Loading summary
Wilmer Valderrama
It's nostalgia overload as Wilmer Valderrama and Freddie Rodriguez welcome another amigo to their podcast, Dos Amigos. Wilbur'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.
Freddie Rodriguez
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.
Wilmer Valderrama
Listen to Dos amigos on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Jay Shetty
Hey, I'm Jay Shetty and my latest interview is with Michelle Obama, to whom.
Michelle Obama
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 in the world, I couldn't afford to have that kind of disdain.
Jay Shetty
Listen to On Purpose with Jay Shetty on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Camila Ramon
I'm Camila Ramon.
Liz Ortiz
And I'm Liz Ortiz. And our podcast Hasta Bajo is where sports, music and fitness collide and we cover it all. The Arriva Hasta.
Camila Ramon
This season we sit down with history makers like the Sucar family, who became the first Peruvians to win a Grammy.
Unnamed Guest
It was a very special moment for us. It's been 15 years for me in this career. Finally, things are starting to shift into a different level.
Camila Ramon
Listen to Hastavajo on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Liz Ortiz
Presented by Elf Beauty, founding partner of iHeart Women's Sports.
Unnamed Guest
The biggest stars in country music will be taking the Stage at our 2025 I Heart Country Festival presented by Capital One. Ladies and gentlemen, Brooks and Dunn, Thomas Rhett, Rascal Flatts, Cole Swindell, Sam Hunt, Megan Maroney B. Zimmerman, Nate Smith Special guest Dasha Stream only on Hulu Saturday, May 3rd starting at 8pm Eastern, 5 Pacific.
Craig Ferguson
This is me, Craig Ferguson. I'm inviting you to come and see my brand new comedy hour. Well, it's actually, it's 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 2 in your region. Tickets are on sale now and we'll be adding more as the Tour continues throughout 2025 and beyond. For A full list of dates go to thecraigfergusonshow.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 guest all time, of all the shows I've done a terrific man. I'm very interested if you're interested in your health or general health. And I think most people are, but, you know, maybe you're not. But this guy is just. I just can't get enough of him. His name is Doctor. Well, I suppose name, but that's his title. He's Dr. Robert Serfolio. Enjoy. And here's the thing, Sheriff. You are a record breaker today because you are the first time I've had. Is this the third time you've been on the show?
Jay Shetty
Third time. It's a big honor for me. I'm honored.
Craig Ferguson
And listen, and let me just say this, the third time on the show. But remember, the first time we recorded you, it didn't record at all.
Jay Shetty
How could I?
Craig Ferguson
It's technically the fourth time.
Jay Shetty
The fourth time. That's exactly right.
Craig Ferguson
Now, what's the deal with your headset? Are you doing a lot of robotics? No.
Jay Shetty
It's not like I'm an air traffic controller and I wanted to get a job drinking my water, but I don't want to get water on the thing.
Craig Ferguson
Hey, what's the I'm going to screen? You made me think I want to drink water. So what's the deal with. When you do the thoracic surgery, do.
Jay Shetty
You do it thoracic?
Craig Ferguson
Thoracic. Like Thoracic Park?
Jay Shetty
Exactly. Instead of Jurassic, it's thoracic. You're right. I love that analogy. You're right on it, man.
Craig Ferguson
So. So let me ask you this. Do you wear your little headset when you're doing it and tell everybody what they're. What you're doing?
Jay Shetty
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 rope, that should put the ports in and make the incisions. Then when you leave the patient and you walk 10 or 15ft over and sit at the da Vinci console, where you're looking through the box and moving your hands. Then I just have this thing on, but it's more comfortable than the one that they gave me today.
Craig Ferguson
Talk to me about what's the da Vinci console, because I think, you know I, of course, know what it is, but many people will not know what the da Vinci console.
Jay Shetty
No, you're 100% right. I mean, people still don't get it. 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 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, 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, in a very competitive pickleball match or a great golf match, when I'm doing well or teaching or educ. Or putting an impact on the world, or when I'm submerged underwater, scuba diving in the robotic console. Because 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. My head is in this thing, 3D. I'm looking through this glasses. I can move my hands. I can move my feet. There's six petals for my feet. There's a couple pedals for my hands. And as I move those instruments that we put in through those little tiny sticks, they move, and they are a mimic to our hand motion. So the surgeon's doing the operation, not the robot. But the robot allows you to shrink your hands down to these tiny little 1cm 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. So that's how it works.
Craig Ferguson
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?
Jay Shetty
How many. Forget Raquel Welch in that outfit. My gosh.
Craig Ferguson
Right? So Raquel Welsh in Fantastic Voyage, where they. 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.
Jay Shetty
It's exactly what it's like. But they, of course, are really small and they're just inside. Remember, they. The way they got out was through the lymphatic system. Remember there was the arteries and Venus and they went in the lymphatic.
Craig Ferguson
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 in my digestive tract. And you get into the intestine and out you come. And on the way out, quick colonoscopy.
Jay Shetty
Not to mention. And then it's very appropriate that they end up in the excrement giving how the ending of that movie went. But yeah, you're exactly. The problem with that is, of course, if they get in any type of the GI tract, 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 ear, if you remember. But what a fantastic movie. What a fantastic movie.
Craig Ferguson
I didn't, I didn't know that it was actually, it was so accurate. Do you ever. You know, I met Raquel Welch a couple of times. She was on my old late night show.
Jay Shetty
Really?
Craig Ferguson
Yeah. Now for you and I, your generation to get to meet Raquel Welch. So. But here it gets even better. 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.
Jay Shetty
It was in the fur bikini. And what movie was that?
Craig Ferguson
It was 1 million years B.C.
Jay Shetty
That was it.
