Behind the Scenes Minis: Alaska and Contraceptives

Tracy talks about a "Molly of Denali" episode that references Elizabeth Peratrovich. She then shares her own experience with IUD insertion. See omnystudio.com/listener https://omnystudio.com/listener for privacy information.

Speaker names marked ? are inferred from speaking time and the show’s known hosts — they are not voice-verified.

• 0:00Speaker 00

  This is an iHeart Podcast. Guaranteed Human. OnDeck is built to back small businesses like yours. Whether you're buying equipment, expanding your team, or bridging cash flow gaps, OnDeck's loans up to $400,000 help make it happen fast. Rated A+ by the Better Business Bureau and earning thousands of five-star TrustPilot reviews, OnDeck delivers funding you can count on. Apply in minutes at ondeck.com. Depending on certain loan attributes, your business loan may be issued by OnDeck or Celtic Bank. OnDeck does not lend in North Dakota. All loans and amounts subject to lender approval.

• 0:34Speaker 01

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• 0:49Speaker 02

  Zepbound is a prescription medicine used with a reduced calorie diet and increased physical activity to help adults with moderate to severe obstructive sleep apnea (OSA) and obesity to improve their OSA. Zepbound is approved as a 2.5, 5, 7.5, 10, 12.5, or 15-milligram injection. Zepbound contains trisepotide and should not be used with other trisepotide-containing products or any GLP-1 receptor agonist medicines. It is not known if Zepbound is safe and effective for use in children. Don't share needles or pens, or reuse needles. Don't take if allergic to it, or if you or someone in your family had medullary thyroid cancer, or if you've had multiple endocrine neoplasia syndrome type 2. Tell your doctor if you get a lump or swelling in your neck. Stop Zepbound and call your doctor if you have severe stomach pain or a serious allergic

• 1:34Speaker 02

  reaction. Severe side effects may include inflamed pancreas or gallbladder problems. Tell your doctor if you experience vision changes before scheduled procedures with anesthesia, if you're nursing, pregnant, plant-to-be, or taking birth control pills. Taking Zepbound with a sulphonal urea or insulin may cause low blood sugar. Side effects include nausea, diarrhea, and vomiting, which can cause dehydration and worsen kidney problems.

• 1:57Speaker 01

  Talk to your doctor. Call 1-800-545-5979, or visit zepbound.lily.com.

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• 3:48Holly Frey?

  Welcome to Stuff You Missed in History Class, a production of iHeartRadio.

• 3:58Tracy V. Wilson?

  Hello and happy Friday. I'm Tracy F. Wilson.

• 4:01Holly Frey?

  And I'm Holly Frey.

• 4:03Tracy V. Wilson?

  This week, we talked about Elizabeth Perotovich.

• 4:05Holly Frey?

  Sure did.

• 4:07Tracy V. Wilson?

  It's maybe a little silly that Elizabeth Perotovich Day caused me to do an episode weeks later.

• 4:13Holly Frey?

  No.

• 4:14Tracy V. Wilson?

  But you know, things happen.

• 4:16Holly Frey?

  Well, especially the way our schedule's been lately. Like, I was out for a week, and then I've been sick and juggled our schedule around. Like, no, it's just not silly at all.

• 4:25Tracy V. Wilson?

  Yeah. An episode on Elizabeth Peratrovich gave me the opportunity to watch some more Molly of Denali. Because there is a Molly of Denali episode called Molly and Elizabeth.

• 4:38Holly Frey?

  Ah.

• 4:39Tracy V. Wilson?

  In which Molly, well, first, there is an incident. I don't want to tell the whole plot of the episode, but there's an incident. And then afterward, Molly is talking to a relative who is talking about like how if she had been there, she would have given those guys who were pretty thoughtless and offensive a stern talking to. And then Molly finds out that this relative, who I think is maybe her aunt, her aunt's, I think, if I'm remembering correctly, saw Elizabeth Peratrovich when she was a very young girl. And it's very sweet, as so many episodes of Molly of Denali are. And I'm like, should I just watch Molly of Denali to find episode topics for the podcast?

• 5:23Holly Frey?

  Or just for pure enjoyment?

• 5:25Tracy V. Wilson?

  I mean, yeah, it's a very sweet show, I find.

• 5:28Holly Frey?

  I watch a lot of kids' shows just for pure enjoyment.

• 5:31Tracy V. Wilson?

  Yeah.

• 5:32Holly Frey?

  Have I ever told you about, you know what, I'm gonna sidetrack us on kids' shows for a moment.

• 5:37Tracy V. Wilson?

  Okay.

• 5:38Holly Frey?

  For the comedy of it. You know Pingu, right?

