WEBVTT - Dr. Robert Cerfolio Returns! 0:00:00.160 --> 0:00:03.480 This is me, Craig Ferguson. I'm inviting you to come 0:00:03.520 --> 0:00:05.920 and see my brand new comedy hour. Well it's actually 0:00:05.920 --> 0:00:07.400 it's about an hour and a half and I don't 0:00:07.440 --> 0:00:10.000 have an opener because these guys cost money. But what 0:00:10.039 --> 0:00:13.000 I'm saying is I'll be on stage for a while. Anyway, 0:00:13.039 --> 0:00:15.560 come and see me live on the Pants on Fire 0:00:15.960 --> 0:00:19.720 Tour in your region. Tickets are on sale now, and 0:00:19.800 --> 0:00:23.160 we'll be adding more as the tour continues throughout twenty 0:00:23.239 --> 0:00:26.960 twenty five and beyond. For a full list of dates, 0:00:27.040 --> 0:00:30.280 go to the Craig Ferguson show dot com. See you 0:00:30.320 --> 0:00:34.960 on the road, My DearS. My name is Craig Ferguson. 0:00:35.400 --> 0:00:39.440 The name of this podcast is Joy. I talk to 0:00:39.560 --> 0:00:45.760 interest in people about what brings them happiness. Today in 0:00:45.760 --> 0:00:48.520 the podcast, one of my favorite guests of all time, 0:00:49.000 --> 0:00:53.640 of all the shows I've done. Terrific man. I'm very interesting. 0:00:53.800 --> 0:00:57.880 If you're interested in your health or general health. I 0:00:58.000 --> 0:01:00.760 think most people are, but you know, maybe you're but 0:01:00.920 --> 0:01:04.720 this guy is just I just kind of good enough 0:01:04.720 --> 0:01:07.920 of him. His name is doctor Wells, his name, but 0:01:07.920 --> 0:01:12.320 that's his title. He's doctor Robert sirfolio John. 0:01:19.319 --> 0:01:21.560 So listen. Here's the thing, Sheriff, you. 0:01:21.360 --> 0:01:25.560 Are a record breaker today because you are the first 0:01:25.600 --> 0:01:28.720 time I've had Is this a third time you've been on. 0:01:28.680 --> 0:01:31.000 The show her time? That's a big honor for me. 0:01:31.080 --> 0:01:31.680 I'm honored. 0:01:32.040 --> 0:01:34.720 And listen and let me just say this the third 0:01:34.760 --> 0:01:37.000 time on the show. But we remember the first time 0:01:37.000 --> 0:01:41.000 we recorded, didn't record at all? How could I forget 0:01:41.560 --> 0:01:44.319 fourth time? The fourth time? That's exactly right. 0:01:44.959 --> 0:01:47.080 What's the what's the deal with your head? Say? Are you? 0:01:47.120 --> 0:01:48.040 Are you doing a lot of. 0:01:48.280 --> 0:01:51.360 Robutics therect I'm an air traffic controller and I wanted 0:01:51.360 --> 0:01:52.440 to get a drink of my water. 0:01:52.480 --> 0:01:55.240 But I don't want to get water on the thing. Hey, 0:01:55.400 --> 0:01:57.640 what's the I'm going You made me think I want 0:01:57.640 --> 0:01:58.200 to drink of water? 0:01:58.360 --> 0:02:02.240 So what's the deal with when you do the theoretic surgery? 0:02:02.560 --> 0:02:06.480 Do you do it thoracic? Thoracic like Thoracic park. 0:02:07.680 --> 0:02:11.320 Exactly instead of Jurassic it's thoracic. You're right, but I 0:02:11.360 --> 0:02:15.639 love that analogy. You're right on it, man, So let 0:02:15.639 --> 0:02:16.160 me ask you this. 0:02:16.200 --> 0:02:17.840 Do you wear your little headset when you're doing it 0:02:17.840 --> 0:02:19.399 and tell everybody they're what you're doing? 0:02:20.040 --> 0:02:23.519 So when I have visitors that are remote, I do, 0:02:24.080 --> 0:02:26.760 and it's awkward. When I scrub in, you have a headlight, 0:02:27.760 --> 0:02:31.079 magnifying glasses and this. Then when I go to the road, 0:02:31.160 --> 0:02:33.239 that should put the ports in and make the incisions. 