Craig Ferguson
Yep. So she's in the fur bikini and she, she wrote on it and she said Cher Craig, because she, she liked to speak French. She said Cher Craig. I could. I remember because I've still got the poster share. Craig, you can visit my cave anytime. Remember to wear your kilt. Love, Raquel.
Jay Shetty
Oh my gosh, that would be like.
Craig Ferguson
God bless.
Jay Shetty
She was. Yeah, the. Everybody had a poster of her when I was a kid. She was unbelievable.
Craig Ferguson
Yeah, that, that was, that was.
Jay Shetty
Is she still alive and how old is she?
Craig Ferguson
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. I don't really know the difference, to be honest. Well, maybe you could tell me what is the difference between Alzheimer's and dementia?
Jay Shetty
Well, there's a pretty big difference, actually. I mean, Alzheimer's is one type of dementia. Dementia is a more general term of which there are specific types. Yeah.
Craig Ferguson
All right, so dementia is like a blanket term, like cancer, maybe. There's so many different cancers, but it's a type of cancer.
Jay Shetty
Yeah, it's kind of like dementia, where you and I are headed. That's a general term that we could apply.
Craig Ferguson
You know, I don't know why you have to say that, because it's not necessarily going to that. You know, somebody asked me once, a buddy of mine asked me once. He said, when you get older, what do you want to go? The. The plumbing or the. Or the upstairs? And I'm like, oh, definitely upstairs. Yeah.
Jay Shetty
Oh, you do?
Craig Ferguson
Well, I think upstairs. Because then if I, My upstairs goes, that's somebody else's problem. If the plumbing goes, that's my problem. I, I, that's me going.
Jay Shetty
So it's interesting how. Because I think it's somebody else's problem. The last thing I want to do is do that to Mike. My three boys. Remember my three boys lost their mom. The last thing 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. Oh, yeah, 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.
Craig Ferguson
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, like, just hit that thing every hour on there and put. And put movies on.
Jay Shetty
Yeah. 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.
Craig Ferguson
Yeah, I guess. Well, look, see, here's the thing now. I go for my annual physical yesterday, so this is kind of. Yeah, so. But you know what? It's two years since I had a physical, but.
Jay Shetty
Well, you're so healthy. That's all you need. Man, look at you. You look. You look like you're 45 years old. You look great. You look. You look even healthier this time than I think the last. It may be because it's. We're not together, but you look great.
Craig Ferguson
No, I tell you what it is, my friend. I lost weight.
Jay Shetty
I Knew it. I could tell. I bet you lost about 20 pounds, right?
Craig Ferguson
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. Like, who the fuck is that guy? Yeah, I was like. I was like, oh, my God. I know, because the special is out now, and people are like, oh, my God.
Jay Shetty
Healing so fat.
Craig Ferguson
And I got. I got fat. I just.
Jay Shetty
I just.
Craig Ferguson
I just stopped exercising and I just kind of, like, wasn't paying attention to the food. And. Yeah, boom. Because it happens much quicker now, that kind of thing, now that I'm older. So I like, yeah, I just, like, I'm back on it. I'm walking and running 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.
Jay Shetty
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 at dinner anymore. The 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. It affects my sleep. And I can notice that I'm up a pound or two because I weigh myself twice a day because I'm crazy. But I think you're right. It's part of being 60, you know? And so I'm totally into the health thing. I'm, you know, I'm a nut about exercising and all that. It's fun.
Craig Ferguson
I know you are, but it shows. Look at you. I mean, you. I mean, you. You're in fantastic shape. You.
Jay Shetty
I mean, I appreciate that.
Craig Ferguson
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 because I knew I moved back to New York. So I go, I get a new doctor.
Jay Shetty
And you know me, we're happy to have you back in the city where. Which is your home, where we love you. So thank you for coming back.
Craig Ferguson
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'm talking to my doctor now. You know, I like a dog for. 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. Said, that's going to go away soon. That's going to go away.
Jay Shetty
You could 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. A digital rectal exam, I'm out. You're not doing it. You can do that.
Craig Ferguson
Well, I, I, you know, I don't know about you, Matt, I'll miss it.
Jay Shetty
Of course not.
Craig Ferguson
I mean, yeah, yeah. No, man, I, I, I'm like, you know, it's, for me, it's a bit like vinyl, you know what I mean? It's like it's not necessary anymore, but, you know, but you kind of like.
Jay Shetty
It had its day. It's at its day. I tell you a quick story. So when you're a medical student, you have to pair off with, with another medic, 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.
Craig Ferguson
Oh yeah, because there's no prostate up there.
Jay Shetty
Yeah, yeah, exactly Right. So to make a long story short, when I went into the room with the other guy, I said, I said, listen, I'm just going to skip it if you agree to skipping it. I'll skip mine if you skip yours. He said, yes. 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 rectal. I said, listen, 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. 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.
Craig Ferguson
Yeah, well, I don't know. I mean, look, as things that can happen to you in 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. Like, it's no big deal. But the, but the, I've never heard.
Jay Shetty
It expressed that way, Craig, but I love it. I may, I may use that line in my lecture tomorrow.
Craig Ferguson
I mean, we all live differently. Well, I live differently in those times.
Jay Shetty
But let's.
Craig Ferguson
Yeah, but let me ask you this then. If you're doing an MRI of the prostate. Of the prostate. Isn't the MRI, isn't that got radiation in it? Isn't that.
Jay Shetty
No, MRIs have no radiation. That's the advantage to MRIs, no radiation. And a CAT scan that has some radiation. Like I've flown to the Bahamas the last couple of 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 a PET scan, 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 that.
Wilmer Valderrama
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 by the speakeasy for a two part interview to discuss his career and reminisce about old times.
Freddie Rodriguez
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.
Wilmer Valderrama
Listen to Dos amigos on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Jay Shetty
That's the fun part about being an artist that you need to have the patience for finding your pen.
