Speaker 1: The Craig Ferguson Pants on Fire Tour is on sale now.
Speaker 1: It's a new show, it's new material, but I'm afraid
Speaker 1: it's still only me, Craig Ferguson on my own, standing
Speaker 1: on a stage telling comedy words. Come and see me,
Speaker 1: buy tickets, bring your loved ones, or don't come and
Speaker 1: see me. Don't buy tickets and don't bring your loved ones.
Speaker 1: I'm not your dad. You come or don't come, but
Speaker 1: you should at least know what's happening, and it is.
Speaker 1: The tour kicks off late September and goes through the
Speaker 1: end of the year and beyond. Tickets are available at
Speaker 1: the Craig Ferguson Show dot com slash tour. They're available
Speaker 1: at the Craig Ferguson show dot com slash tour or
Speaker 1: at your local outlet in your region. My name is
Speaker 1: Craig Ferguson. The name of this podcast is Joy. I
Speaker 1: talk to interest in people about what brings them happiness.
Speaker 1: My guest today has been here before, but he's so
Speaker 1: expensive and funny and interesting, and I'll be honest, he's
Speaker 1: a little weird, but that's kind of what you want
Speaker 1: in someone who's as accomplished a surgeon as he is.
Speaker 2: I know he's a surgeon.
Speaker 1: It's not any of this show business circus crap that
Speaker 1: I usually get in here.
Speaker 2: He's a proper growing up doctor, doctor Robert J. S Folio.
Speaker 1: So let me tell you this, yes, doctor, as a
Speaker 1: doctor like sarcastically that I.
Speaker 2: Shouldn't say that. You know why. You know, you didn't
Speaker 2: deserve it.
Speaker 1: You are a doctor, and you're a very good doctor.
Speaker 1: And that's and so I don't want to say doctor.
Speaker 1: So let me let me try that again.
Speaker 2: Let me tell you something, doctor, Yeah, that was a yeah,
Speaker 2: all right.
Speaker 1: So the only rule I have for myself on this
Speaker 1: podcast is I only talk to people I want to
Speaker 1: talk to.
Speaker 2: That's the only rule. I love that. Yeah.
Speaker 1: See, and that's why you are my second repeat guest. Wow,
Speaker 1: you're the only only the second person who ever did it?
Speaker 2: So now I have to ask who was the first?
Speaker 2: Jesus very close, very close. Kathy Lee Geffert a very
Speaker 2: good friend of Jesus, and she is, I mean, they
Speaker 2: are best friend. You know. I listened to one of
Speaker 2: your podcasts and it was her. Yeah, didn't do you know? Kathy?
Speaker 1: No, I feel I feel like you say that, like,
Speaker 1: how would I meet you mean you're.
Speaker 2: A simple robotic lung surgeon. Why would I mean, come on?
Speaker 2: Fuck you? Well that I hear a lot.
Speaker 1: Yeah. So the the idea that I would invite you
Speaker 1: back is and I don't want you in any way
Speaker 1: to think this is a way for me to get
Speaker 1: free medical advice.
Speaker 2: But I'm happy to provide it because it's worth what
Speaker 2: you pay for it. All right, So here you do
Speaker 2: work on the esophius, right, I do. We've talked about
Speaker 2: it that I think the last time you were here.
Speaker 2: Because my father died of cancer. I remember. Obviously I'm paranoid,
Speaker 2: but you have parrots. I do not have Barretts.
Speaker 1: Because I got to nandoscope and they had to look
Speaker 1: at what they called a molecular paneling and biopsy. Yeah, yeah,
Speaker 1: that I got called Arnie Markowitz, did it?
Speaker 2: He's a sloon cattering beautiful. Yeah.
Speaker 1: So I don't want to I don't want to promote
Speaker 1: the competition, you know.
Speaker 2: No, So the competition is cancer and healthcare and equity
Speaker 2: and diabetes. It's not slung kettering Columbia Cord. Now we
Speaker 2: can say very noble man, but that is true. It
Speaker 2: is true. And of course we can say that with
Speaker 2: the NYU because we're the number one ranked lung cancer
Speaker 2: program in the world and the number one hospital, number
Speaker 2: two hospital in the United States and north of rank.
Speaker 2: So of course we can take the higher road.
Speaker 1: Wait, wait a minute, I got to ask then, in
Speaker 1: the same way as Kathy Lee Gifford, who's.
Speaker 2: The number one hospital in the United States. Unfortunately, because
Speaker 2: of a reputation factor as opposed to outcomes, the Mayo
Speaker 2: Clinic is number one, number two. That's according to US
Speaker 2: News and World Report, and also Mayo. They're named after
Speaker 2: a condiment. It's not the it's not what you want
Speaker 2: in a hospital. That's what we should be. That's what
Speaker 2: we did wrong. You should be ketchup or some kind
Speaker 2: of Berneese wow, that would have been that would have
Speaker 2: played to the European client New York Bernese Hospital. That's it.
Speaker 1: Then people really come to you. So let me ask
Speaker 1: you this, right, So I got this. I got this
Speaker 1: endoscope done. By the way, do you know that in
Speaker 1: Britain on the National Health Service they give endoscopes without anesthesia.
Speaker 2: They do a lot of things in Britain in a
Speaker 2: national healthcare system, like.
Speaker 1: I was talking about Buddy and he gets an endoscope
Speaker 1: he said, he said, I was the whole time I went,
Speaker 1: you weren't asleep.
Speaker 2: Yeah, it's crazy. Well, sometimes they do it because it's
Speaker 2: a lot less expensive to do it in outpatient facilities,
Speaker 2: which we do. But then to have an anesthesiologist there
Speaker 2: as opposed to a nurse anesthesiologist to practice, you can
Speaker 2: reduce your costs. And they give you a little bit
Speaker 2: of twilight stuff like colonoscopy as opposed to being completely out. No,
Speaker 2: I go for the phil probofall for the kolonoscopy too.
Speaker 2: I remember that you enjoyed that.
Speaker 1: Yeah, you know, it's not so much the caliscopy because
Speaker 1: I have no memory.
Speaker 2: The fact you get one one a month has clued
Speaker 2: me in that you would joy. Not so much the process.
Speaker 2: I've got to be careful with that's medicine. Well you
Speaker 2: know my history, you know with drugs. So I remember
Speaker 2: like that prop See this is a thing. Did I
Speaker 2: talk to you about this? What I got dental surgery done? No,
Speaker 2: I don't know about the dental.
Speaker 1: So I get a couple of years ago, I got
Speaker 1: dental surgery done, and they give me a pain because
Speaker 1: it's pretty painful thing.
Speaker 2: Right. It was like some bone marrow thing or something.
Speaker 2: Bone it was. It wasn't a root canal. No, they
Speaker 2: an extraction and then they put in an implant. Yeah,
Speaker 2: I have an implant screwed into the bone. Yeah.
Speaker 1: But they had to put bone marrow transplant in before
Speaker 1: bone grafting. Yeah, an bone graft. So they do all
Speaker 1: of that. It's all very painful. And the dog, she says,
Speaker 1: here's some painkillers. And I said, well, I gotta be careful.
Speaker 1: We went out, these would be all right, I take
Speaker 1: one of these days. I don't even I don't even
Speaker 1: put myself in charge of them. I give them to
Speaker 1: my wife.
Speaker 2: That's fantastically responsible. Well, with my history, you gotta be careful,
Speaker 2: and I appreciate it.
Speaker 1: So I give them to my wife, and I say,
Speaker 1: all right, you'll none of these, and if it gets
Speaker 1: too bad.
Speaker 2: I'll take one. Right, so it gets really bad, which night,
Speaker 2: first night? Second night? I think it was the second night,
Speaker 2: you're not sure. It means they were working very well, but.
Speaker 1: Yeah, so I take this one. It's called percisset.
Speaker 2: Yeah, percocets. Jesus's that's the real deal.
