Our Surgeon Friend with Dr. Deren Bagsby

Dr. Deren Bagsby isn't your typical surgeon. He's an orthopedic surgeon who, for charity, marathons performing surgery. Working near Fort Brag, Dr. Bagsby recognized the area where he works was critically low on orthopedic surgeons. So, he challenged himself to do 3k units of surgery in a single month. He tells us about inappropriate patients, how to cure tennis elbow, and the accuracy of Scrubs. 

See omnystudio.com/listener for privacy information.

Episode Transcript

Speaker 1 (00:00):
Hi, Hey, Hey, Sorry, I'm three minutes like, guys, what's up?

Speaker 2 (00:04):
Raj, what's up? Rerun?

Speaker 1 (00:06):
What's'? Who the hell is in fucking a war zone?
A police war zone right now?

Speaker 2 (00:12):
It is I Zach Braf. I am in New York
City and there are a lot of police action and
ambulance action and fire action. This is Manhattan, Donald.

Speaker 1 (00:21):
What's going on? Yo? Is there a fight?

Speaker 3 (00:24):
No?

Speaker 2 (00:24):
Donald? You see when you live in a very populous
urban environment, the rescuers oft tell.

Speaker 1 (00:30):
Me about what it feels like to live in an
urban environment.

Speaker 2 (00:33):
Well, I do live in an urban environment, Donald.

Speaker 1 (00:36):
And I would have to I would love to know
what it feels like.

Speaker 2 (00:38):
I know you quote grew up in Hell's Kitchen. But
here in the Isle of Manhattan, I love it here.
I don't want to come home. I gotta come home
for Christmas birthday party.

Speaker 1 (00:49):
It's gonna be so much fun, though I know.

Speaker 2 (00:51):
It's gonna be I'm gonna be excited for the party,
but I'm having. It's gorgeous here. It's literally eighty degrees.
It's every one's chipper. It's Sonny right, Dann you're here?
How pretty is it? It's gorgeous?

Speaker 1 (01:05):
Hot it's gorgeous in La right now. Actually, it's got
a nice hole.

Speaker 2 (01:07):
But I'm when it's going, I'm seeing a plate to night.

Speaker 1 (01:10):
I eat it to a wonderful ninety five.

Speaker 2 (01:13):
Ninety five. That's hot.

Speaker 1 (01:16):
That's not a hot tub. That is far. You see
how the black people are like, lovely, all the white
people are like, that's too hot. I turned red and
water like that.

Speaker 4 (01:27):
You you got some blood, It just gets to the
front of the skin.

Speaker 1 (01:31):
You can see it.

Speaker 2 (01:33):
You got some spoiled ass kids swimming in a ninety
five degree pool.

Speaker 1 (01:38):
I had to tell you this, bro, but you're right
because my wife said the exact same thing. She was like, Yo, listen,
when I was a kid, the temperature was the temperature. Yeah,
and we got in that ship. That's just how it was.
And I can I can attest.

Speaker 2 (01:54):
Your kids are gonna test and your kids are like,
it's not heated.

Speaker 1 (01:58):
That's me too, though.

Speaker 2 (02:00):
Yeah.

Speaker 1 (02:00):
I get it hard for the money, y'all keep it
one hundred.

Speaker 2 (02:03):
I hate my pool too, but not the ninety five.

Speaker 1 (02:06):
I work hard for the money. So you better treat
a nigga right.

Speaker 2 (02:11):
The money for the money, so you better treat a
nigga right, I'm excited for a Christmas party, Don't get
me wrong. It's gonna be everyone we know and love
is going to be there. Everyone.

Speaker 1 (02:29):
Are you excited for?

Speaker 2 (02:30):
Sarah chalk Call texted me. She's like, Christmas present is
not going to be here in Canada on time? Is
there a way I could send the present to your
house so it will arrive on you know? All flabbergasted?

Speaker 1 (02:44):
What are you bringing for? What are you getting Christmas?

Speaker 2 (02:46):
I didn't figure out a present for you? Have you?

Speaker 1 (02:48):
It's hard, man, It's hard pretty much everything well.

Speaker 2 (02:51):
You can't think of like a monetary thing because she
don't need that. It's you have to think about something sentimental.
I was gonna have a pick sure of her blown
up because she loves that. But I don't know. I've
done that so many times. You guys have any ideas too? Well,
you're thoughtful man.

Speaker 5 (03:11):
Ladies in my life, I look like I'm always getting
them spot packages.

Speaker 2 (03:14):
Spot package is good.

Speaker 1 (03:15):
Does she like to ride horses?

Speaker 2 (03:18):
She does? She she does like horses. You want to
get her a horse? You want to puit a horse?

Speaker 6 (03:22):
Me?

Speaker 1 (03:22):
How much would a horse cost?

Speaker 5 (03:24):
Us?

Speaker 2 (03:25):
Horses cost of you know, any range? It's like a car.

Speaker 1 (03:28):
Can get Can we get it? Can we get a thoroughbread?

Speaker 2 (03:32):
Well, that's going to be very expensive. I think that's
like a quarter million dollars for a thoroughbread. Oh well,
I'm just pulling that out of my bread. I'm pulling
that out of my butt. Though, I don't really know
the thoroughbed prices.

Speaker 1 (03:43):
Because then she could enter it in races and all thought.

Speaker 2 (03:47):
Hey, it's a thoughtful idea. So you're suggesting we buy
her a thoroughbed, and we'll also need the trainers and
the and all the staff, the jockey, and then we
need a jockey, or maybe one of your kids could
the jockey.

Speaker 1 (04:00):
Because they're light, they're very they're very they're very light.

Speaker 5 (04:04):
According to the Internet, a thoroughbread costs between one hundred
and three hundred thousand dollars to purchase and forty five
thousand dollars a year in expenses.

Speaker 2 (04:12):
Okay, well it's a very thoughtful gift, Donald. But here's
the thing. If it were to win prize money, we
could tell her that here's the thing, we're spending so
much money on this horse. Donald and I get to
split the prize money.

Speaker 1 (04:26):
Yeah right, I mean, that's only fair, isn't it.

Speaker 2 (04:29):
Yeah, so you're willing to lay out two fifty and.

Speaker 1 (04:32):
Then we get some of that money back, So we
get the money all back.

Speaker 2 (04:36):
So wait, let me just I want to. I want to.
I want to get the plan. We get a horse there,
we're gonna get her a thoroughbread and then we're gonna
need to spend forty five a year, Joelle says, training
and taking care of it. And then we.

Speaker 1 (04:49):
Get a baby one, so it can we can we
can do the proper things that are needed for that
thing to be.

Speaker 2 (04:57):
Like, uh, yeah, we'll probably get a discount if it's
a baby.

Speaker 5 (05:00):
Yeah right, yeah, I know, I think I think reading
right out the gate, it's a hundred thousand, three hundred
thousand dollars.

Speaker 1 (05:06):
Because we need to be able to we need to
be able to mud this bad boy. We need to
be able to track this bad boy all these things
down from here.

Speaker 2 (05:13):
And also maybe it can do yeah well maybe Also
if we're gonna spend that much money, you could do
chores around our yard, you know, like pull pull on yeah,
like help help yeah, helpful, helpful. It could it could
chew our.

Speaker 1 (05:27):
Grass, maybe help plow.

Speaker 2 (05:30):
Yeah, plow if we're doing any that.

Speaker 1 (05:32):
I don't know how much.

Speaker 2 (05:34):
I don't know how much plowing you're doing. But we
would have a very nice horse to do the plowing.

Speaker 1 (05:38):
Yes, not only a very nice horse. I don't know
if it's equipped properly to do I don't think the
legs are strong. I think it's just equipped to run, right.

Speaker 2 (05:46):
It might not be. It might be a waste of
our money to borrow buy a thoroughbread for plowing. I
think you can get a plow horse for way Teaber.
But Christa doesn't want a plow horse.

Speaker 1 (05:56):
I don't think she wants a plow horse, although she
can name a Daisy because you know they have the
long mane and the big, big Budweiser legs and ship
like that.

Speaker 2 (06:04):
Oh that's a Clydes deal with Budweiser legs, all right.
I like this plan. We've solved it. We were getting
Chrystal two hundred and fifty thousand bread horse. She would
love it. She would love it, by the way, Hell yeah,
she would love it. And we would have so much fun.
We could go to the track, you and me and
bet on it.