La Gata
I'm La Gata, the culture's favorite reggaeton historian and mosicologa. On an episode of my show the Reggaeton Colagata podcast, I sit down with Bodine a Bori Regatonera who's demanding her place in the male dominated music industry.
Jay Shetty
That's the game, like who stays and who leaves.
La Gata
You know, listen to reggaeton, cue La Gata. On America number one podcast network iHeart. Follow reggaeto lagata and start listening on the free iHeartradio app. Today.
Anna Sinfield
The number one hit true crime podcast the Girlfriends is back with something new. The Girlfriends Spotlight. Our first two series introduce you to an incredible gang of women who teamed up to Fight injustice. Showing just how powerful sis sisterly solidarity can be. We're keeping this mission alive with the Girlfriend Spotlight. Each week a different woman sits down with me, Anna Sinfield, to share their incredible story of triumph over adversity. Like Luanne, who was raised in a secretive religious community.
Jay Shetty
Do I want my freedom or do I want my family?
Anna Sinfield
And found a way to escape.
Jay Shetty
When she said, you know you can leave, right? It was a light bulb.
Anna Sinfield
And now helps other women get out too.
Jay Shetty
I loved my girls. I still love my girls.
Anna Sinfield
So come and join our girl gang. Listen to the Girlfriend Spotlight on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Camila Ramon
I'm Camila Ramon Peloton's first Spanish speaking cycling and tread instructor. I'm an athlete, entrepreneur, and almost most importantly, a perreo enthusiast. Enthusiast.
Liz Ortiz
And I'm Liz Ortiz, former pro soccer player and Olympian. And like call me a pareo enthusiast. Come on, who is it? Our podcast, Hasta Bajo is where sports, music and fitness collide and we cover it all, the arriva hasta sit downs with real game changers in the sports world, like Miami Dolphins CMO Priscilla Shumate, who is redefining what it means to be a Latina leader.
Jay Shetty
It all changed when I had this guy come to me. He said to me, you know, you're not Latina enough.
Camila Ramon
First of all, what is that? My mouth is wide open. Yeah, history makers like the Sucar family who became the first Peruvians to win a Grammy.
Unnamed Guest
It was very special moment for us. It's been 15 years for me in this career. Finally, things are starting to shift into a different level.
Camila Ramon
Listen to Asta aho on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Jay Shetty
Brought to you by Novartis, founding partner.
Michelle Obama
Of iHeart Women's Sports Network.
Craig Ferguson
Hello, this is Craig Ferguson and I want to let you know I have a brand new stand up comedy special out now on YouTube. It's called I'm so happy and I would be so happy if you checked it out. To watch the special, just go to my YouTube channel at the Craig Ferguson show. And this is 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 because I got a new doctor, so I Got to run on this. You're my second opinion guy, right. You know, you're my go to guy, right? Okay.
Jay Shetty
And my. My price is right for the second.
Craig Ferguson
I was gonna say, I wish I hadn't said that because now I know.
Jay Shetty
You'Re paying me what I'm worth, so it's appropriate.
Craig Ferguson
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 in your early 60s. So I want to do a calcium. Was it a calcium.
Jay Shetty
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 the epicardium, the outside of your heart, to make sure you don't have coronary artery disease. As opposed to getting a calf where they stick a catheter in your groin or your wrist and they put a catheter up and then they inject contrast. They look at your arteries.
Craig Ferguson
I'd prefer not to have that.
Jay Shetty
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.
Craig Ferguson
I don't know yet. I haven't had it yet.
Jay Shetty
Oh, yeah, I had mine six months ago. It was zero, which was good.
Craig Ferguson
But, you know, when does it get to be a problem if you have. What do they do if they find calcium on the outside of your heart? What are you there drugs for stuff?
Jay Shetty
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. But if the score is 1000 or 2000 or something, then you're going to get a CA. Cardiac cath, which is what I just described a minute ago.
Craig Ferguson
What is a cardiac Catholic? Yeah, that's the.
Jay Shetty
We 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, two little orifice, two little openings that carry your 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 big branches. One's called the lad, one's called the obtuse marginal, et cetera, and these other branches. And then on the right side, you have a right coronary artery that usually supplies your sinus. Your. The 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, 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.
Craig Ferguson
Man, that sounds like. I wasn't really boiled about it, but now I'm kind of scared about it a little bit.
Jay Shetty
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?
Craig Ferguson
No. Nobody lives long enough in my family to get a heart attack. They're too busy drinking.
Jay Shetty
Right?
Craig Ferguson
Yeah. They die of alcohol or food related cancer.
Jay Shetty
Fork and hand related disease. I call it fork in hand, the hand and the fork.
Craig Ferguson
But that's interesting because I was talking about, you know, because my. My dad. I know you, and I talked to him. My dad got esophageal cancer.
Jay Shetty
Yeah, that was one of the things I operate on.
Craig Ferguson
Right. So tough one. 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 was. I remember I told you this, I was getting, you know, pretty intense indigestion, like heartburn and stuff.
Jay Shetty
Yeah.
Craig Ferguson
I had it screened and they found esophagitis. No Barrett's, but some kind of esophagitis and some kind of. And I went on those crevices things, you know, the omniprazole or something like that.
Jay Shetty
Omiprazole? Yeah, yeah, it's great.
Craig Ferguson
I went on it. I went on it for. 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, I. That's when I really changed. I dropped weight and stuff like that. And I think it's the weight, man.
Jay Shetty
I think it's 1, 100% the weight. And I'm sure he told you that. So the omiprazole just reduces the acid production and. But if you lose weight, you'll have much less reflux, for sure. So that's great.
Craig Ferguson
That's amazing to me because I. I mean, I. I put on weight, but I wasn't like, nobody was going, hey, who's that fat guy? Said me. But you don't need to have that much, apparently.
