Speaker 1: This is me, Craig Ferguson. I'm inviting you to come
Speaker 1: and see my brand new comedy hour. Well it's actually
Speaker 1: it's about an hour and a half and I don't
Speaker 1: have an opener because these guys cost money. But what
Speaker 1: I'm saying is I'll be on stage for a while. Anyway,
Speaker 1: come and see me live on the Pants on Fire
Speaker 1: Tour in your region. Tickets are on sale now, and
Speaker 1: we'll be adding more as the tour continues throughout twenty
Speaker 1: twenty five and beyond. For a full list of dates,
Speaker 1: go to the Craig Ferguson show dot com. See you
Speaker 1: on the road, My DearS. My name is Craig Ferguson.
Speaker 1: The name of this podcast is Joy. I talk to
Speaker 1: interest in people about what brings them happiness. Today in
Speaker 1: the podcast, one of my favorite guests of all time,
Speaker 1: of all the shows I've done. Terrific man. I'm very interesting.
Speaker 1: If you're interested in your health or general health. I
Speaker 1: think most people are, but you know, maybe you're but
Speaker 1: this guy is just I just kind of good enough
Speaker 1: of him. His name is doctor Wells, his name, but
Speaker 1: that's his title. He's doctor Robert sirfolio John.
Speaker 2: So listen. Here's the thing, Sheriff, you.
Speaker 1: Are a record breaker today because you are the first
Speaker 1: time I've had Is this a third time you've been on.
Speaker 2: The show her time? That's a big honor for me.
Speaker 2: I'm honored.
Speaker 1: And listen and let me just say this the third
Speaker 1: time on the show. But we remember the first time
Speaker 1: we recorded, didn't record at all? How could I forget
Speaker 1: fourth time? The fourth time? That's exactly right.
Speaker 2: What's the what's the deal with your head? Say? Are you?
Speaker 2: Are you doing a lot of.
Speaker 3: Robutics therect I'm an air traffic controller and I wanted
Speaker 3: to get a drink of my water.
Speaker 2: But I don't want to get water on the thing. Hey,
Speaker 2: what's the I'm going You made me think I want
Speaker 2: to drink of water?
Speaker 1: So what's the deal with when you do the theoretic surgery?
Speaker 2: Do you do it thoracic? Thoracic like Thoracic park.
Speaker 3: Exactly instead of Jurassic it's thoracic. You're right, but I
Speaker 3: love that analogy. You're right on it, man, So let
Speaker 3: me ask you this.
Speaker 1: Do you wear your little headset when you're doing it
Speaker 1: and tell everybody they're what you're doing?
Speaker 3: So when I have visitors that are remote, I do,
Speaker 3: and it's awkward. When I scrub in, you have a headlight,
Speaker 3: magnifying glasses and this. Then when I go to the road,
Speaker 3: that should put the ports in and make the incisions.
Speaker 3: Then when you leave the patient and you walk ten
Speaker 3: or fifteen feet over and said at the da Vinci
Speaker 3: console where you're looking through the box and moving your hands,
Speaker 3: then I just have this thing on, but it's more
Speaker 3: comfortable than the one that they gave me today.
Speaker 1: Talk to me about it. What's the da Vinci console?
Speaker 1: Because I think you know, I of course know what
Speaker 1: it is, but many people will know what dvin No,
Speaker 1: you're you're.
Speaker 2: One hundred percent right. I mean people still don't get it.
Speaker 3: So when we say we do robotic surgery, what that
Speaker 3: means is first we're scrubbed in like doctors with gloves
Speaker 3: and a mass standing over the patient. We make three
Speaker 3: or four little incisions, put tiny instruments in, like through
Speaker 3: a little probe, and then the instruments go inside of
Speaker 3: that and then there's this giant contraption that comes rolls
Speaker 3: over the patient and gets attached to those arms. That's
Speaker 3: the robot. But we don't operate that from the operating
Speaker 3: room table. We then leave the table, We take our
Speaker 3: gown off, our gloves off, we go sit in the
Speaker 3: chair and we look in this giant box and we're
Speaker 3: sitting looking in this monitor, this immersive world, and what
Speaker 3: I love about it. Actually, I was giving a lecture
Speaker 3: last night and they say, where I'm the happiest. I said,
Speaker 3: you know, I'm I'm happiest you know in a very
Speaker 3: competitive pickleball match or a great golf match, when I'm
Speaker 3: doing well or teaching or educating or putting an impact
Speaker 3: on the world, or when I'm submerged underwater scuba diving
Speaker 3: in the robotic console. Because what it's like is you
Speaker 3: become miniaturized and they drop you inside the chest in
Speaker 3: my case, or the belly if you're a belly surgeon.
Speaker 3: So I'm now looking in this console. My head is
Speaker 3: in this thing three D. I'm looking through this classes.
Speaker 3: I can move my hands, I can move my feet.
Speaker 3: There's six pedal for my feet, there's a couple of
Speaker 3: pedals for my hands. And as I move those instruments
Speaker 3: that we put in through those little tiny sticks, they
Speaker 3: move and they are a mimic to our hand motion,
Speaker 3: So the surgeon's doing the operation, not the robot. But
Speaker 3: the robot allows you to shrink your hands down to
Speaker 3: these tiny little one sonometer or half an inch instruments
Speaker 3: instead of your big ugly mits in there where you're
Speaker 3: making big decisions and spreading the ribs or cutting the muscle.
Speaker 2: So it's minimally invasive. So that's how it works. You know.
Speaker 1: That's amazing to me because I don't know if you
Speaker 1: remember when you were a kid you and died of
Speaker 1: the savings. You remember a movie called Fantastic Voyage with
Speaker 1: Raquel Welch in it.
Speaker 3: I'm forget Raquel Welsh in that outfit my gosh, right, So.
Speaker 1: Raquel Welson Fantastic Voyage where there's a roulebot scientist or
Speaker 1: something like that, and they have to shrink they shrinkle
Speaker 1: sales down into a little spaceship and then they go
Speaker 1: into the guy's bloodstream and they sort it out.
Speaker 2: That's exactly what it's like.
Speaker 3: But they of course are really small and they're interest inside.
Speaker 3: Remember they the way they got out was through the
Speaker 3: lymphatic system.
Speaker 2: Remember there was the arteries in venus and they went
Speaker 2: in the lymphatic See.
Speaker 1: I think that was a that was a script there.
Speaker 1: They should have come out with the corooper. I feel like,
Speaker 1: get into the digestive tract, get your little spaceship. Look,
Speaker 1: there's been times when I felt like I've had a spaceship,
Speaker 1: my digestive tract, and you get into the intestinent note
Speaker 1: you come and on the way out, quick colonoscopy.
Speaker 2: Not to mention.
Speaker 3: And then it's very appropriate that they end up in
Speaker 3: the excrement, giving you know.
Speaker 2: How how the end of that movie had.
Speaker 3: But yeah, you're exactly the problem with that is, of course,
Speaker 3: if they get in the l any type of the
Speaker 3: GI track, they create a hole that they have to
Speaker 3: seal on their way in. So that was one of
Speaker 3: the tables. That's why they went through the ear if
Speaker 3: you remember. But what a fantastic movie.
Speaker 2: What a fantastic I didn't.
Speaker 1: I didn't know that it was. Actually it was so
Speaker 1: I could do you ever? You know, I met Raquel
Speaker 1: Wells a couple of times. She was on my old
Speaker 1: late night show. Really yeah, now for you and I
Speaker 1: your generation to get to meet Raquel web So. But
Speaker 1: here it gets even better. So she knew I was
Speaker 1: very excited to meet her. So the crew at my show.
Speaker 1: They got a giant poster of you know, the poster
Speaker 1: of her wearing the fur bikini and a million.
