at it.

- I also saw that in some cases, they can start to get lumpy and actually become disfiguring as you age two. - I did see those. - And they can also, once they lump, they can scar too.

So a lot of people seek treatment for poor wine stain birthmarks as we'll see. - Yeah, strawberry marks is what I referenced. At the beginning, you might see these on little babies. There are Hammand Geomas, is that right?

- Yeah, yeah. - And these most of the times, I saw even less than 30%, but it says you're 30% are visible at birth. Most of the times they'll develop between four and six weeks.

- Right.

“- And I think by the time you hit six months,”

if you're gonna have one, it will be visible by that point.

- Right. - You won't develop one of these like the one year mark. - No, but again, there's that one, there's the loophole where it's like you,

it still counts as a birth mark, even though you weren't technically born with it. - It drives me up the wall. - Right, and these are the little more reddish, and you've probably seen these,

like I said on babies before, 'cause they're pretty common. They have the raised off the skin, that's kind of one of the differentiators is they're not flat.

- Right. - So like Hamajim, Hamajim, I've said it like five times in my head, Hamajim was 50 times probably, yes, and I can't say it out loud.

Hamajim was a macular and poor wine sings like we said,

these are all overdeveloped blood vessels, clusters of blood vessels, they're from blood vessels, which is like six times we said that. - Which is why they have that reddish pigment is because the blood is close enough to the skin,

and it's clustered together, it's kind of almost pooled right there, right? - That's right. - But it's not like a bruise or anything like that. The blood has an escape, the vessel is just a lot of vessels

or big vessels all clump together near the skin. What's interesting about Hamajim is, I did it, Chuck, Hamajimus, nice work. - Thanks. - Hamajimus.

- Oh, man, did I miss it twice? - I think there's an end in there that is being forgotten. What's interesting about what you just mentioned is that in some cases they can extend down into the body and the further they extend down,

they won't be reddish, they'll be bluish. - Yeah, and they can even be on the organs. It's pretty rare, but it happens. It is and they can be threatening on the organs. You don't want to have a cluster of blood vessels

on your organs, but back to the blue part. So the reason that they look blue is because as everybody knows, blood on its way back to the lungs to be oxygenated is blue, that's right. - That's not true.

- I'm sorry to set you up like that.

“I thought it was true up that's what you're warning.”

- That's what you're warning. - That's what you're warning. - It's not. - And as soon as you get cut and it hits that sweet sweet oxygen. - Right, that's just transforms into red.

- That's what you thought, right? - No, I thought it was an adult, but that's what I thought is a small child. - That's what I thought until this morning. - No, yeah, you knew that.

- No, really? - Yes. - You thought blood was blue? - Yes, I thought deoxygenated blood was blue. - Wow.

- Well, okay, well, do you understand why it appears blue? - Well, I mean, no, but I just knew that that was a like a playground falsehood. - Well, I was too busy. - 'Cause it means her blue.

- Thinking about how we're fighting a police. - Was covered with the, to learn this. - You're like, I'm gonna draw some sweet blue blood out of that jerk. (laughs)

- So with my fist. - The reason it's blue is because the deeper it is, the less blue light is able to penetrate. So the less that can be absorbed. And so the light that's reflected tends to be blue more

than say like red, which penetrates deeper and is absorbed. - That has to do with blue foods too, which is a bit for the next episode. - Thank you. - Just put a pin in that.

- Yep. - These strawberry marks, though, back to those, they will disappear. Usually by the time a kid is like into double digits. If they're large, sometimes you might see a scar,

these are around the head and neck as well, and are most commonly found on Caucasian girls.

- But they're not, they don't have a real impact

on development either. But if they are really big and puffy,

“again, they can, and around the eyes or ears,”

they can interfere with hearing and vision and stuff like that. - Right, yeah. And if you, if they're on your internal organs, it's a problem too. - So I think we should take a break

'cause astoundingly we're 20 minutes in and we have not taken a break. - Wow. - So we'll be back to birthmarks right after this. (upbeat music)

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(upbeat music) - Okay, to recap, remember, "Bascular Blood and Birthmarks" are reddish because of blood vessels. Precisely.