Speaker 1: I have never had a better drug in my fucking life. Really,
Speaker 1: and I've taken one purpose of one of them. Man,
Speaker 1: I just like the the I've taken everything everything, heroine, cocaine,
Speaker 1: speed and all of I've had all all the drugs
Speaker 1: I've had, But legal drugs.
Speaker 2: Gosh, unbelieve it's interesting. So here's the funny thing. I
Speaker 2: have never even had marijuana. I have tried nothing. Hate marijuana.
Speaker 2: I hate the smell of it. I saw in New York.
Speaker 2: It's says like you're in marijuana everywhere. It's unbelievable. I
Speaker 2: come out of my apartment building at six thirty in
Speaker 2: the morning, he goes see my patients, and the waft
Speaker 2: of it sounds like a skunk. Literally sounds like a skunk.
Speaker 2: That's what they call it. They call it skunk. It's
Speaker 2: horrible people can do this. I just don't get it.
Speaker 2: So I am so anti drug and alcohol just because
Speaker 2: the way I was raising them, because being a doctor,
Speaker 2: and see the message. You see what it does, See
Speaker 2: what it does.
Speaker 1: We also I think it's uh, it's persecution against my people,
Speaker 1: the Scots and the Irish because because.
Speaker 2: Italians will be careful, there's a lot of wine going on.
Speaker 1: But here's the thing the Scot's in the Irish like
Speaker 1: if you're a good old gooda Scots and Irish, you
Speaker 1: know y gooda a good old Scots and I I
Speaker 1: was going to say drunk, and then I changed my mind,
Speaker 1: so it sided to goda.
Speaker 2: I just made up a word. Go does the hell
Speaker 2: of a word a go to you? We'll just make it.
Speaker 2: We'll just make it. It's a new word. We developed
Speaker 2: it right here Urban Dictionary. Right.
Speaker 1: So if you're a goda, which means good old drunk
Speaker 1: from Scotland or Island, right, you have to hide your
Speaker 1: shame by by putting it in a brown paper or
Speaker 1: flask flasks or a brown paper bag in the streets,
Speaker 1: so people think you're having a soda and everybody knows
Speaker 1: you're not having soa direct but you have to hide it.
Speaker 1: But if you're you know, one of those continental types
Speaker 1: it likes to smoke marijuana cigarettes.
Speaker 2: You can just walk down the streets smoke at them.
Speaker 2: It's crazy. Yeah, I like the days when at least
Speaker 2: they had to hide it. Now my apartment building, I
Speaker 2: have a nice apartment building two blocks from work, so
Speaker 2: I can be in the o R if there's a
Speaker 2: problem close to the patients, or there's an administrative problem.
Speaker 2: I'm in in two minutes. There's people on my floor
Speaker 2: that's smoking. Not supposed to smoke in the building.
Speaker 1: Yeah, but it gets in people's clothes and in their
Speaker 1: hair and stuff, and they can't smell anymore.
Speaker 2: It's like cat people.
Speaker 1: It is great analogy. It's like cat people. The cat people,
Speaker 1: they can't smell like these smell a cat, but these smell.
Speaker 2: A cat, and they always smell like cats.
Speaker 1: Yeah, and their houses smell like cats. Terrible when you
Speaker 1: go to their houses and I go to their houses
Speaker 1: and love.
Speaker 2: I don't know. So what's the affinity between you and
Speaker 2: the cat people. It's just there might be a there
Speaker 2: might be an important thread there emotionally for you.
Speaker 1: Well, I think I've probably run in a tox of
Speaker 1: plasmosis from an old girlfriend.
Speaker 2: Maybe very good, you know, cox of plasma because I'm
Speaker 2: because I know what cats can do.
Speaker 1: My brother in law was bitten by a cat right
Speaker 1: what year was, I don't know, like four or five
Speaker 1: years ago recently. Yeah, So he's bitten by a cat
Speaker 1: and he goes to our doctor in California. It's bad
Speaker 1: because my wife is with him at the time she
Speaker 1: was about that, we were in Scotland. She was going
Speaker 1: to come over at Scotland. She said, I gotta stay
Speaker 1: I mean, he was bitten by a cat. You gotta
Speaker 1: stay by.
Speaker 2: You gotta kitting's got in the airplane and go. Well
Speaker 2: apparently he gives yes, he got Oh you are filming. Yeah,
Speaker 2: the lion's got a red streaky infection going up the tendon.
Speaker 2: That can actually be very serious. That can be very serious.
Speaker 2: That they were saying, maybe we have to amputate the arm.
Speaker 2: Maybe that's drastic ivy antibiotics train. Yeah, and they opened
Speaker 2: the bite and drain it right.
Speaker 1: They did all that and it was fine. But I
Speaker 1: mean they said, I if you had left it longer
Speaker 1: from a cat. So here's my next question. Was the
Speaker 1: cat alive the next day. The cat's doing my my
Speaker 1: wife's family of cat people. They like cats. They may
Speaker 1: like him more than they like her brother.
Speaker 2: Well that's now, that was the next question, because there
Speaker 2: was the brother there two days later. Because when you
Speaker 2: got to choose between the cat and the brother in
Speaker 2: law versus brother.
Speaker 1: Well, he doesn't he I don't think he even puts
Speaker 1: it together like he would have a cat to this day,
Speaker 1: not that one. No, maybe not that one. But but
Speaker 1: that's the thing. People like, we have a cat. I
Speaker 1: am a cat in my house, but I know now
Speaker 1: that that cat is a potential deadly killer.
Speaker 2: You could also lose in a hand right or another
Speaker 2: appendage of your body.
Speaker 1: I would never let a cat bite my peepe you
Speaker 1: just oh listen, by the way, I want to talk
Speaker 1: to you about plastic surgery.
Speaker 2: Here's the thing that's funny. How he went right from
Speaker 2: his penis the plastic service.
Speaker 1: Well, this is the sam there is a thread the
Speaker 1: definitely definitely well, I was thinking, I'm going to get place.
Speaker 2: It's about my time. Sixty two now, yeah, and I
Speaker 2: am also you're sixty two or a twenty fourth nineteen nine,
Speaker 2: nineteen sixty two, May seventeen. I remember that, remember right,
Speaker 2: older than me, so I know a little more about it.
Speaker 2: As the camera shows, you look just a little bit over. Well,
Speaker 2: that's what I'm saying. But it was great in our
Speaker 2: own mind. But here's the thing.
Speaker 1: Sixty two, I think, okay, it's time for some plastic surgery.
Speaker 1: I thought I'll start with my testicles. Wait what, well,
Speaker 1: I'll get my testicles improved in some.
Speaker 2: Way, I don't can. I think they're very plump? Well
Speaker 2: you think no, no symmetric.
Speaker 1: Look, I think by the way, I think actually even
Speaker 1: calling them testicles is medically an actorate agree?
Speaker 2: What do you want to call them? Testical and friend?
Speaker 3: I heard that just because because let's be honest, it's it's.
Speaker 2: Not it's not equal partnership.
Speaker 3: It's not it's not law and hardy, it's you know,
Speaker 3: it's testical and friend, it's you know, well so, so
Speaker 3: I think what I'd like to do is have it
Speaker 3: put into I'll have the other one built up, and
Speaker 3: then the whole surrounding package smoothed out.
Speaker 2: They don't smooth. You don't want that smooth out. That's
Speaker 2: got a certain ruga around it, so you have a
Speaker 2: certain skin around it so if you get cold, it
Speaker 2: can retract and help you stay warm. That's why this
Speaker 2: has teleologically been selected for over eons of evolution to
Speaker 2: work as well as they work. What do they know
Speaker 2: about it so much? But here's the thing with the population.
Speaker 1: But what if I get my testicles, like, maybe get
Speaker 1: some kind of coating put on them so they.
Speaker 4: Don't get cold. So we're gonna you want fur coats
Speaker 4: I want to look. I have a kind of threadbare
Speaker 4: fur coat there already. But what I'm saying is silic,
Speaker 4: some kind of silicon thing.