Speaker 3: You say it was in the fur bikini and what
Speaker 3: movie was that? It was one million.
Speaker 2: Years BC, that was it. Yeah, so she's in.
Speaker 1: The fur bikini and she's she wrote on it and
Speaker 1: she said, share Craig because she she liked to speak friends.
Speaker 1: She said, share Craig. I could I remember, because I've
Speaker 1: still got the poster, Share Craig. You can visit my
Speaker 1: cave anytime I remember to wear your kill love Raquel.
Speaker 2: Oh my gosh, that would be like it was.
Speaker 1: She was.
Speaker 3: Yeah, the everybody had a poster or when I was
Speaker 3: a kid, she was unbelievable.
Speaker 2: Yeah, that was that was.
Speaker 1: Is she still alive and how well she? Sadly she
Speaker 1: passed a year or two ago. I think I don't
Speaker 1: know for sure, but I think she had trouble with
Speaker 1: Alzheimer's or dementia or something that it was. I don't
Speaker 1: really know the difference, to be honest. Well, maybe you
Speaker 1: could tell me what is the difference between Alzheimer's and dementia.
Speaker 3: Well, there's a there's a pretty pretty big difference, actually,
Speaker 3: I mean Alzheimer's. One type of dementia is a more
Speaker 3: general term of which there are specific types.
Speaker 1: Yeah, all right, so dementia is like a blanket term,
Speaker 1: like like like cancer maybe like kind of there's so
Speaker 1: many different cancers, but it's a type of cancer.
Speaker 2: It's kind of like dementia where you and I are headed.
Speaker 2: That's a general term that we could have fought.
Speaker 1: You know, I don't know why you have to say that,
Speaker 1: because it's not necessarily going to Somebody asked me what
Speaker 1: A buddy of mine asked me once. He said, when
Speaker 1: you get older, what do you want to go the
Speaker 1: plumbing or the or the upstairs, not like definitely upstairs. Yeah,
Speaker 1: oh you do, well, no thing upstairs, because then if
Speaker 1: I my upstairs goes, that somebody else's problem.
Speaker 2: If the plumbing goes, that's my problem, that's vegan.
Speaker 3: So it's interesting how we because I think of somebody
Speaker 3: else's problem. The last thing I want to do is
Speaker 3: do that to my my three boys. Remember my three
Speaker 3: boys lost their mom. The last thing do a hard
Speaker 3: thing with me. So I'm like, listen, if that happens,
Speaker 3: we go on a cruise, and I just happened to
Speaker 3: slip off that top part of the oh yeah, the
Speaker 3: little outdoor thing, and I'm gone and don't tell anybody
Speaker 3: for like the next day, and then don't worry about it, no,
Speaker 3: because that's terrible.
Speaker 1: My deal I have with my wife is is that
Speaker 1: you get me, get me into some kind of situation
Speaker 1: where I'm on a drip, like some kind of parcacet
Speaker 1: propfol drip, and just like just hit that thing every
Speaker 1: hour on there and put and put movies on.
Speaker 2: Yeah.
Speaker 3: The only the only problem with that is there's a
Speaker 3: medical record that leads to that could get her in trouble.
Speaker 2: I think the cruise is much safer for you. Yeah, yeah,
Speaker 2: I get well. Look see here's the thing now.
Speaker 1: I go for my annual physical yesterday, so it was
Speaker 1: kind of yeah, so you know what, it's two years
Speaker 1: since I had a physical.
Speaker 2: But well, you're so healthy. That's all you need. Man.
Speaker 2: Look at you. You look you look like you're forty
Speaker 2: five years old.
Speaker 3: You look great, you look you look even healthier this
Speaker 3: time than I think the last. Maybe because it's we're
Speaker 3: not together, but you look. No, I tell you what
Speaker 3: it is, my friend, I lost weight.
Speaker 2: I knew it.
Speaker 3: I could tell I bet you lost about twenty pounds, right.
Speaker 1: I don't know if it's as much as that, but
Speaker 1: it's a lot. I mean what I did was I
Speaker 1: recorded a stand up special and then I went to
Speaker 1: the edit for the stand up special.
Speaker 2: Like, who the fuck is that guy? Yeah?
Speaker 1: I was like, I was like, oh my god, I
Speaker 1: know the special is out now when people are like,
Speaker 1: oh my got eling some fat and I got I
Speaker 1: go fah, I just I just I just stopped exercising
Speaker 1: and I just kind of like wasn't paying attention to
Speaker 1: the food. And yeah, bol because it happens much quicker now,
Speaker 1: that kind of thing now that I'm older. No, So
Speaker 1: I know question like, yeah, I just like I'm back
Speaker 1: on it. I'm walking and running every day, I'm doing calistanis.
Speaker 1: I'm like trying to lay off the candy and stuff.
Speaker 1: But it's much harder than it used to be to
Speaker 1: get in shape, you know.
Speaker 2: Because we're sixty. Yeah, because we're sixty.
Speaker 3: That's why I'm so you know, I don't even have
Speaker 3: a glass of wine at dinner anymore.
Speaker 2: Last year, I'm like, I don't need it.
Speaker 3: I sleep better without it, and I don't need the
Speaker 3: calories because I literally affects my sleep, and I can
Speaker 3: notice that I'm up a pound or two because I
Speaker 3: weigh myself twice a day because I'm crazy. But I
Speaker 3: think you're right. It's part of being sixty, you know.
Speaker 3: And so I'm totally into the health thing.
Speaker 2: You know. I'm not about exercising and all that. It's fun.
Speaker 2: I know you are right, but the show is look
Speaker 2: at you. I mean you, I mean you. You appreciate it.
Speaker 1: Fantastic shape, I mean, I appreciate that. Now, let me
Speaker 1: just say this. So I go for my annual physical
Speaker 1: and I'm talking to the dogs. It's a new doctor.
Speaker 1: Because I knew I moved back to New York. So
Speaker 1: I go, I get a new doctor.
Speaker 2: You know me.
Speaker 3: We're happy to have you back in the city where
Speaker 3: which is your home, where we love you.
Speaker 2: So thank you for coming back. Thank you.
Speaker 1: It's the greatest city in the world. And anybody that
Speaker 1: doesn't agree with me, you know, they don't need to
Speaker 1: come here. So I agree it. So I I'm talking
Speaker 1: to my doctor.
Speaker 4: Now.
Speaker 1: You know, I like a doctor, especially for a general practitioner.
Speaker 1: I had like a big city doctor with slim fingers.
Speaker 2: You know what I'm saying. I'm I'm talking to him
Speaker 2: about that.
Speaker 1: He said, you know, the first exam said that's going
Speaker 1: to go away soon, that's going to go away.
Speaker 3: You could just say you don't want to just get
Speaker 3: a digital rectal ultrasound or a p s A or
Speaker 3: an MRI of the prostate and say the last two
Speaker 3: times I said, listen, I don't want a digital record exam.
Speaker 2: I'm out, you're not doing it. You can do that. Well,
Speaker 2: I you know, I don't know about you, man, I'll
Speaker 2: miss it, of course not.
Speaker 1: I mean, no, man, I'm like, you know, it's for me.
Speaker 1: It's a bit like vinyl, you know what I mean.
Speaker 1: It's like it's not necessary anymore.
Speaker 2: But you know, but you kind of like today, I
Speaker 2: tell you a quick story.
Speaker 3: So when you're a medical student, you have to pair
Speaker 3: off with another medical a male student. Of course, the
Speaker 3: men got the there was female medical students. They had
Speaker 3: to do it to the man obviously, and you know
Speaker 3: and advice.
Speaker 2: Oh yeah, yeah, it's the day. Yeah, exactly right.
Speaker 3: So to make a long story short, when I went
Speaker 3: into the room with the other guy said, I said, listen,
Speaker 3: I'm just going to skip it. If you agreed to
Speaker 3: skipping it, I'll skip mine if you skip yours.
