A Huntsville, Alabama, physical therapist notes that patients with a hamstring cramp will sometimes say “I’ve got a rising in my leader.” Rising is a dialect term for swelling, and leader is a dialect term for tendon or muscle, perhaps inspired by the old use of the term leader for the ropy stalk of a plant. Another dialectal term for a medical condition is the sugar, which means diabetes. This is part of a complete episode.

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