If anyone misses that question on the quiz tomorrow, you're toast, it's not our fault. So the other kind of birthmarks are pigmented birthmarks. Nothing to do with blood vessels. - I don't know, there could be a blood vessel or two involved,

but no, not really. - No, this is because like, freckles, like I was talking about is just a collection of melanin that's brought out by a sun exposure. - Yeah, and you have melanocytes, melanin cells,

melatonin cells, or melanin one or the two. All over your body, it gives you like the color to your skin, some people have more, some people have less, but everybody has them. But like you were saying, when they kind of congregate together,

that's when they form these pigmented spots that we know as birthmarks. - Right, we are in our house, my daughter's at the age now, where she has started to notice skin color.

- Oh yeah. - Which is something that you, you know, every parent has to deal with at some point. - Sure.

“- And that's how it was recommended to us”

to talk about it with scientifically. Being like, hey, everyone's the same. She got different skin tones because of science. Some people have more melanin than other people. - Is that why you have me over to dinner

and started asking me about that? - Yeah. - You just wound me up and knew I'd go, huh? - That's right. So, but I mean, that is tricky stuff for parents

because what you're really talking about

is the first talks of race.

- Right. - And you just, you have to do it in such a way that diffuses it almost to which it's like, no, everyone's the same. Some people are lighter skin,

some people are darker skin. - Yeah.

are multiracial, which helps.

- Oh, yeah, I'm sure.

“- 'Cause we can say, you know, your friend blank.”

Not gonna say names. - Jerry blank? - She has two friends are both named blank. We can just say, you know, her skin is a little darker than yours, right?

- Right. - Because, you know, when you see her parents and try to explain on that and kids are like, oh, okay. - Yeah.

- How does this matter? Why does this have to do with big burn? - Exactly. Can I please give up? - Why is it burn yellow?

- That's a great question. - But these have some cute names, too, but they are almost, well, that's not true. I was gonna say they aren't, they're named, because of what they look like,

but really just the one is. - Yeah, there's really just two types of pigmented birthmarks or broad categories of it. - Yes, the very Parisian Cafe latte. - Cafe olé.

- Oh, Cafe olé.

- Sorry, I'm gonna spread that.

- It's all right. - A lot tastes different. - This has nothing to do with vascular aggregations of blood vessels. - No.

- Do you get confused on coffee orders? Do you know all that stuff? - I'm pretty, pretty good with it. - I don't know what any of them are. Like any time someone,

- It's all just a differing amounts of milk, steamed milk. - Yeah, but like when I hear like a Machiato or an Americano, Americano is what these things are.

- A shot of espresso or multiple shots of espresso with ultra hot water. - Right. - That's an Americano.

“- I think that's what our friend Chad Crowley drinks.”

- It's just a really, really, really hot, black coffee. - Okay. - That's all, interesting. Machiato, you got me. - Yeah, I don't know.

- Like Captainos, there's like more foam than milk.

- A lot tastes more milk than foam.

- Yeah, yeah. - I know those too. - It's all just milk or foam or coffee. - What's a cafe olé? - Cafe olé is simply coffee with milk.

- That's it. - Really? - That's literally what it means in French. - Is that like what's it called in Spanish? - Cafe con leche.

- Okay, that's the same thing. - Coffee with milk. - Okay. - I am a dummy. I haven't been drinking coffee at all.

- It's not coffee at all. - It's not that. It's just, it's not that. - As you can see, I'm still drinking my cafe latte from this morning.

- Those are great, aren't they? - And it's still hot, thanks to, and I'll go ahead and plug it. The Zoji Rushi, and I plug this on our page before. Like if you like your coffee hot all day,

get one of these little thermuses, this thing keeps this thing hot for 10 hours. - It really does. - Yeah. - So much so I have the same one.