• 5:40Tracy V. Wilson?

  Huh?

• 5:41Holly Frey?

  When I was working for many, many years as an acquisition specialist at a university library, one of my work-study assistants one year was this absolutely beautiful Danish young woman who I loved, and she was very funny. But like, when I, we had first met her and I was like, ooh, I watch this kid's show. And she literally looked at me and went, Holly is for children. And I was like, yeah, I know. And she goes, like, tiny, tiny children. Like, she was basically like, you watch entertainment for two-year-olds. And I'm like, girl, yes, that's what I'm saying, I understand.

• 6:19Tracy V. Wilson?

  Yeah. Yeah. There are some children's shows that are really great.

• 6:25Holly Frey?

  Listen, give me that Bluey when I need a good cry. Give me it.

• 6:31Tracy V. Wilson?

  So when I started working on this episode, I was expecting just a very straightforward biography of Elizabeth Peratrovich. And this is about the anti discrimination law in Alaska, which predated the Civil Rights Act that had so many similar provisions regarding all of the public accommodations that people should be able to access regardless of their race, like really similar 20 years ish before. I did not fully appreciate how the history of Alaska is happening during the same time periods as we've talked about in the contiguous United States.

• 7:13Tracy V. Wilson?

  A lot of indigenous history we have talked about in the contiguous United States. And there are so many things that we've talked about in other episodes about indigenous people from like the lower 48 that just is our very different trajectory from Alaska because of the Alaska Purchase Treaty and the fact that there weren't any treaties with any of the indigenous or native peoples there, of which, as we said, there are at least 11 very different cultures within the Alaska Native population. I didn't realize that I was going to need basically a primer on sort of federal native policy in Alaska. Yeah.

• 7:57Tracy V. Wilson?

  And I still felt like we had to skip over big parts of it, just to try to give a sense of what all was happening and what was going on, even though we've talked about the same time periods and in some cases, the same laws in other parts of the United States. I just like, I did not have an understanding of how it's differently, some of that was going on in Alaska. Was not prepared for it. Was not prepared to have to research it. Was not prepared to have to write. It was not expecting that when I got into it. And then some of the things that like were, obviously a law can't fix discrimination. Right. It just, it doesn't like repair everything. It did mean though, that if, you know, someone was barred from an accommodation.

• 8:41Tracy V. Wilson?

  There was something that could potentially be done about it.

• 8:44Holly Frey?

  Right.

• 8:45Tracy V. Wilson?

  In terms of like, making sure the law was followed. But it also meant that there was a lot of other stuff happening in Alaska that was specific to Alaska that the law did not have anything to do with. It had to do with the rights of the native peoples of Alaska. So it's just like, just, there's just a whole world of that that we did not really get into at all. That would be, again, just like a whole, like a whole series of podcasts.

• 9:13Holly Frey?

  Yeah, I mean, it speaks to like this, this aspect of US history. Where, one, like, the US obviously is a very vast place, right? But two, like, because Alaska exists at a remove from the contiguous 48.

• 9:33Tracy V. Wilson?

  Oh, yeah.

• 9:33Holly Frey?

  And Hawaii, similarly, I feel like for a lot of us growing up, like, we don't get the context of where they are when we're talking about other big social and political movements throughout our country. It's like, they're just not even included in conversation.

• 9:49Tracy V. Wilson?

  Yeah, yeah. I also found a lot of details in writing about what was happening legally and in relation to like, creating a government for Alaska and that kind of stuff. Stuff where just details would be super different. It took me a long time to figure out exactly what I think was going on with the reapportionment of the Alaska territorial legislature.

• 10:14Holly Frey?

  Oh, yeah.

• 10:14Tracy V. Wilson?

  Because I found multiple different ways that was phrased that meant different things. Multiple years cited as when it happens, and between like 1842 and 1844. Multiple ways of describing exactly what the steps were. I think I arrived, hopefully, at the correct answer, but like, it just, I was like, why? Why are so many different sources saying this completely differently? And then I found there was one source in particular that made it sound as though, when the United States purchased Alaska from Russia,

• 10:48Tracy V. Wilson?

  All of the native peoples of Alaska, with one exception, were instantly citizens. And I was like, that-

• 10:55Holly Frey?

  That's not true.

• 10:56Tracy V. Wilson?

  You're a source, I think, would know what you're talking about, but I don't think that's right. And it doesn't align with what any of these other sources are saying.

• 11:06Holly Frey?

  Right.

• 11:06Tracy V. Wilson?

  And I was like, what happened here?

• 11:10Holly Frey?

  Yeah, why, why, why is this going on?

