Joy, a Podcast. Hosted by Craig Ferguson - Dr. Robert Cerfolio Returns!

Episode Date: April 29, 2025

The wonderful Dr. Cerf is back again! He is one of the world’s top thoracic surgeons and his peers have voted him one of America’s Best Doctors. EnJOY this conversation between Dr. Cerf an...d Craig! See omnystudio.com/listener for privacy information.

Transcript
Discussion (0)
Starting point is 00:00:00 It's nostalgia overload as Wilmer Valderrama and Freddy Rodriguez welcome another amigo to their podcast Dos Amigos. Wilmer's friend and former That 70s Show castmate Topher Grace stops by the Speakeasy for a two-part interview to discuss his career and reminisce about old times. We were still in that place of like what will this experience become and you go you're having the best time but it was like such a perfect golden time. Listen to Dos Amigos on the iHeartRadio app, Apple podcasts or wherever you get your podcasts. Hey, I'm Jay Shetty and my latest interview is with Michelle
Starting point is 00:00:33 Obama. To whom much is given much is expected. The guilt comes from am I doing enough? Me, Michelle Obama, to say that to a therapist. So let's unpack that. Having been the first lady of the entire country and representing the country and the world, I couldn't afford to have that kind of disdain. Listen to On Purpose with Jay Shetty
Starting point is 00:00:55 on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts. The big guests continue on Los Culturistas. This week, it's the very funny Amy Poehler. Don't overthink it. They talk water. We did not drink water growing up. Water was not a thing.
Starting point is 00:01:10 Parenting. You got teen boys. This is like the black diamond of parenting. And of course. I don't think so, honey. Horror movies. Okay. Okay? Amy Poehler is on Las Cultu-
Starting point is 00:01:23 The latest episode is out now. Listen to Las Culturistas on the iHeart Radio app or wherever you listen to podcasts. The biggest stars in country music will be taking the stage at our 2025 iHeart Country Festival, presented by Capital One. Ladies and gentlemen, Brooks and Dunn,
Starting point is 00:01:40 Thomas Rhett, Rascal Flatts, Cole Swindell, This is me, Craig Ferguson. I'm inviting you to come and see my brand new comedy hour. Well, it's actually about an hour and a half and I don't have an opener because these guys cost money. But what I'm saying is I'll be on stage for a while. Anyway, come and see me live on the Pants on Fire tour in your region. Tickets are on sale now and we'll be adding more as the tour continues throughout 2025 and beyond.
Starting point is 00:02:27 For a full list of dates, go to thecraigfergussonshow.com. See you on the road, my dears. My name is Craig Ferguson. The name of this podcast is Joy. I talk to interesting people about what brings them happiness. Today in the podcast, one of my favorite guests of all time, of all the shows I've done, a terrific man. I'm very interested in, if you're interested in your health or general health, I don't think most people are, but you know, maybe you're not.
Starting point is 00:03:02 But this guy is just, I just can't get enough of him. His name is Doctor, well, I asked for his name, but that's his title. He's Doctor Robert Sirfolio. Enjoy. ["Rainbow Street"] So listen, here's the thing, Sheriff. You are a record breaker today because you
Starting point is 00:03:26 are the first time I've had... is this the third time you've been on the show? Third time. It's a big honor for me. I'm honored. And listen, and let me just say this, the third time on the show, but remember the first time we recorded? It didn't record at all. So it's technically the fourth time. The fourth time. That's exactly right. Now what's the deal with your headset? Are you doing a lot of robotics? No, it's sort of like I'm an air traffic controller and I wanted to get a drink of my water but I don't want to get water on the thing. Hey, what's the deal with when you do the
Starting point is 00:04:02 thoracic surgery? Yeah, thorac you do the thoracic surgery, do you do it like thoracic like thoracic park? Exactly. Instead of Jurassic, it's thoracic. I love that analogy. You're right on it, man. So let me ask you this. Do you wear your little headset when you're doing it and tell everybody what you're doing?
Starting point is 00:04:21 So when I have visitors that are remote, I do. And it's awkward when I scrub in, you have a headlight, magnifying glasses, and this. Then when I go to the road, that should put the ports in and make the incisions. Then when you leave the patient, and you walk 10 or 15 feet over and sit at the DaVinci console where you're looking through the box
Starting point is 00:04:41 and moving your hands, then I just have this thing on. But it's more comfortable than the one that they gave me today. Talk to me about what's the DaVinci console. Cause I think, you know, I of course know what it is, but many people will not know what the DaVinci console is. No, you're a hundred percent right. I mean, people still don't get it.
Starting point is 00:04:58 So when we say we do robotic surgery, what that means is first we're scrubbed in like doctors with gloves and a mask standing over the patient. We make three or four little incisions, put the tiny instruments in like through a little probe, and then the instruments go inside of that. And then there's this giant contraption that comes rolls over the patient and gets attached to those arms. That's the robot. But we don't operate that from the operating room table. We then leave the table, we take our gown off,
Starting point is 00:05:28 our gloves off, we go sit in the chair and we look in this giant box. So we're sitting, looking in this monitor, this immersive world and what I love about it, actually I was giving a lecture last night and they say, where am I happiest? I said, you know, I'm happiest, you know, when a very competitive pickleball match
Starting point is 00:05:45 or a great golf match when I'm doing well or teaching or educating or putting an impact on the world or when I'm submerged underwater, scuba diving in the robotic console. Cause what it's like is you become miniaturized and they drop you inside the chest in my case, or the belly, if you're a belly surgeon. So I'm now looking in this console and head is in this thing 3d. I'm looking through this
Starting point is 00:06:09 Glasses I can move my hands. I can move my feet. There's six pedal for my feet There's a couple pedals for my hands and as I move those instruments that we put in throw those little tiny sticks They move and they are a mimic to our hand motion So the surgeons doing the operation, not the robot, but the robot allows you to shrink your hands down to these tiny little one-sonometer or half an inch instruments instead of your big ugly mitts in there where you're making big incisions and spreading the ribs or cutting the muscle. So it's minimally invasive.
Starting point is 00:06:39 So that's how it works. You know, that's amazing to me because I don't know if you remember when you were a kid, you and I are the same age. You remember a movie called Fantastic Voyage with Raquel Welch in it? How can you forget Raquel Welch in that outfit? My gosh. Right.
Starting point is 00:06:54 So Raquel Welch in Fantastic Voyage where there's a robot, a scientist or something like that. And they have to shrink, they shrink themselves down into a little spaceship and then they go into the guy's bloodstream and they sort it out. That's exactly what it's like. But they of course are really small and they're just inside. Remember the way they got out was through the lymphatic system.
