GrumpyOldLadyTech

GrumpyOldLadyTech t1_j2aglqs wrote

It's not the first time it's come up on Reddit, but thankfully Reddit doesn't forget things. And not just Reddit, either. It's like every time he starts to slide into irrelevance, he says something homophobic, sexist, or otherwise scientifically inaccurate (like the Earth only being 3,000 years old or something) to get attention.

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GrumpyOldLadyTech t1_iujjddz wrote

What you're describing is "second intention" healing: the act of the body healing a wound without closure. It's unnecessary (and sometimes impossible) to suture every wound. Not much to glue together on, say, a skinned knee. Second intention healing actively scars over as fibrin (manufactured by your liver) knits a structure together for cellular regeneration. That's why a scar looks different from your usual skin: it's literally built over a scaffolding that your body isn't made of normally.

It's common and harmless, just letting a wound granulate in. Usually best for superficial wounds like abrasions, though I've seen it with deeper wounds on occasion. In both cases I can think of immediately, the wound was bandaged with honey, which acted as a secondary granular structure while also protecting the deep tissue from infection. Eventually the skin grew back in, though both times it did scar rather spectacularly. The doctors on each case felt sutures would be difficult and risky, based on the mobility of the sites as well as poor "margins," which are the edges of wounds. Without proper margins, they're nothing to really suture. Imagine taking a half-dollar sized patch of skin off your wrist: how do you put the edges back together on such a wide, mobile space? You don't. You let it heal by second intention.

Sutures (and staples) come in to play with lacerations mostly. Nice, deep, linear wounds with most of the skin still available to suture. But that's a different subject.

Your two biggest organs - your skin and your liver - are also the only two with active regenerative properties. That doesn't mean take them for granted, but do have a little trust!

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GrumpyOldLadyTech t1_iuhryp1 wrote

In theory, and dependant on the tissue involved, repeated trauma has a possibility of giving rise to cancer. The skin is not generally one of these tissues.

The way skin forms is kinda special. It's an epithelial tissue, meaning it's designed to rubbed, bumped, and slid against. The inside of your mouth is epithelial tissue, as are other parts of the digestive system and reproductions system. Even the lining of your urethra is epithelial cells. They're used to the constant minor abuses and have evolved accordingly.

So what's special about it? All your skin is formed in deep tissue called the dermis, by epithelial cells caked basal cells. Think "basal" like "basement," as they are the bottom layer of your skin. Their entire job is to replicate and push more skin cells upward. Those new cells eventually die off as they move upward and become what you know of as your skin. Problems with basal cells are most often caused by radiation damage - like prolonged and repeat exposure to UV - because they replicate so often and so quickly, not from repeat trauma.

Now, if you're cutting the exact same spot on your skin for, like, years? Constantly? Yeah, that's probably not great. But microtears in muscular and epithelial tissue isn't the end of the world. They're used to that, and they're designed to cope.

Edit: I focused on skin, because that's usually what you mean by cuts and scrapes. If you've been frequently cutting into muscle tissue, I'm worried about you for reasons beyond cancer.

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GrumpyOldLadyTech t1_iugn960 wrote

I do my best! Just make sure you're not tinkering too much with your molecules, and you should be fine. Things like smoking, drinking, unnecessary hormones or supplements beyond reasonable amounts (ask your doctor if you're unsure), chronic inflammation and poor diet can really do a number on a molecular level - so drink water, eat fresh balanced nutrition from varied sources, get plenty of fiber (you wanna keep your gut flora happy if you want everything else to be happy!) and stay low on inflammation-inducing foods, and your DNA will thank you.

Oh, side note! Pay attention to your stress levels. I'm not talking physical workout stress, I mean brain and trauma type stress. High chronic levels of cortisol can really do a number on your telomeres!

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GrumpyOldLadyTech t1_iugix60 wrote

The way DNA replicates to termination is a little different than just apoptosis. Let's see if I can explain.

Cells have a natural life cycle, and when they age out, they have a natural self-termination called apoptosis. This is built into the structures and has a set timeline. If you're talking about cells that aren't manufactured somewhere like blood cells in marrow, they replicate via mitosis and just keep going.

However! Oxidative damage to the telomares shortens the terminus of the DNA. This is directly related to the effects of aging and age-related changes. This happens on a molecular level.

What you're describing happens at a cellular level, and the body has systems in place to account for that (for the most part). You're not prematurely aging yourself by working out. If anything, you're keeping your systems stimulated to keep up on cellular "housekeeping," to include removal of dead or dying cells more appropriately.

... in short, you're fine!

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