• 11:11Tracy V. Wilson?

  I'm glad this is not the first source that I read, because then I would have been abundantly confused.

• 11:17Holly Frey?

  I had a similar thing happen recently when I was researching where,

• 11:24Holly Frey?

  and it's less, it's less of a big thing, but it was like, a biographer of someone who is recognized as like, one of the preeminent biographers of that person, included just like, a really wrong detail in like-

• 11:39Tracy V. Wilson?

  Oh, yeah.

• 11:39Holly Frey?

  Their family makeup. And I was like-

• 11:42Tracy V. Wilson?

  Yeah.

• 11:44Holly Frey?

  Yeah. How is that? Is this just a typo that an editor didn't catch? Like, what, how does this happen?

• 11:49Tracy V. Wilson?

  What happened here? Yeah, yeah. I also liked, even though it was a lot to try to explain in the scope of one episode, I liked being able to touch on how the advocacy of the Alaska Native Brotherhood shifted over more than a century.

• 12:07Holly Frey?

  Yeah.

• 12:08Tracy V. Wilson?

  Which parallels Native and Indigenous advocacy in other parts of the United States over the last 100 years. Like, what people have been focused on, what people have thought was the right thing to do, what people have thought of as most important. Like, all of that changes over time. And this was one episode where it was possible to kind of look, reference some of those changes.

• 12:28Holly Frey?

  Yeah. Which I think is important, right? Because it is easy, I know we all want to like, compartmentalize things and define them a little bit, just as our way of parsing the world. But it can be easy to say, this organization equals this. And it's like-

• 12:45Tracy V. Wilson?

  Right.

• 12:45Holly Frey?

  At what point on the timeline? Like, they shifted and they changed.

• 12:49Tracy V. Wilson?

  Yeah, yeah. Yeah, there are so many other examples of similar, similar evolutions with similar, with other groups.

• 12:57Holly Frey?

  Our own political parties, right? Similar flippy dippy do.

• 13:01Tracy V. Wilson?

  Yeah. I'm going to call it flippy dippy do forever.

• 13:04Holly Frey?

  Great.

• 13:06Tracy V. Wilson?

  All right.

• 13:07Holly Frey?

  That's like, anytime someone reverses their position, you'll be like, flippy dippy do.

• 13:12Tracy V. Wilson?

  Flippy dippy do.

• 13:16Speaker 00

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• 13:46Speaker 01

  Snoring, gasping for air during sleep, daytime sleepiness? I'm Shaquille O'Neal and this shouldn't be anybody's experience. Ask your doctor about Zepbound Trisepotide, the first and only FDA-approved prescription medicine for moderate to severe obstructive sleep apnea in adults with obesity.

• 14:02Speaker 02

  Zepbound is a prescription medicine used with a reduced calorie diet and increased physical activity to help adults with moderate to severe obstructive sleep apnea (OSA) and obesity to improve their OSA. Zepbound is approved as a 2.5, 5, 7.5, 10, 12.5, or 15-milligram injection. Zepbound contains trisepotide and should not be used with other trisepotide-containing products or any GLP-1 receptor agonist medicines. It is not known if Zepbound is safe and effective for use in children. Don't share needles or pens, or reuse needles. Don't take if allergic to it, or if you or someone in your family had medullary thyroid cancer, or if you've had multiple endocrine neoplasia syndrome type 2. Tell your doctor if you get a lump or swelling in your neck. Stop Zepbound and call your doctor if you have severe stomach pain or a serious allergic reaction.

• 14:47Speaker 02

  Severe side effects may include inflamed pancreas or gallbladder problems. Tell your doctor if you experience vision changes before scheduled procedures with anesthesia, if you're nursing, pregnant, plant-to-be, or taking birth control pills. Taking Zepbound with a sulphonal urea or insulin may cause low blood sugar. Side effects include nausea, diarrhea, and vomiting, which can cause dehydration and worsen kidney problems.

• 15:09Speaker 01

  Talk to your doctor. Call 1-800-545-5979 or visit zepbound.lilly.com.

• 15:17Tracy V. Wilson?

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• 15:59Tracy V. Wilson?

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• 16:22Speaker 06

  First thought is like, wow, how are we going to do all this?

• 16:25Tracy V. Wilson?

  Hey, everybody. It's Tracy from Stuff You Missed in History Class. That's Alan Goya, a planning engineer at AT&T. He's talking about Intuit Dome, home of the Los Angeles Clippers, where every seat, screen, phone, and transaction is connected with AT&T fiber and 5G, defining the fan's experience. And Alan's master plan made it all possible.

• 16:46Speaker 06

  It was good to rival anything that was already built. And that takes quite a bit of people and different teams to all be on the same page.