0:02:33.520 --> 0:02:35.920 Then when you leave the patient and you walk ten 0:02:36.000 --> 0:02:37.840 or fifteen feet over and said at the da Vinci 0:02:37.960 --> 0:02:41.080 console where you're looking through the box and moving your hands, 0:02:41.320 --> 0:02:43.919 then I just have this thing on, but it's more 0:02:43.919 --> 0:02:45.920 comfortable than the one that they gave me today. 0:02:46.560 --> 0:02:48.720 Talk to me about it. What's the da Vinci console? 0:02:48.720 --> 0:02:50.640 Because I think you know, I of course know what 0:02:50.720 --> 0:02:53.560 it is, but many people will know what dvin No, 0:02:53.680 --> 0:02:54.120 you're you're. 0:02:54.000 --> 0:02:56.400 One hundred percent right. I mean people still don't get it. 0:02:56.480 --> 0:02:59.560 So when we say we do robotic surgery, what that 0:02:59.639 --> 0:03:02.680 means is first we're scrubbed in like doctors with gloves 0:03:02.680 --> 0:03:05.639 and a mass standing over the patient. We make three 0:03:05.760 --> 0:03:09.799 or four little incisions, put tiny instruments in, like through 0:03:09.840 --> 0:03:12.840 a little probe, and then the instruments go inside of 0:03:12.840 --> 0:03:16.919 that and then there's this giant contraption that comes rolls 0:03:16.960 --> 0:03:20.400 over the patient and gets attached to those arms. That's 0:03:20.440 --> 0:03:23.680 the robot. But we don't operate that from the operating 0:03:23.760 --> 0:03:25.920 room table. We then leave the table, We take our 0:03:26.000 --> 0:03:28.440 gown off, our gloves off, we go sit in the 0:03:28.560 --> 0:03:31.240 chair and we look in this giant box and we're 0:03:31.320 --> 0:03:35.360 sitting looking in this monitor, this immersive world, and what 0:03:35.400 --> 0:03:37.880 I love about it. Actually, I was giving a lecture 0:03:37.960 --> 0:03:39.880 last night and they say, where I'm the happiest. I said, 0:03:39.920 --> 0:03:42.560 you know, I'm I'm happiest you know in a very 0:03:42.560 --> 0:03:45.440 competitive pickleball match or a great golf match, when I'm 0:03:45.480 --> 0:03:49.160 doing well or teaching or educating or putting an impact 0:03:49.200 --> 0:03:54.360 on the world, or when I'm submerged underwater scuba diving 0:03:54.440 --> 0:03:57.200 in the robotic console. Because what it's like is you 0:03:57.280 --> 0:04:00.840 become miniaturized and they drop you inside the chest in 0:04:00.840 --> 0:04:02.960 my case, or the belly if you're a belly surgeon. 0:04:03.240 --> 0:04:05.640 So I'm now looking in this console. My head is 0:04:05.640 --> 0:04:08.760 in this thing three D. I'm looking through this classes. 0:04:08.760 --> 0:04:10.760 I can move my hands, I can move my feet. 0:04:10.800 --> 0:04:13.000 There's six pedal for my feet, there's a couple of 0:04:13.000 --> 0:04:16.640 pedals for my hands. And as I move those instruments 0:04:16.680 --> 0:04:19.479 that we put in through those little tiny sticks, they 0:04:19.560 --> 0:04:21.960 move and they are a mimic to our hand motion, 0:04:22.120 --> 0:04:25.400 So the surgeon's doing the operation, not the robot. But 0:04:25.440 --> 0:04:27.680 the robot allows you to shrink your hands down to 0:04:27.720 --> 0:04:31.080 these tiny little one sonometer or half an inch instruments 0:04:31.080 --> 0:04:33.200 instead of your big ugly mits in there where you're 0:04:33.240 --> 0:04:36.840 making big decisions and spreading the ribs or cutting the muscle. 