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392 total appearances

Appearances Over Time

Podcast Appearances

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

And these circus performers, they could do all kinds of things.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

They could take sharp objects and put them through their hand, and they could walk on hot coal and do all this sort of stuff, which they had seen before.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

But the difference with this particular family, for instance, when they were walking on hot coals, was that they could feel the coals.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

And they could feel that they were hot.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

So they had sensation and they had pretty significantly preserved hot, cold sensation.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

What they did not have was pain.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

That's the only thing.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

So a lot of other firewalkers, for example, they just don't feel anything.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

They're sort of insensate or numb to it.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

They weren't insensate.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

So that was really interesting.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

And they found that, in fact, it was this 14-year-old boy that they first met, but then it was the whole family that seemed to be able to do this.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

They identified a gene, which they expected to find.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

And that gene, I think, is SCN9.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

It's a sodium channel blocker.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

So the way that we conduct signals around our body is by changing voltages and sodium channels.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

So this is a particular sodium channel blocker that they decided to essentially try and replicate through a medication.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

And this is Vertex Pharmaceuticals, which many of your listeners may know this company.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

But basically for a quarter century, they just were working on this drug, which was essentially trying to replicate what that gene did for that family in Karachi, Pakistan, to sort of take away pain without dulling everything, without making someone insensate or numb.

Ground Truths
Sanjay Gupta & Eric Topol - Discuss “It Doesn’t Have to Hurt” book

And it worked.