Starting point is 00:07:15 Remember there was the arteries in Venus and they went into the lymphatic. See I think that was a script there. They should have come out the pooper. I feel like get into the digestive tract, get your little spaceship. Look, there's been times when I felt like I've had a spaceship that my digestive tract and I, you get into the intestine and out you come. And on the way out, quick colonoscopy. Not to mention, and then it's very appropriate that they end up in the
Starting point is 00:07:40 excrement giving, you know, how, how the ending of that movie went out. But yeah, you're exactly. The problem with that is of course, if they get in the LL giving you know how the ending that movie went. But yeah, you're exactly. The problem with that is of course, if they get in the L a any type of the GI track, they create a hole that they have to seal on their way in. So that was one of the problems. That's why they went through the year, if you remember, but, but what a fantastic movie. What a fantastic movie.
Starting point is 00:08:00 I didn't, I didn't know that it was actually, it was so I could, do you ever, I, you know, I met Raquel Wells a couple of times. She was on my old late night show. Really? Yeah. Now for you and I, your generation to get to meet Raquel Wells. So, but here it gets even better.
Starting point is 00:08:15 So she knew I was very excited to meet her. So the crew at my show, they got a giant poster of, you know, the poster of her wearing the fur bikini in a million years. I was going to say it was in the fur bikini and what movie was that? It was 1 million years BC. That was it. Yep. So she's in the fur bikini and she wrote on it and she said, share Craig, because she
Starting point is 00:08:42 liked to speak French. She said, share Craig. I could, I remember, because I've still got the poster Cher Craig you can visit my cave anytime remember to wear your kill love Raquel oh my gosh that would be like dream she was she was yeah the everybody had a poster or when I was a kid. She was unbelievable Yeah, that that was that was how is she still alive and how well she knows sadly she passed a year or two ago I think I don't know for sure But I think she had trouble with Alzheimer's or dementia or something that it was I don't really know the difference to be honest
Starting point is 00:09:21 Well, maybe you could tell me what is the difference between Alzheimer's and dementia? Well, there's a pretty big difference actually. I mean, Alzheimer's is one type of dementia. Dementia is a more general term but which there's specific types. All right, so dementia is like a blanket term, like cancer maybe, like cancer. There's so many different cancers,
Starting point is 00:09:42 but it's a type of cancer. Yeah, it's kind of like dementia where you and I are headed. That's a general term that we could have thought. You know, I don't know why you have to say that, because it's not necessarily going to that. It's not. You know, somebody asked me once, a buddy of mine asked me once, he said,
Starting point is 00:09:55 when you get older, what do you want to go with? The plumbing or the upstairs? And I'm like, oh, definitely upstairs. Oh, you do? No. Well, I think upstairs, because then if I, my upstairs goes at somebody else's problem. If the plumbing goes, that's my problem. That's vegan. Yeah.
Starting point is 00:10:13 So it's interesting how we, because I think it's somebody else's problem. The last thing I want to do is do that to my, my three boys. Remember my three boys lost their mom. The last thing I want to do is go through a hard thing with me. So I'm like, listen, if that happens, we go on a cruise and I just happen to slip off that top part of the little outdoor thing and I'm gone and don't tell anybody for like the next day and then don't worry about it. No, because I think that's terrible.
Starting point is 00:10:36 My deal I have with my wife is, is that you get me get me into some kind of situation where I'm on a drip, like some kind of percocet propofol drip and just hit that thing every hour on there and put movies on. The only problem with that is there's a medical record that leads to that could get her in trouble. I think the cruise is much safer for you and your family. Yeah, I guess. Well, look, see, here's the thing.
Starting point is 00:11:03 Now I go for my annual physical yesterday. Fantastic. Yeah, so, but you know what? It's two years since I had a physical, but... Well, you're so healthy. That's all you need. Man, look at you. You look like you're 45 years old.
Starting point is 00:11:15 You look great. You look even healthier this time than I think the last. Maybe because we're not together, but you look great. No, I tell you what it is, my friend. I lost weight. I knew it. I could tell. I bet you lost about. No, I tell you what it is, my friend. I lost weight. I knew it. I could tell. I bet you lost about 20 pounds, right?
Starting point is 00:11:27 I don't know if it's as much as that, but it's a lot. I mean, what I did was I recorded the stand-up special, and then I go into the edit for the stand-up special. I'm like, who the fuck is that guy? I was like, oh my god. I know, because the special is out now, and people are like, oh my God, are you like so fat? And I got, I got fat.
Starting point is 00:11:46 I just, I just, I just stopped exercising and I just kind of like, wasn't paying attention to the food and it's cool because it happens much quicker now, that kind of thing now that I'm older. So I had to like, I just like, I'm back on it. I walk in and run it every day. I'm doing calisthenics. I'm like trying to lay off the candy and stuff, but it's much harder than it used to be to get in shape.
Starting point is 00:12:11 Yeah, because we're 60. Yeah, because we're 60. That's why I'm so, you know, I don't even have a glass of wine to dinner anymore. Last year. I'm like, I don't need it. I sleep better without it and I don't need the calories because I literally affects my sleep and I can notice that I'm up a pound or two. Cause I weigh myself twice a day. And I don't need the calories because I literally affects my sleep. And I can notice that I'm up a pound or two. Cause I weigh myself twice a day. Cause I'm crazy, but I think you're right.
Starting point is 00:12:31 It's part of being 60, you know? And so, um, I'm totally into the health thing. I'm, you know, I'm not about exercising and all that. It's fun. I know you are. Right. Look at you. I mean, you, I mean, you, you're in fantastic shape.
Starting point is 00:12:43 You, I mean, I appreciate that. Now, let me just say this. So I go for my annual physical and I'm talking to the doctor. It's a new doctor. Cause I knew I moved back to New York. So I go, I get a new doctor and you know me. We're happy to have you back in the city where, which is your home where we love you.
Starting point is 00:12:58 So thank you for coming back. Thank you. It's the greatest city in the world. And anybody that doesn't agree with me, you know, they don't need to come here. So I agree. So I, um, I'm talking to my doctor. Now, you know, I like a doctor, especially for a general practitioner. I like a big city doctor with slim fingers. You know what I'm saying? So I'm talking to him about that. And he said, you know, the prostate exam, he said, that's going to go away soon.
Starting point is 00:13:27 That's going to go away. Yeah. You can just say you don't want it. Just get a digital rectal ultrasound or a PSA or an MRI of the prostate and say, the last two times I said, listen, I don't want a digital rectal exam. I'm out. You're not doing it. You can do that.
Starting point is 00:13:41 Well, I, you know, I don't know about you, Matt. I'll miss it. Of course not. I mean, yeah. I, I, you know, I don't know about you, man. I'll miss it. Of course not. I mean, no, no, man. I, I, I'm like, you know, it's for me, it's a bit like vinyl. Do you know what I mean? It's like, it's not necessary anymore, but you know, I tell you a quick story. So when you're a medical student, you have to pair off with another medical, a male student. Of course, the men got the, there was female medical students, they had to do it to the man, obviously. And you know, and the vice.