Speaker 1 (06:25):
We could dress up in nice seersucker suits with are.

Speaker 2 (06:28):
Allowed to bet on our own horse. Are you allowed
to bet on our own horse?

Speaker 1 (06:31):
Hell yeah, that's how these motherfuckers get paid.

Speaker 2 (06:33):
Dude, Okay, well we're gonna bet on our horse, well,
Christa's horse.

Speaker 1 (06:37):
These things. You got to be allowed to bet on
your own horse. There's no way the.

Speaker 5 (06:40):
Gaming Commission will allow you to bet on your against
you in the race.

Speaker 1 (06:45):
You can't.

Speaker 2 (06:46):
I thought that was the whole point. You can't bet
on your own horse.

Speaker 1 (06:49):
I don't.

Speaker 2 (06:49):
Yeah, you gotta be able to bet on your own horse.
Is it just is it just prize money that you get.
Is that the idea? Well, I'm going to bet on
Christal's Like you lose the right to bet, but you
get prize money.

Speaker 1 (06:58):
Maybe. Well it wouldn't be our horse, it would be
Christmas horse.

Speaker 2 (07:00):
Yeah, it's Chris is going to have the documents. You're
friend of the horse.

Speaker 5 (07:05):
If you're in a horse race, you can't bet it
across the board. So you can't bet on any horse
in the race. If you're actively I can bet.

Speaker 2 (07:13):
On Chris, I can bet on christas horse.

Speaker 1 (07:15):
We're not in the race.

Speaker 2 (07:17):
I'm gonna bet on Christa's horse. Speaking of sports, Donald,
I've been watching the Rangers, and uh, it's really fun.

Speaker 1 (07:24):
Have they won any game that you've been at you're.

Speaker 2 (07:27):
Dick A and B. They won in Florida.

Speaker 1 (07:32):
Were you at the game? No, I was not in Florida.

Speaker 2 (07:34):
Yeah, so you're positing that I am bad luck for
the Rangers.

Speaker 1 (07:39):
You're bad luck for New York sports because you're B.

Speaker 2 (07:42):
You're a dick straight up. I finally like a sport
or two, and you got to come with the bad
luck until you shake.

Speaker 1 (07:51):
The bad luck. Man, you are the fucking you are.
You are the cooler for all.

Speaker 2 (07:57):
They got another game tonight in Florida.

Speaker 1 (08:01):
That's good. That's good. That's good.

Speaker 2 (08:05):
It's really fun once you get once you get invested,
I get it. I get it now, guys. It's like
forty nine years, but I get it. Once you get invested,
it's fun. I don't know that I would be well,
I don't know that I would want to watch like
regular season that it's to me, it's really fun when
it's like, holy shit, they could win, it's all on
the line. It's so exciting. And also, going, I gotta say,
is a big difference.

Speaker 1 (08:25):
Yeah, definitely, going to the game is way different than
watching it.

Speaker 2 (08:27):
I mean, you know, because you said that last week.
You said hockey games live are really fun.

Speaker 1 (08:32):
You can see the puck.

Speaker 2 (08:34):
You can see the puck.

Speaker 1 (08:36):
How do we get into the show now that we're
not watching a show?

Speaker 2 (08:39):
Now, Well, we're gonna have a guest. I have six
seven eight, Yeah, we do, we have a guest.

Speaker 1 (08:45):
Is the theme song still going to be the same.

Speaker 2 (08:48):
We haven't changed the theme song. Donald, There's still gonna
be some stories about a show we made.

Speaker 1 (08:54):
That's true, about a bunch of docs and nurses and
a janitor who loves to hate.

Speaker 2 (08:59):
Speaking of a janitor who loves to hate, Donald and
I are going to be on a charity version of
Who Wants to Be a Millionaire with Jimmy Kimmel.

Speaker 1 (09:10):
It's not a charity version. It's a celebrity version, bro.
And the money goes to charity.

Speaker 2 (09:14):
Well, what's the difference, That's what I was saying.

Speaker 1 (09:17):
A charity version sounds like it's done in like a
community center, Jim.

Speaker 2 (09:23):
It's who wants to It's who Wants to be a Millionaire?
And uh and and and Donald and I are on together,
and our money will go to charity if we win,
I mean.

Speaker 1 (09:37):
Get the alligated question again.

Speaker 2 (09:42):
I know, I don't. The problem with you and I
on Celebrity Millionaire is we don't really know anything.

Speaker 1 (09:48):
Well. I know that an alligator can climb a fence.

Speaker 2 (09:50):
Yeah, I don't think that's going to come up on
our second Celebrity for Charity game show experience.

Speaker 1 (09:58):
Yeah, and that was a hype of medical question too.

Speaker 2 (10:01):
So like, but bro, we don't. I'm not just being
self deprecating. We don't really know.

Speaker 1 (10:07):
No, we don't. I don't. I'm like half the ship
I talked to you guys about. I'm making up as I'm.

Speaker 2 (10:12):
Going I know, but I feel like you could do
well on like eighties nineties hip hop.

Speaker 1 (10:17):
I can do well on pretty much all hip hop
except for today's hip hop. I can't gay well with
anything but Drake.

Speaker 2 (10:23):
Anything but current hip hop you would do well.

Speaker 1 (10:26):
I would do well with the Kendrick and Drake Beef
I could do.

Speaker 2 (10:28):
I think that's gonna come up on Celebrity.

Speaker 1 (10:31):
I mean it might be like where how did it start?
It might be I know, you know, it might be like.

Speaker 2 (10:35):
So Jimmy Jimmy Jimmy kimbl will be like Kendrick Lamar
and the Rapper Drake are in a battle. What is
it about? Is it a you know that kind of thing?

Speaker 1 (10:50):
Yeah, we could, we would totally, we would totally get
that one.

Speaker 2 (10:54):
We would get that. You know the whole story, you
know the whole trajectory, the whole story, I know.

Speaker 1 (10:58):
Some of the story.

Speaker 2 (10:59):
Is it over?

Speaker 1 (11:01):
I mean pretty much?

Speaker 6 (11:04):
No.

Speaker 2 (11:04):
I just wondered if they were. They're both nodding.

Speaker 6 (11:06):
I just it's over.

Speaker 2 (11:07):
It's over.

Speaker 1 (11:08):
Okay, it's been finished.

Speaker 2 (11:10):
Oh, because because of Kendrick's track was so fire that
it just was over.

Speaker 1 (11:15):
They not like us is one of the it's a
it's a it's a It seems like it's a world
anthem right now.

Speaker 2 (11:21):
People are playing it all over the world. You sent
to the group, Chad, sac was hilarious. I sent the
group audience. My nephew sent me this. It's a compilation
of of reaction videos to people listening to that track
for the first time. I love that. It was pretty funny.
People people would go crazy, are you?

Speaker 1 (11:40):
I mean? Shit?

Speaker 2 (11:40):
Said which I've seen your guys reaction videos.

Speaker 1 (11:44):
I lost where everybody loses it. I think everybody lost
it at a minor. I think a minor is one
of the most classic lines. I think everybody lost it
at a minor, I think universally, universally when he goes,
and it's probably a minor, everybody.

Speaker 2 (12:02):
Went, they not like us, they not like us.

Speaker 1 (12:05):
And then he holds it for a few But what
does that mean?

Speaker 2 (12:08):
They not like us?

Speaker 1 (12:10):
Because they're not like us. Bro, It's just it's all
over there.

Speaker 5 (12:13):
You're not one of us.

Speaker 1 (12:15):
They're not like a dog. You could say that. Anybody
could say that ship they not like us. Yo, that's
what that's. It's a fucking anthem. Dude, they not like us. Anybody.
I don't give a fuck who it is. They not
like us.

Speaker 2 (12:28):
Go ahead, Daniel, I was gonna say. Specifically, the song
is about how fake Drake is. Like he calls him
a colonizer. Opens you say you're a colleague, but really
you're a colonizer. It's like he's just you know, you
are not one of us, and I think one of
us is a rapper in this particular contest. I mean,
it's in general you are not like us, but in
this particular context that's why.

Speaker 1 (12:48):
I well, sure they're not like us. That's that's the
literal version, but the Kendrick version is the whoever you're
talking too when they they're not like us? Bro, what
do you mean you're not like me? They not like us?
None of these motherfuckers is like us.