• 16:53Tracy V. Wilson?

  That includes Field Services Manager Drexel Jones. His team made sure it all came together and held up on game day.

• 17:00Speaker 07

  Through what Alan's whole crew designed, we connected the event visitors to the world.

• 17:06Tracy V. Wilson?

  And after years of hard work and collaboration, it was opening night.

• 17:09Speaker 07

  To actually see the whole stadium light up and data is flowing is a beautiful thing.

• 17:14Speaker 06

  What the fans experience is incredible. It gave me a lot of pride.

• 17:17Tracy V. Wilson?

  AT&T, connecting fans to what they love. Connecting changes everything. AT&T.

• 17:29Tracy V. Wilson?

  We talked a bit about the history of the IUD this week. We sure did. I said I would talk about my own experience with IUD insertion, so I guess we'll start with that. Great. So I had an IUD for slightly longer than probably I should have. I wanted to get a non-hormonal method of contraception for two reasons. One was every hormonal contraceptive I have ever been on caused me some unwanted side effect that made it not worth it. Yep. And my mom also was diagnosed with breast cancer in her 60s and she had one of the cancers that is treated with estrogen blockers. I was uncomfortable doing hormonal things after that experience.

• 18:14Tracy V. Wilson?

  That's fair. And my, the, the GYN that I went to, who only did gynecology, she did not also do obstetrics, obstetrics was like, I don't think that it's actually a risk, but I understand your concerns and there's a totally viable alternative for you, which was a copper IUD. Right. So this was in 2012. Okay.

• 18:37Tracy V. Wilson?

  And here's what we did for pain management. At the time, some doctors used misoprostal as like an off-label thing to try to soften the cervix. Oh, right, right, right, right. And make it easier. And so she prescribed that. That is one of the medications that's used in a medical abortion. So I was concerned about whether I was going to be able to get my prescription filled in Georgia or whether I might get hassled at the pharmacy. Right. It was, it was fine. I also took whatever over the counter medicine before. This doctor preferred to do insertions while someone is menstruating because of changes

• 19:21Tracy V. Wilson?

  that happened to the cervix during that time. And also like an extra added likelihood that the patient is not pregnant. That did not work out for me for timing reasons. Yeah, that can be tricky for some people to time out. So my experience with that was not too bad. It was very fast.

• 19:43Tracy V. Wilson?

  It was less uncomfortable than the time that I had a temporary crown replaced with the permanent crown without any pain management because that dentist felt like the pain of injecting you with Novocain or whatever was worse than the pain of just swapping out the crown and then you have to deal with your mouth being numb. And I was like, okay, I see that reasoning.

• 20:09Holly Frey?

  But can I sign a piece of paper and you go for it anyway?

• 20:12Tracy V. Wilson?

  Do it anyway. So I would not say it was a comfortable experience, but it was not inordinately painful. I drove myself to the appointment. I drove myself to work directly afterward. I did leave work early because I was starting to have some cramping and that was mostly a, I want to get home in case this gets worse. I did not want to get into a situation where I felt like I was in enough pain that driving would have been dangerous.

• 20:41Holly Frey?

  Yeah.

• 20:42Tracy V. Wilson?

  I also one time had to have a transvaginal ultrasound to make sure it was still where it was supposed to be. And that was way more invasive than the insertion was.

• 20:50Holly Frey?

  Oh, yeah. They don't tell you that stuff.

• 20:53Tracy V. Wilson?

  No. So, uh, years passed. I moved to Massachusetts away from Georgia where I had been when I had it inserted. And I had, my regular doctor was of the opinion that based on how old I was when I had it inserted, I did not need to remove it until menopause. I would basically be good. That doctor moved away and I got a new doctor. And when I got my physical, her team was not of the same opinion and suggested that I have a consult with a, with an OB-GYN, which I did. And this OB-GYN was like, you, you can do it, but I would actually recommend removing it because of the, like, the risk that as

• 21:38Tracy V. Wilson?

  the device ages and it becomes less flexible, there is like a slightly increased risk of during removal, like part of it breaking off and then it becomes a bigger thing. So then we went to Morocco. And then- Oh gosh, this was a recent, recent. Yeah, so after coming back from Morocco, I went and got that done. We had a whole conversation about what to do after removing it because I am not yet menopausal. And ultimately, I elected not to get another IUD because that felt like a lot and to use other methods. But when she said, here is what your options would be if you got another IUD.

• 22:22Tracy V. Wilson?