You may have the little pink ones, cute. When I pour coffee in, I have to like pour the coffee into a mug to let it cool off, right? - Right. - To put it in there 'cause you won't be able to drink it.

- No. Maybe the next day you could. It keeps it that hot for sure. - We need to get them as a sponsor, man. - They also make out of this world rice cookers, too.

- Yeah, I've got one now, I'm not sure. If that's the one I have or another one. I think-- - Tiger? - Those are the two best ones, in my opinion. - I can't remember, I'll have to look.

But all I know is the one I have is very forgiving. - Yeah. - You can be pretty off with your measurements and it still makes perfect rice. - You can use like buttermilk and somehow

it's still comes out this great. - Oh man, buttermilk. - Buttermilk? - Rice? - That could be all right. - Mm.

- Here's a little tip for you. You make sushi rice? - Mm-hm. - Okay, usually you just do a one to one rice to water ratio.

- Yeah. - Then go in and just put like a teaspoon, half teaspoon even depending on how Tang and you might be a rice vinegar. - Oh, we'll sure.

- I usually add that after. - No, no, you want to make it together. - Yeah. - So you want to cook it with it? - Yes, okay.

- I used to make my own sushi rolls and then I just got the point around it's like, it's not worth it? - Yeah, it's just like easier to get sushi. - Where did you get your seafood?

- It's a shimi, sorry. - I would get that at the decap farmers market. I would get the tuna there and the crab sticks, which that's easy, you can get at it. Crogers.

- Sure. - In the seaweed there, but then there's also a Japanese market nearby where I would get the eel to a bacon oven. - A nice. - But that's kind of as, you know, you could do spicy tuna,

tuna, right, eel and crab stick, California rolls. - I really want some sushi right now. - I mean, we both eat a lot of sushi. - Yeah, it's good. - Okay, so Cafe Olae birthmarks.

- So that is the Cafe Olae. They are the color of a Cafe Olae, kind of a light brown. - It means coffee with milk. - Yep, and this is to me was,

“when I think birthmark, I think of these,”

'cause it's just a little brown spot, anywhere on the body. - Yeah, and I think one of the things we didn't say is with some of the birthmarks, there is kind of specific places that they'll appear.

- Yeah, or they're tied to specific places usually. But with Cafe Olae birthmarks in particular, they're just, they've got no rules for head, but cheek, wherever, wherever.

there's nothing, there's no problem with them, but very much like the port wine, staying birthmark, the Cafe Olae spots are tied to a neurology, actually a nerve condition, where if you have six

or more of these kinds of Cafe Olae birthmarks, especially if they're larger than like a dime in an older kid, you want to go to see a doctor. - Yeah. - Because that could mean that you have something called

neurofibromatosis, I said that a million times in my head, too.

- You gotta start saying things out loud. - Also known as NF1, that's easier. But NF1 is not even necessarily, it could be asymptomatic. Like if you're like, oh my gosh,

I've got six or more Cafe Olae birthmarks on me. Maybe I have neurofibromatosis, that it's not like a death sentence or anything like that, it's just go see a doctor. - Right.

The Mongolian spots are, these look like bruises to me. If you don't know what you're looking at, it can be alarming, 'cause you see these pictures of babies that look like they're heavily bruised, kind of at the lower back upper buddhist area.

- Yeah. - But it is not bruising. They're bluish gray though. And like I said, usually on the lower back,

“I think African Americans, African Asian and Hispanic”

kids usually with darker skin have more of them or more commonly have them. And these are the ones that fade out by the time they're like, you know, six or seven usually. - Yeah, and they're usually a bluish green

because they're clusters of pigment cells together deeper under the skin. And so you've got that same thing going on like you have with the hemangiomas. Nice, I got it, you got it.

- There's a good old fashioned mole. This is a pigmented birthmark, multiple of them are Nevy, Brown, Nevy, and EVI because a nevus is a single mole. - Are any of these like band names?

- I don't think so, but very fortuitous mentioning of that 'cause of listener mail later. - All right. - It is Latin for spot, and there are three categories. - Morales.