Speaker 2: Maybe it's best. It's super effective chemical. Yeah, I forget
Speaker 2: these links.
Speaker 1: It's a bit cancery, but it's a little Yeah. But
Speaker 1: what I thought i'd do is if I have a
Speaker 1: procedure done on my testicles. First, this is my insurance policy.
Speaker 1: If they bought it, it doesn't matter.
Speaker 2: It's true because their testicles they look butched already. Nobody
Speaker 2: and nobody sees them. Well, nobody cares, not that you're
Speaker 2: showing testicular cleavage. I mean, it's not a common thing. Well,
Speaker 2: you know, he could be. But if that was at
Speaker 2: the Olympics. You saw that thing at the Olympics by
Speaker 2: the guy with the swimming the French guy. No, the
Speaker 2: opening ceremony of the Olympics, they had, Uh, that was outrageous.
Speaker 2: It was outraged, mocking. Don't ask Kathy Lee about they
Speaker 2: were mocking the last supper. Yeah, there was a guy
Speaker 2: there with half a pair of pants showing the lower
Speaker 2: hemi aspect of one of his testicles. That's outrageous. It's incredible.
Speaker 2: We running here like under underball. Showing under ball, you
Speaker 2: could say underball, I'm a physicians, I'm using some other
Speaker 2: terms saying the same.
Speaker 5: I'm just I'm just speaking to the populace people who
Speaker 5: want to understand what's going on medical, you know, like
Speaker 5: the lower pole of the right descended testicle, but you
Speaker 5: couldn't say it the underball, all right, so underball.
Speaker 2: So the guy who showed under ball, I saw a
Speaker 2: picture of it. One of the patients was showing it
Speaker 2: to me. They couldn't believe it. That's outrageous.
Speaker 1: So look, I figured though, that if I get the
Speaker 1: plastic surgery done, you know, and they butcher, it doesn't matter,
Speaker 1: because testicles look like they're botched.
Speaker 2: They do. They're one of the most ugliest.
Speaker 1: They are the deep sea creature of your pants. There's
Speaker 1: no doubt about it. They they are, they're they're they're terrible.
Speaker 1: They're not attractive. And anyway, as as a world renowned
Speaker 1: surgeon and doctor, right, well, no team, our team is
Speaker 1: world Your team is the number one lung cancer surgical
Speaker 1: program again according to the US News and World.
Speaker 2: Right right this year this year. Now, first of all,
Speaker 2: we're tied tied for the Mayo clinic, the Mayo Clinic
Speaker 2: also good. They're they're pretty good, all right. Our outcomes
Speaker 2: are better, they're their reputation factor.
Speaker 1: I have to say for for someone in your line
Speaker 1: and work, outcomes extremely important.
Speaker 2: It kind of matters. It's kind of important. I know
Speaker 2: that the work you do is so do.
Speaker 1: The work you and your team do right, yes, is
Speaker 1: so harrowing, so focused, and so high stakes and such
Speaker 1: a difficult thing to do. And yet over the time
Speaker 1: getting to know you, you are a light, easy, cheerful,
Speaker 1: upbeat human being.
Speaker 2: And I find that fascinating. I appreciate it.
Speaker 1: But I'm kind of interested, is to because I know
Speaker 1: a little bit about your story.
Speaker 2: We talked in the last time.
Speaker 1: You got some tragedy in your past, You've got difficulty
Speaker 1: in your own life, and.
Speaker 2: All everyone's had challenges, of course.
Speaker 1: Of course, but I wonder and what I want to
Speaker 1: talk to you about today was a little bit about
Speaker 1: maintaining emotional equilibrium as someone who works in the face
Speaker 1: of death almost every day.
Speaker 2: Such a great question, because I would tell you there's
Speaker 2: people listening who do very difficult brain surgery or brain
Speaker 2: aneurysm surgery, or some of our cardiac surgeons that do
Speaker 2: aortic work. We're going to say, this guy's just a
Speaker 2: little robotic lung surgeon. He's not dealing with life and
Speaker 2: death like I'm or people who do other jobs out
Speaker 2: there that are putting themselves at danger. My patient's at danger,
Speaker 2: but I'm sitting on a robot. I got my nice
Speaker 2: lucky socks on. I'm comfortable. I'm not a danger like
Speaker 2: people that serve community. So I always look at it
Speaker 2: that way. That I was operating yesterday very blessed. We
Speaker 2: had three or four visitors from other countries and a
Speaker 2: college student and a medical student. And during the operation,
Speaker 2: the one guy came over to me and said, you're
Speaker 2: really having fun. I'm like, they pay me to do this.
Speaker 2: How lucky am I that I get paid to do this?
Speaker 2: And then to help inspire and teach. A world famous
Speaker 2: guy was there from China, a world famous guy was
Speaker 2: there from Spain. The other person was from from France.
Speaker 2: What a great honor to be able to have those
Speaker 2: people in our ore. And you're teaching these guys these well,
Speaker 2: and they teach us. So I mean it's an exchange
Speaker 2: of ideas because every single one of our visitors does
Speaker 2: something better than we do. If you listen, if you
Speaker 2: listen to them, they all have better ways to do
Speaker 2: things than us, every one of them.
Speaker 1: This is all very good, doctor, but let's have a
Speaker 1: a let's work with the idea that I am the
Speaker 1: therapist and you.
Speaker 2: Okay, I thought we were out of the patient. I
Speaker 2: switch it somehow. I don't bet because I said to.
Speaker 1: You, how do you maintain emotional equilibrium in the face
Speaker 1: of life and death decisions for other people? Sometimes, yes,
Speaker 1: that you're making And you, doctor told me about all
Speaker 1: the people that do other work. And I think that's
Speaker 1: lovely and noble, but it ain't.
Speaker 2: But that's my answer. Really, that actually is my saying
Speaker 2: about other people. I honestly do because I know that
Speaker 2: other people that are doing things that are more dangerous,
Speaker 2: right they have a higher like our risk of lung
Speaker 2: our ninety day mortality for long surgy is almost zero now.
Speaker 2: When I started, it was two and a half percent.
Speaker 2: Now with little incisions and robots and the anaesthesiologists are
Speaker 2: so good, in the nurses and the pulmonologists, it's zero
Speaker 2: our last five years. That's why we're number one in
Speaker 2: US news and will report our outcomes are amazing, and
Speaker 2: that's a credit to the team. But there's things like
Speaker 2: other types of operations that have much higher morbidity immortality.
Speaker 2: So to answer your question directly and not evaded, not
Speaker 2: to switch therapist patient.
Speaker 1: I didn't think you were evade. I think that you are.
Speaker 1: I think you are a genuinely upbeat I am nice guys.
Speaker 1: It's just my nature.
Speaker 2: As I always see the glass half full, of the
Speaker 2: coffee cup right half full. I always have seen it
Speaker 2: that way. I'm so lucky to get to do what
Speaker 2: I do. I don't find it stressful. I thrive on competition.
Speaker 1: You know.
Speaker 2: I'm a member of a place I go up to
Speaker 2: on the weekends and I play golf and pickleball, and
Speaker 2: unless it's super close, and unless it comes down to
Speaker 2: the last putt or the last drive in the eighteenth hole,
Speaker 2: or the fifth game, I play singles pickleball with a
Speaker 2: couple of incredible athletes who are unbelievably successful, people much
Speaker 2: more successful than me, and it comes down to that
Speaker 2: fifth game, that final point. That is what I thrive on.
Speaker 2: And I love that, and unfortunately oftentimes I lose. Is
Speaker 2: going to be a nice question, Are you a good loser.
Speaker 2: Are you good at it? No, I'm a terrible loser.