0:04:37.120 --> 0:04:39.919 So it's minimally invasive. So that's how it works. You know. 0:04:40.040 --> 0:04:41.760 That's amazing to me because I don't know if you 0:04:41.800 --> 0:04:43.360 remember when you were a kid you and died of 0:04:43.440 --> 0:04:46.800 the savings. You remember a movie called Fantastic Voyage with 0:04:46.880 --> 0:04:47.960 Raquel Welch in it. 0:04:48.279 --> 0:04:52.320 I'm forget Raquel Welsh in that outfit my gosh, right, So. 0:04:52.400 --> 0:04:57.880 Raquel Welson Fantastic Voyage where there's a roulebot scientist or 0:04:57.920 --> 0:04:59.920 something like that, and they have to shrink they shrinkle 0:05:00.080 --> 0:05:03.040 sales down into a little spaceship and then they go 0:05:03.080 --> 0:05:05.640 into the guy's bloodstream and they sort it out. 0:05:06.080 --> 0:05:07.200 That's exactly what it's like. 0:05:07.240 --> 0:05:10.320 But they of course are really small and they're interest inside. 0:05:10.320 --> 0:05:12.279 Remember they the way they got out was through the 0:05:12.360 --> 0:05:13.239 lymphatic system. 0:05:13.279 --> 0:05:15.040 Remember there was the arteries in venus and they went 0:05:15.080 --> 0:05:16.719 in the lymphatic See. 0:05:16.760 --> 0:05:18.600 I think that was a that was a script there. 0:05:18.640 --> 0:05:21.159 They should have come out with the corooper. I feel like, 0:05:21.960 --> 0:05:25.560 get into the digestive tract, get your little spaceship. Look, 0:05:25.600 --> 0:05:28.159 there's been times when I felt like I've had a spaceship, 0:05:28.320 --> 0:05:31.480 my digestive tract, and you get into the intestinent note 0:05:31.560 --> 0:05:35.440 you come and on the way out, quick colonoscopy. 0:05:35.600 --> 0:05:36.520 Not to mention. 0:05:36.640 --> 0:05:39.080 And then it's very appropriate that they end up in 0:05:39.160 --> 0:05:40.640 the excrement, giving you know. 0:05:40.560 --> 0:05:42.120 How how the end of that movie had. 0:05:42.480 --> 0:05:45.559 But yeah, you're exactly the problem with that is, of course, 0:05:45.560 --> 0:05:47.400 if they get in the l any type of the 0:05:47.440 --> 0:05:50.000 GI track, they create a hole that they have to 0:05:50.040 --> 0:05:53.279 seal on their way in. So that was one of 0:05:53.279 --> 0:05:55.200 the tables. That's why they went through the ear if 0:05:55.200 --> 0:05:58.000 you remember. But what a fantastic movie. 0:05:58.120 --> 0:06:00.000 What a fantastic I didn't. 0:06:00.160 --> 0:06:02.000 I didn't know that it was. Actually it was so 0:06:02.080 --> 0:06:04.040 I could do you ever? You know, I met Raquel 0:06:04.080 --> 0:06:05.640 Wells a couple of times. She was on my old 0:06:05.680 --> 0:06:08.960 late night show. Really yeah, now for you and I 0:06:09.240 --> 0:06:12.359 your generation to get to meet Raquel web So. But 0:06:12.520 --> 0:06:15.359 here it gets even better. So she knew I was 0:06:15.440 --> 0:06:20.360 very excited to meet her. So the crew at my show. 0:06:20.760 --> 0:06:24.000 They got a giant poster of you know, the poster 0:06:24.080 --> 0:06:26.280 of her wearing the fur bikini and a million. 0:06:26.040 --> 0:06:28.640 You say it was in the fur bikini and what 0:06:28.839 --> 0:06:30.720 movie was that? It was one million. 0:06:30.520 --> 0:06:34.280 Years BC, that was it. Yeah, so she's in. 0:06:34.200 --> 0:06:37.960 The fur bikini and she's she wrote on it and 0:06:38.000 --> 0:06:41.640 she said, share Craig because she she liked to speak friends. 0:06:41.640 --> 0:06:43.560 She said, share Craig. I could I remember, because I've 0:06:43.560 --> 0:06:46.800 still got the poster, Share Craig. You can visit my 0:06:47.000 --> 0:06:55.200 cave anytime I remember to wear your kill love Raquel. 0:06:55.720 --> 0:06:59.680 Oh my gosh, that would be like it was. 0:07:00.080 --> 0:07:00.560 She was. 0:07:00.720 --> 0:07:03.440 Yeah, the everybody had a poster or when I was 0:07:03.480 --> 0:07:04.760 a kid, she was unbelievable. 