Hi, I'm Ethan Sopli, welcome to American Blood. Outside of acting, my two favorite things

to do are diet and eat. I have a very complicated relationship with food and on this podcast,

we're going to talk about all of it. Food is entertainment, food is sport, food as fuel.

I'll talk to experts and the average person, just like you and me.

I hate to ask you to do anything, but if you're enjoying the show,

please take a moment to like, subscribe, rate, review, all of the above on whatever app you're

getting it from. My guest today is Dr. Shilpa Rivella. She is a transplant, gastroenterologist,

and assistant professor of medicine at Columbia University. We're going to discuss her book,

A Silent Fire, the story of inflammation, diet, and disease. Dr. Shilpa Rivella, welcome to the

American Glutton Podcast. Thank you so much for having me here. I am desperately interested in

inflammation and I've read a little bit about what you're working on and I want to know all of it.

Like, you can explain the history of inflammation. How we discovered this thing inflammation,

is that true? Absolutely. How did we come to find inflammation? And this is different than like I

bumped my head and it swelled up, right? Exactly. Well, it's sort of along the same lines.

So, basically, acute inflammation is, say when you bump your head or you stub your toe,

you can see those cardinal signs of inflammation, like the redness, the heat, the swelling,

and the pain. And that was actually, we were seeing things like that long, long time ago.

And those signs were first described by the physician's cellysis in 25 CE. And those are the

signs that we're all very familiar with. But what we can also talk about is a different type of

inflammation and one that lingers in the body for a long time. So, when we speak of chronic inflammation,

that refers to, for example, autoimmune disorders, like inflammatory bowel disease, which is a

condition I see in my office a lot. And in those conditions, patients suffer from chronic

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