Jay Shetty
No, you know, you can. There's just. You could just gain 10 or 15 pounds and all of a sudden start to reflux. As we get older, you know, you're more likely to reflux. 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 or 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 when people have these other symptomatologies. They 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 when they sleep, or a lot of people sleep apnea is related to reflux and they don't know it. You know, they wake up because there's a little bit of acid in the back of their mouth.
Craig Ferguson
That's so weird to me because I kind of like, for something as. I mean, I. I'm very kind of sensitive to it because my father and his story.
Jay Shetty
But sure.
Craig Ferguson
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.
Jay Shetty
I heard of it, yeah.
Craig Ferguson
Let food be thy medicine is what he said. That was one of his things. Let food be thy medicine.
Jay Shetty
And your historical wisdom, you have all this wisdom from history. You're a history buff.
Craig Ferguson
I am a history buff. I do like the ancient Greeks. I have to say I'm interested in them. But I tell you what they didn't have. They didn't have antibiotics.
Jay Shetty
No, they didn't have that. And they didn't have morphine.
Craig Ferguson
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?
Jay Shetty
Yes, yeah.
Craig Ferguson
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 goes in the bread and the bread would grind down the thing. So that's what opened up the trade route, the opium route, from China to. To ancient Egypt. Because opium was the new wonder drug. It was coming in from in Afghanistan, was now Afghanistan, but I guess I do something else then, Asia Minor and all that stuff. And that's how these trades started up, because the Egyptians would buy as much opium as they could get, of course, because of the dental pain. So what I'm saying is.
Jay Shetty
And 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 now. But they didn't have that when they were younger, which was clearly needed, et cetera. Yeah. And, you know, dental infections led to a lot of heart disease in those days. And you know, as a heart lung surgeon, we have, there's a thing called endocarditis, which is infection on your heart valve, often from infections in your teeth. Bad dental care.
Craig Ferguson
That's why I heard that the plaque in your arteries is just the same. Plaque is like plaque on your teeth.
Jay Shetty
Right.
Craig Ferguson
It's the same shit. It.
Jay Shetty
Well, that's a little. Little different, but it's. It's a little bit different, but I think it does similar damage, let's put it that way.
Craig Ferguson
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. Scotland in particular, when I was a kid, was bad for dental care. Just bad.
Jay Shetty
Terrible, terrible.
Craig Ferguson
And they. And they have this huge, you know, problem with heart and lung problems. Right. They used to. And I think that was smoking.
Jay Shetty
It's gotten better. Yeah. And the dental care has gotten much better, for sure.
Craig Ferguson
Yeah. But there was. I don't think it was Hippocrates who said this, but I have heard this phrase. Death enters the body through the mouth of the anus. That's. That's how it gets in.
Jay Shetty
Who the hell said that?
Craig Ferguson
I don't know, but I, I, maybe I see.
Jay Shetty
Maybe the mouth I can see, but the anus.
Craig Ferguson
Well, what about the rise and colon cancers with the young people? I mean, the.
Jay Shetty
Yeah, but that doesn't come from the anus. That comes from. In the colon, comes from epithelial changes inside the lining of the colon. Coming from the ass going up. That's starting off.
Craig Ferguson
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, because 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.
Jay Shetty
Yeah. So we gotta be a little bit careful about incidents 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. We're doing more CAT scans, and we're discovering things in asymptomatic patients. 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 that puts them at risk. And so we're finding more of it. So does that mean that there's a greater incidence in the population or we're just better at discovering it now? So I think it's probably multifactorial.
Craig Ferguson
All right, so better column A, better column B. Right, Correct. Is there. I mean, everybody talks, particularly cancers. We talk about early detection, early detection, early detection.
Jay Shetty
And it makes a huge difference. Enormous difference as it's night and day. I mean, look at lung cancer. Twenty years ago, you see everybody with stage three disease and 20 or 30% were alive in five years. Now 90% of the people I see are stage one disease. And I operate and take the lung cancer out and 95% are alive at five years. The practice has completely shifted in my lifetime.
Craig Ferguson
The friend of mine actually just had a cancer, and he went through. I don't know exactly which one it was because he's 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.
Jay Shetty
Yeah.
Craig Ferguson
Now, what's that? If you remove the tumor, what's the. What's the deal with the chemotherapy? Yeah.
Jay Shetty
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, Patients don't get chemo because if 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 do surgery, and then they often get chemo afterwards. But to make 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's clean, brain's clean, everything looks great. 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 out 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. But of course, it kills your normal cells, too. That's why you lose your hair.
Craig Ferguson
Now, does that still happen? Because he was talking about they got some kind of cold hat thing or something.
Jay Shetty
There's cold hat, which is supposed to. Supposed to help the follicles resist that cellular death from the chemo. And it does work. So. But in general, people still lose their hair. Their hair thins. It depends. Even if they're wearing the cold cap all the time.
Craig Ferguson
Yeah, I don't know. I mean, I think I may just wear the cold cap even if I'm not getting keyboards, just in case. You know what I'm saying?
Jay Shetty
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 got those beautiful locks and you 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 got a lot of gray hair. You got to look. But they want surgeons with gray hair, so I'm friggin jealous of that. That looks great.
Craig Ferguson
Yeah, you, you got it. You got to have the gray hair. That's what I, I want. I want my doctor to look like the first George.
Jay Shetty
Like you.
Craig Ferguson
Yeah, like me. Yeah.
Jay Shetty
Yeah.
Craig Ferguson
But I don't want, I don't want him to be like me though. Yeah, I don't want to.
Jay Shetty
I get it.
Craig Ferguson
Well, you see, the thing is though, I, I've noticed this about doctors over the years. When you're, when you're a kid, I, I hardly ever saw a doctor when I'm a kid. You know, see a dog, you see a doctor when you break a leg or something. Who cares? I mean.
Jay Shetty
Exactly.