Speaker 7 (13:06):
Zach about how you know Drake is a club rapper,
whereas Kendrick is more like about the people making them
think as opposed to like, you're just over hear maing
people dance. There was a whole conversation about Drake. You
know you're from Canada, your experiences are different than.

Speaker 1 (13:24):
Well, yeah, those are the like I said, those are
the exact metaphors of what he means by But as
an anthem for the world, all it means is whoever
your ops is, whoever your adversary is, they not like you.
And that's all it means. It's pretty amazing.

Speaker 2 (13:41):
I mean, correct me if I'm wrong. It's gonna sound
very naive. But traditionally, Drake isn't from a traditional environment
for that the most popular rappers come from, right, because
he's Canadian and he was a child actor, right or
that's not.

Speaker 1 (13:56):
You could be a child actor and you could be
a Canadian rapper and all that stuff. The argument is
your lingo, the way you're talking, you didn't have the
struggles that Americans had. Your struggle is your struggle. Your
struggle is a lot different. You can't claim you can't
really say nigga because your ancestors or you know, for

(14:20):
the most part, you don't come from your culture didn't
teach you about slavery and America and four hundred years
and all of that shit. You're claiming you know all
of this American violence and stuff. But dog, you're from Canada, and.

Speaker 2 (14:39):
If I'm correct, that's kind of my question.

Speaker 1 (14:41):
And if I'm correct, the violence in Canada ain't really
that high. So how you claiming all of this tough
guy shit, which you really should stick to. This is
all Kendrick speaking. What you really should stick to is
making people dance. You're really good at that. Ship, Dude.
You write great songs, but you know you and your
ghost writers, you guys write some fucking dope ship.

Speaker 2 (15:03):
All your thoughts on that.

Speaker 1 (15:04):
Because this this hard ship, ain't you, bro.

Speaker 2 (15:08):
I don't disagree with what Donald said, but he's just
saying exactly what you said. Yes, don Drake does not
come from the traditional what I'm saying, So you're saying
also that, like Kendrick is fine with Drake being like
a club party rapper. He's just saying, don't try and
act like your your you've.

Speaker 1 (15:26):
Don't try to imitate American violence, dog because you're not
from it. You don't know it. You're portraying something not
like us, and it's they're not like us.

Speaker 2 (15:39):
I got it. Well, I'm glad that. I'm so glad
that I'm not in a in a in a in
a rap beef because I'm too sensitive.

Speaker 1 (15:45):
So am I man? Like I remember when Nick Cannon
was like, you should come on wild'n out, and in
my mind all I could think of was the rap
battle at the end.

Speaker 4 (15:55):
I'm way too sensitive that even I watched the Tom
I was like, now Don Brady roast and I was like,
would fuck me up for a year, Like, oh my god,
I can't watch it, Like it fucked Tom Brady got
dollars to be diss that would that would ease the pain?

Speaker 1 (16:13):
Well, did it ease his kids pain? Because I know
his kids are hurt.

Speaker 2 (16:16):
Really, why you think they watched it? They didn't watch it.

Speaker 1 (16:21):
Everybody on the planet watched that ship, everybody on the planet.
And he did make a statement, Well.

Speaker 2 (16:26):
He's the one that's what's gonna happen if you take
twenty five million dollars for comics to make fun of you.

Speaker 1 (16:32):
It's like being a mom of six and being a
person in the community and thinking that you could get
away with doing porn and nobody finding nobody fucking finding out. Dude,
like you're throwing yourself on Front Street when you do
that ship. And he was standing there in front of everybody,
button naked, ready to get smacked.

Speaker 2 (16:54):
He probably didn't think it is as bad as it
was going to be. In his mind. It was probably
way work.

Speaker 1 (17:03):
He just don't know about it.

Speaker 2 (17:04):
But he must have said to his kids, I'm sorry
you're upset. I'm sorry, I said, well, I got twenty
five million, so after taxes, let's say I got thirteen.
What do you guys want with it?

Speaker 1 (17:19):
They'll be like, my dignity, dad, my dignity back dad.

Speaker 2 (17:23):
I don't think this kid said that.

Speaker 1 (17:24):
I went to school and everybody at school said that
my mom is fucking Taekwon. Don't hurt jo.

Speaker 2 (17:33):
Whatever, Judo or Taekwond. I don't even know what the
story is. She had an affair with the martial arts teacher.
I mean, I gleaned from watching the roast that she
must have They not like us, They not like us.
So do you want to talk about areas if he
wants to man or that we that we're strong in.
I think debating the merits of Vla La Land If

(17:53):
that comes up, I'm really yeah, we'll crush that.

Speaker 1 (17:59):
I think I could totally think.

Speaker 2 (18:00):
Well, and Daniel, what do you think areas of who
wants to be a millionaire? Are areas that Donald and
I would do well? Okay, let me let me just
except for current day La La Land, planes, cameras, musical theater, golf, basketball,
But Donald could do video games Star Wars. Donald, will
you be able to do current day video games?

Speaker 1 (18:22):
Some of them?

Speaker 2 (18:23):
Okay?

Speaker 1 (18:24):
All the current day video games are like five years old.

Speaker 5 (18:27):
I mean, he's not wrong, It's crazy.

Speaker 2 (18:30):
What else can I tell you? I'm seeing a plan.

Speaker 1 (18:32):
You've seen any movies?

Speaker 2 (18:34):
You know? What I saw which I really liked is Challengers. Okay,
so you liked it, Yeah you didn't like it. I
haven't seen it yet, but I've just heard I've heard
every opinion. I've heard every opinion, and it's making me
want to see it more. No, I recommend it. I
got to say, it's the new movie with Zendaya Donald.

Speaker 1 (18:52):
She plays it where she did the Menaja the Devil's Threesome.

Speaker 2 (18:58):
That's very much from not to know foilers. But that's
way more hyped for marketing than it's the point of
the movie. Really, but really, yes, absolutely, are you. They
sold you? They sold you a bill of goods.

Speaker 1 (19:13):
Everybody's like in a freaking.

Speaker 2 (19:16):
It's about a love triangle. I'll just say it's about
a love triangle. It's not really about an orgy.

Speaker 1 (19:22):
I'm not I'm not happy about this now. I started
going to be something I did.

Speaker 2 (19:29):
I did think it was more gonna be a more
risque film than it is, because that's how they marketed it.
But it's very I think it's really well done, and
the actors are all great and uh I read look
like she could play tennis. Yeah, they all. They are
all cut very well to make them look good. I
don't know what their skill level is, but they clearly

(19:50):
knew how to hit a forehand and serve, and then
they add the sound effects and then they clearly cut
lots of cuts to make it. I couldn't tell. I'm
pretty sure what they do a lot of the times
is they just don't have the ball in. So if
you got a perfect stroke and then you put a
CGI ball in, then just make it go fucking so fast.

(20:11):
It really sells the hell out of it. So I'm
sure that they trained their asses off and got and
how to sell it. And then so many of the
shots if you if you know what you know, you
can see that it's a CGI ball, so they just
like they add all the speed and then of course.

Speaker 1 (20:28):
A really smart thing to do for golf movies, then
instead of putting the ball there and making these actors
actually hit the fucking golf ball.

Speaker 2 (20:35):
That's what we did for Joey King That's what we
did for Joey King in in my movie. We may
have cut the scene. I forgot, No it's in you.
I think it's in. I think there's a shot of
in the movie. But joe, poor Joey, she trained a
lot to be able to a pitch of a softball,
and uh, she got pretty good for someone that was training,

(20:58):
you know, for like a month from scratch. But then
on the day we go to shoot it and she's
doing it in front of a girls softball team, and
she got in her head and uh, understandably, and they
weren't good at all. And then I realized, like, why
are we even doing this? Just take out the ball,

(21:20):
and so she just did the emotion perfectly looking, and
then in post we put in the fastest fucking softball
you've ever seen and it was perfect.

Speaker 1 (21:29):
Yeah, that's all you gotta fucking do, Bro, I'm telling you,
I just that's a great fucking idea. All these golf
movies for not necessarily basketball but or football, but for
movies where you got to make baseball where the contact
is so important, just make it. Just have them swing
their normal swing with nothing there, and then put that

(21:51):
shit in post. It'll look way better than them actually
trying to fucking hit.