Speaker 2: He said, yes, so we did. So I never had one.
Speaker 3: So about five years ago I had to get this
Speaker 3: executive physical and I go see a doctor here in
Speaker 3: New York where I work, and he goes, you need
Speaker 3: a digital rector. I said, listen, bro, I've never had one.
Speaker 3: He says, well, then you rover du And I said, no,
Speaker 3: you can do an MRI I and you can do
Speaker 3: a PSA of the blood and I'll take it. And
Speaker 3: he said, and you need a digital rectal exam as well.
Speaker 3: He was so insistent. And then he said, you know
Speaker 3: you're not listening. You're being a typical doctor who's a
Speaker 3: bad patient. I said, okay, fine, so I've had one
Speaker 3: in my lifetime and that will be the last one.
Speaker 2: Yeah, well, I don't know. I mean, look as things that.
Speaker 1: Can happen to you and the doctor's office, a digital
Speaker 1: regal exam, it's kind of like a night in the eighties.
Speaker 2: As smart as I'm concerned. It was like, it's no
Speaker 2: big deal, but the but the I've never heard it
Speaker 2: express that way, Craig, but I love it. I may
Speaker 2: I may use that line and my lecture.
Speaker 1: I mean, we all live differently in well, I live
Speaker 1: differently in those. But let me ask you this, then,
Speaker 1: if you're doing an MRI of uh, the procepct of
Speaker 1: the prostate isn't the MR isn't that radiation?
Speaker 2: Isn't that MRIs have no radiation.
Speaker 3: That's the advantage to MRIs no radio and and the
Speaker 3: CAT scan that has some radiation. Like like I'm I've
Speaker 3: flown to the Bahamas the last couple of weekends. I
Speaker 3: got probably more radiation on that flight three and a
Speaker 3: half hour flight there and back. Then I do get
Speaker 3: in a CAT scan without contrast or a chest X ray.
Speaker 3: So yes, there's chest X rays and there, and there's
Speaker 3: cat scans, and there's cat scans with contrast, and there's
Speaker 3: a PET scan has a lot more radiation, but the
Speaker 3: amount of radiation is negligible. And when patients ask those questions,
Speaker 3: we say, we're doing this to either you have cancer
Speaker 3: and we're following you or surveying you, or we're working
Speaker 3: you up for cancer. That's a much higher risk to
Speaker 3: your life than the minuscule amount of radiation that you're
Speaker 3: getting on the scan. Yeah, so don't worry about it.
Speaker 1: Hello, this is Greig Ferguson, and I want to let
Speaker 1: you know I have a brand new stand up company
Speaker 1: special out now on YouTube. It's called I'm So Happy,
Speaker 1: and I would be so happy if you checked it out.
Speaker 2: So what's the special?
Speaker 1: Just go to my YouTube channel at the Greig Verguson
Speaker 1: Show and is this right there? Just click it and
Speaker 1: play it and it's free. I can't look. I'm not
Speaker 1: going to come round your husband and show you how
Speaker 1: to do it. If you can't do it, then you
Speaker 1: can't have it. But if you can figure it out,
Speaker 1: it's yours. So let me ask you this. Then, because
Speaker 1: they got a new doctor, so I got to run
Speaker 1: on list. You're my second opinion guy right.
Speaker 2: You know you might go to.
Speaker 3: Guy right, and my price is right for the second.
Speaker 1: I was going to say, I wish I hadn't said that,
Speaker 1: because you're telling me what I'm worth, so it's appropriate,
Speaker 1: so it's not really a second opinion. But you said
Speaker 1: to me, look, we're going to look at your cholesterol
Speaker 1: and as a whole new blood panel. He said, but
Speaker 1: you're you're in your early sixties, so I want to
Speaker 1: do a calcium calcium scoring study.
Speaker 3: And I was going to suggest that you get one,
Speaker 3: you should get one of your heart to look at
Speaker 3: calcium in your the epicardium, the outside of your heart,
Speaker 3: to make sure you don't have coronary artery disease. As
Speaker 3: opposed to getting a CAF where they stuck a catherine
Speaker 3: you're growing at your wrists and they put a cather
Speaker 3: up and then they inject contrast and they look at
Speaker 3: your ye really would.
Speaker 4: No, I'd prefer not to have That's like, that's not
Speaker 4: a big deal. But that's a little bit invasive. It's
Speaker 4: a little nick in your artery. But you're right, you
Speaker 4: don't want it. And the calcium scoring stuff hopefully.
Speaker 2: Yours was zero. I don't know. Yeah, I haven't had
Speaker 2: it yet. Oh yeah, I had mine six months ago.
Speaker 2: It was zero, which was good.
Speaker 1: But yeah, you know, what when does it get to
Speaker 1: be a problem if you have what do they do
Speaker 1: if they find calcium on the outside of your heart?
Speaker 2: What are you are their drugs? Yeah, typical doctor, you know,
Speaker 2: we always give an answer.
Speaker 3: It depends. I mean, it depends on your family history.
Speaker 3: If you're overweight, if you have hypertension, all these other
Speaker 3: if you're symptomatic, do you get chest pain, if you do,
Speaker 3: then you're going to get a cath.
Speaker 2: I mean, you're going to buy a cath if that happens.
Speaker 3: If you're asymptomatic and don't have any risk factors and
Speaker 3: it's fifty, you're probably okay.
Speaker 2: But if the.
Speaker 3: Score is a thousand or two thousand or something, then
Speaker 3: you're going to get a cardiac cath, which is what
Speaker 3: I just described a minute ago.
Speaker 4: What is a cardiac cat Yeah, they used to put
Speaker 4: it in the groin and put a ca up. Now
Speaker 4: we do them in the wrist, and we put a
Speaker 4: little tidy cather up the artery and it goes retrograde,
Speaker 4: opposite of how the blood flow goes right down to
Speaker 4: your A order and right off the very proximal part
Speaker 4: of the order. Two little orifice, two little openings that
Speaker 4: carry your right and left coronary artery, assuming you don't
Speaker 4: have congenital heart disease, and a lot of people do
Speaker 4: and don't know it. But let's say you're normal, and
Speaker 4: they put a little catheter in that and they shoot contrast,
Speaker 4: and then it shows all of the arteries. The left
Speaker 4: sided artery that has a couple of big ranches ones
Speaker 4: called the lad ones, calls the up to marginal et
Speaker 4: cetera in these other branches. And then on the right
Speaker 4: side you have a right coronary artery that usually supplies
Speaker 4: your sinus, the sinus node, which runs the rhythm of
Speaker 4: your heart. So they look at the left and the
Speaker 4: right arteries of the heart and make sure that there
Speaker 4: aren't blockages that are seventy percent or greater. If they're
Speaker 4: seventy percent or greater, then you might need either a stent,
Speaker 4: which they can do right through this little incision, or
Speaker 4: if you have two or three arteries that are blocked,
Speaker 4: then you need a bypass.
Speaker 3: Operation, which is what you know. I'm a cardiothoracic surgeon.
Speaker 3: I do the thoracic part. My partners do the cardiac part.
Speaker 3: But that's what we do in this department every day.
Speaker 2: Man.
Speaker 1: That sounds like like, now, I wasn't really bold about it,
Speaker 1: but now I'm.
Speaker 2: Kind of scared about it a little bit.
Speaker 3: No, No, don't be because it's just a screening study,
Speaker 3: and chances are high, and you've lost weight, you're exercising,
Speaker 3: you have no pain with exercise, so chances are and
Speaker 3: you have no family.
Speaker 2: History of heart disease in your family. Do you nobody lives.
Speaker 1: Long enough in my family a heart attack to bus drinking, right,
Speaker 1: they die of alcohol or food related cancer.