- Yes. - No, Nevy. - I think mole is Latin for spot. - Oh, is it? - Yeah.

- Wow. - I was just about to make funny too. I'm glad I didn't. (laughing) - I'm glad you didn't.

- mole sounds real Latin. (laughing) - Fort boy. So there are three categories of moles, congenital acquired in atypical.

The congenital, about 1% of babies are born with these, and these are kind of all over the map as far as color and size. Some are hairy, some are not hairy.

- I saw that basically every congenital mole

has a little hair. - A hair of some sort. - It can be very, very fine. It can be thick. It can be coarse.

It can be very dark. - Yeah. - Usually they're very dark because they're growing out of pigment cells that are like, just pigment away.

- That's right. - And I learned that on the Dollar Shave Club blog. - Oh. - And they say also to just kind of pluck because shaving, if you're a man,

like say you have one on your face or whatever, it can nick very frequently. - Yeah, well, I've got some of the skin tags that obviously don't shave, so it's not a problem now.

“But well, maybe that's why you have skin tags.”

If you shave, you just shave them off all the time. - That's from 'em down. - I don't think that's why. - No. Now the skin tags come from like clothing, rubbing

against the skin. That's why they're around the neckline a lot of times, or sometimes around the waistline. - Mm. - So, you know, but again, those aren't birthmarks.

- Okay. - Those are old man marks. - I got you. - A acquired moles, they come around later in life as well.

And this is not the same as the skin tags still. It is still a mole and a lot of doctors think that this is from Sun Damage. - Yes, but not necessarily cancerous. - Right.

- Which leads us into the third type of mole,

eight typical moles. These aren't necessarily cancerous either, but they're the kind you definitely want to keep an eye on. They'll be multiple colors, or have some sort of color gradient in them.

Their shape will be just kind of amorphous. - Yeah, irregular. - Yeah, they'll be just kind of, you'll be like, that doesn't look quite right. That's that kind of mole.

And those are the kind that you definitely want to have a doctor check out. Because a lot of people don't know this, but an atypical mole is associated with melanoma. And melanoma is no joke.

- Yeah.

“- I think a lot of people like melanoma is nothing.”

- Yeah. - Just go, you know, get it removed at the doctor. No, melanoma can spread like lightning through your body.

It's a very serious thing to keep up with.

- Yeah, I've got a pretty sad situation with a family member with melanoma. That the treatment is going really well, but it is definitely open my eyes to the fact that it's no joke.

- Yeah, I had no idea, you me open my eye. She had somebody that she lost to melanoma. - Yeah, man, it happened. - She thought the same thing, like melanoma. And that's not at all how it is.

Which is really weird because somebody's dropping the ball because most people just think it's nothing. - Yeah, I'm messaging. - Yeah, yeah. - I agree with myself, apparently.

- It's interesting that different kinds of cancer have better or worse PR. - Yeah, green product, terrible marketing, right? - Yeah. - It's kind of what we're dealing with here.

- But I know that prostate cancer

is often like behind breast cancer, like breast cancer does a bang up job of marketing and press and PR and awareness. So these, like you said, the doctors will want to monitor these over time, what I couldn't figure out

was what is the quote unquote beauty mark? Is that an acquired mole?

“- I think a beauty mark is any kind of mole”

that just happens to be like, perfect place. - I'm living with this and I'm loving every minute of it. - It's so interesting how that has become a thing. - I was trying to figure out where it went back to. - Yeah, obviously Marilyn Monroe really kind of popularized

- Right, right. - But one didn't you? - I think it predated her, like Liz Taylor who's at least contemporary, if not predation. - Is she a one?

- Yeah, okay. - That's very famous for one. And then, like, even still at a Cindy Crawford - Of course. - Scarjo.

- Sure. - Who else, oh, Natalie Portman apparently has them like on her face, interesting. - I went over this list of celebrities, I was like celebrity birthmarks.

The only one that comes up though is moles. - And spirit rag now. - It could not, I couldn't find any, like well-known celebrities with birthmarks. - Right.