Speaker 2 (21:55):
It's it's cool too and challenges. What's cool too is
they put the camera in place that where they get
these incredible shots because it's right on the net right,
and so if you have a CGI ball, it's going
right by the lens because you can put the ball
wherever you want, you know, so you've got them doing
their their perfect stroke, then you can have the ball

(22:17):
just go like inches by the lens perfectly every time. Cool.

Speaker 1 (22:21):
It's kind of like in a lot of ways.

Speaker 2 (22:23):
Oh Jesus, how could it possibly be like Star Wars?

Speaker 1 (22:26):
Well, it's laser blasters going at lightsabers and pretending that
you're blocking shit and you're not really blocking anything, and
you're not really holding anything. Form that's right there. Try
if your form is if your form looks great, right,
that shit looks like I'm ad Best comes back in
Star Wars in h the Boba Fett SI or the

(22:51):
Mandalorian series, and he fucking holds lightsabers, and because he's
a dancer and a martial art his form is so sick.
This motherfucker's in action star. I don't know what the
fuck thinking back, I love I love George Lucas. I
love you to death, sir, and I listen to the podcast.

(23:13):
George Lucas totally listens to this fucking podcast.

Speaker 2 (23:15):
Well, we should book a mod Best because I would
like to talk to him about this journey that he
went on. First of all, he went we went to
the same high school, yes, with Lauren Hill. But I
don't think Lauren's going to come on the show. But
I would like to get a mod Best. I will
ask him because I would like don wouldn't you like
to chat with him about this whole journey from.

Speaker 1 (23:34):
Like, well he wrote a book about it.

Speaker 2 (23:36):
Well, then he can plug his book, because I want to.
I want to know about all the ship that he
took for just accepting a role and how that impacted
his life.

Speaker 1 (23:45):
Dude, you know what's crazy is that, you know, the
journey is so fucking long, and some of us, you know,
some people decide to get off the train before their
time and stuff like that. But it's so long, and
sometimes the reward is is great and sometimes it's not.

(24:08):
That's just what life is. But you know what, the
journey is the most important part. And I don't know, man,
I'm really excited to not to finish my journey, but
to continue this journey that we've started with this show.
I don't know what is. I don't know what's ahead
of us. I don't know what we've got coming. But

(24:30):
this could be something special.

Speaker 2 (24:32):
Again it is it is going to be special. The
journey keeps going. We're working on it. I'm flying back
not just for Christ's party, but for another secret project
with Donald.

Speaker 1 (24:43):
Holy shit, we're doing secret things again.

Speaker 2 (24:46):
Another talking about one fucking journey, another one.

Speaker 1 (24:51):
The fucking journey, z fucking journey.

Speaker 2 (24:55):
I need another one in my sound machine. Another one,
another one. You can put it where this one is.

Speaker 1 (25:02):
Eat these balls, Zach. Are you gonna get DJ Khaled?

Speaker 2 (25:06):
Yeah, we'll just we'll just rip it another one. I
don't think of mine. I can do that, all right,
Countes Sin. And then we have a doctor, Darren Bagsby,
an incredible surgeon on the show today, who's gonna tell
us something he did that was pretty miraculous. And also
he's a very sweet gentleman. And he's a real surgeon.

Speaker 1 (25:26):
And his fucking name is real too, people, that's his
actual name, Darren.

Speaker 2 (25:31):
So Countessen, baby girl, Joelle, No, that's you. Yeah.

Speaker 3 (25:44):
Stories that show we made about a bunch of he's
a story.

Speaker 1 (26:00):
Yeah there, yeah in bags be Zach's wanting these chants
now because he's going to freaking sports games.

Speaker 2 (26:19):
Yes, I've been attending Rangers games, so I know things
like Darren bags bet Da. You know up in the
up in the MSG they got a real organ player.
Some people think that that's just like canned music. No,
there's a real dude up there playing the organ. You
didn't even know that. You didn't know that, Donald.

Speaker 1 (26:37):
I did know that, bro, No, you didn't know that
my whole life.

Speaker 2 (26:41):
It's the same dude for like thirty five years. I
saw a whole video on him.

Speaker 1 (26:44):
My guy. I've known it since.

Speaker 2 (26:46):
I've been going, don't my guy me, please don't mind.

Speaker 1 (26:49):
I don't say some dumb shit then, and I won't
say dumb shit then.

Speaker 2 (26:52):
I don't like my guy or my I don't.

Speaker 1 (26:54):
Like you trying to act like I don't know nothing
about sports. Bro.

Speaker 2 (26:58):
You know I love Mark Cubans so much. But on
an episode of Shark Tank he said my my guy,
and it really hurt my feelings because I was like,
not you too, Mark, not you too.

Speaker 1 (27:08):
I think I think everybody uses it as a condescend
at least I do as a condescending tone, as a cond.

Speaker 2 (27:15):
Well, really sorry, doctor Bagsby's here, Sorrynding.

Speaker 1 (27:25):
I do too.

Speaker 2 (27:25):
I bet I bet you that when doctor Bagsby is
about to operate on a patient, he's like, all right,
here we go go under my guy.

Speaker 1 (27:33):
You're going under my guy. You're going under guy.

Speaker 2 (27:37):
I'll see you in four hours. My guy went on.
We met Darren doctor Darren Bagsby because he donated to
a charity for wounded warriors that Jake Tapper, the CNN
anchor hosts and Darren tell us how you came to
do that. You were telling Donald and I on a
on a zoom we did together that you decided to

(27:59):
treat your friends to some things. That was really nay
that the amount of surgeries you were doing.

Speaker 6 (28:07):
Yeah, So, first off, I love wounded warriors.

Speaker 8 (28:09):
I work Inville, North Carolina, where Fort Bragg is. We
take care of a huge veteran population, and so that's
a wonderful cause.

Speaker 6 (28:19):
But essentially with this.

Speaker 8 (28:21):
New job, I am very very busy. We're a very
underserved part of the state. The statistics say that we
should have between seventeen and twenty two orthopedic surgeons for
our area, and we have ten.

Speaker 6 (28:36):
So we all have to work very, very hard. And
so in the month.

Speaker 8 (28:40):
Of October leading up to your donation, I ended up
doing about three thousand, almost three thousand units of work
in one month, where the average orthpeedic surgeon does about
ten thousand units in a year.

Speaker 1 (28:55):
So yeah, So how do you say units?

Speaker 2 (28:57):
When you say units, what is that to the layman?
What does that mean? It's a procedure.

Speaker 8 (29:01):
No, So every procedure has a set of units assigned
to it. They're called rvus or work value unit relative
value units.

Speaker 6 (29:12):
But basically, so like a.

Speaker 8 (29:13):
Small surgery a carpal tunnel is worth five, a big
surgery like a k nee replacement is worth twenty, a
huge surgery like a spinal.

Speaker 6 (29:21):
Fusion is worth fifty. Oh wow, So someone came up
with all of this well before my time.

Speaker 8 (29:28):
But it's a way to kind of gauge, allow for
a standardization of how much work you're putting in.

Speaker 2 (29:35):
Right, because how do you measure that as a surgeon
like that? You know, how how do you how do
you compare and contrast the amount of work you're.

Speaker 6 (29:43):
Kid And so we're not like lawyers where we build
by the hour.

Speaker 8 (29:48):
It's based on how many surgeries we do, how many
patients we see. And so this is a way to
kind of standardize everything. Now, if you're really good at
what you do, and you can do a nee replacement
in forty five minutes and you're versus somebody is really
bad it takes two hours, you still get paid the
same amount.

Speaker 6 (30:03):
It's still the same number of units.

Speaker 1 (30:05):
Got it? So is for you? Guys? Is it for you?
Was it like you know, speed dating? Pretty much then
where you were, it.

Speaker 6 (30:12):
Was a very busy month. It was a very busy month.
There was some weekends, there were some long nights marking weekends.

Speaker 1 (30:19):
Really.

Speaker 6 (30:20):
Oh yeah, I do about one weekend a month.

Speaker 8 (30:24):
We break it up so you either work Friday Sunday
or you work all day Saturday.

Speaker 1 (30:28):
Can we talk about the people that you're doing the
surgery on. Yeah.

Speaker 8 (30:33):
So, like I said, I'm in kind of semi rural
North Carolina.