0:07:04.880 --> 0:07:06.279 Yeah, that was that was. 0:07:06.720 --> 0:07:09.120 Is she still alive and how well she? Sadly she 0:07:09.200 --> 0:07:12.920 passed a year or two ago. I think I don't 0:07:12.960 --> 0:07:15.280 know for sure, but I think she had trouble with 0:07:15.360 --> 0:07:18.720 Alzheimer's or dementia or something that it was. I don't 0:07:18.760 --> 0:07:21.040 really know the difference, to be honest. Well, maybe you 0:07:21.080 --> 0:07:23.840 could tell me what is the difference between Alzheimer's and dementia. 0:07:24.000 --> 0:07:27.280 Well, there's a there's a pretty pretty big difference, actually, 0:07:27.320 --> 0:07:31.000 I mean Alzheimer's. One type of dementia is a more 0:07:31.080 --> 0:07:33.280 general term of which there are specific types. 0:07:33.440 --> 0:07:36.560 Yeah, all right, so dementia is like a blanket term, 0:07:36.680 --> 0:07:39.520 like like like cancer maybe like kind of there's so 0:07:39.520 --> 0:07:42.160 many different cancers, but it's a type of cancer. 0:07:42.600 --> 0:07:44.640 It's kind of like dementia where you and I are headed. 0:07:44.760 --> 0:07:46.720 That's a general term that we could have fought. 0:07:47.120 --> 0:07:48.880 You know, I don't know why you have to say that, 0:07:48.920 --> 0:07:51.960 because it's not necessarily going to Somebody asked me what 0:07:52.280 --> 0:07:53.920 A buddy of mine asked me once. He said, when 0:07:53.920 --> 0:07:55.400 you get older, what do you want to go the 0:07:55.800 --> 0:08:01.200 plumbing or the or the upstairs, not like definitely upstairs. Yeah, 0:08:01.320 --> 0:08:05.400 oh you do, well, no thing upstairs, because then if 0:08:05.440 --> 0:08:07.800 I my upstairs goes, that somebody else's problem. 0:08:07.840 --> 0:08:10.520 If the plumbing goes, that's my problem, that's vegan. 0:08:11.160 --> 0:08:13.400 So it's interesting how we because I think of somebody 0:08:13.440 --> 0:08:15.280 else's problem. The last thing I want to do is 0:08:15.320 --> 0:08:17.640 do that to my my three boys. Remember my three 0:08:17.680 --> 0:08:20.720 boys lost their mom. The last thing do a hard 0:08:20.720 --> 0:08:23.200 thing with me. So I'm like, listen, if that happens, 0:08:23.240 --> 0:08:25.120 we go on a cruise, and I just happened to 0:08:25.160 --> 0:08:27.600 slip off that top part of the oh yeah, the 0:08:27.600 --> 0:08:30.080 little outdoor thing, and I'm gone and don't tell anybody 0:08:30.080 --> 0:08:32.560 for like the next day, and then don't worry about it, no, 0:08:32.600 --> 0:08:34.079 because that's terrible. 0:08:34.520 --> 0:08:36.840 My deal I have with my wife is is that 0:08:36.920 --> 0:08:39.559 you get me, get me into some kind of situation 0:08:40.040 --> 0:08:43.760 where I'm on a drip, like some kind of parcacet 0:08:44.040 --> 0:08:47.560 propfol drip, and just like just hit that thing every 0:08:47.559 --> 0:08:49.679 hour on there and put and put movies on. 0:08:50.080 --> 0:08:50.240 Yeah. 0:08:50.320 --> 0:08:52.160 The only the only problem with that is there's a 0:08:52.200 --> 0:08:54.520 medical record that leads to that could get her in trouble. 0:08:54.760 --> 0:08:58.680 I think the cruise is much safer for you. Yeah, yeah, 0:08:58.760 --> 0:09:01.760 I get well. Look see here's the thing now. 0:09:01.800 --> 0:09:04.839 I go for my annual physical yesterday, so it was 0:09:05.120 --> 0:09:07.800 kind of yeah, so you know what, it's two years 0:09:07.840 --> 0:09:08.800 since I had a physical. 0:09:08.840 --> 0:09:11.160 But well, you're so healthy. That's all you need. Man. 0:09:11.200 --> 0:09:13.120 Look at you. You look you look like you're forty 0:09:13.120 --> 0:09:13.719 five years old. 0:09:13.760 --> 0:09:15.840 You look great, you look you look even healthier this 0:09:15.920 --> 0:09:17.960 time than I think the last. Maybe because it's we're 0:09:18.000 --> 0:09:20.480 not together, but you look. No, I tell you what 0:09:20.559 --> 0:09:22.720 it is, my friend, I lost weight. 