- Like birthmarks, birthmarks, like facial birthmarks. - Yeah. - I couldn't think of one either, I couldn't find any. - Well, that's probably because of the prejudice against them.

- I would guess so, yeah. Which is sad. - Yeah. - It reminded me though, Chuck,

“didn't one of the fat Albert gang have a birthmark on his face?”

- I don't know, we'll see the guy that had to pull this toboggan cap over his face. - No, I think that was Mushmouth.

- 'Cause you never see his face at all.

- Well, then how would you know if he had a birthmark? - I don't know, I just thought him like a backstory or something. - I think this just went off the rails enough for a message break, don't you?

- Sure. Yeah, we'll be back right after this and we'll talk about treatment. And what I think is a pretty interesting thing, superstitions throughout history, about birthmarks.

- Mark's green. (dramatic music) - Hey, I'm Hoda Cotby, host of the podcast Joy 101 with Hoda Cotby, together. We're gonna have meaningful conversations

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I mean, I-Hart Radio app, Apple Podcasts, or wherever you get your podcasts. (upbeat music) - All right, so like we said about most of these birthmarks, usually medical treatment is not necessary,

but some are monitored over time, and what doctors will do, obviously, is examine them, take some pictures,

and then just sort of follow that over time,

that same routine to see if they're changing, and to see if they're getting bigger, or changing shape, or anything unusual. - That's a wait and see, yes, exactly. - If you have Hamanjiomas, they will frequently use,

like a poor Weinstein is something that a lot of people go seek treatment for, 'cause it's often on the face, the neck, and it actually responds pretty well to laser treatments, something called a pulsed dye laser. - Is this like the same tattoo treatment or no?

- Probably, 'cause that's pretty painful, right? - Oh, yes. - Like I can't imagine 'cause it says children, a lot of times, can be treated with this laser treatment, but man.

- I know it's sad. It feels a lot like having a hot bacon grease splashing

“on your skin, that's what if getting a laser,”

or tattoo, remove the laser. - But without the knowledge that in a couple of minutes, I'm gonna eat some sweet bacon. - More like the only silver lining to is that a pig didn't die for you to be in that situation,

you know what I mean? - Right, or I won't have whatever tattoo, obviously don't want on my body anymore, but that's the reward there. - Right, so if that is the case, then,

if it is the same feeling as that, then yeah, I feel bad for little kids who get that. But that's the best time to start this treatment is when the child is young, because again, what you're doing is you're using a pulsed dye laser,

which uses a certain frequency or spectrum, wavelength of light, that is targeted so that that birthmark will absorb that light. The surrounding skin is a different pigment, so it won't absorb that light, like the birthmark will,

and that energy that light energy is translated into heat energy in the birthmark and there go the cells, or the blood vessels that make up the cells, and after enough treatments, you've hopefully broken up the hemangeoma,

or the portwine stain, and the birthmark will go away. - Did you hear that? Did you hear that? - That was me.

“- I think that was me, now that was mine.”

- Well, then we just had a simultaneous stomach crawl because my stomach just grow at the same time. - Wow, are we like, yeah we're starting to get up after 12 years of podcasting together? - So if you are getting something removed,

it's usually a vascular birthmark, but generally they don't try and get rid of pigmented birthmarks, although it's possible I think, but usually doctors don't treat that. - No, but if you have a child with say a cafe-o-l-a,

birthmark on their face, the doctor's not gonna be like, no, no, they'll probably try to work it out, but the results are not nearly as reliable as with vascular birthmarks, which have to do with blood vessels beneath the skin,

plastered together, overdeveloped that kind of thing. - Or what your doctor might say is, you know what this thing's on your forehead, grow your bangs out until you get old enough to where you accept this as an individual trait

that you're proud of. - There's something called the British Association of Skin Camouflage that is dedicated to helping people actually training makeup artists on how to cover birthmarks,

because for some people, they'll just never get used to it.