Speaker 3: Fork of fork and hand related disease. I call it
Speaker 3: fork in hand, the hand, the fort.
Speaker 1: But that's interesting because I was talking about, you know,
Speaker 1: because my dad, I know, you know I told you
Speaker 1: to my dad, self guilt cancer. Yeah, and I was
Speaker 1: getting things I operate on, right, So I was talking
Speaker 1: to my doctor about it and I said, is you know,
Speaker 1: what do you think? And and he's because what happened
Speaker 1: was I remember I told you this. I was getting
Speaker 1: you know, pretty intense uh indigestion like heartburn and stuff.
Speaker 2: Yeah.
Speaker 1: I had it screened and they found selfais, no barrets,
Speaker 1: but some kind of a selfhagitis and some kind of information.
Speaker 1: And I went on those uh prevaced things, you know,
Speaker 1: the omnioprazole or something like.
Speaker 3: That, empprasol, mipersol. Yeah, it's great.
Speaker 2: I went on it.
Speaker 1: I went on it for a for about I think
Speaker 1: it was seven or eight months.
Speaker 2: I was on it, and.
Speaker 1: Then I got second screening and it all going away,
Speaker 1: but I still got reflux.
Speaker 2: So what I started to do is like that's when
Speaker 2: I really changed.
Speaker 1: I dropped the weight and stuff like that, and I
Speaker 1: think it's the weight, man, I think.
Speaker 3: It's one hundred percent the weight. And I'm sure he
Speaker 3: told you that. So the ammprasol just produces the acid production.
Speaker 3: Uh And but if you lose weight, you'll have much
Speaker 3: less reflex for sure.
Speaker 2: So that's great.
Speaker 1: That's amazing to me because I I mean, I put
Speaker 1: on wait, but I wasn't like nobody was going to
Speaker 1: who's that?
Speaker 2: Five? Guy said me, But you don't need to have
Speaker 2: that much Apparently, you know you can.
Speaker 3: There's just you could just gain ten or fifteen pounds
Speaker 3: and all of a sudden start to reflux. And as
Speaker 3: we get older, you know, you're more likely to reflux.
Speaker 3: And here's the important thing for your listeners. And I'm
Speaker 3: sure they're not listening for medical advice, but if they are,
Speaker 3: thirty or forty percent of people who reflux are asymptomatic,
Speaker 3: meaning you know, they think they have sleep apne or
Speaker 3: they don't sleep well, or they have stenosis of their windpipe,
Speaker 3: and it's because they're refluxing and they don't know it.
Speaker 3: So it's one of the things that we look for
Speaker 3: when people have these other symptomatologies. They get recurrent pneumonias
Speaker 3: and we don't know why. Well, at night day lie
Speaker 3: flat food comes up. It goes down the wrong pipe
Speaker 3: into the lung, usually on the right lower low because
Speaker 3: of the structure of the anatomy of the bronchus, and
Speaker 3: they get right lower lobe pneumonia's and as they've been
Speaker 3: refluxing and asperating at night when they sleep, or a
Speaker 3: lot of people sleep, apnea is related to reflux and
Speaker 3: they don't know it. You know, they wake up because
Speaker 3: there's a little bit of acid in the back of
Speaker 3: their mouth.
Speaker 1: That's so weird to me because I kind of like
Speaker 1: for something as I mean, I'm very kind of sensitive
Speaker 1: too because my father and his story. But you know
Speaker 1: the fact that people can be experiencing that and not
Speaker 1: even know because they think it's something else. I mean,
Speaker 1: it's like you know that thing. I'm sure you know this.
Speaker 1: Hippocrates who said I heard of it. Yeah, Let food
Speaker 1: be thy medicine is what he said. That was one
Speaker 1: of his things. Let food be thy medicine. And i'd
Speaker 1: historical wisdom. You have all this wisdom of some history.
Speaker 1: You're a history buff. I have a history buff I
Speaker 1: do like I do like the ancient Greeks. I have
Speaker 1: to say, I'm interested in them. But I'll tell you
Speaker 1: what they didn't have. He didn't have antibiotics.
Speaker 3: No, they didn't have that. And they didn't have morphine.
Speaker 3: Yeah yeah yeah.
Speaker 1: Do you know what though, I heard this thing about
Speaker 1: ancient Egyptians, like you know how they used to wear
Speaker 1: the black high makeup right, yes, yeah, it's because of
Speaker 1: the sand right right, right right, and what like football players.
Speaker 1: But also what they had in ancient Egypt is that
Speaker 1: they had severe dental pain because sand gets everywhere and
Speaker 1: they and the bread, and the bread would grind other things.
Speaker 1: So that's what opened up the trade route the opium
Speaker 1: root from China to ancient Egypt, because opium was the
Speaker 1: new wonder drug that was coming in from oh in
Speaker 1: Afghanistan was now Afghanistan.
Speaker 2: But I guess I do something else.
Speaker 1: Then he's a minor and all that stuff, and that's
Speaker 1: these trades out of them, because the Egyptians would buy
Speaker 1: as much opium as they could get.
Speaker 2: Of course because of the dental pain. So what I'm
Speaker 2: saying is well, and of course they didn't take care
Speaker 2: of their teeth.
Speaker 3: They didn't really understand, you know, the importance of it
Speaker 3: or have the skill.
Speaker 2: It probably had a lack of floid.
Speaker 3: We don't want to talk about fluoride with all the
Speaker 3: political controversy of florid right now, But they didn't have
Speaker 3: that when they were younger, which was clearly needed, et cetera. Yeah,
Speaker 3: and you know, dental infections led to a lot of
Speaker 3: heart disease in those days.
Speaker 2: And you know, I was a heart lung surgeon. We
Speaker 2: have it.
Speaker 3: There's a thing called endocarditis, which is infection on your
Speaker 3: heart valve, often from infections in your teeth.
Speaker 2: Bad.
Speaker 1: That's where that's why I heard that the plaque in
Speaker 1: your archeries, it's just the same.
Speaker 2: Plaque is like plaque on your teeth, right, it's the
Speaker 2: same ship Well.
Speaker 3: That's a little little different, but it's it's a little
Speaker 3: bit different, but I think it does similar damage.
Speaker 2: Let's put it that way.
Speaker 1: I mean, it's funny that because when I grew I
Speaker 1: mean famously, I think it's bare no, But the UK
Speaker 1: was bad. Scotland particular when I was a kid, was
Speaker 1: bad for dental care is bad, terrible, terrible, and they
Speaker 1: have this huge, you know problem with uh heart and
Speaker 1: lung problems the US, and I think that was smoking.
Speaker 3: It's got better, yeah, and the dental care has gotten
Speaker 3: much better for sure.
Speaker 2: Yeah. But the was it?
Speaker 1: I could I don't think it was Apocrates who said this,
Speaker 1: but I have heard this phrase. Death enters the body
Speaker 1: through the mouth of the anus.
Speaker 2: Uh. That's that's how it gets in. Who the hell
Speaker 2: said that? I don't know, but I I maybe maybe
Speaker 2: I see it. Maybe the mouth I can see, but
Speaker 2: the anus.
Speaker 1: Well, but the rise in cool on concerts with the
Speaker 1: young people, I mean.
Speaker 2: That doesn't come from the anus.
Speaker 3: That comes from and the colon comes from epithelial changes
Speaker 3: inside the lining of the colon, coming from the ass
Speaker 3: going up.
Speaker 2: That's starting off. Well, you say that it could be
Speaker 2: rising damp. Do you know what I mean?
Speaker 1: It could it be like but let's let's talk a
Speaker 1: little bit about that, because what is the uh do
Speaker 1: you have any kind of opinion or take on this
Speaker 1: or is it even true that there is a huge
Speaker 1: rise in gastro intestinal cancers and young people colon concer
Speaker 1: in particular.
