The 9pm Medical Semiotics of Bow Ties, Long Covid, and Poo with Dr Trent Yarwood

Dr Trent Yarwood does not wear a white coat because they are a Bad Thing. (Photo: Brisbane Times. Digital processing: Stilgherrian)

The summer series continues, and it’s more science. Today’s special guest is infectious diseases physician Dr Trent Yarwood.

In this episode we talk about infectious diseases, of course, from smallpox to long covid, and HIV to measles. But we also discuss the appendix, biological warfare, norovirus, poo, and the medical semiotics of bow ties.

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  • Trent Yarwood is an infectious diseases physician, based in Cairns, Australia.
  • Drug-resistant infection, digital health, random geekery and rants. Future Wise. "Ninja old guy". Doesn't pity the fool. Personal opinions.
  • "Time flies like an arrow; fruit flies like a banana" is a humorous saying that is used in linguistics as an example of a garden path sentence or syntactic ambiguity, and in word play as an example of punning, double entendre, and antanaclasis.
  • [27 January 2025] A HIGHLY CONTAGIOUS VIRUS with NO TREATMENT is SPREADING in PA. Norovirus can spread quickly from person to person, so you'll need to clean up the right way to prevent others from getting ill.
  • [7 January 2025] One expert says the rate of norovirus infections has increased substantially this year compared to years past.
  • Norovirus, also known as Norwalk virus and sometimes referred to as the winter vomiting disease, is the most common cause of gastroenteritis.
  • [13 January 2025] @stilgherrian @daedalus ACMA is the Commonwealth's appendix. At some point in the past it might have served some kind of useful purpose, but these days you can mostly ignore it, except when it flares up and causes pain, at which point the best answer is to just remove it.
  • [8 October 2007] Long denigrated as vestigial or useless, the appendix now appears to have a reason to be - as a "safe house" for the beneficial bacteria living in the human gut. The gut is populated with different microbes that help the digestive system break down the foods we eat. In return, the gut provides nourishment and safety to the bacteria. Parker now believes that the immune system cells found in the appendix are there to protect, rather than harm, the good bacteria.
  • The appendix (pl.: appendices or appendixes; also vermiform appendix; cecal (or caecal, cæcal) appendix; vermix; or vermiform process) is a finger-like, blind-ended tube connected to the cecum, from which it develops in the embryo
  • [24 January 2025] Halts to external communications, publishing reports and reviewing and approving research a ‘dramatic shift’.
  • [27 January 2025] Despite Trump’s campaign promises to not attack reproductive freedom, he wasted no time using his executive powers to do exactly that. From rescinding Biden-era executive orders that expanded access to reproductive health care, including access to abortion and contraception, to pardoning anti-abortion extremists, Trump took expansive action to roll back reproductive freedom.
  • [28 January 2025] US withdrawal from WHO means missing February’s meeting, reducing influence and hindering global health efforts.
  • Created in 2005 ReAct is one of the first international independent networks to articulate the complex nature of antibiotic resistance and its drivers.
  • Semiotics (/?s?mi??t?ks/ SEM-ee-OT-iks) is the systematic study of sign processes and the communication of meaning. In semiotics, a sign is defined as anything that communicates intentional and unintentional meaning or feelings to the sign's interpreter.
  • Umberto Eco OMRI (5 January 1932 – 19 February 2016) was an Italian medievalist, philosopher, semiotician, novelist, cultural critic, and political and social commentator. In English, he is best known for his popular 1980 novel The Name of the Rose, a historical mystery combining semiotics in fiction with biblical analysis, medieval studies and literary theory, as well as Foucault's Pendulum, his 1988 novel which touches on similar themes.
  • [31 December 2024] Back at the start of the year, my good friend Snarky Platypus and I created some bingo cards for 2024. Two sets of 25 things that might happen. Well, we’re now at the end of the year, so let’s see how we went.
  • [10 July 2016] The nation's top scientists have declared "the end of AIDS" as a public health issue, as Australia joins the ranks of a select few countries which have successfully beaten the epidemic.
  • Pre-exposure prophylaxis (PrEP) is an anti-viral medicine taken by someone who does not have HIV to lower their chance of catching HIV.
  • Measles (probably from Middle Dutch or Middle High German masel(e) ("blemish, blood blister"))[11] is a highly contagious, vaccine-preventable infectious disease caused by measles virus.
  • Kaposi's sarcoma (KS) is a type of cancer that can form masses on the skin, in lymph nodes, in the mouth, or in other organs... Except for Classical KS where there is generally no immune suppression, KS is caused by a combination of immune suppression (such as due to HIV/AIDS) and infection by Human herpesvirus 8 (HHV8 – also called KS-associated herpesvirus (KSHV)).
  • Philadelphia is a 1993 American legal drama film directed and produced by Jonathan Demme, written by Ron Nyswaner, and starring Tom Hanks and Denzel Washington. Filmed on location in its namesake city, it tells the story of attorney Andrew Beckett (Hanks) who comes to ask a personal injury attorney, Joe Miller (Washington), to help him sue his former employer, who fired him after discovering he was gay and that he had AIDS.
  • [31 December 1999] The Dahlem Workshop discussed the hierarchy of possible public health interventions in dealing with infectious diseases, which were deflned as control, elimination of disease, elimination of infections, eradication, and extinction.
  • Dengue fever is a mosquito-borne disease caused by dengue virus, prevalent in tropical and subtropical areas.
  • Smallpox was an infectious disease caused by variola virus (often called smallpox virus), which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) certified the global eradication of the disease in 1980, making smallpox the only human disease to have been eradicated to date.
  • The United States Army Medical Research Institute of Infectious Diseases (USAMRIID; /ju??sæmr?d/) is the United States Army's main institution and facility for defensive research into countermeasures against biological warfare.
  • [9 July 2014] US government scientist clearing out old storage room found decades-old vials, but CDC does not yet know if virus is live.
  • The All-Union Science Production Association Biopreparat (Russian: ???????????, [b???pr??p??rat], lit.?'bio-medication') was a Soviet agency created in April 1974, which spearheaded the largest and most sophisticated offensive biological warfare program the world has ever seen. It was a vast, ostensibly civilian, network employing 30–40,000 personnel and incorporating five major military-focused research institutes, numerous design and instrument-making facilities, three pilot plants and five dual-use production plants.
  • The Aral smallpox incident was a 30 July 1971 outbreak of the viral disease which occurred as a result of a field test at a Soviet biological weapons (BW) facility on an island in the Aral Sea. The incident sickened ten people, of whom three died, and came to widespread public notice only in 2002.
  • A presentation from 2016.
  • Long COVID or long-haul COVID is a group of health problems persisting or developing after an initial period of COVID-19 infection. Symptoms can last weeks, months or years and are often debilitating. The World Health Organization defines long COVID as starting three months after the initial COVID-19 infection, but other agencies define it as starting at four weeks after the initial infection.
  • [24 January 2025] Following up months later, two-thirds of the Long COVID participants still reported symptoms, and when participants underwent health testing, those still reporting symptoms showed objective signs of poorer health and brain function. The most common persistent symptoms included fatigue, attention/memory problems, breathlessness, and mental health and sleep problems.
  • [23 January 2025] US scientists say women may be more likely than men to contract long COVID, with women aged 40-55 most at risk. The team looked at health data from more than 12,000 people and found women were between 1.31 and 1.44 times as likely as men to have the condition overall. They say these findings held true across all age groups except among women aged 18 to 39 years, who had a lower risk at 1.04 times that of men.
  • Endometriosis is a disease in which cells like those in the endometrium, the layer of tissue that normally covers the inside of the uterus, grow outside the uterus.