Craig Ferguson
But now, you know, I, I, you know, when you get to 40, I guess that's when it starts kind of, you know, boom and, and all that.
Jay Shetty
Yeah, you're right. What did the bar and the ramp, man, let's just go through each one. The Burtman. What, what did that refer to?
Craig Ferguson
That, that's the prostate exam that begins.
Jay Shetty
That's what I thought it was.
Craig Ferguson
And this is the colonoscopy.
Jay Shetty
That's, that's what I thought it was too. Yeah. Wanted to make sure the audience knew exactly the screening modalities that you were articulating the so adroitly.
Craig Ferguson
But 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, but I thought, I don't need, you know.
Jay Shetty
Now you swallow a capsule with a camera in it.
Craig Ferguson
Nut shut up. Is that true?
La Gata
No.
Jay Shetty
100%. And then when you, you know, when the capsule comes out, it can, it can give images all the way through and then you just defecate it out so they can get images with capsular cameras.
Craig Ferguson
It really is fantastic voyage then. It really is fantastic voyage. So you take that and then what, you, you do a poop and you send the poop to Snappy Snaps and they.
Jay Shetty
No, the images get sent. But yeah, I guess that's the other way to do it. You could just filter your stool and then Just send it into, I guess, the camera studio down cvs. We don't quite do it that way, but that's another way to do it.
Craig Ferguson
Does it transmit it from your boat?
Jay Shetty
Yes. Yes.
Craig Ferguson
That's unbelievable. Dude. That's insane.
Jay Shetty
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 not that new.
Craig Ferguson
I had no idea. Well, how come I'm still getting the thing going up then?
Jay Shetty
Because it's not as good. Because think about it, it doesn't really look in all the, you know, when you put a, 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. 2. We move the camera around and get really a much better look at each one, inspect it much more carefully. But we can't get to the small bowel. Right. It's hard to put a scope. A scope could go down your mouth. Then you have like 30ft 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, you know, the rectum, the sigmoid colon, the ascending, the transverse and the descending, or, excuse me, the descending, transverse and ascending and get right to what's called the ileocecal valve. And even look at some of the ileum, which is the end of the small bowel. But you can't look at all the deduum, juju junum and ileum, 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.
Wilmer Valderrama
It's nostalgia overload. As Wilmer Valderrama and Freddie Rodriguez welcome another amigo to their podcast, Dos Amigos. Wilbur's friend and former that's 1970 show castmate Topher Grace stops by the speakeasy for a two part interview to discuss his career and reminisce about old times.
Freddie Rodriguez
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.
Wilmer Valderrama
Listen to Dos amigos on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Anna Sinfield
The number one hit true crime podcast, the Girlfriends is back with something new. The Girlfriend Spotlight. Our first two series introduce you to an incredible gang of women who teamed up to fight injustice, showing just how powerful sisterly solidarity can be. And we're keeping this mission alive with the Girlfriend Spotlight. Each week a different woman sits down with me, Anna Sinfield, to share their incredible story of triumph over every adversity. Like Tracy, who survived a terrifying attack.
Jay Shetty
I remember that feeling of, okay, this is how I die.
Anna Sinfield
And turned that darkness into the most incredible journey.
Jay Shetty
I want to take over the world and just leave this place better than I found it.
Anna Sinfield
Which took her all the way to Paris for the Paralympic Games.
Jay Shetty
Oh my gosh, this is amazing.
Anna Sinfield
So come and join our girl gang. Gang. Listen to the Girlfriend Spotlight on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
La Gata
Public scholar and recording artist. Yes, that means I've done the work on my show that I get, the Colagata podcast. I'm not only talking to Florian, who has the number one reggaeton track in the world right now. I'm also going beyond Perreo to speak with music innovators like Raina, who is known for her media roquera tracks and collaborating with artists like Baboni. We're also giving you the cultural breakdown straight from the source. Listen to Regeto colagata on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Camila Ramon
I'm Camila Ramon, Peloton's first Spanish speaking cycling and tread instructor. I'm an athlete, entrepreneur, and almost most importantly, a parrello enthusiast.
Liz Ortiz
And I'm Melissa Ortiz, former pro soccer player and Olympian and light cop. Call me a pereo enthusiast. Come on, who is it? Our podcast hastavajo is where sports, music and fitness collide and we cover it all. The Arriva Asta sit downs with real game changers in the sports world like Miami Dolphins CMO Priscilla Shumate, who is redefining what it means to be a Latina leader.
Jay Shetty
It all changed when I had this guy come to me. He said to me, you know, you're not Latin. Latina.
Camila Ramon
First of all, what is that? My mouth is wide open. Yeah. History makers like the Sucar family who became the first Peruvians to win a Grammy.
Unnamed Guest
It was a very special moment for us. It's been 15 years for me in this career. Finally things are starting to shift into a different level.
Camila Ramon
Listen to Hasta ajo on the iHeartRadio app Apple Podcasts or wherever you get your podcasts.
Jay Shetty
Brought to you by Novartis, founding partner.
Michelle Obama
Of iHeart Women's Sports Network.
Craig Ferguson
So what would you say then if anyone said to you, like, say someone between the ages 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.
Jay Shetty
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. Like I said, we're just at the borderline. But, you know, then there's. You don't get much benefit of doing a brain scan. But a brain, a CT scan of neck, 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 give me both, but I would pick the CT over the blood work.
Craig Ferguson
So does that, I mean, like that calcium thing I'm getting, you know, that scan I'm getting in my heart, that kind of routine thing, would that be included in that?
Jay Shetty
No, that's a very specific thing to look at, coronary 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 were asymptomatic, they never smoked. These are very wealthy people getting 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 an odul in the middle and one had a large in the upper lobe globe. And they both turned out to be lung cancer. So that screening study for the heart saved their life. It got their lung cancer resected. We did their operation yesterday and they both went home today.