Speaker 6 (30:38):
We have a huge veteran population.

Speaker 8 (30:40):
I do mainly door replacements, so hip and knee replacement,
and then fracture works so people with broken bones. And
we're very busy just because we're a very populated area.
And then we also have one of the major highways
that connects Raleigh, Durham Chapel Hill, one of the most
populated areas North Carolina to the beach. So people drive

(31:01):
through our area along the major interstate and heaven forbid
they have an accident, they usually end up coming us.

Speaker 2 (31:07):
Oh wow, So you do a lot of you do
a lot of broken trauma stuff. Do you get called
in even when you're not working because they're like, we
got a really bad case.

Speaker 8 (31:18):
Yeah, So I am the only person for about three
or four counties that does really complicated hip.

Speaker 6 (31:24):
And knee replacements.

Speaker 8 (31:25):
So if you have a knee replacement and you break it,
if you have a hip replacement and it's infected, all
that stuff comes to me and so I do a
lot of that stuff that traditionally hasn't been done in
our area. It would have to go to one of
the big centers like Duke or UNC. But that's my specialty,
is the really really complicated stuff.

Speaker 6 (31:46):
So like today, before the call, we had a lady.

Speaker 8 (31:48):
Who had an infected knee replacement that had to come
out and an antibiotic knee replacement put in to treat
her infection.

Speaker 6 (31:55):
And then the other one that.

Speaker 8 (31:57):
We did was a lady who had a second time
knee replacement with a really long rod that went down
her shin bone and she fell and she broke right
below that. So normally when you break your shin bone,
we put a rod in there to stabilize it. Well,
she already had stuff in place, so we had to
use a plate and screws. We could put the screws
through the rod she has in place, and then we
have to use these big metal zip ties to.

Speaker 6 (32:17):
Kind of buckle plate in place. Yeah, so it was
a tough one.

Speaker 2 (32:22):
Aren't these people in so much pain? After you've gone
in there with your screws and your zip ties?

Speaker 6 (32:27):
Well, broken bones hurt. I mean, anybody who's broken a
bone will tell you that hurts.

Speaker 8 (32:31):
And so the screws and the plate and thing helped
to stabilize things so those edges aren't rubbing up against
one another. But you know, the trauma is hard because
you know, your goal is to get people back to
where they were beforehand, but depending on the injury, that
might not be possible. That's why I love joint replacement
because we take people who have, you know, spent years

(32:53):
and years of arthritis, just kind of losing their mobility
over time, and we you know, replace things and get
them back to where they were a long time ago.
And so it you know, it's really rewarding. I love
what I do. I'm very grateful to be able to
do it. But it's really enjoyable to, you know, get

(33:13):
people functioning again.

Speaker 1 (33:16):
Why are there only ten of you? How come there's
not more there? Should? You said? They're supposed to be
thirty of you? Right? Yeah?

Speaker 8 (33:22):
Yeah, you know, I think Raleigh is a much fancier
place to live.

Speaker 6 (33:28):
We're a little bit more rural. That's a little bit
harder to recruit to.

Speaker 8 (33:32):
We're kind of in between the big city and the beach,
and so people to choose one of those two things.

Speaker 6 (33:38):
It's hard, I mean. And just in general, all of
medicine is underserved.

Speaker 8 (33:43):
You know, COVID really changed that, not unlike you know,
military people dropped off after two thousand and one.

Speaker 6 (33:52):
You know, they weren't able to recruit as well.

Speaker 8 (33:54):
And I think you know, all sectors of healthcare, be
it nurses, PA's assistant, you know, all of that, the
staffing is is just continues to be a problem.

Speaker 2 (34:05):
That's because of COVID. You think people were like had
enough turned off.

Speaker 8 (34:08):
Yeah, I mean we lost a lot of people to retirement.
I think the incoming people weren't nearly as great. And
then you know, just the demands are rising, right, patient
population is getting older. Older people break their bones more
easily because they're more fragile.

Speaker 6 (34:23):
Older people have more arthritis, they have.

Speaker 8 (34:25):
More torn tendons that need shoulder surgery, they have more
you know, of everything, and so you know, but the
number of medical schools is staying the same. The number
of orthpedic residencies is staying the same, and so we
just don't have that increase. And then here in North Carolina,
there's a very interesting set of laws where it's called

(34:46):
certificate of need, where hospital systems can't just build rooms
and o rs and facilities if they want to, they
have to go to the state government and get a
permission slip called a certificate of need that says, oh, yeah,
think there's enough need in that area for you to
build more stuff.

Speaker 1 (35:05):
Wow.

Speaker 8 (35:06):
So it slows things down, particularly from twenty twenty to
twenty twenty two, where government officials weren't in the office
they you know, that all that stuff slowed down, and
so growth I think slows down a little bit too.

Speaker 1 (35:19):
Was Raleigh, North Carolina was that area hit hard with COVID.

Speaker 8 (35:23):
We were very busy. You know, I worked over two
different hospital systems, both of which you know, just I
think at one point we had one hundred and seventeen
percent capacity, so like every bed in the hospital was full,
plus you had all of the beds in the er
were full.

Speaker 6 (35:40):
And so we were you know, we had we had
surges like everywhere else.

Speaker 8 (35:46):
You know, my community did a pretty good job of
getting the elderly vaccinated. We were one of the best
counties in the in the state, but unfortunately for people
who were thirty and under, we were one of the worst.

Speaker 1 (35:57):
Let's take a break.

Speaker 2 (35:58):
We'll be right back after the fine words. How long
does it take to do a knee replacement?

Speaker 1 (36:12):
For me?

Speaker 6 (36:12):
It takes about forty five minutes.

Speaker 2 (36:14):
Wow, I don't know.

Speaker 6 (36:19):
I've done a couple, so it makes it a little
bit faster.

Speaker 2 (36:22):
So you you just kind of speed through it. What
do you play? What do you play? In the in
the in the in the.

Speaker 1 (36:28):
Welcome to Funny Games.

Speaker 8 (36:33):
H Yeah, you gotta be peppy, for sure, it has
to be peppy. No, I mean it takes it takes
me as long as it takes me. I mean we
don't delay dally. We we try to get people in
and out of the operating room because the longer you're
under anesthesia's never a good thing. The longer your wound
is open, the higher your risk of infection. And so
you know a lot of them.

Speaker 2 (36:55):
Less time I went under it was for a colonoscopy,
and I gotta tell you, Doc, I I wish they
had put me under before I went in the room
because they were man handling me and I wasn't out
yet and they were they were just treating me like
a piece of meat.

Speaker 1 (37:13):
I always wonder that, I do wonder because we don't
there's no cameras that I know of in the O R.

Speaker 2 (37:20):
There's only one camera and it's going inside.

Speaker 1 (37:24):
But like, I wonder if that's what it is. I
wonder if it's like freaking you get roofed and then
they just freaking flip your ass open.

Speaker 2 (37:33):
Well, that's kind of what happened. Listen, that's kind of
what happened. Donald. I remember going getting a little twilight something,
a little I don't know what you're saying. Yeah, a
little verse set. Ooh, that's the good stuff. Verse set,
that's what makes you feel like good. And I didn't
get enough verse set this time because they were just
man handling me and putting me in position for the
camera and they're all talking, and I was like, shouldn't

(37:54):
I be under already? Because I don't really.

Speaker 1 (37:56):
You weren't under yet. No second.

Speaker 8 (38:00):
You can ask Michael Jackson that medicine has some risks
to it.

Speaker 6 (38:04):
So we try not to knock.

Speaker 8 (38:08):
Yeah, so we try not to knock people out before that,
it's like ready, ready, time. But yeah, there's there's definitely
a gray zone in there where you know you.

Speaker 6 (38:16):
Have to you want.

Speaker 2 (38:17):
I felt like I saw. I felt like this saw
like you know when you go to a nice restaurant
and it's so beautiful and the lighting's perfect and it's romantic,
and then you go to the bathroom and you pass
like the brightly lit you know, kitchen and all the
mayhem behind the scenes. I felt like I was behind
the scenes. I was seeing stuff I wasn't supposed to
see it, you know what I mean? The verse said

(38:38):
they think they skipped the verse head I would have
I would have liked it.

Speaker 1 (38:42):
I'd asked when I remember when I got my coldon scopy.
I asked straight up. I was like, you tell me.