Starting point is 00:14:16 Oh yeah, because there's no frost day up there. Yeah, exactly. Right. So, um, to make a long story short, when I went into the room with the other guys, I said, listen, I'm just going to skip it. If you agreed to skipping it, I'll skip mine. If you skip yours, he said, yes.
Starting point is 00:14:30 So we did. So I never had one. So about five years ago, I had to get this executive physical and I go see a doctor here in New York where I work. And he goes, you need a digital director. I said, listen, bro, I've never had one. He says, well, then you're overdue. And I said, no, bro, I've never had one. He says, well, then you're overdue. And I said, no, you can do an MRI and you can do a PSA of the blood and I'll take it.
Starting point is 00:14:54 And he said, and you need a digital rectal exam as well. He was so insistent. And then he said, you know, you're not listening. You're being a typical doctor who's a bad patient. I said, okay, fine. So I've had one in my lifetime and that will be the last one. Yeah, well, I don't know. I mean, look, as things that can happen to you
Starting point is 00:15:11 and the doctor's office, the digital rectal exam, it's kind of like a night out in the 80s as far as I'm concerned. It's like, it's no big deal. But the... I've never heard it expressed that way, Craig, but I love it. I may use that line in my lecture tomorrow.
Starting point is 00:15:27 We all live differently in those, well, I live differently in those times. But let me ask you this then, if you're doing an MRI of the prostate, isn't that got radiation in it? No, MRIs have no radiation. That's the advantage to MRIs No radio and and the CAT scan that has some radiation like like I'm I've flown to the Bahamas the last couple weekends I got probably more radiation on that flight three and a half hour flight there and back Then I do get in a CAT scan without contrast or a chest x-ray. So yes, there's chest x-rays and there's And there's CAT scans and there's CAT scans with contrast and there's
Starting point is 00:16:05 a PET scan that has a lot more radiation, but the amount of radiation is negligible. And when patients ask those questions, we say, we're doing this to either you have cancer and we're following you or surveying you or we're working you up for cancer. That's a much higher risk to your life than the minuscule amount of radiation that you're getting from the scan. Yeah. So don't worry about them. It's nostalgia overload as Wilmer Valderrama and Freddy Rodriguez welcome another amigo
Starting point is 00:16:34 to their podcast, Dos Amigos. Wilmer's friend and former That 70 Show castmate Topher Grace stops by the Speakeasy for a two-part interview to discuss his career and reminisce about old times. We were still in that place of like, what will this experience become? And you go, you're having the best time. But it was like such a perfect golden time. Listen to Dos Amigos on the iHeart radio app, Apple podcasts, or wherever you get your podcasts. The big guests continue on Los Culturistas.
Starting point is 00:17:02 This week, it's the very funny Amy Poehler. Don't overthink it. They talk water. We did not drink water growing up. Water was not a thing. Parenting. You got teen boys. This is like the black diamond of parenting.
Starting point is 00:17:14 And of course. I don't think so, honey. Horror movies. Okay. Okay? Amy Poehler is on Las Cultu- The latest episode is out now. Listen to Las Cultureistas on the iHeartRadio app or wherever you listen to podcasts. I'm Clayton English.
Starting point is 00:17:30 I'm Greg Glodd. And this is season two of the War on Drugs podcast. Yes, sir. We are back. In a big way. In a very big way. Real people, real perspectives. This is kind of star-studded a little bit, man. We got Ricky Williams, NFL player, Heisman Trophy winner.
Starting point is 00:17:45 It's just a compassionate choice to allow players all reasonable means to care for themselves. Music stars Marcus King, John Osborne from Brothers Osborne. We have this misunderstanding of what this quote unquote drug thing is. Benny the Butcher. Brent Smith from Shinedown. Got B-Real from Cypress Hill Hill NHL enforcer Riley Cote
Starting point is 00:18:07 Marine Corvette MMA fighter Liz caramouche what we're doing now isn't working and we need to change things Stories matter and it brings a face to it makes it real. It really does. It makes it real Listen to new episodes of the war on drugs podcast season 2 on the I heart radio app episodes of the war on drugs podcast season two on the I heart radio app Apple podcast or wherever you get your podcast and To hear episodes one week early and ad free with exclusive content subscribe to lava for good plus on Apple podcast On November 5th 2018 at at 6.33 a.m., a red Volkswagen Golf was found abandoned in a ditch out in Sleephole Valley. The driver's seat door was open. No traces of footsteps leaving the vehicle.
Starting point is 00:19:00 No belongings were found, except for a cassette tape lodged in the player. On that tape were ten vile... No, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, stories that to this day have been kept restricted from the public. Until now. You feeling this too? A horror anthology podcast. Listen on the iHeartRadio app, Apple podcasts, or wherever you get your podcasts. Hello, this is Craig Ferguson, and I want to let you know I have a brand new stand-up comedy special I guess. right there. Just click it and play it and it's free. I can't look, I'm not going to come around your house and show you how to do it. If you can't do it, then you can't have it. But if you can figure it out, it's yours. So let me ask you this then, cause I got a new doctor, so I got to run a list. You're my second opinion guy, right? You know, you're my go to guy, right? Okay.
Starting point is 00:20:20 My price is right for the second opinion. I was going to say, I wish I hadn't said that because now I know I owe you a lot of money. You're paying me what I'm worth. So it's appropriate. So it's not really a second opinion, but you said to me, look, we're going to look at your cholesterol as a whole new blood panel. He said, but you're, uh, you're in your early sixties. So I want to do a calcium, what's that?
Starting point is 00:20:42 Calcium? Calcium scoring study. And I was going to suggest that you get one. You should get one of your heart to look at calcium in your, the epicardium, the outside of your heart to make sure you don't have coronary artery disease, as opposed to getting a cath where they stick a catheter in your groin or your wrist and they put a catheter up and then they inject contrast and they look at your arteries this way. I'd prefer not to have that.
Starting point is 00:21:05 That sounds like- That's not a big deal, but that's a little bit invasive. It's a little nick in your artery, but you're right. You don't want it, and the calcium scoring study, hopefully yours was zero. I don't know yet, I haven't had it yet. Oh, yeah, I had mine six months ago, it was zero, which was good, but-
Starting point is 00:21:22 Yeah, when does it get to be a problem? What do they do if they find calcium on the other side of your heart? What are you, are there drugs for it and stuff? Yeah, typical doctor, you know, we always give an answer, it depends. I mean, it depends on your family history, if you're overweight, if you have hypertension, all these other, if you're symptomatic, do you get chest pain? If you do, then you're going to get a cath. I mean, you're going to buy a cath if that happens. If you're asymptomatic and don't have any risk factors and it's 50, you're probably okay.