Speaker 3: I think, yeah, so we've got to be a little
Speaker 3: bit careful about incidents and discovery. So you know what
Speaker 3: I mean by that is, now we're doing a lot
Speaker 3: more colonoscopies on people we would never do before. We're
Speaker 3: doing more cat scans, and we're discovering things and asymptomatic
Speaker 3: patients and much more asymptomatic patents are getting screened. And
Speaker 3: we're also much better identifying a genetic group of patients
Speaker 3: who are predisposed to this because of either they have
Speaker 3: an autosomal dominant or some sort of genetic disorder or
Speaker 3: a family history that puts them at risk.
Speaker 2: And so we're finding more of it.
Speaker 3: So does that mean that there is a greater incidence
Speaker 3: in the population or we're just better at discovering it now.
Speaker 2: So I think it's probably multifactorial.
Speaker 1: All right, So better call them, may have better call them?
Speaker 1: B right, Yeah, incorrect is there? I mean, you know
Speaker 1: everybody talks particularly cancols. You talk about Alli detection, AARI detection,
Speaker 1: early detection.
Speaker 3: I mean, and it makes a huge difference, enormous difference.
Speaker 3: That's really night and day. I mean, look at lung cancer.
Speaker 3: Twenty years ago. You see, everybody was stage three disease
Speaker 3: and twenty or thirty percent were alive. In five years now,
Speaker 3: ninety percent of the people I see are stage one
Speaker 3: disease and I operate and take the lung cancer out.
Speaker 3: In ninety five percent are alive at five years. The
Speaker 3: practice is completely shifted in my lifetime.
Speaker 1: The friend of mine actually just had a cancer and
Speaker 1: he went through I don't know exactly which one it
Speaker 1: was because he's kind of like didn't really want to
Speaker 1: talk about it, but he had an operation to remove
Speaker 1: the tumor and then went on a course of chemotherapy. Yep,
Speaker 1: Now what's that if you remove the trumor, what's the
Speaker 1: deal with the chemo therapy.
Speaker 3: Yeah, so it depends and it would be nice to
Speaker 3: know the specific cancer. So I'll just talk about lung cancer.
Speaker 3: So the majority of our lung cancer patients don't get
Speaker 3: temo because we see them in stage one. But if
Speaker 3: there's stage two or three, they get chemo first, which
Speaker 3: we call neo adjivate neo before so they do neo
Speaker 3: adjivant chemo, then we do surgery, and then they often
Speaker 3: get chemo afterwards. But to make a long, very long
Speaker 3: complicated answer very short, if the tumor is over a
Speaker 3: certain size, it's a predictor that could be microscopic cells
Speaker 3: in the blood even if we don't see it, even
Speaker 3: if the pet scan and cats get says, hey, livers clean,
Speaker 3: brains clean, everything looks great. We sometimes give chemo or
Speaker 3: if it's in a lymph node. So if it goes
Speaker 3: to one of the lymph nodes that we as surgeons
Speaker 3: remove routinely and make sure the patient's out there. If
Speaker 3: they're getting lung cancer surgery, they go to a real
Speaker 3: surgeon who takes out noes. We take out twenty thirty
Speaker 3: sometimes forty lymphntes. If the lymphnotes just have one lymph
Speaker 3: note has cancered out of forty, that's an indication to
Speaker 3: get chemo because it means there could be circulating tumor
Speaker 3: cells in the blood and chemo just goes in the
Speaker 3: blood and circulates in the ideas to kill it, but
Speaker 3: of course it kills your normal selves too.
Speaker 2: That's why you lose your hair. No, does that still happen?
Speaker 1: Because he was talking about they got some kind of
Speaker 1: cold yeah.
Speaker 2: Hat thing or something they do. There's cold hat.
Speaker 3: It was just supposed to supposed to help the follicles
Speaker 3: resist that cellular death from the keymo one and it
Speaker 3: does work. So yeah, but in general people still lose
Speaker 3: their hair and their hair thins. It depends even if
Speaker 3: they're wearing the cold cap all the time.
Speaker 2: Yeah, I don't know.
Speaker 1: I mean I think I might just wear the cold
Speaker 1: cap even if I'm not getting keyboards, just in case.
Speaker 2: You know what I'm saying.
Speaker 3: Well, I mean, I think in your case, it'd be
Speaker 3: a nice story to explain to people why the hell
Speaker 3: you're doing it.
Speaker 2: And then you got the beautiful locks and you.
Speaker 3: Got that nice You know, I've always wanted the little
Speaker 3: I've had so many patients come to me and like,
Speaker 3: you're the doctor. I flew ind to see you. I said,
Speaker 3: I got a lot of gray hair. You gotta look.
Speaker 3: But they want surgeons with gray hair. So I'm freaking
Speaker 3: jealous of that.
Speaker 2: That one. You gotta have the gray hair. That's what
Speaker 2: I want.
Speaker 1: I want my doctor to Luke like the first George.
Speaker 2: Yeah, like me. Yeah, yeah, but I don't want to.
Speaker 2: I don't want it to be like me, though, Yeah,
Speaker 2: I don't want to. I get it. But you see,
Speaker 2: the thing is, though I've noticed this about doctors.
Speaker 1: When you're we were a kid, I had ever saw
Speaker 1: a doctor whatever, Keny. You know, see, a doctor would
Speaker 1: break a leg or something. I don't care, I mean exactly,
Speaker 1: but now you know, I you know, when you get
Speaker 1: to forty, I guess that's when it starts kinna, you know,
Speaker 1: bom and and all that, and yeah, you're right right.
Speaker 2: Well what are the barn and the man? Let's just
Speaker 2: go reach one the burt and what what did that reflect?
Speaker 1: That that's the pro staggs on not because that's what
Speaker 1: I thought it was. And this is the colonoscopy, That's what.
Speaker 2: I thought it was.
Speaker 3: Yeah, I wanted to make sure the audience knew exactly
Speaker 3: the screening modalities that you were articulating the so A jointly.
Speaker 1: But but the thing is, I mean I was very
Speaker 1: relieved that when I saw the size of the camera
Speaker 1: for the colon because I was used to working a
Speaker 1: CBS at the time.
Speaker 2: The cameras were prey, but I thought, I don't need
Speaker 2: you know, now, you swallow a capsule with a camera
Speaker 2: in it? Shut up? Is that true? No?
Speaker 1: One?
Speaker 2: And then when you you know, when.
Speaker 3: The capsule comes out, it can it can give images
Speaker 3: all the way through and then you just defecate it
Speaker 3: out so they can get images with capsule or cameras.
Speaker 1: It really is fantastic voyage. Then it really is a
Speaker 1: fantastic vo. So you say that, and then what you
Speaker 1: you do it poop and you send the poop the
Speaker 1: snappy snaps and.
Speaker 2: They the images get sent. But yeah, I guess that's
Speaker 2: the other way to do You could just filter.
Speaker 3: Your stool and then just send it into that. I
Speaker 3: guess the camera studio down CBS. We don't quite do
Speaker 3: it that way, but that's another way to do it.
Speaker 3: Does it transmit it from yes, your boy?
Speaker 2: Yes, Yes, that's unbelievable, dude, that's insane.
Speaker 3: Yeah, that's not it. I don't think that's even new. No,
Speaker 3: I think that's been around and good. I'm gonna say
Speaker 3: a decade. I might be wrong if any of your
Speaker 3: listeners want to tell the truth.
Speaker 2: But it's not that new. I had annoyed. Well, how
Speaker 2: come I'm still getting the thing going up now?
Speaker 3: Because it's not as good because think about it, it
Speaker 3: doesn't really look in all the you know, when you
Speaker 3: put a doctor in the camera, we first of all,
Speaker 3: we clean your colon out so we can see there's
Speaker 3: not all that fecal material and fluid.