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CONVERSATION TOPICS: Andrew Best, Gay Rainbow Anarchist, Paul McElwee, and two people who choose to remain anonymous.

THREE TRIGGER WORDS: Bernard Walsh, Joanna Forbes, kofeyh, Mark Newton, Paul Williams, and two people who choose to remain anonymous.

WE WILL, WE WILL JUDGE YOU: David Porteous, John Lindsay, Peter Wickins, and Trent Yarwood. This is one of the two new rewards for the Untitled Music Podcast with Snarky Platypus, two pilot episodes of which we’ll produce in January. Send us your three-song playlist and we’ll play a bit of each one and judge your taste.

ONE TRIGGER WORD: Andrew Kennedy, Andrew M, Bic Smith, Bruce Hardie, Frank Filippone, Joop de Wit, Kit Biggs, Mark Newton, Michael, Michael Cowley, Mindy Johnson, Miriam Faye, Nicole Coombe, Oliver Townshend, Peter Blakeley, Peter McCrudden, Ric Hayman, Rohan Pearce, Shane Perris, Tom Carding, Tom Carding again, and one person who chooses to remain anonymous.

RECOMMEND A SONG TO US: Kimberley Heitman and Rhydwyn. This is the other new reward linked to the Untitled Music Podcast. In 25 words or less tell us why we should like a song and we’ll play it and tell you what we think.

PERSONALISED VIDEO MESSAGE: kofeyh.

PERSONALISED AUDIO MESSAGE: Ben Harris-Roxas, Matthew Tayloe, Michael Harris, and two people who choose to remain anonymous.

FOOT SOLDIERS FOR MEDIA FREEDOM who gave a SLIGHTLY LESS BASIC TIP: Ashley Walsh, Daniel O’Connor, Errol Cavit, Garth Kidd, Gurgle Costello (!), James Henstridge, Kiran Castellino, Lindsay, Matthew Crawford, Peter Blakeley, and one person who chooses to remain anonymous.

MEDIA FREEDOM CITIZENS who contributed a BASIC TIP: Two people who choose to remain anonymous.

And another 12 people who choose to have no reward at all, even though some of them were the most generous of all. Thank you all so much. You know who you are.

Series Credits