Speaker 2: You want to hear from a surgeon. Yeah, Now, in
Speaker 2: the O R, we can't lose. So in the O
Speaker 2: we've been very fortunate not to have had a thirty
Speaker 2: or ninety immortality in literally almost six years on an
Speaker 2: elect of lung cancer. That's a credit to the team
Speaker 2: and to all the techniques we've talked to me about
Speaker 2: elective lung surgery.
Speaker 1: That means said, you tell a patient, look, you got
Speaker 1: something here you want to do with it? Or no,
Speaker 1: that's that's basically yeah.
Speaker 2: And we say you have a growing nodule, it looks
Speaker 2: like an obvious cancer. And before surgery, we assess their
Speaker 2: risks with breathing tests, stress tests, echo cardiogram, we get
Speaker 2: a cat scan, a PETS gain, we make sure it
Speaker 2: hasn't metastasized. So we stage their cancer. We assess their risks,
Speaker 2: and then we do an operation that I've done nineteen thousand,
Speaker 2: one hundred and eighteen of I think, now, wow, over
Speaker 2: two thousand, eight hundred robots. And so when you do
Speaker 2: that every day, and I have partners who are better
Speaker 2: than me, and partners who do this as well, and
Speaker 2: we as a team come together and meet every quarter.
Speaker 2: How can we get better? How can we give the
Speaker 2: patient a better experience? Because our outcomes are so good,
Speaker 2: how can we give them a better experience? So we
Speaker 2: give them our cell phone. We do facetimes with them
Speaker 2: on the weekend. Yeah, they check in with me every day,
Speaker 2: throwing a percoset in there as well. They get purposes
Speaker 2: for three days. Because it is a victim get elective
Speaker 2: lung surgery, we throw it a few more. You're going
Speaker 2: to be on the table with nothing in your lungs. No,
Speaker 2: do you give it the percose that you can do
Speaker 2: what you fucking like? Give it a p I've heard
Speaker 2: that before.
Speaker 1: Oh my god, I mean, is a consideration and you're
Speaker 1: lying to work, you go like you look at the
Speaker 1: personality of a patient and you say, look, this is
Speaker 1: the person with drug and alcohol history.
Speaker 2: They have a problem with it.
Speaker 1: And yet this surgery has to be done and they're
Speaker 1: going to need a painkiller after it is consideration?
Speaker 2: Do you think about it? Not only is the consideration,
Speaker 2: it is something we preemptively work on and we get
Speaker 2: them into a pain clinic even before surgery. That's interesting,
Speaker 2: so that there's a pain doctor who can manage the narcotics,
Speaker 2: because it's like drinking a cup of coffee. If you
Speaker 2: have twenty cups of coffee day, me giving the other
Speaker 2: one doesn't help. So if you're comingly actively addicted to
Speaker 2: any type of narcotic and then I'm going to rev
Speaker 2: up your pain cycle with an operation. Even little tiny
Speaker 2: incisions hurt, they're going to require a lot more. It's
Speaker 2: incumbent on us actually to do that. And I think
Speaker 2: we do a great job again because we have amazing
Speaker 2: pain doctors at NYU lang On Health. Well. Pain is
Speaker 2: one thing, but addiction is another.
Speaker 1: It is, and so I wonder is it like particularly
Speaker 1: something like the world that I move in.
Speaker 2: I know a lot of sober alcoholics and.
Speaker 1: And a law of not a law, but I have
Speaker 1: heard stories, and I've known people who have had long
Speaker 1: time sobriety screwed.
Speaker 2: Up through procedures. Yeah they have. They have a procedure, yep.
Speaker 1: They take a painkiller and they're not prepared for what
Speaker 1: it does, you know, and and it sets off a
Speaker 1: cycle of addiction, which is difficult to understand.
Speaker 2: I think even if you have and I have it,
Speaker 2: I don't think it's difficult to understand. We I mean,
Speaker 2: we all know as healthcare providers what these medicines can do. Right,
Speaker 2: we only can give you three pills when you leave
Speaker 2: the hospital. You have to come back and see us
Speaker 2: in person. We try to get that history now where
Speaker 2: we can get smoked or burned when the patient is
Speaker 2: one hundred percent honest and I had one of those
Speaker 2: last year, and you know, then all of a sudden,
Speaker 2: they're a week out, two weeks out, and they're doing
Speaker 2: more drug seeking behavior, and it's like, what have we missed?
Speaker 2: Then you see them in person. I always you say,
Speaker 2: bring a family member, and the family member usually says, well,
Speaker 2: you know, doctor Ugo, twenty days ago, patient X was
Speaker 2: taken four these a day because it quote back pain.
Speaker 2: Who's giving it to you? Oh, we have a wonderful
Speaker 2: medical doctor who gives us twenty a week. I don't know.
Speaker 2: So then we get an immediate in our pain clinic.
Speaker 2: And then they become difficult conversations because of course the
Speaker 2: patient has a viewpoint, an advantage point that's a little
Speaker 2: bit different sometimes from the healthcare provider, and you need
Speaker 2: to listen in the answer somewhere in the middle. But
Speaker 2: do you support if a pain is psycho semitic. Yes, Yes,
Speaker 2: I had a patient today that I think it is
Speaker 2: because they had a lesion in their chest that just
Speaker 2: doesn't cause the pain that they're having, and that pain
Speaker 2: only occurred once the patient got the cat skin and
Speaker 2: heard that division.
Speaker 1: Yes, So it's interesting to me because the idea of
Speaker 1: the emotionality of that, I find this fascinating. I've had
Speaker 1: a friend, a couple of friends actually now who have
Speaker 1: had heart surgeries, big ones.
Speaker 2: Yeah, bypass all wires in the sternamy.
Speaker 1: So the effect of the surgery physically on both of
Speaker 1: these guys was extremely one hundred percent successful. Yeah, they
Speaker 1: both experienced profound owned the depression.
Speaker 2: Yes, after the surge. I've heard of that. Yeah, no one.
Speaker 2: I mean I'm not you know, I don't anything the
Speaker 2: basis and I'm not a scientist.
Speaker 1: But yeah, is that is that something that you're aware
Speaker 1: of after because even after like a tiny surgery, if
Speaker 1: I get I'm like, eh, messes with your head a
Speaker 1: little bit.
Speaker 2: So there's two things in that. First of all, being
Speaker 2: on cardiopulmonary bypass, which is something that happens specifically with
Speaker 2: heart surgery because the heart's not beating. Then you have
Speaker 2: to put him in a pump that both oxygenates and
Speaker 2: circulates the blood around, so the machine is keeping you alive.
Speaker 2: The machine's keeping there's some data that that could hurt
Speaker 2: cognitive function. Remember my dad was a super smart surgeon.
Speaker 2: He had bypassed. I gave him this IQ test before,
Speaker 2: and like two months later he didn't do as well.
Speaker 2: I'm like, bro, what the hell's going on here?
Speaker 6: You know?
Speaker 2: And then we did it again and he got better.
Speaker 2: But so I think depression is common from a general
Speaker 2: anesthetic depression and cognitive loss has been bantered around about
Speaker 2: being on bypass, but there's no good data for it.
Speaker 2: I think clearly maybe just being in the hospital, coming
Speaker 2: in an operating room, dealing with your own mortality. No
Speaker 2: matter what you say, everyone wonders, am I going to
Speaker 2: wake up? Even a lung operation where we haven't had
Speaker 2: a problem in years, every patient wonders, am I going
Speaker 2: to wake up for this? I mean, I've had operations
Speaker 2: and I always wonder, is this, like, you know, this
Speaker 2: is the last thing I'm going to see my own
Speaker 2: The last one was in my own O R. I
Speaker 2: really can I ask what you were getting done? Is
Speaker 2: I had your testicles, even I had plastic surgeon. I'm
Speaker 2: on a lower poll in my right hemmy understand testically
Speaker 2: getting the underball, and I always told that it looked
Speaker 2: really bad and it needed to be fixed. Okay, it's
Speaker 2: always nice to have symmetrical underball. There you go. So
Speaker 2: what are you getting done? I had my bilateral need replaced,
Speaker 2: all right? Yeah, so I can run around and play
Speaker 2: pickleball with twenty one.