Speaker 2 (38:49):
You wanted to out. I don't wanted to fight it.
Don't want to fight it.

Speaker 1 (38:54):
I want to see if I can ride the ship.
He was like, oh really, I was like yes. He
was like, you're not going to be able to do it.
I was like, yes, I am na wake up, wake up.

Speaker 7 (39:09):
Yeah.

Speaker 2 (39:09):
So nice. That first said I wish I could ride
it too, because you're like, it feels nice.

Speaker 8 (39:18):
And then you're gone, and then you're out, people say
some stuff as they said to sleep.

Speaker 2 (39:24):
I know I took up, okay, Doc, I was I
was coming out of I had hernia surgery and I
remember waking up from that and I just couldn't stop talking.
And he told me, the doctor told me when I
was a little more, I said some really embarrassing ship.
I remember saying it, but I couldn't stop saying it,

(39:48):
and he later he told me that it's what the
CIA used to use, what they call truths here because people, uh,
people just they can't stop talking and they start saying ship.
And I was like, I remember being this is so embarrassed.
But I remember being like, Doc, seriously, like your friends
and my friends, like we should all get together and
you should bring some of this stuff. I remember being like,

(40:12):
I remember being like, Doc, have you ever done ecstasy?
Because this is like this is kind of like I
can see, but it's better. It's like we need to
hang out. And he was laughing in my face and
I but I couldn't stop mm hmm.

Speaker 8 (40:30):
Experienced that we I've had a couple of people say
some stuff. I had one lady who got incredibly graphic
with the more than a little bit of a crush
she had on me, and unfortunately I was not able
to see her back. One of my assistants had to
see her for all of her follow up because I
was no.

Speaker 1 (40:51):
Relationship.

Speaker 6 (40:53):
She took it a little too far.

Speaker 2 (40:56):
Doc, I'm so glad to make you.

Speaker 6 (41:01):
It doesn't make new thoughts, it just lets those thoughts out.

Speaker 2 (41:05):
I know. That's why they called truth here, because I
did want to party with the doctor and his friends
in this drug. I was just I was being truthful.

Speaker 1 (41:12):
That would be Yeah, that's tough, man. I I I
remember waking up and then being like it's over, and
me wanting and me being like five more minutes, dude, Just.

Speaker 2 (41:25):
But yeah, is there a way that's what happened to
Michael Jackson because he fucking used it to sleep well?

Speaker 1 (41:31):
No, he also had a freaking doctor who wasn't the
correct person to administ.

Speaker 2 (41:36):
I don't think you're supposed to be giving it to
anyone for nightly sleep, right, Doc.

Speaker 1 (41:40):
Yeah, nobody was getting.

Speaker 6 (41:43):
House.

Speaker 1 (41:44):
He wasn't even an anesthesiologist though, to do right well.

Speaker 2 (41:47):
It was all shady. We know that.

Speaker 1 (41:49):
Let's take a break.

Speaker 2 (41:50):
We'll be right back after these fine words can I
something that's way below your pay grade? But tennis elbow?

Speaker 6 (42:03):
Mm?

Speaker 2 (42:03):
Hm, how do it sucks? It sucks a lot. I've
got really bad tennis all but I think I don't
play not playing tennis. I think from weightlifting I was doing.
I was doing chin ups. I think that's how it happened.
And now it's I just had my first pet appointment.
But I was wondering if you I'm sure there's plenty
of people listening that suffer from this, if you have
any advice.

Speaker 8 (42:24):
Yeah, So the stretching exercises, they're showing you where you
really stretch those that that tendon group out is really important.

Speaker 6 (42:33):
You know.

Speaker 8 (42:33):
Sometimes if it gets really bad, they can put a
little shot in there of some medicine to try to
knock down some of the inflammation. There's a little strap
that provides kind of a counter pressure.

Speaker 6 (42:43):
Yeah, that can be nice.

Speaker 8 (42:45):
You know, when you're doing your workout stuff, trying to
keep things close to your body. So instead of doing
the big wide shoulder flies where it's way out.

Speaker 2 (42:54):
Yeah I can't see that.

Speaker 6 (42:55):
You can't see this on the camp.

Speaker 8 (42:56):
Where it's way out here, tried doing it with a
ben elbow because it'll take that pressure off right there.
I get this from operating all the time because we
use this big electric cheese grater to put in hip
replacement parts.

Speaker 6 (43:09):
It's like a big drill and I have to hold
it like.

Speaker 8 (43:12):
This, and so I'm really squeezing and it puts a
lot of stress there. It's probably the most frustrating problem
you can have with your elbow. But that stretching will
really help, not only help it go away, but you
want to make that kind of like brushing your teeth,
like a maintenance program, because once you've had this once,
you're more likely to get it again.

Speaker 2 (43:30):
How long does it take to go away? I read
on the interwebs like eight weeks.

Speaker 6 (43:33):
Yeah, it can be a while.

Speaker 8 (43:35):
Mine took like six months because I was operating every
single day.

Speaker 6 (43:39):
This is when I was in training, and so I
never like late.

Speaker 8 (43:42):
I would operate from seven to two and then I
go to the gym from like three to five, and
so like, I just never.

Speaker 6 (43:49):
Let it relax. But this stretching is really the only
way to truly fix it.

Speaker 2 (43:55):
Did you feel that Scrubs was accurate about the portrayal
of surgeon being stereotypically more jockish.

Speaker 1 (44:02):
And.

Speaker 6 (44:04):
So I think you guys did a great job.

Speaker 8 (44:06):
I think Donald's speech in season one about competition and
how that leads you in that is one of the most.

Speaker 6 (44:13):
Underrated scenes in the whole show.

Speaker 8 (44:17):
My only major complaint was your orthopedic surgeon was the
weirdest human being on the entire show of the SENSEI
he was so weird and so kind of off into
a different direction, And I mean, you guys had it
right at the beginning of episode orth big surgeons are
the most jockish of the jockish, where the middle school
football players of medicine, Like.

Speaker 2 (44:39):
How do you think that is? Why do you think
that is?

Speaker 6 (44:42):
It's a fair question. I mean orthopedics.

Speaker 8 (44:44):
I think is a lot of ex athletes that have
had injuries that find it interesting. A lot of orthopedics
is very physical. I mean when I do a new
replacement on someone in North Carolina, the legs down here
are a little different than the legs you guys have
in California, and so you need that physicality when two
bones are sitting opposed and all the muscles of someone's

(45:05):
leg or holding them in that position, and you have
to overpower that to put it back where it's.

Speaker 6 (45:09):
Supposed to be.

Speaker 8 (45:10):
I mean that takes physicalness, and so I think if
you don't enjoy being physical like that, it might not
be the right specialty for you.

Speaker 2 (45:20):
My orthopedist in la is ripped too. I don't think
I've ever seen a non ripped orthopedist.

Speaker 8 (45:26):
What exist, But I think I think it's I think
it definitely lends itself to people who like being physical
because it's a very physical job.

Speaker 6 (45:34):
That's what I like about it.

Speaker 1 (45:35):
Right. What about your feet? You're always on your feet, dude,
Like I'm an animator. I'm always on my feet at
the table and I'm doing stop motion animation. What advice
do you have for people who are on their feet
all day? Because this is something that I you know,
I didn't realize if you're standing long enough, you could

(45:56):
really fuck your backup. I thought that was the I
thought that was the way to get your back straight
in all of that.

Speaker 2 (46:02):
What about one of those cushions that people stand on.

Speaker 6 (46:05):
Yeah, I mean those for Donald that would probably work
in the o R.

Speaker 8 (46:09):
You don't want that because then all the blood and
the goo soaks into it and it gets kind of nasty.

Speaker 6 (46:14):
But you know, it's interesting. People think, oh, you're you're
standing all day.

Speaker 8 (46:17):
You're you're being very active, But standing in one spot
very still is not being active. But I think, you know,
having a great pair of shoes is super important. I
change out my O R shoes every six to twelve
months just because they get so much wear on them.
I really like compression socks and shirts and pants and

(46:38):
are like kind of under my scrubs to help with
that kind of stagnant blood flow.

Speaker 6 (46:42):
I think it makes a big difference.

Speaker 2 (46:45):
But so donald can wear compression sucks.