0:09:23.200 --> 0:09:23.640 I knew it. 0:09:23.760 --> 0:09:26.160 I could tell I bet you lost about twenty pounds, right. 0:09:26.360 --> 0:09:27.840 I don't know if it's as much as that, but 0:09:27.920 --> 0:09:29.920 it's a lot. I mean what I did was I 0:09:30.360 --> 0:09:33.040 recorded a stand up special and then I went to 0:09:33.080 --> 0:09:34.880 the edit for the stand up special. 0:09:34.720 --> 0:09:37.800 Like, who the fuck is that guy? Yeah? 0:09:37.920 --> 0:09:40.200 I was like, I was like, oh my god, I 0:09:40.240 --> 0:09:42.280 know the special is out now when people are like, 0:09:42.320 --> 0:09:44.520 oh my got eling some fat and I got I 0:09:44.559 --> 0:09:48.560 go fah, I just I just I just stopped exercising 0:09:48.800 --> 0:09:50.960 and I just kind of like wasn't paying attention to 0:09:51.000 --> 0:09:54.839 the food. And yeah, bol because it happens much quicker now, 0:09:54.880 --> 0:09:56.720 that kind of thing now that I'm older. No, So 0:09:56.840 --> 0:09:59.559 I know question like, yeah, I just like I'm back 0:09:59.600 --> 0:10:02.760 on it. I'm walking and running every day, I'm doing calistanis. 0:10:02.880 --> 0:10:06.320 I'm like trying to lay off the candy and stuff. 0:10:06.360 --> 0:10:08.880 But it's much harder than it used to be to 0:10:08.920 --> 0:10:10.040 get in shape, you know. 0:10:10.080 --> 0:10:12.439 Because we're sixty. Yeah, because we're sixty. 0:10:12.480 --> 0:10:14.840 That's why I'm so you know, I don't even have 0:10:14.880 --> 0:10:16.440 a glass of wine at dinner anymore. 0:10:16.600 --> 0:10:18.200 Last year, I'm like, I don't need it. 0:10:18.240 --> 0:10:20.440 I sleep better without it, and I don't need the 0:10:20.480 --> 0:10:24.360 calories because I literally affects my sleep, and I can 0:10:24.440 --> 0:10:26.240 notice that I'm up a pound or two because I 0:10:26.280 --> 0:10:28.960 weigh myself twice a day because I'm crazy. But I 0:10:29.000 --> 0:10:31.040 think you're right. It's part of being sixty, you know. 0:10:31.120 --> 0:10:33.679 And so I'm totally into the health thing. 0:10:33.840 --> 0:10:36.400 You know. I'm not about exercising and all that. It's fun. 0:10:36.440 --> 0:10:38.439 I know you are right, but the show is look 0:10:38.480 --> 0:10:40.559 at you. I mean you, I mean you. You appreciate it. 0:10:40.600 --> 0:10:44.080 Fantastic shape, I mean, I appreciate that. Now, let me 0:10:44.160 --> 0:10:47.800 just say this. So I go for my annual physical 0:10:47.840 --> 0:10:49.480 and I'm talking to the dogs. It's a new doctor. 0:10:49.480 --> 0:10:51.200 Because I knew I moved back to New York. So 0:10:51.240 --> 0:10:52.319 I go, I get a new doctor. 0:10:52.640 --> 0:10:53.000 You know me. 0:10:53.360 --> 0:10:55.640 We're happy to have you back in the city where 0:10:55.720 --> 0:10:57.079 which is your home, where we love you. 0:10:57.240 --> 0:10:59.360 So thank you for coming back. Thank you. 0:10:59.440 --> 0:11:01.480 It's the greatest city in the world. And anybody that 0:11:01.559 --> 0:11:03.760 doesn't agree with me, you know, they don't need to 0:11:03.760 --> 0:11:09.360 come here. So I agree it. So I I'm talking 0:11:09.360 --> 0:11:09.920 to my doctor. 0:11:10.000 --> 0:11:10.120 Now. 0:11:10.160 --> 0:11:13.760 You know, I like a doctor, especially for a general practitioner. 0:11:14.040 --> 0:11:16.640 I had like a big city doctor with slim fingers. 