Speaker 1: Year old I'm avoiding the knee thing right now myself.
Speaker 2: The best d well it is leg day. But yeah,
Speaker 2: that's the best thing I did. Really. I could not run,
Speaker 2: I couldn't compete, I couldn't play, I couldn't do all
Speaker 2: the stuff I wanted to do. And for me, it's
Speaker 2: about quality of life, not quantity, for sure, Yeah, for sure.
Speaker 2: So I'm glad I did it well. Good? Were you
Speaker 2: tough on yourself? You're probably a terrible patient, right. I
Speaker 2: had it done the day before Christmas, both needs at
Speaker 2: the same time, and I was back in the oar
Speaker 2: January fifteenth. And that was a mistake, Craig, That was
Speaker 2: a mistake because that was really sore and swollen. The
Speaker 2: operations went well, and then the next Wednesday, I just
Speaker 2: put one case out and then I waited another week
Speaker 2: and I was a little bit better. But that's a
Speaker 2: big operation with big recovery. I missed. I mean I
Speaker 2: recovered quickly, but I blew that one. I need a
Speaker 2: little more time. Well, I think that the danger is
Speaker 2: as well. I mean, look, I go there, I'm not
Speaker 2: a doctor, but you know I'm just you are a doctor.
Speaker 2: You're getting a doctorate degree, honorary doctorate, and services to
Speaker 2: show business in the industry, right, Okay, I would like
Speaker 2: to doctor Ferguson. I'd be like doctor Jill Biden or
Speaker 2: doctor Phil you know what I mean. Like had to
Speaker 2: be a little different, a little different than that, just
Speaker 2: a little bit t I'm gonna let you roll with it,
Speaker 2: doctor Dre. Maybe then you can ask for the same
Speaker 2: honor aarium because you are you will be a doctor.
Speaker 1: Well, I think that's what it's about really For me,
Speaker 1: I would like an ornary doctorate so that my corporate
Speaker 1: rate for speaking as events goes through the roof.
Speaker 2: Exactly.
Speaker 1: There you go, and that's what it's all about. You
Speaker 1: live inside New York City, don't you.
Speaker 2: I live two blocks away. I two blocks away but
Speaker 2: you pay the New York tax. I pay the New
Speaker 2: York City state tax, the New York City tax, the
Speaker 2: federal government tax. I'm a fifty three percent tax provider.
Speaker 2: Do you know what? I'm an idiot?
Speaker 1: If if you were in the UK, yeah, you'd be
Speaker 1: paying more. I'd be paying more. Yeah, I get it's
Speaker 1: one of these. Is why I live in America.
Speaker 2: But if I was living in Florida, I'd be paying
Speaker 2: a lot less.
Speaker 1: Well, that is true, and they can't take your house
Speaker 1: away from you in Florida.
Speaker 2: That's correct.
Speaker 1: Florida, and I think New Hampshire. That's a couple of
Speaker 1: the other ones. Know about New Hampshire.
Speaker 2: Also, these squatters, these squatters can take your house away
Speaker 2: from you, but that's a difference. They move into your
Speaker 2: house if you're not out there, and they can't get
Speaker 2: rid of them where. I'll let you read about it.
Speaker 2: I was just another patient. Tell me about that. Really, Yeah, I.
Speaker 1: Don't know about that. I don't want that happening. And
Speaker 1: I'll never leave my house again.
Speaker 2: You won't. You'll come there, there'll be eight people hanging out,
Speaker 2: throwing your furniture in the fireplace.
Speaker 1: Nobody that, nobody wants to live in my house. Oh
Speaker 1: my stuff is there.
Speaker 2: They might like your stuff. All right, this makes me
Speaker 2: very sad. I don't like this at all, just the
Speaker 2: reality of the squatterville that we live. You're not originally
Speaker 2: from New York, New Jersey, New Jersey. That explains a lot.
Speaker 1: So you came up in the world. Then are you
Speaker 1: from Franklin, Lakesburg and County. I don't know that, par
Speaker 1: I know North all right? Okay, so I know the
Speaker 1: place that John bon Jovi is from. Is that Red Bank?
Speaker 2: Oh that's that's further Yeah, that's nice down there. Yeah,
Speaker 2: well the shores are beautiful there, Yeah, beautiful. You know
Speaker 2: the thing is when you could drive down the Red Bank.
Speaker 2: We'll get back on you in a minute. But when
Speaker 2: you look.
Speaker 1: With the Red Bank, the Red Bank, they have the
Speaker 1: John bon Jovi service station, like.
Speaker 2: An actual gas where he works, like a rest stop
Speaker 2: or something named after him. There's nobody there that's not
Speaker 2: even John bon Jovi. Nobody. That's when you know you
Speaker 2: hit it big when they have a rest stop, deserted
Speaker 2: rest stop named after you. It's like a Scooby Doo says,
Speaker 2: I mean, is by a snack like Yodels twinky, not
Speaker 2: a thing, and he's not there, not even a picture
Speaker 2: of him. Wait a minute, it's named after There's got
Speaker 2: to be a plaque besides them.
Speaker 1: You know. And there's another one in a really good one. Actually,
Speaker 1: rest up the James Gandolfini rest up in New Jersey.
Speaker 2: That's what the diner is. That's where the diner. You
Speaker 2: could sit in that. But somebody bought that booth. I
Speaker 2: heard from him. But that's it. That's a different thing.
Speaker 1: I mean, clearly, John bon Jovi's people need to be
Speaker 1: looking into this.
Speaker 2: They do because because the guy's been much more successful. Well, yeah,
Speaker 2: there's abous drawbacks. Obviously, he's he's been dead for a while.
Speaker 2: That kind of helps. When you're dead, What are you
Speaker 2: die of? It was something, but it wasn't a heart attack.
Speaker 2: I think it was a heart attack. That was heart attack?
Speaker 1: Is that a tam that you guys actually would use
Speaker 1: now acurate mielcardial infarction? All right, But a heart attack
Speaker 1: can cover a bunch of different things, right, No heart attack.
Speaker 2: Really means you have is schemia to the heart scheme
Speaker 2: means low blood supply, right, and then the heart has
Speaker 2: gets an infarct that dies and without enough blood supply,
Speaker 2: no oxygen, no blood going to it, so can't empty
Speaker 2: oxygen to the myocytes, the cells of the heart, that
Speaker 2: part of the heart dies and it usually leads to
Speaker 2: an arrhythmia, and the arrhythmia is what takes your life.
Speaker 1: Actually, all right, So the irregular heartbeat thing is that, well,
Speaker 1: that's an irregular heart beats.
Speaker 2: Different these are fatal arrhythmias. A regular heartbeats that people
Speaker 2: have a fib a flutter, that's very common. They don't
Speaker 2: take your life. They're a nuisance we need to treat
Speaker 2: with either blood thinners or replation or surgery. Are you hyper.
Speaker 1: Aware of your own physical well being because of what
Speaker 1: you know is so much?
Speaker 2: Well, I don't know so much, but you're a medical
Speaker 2: do I'm meant to totally into fitness. Like I weigh
Speaker 2: myself every morning and work out four five times a week.
Speaker 2: Measure my total body fat content which is now down
Speaker 2: to ten percent, muscle and my lean muscle body masses
Speaker 2: up to forty nine percent, which is good. Right, goal
Speaker 2: was fifty So I know there, but you're nearly there.
Speaker 2: We're going to hit it next quarter. Yeah, but yeah,
Speaker 2: totally because I think in order to really super perform
Speaker 2: or to permit your best, you know, as a husband
Speaker 2: or a father, as a doctor, as a role model,
Speaker 2: as a brother or sister, whatever it is, you really
Speaker 2: have to have emotional and physical wellness and joy and
Speaker 2: a playfulness. And if you don't have that, if you
Speaker 2: don't have if you don't see the delight and the
Speaker 2: play in life, and I don't think you can do
Speaker 2: that unless you're really physically and mentally well, then you
Speaker 2: really can't serve the people around you. I really firmly
Speaker 2: believe in that. I think that's quite interesting.