Speaker 8 (46:49):
And then the other thing I do is, you know,
one of the things I like about my stuff is,
like I said, we're surgery takes forty five minutes, an hour,
two hours.

Speaker 6 (46:57):
It's not like some six hours buying little tiny movements
standing very but.

Speaker 8 (47:03):
I couldn't handle that, And so you know, I get
to move around a little bit more than the average person.
But I mean the stop motion you're you're making those
tiny tiny movements.

Speaker 1 (47:12):
Can't move and you it's it's it's very similar. I
don't have a steady hand like you. Like I drop
a lot of shit. Sincerely, you you're not in a
business where you can afford to drop to somebody.

Speaker 8 (47:27):
But but but but making sure the table's up to
the correct heights, so you're not even you're not plunching over.

Speaker 6 (47:33):
Yeah, I think that will make a big difference.

Speaker 1 (47:36):
I've lifted the table up pretty high.

Speaker 6 (47:38):
It's it's it's at.

Speaker 1 (47:39):
The point where my hands are literally like this animating
and stuff.

Speaker 6 (47:42):
I think that makes a big difference.

Speaker 2 (47:44):
Well, Doc, thank you for coming on. We just wanted
to introduce you to our audience because.

Speaker 1 (47:50):
You thought you were so cool with very very.

Speaker 2 (47:52):
Impressive man and Donald and I have never done three
thousand units of surgery. Well yeah, yeah, yees.

Speaker 6 (47:59):
Yet maybe in the reboot, Yeah, maybe.

Speaker 2 (48:02):
Maybe if there's a reboot, we'll have to do an
episode where Donald has to do three thousand units of surgery.
The funny thing about Scrubbs is that one thing I
noticed is that Donald just does all surgery, like he
doesn't have any specialty. He just does all.

Speaker 1 (48:17):
Yeah.

Speaker 8 (48:17):
I think that's very common in the TV shows, people
do a little bit of everything. But but I mean
it's it's nice because you can have one character show
a little bit of everything. I mean, you guys were
really far ahead of the game with the whole cold
therapy for spinal cord injuries like that was very controversial
at that time. And you know if he if he

(48:39):
just stuck to belly stuff, you wouldn't be able to
do that storyline. And so I think that's part of
the reason the TV surgeons do a little bit of everything.

Speaker 2 (48:48):
Yeah, I noticed that too though. There was an episode
where like someone was getting an a breast augmentation. It
was like the Todd and Turk were doing it. It
was like, what don't they don't they don't they have
any specialty at all.

Speaker 1 (48:59):
But also and they weren't in a plastic surgeon's office.
They were at a then't. It wasn't like cedars. They
were at like teaching hospitals.

Speaker 2 (49:07):
So there's got a lot right though, Doctor Bags, we
didn't we get a lot right though.

Speaker 6 (49:14):
Yeah.

Speaker 8 (49:14):
I mean looking back on after rewatching during during this time,
like like I told you, guys, I've watched it a
couple of times. What amazed to me was you guys
in two thousand and one started talking about people misusing narcotics,
like you were so far ahead of what anybody was
thinking about at that time.

Speaker 6 (49:35):
With that girl.

Speaker 8 (49:36):
You were Dayton Alex who stole the progrest from the hospital,
and and then you had Sandy, the guy who came
in and played everybody for drugs. I mean that was
really really early in that narcotics time. You know, those
storylines now would be so expected and understood, but but
back then they were. You know, you think about it,

(49:59):
like they that discussion about Jadis and Alex about you know,
the taking that medicine, Like nowadays that's like straight to prison,
Like there's no like if JD doesn't report that, he
goes straight to prison, like there's no tolerance for that stuff.

Speaker 2 (50:14):
But I do want to ask you about about the
opious doctor Bagsby, how do you how do you make
sure like you're doing very dramatic things to someone's body,
how do you make sure that they aren't in pain
whilst also ensuring they don't get addicted to these drugs
like oxy.

Speaker 8 (50:32):
Yeah, it's it's a great question. I mean it's there's
definitely a balance there. I mean, part of getting a
near hip orplacement is you have to get up, you
have to the rehab and we have people getting up
the same day, and so you can't do that if
you're utterly miserable, and so one of the things you
know we've done is kind of like Donald's talking about
that pendulum swung way in one direction, where it was

(50:54):
just throw narcotics at him and they'll get better, and
throw long axi oxy conton at him and they'll get better.
And then we realize that that is a really bad idea,
and so now we're swinging back the other direction.

Speaker 6 (51:04):
And the goal is to use things that aren't narcotics.

Speaker 8 (51:08):
So all of my patients are on ask for intilenol
and celebrates, which is like a prescription strength ibuprofen, you know,
round the clock before they ever take a narcotic, Like
you have to take all three of those.

Speaker 1 (51:20):
First before you can sit there and say.

Speaker 8 (51:22):
Before you can ask for anything more. And then we
use you know, kind of mild pain medicines like tramadol.
We do injections all around where we're working with of
you know, numbing medicines, anti inflammatory medicines. The anesthesia doctors
are getting better about putting numbing medicines around the big
nerves around the knee to kind of numb them up

(51:43):
before you even get started, so those nerves don't get
a chance to overreact because they're numb during the surgery.
You do the same thing with numbing medicine in your
back to make your legs fall asleep versus those old
tube down your throat as it forms, and then just
getting up and moving around, Right, anybody who's had an injury,
the more you sit, the stiffer and sore and weaker

(52:04):
you get, and then that just compounds the pain, and
so certainly it's.

Speaker 6 (52:08):
Not pain free.

Speaker 2 (52:09):
Yeah, I'd be so afraid if I had something happen
to me like that that you know, all these oxy
horror stories.

Speaker 1 (52:17):
It took down the king and it took down the prince.
Let's put it that way. It took down the king
and it took down prince.

Speaker 8 (52:24):
Well, I do think that that that's really helped. I mean,
you people talk about these medicines are not benign. You
need to be careful, you need to watch out. You
have to use them judiciously. You know, there there has
been some good legislature that's helped us with that. In
North Carolina, we can only write seven days at a time.
Whereas my wife had a minor foot surgery and the

(52:45):
guy sent her home with ninety oxy cot oonnes because
he didn't want any calls for refills and three.

Speaker 1 (52:51):
So yeah, so what happens to the right and so
what happens to those nineties? A responsible person says.

Speaker 2 (52:58):
His wife sold them obviously.

Speaker 6 (52:59):
Right, you know I had a big, big medical school. Yeah. No.
And the other dangerous.

Speaker 8 (53:05):
Things is, you know we we at that time didn't
have kids that we have a daughter now.

Speaker 6 (53:10):
You know, one of the biggest issues is people.

Speaker 8 (53:12):
Get into mom and dad and grandma and grandpa's medicine
cabinets and that's where they get their first exposure to this.

Speaker 1 (53:20):
I was about to say when I was a kid,
I went through my parents' medicine cabinets, and thank god
I didn't kill myself with the ship that I was taking.
I was I don't know what they were, what they had.
I was just experimenting with the.

Speaker 2 (53:34):
That's not going to kill you.

Speaker 1 (53:36):
I don't think val tracks existed been.

Speaker 2 (53:40):
I'm just kidd but like you know, I could.

Speaker 1 (53:43):
Have taken my mom's birth control and not know, you
know what I mean, like.

Speaker 2 (53:46):
Just you were getting your mom's birth control.

Speaker 6 (53:49):
Donalds cholesterol was really really good.

Speaker 1 (53:52):
I have great cholesterol. I also could have birthed a child.

Speaker 2 (54:01):
All right, Doc, that's all the time we have. Thank
you so much for coming on. We appreciate it, so
thank you for doing much you're doing.

Speaker 8 (54:07):
Can but when we did our thing the other time.
And and Daniel can cut this if he needs to.
But I have a very serious question for Donald. So
I purchase, based on your recommendation, a Helix sleep mattress
from my home and from my call room.

Speaker 6 (54:22):
And I want to know, and Daniel can cut this.
Did you do me or do you actually use that?

Speaker 1 (54:27):
I believe in it. Listen, here's the thing. So here's
the thing. My kid has my mattress and his bed
is the most comfortable bed in the house. And so
I have I have hit up Joelle over and over,
my wife and I over and over again. Get Helix back.
This is going to be figure. I'm gonna use this. Actually,
get Helix back on the phone. We need another mattress

(54:50):
because it's it actually is a very very comfortable You
like it.