  She presented me unsolicited on my part with an assortment of pain management options. And the smallest one, they don't recommend mycoprostat off-label for this anymore. Like that's, it seems like it does not actually help. So like, option number one was over the counter pain relief at home before you come in. Yeah. Option number two, prescription oral pain relief before you come in. Right. Next step, topical lidocaine applied to the cervix. Next step, paracervical block, which is injected. So like, that comes with the discomfort of having injections done around your cervix.

• 23:07Tracy V. Wilson?

  Next, sedative that would be like an anti-anxiety medication- Right. That would require me to have somebody else come to drive me to and from the appointment. And then last option would be to be put under the level of sedation that would be similar for like, when you have a colonoscopy and you're not conscious. Yeah. Unless you're me and you wake up every time. And I did not wake up during my colonoscopy. Time for jokes.

• 23:36Tracy V. Wilson?

  So if, if someone wanted that option, then it had to be done in a different office where there was a nurse anesthetist on staff. And like, this doctor, this office does not have a nurse anesthetist. So this was like a buffet of pain management options that were just-

• 23:53Tracy V. Wilson?

  From my, based on my experience, like, that's just how she works with all of her patients.

• 23:59Holly Frey?

  Yeah.

• 23:59Tracy V. Wilson?

  All of her patients. We have the discussion of all of these pain. So then after that appointment, I told all of my friends about this OBGYN and all of the pain management that she had just like offered me because I had heard for the last however decade plus, that they just don't do pain management for IUD insertion. And it wasn't until I started, oh, I don't remember which specific internet conversation. There have been many, made me go, I wish this was not how we were talking about this because I think it's, it's hurting people's health instead of helping, like empowering them to have. Uh, but I was like, oh, this is actually what the doctor did with me was pretty much in line with the current guidelines and people who are just saying, just take some Advil before you come in. Like, that's not with the current guidelines.

• 24:45Tracy V. Wilson?

  Also, when I went in to have it removed, I did have Patrick drive me just in case anything went wrong and I felt like I needed to have him there to drive me home. And I was in and out of the doctor before he was done parking the car in the parking deck connected to the medical facility. So anyway, that is my, my IUD insertion story and removal story.

• 25:12Holly Frey?

  Yeah. Never an option for me.

• 25:14Tracy V. Wilson?

  Uh huh.

• 25:15Holly Frey?

  I do have pain fear, although I know there are ways around it. My bigger thing, when people say medical anxiety, I don't think they understand what's going on with Holly Frey.

• 25:26Tracy V. Wilson?

  Okay.

• 25:27Holly Frey?

  My medical anxiety is not, oh, this procedure is going to be uncomfortable. It's that four weeks later, when I'm home, I'm going to be like, is it slowly killing me from the inside? Like, I have that flavor of medical anxiety and I'm like, this is not an option.

• 25:42Tracy V. Wilson?

  Yeah. Yeah.

• 25:44Holly Frey?

  That is not something that an IUD is a concern with, but my medical anxiety does not care about your logic or medical or scientific knowledge. It does its own thing. It's got its own flavor of. Flamboyant behavior that can

• 26:00Tracy V. Wilson?

  Yeah.

• 26:01Holly Frey?

  Contain. Yeah. So that was never an option.

• 26:05Tracy V. Wilson?

  No, it was the best option for me and I was overall really happy with it for the more than a decade.

• 26:11Holly Frey?

  There is also, and I won't actually say what it is. There is a callback here that you have accidentally created. Do you remember when recently I was talking about how growing up, I thought everybody read Jim Carroll? There's a gross IUD story in one of his books.

• 26:30Tracy V. Wilson?

  All right.

• 26:30Holly Frey?

  Probably also did not help me, but I think that's Jim Carroll. Hopefully I'm not misattributing, but um.

• 26:36Tracy V. Wilson?

  Yeah.

• 26:37Holly Frey?

  Yeah.

• 26:37Tracy V. Wilson?

  Well, and we are both of the age to have been around during the big ad campaign.

• 26:42Holly Frey?

  Oh, all of the.

• 26:43Tracy V. Wilson?

  Shields removed.

• 26:44Holly Frey?

  Yeah.

• 26:44Tracy V. Wilson?

  That thing does not look like it would be comfortable to insert, even though it was flexible. I know what the device and the inserter look like. I'm like, it, this is the big, it's. Most of the IUDs today are basically like little T shapes. They go in in a straight line.

• 27:04Holly Frey?

  Yeah.

• 27:04Tracy V. Wilson?

  And then the arms come out while it's in there. And like the Dow con shield was like a, it looked like a crab. It was like a not, not something narrow or round. And I have heard that it was like really painful to have that inserted. But it also just looks scary. And if you put it on a six o'clock news background of like fiery death behind it, which is how I remember.