Speaker 2: And this doesn't really do this too.
Speaker 3: We move the camera on and get really a much
Speaker 3: better look at each one and really inspect it much
Speaker 3: more carefully. But we can't get to the small bowl, right,
Speaker 3: it's hard to put a scope. A scope can go
Speaker 3: down in your mouth. Then you have like thirty feet
Speaker 3: of loops of val You can't get through all that
Speaker 3: with a scope. The colon you can look at. You
Speaker 3: can put a scope from the anus and go up
Speaker 3: the you know, the rectum, the sigmoid colon, the acending
Speaker 3: the transverse and the descending or excuse mean the descending
Speaker 3: transverse and a sending and get right to what's called
Speaker 3: the ilio secal valve, and even look at some of
Speaker 3: the ilium, which is the end of the small vowel.
Speaker 3: But you can't look at all the doum ju junum
Speaker 3: and ilium they're way too long. So this little camera
Speaker 3: can look for that in people are having bleeding to
Speaker 3: see if there's little lesions in the small bowel because
Speaker 3: you can't scope.
Speaker 2: The entire small bow. So it has other indications.
Speaker 1: So what would you say that if anyone said to you,
Speaker 1: like someone between ages of fifty and seventy, said, if
Speaker 1: I can only have one test, one screening, what would
Speaker 1: be get this.
Speaker 2: If you don't get any of the nails, get this.
Speaker 3: It's an easy for me. It's a very easy answer.
Speaker 3: It would be a full body CT scan or full
Speaker 3: body MRI. And I like the CT, but people are
Speaker 3: moving more towards the MRI. There's no radiation and stuff.
Speaker 3: But a CT scan of your chest, abdomen and pelvis
Speaker 3: gives us so much information. We're not looking at your thighs,
Speaker 3: your knees, your ankles, and you could include the brain,
Speaker 3: but if you're cognitively with it, like I guess you
Speaker 3: and I would just pass the mark that were cognitively
Speaker 3: with it.
Speaker 2: They were just at the border line.
Speaker 3: But you know, then there's you don't get much benefit
Speaker 3: of Skeff doing a brain scan, but a brain a
Speaker 3: CT scan of neck, chest, abdomen, pelvis does. Even now
Speaker 3: it's not blood work. The blood work is also needs
Speaker 3: to be augmented. But you said one test. I don't
Speaker 3: know if you give me both, but I would pick
Speaker 3: the CT over the blood work.
Speaker 1: So does that I mean like that calcium thing I'm getting,
Speaker 1: you know, that skin I'm getting in my heart, that
Speaker 1: kind of routine thing, would that be included in that?
Speaker 2: No, that's a very specific thing to look at coronary
Speaker 2: ardor disease. But let me tell you something interesting.
Speaker 3: So I had clinic on Tuesday, and I told you
Speaker 3: I had three people come from other countries. Two of
Speaker 3: the three had their lung nodule found in a calcium
Speaker 3: scoring screening study. They're asymptomatic, they never smoked. These are
Speaker 3: very wealthy people getting there their executive calcium scoring study.
Speaker 3: And you would just look at parts the lung. You
Speaker 3: look like the right middle lobe and part of the
Speaker 3: left upper lobe, and one had a nodule in the
Speaker 3: middle and one had a lodge on the upper lobe.
Speaker 2: And they both turned out to be lung cancer.
Speaker 3: So that screening study for the heart saved their life
Speaker 3: and got their lung cancer reseected.
Speaker 2: We did their operation yesterday and they both went home today. Wow,
Speaker 2: not fat. So it was a thoracic operation then right,
Speaker 2: it was.
Speaker 3: Yeah, I took out part of their lung. They went
Speaker 3: to see their heart doctor to make sure their heart
Speaker 3: was good. But that study which images the heart blows
Speaker 3: the heart up, also looks at a small part of
Speaker 3: the lung and happen to find lung nodules in that
Speaker 3: small the just in the right middle lobe and then
Speaker 3: the left upperlobe, which is when they look at the heart.
Speaker 2: The heart sits there.
Speaker 3: And they both got their cancers discovered serendipitously on their
Speaker 3: calcium screening study of their heart.
Speaker 2: That's crazy.
Speaker 1: That's that, you know what though, I mean, knowing all
Speaker 1: the stuff you have, you know you know, and I
Speaker 1: know you you know, we've talked quite a bit over
Speaker 1: the past couple of years. Would I think I wouldn't
Speaker 1: sleep a wink at I think every time I feel
Speaker 1: like sing.
Speaker 2: I sleep like a rock.
Speaker 3: Hey, because I hate that smart to worry b because
Speaker 3: I got a pretty clean conscious.
Speaker 2: And see, you know, I think if you just work
Speaker 2: out and eat well.
Speaker 3: And I got to tell you, our society has it wrong,
Speaker 3: having these big late dinners like you go to Spain
Speaker 3: or you go to these other countries. They eat at
Speaker 3: nine or ten. You shouldn't need after four or five o'clock.
Speaker 3: I mean, really, even three or four. You should have
Speaker 3: a pretty big breakfast, kind of skip lunch that have
Speaker 3: something big at three or four, and then make sure
Speaker 3: you're going to bed at like ten o'clock, say, on
Speaker 3: an empty stomach, so your body is sleeping and not
Speaker 3: digesting food. But if you do those things, if everybody
Speaker 3: gets aches and pains. I mean, I worked out on Sunday,
Speaker 3: I played an two hour pickleball match and I worked
Speaker 3: out for two hours.
Speaker 2: That was sores hell Sunday night and Monday. But that's
Speaker 2: not cancer related.
Speaker 3: So I mean, I think everyone has aches and pains
Speaker 3: when they wake up, especially when we get to our
Speaker 3: age at sixty two six.
Speaker 1: Dude, man, I mean it's so funny that. I mean,
Speaker 1: first of all, pick a ball. I mean, that's the
Speaker 1: new thing.
Speaker 2: Singles pickleball is great.
Speaker 3: I played a young twenty nine year old young buck
Speaker 3: and I finally beat them. The guy's great, but I
Speaker 3: took it to him finally, but I was.
Speaker 2: I was sore. Two hours of singles pickleball is brutal.
Speaker 2: What is pigg I don't pick a ball. It's pick
Speaker 2: a ball like it's like tennis but with a tighty
Speaker 2: little bat or something.
Speaker 3: Yeah, well it's not a bat exactly, but it's like,
Speaker 3: think of ping pong and make it bigger, and think
Speaker 3: of tennis and make it smaller. So it's like standing
Speaker 3: on a really big ping pong table, but you're in
Speaker 3: singles you're running around. I mean my heart rate was
Speaker 3: a median of one hundred and fifty two for like, uh,
Speaker 3: I think this. In the middle hour of that match,
Speaker 3: my median heart rate was one fifty to On other
Speaker 3: ends I was about one ten. So it's brutal workout
Speaker 3: and a lot of people so caution the people listening
Speaker 3: because a lot of older people play doubles. They tear
Speaker 3: their achilles, they tell are calf muscles, they get little
Speaker 3: tears in their their legs. Have you have to stretch
Speaker 3: and work out, even if you're gonna play doubles pickleball,
Speaker 3: because you're bending and turning and hitting and running alone.
Speaker 2: No, it's not for me, man, I don't. I don't
Speaker 2: do that.
Speaker 1: I think it. I work alone, so I do cattle
Speaker 1: standings on my own. It's run and I walk or
Speaker 1: or lift some weights. So when you run, how far
Speaker 1: do you run?
Speaker 2: Greg you know it? It kind of varies.
