This co-hosted podcast delves into the science of itching, exploring its evolutionary origins and neurological mechanisms. The hosts discuss the history of itch research, highlighting the groundbreaking work of Handwerker in the 1980s that debunked the idea that itching is simply low-grade pain. They then explain the complex neural pathways involved in itch sensation and the itch-scratch cycle, noting that scratching can actually worsen the itch due to the release of serotonin. Finally, they explore different types of chronic itch, including a particularly distressing case study of a woman who scratched through her skull, illustrating the severe impact of poorly understood neurological itches. Listeners gain a deeper understanding of the science behind itching and the challenges in treating chronic itch conditions.