Starting point is 00:21:49 But if the score is a thousand or two thousand or something, then you're going to get a cardiac cath, which is what I just described a minute ago. What is a cardiac cath? Yeah, that's the... They used to put it in the groin and put a catheter up. Now we do them in the wrist and we put a little tiny catheter up the artery and it goes retrograde opposite of how the blood flow goes right down to your aorta and right off the very proximal part of the aorta are two little orifice, two little openings that carry your
Starting point is 00:22:16 right and left coronary artery, assuming you don't have congenital heart disease. And a lot of people do and don't know it, but let's say you're normal and they put a little catheter in that and they shoot contrast. And then it shows all of the arteries, the left-sided artery that has a couple of the big branches, one's called the LAD, one's called the obtuse marginal, et cetera,
Starting point is 00:22:35 and these other branches. And then on the right side, you have a right coronary artery that usually supplies your sinus, your sinus node, which runs the rhythm of your heart. So they look at the left and the right arteries of the heart and make sure that there aren't blockages that are 70% or greater. If they're 70% or greater, then you might need either a stent, which they can do right through this little incision,
Starting point is 00:22:55 or if you have two or three arteries that are blocked, then you need a bypass operation, which is what, you know, I'm a cardiothoracic surgeon. I do the thoracic part my partners do the cardiac part But that's what we do in this department every day Man, that sounds like like no I wasn't really bold about it, but now I'm kind of scared about it No, no, don't be because it's just a screening study and chances are high that you've lost weight You're exercising you have no pain with exercise. So chances are and you have no family history of heart disease in your family Do you know nobody lives long enough in my family? They die of alcohol or food related cancer
Starting point is 00:23:39 Fork and hand related disease I call it fork in hand the hand But that's interesting because I was talking about you know because my dad I know you know I told you that my dad got a soft gale cancer. Yeah. I know that's one of the things I operate on. Right so I was talking to my doctor about it and I said is you know what do you think and and he's because what happened, I remember I told you this, I was getting, you know, pretty intense indigestion, like heartburn and stuff. Yeah. I had it screened and they found suffogitis, no barrets, but some kind of a suffogitis and some kind of infamy. And I went on those, uh, prevised, uh, things,
Starting point is 00:24:21 you know, the omniprazole or something like that. Omniprazole. Omniprazole. Yeah. Yeah. It's great. I went on it. I went on it for about, I think it was seven or eight months I was on it. And then I got a second screening and it all gone away, but I still got reflux. So what I started to do is like, that's when I really changed.
Starting point is 00:24:44 I dropped the weight and stuff like that. And I think it's the weight, man. I think it's 100% the weight. And I'm sure he told you that. So the amympousol just reduces the acid production. And but if you lose weight, you'll have much less reflux for sure. So that's great. reflux for sure. So that's great. That's amazing to me because I, I mean, I put on weight, but I wasn't like, nobody was going to use that fat guy said me, but you don't need to have that much. No, you know, you can, you, there's just, you could just gain 10 or 15 pounds and all of a sudden start to reflux. And, and as we get older, you know, you're more likely to reflux.
Starting point is 00:25:21 And here's the important thing for your listeners. And I'm sure they're not listening for medical advice, but if they are, 30 or 40% of people who reflux are asymptomatic, meaning, you know, they think they have sleep apnea, they don't sleep well, or they have stenosis of their windpipe, and it's because they're refluxing and they don't know it. So it's one of the things that we look for
Starting point is 00:25:43 when people have these other symptomatologies that get recurrent pneumonias and we don't know why. Well it's one of the things that we look for when people have these other symptomatology to get recurrent pneumonias and we don't know why. Well, at night they lie flat, food comes up, it goes down the wrong pipe into the lung, usually in the right lower lobe because of the structure of the anatomy of the bronchus. And they get right lower lobe pneumonias and as they've been refluxing and aspirating at night
Starting point is 00:26:02 when they sleep, or a lot of people sleep apneas related to reflux and they don't know it. They wake up because there's a little bit of acid in the back of their mouth. That's so weird to me because I kind of like to, for something as, I mean, I'm very kind of sensitive to it because my father and his story, but you know, the fact that people can be experiencing that and not even know because they think it's something else. I mean, it's like, you know, that thing, I'm sure you know this, Hippocrates who said, yeah, let food be thy medicine is what he said. That was one of his things. Let food be thy medicine.
Starting point is 00:26:43 And I love your historical wisdom. You have all this wisdom from history. You're a history buff. I am a history buff. I do like the ancient Greeks. I have to say I'm interested in them, but I'll tell you what they didn't have. They didn't have antibiotics. No, they didn't have that.
Starting point is 00:27:02 And they didn't have morphine. Yeah. Yeah. They didn't have that. And they didn't have morphine. Yeah. Yeah. They didn't have that. Do you know what though? I heard this thing about ancient Egyptians. Like you know how they used to wear the black eye makeup, right? Yes.
Starting point is 00:27:15 Yeah. It's cause of the sand, right? Right. Right. Right. And what like football players, but also what they had in ancient Egypt is that they had severe dental pain because sand gets everywhere and it go in the bread and the bread would grind down the thing.
Starting point is 00:27:32 So that's what opened up the trade route, the opium route from China to ancient Egypt because opium was the new wonder drug that was coming in from in Afghanistan was no Afghanistan, but I guess I was something else then Asia minor and all that stuff. And that's how these trades started them because the Egyptians would buy as much opium as they could get because of the dental pain. So what I'm saying is, of course they didn't take care of their teeth. They didn't really understand, you know, the importance of it or have the skill. It probably had a lack of fluoride. We don't want to talk about fluoride with all the political controversy of fluoride right
Starting point is 00:28:13 now, but they didn't have that when they were younger, which was clearly needed, et cetera. Dental infections led to a lot of heart disease in those days. And as a heart and lung surgeon, there's a thing called endocarditis, which is infection on your heart valve, often from infections in your teeth. Bad dental care. That's why I heard that the plaque in your arteries, it's just the same plaque as like plaque on your teeth,
Starting point is 00:28:39 right, it's the same shit. Well, that's a little different, but it's a little bit different. But I think it does similar damage, let's a little different, but it's a little bit different, but I think it does similar damage. Let's put it that way. Yeah, I mean, it's funny that because when I grew, I mean, famously, I think it's better now, but the UK was bad.
Starting point is 00:28:55 Scotland, particularly when I was a kid was bad for dental care, just bad. Terrible, terrible. And they have this huge problem with heart and lung problems. They used to, I think that was smoking. It's gotten better. Yeah, and the dental care has gotten much better for sure. Yeah. But the way is that I don't think it was Hippocrates who said this, but I have heard this phrase,
Starting point is 00:29:22 death enters the body through the mouth of the anus. That's how it gets in. Who the hell said that? I don't know, but maybe me. Maybe the mouth I can see, but the anus. Well, what about the rise in colon cancers with the young people? Yeah, but that doesn't come from the anus. That comes from in the colon,
Starting point is 00:29:46 comes from epithelial changes inside the lining of the colon. It's not coming from the ass going up. That's starting off. Well, you say that, but it could be rising damp. Do you know what I mean? It could be like, but let's talk a little bit about that. It could be like, but let's talk a little bit about that.