Speaker 1: I usually like nowadays because I don't want to screw
Speaker 1: my knees up because I run on a treadmill. And
Speaker 1: if I'm on a treadmill, I'll run anywhere between five
Speaker 1: and ten.
Speaker 2: Miles on a treadmill, So that must take you an hour.
Speaker 2: How long is that north of that?
Speaker 1: Sometime like I'm five miles yeah and under an hour,
Speaker 1: but ten miles yeah, maybe like.
Speaker 3: A bit longer than than But that's unbelievable. Able to
Speaker 3: do that with your So you know, I had both
Speaker 3: my knees replaced. I think you and I've talked about
Speaker 3: that before, because uh, I played three sports in high school,
Speaker 3: played college baseball, but really from coaching my kids basketball teams.
Speaker 2: But so I know I run sprints, I don't run
Speaker 2: long distances.
Speaker 3: So I give you amazing credit that you're able to
Speaker 3: run five or ten miles even on a treadmill.
Speaker 2: That's and your knees aren't too sore afterwards. No, they're
Speaker 2: not bad.
Speaker 1: But the thing is when you were doing all when
Speaker 1: you were doing all that, playing all those sports at
Speaker 1: the same ages, because we're the same age coming up,
Speaker 1: I was standing at a bar for fifteen years.
Speaker 2: So my knees are fine. It's delivers, deliver, it's fucked.
Speaker 2: That's so funny.
Speaker 3: Yeah, Actually, your liver, your liver is probably almost back
Speaker 3: to normal now, I'll bet you.
Speaker 2: Yeah, it should be. I I haven't had a drink
Speaker 2: in over thirty three years.
Speaker 5: So believable. I mean, let's drink to that. I mean that,
Speaker 5: no kidding, I mean at your mental tech though. I
Speaker 5: mean so like I stopped drinking when I was twenty
Speaker 5: nine years old.
Speaker 2: Incredible, And when.
Speaker 3: Twenty nine year olds are told, how many twenty nine
Speaker 3: year olds have the mental fortitude.
Speaker 2: To do that? Seriously? Not my thing, man. I think
Speaker 2: what it was is that it was I was in
Speaker 2: a fork in the road.
Speaker 1: It was either jails, institutions, and death or still drinking.
Speaker 2: And it was a decision for a minute, Yeah, it
Speaker 2: was close call.
Speaker 3: Well it's a little close call for every but there
Speaker 3: are so many twenty nine year olds that lack the
Speaker 3: self awareness, or even thirty five or forty year olds
Speaker 3: that don't see it. And even you know, a lot
Speaker 3: of people are very functional at work, but as soon
Speaker 3: as they come home, they have one or two or
Speaker 3: three drinks and that is just not not a healthy
Speaker 3: way to go.
Speaker 2: Man.
Speaker 1: Well it's kind of an interesting I find myself in
Speaker 1: the horns of a dilemma a little bit about it,
Speaker 1: because you know, I have two kids, and you know,
Speaker 1: you worry that you're passing on non genetically to those guys,
Speaker 1: and right, and what.
Speaker 2: I wonder, you know, I look, I'm not a doctor,
Speaker 2: as we both know, but I I wonder.
Speaker 1: If alcoholism is as clear cut as a genetics.
Speaker 2: I think it's. I think it's a genetic predisposition. I
Speaker 2: think you right, and we have data that that's correct.
Speaker 3: But you know, without the environment, if I took that
Speaker 3: person who has one hundred percent chance of being an
Speaker 3: alcoholic and I put him on an island his whole
Speaker 3: life with no alcohol, it's not going to happen, right,
Speaker 3: So it's a mixture between the two.
Speaker 2: Now.
Speaker 3: It's funny you talk about the kids, because I have
Speaker 3: three boys, and of course you know I told him
Speaker 3: that if you ever smoke, you're gonna die one puff
Speaker 3: if you ever drink alcohol.
Speaker 2: So my middle son, God bless my middle son, Alec.
Speaker 2: I love him.
Speaker 3: He doesn't even have a sip ever of alcohol never,
Speaker 3: he's so anti against it.
Speaker 2: It's really interesting. How old are a is?
Speaker 1: Your oldest, Greg, My oldest is twenty, just coming up
Speaker 1: in twenty four. But what I said to my kids was, look,
Speaker 1: you don't have to be an eye alcoholic for alcohol
Speaker 1: to fuck up your life. You know exactly right, You
Speaker 1: can drink you know, five beers and get in a
Speaker 1: car and think you're you're good to drive, and there
Speaker 1: you are.
Speaker 2: That's it fucking done. You're right.
Speaker 3: And even worse, Craig is if they don't get hurt,
Speaker 3: they hurt some little care so they hurt someone else
Speaker 3: and they are screwed up forever with that guilt, you know,
Speaker 3: not to mention what they did to the kid in
Speaker 3: the family.
Speaker 1: Right, And what's kind of I find myself kind of
Speaker 1: struggling with this because I'm not a tanferance advocate. I'm
Speaker 1: not saying like nobody should drink. I believe that, but
Speaker 1: well I kind of But for me, obviously, it's the question.
Speaker 3: I know.
Speaker 1: I mean, my oldest boy, he can just like he'll
Speaker 1: have a cocktail Easter or Christmas or something and go, yeah.
Speaker 2: Yeah, it's interesting, isn't it.
Speaker 3: So you know, my older son, my older son, Robbie
Speaker 3: will have, you know, glass of red wine, which is
Speaker 3: why what I always would do at dinner maybe once
Speaker 3: a week, twice a week. I've stopped doing that the
Speaker 3: last few years and it's fine. And my youngest son,
Speaker 3: Matthew is you know, they're kind of more normal in
Speaker 3: that they'll drink a little bit with their friends, and
Speaker 3: I think that's perfectly normal and healthy and fine. But
Speaker 3: as you said, there always is a moderation. But my
Speaker 3: middle son is just completely out on alec. Which is
Speaker 3: really interesting how they they get some of this from
Speaker 3: Austin their culture, but of course they see it with
Speaker 3: their friends and when they see young women getting drunk,
Speaker 3: it really turns them off.
Speaker 2: It's funny. They just think gets a really bad look
Speaker 2: listening to them.
Speaker 1: I remember once seeing I was in France in a
Speaker 1: fancy hotel and there was an American lady in the
Speaker 1: bar and she was a little she was a little drunk.
Speaker 1: She was I mean, it wasn't bad, but she was
Speaker 1: clearly she was a little strawpy. She was leaving the
Speaker 1: bar and I just happened to glance at the way
Speaker 1: the waiter was looking at her. Yeah, and yeah, the
Speaker 1: otter does go fas I know, because the culture there
Speaker 1: is no you know, to be to be drunk is
Speaker 1: it's bad. It's a bad look. Yeah, And I don't
Speaker 1: think it was because she was a woman. I think
Speaker 1: it was because she was drunk, you know, because a
Speaker 1: woman drum just any drum.
Speaker 2: It's like, you know, I've been.
Speaker 3: To a few social and I gotta be careful how
Speaker 3: I tell this story to keep everybody anonymous. But a
Speaker 3: few social events where there's wonderful families, you know, moms
Speaker 3: and dads and kids, they're fifteen, sixteen, twelve, twenty, and
Speaker 3: then they watch an adult get just completely inebriated. It
Speaker 3: is just an embarrassing thing for that individual and their family.
Speaker 3: And then you wonder, how are how's a twelve year
Speaker 3: old processing this? The fourteen to fifty year old know
Speaker 3: exactly what's happening, and probably twelve, but the seven and
Speaker 3: eight year old what are they processing? And and how
Speaker 3: what do they do with that information as they get older?
Speaker 3: I think it's impactful. Yeah, definitely.
Speaker 2: I mean I saw that.
Speaker 1: I saw I saw drunkenness and adults when I was little.