Speaker 1: I agree with you, but not that that would mark
Speaker 1: to you because I'm not appear in your business.
Speaker 2: But but you're a doctor. I'm getting there. You will be,
Speaker 2: you know.
Speaker 1: I think that it's a very holistic approach though, yes,
Speaker 1: which is not there's not a great history of that
Speaker 1: in your profession. The holistic approach to medicine is there.
Speaker 2: I mean, it's fairly new that idea, especially insurgents, because
Speaker 2: it takes it's so hard, it's such the training was
Speaker 2: used to be so hard. It used to be one
Speaker 2: hundred and twenty hours a week. Now we're only down
Speaker 2: to eighty hours a week. Right, it's still you know,
Speaker 2: four years of college, four years of medical school, five
Speaker 2: years of general surgical training, two or three years of
Speaker 2: fellowship training, and then usually another year. So you're thirty
Speaker 2: four or thirty three when you first start out, you're
Speaker 2: in debt, you're tired. Usually people have a family, there's
Speaker 2: all these other issues, and you've devoted your whole life
Speaker 2: to your trade that you've then given up parts of
Speaker 2: your life that are more important, your roles at home,
Speaker 2: which are supersede obviously your roles at work.
Speaker 1: But you've got to be driven to achieve that escape
Speaker 1: velocity to meet and efficient see that. Back in the
Speaker 1: day though, like in the Middle Ages, surgeons and barbers
Speaker 1: they were the same thing.
Speaker 2: Did you know that? Actually I believe I've heard that. Yeah,
Speaker 2: because you know the red and white barber pool. Correct,
Speaker 2: there is a medical poll.
Speaker 1: Right, they used to have a pool and it was
Speaker 1: a bloody toe wrapped right, so that red and white.
Speaker 1: So what I'm gett up to is do you think
Speaker 1: you could give a decent haircut?
Speaker 2: Hell? No no, But why not like to look at
Speaker 2: your hairs perfect? Holp the camera, hope the camera sees
Speaker 2: how I mean? I got my hair is all messed
Speaker 2: the hell up, and hair is great.
Speaker 1: You're talking about tom my hair has reached fifty percent
Speaker 1: body fat.
Speaker 2: The goal was forty. Visit the exercise program I sent
Speaker 2: you on pdf by the email last week. Do you
Speaker 2: do that? TOI pitious? You say, look, this is a program.
Speaker 2: I want you to do that. So you had to
Speaker 2: off to someone you gotta be a little bit careful
Speaker 2: because I'm seeing them for lung cancer, but I am
Speaker 2: taking care of the patient. When you have someone who
Speaker 2: has either morbid obesity or other a that we know
Speaker 2: actually represents a greater risk to their life than the
Speaker 2: lung cancer, it is incumbent on me to say, we
Speaker 2: need to get you in the gym, We need to
Speaker 2: mix in a better diet, we need to get to this.
Speaker 2: And of course everybody wants the shot, right, everybody wants Yeah,
Speaker 2: they want some sort of a GOLP one inhibitor or something.
Speaker 2: Is that what is Yeah, that's what is it. These
Speaker 2: are glucajohn inhibitors. But the point is they make you
Speaker 2: feel full, they reduce your appetite, and they reduce your
Speaker 2: gastric emptying. So actually, if you're gonna have surgery. You
Speaker 2: need to stop that two or three weeks before the operation,
Speaker 2: just because when you go to sleep. We want to
Speaker 2: remember they tell you don't need your drink after midnight.
Speaker 2: That's your stomach empties. So when you go to sleep,
Speaker 2: you don't aspirate food into your lungs. But if you
Speaker 2: have a medicine that prevents the stomach from emptying, which
Speaker 2: is what these inhibitors do. Hold on, hold on, you're
Speaker 2: telling me.
Speaker 1: Then if you take a zampick and you've got like
Speaker 1: you have, I don't know.
Speaker 2: A burger. That burger is just going to around there
Speaker 2: for a while. It sits around your gastric empty time
Speaker 2: is longer. Yeah, I don't like this at all. This
Speaker 2: sounds dangerous to me. Well, it's not.
Speaker 6: We could go bad in there. It's already pretty bad
Speaker 6: once it goes into your mouth. But it's a burger, right,
Speaker 6: not like it's a sterile thing where you eat. Number
Speaker 6: two is going into a giant sack of acid and bile.
Speaker 6: So that's necessterily right exactly. But it does decrease your
Speaker 6: transit at leads to constipation. People have a domino pain
Speaker 6: if it's not dosed correctly. If you have to start
Speaker 6: very slow and then slowly increase it.
Speaker 2: I'm not an expert on this. I would refer to
Speaker 2: the doctors who do it sure, but I know as
Speaker 2: a physician. Now now I ask everybody, by the way,
Speaker 2: are you on anything for weight loss? Because we're operating there,
Speaker 2: and so many of them will say no. And then
Speaker 2: the husband or the wife, or the family or the daughter,
Speaker 2: and I said, okay, tell the doctor because they don't
Speaker 2: want to tell us. And I say, well, you need
Speaker 2: to stop that a few weeks before because it does
Speaker 2: increase your risk of aspiration with induction. At least that's
Speaker 2: the theory. See. Now I have a friend. You have
Speaker 2: lots of friends, right, it's all the same guy with
Speaker 2: a great story. The hell, I gotta go out drinking
Speaker 2: with this guy. He doesn't drink anymore. I wonder what.
Speaker 1: But I have a friend who lost.
Speaker 2: They're all the same guy.
Speaker 1: I have a friend and he took ozembic and he
Speaker 1: lost a lot of way and he looks great. And
Speaker 1: I said to him, what does it do? And he said,
Speaker 1: exactly what you do? He said, you just don't you
Speaker 1: don't feel hungry. I don't eat because I'm hungry I
Speaker 1: eat because I'm sad.
Speaker 2: That's interesting. Yeah, So I don't. It's not going to
Speaker 2: work for me. So I eat when I'm sad. I mean,
Speaker 2: last night we went out to dinner and I had
Speaker 2: a racing fork. I had a racing strip by my
Speaker 2: fork because I had that dessert and I'm just all this.
Speaker 2: It's the devil though, but.
Speaker 1: In an Italian restaurant last night, and the chocolateate thing
Speaker 1: and it's crazy.
Speaker 2: The one you have to order early because it's a
Speaker 2: long time. I love that one. Well.
Speaker 1: See that's the danger of New York City as well.
Speaker 1: Everything is delicious everything.
Speaker 2: There's great food there, great people, great food, great culture.
Speaker 2: I have to say, I was away from New York
Speaker 2: for a long time. You missed and New York missed you.
Speaker 2: I missed it a lot.
Speaker 1: I missed it a lot, and I'm happy to be back.
Speaker 1: I saw i'd go to the Rangers game. But a
Speaker 1: couple of weeks ago, the New York Rangers, New York
Speaker 1: hang on. Remember I'm a sports fan, right. The NHL
Speaker 1: season has been over for a few months, bro, all right.
Speaker 2: So it was a couple of months. A couple of
Speaker 2: months ago they lost in the playoffs. Extremely disappointed.
Speaker 1: Yeah, but they made the playoffs and that's where that
Speaker 1: because they won that they want.
Speaker 2: Residents Trophy, they won the President's Trevia at the best
Speaker 2: record of any EHL team, That's what I meant. And
Speaker 2: they weren't seated first. If you look at the Vegas odds,
Speaker 2: they were second. But they should have gone to the
Speaker 2: finals and they ended up didn't make it very disappointing
Speaker 2: for me as a Rabbit, a Ranger fan.