Starting point is 00:30:10 But cause what is the, do you have any kind of opinion or take on this or is it even true that there is a huge rise in gastrointestinal cancers in young people, colon cancer in particular, I think. Yeah, so we gotta be a little bit careful about incidents and discovery. So, you know, what I think. Yeah, so we gotta be a little bit careful about incidence and discovery. So, you know, what I mean by that is now we're doing a lot more colonoscopies on people we would never do before.
Starting point is 00:30:33 We're doing more CAT scans and we're discovering things in asymptomatic patients and much more asymptomatic patients are getting screened. And we're also much better identifying a genetic group of patients who are predisposed to this because of either they have an autosomal dominant or some sort of genetic disorder or a family history
Starting point is 00:30:53 that puts them at risk. And so we're finding more of it. So does that mean that there is a greater incidence in the population or we're just better at discovering it now? So I think it's probably multifactorial. All right, so better call them A, better call them B, right? Yeah, correct.
Starting point is 00:31:09 Is there, I mean, you know, everybody talks, particularly counselors, you talk about early detection, early detection, early detection. Yes, and it makes a huge difference, enormous difference as a surgeon. It really does, yeah? Night and day. I mean, look at lung cancer.
Starting point is 00:31:23 20 years ago, you see everybody with stage three disease disease and 20 or 30 percent were alive in five years. Now 90 percent of the people I see are stage one disease and I operate and take the lung cancer out and 95 percent are alive at five years. The practice has completely shifted in my lifetime. The friend of mine actually just had a cancer and he went through, I don't know exactly which one it was because he was kind of like didn't really want to talk about it, but he had an operation to remove the tumor and then went on a course of chemotherapy. Yep. Now, what's that?
Starting point is 00:31:57 If you remove the tumor, what's the deal with the chemotherapy? Yeah, so it depends and it would be nice to know the specific cancer. So I'll just talk about lung cancer. So the majority of our lung cancer patients don't get chemo because we see them in stage one. But if they're stage two or three, they get chemo first, which we call neoadjuvant, neo before. So they do neoadjuvant chemo, then we we do surgery and then they often get chemo afterwards But to make a long a very long complicated answer very short if the tumor is over a certain size It's a predictor that could be microscopic cells in the blood Even if we don't see it even if the PET scan and CAT scan says hey liver is clean brains clean. Everything looks great
Starting point is 00:32:42 We sometimes give chemo or if it's in a lymph node, so if it goes to one of the lymph nodes that we as surgeons remove routinely and make sure the patients out there if they're getting lung cancer surgery they go to a real surgeon who takes out nodes. We take out 20, 30, sometimes 40 lymph nodes. If the lymph nodes just have one lymph node has cancer to that of 40, that's an indication to get chemo because it means there could be circulating tumor cells in the blood and chemo just goes in the blood and circulates and the idea is to kill it.
Starting point is 00:33:13 But of course it kills your normal cells too. That's why you lose your hair. No, does that still happen? Cause you was talking about the, you got some kind of cold hat thing or something. Yeah, there's cold hat thing or something? Yeah, they do. There's a cold hat that was just supposed to help the follicles resist the cellular death from the chemo and it does work. So, yeah, but in general people still lose their hair or their hair thins. It depends even if they're wearing the cold cap all the time.
Starting point is 00:33:40 Yeah, I don't know. I mean, I think I may just wear the cold cap even if I'm not getting keyboard just in case. You know what I'm saying? Well, I mean, I think in your case, it'd be a nice story to explain to people why the hell you're doing it. And then you've got the beautiful locks and you've got that nice, you know, I've always wanted the little I've had so many patients come to me and like, you're the doctor I flew in to see you. I said, I've got a lot of gray hair. You got to look, but they want surgeons with gray hair.
Starting point is 00:34:05 So I'm freaking jealous of that. That looks great. You got to have the gray hair. That's what I want. I want my doctor to look like the first George. Like you, like you. Yeah, like me. Yeah, yeah, but I don't want him to be like me though.
Starting point is 00:34:21 Yeah. I don't want to. I get it. But you see the thing is though, I've noticed this about doctors over the years. When you're a kid, I hardly ever saw a doctor or whatever. You know, I see a doctor when you break a leg or something. I don't care. I mean, exactly. But now, you know, I, you know, when you get to 40, I guess that's when it
Starting point is 00:34:40 starts kind of, you know, boom and me and all that. Yeah, you're right. What did the bar and the Antman, let's just go to each one, the Barman, what did that refer to? Well, that's the prostate exam. That begins with the bar. That's what I thought it was. And this is the colonoscopy. That's what I thought it was too. Yeah. To make sure the audience knew exactly the screening modalities that you were articulating
Starting point is 00:35:04 the so jointly. But the thing is, I mean, I was very relieved that when I saw the size of the camera for the colonoscopy, because I was used to working at CBS at the time, the cameras are pretty bad. I thought I don't need it. You know, now you swallow a capsule with a camera in it. Shut up. Is that true?
Starting point is 00:35:25 No, 100% and then when the capsule comes out it can give images all the way through and then you just defecate it out so they can get images with capsular cameras. It really is fantastic voyage then. It really is fantastic voyage. So you take that and then you do a poop and you send the poop to Snappy Snaps and they... No, the images get sent but yeah, I guess that's another way to do it. You could just filter your stool and then just send it into, I guess, the camera studio down CVS.
Starting point is 00:35:56 We don't quite do it that way but that's another way to do it. Does it transmit it from your body? Yes. That's unbelievable. That's insane. Yeah, that's not new. I insane. Yeah that's not new. I don't think that's even new. No I think that's been around a good, I'm going to say a decade. I might be wrong if any of your listeners want to tell me the truth but it's
Starting point is 00:36:14 not that new. I had no idea. Well how come I'm still getting the thing going up then? Because it's not as good because think about it, it doesn't really look at all the, you know when you put a doctor in the camera, we, first of all, we clean your colon out so we can see there's not all that fecal material and fluid and this doesn't really do this too. We move the camera on and get really a much better look at each one and really inspect it much more carefully. But we can't get to the small bowel, right? It's hard to put a scope, a scope can go down your mouth. Then you have like 30 feet of loops of bowel. You can't get through all that with a scope. The colon you can look at. You can put a scope from the anus and go up the rectum, the sigmoid
Starting point is 00:36:55 colon, the ascending, the descending, transverse, and ascending and get right to what's called the iliopsoecal valve and even look at some of the ilium, which is the end of the small bowel. But you can't look at all the diduum, jejunum, and ilium. They're way too long. So this little camera can look for that in case people are having bleeding to see if there's little lesions in the small bowel because you can't scope the entire small bowel. So it has other indications. It's nostalgia overload as Wilmer Valderrama and Freddie Rodriguez welcome another amigo to their podcast Dos Amigos. Wilmer's friend and former That 70s Show castmate Topher Grace stops
Starting point is 00:37:36 by The Speakeasy for a two-part interview to discuss his career and reminisce about old times. We were still in that place of like, what will this experience become? And you go, you're having the best time. But it was like such a perfect golden time. Listen to Dos Amigos on the iHeart radio app, Apple podcast, or wherever you get your podcasts. The big guests continue on Los Culturistas. This week, it's the very funny Amy Poehler. Don't overthink it.