Speaker 1: My mother never drank at all, but my father drank
Speaker 1: a bit. And you know, when the adults around me
Speaker 1: in Scotland drank, and when you see them, you know,
Speaker 1: kind of lose it. But it was kind of scary.
Speaker 1: But also I equated it with that must be what
Speaker 1: a good time is, you know, I mean.
Speaker 3: Exactly, it is part of Hey, we're let's go out
Speaker 3: and have fun. You know, you can have fun without alcohols.
Speaker 3: It's not The two are not inextricably intertwined. They may
Speaker 3: be related. And I love when my friends drink and
Speaker 3: have a good time and get a little tipsy. It's okay,
Speaker 3: but they're not driving anywhere. They're taking a golf car
Speaker 3: to their house.
Speaker 2: Yeah it's okay, you know.
Speaker 1: So now young people, though, I mean, there's a real rise.
Speaker 1: And this is something because I moved back to New
Speaker 1: York City, so I noticed this a lot. Is the
Speaker 1: amount of wheat the people are taking.
Speaker 3: I mean, I mean you walk as soon as you
Speaker 3: walk out of your building, you just smell it, right,
Speaker 3: what wafts of it?
Speaker 1: Yeah, I mean it's like it used to be just
Speaker 1: you know, pizza, urine and rat was the smell in
Speaker 1: New York.
Speaker 2: Now it's pizza. You're in rat and weed weed first
Speaker 2: we weed over the pizza.
Speaker 1: But what I think is kind of weird about it
Speaker 1: is that, you know, my people, the alcoholics, they still
Speaker 1: have to walk around with their hiding their their right,
Speaker 1: their alcohol in the bag. But you can smoke adobe
Speaker 1: Like the air from the smoke from the alcohol is
Speaker 1: no getting up mindo's.
Speaker 2: But they're exactly right. I feel like I feel like
Speaker 2: it's discrimination against alcoholics.
Speaker 3: You know, I haven't spun it that way in my mind,
Speaker 3: but now that you mentioned, I'm on board with that.
Speaker 3: I'm happy to join you know, your your society with that.
Speaker 2: Let's go. But but I will tell you this.
Speaker 3: You know, I operated a lot of athletes and a
Speaker 3: lot of famous people. So I've done several professional athletes.
Speaker 3: I won't tell you the sport, but you could maybe,
Speaker 3: but you could guess. But the lungs of people who
Speaker 3: smoke marijuana, and these are these are world class athletes
Speaker 3: smoking at two three there were times a day, a
Speaker 3: day for twelve to ten to fifteen years. The damage
Speaker 3: it does in their upper lobes is unbelievable, worse than
Speaker 3: cigarettes because before it wasn't regulated.
Speaker 2: You don't know what the hell was in it.
Speaker 3: You don't know about the filters, and how they're able
Speaker 3: to function at the level they are as professional athletes
Speaker 3: is shocking to me. So I have seen an enormous
Speaker 3: amount of damage from marijuana and now vaping. Of course,
Speaker 3: some young kids who vape almost get this allergic reaction.
Speaker 3: You know, once a year we have a young child
Speaker 3: seventeen eighteen year old die because they were vaping. They
Speaker 3: have some allergic reaction when they get a pulmonary interstitial
Speaker 3: numinitis and some sort of allergic reaction in the whole
Speaker 3: long it's terrible. And then telling families going out and telling,
Speaker 3: you know, a thirty a forty year old mom and dad,
Speaker 3: and this is their life that their fifteen or sixteen
Speaker 3: year old has passed away and is now dead from
Speaker 3: vaping or smoking marijuana. It's it's terrible. So you know,
Speaker 3: we see the terrible end of it. So I'm so
Speaker 3: anti marijuana. It's uh, I can't explain it.
Speaker 2: Well.
Speaker 1: The thing is as well with marijuana for me is
Speaker 1: that you know, because I get it. You know, I
Speaker 1: smoked marijuana. I mean I did all the drugs and
Speaker 1: the the uh marijuana, strangely enough, was the one. I
Speaker 1: had the worst time with marijuana in what way you
Speaker 1: wanted way. It made me psychotic. I mean it brought
Speaker 1: a panic in me. I mean I guess maybe speed
Speaker 1: or acid could could compare with it, but I didn't
Speaker 1: do a ton of speed and acid.
Speaker 2: Uh yeah. But whenever people would casually I would, I
Speaker 2: would smoke it.
Speaker 1: When I was about seventeen eighteen, I would smoke marijuana
Speaker 1: and it kind of made that what it did to
Speaker 1: everyone else. And then one day it changed and whenever
Speaker 1: I even I smell weed. Now I'm sixty two years old,
Speaker 1: I haven't had a drug thirty three years. I still
Speaker 1: smell it and it makes me a little nervous.
Speaker 2: I'm like, interesting, I'm.
Speaker 3: Gonna say, for the record, your because your birthday is
Speaker 3: in May, mine's May twenty fourth, and yours is May
Speaker 3: twenty seven six.
Speaker 2: No, mine is seventeen, which means than you. Yeah, no, no, no,
Speaker 2: are you? Is that what that means?
Speaker 5: No?
Speaker 2: Older than I say, I'm pretty sure I think you're older. Well,
Speaker 2: I was gonna let your run with that story.
Speaker 3: Yeah, so we both turned sixty three, are both born
Speaker 3: in nineteen sixty two, right, So I'm gonna say, for
Speaker 3: the record, you're really sixty three, just to clean the
Speaker 3: accuracy up there, because Tom is gonna Tom's gonna have.
Speaker 2: To edit that, and because it's just an actor, you know,
Speaker 2: the truth truth checker, fact checker in this story. That's interesting.
Speaker 2: You don't love to when you smell the marijuana, you
Speaker 2: don't like it. No, I don't care for it. At all.
Speaker 2: It makes me sick.
Speaker 3: Sick to mine coming out of a beautiful apartment building,
Speaker 3: jacket and ties five through in the morning, coming to
Speaker 3: the hospital, go around and I smell it on my
Speaker 3: way to work.
Speaker 2: It's just I'm like, what the hell is going on here? Man?
Speaker 2: It's all some people smell of it. People have been
Speaker 2: smoking it, think. I mean, first of all, I know,
Speaker 2: it's like cats. They can't fucking smell it, you know.
Speaker 3: I love, yeah, I love when the patients come in
Speaker 3: and they reek of it and then I'm not smoking.
Speaker 3: I'm like, Okay, you're not smoking, then I guess you're
Speaker 3: You're golden. Your golden retriever wants to live up six
Speaker 3: doobies this morning because you.
Speaker 2: Rereak of marijuana.
Speaker 3: It's all over your clothes and you oh, that's that's
Speaker 3: my partner, you know, Okay, all right.
Speaker 2: Yeah, I don't know anyway.
Speaker 1: Look, a couple of old farts like us railing against
Speaker 1: the rest of the world. It's it's just a good time, sir.
Speaker 1: If I'm always happy to do it. Listen, thank you
Speaker 1: for making time for us today. I'm always happy to
Speaker 1: talk to you.
Speaker 2: More poweries to you.
Speaker 1: You are you are the guy and if I if
Speaker 1: this calcium thing sews up anything, I'll get in touch.
Speaker 3: Yeah, just when you're actually just shoot me an email
Speaker 3: of what the score is. I'm just I'm going to
Speaker 3: say it's a zero. I think you're a zero guy,
Speaker 3: And so that's the report we want. And really a number,
Speaker 3: you know, one hundred or last or it kind of depends,
Speaker 3: or two hundred or less. We're okay, but let's let's
Speaker 3: hope and pay for a zero.
Speaker 2: You deserve a zero. I would like a zero. All right,
Speaker 2: take a ether of it. Ahbody, God bless you. Thanks,
Speaker 2: good bye,