Craig Ferguson
Wow, that fat. So it was a thoracic operation then, right? It was, yeah.
Jay Shetty
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.
Craig Ferguson
That's crazy. That, that's. That. You know what though? I mean, knowing all the stuff you have, you know, you know, and I, I know you, you know, we've talked quite a bit over the past couple of years. Would, I think it would. I wouldn't sleep a wink at night. I think every time I felt a.
Jay Shetty
Twinge or a sleep like a rock. A, cause I ain't that smart to worry. B, because I got a pretty clean conscience. And C, you know, I think if you just work out and eat well. And I gotta tell you, our society has it wrong. Having these big late dinners like you go to Spain or you go to these 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, kind of skip lunch and then 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, 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. I was sore as hell Sunday night and Monday. But that's not cancer related.
Craig Ferguson
So.
Jay Shetty
I mean, I think everyone has aches and pains when they wake up. Especially when we get to our age at 62.
Craig Ferguson
62, man. I mean, mean, it's so funny that, I mean, first of all, pickleball, I, I mean that's the new dog thing, isn't it?
Jay Shetty
Singles pickleball is great. I played a, 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.
Craig Ferguson
What is pickle? I don't know. Anybody. Pickleball is pickleball. Like it's like tennis but with a tiny little bat or something.
Jay Shetty
Yeah, like it's not a bat exactly, but it's like think of ping pong and, and make it bigger 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 the people listening because a lot of older people play doubles, they tear their Achilles, they tear their calf muscles, they get little tears in their legs after. You have to stretch and work out. Even if you're going to play doubles pickleball, because you're bending and turning and hitting and running a little.
Craig Ferguson
Yeah, it's not for me, man. I don't, I don't do that. I think you would like to. I work alone, so I do calisthenics on my own. I run and I walk or, or lift some weights.
Jay Shetty
So when you run, how, how far do you run, Craig?
Craig Ferguson
You know, kind of varies. I, I usually like nowadays cause I, 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 10 miles on a treadmill.
Jay Shetty
So does that must take you an hour.
Craig Ferguson
How long does that take north of that? Sometimes like five miles. Yeah. In under an hour. But 10 miles? Yeah, maybe like wow, a bit longer than, than, but that's unbelievable you're able.
Jay Shetty
To do that with your. So you know, I've had both my knees replaced. I think you and I have talked about that before because I played three sports in high school, 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 5 or 10 miles even on a treadmill. That's, and your knees aren't too sore afterwards?
Craig Ferguson
No, they're not bad. But the thing is when you were doing all, 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.
Jay Shetty
Delivered.
Craig Ferguson
It's the liver is, that's so funny. Yeah.
Jay Shetty
Actually your liver, your liver is probably almost back to normal now. I bet you.
Craig Ferguson
Yeah, it should be. I, I, I, I haven't had a drink in over 33 years.
Jay Shetty
Unbelievable. I mean crazy. Let's drink to that. I mean that.
Craig Ferguson
No kidding. I mean, I mean I, so like I stopped drinking when I was 29 years old.
Jay Shetty
It's incredible. And when I 29 year olds are talking, how many 29 year olds have the mental fortitude to do that? Seriously? Not many men.
Craig Ferguson
I think what it was is that it was, I was in a fork in the road. It was either jails, institutions and death or stop drinking. And it was a tough decision for a minute.
Jay Shetty
Yeah, it was close call to look, close call for every. 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, not a healthy way to go, man.
Craig Ferguson
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. Right. You know, you worry that you're passing on that genetically to those guys and. Right. And what I wonder, you know, I think, look, I'm not a doctor, as we both know, but I, I wonder if alcoholism is, is as clear cut as genetics. I think it's, I think it's a genetic predisposition, I think 100% right.
Jay Shetty
And we have data that that's correct. But you know, without the environment, if I took that person who has 100% chance of being an alcoholic and I put him on an island his whole life with no alcohol, it's 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, you know, I told him that if you ever smoke, you're going to 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 sip ever of alcohol. Never. He's so anti against it. It's really interesting. How old are you is your oldest, Greg?
Craig Ferguson
My oldest is 20, just coming up in 24.
Jay Shetty
4.
Craig Ferguson
But what I said to my kids was look, you don't have to be an alcoholic for alcohol to up your life, you know?
Jay Shetty
Exactly right.
Craig Ferguson
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 done.
Jay Shetty
You're right. And even worse, Craig is if they don't get hurt, they hurt some little kid, they hurt someone else and they are screwed up forever with that guilt, you know, not to mention what they did to the kid in the family.
Craig Ferguson
Right. And. And what's kind of, I find myself kind of struggling with is because I'm not a temperance 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, Easter or Christmas or something and go.
Jay Shetty
Yeah, 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 why what I always would do at dinner, maybe once a week, twice a week. 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 Alec, which is really interesting how they, 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 drunk, it really turns them off. It's funny, they just, they think it's a really bad look listening to them.
Craig Ferguson
I remember one scene, I was in France in a. In a fancy hotel, and there was an American lady in the bar and she was a little, she was a little drunk. I mean, it wasn't bad, but she was clearly, she was a little stroppy and she was leaving the bar and I just happened to glance at the way the waiter was looking at her.
Jay Shetty
Yeah.
Craig Ferguson
And. Yeah, the utter disgust on his face.
Jay Shetty
I know.
Craig Ferguson
Because the culture there is not, you know, to be right, to be drunk is. It's not, it's bad. It's a bad look. Yeah. I don't think it was because she was a woman. I think it was because she was drunk. You know, she's a woman in drunk. Just any drunk.
Jay Shetty
It's like, you know, I've been to a few social. 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, and then they watch an adult 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 15 year old know exactly what's happening and probably the 12, but the 7 and 8 year old what are they processing and, and how, what do they do with that information as they get older? I think it's impactful.