Starting point is 00:38:02 They talk water. We did not drink water growing up. Water was not a thing. Parenting. You got teen boys. This is like the black diamond of parenting. And of course. I don't think so, honey.
Starting point is 00:38:12 Horror movies. Okay. Okay? Amy Poehler is on Las Culture. The latest episode is out now. Listen to Las Culturistas on the iHeartRadio app or wherever you listen to podcasts. I'm Clayton English. I'm Greg Glod.
Starting point is 00:38:27 And this is season two of the War on Drugs podcast. Yes sir, we are back. In a big way. In a very big way. Real people, real perspectives. This is kind of star-studded a little bit, man. We got Ricky Williams, NFL player, Heisman Trophy winner. It's just a compassionate choice to allow players
Starting point is 00:38:44 all reasonable means to care for themselves. Music stars Marcus King, John Osborne from Brothers Osborne. We have this misunderstanding of what this quote unquote drug band. Benny the Butcher. Brent Smith from Shinedown. Got B-Real from Cypress Hill. NHL enforcer Riley Cote.
Starting point is 00:39:02 Marine Corvette, MMA fighter Liz Caramouche. What we're doing now isn't working and we need to change things. Stories matter and it brings a face to them. It makes it real. It really does. It makes it real. Listen to new episodes of the War on Drugs podcast season 2 on the iHeartRadio app, Apple podcast or wherever you get your podcasts.
Starting point is 00:39:22 And to hear episodes one week early and ad free with exclusive content, subscribe to Lava for Good Plus on Apple Podcast. In 2020, a group of young women in a tidy suburb of New York City found themselves in an AI-fueled nightmare. Someone was posting photos. It was just me naked. Well, not me, but me with someone else's body parts on my body parts that looked exactly like my own. I wanted to throw up.
Starting point is 00:39:57 I wanted to scream. It happened in Levittown, New York. But reporting the series took us through the darkest corners of the internet and to the front lines of a global battle against deep fake pornography. This should be illegal, but what is this? This is a story about a technology
Starting point is 00:40:15 that's moving faster than the law and about vigilantes trying to stem the tide. I'm Margie Murphy. And I'm Olivia Carville. This is Levitown, a new podcast from iHeart Podcasts, Bloomberg and Kaleidoscope. Listen to Levertown on Bloomberg's Big Take podcast. Find it on the iHeart radio app, Apple podcasts, or wherever you get your podcasts. So what would you say then, if anyone said to you, like say someone between the ages
Starting point is 00:40:48 of 50 and 70 said, if I can only have one test, one screening, what would be, get this. If you don't get anything else, get this. It's an easy, for me it's a very easy answer. It would be a full body CT scan or full body MRI and I like the CT but people are moving more towards the MRI there's no radiation and stuff but a CT scan of your chest abdomen and pelvis gives us so much information we're not looking at your thighs your knees your ankles and you could include the brain but if you're cognitively with it like I guess you and I would just pass the mark that we're cognitively with it.
Starting point is 00:41:26 We're like I say, we're just at the border. But you know, then does you don't get much benefit of doing a brain scan, but a brain, a CT scan of neck, chest, abdomen, pelvis, does even now it's not blood work. The blood work is also needs to be augmented. But you said one test. I don't know if you'll give me both, but I would pick the blood work the blood work is also needs to be augmented but you said one test I don't know if you're gonna give me both but I would pick the CT over the blood work. So does that I mean like that calcium thing I'm getting you know that scan I'm getting my heart that kind of routine thing would that be included in that? No that's a very specific thing to look at coronary
Starting point is 00:42:00 artery disease but let me tell you something interesting so I had clinic on Tuesday and I told you I had three people come from other countries. Two of the three had their lung nodule found in a calcium scoring screening study. They're asymptomatic. They never smoked. These are very wealthy people getting their negative, their executive calcium scoring study. And you just look at parts of the lung, you look like the right middle lobe and part of the left upper lobe and one had a nodule in the middle and one had a lodging on the upper lobe and they both turned out to be lung cancer so that screening study for the heart saved their life and got their
Starting point is 00:42:35 lung cancer resected. We did their operation yesterday and they both went home today. Wow that fast so it was a thoracic operation then right? I took out part of their lung. They went to see their heart doctor to make sure their heart was good. But that study, which images the heart, blows the heart up, also looks at a small part of the lung and happened to find lung nodules in that small, just in the right middle lobe and then the left upper lobe, which is when they look at the heart, the heart sits there and they both got their cancers discovered serendipitously on their calcium screening study of their heart. That's crazy. You know what though, I mean knowing all the stuff you have, you know, and I know you, you know, we've talked quite a bit over the past couple of years.