• 27:33Holly Frey?

  Yeah.

• 27:34Tracy V. Wilson?

  The Dow con shield publicity about go get this removed if you have one, it leaves an impression.

• 27:40Holly Frey?

  Yeah. Oh, yeah.

• 27:41Tracy V. Wilson?

  On you.

• 27:41Holly Frey?

  I'm sure that's part of what informs like my medical anxiety about these things, right?

• 27:45Tracy V. Wilson?

  Yeah.

• 27:46Holly Frey?

  Yeah.

• 27:46Tracy V. Wilson?

  Even though I can read all of the up to the minute.

• 27:49Holly Frey?

  Yeah.

• 27:50Tracy V. Wilson?

  Science on it and understand that intellectually, my lizard brain goes.

• 27:55Holly Frey?

  Yeah.

• 27:56Tracy V. Wilson?

  No. The doctor asked if I wanted to see it after it was removed. And I was like, yeah, actually. And then she showed it to me and I was like, that is smaller than I thought it was.

• 28:05Holly Frey?

  You could make a piece of jewelry out of it.

• 28:07Tracy V. Wilson?

  This is not very big unless you're pregnant.

• 28:11Holly Frey?

  Yeah. Yeah.

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• 28:46Speaker 01

  Snoring, gasping for air during sleep, daytime sleepiness? I'm Shaquille O'Neal, and this shouldn't be anybody's experience. Ask your doctor about Zepbound Trisepotide, the first and only FDA-approved prescription medicine for moderate to severe obstructive sleep apnea in adults with obesity.

• 29:02Speaker 02

  Zepbound is a prescription medicine used with a reduced calorie diet and increased physical activity to help adults with moderate to severe obstructive sleep apnea (OSA) and obesity to improve their OSA. Zepbound is approved as a 2.5, 5, 7.5, 10, 12.5, or 15-milligram injection. Zepbound contains trisepotide and should not be used with other trisepotide-containing products or any GLP-1 receptor agonist medicines. It is not known if Zepbound is safe and effective for use in children. Don't share needles or pens, or reuse needles. Don't take if allergic to it, or if you or someone in your family had medullary thyroid cancer, or if you've had multiple endocrine neoplasia syndrome type 2. Tell your doctor if you get a lump or swelling in your neck. Stop Zepbound and call your doctor if you have severe stomach pain or a serious allergic reaction.

• 29:47Speaker 02

  Severe side effects may include inflamed pancreas or gallbladder problems. Tell your doctor if you experience vision changes before scheduled procedures with anesthesia, if you're nursing, pregnant, plant-to-be, or taking birth control pills. Taking Zepbound with a sulphonal urea or insulin may cause low blood sugar. Side effects include nausea, diarrhea, and vomiting, which can cause dehydration and worsen kidney problems.

• 30:09Speaker 01

  Talk to your doctor. Call 1-800-545-5979, or visit zepbound.lily.com.

• 30:16Speaker 08

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• 30:58Speaker 08

  This new chicken nugget, reinvented based on real feedback, is made with 100% white meat chicken and is now better than ever. You gotta try the new Burger King Chicken Nuggets and Sauces today.

• 31:12Tracy V. Wilson?

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• 32:28Holly Frey?

  I did have a bit of a chuckle when we started this episode.

• 32:32Tracy V. Wilson?

  Yeah.

• 32:32Holly Frey?

  I think you and I define...

• 32:36Holly Frey?

  Body horror much differently.

• 32:38Tracy V. Wilson?

  Okay.

• 32:40Holly Frey?

  Because I'm like, none of this even comes close. Like, this is.

• 32:42Tracy V. Wilson?

  Yeah.

• 32:43Holly Frey?

  Listen, I got Lars von Trier in my brain. I've nothing, nothing touches that. Are you kidding me? And I like a little body horror. Lars von Trier can sometimes go too far for me, but um, yeah, it just, I was like, oh, well, different.

• 32:56Tracy V. Wilson?

  Yeah.

• 32:56Holly Frey?

  Levels.

• 32:58Tracy V. Wilson?

  Yeah. It was specifically the, like, the intrauterine I U, or the intrauterine pessaries that had coiled, springy stems and legs that popped out, like imagining those, just, I felt that sympathetically in my own body.

• 33:16Holly Frey?

  I think too, there are different, specific things that will trigger different people's, right?

• 33:21Tracy V. Wilson?

  Sure.

• 33:22Holly Frey?

  None of that bothers me. I literally got really excited once when we were in Disney World. I don't know if you've ever been on the little train that goes out to conservation station.

• 33:34Tracy V. Wilson?

  Oh, yeah.