Craig Ferguson
Yeah, 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. It was kind of scary. But also I equated it with that must be what a good time is, you know, I mean, exactly.
Jay Shetty
It is, it is part of hey, where let's go out and have fun. You know, you can have fun without alcohol. It's, it's not, the two are not inextricably intertwined. They may be related. 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.
Craig Ferguson
Usually 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 weed the people are taking. I mean, as soon as you walk.
Jay Shetty
Out of your building, you just smell it, right? Wafts of it, yeah.
Craig Ferguson
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.
Jay Shetty
I was going to do weed first. I was going to weed over the pizza eats it.
Craig Ferguson
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, their, their alcohol in the bag. But you can smoke a doobie. Like the air from the smoke from the alcohol is not getting up my nose.
Jay Shetty
But you're exactly right.
Craig Ferguson
I feel like, I feel like it's discrimination against alcoholics.
Jay Shetty
You know, I hadn't spun it that way in my mind, but now that you mentioned, I'm on board with that. I'm happy to join, you know, your, your society with that. Let. But I will tell you this. So you know, I operated 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 maybe, but you could guess. But the lungs of people who smoke marijuana, and these are world class athletes smoking it 2, 3, 4 times a day, a day for 12 to 10 to 15 years, the damage it does in their upper lobe probes is unbelievable. Worse than cigarettes because before it wasn't regulated. You don't 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, some young kids who vape almost 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 when they get a pulmonary interstitial pneumonitis and some sort of allergic reaction in the whole lung. It's terrible. And then 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.
Craig Ferguson
Well, the thing is as well with marijuana for me is the, you know, because I get it. You know, I smoked marijuana. I mean, I did all the drugs and the, the marijuana, strangely enough, was the one I, I had the worst time with. It made me psychotic. I mean, it brought a panic me. I mean, I guess maybe speed or acid could, could compare with it, but I didn't do a ton of speed and acid. Yeah. But it, but whenever people would casually. I would, I would smoke it when I was about 17, 18, I would smoke marijuana and it kind of made. That's what it did to everyone else. And then one day it changed. And whenever I even I smell weed now. Yeah, 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.
Jay Shetty
I'm like, I'm gonna say for the record, because your birthday's in May, mine's May 24th. I think yours is May 27th. Sixth, right.
Craig Ferguson
No, mine is 17. Which means I'm younger than you. Yeah.
Jay Shetty
No, no, no. Are you? Is that what that means?
Craig Ferguson
No. Older than you. Older than you.
Jay Shetty
I'm gonna say. I'm pretty sure I think you're older. Well, I was gonna let you run with that story.
Craig Ferguson
Yeah.
Jay Shetty
So we both turned 63. Both born in 1960 too, right? That's right. I'm gonna say for the record, you're really 63 just to clean the accuracy up there because Tom is gonna, Tom's gonna have to edit that and because it's just an actor, you know the truth. Truth checker. Fact checker in the story.
Craig Ferguson
It's interesting.
Jay Shetty
You don't. You, when you smell the marijuana, you don't like it.
Craig Ferguson
No, I don't care for it at all.
Jay Shetty
It makes me sick.
Craig Ferguson
Sick to my.
Jay Shetty
Coming out of a beautiful apartment building, jacket and tights, 5:30 in the morning, coming to the hospital to go around and I smell it on my way to work. It's just, I'm like, what the hell is going on here, man?
Craig Ferguson
It's also, people smell of it. People have been smoking it. Think they, I mean, first of all, I know it's like cats, they can't smell it.
Jay Shetty
You know, I love, yeah, I love when the patients come in and they reek of it and then, yeah, they go, I'm not smoking. I'm like, okay, you're not smoking. Then I guess your, your golden, your golden retriever must have lit up six doobies this morning because you reek of marijuana. It's all over your clothes and you. Oh, that's, that's my, my partner. You okay? All right.
Craig Ferguson
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, Sarah. 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.
Jay Shetty
You are me.
Craig Ferguson
You are the guy. And if I, if this calcium thing shows up, anything, I'll get in touch.
Jay Shetty
Yeah, just when you're actually, just shoot me an email of 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, that's the report we want. And really a number, you know, 100 or less or it kind of depends or 200 or less. We're okay. But let's, let's hope and pray for a zero. You deserve a zero.
Craig Ferguson
I would like a zero. All right, take it easy, man.
Jay Shetty
All right, buddy. God bless you. Thanks.
Craig Ferguson
Bye. Bye. Bye.
Wilmer Valderrama
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 by the speakeasy for a two part interview to discuss his career and reminisce about old times.
Freddie Rodriguez
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 was like such a perfect golden time.
Wilmer Valderrama
Listen to Dos amigos on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Jay Shetty
Hey, I'm Jay Shetty and my latest interview is with Michelle Obama, to whom.
Michelle Obama
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 and representing the country and the world, I couldn't afford to have that kind of disdain.
Jay Shetty
Listen to On Purpose with Jay Shetty on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Camila Ramon
I'm Camila Ramon.
Liz Ortiz
And I'm Liz Ortiz. And our podcast Hasta Bajo is where sports, music and fitness collide and we cover it all. De Arriva Hasta.
Camila Ramon
This season we sit down with history makers like the Sucar family, who became the first Peruvians to win a Grammy.
Unnamed Guest
It was a very special moment for us. It's been 15 years for me in this career. Finally, things are starting to shift into a different level.
Camila Ramon
Listen to Astavajo on the iHeartRadio app, Apple Podcasts or wherever you get your podcasts.
Jay Shetty
Presented by Elf Beauty, founding partner of iHeart Women's Sports, the biggest stars in.