0:11:16.679 --> 0:11:21.720 You know what I'm saying. I'm I'm talking to him 0:11:21.720 --> 0:11:22.080 about that. 0:11:22.160 --> 0:11:25.000 He said, you know, the first exam said that's going 0:11:25.080 --> 0:11:27.600 to go away soon, that's going to go away. 0:11:27.720 --> 0:11:29.400 You could just say you don't want to just get 0:11:29.400 --> 0:11:31.880 a digital rectal ultrasound or a p s A or 0:11:31.920 --> 0:11:34.920 an MRI of the prostate and say the last two 0:11:34.920 --> 0:11:37.199 times I said, listen, I don't want a digital record exam. 0:11:37.280 --> 0:11:39.800 I'm out, you're not doing it. You can do that. Well, 0:11:40.000 --> 0:11:42.320 I you know, I don't know about you, man, I'll 0:11:42.360 --> 0:11:45.320 miss it, of course not. 0:11:45.640 --> 0:11:50.200 I mean, no, man, I'm like, you know, it's for me. 0:11:50.320 --> 0:11:52.480 It's a bit like vinyl, you know what I mean. 0:11:52.520 --> 0:11:56.319 It's like it's not necessary anymore. 0:11:56.440 --> 0:12:01.880 But you know, but you kind of like today, I 0:12:01.960 --> 0:12:02.920 tell you a quick story. 0:12:03.000 --> 0:12:05.320 So when you're a medical student, you have to pair 0:12:05.440 --> 0:12:08.960 off with another medical a male student. Of course, the 0:12:09.040 --> 0:12:11.520 men got the there was female medical students. They had 0:12:11.520 --> 0:12:14.040 to do it to the man obviously, and you know 0:12:14.080 --> 0:12:14.520 and advice. 0:12:14.640 --> 0:12:17.640 Oh yeah, yeah, it's the day. Yeah, exactly right. 0:12:17.760 --> 0:12:21.400 So to make a long story short, when I went 0:12:21.440 --> 0:12:23.360 into the room with the other guy said, I said, listen, 0:12:24.000 --> 0:12:25.800 I'm just going to skip it. If you agreed to 0:12:25.880 --> 0:12:28.280 skipping it, I'll skip mine if you skip yours. 0:12:28.280 --> 0:12:30.800 He said, yes, so we did. So I never had one. 0:12:30.840 --> 0:12:33.320 So about five years ago I had to get this 0:12:33.360 --> 0:12:35.880 executive physical and I go see a doctor here in 0:12:35.920 --> 0:12:38.040 New York where I work, and he goes, you need 0:12:38.080 --> 0:12:41.080 a digital rector. I said, listen, bro, I've never had one. 0:12:41.160 --> 0:12:45.320 He says, well, then you rover du And I said, no, 0:12:46.440 --> 0:12:48.800 you can do an MRI I and you can do 0:12:48.880 --> 0:12:52.560 a PSA of the blood and I'll take it. And 0:12:52.600 --> 0:12:55.240 he said, and you need a digital rectal exam as well. 0:12:55.280 --> 0:12:57.960 He was so insistent. And then he said, you know 0:12:58.000 --> 0:13:00.640 you're not listening. You're being a typical doctor who's a 0:13:00.640 --> 0:13:03.079 bad patient. I said, okay, fine, so I've had one 0:13:03.080 --> 0:13:05.200 in my lifetime and that will be the last one. 0:13:05.800 --> 0:13:08.400 Yeah, well, I don't know. I mean, look as things that. 0:13:08.480 --> 0:13:11.000 Can happen to you and the doctor's office, a digital 0:13:11.040 --> 0:13:13.559 regal exam, it's kind of like a night in the eighties. 0:13:13.559 --> 0:13:15.600 As smart as I'm concerned. It was like, it's no 0:13:15.760 --> 0:13:20.679 big deal, but the but the I've never heard it 0:13:20.679 --> 0:13:22.559 express that way, Craig, but I love it. I may 0:13:22.600 --> 0:13:24.200 I may use that line and my lecture. 0:13:25.040 --> 0:13:27.240 I mean, we all live differently in well, I live 0:13:27.320 --> 0:13:30.320 differently in those. But let me ask you this, then, 0:13:30.679 --> 0:13:35.920 if you're doing an MRI of uh, the procepct of 0:13:35.960 --> 0:13:38.840 the prostate isn't the MR isn't that radiation? 0:13:39.480 --> 0:13:41.640 Isn't that MRIs have no radiation. 