• 33:34Holly Frey?

  In Animal Kingdom, where they have a lot of animals and they have a medical facility. We happened to get lucky, depending on your point of view, to be there when they were like, hey, if you're squeamish, don't go over there. We're removing a tumor from a goat in the surgery. And I was like, run it. I wanted to see that.

• 33:49Tracy V. Wilson?

  Yeah.

• 33:49Holly Frey?

  I was very excited about it, but yet I will. The thought of like tearing muscle is very upsetting to me. So.

• 33:56Tracy V. Wilson?

  Oh, sure.

• 33:57Holly Frey?

  It just depends. Different people have different stuff. But that made me chuckle a little bit. I was like.

• 34:02Tracy V. Wilson?

  I felt really chagrined about my ignorance about how, what the cervix is actually structured like.

• 34:09Holly Frey?

  Oh, I don't think you should. That's not unusual.

• 34:12Tracy V. Wilson?

  Well, I just sort of thought, I thought I knew how my own body worked in that way. Having had an I U D and having, you know, as instructed, make sure that the strings were still there. And also at one point, having looked at it through a speculum with a mirror, I was like, I know exactly what that looks like. And then I was like, oh, no, it does not look like I thought it looked.

• 34:36Holly Frey?

  Here's, here's what I hope will quell your embarrassment or chagrin.

• 34:41Tracy V. Wilson?

  Okay.

• 34:42Holly Frey?

  Could you draw me an accurate picture of your spleen right now?

• 34:46Tracy V. Wilson?

  No.

• 34:46Holly Frey?

  See?

• 34:47Tracy V. Wilson?

  Definitely not.

• 34:47Holly Frey?

  We don't know what's going on in there.

• 34:50Tracy V. Wilson?

  It's not our jobs.

• 34:54Tracy V. Wilson?

  Speaking of anatomy, I learned way too much about the physiology of camels and camel reproduction. Trying to figure out, is this stone story even possible? Plausible, yeah. It is more plausible than I thought before I learned more things about camel reproduction.

• 35:16Tracy V. Wilson?

  It's still like it, I've, oh, like, literally trying to find other references to that. I only found it in, in connection to IUDs and in one case, an article about pessaries specifically also mentioned it. Also, we did not, we've mentioned connections between the birth control movement and the eugenics movement in the episode. We did not go into Yeah. a lot of detail about it, in part because we've talked about it a number of times before. And then in part because like referencing it felt like what needed to happen at that moment, not necessarily diving into it. IUDs though specifically have some nuances that other contraceptives don't necessarily.

• 35:58Tracy V. Wilson?

  And one is that some of the like population explosion discussions of the 1960s framed IUDs as a really good contraceptive method because of an underlying assumption that the people in poorer parts of the world where the population was growing too fast. It framed it like, and the people there are clearly not smart enough to use other forms of contraception. Right. There was like an insulting medical racism aspect to it. Yeah, yeah, yeah. At the same time though, I read a couple of things that made it seem like the eugenics movement was really promoting IUDs.

• 36:45Tracy V. Wilson?

  And like, the biggest wave of the eugenics movement in the United States was falling out of favor when actual practical IUDs were developed. They were more likely to be permanently sterilizing people.

• 37:00Holly Frey?

  Right.

• 37:01Tracy V. Wilson?

  Not doing anything that was temporary or reversible.

• 37:04Holly Frey?

  Yeah.

• 37:05Tracy V. Wilson?

  I think those are all of my notes about IUD discussion.

• 37:12Tracy V. Wilson?

  I do really want anybody listening to feel empowered to at least talk to their doctor. And if their doctor is like, oh, you'll be fine. Just take some Advil. No.

• 37:23Holly Frey?

  Yeah.

• 37:23Tracy V. Wilson?

  That the current guidance is to offer more options than that.

• 37:28Holly Frey?

  Right.

• 37:29Tracy V. Wilson?

  And to have an informed discussion about it.

• 37:33Holly Frey?

  Yeah. Yeah, I also, when it came to that whole thing was like, I never want kids. Can we make this a permanent party?

• 37:41Tracy V. Wilson?

  Like. Right.

• 37:42Holly Frey?

  So that was the easy one. And even then, I will say, I chickened out twice.

• 37:47Tracy V. Wilson?

  Oh, I didn't know that.

• 37:48Holly Frey?

  At the last minute. And then I had to have another procedure done that I was gonna have to be put under for. And I was like, let's knock them both out at the same time.

• 37:55Tracy V. Wilson?

  Just do it. Yeah. Yeah.

• 37:57Holly Frey?