Unnamed Guest
Country music will be taking the Stage at our 2025 I Heart Country Festival, presented by Capital One. Ladies and gentlemen, Brooks and Dunn Thomas Rhett Rascal Flats, Cole Swindell, Sam Hunt, Megan Maroney, Bailey Zimmerman, Nate Smith. Special guest Dasha Country Festival Stream only on Hulu Saturday, May 3rd starting at 8pm Eastern, 5 Pacific.
Joy, a Podcast
Hosted by Craig Ferguson
Episode: Dr. Robert Cerfolio Returns!
Release Date: April 29, 2025
In this highly engaging episode of "Joy," Craig Ferguson welcomes back Dr. Robert Cerfolio, a renowned cardiothoracic surgeon with a passion for both medical innovation and personal well-being. The conversation delves deep into various aspects of health, modern medical advancements, and lifestyle choices that contribute to joy and happiness. Throughout the episode, Ferguson and Dr. Cerfolio intertwine professional insights with personal anecdotes, providing listeners with a comprehensive understanding of maintaining health and finding joy in the midst of life's challenges.
[03:35] Craig Ferguson:
“Today in the podcast, one of my favorite guests of all time, a terrific man, Dr. Robert Cerfolio.”
Ferguson introduces Dr. Cerfolio, highlighting his expertise in thoracic surgery and his enthusiasm for advancing surgical techniques. The discussion kicks off with an exploration of robotic surgery, specifically the use of the da Vinci console in thoracic procedures.
Dr. Robert Cerfolio:
“When we say we do robotic surgery, what that means is… we then leave the table, we take our gown off, our gloves off, we go sit in the chair, and we look in this giant box.” [04:59]
Dr. Cerfolio explains how robotic surgery allows for minimally invasive procedures, reducing recovery time and improving patient outcomes. He draws parallels between modern robotic systems and the classic sci-fi film "Fantastic Voyage," emphasizing the precision and control surgeons gain through these technologies.
The conversation transitions to the importance of regular health screenings. Ferguson shares his recent experience with an annual physical and the evolving landscape of medical diagnostics.
[13:05] Craig Ferguson:
“I like a big city doctor with slim fingers.”
Dr. Cerfolio discusses various screening modalities, including prostate exams and calcium scoring studies for heart disease. They delve into the shift from traditional methods to more advanced, less invasive techniques.
Dr. Cerfolio:
“A CT scan of your chest, abdomen, and pelvis gives us so much information.” [41:11]
He advocates for comprehensive scans that can detect multiple health issues simultaneously, highlighting how incidental findings during heart screenings can uncover life-threatening conditions like lung cancer.
Notable Quote:
“The calcium scoring study, which images the heart, also looks at a small part of the lung and happened to find lung nodules in that small part...” [42:52]
Ferguson and Dr. Cerfolio share personal insights on maintaining a healthy lifestyle. They discuss the challenges of weight management, regular exercise, and the impact of dietary habits on overall health.
[12:16] Jay Shetty:
“Because we're 60. That's why I'm so… I don’t even have a glass of wine at dinner anymore.”
The conversation shifts to alcohol consumption and its effects on health. Both hosts reflect on their personal decisions to limit or abstain from alcohol, considering the genetic and environmental factors influencing addiction.
[48:55] Craig Ferguson:
“I wonder if alcoholism is as clear cut as genetics.”
Dr. Cerfolio emphasizes the dual influence of genetics and environment in addiction, sharing strategies to prevent passing harmful habits to the next generation.
A significant portion of the episode is dedicated to mental health, exploring the pressures of modern life and the quest for joy amidst challenges. Dr. Cerfolio shares his experiences as both a surgeon and a mental health advocate, highlighting the importance of self-care and mindfulness.
[26:45] Jay Shetty:
“Having these big late dinners… you shouldn’t eat after 4 or 5 o’clock.”
They discuss how sleep patterns, stress management, and mindful eating contribute to both physical and mental well-being. The importance of early detection and proactive health measures is reiterated as a pathway to sustained happiness.
The discussion takes a critical turn towards marijuana use, examining its legalization, societal perceptions, and health implications.
[53:31] Jay Shetty:
“The lungs of people who smoke marijuana, and these are world-class athletes smoking it 2, 3, 4 times a day, … the damage it does in their upper lobe probes is unbelievable.”
Dr. Cerfolio shares his apprehensions about marijuana, particularly its impact on lung health and its association with pulmonary diseases. The conversation underscores the importance of responsible use and awareness of the medical risks associated with recreational substances.
Notable Quote:
“I'm so anti marijuana. It's... I can't explain it.” [55:47]
Throughout the episode, both Ferguson and Dr. Cerfolio intertwine personal stories with professional insights, making the discussion relatable and engaging.
[47:13] Jay Shetty:
“I've had both my knees replaced.”
Ferguson shares his journey towards better health, including weight loss and exercise routines, while Dr. Cerfolio reflects on the predictive value of early screenings and the advancements in medical technology that enhance patient care.
In closing, Ferguson and Dr. Cerfolio emphasize the interconnectedness of physical health, mental well-being, and the pursuit of joy. They advocate for proactive health measures, mindful living, and responsible lifestyle choices as essential components of a happy and fulfilling life.
[58:21] Jay Shetty:
“You deserve a zero.”
[Referring to a calcium score]
[59:04] Craig Ferguson:
“I'm always happy to talk to you. More power to you.”
The episode wraps up with a mutual appreciation for the shared insights and a reaffirmation of the podcast’s mission to explore what brings joy to individuals from all walks of life.
Notable Quotes with Timestamps:
This episode of "Joy" seamlessly blends medical expertise with personal storytelling, offering listeners valuable insights into maintaining health and finding happiness in a complex world. Whether you're interested in the latest medical advancements or seeking inspiration for a healthier lifestyle, Craig Ferguson and Dr. Robert Cerfolio provide a thoughtful and informative discussion that resonates with a broad audience.