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Norman Swan

๐Ÿ‘ค Speaker
895 total appearances

Appearances Over Time

Podcast Appearances

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

Once upon a time, people thought that the pineal gland in the brain was vestigial.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

Indeed.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

So just because you lack understanding of what an organ does, does not mean that it's actually an unnecessary part of the body.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

And as we learn more, we find that things that may have looked as though they were vestigial may in fact not be.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

Well, in fact, they used to whip them out even before you got infected as a prophylactic procedure, classically on the kitchen table.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

Yeah, we didn't have a very big kitchen table, so...

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

We didn't have a kitchen table.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

We couldn't afford one.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

Yeah.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

So the tonsils can be an annoying organ, particularly in childhood, repeated infections.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

They can become enlarged, obstruct breathing, all sorts of issues with tonsils.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

And the temptation has always been to remove them to improve your quality of life and perhaps risk of serious infection occurring like a tonsillar abscess, for example, in the neck.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

But it turns out that tonsils are not a vestigial organ.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

Yeah, they're part of our defences against the external world, infections coming in to the body.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

Yeah, so it's not surprising they become infected themselves.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

But it turns out that they are part of the way our immune system works.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

They produce cytokines, which are the short-acting or even long-acting chemicals which stimulate and control our immune system.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

They're involved in B cells, which are cells which produce antibodies.

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

They're involved in...

What's That Rash?
Tonsils, appendix, gallbladder: is anything actually useless?

in the production of IgA, which is again not surprising because IgA is the antibody that helps us with surface immunity.