Speaker 1: Well, you're gonna hate what I've got to tell, you know,
Speaker 1: I'm not gonna like. So I go, I call up
Speaker 1: my guys and I say, listen, my.
Speaker 2: Uncle Vinny from New Jersey. That guy. Maybe maybe it's
Speaker 2: a guy I know, maybe it's not. Maybe you don't
Speaker 2: ask that question. Maybe I don't get my break my
Speaker 2: little rigoglass. Hey, mister robut search and you need those fingers?
Speaker 2: No I don't, Yes, sir, I'll get you the money tomorrow.
Speaker 1: So I call my I call a friend of mine
Speaker 1: and a friend of ours, let's say, a friend of
Speaker 1: ours and guy same guy, uh, And I say uh,
Speaker 1: I'd say, can you get me in the Rangers game?
Speaker 2: And because they got me in before?
Speaker 1: And he said sure, And actually the New York Rangers
Speaker 1: are fantastic. They're just beautiful the way they do the hospitality.
Speaker 1: Come along, yes, but we remember you come on. And
Speaker 1: so they have this like whole backstage thing. Yes, and
Speaker 1: I go into this suite. They give you free popcorn. Yeah,
Speaker 1: they give you dinner. It's like a full dinner.
Speaker 2: Forget the dinner. You got free popcorn and free pop corn.
Speaker 2: And that makes me mad because I have to pay
Speaker 2: for my pop.
Speaker 1: Well, it's and then they sit you in a little
Speaker 1: private room and then you go out to the thing
Speaker 1: and then they put your face up on it.
Speaker 2: You're on the jumbo screen. And then some people go
Speaker 2: who's and everyone knows who you are.
Speaker 1: And then what he did was they're playing a game.
Speaker 1: And this is my thirteen year old son's first professional
Speaker 1: hockey game.
Speaker 2: Best sport to watch in person is an NHL hockey game.
Speaker 2: It's amazing and so exciting. The lights, the ice, the
Speaker 2: snow when they stopped the puck, the speed, the violence,
Speaker 2: so awesome.
Speaker 1: The puck comes off the ice right, security guy grabs
Speaker 1: the puck.
Speaker 2: Gives it to my kid. That's also his first hockey game,
Speaker 2: and he had all his teeth when he goes Yeah. Yeah, yes,
Speaker 2: guys don't when they get there first. No, he got
Speaker 2: he just go handed. Yeah, so he has to know.
Speaker 2: But I played hockey since I was five or six
Speaker 2: years old, and I played in high school and got
Speaker 2: recruited not by Division one teams it wasn't good enough,
Speaker 2: but a few Division three teams. But I played baseball
Speaker 2: in college as opposed to ice hockey.
Speaker 1: But I I'm not surprised by that though, because I
Speaker 1: know that surge and culture, doctor culture and jock culture.
Speaker 2: This is almost exactly the same thing.
Speaker 3: You know, you guys are all kind of bro phil
Speaker 3: the burn, fix the guy.
Speaker 2: Feel the burn, and fix the guys where the hill
Speaker 2: is the same it fhil the burn, fix the patient.
Speaker 2: Do it right when take that death? Take that? But
Speaker 2: you're right there, yea, there is that. Yeah, you're right.
Speaker 1: I wonder because I mentioned death and uh, and it
Speaker 1: is part of life. Fortunately it's the very end of it.
Speaker 1: Usually it's the end of it. You've been around it.
Speaker 1: We've all been around it. But you've you've been you've
Speaker 1: been around it in a way which both personally, which
Speaker 1: we all have personally in one way or another. But
Speaker 1: professionally you get to see it sometimes, especially.
Speaker 2: When because I do pediatrics, especially Jesus, we've had a
Speaker 2: few recently who really been devastating. Yeah to the team,
Speaker 2: to the staff, listen to the patient and the family
Speaker 2: first and foremost of course, and it's all about them.
Speaker 2: But when you know this is a patient who would
Speaker 2: be operate on many times, and I won't say more
Speaker 2: than that, so we become part of the family, of course.
Speaker 2: And when you ultimately fail the patient and the mother
Speaker 2: and the father and the uncles and sisters and they
Speaker 2: succumb to the disease, it's incredibly it's it's humbling, and
Speaker 2: it just reminds you. And this is why I have joy,
Speaker 2: because you realize when you watch young people seven eight, nine, twelve, fifteen,
Speaker 2: thirteen succumb to illnesses that they didn't deserve, that they
Speaker 2: they shouldn't have never had, and you watch that and
Speaker 2: you go home, you any closer to finding out No,
Speaker 2: these are usually genetic mutations and being unlucky. You know,
Speaker 2: it's not smoking and drinking. These kids never smoking, drank.
Speaker 2: They're seven years old, eight years old, five years old,
Speaker 2: they're born with it. Then you're going to go home
Speaker 2: and complain because uh, you know, the oar started late.
Speaker 2: I'm going to go home and complain because my lean
Speaker 2: body mass is under fifty. You know, you put things
Speaker 2: in perspective, mean that's to answer your questions out finding
Speaker 2: balance and joy. I do think about other people what
Speaker 2: they've gone through, and yeah, I lost my wife to
Speaker 2: a terrible cancer, a chemotherapy induced cancer. So she had
Speaker 2: breast cancer, got the chemo. The chemo caused the leukemia
Speaker 2: and acute myologenious leukemia. It only happens in one in
Speaker 2: six hundred patients, and she was the unlucky one. And
Speaker 2: it was horrible. It was horrible for my children, it
Speaker 2: was horrible for me in our community. But it's part
Speaker 2: of who I am and it's part of life. And
Speaker 2: I got to look that I had twenty one incredible
Speaker 2: years with her, and I know people who didn't have that.
Speaker 2: So it you got to look at the positives because
Speaker 2: there's so many other negatives out there that I see
Speaker 2: every day. WHOA but like this cup, for instance, I mean,
Speaker 2: look at this thing. I don't know if you could
Speaker 2: here is here's the mug that they're giving me on
Speaker 2: the set.
Speaker 1: Oh my god, that's the sample jar is that the
Speaker 1: cats do I use that for?
Speaker 2: I used that because the urine. Yeah? Is it clear enough?
Speaker 2: It is? Yeah? Wed it to your profession perfect. I
Speaker 2: feel like I'm on friends with this.
Speaker 1: What about the mystical and spiritual site of all of that?
Speaker 2: Do you do?
Speaker 3: You?
Speaker 2: Everybody ponders it right to do so? I have it,
Speaker 2: and and part of that is my bias. Right I
Speaker 2: was born, my mother had us go to church. My wife,
Speaker 2: deeply religious, made all my boys go to a Catholic
Speaker 2: high school, even if they didn't have the best baseball, football,
Speaker 2: or hockey team or basketball team. So that's part of
Speaker 2: who I am. And you have to be aware of
Speaker 2: your own biases and the ones you can check and
Speaker 2: can't check. So I do have a spiritual belief. I
Speaker 2: still pray. I still believe in that. I'm not devout
Speaker 2: in any way and and uh in ways people might think,
Speaker 2: but have a very deep spiritual belief that there's something
Speaker 2: much bigger than me out there.
Speaker 1: There's a there's a very old joke which I'm sure
Speaker 1: you've heard, but I'm gonna tellt from your friend. My
Speaker 1: buddy told me this same guy, So as a priest
Speaker 1: and a rabbi go to a boxing match, right, and
Speaker 1: they stand next to you, Sharida, and before the fight starts,
Speaker 1: they watch and one of the fighters crosses himself right
Speaker 1: before the fight stars, and the rabbi said, oh, we
Speaker 1: don't mind my asking, but what does that mean when
Speaker 1: he does that?
Speaker 2: And the priest says, if he can't fight, not a
Speaker 2: fucking thing. It is exactly right, right. I love it.