They don't want to have to get used to it. They just rather cover it up. And that's the right, that's the prerogative, that's their birthmark, they can do whatever they want with it. And so the average makeup artist doesn't know

how to do that, it actually takes special skills, apparently, and so there's groups who train people. - I'm interested. - To do that, yeah. - We should do, I don't know if it's a short stuff or full length, but we should do something on Vittaligo.

- Yeah, I had a friend in LA who had Vittaligo. And again, like to same with some of this stuff, it's such a forward-facing thing if it's on your face.

because like the bullying, like we were talking about,

or just kids and adults, remaining self-conscious about that kind of thing, it's sad. - It is sad, agreed.

“- I think we could all do a lot better at accepting people”

with facial differences, what it's called. - Yeah, there's something on facial differences. - I don't remember what it was, but I know I've mentioned this group before changing faces.org. - Yeah, it's awesome, they're whole thing is like,

"Hey, actually, that's funny, they promote skin camouflage. If you want it, but they're also big pushes like, "Hey, rest of society, there's nothing different "about these people except for their face. "They're not cognitively challenged, they're not disabled

"than any way, you're differently able, "like, their face is different for any number of reasons." And it's really kind of on the rest of you to get over it. - Yeah. - Which I think is the the healthiest approach, if you ask me.

- So the superstitions we were talking about,

I know we mentioned a couple early on, like that you were touched by the devil, like that was real stuff in some cultures, in China, there were some quirky ones. Like if you have a right foot, birthmark,

means you're adventurous, it's on the left foot, it means you're really smart, it's on your thumbtoms, that means you're greedy. And this is just sort of, you know, culture and folklore. - Sure, the world around,

so because we can't explain what birthmarks or where they come from, all over the world, people, societies, etc. - Oh, sure. - It's something the mom did while she was writing it, of course.

- And so we came up with all sorts of dipstick ideas for exactly what the mom did wrong to explain birthmarks. - Yeah. - One of my favorites is that the mom was startled

and touched her face. - Oh, so the baby. - And at the exact same moment, the baby's blood vessels at that point in the baby's face formed a birthmark.

- It's very scientific. (laughs) - Or how about this, if you have a strawberry mark, is a baby, it's because mom ate too many red things. - Yeah.

- Can't lay off the strawberries. Or a poor wine stain, they could laugh the wine. - Yeah. - Or coffee. - Cafe L-A coffee.

- That's so on the nose, like, come on people. - It is, there's this thing called the doctrine of signs where if a food looked like a body part, it was associated with helping to heal that body part. Like beats are good for the blood or something like that.

- Or avocado's are good for the testicles. - Exactly. I was hoping you would bring that up. - Yeah, let me see what else in Japan, if a pregnant woman looked at a fire

or into a flame of some kind, they thought that might cause a burn mark on the baby skin. - Yep. - And I think some of these carry forward a little bit even today.

- Yeah, well, the X-ray one is obviously fairly modern. - Oh sure. - Like the explanation is that the mom got an X-ray while she was pregnant and it basically left a mark on the baby.

- Yeah. - That is not true.

- Yeah, one that really is always stuck out to me

and it reminded me of this case on and tell you about is this idea that a birthmark is actually a mark left over from a past life? - This is pretty neat. Like if you have a birthmark that looks like a bullet hole

in your back, that means you were shot in the back in a past life.

“- And not just like that's what that means.”

Like there are, I really hesitate to use this word. They're documented cases of this happening. And supposedly there is this kid in Syria who was born with like a kind of like a slash like birthmark, I think on the back of his head.

And apparently from a very early age when the kid was able to start to talk, started recounting being murdered with an X. - Oh, interesting. - And then started talking about the village

where he used to live and who is what his name was and then the guy that killed him. And it was enough allegedly that the village elders where this kid lived were like we need to go check this out. So they traveled to that other village.

And they said, does someone so live here? And they're like, yeah, he lives over there. And it's like, well, did somebody else named this live here once they're like, yes, he died. He vanished mysteriously.

And they went and talked to the accuser. He broke down and confessed and showed him where they buried the body that this kid supposedly was in the past life. - Wow. - Who was murdered by an X?