0:13:41.760 --> 0:13:44.480 That's the advantage to MRIs no radio and and the 0:13:44.520 --> 0:13:47.319 CAT scan that has some radiation. Like like I'm I've 0:13:47.320 --> 0:13:49.400 flown to the Bahamas the last couple of weekends. I 0:13:49.440 --> 0:13:52.319 got probably more radiation on that flight three and a 0:13:52.360 --> 0:13:54.320 half hour flight there and back. Then I do get 0:13:54.320 --> 0:13:57.360 in a CAT scan without contrast or a chest X ray. 0:13:57.480 --> 0:14:01.280 So yes, there's chest X rays and there, and there's 0:14:01.320 --> 0:14:03.560 cat scans, and there's cat scans with contrast, and there's 0:14:03.559 --> 0:14:06.000 a PET scan has a lot more radiation, but the 0:14:06.040 --> 0:14:10.199 amount of radiation is negligible. And when patients ask those questions, 0:14:10.240 --> 0:14:13.280 we say, we're doing this to either you have cancer 0:14:13.280 --> 0:14:15.800 and we're following you or surveying you, or we're working 0:14:15.840 --> 0:14:18.480 you up for cancer. That's a much higher risk to 0:14:18.520 --> 0:14:21.760 your life than the minuscule amount of radiation that you're 0:14:21.800 --> 0:14:24.720 getting on the scan. Yeah, so don't worry about it. 0:14:28.280 --> 0:14:31.920 Hello, this is Greig Ferguson, and I want to let 0:14:31.960 --> 0:14:33.960 you know I have a brand new stand up company 0:14:34.000 --> 0:14:37.880 special out now on YouTube. It's called I'm So Happy, 0:14:38.400 --> 0:14:41.520 and I would be so happy if you checked it out. 0:14:41.840 --> 0:14:42.640 So what's the special? 0:14:42.760 --> 0:14:45.360 Just go to my YouTube channel at the Greig Verguson 0:14:45.400 --> 0:14:48.120 Show and is this right there? Just click it and 0:14:48.160 --> 0:14:51.000 play it and it's free. I can't look. I'm not 0:14:51.000 --> 0:14:52.360 going to come round your husband and show you how 0:14:52.360 --> 0:14:53.720 to do it. If you can't do it, then you 0:14:53.760 --> 0:14:55.200 can't have it. But if you can figure it out, 0:14:55.280 --> 0:15:01.880 it's yours. So let me ask you this. Then, because 0:15:01.880 --> 0:15:03.440 they got a new doctor, so I got to run 0:15:03.480 --> 0:15:05.080 on list. You're my second opinion guy right. 0:15:05.160 --> 0:15:06.080 You know you might go to. 0:15:06.160 --> 0:15:10.280 Guy right, and my price is right for the second. 0:15:10.000 --> 0:15:12.040 I was going to say, I wish I hadn't said that, 0:15:12.200 --> 0:15:15.240 because you're telling me what I'm worth, so it's appropriate, 0:15:16.320 --> 0:15:18.960 so it's not really a second opinion. But you said 0:15:18.960 --> 0:15:20.960 to me, look, we're going to look at your cholesterol 0:15:21.000 --> 0:15:22.960 and as a whole new blood panel. He said, but 0:15:23.800 --> 0:15:26.920 you're you're in your early sixties, so I want to 0:15:26.920 --> 0:15:30.960 do a calcium calcium scoring study. 0:15:30.960 --> 0:15:32.720 And I was going to suggest that you get one, 0:15:32.760 --> 0:15:35.080 you should get one of your heart to look at 0:15:35.480 --> 0:15:39.000 calcium in your the epicardium, the outside of your heart, 0:15:39.000 --> 0:15:41.480 to make sure you don't have coronary artery disease. As 0:15:41.480 --> 0:15:44.440 opposed to getting a CAF where they stuck a catherine 0:15:44.440 --> 0:15:46.640 you're growing at your wrists and they put a cather 0:15:46.800 --> 0:15:48.680 up and then they inject contrast and they look at 0:15:48.680 --> 0:15:49.840 your ye really would. 0:15:49.680 --> 0:15:53.200 No, I'd prefer not to have That's like, that's not 0:15:53.280 --> 0:15:55.360 a big deal. But that's a little bit invasive. It's 0:15:55.400 --> 0:15:58.000 a little nick in your artery. But you're right, you 0:15:58.040 --> 0:16:01.160 don't want it. And the calcium scoring stuff hopefully. 0:16:00.920 --> 0:16:03.720 Yours was zero. I don't know. Yeah, I haven't had 0:16:03.760 --> 0:16:06.800 it yet. Oh yeah, I had mine six months ago. 0:16:06.800 --> 0:16:08.240 It was zero, which was good. 0:16:08.840 --> 0:16:11.520 But yeah, you know, what when does it get to 0:16:11.520 --> 0:16:13.480 be a problem if you have what do they do 0:16:13.520 --> 0:16:15.520 if they find calcium on the outside of your heart? 