Starting point is 00:43:22 know, you, you know, we've talked quite a bit over the past couple of years. What I think it would, I wouldn't sleep a wink at night. I think every time I felt a twinge or a ping, I sleep like a rock because a, cause I ate that smart to worry. B because I got a pretty clean conscious and C, you know, I think if you just work out and eat well, and I got to tell you our society has it wrong having these big late dinners Like you go to Spain or you go to the other countries to eat at 9 or 10 You shouldn't eat after 4 or 5 o'clock. I mean really even 3 or 4 you should have a pretty big breakfast
Starting point is 00:43:56 Kind of skip lunch that have something big at 3 or 4 and then make sure you're going to bed at like 10 o'clock Say on an empty stomach. So your body is sleeping and not digesting food. But if you do those things, not everybody gets aches and pains. I mean, I, I worked out on Sunday, I played a two hour pickleball match and I worked out for two hours. That was sore as hell Sunday night and Monday, but that's not cancer related. So I mean, I think everyone has aches and pains when they wake up, especially when we get to our age at 62
Starting point is 00:44:27 62 man. I mean, it's so funny that I mean first of all pickleball I mean, that's the new don't go saying isn't it singles pickleball is great I played a young 29 year old young buck and I finally beat him the guy's great But I took it to him finally. But I was, I was sore two hours of singles. Pickleball is brutal. What is, I don't know anything about pickleball. Pickleball is like tennis, but with a tiny little bat or something. Yeah. It's not a bat. Exactly. But it's like, think of ping pong and, and make it bigger
Starting point is 00:45:01 and think of tennis and make it smaller. So it's like standing on a really big ping pong table, but you're in singles, you're running around. I mean, my heart rate was a median of 152 for like, I think this in the middle hour of that match, my median heart rate was 152 and other ends, I was about 110. So it's brutal workout. And a lot of people, so caution to people listening, because a lot of older people play doubles
Starting point is 00:45:25 They tear their Achilles they tell their calf muscles They get little tears in there their legs after you have to stretch and work out Even if you're gonna play doubles pickleball because you're bending and turning and hitting and running a little yeah It's not for me, man. I don't I don't do that. I I work alone. So I do calisthenics on my own. I run and I walk or lift some weights. So when you run, how far do you run, Greg? You know, it kind of varies. I usually like nowadays because I don't want to screw my knees up because I run on a treadmill and if I'm on a treadmill I'll run anywhere between five and ten miles on a treadmill
Starting point is 00:46:10 So does that must take you an hour? How long north of that sometime like I'm five miles yet under an hour, but ten miles. Yeah, maybe like a bit longer than then But that's unbelievable you're able to do that with you. So, you know, I had both my knees replaced I think you than I had. But that's unbelievable. You're able to do that with your, so you know, I had both my knees replaced. I think you and I've talked about that before because I played three sports in high school,
Starting point is 00:46:31 played college baseball, but really from coaching my kids' basketball teams. But so I don't, I run sprints. I don't run long distances. So I give you amazing credit that you're able to run five or 10 miles, even on a treadmill? That's and your knees aren't too sore afterwards? No they're not bad but the
Starting point is 00:46:49 thing is when you were doing all that playing all those sports at the same ages because we're the same age coming up I was standing at a bar for 15 years so my knees are fine. It's the liver. It's the liver. But the liver is fucked. That's so funny. Yeah, actually your liver is probably almost back to normal now, I'll bet you. Yeah, it should be. I haven't had a drink in over 33 years. So unbelievable. I mean, let's drink to that. I mean, that... Yeah, no kidding. I mean, it is a funny thing though. I mean, so like I stopped drinking when I was 29 years old. And when I 29 year olds are taught, how many 29 years have the mental fortitude to do that?
Starting point is 00:47:35 Seriously, not many men. I think what it was is that it was a, I was in a fork in the road. It was either jail institutions and death or stop drinking and it was a tough decision for a minute. Yeah it was a close call. But there are so many 29 year olds that lack the self-awareness or even 35 or 40 year olds that don't see it and even you know a lot of people are very functional at work, but as soon as they come home they have one or two or three drinks and that is just not a healthy way to go, man.
Starting point is 00:48:11 Well, it's kind of an interesting, I find myself in the horns of a dilemma a little bit about it because, you know, I have two kids and, you know, you worry that you're passing on that genetically to those guys. Right. And I wonder, you know, I think, I mean, look, I'm not a doctor as we both know, but I wonder if alcoholism is as clear cut as genetics. I think it's, I think it's a genetic predisposition. I think you- 100%, right.
Starting point is 00:48:44 And we have data that that's correct. But without the environment, if I took that person who has a 100% chance of being an alcoholic and I put him on an island his whole life with no alcohol, it's not going to happen, right? So it's a mixture between the two. Now it's funny you talk about the kids because I have three boys and of course, I told them that if you ever smoke, you're going gonna die one puff if you ever drink alcohol so my middle son God bless my middle son Alec I love him he doesn't doesn't even have a
Starting point is 00:49:12 sip ever of alcohol never he's so anti against it it's really interesting how old are you as your oldest Greg? My oldest is 20 just coming up in 24 but what I said to my kids was look you don't have to be an alcoholic for alcohol to fuck up your life. You know, you can drink, you know, five beers and get in a car and think you're, you're good to drive. And there you are. That's it.
Starting point is 00:49:38 Fucking done. You're right. And even worse, Craig is if they don't get hurt, they hurt some little kid or they hurt someone else and they are screwed up forever with that guilt. Yeah. Not to mention what they did to the kid in the family. Right. And what's kind of, I find myself kind of struggling with is because I'm not a temperance
Starting point is 00:49:59 advocate. I'm not saying like nobody should drink. I believe that, but I kind of, but for me obviously it's out of the question. I know, I mean my oldest boy he can just like he'll have a cocktail Easter or Christmas or something and go yeah. It's interesting isn't it? So you know my older son, my older son Robbie will have you know glass of red wine which is which is what I always would do at dinner, maybe once a week, twice a week.
Starting point is 00:50:28 I've stopped doing that the last few years and it's fine. And my youngest son, Matthew, is, you know, they're kind of more normal in that they'll drink a little bit with their friends. And I think that's perfectly normal and healthy and fine. But as you said, there always is a moderation. But my middle son is just completely out on an aleck, which is really interesting how they, um, they get some of this from us and their culture, but of course they see it with their friends and when they see young women getting
Starting point is 00:50:54 drunk, it really turns them off. It's funny. They just, they think it's a really bad look listening to them. I remember one scene I was in France in a fancy hotel and there was an American lady in the bar and she was a little drunk. I mean, it wasn't bad, but she was clearly, she was a little stroppy, she was leaving the bar. And I just happened to glance
Starting point is 00:51:21 at the way the waiter was looking at her. Yeah. Yeah. The utter disgust on his face. I know. Because the culture there is not, you know, to be drunk is a bad look. Yeah. And I don't think it was because she was a woman. I think it was because she was drunk.
Starting point is 00:51:41 You know, not because she was a woman and drunk, just any drunk. It's like, you know, it's not because she was a woman and drunk, just any drunk. It was like, ah, you know. I've been to a few social, and I gotta be careful how I tell this story to keep everybody anonymous, but a few social events where there's wonderful families, you know, moms and dads and kids that are 15, 16, 12, 20,
Starting point is 00:52:00 and then they watch an adult get just completely inebriated. It is just an embarrassing thing for that individual and their family. And then you wonder how's a 12 year old processing this? The 14 to 50 year old know exactly what's happening, and probably the 12, but the seven and eight year old, what are they processing and what do they do with that information as they get older?
Starting point is 00:52:24 I think it's impactful. Yeah, I definitely, I mean, I saw that. I saw, I saw drunkenness in adults when I was little. My mother never drank at all, but my father drank a bit and, you know, and the adults around me in Scotland drank and when you see the, them, you know, kind of lose it, but it was kind of scary. But also I equated it with that must be what a good time is. You know what I mean? Exactly. It is part of, hey, let's go out and have fun. You know, you can have fun without alcohol. It's not the two are not inextricably intertwined. They may be related.