Speaker 6 (54:53):
I agree, I strongly like it. And but I thought
about that.

Speaker 8 (54:57):
I was like, I bought this just because I was
I need a new mattress. And I was listening to
the podcast and I was like, they recommended it, and
I used codes real friends for twenty percent off in
two free pillows, and yeah.

Speaker 1 (55:09):
But I was.

Speaker 2 (55:10):
Donald loves it. But his kids you didn't get on
earlier when we were talking about how he heats his
pool in ninety five degrees. His kids are so spoiled
that he got the most insane Helix mattress and then
he promptly gave it to his son.

Speaker 1 (55:25):
When I was a kid, I didn't have a lot
of shit. And so now that I now that I
can get things, I am going to I spoil my
children with those things. Is it healthy? Probably not. Is
it going to fuck them up? Probably? But guess what,
at the end of the day, they're my kids, and
fuck off everyone else.

Speaker 2 (55:45):
On that note, On that note, doctor Bagsby, thank you
so much.

Speaker 6 (55:49):
Thank you, gentlemen, Thank you for having me.

Speaker 1 (55:53):
Thank you for coming on.

Speaker 2 (55:54):
Thank you for coming on.

Speaker 1 (55:55):
Let's take a break.

Speaker 2 (55:56):
We'll be right back after these fine words.

Speaker 1 (56:05):
That was great.

Speaker 2 (56:05):
I like doctor Bagsby.

Speaker 1 (56:07):
I told you, I told you.

Speaker 2 (56:08):
He's a very impressive guy. He is banging out, banging
out knee surgeries in forty five minutes. How long does
it take you Donald.

Speaker 1 (56:16):
To bang out a knee surgery?

Speaker 2 (56:17):
Yeah, bang out a replacement.

Speaker 1 (56:18):
It takes me to bang out a replacement. Shit. Yeah,
I haven't banged out a replacement in a while because
I've been married.

Speaker 2 (56:26):
So there's no oh, banged out a replacement. I get well.
I feel like one area we would do well on
Millionaire now is knee replacement surgery.

Speaker 1 (56:35):
Well, we know about units, Yeah, we know about units.

Speaker 2 (56:38):
If they're like, how do they measure the time of
the doctor in surgeries?

Speaker 1 (56:43):
Units?

Speaker 2 (56:43):
Jimmy a units?

Speaker 1 (56:46):
Final answer, final answer?

Speaker 2 (56:48):
Now, listen, when we're on the show, you're not allowed
to say final answer.

Speaker 1 (56:51):
Don't do not, you do not say not.

Speaker 2 (56:53):
We got to have a meeting, Yeah, we got to
have a meeting, to say, a whispered meeting. Like they're
doing Shark Tank. They're deciding between which deal to take.
They turn to each other and they cover their their lips.

Speaker 1 (57:04):
Yeah, so that the audience doesn't know what we're going
to choose also, or when we're going to say final lands.

Speaker 2 (57:10):
Well, they do like you to talk it out, Donald,
They do like the audience likes it when you talk
it out.

Speaker 1 (57:15):
We're going to talk it out, bro, Yeah, we're going
to talk it all out.

Speaker 2 (57:18):
Are you nervous, I'm very nervous.

Speaker 1 (57:19):
I'm very nervous.

Speaker 2 (57:20):
I want to give a lot. I want to give
a million dollars to our charities.

Speaker 1 (57:24):
I would like that too. I'm very afraid that we
go out really early.

Speaker 2 (57:29):
Neil Flynn. Oh, I didn't finish saying that. Neil Flynn,
as you all know, played the genitor. I remembered, was
very good at trivia, and I think he was the
kind of guy who did the New York Times Crossford
puzzle every day, and he just seemed wise and good
at this kind of thing. So we asked him to
be our phone a friend. So when we do Millionaire,

(57:51):
Neil is going to and he said, yes, he's going
to be our phone a friend.

Speaker 1 (57:55):
Although I will say we wanted to although I did,
I will when we did Family Feud, his team didn't
get one thing right and he was.

Speaker 2 (58:05):
But family feuds a different game. That's what did a
hundred people say.

Speaker 1 (58:10):
I am just saying it.

Speaker 2 (58:13):
Wanted to get what's his name, Neil.

Speaker 1 (58:16):
De Grassi Tyson, No, Neil Tyson de Grossi. I wanted
Ken Jennings also.

Speaker 2 (58:21):
And we were asking my way, well, we were asking
the million of people like is it cheating if we
if our phone and friend is Ken Jennings or Neil
de grass Tyson And they say also for charity, so
it's all good. Well, then I thought the fans would
appreciate Neil Moore.

Speaker 1 (58:37):
They will appreciate Neil Moore.

Speaker 2 (58:39):
Yeah, and also Neil's good TV.

Speaker 1 (58:41):
But it was great TV. So the other two also
don't get it twisted.

Speaker 2 (58:46):
No, but I'm saying, let his say even though it's
for charity, it feels cheating. If our fucking phone in
front is Ken Jennings.

Speaker 1 (58:52):
Do you think you disagree? Home boy?

Speaker 2 (58:54):
Do you think he would have said? Yes?

Speaker 1 (58:56):
Hell, yeah, it's us man. He listens to the podcast.

Speaker 2 (58:59):
But I call Neil and be like, you've been replaced
with Ken Jennings.

Speaker 1 (59:04):
No you, We wouldn't disneyel like that. We've already made
our choice. But those would have been excellent choices as well.

Speaker 2 (59:11):
All Right, I love you. I'm going to see you
on Saturday.

Speaker 1 (59:14):
I cannot wait. I have I have been getting my
steps in? Have you been getting your steps in? Yeah?

Speaker 6 (59:18):
I have.

Speaker 2 (59:18):
I'm in New York City. It's very easy to get
your steps in.

Speaker 1 (59:20):
It's so easy to get your steps in if you
can find a place to walk. People listen if you
need to get your steps in, I know a way.
Find a trail and walk that shit.

Speaker 2 (59:30):
Like eight times you've been working on trails.

Speaker 1 (59:33):
All I do is go to this college, I step
the block from where I live right and I walk
around it and I walk around it twice and I
get eleven thousand to twelve thousand steps.

Speaker 2 (59:43):
That's amazing, dude, you found a way I found I uh,
that's great. In New York City, I just ride my
bike and walk everywhere and I get my ten thousand
steps in.

Speaker 1 (59:52):
Also, for those of you out there, it's going to
sound a little crude. It's going to sound a little crude.
Jerking off helps with the steps.

Speaker 2 (59:59):
Also, Oh, you keep your or ring on when you masturbate.

Speaker 1 (01:00:01):
Absolutely, because then that's steps, it's steps.

Speaker 2 (01:00:04):
Well it's not steps, it's sort of cheating. And then
you're getting then you're getting lotions. Then you're getting lotions
all over your steps. What about when you're having intercourse,
do you keep your orr ring on?

Speaker 1 (01:00:13):
Yeah, because my heart rate gets up and that's an activity.

Speaker 2 (01:00:16):
Yeah, the or ring will tell you it looks like
you've been fucking and.

Speaker 1 (01:00:21):
It looks like it looks like your activity level has just.

Speaker 2 (01:00:24):
No, it's mine, mine must I must have a new
update because it says it appears you have been fucking,
and then you click yes or no. And sometimes we
were just on a walk, so you're like, oh, I
wish I was fucking. I was just walking. But okay,
the hit that you click out the x X out
the fucking dude.

Speaker 1 (01:00:41):
I gotta tell you, man, I'm missing. I miss I
missed in your face. I want to know about you.

Speaker 2 (01:00:47):
I want to I'm going to see you. I'm going
to see you Thursday for our secret project, and I'm
gonna see you Saturday at Christa's birthday party. Audience, thank
you for tuning in. We love you. We we hope
you learn something about out knee surgery and about how
Donald's masturbates with his ring.

Speaker 3 (01:01:03):
No five secure some stories that show we made about
a bunch of talks and nurses in Canada.

Speaker 1 (01:01:14):
I said, here's the story. NET you all show no

Speaker 3 (01:01:19):
So gander round you here, Gada round you here O
spec me was SHOWZ and no