0:16:15.520 --> 0:16:18.760 What are you are their drugs? Yeah, typical doctor, you know, 0:16:18.760 --> 0:16:19.680 we always give an answer. 0:16:19.680 --> 0:16:22.360 It depends. I mean, it depends on your family history. 0:16:22.440 --> 0:16:25.400 If you're overweight, if you have hypertension, all these other 0:16:25.520 --> 0:16:28.320 if you're symptomatic, do you get chest pain, if you do, 0:16:28.360 --> 0:16:29.320 then you're going to get a cath. 0:16:29.360 --> 0:16:31.400 I mean, you're going to buy a cath if that happens. 0:16:31.640 --> 0:16:34.000 If you're asymptomatic and don't have any risk factors and 0:16:34.080 --> 0:16:36.000 it's fifty, you're probably okay. 0:16:36.000 --> 0:16:36.360 But if the. 0:16:36.360 --> 0:16:39.240 Score is a thousand or two thousand or something, then 0:16:39.280 --> 0:16:41.640 you're going to get a cardiac cath, which is what 0:16:41.760 --> 0:16:43.120 I just described a minute ago. 0:16:43.640 --> 0:16:47.360 What is a cardiac cat Yeah, they used to put 0:16:47.400 --> 0:16:49.320 it in the groin and put a ca up. Now 0:16:49.320 --> 0:16:51.120 we do them in the wrist, and we put a 0:16:51.160 --> 0:16:54.320 little tidy cather up the artery and it goes retrograde, 0:16:54.360 --> 0:16:56.680 opposite of how the blood flow goes right down to 0:16:56.720 --> 0:16:59.520 your A order and right off the very proximal part 0:16:59.520 --> 0:17:02.600 of the order. Two little orifice, two little openings that 0:17:02.680 --> 0:17:05.240 carry your right and left coronary artery, assuming you don't 0:17:05.240 --> 0:17:07.280 have congenital heart disease, and a lot of people do 0:17:07.359 --> 0:17:09.800 and don't know it. But let's say you're normal, and 0:17:09.840 --> 0:17:12.800 they put a little catheter in that and they shoot contrast, 0:17:12.840 --> 0:17:15.720 and then it shows all of the arteries. The left 0:17:15.800 --> 0:17:18.760 sided artery that has a couple of big ranches ones 0:17:18.760 --> 0:17:21.600 called the lad ones, calls the up to marginal et 0:17:21.640 --> 0:17:23.840 cetera in these other branches. And then on the right 0:17:23.920 --> 0:17:26.639 side you have a right coronary artery that usually supplies 0:17:27.119 --> 0:17:30.119 your sinus, the sinus node, which runs the rhythm of 0:17:30.119 --> 0:17:31.879 your heart. So they look at the left and the 0:17:31.960 --> 0:17:33.800 right arteries of the heart and make sure that there 0:17:33.800 --> 0:17:37.400 aren't blockages that are seventy percent or greater. If they're 0:17:37.400 --> 0:17:40.600 seventy percent or greater, then you might need either a stent, 0:17:40.680 --> 0:17:43.040 which they can do right through this little incision, or 0:17:43.080 --> 0:17:45.240 if you have two or three arteries that are blocked, 0:17:45.560 --> 0:17:47.080 then you need a bypass. 0:17:46.680 --> 0:17:49.800 Operation, which is what you know. I'm a cardiothoracic surgeon. 0:17:49.880 --> 0:17:52.800 I do the thoracic part. My partners do the cardiac part. 0:17:52.840 --> 0:17:54.800 But that's what we do in this department every day. 0:17:55.720 --> 0:17:55.960 Man. 0:17:56.119 --> 0:17:59.439 That sounds like like, now, I wasn't really bold about it, 0:17:59.440 --> 0:17:59.880 but now I'm. 0:17:59.800 --> 0:18:01.200 Kind of scared about it a little bit. 0:18:01.280 --> 0:18:03.800 No, No, don't be because it's just a screening study, 0:18:04.119 --> 0:18:07.840 and chances are high, and you've lost weight, you're exercising, 0:18:07.880 --> 0:18:10.480 you have no pain with exercise, so chances are and 0:18:10.520 --> 0:18:11.560 you have no family. 0:18:11.320 --> 0:18:15.399