Starting point is 00:52:56 And I love when my friends drink and have a good time and get a little tipsy. It's okay. But they're not driving anywhere. They're taking a golf cart to their house. Yeah. It's okay, you know. So now young people though, I mean, there's a real rise in, and this is something, because I moved back to New York City. So I noticed this a lot is the amount of wheat the people are taking. I mean, as soon as you walk out of your building, you just smell it, right? What wafts of it. Yeah. I I mean it's like it used to be just you know pizza urine and rat was the smell of New York now it's pizza urine rat and weed is the smell of weed first I was gonna weed over the pizza but what I think is kind of weird about it is that you know my people the alcoholics they still have to walk around with, they're hiding their
Starting point is 00:53:46 alcohol in the bag, but you can smoke a doobie. The smoke from the alcohol is not getting up my nose, but I feel like it's discrimination against alcoholics. You know, I haven't spun it that way in my mind, but now that you mention it, I'm on board with that. I'm happy to join your society with that. Let's go. But I will tell you this.
Starting point is 00:54:09 So I operate in a lot of athletes and a lot of famous people. So I've done several professional athletes. I won't tell you the sport, but you could guess. But the lungs of people who smoke marijuana, and these are world-class athletes smoking it two three four times a day a day for 12 to 10 to 15 years the damage it does in their upper lobes is unbelievable worse than cigarettes because before it wasn't regulated you don't
Starting point is 00:54:42 know what the hell was in it you don't know about the filters and How they're able to function at the level they are as professional athletes is shocking to me So I have seen an enormous amount of damage From marijuana and now vaping of course, so some young kids Let's get this allergic reaction, you know once a year we have a young child 17 18 year old die because they were vaping they have some allergic reaction. You know, once a year we have a young child, 17, 18 year old die because they were vaping. They have some allergic reaction where they get a pulmonary interstitial pneumonitis and some sort of allergic reaction and the whole long it's terrible. And then
Starting point is 00:55:15 telling families going out and telling, you know, a 30, a 40 year old mom and dad, and this is their life that their 15 or 16 year old has passed away and is now dead from vaping or smoking marijuana. It's terrible. So, you know, we see the terrible end of it. So I'm so anti marijuana. It's I can't explain it. Well, the thing is, as well with marijuana for me is that, you know, because I get it,
Starting point is 00:55:40 you know, I smoke marijuana. I mean, I did all the drugs and the, the, uh, marijuana strangely enough was the one I, I had the worst time with marijuana. And what way, what way it made me psychotic. I mean, the, the, the, it brought a panic in me. I mean, I guess maybe speed or acid could compare with it, but I didn't do a ton of speed and acid. Yeah.
Starting point is 00:56:09 But whenever people would casually, I would smoke it when I was about 17, 18, I would smoke marijuana and it kind of made what it did to everyone else. And then one day it changed. And whenever I even, I smell weed now, I'm 62 years old. I haven't had a drug in 33 years. I still smell it and it makes me a little nervous.
Starting point is 00:56:31 I'm like, I'm just going to say for the record, because your birthdays in May, mine's May 24th. I think yours is May 27th. Six right now. Mine is 17, which means younger than you. Yeah. No, no, no. Ari.
Starting point is 00:56:43 Is that what that means? No, older than you. Older than you. I'm pretty sure I'm younger than you. Yeah, no, no, no. Ari, is that what that means? No, older than you. Older than you. I'm pretty sure I think you're older. Well, I was going to let you run with that story. Yeah. So we both turned 63, both born in 1962, right? That's right.
Starting point is 00:56:55 I'm going to say for the record, you're really 63, just to clean the accuracy up there because Tom is going to have to edit that and because it's just inaccurate. You know, the truth, truth check checker fact checker in the story That's interesting. So You don't want to when you smell the marijuana. You don't like it. No, I mean, I I don't care for at all I really it makes me sick sick to my coming out of a beautiful apartment building Jacket and ties five thirty in the morning coming to the hospital to go around and I smell it on my way to work It just i'm like what the hell is going on here, man
Starting point is 00:57:27 It's also people smell of it people have been smoking it think lead. I mean first of all, I don't it's like cats They can't fucking smell it, you know I love yeah I love when the patients come in and they wreak of it and then yeah, I'm not smoking I'm like, okay, you're not smoking then I guess you're you're golden You're golden retriever once the lid up six doobies this morning because you reek of marijuana. It's all over your clothes and you, Oh, that's, that's my partner. Yeah. Okay. All right.
Starting point is 00:57:54 Yeah. I don't know. Anyway, look, a couple of old farts like us railing against the rest of the world. It's, it's just a good time, sir. I'm always happy to do it. Listen, thank you for making time for us today. I'm always happy to do it. Listen, thank you for making time for us today. I'm always happy to talk to you. More power to you. You are the guy. And if this calcium thing shows up anything, I'll get in touch. Yeah, just when you're actually just shoot me an email with what the score is. I'm just I'm going to say it's a zero. I think you're a zero guy and so that's the report we want. And really a number, you know, a hundred or less or it kind of depends or two hundred
Starting point is 00:58:29 or less, we're okay. But let's, let's hope and pray for a zero. You deserve a zero. I would like a zero. All right. Take it easy. All right. All right, buddy.
Starting point is 00:58:38 God bless you. Thanks. Bye bye. Bye. It's nostalgia overload as Wilmer Valderrama and Freddy Rodriguez welcome another amigo to their podcast Dos Amigos. Wilmer's friend and former That 70s Show castmate Topher Grace stops by the Speakeasy for a two-part interview to discuss his career and reminisce about old times. We were still in that place of like,
Starting point is 00:59:10 what will this experience become? And you go, you're having the best time. Yeah, but it was like such a perfect golden time. Listen to Dos Amigos on the iHeart Radio app, Apple Podcasts, or wherever you get your podcasts. Hey, I'm Jay Shetty, and my latest interview is with Michelle Obama. To whom much is given, much is expected.
Starting point is 00:59:29 The guilt comes from am I doing enough? Me, Michelle Obama, to say that to a therapist. So let's unpack that. Having been the first lady of the entire country and representing the country in the world, I couldn't afford to have that kind of disdain. Listen to On Purpose with Jay Shetty on the iHeart Radio app, Apple Podcasts or wherever you get your podcasts. We did not drink water growing up. Water was not a thing. Parenting. You got teen boys. This is like the black diamond of parenting. And of course.
Starting point is 01:00:09 I don't think so, honey. Horror movies. Okay. Okay? Amy Poehler is on Las Culture. The latest episode is out now. Listen to Las Culturistas on the iHeartRadio app or wherever you listen to podcasts. The biggest stars in country music will be taking the stage the iHeartRadio app or wherever you listen to podcasts. Cole Swindell, Sam Hunt, Megan Moroney, Bailey Zimmerman, Nate Smith, special guest Dasha.
Starting point is 01:00:47 High Heart Country Festival, let's go! Stream only on Hulu, Saturday May 3rd, starting at 8 p.m. Eastern, 5 Pacific.

There aren't comments yet for this episode. Click on any sentence in the transcript to leave a comment.