  Which, here is a funny story that I will tell you. And it is about our mutual friend, Lilly, who we both love very much. To have that procedure done, I had to have like, you know, your abdomen is filled with air so that there's.

• 38:15Tracy V. Wilson?

  Oh, yeah.

• 38:15Holly Frey?

  They can easily get in there with all of the laparoscopic goodness. And as a consequence,

• 38:23Holly Frey?

  in a hilarity, you look pregnant afterwards.

• 38:26Tracy V. Wilson?

  Okay.

• 38:27Holly Frey?

  Because it takes a while for that air to dissipate. And bless her, Lilly came over that night and like, brought me yummy things and hung out with me for a while.

• 38:36Tracy V. Wilson?

  No.

• 38:36Holly Frey?

  Like, Brian was with me too, but she was like, oh, what can I bring? And she was like, this is amazing. Can we take pictures? And send them to people and tell them you've actually been secretly pregnant?

• 38:45Tracy V. Wilson?

  Prank them.

• 38:49Holly Frey?

  It's like, no, I'm not going to be responsible for 12 heart attacks today. That's not going to happen.

• 38:54Tracy V. Wilson?

  Yeah.

• 38:55Holly Frey?

  It was very funny. It was very funny.

• 38:58Tracy V. Wilson?

  I love it. I love it.

• 39:01Holly Frey?

  Somewhere, there are pictures of me looking very pregnant.

• 39:04Tracy V. Wilson?

  Yeah.

• 39:05Holly Frey?

  Probably on a roll of film. That's how long ago that was.

• 39:08Tracy V. Wilson?

  Wow.

• 39:08Holly Frey?

  Twenty. How old am I? This is like 25 years ago? It's been a long time.

• 39:13Tracy V. Wilson?

  Yeah. Yeah. Well, anyway, whatever's coming up for you on your weekend, boy, do I hope it's great. We've had a number of weather updates in our behind the scenes episode as I have lived through a particularly cold, snowy New England winter. It is 70 degrees today and it has made me so happy.

• 39:37Holly Frey?

  We're barely keeping Tracy in the chair today.

• 39:39Tracy V. Wilson?

  Yeah. Whatever is your equivalent of 70 degrees after a long snowy winter, I hope that is how great your weekend is. We will have something brand new on Monday. And tomorrow, we'll be back with a Saturday classic.

• 40:02Tracy V. Wilson?

  Stuff You Missed in History Class is a production of iHeartRadio. For more podcasts from iHeartRadio, visit the iHeartRadio app, Apple Podcasts, or wherever you listen to your favorite shows.

• 40:17Speaker 01

  Snoring, gasping for air during sleep, daytime sleepiness? I'm Shaquille O'Neal, and this shouldn't be anybody's experience. Ask your doctor about Zepbound Trisepotide, the first and only FDA-approved prescription medicine for moderate to severe obstructive sleep apnea in adults with obesity.

• 40:33Speaker 02

  Zepbound is a prescription medicine used with a reduced calorie diet and increased physical activity to help adults with moderate to severe obstructive sleep apnea, OSA, and obesity to improve their OSA. Zepbound is approved as a 2.5, 5, 7.5, 10, 12.5, or 15-milligram injection. Zepbound contains Trisepotide and should not be used with other Trisepotide-containing products or any GLP-1 receptor agonist. It is not known if Zepbound is safe and effective for use in children. Don't chew needles or pens, or reuse needles. Don't take if allergic to it. Or if you or someone in your family had medullary thyroid cancer, or if you've had multiple endocrine neoplasia syndrome type 2. Tell your doctor if you get a lump or swelling in your neck. Stop Zepbound and call your doctor if you have severe stomach pain or a serious allergic reaction.

• 41:18Speaker 02

  Severe side effects may include inflamed pancreas or gallbladder problems. Tell your doctor if you experience vision changes before scheduled procedures with anesthesia. If you're nursing, pregnant, plan to be, or taking birth control pills. Taking Zepbound with a sulphonal urea or insulin may cause low blood sugar. Side effects include nausea, diarrhea, and vomiting, which can cause dehydration and worsen kidney problems.

• 41:40Speaker 01

  Talk to your doctor. Call 1-800-545-5979, or visit zepbound.lily.com.

• 41:47Holly Frey?

  A rare disease diagnosis can change your life, but it doesn't have to define your future. In season seven of Untold Stories: Life with a Severe Autoimmune Condition, host Martine Hackett continues the conversation with people living with MG, CIDP, and the broader rare disease community, exploring what comes after diagnosis through stories of hope, progress, and connection. Produced by Ruby Studio in partnership with Argenx. Listen on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.

• 42:18Tracy V. Wilson?

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