There's just no way that that happened, but I love reading about stuff like that. The part of me that's like, yeah, that's subscribed to that time-life books of paranormal phenomena, yeah, still love stories like that.

“- Yeah, I think you lost me when you said village elders.”

- Oh, yeah, yeah, because they're the same ones that are like, well, you're a witch, right? Because they're that, right? See if she floats, right?

- Let me see here, while we talked about the devil's mark,

supposedly, Anne Bolin was accused of witch craftery. - Craftery? - Supposedly, I saw also that she most decidedly was not. - Oh, really? - Yeah, I think that's the legend.

- All right. - Possession by the devil? - Yeah, I could be another one. - And one thing that we did know was that definitely did happen historically.

From the 17th to the 19th centuries, if you were Russian nobility, you proved it by displaying your birthmark. - Yeah, I guess so.

“- Yeah, what's the, what was the family, the Romanovs?”

- Yeah, pretty interesting, which actually holds water because they think that some birthmarks may be congenital. It's entirely possible that a family line, especially when that kind of kept them themselves, you know what I mean?

- I know what you mean. - Could conceivably pass down something like a birthmark. - Yeah, and so, unless you, do you have anything else?

- No, I don't chuck it away.

- I think we just should close by really like stressing to any kids listening and parents of children. - That vascular birthmarks have to do with blood vessels under the skin. - No, just explain to your kids if there's another kid in their class as a pretty obvious birthmark that they're just the same.

And don't tease kids for that stuff. - If you're a kid that's young and listening, we all look different, we all have different skin tones. - Yeah. - Just don't be a jerk.

- No, I think that's really great. - No, I think the goal and rule, think about how you might feel if somebody was making fun of something about your body. - That's the good one too.

- Yeah. - If you want a more about parenting, well, you could just listen to all of our other episodes. And since I said that, it's time for listener mail. - But this is from Ryan and Lucy, the aforementioned band name,

Reff, they have been to our shows at the Bellhouse a couple of times, a few times. - Okay. - And let me see, where are they from here? - Road trips between New York and Providence.

- Okay. - And then they've seen us at the Bellhouse, and they said we realize how much we get a kick out of the various band names. And we started to inventory them a few years ago. Since our wedding is next week,

we realize that now it's a perfect time to just go ahead and send you the list. I'm not sure why that has anything to do in here. But Ryan and Lucy congratulations. - Yeah.

- For what it's worth, Ryan's favorite is warm burden. - Oh yeah. - From the hookworm in Lucy's mouth parts. - Yeah. - That's from a lot of episodes.

- It's a great one. - But we'll just buzz through these really quickly, just for nostalgia sake, and aspiring bands jump in and take these. - And give us some money for them.

- There's some real gold in here. - Are we doing all those? - Yeah. - Oh my God. - Oh, I'll go to them quickly.

A fistful of neurons, warm burden, tub of pulp. I know you want to comment on everyone doing it. Just throw in what you think is really good. - I just can't sit here like that. - Threat simulation theory, poor Fred and noon in.

I remember that one. - Yeah. - Sweet, give me the teeth. - I don't remember that one.

“It was from Uncanny Valley, but I don't remember saying”

that was a band. - No. - Or even how it would relate to it. - This is for movie crush, a sick vandalism. That's a good one.

Flesh on the chunks, hot plastic injection, pyrocastic flow, that's a good one. Flaming dead, death bolts, it does. - That is a legendary one. - Conceptual walls, framing him cohort, offspring cohort,

Omnic cohort, third generation cohort,

offspring spousal cohort, I don't remember any of those. - All those were from that heart study. - Oh, okay. Oh, that's right. Cortical, humankillus, that's pretty good.

Medieval synthesis, magic bullet. - Dang, I'm want to retract this next one. 'Cause apparently I said herbal duches. Was a good band name? - Mm-hmm.

- I take that back. - Okay. - That's terrible. Slotter, n'ar, wall, peck, loob, great. Sexling, recessive, manhole incidents. That's a good one.