Speaker 2: And so the practice the accent makes it so funny
Speaker 2: because if I say that, it just doesn't funny. Well,
Speaker 2: it's laughing even I'm not laughing. But the livery in
Speaker 2: the accent is perfect. But well you know, it's it's team.
Speaker 5: It's me and my team, and they tell you that
Speaker 5: was just you.
Speaker 1: But what I take from the joke is there is
Speaker 1: a spiritual belief, but there's also a belief in science
Speaker 1: and the Actually, what I think is weird in current
Speaker 1: culture is maybe too big a word, but maybe maybe
Speaker 1: current Coleman thought is that somehow science and spirituality or
Speaker 1: science and religion can't co exist, and then co existed
Speaker 1: nearly all the time.
Speaker 2: They not only they coexist, they're inextricably intertwined. That's pretty good,
Speaker 2: right there. Not intertwined. Very good I'm talking about. I
Speaker 2: think you just went past the male clinic right there.
Speaker 2: Path not to mention literative literal fifty muscle man finally
Speaker 2: got in my head the muscles of the bridge. But no,
Speaker 2: I think it they are. In fact, I submit to
Speaker 2: you can't have one without the other, because I have
Speaker 2: seen things happen that don't make sense. People respond to
Speaker 2: tumor therapies and have a thing called an aescopal effect
Speaker 2: that I won't get too much into it, but you
Speaker 2: treat a local tumor and then their metastases go away.
Speaker 2: There's no science for that, although we're working on that
Speaker 2: with some some new technology called pulsatile electrical field and
Speaker 2: other things. But so I see things that happen that
Speaker 2: is beyond science that doesn't make sense to me. So
Speaker 2: I do think that there's there's something there. They both coexist.
Speaker 2: But what I always tell my kids, it's great to
Speaker 2: have faith, it's great to have confidence, but unless you've
Speaker 2: done the work in the gym or on the robotic simulator.
Speaker 2: All my kids are successful, and we're really good athletes,
Speaker 2: are practiced, that confidence can't be immersed and based on nonsense.
Speaker 2: It has to be based on hard work and the
Speaker 2: acquisition of skills in order to achieve. Then you want
Speaker 2: to pray go ahead, just like the guy said, doesn't
Speaker 2: mean anything unless he can actually fight, unless he's done,
Speaker 2: he's done the work. I totally agree with it.
Speaker 1: What about do you ever think about your own mortality?
Speaker 2: Do you have the time you know you do? Do
Speaker 2: you think about a continuation of consciousness? Do you do?
Speaker 2: You know? You don't think that's a thing. So I
Speaker 2: answered that maybe too quickly. I don't think that, you know,
Speaker 2: someone like me is not is never going to you know,
Speaker 2: God's never going to appear to me. Angels don't appear
Speaker 2: to God like me. I'm not going to have an
Speaker 2: odd of body experience because I'm just the guy. But
Speaker 2: I do think and praise sometimes that I'm going to
Speaker 2: see people like my wife when I go to that
Speaker 2: when I pass away, I will have some other existence
Speaker 2: where people who mean something to me, I'll have time
Speaker 2: with them. That drives me a little bit. Also to
Speaker 2: be the right thing, to do the right thing, to
Speaker 2: always be the right person and make good decisions. Because
Speaker 2: my wife is watching, or my father who passed away,
Speaker 2: his watching right the most important person in my life
Speaker 2: over the years, of course, is your dad. My dad
Speaker 2: was an incredible physician, unbelievable man, just impeccable morals. I
Speaker 2: don't want to do anything that would ever make him
Speaker 2: not proud of me, or my wife or you know,
Speaker 2: my current girlfriend, or my children. So those things drive
Speaker 2: me that there is something else out there much more importantly.
Speaker 2: That is watching and also guiding me. And I use
Speaker 2: that in that fifth game of a pickleball match, I
Speaker 2: might lose, but I use that to help me relax
Speaker 2: and to perform under pressure. I'm really good at it.
Speaker 2: In the o R I got to get better, and
Speaker 2: the golf course and then the pickle ball singles court.
Speaker 1: But see, I think I think it is quite fascinating
Speaker 1: because you've picked things the things you like to do.
Speaker 2: Pickle Ball is very competitive.
Speaker 1: Golf is you're always playing against yourself, really, that's who you.
Speaker 2: You never play against anyone else you can play against you.
Speaker 2: I always play against someone else. And I'm like a
Speaker 2: six and a half index, and I play against guys
Speaker 2: with the same index, and we give no strokes, and
Speaker 2: we go out a match play all the time every weekend.
Speaker 1: I see, I can't play golf like that. This is
Speaker 1: how I play golf. I go out on my own
Speaker 1: and I don't want to talk to anybody me.
Speaker 2: That's interesting.
Speaker 1: Yeah, I just want to go ahead of my I
Speaker 1: won't even go on stage if I have to poop.
Speaker 2: I work alone. Man, I didn't know you were going.
Speaker 2: I said, we're going back to the other side.
Speaker 1: No I if I if I have to poop, we
Speaker 1: got to take care of business before I go on stage.
Speaker 2: I don't like having anybody around, so I like that.
Speaker 2: But you know you can do that and then we'll
Speaker 2: go out and play. You're welcome to come up and
Speaker 2: play golf, and we'd love to have you'd hate it
Speaker 2: because because I'm no good. It doesn't matter if you're
Speaker 2: Because because at this particular place, Silo Ridge, one of
Speaker 2: the Discovery Lands, there's no dress code. You can play
Speaker 2: two holes and get off. There's free alcohol, which probably
Speaker 2: is not good for you. It's all right. Look if
Speaker 2: it's free, it's never free to me. It's never free
Speaker 2: to me, and I'm not a drinker. But I pushed
Speaker 2: that on the guys. I'm playing against them, like you
Speaker 2: do better after a shot, because I have shots to start.
Speaker 2: But it's a unique place where it's so much when
Speaker 2: you can play three holes and stop two holes, you
Speaker 2: can go out and just go to the nine holes.
Speaker 2: An amazing place in one of the best golf courses
Speaker 2: and people and culture in the world. One of the
Speaker 2: discovery lands called Silo Ridge.
Speaker 1: Well, i'll take it out, but let me just say
Speaker 1: that we're kind of like.
Speaker 2: Rolling to the end of this. But that was fast,
Speaker 2: was it fast?
Speaker 5: No?
Speaker 2: Insually an hour with me really rolls. Yeah, it's about
Speaker 2: an hour. Yeah, we did about an hour, so that'll
Speaker 2: be I don't know what do you charge an hour?
Speaker 2: It depends if it's a lawyer.
Speaker 1: But like I say, I only talk to people I
Speaker 1: want to talk to on this thing. I appreciate it,
Speaker 1: and you are I fucking met everybody, everybody, and you
Speaker 1: are a special human being.
Speaker 7: Well I don't know about but I appreciate. I appreciate
Speaker 7: that perspective. It is absolutely the truth. And keep doing it.
Speaker 7: And you know what, if it's you against the big c.
Speaker 2: One hundred percent, good for you. And that team is
Speaker 2: the oncologist, the pulmonologist, the pathologist, all these people. You know,
Speaker 2: I do want to put a plug in because you know,
Speaker 2: we get this award as you know the best lung
Speaker 2: cancer surgery or lung program and pulmonologists, but the pathologists,
Speaker 2: the oncologists you know, Abe Jachoa, Josh Sabari all our
Speaker 2: other oncologists who are world class get that accolade with us,
Speaker 2: because how do you beat cancer. You don't beat it
Speaker 2: with surgery alone. You know, Ben Cooper does radiation and
Speaker 2: all these which is all part of the team. Uh,
Speaker 2: It's just it's an amazing part of of what we do.
Speaker 1: Well, keep doing it and keep getting better at it.
Speaker 1: I'm great to see You'll see you in the next
Speaker 1: episode with you.
Speaker 2: It sounds great, sounds great. H