Graphic spew, gross, nuclear bulge, love it. - That is a good one. - Local group, that's kind of dumb. - Oh, no, I can see, it's kind of like scrantinicity. - Oh, sure.

The Electric Death Commission, I'd love that one. Dr. Foss, bomb drop. - What was that one? - Michael Dillon. - Huh, I don't remember exactly what that reference.

- Okay. - Death Masterfile, mouth fart. (laughs) - The, of course, the classic frozen poop knife. - Yeah.

- Slothamoths, radioactive cat, that one's dumb. Static crush, I like that one. Damage night, not bad.

“The descriptiveists, eh, that's a little hotty, I think.”

- Sure. - But I could be kind of like mum-fruits and sunsie, kind of music, right? - Yeah, exactly. - Yeah.

- Oh, got it. - It sounds too much like Decemberists, I think. - Oh, my love. - That is exactly right. - Bath tub gin, wasted on excitement.

but that's pretty good as a band. - Sure. - Mother culture, jungle x-ray, very recent, wet record, the album from jungle x-ray, right? - Right, right.

- Two whale bolt from Coderoy, and then going postal, which he says is a lot of bands are called that.

“- Yeah, I think you looked that up even into it.”

- I think so. - What's her good?

- We always, always, any time we talk about great band names

from episodes, have to give a shout out, especially when frozen poop knife comes up to diarrhea plan it. - Well, he had that on the list, I think he didn't quite understand

that that is a real band. - That is a real band, the three dates frozen poop knife. - I know, I'd like to think that they've been tweeted out over the years. - Oh, they've tweeted to us.

- Oh, that's right, they have, right? - They said, they said, hey, sorry, we're gonna stick with our generation. - Yeah, that's right, thanks for thinking of it. - Yeah, yeah.

- In other words, shut up, maybe, I don't know,

“I think it depends on how you look at the world.”

- Yeah. - Okay, so I think that's it, everybody. I don't remember what's going on anymore, but this is the end of the episode. So if you want to get in touch with us,

you can go on to stuffyshadow.com. If you want, and you can also send us an email as you stuff podcasts at heartradio.com. (upbeat music) - Stuffyshadow is a production

of "I Heart Radio." For more podcasts, my heart radio, visit the "I Heart Radio" app. Apple podcasts are wherever you listen to your favorite shows.

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- Joy is essential, and it's also elusive, but now.

There's a new and exciting way to start your journey toward a more joyful existence. Joy 101, it's a new podcast hosted by me, How To Copy. If you're craving inspiration to maximize your joy, tune into these candid, uplifting, and moving on air chats.

Open your free "I Heart Radio" app search, Joy 101, and listen now. Joy 101 with "Hotacopy" is presented by CVS.

“- Have you tried from the outspoken podcast network?”

All month long and all year round, we're celebrating being loud, proud, and always original. It's me, Brandon Calgoodman, host of the podcast, tell me something messy.

Check out my show for unfiltered takes on dating, relationships, and adulting. Listen to high key for the best pop culture takes, and there are no girls on the internet for all your tech news.

For your favorite celebrity key cues, check out Outlaws with T.S. Madison. Learn to love yourself unapologetically with BFF, Black Fat Fem, and start your day with intention with waking up with Ryan coming in July.

Celebrate pride with the outspoken network, open your free "I Heart Radio" app, search, pride, and listen now. With this Black Music Month, the Quest Love Show celebrates the visionaries, shaping culture through sound, from country, trailblazer, Mickey Guy.

To hip-hop icon, Fat Five Freddy, Sonic Genius of Thundercat,

and the revolutionary voice of Chuck T.

- I wanna loud. - Look at me, so the time it might be all, the sound might be muffled, but what's gonna come out of the if something that you can feel, Celebrate, Black Music Month

with special episodes of the Quest Love Show. Listen on the "I Heart Radio" app at the podcast, or whatever you get your podcasts. - This is an "I Heart Podcast." (upbeat music)